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EndoWorld AN 5-6-E/04-2010
A Step Ahead with System Integration
DCI® VIDEO INTUBATION SYSTEM
KARL STORZ – Synonymous with Innovation and Competence in Endoscopy for over 60 Years
The New DCI® VIDEO INTUBATION SYSTEM
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One System – all Units Quick at Hand**
•TELEPACK™–unitwithvideoprocessor,lightsource,monitorandPCMCIAcard
•AIDA™DVD–moduleforfirst-classvideosandstillimagesonCD-ROMandDVD
•BRAUNInstrumentCart– practical,sturdyandmobile
One Camera – all Possibilities The DCI® System*
•BrillantimageincustomaryKARLSTORZ quality–viaintegratedMoiréfilter
•Rapidinstrumentchangeoverinseconds– withsimpleclickconnection
•Swiftapplicationonpatients–exceptforimagesharpness,nofurtheradjustmentnecessary
•Optimizedimagesize–thedisplayedimagecanbereadilyadjustedforoptimalmagnification
* DirectCoupledInterface ** DCI®cameraheadadaptstoallTELECAM® systems
The Perfect Solution: A Camera for Complete Airway Management
•BERCI-KAPLANVideoLaryngoscope
•KARLSTORZIntubationFiberscopesinallsizes
•BONFILSIntubationEndoscopesinallsizes
•BRAMBRINCKIntubationEndoscope
Ready-for-useAirwayManagementTrolley with DCI® VIDEO INTUBATION SYSTEM
TheNewBERCI-KAPLANDCI® Video Laryngoscope
Visualization
•First-classimagewith15,000pixels
•Optimalimageadjustmentwithbladetipforbetterorientation
•Displayofinsertedtubeforqualitycontrol
Methodology
•Clearimageandco-ordination, maneuver(BURP)possible
•Shortvisualaxisallowsliftingofepiglottis
•Lesspressureonbladeduetoshort visualaxis
•Intubationcanbetransmittedviavariousmedia
•Entireintubationprocedurecanbedocu-mented.
Benefits
•Trainingthroughlearning-by-doing
•Visualizationandearlydiagnosis ofdifficultintubations
•Riskofpatienttraumareduced
•Visualizationandrapidchangeovertointubationfiberscopepossible,especiallyincaseofdoublelumentubeplacement
Hygiene
•Quickandeasytoprepare
•Waterproofandfullyimmersible forcleaning,disinfectionandsteriliza-tion up to 60°C
•SterilizableviaEtO,FO-Gas, STERIS® and STERRAD®
8401A
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Different Blade Types – The Future Holds No Limits
•Robustconstruction–onecompleteunit
•Designedforroutineday-to-dayuse
•Easytohandlefollowingbrieftraining
Photo:Villingen-SchwenningenClinic
8401B
8401C
8401D/G
8401E
8401K
The New DCI®IntubationFiberscope
Methodology
•Intubationfiberscopesin5differentsizes
•Rapidchangeoverfromi.e.videolaryngo-scope
•Emergencyfunctionaseyepiececanberapidlyattachedtoi.e.LEDbatterylightsource
Benefits
•Optimumlearningcurvethroughtrainingwithlearning-by-doing
•Twoheadsarebetterthanone:problemscanbeviewedbytheentireteam
•Facilitatesteamwork,especiallyduringdilatationtracheostomy
•Visualcontrolandrapidchangeover tointubationfiberscope,especiallyincaseofdoublelumentubeplacement
Hygiene
•Preparation–alsopossiblewithout camera system
•Waterproofandfullyimmersiblefor cleaning,disinfectionandsterilizationupto60°C–includingSTERIS® and STERRAD®
Three Different Fiberscope Sizes – from infants to adults the right size
•Therightchoiceforexpectedlydifficultairwaysandbron-choscopy
•Outerdiameterof1.8mm,2.8mm,3.7mm,4.5mmand5.2mm
•Sheathlengthrangingfrom35cm,50cmto65cm–therightlength,alsoforintubatedpatients
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The New BONFILS/BRAMBRINCK DCI®IntubationEndoscope
