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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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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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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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Podiatry Products

Inflammation is one of the earliest signs of tissue injury and ulceration. However, the clinical signs of inflammation are usually too subtle to be detected by patients or even by trained health care providers. We hypothesized that skin temperatures could be used as a surrogate measure of injury and localized inflammation. Skin temperature measurements can be easily performed and assessed by the lay public and have been used as a diagnostic tool for diabetic foot ulcerations The aim of this product is to help high-risk individuals identify areas on their feet that are inflamed and prone to ulceration before a wound develops. The patients to record foot temperatures in the great toe, the first, third, and fifth metatarsal head region, the midfoot, and the heel. If skin temperatures were elevated by >40F (2.20C) compared with the corresponding site on the opposite foot for two consecutive days, subjects were instructed to contact the hospital and decrease their activity until temperatures normalized. Software is supplied for storing the data in computer free of cost along with the instrument. Features : • Early marker for identifying foot ulcer • Simple One handed operation • 3.1/2 digit LCD with back light • Accuracy +/- 2 • Early marker for Charcot foot • Laser targeting • oC / oF select switch

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Neuropathy Screening Products

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.

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Pain & Woundcare Products

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

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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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Diabetic Foot Evaluation Lab

Automated diabetic foot evaluation lab model Diabetik Autolab is capable of screening (1) Vascular Insufficiencies using Ankle Brachial Index, Toe Brachial Index, Velocity waveform analysis, (2) Diabetic neuropathy using loss of vibration perception threshold (VPT)-Biothesiometry and loss of protective touch sense-Monofilament 10gm, (3) plantar pressure screening using advance electronic sensor platform by checking static(weight bearing), dynamic(walking) and postural imbalance, (4) Non-contact measurement of temperature in the foot for early assessment of inflammation in the foot. A master report is generated with the patients clinical information, medical information and the measured data with interpretation. Device is supplied in a trolley and a branded i3 based laptop computer and an EPSON ink tank printer. Sales and service team across India to train the user periodically. ISO13485:2016 certified company.

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