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Peripheral Nerve Block Products - Ambulatory Surgery - B. Braun ...

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Upper Extremity <strong>Block</strong>s<br />

<strong>Block</strong>s of the upper extremity are typically used for procedures involving the:<br />

Shoulder<br />

Arm<br />

Elbow<br />

Wrist<br />

Hand<br />

According to a recent study 1 , continuous peripheral nerve<br />

blocks of the upper extremities provided better control of<br />

post-operative pain, reduced oral opioid requirements and<br />

patient sleep disturbances were minimal. Post-op<br />

range-of-motion consistently reached or exceeded the<br />

surgeon’s expectations, and patient satisfaction was high.<br />

Recommended B. <strong>Braun</strong> <strong>Products</strong> for<br />

Upper Extremity <strong>Nerve</strong> <strong>Block</strong>s<br />

Product Code Reorder No. Description<br />

Interscalene <strong>Block</strong><br />

Single-shot nerve block products<br />

STIMA2225 333691 22G × 1” Stimuplex® single-shot needle<br />

STIMA2235 333693 22G × 1½” Stimuplex single-shot needle<br />

STIMA2250 333690 22G × 2” Stimuplex single-shot needle<br />

STIMA25 333694 24G × 1” Stimuplex single-shot needle<br />

Continuous nerve block products<br />

CNB150 331695 18G × 1½” Contiplex® Tuohy needle with 20G indwelling catheter<br />

CNB200T 331691 18G × 2” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB200D/15 331680 18G × 2 1/8” Contiplex D introducer needle with 20G indwelling catheter<br />

Infraclavicular <strong>Block</strong><br />

Single-shot nerve block products<br />

STIMA2250 333690 22G × 2” Stimuplex single-shot needle<br />

STIMA100 333686 21G × 4” Stimuplex single-shot needle<br />

STIMD2280/15 333674 22G × 3 1/8” Stimuplex single-shot needle<br />

STIMD2370/15 333672 23G × 2¾” Stimuplex single-shot needle<br />

Continuous nerve block products<br />

CNB200T 331691 18G ×2” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB400 331693 18G × 4” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB400D/15<br />

Axillary <strong>Block</strong><br />

331687 18G × 4 3/8” Contiplex D introducer needle with 20G indwelling catheter<br />

Single-shot nerve block products<br />

STIMA2250 333690 22G × 2” Stimuplex single-shot needle<br />

STIMA2235 333693 22G × 1½” Stimuplex single-shot needle<br />

Continuous nerve block products<br />

CNB200T 331691 18G × 2” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB200D/15 331680 18G × 2 1/8” Contiplex D introducer needle with 20G indwelling catheter<br />

1. Ilfeld, Brian M., et al. Total Shoulder Arthroplasty as an Outpatient Procedure Using <strong>Ambulatory</strong><br />

Perineural Local Anesthetic Infusion: A Pilot Feasibility Study. Anesth Analg 2005;101:1319–22.<br />

Axillary<br />

<strong>Block</strong><br />

Infraclavicular<br />

<strong>Block</strong><br />

Interscalene<br />

<strong>Block</strong><br />

Locate <strong>Peripheral</strong> <strong>Nerve</strong>s with Greater Ease and Precision<br />

