st UNIDRIVEProgram® S III ENT 1 ProgramDillingen International Forum on Military Medicine Power Meets Precision 21–22 June 2013 Dillingen on the Danube | Bavaria | Germany Update on ballistic injuries to the head and neck

hosted and sponsored by the city of Dillingen on the Danube under the auspices of the Bavarian State Ministry of Justice and Consumer Protection Dr. Beate Merk under the auspices of the Medical Corps International Forum / MCIF

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ENT 68-2 04/2013/A-E G efä chi ßchirurgie Hand KARL STORZ GmbH & Co. KG, Mittelstraße 8, 78532 Tuttlingen/Germany, Phone: +49 (0)7461 708-0, Fax: +49 (0)7461 708-105, E-Mail: [email protected] organized by the Beta Group / KARL STORZ Endoscopy America, Inc, 2151 E. Grand Avenue, El Segundo, CA 90245-5017, USA, Phone: +1 424 218-8100, Fax: +1 800 321-1304, E-Mail: [email protected] KARL STORZ Endoscopia Latino-America, 815 N. W. 57 Av., Suite No. 480, Miami, FL 33126-2042, USA, Phone: +1 305 262-8980, Fax: +1 305 262-89 86, E-Mail: [email protected] Beta Verlag & Marketinggesellschaft mbH KARL STORZ Endoscopy Canada Ltd., 7171 Millcreek Drive, Mississauga, ON L5N 3R3, Phone: +1 905 816-4500, Fax: +1 905 858-4599, E-Mail: [email protected] www.karlstorz.com Welcoming address by the Lord Mayor of the County Welcoming address of the Bavarian State Minister of Town of Dillingen / Danube Justice and Consumer Protection

Welcome to Dillingen! Our town has a rich and varied tradition Dear Participants, stretching back hundreds of years. Counts and prince bishops lived here for a long time, and their traces can still be seen today in It is mainly attributable to the excellent work of our police and culture and architecture wherever you turn. Education and security services that physicians in Germany are fortunate enough medicine, too, have a significant place in the history of our town: not to have to deal regularly with gunshot wounds or blast injuries from 1549 to 1803 Dillingen had its own university, for instance, as a result of criminal or even terrorist activities. which concentrated on the teaching of medicine. It is in the historic university building, now the setting for the Centre for the Education But the appalling scenes that we have witnessed in Madrid, London and Training of Teachers and Personnel Management, that you will Frank Kunz and Moscow represent a warning to us that we too must be Dr. Beate Merk, be accommodated during the Dillingen Forum. Oberbürgermeister / prepared to manage such situations. At the same time, even here in Bavarian State Mayor Minister of Justice Dillingen/ Danube Germany we have recently seen such tragic incidents as the school and Consumer Dillingen, a garrison town since 1682, is also proud of its long massacres in Winnenden and Erfurt. It is thus essential that civilian Protection military history, which was maintained after the Second World War doctors as well as military physicians are made familiar with the with the stationing of the Bundeswehr, the German Army, in procedures for the diagnosis and treatment of gunshot wounds and Dillingen’s Luidpold Barracks. Today, the army base and the soldiers blast injuries. stationed there are held in high esteem by the local population and play a key role in shaping the profile of Dillingen. Specialist knowledge and skills are essential requirements if victims are to be given adequate treatment. Severe injuries to the head and This makes me all the more delighted that the subjects of medicine neck region are frequently life­threatening and can prove fatal all and the military, which are of such significance for Dillingen, will be too often if the appropriately targeted therapy is not provided. combined in the Dillingen Forum. For that I would like to thank the It is particularly opportune that you are intending to consider more initiators and organisers, above all Colonel Prof. Dr. Heinz Maier recent aspects of the diagnosis and therapy of ballistic injuries in of the German Medical Corps and Rear Admiral uh MC (ret) Dr. this symposium, which will thus provide an important platform for Christoph Büttner, as well as the Free State of Bavaria and Centre the interdisciplinary exchange of medical information and Director Dr. Paul Olbrich for making this building available to us. experience. I also note with pleasure that you have chosen the town of Dillingen I hope that you will have two wonderful days in Dillingen at these in Swabia, where I myself am at home, as the venue for the event highly interesting and most topical presentations and would be and I’d like to take this opportunity to express my hope that the delighted if you were to take fond memories of our town away with symposium will be particularly successful! you when you leave.

