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Instruments
INFANT MUCUS EXTRACTOR
• Specially designed for aspiration of secretion from Oropharynx in newly born babies to
ensure free aspiration
• Clear transparent container permits immediate visual examination of the aspirateAlso
suitable for obtaining mucus specimen for micro biological examination
• Spare closure cap is provided to seal the container for safe transportation of specimen to
the laboratory or aseptic disposal of container
• Low friction surface catheter is provided with open end silk smooth round tip for trauma
free insertion
• Capacity 20 to 25ml.,
• Individually packed
• Laminated inner box of 40 pcs
• Disposable, Sterile Ready for use
UMBILICAL CORD CLAMP
• Manufactured from Non toxic Medical grade polymer
• Designed for clamping the Umbilical Cord immediately after birthProvided with double
purpose security lock click to indicate the correct locking & protect against accidental re-
opening
• Finger grip ensure safe and convenient handling, particularly when gloves are wet
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• Provided with grooves all along the length to prevent the slipping of the Umbilical Cord
and to retain it in the same position
• Individually packed
• Laminated inner box of 100 pcs
• Disposable, Sterile ready for use
RYLE'S TUBE
• Manufactured from non toxic, non irritant PVC
• Specially designed for naso gastric introduction for nutrition and aspiration of intestinal
secretion
• Distal end is coned with corrosion resistant stainless steel balls sealed into the tube, to
assist the passage of the tubing during intubationFour lateral eyes are provided for
efficient aspiration and administration
• 3 openings at the tip
• The tube is marked at 50cm 60 cm & 70cm from the tip for accurate placement
• Super smooth low friction surface facilitates easy intubation
• Provided with X-ray opaque through out the length
• Length : 105 cms
• Individually packed
• Laminated inner box of 50 pcs
• Sizes: Fg: 8,10,12,14, 16,18 & 20
• Disposable, Sterile ready for use
INFANT FEEDING TUBE
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• Manufactured from non toxic PVC non irritant to delicate mucosa
• Suitable for neonates and paediatric nutritional feeding
• Distal end is coned with two lateral eyes
• Proximal end is fitted with female luer mount for easy connection feeding funnel or
syringe
• Low friction tubing & super smooth tip ensures trauma free intubation
• Radio –opaque line is provided throughout its length for X-ray visualization
• Length : 52 cm
• Individually packed
• Laminated box of 100 pcs
• Disposable, Sterile & ready for use
UMBILICAL CATHETER:
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• Manufactured from SOFT PVC white yield easily to tissue contours at body temperature
• Designed for intermittant or continuous access to the umbilical artery or vein of newly
born or premature infants
• Individually straight packed in paper pouch packing to ensure aseptic handling
• Laminated inner box of 100 pcs
• Disposable, Sterile ready for use
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Size FG-5 FG-6 FG-8
Colour Code Grey Green Blue
TWIN BORE NASAL OXYGEN SET (ADULT/PAEDIATRIC)
• Manufactured from Soft, non toxic
green PVC thus non irritating even
in long term use
• System of attachment provides
maximum freedom to the patient
and leaves the patient’s mouth free
for nutrition & communication.
• Smoothly finished & adjustable nasal tips for maximum patient’s
comfort
• Soft funnel shape connector facilitates easy connection to the
Oxygen Source
• Star Lumen tube ensures the supply of Oxygen even if tube is
accidentally kinked
• Sizes : Adult, Paediatric
• Individually packed
• Laminated inner box of 25 pcs
• Disposable, Sterile ready for use
NASAL OXYGEN CATHETER
• Open distal end with multiple
lateral eyes for even dispersion of
oxygen and prevention of oxygen
burns
• Colour coded for size
identification
• Frozen surface
• Length : 40 cms
• Individually packed
• Laminated box of 100 pcs
• Disposable, Sterile Ready for use
Size FG-8 FG-10 FG-12 FG-14 FG-16 FG-18 FG-20
Colour Code Blue Black White Green Orange Red Yellow
OXYGEN MASK MEDI MASK (ADULT & PAEDIATRIC)
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• Moulded face mask has adjustable
elastic strap and integrated nose
clip for proper positioning of mask
on the mouth and nasal area
• Specially designed for convenient
oxygen therapy
• Provided with 2 meter long star
lumen tube to ensure continuous
flow of Oxygen
• The tube has funnel shaped connector at the proximal end to
facilitate simple & safe connection with the oxygen Tube
• Sizes: Adult, Paediatric
• Individually packed
• Laminated inner box of 15 pcs
• Disposable, Sterile ready for use
GUEDEL AIRWAYS (PLASTIC)
• Manufactured from EVA to
achieve extra soft surface finish
• Designed to maintain an
unobstructed Oro- Pharyngeal
airway during or following general
anesthesia and in patients who are
unconscious for other reasons
• Integral hard bite block avoids
airway occlusion and biting of the
tongue
• Stepless airway path for easy cleaning
• Bite blocks are colour coded for instant identification of sizes
• Individually packed
• Laminated box of 30 pcs
• Disposable, Sterile Ready for use
Size FG-00 FG-0 FG-1 FG-2 FG-3 FG-4
Colour Code Blue Green White Black Orange Red
SUCTION CATHETER
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•Manufactured from non toxic non
irritant medical grade PVC
• Suction catheters are suitable for
removal of secretion from mouth
oropharynx trachea and bronchial
tubes
• Distal eye is open with one lateral
eye
• Frozen surface tubing for smooth
intubation
• Colour Coded for instant size identification
• Length : 53 cms
• Size : MK-60, MK-61
• Individually packed
• Laminated inner box of 100 pcs
Disposable, Sterile ready for use
Size 8 10 12 14 16 18 20
Colour
Blue Black White Green Orange Red Yellow
Code
URETHERAL CATHETER
• Manufactured from Non toxic,
Non irritant PVC
• Most suitable for removal of
secreation from mouth, trachea
& bronchial tubes
• Distal end is opened with one
lateral eye
• Proximal end is fitted with
(Universal) funnel shape
connector for connection to
standard suction equipment
• Funnel shape connectors are colour coded for size identification
• Provided with x-ray opaque line throughout its length
Size FG-8 FG-10 FG-12 FG-14 FG-16 FG-18 FG-20
Colour Code Blue Black White Green Orange Red Yellow
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Malecot Catheter
Used for percutaneous placement of a malecot catheter in the renal pelvis for
nephrostomy drainage.
