Annual Corporate Profiles 2012-2013

Available online @ AnesthesiologyNews.com

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abeo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Anesthesia Business Consultants. . . . . . . . . . . . . . . . 20 Arizant Healthcare Inc., a 3M Company . . . . . . . 22 B. Braun . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Edwards Lifesciences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 GE Healthcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 McMahon Publishing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 KARL STORZ Endoscopy-America, Inc. . . . . . . . . 28

LMA North America . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 MAQUET Medical Systems USA . . . . . . . . . . . . . . . . . . . 32 Masimo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Nonin Medical, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Sheridan Healthcare, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Spacelabs Healthcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Verathon Medical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

2012-2013

Corporate Profiles

ANNUAL

ABEO

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beo has made a name for itself in the anesthesia industry as the leading provider of anesthesia billing and practice management services. Since its formation in 2007, abeo has worked diligently to establish a reputation for outstanding service and high-performance results. abeo differs from its discount-driven competitors that focus on price as the determing factor in selecting a billing and practice management company. abeo’s approach consists of three key philosophies: • We do more. abeo’s culture and operational structure is client-centric. The company looks for opportunities in all areas to provide better service and results to its clients. Going above and beyond expectations is what abeo strives for daily.

• We get the job done right. Patients are not left in the operating room because you “didn’t finish before it was time to go home” or “it was just too difficult to finish.” It simply isn’t an option for your team to not finish a job. You can expect the same from abeo. abeo finishes the job and gets it done right.

• You get what you pay for. As much as we hate to sound cliché, there really is no better way to say it. Billing is not a commodity; quality, service and expertise matter when it concerns your bottom line. abeo stands by its approach because it yields better results for clients. abeo’s staff understands their clients work hard and have high expectations: In today’s market, bottom-line performance alone is not sufficient. One must be prepared for the future and an ever-changing health care industry. abeo recently expanded its service offerings in hospital integration and ambulatory surgery center billing.

Expanding on its knowledge base and structure in these areas positions abeo to continue serving the needs of anesthesia providers today and moving into the future.

Revenue Cycle Management Billing today takes on a whole new meaning. abeo’s team keeps pace with the rapidly transforming industry so its clients have less to worry about. abeo’s core business is the management of the entire revenue cycle. In addition to the standard billing and reimbursement services one would expect with any company, abeo differentiates itself in the following areas: • Compliance oversight. In addition to its basic compliance program, abeo conducts internal audits and annual coding documentation training.

• Managed care contract enforcement. abeo does more than negotiate and administer contracts. It goes the extra mile to ensure that payers adhere to the elements of the contract.

• Credentialing. As credentialing becomes more complex, abeo has put more resources into ensuring that trained professionals are handling the physician and facility credentials.

• Collections/Follow-up. Each account is touched at least once a month. This approach helps increase cash flow and greatly reduces the amount of bad debt.

• Outstanding balances. Most billing companies do not have dedicated resources or expertise to pursue outstanding balances. abeo’s self-pay follow up policy includes live phone calls to work on a payment plan with your patient. We understand this process reflects on the client’s practice. We conduct calls respectively and during patient’s most convenient and local time zone hours.

Anesthesia Business Support Real knowledge, like everything else of value, is not obtained easily. abeo has assembled a business services team that has the wherewithal to collaboratively develop solutions for clients. They provide a full spectrum of proficient business services to meet the needs of anesthesia providers from beginning to end of the revenue cycle. Some of the most sought-after services include the following: • Contracting negotiation and services. abeo’s contracting managers have strong relationships with all major payers. Their effective strategies to maximize contracted rates of reimbursement make a big impression with clients. Their expertise also assists with progressing clients’ relationships with various facilities to maximize compensation contracts.

• Strategic management and planning. abeo can improve overall practice procedures by evaluating potential merger and acquisition expansion opportunities and analyzing billing and scheduling data.

• Anesthesia data analytics. Clients can enhance their decision making with abeo’s custom reporting packages that illustrate operational performance by site/case/volume and so on. abeo produces quality data that leads to solutions for its clients’ practices.

• Compensation and financial management. abeo develops and designs compensation models to distribute income across physician groups. abeo also manages clients’ financial accounts, including all client group expenses, payroll compensation reports, budget development and execution.

• Benefit procurement. abeo designs and implements practice benefits such as health and liability insurance, retirement, disability insurance and flexible spending and cafeteria plans.

AT A GLANCE ABEO MANAGEMENT CORPORATION A privately held company providing the most comprehensive billing and business services available to anesthesia providers and ambulatory surgery centers nationwide.

PRODUCTS MedSuite Billing & Management Software, abeoCoder App, abeoChart App, abeoDirect App, abeoLink

SERVICES Billing, coding, follow-up/collections, compliance, compensation models, revenue cycle management, transcription, business assessments, contracting services, consulting, financial management, practice management, business intelligence, advanced reporting and more.

EMPLOYEES 1,000+

CONTACT INFORMATION Phone: (888) 281-6187 Email: info@abeo.com Web site: abeo.com LinkedIn: company/abeo Facebook: /abeoManagement Twitter: @abeoManagement

Look No Further Whether a client’s practice needs a comprehensive solution to the complete revenue cycle process or requires services provided a la carte, abeo will structure its services to meet those needs.

Contact abeo for an anesthesia business assessment to understand how well your practice is performing. abeo leverages its data, knowledge and expertise that comes from working millions of transactions annually to create an objective billing and documentation assessment.

A clear understanding of how your anesthesia practice performs in comparison to others nationwide is essential to making informed business decisions that affect your current and future success.

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This corporate profile was reviewed and approved by abeo.

2012-2013

Corporate Profiles

ANNUAL

ANESTHESIA BUSINESS CONSULTANTS

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AT A GLANCE

nesthesia Business Consultants, LLC (ABC) is the largest billing and practice management company dedicated to the complex and intricate specialty of anesthesia and pain management. It is both an American Society of Anesthesiologists Practice Management Supporter and an Anesthesia Quality Institute Preferred Vendor. Tony Mira, ABC’s founder, president and CEO, has maintained a concentration on providing services exclusively to anesthesia and pain management professionals since the company’s inception more than 30 years ago.

ABC distinguishes itself by providing optimal business tools to strengthen business processes and enhance cash flow—all while keeping pace with constant changes in the health care environment. ABC prides itself on the longevity of its client relationships and its ability to customize services to the unique requirements of each practice.

ABC offers its clients innovative billing and reimbursement services, as well as valuable practice management tools and solutions that allow them to realize their own particular strategic visions and business plans.

• • • •

Payment Processing Collection Reporting Compliance

The ABC Management Advantage

The ABC Technology Advantage

ABC distinguishes itself through its focus, operational approach and management structure: • Unlike many competitors who continually redefine their market focus, ABC has remained true to its core market of anesthesiologists, certified registered nurse anesthetists and pain management specialists, enhancing the credibility of its insight and advice.

• ABC believes its relationship with its clients is a true partnership, not just a client–vendor relationship. A partnership in which ABC not only helps improve the billing process, but also helps the group operate more efficiently in the operating room, and more proactively in its relationship with the hospital.

• ABC’s centralized approach allows effective management and oversight, ensuring consistent results.

• Managing a business based on the input and expectations of shareholders does not always result in the most appropriate business decision making. Because ABC is privately held, it has much greater flexibility in setting its agenda, managing the business and being responsive to its clients’ needs.

In order to ensure flexibility with its clients and their varying level of needs, ABC has carefully crafted a portfolio of products to meet its clients’ needs during the entire perioperative process.

ADDRESS

Management Support Services No one company is more qualified to furnish critical management information and proactively advise practice decision makers. Although many management companies have isolated areas of strength and specific competence, ABC stands alone in its ability to provide a full range of management support services: • Strategic Management • Practice Management - Practice Consulting - Financial Services - Quality Management (PQRS) - Human Resources Consulting - Contracting Services - Compliance and HIPAA - Education and Training

Leading-Edge Technologies

ABC has created and maintains the most advanced, secure and reliable software designed especially for anesthesia billing and practice management, F1RSTAnesthesia™. This powerful tool converts clinical information into claims for reimbursement. It supports electronic claims editing to ensure consistently high billing acceptance rates and minimizes manual intervention in payment posting through direct remittance processing. Providers also are able to receive real-time or historical information through F1RSTAnesthesia’s Web-based technology or advanced data warehousing/data-mining technology.

ABC is committed to continually updating the F1RSTAnesthesia™ software to adapt to meet the changing needs of its clients. Its accomplished in-house technology staff continually works to improve this powerful software. Updates to this family of products include: The ABC Service Advantage • F1RSTAccess, a mobile Web application that allows ABC offers a full range of services designed to meet clients to view the reports on their Apple iPhone its clients’ needs, from a specific area of service to an 3G/4G or iPad device. all-encompassing solution partner.

