hospital at home is a telemedicine system that aims to improve patient care and quality of life by allowing constant monitoring of vital signs and video communication between patients and caregivers directly in the home. The system includes a touchscreen device placed at the patient's home that monitors parameters like oxygen saturation, ECG, temperature, and blood pressure and transmits the data in real time to caregivers. This allows for round-the-clock care of patients without the need for hospitalization or frequent visits, reducing costs for the healthcare system while improving patient comfort and outcomes.
A Product Specification
NOTE: The performance of the equipment with ☆ mark is determined to be essential
performance.
The Edan X8 Patient Monitor fulfills primary clinical requirements
in various environments including emergency rooms, general wards,
rehabilitation centers, cardiac intensive care units, and in-hospital
transfer units.
The X8 comes equipped with a unique 3/5-lead
system with automatic chest lead identification, making cardiac
monitoring more flexible.
iSEAPTM ECG monitoring algorithm with 33
types of arrhythmia detections. SEMIP® ECG diagnosis algorithm
with 208 findings.
Otowave-202 Tympanometer | Henan MedicalHenan Medical
The Otowave 202-H is portable high frequency tympanometer with a comprehensive range of test functions including user defined 226Hz and 1000Hz probe tone impedance measurements and a user programmable range of both
ipsi and contra lateral reflex test
measurements at 500Hz, 1kHz, 2kHz and 4kHz.
Programmable ipsilateral reflex tests
Programmable contralateral reflex tests
The document describes a disposable cover called Gantry Guard designed to protect CT scanners from fluids. It fits most CT scanners, is easy to apply and remove, and has been tested to not affect image quality or radiation dose. Gantry Guard is meant to minimize cleanup time and costs from fluid incidents during CT scans, which can cause over $12 million in lost annual revenue from machine downtime.
As one of the leading medical equipment manufacturers, we are involved in R&D, manufacturing and marketing. And as a global enterprise, our products are selling in more than 70 countries worldwide. We produce a wide range of Veterinary medical products used in Veterinary hospitals and clinics
The document describes the 2100 Series Video Endoscopy system. It provides high-resolution images using 440,000 pixels. It has several features including a patent cut-filter technique for improved 3D imaging, digital noise reduction, and a processor that can store up to 4 images. The system includes light sources, video processors, video gastroscopes, and video colonoscopes of varying sizes and functions for different procedures.
The document discusses the Rapid Response Team (RRT) and Rapid Response System (RRS) which aim to prevent cardiac arrests in hospitals. Several studies found that RRTs reduced cardiac arrests outside the ICU by 50%, postoperative admissions and deaths by 58% and 37%, and cardiac arrests before ICU admission by 4% compared to 30%. The RRS allows for early detection of deterioration through continuous monitoring and triggers a response from qualified emergency staff if predefined criteria are met. It is characterized by pathways for both detecting issues and responding to emergencies. The system aims to recognize deterioration at least 8 hours before cardiac arrest through modified early warning scores and tools to screen for sepsis, pulmonary embolism, and hemorrhagic shock.
This document is a product catalogue from Meditech Equipment Co., Ltd that describes their range of medical equipment products. It includes specifications for various defibrillators, spirometers, CPAP machines, electrocardiographs, and other devices. Meditech produces a wide variety of products for hospitals and clinics in over 70 countries and is involved in R&D, manufacturing, and marketing of medical equipment. The catalogue provides detailed specifications, parameters, and features for each listed product model.
A Product Specification
NOTE: The performance of the equipment with ☆ mark is determined to be essential
performance.
The Edan X8 Patient Monitor fulfills primary clinical requirements
in various environments including emergency rooms, general wards,
rehabilitation centers, cardiac intensive care units, and in-hospital
transfer units.
The X8 comes equipped with a unique 3/5-lead
system with automatic chest lead identification, making cardiac
monitoring more flexible.
iSEAPTM ECG monitoring algorithm with 33
types of arrhythmia detections. SEMIP® ECG diagnosis algorithm
with 208 findings.
Otowave-202 Tympanometer | Henan MedicalHenan Medical
The Otowave 202-H is portable high frequency tympanometer with a comprehensive range of test functions including user defined 226Hz and 1000Hz probe tone impedance measurements and a user programmable range of both
ipsi and contra lateral reflex test
measurements at 500Hz, 1kHz, 2kHz and 4kHz.
