Anaesthesia/Critical Care

  • Cook® Melker Emergency Cricothyrotomy – Cuffed or Uncuffed

    Melker Emergency Cricothyrotomy Catheter Sets – Cuffed

    Used for emergency airway access when conventional endotracheal intubation cannot be performed.

    • Airway access is achieved utilising percutaneous entry (Seldinger) technique via the cricothyroid membrane
    • Subsequent dilation of the tract and tracheal entrance sire permits passages of the emergency airway
    • Catheter is cuffed to protect and control airway
    • Airway catheter has radiopaque stripe

     

    Melker Emergency Cricothyrotomy Catheter Sets

    Used for emergency access when endotracheal intubation cannot be performed.

    • Airway access is achieved utilising percutaneous entry (Seldinger) technique via the cricothyroid membrane
    • Subsequent dilation of the tract and tracheal entrance site permits passage of the emergency airway

  • Cook® Paediatric Acute Peritoneal Dialysis Set

    Used to administer dialysis solution in the peritoneal cavity.

  • Cook® Pericardiocentesis Set

    Used to drain from the pericardial sac. The ‘alligator clip’ cable is attached to the hub of the needle for constant electrocardiographic monitoring during needle insertion.

    Supplied sterile in peel-open packages. Intended for one-time use.

  • Cook® Peripherally Inserted Venous Catheter Sets

    Single or Double Lumen with Peel-Away Sheath Introducer

    Single or double lumen used for intravenous administration of nutrient fluids, chemotherapeutic agents and other drugs for therapy.

    • The length of the catheter facilitates placement from an antecubital approach to a central venous location
    • The catheter may be trimmed if a shorter length is required. Remove obturator prior to trimming of catheter and reinsert for catheter introduction
    • Turbo-Flo PICC features larger lumens for increased flow rates

    Spectrum Coated Peripheral Inserted Central Venous Catheters

    • Monocycline and rifampin antibiotic impregnated catheter
    • Cook silicone PICC
    • Single lumen for administration of nutrient fluids, chemotherapeutic agents and other drugs for therapy

    Spectrum Impregnated Peripheral Inserted Central Venous Catheter

    As above. Cook Spectrum catheters are impregnated with the antimicrobials minocycline and rifampin.

  • Cook® Ports

    Standard Size M.R.I. Single Chamber Systems
    The standard sized polysulfone port may be ordered with a silicone or polyurethane catheter. The silicone catheter is available in 0.9, 1.0. 1.4 or 1.6mm I.D. sizes.

    Cook Peel-Away Introducer Set

    Petite M.R.I Single Chamber Systems
    The mid-sized polysulfone port is about ¾ the diameter and half the weight of the standard model. The silicone catheter has an I.D. of 0.9 or 10.mm.

    Standard Size Single Chamber Titanium Systems
    The standard sized titanium port may be ordered with a silicone or polyurethane catheter. The silicone catheter is available in 1.0, 1.4 or 1.6mm I.D. sizes.

    Mini Single Chamber Titanium Systems
    The smallest port is available with either a Cook Peel-Away or Cook Micropuncture introducer set.

    Dual Chamber Petite Titanium Systems
    The dual lumen petite titanium model comes with a 1.0mm I.D. catheter (each lumen) and is Cook’s smallest dual model.

    Trocar Tunnelator
    Available in three sizes to fit any Vital Port catheter.

  • Cook® Redo TPN® Catheter Repair Sets

    Used to repair Cook TPN single, double and triple lumen catheters and Redo TPN single and double lumen catheters.

    • Repair set for single lumen catheter includes one hubbed catheter end
    • Repair set for double lumen catheter includes a double lumen catheter assembly, one large lumen catheter end and one small lumen catheter end
    • All sets consist of adhesive, Luer needle stub, syringe and appropriate number of protective caps, Luer lock plugs, leakproof adapters and silicone sleeves

    Supplied sterile in peel-open packages. Intended for one-time use.

  • Cook® Redo TPN® Double Lumen Catheters and Sets

    Double lumen construction provides a small lumen and a large lumen for separate administration of parenteral nutrition, chemotherapy, other therapeutic drugs and blood.

    • The synthetic fibre cuff is affixed to the catheter to allow tissue ingrowth
    • Circumferential suture rings allow catheter to be secured to skin with suture during tissue ingrowth into cuff
    • REDO suffix indicates that cuff is 2.5cm distal to suture rings
    • REDO-A suffix indicated that cuff is 5cm distal to suture rings
    • The Peel-Away sheath allows the catheter to be introduced percutaneously

    Supplied sterile in peel-open packages. Intended for one-time use.

  • Cook® Redo TPN® Single Lumen Catheters and Sets

    Used for administration of parenteral nutrition, chemotherapy, other therapeutic drugs and blood.

    • The synthetic fibre is affixed to the catheter to allow tissue ingrowth
    • Circumferential suture rings allow catheter to be secured to skin with suture during tissue ingrowth into cuff
    • The Peel-Away sheath allows the catheter to be introduced percutaneously.

