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
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:

Advocate for Improved Outcomes

RAadvantages.com

www.RAadvantages.com is an educational resource to

help you quantify the cost of treating adverse events
associated with the overuse or sole dependency on gas
anesthesia and opioids.
The site highlights the many benefits of RA to patients,
practitioners and administrators through clinical
studies, video testimonials and downloadable resources.

Develop Custom Education Programs

Delivered by a B. Braun proctor at your facility

Educational content tailored to meet individual

facility learning needs for single shot and continuous
nerve block program development.

Develop your Regional Anesthesia and Acute Pain

Management Program with the world leader in
Regional Anesthesia. Call your local representative to
discuss your goals and challenges.

An Educational Resource brought to you by B. Braun Medical's

Aesculap Academy.

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

Catheter Systems
Ask yourself the following:

1. Do you need a product with enhanced echogenicity?

HETER
TY
ENHANCED NEEDLE ENHANCED CATHETER
ECHOGENICITY ECHOGENICITY
Yes. ENHANCED NEEDLE
ECHOGENICITY
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.
These icons indicate needles
and catheters designed for
B. Braun's springwound metal-coil catheters are designed to be visualized under
enhanced ultrasound visibility. ultrasound to help verify placement.

No.

Support Trays and Stimulators

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?

TIMULATING
CATHETER
STIMULATING
NEEDLE
STIMULATING
CATHETER Yes.
STIMULATING
NEEDLE

These icons indicate needles
and catheters designed for
nerve stimulation.
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.
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 Single Shot Needles
Stimuplex® A
For Stimulation-Only or Dual Guidance Stimuplex® Ultra
Techniques For Dual Guidance Techniques
• No echogenic markings • Echogenic markings along first 2 cm
• Stimulation capability • Stimulation capability
• Atraumatic 30° bevel • Atraumatic 30° bevel

LATING STIMULATING ENHANCED CATHETER

STIMULATING STIMULATING ENHANCED NEEDLE
HETER NEEDLE CATHETERECHOGENICITY NEEDLE ECHOGENICITY

Supports ALL
Guidance
Techniques

2cm echogenic pattern

Advantages: Advantages:
• Highest usability score in a study comparing three • Help visualize and differentiate the needle shaft from the
manufacturers’ needles2 tip at steeper angles under ultrasound.
• Over 80% of US clinicians use Stimuplex A as their preferred • Crisp needle image with distinct echogenic points.
single shot needle for stimulation and ultrasound blocks.3
• Similar tactile feedback and overall needle feel as Stimuplex A2

Gauge Length Order No. Gauge Length Order No.

24 1 in. (25 mm) 4894251 22 1 3/8 in. (35 mm) 333650
22 1 in. (25 mm) 4894539 22 2 in. (50 mm) 333652
22 1 3/8 in. (35 mm) 4894367 22 3 1/8 in. (80 mm) 333654
22 2 in. (50 mm) 4894502 22 4 in. (100 mm) 333656
21 4 in. (100 mm) 4894260 20 6 in. (150 mm) 333660
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 3
 Single Shot Needles
Ultraplex Plexufix®
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

HETER ENHANCED NEEDLE

TY ECHOGENICITY

2cm echogenic pattern

Advantages: Advantages:
• Help visualize and differentiate the needle shaft from the • Most cost-effective solution for those who do not stimulate
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. 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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 Continuous PNB Sets and Trays
Contiplex® Tuohy & Contiplex S Contiplex® Tuohy Ultra
For Stimulation-Only or Dual Guidance For Dual Guidance Techniques
Techniques • Echogenic markings along first 2 cm of needle
• Tuohy or straight-bevel needle • Fully insulated needle with micro-dot electrode
• Fully insulated needle with micro-dot electrode • Perifix standard catheter - 20 Ga. polyamide closed tip
• Perifix® standard catheter - 20 Ga. polyamide closed tip • Includes patented sideport valve*
• Includes patented sideport valve*
ULATING STIMULATING STIMULATING STIMULATING
ENHANCED CATHETER ENHANCED NEEDLE
HETER NEEDLE CATHETER ECHOGENICITY NEEDLE ECHOGENICITY

2cm echogenic pattern

System Advantages: System Advantages:

