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Diabetik Foot Care India Pvt Ltd
Different Tools used in Management
Non-Invasive Vascular Products
Hand Held Doppler
Versalab Range PC based
Doppler systems
Automated AB Index Doppler
Neuropathy Products
Monofilament 10gm
Biothesiometer Vibratip
Biothesiometer Vibrotest
Biothesiometer Vibrometer
Neuropathy Analyser
CANS
Foot Care Products
 Foot Imprinter
 Podiascan
 Electric Pedicure File
 IR Foot Thermometer
 Neurolite
 Neurostim
Other Products
 Podiatry Chair
 Podiatry Kit
Diabetik Foot Care India Pvt Ltd
Hand Held Doppler L150R
FEATURES:
Interchangeable Probes
2, 3, 4, 5 & 8 MHz probes
8 MHz Probe – Std Supply
Arterial & Venous Study
Ankle Brachial Index
RC Battery / Charger
From Summit Doppler, USA
Diabetik Foot Care India Pvt Ltd
Sample Report for L150R
VERSALAB LE
FEATURES:
8 MHz Doppler
PPG Toe Sensor
Arterial & Venous Study
Manual ABI & TBI
Penile Flow Study
Large LCD screen
Thermal Printer-Option
PC Software
Supports all Windows
Diabetik Foot Care India Pvt Ltd
VERSALAB Auto
FEATURES:
Doppler 8 MHz
PPG Toe Sensor
Automated BP
ABI & TBI
Segmental Doppler Study
Segmental PVR Study
Upper Extremity & Carotid Study
Penile Flow Study
Supports all Windows
Diabetik Foot Care India Pvt Ltd
Sample Patient Report from VERSALAB series
Diabetik Foot Care India Pvt Ltd
How to measure ABI
Ankle Brachial Index
Highest Sys Pressure of PT and DP
ABI = -----------------------------------------------
Highest Sys Pressure of LT & RT Brachial
PT = Posterior Tibial
DP = Dorsalis Pedis
Diabetik Foot Care India Pvt Ltd
Calculation Example
Description LEFT RIGHT
Brachial 100 120
Post. Tibial 120 90
Dorsalis Pedis 126 86
ABI 1.05 0.75
Interpretation Normal Mild PAD
Diabetik Foot Care India Pvt Ltd
Ref. Values for ABI
Description ABI Value
Normal 0.91 to 1.40
Mild PAD 0.70 – 0.90
Moderate PAD 0.40 – 0.69
Severe PAB < 0.40
Incompressible Artery >1.40
Diabetik Foot Care India Pvt Ltd
Life Expectancy with ABI
Diabetik Foot Care India Pvt Ltd
Why Toe Pressure?
Most of the diabetic patient exhibit an elevated tibial
pressure due to hardening of the vessels
ABI in such cases will be more than 1.4
There may be an obstructive disease when ABI is
more than 1.4
Capillary pressure exhibit true value.
Absolute toe pressure > 55 mmHg indicate sufficient
vascularity
Toe Pressure is measured with Versalab Series only
Diabetik Foot Care India Pvt Ltd
Other Utilities with Doppler
Segmental BP measurement
Reactive Hyperemia / Treadmill Doppler Study
Endothelium dysfunction study
Penile Brachial Index - > 0.7 is normal
Venous Doppler Study
Carotid Doppler Study
Diabetik Foot Care India Pvt Ltd
Diabetik Foot Care India Pvt Ltd
Diabetik Foot Care India Pvt Ltd
Diabetik Foot Care India Pvt Ltd
Monofilament 10gm
Calibrated to buckle for a
10gm of force
Quantifies loss of
protective touch sensation
Simple and reliable test
procedure
Diabetik Foot Care India Pvt Ltd
VIBROTEST
Features:
Electronic Tuning Fork
Tool to quantify
0 to 50 volts output
Portable & Reliable
Manual Patient Report
Diabetik Foot Care India Pvt Ltd
Vibrometer
Features:
Electronic Tuning Fork
Tool to quantify
0 to 50 volts output
PC software
Multiple reporting
format
Portable & Reliable
Supports all Windows
Diabetik Foot Care India Pvt Ltd
Reporting Formats
Diabetik Foot Care India Pvt Ltd
Thermometry HCP
Features:
1o
C to 50o
C range
1o
C/Sec rate of change
PC Software
Interpretation
Supports all Windows
Diabetik Foot Care India Pvt Ltd
Neuropathy Analyser
VIBROTHERM Dx
Combination of Vibration
and Thermal
0 to 50 Volts Vibration
1o
C to 50o
C range
1o
C/Sec rate of change
PC Software
Supports all Windows
Interpretation
Diabetik Foot Care India Pvt Ltd
Diabetik Foot Care India Pvt Ltd