    Supplied sterile in peel-open packages. Intended for one-time use.

  • Cook® Retrograde Intubation Sets with Rapi-Fit Adapters

    Used to assist in the placement of an endotracheal tube during difficult airway access procedures.

    • Initial access using the Seldinger technique via the cricothyroid membrane permits retrograde (cephalad directed) placement of a wire guide existing orally or nasally
    • Antegrade introduction of a hollow guiding catheter with distal side-ports and Rapi-Fit Adapters allows patient oxygenation and facilitates placement of an endotracheal tube

    Supplied sterile in peel-open packages. Intended for one-time use.

  • Cook® Spectrum Antibiotic Impregnated Catheters – Single, Double, Triple and Quin Lumen

    Cook Spectrum catheters are impregnated with the antimicrobials minocycline and rifampin.

  • Cook® Staged Extubation Set

    Introduce staged extubation into your airway management strategy

    Even with well-designed protocols, postextubation airway failure remains a significant risk in all patient populations.  In addition to the obvious safety issues, it also requires additional time, documentation and resources.

    What is staged extubation?

    Staged extubation uses a Staged Extubation Wire to maintain continuous airway access and a Staged Reintubation Catheter to facilitate a successful reintubation if required.
    Benefits of staged intubation:

    • A study with an airway catheter showed a fivefold higher success rate of first-attempt reintubation¹
    • Avoidance of complications associated with failed or difficult reintubation²
    • Ability to trial extubation earlier while maintaining secure airway access¹

    Product Features

    Enhanced Patient Comfort
    Soft, tapered and kink-resistant wire is coated in a polymeric jacket to assure minimal irritation while in position.

    Maintained Access
    Staged Reintubation Catheter allows quick access and oxygen delivery to help stabilise the patient.

    Total Airway Control
    With the Staged Extubation Set, in addition to Cook’s comprehensive airway management product offering, you can control the airway from intubation, exchange, extubation and reintubation.

  • Cook® Teitel Paediatric Pericardiocentesis Set

    Used to drain fluid from the pericardial sac. The ‘alligator clip’ cable is attached to the hub of the needle for constant electrocardiographic monitoring during needle insertion. Supplied sterile in peel-open packages. Intended for one-time use.

  • Cook® Tiger Tube – Self-Advancing Nasal Jejunal Feeding Tube

    Provides short-term enteral access for delivery of nutrition and/or medication to the small bowel.

    • The unique, alternating, cilia-like flaps along the Tiger Tube help to quickly advance it into the distal portions of the small bowel via peristalsis
    • The self-advancing placement reduces the risk of perforation or misplacement and avoids costly endoscopy or fluoroscopy procedures
    • The early post-pyloric placement allows nutritional goals to be met sooner which could lead to a shorter length of stay in the ICU

    Supplied sterile in peel-open packages. Intended for one-time use.

  • Cook® TPN® Single, Double and Triple Lumen Catheters and Sets

    Used for administration of parenteral nutrition, chemotherapy, other therapeutic drugs and blood.

    • The synthetic fibre cuff is affixed to the catheter to allow tissue ingrowth
    • The Peel-Away sheath allows the catheter to be introduced percutaneously

    Supplied sterile in peel-open packages. Intended for one-time use.

  • Cook® Turbo-JeCT™ Power Injectable PICC

    Cook Medical has now complemented its comprehensive range of PICC lines with the addition of Turbo-JeCT.

    With the introduction of the Turbo-JeCT PICC line, you can now power inject contrast media at industry-best range of maximum flow rates, choose from multiple configurations and use the standard Echogenic needle.

    Features:

    • Maximum flow rate of 7cc/sec
    • The first 4 French double lumen power injectable PICC
    • Maximum pressure limit settings of 325 psi
    • All testing verified on industry leading MedRad Stellant CT Injector
    • Echogenic Needle standard. Specifically designed to enhance imaging while reducing potential vessel trauma
  • Hospitech Respiratory AG Cuffill

    The compact and intuitive AG Cuffill device is the most accurate solution for measuring cuff pressure and controlling the volume of airway cuffs in all clinical settings.

    The AG Cuffill is intended for air-filled cuffs and should not be used with liquids.

    • Volume 10cc
    • Measurement range 0-99 (mmHg/cmH20)
    • Measurement accuracy±2 (mmHg/cmH20)
    • Disposable
    • 100 measurements
  • Mercury Medical air-Q SP Self Pressurising Masked Laryngeal Airway

    Masked Laryngeal Airway Prevents Overinflation – Take the Guesswork out of Mask Cuff Inflation

    • The new air-Q SP eliminates the extra step and guesswork for mask cuff inflation and the potential for over-inflation.  The new design allows Positive Pressure Ventilation to self-pressurise the mask cuff. The increase in cuff seal pressure occurs at the exact time you need it, during the upstroke of ventilation.
    • On exhalation the cuff decompresses to the level of the PEEP.
    • The result is a safer, efficient, low pressure seal during the majority of the case.  The cyclical lowering in intra-cuff pressure may assist in diminishing complications such as mucosal and nerve trauma that result from over-inflating traditional peripheral laryngeal mask cuffs
    • Allows intubation like the regular air-Q
    • The SP version can be used as an “everyday” airway that facilitates intubation.

