KS AIRWAY MANAGEMENT

SOLUTION
What‘s New?
 KS AWM Evolution
Mountain of Airway Mangement

2016: C-MAC® Premium Line, + MAC #0, Relaunch C-MAC ® S

2015: C-MAC ® Guide

2014: C-MAC ® III Monitor, FIVE 4.0, D-BLADE Ped.

2013: C-MAC ® S

2012: C-MAC ® PM, FIVE 5.5

2011: C-CAM ®, C-HUB ® , MILLER #0,1

2010: C-MAC ® II Monitor, D-BLADE

2008: C-MAC ® I Monitor, MAC #2,3,4

 C-MAC Solution

C-MAC Monitor

C-MAC Monitor 8402 ZX C-MAC PM

C-MAC PM premium
8403 ZX

C-CAM Imager E-Module

C-MAC Blades premium
FIVEs Fiberscopes (ocular) C-MAC S C-MAC Blades
C-MAC VL
What’s new
with the
C-MAC?
1- CMAC Blades
This is what you know…
… and this is new!
1- CMAC Blades
 1- CMAC Blades
C-MAC® System interface
 no e-module anymore
Shorter handle for obese patients
BlueButton for recording
Shorter handle

10,75 cm
Blade Type on the handle
9 cm

better image quality

Reprocessable up to 93°C
CMAC Blades

Reprocessable up to 93° C

Thermic sterilization up to 93°C

Waterproof IPX8
HLD
Sterris 100S, Sterrad 100NX
Only VL in the market
 CMAC Blades

How to connect:

Match nose of metallic part

of C-MAC® Connection
Cable with nose of Universal
C-MAC® system interface on
the Blade
New generation of C-MAC® VL

5 x better
image
quality
Blades Portfolio

8 different
BLADES!
D-BLADE & D-BLADE Ped.
MILLER #0 & #1
MACINTOSH #4, #3, #2, #0
Bigger Pediatric Offering

Pediatric Blades D-Blade

# Ped.
Small Patients, Big Range MILLER MACINTOSH
Biggest Ped. Range in # 0, 1 # 0, 2
Market
New MACINTOSH #0
Shorter distance with
Miller #0 between the
Tip of the blade and the
Camera
Bigger Pediatric Offering
C-MAC® Video Laryngoscope MAC#0

For neonates and customers who

tend to use curved blades
Extreme low profile
Great results in combination with
short handle
Excellent image quality
No MAC#0 on the market
2- New C-MAC PM

se
u
f or
d y
a
Re
C-MAC PM: F&B

documentation function is indicated by a blue bar

recording time is visible on the left
current folder is visible on the right
USB / folder icon for intake capacity / memory location

picture taking video recording

 C-MAC PM: F&B

With a simple USB cable you can drag & drop the data on the computer
new folder is generated when PM is switched on
if less than 10 minutes of recording time is available, the information bar is
orange-red
pictures are stored in JPG format
videos are stored in MPEG4 format and can be recorded for up to
10 minutes
by disconnection of the blade, the recording is stopped
and saved
45 minutes of videos or 79.200 pictures
OTI

3 steps to unfolding C-MAC® Pocket Monitor:

Open To Intubate

use
f o r
ady
Re
C-MAC PM: Interface

routine use special use

pre- & in hospital tomahawk intubation
use difficult emergency
ER pediatrics
bariatric
C-MAC PM Battery

separate rechargeable battery

gets charged 80% of its capacity in 1 hours
max. 2h
LED indicators to show ongoing charging
C-MAC PM Comparison

better image quality

 C-MAC PM Comparison

bigger monitor: 3.5” (vs 2,4’’)

o l d 160° wide view-angle

1.5 hours working time vs. 1h
rechargeable battery (lithium ion)
real time recording with BlueButton
internal memory ~2 GB
plug and play: C-MAC® interface
meets RCTA /DO-160F: Standard for
electronic devices in airplanes/ helicopter
Better image quality (640x480 pixels)
3- C-MAC S

C-MAC® S
C-MAC S components

Functional C-MAC S Video-Laryngoscope consists of three parts:

C-MAC® S C-MAC® S Imager C-MAC® Monitor

confidential – only for internal use

New Imager (8403XS)

powerful CMOS chip with new high resolution

camera
New shaft material
Compatible with 8403 ZXK and/or C-HUB® II
with existing software
Manual and mechanical disinfection until 65°C
Can be changed within seconds

confidential – only for internal use

C-MAC S: Technical Improvements

1. Better Packaging

2. Lower Profile Blade = Less Traumatic

3. Reduced 15mm
the material
width at the19mm
flankwidth
for a better Image (Less Reflection)

4. Reduced material at the back to avoid teeth breaking during intubation.

5. New ramp for guiding the imager

OLD NEW
 NEW C-MAC IMAGER

 New C-MAC Imager (8403XSI) for Adult blades with the C-MAC Interface
 Reusable, Waterproof and Fully Immersible for Cleaning (HLD, 65⁰
 Excellent Solution for ER, Ambulance and ICU
PEDIATRIC BLADES

