A&D TM-2655P Manual de usuario

C o n t e n t s1P u l s e O x i m e t r yC a p n o g r a p h yC a r d i a c O u t p u tIntroduction to NoninNonin 9590 Onyx Vantage Finger Oximete

Nonin 9590 Onyx Vantage Finger Oximeter• Patented auto ON / OFF when finger is inserted / removed• Simplest, most user friendly Pulse Oximeter on the

G r e e n S y s t e m L a r y n g o s c o p e swww.proactmedical.co.uk100Disposable Metal Max®90 Green System Lever Tip Blades• Green System fibre

Disposable PROACT Green System HPC™ Laryngoscope Blades• Green System fibre optic type fitting compliant to ISO 7376:2009• Slim blades that match the

Disposable Metal Max®100 Green System Full Metal Speciality BladesDisposable Metal Max®100 Green System Full Metal Lever Tip Blades• Green System fibr

G r e e n S y s t e m L a r y n g o s c o p e sReusable PROACT Smoothline®Polished Fibre Optic Laryngoscope Blades• Green System fibre optic type

G r e e n S y s t e m L a r y n g o s c o p e sReusable Green System Speciality Blades• Green System fibre optic type fitting compliant to ISO 737

G r e e n S y s t e m L a r y n g o s c o p e sDisposable PROACT Metal Max® Green System Laryngoscope Handles • Green System fibre optic type fitt

Reusable PROACT Comfort Grip Green System LED Laryngoscope Handles• Green System fibre optic type fitting compliant to ISO 7376:2009• Superb design an

Reusable PROACT Hydra®Green SystemLED Autoclavable Laryngoscope Handles• Superb design and construction - 100% stainless steel handle• New ultra high

PRO-Breathe® PVC DisposableLaryngeal Airway• Smooth integrated design and soft ‘silicone like’ medical grade PVC construction allows for optimum feel

PRO-Breathe® Silicone DisposableLaryngeal Airway• Premium quality, high end silicone construction with unbeatable value• Smooth integrated design offe

11SpO2 Values Over Time 0:10 0:20 0:30 0:40 0:50 1:00 1:10 1:15 1:20 1:25 1:30 1:35Nonin Onyx 97 98 97 95 92 89 85 84 81 92 96 96Nellcor™ 98 98 98 98

PRO-Breathe® Silicone ReusableLaryngeal Airway• Premium quality, high end silicone construction with unbeatable value• Smooth integrated design offeri

PRO-Breathe® Single UseOral/Nasal ET Tubes• Smooth integrated design providing less risk of patient trauma• Constructed from a soft and flexible therm

PRO-Breathe® Single UseNasal Pre-Formed ET Tubes• Smooth integrated design providing an optimum feel and less risk of trauma• Constructed from thermos

PRO-Breathe® Single UseOral Pre-Formed ET Tubes• Smooth integrated design providing an optimum feel and less risk of trauma• Constructed from thermose

PRO-Breathe® Single UseET Tubes with Suction• As ET Tubes but with evacuation lumenPartNo.NPCCode Description Qty PricePB-217060 FDF1405 PRO-Breath

PRO-Breathe® Single UseEndobronchial Blockers• Manufactured from transparent medical grade PVC allowing clinicians tovisualise any blockages quickly•

PRO-Breathe® Single UseIntubation Stylets• Malleable aluminium with a low friction plastic sheath to aid insertion ofET tubes• Fully rounded atraumati

I n t r o d u c e r s & S t y l e t sAdvice / Order Hotline: 01536461981Fax Us: 01536461837PRO-Breathe® Single ET Tube Introducers(Bougies)

PRO-Breathe® Single UseGuedel Airways• Rigid bite block to ensure airway patency• Smooth integrated design for optimum patient comfort and safety• Col

Advice / Order Hotline: 01536461981Or Email Your Order: [email protected] Us: 01536461837121A i r w a y M a n a g e m e n tNaso-Flo Na

Nonin 9570 GO2 Fingertip Pulse Oximeter• Cost effective solution for pulse oximetry, ideal for home and personal use • Patient facing display for ease

Paediatric Emergency Care SystemFully Kitted• Designed by a team of UK Resuscitation Officers, Consultants and SeniorsNurses from PICU, ICU and A&

