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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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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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Podiatry Products

These Podiatry chairs were developed for a comfortable seated position for the client at all times. Its slender appearance makes the room or consultation area appear more spacious. In addition, the arms fold up completely, making it easy for the client to get in and out of the chair from the side. The leg supports of the chair are contoured and the height and length can be adjusted individually. Their ergonomic shape provides stable support for the lower leg and foot. PC303 - 3 function Podiatry Chair provides motorized adjustment of backrest, height and tilt using a hand remote control. PC305 - 5 function Podiatry Chair model inaddition to the PC303 model the leg rest right, left can also be adjusted individually by a motorized function.

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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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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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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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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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