SURGICAL MONITOR PRODUCT OVERVIEW

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SURGICAL MONITOR PRODUCT OVERVIEW

Fully-integrated system delivers optimal performance with ease-of-use NUVO introduces a product that sharpens and enhances your view for every type of endoscopic procedure. Our integrated system combines advanced technology with simplicity of use in a seamless, easy-to-use package with integrated light and monitoring systems that combine the NUVO Surgical Light with the NUVO Surgical Monitoring System. The latest flat-screen LCD technology centrally-mounted at the same axis as the light offers total freedom of movement around the patient. The high-resolution, glare-resistant display makes this LCD the perfect complement to any endoscopic camera system. It can be used to display images from multiple sources such as video cameras, radiology/c-arm and more.

NUVO s Monitoring System Brings Comfort to the OR Team Unrestricted monitor positioning helps eliminate a surgeon s neck and back strain while performing a procedure. The use of a second monitor mounted from the same hub affords the same comfort to the assisting physician. Plus, custom-designed slip rings enable users to continually rotate the monitor around the vertical axis. The counter balance arm allows users to position the monitor at the optimal height and distance for each surgeon. Plus, the sterile handle on the side of the monitor is readily accessible for minor positioning adjustments during a case. For added convenience, pressing the button located on the end of the sterilizable handle provides the surgeon with access to as many as four different images on each monitor.

NUVO SURGICAL MONITORING SYSTEM INTRODUCING OPTIMUM VIEWING... The NUVO Surgical Monitoring System combines innovative features and built-in flexibility to promote convenience and comfort in the OR. This system offers: Vertical adjustment Continuous rotation (no physical stops) on every joint Flat-screen LCD technology on a centrally-mounted arm High-resolution, glare-resistant LCD display Image displays from multiple sources such as video cameras, radiology/c-arm, etc. Comfortable monitor viewing angles for surgeons eliminating back and neck pain Sterile handle mounted on the right side of the monitor allows easy positioning while a button on the end of the handle scrolls through the available images on the monitor Wall-mounted adjustments for added control Eliminates the hazards that unstable carts and tangled cords can cause Single- or dual-monitor mounts Dual monitor hubs enable users to mount two monitors from the light mount, in addition to a single or dual light. Position the monitor(s) anywhere around the patient either separately or together. Select 15- or 19-inch monitors. Compact and easily stored Monitors easily stow out of the way with fold-away convenience providing plenty of headroom for the surgical team to clean-up. Less clutter and easier to clean NUVO delivers maximum flexibility in far less space than competitive models with a sleek design that neatly conceals a critical network of wires and connectors protecting them from damage. This smooth design also facilitates faster, easier cleaning following cases. Sterile Positioning Handle Position the monitor easily from within the sterile field, as well as access to the control button to select images viewable on the monitor.

Designed specifically for the OR environment Unlike many suppliers of LCD monitors who fashion existing off-the-shelf displays into medical equipment, we designed this flat-panel from the ground up for extreme durability and safety. Membrane style buttons and a non dimpled, sealed casing ensures particles (orthopedics) or other foreign matter won t accumulate into voids or openings and possibly spread contaminants. The completely sealed case also protects the internal components from any exposure to liquids that can sometimes be prevalent in the OR facility. The unit is also designed to run without fans of any sort (internal or external) that could possibly make contaminants airborne and spread bacteria. The 24Vdc power supply makes an excellent solution for the NUVO pendant or arm mounts that are constantly being repositioned. The low voltage input, puts to rest any concern with running mains power through a metal arm.

The NUVO Monitoring System has taken performance to a whole new level Special consideration has been given to the design of the electronic circuitry to protect the signal and display against unwanted interference, especially when using electro surgery equipment, ensuring the highest quality image at all times.

MULTI-CHANNEL SWITCHING SYSTEM Multiple images available at your finger tips support real-time decisions. The NUVO Monitoring System is supported by a multi-channel switching system that combines images from various sources that can be viewed during surgical procedures. Image selection at the surgeon s finger tips from within the sterile field. Channel 2 Channel 1 Channel 3 Channel 4 Additional outputs provide convenient connections for additional monitors mounted on pendants or at the circulator s station. Endoscopic Camera Auditorium Remote Camera X-Ray C-arm Video images are fed through four inputs conveniently located in the OR. Overhead Camera Other image sources can be accommodated, e.g. radiology/pacs.