Frank Kunz Dr. Beate Merk Oberbürgermeister / Mayor Bavarian State Minister of Justice and Consumer Protection Dillingen/ Danube

2 3 ProgramWelcoming address by the Parliamentary Secretary of State in the Ministry of Defense Welcoming addresses / Conference Chairpersons

Dear Guests, dear Colleagues, Ladies and gentlemen, Over the past years the medical services of numerous nations were needed in various missions. Thanks to their exceptional medical st this “1 Dillingen International Forum on Military Medicine” bears quality, the injured and the ill were able to rely on great medical witness to the fact, that a high­quality conference with the aim of care. promoting the exchange of experiences between specialists of With the aim of promoting international cooperation within the several medical fields and military medical officers with a broad family of military medicine and supporting continued development experience with missions abroad has been brought about and filled Christoph Büttner, Christian Schmidt, of expertise, the MCIF is holding a workshop in Dillingen, Germany with life. Parliamentary MC Dr, Rear Admiral in June 2013. The military missions in the last twenty years have shown without Secretary of State in uh (ret) any doubt, how important the international cooperation – the Ministry of Under the scholarly direction of Colonel Prof. Dr. Maier of the Ulm especially in the field of trauma treatment – has become. Defense Military Hospital, international experts in the area of head and neck For this conference the ballistic injuries in the head and neck areas have been selected as surgery will meet to share information and knowledge. MCIF is the scientific topic, because in spite of highly improved individual body protection for hoping for an animated exchange of ideas among specialists with soldiers, especially the head and neck regions still bear a significantly higher risk of injury deployment experience, experts from the civilian realm and medical and vulnerability. officers responsible for mission planning – all to the benefit of The medical treatment of injured soldiers with the highest possible quality relies to a patients. great extent on the unbroken chain of emergency and trauma therapy from the theater During the forum leading experts will be discussing recent strategies of deployment up to the following medical care and rehabilitation in the homeland. for dealing with ballistic head and neck trauma. Heinz Maier, MD, Professor, Colonel To guarantee this is one of the biggest challenges especially for all medical specialists in Especially the following topics will be addressed: (MC) the mission zone. But only through their engaged efforts the following treatment and ▶ Ballistic trauma to the airway rehabilitation can be successful in Germany with the best possible results. ▶ Eye and ear trauma – modern concepts of treatment and The capabilities and efficiency of the Military Medical Service of the Bundeswehr enjoys rehabilitation an international appreciation and represents one of the most important factors for the ▶ Blast injury mission readiness of our Armed Forces. Above that our Military Medical Service has ▶ Plastic reconstruction already accepted and in consequence developed further the intention of NATO, to ▶ Antibiotic prophylaxis and treatment intensify the cooperation in the sense of “pooling and sharing the resources”. But ▶ Prehospital care besides the mutual utilization of personal and material, the joint application of ▶ Modern training concepts knowledge and experience is even more important. ▶ Modern imaging technologies Heike Lange, So this conference with its outstanding experts will contribute significantly to the fact An evening in historic walls will facilitate the collegial and comradely Publisher that soldiers on missions and deployments abroad can fully rely on the pledge, that in exchange. The MCIF and the City of Dillingen welcome you. It would the eventuality of being injured or wounded they will be treated with the most actual be our pleasure to welcome you in Dillingen. and best achievable medical standards. Therefore I want to thank you particularly for your engagement and express my sincere wishes for a successful course of this conference with its rewarding presentations and discussions, which in the end will bring a further increase of expertise to all of you. Christoph Büttner, MC Dr, Rear Heinz Maier, MD, Professor, Colonel (MC), Heike Lange, Publisher Sincerely yours Admiral uh (ret), Editor­in­chief of Director of the Department of Otolaryngology / Medical Corps International Forum Medical Corps International Forum Head and Neck Surgery and Head of the Centre (MCIF), Beta Publishing Group, (MCIF), Bonn, Germany for Head and Neck Medicine and Surgery at the Bonn, Germany Christian Schmidt German Armed Forces Hospital of Ulm, Germany