• F1RSTTouch tracks and reports charge informaBilling and Reimbursement Services tion and provides cusBecause all processing is performed in a central tomers with the ability to location, ABC maintains a high standard for quality quickly collect and report control and efficiency, resulting in faster claims resoclinical workflow or metric lution and higher levels of reimbursement. Extensive information. management reporting options allow both manage• F1RSTPay allows patients to ment and client to monitor subtle changes in payer make payments directly to mix and reimbursement patterns. Services include: ABC through devices such • Patient Charge Collection Tony Mira, President and as the Apple iPhone or iPad. • Charge Coding, Entry and Claims Scrubbing Chief Executive Officer

Anesthesiology News • August 2012

255 West Michigan Ave. Jackson, MI 49201 Phone: (800) 242-1131 Fax: (517) 787-0529 Web sites: www.anesthesiallc.com www.communiquenews.com http://twitter.com/AnesthesiaLLC https://www.facebook.com/anesthesiallc

SERVICES Full-service billing and practice management firm dedicated exclusively to anesthesiologists and pain management physicians.

EMPLOYEES 850+

Clinical Technologies ABC recognizes that in order for its clients to remain essential partners with the facilities they serve, they must be proactive in their approach to the ever-increasing need and requirement to adopt clinical technologies.

Keeping abreast of the latest technological advancements can be a difficult task for a practice to undertake.

ABC’s strategic partnerships with key software providers have enabled it to produce the OneSourceAnesthesia platform. OneSourceAnesthesia offers an à la carte approach to the complete perioperative process—clients choose the features they need now, and have the peace of mind that comes from knowing OneSourceAnesthesia is adaptable and that they can add increasing functionality as their needs grow and change.

ABC customers can leverage the full feature set of OneSourceAnesthesia including: • Patient Portal • Preadmission tracking (PAT) • Preoperative Lab Recommendations and Medical Clearances • Preoperative Holding Documentation • Electronic Charge Capture • Anesthesia Information Management System • Postoperative Quality Collection • Full integration to ABC’s F1RSTAnesthesia • Automatic upload to Anesthesia Quality Institute (AQI) • Anesthesia Call Scheduling and Management The primary hardware tool required for ABC’s solution is an Apple iPad. The OneSourceAnesthesia solution also requires no interaction with the hospital or surgery center’s servers to host the software in any way. These elements, when combined with the intuitive user experience of OneSourceAnesthesia, offer an unparalleled platform to streamline and automatically incorporate best practices and clinical protocols to any practice.

This corporate profile was reviewed and approved by Anesthesia Business Consultants.

2012-2013

Corporate Profiles

ANNUAL

ARIZANT HEALTHCARE INC., A 3M COMPANY 25 Years: Amazing Every Day

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AT A GLANCE

he term “amazing” gets tossed around quite a bit these days, and is too often used to describe products that ultimately deliver far less than advertised. But when 3M™ Bair Hugger™ therapy was introduced in 1987, it truly was (and continues to be) an amazing advancement in health care. It changed the way surgery was done. This ingeniously simple product makes it easier for clinicians to do their jobs. It helps improve the quality of care by safely, effectively maintaining normothermia and reducing the complications associated with inadvertent perioperative hypothermia.

And that’s something we can all feel good about.

This year marks Bair Hugger therapy’s 25th anniversary, and we couldn’t be more proud to offer a full range of patient warming solutions that set the standard for innovation and quality: 3M Bair Hugger therapy, 3M™ Bair Paws™ patient adjustable warming gowns and 3M™ Ranger™ fluid warming systems.

Arizant Healthcare’s surgical warming products are used to maintain normothermia for more than 20 million patients each year. We look forward to partnering with you on the mission to improve patient outcomes through effective patient warming.

clinicians full patient access. The full-access underbody blanket is showing rapid acceptance by the trauma community with its ability to be pre-set in the trauma bay and then warm the patient from admission and assessment to computed tomography and into the OR or ICU. The underbody series was developed by working directly with clinicians to ensure the designs meet a wide range of warming demands including cardiothoracic, cosmetic, gynecologic, urologic, orthopedic, pediatric, reconstructive, transplant, trauma, vascular and other major surgical procedures.

3M™ Bair Hugger™ Therapy (www.bairhugger.com)

Bair Paws flex gown

Bair Hugger therapy was the first forced-air warming product line, and today it remains the market leader.

Forced-air warming therapy is a simple, safe and cost-effective method to prevent unintended hypothermia and its Bair Hugger therapy fullaccess underbody blanket associated complications, which include an increased rate of wound infection,1 increased hospital length of stay2 and higher mortality rates.3 Maintaining perioperative normothermia has been cited by quality improvement initiatives around the world as a key factor in reducing the rate of surgical site infections. Many of these same initiatives, including the Centers for Medicare & Medicaid Services’ new normothermia quality measure, include forced-air warming in their definition of active warming.

Bair Hugger warming units are used in more than 80% of U.S. hospitals, and more than 160 million patients have experienced the benefits of Bair Hugger therapy. Our ongoing commitment to innovation and patient warming has resulted in a product lineup of 25 single-use Bair Hugger warming blanket models, including five adult and two pediatric underbody series blankets.

The Bair Hugger therapy underbody series warms from underneath the patient, addressing a clinical need to prevent unintended hypothermia while providing

The Bair Paws flex gown combines the best of both worlds: the comfort and convenience of the Bair Paws gown with the powerful, proven warming of Bair Hugger upper- and lower-body blankets.

With the Bair Paws flex gown, patients arrive in the OR already warm when prewarmed before surgery. The same gown enables upper- or lower-body warming in the OR thanks to effective warming tools built right into the gown. Separate upper and lower inserts allow you to activate warming where you want it, with the upper warming insert including all the features of a Bair Hugger upper body blanket.

When the patient is ready for the PACU, simply perforate off the upper body warming “sleeves,” head drape and adhesive strip to provide maximum postoperative comfort while maintaining comfort and clinical warming capabilities. The tools that helped the patient in the OR are now conveniently out of the way.

The gown’s flexibility eliminates the costs and hassles of buying, storing and using multiple items like cotton gowns and blankets, and various OR warming products while improving patient satisfaction by keeping patients warm, cozy and covered. This all-in-one warming capability makes the Bair Paws flex gown a great option for achieving normothermia-related quality measures.

Anesthesiology News • August 2012

3M™ Bair Paws™ Flex Gown (www.bairpaws.com)

ADDRESS 10393 West 70th St. Eden Prairie, MN 55344 Phone: (800) 733-7775 Web site: www.arizanthealthcare.com

PRODUCTS 3M™ Bair Hugger™ therapy; 3M™ Bair Paws™ patient adjustable warming system; 3M™ Ranger™ blood and fluid warming systems.

WORLDWIDE EMPLOYEES 314

VICE PRESIDENT, PATIENT WARMING Bob Buehler

3M™ Ranger™ Blood and Fluid Warming Systems (www.rangerfluidwarming.com) A complete protocol for perioperative temperature management should include both forced-air warming and the warming of infused blood and fluids to help maintain a patient’s core body temperature.

Ranger blood and fluid warming systems feature highly conductive heating plates that disperse heat immediately, handling sudden changes in flow with Ranger irrigation warming unit ease. Dry heat technology disperses heat evenly, eliminating dangerous hot spots and overheating of fluids by monitoring the temperature four times every second, automatically adjusting to maintain a consistent set point. And because the system utilizes dry heat technology rather than the water-based method, concerns regarding water in the operating room—and its potential ties to nosocomial pathogens—are eliminated.

The latest introduction to the Ranger product lineup, the Ranger irrigation fluid warming system is an intuitive, easy-to-use solution for high-volume surgical irrigation. The Ranger irrigation system quickly adapts to flow rates of zero to 865 mL per minute. The system’s disposable sets feature a patient line contained within its own sterile packaging, and each latex-free, disposable set is designed for use during surgical procedures and/or postoperative irrigation.

3M is a trademark of 3M Company, used under license in Canada. BAIR HUGGER, BAIR PAWS and RANGER and the BAIR HUGGER, BAIR PAWS and RANGER logos are trademarks of Arizant Healthcare Inc., used under license in Canada.

1. Barie PS. Surgical site infections: epidemiology and prevention.

Surg Infect (Larchmt). 2002;3[supp]:S9-S21.

2. Jeran L. American Society of PeriAnesthesia Nurses Development Panel. Clinical guideline for the prevention of unplanned perioperative hypothermia. J Perianesth. Nurs. 2001;16:305-314.

3. Tryba M, Leban J. Does active warming of severely injured trauma patients influence perioperative morbidity? Anesthesiology.

1996;85:A283.

This corporate profile was reviewed and approved by Arizant Healthcare Inc., a 3M Company.

2012-2013

Corporate Profiles

ANNUAL

B. BRAUN

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Braun, a trusted leader in regional anesthesia and ambulatory infusion systems, uses cutting-edge technology to help anesthesiologists and nurses improve patient outcomes, both in surgery and during recovery.

Founded in 1839, B. Braun is committed to advancing the safety and efficacy of medical technology across markets from infusion therapy to pharmacy admixture and drug delivery to regional anesthesia. An organization with more than 43,000 professionals worldwide, B. Braun meets customer needs by providing products with unmatched quality, cost-effectiveness, environmental responsibility, superior technology and safety.

Using its Sharing Expertise® initiative as a driving philosophy, B. Braun collaborates with customers, partners and employees to develop innovative products, services and education programs—and continues to lead the way in anesthesia.

Innovative Peripheral Nerve Block Products for Ultrasound-Only and Dual Guidance Whether using only ultrasound, nerve stimulation or both ultrasound and nerve stimulation (dual guidance) to guide peripheral nerve block (PNB) placement, B. Braun Medical Inc. (B. Braun) has products designed with your technique in mind.