Diabetik Foot Care India Pvt Ltd
Cardiac Autonomic Neuropathy System Analyser
CANS 504
Parasympathetic Function
Resting HR
Deep Breathing (E:I Ratio)
Supine to Standing (30:15 Ratio)
Valsalva Maneuver (Valsalva Ratio)
Sympathetic Function:
Postural Hypotension: Fall in systolic BP
Sustained Handgrip: Increase in Diastolic BP
Support all Windows
Diabetik Foot Care India Pvt Ltd
Patient Report Format
Diabetik Foot Care India Pvt Ltd
Interpretation Rule
Diabetik Foot Care India Pvt Ltd
References:
Diabetik Foot Care India Pvt Ltd
Foot Care Products
Foot Imprinter Harris Mat
Foot Impression Foam
Podiascan
IR Foot Thermometer
Electric Pedicure Pedinova
IR LED Light Therapy Neurolite
Neuromuscular Stimulator Neurostim
Diabetik Foot Care India Pvt Ltd
Foot Imprinter
Produces weight bearing
imprint of the foot
Measures arch shape
Greater foot forces
deposit more ink
Detects the area of
greatest concern for
ulceration
Excellent education tool
to motivate patient for
better footwear
Diabetik Foot Care India Pvt Ltd
Foot Impression Foam
Impression Foam is an easily
compressible foam.
Engineered for accurate
orthotic, podiatric and
prosthetic modeling.
Accurately captures and
reproduces the plantar
surface of your patient’s foot
A clinically accepted
alternative to plaster casting
Light weight with carton box
Diabetik Foot Care India Pvt Ltd
Podiascan
Image analysis software converts
Harris Mat output into colour
Reporting software picks up the
colour images of separate foot
images and produce in a single page
Qualitative multi-colour report
defines foot pressure
Simple tool but operator dependent
Supports all Windows
Diabetik Foot Care India Pvt Ltd
Podiascan Report
Diabetik Foot Care India Pvt Ltd
IR Foot Thermometer
Diabetik Foot Care India Pvt Ltd
IR Thermometer
Early marker for identifying
foot ulcers
Early marker for charcot foot
Laser targeting
o
C / o
F selection
Accuracy +/- 2%
Maintaining one foot distance
produce reproducible values
Diabetik Foot Care India Pvt Ltd
Pedinova
Motorised electric file
Adjustable speeds
10 different pedicure
bits
Works well with non-
infective diabetic foot
Used for trimming &
shaping nails
Smoothes rough skin,
corn and calluses
Diabetik Foot Care India Pvt Ltd
IR LED Light Therapy
Infra-red LED & red LED
activated
Selective wavelength for
improved result
Increases vascular efficiency
Stimulate the production of
collagen
Increase lymphatic activity
Stimulate tissue granulation
Stimulate acetylcholine
release
Heals faster and relieves
neuropathy pain
Diabetik Foot Care India Pvt Ltd
Neurostim
Improves healing of ulcers
Stimulates all the afferent and
efferent nerves to re-establish
pathways
Builds residual pain relief each
time it is used
Causes the brain to release
endorphins to reduce pain
Increases muscle strength
Reduces edema
Increases collateral circulation,
stimulating vasogenesis
Diabetik Foot Care India Pvt Ltd
Wound Care Products
Podiatry Chair
Podiatry Kit
Diabetik Foot Care India Pvt Ltd
Podiatry Chair
Hand Remote Operated
3 motor and 5 motor
options
Imported models
Diabetik Foot Care India Pvt Ltd
Mini Podiatry Kit
Corn cutter with plastic
handle 4.5”
Cuticle nipper
Nail cutter barrel spring
4.75”
Spoon with knife
Nail cutter Moon-shape 5.5”
Diabetik Foot Care India Pvt Ltd
Full Podiatry Kit
Corn cutter with plastic handle
Cuticle nipper
Nail cutter barrel spring 4.75”
Spoon with knife double ended
Nail cutter Moon-shape 5.5”
Black file double ended
Nail File
Toe nail scissor straight 4.5”
Nail cutter 4”
Scraper fine triangle tip
Diabetik Foot Care India Pvt Ltd
Product Presentation of Diabetik Foot Care India Pvt Ltd

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Product Presentation of Diabetik Foot Care India Pvt Ltd

  • 1.
