Delivering Confidence and Simplicity during Neuromuscular Blockade
TetraGraph is a quantitative neuromuscular transmission monitor based on electromyography (EMG). The TetraGraph monitor stimulates, measures, analyzes and displays muscle function in surgical patients receiving neuromuscular blocking agents (NMBAs). NMBAs are used in almost 50% of surgical cases. Inadequate reversal of NMBAs can lead to residual neuromuscular blockade (RNMB). RNMB delays recovery and can lead to life-threatening complications. To prevent complications, quantitative neuromuscular monitoring is rapidly becoming the standard of care when NMBAs are administered.
The TetraGraph monitor is easy to use and features gold standard EMG technology for accurate measurements to bring confidence to the anesthesiology practice. The device has a quick start up time and does not require calibration. The arm can be tucked under surgical drape and can thus be used in all types of procedures, including cardiac, neuro, laparoscopic, robotic and bariatric surgeries. TetraGraph can be used from start to finish during the surgical procedure. The monitor enables objective assessment and facilitates titration of medication dosage to help clinicians determine when the patient’s neuromuscular block is sufficiently reversed to allow adequate spontaneous breathing. TetraGraph is small and portable and can travel with the patient to different settings like OR, PACU or ICU. The TetraGraph can be operated connected to mains electricity or battery operated.
Neuromuscular Transmission is the transfer of an electrical impulse between a motor nerve and its associated muscle. A Neuromuscular Transmission (NMT) monitor indicates the depth of neuromuscular block by stimulation of a peripheral motor nerve and evaluating the evoked muscle response (compound muscle action potential, CMAP). Transmission of impulses from the nerve to the muscle is blocked by neuromuscular blocking agents (NMBAs) causing transient muscle weakness and preventing the patient from moving and breathing spontaneously.
Muscle relaxation is used during general anesthesia to enable endotracheal intubation and to provide optimal surgical conditions. In critical care, muscle relaxation may be used during mechanical ventilation. In these circumstances, TetraGraph can be used as an objective monitor of Neuromuscular Transmission.
TetraGraph undertakes this function by periodically delivering electrical stimulation to the peripheral nerve and directly measuring the evoked electromyographic (EMG) response of the muscles (compound muscle action potential, CMAP). This provides a precise and automatic measurement of muscle response to a stimulus.
Like other technologies, EMG involves stimulation of a peripheral nerve and measurement of the response that is generated by the contraction of the innervated muscle. The difference from other technologies is that EMG measures an electrical event that occurs at the neuromuscular junction; the activation of postsynaptic receptors by acetylcholine (a chemical process) that converts it to a mechanical response (excitation- contraction coupling), that results in muscle contraction. Because measurement of function does not depend on physical movement (as MMG, AMG or KMG require), EMG is a better indicator of pure neuromuscular function- EMG is the new gold standard.
Neuromuscular Transmisson (NMT) is the transfer of an impulse between a nerve and a muscle in the neuromuscular junction. EMG measures the compound action potential, which is the first signal we are able to measure after neuromuscular transmission. Therefore, EMG is most specifically suited to monitor the effect of muscle relaxants without any mechanic interferences.
TetraSens electrode array has two proximal stimulating electrodes, one recording electrode and one reference electrode. The application is easy and quick. TetraSens electrode array is for single-patient use in order to avoid cross contamination. The electrodes can be applied on either hand, with the stimulation electrodes over the ulnar nerve at the wrist and the evoked response recorded from any of the hand muscles; typically, either the muscle at the base of the little finger (abductor digiti minimi muscle), or, more commonly, from the muscle at the base of the thumb, adductor pollicis muscle. TetraSens can also be placed on the FDI muscle (first dorsal interosseous). When the hand is inaccessible, the posterial tibial nerve (flexor hallucis brevis muscle), can be used for NMT monitoring.
Service is essential to keep medical equipment operational and safe. Our Nordic service team consists of experienced service technicians stationed across the Nordic countries. Our service technicians are ready to take on your every service need.”
Medisorb™ CO2 Absorbent
The Medisorb™ CO2 absorbent product line supports GE Healthcare anesthesia machines. Available in a wide range of sizes and styles, it is specifically designed to help change out absorbers simply. It is also available in a low-alkaline formulation, Medisorb™ EF.
As Medisorb™ soda lime becomes exhausted, it changes colour from white to violet. With the Medisorb™ EF EX, this colour change is longer lasting, thus helping to identify previously used absorbent. The Medisorb™ EF EX will also turn violet if desiccated. Note: Colour indication is not a definitive guide to remaining absorbent life and should always be used in conjunction with CO2 monitoring.
Medisorb™ product line:
Take your temperature management measures to the next level
enFlow IV fluid and blood warming system – The right temperature, in the right place, at the right time
The enFlow IV fluid and blood warming system helps maintain patients’ core body temperatures throughout the entire perioperative experience. This capability helps minimize the incidence of patient hypothermia.
Our prone positioning cushions support the infant in a position that is oriented towards the body’s centre line and promote a better balance between the flexor and extensor muscles. The cushion is shaped to support the natural curvature of the shoulders, hand-mouth coordination and optimum alignment of the head and body. The little patients thus achieve a relaxed, flexed position without exerting too much pressure on the knees and elbows. Cut-outs on either side of the prone-positioning cushion allow the baby’s bent arms to rest. The support provided to the pelvis makes it easier to pull up the legs.
An accurate and reliable activity monitor
The wGT3X- BT is Actigraph’s flagship model. Scientific communities around the globe use the wGT3X- BT for several reasons, including its ability to gather activity data with accuracy and ease. The activity monitor is Bluetooth® compatible and features light sensors, making it optimal for both activity and sleep monitoring. The Actilife software provides accurate and updated analysis for all areas of use. When scientists or researchers publish new analysis algorithms, Actilife is updated in order to make sure that the wGT3X- BT always has the latest and best tools you could ask for.
USP:
Timik AB
Hammarbacken 4A
191 40 Sollentuna
Tel: + 46 (0)8 35 15 00
Org.nr 556968-6537