Answering the need for simple, cost-effective ultrasound-guided continuous PNB, B. Braun has created the Contiplex® FX system. The latest generation of B. Braun PNB products is intended specifically to support providers who no longer use a dual guidance or stimulation approach, as well as blocks that can be performed without the aid of stimulation.

Among the key features of the B. Braun Contiplex FX system is the unique echogenic springwound catheter designed to help easily confirm catheter placement with ultrasound. Designed with functionality in mind, Contiplex FX combines a rigid catheter body for easy handling and a softer-than-standard tip that helps to maintain the catheter tip in the optimal fascial plane during ultrasound-guided placement. Like other B. Braun continuous PNB products, Contiplex FX is designed with a patented sideport valve that saves steps by allowing the catheter to be preloaded into the needle hub while still allowing aspiration, injection and hydro-dissection through the needle. Contiplex FX is available in both open and closed tip configurations.

Staying ahead of the innovation curve in regional anesthesia, B. Braun will continue its leadership with the launch of Ultraline. With ultrasound practitioners in mind, this complete line of PNB products is specially designed for PNBs at steep angles where needle visualization may be more challenging. Its ease of use may also bring value in helping those just beginning to master ultrasound-guided procedures.

Ultraline features markings on the needle designed to enhance ultrasound visualization and will be offered in three configurations: Stimuplex® Ultra, a stimulating single-shot needle; Ultraplex, a non-stimulating singleshot needle; and Contiplex Tuohy Ultra, a stimulating needle for placing catheters under ultrasound. For more information on Ultraline needle markings and applications, please visit www.stimuplexultra.com.

AT A GLANCE ADDRESS 824 Twelfth Ave. Bethlehem, PA 18018 Phone: (800) 227-2862 Web site: www.bbraunusa.com

PRODUCTS Pain control products; disposable post-op pain pumps; IV solutions in latex-, PVC- and DEHP-free bags; needle-free systems; electronic pump delivery systems

CEO, CHAIRMAN OF THE BOARD Caroll H. Neubauer

Epidural, Spinal and CSE Portfolio B. Braun’s market-leading Perifix® epidural line is enhanced by the Perifix® FX Springwound Epidural Catheter. Designed to reduce paresthesia and vessel puncture rates, the FX is available in open-tip uniport and closed-tip multiport versions. For more information on the Perifix FX, please visit www.perifixfx.bbraunusa. com/AN. B. Braun’s Pencan® Pencil Point spinal needle is designed for high flow rates for rapid detection of cerebrospinal fluid.

B. Braun’s complete Regional Anesthesia portfolio also features a patented CSE (Combined Spinal Epidural) product line. The Espocan® Docking System enables anesthesia providers to lock the position of the spinal needle during combined-technique procedures.

The small, unobtrusive docking system sleeve helps inhibit forward and backward movements of the spinal needle while still permitting needle rotation.

Disposable Post-Op Pain Pumps B. Braun is the exclusive US distributor of the new Symbios® GOBlock® post-op pain pumps for continuous PNB. The GOBlock portfolio features both fixed and selectable flow rate pumps. GOBlock components do not contain natural rubber latex or DEHP. B. Braun’s outsourcing pharmacy affiliate, CAPS®, can pre-fill GOBlock with Ropivacaine and Bupivacaine in all 24 CAPS

This corporate profile was reviewed and approved by B. Braun.

locations nationwide. CAPS can label pre-filled GOBlock pumps with extended beyond-use dating, and ensure the stability and sterility of pre-filled GOBlocks through enhanced process and quality controls. Visit www.painpumpadvantage.com and www.capspharmacy. com for more product and service details.

Syringe Pump Infusion System B. Braun’s Perfusor® Space Syringe Pump uses advanced delivery features to offer safety and accuracy for syringe pumps. Easy to learn and use, the system includes built-in error reduction software and an onboard medication library accommodating both hard and soft limits. Navigation is made simple with large navigational arrows and a screen that remains legible in any light condition. Measuring just nine by six inches and weighing only three pounds, the compact and lightweight design of the Perfusor Space Syringe Pump allows easy transport and flexibility in crowded care settings. The system is perfect for operating rooms, adult care units and pediatric settings, where ease of use and precise medication administration are of critical importance.

Anesthesiology News • August 2012

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2012-2013

Corporate Profiles

ANNUAL

EDWARDS LIFESCIENCES

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dwards Lifesciences’ hemodynamic monitoring and management systems provide tailored hemodynamic optimization and clarity for patient status, enabling clinicians to make even more informed and rapid decisions when a patient’s hemodynamic balance becomes disrupted.

Edwards’ extensive line of hemodynamic monitoring catheters, sensors and bedside patient monitoring tools support your monitoring needs in the OR and ICU. The goal of these systems is to provide the clarity clinicians need, in those unknown moments, when caring for and treating patients in high-risk surgery.

Edwards’ extensive line of tools includes: • EV1000 clinical platform presents the physiologic status of the patient in an entirely new, intuitive and meaningful way. Designed to work with the FloTrac sensor and PreSep oximetry catheter, the platform offers the scalability and adaptability for both the OR and ICU. • The FloTrac sensor is the first minimally invasive hemodynamic monitoring device that connects to any existing arterial line and continuously calculates key flow parameters such as cardiac output, stroke volume and stroke volume variation. One million patients worldwide have been monitored using the FloTrac sensor.

• Edwards also offers the PreSep oximetry catheter, which continuously measures a patient’s central venous oxygen saturation, providing an earlier and more global view of tissue oxygenation.

• Advanced technology versions of the Swan-Ganz catheter provide a single, continuous monitoring solution for the most complex patients.

• Edwards is a global leader in the broader field of pressure-monitoring devices with the TruWave pressure transducer. This can be combined with the VAMP (Venous Arterial blood Management Protection) closed-loop blood sampling system to protect both patients and clinicians from the risk for infection.

• Edwards offers an extensive line of education and support tools to facilitate the integration of advanced hemodynamic monitoring and management in highrisk surgery. www.Edwards.com/CCeducation features perioperative patient simulations, simulated case studies, product animations and more.

Edwards recognizes that assessing a patient’s hemodynamic and oxygenation status and minimizing the risk for infection are fundamental requirements for high-risk surgery and treating critically ill patients. Edwards will continue to leverage its experience and leadership in this area to help clinicians advance patient care.

AT A GLANCE ADDRESS One Edwards Way Irvine, CA 92614 Phone: (800) 424-3278 (949) 250-2500 Email: CriticalCare@Edwards.com Web site: www.Edwards.com/ CriticalCare

PRODUCTS Hemodynamic monitoring systems including the FloTrac sensor; PreSep oximetry catheter; Swan-Ganz pulmonary artery catheter; TruWave pressure transducer; VAMP (Venous Arterial blood Management Protection) system; and EV1000 clinical platform.

CAUTION: Federal (United States) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.

The EV1000 clinical platform provides a variety of informative screens from which to choose to provide immediate insight and guide your therapeutic interventions.

The platform also allows you to select the parameters most significant for your monitoring requirements, enabling you to make more informed decisions and determine the best course of action.

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Edwards Lifesciences, the stylized E logo, EV1000, FloTrac, PreSep, Swan-Ganz, TruWave and VAMP are trademarks of Edwards Lifesciences Corporation.

Anesthesiology News • August 2012

This corporate profile was reviewed and approved by Edwards Lifesciences.

2012-2013

Corporate Profiles

ANNUAL

GE HEALTHCARE

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E Healthcare’s broad expertise across the perioperative care area is the byproduct of a century of anesthesia innovation. The creative ideas of a small Ohio company in 1910, the predecessor to the Anesthesia division of GE Healthcare, have evolved into ideas that continue to open new frontiers in anesthesia. From the operating room to the surgery center, GE’s broad anesthesia portfolio is ready to meet today’s clinical demands.

Uncompromised Ventilation …

GE’s Carestation Today’s innovative vision for anesthesia delivery extends across three digital dimensions. Branded as Carestation,* the digital platform integrates therapy, patient monitoring and information management into an intelligent, connected system. Clinicians can appreciate their Carestation for what it delivers in the operating room, and CFOs enjoy the added peace of mind knowing that their investment can prepare them for future technology advancements when available.

Recent software enhancements to the Aisys and Avance Carestations arm clinicians with tools they can use to automate lung procedures, helping to increase positive pressure in the airways. The lung ventilation procedures of Vital Capacity and Cycling may be useful for clinicians helping with patients experiencing lung complications during anesthesia.

Neonatal ventilation capabilities are also a new feature available in Aisys and Avance. A neonatal patient’s physiology and small physical size make effective mechanical ventilation much more challenging. With the Aisys and Avance Carestations—designed and specified for neonatal patients—anesthesiologists can confidently deliver volumes as low as 5mL† to the patient.

Fast and accurate; what you set is what you get. Contact your GE Healthcare representative to learn more about our entire portfolio of anesthesia delivery solutions and determine the best fit for your facility.

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Patient Monitoring, Clinical Support And More GE’s robust line-up of perioperative monitoring solutions target a broad range of patient acuity. GE’s CARESCAPE* Monitor B850 and B650 offer flexible and scalable solutions that provide access to the right clinical information, when and where it is needed. Navigator Applications Suite* is a digital clinical decision support tool available with Carestation that puts relevant, reliable and predictive information at your fingertips.