Advice / Order Hotline: 01536461981Or Email Your Order: [email protected] Us: 01536461837121A i r w a y M a n a g e m e n t121FrontPo

PRO-Breathe® Nasal Oxygen Cannulae• Designed for patients needing long term oxygen• Over the ear design for maximum patient comfort• Soft, comfortable

PRO-Breathe® HighConcentration Oxygen Mask Sets• Soft PVC construction ensures a good fit whilst transparent material ensurespatient response can be e

PRO-Breathe® Single UseNebulizer Kits• Mask or mouthpiece delivery options available • Both options include a 6ml nebulizer chamber and 2.1m crush res

Disposable Manual BVM Resuscitator Sets• Latex free medical grade PVC with polycarbonate shell finished to offerexceptional grip and feel• Each BVM su

PROACT Patient Transfer Kit - Adult• Designed for transport trolley and vehicles, offering a reliable and cost effectivesolution for improved patient

Single Use CPR Pocket Resuscitator• Low resistance one-way valve and filter offers optimal hygiene and safety,whilst reducing contamination and the tr

PRO-Breathe® Single UseSuction Tubing • Transparent tubing allows blockages to be visualised quickly• Thick walls prevent the tube from collapsing und

PRO-Breathe® Single UseSuction Handles • Transparent suction handles similar in shape to traditional metal Yankeursuckers• Available with plain or cro

Nonin 9560 Onyx Digital Finger Oximeterwith Bluetooth Wireless Pod• All features are as above i.e 9550 Onyx Finger Oximeter EXCEPT FOR:• Secure Blueto

www.proactmedical.co.uk136R e c o v e r y & R e s u s c i t a t i o nEssence Paramedic Kit Bag• Compact holdall for general use• Features two

R e c o v e r y & R e s u s c i t a t i o nPROMed Paramedic Kit Bag• Robust backpack for professional use• Two zip up side pockets and one fro

Metal Max®DisposableTracheostomy Dilator Forceps• Stainless steel construction• Disposable to aid infection control• Choice of clean or sterileMetal M

PROACT AutoclavablePRO-Shears • Surgical stainless steel construction• Fully autoclavable up to 300 cycles at up to 138˚C• Washer / disinfector compat

www.proactmedical.co.uk134T h e a t r e & C r i t i c a l C a r e C o n s u m a b l e sPRO-Breathe® Head Positioning Device• Supplied with

PROACT SAT (Safety Anaesthestic Trays)Antimicrobial Material• Three individual troughs assist safe picking and storing of instruments, syringesand dru

Accu-PRO Reposable Pressure Infusion Bags• Available in colour coded 500ml, 1000ml or 3000ml bag sizes• Easy one handed inflation and deflation• Easy

PRO-Breathe® Disposable AnaestheticMasks with Air Cushion• Transparent design with a safe view of the interior • Flexible assisting in correct sealing

PROACT Part No. Description NHSSC NPC CODEPulse Oximetry & Capnography9590-BK Nonin Onyx Vantage 9590 Finger Oximeter, Black, with Carry Case FBC1

PROACT Part No. Description NHSSC NPC CODETL-39230 Welch Allyn Trimline Disposable® Soft Cuff, 1 tube w/Rectus connector, Lg Adult FFF311TL-39060 Welc

Nonin 3150 WristOx2 Pulse OximeternVision Compatible• Easy to use, convenient, lightweight and compact• Easy view LCD Display offers clear readability

PROACT Part No. Description NHSSC NPC CODEEV-TVM119175S Bridge Temperature Probes, General Purpose, 09Fr FKA408EV-TSS119095S BRIDGE Disposable Skin T

PROACT Part No. Description NHSSC NPC CODEMMCVH001 PROACT Metal Max Laryngoscope Handle, Disposable, Adult FSM164MMCVH002 PROACT Metal Max Laryngoscop

Airway ManagementPD-LA6310 PRO-Breathe Laryngeal Airways, Standard Single Use PVC, 1.0 FDD1084PD-LA6315 PRO-Breathe Laryngeal Airways, Standard Single

PROACT Part No. Description NHSSC NPC CODEPB-21114 PRO-Breathe Endotracheal Tubes, Oral/Nasal Uncuffed, 2.0mm FDF1047PB-21115 PRO-Breathe Endotracheal