Programmable ipsilateral reflex tests
Programmable contralateral reflex tests
The document describes a disposable cover called Gantry Guard designed to protect CT scanners from fluids. It fits most CT scanners, is easy to apply and remove, and has been tested to not affect image quality or radiation dose. Gantry Guard is meant to minimize cleanup time and costs from fluid incidents during CT scans, which can cause over $12 million in lost annual revenue from machine downtime.
As one of the leading medical equipment manufacturers, we are involved in R&D, manufacturing and marketing. And as a global enterprise, our products are selling in more than 70 countries worldwide. We produce a wide range of Veterinary medical products used in Veterinary hospitals and clinics
The document describes the 2100 Series Video Endoscopy system. It provides high-resolution images using 440,000 pixels. It has several features including a patent cut-filter technique for improved 3D imaging, digital noise reduction, and a processor that can store up to 4 images. The system includes light sources, video processors, video gastroscopes, and video colonoscopes of varying sizes and functions for different procedures.
The document discusses the Rapid Response Team (RRT) and Rapid Response System (RRS) which aim to prevent cardiac arrests in hospitals. Several studies found that RRTs reduced cardiac arrests outside the ICU by 50%, postoperative admissions and deaths by 58% and 37%, and cardiac arrests before ICU admission by 4% compared to 30%. The RRS allows for early detection of deterioration through continuous monitoring and triggers a response from qualified emergency staff if predefined criteria are met. It is characterized by pathways for both detecting issues and responding to emergencies. The system aims to recognize deterioration at least 8 hours before cardiac arrest through modified early warning scores and tools to screen for sepsis, pulmonary embolism, and hemorrhagic shock.
This document is a product catalogue from Meditech Equipment Co., Ltd that describes their range of medical equipment products. It includes specifications for various defibrillators, spirometers, CPAP machines, electrocardiographs, and other devices. Meditech produces a wide variety of products for hospitals and clinics in over 70 countries and is involved in R&D, manufacturing, and marketing of medical equipment. The catalogue provides detailed specifications, parameters, and features for each listed product model.
The document discusses Check Point, a company that provides telemonitoring platforms and solutions. It offers two main platforms - one involving a partnership with Vital Connect that allows for ECG, temperature, and other vital sign monitoring using wearable devices. The other involves a partnership with Techmedic International and provides more advanced real-time monitoring and analysis of vital signs like ECG, oxygen levels, and heart rate. Check Point also operates a telemedicine center that provides 24/7 monitoring of patient data and emergency response services for up to 15,000 patients simultaneously.
DRE 2015-2016 Medical Equipment CatalogDRE Medical
DRE sources everything you need for the operating room, including new and professionally refurbished anesthesia machines, patient monitors, surgical lighting, procedure tables, stretchers, electrosurgical units, respiratory ventilators and much more. For more information on products and services from DRE, call 1-800-462-8195 today.
This document is a product catalogue from Meditech Equipment Co., Ltd for the year 2015. It includes information on various medical equipment produced by the company such as defibrillators, spirometers, CPAP machines, electrocardiographs, pulse oximeters, and more. For each product line, multiple models are described along with their specifications and features. The catalogue provides contact information for Meditech and also includes pictures and comparison tables of its defibrillator and CPAP product lines.
The document describes a Sterile Hospital Suite (SHS) that provides an integrated solution for sterility concerns in operating rooms. The SHS combines a touchless interactive screen, wireless electrosurgical knife, and wireless laparoscopic camera that are all controlled by a single sterile control unit. This holistic solution maximizes sterility and safety for patients, improves surgical outcomes, and streamlines workflow by removing non-value added tasks. The integrated suite provides benefits such as reduced surgery duration, highest sterility conditions, and allowing surgeons to focus on core surgical activities.
Advanced diagnostic ultrasound system with eHD technology and CrystaLine configuration.
What is CrystaLine?
Improved imaging
in difficult to scan
patients.
Major technical improvements
provided by CrystaLine include the
CPI Technology to increase depth
of field, improving the imaging of
deep structures in difficult-to scan
individuals.
