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Diabetic Foot Evaluation Lab

Our All-in-one Complete Diabetic Foot Lab model DIABETIK MINILAB is our one of the best products that can measure and document all the important parameters such as the Ankle Brachial Index(ABI), Toe Brachial Index(TBI), Doppler Waveform, Monofilament 10gm, Biothesiometry, Foot Pressure and Foot Temperature. In addition to the above reports, a master report is created by the software will capture the medical history with symptoms of the patient, dermatological exam, musculoskeletal exam, vascular and footwear exams along with the recorded test results and their interpretations. A colorful 6 pages report is generated by the software. The Diabetik Minilab is supplied with all the accessories and a sturdy trolley. An all-in-one scanner/copier/printer of a particular specification is supplied with the device. A Windows 7/8/10 operated laptop is to be arranged by the buyer. Vascular Screening: Whenever one suspects Peripheral Arterial Disease (PAD), the clinician must perform a few non-invasive vascular testing methods that are commercially available and widely implemented. Features: • Unidirectional 8MHz probe • Photo-plethysmograph PPG Toe sensor • BP cuffs for ABI/TBI • Ankle Brachial Index (ABI) • Toe Brachial Index (TBI) • Doppler Velocity Waveform • Venous Examination (No documentation) • Carotid, Penile examination (No documentation) Neuropathy Screening: Diabetes can result in long-term health complications, with one of the most common being microvascular damage that leads to diabetic neuropathy (DN), which affects multiple body systems and increases amputation risk. A typical form of DN is diabetic peripheral neuropathy (DPN), which is known to be a primary cause of balance issues, and sensation loss in the feet, and a major contributor to nontraumatic lower-limb amputations. Loss of sensation in the foot can be diagnosed with a 10gm Monofilament and a Biothesiometry. Semmes‐Weinstein monofilament test (SWMT): The SWMT is a common screening tool for assessing the sensory function and the loss of pressure sensation (light touch perception). A 10-gm monofilament test (also referred to as the 5.07 monofilament) is the most common in practice. 25 Nos of such monofilament in a box are supplied with the device. The filament is applied to at least six sites on the foot until it buckles, which occurs at 10 g of linear pressure when the patient is asked to detect its presence. If it is not detected on at least four out of six sites, then the protective sensation is considered to be lost. Biothesiometry: Vibration perception threshold (VPT) has been shown to be strongly associated with foot ulceration. VPT determination by using a Digital Biothesiometer has been used to identify peripheral sensory neuropathy and subjects at risk of the foot. Digital Biothesiometer helps us quantitate the threshold and monitor progressive changes or trends on following up testing. Sensory neuropathy increases the risk of foot ulcerations by seven-fold and peripheral arterial disease (PAD) by three folds in people with diabetes. Peripheral neuropathy is the major causal factor in the development of foot ulcerations among diabetic subjects. Early detection of vibration perception threshold (VPT) helps better prevention. Prevention is better than no cure. 50% of all non-traumatic amputations occur in diabetes which is a high-risk group. . Features: • First Company to introduce Digital Biothesiometry in India - 2003 • Digital 0 to 50 Volts indicator • Vibrator with Mute/Check & Record key • Full solid-state design Plantar Pressure measurement: Understanding foot biomechanics is an important component in the evaluation of diabetic foot. The abnormal plantar pressure distribution plays a key role in the formation of plantar calluses and diabetic foot ulcers. Abnormal value of foot pressure, as well as neuropathy, could play an important role in the formation of plantar ulcers independently. Current international guidelines advocate achieving at least a 30 % reduction in maximum plantar pressure to reduce the risk of foot ulcers in people with diabetes. Features: • Foot Imprinter Harris Mat FM1111 • Licensed software to scan and image process FM1111 foot image. • Report to include the footwear measurements. • Multi-color picture image indicates the pressure mapping. IR Foot Temperature measurement: Monitoring of skin temperatures at the foot, along with subsequent offloading can dramatically reduce the occurrence of ulcerations. The defined threshold reported in numerous studies is an asymmetrical difference of 4ºF (2.2°C) between the sites. Because most patients at risk for ulceration are also at risk for Charcot, monitoring foot temperature would be an effective tool. Features: • Simple one-handed operation • Laser targeting • oC / oF select switch, Accuracy +/- 2% • Early marker for Charcot foot • Can reduce the risk of ulceration.

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General

An orchidometer is a medical instrument used to measure the volume of the testicles. Normal volume is 15 to 25 ml; the average is 18 cm³ per testis (range 12 cm³ to 30 cm³). The discrepancy of testicular size with other parameters of maturation can be an important clue to various diseases. Small testes can indicate either primary or secondary hypogonadism. Testicular size can help distinguish between different types of precocious puberty. Since testicular growth is typically the first physical sign of true puberty, one of the most common uses is as confirmation that puberty is beginning in a boy with delay. Large testes (macroorchidism) can be a clue to one of the most common causes of inherited generalized learning disability, fragile X syndrome..

