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Freelance Surgical is dedicated to providing high quality products without the premium often associated.

The company has been the sole UK distributor for VBM Germany for over 25 years, and has established them as one of the leading difficult airway brands in the UK.

In this catalogue you will find innovative products including Safersonic ultrasound drapes (with patented adhesive – negating the need of gel between probe and cover), Surgicric 1b that complies with the new DAS algorithm, the extremely versatile S-Guide (for difficult intubation), the new Gastric Tube Guide (to help place tricky oral suction catheters), and the all new intubating laryngeal tube (a third generation airway device that has been designed for safety and has design features to reduce the risk of aspiration).

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Published by Freelance Surgical, 2017-02-07 07:37:13

Anaesthesia & ITU Catalogue

Freelance Surgical is dedicated to providing high quality products without the premium often associated.

The company has been the sole UK distributor for VBM Germany for over 25 years, and has established them as one of the leading difficult airway brands in the UK.

In this catalogue you will find innovative products including Safersonic ultrasound drapes (with patented adhesive – negating the need of gel between probe and cover), Surgicric 1b that complies with the new DAS algorithm, the extremely versatile S-Guide (for difficult intubation), the new Gastric Tube Guide (to help place tricky oral suction catheters), and the all new intubating laryngeal tube (a third generation airway device that has been designed for safety and has design features to reduce the risk of aspiration).

Keywords: VBM,Ultrasound drape,difficult airway,laryngeal tube,surgicric,surgical cricothyroidotomy

Anaesthesia
& ITU

2017Product Catalogue

VBM DIFFICULT AIRWAY ALGORITHM CONTENTS ULTRASOUND

VBM

DIFFICULT AIRWAY ALGORITHM

Induction BMV

Face Masks Resuscitation Bags

p. 27 p. 30 success Tracheal Intubation

Direct Laryngoscopy

Laryngobloc® Cuff Pressure
Gauges
failed
intubation

p. 18
p. 8

Plan A Optimising success Intubation Stylet
Direct Laryngoscopy
Initial endotracheal intubation plan Stylets Laryngobloc®
failed
intubation

p. 14 p. 18

Airway Algorithm Plan B Alternative technique I success SGA

Secondary endotracheal intubation plan failed Laryngeal Tube Cuff Pressure
oxygenation Gauges

Plan C Alternative technique II success p. 4 p. 8

Maintenance of oxygenation, increasing Awake intubation technique
ventilation, awakening, hypoxaemia Endoscopy Mask Resuscitation Bags
awake intubation technique,
postponement of surgery p. 25 p. 30

Plan D SurgicaolrAirway

Rescue techniques for Cannula Cricothyrotomy failed Surgical Cricothyrotomy
“cannot intubate –
cannot ventilate“
situation

Narrow bore Wide bore Surgicric Ib Surgicric II
Manujet III & Quicktrach I & II Surgicric III
Jet-Ventilation
Catheter

p. 23 p. 24 p. 20 p. 20 p. 20

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CONTENTS ULTRASOUND MANOMETER CUFFILL CONTROLLER LTS-D

Contents

Ultrasound 4

Gel- Free Ultrasound Drape 6
8
Cuff Pressure Gauges 9

Cuff Manometer 10
AG Cuffill 12
Cuff Controller
14
Laryngeal Tube

Laryngeal Tube LTS-D
intubating Laryngeal Tube iLTS-D

Laryngoscopes

Laryngobloc® Oxford, Miller, Macintosh

Malleable Intubating Guide

S-Guide 16

Cricothyrotomy Devices 18 Contents
22
Surgicric I, IB, II, III 24
Quicktrach I, II
Manujet III / Jet-Ventilation Catheters

Airway Management Simulators 25
26
BILL, BOB, 28
Transparent Head, Crico-Trainer
29
Face Masks 30

Face Masks 31

Airway Devices for Endoscopy

Endoscopy Mask, Bronchoscope Airway

Connectors

Brosu, Accessories

Insertion Aid

Gastric Tube Guide

Tracheostomy 32

Tube Fixators, Dressing

Key Features For single use DEHP free Latex free

Reusable

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Ultrasound

Sterile Probe Drape with
Adhesive Strip

The Adhesive strip eliminates the need of Gel under the Cover,
no more bubbles or wrinkles. Telescopic folding provides sterile
application. Single use Safersonic probe drape, packed in sterile
pouch is now intended for intrasurgical use!

Order details:

Ultrasonic Drapes with Adhesive Strip - Sterile

Code Description Dimensions (cm) Qty (box)
SAF.612.18030 Safersonic Single 18 x 30 50
50
SAF.612.18050 Safersonic Medium 18 x 50 50
50
SAF.612.18120 Safersonic Conti 18 x 120

SAF.612.18250 Safersonic Long 18 x 250

Ultrasonic Drapes with Adhesive Strip - Sterile (Inc gel pack)

Code Description Dimensions (cm) Qty (box)
18 x 30 50
SAF.612.18030.WG Safersonic Single

SAF.612.18050.WG Safersonic Medium 18 x 50 50

SAF.612.18120.WG Safersonic Conti 18 x 120 50

SAF.612.18250.WG Safersonic Long 18 x 250 50

Safergel Pack (Sterile in packet)

Code Description Qty (box)
SAF.GEL Safergel Pack 100

3 simple steps:

1. Reach into the cover following the path of the white tab and remove the

white rectangle to expose the adhesive area.

2. Press adhesive strip against the center of the probe using the middle-

finger - to prevent wrinkles, rub/flatten adhesive area towards both ends of
the probe.

3. The non sterile person grabs the cover and pulls it over head and cable –

remove white tab and wrap around probe drape.

