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.

The 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 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 helps better prevention. Prevention is better than no cure. 50% of all non-traumatic amputations occur in diabetes which is a high-risk group. Our portable vibration sense Biothesiometer VIBROMETER is compatible with Windows 7/8/10/11 operated computers. Android support in available. Features: • Full solid-state design • Electronic Tuning Fork • Easy tool to quantify neuropathy • Digital 0 to 50 Volts indicator • Vibration Check/Mute key on the probe • Data record key on the probe • Computer Connectivity through USB and Bluetooth • Automatic Port Setting • Automatic Interpretation of result • Interpretation rule can be edited • Data Export/Retrieve available • Products tested by an International accredited test lab • Weighs less than 3 Kg • Largest exported product from India • 230V, AC, 50Hz Mains operation(110V, AC, 60Hz option)

The 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 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 helps better prevention. Prevention is better than no cure. 50% of all non-traumatic amputations occur in diabetes which is a high-risk group. Our portable vibration sense Biothesiometer is compatible with Windows 7/8/10/11 operated computers. Features: • Full solid-state design • Electronic Tuning Fork • Easy tool to quantify neuropathy • Digital 0 to 50 Volts indicator • Vibration Check/Mute key on the probe • Data record key on the probe • Computer Connectivity through USB • Automatic Port Setting • Automatic Interpretation of result • Interpretation rule can be edited • Data Export/Retrieve available • Products tested by an International accredited test lab • Weighs less than 3 Kg • Largest exported product from India • 230V, AC, 50Hz Mains operation(110V, AC, 60Hz option)

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

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

This basic neuropathy Assessment kit consists of one Tiptherm, one VibraTip and 25 Nos. 10gm Monofilaments to check the loss of temperature, vibration and touch sensitivity. Early diagnosis of distal symmetric polyneuropathy by testing temperature sensitivity, can prevent complications of diabetic foot. Precious time is gained if examinations are geared towards detecting this symptom. Regular testing of temperature sensitivity should therefore be a compulsory part of basic diabetes treatment. 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). TIP THERM® is ideal for testing temperature sensitivity. It is not dependent on external power sources, is practically indestructible, easy to handle and small and light enough to fit in any jacket or overall pocket. VibraTipTM: a wipe-clean, pocket-sized and disposable device for testing vibration sense. The advantages include ease and speed of the test with little required training, less user variability compared with the calibrated tuning-fork test, small size, and easy cleaning.

The Podiascan system provides podiatrists and bio-mechanists with an economical and efficient method to measure static and dynamic plantar foot pressure distribution. The Podiascan system produces instantaneous and permanent high resolution image of the pressure distribution across the planter surface. We sell this product only in India. The Harris Mat paper output is scanned and the resultant grey scale image is converted into colour scale. Features : • System consists of Harris Mat, Special Scanner Copier and Printer, Image Analysis Software and Patient Reporting Software. • Economical method to measure Static and Dynamic Plantar foot pressure. • Qualitative multi-colour output makes the pressure reading easier. Used to Identify : • Areas of potential ulceration • Pre and Post surgical evaluation • Degree of pronation or supination • Weight bearing after surgery