PROACT Part No. Description NHSSC NPC CODEPB-21400 PRO-Breathe Endotracheal Tubes, Armourflex Oral/Nasal Cuffed, 4.5mm FDF1464PB-21401 PRO-Breathe E

PROACT Part No. Description NHSSC NPC CODEPRNF00108 Naso-Flo Nasopharyngeal Airway with O2 Port, Size 8.0 FDB528PRNF00109 Naso-Flo Nasopharyngeal A

T e r m s & C o n d i t i o n swww.proactmedical.co.ukProact Medical Limited (The Supplier) Terms and Conditions for the Supply of Goods

T e r m s & C o n d i t i o n s117 Price and payment7.1 The price of the Goods shall be the price set out in the Order, or, if no price is

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Nonin nVision 6.4 Data Management Software• New updated software with free of charge Web Download Upgrades• Powerful and comprehensive reporting, anal

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Nonin 8500 Series Hand Held Digital Oximeter• Hugely reliable and durable work horse hand held pulse oximeter for when youneed affordable, accurate an

Nonin 2500 PalmSAT SeriesDigital Oximeter• Simple to use two button operation and intuitive user interface• Unique pulse quality indicator offers simp

Nonin 9600 AVANT Table Top Pulse Oximeter• Reliable and accurate monitor utilising Nonin PureSAT SpO2technology• Versatile design for use with neonate

Nonin 7500FO MRi Conditional Dual Fibre Optic Pulse Oximeter• MRI conditional, please call product specialist and read operators manual forinstallat

www.proactmedical.co.uk2A i r w a y M a n a g e m e n tC o n t e n t sBokang Infra Red Forehead Thermometer - NO TOUCHMSR Infrared Tympanic 1 Second

8000 Series Reusable Sensors• Easy clean with Kevlar cable, with amazing Nonin durability for rugged environmentsWarranty3 years, 90 days on Ear and R

7000 Series Disposable Flexi-Form Micro Foam Sensors• Patient dedicated solution for infection control. Single patient use.WarrantyDisposableSuitable

Finger Pulse Oximeters AccessoriesProduct CodeDescriptionQTYPrice9500CC-PCushioned Black Carry Case for original Nonin Finger Oximeters1 £4.959500-JM2

AVANT & Tabletop Monitors AccessoriesPROSTAND New Multi Purpose Rolling PRO-Stand for AVANT monitors 1 £245.007500CC Black Cushioned Carry Case

Original Nellcor™ OxiMAX™ Reusable SpO2SensorsConnection Sub-D OxiMAX™Warranty • NEL-DS-100A - 6 Months • NEL-3220321 - 3 MonthsSuitable for... • NEL-

Part No Description Qty PriceR-3212-31EnviteC Nellcor™ Compatible Adult Soft-Tip SpO2Sensor - 3.0m Cable - Kevlar reinforced R-32

Original Masimo® LNOP® Reusable SpO2SensorsConnection LNOP® Tongue (1)Warranty 6 MonthsSuitable for... • MAS1269 - Patient Size: > 30kg • MAS1544 -

Part No Description Qty PriceMAS1969 Original Masimo® DC12 (3M) Adult Direct Fit Finger Sensor, 3.6m cable£265.00SinglePart No De

www.proactmedical.co.ukEnviteC Patient Dedicated Velcro Wrap Sensors - Maximum Comfort and Safety at a great

TRADE MARKS.Proact Medical LtdOr Email Your Order: [email protected] Us: 01536 461837P u l s e O x i m e t r yOr Email Your Order: order

113Or Email Your Order: [email protected] Us: 01536 461837PRO-Breathe Entonox® Filter and MouthpiecePRO-Breathe Nasal Oxygen CannulaePRO-B

01 02 03 04 05 - NON OXIMAX06 07 08 09 10 - OXIMAX11 12 13 14 1516 17 18 19 2021 22 23 24 257 Pins9 PinsSENSORMONITOR‘Indirect Fit’ Sensor‘Direct Fit’

3126 27 30 31 3233 34 35 36 3738 39 41 42 4344 45 46 47 4849 50 51 52 5355 60 61 62 64P u l s e O x i m e t r y TRADE MARKS.Proact Medical LtdOr Em

Original EquipmentEnviteCComfort LineEar SensorEnviteCComfort LineFinger Sensor(Adult)Manufacturer Oximeter Model / Part NoSensor Part No.X or ZSensor