  • 2. Diabetik Foot Care India Pvt Ltd
  • 3. Different Tools used in Management Non-Invasive Vascular Products Hand Held Doppler Versalab Range PC based Doppler systems Automated AB Index Doppler Neuropathy Products Monofilament 10gm Biothesiometer Vibratip Biothesiometer Vibrotest Biothesiometer Vibrometer Neuropathy Analyser CANS Foot Care Products  Foot Imprinter  Podiascan  Electric Pedicure File  IR Foot Thermometer  Neurolite  Neurostim Other Products  Podiatry Chair  Podiatry Kit Diabetik Foot Care India Pvt Ltd
  • 4. Hand Held Doppler L150R FEATURES: Interchangeable Probes 2, 3, 4, 5 & 8 MHz probes 8 MHz Probe – Std Supply Arterial & Venous Study Ankle Brachial Index RC Battery / Charger From Summit Doppler, USA Diabetik Foot Care India Pvt Ltd
  • 6. VERSALAB LE FEATURES: 8 MHz Doppler PPG Toe Sensor Arterial & Venous Study Manual ABI & TBI Penile Flow Study Large LCD screen Thermal Printer-Option PC Software Supports all Windows Diabetik Foot Care India Pvt Ltd
  • 7. VERSALAB Auto FEATURES: Doppler 8 MHz PPG Toe Sensor Automated BP ABI & TBI Segmental Doppler Study Segmental PVR Study Upper Extremity & Carotid Study Penile Flow Study Supports all Windows Diabetik Foot Care India Pvt Ltd
  • 8. Sample Patient Report from VERSALAB series Diabetik Foot Care India Pvt Ltd
  • 9. How to measure ABI Ankle Brachial Index Highest Sys Pressure of PT and DP ABI = ----------------------------------------------- Highest Sys Pressure of LT & RT Brachial PT = Posterior Tibial DP = Dorsalis Pedis Diabetik Foot Care India Pvt Ltd
  • 10. Calculation Example Description LEFT RIGHT Brachial 100 120 Post. Tibial 120 90 Dorsalis Pedis 126 86 ABI 1.05 0.75 Interpretation Normal Mild PAD Diabetik Foot Care India Pvt Ltd
  • 11. Ref. Values for ABI Description ABI Value Normal 0.91 to 1.40 Mild PAD 0.70 – 0.90 Moderate PAD 0.40 – 0.69 Severe PAB < 0.40 Incompressible Artery >1.40 Diabetik Foot Care India Pvt Ltd
  • 12. Life Expectancy with ABI Diabetik Foot Care India Pvt Ltd
  • 13. Why Toe Pressure? Most of the diabetic patient exhibit an elevated tibial pressure due to hardening of the vessels ABI in such cases will be more than 1.4 There may be an obstructive disease when ABI is more than 1.4 Capillary pressure exhibit true value. Absolute toe pressure > 55 mmHg indicate sufficient vascularity Toe Pressure is measured with Versalab Series only Diabetik Foot Care India Pvt Ltd
  • 14. Other Utilities with Doppler Segmental BP measurement Reactive Hyperemia / Treadmill Doppler Study Endothelium dysfunction study Penile Brachial Index - > 0.7 is normal Venous Doppler Study Carotid Doppler Study Diabetik Foot Care India Pvt Ltd
  • 15.
  • 16. Diabetik Foot Care India Pvt Ltd
  • 17. Diabetik Foot Care India Pvt Ltd
  • 18. Diabetik Foot Care India Pvt Ltd
  • 19. Monofilament 10gm Calibrated to buckle for a 10gm of force Quantifies loss of protective touch sensation Simple and reliable test procedure Diabetik Foot Care India Pvt Ltd
  • 20. VIBROTEST Features: Electronic Tuning Fork Tool to quantify 0 to 50 volts output Portable & Reliable Manual Patient Report Diabetik Foot Care India Pvt Ltd
  • 21. Vibrometer Features: Electronic Tuning Fork Tool to quantify 0 to 50 volts output PC software Multiple reporting format Portable & Reliable Supports all Windows Diabetik Foot Care India Pvt Ltd
  • 22. Reporting Formats Diabetik Foot Care India Pvt Ltd
  • 23. Thermometry HCP Features: 1o C to 50o C range 1o C/Sec rate of change PC Software Interpretation Supports all Windows Diabetik Foot Care India Pvt Ltd
  • 24. Neuropathy Analyser VIBROTHERM Dx Combination of Vibration and Thermal 0 to 50 Volts Vibration 1o C to 50o C range 1o C/Sec rate of change PC Software Supports all Windows Interpretation Diabetik Foot Care India Pvt Ltd
  • 25. Diabetik Foot Care India Pvt Ltd
  • 26. Diabetik Foot Care India Pvt Ltd
  • 27. Cardiac Autonomic Neuropathy System Analyser CANS 504 Parasympathetic Function Resting HR Deep Breathing (E:I Ratio) Supine to Standing (30:15 Ratio) Valsalva Maneuver (Valsalva Ratio) Sympathetic Function: Postural Hypotension: Fall in systolic BP Sustained Handgrip: Increase in Diastolic BP Support all Windows Diabetik Foot Care India Pvt Ltd
  • 28. Patient Report Format Diabetik Foot Care India Pvt Ltd
  • 29. Interpretation Rule Diabetik Foot Care India Pvt Ltd
  • 31.
