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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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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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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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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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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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Plantar Pressure Measurement Systems

Deformity due to the diabetic foot causes repetitive and excessive pressure to certain areas of the foot, which may result in ulcers and pains. Therefore, it is necessary to measure the pressure of the sole for the prevention and management of diabetic foot lesions. Early identification of feet 'at risk' for ulceration is important in preventing plantar lesions in diabetic patients with insensitive feet. Plantar pressures are higher in diabetic neuropathic patients than non-diabetic and non-neuropathic Counterparts. As high plantar pressure is a proven risk factor for foot ulceration, effective screening for high plantar pressures in diabetic patients could have a major influence on the incidence of diabetic foot ulceration. High plantar foot pressure has been identified as a significant risk factor for ulcerations. A large number of studies have suggested that plantar pressures are high in people with diabetic peripheral neuropathy (DPN) and in people with a history of diabetic foot ulcers. Measurement of these foot pressures is possible utilizing a variety of modalities. Several computerized systems can provide quantitative measurement of plantar foot pressure. These measurements are important in identifying areas of the foot at risk for ulceration and possibly in the evaluation of orthotic adjustments. In order to identify high-risk patients in a clinical setting, a simple system for screening is needed which is easy to use, reliable and gives results that are easy to interpret and can be immediately available to both the patient and staff. Our Foot Imprinter Harris Mat FM1111 has been developed as a simple, inexpensive and practical foot pressure measurement device intended for routine clinical use. It is a semiquantitative footprint mat that quantifies plantar pressure by visual comparison between the greyness of the footprint. Features: • Measures and display patient weight disbursement in greyscale • Detects the area of the greatest concern for ulceration • Useful to identify Charcot arthropathy • Arch of the patient can be detected • More the darker color represent the high pressure • Excellent tool for motivating the patient to upgrade to a good footwear • Kit includes FI1111 mat, rubber roller, ink pad, Ink and prescription pad

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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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