This document provides specifications for the Mindray uMEC15 patient monitor. It has a 15-inch color LED or touch screen display with up to 11 waveforms. Key features include ECG, respiration, SpO2, NIBP, temperature, IBP, cardiac output, and CO2 monitoring. It stores 1200 hours of trend data, 1800 alarm events, and 48 hours of full disclosure waveforms. The monitor has a rechargeable lithium-ion battery that provides up to 6 hours of runtime. It is lightweight, durable, and easy to use with intuitive interfaces and large data storage capacity for comprehensive patient monitoring.
OptimaEquipments.com has emerged as a leading provider of high-quality MRI and CT scanners, offering cutting-edge technology, personalized service, and competitive pricing.
This document provides information on various veterinary medical products from Meditech Equipment Co., Ltd, including defibrillators, ECG machines, oximeters, ultrasound scanners, and a handheld ultrasound scanner. Key details include model names and numbers, specifications such as screen size and energy levels, functions like AED capabilities and modes of operation, and standard accessories and options. Product comparisons are shown in tables. The company is described as a leading medical equipment manufacturer involved in R&D, manufacturing, and global marketing of a wide range of veterinary medical products.
This document provides information on various veterinary medical products from Meditech Equipment Co., Ltd, including defibrillators, ECG machines, oximeters, ultrasound scanners, and ultrasound scanner goggles. Meditech produces a wide range of products for veterinary hospitals and clinics, such as multiparameter patient monitors, defibrillators, ultrasound machines, and more. The document describes each product's specifications and features.
Catalog design and printing made easy with brand design company in Atlanta. The medical supply catalog specialty formulated design helps medical customers provide a high level of quality care to their patients.
nice Neotech is an Indian medical equipment company established in 1997 that produces products for neonatal intensive care units (NICUs), including transilluminators. The nice Neotech 4050 Transilluminator is a micro-computer based device that uses cool LED light to visualize veins in neonates, aiding in procedures. It has a flexible optic cable, intensity control, and alarms to ensure safe use. nice Neotech prides itself on providing affordable, high-quality medical technology with a focus on customer satisfaction.
aeolus critical care ventilator CompressorSympaweb
Aeolus is a microprocessor-controlled critical care ventilator that can provide ventilation for adult and pediatric patients. It offers a wide range of modes and customizable settings, precision volume monitoring, and responsive triggering. The ventilator has an 18.5" touchscreen display and intuitive interface. It is a powerful and versatile ventilator capable of treating all types of patients.
BEST PROJECT CENTER IN TAMBARAM-HARDWARE PROJECTS TAMBARAMASHOKKUMAR RAMAR
The document describes the development of a blood leakage monitoring system for hemodialysis therapy. The system uses a photointerrupter sensor to detect very small amounts of blood (0.01 ml) within 1.6 seconds. It can continuously monitor for over 18 hours on a single battery charge. The system includes a Bluetooth module to wirelessly transmit alerts to healthcare workers up to 23 meters away. By integrating the system into a wearable bracelet, it allows for simple and inexpensive real-time monitoring of blood leakage during hemodialysis treatment.
This document provides information on the various components needed for a modular operating theatre (OT). It describes flooring, control panels, overflow ports, laminar air flow systems, sliding doors, surgical pendants, anesthetic pendants, wall panels, ceilings, x-ray view screens, writing boards, cleanroom luminaires, LED operating theatre lights, and integrated HD cameras. The components are designed to ensure sterility, easy maintenance and effective utilization of the OT in accordance with applicable standards and certificates.
The UK's Whole System Demonstrator trial from 2008 was the largest randomized controlled study of telehealth and telecare in the world, involving over 6,000 patients across 238 general practices in three sites. The trial found reductions of 45% in mortality rates, 20% in emergency admissions, 15% in A&E and elective visits, and 14% in bed days and costs. It was evaluated by several UK universities and institutions.
The document provides an overview of medical equipment used at Columbia Asia Hospital in Kolkata, India. It describes equipment in various departments like radiology, cardiology, ICU, NICU, OT, cath lab, dialysis and gastro. For each major piece of equipment, it lists the manufacturer and some key features. It also details some major and minor breakdowns of equipment during the training period and how they were addressed.
The document discusses Check Point, a company that provides telemonitoring platforms and solutions. It offers two main platforms - one involving a partnership with Vital Connect that allows for ECG, temperature, and other vital sign monitoring using wearable devices. The other involves a partnership with Techmedic International and provides more advanced real-time monitoring and analysis of vital signs like ECG, oxygen levels, and heart rate. Check Point also operates a telemedicine center that provides 24/7 monitoring of patient data and emergency response services for up to 15,000 patients simultaneously.