EnviteC Soft-Tip FingerSensor (Adult)EnviteC Soft-Tip FingerSensor (Medium)EnviteC Soft-Tip FingerSensor (Small)EnviteCRubber WRAP SensorEnviteC Adapt

Original EquipmentEnviteCComfort LineEar SensorEnviteCComfort LineFinger Sensor(Adult)Manufacturer Oximeter Model / Part NoSensor Part No.X or Z Sen-s

EnviteC Soft-TipFinger Sensor(Adult)EnviteC Soft-TipFinger Sensor(Medium)EnviteC Soft-TipFinger Sensor(Small)EnviteCRubber WRAP SensorEnviteC Adaptor

Original EquipmentEnviteCComfort LineEar SensorEnviteCComfort LineFinger Sensor(Adult)Manufacturer Oximeter Model / Part NoSensor Part No.X or Z Sen-s

EnviteC Soft-TipFinger Sensor(Adult)EnviteC Soft-TipFinger Sensor(Medium)EnviteC Soft-TipFinger Sensor(Small)EnviteCRubber WRAP SensorEnviteC Adaptor

Original EquipmentEnviteC Comfort LineEar SensorEnviteC Comfort LineFinger Sensor(Adult)Manufacturer Oximeter Model / Part NoSensor Part No.X or Z Sen

EnviteC Soft-TipFinger Sensor(Adult)EnviteC Soft-TipFinger Sensor(Medium)EnviteC Soft-TipFinger Sensor(Small)EnviteCRubber WRAP SensorEnviteC Adaptor

LIMITED 30 DAY MONEY BACK GUARANTEE (see also Return of Goods)To minimise the pass-on costs of Trials, Demonstrations and Demonstration Equipment for

Original EquipmentEnviteCComfort LineEar SensorEnviteCComfort LineFinger Sensor(Adult)Manufacturer Oximeter Model / Part NoSensor Part No.X or Z Sen-s

EnviteC Soft-TipFinger Sensor(Adult)EnviteC Soft-TipFinger Sensor(Medium)EnviteC Soft-TipFinger Sensor(Small)EnviteCRubber WRAP SensorEnviteC Adaptor

Original EquipmentEnviteC Comfort LineEar SensorEnviteC Comfort LineFinger Sensor(Adult)Manufacturer Oximeter Model / Part NoSensor Part No.X or Z Sen

EnviteC Soft-TipFinger Sensor(Adult)EnviteC Soft-TipFinger Sensor(Medium)EnviteC Soft-TipFinger Sensor(Small)EnviteCRubber WRAP SensorEnviteC Adaptor

Nonin 9560 Onyx Digital Finger Oximeterwith Bluetooth Wireless Pod• Based on the top selling premium finger oximeter, the Onyx 9550• Unparallelled rel

11T e l e h e a l t hOr Email Your Order: [email protected] Us: 01536 461837TRADE MARKS. Proact Medical Ltd recognise and respect the own

T e l e h e a l t hwww.proactmedical.co.uk46Creative PC-200 Spot Check Monitor • Bluetooth enabled Multi Parameter Spot Checker• Measures SpO2, NIBP

Creative PC-300 Dual ModeSpot Check Monitor• Bluetooth enabled Multi Parameter Spot Checker• Measures SpO2, NIBP, Pulse Rate and Temperature• 4.3 inch

T e l e h e a l t hCreative PC-80B Easy ECG Monitor• Bluetooth enabled colour screen ECG monitor• Data transfer via USB or Bluetooth• Various measurem

11T e l e h e a l t hFax Us: 01536 461837TRADE MARKS. Proact Medical Ltd recognise and respect the ownership of all Registered Trademarks contained h

PROACT holds large stocks of our disposable products to ensure next working day delivery (for orders received before 2pm). As well as direct supply,

C a p n o g r a p h yNonin 9840 Pulse Oximeter & MainstreamRuggedised CO2 Detector• Ideal for EMS, Disaster and Resus use - Extreme duty• Easy to

C a p n o g r a p h yOr Email Your Order: [email protected] / Order Hotline: 01536 461981Fax Us: 01536 46183751Q Series Anaesthesia Gas

Creative PC-900B Handheld SidestreamCapnograph & Oximeter• Very compact and lightweight with extremely simple user interface• Clear full colour 7.

