Monitoring & Critical Care Midmark Animal Health Products Cardell® – the name you trust for veterinary monitoring. A line of monitoring solutions that delivers unmatched performance in exam, treatment and surgery. Trusted • Preferred by top teaching schools and used at every U.S. veterinary school • Used worldwide at thousands of veterinary schools and practices • Used by the world’s leading referral and emergency practices • Validated in published, peer-reviewed studies on cats, dogs and more Supported • Full-time clinical support team • RACE certified provider of monitoring education • Leading provider to monitoring wet labs at national/regional conferences • Demo equipment available Recommended “The Cardell® Monitor has proven to be an effective tool because it is easy to use and delivers reliable readings, even on cats, kittens and puppies.” Lorraine K. Jarboe, DVM, DABVP 2010 President, American Association of Feline Practitioners “I have tried many of the monitors on the market today, and I went with Cardell® because it accomplished the goals that we needed. It is accurate, simple to use, and our technicians really love it.” Fred Metzger, DVM, DABVP Owner Metzger Animal Hospital, State College, PA The Cardell® Family of Monitors “We need patient monitors that are reliable workhorses that we can count on at all times, in all situations. Cardell® Monitors pull all of the best technologies together in a family of monitors that are used throughout our hospitals.” Neil Shaw, DVM, DACVIM Medical Director, Blue Pearl Vet From diagnostic to multiparameter monitoring, Cardell® technology is designed to quickly provide accurate and consistent readings. Advanced motion artifact suppression technology is designed to help eliminate errors caused by shivering, panting or other movement common with animals. Readings are displayed in 15-20 seconds, designed to provide critical information needed to get ahead of potential issues with your patient’s health. No other blood pressure monitor manufactured today has as many peer-reviewed, published studies comparing its accuracy and reliability to direct invasive blood pressure, the gold standard. Following are two studies that have validated the Cardell® non-invasive blood pressure for reliability and accuracy for use on animals versus direct pressure. Sawyer DC, Guikema AH, Siegel EM. Evaluation of a new oscillometric blood pressure monitor in isoflurane-anesthetized dogs. Vet Anaesth Analg. 2004 Jan;31(1):27-39. Pedersen KM, Butler MA, Ersboll AK, Pedersen HD. Evaluation of an oscillometric blood pressure monitor for use in anesthetized cats. J Am Vet Med Assoc. 2002 Sep 1;221(5):546-50. With its touch screen technology, veterinary specific algorithms, and updated interface, the Cardell® Touch multiparameter monitor is designed to make anesthetic procedures safer and more efficient. Smaller, lighter form factor designed for easier transportation without sacrificing visibility Cardell® Touch Customizable alarm settings for up to three users Designed to be more versatile and easier to use than its predecessors, the Cardell® Touch can help veterinary professionals improve patient care and efficiency by simplifying every step of the procedure, from patient setup and alarm adjustment, to data export and analysis. Above all, an anesthesia monitor should be safe, reliable and user-friendly. The Cardell® Touch is designed to be both highly advanced and easy to use. With veterinary-specific algorithms and exclusive Cardell® Blood Pressure Technology, the Touch is the latest innovation from the most trusted name in veterinary vital signs monitoring. Simple patient set-up with intuitive 10.5" touch screen or traditional-style buttons Distinctive features: Optional integrated 3-channel printer, prints waveforms or tabular readings with manual, alarm-triggered and timed printing options • 10.5" touch screen designed to make patient set up faster and easier • Redesigned menus and improved