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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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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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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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Vascular Screening Products

DFCI offers a full-featured automated ABI/TBI Vascular System for the diagnosis of PAD. ABI/TBI/PVR/Segmental Doppler/Upper extremity/Carotid Doppler/Penile Doppler/Venous Doppler are the different modalities possible with this model. The system includes 6 pressure cuffs, a graphic waveform LCD display, automatic cuff inflation and deflation along with automatic indices calculation. PC software and USB connectivity are included for storage and performing the standard protocols. Features:- • Automatic ABI, TBI, PVR and segmental measurement • Automatic cuff inflation and deflation system • Guided step by step protocol • Large graphic LCD display • Uni-Directional 8 MHz Doppler Probe • PVR waveform • Photoplethysmography PPG Toe Sensor for TBI • Special Toe cuff is supplied • Separate mode for complete vascular profile study • Penile flow study • Gets connected on to any computer • Standards matching the International specification • Software for patient report generation & storage.

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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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