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Podiatry Products

The Durometer is commonly also known as Shore Meter. There are two variants in this Shore Meter. They are Shore Meter A and Shore meter D. Shore durometer A is a device for measuring the hardness of soft material, typically of polymers, elastomers, and rubbers. Shore Meter D is mainly for hard materials like plastics, steel etc., We are distributing Shore Meter A and all the discussions and descriptions are about them only. Higher numbers on the scale indicate a greater resistance to indentation and thus harder materials. Lower numbers indicate less resistance and softer materials. Durometer measurement scales range from 0 to 100 and simply represent a relative comparison of hardness difference. The durometer has shown consistent reliability in the objective assessment of skin hardness in patients with systemic sclerosis and localized scleroderma. It is an easy-to-use and simple method, which can provide a correct numeric evaluation of hypertrophic scars induration and objective control of therapeutic efficacy during treatment over time. Determination of skin hardness by this instrument has been proven to be accurate and reproducible, both in normal and pathological conditions. Increased foot sole hardness and peripheral neuropathy are suggested to be important risk factors for foot ulceration. In subjects with diabetes, it was found in numerous research that differences and variations in foot sole hardness were found to be significantly different in subjects with and without diabetic neuropathy using Durometer (Shore meter). Hence shore meter was more sensitive and provided a feasible means of measuring foot sole hardness in subjects with diabetic neuropathy. Foot sole hardness in diabetic feet can be considered as a potential determinant of foot sole ulcerations. The durometer has potential use in many dermatological disorders as a tool to be used routinely to demonstrate improvement in treatment, particularly in burn patients where cosmetic appearance and functional status represent major concerns for the patient.

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Neuropathy Screening Products

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). Small-fiber Test (HCP) provides an easy-to-use and scientifically validated measure of warm, cool and heat pain thermal sensory thresholds, all clinically useful determinants in the evaluation of diabetic neuropathy. Vibration Perception Threshold (VPT) has been shown to be strongly associated with foot ulceration. VPT determination by using a Digital Biothesiometer has been used to identify peripheral sensory neuropathy and subjects at risk of the foot. Digital Biothesiometer helps us quantitate the threshold and monitor progressive changes or trends on following up testing. Sensory neuropathy increases the risk of foot ulcerations by seven-folds and peripheral arterial disease (PAD) by three folds in people with diabetes. Peripheral neuropathy is the major causal factor in the development of foot ulcerations among diabetic subjects. Early detection helps better prevention. Prevention is better than no cure. 50% of all non-traumatic amputations occur in diabetes who is a high-risk group. Our Neuropathy Analyser model Vibrotherm Dx has inbuilt both VPT and HCP in a single device. The Windows 7/8/10 supported software supplied helps to capture the VPT, COLD, HOT and Monofilament 10gm testing for storage and a patient report. FEATURES: • Full solid-state design with PC enabled • Easy Tool to quantify Neuropathy • Digital Biothesiometer VPT and Thermometry HCP combined • Digital 0 ~ 50 Volts Vibration output • 1 ~ 50o C temperature output range • 1o C rate of change per second • Remote keypad helps easy operation • Single probe delivers both Hot & Cold temperatures • Automatic interpretation based on set reference values • Early detection of Small Fiber Neuropathy • Software supports Windows Win 7 / Win 8 / Win10 computer • Patient report storage, export, pdf options available • USB interface

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Vascular Screening Products

Transcutaneous oxygen monitoring (TCOM / tcpO2) is a well-documented technique reflecting the nutritive flow in the capillaries. Today, TCOM / tcpO2 is commonly used in clinical applications such as wound-healing assessment, hyperbaric medicine, amputation-level determinations and more. Precise8001 offers the possibility to monitor the transcutaneous oxygen at the sites of interest. Features: • Fluorescence photo optical system and hence no membrane technology • No membrane and hence minimal operating cost • No pre-heating of sensor and self-automatic calibration while testing • Measurement time is less than 10 min • Automatic marking of end value • 10.1-inch large LCD touch screen Display • Displays the measurement process graphically and numerically • Integrated patient and measurement database • Oxygen partial pressure range of 0 to 2000 mmHg • Sensor temperature range 37 to 44 degree Celsius • Long enough 250cm(2.5meter) sensor cable for ease of placement • USB connection for Computer connection - Optional • Connects external memory for data transfer in txt format • Software for data transfer to computer - Optional • Standalone operation and operate with the computer if software purchased • Measurement is independent of skin pH and salt content • Weighs less than 3 kgs • Built-in rechargeable battery supports minimum 3 hours of operation • Unit works between 100Volts and 230Volts AC power supply • Truly portable

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Neuropathy Screening Products

In diabetes mellitus, polyneuropathy is an important complication and should be diagnosed as early as possible in order to prevent damage to the patient. Determination of warm, cold, and heat pain thresholds enables one to judge small nerve fibre sensitivity. 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). The Thermometry HCP may be used on patients with neurological diseases (especially peripheral neuropathy). The system is designed to measure and store patient responses to a series of thermal stimuli, but does not make any diagnosis. The test results should be used with the results of other medically accepted tests in order to assist the physician in making a final diagnosis. The product is highly accurate and truly calibrated to produce repeatable results. When the patients are properly explained and instructed before the testing, the results of the tests are highly sensitive, specific, and quantified. Features: • Full solid state Design PC enabled • Non invasive testing of pain thresholds • Range : 10 C to 500 C (Restricted for the purpose of safety) • Rate of change : 0.50 C per second for Hot/Cold • Helps to find Cool, Warm, Hot, and Cold Perception Thresholds • Data storage on Personal Computer. • Easy operation with hand remote • Helps detecting Diabetic Polyneuropathy at an early stage

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