Miller #0

New Imager with

C-MAC Interface

Miller #1
4- C-MAC GUIDE
Guide for C-MAC®
C-MAC Guide

Material Stainless Steel

One size OD 5 mm 5 mm
Length 31cm
Fully autoclavable; can be reused
Clean-packed; pack of 10
GlideRite from Verathon should
undergo HLD prior to use (as per
its IFU) 31 cm

Article Number: 8401DS

Available Now!!
6- C-MAC VS

C-MAC® VS – The NEW CMOS “BONFILS”

4
3

Invented together with Prof. Brambrink

Chair of Anesthesiology, Columbia University NY
What’s new with the C-MAC VS?

Tip Deflection Angle ˃ 90⁰

Usage of Lever
C-MAC VS: Indications

Indications for C-MAC® VS:

Same indications as for Bonfils

Unexpected difficult intubations

Cervical spine immobilization
Plan-B to VL in Emergency room
 C-MAC VS: F&B

C-MAC® VS - The new Brambrink Video Stylet

70 Kg
2 parts: C-MAC® VS and connection cable
High Resolution CMOS Chip-on-Tip
5.5 mm outer diameter
Flexible tip; Anterior angle ~ 60⁰ (with Tube loaded)
Can take a load of 70 Kg
Field of view: 120⁰
Working Length ~ 41 cm;
Total length ~ 60 cm
…..Continues
 C-MAC VS: F&B

C-MAC® VS
Continues…
Data recording directly from handle
Leakage testing is advisable because of the flexible
part
Compatible with the new C-MAC® Monitor (8403
ZXK), C-MAC® PM (8403XDK) & C-HUB® II (20 2903
01) loaded with new Software
Article nos:
C-MAC® VS: 10331 BXK
Cable: 8403X
How does it work?
 C-MAC VS: Connectivity

C-MAC® System Interface : Option for connecting any of the two monitors

C-MAC® PM
 C-MAC VS: Connectivity

C-MAC® System Interface : Option for connecting any of the two monitors

C-MAC® Monitor
 Benefits

Benefits of C-MAC® VS:

• C-MAC® is a well-known brand in the field
of AM
• With C-MAC® system interface; so
connects in same C-MAC® Monitor
(8403ZXK) or C-MAC® PM (8403XDK)
• Tube holder- makes the procedure safe
• Excellent image quality with 120K Pixel
chip
 Airway Markets

Anaesthesia Emergency Room

Intensive Care Unit Prehospital

Confidential – for internal use only!

MARKET SEGMENTATION
Hospital

Intensive Care Emergency General

Burn Unit
Unit Medicine Anesthesia
T
r
a
M S C P N u
I I C I I m
C C C C a ER EMS
U U U U U
I
C
U

Non-Hospital Sector
Emergency Medical Ambulatory Surgical
Urgent Care Centers
Services Centers
Airway Markets

On which market do you think are the most difficult airways?

Anaesthesia Intensive Care Unit Prehospital

Confidential – for internal use only!

 On which market do you think are the most difficult airways?

Difficult Intubation (C&L 3-4)

25%
21%
20%
15%
15% Series1

10%
6%
5%

0%
OR EMS ICU

Heuer JF et al.; Incidence of difficult intubation in intensive care patients: analysis of contributing factors; Anaesthesia and Intensive Care [2012, 40(1):120-127]
Confidential – for internal use only!
Why are there so many difficult airways on the ICU?

Difficult patient positioning

Limited access to the head
Less residual volume
Often no inspection of the airway
Intubation is not always done by
anaesthetists
Patient often not „sober“
Not the right instruments available!

Confidential – for internal use only!

 3. How to position the product portfolio

Anaesthesia Intensive Care Unit Emergency Room Prehospital Barriatric Pediatric/Neonate

Confidential – for internal use only!

 Competition
Price
high
Innovativ

high
low

low

Confidential – for internal use only!

Competition
Price

Price vs. Innovation

high

Innovativ
high

low

low

Differentiation in two main groups:

1. High price segment and innovativ
2. Low price segment and innovativ

Argumentation:
Against 1st group: Price, Innovation, System
Against 2st group: Innovation, System

Confidential – for internal use only!

Competition
Market of Video Laryngoscopy

separate Monitor Monitor on handle

disposable reprocessable

Teaching Blade Difficult Airway Blade

Paediatry/Neonatology Adults

Channeled Blades Unchanneled Blades

single Instrument Airway Management

Confidential – for internal use only!

Competition
Do your customers want to buy a Mercedes or a Fiat?

Confidential – for internal use only!