*GEL-FREE
ULTRASOUND
DRAPE

*Gel-free is between cover and probe ONLY. Gel is still required on the outside of the drape.

Key features and benefits
of the Safersonic sterile
probe drape.

• No Rubber Bands
• No Artifacts
• No Gel at the Transducer
• Latexfree
• No Glue Remnants

ALGORITHM CONTENTS ULTRASOUND DRAPES CUFF MANOMETER

Cuff Pressure Gauges

CUFF MANOMETER

CUFF MANOMETER

Analog Cuff Pressure
Gauge

The use of VBM Cuff Pressure Gauges in combination with
High Volume Low Pressure Cuffs can reduce micro-aspiration
and prevent VAP from occurring. The device reduces the risk

of pressure necrosis and mucosal ischemia

Cuff Pressure The cuff manometer helps to prevent the risk of aspiration which can lead to the possibility of pneumonia. The analog
system with no dependence on any energy source makes the VBM cuff pressure gauge highly reliable under any
circumstance (outdoor, transport, OR). The accuracy of the display as well as the pre-defined pressure ranges help
users to maintain the correct pressure with any kind of airway device.

Green Range Release Valve & Hook Luer Connection

The green ranges on the scale mark the - Pressure increase due to the diffusion of For connection to the tracheal tube allowing
ideal ranges for either tracheal tubes or anesthetic gases can be adjusted with the pressure measuring and regulation.
laryngeal tubes. red release valve

- Hook fits into standard rail

Order information

Cuff Pressure Gauges - CUFF MANOMETER

Vacuum Valve Code Type Description Diameter Scale
54-02-001 Paediatric *Pressure range: 0-60 cmH20 50mm Ø
For connection to the tracheal tube 54-03-000 Sensitive *With hook 50mm Ø
allowing a complete deflation of the cuff by 54-03-001 Sensitive *Without hook 50mm Ø
squeezing the inflation bulb. 54-04-000 Pocket * 50mm Ø
54-05-000 Monitor * 68mm Ø
54-07-000 Universal * 68mm Ø

*Analog Cuff Pressure Gauge, complete with connecting tube (100cm)

6
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CUFF MANOMETER DIGITAL CUFF PRESSURE AG CUFFILL

Cuff Pressure Gauges AG CUFFILL

AG CUFFILL

Digital Cuff Pressure
Syringe

Cuff Pressure AG Cuffill is the only device capable of simultaneous control of volume and pressure. It is very light and easy to use
whilst providing high accuracy of cuff pressure measurement. The compact size makes it very convenient for pre-
hospital environments. It allows control and adjustment of pressure for all cuffed airway devices. It is especially
beneficiary for low volume cuffs such as pediatric tracheal tubes. Being semi-disposable allows use on single patients
in high contamination and isolated areas.

Digital display Measuring Cuff Pressure Adjusting Cuff Pressure

For ease of use and to enhance accuracy When the plunger is in closed position Immediate cuff pressure measurement
of measurement. the specific sensor technology allows cuff and requested adjustment are made with
pressure measurement with no dead one single hand as soon as the plunger is
space. Indication of pressure will change in motion.
during breathing cycle.

Minimal Storage Space Order information

With the small dimensions (13 x 3 x 2 cm) AG Cuffill
the AG Cuffill requires very little storage Electronics is limited to 100 measurements,
space. Therefore it is ideal for emergency
bags and vehicles, helicopters, doctors’ with automatic countdown function
coats and emergency cabinets.

Box 10 REF 59-10-100

8
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CUFF CONTROLLER 2ND GEN LTS-D 3RD GEN iLTS-D

Cuff Pressure Gauges
CUFF CONTROLLER

CUFF CONTROLLER

Automatic Cuff Pressure
Gauge

Clinical studies have proven the positive effects of cuff pressure control in order to prevent ventilator-associated Cuff Pressure
pneumonia (VAP).

The VBM Cuff Controller is an electronic device that has been developed for the continuous control and monitoring
of cuff pressure. It has proven effective in maintaining cuff pressure within the recommended range in ICU patients.

Features

Front Side

- Large LCD display
- Intuitive cuff pressure adjustment
- Adjustable range: 0-60 cmH20
- Integrated alarms for over pressure or leakage

Back Side

- Universal clamp for fixation to standard rail

Order information 9
Cuff Controller
pre-adjusted to 25 cmH2O,
with battery, universal clamp and connecting tube (200 cm)

REF 55-13-500

Manometer Connecting Tube
Luer connection, 200cm long, Box 10

REF 54-05-113

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AG CUFFILL CUFF CONTROLLER 2ND GEN LTS-D

Laryngeal Tube

LTS-D

LTS-D

Laryngeal Tube
LTS-D

Laryngeal Tube The LTS-D complies with international guidelines and recognised The LTS-D is designed to be easy to use with minimal training.
industry algorithms. The NAP4, one of the most important The colour coded system has proven invaluable in emergencies
international anaesthesia reports, recommends using 2nd as the syringe indicates the recommended maximum inflation
generation supraglottic airway devices that prevent the risk volume. The Laryngeal Tube allows correct ventilation - even in
of aspiration by incorporating a built-in drain tube. All LTS-D’s situations with limited space.
come with this feature as standard.

The new Laryngeal Tube also stands out for its unique high
volume, low pressure cuffs. The extremely thin wall is atraumatic
to the pharyngeal mucosa and seals the hypopharynx reliably
at low cuff pressures (< 60 cmH2O). Soft material and rounded
edges additionally enhance patient comfort and safety.

