Medication Delivery

⚠ WARNING: This product can expose you to styrene, which is known to the State of California to cause cancer. For more information go to www.P65Warnings.ca.gov. This Curaplex® handheld, small-volume nebulizer provides ideal particle size distribution, allowing high lung deposition. It can be used in an upright position or angled up to 45 degrees. Features and Benefits: * Anti-spill T-piece * Leak proof seal * Very low dead volume (0.7 cc) * High medication bowl capacity (13 cc) * Graduated volume marking on bowl * MMAD of 2.7 microns

The Valved Tee Adapter makes it simple to deliver aerosolized medication to your ventilator patients. Used in conjunction with a small volume nebulizer, the Valved Tee offers a safe and effective way to introduce the aerosol into the circuit. Unlike other tee adapters that require time-consuming and potentially hazardous breaks in the system, the Valved Tee is a permanent part of the ventilator circuit. Its unique valve opens and closes as the nebulizer is inserted and removed.

This aerosol mask has a soft, clear finish designed for patient comfort and easy monitoring of patient condition. Available in both adult and pediatric sizes, the mask includes an adjustable nose clips for better fitting. The connector accepts standard 22 mm aerosol tubing. Features: * A soft, clear finish designed for patient comfort * Available in adult and pediatric sizes * Includes adjustable nose clips for better fitting * Accepts standard 22mm aerosol tubing

Deliver medications quickly and painlessly with the DART. Atomized medication delivery results in therapeutic onset of action similar to intravenous delivery - with NO pain or delays associated with starting an IV. * Measure and deliver with accuracy * NO IV line needed * Available for all ages * Average Particle Size: 50μm * Syringe Accuracy (DART100): ± 5% * System Dead Space: 0.16 mL * Diameter: 0.19 in. (at the widest point on the tip) * Compress the Syringe with a brisk pressure to maximize the atomization * Utilize both nostrils to increase the treated surface area Contraindications: * Mucous, blood, and vascoconstrictors reduce absorption of medication

This nebulizer kit is packaged in a compact plastic bag for convenience, allowing you to administer therapies that require nebulization quickly when in the field. Kit includes: (1) Nebulizer with mouthpiece, and 7 ft of tubing (1) Ventilator adapter, 22mm O.D. x 15mm I.D. (1) Tee adaptor, 22 male x 22 female (1) Set of corrugated tubing, 5”

The Aerogen® Solo offers a hands-free, high performance aerosol drug delivery system which provides optimal patient care. * Operates with ventilated and non-ventilated patients when coupled with the Aerogen Ultra. * Does not heat or degrade medication. Suitable for solutions, suspensions, proteins and peptides. * Single patient use for up to 28 days intermittent or 7 days continuous. * Powered by the Aerogen Pro-X Controller for continuous use or the Aerogen USB Controller for intermittent use. Aerogen® Solo Convenience Kit includes: * Aerogen Solo Nebulizers * T-piece plugs REFERENCES: * Ari A. Practical strategies for a safe and effective delivery of aerosolized medications to patients with COVID-19. Respir. Med. 2020; 167. doi:10.1016/j.rmed.2020.105987. * Miller A, Epstein D. Safe bronchodilator treatment in mechanically ventilated COVID-19 patients: A single center experience. J. Crit. Care. 2020; 58: 56–57. * Fink JB, Ehrmann S, Li J, Dailey P, McKiernan P, Darquenne C et al. Reducing Aerosol-Related Risk of Transmission in the Era of COVID-19: An Interim Guidance Endorsed by the International Society of Aerosols in Medicine. J Aerosol Med Pulm Drug Deliv 2020; : jamp.2020.1615. * O'Toole C, McGrath JA, Joyce M, Bennett G, Byrne MA, MacLoughlin R. Fugitive Aerosol Therapy Emissions during Mechanical Ventilation: In Vitro Assessment of the Effect of Tidal Volume and Use of Protective Filters. Aerosol Air Qual Res 2020; 20. doi:10.4209/aaqr.2020.04.0176. * Halpin DMG, Criner GJ, Papi A, Singh D, Anzueto A, Martinez FJ et al. Global Initiative for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease: The 2020 GOLD Science Committee Report on COVID-19 & COPD. Am J Respir Crit Care Med 2020. doi:10.1164/rccm.202009-3533SO. * Joyce M, McGrath JA, Mac Giolla Eain M, O'Sullivan A, Byrne M, MacLoughlin R. Nebuliser Type Influences Both Patient-Derived Bioaerosol Emissions and Ventilation Parameters during Mechanical Ventilation. Pharmaceutics 2021; 13: 199. PM951

Deliver medications quickly and effectively for difficult airways with Curaplex® DART Reach Atomizer. Providing precise and direct atomization delivery, medication is delivered quickly and effectively for difficult airways with the DART Reach. Features a flexible stylet that gives control over the procedure and the ability to adjust the tip based on the patient's anatomy. Useful for a variety of procedures: * Airway Management * Difficult Airway, Awake Intubations * Endoscopy * Trans Esophageal Echocardiograms * Bronchoscopy Features: * Available 4in or 8in device * Option to include 5mL syringe with 8in device (301-REACH600)

Mouthpiece, White, Disposable

MDI spacer features a duckbill valve and metered dose inhaler chamber which is fluted and anti-static. The chamber comes in both collapsible and rigid forms. Features: * Fluted * Anti-static * Available as collapsible or rigid

⚠ WARNING: These products can expose you to chemicals such as polypropylene/nylon which are known to the State of California to cause cancer and/or birth defects or other reproductive harm. For more information, go to www.P65Warnings.ca.gov. Aerosol Tee is a multi-use, universal respiratory connector (22 mm OD, 15 mm ID) that has a loop on the "T" that facilitates hanging.

