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Mainstream and Sidestream

Capnography . The standard-of-care Capnography Indicates a ventilatory event faster than any other type of monitoringProvides a means for continuous, real-time monitoring of ventilationHelps confirm ET tube placementEnables you to provide the same level of care during procedural sedation as is

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Mainstream and Sidestream

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    1. Mainstream and Sidestream

    2. Capnography The standard-of-care Capnography Indicates a ventilatory event faster than any other type of monitoring Provides a means for continuous, real-time monitoring of ventilation Helps confirm ET tube placement Enables you to provide the same level of care during procedural sedation as is required in the O.R.

    3. Provides a time sensitive picture for the clinician as to the ongoing changes in a patient’s respiratory status during procedural sedation Immediate and sensitive data regarding a patient’s respiratory status for assessing the safety of a repeat bolus of medicine in an inadequately sedated patient Capnography

    4. Study comparing the CAPNOSTAT mainstream with MicrostreamŽ sidestream Study conducted in a neonatal NICU concluded that the CAPNOSTAT sensor is more accurate than Microstream at estimating PaCO2.

    5. Procedural Sedation Study in the ED When the criteria of an ETCO2 >50 mmHg, an absolute change >10 mm Hg, or an absent waveform were applied, all respiratory distress was detected, not detected by pulse oximetry alone. The CO2 monitor represents an additional monitor that can add to the safety of procedural sedation by quickly detecting hypoventilation

    6. Study comparing the CAPNOSTAT mainstream with Microstream sidestream in Emergency Medical Services Environmental conditions, specifically changes in ambient temperature: “Under the conditions of low and changing ambient temperature (-20 degrees C, +22 degrees C), only the Tidal Wave (Respironics; mainstream) remained uninfluenced, whereas deviations of -12% and +15% were found with the NPB-75 (Microstream; sidestream)”.

    7. CAPNOSTAT Mainstream Sensor Even under the harshest of airway conditions, the CAPNOSTAT sensor’s true single beam: Successfully compensates for the presence of contaminates Continues to operate Provides accurate readings

    8. CAPNOSTAT Mainstream Sensor Contaminate-free design Disposable patient sampling cuvette ensures analyzer is not exposed to, or contaminated with patient secretions, moisture, etc. Unaffected by patient secretions Microstream sidestream systems are affected by patient secretions Keeps defibrillator in service Reduces maintenance costs

    9. CAPNOSTAT Mainstream Sensor Family of Single Patient Use and Reusable Airway Adapters Adult, pediatric and infant CAPNO2mask™ For use on non-intubated patients

    10. No sample gas is diverted from the patient Typical sampling rates in sidestream systems run from 50cc to 250cc per minute Because there is no sampling, the CAPNOSTAT sensor is free from sample line occlusion and waveform distortions Heated sensor The CAPNOSTAT sensor heats the sample cell windows keeping them dry, minimizing effects from airway moisture CAPNOSTAT Mainstream Sensor

    11. Benefits of Using the CAPNOSTAT Sensor Superior solid state design for greater accuracy and robustness Instantaneous analysis due to no delay time and 60ms rise time (other devices have greater than 2 second delay time with a rise time of 200-240ms) Capnogram is displayed in 15 seconds, full specifications in 60 seconds “Crisp” waveform faithfully reflects airway ventilation Better performance at higher respiratory rates Relatively lightweight due to miniaturization and newer technologies

    12. Low deadspace airway adapter is available for infants Airway adapter serves as the sample cell and is disposable Airway adapter is located in line with the patient No gas sampling takes place Analysis performed at the patient airway and under the same environmental conditions Benefits of Using the CAPNOSTAT Sensor

    13. Immediate response for emergency situations No delay in measurement Variety of airway adapters allows use on intubated or nonintubated neonatal, pediatric, and adult patients Heated sensor keeps sample cell windows dry Benefits of Using the CAPNOSTAT Sensor

    14. Uses the same proven analyzer and electronic technology as the CAPNOSTAT 3 Mainstream CO2 sensor Users can seamlessly switch between the LoFlo Sidestream CO2 Module or CAPNOSTAT 3 Mainstream CO2 Sensor, to allow selection of the technology most suited for the application LoFlo Sidestream Module - Features

    15. Innovative disposable patent pending sample cell and filter Eliminates the possibility of contamination of the analyzer, thereby protecting your investment Sampling rate of 50ml/minute LoFlo Sidestream Module - Features

    16. Complete family of: Adult, pediatric, and infant nasal cannula kits Oral/nasal cannula kits Sampling kits with oxygen delivery Adult/pediatric and infant/neonatal on airway adapter kits for intubated patients Patents pending LoFlo Sidestream Module - Features

    17. Innovative, patents pending, low deadspace neonatal on-airway adapter with less than 1 ml deadspace LoFlo Sidestream Module - Features

    18. Sample pump rated for 24,000 hours of continuous use No routine changing of the sample pump Typical sidestream systems sample pump rated at 7,000 hours or less Patent pending CAPflow™, Respironics capillary based flow control system permits tight control of flow, independent of barometric pressure Pump is activated automatically when the disposable sample cell is connected and turns off automatically when sample cell is removed LoFlo Sidestream Module - Features

    19. Measurement of End Tidal Carbon Dioxide (ETCO2) and respiration rate Delivers a crisp, accurate capnogram at all respiratory rates up to 150 breaths per minute Waveforms and ETCO2 readings in 15 seconds, warm up in less than 80 seconds, Full accuracy in 3 minutes Routine gas calibration is not required LoFlo Sidestream Module - Features

    20. 50 ml/min flowrate Ideal for non-intubated and intubated patients Interchangeable with the CAPNOSTAT 3 Mainstream CO2 Sensor No calibration required LoFlo Sidestream Module - Features

    21. LoFlo Module plugs into the M Series and is interchangeable (and backward compatible) with the CAPNOSTAT sensor Care giver has the choice of using the CAPNOSTAT sensor or the LoFlo module Superior solid state design for accuracy and robustness Immediate response for emergency situations Integrated filter keeps sample cell windows dry Benefits of Using the LoFlo Sidestream Module

    22. Analyzer CANNOT be contaminated due to our Removable Sample Cell Family of adult, pediatric and infant sampling cannulas and on-airway adapter kits allows LoFlo to be used on intubated or non-intubated patients 24,000 hour rated sample pump @ 50 ml/min sample rate No routine service is required Benefits of Using the LoFlo Sidestream Module

    23. Product Summary ZOLL offers you the choice of using mainstream or sidestream ETCO2 that best fits your applications - “Plug and play” Both technologies are robust, proven solid state Lifetime warranty Analyzer in both systems CANNOT be contaminated by patient secretions or water The CAPNOSTAT sensor and LoFlo module are for use in all clinical areas where ETCO2 monitoring is required No routine calibration

    24. Clinical Summary Of equal importance to the ETCO2 value is the waveform which faithfully reflects what’s occurring. Subtle changes in waveforms can indicate actual or impending problems with setup, airway mechanics, respiratory drive, cardiovascular systems, and other important conditions. The shape and trends of the CO2 waveforms contain valuable information that is not available from any other source.

    25. Clinical Summary Capnography affords the clinician breath by breath trending of ETCO2 and thus a noninvasive look at ventilation Trending provides information on changes in ventilation and perfusion

    26. Thank you for visiting the ZOLL web site. If you have any questions or need additional information, please call 1 (800) 348-9011 or (978) 421-9655 ZOLL Medical Corporation 269 Mill Road Chelmsford, MA 01824

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