Product Guide2011-2012 Company Profile Nihon Kohden is Japan’s leading manufacturer and provider of medical electronic equipment. We are the number one supplier to Japan and one of the leading suppliers globally. The company has subsidiaries in North America, Europe and Asia, and distributors around the world. Histor y 1951 Half a century of contributing to medical 1951: Yoshio Ogino founds Nihon Kohden with the unique vision of “fighting disease with electronics.” 1951: Nihon Kohden develops the world’s first ME-1D electroencephalograph which is completely AC powered (ME-1D). 1960s 1967: Japan's first ICU monitor is installed at Tohoku University School of Medicine in Sendai city. This monitor, the ICU-80, is developed by Nihon Kohden. 1974: Nihon Kohden researcher Takuo Aoyagi develops the principle of pulse oximetry. All pulse oximeters today are based on Dr. Aoyagi's original principle of pulse oximetry. 1979: Nihon Kohden is commissioned by NASDA* (National Space Development Agency of Japan) to develop instruments for Japan's first contribution to experiments onboard the US space shuttle. * Now JAXA (Japan Aerospace Exploration Agency) ICU-80 patient monitor 1970s OLV-5100 1980s 1982: Nihon Kohden pioneers arrhythmia analysis in patient monitors. This epoch-making technology first appears in the company’s Life Scope 10 OEC-5501 OEC-5501 heart monitor. 2 Company Profile The policy guiding all our business practices is making sure that our customers will always be glad that they selected Nihon Kohden products. In this revolutionary era for medical care, we will continue to provide for the needs of medical professionals and patients all over world. care and society 1980s 1982: After 30 years of impressive growth, Nihon Kohden is listed on the 1st Section of the Tokyo Stock Exchange. 1990s 1994: Nihon Kohden introduces the world’s first Windows ® based digital EEG, Neurofax EEG-2100. It provides unparalleled ease of use. 2003: Nihon Kohden develops the world’s smallest CO 2 sensor. It enables measurement of mainstream CO 2 for nonintubated patients. 2007: As part of its campaign to popularize the lifesaving technology of AED throughout Japan, Nihon Kohden supports the Tokyo Marathon with AEDs for the runners and CPR educational booths for the huge number of spectators. 2000s EEG-2100 2010s 2010: Nihon Kohden America received the Outstanding Service Achievement award from Medical Strategic Planning (MSP) for the highest customer satisfaction among patient monitoring vendors for the fifth consecutive year. 2011: Nihon Kohden marks its 60th anniversary. 3 Monitors Bedside Monitors New! PVM-2701 PVM-2703 Supreme Onscreen operation guide Shows the recommended measurement method for each parameter. and possible solutions when a technical alarm occurs. 4 . NIBP. full disclosure. SpO2. CO2 Other features • 3 hour battery operation • 120 hour. 1 waveform full disclosure Monitors PVM-2701 PVM-2703 Powerful review with easy access to historical data • Up to 120 hours of trend table/graph. Resp.ease of use 10-inch color TFT LCD touch screen Number of waveforms: PVM-2701: 4. arrhythmia recall and alarm history • Time is synchronized across all trend screens Full disclosure Up to 120 hours Arrhythmia recall Up to 120 hours 5 . Temp MULTI connector parameters (PVM-2703 only) IBP. PVM-2703: 