Key Features:
• The malecot flower design is ideally suited for the drainage of thick viscous fluids
• Highly radiopaque for better visualization
Size: 10 to 18 French
Length: 30 cms
Ambu Bag:
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A bag valve mask (also known as a BVM or Ambu bag) is a hand-held device used to
provide positive pressure ventilation to a patient who is not breathing or who is breathing
inadequately. The device is a normal part of a resuscitation kit for trained professionals, such
as ambulancecrew. The BVM is frequently used in hospitals, and is an essential part of a crash
cart. The device is used extensively in the operating room to ventilate an anaesthetised
patient in the minutes before a mechanical ventilator is attached. The device is self-filling
with air, although additionaloxygen (O2) can be added.
Use of the BVM to ventilate a patient is frequently called "bagging" the patient.[1] Bagging is
regularly necessary in medical emergencies when the patient's breathing is insufficient
(respiratory failure) or has ceased completely (respiratory arrest). The BVM resuscitator is
used in order to manually provide mechanical ventilation in preference to mouth-to-mouth
resuscitation (either direct or through an adjunct such as a pocket mask).
One proprietary brand of a self-inflating BVM resuscitator is called the Ambu bag. The
concept for the original Ambu bag was developed in 1953 by the German engineer, Dr. Holger
Hesse, and his partner, Danish anaesthetist Henning Ruben. In 1956, the world's first non-
electric, self-inflating resuscitator was ready for production by their company, Ambu A/S,
which still produces a wide range of single-patient and multi-use resuscitators. The Ambu
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name has become an example of a Genericized trademark, as all manual bag resuscitators in
medical settings are now often referred to generically as "Ambu bags," even though Ambu
brand resuscitator bags are still produced and other companies are not allowed to use the
Ambu trademark.
[Link]: Self-inflating bag (Bag-valve mask or Ambu Bag)
A. Mechanism
1. Bag fills spontaneously after being squeezed
B. Advantages
1. Does not require an oxygen source
2. Easier to learn to use
C. Disadvantages
1. Can not deliver free flow oxygen
D. Oxygen Delivery with ventilation (Bag-Valve Mask)
No Oxygen Source: Delivers 21% Oxygen (Room air)
Without Oxygen Reservoir: Delivers 30-80% Oxygen at 10 LPM flow
With Oxygen Reservoir (required for high oxygen flow): Delivers 60-
95% Oxygen at 10-15 LPM flow
II. Pop-Off Valves (Bag Valve Mask)
Usually set at 30-45 cm H2O
Pop-off should be easily occluded on bags
. Higher pressures are needed during CPR
Occlusion of the pop off valve
. Depress valve with finger during ventilation or
a. Twist the pop-off valve into closed position
III. Precautions
. Do not use Bag Valve Mask to deliver free flow oxygen
IV. Technique
. Tidal Volume
Term Newborns
. Administer 5-8 ml/kg (15 to 25 ml per ventilation)
a. Bag volume: 200 to 750 ml (usually >450 ml)
Adults and older children
. Administer 10-15 ml/kg
A. Hold mask over face with one hand
Mask should fit snugly
. Covers mouth, nose and chin
a. Should not cover eyes
Thumb over nose
Support jaw with middle or ring finger
Avoid submental pressure (risk of airway obstruction)
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Head Tilt - chin lift (Avoid if trauma!): Infants/Toddlers
Neutral sniffing position without hyperextension: Children >2yo
1. Folded towel under neck and head
2. Observe for adequate ventilation
3. Adequate chest rise
Oxygen hood
provide a stable concentration, visibility and access to most of the body ; recommend for acutely ill
or unstable infants who require a FiO2 > 0.40 ; a minimum flow rate of 3 LPM is recommended
in order to prevent CO2 retention
Oxygen tharpy
Oxygen saturation is defined as the ratio of oxyhemoglobin to the total concentration of hemoglobin
present in the blood (ie Oxyhemoglobin + reduced hemoglobin).
A hemoglobin molecule can carry a maximum of four oxygen molecules. 1000 haemoglobin molecules
can carry a maximum of 4000 oxygen molecules; if they together were carrying 3600 oxygen
molecules, then the oxygen saturation level would be (3600/4000)*100 or 90%.
When arterial oxyhemoglobin saturation is measured by an arterial blood gas it is called SaO2.
When arterial oxyhemoglobin saturation is measured non-invasively by pulse oximetry, it is called
SpO2.
Oxygen therapy-NB
Apparatus Flow rate L/Mt % of available Oxygen
Room Air 21%
Hood 10-12 80-90%
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Nasal tube 5-8 Held at distance:
.5” : 80%
1” : 60%
2” : 40%
Mask 5-8 Tightly over the face 60-80%
Loosely over the face 40%
Ambu Bag 6 Without reservoir 40%
With reservoir 80-90%