The Navigator Applications Suite analyzes drug therapy information to help model and predict the effect of supported anesthesia-related drugs and drug synergies.

Navigator helps provide valuable information to support you in optimizing patient management based on your clinical judgment.

With You From Start to Finish: Accessories, Service, Financing and More Turn to GE for your perioperative needs. From anesthesia delivery and patient monitors to ultrasound and clinical consumables, having us as your single-source solution saves time and helps reduce the hassle of coping with multiple vendors. GE Healthcare also offers a variety of service support options and a comprehensive technical support department committed to keeping your facility running smoothly—with minimal downtime.

Healthymagination Healthymagination is GE Healthcare’s $6 billion commitment to global health. Through this effort, GE is touching more lives through innovation and strategic partnerships developed in response to two simple questions: What are the biggest challenges facing health care consumers and providers, and how can we help?

Headquartered in the United Kingdom, GE Healthcare is a $17 billion unit of General Electric Company

AT A GLANCE ADDRESS 3000 North Grandview Blvd.

Waukesha, WI 53188 Phone: (262) 544-3011 Fax: (262) 548-2244 Web site: www.gehealthcare.com

PRODUCTS Anesthesia Carestations and ventilators; decision support tools; patient monitors; monitoring systems for the entire perioperative environment; information management systems and remote viewing; networking solutions; and related services, supplies and accessories; ultrasound; surgical equipment.

PRESIDENT AND CEO, GE HEALTHCARE John Dineen

PRESIDENT AND CEO, GE HEALTHCARE SYSTEMS Tom Gentile

(NYSE: GE). Worldwide, GE Healthcare employs more than 53,000 people committed to serving health care professionals and their patients in more than 100 countries. For more information about GE Healthcare, visit the Web site at www.gehealthcare.com. * GE, GE Monogram, Aespire, Aestiva, Aisys, Carestation, CARESCAPE, Centricity and Navigator Application Suite are trademarks of General Electric Company. † In Pressure Mode Ventilation

There is a lot of ability in a Carestation! GE Aisys Carestation with CARESCAPE Monitor B850

Anesthesiology News • August 2012

This corporate profile was reviewed and approved by GE Healthcare.

2012-2013

Corporate Profiles

ANNUAL

MCMAHON PUBLISHING

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cMahon Publishing was founded in 1972

by Raymond E. McMahon and has grown to become one of the nation’s largest familyowned medical publishers.

McMahon publishes a broad array of medical newsmagazines in various specialties, including anesthesiology, gastroenterology, general surgery, hospital pharmacy, infectious diseases, pain medicine, rheumatology and oncology. The combined circulation of McMahon Publishing publications is approximately 250,000 doctors and pharmacists.

McMahon newsmagazines are accompanied by a full line of digital media, including Web sites, e-Newsletters, digital editions, podcasts, Twitter feeds and other digital communication to readers.

Foremost among McMahon publications is Anesthesiology News. Now in its 38th year, Anesthesiology News has been the best-read publication in the field for the past 15 years (according to Kantar Media). Nearly 95% of the 45,425 U.S.-based anesthesiologists read this publication each month.

AT A GLANCE ADDRESS 545 W. 45th St., 8th Fl. New York, NY 10036 Phone: (212) 957-5300 Fax: (212) 957-7230 Web sites: www.mcmahonmed.com www.anesthesiologynews.com www.twitter.com/anesthesianews

PRODUCTS Medical newsmagazines, custom medical publications, educational reviews, educational and instructional pocket guides, special editions.

EMPLOYEES 70

PUBLISHER, CEO AND MANAGING PARTNER Raymond E. McMahon

GENERAL MANAGER, PARTNER Matthew McMahon

ANESTHESIOLOGY NEWS Senior Group Publication Director Richard Tuorto Manager, Publication Sales Angela Labrozzi Account Manager David Nathanson Junior Sales Associate, Classifieds Alina Dasgupta Managing Editor Adam Marcus Production Manager Martin Barbieri Art Director Blake Dennis

27 This corporate profile was reviewed and approved by McMahon Publishing.

Anesthesiology News • August 2012

2012-2013

Corporate Profiles

ANNUAL

KARL STORZ ENDOSCOPY-AMERICA, INC.

I

n 1945, in the small town of Tuttlingen, Germany, Dr. Karl Storz founded a company that has grown into a global corporation and international leader in the field of endoscopy. Today, the KARL STORZ organization, although still a family-held company, has offices and distribution agents in more than 38 countries worldwide. Now celebrating more than 65 years in business, a significant milestone for a family-owned enterprise, the KARL STORZ company has what is probably the industry’s most complete line of endoscopic equipment, with an extensive range of products encompassing more than 15 specialty areas, allowing true standardization with one company.

KARL STORZ Endoscopy-America offers an array of products to simplify tracheal intubation and other airway management applications—including emergency and unexpectedly difficult intubations. Fiber-optic video intubation scopes, optical intubation stylets and video laryngoscopes create a comprehensive video intubation system. Fiberscopes specially designed for intubations have sandblasted shafts for easy insertion of endotracheal tubes, with no need for lubricants. Other products include ergonomically optimized airway carts and standard laryngoscope blades with brilliant LED light sources.

A critical facet of the company’s latest airway management products is its focus on offering systems-based solutions, rather than standalone devices. The result is product offerings that combine exceptional portability, affordability and flexibility.

A History of Milestones The KARL STORZ company’s history of innovation includes the extracorporeal electronic flash (1956), cold light source (1960), Hopkins® rod lens system (1965), ultrasound lithotriptor (1970), direct-coupled interface endoscopes (1999) and OR1® Integrated Surgical Suites (2000). In 2001, the company launched the first fully digital imaging system, Image 1®, and its 1080p60 Image 1® high-definition video platform was released just six years later. And, KARL STORZ introduced its first video laryngoscope to the market in 2002.

shaped blade also facilitates training, while its video output feature allows simultaneous viewing that enhances difficult airway management and teaching.

The C-MAC® system has benefited from the addition of Miller blades in sizes 0 and 1 for pediatric and neonatal intubations. And, a specialized blade, the dBLADE®, which has a very acute angle, facilitates intubation of patients with very anterior airways. In the first clinical evaluation of the C-MAC® dBLADE®, it was found that the highly angulated blade afforded a good view of the glottis, resulting in successful intubation of patients with difficult airways.2 KARL STORZ is the only company now offering eight different reusable and highly durable video laryngoscope blades.

KARL STORZ Brite Blade™ laryngoscopes, with patented LED technology, continue to provide the brightest illumination of the airway among “green standard” intubating laryngoscopes. A “stubby handle” Brite Blade also is available, with a shorter handle that facilitates techniques used for pediatric and neonatal intubations.

The stubby handle also allows easier positioning of the laryngoscope in obese patients whose greater chest wall mass can impede proper placement of standard laryngoscopes.

Expanding on the successful C-MAC® video laryngoscope, the new C-CAM™ and C-HUB® platform represents an innovative system-based approach to airway management. The C-CAM™ camera head used on the portable C-MAC® video screen incorporates the latest CMOS technology to provide a superior solution for applications with flexible intubation fiberscopes and optical stylets. The ultra-small, ultra-light device is easy to hold and control, and provides plug-and-play ease of use. With it, the C-MAC® becomes a system for airway management combining video laryngoscopy with flexible fiberscopes and optical stylets.

The C-HUB® platform allows direct connection with C-CAM™, flexible CMOS intubation scopes and C-MAC® laryngoscope blades, or to any size of external display, as well as directly to any computer interface.

Recent Notable Advancements

AT A GLANCE ADDRESS 2151 E. Grand Ave. El Segundo, CA 90245-5017 Phone: (424) 218-8100; (800) 421-0837 Web site: www.karlstorz.com

PRODUCTS Intubation fiberscopes, video laryngoscopes (CMOS and fiber-optic), standard laryngoscopes (LED and xenon light), optical intubation stylets, complete airway management cart solutions, OR integration and telemedicine.

EMPLOYEES More than 4,200 worldwide

PARENT COMPANY KARL STORZ GmbH & Co. KG

PRESIDENT AND COO Charlie Wilhelm

The C-HUB® can also be used in integrated operating rooms to route the signal to any mounted monitor without interfering with the surgical video equipment.

The new C-MAC® Pocket Monitor is as handy as a direct laryngoscope but offers all the advantages of video laryngoscopy, incorporating a small LCD monitor right on the laryngoscope handle. Small enough to fit in your pocket, it can be used with all existing stainless-steel C-MAC® blades.

The revolutionary design of the C-MAC® Flexible Intubation Video Endoscope (FIVE) pairs a digital video chip with an LED light source in the tip of the scope for a crisp, full-size image. It is compatible with the C-MAC® platform, plugging into either the C-MAC® monitor for a highly portable solution or the C-HUB® module which works within any integrated OR setting.

KARL STORZ video laryngoscope blades have been shown to be beneficial in performing tracheal intubation in difficult airways.1 The portable C-MAC® Video Intubation System has been designed for both expected and unexpected difficult airway situations, as well as standard intubations. Standard Macintosh blades are used to promote ease of use, with a reduced learning curve. The standard

References 1. Jungbauer A, Schumann M, Brunkhorst V, Börgers A, Groeben H. Expected difficult tracheal intubation: a prospective comparison of direct laryngoscopy and video laryngoscopy in 200 patients. Br J Anaesth 2009;102:546-550.