INTRODUCING NUVO SURGICAL SUITE... Our new system combines advanced surgical suite technology by integrating the NUVO light and NUVO monitoring system in a seamless, easy-to-use package. With the NUVO Surgical Light and NUVO Surgical Monitoring System, we deliver a product that sharpens and enhances your view for every type of endoscopic procedure. Each system component features best-in-class technology for superb illumination and detail with: the latest flat-screen LCD technology on a centrally-mounted arm on the same axis as the light providing total freedom of movement around the patient high-resolution, glare-resistant LCD display image displays from multiple sources such as video cameras, radiology/c-arm and more The NUVO Surgical Light The NUVO light s compact head is extremely easy to position. Controls for all functions are conveniently placed within the sterile field. A highly-advanced cooling system delivers color-correct, ultra-cool light. All of this, combined with excellent shadow reduction, makes NUVO s Surgical Light the light of choice for today s surgical suites. 5368 Kuhl Road Erie, PA 16510-4703 (800) 663-1152 (814) 899-4220 Fax: (814) 899-1410 www.nuvosurgical.com M2Z00162 NUVO reserves the right to make changes without notice in design, specifications, and models. The only warranty NUVO makes is the express written warranty extended on the sale or rental of its products. 2003 NUVO ALL RIGHTS RESERVED.

SURGICAL LIGHT TECHNOLOGY BEHIND THE LIGHT

The Requirements of a Surgical Light. Work in the operating room is by its very nature life critical, and the constant, accurate processing of visual information is essential to success. The requirements for lighting the surgical sight are strict and varied. The light must be exceptionally bright, however, it must also be very cool, so as not to damage tissue, or heat the head of the surgeon. It must not distort the color of the tissue. The pattern of light should generally be circular with an edge that is defined, but not too severe. The interior of the light pattern should be free from dark rings, spots, or other irregularities. It is difficult to imagine any task more demanding than each lamp head carries two bulbs. if one FAILS, the second one illuminates seamlessly. 23 compact 23 lens tolerates up to 70% blockage of light more than light heads 50% larger. light intensity, pattern, position, and on/off can be adjusted from the sterile handle.

all joints of the NUVO surgical light are free to rotate continuously, without rigid stops, to provide maximum POSITIONING FLEXIBILITY. at 4,300K, color temperature of the light is balanced to provide ACCURATE visual assessment of the patient. one facing the surgical team during a typical procedure. As the working area for the surgical procedure may vary significantly in size, the light must offer an adjustable pattern. The area above the surgical site must be resistant to shadowing when an object, such as the surgeon s head, is placed directly in the beam. When procedures require the opening of deep cavities, the light must be capable of penetrating such a cavity without being refocused. Total failure of the light is unacceptable. Even though surgical lights are generally used in pairs, a single light should have a redundant light source capable of producing adequate performance for the duration of the case. To cap this ambitious list, the light must perform uniformly well through a range of distances and it is strongly preferred that the light not require adjustment as a case proceeds. With such an array of critical requirements, there are virtually an infinite number of possible combinations to consider, and it s not surprising that several of them are in direct opposition to one another. NUVO approached this complex problem by using its custom computer-modeling program to compute practically all possible permutations and be able to eliminate nonviable combinations. In conclusion, we arrived at a solution that optimized all aspects of a light s performance the NUVO Surgical Light.