Methodology
•First-classimagewith35,000pixels
•Optimaldistalangleof40°enablesrapidlocationofvocalcords
•Retromolarinstrumentinsertion asfarasvocalcords
•Flexibility–variousintubationpossibilities–includinglaryngoscopy
•Insertionofendotrachealtubeunder continuousvisualcontrol
•Designedforbothstandardanddifficultintubation
•Speciallydesignedforunexpectedlydifficultintubation
•Canalsobeusedinthoraxanesthesiawithdoublelumentube
Benefits
•Trainingthroughlearning-by-doing
•VisualizationofDifficultAirwayManagement
•Riskofpatienttraumareduced
•Rapidchangeoverfromvideolaryngoscopeto BONFILSintubationendoscope
•Emergencyfunctionaseyepiececanberapidlyattachedto,forexample,LEDbatterylightsource
Hygiene
•Quickandeasytoprepare
•Waterproofandfullyimmersibleforcleaning,disinfec-tionandsterilizationupto60°C–includingSTERIS® and STERRAD®
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Three Different Endoscope Sizes – The Right Instrument for Tube Size as of 2.5 mm
•Therightchoicefortheunexpecteddifficultairway
•Simpleandrobustdesign
•Designedforroutineday-to-dayuse
•Easytohandlefollowingbrieftraining
Current Studies
•Halligan,Charters,„AclinicalevaluationoftheBONFILSIntubationFibrescope“,Anaesthesia2003, 58pages1087–1091
•Bein,Worthmann,Scholz,Brinkmann,Tonner,Steinfath,Dörges,„Acomparisonoftheintubatinglaryngealmaskair-wayandtheBONFILSintubationfibrescopeinpatientswithpredicteddifficultairway“,Anaesthesia2004,59pages668–674
•Bein,Yan,Tonner,Scholz,Steinfath,Dörges,„TrachealintubationusingtheBONFILSintubationfibrescopeafterfaileddirectlaryngoscopy“,Anaesthesia2004,59pages1207–1209
TELE PACK
20043011-020 KARL STORZ TELE PACK™,PAL,endoscopicCCUvideounit,incl.24WattHI-Luxlightsource,integratedkeyboard,12“LCDmonitorandImageProcessingModule, powersupply:110–240VAC,50/60Hz consisting of: 20 043020-020 TELE PACK™ Control Unit 200410 32 PCMCIA PC Card, 64MB 400 A Mains Cord 536MK BNC Connecting Cable, length180cm 547S VHS (Y/C) Connecting Cable,
length180cm
20043111-020 Same, NTSC
DCI® Camera Head
20 2620 30 DCI® Camera Head,PAL,withintegratedopticalMoiréfilter
20262130 DCI® Camera Head,NTSC,withintegratedopticalMoiréfilter
495DV Fiber Optic Light Cable, for DCI®telescopes,diameter2.5mm,length300cm
KARL STORZ – A Step Ahead with System Integration DCI® VIDEO INTUBATION SYSTEM
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20204001-140 KARL STORZ AIDA™ DVD withSmartScreencolorsystem:PAL/NTSC operatingvoltage:100-240VAC;50/60Hz consisting of: 20204020-140 KARL STORZ AIDA™ DVD withintegratedDVD/CD-writer and integrated Smart Screen 400 A Power Cord 400 B Power Cord,USA-version 536MK 2BNCConnecting Cable, length180cm 547S S-VHS (Y/C) Connecting Cable, length180cm 200400 83 2 Adapters BNC-Cynch 200400 84 Serial Data Cable,length20cm 20040085 DVI Connecting Cable, length20cm
29005AN Mobile Videocart, consistingof: BasicVideocart,rideson4antistaticdualwheels, 2equippedwithlockingbrakes,1fixedshelfwithpushhandles,mainswitchinsideboom,1xdrawerunitwithlock,integratedcableconduitinbothbooms,2xhorizontalcableconduits,1withcablemanager,1xsetofnon-slidingstandsforunits,2xequipmentrails,3xmainscords, 2x200cmand1x100cm,powerboxwithsocketboardwith6mainssocketsand6groundingplugs
Dimensions: Videocart:530x1090x645mm(wxhxd), shelf:430x480mm(wxd), casterdiameter:125mm
BERCI-KAPLANDCI® Video Laryngoscope