2. Cavus E, Neumann T, Doerges V, et al.

First clinical evaluation of the C-MAC® dBlade® videolaryngoscope during routine and difficult intubation. Anesth Analg 2011;112:382-385.

KARL STORZ offers an array of airway management solutions on one video platform.

28 Anesthesiology News • August 2012

C-MAC® Pocket Monitor can be used with all existing stainless-steel C-MAC® blades.

This corporate profile was reviewed and approved by KARL STORZ Endoscopy-America, Inc.

2012-2013

Corporate Profiles

ANNUAL

LMA NORTH AMERICA

L

MA North America is dedicated to improving patient care through the sale of high-quality and innovative products for anesthesia and airway management. The LMA™ products are recognized for their proven superior clinical efficacy and the quality assured by the LMA brand. These competitive strengths, together with solid customer relationships, have positioned LMA as the leader in the global arena of advanced anesthesia airway devices. LMA products are sold in more than 100 countries through direct sales teams and independent distributors in other markets. Operations are backed by an experienced R&D team and a scientific advisory board that includes Archie Brain, MD, and several other prominent clinical consultants. LMA is committed to the development of new products and research that aim to extend the boundaries of traditional anesthesia and deliver devices that enable clinicians to consistently raise the standards of patient care.

LMA North America Family Of Products

30

The LMA airways have a proven track record of safety and efficacy. LMA airways have been used more than 300 million times, building on a 20-year history of innovation and trust. The subject of more than 3,000 clinical references, each LMA airway has been carefully designed and tested to meet exacting standards. Today, they are used in approximately one-third of all general anesthesia cases in the United States. LMA airways are included in the American Heart Association Guidelines for Resuscitation and the American Society of Anesthesiologists Difficult Airway Algorithm.

The LMA Supreme™ is the first single-use LMA with a built-in drain tube designed to channel fluid and gas safely away from the airway. The carefully tested design provides an effective Second Seal™ that can be easily established and verified. This significantly elevates the safety and efficacy of the laryngeal mask in routine cases and makes it possible to extend LMA use to more challenging cases.

LMA Pain Management™ introduces the LMA Autofuser™ products by Ace Medical to provide postoperative pain relief for patients undergoing surgical procedures.

The portfolio includes products for site-specific infusion of analgesic agents as well as devices designed for continuous peripheral nerve blocks (CPNBs). The products are compact, lightweight and easy to use and have been shown to significantly mitigate postoperative pain for up to three days. CPNB is an increasingly popular and costeffective therapy that offers benefits over systemic analgesics and single-shot injections.

LMA also is proud to introduce the addition of the Boussignac CPAP and a line of one-lung ventilation products by Fuji Systems Corporation to the LMA Airway Management™ portfolio. The Boussignac CPAP is the first completely open system that offers patients ventilatory support, reducing intubation rates and relieving symptoms. The design of the Boussignac has allowed CPAP to become simple, lightweight and cost-effective, while still performing as effectively as much larger

Anesthesiology News • August 2012

and more expensive equipment. The Uniblocker™ by LMA is designed for endobronchial blockade of the left or right lung in procedures requiring one-lung ventilation. Ideal for difficult airways, the Uniblocker is easy to direct and allows for smooth placement of the blocker into the target mainstem bronchus.

The LMA Atomization™ family of products provides a simple-to-use, needle-free solution for drug delivery.

The LMA MAD Nasal™ Intranasal Mucosal Atomization Device is the safe and painless way to deliver medication directly into your patient’s bloodstream without an intravenous line. The LMA MADgic Airway™ Intubating Airway with Mucosal Atomization and Oxygen Delivery is the most innovative choice to create a temporary airway to facilitate fiber-optic intubation combining atomized topical anesthetic and oxygen delivery in an innovative and elegantly designed oral airway. The LMA MADgic™ Laryngo-Tracheal Mucosal Atomization Device is the most versatile choice to administer medication across the entire upper airway and beyond the vocal cords.

LMA Visualization™ McGRATH® Series 5 and HLDi video laryngoscopes are fully portable and designed to provide a clear view of the vocal cords during intubation. A small camera with a powerful light source is located at the distal end of the blade. Once a clear image

AT A GLANCE ADDRESS 4660 La Jolla Village Dr., Ste. 900 San Diego, CA 92122 Phone: (800) 788-7999 Web site: www.LMANA.com

PRODUCTS LMA Airway Management™, LMA Atomization™, LMA EMS™, LMA Visualization™, LMA Pain Management™

EMPLOYEES 95

CHIEF EXECUTIVE OFFICER Steven R. Block

of the vocal cords and surrounding anatomy is obtained, a standard endotracheal tube is then guided by the clinician through the vocal cords and into the larynx while viewed in real time on the color video display.

LMA EMS™ offers four different rescue airway options plus a needle-free solution for drug delivery, because in an emergency time means everything. A few minutes can be the difference between life and death. LMA understands that with precious few seconds available to choose a rescue airway device, the decision is a critical one.

Services and Education

LMA Supreme™

LMA MAD Nasal™ Intranasal Mucosal Atomization Device

LMA AutoFuser™

LMA North America is committed to clinical education and invests significant resources to educate clinicians through airway seminars, visiting lecturer programs and hands-on workshops. The company supports anesthesia research through organizations such as the Society for Airway Management, the American Society of Anesthesiologists and the Anesthesia Patient Safety Foundation. There are Centers of Excellence in Padova, Italy, and Singapore, and an exclusive training agreement with the Brazilian Anesthesiology Society.

LMA North America provides grants and other support to teaching hospitals. The company supplements these activities with an extensive library of clinical articles and instructional materials on its Web site and in multimedia formats.

Most recently, LMA attended the opening ceremony of the Archie Brain Difficult Airway Simulation Center, which aims to provide airway management training for health care professionals of all levels. LMA and the Cleveland Clinic have collaborated to create the simulation suite within the new Cleveland Clinic Multidisciplinary Simulation Center. The cutting-edge simulation center has been designed to support airway management training for physicians, residents, nurses and emergency service responders throughout the Cleveland Clinic Health System.

This corporate profile was reviewed and approved by LMA North America.

2012-2013

Corporate Profiles

ANNUAL

MAQUET MEDICAL SYSTEMS USA The Gold Standard

M

AQUET Medical Systems USA is a market-leading medical company in the United States whose mission is to improve patient outcomes and quality of life through advanced technology. MAQUET designs, develops and distributes innovative products and therapeutic solutions, and provides infrastructure capabilities for the hybrid operating room (OR), general OR, intensive care unit (ICU) and patient transport within acute care hospitals.

MAQUET has a long history of innovation in anesthesia, beginning with the introduction of its first anesthesia machine in 1981. Since then, the company has delivered more than 6,500 units to hospitals worldwide. It also has set market standards with its high-performance SERVO ventilation platform for more than 40 years. The company has a deep understanding of mechanical ventilation and the challenges facing anesthesiologists today.

Not only are patient demographics constantly shifting, but surgical procedures are becoming more complex on a daily basis, necessitating advanced technology to ensure optimal patient care. MAQUET invests significantly in research and development to meet the changing needs of hospitals and anesthesiologists and ensure that it can provide anesthesia products that offer high-performance ventilation and support capabilities. MAQUET’s flagship anesthesia product, the FLOW-i Anesthesia Delivery System with high-performance SERVO ventilation, offers true ICU ventilator performance and effective anesthesia delivery from the same unit.

FLOW-i Anesthesia Delivery System With High-Performance SERVO Ventilation MAQUET’s FLOW-i Anesthesia Delivery System seamlessly combines high-performance SERVO ventilation with precise anesthesia delivery to help meet the needs of all patients. These include the most challenging

AT A GLANCE cases, such as obese patients with high abdominal and thoracic pressures, older patients suffering from multiple medical conditions, the critically ill and the smallest neonates. FLOW-i reacts quickly to changing parameters as the low internal system volume enables rapid changes in gas concentration when needed, and facilitates fast wash-in and wash-out of the anesthetic agent.

This process helps to minimize waste and unnecessary use of the agent through precise delivery technology.

High-Performance Ventilation Features • Set tidal volume is accurately delivered even under high abdominal and thoracic pressure, helping to avoid hypoventilation • Fast rise time and high flow rates adapt to varying inspiratory demand in the presence of increasing airway pressure • Sensitive triggering improves synchrony in pediatric patients and those with decreased respiratory drive • Consistent and accurate PEEP levels are maintained • Controlled pressure drop during expiration decreases expiratory resistance and work of breathing, in addition to minimizing auto-PEEP at higher respiratory rates

Advanced Design and Technology The FLOW-i system’s ergonomically designed, fully electronic platform and touch-screen interface are easy to use and upgrade for enhanced workflow today and in the future. The open architecture allows hospitals to add the patient monitor and data management system of their choice and easily integrate future software and hardware advances into the system—increasing cost efficiency by avoiding the need for costly equipment replacement or upgrades. In addition, clinician ease of use and comfort are engineered into every FLOW-i

U.S. HEADQUARTERS MAQUET Medical Systems USA 45 Barbour Pond Dr. Wayne, NJ 07470 (888) 627-8383 www.maquetusa.com

PRODUCTS Intensive care ventilators and anesthesia machines, suite of cardiovascular products (for intra-aortic balloon counterpulsation, cardiac assist, coronary artery bypass surgery, aortic and peripheral vascular surgery, and extracorporeal circulation), flexible room design for OR and ICU, OR tables, lights and ceiling supply units and OR integration

EMPLOYEES 6,000 MAQUET employees in 50 international sales and service organizations, as well as a network of more than 280 sales representatives

PRESIDENT AND CEO Raoul Quintero

machine with its height adjustability, movable arms and integrated table light.

