Peripheral neuropathy is the prime cause of diabetic foot ulceration. Ulceration, in turn, is the key factor that may precipitate a cascade of events leading to lower-extremity amputation. Checking the loss of Thermal Sense, Vibration sense and protective Touch Sense will help the management of diabetic neuropathy and its effect on the foot. Three important simple devices are packaged in the Neuropathy Assessment Kit (NA03) for the effective management of diabetic neuropathy. The kit contains a Tiptherm, a Vibratip and Monofilament 10gm(25 Nos). TIP THERM® is a simple device for the early diagnosis of symmetrical polyneuropathy by measuring the loss of temperature sensitivity of the skin. TIP THERM® was developed to give the clinician and patient a convenient and easy-to-use method of testing. This device is recommended to use, at a room temperature of 23° C. Failure to perceive variances in temperature in the extremities is the most decisive early symptom of distal symmetric polyneuropathy, a typical ailment accompanying diabetes mellitus (Ziegler 1988). Portable Vibration sense device VIBRATIPTM is a device resembling a small key fob that provides a near-silent vibration of consistent amplitude at a frequency similar to that of a calibrated tuning fork. It is intended for use when testing a person’s vibration perception during routine checks for diabetic peripheral neuropathy (DPN) in people who have type 1 or type 2 diabetes. It is a disposable device works for about 250 patients, and vibrates at 125 Hz with an intensity equivalent to that of a Biothesiometer at 25 Volts. When the patient does not feel the vibration is classified as a high-risk category. MF10GM: Monofilaments 10gm is an effective, convenient, easy to use, relatively inexpensive way of testing for loss of protective touch sense in the feet. It is designed for single-patient use and can be used till 100 bends or filament damage.

Monofilaments MF10GM contain a small strand of filament attached to a visiting card-like handle. When placed upon the skin perpendicularly and applied an amount of pressure before the filament bends or buckles. The point at which the filament bends or buckles is rated in grams of force. 10gm Monofilament is widely accepted by the medical community and recommended by WHO and IDF for evaluating the loss of protective touch sense. The MF10GM Monofilament is intended to be used to determine whether a person with diabetes has the presence of an adequate level of protective sensation in their feet as indicated by having enough tactile sensitivity to perceive 10 grams of force against the skin of their feet. The monofilament is tested on multiple points on the foot of the person to be tested and they should feel the sense in the majority of the test points. If they don’t feel the sense in multiple spots, then it is indicated that they would have lost the protective touch sense. It should be used on adult Diabetic patients on a periodic basis to evaluate changes in sensory perception in the feet due to Diabetic peripheral sensory neuropathy. This device is not a complete replacement for routine sensory evaluation by a health care provider. They are available in a box of 25pcs and cost Rs. 650 inclusive of GST and Courier.

• Measure static, dynamic, multi-dynamic and postural pressure mapping • Bi-directional walking facility • Sensor size of 8 x 8 mm • 400mm x 400mm sensing area • 1600 sensors with Sampling rate 100Hz • Maximum of 200kg patient load • Maximum Pressure 100N/cm2 • Weighs 3.15 kg • Dimension of 565mm(L) x 612(D) x 22mm – 7mm(H) • Thickness of platform 7mm or less • Displays area, Maximum Pressure curves • Should have storage of measurement data • Displays each frame in rollover process (ROP) • Displays maximum pressure picture (MPP) • Displays of % of the distribution of pressure • Force value graph display for both foot • Prints screen copy • Prints 1:1 actual size • Displays centre of pressure (COP) line • Connects to PC through USB for data transfer and power • Software compatible to any Windows Computer • Displays 60 frames of mosaic for one measurement • 2D and 3D pressure display • Provision to connect a video camera • Video walking synchronized with pressure rollover is available • Comparison of videos of patients walking • Comparison of reports of the same patient or with multi-patient • Export of data available • Facility for data backup and retrieval • PDF printing facility • Branded computer with processor i3 or above and color printer (Optional)