5 Basic parameters ECG. it automatically detects the type of parameter and starts measuring.Monitoring Technology Smart Cable Systems new modular technology Monitors Smart CableTM technology miniaturizes circuits found in traditional modules and embeds that circuitry into the cable. New! BIS New! Second SpO2 IBP CO ETCO2 TEMP MULTI connector RESP FiO2 *Available parameters depend on monitor 6 . When you plug a Smart CableTM into a MULTI connector. Number of false alarms 3000 2500 2000 1500 1000 500 0 Without ec1 With ec1 V. Rhythm Tachy VPC Run VT Ext. PWTT can be calculated from ECG and SpO2 non-invasively. with a result of 80% reduction of false alarms. If PWTT exceeds a threshold during periodic NIBP measurement. it triggers NIBP measurement.PWTT triggered NIBP measurement (Nihon Kohden patented) PWTT (Pulse Wave Transit Time) triggered NIBP measurement increases the chance to detect a sudden change in blood pressure. Peak of R-wave PWTT Up Shorter Monitors ECG Blood Pressure Down Longer *Nihon Kohden patented PWTT technology Peripheral pulse wave Highly accurate ec1 arrhythmia analysis Nihon Kohden’s ec1 arrhythmia analysis provides superior elimination of false alarms. ec1 has been evaluated with world standard arrhythmia databases as well as Nihon Kohden’s ECG database. Tachy VF 7 . BSM-3700K: 15 Basic parameters ECG. Resp. Temp. FiO2. Multi-gas. SpO2 (Nihon Kohden. EEG Other features • 12-lead ECG analysis • 72 hour. 5 waveforms full disclosure • Battery operation BSM-3500K BSM-3700K BSM-6301K (10-inch) BSM-6501K (12-inch) BSM-6701K (15-inch) TFT LCD touch screen Number of waveforms: 15 Basic parameters ECG. FLOW/Paw. CO. SpO2 (Nihon Kohden. NIBP.Bedside Monitors New! BSM-3500K (12-inch) BSM-3700K (15-inch) TFT LCD touch screen Monitors Number of waveforms: BSM-3500K: 14. Temp MULTI connector parameters: up to 7 IBP. CO2 (mainstream). Multi-gas. CO2 (mainstream). 5 waveforms full disclosure • Dual battery configuration • Transport function* *depending on the monitor configuration Detachable input unit 8 . BIS Options CO2 (sidestream). CO. FLOW/Paw. NIBP. Resp. Temp MULTI connector parameters IBP. Resp (thermistor). Dual SpO2* Options CO2 (sidestream). Nellcor OxiMax® or Masimo SET® ). BIS. EEG Other features • 12-lead ECG analysis • 72 hour. Nellcor OxiMax® or Masimo SET® ). FLOW/Paw. aEEG) Other features • 12-lead ECG analysis • 72 hour. or local purchase display Number of waveforms: 16 Basic parameters ECG.BSM-9101K (15/19-inch) TFT LCD touch screen. CO2 (sidestream). 5 waveforms full disclosure • Transport function* Monitors *depending on the monitor configuration EEG (DSA) window aEEG Review window 9 . 8. Temp. NIBP. Resp. BIS. EEG(CSA/DSA. FiO2. CO2 (mainstream). or more IBP. Temp MULTI connector parameters: 4. CO. SpO2. Multi-gas. Dual SpO2* Options BIS. Resp (thermistor). BSM-2303K: 6 Basic parameters ECG. Temp MULTI connector parameters • IBP. CO2 (sidestream). SpO2.Bedside Monitors BSM-2301K BSM-2303K Monitors 8-inch color TFT LCD touch screen Number of waveforms BSM-2301K: 5. Multi-gas Other features 3 hour battery operation Pulse Oximeters OLV-2700K • SpO2. Dual SpO2.0 kg) • AC or 2 hour battery operation OLV-3100J/K • SpO2. Pulse rate • Large numerical data display • Pulse wave bar graph • Alarm function • Compact and lightweight (1. CO2 (mainstream). Resp. Pulse rate. Resp (thermistor) • 2nd IBP (BSM-2303K only) Options BIS. NIBP. ∆SpO2 • Large LED (numeric data) and clear LCD (waveform) display • 24 hour trend graphs • Alarm function • AC or 4 hour battery operation 10 . Resp • Large LED (numeric data) and clear LCD (waveforms) display • 24 hour trend graphs • Alarm function • Compact and lightweight (1.CO2 Monitors OLG-2800K • ETCO2.3 kg) • AC or 2 hour battery operation Monitors CO2 measuring for safer monitoring • Most effective parameter to prevent respiratory incidents • Early detection of trouble in breathing or ventilator Early warning of these critical events Kink Inadequate ventilation Disconnection Inadequate gas flow FE Apnea Leak Obstruction Esophageal intubation Air O2 Malfunction Comparison of response time when oxygen supply stopped CO2 monitor 4 min left Pulse oximeter SpO2 1 min left ECG 10 sec left 11 . QP-983P Remote Viewer Terminal Program Review real-time data on a networked monitor anytime and anywhere with a web browser on your PC. CIS) and Life Scope Network. HL7 Gateway. Waveforms are also transferred by MFER. WLAN and telemetry • 72 hour data storage • 12-lead ECG analysis* • Full disclosure* • Alarm indicator* • SSD storage device *Option required ORG-9100K Receiver unit • Up to 8 individual receivers Optional Software NetKonnect. which is the new standard for medical waveforms. WLAN and telemetry • 72 hour data storage • 12-lead ECG analysis • Full disclosure • Transport function CNS-9601K Central monitor • 16 patients* • Single display • LAN.Bedside Monitors Central Monitors New! Monitors CNS-6201 Central monitor • 24 inch wide display • Dual display • 32 patients • LAN. QP-993PK The gateway server enables data communication between the hospital or clinical information system (HIS. 12 . Resp. 2 AA batteries ZS-920PK Digital transmitter • ECG. Resp • 7 days. 2 AA batteries Digital transmitter • ECG.Telemetry Central Monitors WEP-5204K WEP-5208K Monitors Telemetry central monitor • 4 or 8 patients • 15-inch LCD display • Touch screen • Digital telemetry • 96 hour data storage • 30 minute battery operation • Alarm indicator • Individual alarm indicator Transmitters ZS-910PK Digital transmitter • ECG • 7 days. SpO2. SpO2 • 4 days. 1 AA battery ZS-940PK ZS-930PK Digital transmitter • ECG. 1 AA battery ZS-530PK Digital transmitter • ECG. SpO2 • 2.2 inch TFT LCD display • ECG/Pulse waveform • 10 minutes data storage • 3 days. Resp. 3 AA NiMH batteries Life Scope Network OR CCU NICU General ward Hospital Network (HIS/CIS) Doctor’s office NetKonnect Server Firewall Internet ICU HL7 Gateway General ward Web browser Transmitters 13 . NIBP • 2 days. Resp. ou t) of th e b l owe r in inte r va ls corresponding to the Hz setting. 14 . HFO • Stroke volume up to 350 ml • MAP from 5 to 65 cmH2O • Frequency from 5 to 15 Hz • SI pressure from 5 to 80 cmH2O • Inspiratory flow from 3 to 140 LPM • Ventilation waveforms • Monitor • Rotary valve type HFO Rotary HFO Unique rotar y valve technology alternates air way to the membrane chamber between the delivery side (push-in) and the suction s id e ( pu ll.Ventilators PICU/ICU Ventilators R100 Ventilator • For pediatric and adult patients • SIMV. CPAP. This generates a power ful oscillation of circuit pressure and extends the range of applicable patient