C a p n o g r a p h yOr Email Your Order: [email protected] / Order Hotline: 01536 461981Fax Us: 01536 46183753TRADE MARKS. Proact Med

Creative PC-900Pro Vital Signs Monitors • Lightweight with user friendly, simple interface for use with adults & paediatrics • Very large, clea

M u l t i P a r a m e t e r M o n i t o r sTRADE MARKS.Proact Medical LtdOr Email Your Order: [email protected] / Order Hotline: 01

Creative PC-3000 Multi Parameter Monitors• 7” high resolution (800 x 480 pixel) colour TFT display• Very simple to use with clear ergonomic user inter

Creative Multi Parameter AccessoriesM u l t i P a r a m e t e r M o n i t o r sTRADE MARKS.Proact Medical LtdOr Email Your Order: orders@proactmed

CHEETAH NICOM®Non-InvasiveHaemodynamic & Cardiac Output MonitorCheetah Medical’s totally Non-Invasive Cardiac Output Monitor uses Bioreactance® te

Quick, non-invasive and motion tolerant features, enable routineutilisation of haemodynamic monitoring in the emergency department Improve Sepsis ma

PROACT pride ourselves on direct customer contact. We have Area SalesManagers across the United Kingdom, as well as exclusive Sales Distributo

Passive Leg Raise TechniqueThe passive leg raising (PLR) test measures the haemodynamic effects of a leg elevation up to 45°. This represents a"s

Validated AccuracyThe CHEETAH NICOM is FDA validated against the Swan-Ganz PAC (see ref. 1 below). The main endpoints evaluated forvalidation were:•

B l o o d P r e s s u r e M o n i t o r i n gA&D UA-787 PLUS Automatic Digital NIBPMonitor with Fuzzy Logic• Irregular Heartbeat Indicator (IH

A&D UA-705 Semi-AutoDigital NIBP Monitor• WHO Blood Pressure Classification is shown after every reading• An easy to read 3 line display shows Sys

B l o o d P r e s s u r e M o n i t o r i n gAneroid Sphygmomanometerwith Square Dial• Easy to read 15cm (6") square dial with bold figures m

B l o o d P r e s s u r e M o n i t o r i n gMercury Free Desktop Sphygmomanometer• Safe and environmentally friendly with no need for mercury• Mi

Professional High QualityDisposable Soft NIBP Cuffs - Box of 20• Soft white fabric feels comfortable on a patient’s arm and helps eliminate thesweatin

Welch Allyn® Trimline® ReusableOne Piece NIBP Cuffs - Box of 5• An impregnated antimicrobial agent helps prevent bacterial growth on the easywipe clea

Soft Neonatal Cuffs (Box of 40)Box of 40 Male Bayonet Male Slip Luer Double Male Slip LuerNeonatal #1 TL-39180 £88.07 TL-39190 £88.07 TL-39110 £88.07N

Connectors enable conversion of cuffing systems to various NIPB monitors. The listing below contains the most commonly requested connectors. Please co

Ambulance Service ContactsEngland & Wales Ambulance ServicesDave [email protected] 371263Office ContactJayne Milnejayne.m

Reusable Two PieceNIBP PRO-Cuff• New shell cuff material significantly improves durability and is easier to wraparound the arm• Designed with a tape

B l o o d P r e s s u r e M o n i t o r i n gAdvice / Order Hotline: 01536 461981Fax Us: 01536 461837Accoson 6” Aneroid Sphygmomanometer with Stan

Lightweight Single Head Nurse’s Stethoscope• Lightweight and ergonomically designed single head.stethoscope• Chrome plated zinc alloy chest piece• All

Deluxe Dual Head Cardiology Stethoscope • Dual head offers unsurpassed performance, quality and value• Stainless steel head for performance in all

Non-Contact Infrared Forehead Thermometer• Simple to use, compact and lightweight• Infection control friendly, non-invasive, forehead thermometer with

MSR ‘Shaker’ Digital Eco ThermometerNo Batteries Required• No battery required ECO digital thermometer• Powers on via shaking the thermometer• Waterpr

MSR 10 Second Digital Thermometer• Compact with fever alarm and memory recall• Accurate to ±0.1°C or ±0.2°F• Favourable evaluation in the 2005 MHRA re