4 5 Program Thursday, 20 June / Friday, 21 June Program Friday, 21 June

Introduction Ballistic injuries to the head and H. Maier neck – Magnitude of the problem (10 min)

Update on ballistic injuries to the head and neck Session 1 Under the auspices of the Bavarian State Ministry of Justice and Consumer Protection Dr. Beate Merk 09.15h – 10.30h Chairmen: L. Lampl, E. Scheller, D. Henne­Bruns

Thursday, 20 June 2013 General rules for pre­hospital care of M. Helm 16.30h – 18.00h Registration / Check­in patients with head and neck injuries (15 min) Participants / Speakers / Exhibitors Dillingen Training Academy Modern non­invasive techniques for M. Kulla securing the airway (10 min) 19.00h – 21.30h Get Together Event / Bavarian music Coniotomy / tracheotomy – rules, K.W. Delank Dillingen Castle (former residence tricks and typical mistakes (15 min) of the ducal bishops of Augsburg) H. Lange Current concepts for hemorrhage K.J. Lorenz / K. Effinger control in head and neck trauma (15 min)

Friday, 21 June 2013 Antibiotic prophylaxis and treatment S. Opderbeck in patients with ballistic injuries (15 min) 08.00h ­ 08.30h Registration / Check­in Participants / Speakers 10.30h – 11.00h Coffee break and visit of industrial exhibition Opening ceremony

08.30h – 09.15h Opening address Session 2 Ch. Büttner 11.00h – 12.15h Chairmen: S. Al Saif, W. Titius Welcome adresses OB F. Kunz E. Scheller Modern imaging techniques in B. Danz D. Fröhlich ballistic head and neck trauma (10 min)

6 7 Program Friday, 21 June Program Friday, 21 June

Primary treatment of tissue injuries R. Schmelzle Current treatment concepts for H.P. Zenner to the face and neck (10 min) acoustic trauma to the ear (15 min)

Primary treatment of burns in the F. Siemers Reconstruction of middle ear M. Tisch head & neck area (10 min) structures in acoustic ear trauma (15 min) Primary treatment of penetrating K. Lorenz / U. Mauer injuries to the nose, the sinuses and Deafness after blast injury – concepts for K.P. Plinkert the skull base (10 min) hearing restoration (15 min)

Primary treatment of injuries to the Ch. Sittel Pharmacological prevention of acoustic H. Löwenheim larynx and the trachea (10 min) inner ear damage ­ Whats new? What works? (15 min) Primary treatment of injuries to the H. Maier upper digestive tract (10 min) Screening for noise induced hearing loss S. Al Saif among military personnel in eastern Primary treatment of injuries to M. Engelhard province of Saudi Arabia (15 min) vessels in the head & neck area (10 min) Hearing protection by modern ear­plugs Th. Wessenlink 12.15h – 13.00h (15 min) Workshop Laerdal Medical Torsten Seipel Modern Training concepts by Laerdal (45 min) Posttraumatic vertigo – treatment options D. Basta, J. Wagner (15 min) 13.00h – 14.00h Lunch Treatment of ear damages due to F.R. Engel Session 3 blast injury (10 min)

14.00h – 16.30h Chairmen: H. Maier, 16.30h – 17.00h Coffee break and visit of H. Weidauer, industrial exhibition H.P. Zenner Session 4 Ear injuries in mission – experiences C. Esquivel of the US Air Force in the last 15 years 17.00h – 18.45h Chairmen: P. Plinkert, (15 min) R. Drommer, Th. Hoffmann

Penetrating injuries to the ear – rules F. Bootz Reconstruction of facial soft tissue defects R. Schmelzle for primary and definitive treatment (15 min) (15 min)