weights. A/C. PSV. (www. CPAP. Ltd. HFO • Stroke volume up to 160 ml • MAP from 3 to 40 cmH2O • Frequency from 5 to 17 Hz • SI pressure from 10 to 50 cmH2O • Piston type HFO Ventilators Humming X Ventilator • For neonate and pediatric patients • SIMV..NICU/PICU Calliope α Ventilator • For neonate and pediatric patients • SIMV. CPAP.metran. A/C. HFO • Stroke volume up to 160 ml • MAP from 3 to 40 cmH2O • Frequency from 5 to 20 Hz • SI pressure from 3 to 50 cmH2O • Touchscreen monitor • Ventilation waveforms • Patient data monitoring • Piston type HFO Ventilators are manufactured by Metran Co. N-CPAP.co.jp/en/) 15 . 7-inch backlit color LCD 16 .8-inch backlit LCD ECG ECG-1150 • 3 channel • 63 mm paper • 4.Electrocardiographs ECG-9620 series • 3 channel • 63 mm paper • 4.7-inch backlit color LCD ECG-1350K • 12 channel • 210 mm paper • 5.8-inch backlit LCD ECG-1250K • 6 channel • 63 mm paper • 5. 1-inch backlit color and flexible arm display • Actual paper size display and touch screen • Stress test function with QP-156E software (ECG-1550K) ECG-1500K ECG-1550K ECG Veterinary Use ECG-1950K • 6 channel • 110 mm paper • 5.7-inch backlit color LCD • Interpretation You can set animal type.ECG-1500K. 17 . ECG-1550K • 12 or 15 channel • 210 mm paper • 12. age and position. ND-766V. TEC-5531B (Portuguese) TEC-5521E. ND-763V. V923) • SpO2 adaptor (Y095A) • Reusable SpO2 probe (P225F) Internal paddles • Internal paddles (ND-762V. TEC-5531K (English) TEC-5521B. TEC-5531E (Spanish) • Biphasic • AED • SpO2/CO2 monitoring • ECG monitoring • Noninvasive pacing (TEC-5531K) Defibrillators Options CO2 /SpO2 • DSI interface unit (QI-552V. QI-762V) • CO2 sensor kit (P908) • Airway adapter for intubated (R804) for non-intubated (V922. ND-764V. ND-765V.Defibrillators TEC-5521K. ND-767V) 18 . TEC-7731K (English) TEC-7721E. S944B/C/D) Other • Battery charger (SB-551V) • Defibrillator report viewer software for PC (QP-551VK.TEC-7721K. QP-765VK) • Recording paper (A226) 19 . TEC-7731K) • NIBP unit (SG-761VK) • NIBP cuff (S943A/B/C. TEC-7731E (Spanish) • Biphasic • AED • SpO2/CO2 monitoring • ECG monitoring • Noninvasive pacing (TEC-7731K) • NIBP • 12-lead ECG • Telemetry networking Disposable pads • Disposable pads for adult (H315) for child (H316) • Disposable pad adapter cable (JC-765V) *You can use disposable pads for noninvasive pacing Defibrillators NIBP (TEC-7721K. Automated External Only 3 AED-2100K Defibrillators Options • Carrying bag (YC-210V) • Wall mount kit (KG-202V) • Report viewer / setup setting software (QP-210VK) • AED box (YZ-042H8) • Rescue kit (Y254) For CPR and AED training • Training unit (TRN-2100K) • Training pads for adult (H326A) for child (H326B) 20 . Attach the electrode pads Step 3. Press the shock button Defibrillators Transfer patient to a TEC-5500/7700 series defibrillator The AED-2100K defibrillation pads can be connected to a TEC-5500/7700 series defibrillator with JC-765V. 21 .Defibrillator steps to save a life Step 1. This lets you transfer the patient from the rescue site to the ambulance and hospital without removing the pads.\Turn Turn on the AED Step 2. 