MSR 10 Second Digital Animal Thermometers • Colourful and unique animal themed thermometer range• 10 second measurement time• Accurate to ±0.1°C or ±

T e m p e r a t u r e M o n i t o r i n gTwo-Way Silicone Foley Catheterswith Temperature Probe - STERILE• Foley Catheters with temperature probes

T e m p e r a t u r e M o n i t o r i n gBRIDGE Disposable SkinTemperature Probes - STERILE• Versatile probes for measurement of surface temperatur

N o n i n P r o v e n P r o f e s s i o n a l A c c u r a c y a n d V a l u ePROVEN accuracy you can act on from industry leading Nonin Pure

EnviteC MySign O Oxygen MonitorIn all areas of patient care, sound decisions must be made on a regular basis, oftenunder difficult conditions and typi

OOMAX-250AMaxtec OriginalOxygen Sensor(2 Year Warranty)£79.44OOMAX-250KMaxtec OriginalOxygen Sensor(2 Year Warranty)£110.00OOMAX-250BMaxtec OriginalOx

Original Manufacturer Model Original Part No Replacement Part No PriceAirshieldsIsolette - OOM102 £37.01- 6735142 OOMR13 £72.22Analytical Industries

Original Manufacturer Model Original Part No Replacement Part No PriceInfrasonics- 60116 OOM202 £31.72IT-Gambert- M-01 OOM101 £34.36- M-02 OOM201 £34.

The Multi Parameter SimCube• Portable design - 76 x 76 x89mm cube, weighs just over 1kg• Encased in scratch resistant vinyl jacket for quiet operation

SimCube Kits & AccessoriesThe SC-4 and SC-5 SimCube Simulators are also available as a kit, featuringa host of dynamic accessories in a handy carr

www.proactmedical.co.uk86T e s t D e v i c e s &   S i m u l a t i o nSimCube AdaptersEach SimCube ordered includes a choice of one NIBP ad

Accessories ProvidedIBP AdaptorsN/AN/AN/AN/A1**N/A1**NIBPAdaptors1*1*1*5555CarryCaseXXXXBatteryBoostN/AAdd onAdd onXXXXSpO2OpticalSpO233ECG/RespAuto H

T e s t D e v i c e s &   S i m u l a t i o nwww.proactmedical.co.ukSimSlim Multi Parameter Patient SimulatorThe smallest comprehensive multi-

T e s t D e v i c e s &   S i m u l a t i o nAdvice / Order Hotline: 01536 461981Fax Us: 01536 461837Or Email Your Order: orders@proactmedical

Patient conditions can be unpredictable. Pulse oximeter safety and accuracy shouldn’t be.The ISO 80601-20-61 international standard detailed for the

Conventional Blades have:• A bulb or LED light source within the blade• An electrical contact at the base of the blade block whichcompletes the circui

Disposable Metal Max®+ Combi®meLED™Lever Tip Laryngoscope Sets withAlkaline Batteries • Non-removable Metal Max® 90 blade permanently attached to ligh

Disposable Metal Max®+ 100 Combi meLED™Cardiff PRO Blade and Handle Sets • Non-removable Metal Max® 100 blade permanently attached to aluminium handl

Advice / Order Hotline: 01536 461981Or Email Your Order: [email protected] Us: 01536 46183793C o n v e n t i o n a l L a r y n g o s

C o n v e n t i o n a l L a r y n g o s c o p e swww.proactmedical.co.uk94Disposable Metal Max®100meLED Laryngoscope Blades• Conventional type fitti

Or Email Your Order: [email protected] Us: 01536 4618372C o n v e n t i o n a l L a r y n g o s c o p e sOr Email Your Order: orders@pro

Disposable Specialist Full Metal Max® 100 meLED Laryngoscopes and Polio Handle• Conventional type fitting compliant to ISO 7376:2009• Premium full met

C o n v e n t i o n a l L a r y n g o s c o p e sAdvice / Order Hotline: 01536 461981Or Email Your Order: [email protected] Us: 01536 46

Reusable PROACT Hydra®AUTOCLAVABLE Laryngoscope Handles• Conventional type fitting compliant to ISO 7376:2009• Requires standard batteries to be fitte

Advice / Order Hotline: 01536 461981Or Email Your Order: [email protected] Us: 01536 46183799Disposable Metal Max® 90 Green System Laryn