• Micro-point electrode enhances needle accuracy • Help visualize and differentiate the needle shaft from the
• Contiplex S features straight cut facet bevel tip at steeper angles under ultrasound
• Kink-resistant catheter • Micro-point electrode enhances needle accuracy
• Kink-resistant catheter
Contiplex Tuohy & S Sets with Perifix Standard Catheter
Needle Product Code Order No. Contiplex Tuohy Ultra Sets with Perifix Standard Catheter
1.5 in. Tuohy CNB150 331695 Needle Product Code Order No.
2 in. Tuohy CNB200T 331691 CNB200TU 331673
2 in.
4 in. Tuohy CNB400 331693 CNB400TU 331674
4 in.
6 in. Tuohy CNB600 331694 CNB600TU 331676
6 in.
2 in. 20º Straight CNB200S 331697
4 in. 20º Straight CNB400S 331698 Contiplex Tuohy Ultra Trays with Perifix Standard Catheter ‡
6 in. 20º Straight CNB600S 331690 Needle Cover & Gel† Product Code Order No.
2 in. Yes CNB200TUKU 332124
Contiplex Tuohy Trays with Perifix Standard Catheter ‡
4 in. Yes CNB400TUKU 332129
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. 5
† Indicates trays which include Ultrasound Transducer Cover and Gel.
 Catheter Systems
Contiplex® Stim Contiplex® FX
For Stimulation-Only or Dual Guidance For Ultrasound-Only Techniques
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*

ULATING STIMULATING STIMULATING STIMULATING

ENHANCED CATHETER ENHANCED NEEDLE ENHANCED CATHETER ENHANCED NEEDLE
HETER NEEDLE CATHETER NEEDLE
ECHOGENICITY ECHOGENICITY 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
• Fully insulated needle with micro-point electrode to enhance Closed Tip CNBFX350C 331672
accuracy Open Tip CNBFX350O 331670

 Contiplex Stim Sets with Contiplex Tuohy Needle Contiplex FX Trays with Standard Tuohy Needle ‡
Needle Product Code Order No. Catheter Cover & Gel† Product Code Order No.

2 in. SCNB2 331757 Closed Tip Yes CNB350TKUFC 332130

4 in. SCNB4 331758 Open Tip Yes CNB350TKUFO 332131

Contiplex Stim Trays with Contiplex Tuohy Needle ‡

Needle Cover & Gel† Product Code Order No. Preload catheter into sideport
2 in. No SCNB2TK 331755 to reduce procedural steps and
eliminate the need to disconnect.
4 in. No SCNB4TK 331756

*included
Patented Sideport Valve
with all Contiplex Systems
shown here 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 CustomPlus™ Trays

For providers that want flexibility in choice of For providers that want an
procedural needle while maintaining convenience individualized solution
and consistency
• Configured for single shot or continuous procedures • All trays can be customized, designed precisely the
way individual technique and procedures require
• Configurations available focusing on Ultrasound-Only,
Dual Guidance Monitoring, and Stimulation procedures

Advantages Advantages
• Flexibility to choose different needle for each procedure
• Available with Civco Ultrasound Probe Cover and Gel • Quality - Offers the same high quality procedural components
found in our standard trays.
• Convenience - Assists with standardizing by customizing,
Description Product Code Order No. avoiding the cost and complications associated with stocking
Single Shot Support Tray NB100 332100 multiple products.
Continuous Catheter Support Tray NB300 332105 • Value - Our CustomPlus piggyback program offers many existing
Continuous Catheter Support Tray custom tray configurations which can be purchased immediately.
NB400 332103
with ultrasound probe cover and gel

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

7
 Support Trays and Stilmulator
Nerve Stimulator & Switch

Stimuplex® HNS12 with SENSe Technology Get the twitch sooner. Maintain it longer.
SENSe Technology uses 3 pulses, (2 short fixed at
For providers that want advanced peripheral nerve 0.1 ms and one long variable), to help estimate
stimulation, ease-of-use and greater procedural flexibility needle to nerve distance.

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

Stimuplex HNS12 Nerve
HNS12 4892098
Stimulator with SENSe

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

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

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NOTES

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 Schedule a demo today.
Call your B. Braun Representative
at 1-800-227-2862

www.bbraunusa.com

Rx Only. ©2013 B. Braun Medical Inc., Bethlehem, PA. All Rights Reserved. PC6-13rev1-13-3890 6/13 KE