controls for intuitive navigation • Smaller, lighter form factor to allow for easy transportation • USB port for downloading patient data • Customizable alarm settings for up to three users • World Class Cardell® BP, Nellcor® SpO2 Cardell® Touch on a Matrx VMS® Plus • Upgrade to CO2 monitoring at any time by adding a Respironics SideStream® or mainstream CO2 module • Invasive Blood Pressure and Phasein™ multigas available • Enhanced ECG data export capabilities • Optional integrated 3-channel graphical printer • 2-year warranty Add CO2 or Multigas at any time. Monitoring CO2 can alert you to trouble with your patient within two breaths. Masimo® IRMA™ Durable, accurate mainstream CO2 or multigas probe with fast initialization time Masimo® ISA™ Sidestream CO2 or multigas module with enhanced water removal system. Upgrade your Cardell® Touch to monitor CO2 multigas at any time. Diagnostic Monitoring Accessories Each of our monitors come with the accessories needed to allow for full monitoring capability, including cuffs, probes, sensors and connecting cables appropriate for the parameters chosen. They have been carefully selected to allow optimum performance on animals. Several optional accessories are also available. Consider stocking key accessories should they require replacement due to accident or normal wear and tear. Cardell® 9401 / 9402 Purchase accessories directly from the Animal Health store at: midmarkanimalhealth.com/store Designed to be compact, lightweight and durable, with an intuitive interface to make our monitors easier to use. And they're designed to fit anywhere you need them: on a narrow shelf, hanging on a cage or IV stand, or in a carry bag for ultimate mobility. Popular uses: • All areas including exam, treatment, surgery, recovery • Monitoring patients as they move around your hospital • Mobile practices and field monitoring purposes 9401 / 9402 features: • Provides systolic, diastolic, mean arterial pressure and heart rate in seconds Cardell® 9401 • Screening mode automatically calculates average of last five readings • Pulse rate range from 20 to 300 beats/minute • Set auto measurement from 1-90 minutes Cardell® BP Kit Seven cuff sizes ranging from 2 – 10 cm in width, made from a soft, hypoallergenic material and a complimentary Cardell® Cuff Selector. CO2 Sampling Tubes and Adapters Available in two sizes to help minimize dead space. Sidestream sample lines have built-in filters for moisture management without messy water traps. Nellcor® V-SAT Pulse Oximeter Sensors Durable non-slip clips in two sizes. Can be applied to the tongue, lip, ear, toe-webbing, prepuce or vulva. Ten foot extension cable is also available. ECG Cables and Lead Wires Paired with copper clips, designed to be malleable and ultra-conductive. Includes electrode gel to help sustain readings. YSI Temp Probes Designed to be durable and deliver accurate readings from either end of the patient. Large probe is included with the Cardell® Touch. Esophageal ECG Probe Combines 3-lead ECG, temperature and respiration into one probe, compatible with the Cardell® Touch. MAXFAST-1 Reflectance Sensor Can be applied to the tail (wrap included), designed for head and neck surgery or dental procedures. 9400 Series Travel Case Custom-designed nylon bag with access flaps for all connections. Buttons can be pressed through the viewing window for selfcontained monitoring, protected from the elements. Stand and Mounting Options Rolling stands and other mounting options available, designed to help protect your investment and allow for easy movement. All rolling stands feature a storage basket. • AC or rechargeable battery (4 hours) – works on 100 volt to 240 volt • Stores 99 minutes of readings or the last 5 hours • High and low alarm setting for all parameters • 13 cuffs in 7 different sizes included • 3-year warranty; 1 year on battery pack 9402 features: • Nellcor® all-digital OxiMax® SpO2 technology designed to provide superior accuracy and works