References

Cook, Tim, N. Woodall and C. Frerk. ”4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society: Major
Complications of Airway Management in the United Kingdom.” London: The Royal College of Anaesthesists (2011).

Deakin, Charles, D. et al. ”European resuscitation council guidelines for resuscitation 2010 section 4. Adult advanced life support.“ Resuscitation 81.10
(2010): 1305-1352.

Neumar, Robert, W. et al. ”Part 8: Adult advanced cardiovascular life support 2010 American Heart Association guidelines for cardiopulmonary
resuscitation and emergency cardiovascular care.“ Circulation 122.18 suppl 3 (2010): S729-S767.

Wiese, Christoph, HR et al. ”Using a laryngeal tube during cardiac arrest reduces “no flow time“ in a manikin study: a comparison between laryngeal
tube and endotracheal tube.“ Wiener klinische Wochenschrift 120.7-8 (2008): 217-223.

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2ND GEN LTS-D 3RD GEN iLTS-D LARYNGOSCOPES LARYNGOBLOC

Laryngeal Tube
LTS-D

Features

Patient Safety

Thin walled cuffs guarantee a maximum airway leak pressure at low cuff
pressure (< 60 cmH2O) making the LTS-D atraumatic to the mucosa.

Effective Ventilation

The redesign of the ventilation section offers more space in the
hypopharynx. Multiple ventilation outlets between both cuffs lie in front
of the larynx, allowing an appropriate tidal volume.

Laryngeal Tube max. Drain Tube Laryngeal Tube
Size drain tube The LTS-D offers the largest suction possibility with easy access – up to
18 Fr.
0, 1 10 Fr
2, 2.5 16 Fr The NAP4 report recommends “that all hospitals have 2nd generation
3, 4, 5 18 Fr supraglottic airway devices available for both routine use and rescue
airway management.“

Also recommended by the European Resuscitation Council (ERC).

Order information

Laryngeal Tube LTS-D
for single use, sterile

Size Patient Weight / Height Colour Single Set Set of 10 Emergency Set
with colour coded with colour coded syringe
0 Newborn < 5 kg transparent syringe REF 32-06-000-1
white REF 32-06-001-1 Child
1 Infant 5-12 kg green REF 32-06-100-1 REF 32-06-002-1 (# 0, 1, 2, 2.5)
orange REF 32-06-101-1 REF 32-06-025-1 REF 32-06-309-1
2 Child 12-25 kg yellow REF 32-06-102-1 REF 32-06-003-1
red REF 32-06-125-1 REF 32-06-004-1 Adult
2.5 Child 125-150 cm purple REF 32-06-103-1 REF 32-06-005-1 (# 3, 4, 5)
REF 32-06-104-1 REF 32-06-209-1
3 Adult < 155 cm REF 32-06-105-1

4 Adult 155-180 cm

5 Adult > 180 cm

11

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CUFF CONTROLLER 2ND GEN LTS-D 3RD GEN iLTS-D

Laryngeal Tube

iLTS-D

iLTS-D

Intubating Laryngeal Tube
LTS-D

Laryngeal Tube Up to 20% of all emergency intubations are estimated to be As VBM´s 3rd generation SAD the iLTS-D compiles all essential
difficult to manage. Having the right system available is the features required to achieve and protect an airway:
cornerstone of effective airway management in an emergency.
Airway algorithms recommend the usage of supraglottic airway Ventilation – wide airway section to optimise gas flow and low
devices (SAD) as options to overcome difficult scenario. pressure cuffs to maximise sealing performance (< 60 cmH2O)

In order to prevent aspiration, the NAP4 report prescribes the Drain Tube – allows the insertion of a gastric tube or suction
use of devices with gastric access. catheter
SAD with intubating capability provide a way to reach a definitive
airway (ET Tube placement). Intubation – special design of ventilation lumen to enable
fiberoptic insertion of an ET Tube
Features
1) Walls, Ron MD et al. “Manual of Emergency Airway Management“
(2012): 4th edition, chapter 2, p. 9.

12 Efficient sizing
The iLTS-D is the ideal solution to save space in

emergency bags and crash carts.
Only two sizes match all patients ≥ 125 cm.

Size 2.5/3: 125-155 cm
Size 4/5: ≥ 155 cm

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3RD GEN iLTS-D LARYNGOSCOPES LARYNGOBLOC S-GUIDE SURGICRIC

Laryngeal Tube
iLTS-D

Ventilation

The design of the ventilation section optimises gas flow and prevents
airway obstruction from a downfolded epiglottis.
Thin walled cuffs guarantee a maximum airway leak pressure at low cuff
pressure (< 60 cmH2O).

Drain Tube

The drain tube can accommodate a large gastric tube or suction catheter:

Size 2.5/3: max. 16 Fr
Size 4/5: max. 18 Fr

Intubation Laryngeal Tube

The iLTS-D secures the airway in emergency and enables fiberoptic
placement of an ET Tube without compromising patency of supraglottic
ventilation.

Size 2.5/3: ET Tube max. 6.5 mm I.D.
Size 4/5: ET Tube max. 8.0 mm I.D.

Order information

intubating Laryngeal Tube iLTS-D
for single use, sterile

Size Patient Single Set Set of 10 Intubation Set
1x iLTS-D 10x iLTS-D 1x iLTS-D
1x Syringe 1x ET Tube with Stabilizer
1x Syringe
2.5/3 125-155 cm REF 32-08-123-1 REF 32-08-023-1
REF 32-08-309-1
4/5 ≥ 155 cm REF 32-08-145-1 REF 32-08-045-1 REF 32-08-209-1

ET Tube with Stabilizer
armored, for single use, sterile

Size for iLTS-D REF Box
Size
5.5 mm I.D. 31-40-055-1 10
7.5 mm I.D. 2.5/3 31-40-075-1 10
4/5

13

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2ND GEN LTS-D 3RD GEN iLTS-D LARYNGOSCOPES LARYNGOBLOC

Laryngoscopes

LARYNGOBLOC

Laryngoscopes LARYNGOBLOC®

Oxford, Miller, Macintosh

The Laryngobloc® system is the ideal tool for laryngoscopy. The one piece
polypropylene design provides excellent resistance to flex and torsion while
limiting dental injury.