8 9 Program Friday, 21 June Program

Role of epithesis in large facial tissue loss Ph. Federspil (15 min)

Functional reconstruction of oral and F. Bootz pharyngeal defects (15 min) Meet Caesar: Functional reconstruction of laryngeal and S. Sittel If he were any more lifelike tracheal defects (15 min) he would need dog tags. Treatment of gunpowder tattoos (10 min) H. Pillekamp

Face transplant – is this new technical R. Drommer method going to lead into a reconstructive future ? (15 min)

20.00h Conference Dinner Welcoming Reception of the City Dillingen/Danube

The best place to train your medics is where they’ll experience what it’ll be like to be Location: Dillingen Castle out with the troops. And with Caesar, you can. (former residence of the Environmental conditions in combat or “point of injury” situations can be hostile and make ducal bishops of Augsburg) emergency care demanding. Rugged, durable and water-resistant, Caesar is a trauma patient simulator that can be used in all types of terrain and climates. More importantly, Caesar behaves like a real soldier that’s been wounded, with dramatic bleeding, responsive speech and eye movements, and accurate responses to tourniquet applications and other treatments. Find out more about Caesar. Visit caehealthcare.com or call +1 941-377-5562.

caehealthcare.com 10 11 Program Saturday, 22 June

Saturday, 22 June 2013

Session 5

8.00h – 9.20h Chairmen: R. Schick, R. Schmidt, Ch. Sparwasser

Free lectures

An unusual case of firearm injury to the S. Al Saif face with bullet cover lodged in the nose (10 min)

The role of regular disaster drills on military S. Al Saif hospitals staff during actual crisis (10 min) ® Management of blast injuries in mass N. Okpala Aesculap casualty environments (10 min) Partner of Military Medicine Eye injuries in Afghanistan (10 min) S. Aamoon Aesculap Surgical Technologies Destruction pattern of two­shot technique M. Stoetzer (10 min)

Aesculap offers for SUSi - Aesculap single-use New model for the characterization of C. von See military medical services: surgical instruments infection risk in gunshot injuries (10 min) Optimized products Sterile packaging Complete sets with documentation Ready for immediate use Session 6 Impact and vibration proof devices Low weight and instrument storage 09.20h – 10.50h Chairmen: G. Lang, S. Haase Small packing dimensions Long-term packaging Environmentally appropriate Current concepts for primary treatment of H. Gümbel Already about 5,500 of our articles disposal are registered under NATO stock ballistic injuries to the eye (10 min) Registered under NATO stock numbers. numbers. Current concepts for primary treatment of K. J. Lipke ballistic injuries to the eyelids and the lacrimal ducts (10 min)

Aesculap AG | Am Aesculap-Platz | 78532 Tuttlingen | Germany

A-ST12011 Phone +49 7461 95-0 | Fax +49 7461 95-26 00 | www.aesculap.com Aesculap – a B. Braun company 13 Program Saturday, 22 June Program Saturday, 22 June / Faculty

Optic nerve decompression (15 min) N.­C. Gellrich Modern developments in telemedicine Th. Weber Primary treatment of fractures of the facial A. Schramm (10 min) skeleton (15 min) Conclusive remarks H. Maier, Ch. Büttner, H.Lange Secondary treatment of fractures of the F. Wilde facial skeleton (15 min) Faculty Prevention of eye injuries and operational K.J. Lipke conditions (10 min) Dr. S. Al Saif Brig Gen Saudi Royal Forces, Director Military Hospital Dharan, Saudia Arabia 10.50h – 11.10h Coffee break and visit of industrial exhibition Dr. Ahmad Zia Aamoon Aamoon Ophthalmic Center, Mazar I Sharif, Afghanistan Session 7 PD Dr. D. Basta 11.10h – 13.30h Consultant Dept. ENT, Unfallkrankenhaus Berlin Round Table Session „Modern training concepts for military head and neck surgeons“ Prof. Dr. T. Böckers Moderation: N. Weller, T. Böckers Chairman Dept. of Anatomy and Teaching Dean Medical Faculty University of Ulm Role of military hospitals as training H. Maier D. Burgess MD, FACP facilities for ENT surgeons (10 min) Col. US Airforce (retired), President and CEO The SALUS Group Inc., Canada Role of military hospitals as training facilities A. Schramm for CMF and Oral Surgeons (10 min) Dr. Ch. Büttner Rear Admiral (uh) MC ret , Editor in Chief MCIF Surgical training of military ophthalmologist H. Gümbel – dry­lab and wet lab (10 min) Prof. Dr. F. Bootz Chairman Dept. of ENT, University of Bonn Surgical training for military missions in T. Böckers skills labs (10 min) Dr. B. Danz Col MC, Director Dept. of Radiology, Military Hospital Ulm The Airforce Medical Modelling and D. Burgess Simulation Training Program (AFMMAST) Carlo de Astis, MD (30 min) Major MC, COE for Military Medicine, Budapest