AeroChamber Plus® Z STAT® anti-static Valved Holding Chamber (aVHC) helps reduce the coordination required between canister activation and inhalation, making it easier for the patient to use the MDI correctly. It also reduces drug deposition to the mouth and throat, helping to eliminate the unpleasant taste of medication or hoarseness.

The Aerogen® Solo offers a hands-free, high performance aerosol drug delivery system which provides optimal patient care. * Operates with ventilated and non-ventilated patients when coupled with the Aerogen Ultra. * Does not heat or degrade medication. Suitable for solutions, suspensions, proteins and peptides. * Single patient use for up to 28 days intermittent or 7 days continuous. * Powered by the Aerogen Pro-X Controller for continuous use or the Aerogen USB Controller for intermittent use. Replacement nebulizer designed for Aerogen® Solo.

This product is part of the Aeroverse System from Monaghan. AeroEclipse® II Breath Actuated Nebulizer (BAN) features includes: * Built-in mode selector provides convenient, easy selection of Breath actuated and Continuous operational modes. Green "feedback" button signals actuation and provides a visual assist to proper use and breathing technique. * Diaphragm and grid system enhance actuation sensitivity thereby lowering triggering point–only 15 LPM of inspiratory effort is required to trigger the device. * Mouthpiece can be removed and replaced with Monaghan Medical's disposable or reusable masks, or can be used with an elbow mask adapter to accommodate any standard aerosol mask. * One-way exhalation valve virtually eliminates the mixing of inspirate and expirate. * Ergonomic size and shape fit comfortably in the hand. Clarified polypropylene allows easy visualization of molded-in fill lines. * Molded-in fill lines 0.5 ml to 6 ml. * One-quarter turn assembly firmly attaches top to cup. * Air entrainment through the back of the nebulizer conditions the aerosol and improves delivery of fine particle mass.

The Aerogen® Solo Continuous Nebulization Syringe is an accessory for the Aerogen® Aerogen Solo Nebulizer System. It is a single patient use system designed for continous nebulization and medication delivery to patients. Features: * Precise, drop-by-drop medication delivery control * Continuous nebulization * Works with most standard syringe pumps * Integrated safety features

Disposable Tee Adapter for Aerogen® Solo. Pack of 10.

Aerogen® Pro-X controller designed for USA use powers the Aerogen® Solo in one easy to use device. Kit includes: * Pro-X Control module * Cable * AC/DC adapter * Mounting brackets * Instruction manual Related Studies * Management of COVID-19 from the Pulmonologists Perspective * Practical strategies to reduce nosocomial transmission to healthcare professionals providing respiratory care to patients with COVID-19 * Practical strategies for a safe and effective delivery of aerosolized medications to patients with COVID-19 * Safe bronchodilator treatment in mechanically ventilated COVID-19 patients REFERENCES: * Ari A. Practical strategies for a safe and effective delivery of aerosolized medications to patients with COVID-19. Respir. Med. 2020; 167. doi:10.1016/j.rmed.2020.105987. * Miller A, Epstein D. Safe bronchodilator treatment in mechanically ventilated COVID-19 patients: A single center experience. J. Crit. Care. 2020; 58: 56–57. * Fink JB, Ehrmann S, Li J, Dailey P, McKiernan P, Darquenne C et al. Reducing Aerosol-Related Risk of Transmission in the Era of COVID-19: An Interim Guidance Endorsed by the International Society of Aerosols in Medicine. J Aerosol Med Pulm Drug Deliv 2020; : jamp.2020.1615. * O'Toole C, McGrath JA, Joyce M, Bennett G, Byrne MA, MacLoughlin R. Fugitive Aerosol Therapy Emissions during Mechanical Ventilation: In Vitro Assessment of the Effect of Tidal Volume and Use of Protective Filters. Aerosol Air Qual Res 2020; 20. doi:10.4209/aaqr.2020.04.0176. * Halpin DMG, Criner GJ, Papi A, Singh D, Anzueto A, Martinez FJ et al. Global Initiative for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease: The 2020 GOLD Science Committee Report on COVID-19 & COPD. Am J Respir Crit Care Med 2020. doi:10.1164/rccm.202009-3533SO. * Joyce M, McGrath JA, Mac Giolla Eain M, O'Sullivan A, Byrne M, MacLoughlin R. Nebuliser Type Influences Both Patient-Derived Bioaerosol Emissions and Ventilation Parameters during Mechanical Ventilation. Pharmaceutics 2021; 13: 199. PM951