128 or 64 channel junction box • Zooming function • Voltage mapping • Frequency mapping • DSA trendgraph for a fast review • Neuro Portaview can transfer data by CD-R or USB memory • NeuroWorkbench software for data management Neurology Portable EEG EEG-9100J/K • 32 channel junction box SpO2/ETCO2 connector • Zoom • Voltage mapping • DSA trendgraph • EEG Portaview software 22 .Electroencephalograph Routine EEG EEG-1200J/K • 32 channel junction box with SpO2/ETCO2 connector 160GB hard disk • Zooming function • Voltage mapping • Frequency mapping • DSA trendgraph for a fast review • EEG Portaview software • NeuroWorkbench software for data management Epilepsy Monitoring EEG-1200 with QI-122A • 32 channel junction box with SpO2/ETCO2 connector • LAN connectivity by QI-122A • EEG Report software • 192. Standard Software NeuroWorkbench • Scheduling • Patient database • EEG reports NeuroReport • Export reports as PDF Optional Software Digital Video Software (QP-110AK) Polysmith™ (PS-ONLINE) EEG Mapping (QP-220AK) Focus (QP-211AK) Polysomnography Neurology PMU700 • 25 unipolar channels (EEG) • 8 bipolar channels • 1DC body position • 8DC (optional) • Integrated pulse oximeter • Integrated pressure transducer • Standard USB interface • Powered by USB interface • Internal calibration 23 . F-wave) • EMG. QEMG. SFEMG • AEP. EMG2. Portable EP/EMG MEB-9400K • 2 or 4 channel junction box • NCS • EMG. EMG2 • AEP • VEP • SEP • NeuroReport software • 1 channel independent trigger • 1 channel electric stimulator Neurology 24 . SEP • NeuroWorkbench software for data managemnet • 2 channel electric stimulator • Windows Vista® operating system Routine. SCS. VEP.EP/EMG Measuring Routine and IOM Monitoring MEB-2300K • 6 or 12 channel junction box • 18 bit A/D conversion • NCS (MCS. Multi-trend Neurology Event related potentials software (MEB-2300 only) • P300 • MRCP (Movement Related Cortical Potential) • CNV (Contingent Negative Variation) Autonomic nervous system test software • Micro-N (Microneurography) • SSR (Sympathetic Skin Response) • R-R interval analysis 25 .0 A output current Standard Software NeuroReport • Create customized reports • Save reports as PDF NeuroNavi • On-screen guide to examination procedures Optional Software Trend monitoring software (MEB-2300 only) • Intraoperative Monitoring (IOM) • EP/CSA.System Optional Hardware SEN-4100K Stimulator • For Motor Evoked Potential test during IOM • Integrated control from Neuropack • Output voltage: 0 to 1. CSA/DSA. EP/DSA.000 V • 50 μsec rectangular wave • 1. 10 packs . ICU/OR G221 47 x 47 mm 600 pcs Disposable Electrodes. prewired Accessories and Consumables Adult/Child 25 x 45 mm 3/4/6-lead type available Lead length 1m 1.Accessories and Con Disposable Electrodes general use G203 35 mm dia. 10 packs G274A. 150 pcs Adult. of electrodes 3 G272A. 150 pcs G207 (radiolucent) 35 mm dia.5 m 26 No. 30 packs 4 G272B. 150 pcs Adult G210D 25 x 45 mm. 10 packs 6 G272C. 30 packs G278A. exercise test G236 40 mm dia 150 pcs Adult. 10 packs G273A. 150 pcs less irritation Neonate to child G210C 19 x 36 mm. sumables CO2 sensors Smallest and strongest against humidity CO2 sensor kit P909 (with MULTI connector for bedside monitor/CO2 monitor) Airway adapter R805 (adult) R806 (neonate/infant) Both intubated and non-intubated patients CO2 sensor kit P907 (with MULTI connector for bedside monitor/ CO2 monitor/defibrillator) P908 (with mini DIN connector EEG/defibrillator) Oral/nasal adapter V922/V923 Airway adapter R804 Accessories and Consumables Infant/Neonate G271A 