Emergency Management of Battlefield C. de Astis Prof. Dr. Dr. R. Drommer Injuries – high level simulation (10 min) Maxillar Facial Surgery, Fides Clinic, Ketsch/Heidelberg

14 15 Faculty Faculty

Prof. Dr. G. Lang Dr. K. Effinger Chairman Dept. of Ophtalmology, University of Ulm Lt Col, Consultant Dept of Radiology, Military Hospital Ulm Prof. Dr. L. Lampl Dr. F.R. Engel Col MC, Director Dept. of Anesthesiology / Emergency Medicine, Lt Col MC, Consultant Dept of ENT, Military Hospital Koblenz Military Hospital Ulm

Dr. M. Engelhardt Dr. K.J. Lipke Col MC, Director Dept. of Vascular Surgery, Military Hospital Ulm LtCol MC, Consultant Dept. of Ophtalmology, Military Hospital Ulm Dr. Carlos Esquivel PD Dr. K. Lorenz Chief Medical Officer for the DoD Hearing Center of Excellence, USA LtCol MC, Consultant, Dept. of ENT / Head & Neck Surgery, Military Hospital Ulm Prof. Dr. Ph. Federspil Consultant Dept of ENT, University of Heidelberg Prof. Dr. H. Löwenheim Consultant Dept. of ENT, University of Tübingen GM Dr. D. Fröhlich MC Deputy Surgeon General of German Bundeswehr Prof. Dr. H. Maier Col MC, Director Dept. of Otorhinolaryngology / Head & Neck Surgery, Military Prof. Dr. H. Gümbel Hospital Ulm Col MC, Director Dept. of Ophtalmology, Military Hospital Ulm Dr. U. Mauer Prof. Dr. Dr. N.C. Gellrich LtCol MC, Consultant, Dept. of Neuro Surgery, Military Hospital Ulm Chairman Dept. of Maxillofacial Surgery, University of Hannover S. Opderbeck Prof. Dr. Dr. S. Haase Chairman Dept. of Maxillofacial Surgery, University of Ulm Dr. N. Okpala Consultant Dep. Otorhinolaryngology, Camberley, UK PD Dr. M. Helm Col MC, Director Emergency Unit, Military Hospital Ulm Col. Dr. H. Pillekamp Prof. Dr. D. Henne­Bruns Director of the Dept. of Dermatology, Military Hospital Ulm Chairman Dept. of Visceral Surgery, University of Ulm Prof. Dr. Dr. hc. mult. K.P. Plinkert Prof. Dr. Th. Hoffmann Chairman Dept of ENT, University of Heidelberg Chairman Dept. of Otorhinolaryngology, University of Ulm PD Dr. E. Scheller Dr. M. Kulla Director Dept. of Surgery, EKH – Berlin, President German Society of Plastic and D.E.S.A., Dept. of Anesthesiology / Emergency Medicine, Military Hospital Ulm Reconstructive Surgery

16 17 Faculty Faculty / Conference Language / Uniform/attire Certification/CME Points

