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Peripheral Nerve Block Solutions

Needles, Catheter Systems, Support Trays and Nerve Stimulator

Whichever road you take, B. Braun can get you there.

The market leader in Regional Anesthesia and Acute Pain Management solutions

road you take, B. Braun can get you there. The market leader in Regional Anesthesia and

B. Braun Regional Anesthesia and Acute Pain Management Solutions

Advocating, Educating & Managing Costs for Improved Patient, Facility & Financial Outcomes

B. Braun can help develop your program in the following three ways:

can help develop your program in the following three ways: Advocate for Improved Outcomes RAadvantages.com

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Catheter Systems

Support Trays and Stimulators

Clinically Relevent Product Recommendations Single Shot Needles Based on your preferred modality and cost position
Clinically Relevent Product Recommendations
Single Shot Needles
Based on your preferred modality and cost position
Whichever road you take B. Braun provides products to fit your practice.

Ask yourself the following:

1. Do you need a product with enhanced echogenicity?

ENHANCED NEEDLE

ENHANCED CATHETER

ECHOGENICITY ECHOGENICITY These icons indicate needles and catheters designed for enhanced ultrasound visibility.
ECHOGENICITY
ECHOGENICITY
These icons indicate needles
and catheters designed for
enhanced ultrasound visibility.

Yes.

B. Braun's Ultraline needles are designed for enhanced echogenicity for users beginning

ultrasound and for blocks at steeper angles where needle visualization may be more

challenging.

B. Braun's springwound metal-coil catheters are designed to be visualized under

ultrasound to help verify placement.

No.

Many clinicians choose not to use ultrasound enhanced products and are comfortable with standard needles and catheters.

2. Do you need a product with stimulation capability?

STIMULATING STIMULATING NEEDLE CATHETER
STIMULATING
STIMULATING
NEEDLE
CATHETER

These icons indicate needles and catheters designed for nerve stimulation.

Yes.

Stimulation can be used for needle guidance, placement confirmation, or as a safety feature before injection to check for intra-neural placement. Studies have shown that a stimulation response at 0.2 mA may indicate intra-neural placement.1

Stimulating catheters can be used to verify catheter placement when ultrasound is not used.

No.

Some clinicians are comfortable locating the nerve using ultrasound without the aid of

stimulation.

1 Bigeleisen, Paul E., et al. Extraneural versus Intraneural Stimulation Thresholds during Ultrasound-guided Supraclavicular Block. Anesthesiology 2009; 110:1235-43.

2

Intraneural Stimulation Thresholds during Ultrasound-guided Supraclavicular Block. Anesthesiology 2009; 110:1235-43. 2

Single Shot Needles

Stimuplex® A

For Stimulation-Only or Dual Guidance Techniques

• No echogenic markings

• Stimulation capability

• Atraumatic 30° bevel STIMULATING NEEDLE
• Atraumatic 30° bevel
STIMULATING
NEEDLE

Advantages:

Highest usability score in a study comparing three manufacturers’ needles2

Over 80% of US clinicians use Stimuplex A as their preferred single shot needle for stimulation and ultrasound blocks.3

Gauge

Length

Order No.

24

1 in. (25 mm)

4894251

22

1 in. (25 mm)

4894539

22

1 3/8 in. (35 mm)

4894367

22

2 in. (50 mm)

4894502

21

4 in. (100 mm)

4894260

20

6 in. (150 mm)

4894278

2. A. Sardesai, N. Denny., M. Herrick, A. Lynch, A. W. Harrop-Griffiths, “A study of the characteristics of single-injection insulated block needles in a biologic model.” RAPM Vol. 29 No. 5, (Sept- Oct, 2004.)

3. IMS data: Q4 2011

4. Stimuplex Ultra, 22G x 4” 333656, in porcine model

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Stimuplex® Ultra

For Dual Guidance Techniques

• Echogenic markings along first 2 cm

• Stimulation capability

• Atraumatic 30° bevel STIMULATING ENHANCED NEEDLE NEEDLE ECHOGENICITY + Supports ALL Guidance Techniques 4
• Atraumatic 30° bevel
STIMULATING
ENHANCED NEEDLE
NEEDLE
ECHOGENICITY
+
Supports ALL
Guidance
Techniques
4

Advantages:

+ Supports ALL Guidance Techniques 4 Advantages: • Help visualize and differentiate the needle shaft from

Help visualize and differentiate the needle shaft from the tip at steeper angles under ultrasound.

Crisp needle image with distinct echogenic points.

Similar tactile feedback and overall needle feel as Stimuplex A2

Gauge

Length

Order No.