Innovative Volume Reflector™ Re-Breathing Technology The FLOW-i system features the innovative Volume Reflector technology to ensure that the breathing circuit will never be empty and ventilation will remain uninterrupted regardless of surgical constraints, changing conditions or patient position. The re-breathing technology consists of a rigid reservoir to minimize internal system volume for high ventilation performance. It replaces both the traditional bag-in-bottle (bellows) and the piston, allowing the partial re-administration of rebreathed gas to the patient via the circle system. Oxygen-driven by design, the Volume Reflector helps to minimize the risk for delivering a potentially dangerous hypoxic mixture in the presence of leaks during lowflow anesthesia. FLOW-i also contains anesthetic agent injection vaporizers that are fully electronic, are lightweight and can be refilled while slotted in the machine, even when one is still in use.

Learn More To learn more about the MAQUET FLOW-i Anesthesia Delivery System, please visit www.maquetusa.com.

32 Anesthesiology News • August 2012

This corporate profile was reviewed and approved by MAQUET Medical Systems USA.

2012-2013

Corporate Profiles

ANNUAL

MASIMO Taking Noninvasive Monitoring to New Sites and Applications

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or more than 20 years, Masimo has focused on a singular mission—to help clinicians improve patient outcomes and reduce the cost of care by taking noninvasive monitoring to new sites and applications.

Oxygenation Monitoring During Challenging Conditions Masimo Signal Extraction Technology (Masimo SET®) pulse oximetry is the proven leader in pulse oximetry, shown by both clinical research and the real-world success of customers and partners. More than 100 independent and objective studies have shown that Masimo SET outperforms all other pulse oximetry technologies, providing clinicians with unmatched sensitivity and specificity to make critical patient care decisions even under the challenging conditions of motion and low perfusion.1

Transfusion Management And Bleeding Detection With Noninvasive and Continuous Hemoglobin Monitoring Masimo’s upgradable rainbow® SET platform also allows clinicians to measure noninvasive and continuous total hemoglobin (SpHb®), pleth variability index (PVI®), acoustic respiration rate (RRa™), oxygen content (SpOC™), carboxyhemoglobin (SpCO®) and methemoglobin (SpMet®), in addition to oxygen saturation (SpO2), pulse rate (PR) and perfusion index (PI).

With rainbow® Pulse CO-Oximetry®, Masimo SpHb helps clinicians trend hemoglobin between invasive blood sampling to enable real-time patient management decisions. In a randomized controlled trial in orthopedic surgery at Massachusetts General Hospital, clinicians using SpHb reduced blood transfused by 90%.2 During and after surgery, clinicians indicate that with SpHb, real-time hemoglobin assessment has helped to more quickly identify blood loss. In these situations, earlier identification allows clinicians to act sooner to treat the patient, which can make an enormous difference in recovery, the ICU and labor and delivery wards.2

Helping Clinicians Assess Fluid Responsiveness With Pleth Variability Index Although it is critical to improving patient status and enabling end-organ preservation, unnecessary fluid administration is associated with increased morbidity and mortality.3 Traditional invasive measurements

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The 2012 Radical-7, with intuitive touch screen, standard integrated wireless connectivity and fullscreen trending

Anesthesiology News • August 2012

AT A GLANCE

do not reliably predict fluid responsiveness and newer dynamic indices are invasive, complex and/or costly.4 Masimo pleth variability index (PVI) measures the dynamic change in the plethysmograph waveform over the respiratory cycle and has been shown to help clinicians assess fluid responsiveness in adult surgical and intensive care patients under mechanical ventilation.5,6 Studies have shown PVI performs similarly to more invasive and costly dynamic fluid assessment technologies.7 Masimo PVI also has been shown to help clinicians improve fluid management to decrease patient risk in a randomized controlled trial.8

ADDRESS 40 Parker Irvine, CA 92618 Phone: (949) 297-7000 Web site: www.masimo.com

PRODUCTS Masimo SET pulse oximetry; rainbow® Pulse CO-Oximetry and sensors; rainbow® Acoustic Monitoring; SEDLine brain function monitoring; and Patient SafetyNet general floor monitoring.

Ventilation Monitoring With Acoustic Respiration Rate

MISSION STATEMENT

Continuous monitoring of respiration rate is especially important for post-surgical patients receiving patient-controlled analgesia for pain management due to the serious risks of respiratory depression. Masimo’s rainbow® Acoustic Monitoring provides noninvasive and continuous respiration rate (RRa) through an adhesive acoustic sensor easily and comfortably placed on the patient’s neck.

RRa has shown similar respiration rate accuracy to capnography9 and higher sensitivity to detect breathing cessation compared with capnography,10 and its use results in enhanced patient compliance.11 RRa may facilitate earlier detection of respiratory compromise and patient distress—and offer a breakthrough in patient safety for post-surgical patients on the general floor and for procedures requiring conscious sedation.

Improving patient outcomes and reducing cost of care by taking noninvasive monitoring to new sites and applications.

EMPLOYEES 2,500

FOUNDER AND CEO Joe Kiani

or severe brain damage due to opioid depression on the original orthopedic unit.14

References 1.

Anesthesia Monitoring With SEDLine SEDLine® brain function monitoring provides advanced electroencephalogram (EEG) data to improve the care of patients under anesthesia or sedation, while offering reliable monitoring during challenging conditions such as electrocautery. Use of SEDLine and its Patient State Index (PSI™) enables individualized titration and has been shown to help clinicians manage patients to significantly faster emergence from anesthesia and faster recovery.12

2.

3.

4.

5.

6.

Post-Surgical Monitoring With Masimo Patient SafetyNet The Masimo Patient SafetyNetTM system combines Masimo SET pulse oximetry, breakthrough rainbow® measurements and remote patient monitoring with wireless clinician alerts for patient safety on general care floors.

After implementing Masimo SET and Patient SafetyNet in a post-surgical orthopedic floor where only intermittent spot checking had been used before, Dartmouth-Hitchcock Medical Center reduced rescue events by 65%, ICU transfers by 48% and annualized ICU bed usage by 135 days.13 This led to an opportunity-cost savings of $1.48 million on one floor alone based on a reduced ICU transfer rate.14 A follow up report indicated similar reductions on two additional post-surgical floors and that after four years there have been no deaths

7.

8.

9.

10.

11.

12.

13.

14.

Shah N, Ragaswamy HB, Govindugari K, Estanol L. Performance of three new-generation pulse oximeters during motion and low perfusion in volunteers. J Clin Anesth. 2012 May 22 (Epub ahead of print).

Colquhoun DA, Forkin KT, Durieux ME, Thiele RH. Ability of the Masimo pulse CO-Oximeter to detect changes in hemoglobin. J Clin Monit Comput. 2012;26:69-73.

Bundgaard-Nielsen M, Holte K, Secher NH, Kehlet H. Monitoring of perioperative fluid administration by individualized goal-directed therapy.

Acta Anaesthesiol Scand. 2007;51:331-340.

Manoach S, Weingart SD, Charchaflieh J. The evolution and current use of invasive hemodynamic monitoring for predicting volume responsiveness during resuscitation, perioperative, and critical care. J Clin Anesth.

2012;24:242-250.

Cannesson M, Desebbe O, Rosamel P, et al. Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre. Br J Anaesth. 2008;101:200-206.

Loupec T, Nanadoumgar H, Frasca D, et al. Pleth variability index predicts fluid responsiveness in critically ill patients. Crit Care Med. 2011;39:294-299.

Zimmermann M, Feibicke T, Keyl C, et al. Accuracy of stroke volume variation compared with pleth variability index to predict fluid responsiveness in mechanically ventilated patients undergoing major surgery. Eur J Anaesthesiol. 2010;27:555-561.

Forget P, Lois F, de Kock M. Goal-directed fluid management based on the pulse oximeter-derived pleth variability index reduces lactate levels and improves fluid management. Anesth Analg. 2010;111:910-914.

Mimoz O, Benard T, Gaucher A, Frasca D, Debaene B. Accuracy of respiratory rate monitoring using a non-invasive acoustic method after general anaesthesia. Br J Anaesth. 2012;108:872-875.

Ramsay M, et al. PostGraduate Assembly in Anesthesiology 2011. P-1937.

Macknet MR, et al. American Society of Anesthesiologists Annual Meeting 2007; A84.

Drover DR, Lemmens HJ, Pierce ET, et al. Patient State Index: titration of delivery and recovery from propofol, alfentanil, and nitrous oxide anesthesia. Anesthesiology. 2002;97:82-89.

Taenzer AH, Pyke JB, McGrath SP, Blike GT. Impact of pulse oximetry surveillance on rescue events and intensive care unit transfers: a before-andafter concurrence study. Anesthesiology. 2010;112:282-287.

Taenzer AH, Blike GT. Postoperative monitoring—the Dartmouth experience. APSF Newsletter. 2012;27:1.

