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Neuropathy Screening Products

VibraTip a wipe-clean, pocket-sized and disposable device for testing vibration sense. Vibration sense is typically one of the first sensory modalities to be impaired as peripheral neuropathy develops. Graduated tuning forks (e.g. Reidel-Seiffer) and calibrated electronic devices (e.g. Neurothesiometer, Bio-Thesiometer Vibrometer) are recommended to quantify the integrity of vibration sensation. VibraTip is a wipe-clean, disposable, key fob-sized device that provides a constant and reproducible source of vibration. The spherical head facilitates application from any angle and its pocket size means that it is easy to carry and therefore likely to be available at the point of use.

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Diabetic Neuropathy Products

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.

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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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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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Vascular Screening Products

Vasochek+ is a complete non-invasive unidirectional vascular doppler recorder designed to measure the ABI, TBI and the velocity waveform with a connection to a windows 7/8/10 operated computer for storage of data and patient report generation. Interpretation as per TASC II guidelines. FEATURES: • Ankle Brachial Index and Toe Brachial Index • Doppler (C.W) with 8MHz Transducer • Photo-Plethysmography (PPG) Toe sensor • Semi-automated system • Software for ABI/TBI with Waveform • Computer connectivity enabled • Software for data transfer, storage and patient report • Software supports Windows 7/8/10 • Standards matching International standards

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Plantar Pressure Measurement Systems

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

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Neuropathy Screening Products

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.

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