22

1 3/8 in. (35 mm)

333650

22

2 in. (50 mm)

333652

22

3 1/8 in. (80 mm)

333654

22

4 in. (100 mm)

333656

20

6 in. (150 mm)

333660

Single Shot Needles

Ultraplex

Plexufix®

For Ultrasound-Only Techniques For Ultrasound-Only Techniques • Echogenic markings along first 2 cm • No
For Ultrasound-Only Techniques
For Ultrasound-Only Techniques
• Echogenic markings along first 2 cm
• No echogenic markings
• No stimulation capability
• No stimulation capability
• Atraumatic 30° bevel
• Atraumatic 30° or 45° bevel
ENHANCED NEEDLE
ECHOGENICITY
4
Advantages:
Advantages:
• Help visualize and differentiate the needle shaft from the
tip at steeper angles under ultrasound.
• Most cost-effective solution for those who do not stimulate
• Crisp needle image with distinct echogenic points.
Similar tactile feedback and overall needle feel as Stimuplex A2
Gauge
Length
Order No.
Gauge
Length
Bevel
Order No.
22
1 3/8 in. (35 mm)
333662
24
1 in. (25 mm)
30º
332001
22
2 in. (50 mm)
333664
22
1 in. (25 mm)
30º
332017
22
3 1/8 in. (80 mm)
333666
22
1 1/2 in. (40 mm)
45º
332015
20
4 in. (100 mm)
333668
24
2 in. (50 mm)
30º
332000
20
6 in. (150 mm)
333669
22
2 in. (50 mm)
30º
332010

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20 4 in. (100 mm) 333668 24 2 in. (50 mm) 30º 332000 20 6 in.

Continuous PNB Sets and Trays

Contiplex ® Tuohy & Contiplex S

For Stimulation-Only or Dual Guidance Techniques

• Tuohy or straight-bevel needle

• Fully insulated needle with micro-dot electrode

• Perifix® standard catheter - 20 Ga. polyamide closed tip

• Includes patented sideport valve* STIMULATING NEEDLE
• Includes patented sideport valve*
STIMULATING
NEEDLE
• Includes patented sideport valve* STIMULATING NEEDLE System Advantages: • Micro-point electrode enhances

System Advantages:

Micro-point electrode enhances needle accuracy

Contiplex S features straight cut facet bevel

accuracy • Contiplex S features straight cut facet bevel • Kink-resistant catheter Contiplex Tuohy & S

Kink-resistant catheter

Contiplex Tuohy & S Sets with Perifix Standard Catheter

Needle

Product Code

Order No.

1.5 in. Tuohy

CNB150

331695

2

in. Tuohy

CNB200T

331691

4

in. Tuohy

CNB400

331693

6

in. Tuohy

CNB600

331694

2

in. 20º Straight

CNB200S

331697

4

in. 20º Straight

CNB400S

331698

6

in. 20º Straight

CNB600S

331690

Contiplex Tuohy Trays with Perifix Standard Catheter

Needle Cover & Gel

Product Code

Order No.

2

in.

Yes

CNB200TKU

332127

4

in.

Yes

CNB400TKU

332128

2

in.

No

CNB200TK

331701

4

in.

No

CNB400TK

331706

‡ Trays include Chloraprep prep solution. See the Pain Control Product Reference Guide or contact your B. Braun representative for complete tray components. Trays not available in Canada. † Indicates trays which include Ultrasound Transducer Cover and Gel.

Contiplex ® Tuohy Ultra

For Dual Guidance Techniques

• Echogenic markings along first 2 cm of needle

• Fully insulated needle with micro-dot electrode

• Perifix standard catheter - 20 Ga. polyamide closed tip

• Includes patented sideport valve*

STIMULATING ENHANCED NEEDLE NEEDLE ECHOGENICITY + 4 2cm echogenic pattern System Advantages: • Help visualize
STIMULATING
ENHANCED NEEDLE
NEEDLE
ECHOGENICITY
+
4
2cm echogenic pattern
System Advantages:
• Help visualize and differentiate the needle shaft from the
tip at steeper angles under ultrasound
shaft from the tip at steeper angles under ultrasound • Micro-point electrode enhances needle accuracy •

Micro-point electrode enhances needle accuracy

Kink-resistant catheter

Contiplex Tuohy Ultra Sets with Perifix Standard Catheter

Needle

Product Code

Order No.

2

in.

CNB200TU

331673

4

in.

CNB400TU

331674

6

in.

CNB600TU

331676

Contiplex Tuohy Ultra Trays with Perifix Standard Catheter

Needle Cover & Gel

Product Code

Order No.

2

in.

Yes

CNB200TUKU

332124

4

in.