The Reflector. Highly polished reflector technology has enabled NUVO to achieve an exceptionally uniform and versatile light pattern for its NUVO Surgical Light. It can be adjusted in diameter from 5.5 inches up to 10 inches, has a soft feathered edge, and will tolerate as much as 70% of the light field being blocked without a significant reduction in light intensity occurring. To achieve this level of performance, the reflector utilizes three patented technologies. Two geometric shapes are combined. A parabola, defining the perimeter of the emitted light pattern, transforms into an ellipse to achieve shadow reduction, depth of field, and cavity penetration. 2000 optical facets are burnished into the surface of the reflector. A typical facet was about 65% efficient and required a considerable increase in bulb output and related heat output to achieve intensity requirements. NUVO, with the aid of its specially-designed, computermodeling program, developed facets that increased the efficiency to almost 95%. special shaped facets are almost 95% efficient. hot air rises between reflector walls to peak of dome. ellipse With patented shaping and positioning, 2,000 facets are Shadows are virtually eliminated. The specific angled position of each facet permits light from 30 different positions on the reflector surface to focus onto the same 1.5 cm 2 of the operating surface. This redundancy means that light from only 7-8 of the 30 facets in each grouping is needed to deliver the required level of intensity. When all 30 groupings are mapped together, they create a uniform pattern, which will tolerate 70% blockage (22-23 facets of each 30) before a noticeable decrease in light intensity is witnessed. Keeping It Cool Naturally. The high-efficiency reflector, coupled with the low-wattage bulb, contribute significantly to the low-heat output of the light. But since reducing heat output is such a significant factor for surgeons, the design was further enhanced. Special filter-glass panels block 99% of the infrared heat emitted from the bulb, and are positioned to create a labyrinth which naturally funnels hot air upward. This convection process within the light head, as well as hot air rising inside the reflector walls, draws all the hot air up to the peak of the light dome. At this point, the heat is radiantly transferred through a special non-metallic cap and out above the light head. The net result is a light that delivers the lowest heat-to-light ratio in its class at 3.6µW/cm 2 /fc.

HEAT IS TRANSFERRED RADIANTLY OUT THROUGH THE SPECIALLY- FORMULATED, NON-METALLIC CAP. NATURAL CONVECTION FUNNELS HOT air away from bulb. ir filter-glass panels block 99% of infrared heat from bulb. PARABOLA individually burnished into a single aluminum dome.

A New Shape With a Purpose. A parabolic reflector can be used to capture light from a small source and create a beam with a diameter equal to that of the reflector. An elliptical reflector can gather the source s light and focus it at a more distant point. Given the requirements for light to illuminate deep into a cavity, illuminate the cavity walls, as well as maintain a constant quality of pattern through the field of light a blended shape, somewhere between a parabola and an ellipse is most appropriate. In fact, the NUVO Surgical Light, with its distant focal point lying somewhat beyond the focal plane at which a pattern is materialized, meets this requirement precisely. Shadow-free, color-correct illumination deeply penetra 3,000 K 4,300 K 4,500 K The Right Color for Accurate Decision Making. The goal of a surgical light is to deliver highintensity light that is capable of illuminating the most demanding surgical site. All artificial light sources, capable of achieving this task, will distort an object s color if not carefully adjusted. The NUVO Surgical Light utilizes IR filters that have been specially formulated to correct the color of light it emits. Imagine for a moment walking through a park early on a sunny morning. What you observe is the rich color of the trees, the lushness of the grass, and the luster of the roses. The reason everything appears so rich in color is due to the color temperature being about 3,000 K, which adds a great deal of red to objects. Conversely, as the day comes to a close, the color temperature rises to 5,000 K and beyond. Objects then appear more aged and much more blue. Mid-day, when the color temperature is 4,200 K-4,300 K, is the best time to view items for well-balanced color. It is no coincidence that surgeons have long claimed that a color temperature

a consistent light pattern can illuminate a focal plane from 23-52 from the operating surface, maintaining a diameter of 5.5-10 with a soft feathered edge. tes the cavity, maintaining a constant quality pattern. 23-52 5.5 10 of 4,000 K-4,400 K is ideal to correctly assess skin, organ, and bone condition. It is for this reason the NUVO Surgical Light has a color temperature of 4,300 K. The Best of the Best. In summary, the NUVO Surgical Light delivers a powerful light intensity at 137,000 lux per light head with a low heat-to-light ratio. Its compact 23- inch lens will tolerate as much as 70% blockage of the light before a noticeable decrease in light intensity is experienced that s more tolerance than light heads that are 50% larger! The combination of high intensity, adjustable pattern, excellent depth of field and cavity penetration collectively deliver nothing short of optical excellence the NUVO Surgical Light.

NUVO Surgical Light... nothing short of optical excellence. Nuvo, Inc. 5368 Kuhl Road Erie, PA 16510-4703 (800) 663-1152 (814) 899-4220 Fax: (814) 899-1410 www.nuvosurgical.com NUVO reserves the right to make changes without notice in design, specifications, and models. The only warranty NUVO makes is the express written warranty extended on the sale or rental of its products. 2003 NUVO ALL RIGHTS RESERVED. S2Z00200

SURGICAL LIGHT PRODUCT OVERVIEW

Improved Procedure Efficiency at Your Fingertips Maximum illumination, excellent shadow reduction, full freedom of movement, and easy-to-operate controls at the sterile handle make the NUVO Surgical Light the light of choice in today s surgical suites.