The single use Laryngobloc® Handpiece eliminates the risk of cross
contamination and reduces the cost of waste management.

A powerful LED light source enables clear visualisation of the pharyngeal
structure. The Laryngobloc® Handpieces are available in different sizes to
match different indications.

Cost-Effective

No reprocessing expense thanks to the single use concept of
Laryngobloc® Handpiece.
The waste management of the Laryngobloc® system is very
economical:
- The single use Laryngobloc® Handpiece is cheaper to dispose of

compared to disposable metal blades.
- The Laryngobloc® Light Block is powered with standard LR6 AA

batteries that can be safely disposed according to local electronic
waste requirements.

Features

15 kg*

* F: 150 N

LED Light Source Hygienic Durable

LED Laryngobloc® Light Block enables Single use blades carry the risk of The Laryngobloc® Handpieces are resistant
excellent visualisation of the pharyngeal transferring prions to handles during use. to flex and torsion, fulfilling standards
structure for a safe endotracheal intubation. The completely disposable Laryngobloc® for metal laryngoscope blades (ISO
Handpieces with safety cap protect the 7376:2009).
Laryngobloc® Light Block and eliminate the The smart compound helps to reduce
risk of cross contamination. exposure to dental injury.

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OXFORD MILLER MACINTOSH S-GUIDE SURGICRIC 1B

Laryngoscopes

LARYNGOBLOC

Order information

Laryngobloc® Light Block Laryngobloc® Handpiece

reusable, Material: Aluminium, Box = 1 for single use, Material: Polypropylene, Box = 20
powered with standard LR6 AA batteries standard and short version Ø 32 mm,
- 1 x LR6 AA battery for short version slim version Ø 26 mm
- 2 x LR6 AA batteries for standard and slim version

Laryngobloc® Handpiece Macintosh Handpiece Miller Handpiece Oxford

Light Block
Standard Version

REF 36-10-000 #2 #3 #4 #2 #3 #0
# 0: REF 36-40-000
Light Block # 2: REF 36-20-002 # 2: REF 36-30-002
Short Version # 3: REF 36-21-003 # 3: REF 36-30-003
# 4: REF 36-21-004
Laryngoscopes

#2 #3 #4 #0
# 0: REF 36-45-000
REF 36-15-000 # 2: REF 36-25-002
# 3: REF 36-26-003
Light Block # 4: REF 36-26-004
Slim Version

REF 36-17-000 #0 #1

# 0: REF 36-37-000
# 1: REF 36-37-001

References 15
Grape S, Lujic M, Meunier O et al. “Laryngoscopic view and bacterial contamination: a completely vs a partially disposable laryngoscope.”
2009 ASA Annual Meeting, A71.

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3RD GEN iLTS-D OXFORD MILLER MACINTOSH S-GUIDE

Malleable Intubating Guide

S-GUIDE

S-GUIDE

Up to 3% of surgical patients have a so-called difficult airway, making laryngoscopic intubation problematic and sometimes impossible.
Given that direct laryngoscopic visualisation of the glottis may not be possible, especially in a timely manner during emergency situations,
intubating guides, stylets and introducers have been developed and have proved to be effective, safe and simple approaches. VBM offers
a wide range of devices covering all techniques relying on the use of an intubating guide.

S-Guide – Malleable intubating guide for Difficult Airway Management

In cooperation with PD Dr. Patrick Schoettker from the University
Hospital of Lausanne / Switzerland VBM has developed a new malleable
intubating guide – the S-Guide.

1

Very versatile in its indications, the S-Guide can be used during
conventional as well as video laryngoscopy. It works especially well with
the non-channelled video laryngoscope blades.

The design of the S-Guide unifies all the essential specifications that are
usually split between introducers and stylets. This makes it the ideal tool
to overcome a difficult airway scenario.
S-Guide
flexible

2

malleable

O2
O2

3
soft

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S-GUIDE SURGICRIC 1B SURGICRIC II SURGICRIC III QUICKTRACH

Malleable Intubating Guide
S-GUIDE

Features 3 benefits in 1 design

1 O2 2 3

via hockey stick O2
Luer Lock mark O2 O2

via
15 mm

Oxygenation Directional Multifunctional tip

The apnea can be prolonged through The malleable segment allows the S-Guide Preformed, soft and coloured distal tip
oxygen flow via the O2 Connector. to be adjusted to any required geometry enhances patient safety.
The 23 cm of flexible segment eases starting after the orange tip and up to 42 3 outlets for O2 administration provide
connection to the oxygen source without cm. The hockey stick shape at the distal oxygen flow to prevent hypoxia.
impacting placement of the S-Guide. end and the right angle at the level of the
ET Tube connector can be easily achieved
without compromising oxygenation. S-Guide

The orotracheal tube dance The use of malleable stylets or bougies to assist orotracheal intubation is
an integral part of difficult airway algorithms.
Order information Their use in routine intubation might also be on the rise with the recent
development of video laryngoscopy.

The special stiffness of the S-Guide qualifies it for the technique of the
orotracheal tube dance.