in low perfusion and during patient motion • A reflectance SpO2 sensor (MaxFast-1) is available for use on the base of the tail during dental procedures Criteria Measures systolic blood pressure Measures diastolic blood pressure Measures MAP Measures pulse rate Has automated cycle Has user-selectable alarms Detects artifacts Efficient and user-friendly Noise will NOT interfere Patient acceptance Simple measurement process Mode of operation Prep of measurement site Canine measurements Feline measurements Cardell® 9402 Doppler Cardell® Measures individual pulse wave, momentary situation Shear & apply gel Can be learned with some practice Can be learned with some practice Average all pulse waves over 10-15 seconds NONE Easy to learn Can be learned with some practice Essential Facts of Blood Pressure in Dogs and Cats; Egner, Carr & Brown © 2003 Specifications 9401/9402 Cardell® Touch Non-invasive Blood Pressure (NIBP) Cardell® NIBP Cardell® NIBP Pulse Oximetry (SpO2) Nellcor® Oximax® 9402 Nellcor® Oximax® CO2 (End Tidal Carbon Dioxide) No Optional (add anytime) Masimo® IRMA™ mainstream or ISA™ sidestream 3-Lead Standard, 5-Lead Optional ECG SpO2 Pulse Rate (9402) HR/PR 9401/9402 (PR) HR/PR Temperature No 2-Channel YSI Respiration/Method No Indirect: Impedance Direct: EtCO2 (optional) Invasive Blood Pressure No 2-Channel (optional) Anesthetic Gases No Masimo® Phasein™ Multigas mainstream or sidestream (optional) Display LED Numeric 10.5" LCD Resistive Touch Screen Printer No Integrated (optional) Waveform Display N/A 4-Channel Standard, 6–8 Channels Optional ECG Vector Waveform Display N/A 2-Channel ECG Recall N/A 12 Minutes ECG Gain N/A Auto, x¼, x½, x1, x2, x4 CO2, N2O, ISO, SEV, ENF, DES, HAL HR/PR Range 30 – 300 bpm 15 - 300 bpm NIBP Modes Manual, Auto, Screening Manual, Auto, Stat Graphical Trends N/A 120 Hours Tabular Trends 480 600 Parameter Alarms User defined high/low 3 user-defined high/low with 4 defaults (cat, dog, horse, other) Download to PC No USB stick PC Download Capability No Automated Visualizer Software Video Output No VGA Weight 3 lb 9.1 lb Battery Life 4 Hours 2 – 4 Hours Voltage 100 – 240V 100 – 240V Warranty on Monitor (years) 3 2 Blood Pressure - Cardell® Technique: Oscillometric Parameters: Systolic, diastolic, mean Automatic Cycle Times: 1, 2, 3, 4, 5, 10, 15, 30, 60 min. Determination Time: - Small cuff: 18 seconds typical @ 160 breaths per minute 120/80 - Large cuff: 26 seconds typical @ 75 breaths per minute 120/80 Max time allowed: 150 sec. Initial Inflation: 150 mmHg Range: 20-265 mmHg Motion Artifact Suppression: Yes Pulse Oximetry (SpO2) - Nellcor ® CO2 - Mainstream CO2 - Sidestream Oxygen Sat. Range: 0-100% SpO2 Accuracy: 70-100% = ±2% Pulse Rate Range: 20-300 BPM Probe: Digital lingual sensor w/ small and large clips Optional Probe: Max-Fast® reflectance Brand: IRMA™ Initialization: <10 seconds Zeroing: <1 second CO2 Accuracy: 0-15 vol% +/- (0.2 vol% +2% of reading) Respiration Rate Range: 0-150 breaths per minute Routine Calibration: None Durability: 100 × 6 ft drop test Airway adapter volume: Regular (<6 mL), Small (<1 mL) Brand: Masimo® ISA™ Initialization: Auto zero <3 seconds, full initialization <10 seconds CO2 Accuracy: 0-15 vol% +/-(0.2 vol% +2% of reading) Respiration Rate Range: 0-150 breaths per minute Water Removal System: Nomoline Sampling line Routine Calibration: None Airway adapter volume: Regular (<6 mL), Small (<1 mL) ECG ECG Heart Rate Range: 20-300 BPM Lead Selection: I, II, III, aVR, aVL, aVF, V Lead Fault Alarm: Audible, Visual ECG Cable/Leadwire: 3 or 5 lead Sweep Speed: 12.5/25/50 mm/sec. ECG Calibration: 1mV Masimo® facebook.com/MidmarkAnimalHealth For distribution by Midmark Corporation • 60 Vista Drive, Versailles, OH 45380 • 1-800-MIDMARK • midmarkanimalhealth.com/cardell © 2011 Midmark Corporation • Products subject to improvement changes without notice • Litho in U.S.A. • 007-0871-00 Rev. F1 (3/15) Midmark is an ISO 13485 and ISO 9001 Certified Company.