This corporate profile was reviewed and approved by Masimo.

2012-2013

Corporate Profiles

ANNUAL

NONIN MEDICAL, INC. The Inventor of Fingertip Pulse Oximetry and a Leader In NIRS-based Medical Monitoring Innovations

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onin Medical, Inc., is a global leader in designing and manufacturing noninvasive physiological monitoring solutions. Nonin invented near infrared spectroscopy (NIRS)-based fingertip pulse oximetry with the Onyx® Model 9500, so extending its product offerings to include accurate, durable, portable, NIRS-based tissue oximeters and capnograph/pulse oximeters was a natural one.

Nonin’s product franchise includes pulse oximeters, regional oximeters, capnographs, sensors, software and accessories. Headquartered in Minneapolis, Minnesota, with an additional sales, distribution and service center in Hudiksvall, Sweden, Nonin Medical sells its products to clinicians and consumers in more than 125 countries and has more than 100 OEM partners worldwide.

Today, Nonin’s clinically proven EQUANOX™ rSO2, MedAir™ EtCO2 and PureSAT® SpO2 technologies— known for their stability, signal processing speed and ability to uniquely filter out artifact interference—provide confidence to millions of clinicians that the numerical values they see reflect their patients’ true physiology, even in the presence of low perfusion, motion and other challenging conditions.

AT A GLANCE

Accurate, Portable Cerebral/Somatic Tissue Oximeters (rSO2) The EQUANOX™ Model 7600 Cerebral/Somatic Tissue Oximetry System is a NIRS-based monitoring device that noninvasively and continuously detects oxygen saturation status in brain and other tissues.

The device allows clinicians to quickly react to reverse harmful tissue ischemia events before those events become critical.

Key Nonin Medical advantages include: • Cerebral and Somatic Monitoring – Up to four channels displayed on one screen for monitoring oxygen saturation in the brain and somatic sites on the body, including kidney and liver sites • Sensors Optimized for the Patient – Unique optical spacing to isolate and target key tissues for the intended population, from neonates to adults • Absolute or Trending Accuracy – Assures accurate measure of tissue saturation at a point in time or over a period of time • Consistency and Reliability – Rapid, reliable response to change without signal instability and interruptions from ambient electrical and light interferences • Portability and Connectivity – Lightweight, durable monitor with long battery life and pole-mounting capability for continually monitoring patients during intra-hospital transport. Data output available via Bluetooth® wireless technology or RS232 connection. Interfaces with Philips® VueLink (through Philips IntelliVue® Monitor), Philips CompuRecord Anesthesia Information System, Spectrum Medical VIPER Independent Data Management System and Sorin Perfusion Data Management System.

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*Validation data on file, Nonin Medical. Accuracy for EQUANOX™ Advance 8004CA sensor only.

Anesthesiology News • August 2012

13700 1st Ave. North Plymouth, MN 55441-5443 Phone: (763) 553-9969 Fax: (763) 553-7807 Customer Service: (800) 356-8874 Email: info@nonin.com Web site: www.nonin.com

OVERVIEW: Nonin Medical is a U.S.-based, technology-driven company that designs, manufactures and sells noninvasive medical monitoring devices for clinicians, consumers and OEM customers worldwide. Products include pulse oximeters, cerebral/ somatic tissue oximeters, capnographs, sensors, software and accessories.

Nonin Medical is known for its innovative, accurate, easy-to-use products and exceptional customer service.

MedAir™ EtCO2 technology delivers the earliest indicator of an adverse event in the breathing function of a patient.

Key Nonin Medical advantages include:

Ideal for end-tidal carbon dioxide (EtCO2) monitoring anywhere anesthetic sedation is administered, Nonin’s

• Fast, first breath detection of respiratory rate and EtCO2 • Highly visible, widescreen display • Easy to use • Can be easily mounted on a pole or a bed rail • Unique moisture management • Cost-effective to purchase and operate with standard tubing

Nonin’s new EQUANOX Advance 8004CB Series Sensor is the first and only sensor to automatically adjust for neonatal/pediatric brain myelination changes for a single-sensor solution that provides oxygen saturation readings based on the child’s true physiology. www.noninequanox.com

Highly portable with a widescreen touch-panel display, the LifeSense® (with EtCO2 and SpO2 monitoring), and RespSense™ (with EtCO2 monitoring) monitors are accurate, easy-to-use capnographs for infants through adults. www.nonin.com/capnography

Portable, Easy-to-Read Capnographs (EtCO2)

Nonin’s EQUANOX 7600 system is the first and only cerebral/somatic tissue oximeter to use a dual light emitting and detecting sensor architecture for industry-leading accuracy.* www.noninequanox.com

CORPORATE HEADQUARTERS:

This corporate profile was reviewed and approved by Nonin Medical, Inc.

2012-2013

Corporate Profiles

ANNUAL

SHERIDAN HEALTHCARE, INC.

T

he question is not whether our health care industry is changing. The most pressing question is how and whether the health care industry is prepared to adapt to the changes.

With a 59-year tradition, Sheridan Healthcare, Inc. has successfully expanded and continuously adapted within a changing health care industry, focusing first and foremost on the patient’s well-being and satisfaction and investing in people and infrastructure to support its mission. As one of the nation’s largest providers of anesthesia services, Sheridan’s goal is to deliver quality clinical services to its client facilities through the dedication of its accomplished clinical professionals. From this strong foundation and professional culture, Sheridan has maintained one of the highest retention rates in the industry, both among providers and clients. Physician led and managed, Sheridan understands the needs of providers and strives to improve their lives through consummate leadership, management support, effective training and positive work environments. These attributes enable providers to focus on what they do best: practice medicine.

As Sheridan strives to embody performance, quality and innovation, the company finds that these three goals often overlap, intermingle and inform one another.

Taken as a progression, these goals also can be viewed as stages in a process of defeating the denial, fear and instability that characterize how many leaders feel about health care in the United States. For health care leaders, passivity is the enemy and, following the old paradigm, promises the same inertia. If health care leaders can begin to think of quality, performance and innovation as one, if they can obliterate the old distinctions of “good enough” health care, then perhaps they can begin to look at the health care industry as something that can be composed.

Advantages to the Individual “There are many advantages to the individual anesthesia provider at Sheridan,” said Gilbert Drozdow, MD, MBA, president of Sheridan’s Anesthesia Division.

“We offer extensive experience in anesthesia services, a robust business infrastructure and we are sensitive to the professional needs of our providers.”

Lifestyle and the quality of life are important to providers. Sheridan offers extensive benefits to enhance and maintain job satisfaction—from income security to flexible scheduling and travel opportunities.

Sheridan encourages its providers to grow professionally and embrace clinical leadership, both in client facilities and at the corporate level. The Sheridan Leadership Academy is the driving force of professional development at Sheridan, teaching clinical leaders to hone their skills to optimize service, improve clinical care and lead quality initiatives. Sheridan’s quality management team includes staff physicians and nurses who also lead

quality initiatives and provide a professional outlet for personal development.

Providing Business Benefits Sheridan is a metric-driven organization with systems to collect, evaluate and report data effectively.

Continuous and timely feedback allows for improvements in efficiency and quality care. When a client facility outsources its medical and regulatory processes to Sheridan, clinicians are better able to focus clinically.

Client facilities benefit from Sheridan’s vast experience in developing health care protocols, improving revenue cycle management, streamlining operating room management, ensuring successful accreditation, expediting credentialing and focusing on customer service. In addition to helping providers and clients meet and exceed their professional and strategic goals, clinical data allow Sheridan to prepare for and adapt to changes within the health care industry.

Industry Innovations Sheridan’s focus on adapting to change includes technological innovations, such as Inspire Health Solutions.™ This Sheridan subsidiary is committed to improving provider efficiency and effectiveness.

Inspire supports Sheridan’s client facilities and physicians with Web-based features including electronic health records, clinical integration, decision support, revenue cycle management and productivity management solutions. Sheridan providers can rely on a supportive leadership and leverage our content specialists and operations managers to assist them in adapting to new technologies and clinical systems.

“There is always a resource within our Anesthesia Services Division that can apply themselves to any project, regardless of its complexity,” said Dr. Drozdow. “And many times, solutions are readily available because they have already been addressed.”

AT A GLANCE ADDRESS Sheridan Healthcare, Inc. 1613 North Harrison Pkwy.

Sunrise, FL 33323 Web site: www.sheridanhealthcare.com

SERVICES Multistate practice management company providing services in anesthesiology, emergency medicine, radiology and neonatology with pediatric subspecialties

VISION To deliver industry-leading health care solutions that demonstrate measurable excellence and value and make us indispensable to our customers

EMPLOYEES Medical providers: 1,836 Support: 600

CHAIRMAN AND CEO Mitchell Eisenberg, MD

PRESIDENT, ANESTHESIA SERVICES Gilbert Drozdow, MD, MBA

Growing Anesthesia Services With a new generation of anesthesia professionals entering a rapidly evolving health care environment, Sheridan remains confident in our ability to be both sensitive and flexible regarding the individual needs of providers. Sheridan extends an open invitation to individual anesthesia providers and group practices to visit our corporate site, learn more about our history and examine our supportive and value-enhancing infrastructure.

“Our success has depended on a dedicated team of physician leaders willing to make a professional and personal investment in Sheridan’s progress,” Dr. Drozdow said. “We will continue to invest in our health care providers to build a successful company in our continually evolving industry.” * “Sheridan” includes Sheridan Healthcare, Inc., and its subsidiaries and affiliates.