The S-Guide should be lubricated and shaped “straight-to-cuff“ with
a bend angle at the black marking approaching 35°. Its withdrawal
will move the tip of the tube anteriorly while tube rotation will lead to
extremity “dancing“.

S-Guide Specifications
acc. to Schoettker with O2 Connector
for single use, sterile Size 15 Fr for ET Tube ≥ 6.0 mm I.D.
Length 65 cm
REF 33-90-650-1 Box 5

O2 Connector
for oxygenation, fits all sizes with lumen-design (fits 11 Fr, 14 Fr, 15 Fr, 19 Fr), for single use

REF 33-60-005 Box 10

17

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OXFORD MILLER MACINTOSH S-GUIDE SURGICRIC 1B

Cricothyrotomy Devices

SURGICRIC I, IB, II, III

SURGICRIC I, IB, II, III

Surgical airway is the ultima ratio for the unsuccessful arm of the emergency pathway. Identification of the cannot intubate – cannot
ventilate scenario should result in immediate consideration of surgical airway access. Delays in achieving airway control and oxygenation
will lead to hypoxic brain injury.

The incidence level of cricothyrotomy is estimated at approximately 1% of all emergency airway cases.
In order to master a cricothyrotomy in an emergency successfully, training on simulators (see page 26) seems to be indispensable.

VBM provides specific devices for every scenario of the surgical airway, like:

▸ Surgical airway with Surgicric I, IB and II
▸ Narrow bore cannula with Jet-Ventilation Catheters and Manujet III
▸ Wide bore cannula with Quicktrach I,II and Surgicric III

Surgicric I, IB, II, III

Surgicric The Surgicric is a cricothyrotomy set to maintain ventilation in
case of obstruction of the upper airway.

With the Surgicric Ib, VBM offers a cricothyrotomy set to
perform the Rapid Four-Step Technique in line with the new
DAS guidelines, Surgicric II is applied to the classical surgical
technique and Surgicric III allows a cricothyrotomy according
to the Seldinger technique.

The unique instrument packing system provides the following
advantages to the user:

▸ Clear overview of all components
▸ Sterile application in any environment
▸ Small pack size, making it ideal for emergency bags

The main feature of Surgicric is the special combination of
tube and dilator.
The locking mechanism and the soft tip maximise patient
safety and reduce the risk of injury.

18 Pack size: 24 cm (L) x 13 cm (W) x 4 cm (H)
Unfolded size / sterile area: 56 cm (L) x 39 cm (W)

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SURGICRIC 1B SURGICRIC I SURGICRIC II SURGICRIC III QUICKTRACH I

Cricothyrotomy Devices
SURGICRIC I, IB, II, III

Features Atraumatic

Soft Tip Soft dilator tip, thus avoiding injury to the posterior tracheal wall.
Smooth transition from dilator to the tracheal tube.

Position check

Checking the position of the tracheal tube thanks to aspiration
through dilator.

Patient Safety Surgicric

The thin-walled, low pressure cuff guarantees a perfect seal,
allows efficient ventilation and protects against aspiration.

Locking mechanism

The unique locking mechanism prevents accidental dislocation of
the dilator from the tracheal tube during insertion.

Individually adjustable

The specially designed tracheal tube is longer than a standard
tracheostomy tube and with the adjustable flange allows
individual adaptation to the anatomical conditions of the patient.

19

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MACINTOSH S-GUIDE SURGICRIC SURGICRIC IB SURGICRIC II SURGICRIC III

Cricothyrotomy Devices

SURGICRIC I, IB, II, III

Order information

Surgicric I – Rapid Four-Step Technique

1 Scalpel # 20 4 Extension tubing
2 Syringe 10 ml 5 Tracheal hook
3 6.0 mm cuffed tracheal tube 6 Necktape
with dilator

Order Information

REF 30-08-007-1 Box 1

DEVELOPED IN LINE WITH THE NEW DAS GUIDELINES

Surgicric IB – Rapid Four-Step Technique

Surgicric 1 Scalpel # 20 4 Extension tubing
2 Syringe 10 ml 5 Tracheal Hook
3 6.0 mm cuffed tracheal tube 6 Necktape
with dilator 7 Bougie

Order Information

REF 30-08-007-1B Box 1

12 3 45 6 7

Surgicric II – Classic surgical technique

1 Scalpel # 11 5 Extension tubing
2 Syringe 10 ml 6 Tracheal hook
3 6.0 mm cuffed tracheal tube 7 Blunt scissors
with dilator 8 Speculum
4 Necktape

Order Information

1 2 34 56 7 8 REF 30-08-117-1 Box 1

Surgicric III – Seldinger technique

Sterile area 1 Scalpel # 11 5 Extension tubing
2 Syringe 10 ml 6 Necktape for introducer
3 6.0 mm cuffed tracheal tube
with dilator needle
4 Necktape for tracheal tube 7 Introducer needle
8 Guidewire

Order Information

1 23 4 56 78 REF 30-08-227-1 Box 1

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SDevUelopRed inGlineIwCith DRAS gIuiCdeline1s BCICO (CAN‘T INTSUcBaATlEp,eCAlNc‘rTiOcXoYtGhENyArToE)idotomyRAPID 4 STEP TECHNIQUE FOR SURGICAL CRICOTHYROIDOTOMY
Eq1u.2iS.p3cBm.a•oTl•epuun•egbLtlia•eTe:(rr•n(yTacnuu•nSugrml•sfRniedvfaabeVeeblireedllSrhcsanroeoead6tac1uni.eslud00addttrmateslhbeeubhrlm,tbtaoaiiiuprnnkudibIfccegoeDleiaahsf)t)ttiobeeo9doni0cduu°6teghf.(nf0isrethamoifnaauymlrdgocphnrccieoguccdonrfbfigtfceliheaordymdtcrhteaorypuaiirdnocdothsamiodieltlieaytomr)mlnatecubwmhbrieabtehnarieancntaoepntroagcrhaepahy

MACINTOSH S-GUIDE SURGICRIC I/1B SURGICRIC II SURGICRIC III QUICKTRACH I

Cricothyrotomy Devices

QUICKTRACH I

QUICKTRACH I

Quicktrach I and II are two sets of percutaneous cricothyrotomy according to the technique of catheter over the needle. A quick airway
access is made possible via a via one-step procedure. An incision by scalpel isn‘t necessary. The sterile sets are pre-assembled and
immediately ready for use.