DRE 2015-2016 Medical Equipment CatalogDRE Medical
DRE sources everything you need for the operating room, including new and professionally refurbished anesthesia machines, patient monitors, surgical lighting, procedure tables, stretchers, electrosurgical units, respiratory ventilators and much more. For more information on products and services from DRE, call 1-800-462-8195 today.
This document is a product catalogue from Meditech Equipment Co., Ltd for the year 2015. It includes information on various medical equipment produced by the company such as defibrillators, spirometers, CPAP machines, electrocardiographs, pulse oximeters, and more. For each product line, multiple models are described along with their specifications and features. The catalogue provides contact information for Meditech and also includes pictures and comparison tables of its defibrillator and CPAP product lines.
The document describes a Sterile Hospital Suite (SHS) that provides an integrated solution for sterility concerns in operating rooms. The SHS combines a touchless interactive screen, wireless electrosurgical knife, and wireless laparoscopic camera that are all controlled by a single sterile control unit. This holistic solution maximizes sterility and safety for patients, improves surgical outcomes, and streamlines workflow by removing non-value added tasks. The integrated suite provides benefits such as reduced surgery duration, highest sterility conditions, and allowing surgeons to focus on core surgical activities.
Advanced diagnostic ultrasound system with eHD technology and CrystaLine configuration.
What is CrystaLine?
Improved imaging
in difficult to scan
patients.
Major technical improvements
provided by CrystaLine include the
CPI Technology to increase depth
of field, improving the imaging of
deep structures in difficult-to scan
individuals.
This document provides specifications for the Mindray uMEC15 patient monitor. It has a 15-inch color LED or touch screen display with up to 11 waveforms. Key features include ECG, respiration, SpO2, NIBP, temperature, IBP, cardiac output, and CO2 monitoring. It stores 1200 hours of trend data, 1800 alarm events, and 48 hours of full disclosure waveforms. The monitor has a rechargeable lithium-ion battery that provides up to 6 hours of runtime. It is lightweight, durable, and easy to use with intuitive interfaces and large data storage capacity for comprehensive patient monitoring.
OptimaEquipments.com has emerged as a leading provider of high-quality MRI and CT scanners, offering cutting-edge technology, personalized service, and competitive pricing.
This document provides information on various veterinary medical products from Meditech Equipment Co., Ltd, including defibrillators, ECG machines, oximeters, ultrasound scanners, and a handheld ultrasound scanner. Key details include model names and numbers, specifications such as screen size and energy levels, functions like AED capabilities and modes of operation, and standard accessories and options. Product comparisons are shown in tables. The company is described as a leading medical equipment manufacturer involved in R&D, manufacturing, and global marketing of a wide range of veterinary medical products.
This document provides information on various veterinary medical products from Meditech Equipment Co., Ltd, including defibrillators, ECG machines, oximeters, ultrasound scanners, and ultrasound scanner goggles. Meditech produces a wide range of products for veterinary hospitals and clinics, such as multiparameter patient monitors, defibrillators, ultrasound machines, and more. The document describes each product's specifications and features.
Catalog design and printing made easy with brand design company in Atlanta. The medical supply catalog specialty formulated design helps medical customers provide a high level of quality care to their patients.
nice Neotech is an Indian medical equipment company established in 1997 that produces products for neonatal intensive care units (NICUs), including transilluminators. The nice Neotech 4050 Transilluminator is a micro-computer based device that uses cool LED light to visualize veins in neonates, aiding in procedures. It has a flexible optic cable, intensity control, and alarms to ensure safe use. nice Neotech prides itself on providing affordable, high-quality medical technology with a focus on customer satisfaction.
aeolus critical care ventilator CompressorSympaweb
Aeolus is a microprocessor-controlled critical care ventilator that can provide ventilation for adult and pediatric patients. It offers a wide range of modes and customizable settings, precision volume monitoring, and responsive triggering. The ventilator has an 18.5" touchscreen display and intuitive interface. It is a powerful and versatile ventilator capable of treating all types of patients.