    With the new Self-Pressurising, Disposable air-Q SP, there is no need to inflate the mask; it self-pressurises to the proper inflation pressure automatically.

  • Mercury Medical® air-Q® Intubating Laryngeal Mask

    Developed and designed following eight years of clinical research by American anaesthesiologist Dr Daniel Cook, the disposable air-Q is a superior passive airway device available in new infant sizes and provides:

    • Ease of placement
    • Better seal in everyday use
    • Improved intubation success

    It can facilitate the passing of any standard endotracheal tube and can also remain in place during the procedure. A disposable removable stylet is available separately to aid the removal of the air-Q while leaving the ET Tube in place.


    Please click on the following link to view an instructional video on air-Q.

    http://www.youtube.com/watch?v=2NAM7on9dUg


    Please click on the link to download the following journal article.

    Paediatr Anaesth. 2009 Jun;19(6):618-22.

    The new air-Q intubating laryngeal airway for tracheal intubation in children with anticipated difficult airway: a case series

    Jagannathan N, Roth AG, Sohn LE, Pak TY, Amin S, Suresh S.

    http://www3.interscience.wiley.com/cgi-bin/fulltext/122313299/PDFSTART
    Department of Pediatric Anesthesiology, Children's Memorial Hospital, Northwestern University's Feinberg School of Medicine, Chicago, IL, USA.

  • Mercury Medical® Mini-StatCO2® End Tidal CO2 Detector

    Fast, durable colorimetric breath indicators for visualisation of exhaled CO² to assist in verifying proper intubation.

    For patients body weight between 1-15 kgs

    • Vivid breath-to-breath colour change
    • Detects up to 50 breaths per minute
    • 24 Hour continuous performance
    • Works in 100% humidity
  • Mercury Medical® Neo-Stat CO2 End Tidal CO2 Detector

    Fast, durable colorimetric breath indicators for visualisation of exhaled CO2  to assist in verifying proper intubation.

    NeoStat:  patient body weight 0.25kg-6kg

    • The first and only disposable CO2 detector specifically designed for tiny babies with an expanded patient weight range of 0.25 kg – 6 kgs
    • Vivid breath-to-breath colour change
    • Detects 1 ml tidal volume
    • Detects up to 100 breaths/minute
    • 24-hour continuous performance
    • Works in 100% humidity
  • Mercury Medical® StatCO2 End Tidal CO2 Detector

    Fast, durable colorimetric breath indicators for visualisation of exhaled CO²  to assist in verifying proper intubation.

    For patients body weight greater than 15 kgs

    • Vivid breath-to-breath colour change
    • Detects up to 50 breaths per minute
    • 24 Hour continuous performance
    • Works in 100% humidity
  • Pall BB100 Heat and Moisture Exchange Filter – ICU

    Extended life breathing system filter for use in anaesthesia and intensive care.

    Features:

    • High efficiency pleated hydrophobic membrane
    • >99.999% retention of airborne bacteria and viruses
    • 100% retention of liquid borne microorganisms
    • Retains natural rubber latex allergens
    • 100% individually integrity and efficiency tested
    • Smooth, transparent housing
    • Compatible with drug nebulisation administered between the filter and the patient
    • Maximum use life of 48 hours
    • Patient side of filter clearly indicated

    Benefits

    • Protects patients and staff against airborne and liquid borne microbial pathogens
    • Can be used during patient anaesthesia and then carried over to post-operative ventilation and respiratory therapy
    • 48-hour maximum use life reduces the need for circuit manipulation
    • Superior patient comfort
    • Provides optimal humidification
  • Pall BB25 Breathing System Filter for Anaesthesia

    Small volume breathing system filter for use in anaesthesia.

    • Effective barrier – bidirectional, hydrophobic media provides protection against airborne and liquid borne bacteria, viruses and particulate matter to 99.999% efficiency
    • Low resistance – unique pleated hydrophobic membrane assures low air flow resistance in dry and wet conditions
    • Easy port seal – tethered monitoring port cap prevents detachment from the filter and easily seals the port when not in use
  • Pall Lipipor™ NEO Filter for Parenteral Nutrition

    Features and benefits:

    The Pall Lipipor NEO filter has a 1.2 µm polyethersulphone membrane for use in paediatric and neonatal care for infusions of nutrient lipid emulsions. It offers patient protection against:

    • Air – preventing air embolism
    • Particles – protecting the circulatory system against the undesirable effects of infusing particulate contamination including flocculates and precipitates. Protecting the vein during peripheral infusion
    • Enlarged lipid droplets – significantly reducing the number of droplets (<5 µm) in emulsions
    • Microbes – reducing the risk of infection due to inadvertently contaminated infusates, particularly with fungi of clinical importance.