Quicktrach

Order information

Quicktrach I in blister packaging
for single use, sterile

Patient I.D. Quicktrach I Box Quicktrach I in plastic tube
for single use, sterile
Infant 1.5 mm REF 30-04-015-1 1 ideal for emergency bags (compact and robust)
Child 2.0 mm REF 30-04-002-1 1
Adult 4.0 mm REF 30-04-004-1 1

Patient I.D. Quicktrach I Box

Child 2.0 mm REF 30-04-902-1 1
Adult 4.0 mm REF 30-04-904-1 1

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QUICKTRACH II MANUJET III JET VENTILATION CATHETERS BILL BOB

Cricothyrotomy Devices
QUICKTRACH II

QUICKTRACH II

Quicktrach II

Order information

Quicktrach II in blister packaging Quicktrach II in plastic tube
for single use, sterile for single use, sterile
ideal for emergency bags (compact and robust)
Patient I.D. Quicktrach II with Cuff Box
Adult 4.0 mm
REF 30-10-004-1 1 Patient I.D. Quicktrach II with Cuff Box
Adult 4.0 mm
REF 30-10-904-1 1

23

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SURGICRIC III QUICKTRACH I QUICKTRACH II MANUJET III JET VENTILATION CATHETERS

Cricothyrotomy Devices

MANUJET III

MANUJET III / JET-VENTILATION CATHETERS

The Manujet III with Jet-Ventilation Catheters is recommended for
emergency rooms, crash carts, ambulances and operating rooms as
it guarantees a quick and efficient oxygenation of a patient.

Emergency use
As a life saving manoeuvre in the “cannot intubate – cannot
ventilate“ situation for oxygenation to avoid a severe desaturation
of the patient.

For pre-hospital use if there is an obstruction of the upper airway.
Trans Tracheal Jet-Ventilation (TTJV) is faster and simpler than
surgical cricothyrotomy in emergencies with fewer complications.

Elective use
▸ Microlaryngoscopy
▸ Rigid bronchoscopy
▸ To assist a difficult fiberoptic intubation
▸ Predicted difficult extubation

Manujet III Order information

Manujet III
with 4 m pressure hose, Jet-Ventilation Catheters
acc. to Ravussin (13 G, 14 G, 16 G) and 100 cm
connecting tube

REF 30-01-003

Jet-Ventilation Catheters acc. to Ravussin
for single use, sterile

Size Emergency Set Box Anaesthesia Set Box
with syringe without syringe
1 5
16 G REF 30-02-918-1 1 REF 30-02-018-1 5
14 G REF 30-02-914-1 1 REF 30-02-014-1 5
13 G REF 30-02-913-1 REF 30-02-013-1

Jet Catheters (oral), single lumen
for single use, sterile

Patient Length REF Box

Baby and Child 25 cm 30-07-250-1 5
Adult 30 cm 30-07-300-1 5
Adult 40 cm 30-07-400-1 5

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SIMULATORS BILL BOB TRANSPARENT ADELAIDE FROVA

Airway Management Simulators
BILL / BOB

BILL / BOB

By nature, airway management includes uncertainty, complexity and time pressure. Simulation is the ideal method for replicating a clinical
scenario and contributes to improve patient care by enhancing proficiency of practitioners.

VBM has developed a wide range of skill-trainers and mannequins with the highest possible commitment to train all airway procedures.
The devices cover clinical situations such as direct laryngoscopy, video laryngoscopy, fiberoptic bronchoscopy, supraglottic airway devices
insertion, bagmask ventilation, and cricothyrotomy.

Cricothyrotomy, in particular, is a rare procedure, and the technical proficiency can be more realistically obtained through simulated
learning. VBM offers the widest range of cricothyrotomy skill-trainers for simulation.

BILL Simulators

- ET Intubation
- Supraglottic airway insertion
- Mask ventilation
- Fiberoptic bronchoscopy (if bronchial tree is connected)
- Fiberoptic intubation
- Video laryngoscopy
- Inflatable tongue for Difficult Airway simulation

complete with base, carina with bayonet lock and carrying bag

REF 30-29-000

Bronchial tree acc. to Dr. Nakhosteen
for connection to simulator “BILL“

REF 30-19-400

BOB 25

- ET Intubation
- Supraglottic airway insertion
- Mask ventilation
- Fiberoptic intubation
- Video laryngoscopy
complete with base and carrying bag

REF 30-30-000

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BILL BOB TRANSPARENT HEAD ADELAIDE FROVA

Airway Management Simulators

TRANSPARENT HEAD / CRICO TRAINERS

TRANSPARENT HEAD

Transparent Head

Cross section with upper airways

For demonstrating and positioning of Laryngeal Tube
#3, 4 and iLTS-D #4/5. Carrying bag included

REF 30-16-300

CRICO-TRAINERS

Simulators Crico-Trainer “Adelaide“
The new system allows training of surgical cricothyrotomy
techniques such as open and wire-guided cricothyrotomy.