The Aerogen Ultra is an accessory specific to the Aerogen Solo nebulizer. It facilitates intermittent and continuous nebulization and optional supply of supplemental oxygen to pediatric and adult patients via mouthpiece. The device can alternatively be used with a facemask, which is not provided. It is a single patient use device which can be used for the delivery of solutions, suspensions, proteins and peptides at all stages of patient care. Features: * Available with oxygen tubing, see product specifications * Ergonomic valved mouthpiece for optimal aerosol delivery * Fits all standard aerosol masks REFERENCES: Ari A. Practical strategies for a safe and effective delivery of aerosolized medications to patients with COVID-19. Respir. Med. 2020; 167. doi:10.1016/j.rmed.2020.105987. Miller A, Epstein D. Safe bronchodilator treatment in mechanically ventilated COVID-19 patients: A single center experience. J. Crit. Care. 2020; 58: 56–57. Fink JB, Ehrmann S, Li J, Dailey P, McKiernan P, Darquenne C et al. Reducing Aerosol-Related Risk of Transmission in the Era of COVID-19: An Interim Guidance Endorsed by the International Society of Aerosols in Medicine. J Aerosol Med Pulm Drug Deliv 2020; : jamp.2020.1615. O'Toole C, McGrath JA, Joyce M, Bennett G, Byrne MA, MacLoughlin R. Fugitive Aerosol Therapy Emissions during Mechanical Ventilation: In Vitro Assessment of the Effect of Tidal Volume and Use of Protective Filters. Aerosol Air Qual Res 2020; 20. doi:10.4209/aaqr.2020.04.0176. Halpin DMG, Criner GJ, Papi A, Singh D, Anzueto A, Martinez FJ et al. Global Initiative for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease: The 2020 GOLD Science Committee Report on COVID-19 & COPD. Am J Respir Crit Care Med 2020. doi:10.1164/rccm.202009-3533SO. Joyce M, McGrath JA, Mac Giolla Eain M, O'Sullivan A, Byrne M, MacLoughlin R. Nebuliser Type Influences Both Patient-Derived Bioaerosol Emissions and Ventilation Parameters during Mechanical Ventilation. Pharmaceutics 2021; 13: 199. PM951

Continuous nebulization tube set is an accessory to the Aerogen® Solo micropump nebulizer and includes: * Non standard connectors eliminating the risk of misconnection * Unique blue color coded tubing for ease of identification * Drop by drop continuous nebulization * Works with standard syringe pumps * No additional labels required * Tubing Length : 1700mm (1.7m) approx * Priming Volume: 3.65mL max

Controller Cable is an 8ft long extension cable for Aerogen Controller. Features: • 8.2ft long • For Aerogen Controller

AeroChamber Plus® Flow-Vu® Anti-Static Valved Holding Chambers features: * Flow-Vu® IFI * FLOWSIGnal® Whistle * StatBan® Anti-static Polymer Chamber * Flow Dynamic Valve and Baffle System * EZ Flow Exhalation Valve * Reinforced Universal pMDI Adapter * pMDI Adapter Alignment Feature

MC 300® Nebulizer features: * Oval mouthpiece is designed to be angled for patient comfort * Exhaled breath is directed away from the face or eyes * Standard 22mm connection allows use with an aerosol mask * Ridges help with grip for assembly/removal of the top to fill * 1-6mL lines make it easy to confirm accurate fill volume * Wide base helps keep device stable when tubing is not attached * Available with EZ Twist Tubing or Universal Tubing The Monaghan Advantage: * Air entrained, constant output delivery * Ideal particle size for small airway deposition * Fast treatment times for acute situations * Developed using clinically relevant test methods * Designed and manufactured in Canada and the USA * Not manufactured with BPA, natural rubber latex, DEHP or lead

The Maxtec locking Aerogen bracket secures any Aerogen controller to any one inch diameter pole. The bracket features a specially designed screw lock and key to prevent unwanted removal of equipment. Features: * Fits all Aerogen controllers * Locks securely to 1 inch diameter poles * Detachable key; keeps lock secure * Prevent lost or stolen equipment

The AeroChamber Mini™ Holding Chamber (HC) is a unique device designed to deliver pressurized Metered Dose Inhaler medication to patients requiring assisted ventilation within a hospital environment. It can be easily connected to the endotracheal tube in front of the wye or HME when used in a breathing circuit, but must be taken out of the circuit when the aerosol treatment has taken place. Use in conjunction with: * Mechanical ventilation circuit * Manual resuscitation bag via endotracheal/tracheal tube * Standard aerosol resuscitation mask Features: * StatBan® Anti-Static Chamber * AeroDock™ canister port * 15mm ID/ wye connection

AeroTrach Plus® anti-static Valved Holding Chamber (aVHC) features include: * Valve and baffle system maximizes the delivery of fine particles emitted from standard pressurized MDIs * Anti-static polymer material minimizes static charge which improves aerosol availability * Unique, clear, Comfort Right Fit™ adapter ensures visibility * Aerodynamic Chamber * Flow Dynamic Design: Improves respirable dose of medication; allows exhalation away from the patient