The Stimuplex® System—<br />

Stimuplex <strong>Nerve</strong> Stimulators combined with Stimuplex<br />

or Contiplex® Needles are a versatile system for peripheral<br />

nerve blockade.<br />

Stimuplex HNS12 <strong>Nerve</strong> Stimulator<br />

The latest in advanced peripheral nerve stimulation for<br />

enhanced precision, ease-of-use, and greater procedural<br />

flexibility.<br />

• Variable pulse duration settings of: 0.05, 0.1, 0.3, 0.5,<br />

1.0 milliseconds<br />

• Large display for easier viewing<br />

• Ergonomic shape<br />

• Easy menus to control sounds and other settings<br />

• Direct access keys allow quick changes to stimulus<br />

frequency and pulse duration<br />

• Optional hand-held remote control available<br />

Stimuplex A and D Series Needles for<br />

Single-Shot <strong>Block</strong>s<br />

• Fully insulated needles<br />

• Integrated smallbore extension tubing to minimize<br />

drug retention<br />

• Integrated electrode wire<br />

Stimuplex A Series Needle<br />

32°<br />

atraumatic<br />

bevel<br />

Stimuplex D Series Needle<br />

micro-point electrode at tip concentrates<br />

current for precise nerve location<br />

Stimuplex Dig RC <strong>Nerve</strong> Stimulator<br />

The “workhorse” peripheral nerve stimulator for consistently<br />

reliable, accurate nerve location.<br />

• Constant current source generator compensates for<br />

variable tissue resistance<br />

• Short pulse duration of 0.1 milliseconds for optimal<br />

accuracy and patient comfort<br />

• Audible and visual alerts for enhanced feedback<br />

• Low battery indicator<br />

• Optional hand-held remote control available<br />

Contiplex® Tuohy Sets for<br />

Continuous <strong>Block</strong>s<br />

• Fully insulated with micro-point electrode to<br />

enhance accuracy<br />

• Inject and aspirate without need to disconnect.<br />

• Integrated electrode wire<br />

Unique sideport allows for indwelling<br />

catheter advancement without need to<br />

disconnect or move needle.<br />

Extend Post-Op Pain Relief With <strong>Ambulatory</strong> Infusions<br />

Extending pain relief beyond discharge for the outpatient facility<br />

provides multiple benefits 1, 2 to the patient:<br />

• Fast track or bypass PACU<br />

• Reduced pain during normal activities<br />

• Reduced pain during rehabilitative therapies<br />

• Better sleep patterns<br />

• Reduced opioid or narcotic consumption<br />

Accufuser Plus® Disposable Elastomeric<br />

<strong>Ambulatory</strong> Infusion Pumps<br />

Easy-to-operate post-op infusion for up to 3 days.<br />

• No alarms, buttons, programs or batteries<br />

• Steady flow rates of local anesthetic<br />

• Easy to fill via convenient access port<br />

• Patient-controlled bolus button infuses<br />

2.0mL of anesthetic<br />

Order Individually or in Trays<br />

Product Code<br />

Reorder<br />

No. Description<br />

Contiplex Tuohy Trays with Accufuser® Pump<br />

CNB150KP 331715<br />

18G × 1.5” Contiplex Tuohy set, support tray components, 275mL Accufuser pump<br />

with 5mL/hour basal rate and 2mL bolus button with 15 minute refill lockout<br />

CNB400KP 331741<br />

18G × 4” Contiplex Tuohy set, support tray components, 275mL Accufuser pump<br />

with 5mL/hour basal rate and 2mL bolus button with 15 minute refill lockout<br />

Accufuser Plus Pumps<br />

AP2705 331742<br />

275mL Accufuser pump with 5mL/hour basal rate and 2mL bolus button<br />

with 15 minute refill lockout<br />

AP2758 331743<br />

275mL Accufuser pump with 8mL/hour basal rate and 2mL bolus button<br />

with 15 minute refill lockout<br />

AP5508 331744<br />

550mL Accufuser pump with 8mL/hour basal rate and 2mL bolus button<br />

with 15 minute refill lockout<br />

Case<br />

Quantity<br />

1 Ilfield, B, et al. Continuous Interscalene Brachial Plexus <strong>Block</strong> for Postoperative Pain Control at Home: A Randomized, Double-blinded, Placebo-controlled Study. Anesth Analg 2003; 96: 1089-95.<br />

2 Ilfield, B, et al. Continuous Popliteal Sciatic <strong>Nerve</strong> <strong>Block</strong> for Postoperative Pain Control at Home: Anesthesiology 2002; 97: 959-965.<br />

5<br />

5<br />

5<br />

5<br />

5


Popliteal<br />

<strong>Block</strong><br />

Femoral<br />

<strong>Block</strong><br />

Lumbar<br />

Plexus/ Psoas<br />

Compartment<br />

Lower Extremity <strong>Block</strong>s<br />

<strong>Block</strong>s of the lower extremity are typically used for procedures<br />

involving the:<br />

Hip<br />

Knee<br />

Ankle<br />

Foot<br />

Current study data 2 supports that peripheral nerve blocks (PNB) may<br />

offer advantages over general anesthesia (GA) in outpatients having knee<br />

arthroscopy. Patients who received PNBs had less postoperative pain and<br />

nausea in the immediate postoperative period and were able to ambulate,<br />

eat, drink, and meet home readiness criteria earlier than patients who<br />

received GA.<br />

Recommended B. <strong>Braun</strong> <strong>Products</strong> for<br />

Lower Extremity <strong>Nerve</strong> <strong>Block</strong>s<br />

Product Code Reorder No. Description<br />

Lumbar Plexus / Psoas Compartment <strong>Block</strong><br />

Single-shot nerve block products<br />

STIMA100 333686 21G × 4” single shot needle<br />

STIMA150 333680 20G × 6” single shot needle<br />

STIMD22120/15 333676 22G × 4¾” single shot needle<br />

Continuous nerve block products<br />

CNB400 331693 18G × 4” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB600 331694 18G × 6” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB400D/15 331687 18G × 4 3/8” Contiplex D introducer needle with 20G indwelling catheter<br />