The special concept of skin with 2 layers is simulating the
subcutaneous tissue and the cricothyroid membrane.
It is designed to replicate difficult scenario thanks to the
moveable chin. Complete with 5 skins

REF 30-14-700

Crico-Trainer “Frova“
For cricothyrotomy and percutaneous tracheostomy,
complete with 10 skins and 10 tracheas

REF 30-14-000

Crico-Trainer “Pig“for fixation of a real animal trachea
complete with 10 skins

REF 30-14-500

Crico-Trainer “Paediatric“
complete with 10 skins

REF 30-14-900

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BOB TRANSPARENT ADELAIDE FROVA CRICO TRAINER FACE MASKS

Face Masks

PVC FACE MASKS

FACE MASKS

Face Masks

PVC Face Masks
VBM proposes a very large range of face masks with several types of materials and shapes. They cover all patient’s sizes from newborn

to adult.

PVC Face Masks Order information

for single use
Mask with inflatable cushion

Size Patient Connection Colour code REF Box

1 Newborn 15 mm O.D. - REF 35-40-201 10
- REF 35-40-202 10
2 Infant 15 mm O.D. yellow REF 35-40-203 10
red REF 35-40-204 10
3 Child 22 mm I.D. purple REF 35-40-205 10
blue REF 35-40-206 10
4 Adult, small 22 mm I.D.

5 Adult, medium 22 mm I.D.

6 Adult, extra large 22 mm I.D.

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ENDOSCOPY BRONCHOSCOPE CONNECTORS BROSU ACCESSORIES INSERTION AID

Airway Devices for Endoscopy
ENDOSCOPY MASK / BRONCHOSCOPE AIRWAY

ENDOSCOPY MASK

The Endoscopy Mask allows a safe combination of FOB intubation
and ventilation. The design is made to prevent airway leak at
any step of the procedure, providing excellent seals on patient’s
face and during insertion of tracheal tube via fiberscope. It is
especially beneficiary to patient comfort and working quality of the
anesthesiologist during awake procedure.

Application

▸ Fiberoptic Intubation
▸ Bronchoscopy
▸ Gastroenterology
▸ Transesophageal Echocardiography

Order information Airway Devices

Endoscopy Mask
for single use, Material: PVC

Size Patient Membrane REF Box

0 Newborn 2.0 mm 30-40-000 6
1 Infant 2.0 mm 30-40-111 6
3 Child 3.0 mm 30-40-333 6
3 Child 5.0 mm 30-40-335 6
5 Adult 5.0 mm 30-40-555 6
5 Adult 10.0 mm 30-40-777 6

BRONCHOSCOPE AIRWAY

Bronchoscope Airway
for single use, sterile, Material: EVA

The lumen is large enough to guide the fiberscope and ET Tube. The length is designed to form a path leading to the glottis. The device has
a breakaway quality for easy removal after intubation. The external biteblock protects the fiberscope.

Order information

Size Length REF Box

0 36 mm 30-40-400-1 10
2 65 mm 30-40-420-1 10
4 85 mm 30-40-440-1 10

29

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FACE MASK ENDOSCOPY BRONCHOSCOPE CONNECTORS BROSU ACCESSORIES

Connectors

BROSU / ACCESSORIES

BROSU

Connector with lock for safe bronchoscopy and suctioning without leaks
Once the cap is opened, the internal lock guarantees system tightness.

• anesthetic gases cannot escape
• no loss of pressure (PEEP)

• minimum risk of contamination during suctioning (alternative to sterile
suction systems)

• ideal seal during and after bronchoscopy

for single use, sterile, Material: PC

Order information

Size (port) Colour Code Suction Catheter Bronchoscope REF Box

2.0mm Yellow 6, 8 CH ≥ 2.0 mm O.D. REF 60-60-361-1 10
3.0mm Blue 10, 12,14, 16 CH ≥ 3.0 mm O.D. REF 60-60-261-1 10
5.0mm Transparent 18 CH ≥ 5.0 mm O.D. REF 60-60-061-1 10

Connectors

ACCESSORIES

Bronchoscope/ Suction Cap, Material: Silicone, autoclavable

Order information

Size (port) Colour Code REF Box

2.0mm Yellow 60-60-112 10
3.0mm (Also suitable for temperature probes) Blue 60-60-110 10
5.0mm Transparent 60-60-115 10

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GASTRIC TUBE GUIDE TRACHEOSTOMY TUBE FIXATORS DRESSING

Insertion Aid
GASTRIC TUBE GUIDE

GASTRIC TUBE GUIDE

“Saves Time in the Operating Room” Gastric Tube Guide

Insertion aid for the oral placement of gastric tubes. In order to avoid nasal injuries, the majority of gastric tubes that are not required
postoperatively will generally be placed orally. For example, the gastric tube is inserted through the mouth after endotracheal intubation
in patients who require a laparotomy or laparoscopy intervention without opening the intestine or stomach. The introduction of a gastric
tube is often more difficult and time-consuming than other anaesthetic procedures (intubation, IV access, etc.). The Gastric Tube Guide is
the perfect tool for quick oral placement of gastric tubes. It is effective without complications.

