AT INMED EQUIPMENTS PVT. LTD.

PREPARED BY,
TAILOR HARINI B.(40) JOSHI ZALAK P.(11) SHETH KRUTI M.(36)

COMPANY PROFILE :-

This company is situated in the Akota area of Vadodara city. It was started on 22March, 2000. It was started by the directors of the company. INFRA STRUCTURE:This company is not so big. It has two floors. On the ground floor there are two rooms . They are Administration and Finance & Account.

The first floor has four rooms. In that room there are different departments. They are: 1) RMS Department 2) PRODUCTION Department 3) FGS Department 4) R & D Department  STAFF:There are only 10 staff members . Every individual of this company is given specific work of the department.

Products:This company was started by NERVE LOCATOR instrument. The equipments produced by this company are: Nerve Mapper Locator(NM-20) Nerve Stimulator (NS-100) Nerve Stimulator- Mapper- Locator (NSML-100)  Oxygen Analyzer Cautery machines

During surgery, when any particular nerve is required to be blocked, to find out or to locate the nerve this Nerve locator is used. By using nerve locator one can locate the particular nerve very precisely and perfectly with minimal invasion.


All those monitors are not required Can be practiced at primary health centre Safest Anaesthesia All high risk patients do well

 Paraesthesia  Neurostimulation.

(Nerve Mapper / Locator)

 Advantages

No equipment and assistance required Easy to perform Paraesthesia elicited good effect of block  Disadvantages  No paraesthesia --- No anesthesia  Exact knowledge of anatomy is must  Lack of consistent success

Patient discomfort  Time required  Neural damage  Patient co-operation  Failure of block


If needle is half a centimeter away from a nerve it will not produce paraesthesia but close enough to produce a block.

Signal

User pot

Signal Conditioni ng
Pulse Width
Gen.

Seven Segment Display. Constant Current Source Ref.

P A T I E N T

Current

Constant Timer
Timer

Demand

User switch

Comparator
B

Drive

Variable Buzzer

INSULATED UNINSULATED

O/P current ohm) MODES Pulse width Pulse Frequency mode Pulse Rise time
Battery

: 0-5 mA (in to load of 1.3 kilo : Continuous/Demand : 0.1, 0.2, 0.5 mA : 1, 2, or 5 sec. in continuous

: < 10 micro second open circuit

: 9 v PP 3 type (alkaline type)

Reliable tech. & high success rate. Easier to locate nerve Less chances of nerve damages. No discomfort or pain to the patient. Patient co-operation is not required Can be used on anesthetized patient. Valuable tool for training purpose

All Anaesthesiologist should learn,

teach & practice Regional Anaesthesia with the highest precision. So that Surgeons & the society, as a whole, will accept us for performing this excellent modality of Anaesthesia

Nerve stimulator is used for monitoring

the effects of muscles relaxant during general anesthesia & ICU. One can guess the remaining unconscious period of patient & according can give the dose of drug.

microprocessor

controlled constant current generator with bright large red led display. output current range: 0 to 99 ma variable in steps of 5ma for patients impedence upto 5 kohm. monophasic, 200ms pulse width. battery 9 v pp3 type

Traditional modes
Demand mode Single Twitch (TW) Train-Of-Four (TOF) Tetanic nerve stimulation (TET) Repeat mode TW1sec, TW10sec, TOF10-12sec

New modes
Post-Tetanic Count (PTC) Double Burst Stimulation (DBS)

Repeat mode 1.0 Hz = TW1s = once every second 0.1 Hz = TW10s = once every 10 second (ideal)

TOF

Four supramaximal stimuli are given every 0.5 second, i.e. 2 Hz. Total 2 sec. Repeat TOF Each set of stimuli is repeated every 10th or 12th second.

Definition:
As the current is increased from a very low value, the muscle response increases to a point at which further increase in current produces no or little increase in response.  Range : 15 to 60mA


50 Hz is commonly used. Tetanic stimulation for 5 seconds. 50 Hz, 100 Hz and 200 Hz

 It reduces the patient dose. Time saving equipment.

Tetani 50

Hz for 5 second  Interval of 3 second  Single twitches of 1 Hz up

Two short bursts of 3 Tetanic stimuli

of 50 Hz separated by 750 mS

ADVANTAGES
It reduces the patient dose. Time saving equipment.