Yes

CNB400TUKU

332129

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Contiplex ® Stim Contiplex ® FX For Stimulation-Only or Dual Guidance techniques For Ultrasound-Only Techniques
Contiplex ® Stim
Contiplex ® FX
For Stimulation-Only or Dual Guidance
techniques
For Ultrasound-Only Techniques
19 Ga. soft springwound catheter
Stimulating 20 Ga. closed tip multiport catheter with stylet
Open and closed tip catheter configurations
• Catheter's flat-wire coils provide visibility under ultrasound
17 Ga. X 3.5 in. non-stimulating Tuohy needle
• Fully insulated Tuohy needle with micro-dot electrode
Includes patented sideport valve*
• Includes patented sideport valve*
Catheter Systems
STIMULATING
STIMULATING
ENHANCED CATHETER
ENHANCED CATHETER
NEEDLE
CATHETER
ECHOGENICITY
ECHOGENICITY
+
+
Ideal for
TAP Blocks
System Advantages:
Ultrasound visible catheter
Cost-effective solution for those who do not stimulate
Ideal for TAP block where non-stimulating needle and softer
catheter is preferred
System Advantages:
• Ultrasound visible, stimulating catheter
Contiplex FX Sets with Standard Tuohy Needle
• Fully enclosed catheter tip – no exposed coils
Catheter
Product Code
Order No.
• Focused stimulation pattern from catheter tip
Closed Tip
CNBFX350C
331672
Fully insulated needle with micro-point electrode to enhance
accuracy
Open Tip
CNBFX350O
331670
Contiplex FX Trays with Standard Tuohy Needle ‡
Contiplex Stim Sets with Contiplex Tuohy Needle
Catheter Cover & Gel †
Product Code
Order No.
Needle
Product Code
Order No.
Closed Tip
Yes
CNB350TKUFC
332130
2
in.
SCNB2
331757
Open Tip
Yes
CNB350TKUFO
332131
4
in.
SCNB4
331758

Contiplex Stim Trays with Contiplex Tuohy Needle

Needle Cover & Gel

Product Code

Order No.

Preload catheter into sideport to reduce procedural steps and eliminate the need to disconnect.

2

in.

No

SCNB2TK

331755

4

in.

No

SCNB4TK

331756

* Patented Sideport Valve

included with all Contiplex Systems shown here

Inject Aspirate Inject/hydrodissect and aspirate without needing to disconnect side port to thread catheter.
Inject
Aspirate
Inject/hydrodissect and aspirate
without needing to disconnect
side port to thread catheter.

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Support and Custom Tray Solutions

Support Trays

For providers that want flexibility in choice of procedural needle while maintaining convenience and consistency

• Configured for single shot or continuous procedures

• Configurations available focusing on Ultrasound-Only, Dual Guidance Monitoring, and Stimulation procedures

CustomPlusTrays

For providers that want an individualized solution

All trays can be customized, designed precisely the way individual technique and procedures require

the way individual technique and procedures require Advantages • Quality - Offers the same high quality

Advantages

Quality - Offers the same high quality procedural components found in our standard trays.

Convenience - Assists with standardizing by customizing, avoiding the cost and complications associated with stocking multiple products.

Value - Our CustomPlus piggyback program offers many existing custom tray configurations which can be purchased immediately.

Contact your B. Braun representative to explore your CustomPlus options.

B. Braun representative to explore your CustomPlus options. Advantages • Flexibility to choose different needle for

Advantages

Flexibility to choose different needle for each procedure

Available with Civco Ultrasound Probe Cover and Gel

Description

Product Code

Order No.

Single Shot Support Tray

NB100

332100

Continuous Catheter Support Tray

NB300

332105

Continuous Catheter Support Tray

NB400

332103

with ultrasound probe cover and

gel

See the Pain Control Product Reference Guide or con- tact your B. Braun representative for complete set and tray components. Trays not available in Canada.

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Support Trays and Stilmulator

Nerve Stimulator & Switch

Stimuplex® HNS12 with SENSe Technology

For providers that want advanced peripheral nerve stimulation, ease-of-use and greater procedural flexibility

Get the twitch sooner. Maintain it longer.

SENSe Technology uses 3 pulses, (2 short fixed at 0.1 ms and one long variable), to help estimate needle to nerve distance.

• Variable pulse duration settings • Built-in impedance monitor • Large display for easier viewing
• Variable pulse duration settings
• Built-in impedance monitor
• Large display for easier viewing
• Easy menus to control sounds
and other settings
• Direct access keys allow quick
changes to stimulus
frequency and pulse duration
Advantages:
• Get the first twitch sooner for faster visual
feedback with SENSe (Sequential Electrical
Nerve Stimulation)
• Large display
Three twitches are seen when closer to the nerve.
Description
Product Code
Order No.
HNS12
4892098

Stimuplex HNS12 Nerve Stimulator with SENSe

One twitch is seen at a greater distance from the nerve.

Stimuplex Switch

Pair the Stimuplex Switch with the HNS12 or HNS11 to quickly switch the current from needle to Contiplex® Stim catheter and back with just a flick of a switch.

Description

Product Code

Order No.

Stimuplex Switch

STIMSWITCH

333543

Order No. Stimuplex Switch STIMSWITCH 333543 HNS12 and Switch not available in Canada. Contact your B.

HNS12 and Switch not available in Canada. Contact your B. Braun representative to discuss options.

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STIMSWITCH 333543 HNS12 and Switch not available in Canada. Contact your B. Braun representative to discuss

NOTES

NOTES

Rx Only. ©2013 B. Braun Medical Inc., Bethlehem, PA. All Rights Reserved.

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