Deformity due to the diabetic foot causes repetitive and excessive pressure to certain areas of the foot, which may result in ulcers and pains. Therefore, it is necessary to measure the pressure of the sole for the prevention and management of diabetic foot lesions. Early identification of feet 'at risk' for ulceration is important in preventing plantar lesions in diabetic patients with insensitive feet. Plantar pressures are higher in diabetic neuropathic patients than non-diabetic and non-neuropathic Counterparts. As high plantar pressure is a proven risk factor for foot ulceration, effective screening for high plantar pressures in diabetic patients could have a major influence on the incidence of diabetic foot ulceration. High plantar foot pressure has been identified as a significant risk factor for ulcerations. A large number of studies have suggested that plantar pressures are high in people with diabetic peripheral neuropathy (DPN) and in people with a history of diabetic foot ulcers. Measurement of these foot pressures is possible utilizing a variety of modalities. Several computerized systems can provide quantitative measurement of plantar foot pressure. These measurements are important in identifying areas of the foot at risk for ulceration and possibly in the evaluation of orthotic adjustments. In order to identify high-risk patients in a clinical setting, a simple system for screening is needed which is easy to use, reliable and gives results that are easy to interpret and can be immediately available to both the patient and staff. Our Foot Imprinter Harris Mat FM1111 has been developed as a simple, inexpensive and practical foot pressure measurement device intended for routine clinical use. It is a semiquantitative footprint mat that quantifies plantar pressure by visual comparison between the greyness of the footprint. Features: • Measures and display patient weight disbursement in greyscale • Detects the area of the greatest concern for ulceration • Useful to identify Charcot arthropathy • Arch of the patient can be detected • More the darker color represent the high pressure • Excellent tool for motivating the patient to upgrade to a good footwear • Kit includes FI1111 mat, rubber roller, ink pad, Ink and prescription pad

We distribute high-quality selective stainless steel surgical instruments for managing Podiatry applications. These are imported from reputed suppliers and exported to many countries. The Kit contains: 1. Cuticle Pusher double ended 2. Corn Scrapper with handle 3. Cuticle Scissor with ring 4. Barrel spring Nail Cutter 5. Moon shape double spring Nail Cutter

Neurolite Therapy is a medical device that emits infrared light at a wavelength of 890 nm along with LED light at a wavelength of 660nm, and can be applied to any area of the body, which may provide a relief for the patients. Neurolite Therapy device helps the patient if they can use early on to relieve pain, increase microcirculation, promote healing and relieve muscle spasm, it is possible to decrease pain levels, decrease the number of falls, the number of injuries and the necessity for amputations. It is also possible to increase the patient’s level of activities and quality of life, (due to reduction in pain) as well as overall patient compliance and satisfaction. Features: • Infra-red LED and RED led activated • Continuous or Pulsed operation • Increase vascular efficacy • Stimulate the production of collagen • Stimulate the release of adenosine tri-phosphate (ATP) • Stimulate fibroblastic activity • Stimulate tissue granulation and connective tissue projections • Stimulate acetylcholine release • Reduce the excitability of nervous tissue • Benefits Pain and Numbness in Extremities • Selective wavelengths for improved result • Built-in timer stops the therapy automatically • Stimulate the production of collagen • Increase lymphatic system activity • Stimulate tissue granulation and connective tissue projections

Neurostim is a drug free, painless answer to eliminating pain and burning sense. The Neurostim works by stimulating all your nerves from your lower back down to your toes with a specific gentle waveform that your peripheral nerves naturally use to communicate with the rest of your body. The Neurostim opens your nerve paths to restore full function. All other devices temporarily treat only pain; the Neurostim permanently eliminates pain. • Relieves Your Pain and Numbness • Helps You Sleep All Night • Restores Your Balance and Mobility • Restores Feeling in Feet and Hands • Reduces or Eliminates Pain Medications The NeuroStim has proven to be highly effective in treating a number of conditions, such as: • Diabetic Nerve Pain • Peripheral Neuropathy • Diabetic Peripheral Neuropathy • Carpal Tunnel Syndrome • Chronic Inflammatory Demyelinating polyneuropathy • Muscle Spasms • Peripheral Arterial Disease • Venous Stasis • Stroke Rehabilitation • Symptoms Related to Lymph Disease • Symptoms Related to Chronic Fatigue Syndrome

One of the frequent causes of non-traumatic lower-limb amputation is Diabetes and is usually preceded by foot ulcer and infection. The reason of this ulceration is commonly a loss of protective sensation due to peripheral neuropathy, for which there is no prevention strategy. Current research promotes early detection of neuropathy so that secondary prevention measures, such as intensive foot-care education and treatment, can be used for individuals. In an effort to standardize and simplify the detection of insensate foot, the 5.07/10-gm Monofilament is recommended by the International Diabetes Federation and the World Health Organization as a device that can be used by health professionals at every level of care. A standardised filament is pressed against part of the foot. When the filament bends, its tip is exerting a pressure of 10 grams (therefore this monofilament is often referred to as the 10 gram monofilament). If the patient cannot feel the monofilament at certain specified sites on the foot, he/she has lost enough sensation to be at risk of developing a neuropathic ulcer.