20 x 20 mm 3 x 40 packs NICU G300A 14 x 25 mm 3 x 10 packs 27 . for sensitive skin P205A Tape S P260A Tape L P260B Ear clip P256 SpO2 Probes. single-patient use 1 2 1 Adult finger/toe P203A/P203E/P204A/P204E Child finger/toe P203B/P203F/P204B/P204F 2 3 Neonate instep P203C/P203G/P204C/P204G 4 Infant finger/toe P203D/P203H/P204D/P204H 5 3 4 5 Adult finger/Neonate instep P228A/P228B Child finger/Infant toe P229A/P229B 6 6 Premature baby.Accessories and Con SpO2 Probes. reusable Finger P225F Accessories and Consumables Multi-site P225G 28 . 13 cm adult. regular P311C Finger-tip. large P310C Accessories and Consumables Finger TL-651T3 29 . 13 cm width S943A S943B S943C S944B S944C S944D infant. 19 cm Disposable cuff for neonate S948A 2 cm S948B 3 cm S948C 4 cm S948D 4. 15 cm thigh. 7 cm child.sumables NIBP cuffs Yawara(kai) means “soft touch” YAWARA CUFF S949A child. 10 cm adult. 10 cm width S949B adult.5 cm S948E 5 cm Finger-tip. 5 cm child. 45 mm) 28 G (0.8 m Accessories and Consumables 3 H692 4 H693 5 H694A H694B 30 .2 m 1.2 m 1 ground electrode (green) 1 large ground electrode (gray) 4 MEP/SEP electrodes (black/gray) 4 MEP/SEP electrodes (black/gray) 1.45 mm) 23 G (0.35 mm) 26 G (0.45 mm) 26 G (0. 1 ground electrode (green) Lead 0.45 mm) red yellow orange green blue violet 25 25 25 25 25 25 Nihon Kohden original shape Monopolar.30 mm) 27 G (0.35 mm) 26 G (0.60 mm) red yellow green blue violet 25 25 25 25 25 Nihon Kohden logo Monopolar Model Needle length Needle diameter Hub color Qty NM-225U NM-425U NM-237U NM-437U NM-450U NM-475U 25 mm 25 mm 37 mm 37 mm 50 mm 75 mm 28 G (0.45 mm) 28 G (0.35 mm) 26 G (0.45 mm) 26 G (0.45 mm) 26 G (0. red x 2) 0.5 m (twisted pair) 2 m (twisted pair) 5 colors x 5 5 colors x 5 5 colors x 5 5 colors x 5 5 colors x 4 5 colors x 4 NCS Disposable Electrodes Model 1 H690 2 H691 Electrode usage (connector color) 2 recording electrodes (black.45 mm) red yellow orange green blue violet 25 25 25 25 25 25 Subdermal Model Leed length (type) Qty NE-110B NE-115B NE-120B NE-125B NE-215B NE-220B 1 m (single) 1.35 mm) 26 G (0.5 m (single) 1.Accessories and Con Disposable EMG needles Concentric Model Needle length Needle diameter Hub color Qty NM-125C NM-325C NM-437C NM-450C NM-575C 25 mm 25 mm 37 mm 50 mm 75 mm 30 G (0.8 m 0. prewired Model Needle length Needle diameter Hub color Qty NM-225B NM-425B NM-237B NM-437B NM-450B NM-475B 25 mm 25 mm 37 mm 37 mm 50 mm 75 mm 28 G (0.2 m Qty 10 packs 10 packs 10 packs 10 packs 10 packs 10 packs 4 recording electrodes (black x 2. red).40 mm) 26 G (0.45 mm) 26 G (0.45 mm) 26 G (0. red x 2) 0.2 m 4 recording electrodes (black x 2.5 m (single) 2 m (single) 2. sumables Paste and Gel EEG paste F510 400 g jars x 3 F509 180 g tubes x 10 F507 180 g tubes x 2 Skin preparation gel 135 g x 2 F020 ECG cream 100 g x 2 F010 Contact gel for defibrillation 100 g x 5 F015 1 2 3 Accessories and Consumables 4 5 31 . SZ. Tyco Healhcare Group LP. Contact your Nihon Kohden representative for details.Masimo SET is a trademark of Masimo Corporation. Some products may not be available in your country. Windows and Windows Vista are registered trademarks of Microsoft Corporation. 6669 SP58-064 '11. This brochure may be revised or replaced by Nihon Kohden at any time without notice. 06. OxiMax is a trademark of Nellcor Puritan Bennett LLC. E .