Femoral <strong>Block</strong><br />

Single-shot nerve block products<br />

STIMA2250 333690 22G × 2” single shot needle<br />

STIMA100 333686 21G × 4” single shot needle<br />

STIMD2370/15 333672 23G × 2¾” single shot needle<br />

Continuous nerve block products<br />

CNB400 331693 18G × 4” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB600 331694 18G × 6” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB400D/15 331687 18G × 4 3/8” Contiplex D introducer needle with 20G indwelling catheter<br />

Popliteal <strong>Block</strong><br />

Single-shot nerve block products<br />

STIMA2250 333690 22G × 2” single shot needle<br />

STIMA100 333686 21G × 4” single shot needle<br />

STIMD2280/15 333674 22G × 3 1/8” single shot needle<br />

Continuous nerve block products<br />

CNB400 331693 18G × 4” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB200T 331691 18G ×2” Contiplex Tuohy needle with 20G indwelling catheter<br />

CNB400D/15 331687 18G × 4 3/8” Contiplex D introducer needle with 20G indwelling catheter<br />

2. Hadzic, Admir, et al. <strong>Peripheral</strong> <strong>Nerve</strong> <strong>Block</strong>s Result in Superior Recovery Profile Compared with General<br />

Anesthesia in Outpatient Knee Arthroscopy. Anesth Analg 2005;100:976–81.<br />

On-going Professional Support from B. <strong>Braun</strong><br />

Delivering state-of-the art healthcare demands more<br />

than technological innovation. It requires on-going<br />

educational initiatives and clinical support that can help<br />

you and your staff maintain critical skills and master<br />

innovative techniques. That’s why healthcare providers<br />

around the world turn to B. <strong>Braun</strong> for comprehensive<br />

professional support.<br />

Sharing Expertise. ®<br />

It’s more than a philosophy.<br />

It’s a promise.<br />

Sharing expertise includes listening to the wisdom of<br />

colleagues, customers and clinicians. It’s more than a<br />

philosophy. It’s our promise to the healthcare community<br />

and ourselves to continuously seek knowledge.<br />

To expand it.<br />

To apply it.<br />

To share it.<br />

All to help improve and save lives.<br />

This is Sharing Expertise.<br />

This is B. <strong>Braun</strong>.<br />

die cut 4 business card<br />

slits<br />

Aesculap Academy<br />

These one-day workshops focus<br />

on regional anesthesia techniques.<br />

They are CME-accredited courses<br />

that feature didactic and<br />

hands-on sessions conducted<br />

by renowned faculty. Classes<br />

are conducted at the Aesculap<br />

Academy in Center Valley, PA,<br />

or can be customized for<br />

off-site locations.<br />

Online Tutorials<br />

Log on to www.nerveblocks.net<br />

and learn at your own<br />

convenience! This multimedia online<br />

tutorial allows you to<br />

update your knowledge of<br />

peripheral regional anesthesia<br />

principles and procedures.<br />

Available 24/7, the tutorial also<br />

features a discussion forum and<br />

event schedule.<br />

Resource Library<br />

B. <strong>Braun</strong> offers a wide array of<br />

educational resources to help<br />

you learn more about regional<br />

anesthesia techniques. These<br />

resources have proved to be<br />

valuable teaching tools for<br />

your staff and patients and are<br />

available from your B. <strong>Braun</strong><br />

representative or at our website,<br />

www.bbraunusa.com.<br />

Clinical and Technical<br />

Support<br />

B. Supported.<br />

Our technical support staff is<br />

also available to answer your<br />

calls about our regional<br />

anesthesia products.<br />

To speak to a trained clinician<br />

about product information or<br />

technical issues, call<br />

800-854-6851.<br />

Call 1-877-949-9529 for your B. <strong>Braun</strong> representative<br />

and for more information on our <strong>Peripheral</strong> <strong>Nerve</strong> <strong>Block</strong><br />

products or other products and programs.<br />

www.bbraunusa.com<br />

Rx only. © 2007 B. <strong>Braun</strong> Medical Inc., Bethlehem, PA. All Rights Reserved. Stimuplex, Contiplex and Sharing Expertise are registered trademarks of B. <strong>Braun</strong> Medical Inc.<br />

Accufuser and Accufuser Plus are trademarks of Curlin Medical Inc. OPM700 1/07 BB 3M<br />

<strong>Peripheral</strong> <strong>Nerve</strong> <strong>Block</strong> <strong>Products</strong><br />

Quality, Reliability and Innovation.<br />

Quality, innovative peripheral nerve block devices from the<br />

leader in regional anesthesia products and programs.<br />

B. Confident.

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