Proven Performance of the NUVO Surgical Light There is no question in my mind that this Surgical Light has more to offer in terms of true innovation than any light I have evaluated over the past five years. They have listened to the changing needs of the consumer and responded with a product that incorporates solutions to our changing surgical environment. Director of Perioperative Services They have come with a fresh perspective which is reflected in their new line of products. They have demonstrated a willingness to explore new ideas, like the controls on the Surgical Light, and for this I applaud them. Vascular Surgeon

The NUVO Surgical Light Delivers Tot The NUVO light s trademark is its combination of shadow reduction packaged in a compact, extremely easy-to-position light head. This, coupled with the total control of all the light functions from within the sterile field, and the fact that it incorporates a state-of-the-art cooling system to deliver color-correct, ultra-cool light, leads to the acknowledgement of the NUVO Surgical Light as the product of choice for today s surgical suite. Deep Cavity Illumination The depth of field offered by this light negates the need to refocus midway through a procedure. Shadow Control The multi-faceted reflector generates 1,890 individual rays of light, which will tolerate a large percentage of the projected light being blocked before a shadow is evident. Long Lasting Bulbs The bulbs employed in the lamp provide as much as 1,000 hours of uninterrupted light before needing to be changed. Cool Light The use of a custom-designed IR filter ensures maximum comfort during long procedures by reducing radiated heat to a minimum. Full Articulation The sturdy free-moving support arms provide a full range of movement while remaining totally stable once positioned. Clean Lines Special attention has been paid to the aesthetics to reduce visual clutter and improve cleanability. Color-Corrected Light The output from the lamp has been optimized at 4,300 K to ensure color clarity of the surgical light. Convenient Controls Controls for intensity are available either on the sterile handle or from the wall-mounted panel (or both). Sterile Positioning Handle The handle can be removed for sterilizing or used in conjunction with a sterile cover. This handle provides many functions. First and foremost it provides the means by which the light can be positioned from within the sterile field. Secondly, the handle incorporates the controls for adjusting the light intensity, on/off switch and pattern adjustment. Changing Bulbs Made Easy Each lamp head carries two bulbs. If one fails, the second one illuminates immediately, making the changeover virtually unnoticed. Bulbs can be replaced in a matter of minutes, without tools. Spares are stored in the wall-mounted control.

... All Ligh al Control The light can be turned on and off, and the intensity, pattern, and position can all be adjusted from the sterile handle.

t Controls are in the Sterile Field Wall Controls Wall-mounted controls are precise and easy to use. The smooth, easy-to-clean housing also stores spare bulbs in a concealed compartment.

Technology Behind the NUVO Light Simple design. Dynamic results. 135,000 lux are generated from a single 180-watt bulb. 1. 1,890 Facets... the reflector is constructed from a single piece of highly-polished aluminum alloy. The single piece construction ensures that the quality of pattern is maintained over time preventing any distortion. The surface of the reflector has 1,890 facets precisely honed into the surface to capture the maximum amount of light available and project it down into the field of view. 2. The facets deliver the intensity required; and to achieve the shadow reduction, the 1,890 facets have been divided into clusters of approximately 30. The light reflected from each of the 30 facets illuminates an area of the light pattern. To achieve the desired level of performance, the light from only 7-8 facets is required. Since these facets are spread evenly throughout the light head it stands to reason that the light head will tolerate 70-75% (20-22 facets) of the light output being blocked before a noticeable decrease in light intensity is witnessed. 3. To achieve the quality of pattern required, that doesn t scatter unnecessary light outside the surgical field, the reflector combines two geometric shapes namely, elliptical and parabolic. The outer edge of the reflector uses the parabola to give a defined edge to the pattern while also providing a soft feathered edge to help reduce eyestrain. The ellipse provides for an adjustable focal point to allow maximum movement of the light during different procedures without compromising the workable depth of field.