BEST PROJECT CENTER IN TAMBARAM-HARDWARE PROJECTS TAMBARAMASHOKKUMAR RAMAR
The document describes the development of a blood leakage monitoring system for hemodialysis therapy. The system uses a photointerrupter sensor to detect very small amounts of blood (0.01 ml) within 1.6 seconds. It can continuously monitor for over 18 hours on a single battery charge. The system includes a Bluetooth module to wirelessly transmit alerts to healthcare workers up to 23 meters away. By integrating the system into a wearable bracelet, it allows for simple and inexpensive real-time monitoring of blood leakage during hemodialysis treatment.
This document provides information on the various components needed for a modular operating theatre (OT). It describes flooring, control panels, overflow ports, laminar air flow systems, sliding doors, surgical pendants, anesthetic pendants, wall panels, ceilings, x-ray view screens, writing boards, cleanroom luminaires, LED operating theatre lights, and integrated HD cameras. The components are designed to ensure sterility, easy maintenance and effective utilization of the OT in accordance with applicable standards and certificates.
The UK's Whole System Demonstrator trial from 2008 was the largest randomized controlled study of telehealth and telecare in the world, involving over 6,000 patients across 238 general practices in three sites. The trial found reductions of 45% in mortality rates, 20% in emergency admissions, 15% in A&E and elective visits, and 14% in bed days and costs. It was evaluated by several UK universities and institutions.
The document provides an overview of medical equipment used at Columbia Asia Hospital in Kolkata, India. It describes equipment in various departments like radiology, cardiology, ICU, NICU, OT, cath lab, dialysis and gastro. For each major piece of equipment, it lists the manufacturer and some key features. It also details some major and minor breakdowns of equipment during the training period and how they were addressed.
3. Item Oxygen.
Ideas that change lives.
Item Oxygen is committed to pursuing an ambition: to improve
the quality of life of citizens by reducing the distance between
caregivers and patients. Indeed, owing to the experience
gained over more than 10 years in Italian ASLs (local
healthcare centres) and nursing homes, the company is now
capable of designing, manufacturing and marketing high-tech
medical devices. This competence has led Item Oxygen to
define a new philosophy in the sector: bring all that is
necessary in a hospital to the patient’s home. hospital at
home is the latest, patented, state-of-the-art device: the
perfect synthesis of innovation, an instrument that can change
the life of those who need medical care and nursing services.
4. With H@H time and space
are no longer a limitation.
Some innovations are meant to change the world, in art, technology
and medicine. hospital at home is the web-based telemedicine
system conceived for the care of patients who are not in
life-threatening condition. It guarantees continuous,
round-the-clock monitoring of medical parameters directly at home.
The occasional measurement of these parameters does not always
give a clear and reliable picture of the patient’s condition.
hospital at home allows constant measurement, thus providing
unequivocal data on the evolution of the medical condition.
Indeed, video communication ensures interaction between
caregivers and patients by moving data and not people.
The result is a substantial increase in the rate of dehospitalisation,
with enormous advantages for the Health Service in terms of costs,
time and quality of the services offered.
5.
6. A simple idea
that really works.
The hospital at home system is made up of a home device – of the
same size as a bed stand – and a Service Centre Module: the
monitoring station through which the caregiver monitors patients from a
remote location. The two instruments are interconnected via Internet,
allowing data to be exchanged in real time, conveniently and safely.
In this manner, thanks to a thoroughly user-friendly interface,
the healthcare personnel can access, with few hand movements,
the patient data page and immediately view the fundamental remote
monitoring parameters.
The Service Centre module comprises all the functions required for assistance in a telemedicine system:
monitoring of physiological parameters;
activation of the equipment provided with the device;
management of the case sheet;
video communication with the patient;
viewing and management of alarms;
communication with other caregivers;
management of the electro-medical equipment provided (home oxygen therapy and vacuum therapy).
8. Sometimes innovation means
staying comfortably home.
hospital at home is an unprecedented innovation opportunity in the
field of telemedicine. It allows reducing diagnosis and treatment times,
number of tests and home-to-healthcare facility transfers. These
extraordinary advantages result in a sure improvement of the quality
of life, especially for elderly patients or for those with impaired mobility.