Ease of use
No additional equipment needed for placement
One size fits all
For all gastric tubes up to 18 Fr
Economic
Quick placement of gastric tube saves OR time

Additional Informtaion
for single use, sterile, Material: PVC

Order information

REF Box Outer Diameter Inner Diameter Length Gastric Tube
33.0cm max. 18 Fr
30-40-400-1 10 10.3mm 7.5mm

31

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GASTRIC TUBE GUIDE TRACHEOSTOMY TUBE FIXATORS TRACHEOSTOMY DRESSING

Tracheostomy

TUBE FIXATORS / DRESSING

TUBE FIXATORS

With velcro fastener
for single use, Material: Velours Coated Foam, Colour: blue

Patient Colour Code REF Box

Infant / Child 355mm (14”) REF 40-0005-011 10
Child / Adult 470mm (19”) REF 40-0005-033 10
Adult, extra large 520mm (21”) REF 40-0005-044 10

With velcro fastener
for single use, Material: Cotton Coated Foam, Colour: Skin

Patient Colour Code REF Box

Infant / Child 340mm (13”) REF 40-0008-011 10
Child / Adult 490mm (20”) REF 40-0008-033 10
Adult, extra large 590mm (23”) REF 40-0008-044 10

Seperable with velcro fastener
for single use, Material: Cotton Coated Foam, Colour: Skin

Patient Colour Code REF Box

Infant / Child 400mm (16”) REF 40-0066-011 10

Manujet III Seperable with Hook Fastener
for single use, Material: Cotton Coated Foam, Colour: Skin

Patient Colour Code REF Box

Infant / Child 350mm (14”) REF 40-0099-011 10

TRACHEOSTOMY DRESSING

for single use, sterile
• breathable, acts as a second skin
• absorbs moisture
• avoids pressure sores
• approved as wound dressing
Size: 9.0 x 9.0 cm

REF 603207 Box 10

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NOTES NOTES INDEX

Notes

Notes

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GASTRIC TUBE FIXATORS TRACHEOSTOMY DRESSING NOTES NOTES

Notes

Notes

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NOTES

Index

INDEX 26 M 15 Index
8 6
A Macintosh – Laryngobloc®
25 Manometer – Cuff Manometer 24
Adelaide – Crico-Trainer 25 Manujet III 28
AG Cuffill 25 Masks 15
Airway Management Simulator “BILL“ 25 Miller – Laryngobloc®
Airway Management Simulator “BOB“ 29 Monitor – Cuff Pressure Gauge 6
30 15
B 30 O 26
18
BILL – Airway Management Simulator 26 Oxford – Laryngobloc® 6
BOB – Airway Management Simulator 26
Bronchoscope Airway 9 P
Brosu Connector 8 6
Bronchoscope/Suction Cap 6 Pediatric – Crico-Trainer 28
6 Pediatric – Cuff Pressure Gauge 22
C 6 Pig – Crico-Trainer 23
30 Pocket – Cuff Pressure Gauge
Cricothyrotomy PVC Face Masks 6
Crico-Trainer 29 16
Cuff Controller 28 Q 25
Cuffill 26 18
Cuff Manometer 31 Quicktrach I 26
Cuff Pressure Gauges 15 Quicktrach II with Cuff 32
Cuff Pressure Measurement 12 32
Connector Accessories 24 S
10 6
E 12 Sensitive – Cuff Pressure Gauge
10 S-Guide
Endoscopy Mask 14 Simulators (Airway Management)
14 Surgicric I, II, III
F 15
10 T
Face Masks
Frova – Crico-Trainer Transparent Head
Tracheostomy Tube Fixators
G Tracheostomy Dressing

Gastric Tube Guide U

H Universal – Cuff Pressure Gauge

Handpiece for Laryngobloc®

I

iLTS-D – intubating Laryngeal Tube

J

Jet-Ventilation Catheters acc. to Ravussin

L

Laryngeal Tubes
Laryngeal Tube iLTS-D
Laryngeal Tube LTS-D
Laryngobloc®
Laryngoscopes
Light Block for Laryngobloc®
LTS-D

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NOTES

Index

INDEX 26 M 15 Index
8 6
A Macintosh – Laryngobloc®
25 Manometer – Cuff Manometer 24
Adelaide – Crico-Trainer 25 Manujet III 28
AG Cuffill 25 Masks 15
Airway Management Simulator “BILL“ 25 Miller – Laryngobloc®
Airway Management Simulator “BOB“ 29 Monitor – Cuff Pressure Gauge 6
30 15
B 30 O 26
18
BILL – Airway Management Simulator 26 Oxford – Laryngobloc® 6
BOB – Airway Management Simulator 26
Bronchoscope Airway 9 P
Brosu Connector 8 6
Bronchoscope/Suction Cap 6 Pediatric – Crico-Trainer 28
6 Pediatric – Cuff Pressure Gauge 22
C 6 Pig – Crico-Trainer 23
30 Pocket – Cuff Pressure Gauge
Cricothyrotomy PVC Face Masks 6
Crico-Trainer 29 16
Cuff Controller 28 Q 25
Cuffill 26 18
Cuff Manometer 31 Quicktrach I 26
Cuff Pressure Gauges 15 Quicktrach II with Cuff 32
Cuff Pressure Measurement 12 32
Connector Accessories 24 S
10 6
E 12 Sensitive – Cuff Pressure Gauge
10 S-Guide
Endoscopy Mask 14 Simulators (Airway Management)
14 Surgicric I, II, III
F 15
10 T
Face Masks
Frova – Crico-Trainer Transparent Head
Tracheostomy Tube Fixators
G Tracheostomy Dressing

Gastric Tube Guide U

H Universal – Cuff Pressure Gauge

Handpiece for Laryngobloc®

I

iLTS-D – intubating Laryngeal Tube

J

Jet-Ventilation Catheters acc. to Ravussin

L

Laryngeal Tubes
Laryngeal Tube iLTS-D
Laryngeal Tube LTS-D
Laryngobloc®
Laryngoscopes
Light Block for Laryngobloc®
LTS-D

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