8401A BERCI-KAPLANDCI® Video Laryngoscope, withMACINTOSHLaryngoscopeBlade,size3,resolu-tion15,000pixel,angleofview60°,forDCI®technol-ogy
8401B BERCI-KAPLANDCI® Video Laryngoscope, withMACINTOSHLaryngoscopeBlade,size4,resolu-tion15,000pixel,angleofview60°,forDCI®technol-ogy
8401C BERCI-KAPLANDCI® Video Laryngoscope, withDOERGESLaryngoscopeBlade,resolution15,000pixel,angleofview60°,forDCI®technology
8401D BERCI-KAPLANDCI® Video Laryngoscope, withMILLERLaryngoscope-Blade,size0, angleofview60°,DCItechnology
8401E BERCI-KAPLANDCI® Video Laryngoscope, withMILLERLaryngoscope-Blade,size3, angleofview60°,DCItechnology
8401G BERCI-KAPLANDCI® Video Laryngoscope, withMILLERlaryngoscopebladesize1, angleofview60°,forDCI®technology
8401K BERCI-KAPLANDCI® Video Laryngoscope, for DCI® technology,withMACINTOSHlaryngoscopeblade,size2,angleofview60°
DCI® Intubation Fiberscope
11605EV Intubation Fiberscope, with DCI®connection, DirectionofView:0° Angleofview 70° Workinglength 35cm Totallength 43cm Distaltip 1.8mm
11301AAD Intubation Fiberscope, with DCI® connection Direction of view 0° Angleofview 88° Workinglength 65cm Totallength 98cm Workingchannel diameter 1.2mm Distaltip 2.8mm Deflection 140°/140°
11301ABD Intubation Fiberscope 2.8 x 50, with DCI®connection, WorkingChannel:1.2mm, DirectionofView: 0°, AngleofView: 88°, WorkingLength: 50cm, Dist.OuterDia.: 2.8mm, Deflection: 140°/140°
KARL STORZ – A Step Ahead with System Integration DCI® VIDEO INTUBATION SYSTEM
8401B
8401C
8401G
8401E
8401A
8401K
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BONFILSIntubation Endoscope
10332BD BONFILSRetromolar Intubation Endoscope, withDCI-connection,35,000pixels, outerdiameter.3.5mm,forETT4.0-5.5mm,sheathworkinglength35cm,distalangle40°, includingtubeholder10332BAfortubeplace-mentandO2application
10331BD BONFILSRetromolar Intubation Endoscope, with DCI®connection,35,000pixels, outerdiameter5.0mm,forETT>5.5mm, sheathworkinglength40cm,distalangle40°, includingtubeholder10331BAfortubeplacementand O2application
20260031 Adaptor, for use with DCI®telescopesaseyepieceversion
BRAMBRINCK Intubation Endoscope
11605CV BRAMBRINKIntubation Endoscope, with DCI®connection,35,000pixels, outerdiameter2mm,semiflexible, fortubesizes2.5-3.5mm,magnification40x,sheathworkinglength22cm,distalangle40°, includingadaptor10332BA,fortubeplacementandO2application
11605CV
10332BD
10331BD
20 260031
11302BDD Intubation Fiberscope 3.7 x 65, with DCI®connection, WorkingChannel:1.5mm DirectionofView: 0° AngleofView: 90° WorkingLength: 65cm Dist.OuterDia.: 3.7mm Deflection: 140°/140°
11303BDD Intubation Fiberscope 4.5 x 65 Workingchannel: 1.2mm Directionofview: 0° Angleofview: 110° Workinglength: 65cm Dist.OuterDia.: 4.5mm Deflection: 140°/140°
11301BND Intubation Fiberscope 5.0 x 65, with DCI®connection, WorkingChannel: 2.3mm DirectionofView: 0° AngleofView: 110° WorkingLength: 65cm Dist.OuterDia.: 5.2mm Deflection: 140°/140°
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AN5-6-E/04-2010
EndoWorld®
www.karlstorz.com
KARL STORZGmbH&Co.KGMittelstraße8,78532Tuttlingen,GermanyPostfach230,78503Tuttlingen,GermanyPhone: +497461708-0Fax: +497461708-105E-Mail:[email protected]
KARLSTORZEndoscopy-America,Inc.2151EastGrandAvenueElSegundo,CA90245-5017,USAPhone: +1424218-8100,+1800421-0837Fax: +1424218-8526E-Mail: [email protected]