In basic configuration, the hospital at home device simultaneously
monitors vital parameters such as:
hospital at home also offers caregivers the possibility of video
communicating with the patient in real time. This advantage leads to
the establishment of a constant relationship that is psychologically
reassuring for the patient. The interaction of the diagnosis with the
therapy provided (at the moment, oxygen and vacuum therapy) is a
determining factor in terms of innovation. The physician has access to
an extraordinarily efficient piece of equipment that allows the same
immediate clinical evaluations as in a hospital setting.
10. The patient is at the centre of
everything. All the rest is around.
The innovations of the hospital at home device technology not only
guarantee efficiency and rapid intervention, but also remarkably
contribute to improving the patient’s wellbeing, and his/her
emotional and psychological condition.
The care and attention are closely comparable with those received
when hospitalised in a normal healthcare facility, with the advantage of
round-the-clock monitoring, the comfort of a family home and the
support of one’s family members who are no longer obliged to travel,
often at great expense in terms of money and effort.
11.
12. H@H creates new opportunities
and knocks down useless costs.
Widespread use of the hospital at home system represents an
extraordinary advantage not only for end users and caregivers, but also
for the entire National Health Service. Presently, hospitalisation of a
patient in Italy involves enormous expenses.
hospital at home allows knocking down 41%* of hospitalisation
costs by dehospitalising a great number of patients with ordinary or
sub-critical pathologies and long-term patients, thus achieving
remarkable savings for the entire community.
The system also allows a substantial reduction of hospital readmissions
for post-discharge relapses.
*Reference analysis performed by the proposer.
13. H@H: an opportunity
to everyone’s advantage.
Item Oxygen is committed to promoting the hospital at home device to
public and private facilities, namely:
caregivers patients
local healthcare centres patients with chronic diseases
hospitals Alzheimer’s patients
private institutions and facilities heart patients
rehabilitation facilities diabetics
IHC cooperatives patients with chronic obstructive bronchopathy
specialist doctors patients with restrictive lung disease
internists long-term patients
nurses patients at risk of “post discharge readmission”
H
frail elderly
14. H@H: the devices
that make it up.
The hospital at home system comprises the following devices:
15” touch screen with webcam
high quality video calling system
stereo audio system and ambient microphone
monitoring of physiological parameters
vacuum therapy
home oxygen therapy
side view closed door open door
15. monitoring of physiological parameters
high quality video calling system
stereo audio system and ambient microphone
articulated bracket
15” touch screen with webcam
medical gas outlets UNI 9507
concealed sensor compartment
aeration and filtration valve
16. H@H: technical
specifications.
H@H dimensions:
Width* 850 mm (33.5 inch)
Height* 990 mm (39 inch)
Depth* 835 mm (33 inch)
Weight 80 kg approximately (176 lb)
Width of bedside table Top 535 mm (21 inch)
Height of bedside table Top 658 mm (26 inch)
Front Use:
Monitor Height 890 mm (35 inch)
Vertical Regulation +350mm ; – 350mm
(+13.7” ; -13.7”)
Monitor Rotation +18° ; -55°
Side Use:
Radius 1050 mm (41 inch)
Complete Rotation +90° ; - 90°
Rotation of second segment only +180° ; - 180°
*Measure with monitor arm in rest position.
17. Medical Gases and Sensors:
Oxygen Saturation - Sp02
Measure Range 30%; 100% (Accuracy ± 1,5%)
Electrocardiogram – ECG
Configurations available III or V Derivation + CHEST
The manufacturer reserves the right to make changes and/or improvements
Temperature - T1 e T2
Measure Range 20,0°; 44,0°C (Accuracy ± 0,1°C)
Pressure - NIBP
Adult Measure Range SYS: 25; 280 mmHg / DIA: 10 - 220 mmHg
in designs and dimensions without prior notice.
Heart Rate – HR
Measure Range 30; 250 bpm
Oxygen
Flow Range 0; 5 l/min
Oxygen Concentration ≥ 90%
Outlet pressure + 0,3 bar
Vacuum
Pressure - 0,8 bar
18.
19.
20. MADE IN
ITALY
BR H@H_rev00
®
via le fogge 11
70022 altamura (ba) italia
t +39 080 3143647
f +39 080 3160611
www.hospitalathome.it
info@hospitalathome.it
Numero Verde
800 148 775
H@H HOSPITAL AT HOME and ITEM OXYGEN are registered trademarks.
No parts of this publication can be reproduced or transmitted without prior authorisation
by Item Oxygen Srl. Patented device and design.