The NUVO OR Suite A Truly Integrated System NUVO s OR Suite combines the Surgical Light with the Surgical Monitor to provide a single integrated system that optimizes your ability to view endoscopic procedures. The Surgical Light with the centrallymounted Monitor accommodates total freedom of movement around the surgical field to allow for optimal positioning and posture during surgery. Monitor Storage The monitor moves completely out of the way when not in use, without affecting the light. Sterile Positioning Handle Position the monitor easily from within the sterile field. Less Clutter and Easier to Clean The sleek design of the NUVO Surgical Monitor delivers maximum flexibility in far less OR space. All the wires and connectors are neatly concealed, for fast, easy cleaning between procedures. 5368 Kuhl Road Erie, PA 16510-4703 (800) 663-1152 (814) 899-4220 Fax: (814) 899-1410 www.nuvosurgical.com NUVO reserves the right to make changes without notice in design, specifications, and models. The only warranty NUVO makes is the express written warranty extended on the sale or rental of its products. 2003 NUVO ALL RIGHTS RESERVED. S2Z00162

VOL ANTÉ SURGICAL TABLES PRODUCT OVERVIEW

Versatility begins with V... Full-feature table controlled by hand control or optional foot control

V1000T V1000 V750 The Volanté Series of Surgical Tables. Sleek, streamlined stainless steel construction Powered surgical table with 180 rotating top Full-length radiolucent top Offset cylindrical column for superior imaging Superior weight capacity Standard back-up battery Auto-leveling brake system 12" horizontal slide Full line of accessories for all specialties Optional traction bar assembly Removable head and/or leg section All models include 2" pressure-relieving mattress Ease of movement with steering castors

180 ROTATING TOP Experience the ease of patient positioning with the Volanté 180 rotating top. V1000T Volanté s V1000T 12" horizontal sliding top offers superior full-body imaging access. Whether it s the upper torso or lower extremities, the surgical staff will have total control at their fingertips. ENHANCED IMAGING ACCESS Image the possibilities with the Volanté line of surgical tables. Table Traversed Toward Head V1000 & V750 Volanté s V1000 and V750 offer excellent C-arm access with 180 rotating table top. Table Traversed Toward Foot

Models V1000T, V1000 & V750 Neurological Seated Position Nephretomy Procedure Laminectomy Procedure Gynecology & Urology Procedures

V1000T Orthopedic When you don t have time to waste... Volanté Traction Assembly Fibia and Tibia Adjustable Height Lateral Position Hip Fractures

Volanté Traction Assembly requires only one person for installation. Simply remove the standard split leg section of the Volanté V1000T and the traction assembly attaches effortlessly. The V1000T is a surgical table for all specialties. (Shown with transport cart and all accessories.) NUVO Shoulder Chair NUVO Shoulder Chair attaches effortlessly to the Volanté line Lateral support and removable wings for unparalleled access

Models V1000T V1000 V750 1000 lbs. Lift Capacity 1000 lbs. Lift Capacity 750 lbs. Lift Capacity 800 lbs. Articulation 800 lbs. Articulation 750 lbs. Articulation 12" Horizontal Slide 180 Rotating Top 180 Rotating Top 180 Rotating Top Removable Head Section Removable Head Section can be attached to Leg Section can be attached to Leg Section Removable Head Section Standard Removable Split Leg Section Optional Traction Bar Assembly From Trauma Surgery to Ambulatory Surgery, the Volanté Series brings versatility to the operating room. Ideal for all Specialties Dimensions Table Tbl Top Length: Width: Max. Height: Min. Height: 78 inches 19-3/4 inches 43 inches 29 inches Lift Capacity V1000T V1000 V750 1,000 lbs. 1,000 lbs. 750 lbs. Back Up 90 Back Down 40 30 Trendelenburg and Reverse Trendelenburg Articulation V1000T V1000 V750 Lateral Tilt 800 lbs. 800 lbs. 750 lbs. 30 degrees Trendelenburg 30 degrees Reflex 90 Back Section + 90 degrees - 40 degrees Head Section + 30 degrees - 90 degrees Leg Section + 0 degrees - 105 degrees Flex 40 Head Up 30 Head Down 90 Leg Up 0 Leg Down 105 30 Lateral Tilt Right & Left Table Rotation Self-Leveling Brakes 180 degrees Powered A member of the Medical Illumination International Group 5368 Kuhl Road Erie, PA 16510-4703 (800) 663-1152 (814) 899-4220 Fax: (814) 899-1410 www.nuvosurgical.com NUVO reserves the right to make changes without notice in design, specifications, and models. The only warranty NUVO makes is the express written warranty extended on the sale or rental of its products. 2007 NUVO, Inc. ALL RIGHTS RESERVED.