38 Anesthesiology News • August 2012

This corporate profile was reviewed and approved by Sheridan Healthcare, Inc.

2012-2013

Corporate Profiles

ANNUAL

SPACELABS HEALTHCARE

S

pacelabs Healthcare is a comprehensive, perioperative solutions provider developing, manufacturing and distributing medical equipment and services throughout the world. We provide solutions for patient monitoring and connectivity, anesthesia delivery and ventilation, diagnostic cardiology and supplies and accessories, selling to hospitals, clinics and physician offices. Spacelabs’ world headquarters, in Issaquah, Wash., is where we develop and manufacture anesthesia, patient monitoring and cardiology products.

Spacelabs provides various perioperative solutions from low to high acuity, covering simple to complex cases and pediatric to geriatric patients—offering you the choices you need in anesthesia delivery, patient monitoring and supplies and accessories. What’s more, you can configure solutions to satisfy your individual practices and preferences. Our product line is continually developing and expanding with some exciting new additions coming in the near future.

Spacelabs Healthcare has more than 50 years of innovation and service and began as the innovator of life support systems for the Gemini and Apollo space missions. Always endeavoring to meet our customers’ unmet needs, the result is the complete rethinking of the anesthesia delivery system experience.

Welcome to ARKON Until today, anesthesia delivery systems were designed with functionality and reliability as the priority. While important, we saw these as our starting point.

ARKON™ is our “evolutionary” new anesthesia delivery system that pushes the boundaries to provide advanced flexibility and ergonomics for you, the people who use these machines.

ARKON puts your patient front and center—offering anesthesiologists the maximum in functionality, comfort and control. Through a combination of an expandable clinical console, which extends out to enable a wide-angle view of your clinical setting, and enhancements not previously available in the perioperative environment, we focused ARKON on you, so you can focus on your patient. While other machines concentrate on the technology of anesthesia delivery, we believe you will find ARKON unique in its attention to the details of how you work. Providing you with an improved workplace is our priority, with flexibility our focus. Designed to improve the user experience, ARKON is part of our mission to inspire the world to bring the best care to patients as well as their families.

Spacelabs Healthcare is dedicated to developing and supporting those tools.

Spacelabs Healthcare Collaborates With Clinicians To Provide Clinically Relevant Products Spacelabs Healthcare values the strong clinical partnerships that we have developed and maintained over the past half-century. Through continuous and effective communication with clinical user groups, we gather a deep understanding of needs and requirements in order to develop solutions to help clinicians achieve their goals.

Always a leader in innovation with accessibility, continuity and partnership, Spacelabs Healthcare delivers on our promises to: • Help improve patient care.

• Help clinicians achieve their goals.

• Demonstrate honesty, reliability and integrity.

• Deliver quality products and service, service, service.

AT A GLANCE SPACELABS HEALTHCARE 5150 220th Ave. SE Issaquah, WA 98029 Phone: (425) 657-7200 Web site: www.spacelabshealthcare.com

PRESIDENT AND CEO Nicholas Ong

When selecting a perioperative solutions company, consider Spacelabs’ experience and heritage of innovative and intuitive products developed in partnership with our customers to address real-life clinical needs.

Our customer-first philosophy reflects our commitment to superior care for you and your patients as well as product support by our award-winning service team.

Excellence in Customer Service and Support At Spacelabs Healthcare, excellence in customer service and support are not just words; they are values, embraced by all our employees, that shape the way that we do business. As a result, IMV ServiceTrak™, one of the most respected surveys in the health care industry, ranked Spacelabs “Best for Overall Service Performance among Industry Peers” in 2011 for the second consecutive year, and three of the last five years.

We work cooperatively to develop long-term relationships with our suppliers, our distribution partners and our customers to provide the products, tools and services you need. Spacelabs is a focused, agile organization that is here to serve health care professionals worldwide. Our goal is to provide our customers more time to care. Customer loyalty is our reward.

“The Spacelabs Advantage”

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For more than 50 years, health care professionals have experienced the company’s proven commitment to connecting innovation with care; stability for a strong future; collaboration with clinical and technological partners; effective implementation of real-world solutions; and service wherever, whenever and however it’s needed. The most important factor in patient care is a knowledgeable medical professional with the right tools.

Anesthesiology News • August 2012

This corporate profile was reviewed and approved by Spacelabs Healthcare.

2012-2013

Corporate Profiles

ANNUAL

VERATHON MEDICAL A consistently clear airway view defines GlideScope video laryngoscopes

A

irways come in many shapes and sizes.

Which is why GlideScope® video laryngoscopes are designed for a full spectrum of patients. From the digital AVL to the portable Ranger, reusable and single-use GlideScope configurations are available for the variety of cases you see every day.

As your go-to device, the GlideScope video laryngoscope offers a wide field of view and a broad range of blade sizes for greater maneuverability. That makes it ideal for difficult airways and demanding settings, but also convenient for routine airways.

New Options for Preterm and Pediatric Patients

ADDRESS

The GlideScope AVL offers another big advancement for little airways with the addition of two single-use configurations: the “0” Stat for patients 1.5 kg and smaller, and the “2.5” Stat for patients 10 to 28 kg. There also is a newly designed, reusable GVL 2 for patients from 4 to 20 kg.

20001 North Creek Pkwy.

Bothell, WA 98011 Phone: (800) 331-2313 (U.S. & Canada only); (425) 867-1348 Fax: (425) 883-2896 Web site: www.verathon.com

PRODUCTS Verathon designs, manufactures and distributes reliable, state-of-the-art medical devices and services that offer a meaningful improvement in patient care to the health care community.

The AVL Single Use The GlideScope AVL Single Use defines advanced video laryngoscopy—with airway views in DVD clarity, and real-time recording to capture the details of difficult airway cases.

With six single-use Stat options for patients from preterm to morbidly obese, the AVL Single Use has been enhanced with technological improvements designed to help users get the view they need to place a tube quickly.

For example, the AVL Single Use 3-4 has a new Reveal™ anti-fog feature, with a rapid heating profile to resist lens fogging. The AVL also offers a digital color monitor, featuring a unique onboard 4-Step Technique video tutorial that describes and illustrates tips for successful GlideScope intubation.

Another advanced element of the AVL Single Use is its integrated, real-time recording capability. These high-quality digital files of intubations are downloadable and viewable on a personal computer. The recordings can be valuable for teaching and helping to confirm tube placement.

As part of the AVL family, the reusable GlideScope Direct intubation trainer combines the characteristics of a standard Macintosh blade with AVL video technology to facilitate instruction of classic direct laryngoscopy (DL).

AT A GLANCE

GlideScope AVL Single Use GlideScope AVL Reusable BladderScan BVI 9400

FOUNDER AND CEO Gerald McMorrow

The GlideScope AVL Reusable

BladderScan Bladder Volume Instruments From the makers of GlideScope instruments, BladderScan® bladder volume instruments are portable, three-dimensional ultrasound devices that quickly, accurately and noninvasively measure urinary bladder and post-void residual volume.

BladderScan instruments help diagnose and monitor postoperative urinary retention—POUR—and improve patient outcomes by reducing the duration of urinary catheterization, or avoiding it altogether.1 Designed to be used by physicians or nurses, the instruments are easy to use, learn and teach. No sonographer required.

Used in acute care, primary care, urology and extended care settings, the BladderScan BVI 9000 series instruments, with NeuralHarmonics® technology, feature accelerated speed and sharpened accuracy in bladder volume measurement.

Each BVI 9000 series instrument, in addition to providing distinct modes for measuring bladder volume in adults, offers a unique capability tailored to the needs of specific patient groups.

The BladderScan BVI 9400 offers a Small Child mode for patients weighing as little as 6.8 kg. The BladderScan BVI 9600, tailored for emergency departments, offers both bladder volume measurement and AortaScan® mode to noninvasively measure the diameter of the abdominal aorta. This may help physicians identify the presence of abdominal aortic aneurysms (AAA). The AortaScan AMI 9700 instrument also is available to help physicians assess for AAA.

Verathon Products Support Improved Patient Care Across a spectrum of patients—from newborns to the elderly—health care providers need medical devices that are proven, practical and reliable. Verathon instruments can support an evidence-based approach to care, to help evaluate, diagnose and manage an array of patients.

GlideScope, BladderScan and AortaScan instruments are designed to help manage cases in a wide range of clinical settings—from prehospital to acute care to extended care and more.

GlideScope AVL Single Use

The AVL Reusable

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The GlideScope AVL Reusable delivers the digital video technology and optimized functionality physicians expect from advanced video laryngoscopy—now in four reusable blade sizes for patients from infant to the morbidly obese.

When users need to get a tube placed quickly, the AVL Reusable provides a consistently clear view, with Reveal anti-fog technology, enabling fast intubation.

Anesthesiology News • August 2012

BladderScan BVI 9400

1. Moore DA, Edwards K. Using a portable bladder scan to reduce the incidence of nosocomial urinary tract infections. Medsurg Nursing 1997;6:39-43.

GlideScope, the GlideScope symbol, GVL, Reveal, Verathon and the Verathon Torch symbol are trademarks of Verathon Inc.

This corporate profile was reviewed and approved by Verathon Medical.