  • 32. Foot Care Products Foot Imprinter Harris Mat Foot Impression Foam Podiascan IR Foot Thermometer Electric Pedicure Pedinova IR LED Light Therapy Neurolite Neuromuscular Stimulator Neurostim Diabetik Foot Care India Pvt Ltd
  • 33. Foot Imprinter Produces weight bearing imprint of the foot Measures arch shape Greater foot forces deposit more ink Detects the area of greatest concern for ulceration Excellent education tool to motivate patient for better footwear Diabetik Foot Care India Pvt Ltd
  • 34. Foot Impression Foam Impression Foam is an easily compressible foam. Engineered for accurate orthotic, podiatric and prosthetic modeling. Accurately captures and reproduces the plantar surface of your patient’s foot A clinically accepted alternative to plaster casting Light weight with carton box Diabetik Foot Care India Pvt Ltd
  • 35. Podiascan Image analysis software converts Harris Mat output into colour Reporting software picks up the colour images of separate foot images and produce in a single page Qualitative multi-colour report defines foot pressure Simple tool but operator dependent Supports all Windows Diabetik Foot Care India Pvt Ltd
  • 36. Podiascan Report Diabetik Foot Care India Pvt Ltd
  • 37. IR Foot Thermometer Diabetik Foot Care India Pvt Ltd
  • 38. IR Thermometer Early marker for identifying foot ulcers Early marker for charcot foot Laser targeting o C / o F selection Accuracy +/- 2% Maintaining one foot distance produce reproducible values Diabetik Foot Care India Pvt Ltd
  • 39. Pedinova Motorised electric file Adjustable speeds 10 different pedicure bits Works well with non- infective diabetic foot Used for trimming & shaping nails Smoothes rough skin, corn and calluses Diabetik Foot Care India Pvt Ltd
  • 40. IR LED Light Therapy Infra-red LED & red LED activated Selective wavelength for improved result Increases vascular efficiency Stimulate the production of collagen Increase lymphatic activity Stimulate tissue granulation Stimulate acetylcholine release Heals faster and relieves neuropathy pain Diabetik Foot Care India Pvt Ltd
  • 41. Neurostim Improves healing of ulcers Stimulates all the afferent and efferent nerves to re-establish pathways Builds residual pain relief each time it is used Causes the brain to release endorphins to reduce pain Increases muscle strength Reduces edema Increases collateral circulation, stimulating vasogenesis Diabetik Foot Care India Pvt Ltd
  • 42.
  • 43. Wound Care Products Podiatry Chair Podiatry Kit Diabetik Foot Care India Pvt Ltd
  • 44. Podiatry Chair Hand Remote Operated 3 motor and 5 motor options Imported models Diabetik Foot Care India Pvt Ltd
  • 45. Mini Podiatry Kit Corn cutter with plastic handle 4.5” Cuticle nipper Nail cutter barrel spring 4.75” Spoon with knife Nail cutter Moon-shape 5.5” Diabetik Foot Care India Pvt Ltd
  • 46. Full Podiatry Kit Corn cutter with plastic handle Cuticle nipper Nail cutter barrel spring 4.75” Spoon with knife double ended Nail cutter Moon-shape 5.5” Black file double ended Nail File Toe nail scissor straight 4.5” Nail cutter 4” Scraper fine triangle tip Diabetik Foot Care India Pvt Ltd

Editor's Notes

  1. IDF Regions and global projections for the number of people with diabetes (20-79 years), 2010-2030