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Vascular Screening Products

The handheld Unidirectional ultrasound vascular Doppler is an instrument that detects blood flow using the principles of the Doppler effect. It can be a very useful tool in assessing how good the blood flow is to the foot or hand. It is a painless test and very similar to taking blood pressure using a stethoscope. It is particularly useful for the assessment of arterial disease but can also be used for venous problems. These vascular Doppler are used for identifying the arterial and venous flow patency. Ankle Brachial Index (ABI) is a simple procedure to detect obstruction in the blood flow. The LifeDop 150R features a non-display, handheld Doppler with superior sound quality, extended battery life, enhanced probe sensitivity, interchangeable probes, and a one-year full warranty. It includes a battery recharging system, so you don’t have to worry about overcharging or draining of the batteries. Features: • Interchangeable Doppler Probes • Unidirectional Doppler • 8MHz Vascular Probe is Standard • Continuous Wave Doppler • 4, 5 and 8 MHz Vascular probes • Rechargeable battery operation • Charger supplied free

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Diabetic Neuropathy Products

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)

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Diabetic Neuropathy Products

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)

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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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Plantar Pressure Measurement Systems

• 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)

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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

One of the most overlooked of all serious complications of diabetes is cardiovascular autonomic neuropathy (CAN), which encompasses damage to the autonomic nerve fibers that innervate the heart and blood vessels, resulting in abnormalities in heart rate control and vascular dynamics. It also demonstrates that autonomic dysfunction can affect daily activities of individuals with diabetes and may invoke potentially life-threatening outcomes. Advances in technology, built on decades of research and clinical testing, now make it possible to objectively identify early stages of CAN with the use of careful measurement of autonomic function and to provide therapeutic choices that are based on symptom control and that might abrogate the underlying disorder. The autonomic nervous system is subdivided into the parasympathetic and sympathetic components that work antagonistically to provide a very fine degree of control over their target organs. In general, the parasympathetic nervous system predominates during rest by slowing heart rate, lowering blood pressure, and promoting digestion. The sympathetic nervous system is responsible for mounting responses to physical and psychological stimuli. The system uses ECG Cardio-Tachogram (R-R interval) and an advanced automatic NIBP (Non-Invasive Blood Pressure) module to conduct a battery of six tests. Being fully automatic, it eliminates the need for manual recordings, readings and calculations. These tests are done with patients' co-operation and the PC onscreen panel helps them to complete the tests successfully. Parasympathetic : Resting ECG : Resting HR Deep Breathing : • Coeff. Of Variation • Expiration Inspiration Ratio Supine to Standing : • Coeff. Of Variation • 30:15 Ratio Valsalva Maneuver : • Coeff. Of Variation • Valsalva Ratio Sympathetic : Postural Hypotension : • Resting BP • BP immediately after standing • BP after standing 1/2/3 minute • Fall in Systolic BP Sustained Handgrip : • Resting BP • BP after sustained handgrip • Increase in Diastolic BP Final Interpretation : • Parasympathetic Function

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Ambulatory blood pressure monitoring (ABPM) is being increasingly recommended for routine clinical practice. It may be particularly useful in evaluating the patient with variable blood pressure readings in the office, or the patient with wide discrepancies between the blood pressure readings at home and the clinician's office (ie, "white coat" hypertension). ABPM and, in particular, nocturnal blood pressure readings, may also provide prognostic data. Ambulatory blood pressure (ABP) monitoring involves measuring blood pressure (BP) at regular intervals (usually every 15–30 minutes) over a 24 hour period while patients undergo normal daily activities, including sleep. . What are the indications? • Suspected white-coat hypertension (including in pregnancy) • Suspected masked hypertension • Suspected nocturnal hypertension or no night time reduction in BP (dipping) • Hypertension despite appropriate treatment • Patients with a high risk of future cardiovascular events (even if clinic BP is normal) • Suspected episodic hypertension • Prolonged Diabetes Supplied with unit, Adult BP cuff, Wide BP cuff for obese patients and software.

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