Col. Prof. Dr. R. Schick Prof. Dr. H. Weidauer Director of the Dept of Urology, Military Hospital Ulm Chairman (emeritus) Dept of ENT, Univ. of Heidelberg

Prof. Dr. Dr. R. Schmelzle Dr. N. Weller Chairman Dept. of Plastic Surgery, University of Hamburg/Eppendorf Brig Gen MC, CO Military Medical Academy, Munich

PD Dr. R. Schmidt Th. Wessenlink Col MC, Director Dept. of Visceral and Thoracic Surgery, Military Hospital Ulm WTD 91, Meppen

Prof. Dr. Dr. A. Schramm Dr. Dr. F. Wilde Col MC, Director Dept. of Maxillofacial Surgery, Military Hospital Ulm LtCol MC, Consultant Dept. of Maxillofacial Surgery, Military Hospital Ulm

PD Dr. F. Siemers Prof. Dr. Dr. hc. mult. H.P. Zenner Director Dept. of Plastic and Esthetic Surgery, BG­Kliniken Bergmannstrost, Halle Chairman Dept. of ENT, University of Tübingen

Torsten Seipel Conference Language Prof. Dr. Ch. Sittel Director Dept. of ENT / Head & Neck Surgery, Katharinen­Hospital Stuttgart The official conference language is English.

Col. Prof. Dr. Ch. Sparwasser Director Dept. of ENT / Head & Neck Surgery, Katharinen­Hospital Stuttgart Uniform / attire

Dr. M. Stoetzer Day 1, 20 June: Get Together Event / casual Resident Oral Surgery, Univ. of Hannover Day 2, 21 June: Utility Uniform for military personnel, smart casual for civil officials Day 3, 22 June: Utility Uniform for military personnel, smart casual for civil officials Dr. W. Titius Rear Admiral (lh) MC CO Military Hospital Berlin Certification / CME Points PD Dr. C. von See Oral Surgeon, Medical Center Munster The conference is officially certified by "The Bavarian State Medical Association / Bayerische Landesärztekammer" with the following CME Credits: Dr. J. Wagner Day 1, 21 June: 8 credits, Dept. ENT, Unfallkrankenhaus Berlin Day 2, 22 June: 6 credits To earn CME credits, participants are asked to register daily in the lists of the Dr. Th. Weber Bavarian Medical Association displayed at the registration desk. Please indicate DLR Cologne, Headquarters, German Aerospace Center your central CME reference number.

18 19 Social Events Advice for Speakers / Venue / Travel & Accomodation

Advice for Speakers

1. Please prepare your presentation as a PowerPoint for Windows® file. 2. Check the Corrigenda and the "Program Changes Board" to determine if there are any changes to the program that might relate to your presentation. 3. Make sure to bring your presentation to the Speaker`s technical assistant at least 30 minutes before your session starts. Files for early morning presentations should ideally be handed in the day before. 4. If possible, arrive at your presentation room prior to the start of the session and introduce yourself to the chair. 5. Keep strictly to the scheduled presentation time, which includes the time for discussion. The chairpersons are advised to start the sessions in time and to Social Events terminate the lectures on schedule to avoid any overrun.

Thursday, 20 June 2013 Get Together Event / Bavarian music Venue

Location: Dillingen Training Academy / Das Schloss in Dillingen / Dillingen Castle Akademie für Lehrerfortbildung und Personalführung Dillingen (former residence of the Kardinal­von­Waldburg­Straße 6­7 ducal bishops of Ausgburg) D­89407 Dillingen an der Donau Tel.: + 49 (0 90 71) 53­104 Fee: 45,00 € Fax:+ 49 (0 9 071) 53­2 00 WEB: www.alp.dillingen.de

Friday, 21 June 2013 Travel & Accomodation Conference Dinner with Charity Event / Welcoming Reception of the Travel and accomodation information is provided online on the conference website. City Dillingen / Danube

Location: Das Schloss in Dillingen / Dillingen Castle (former residence of the ducal bishops of Ausgburg)

Fee: 65,00 €

20 21 Conference Contact ThinkingProgram Space We thank all industrial partners supporting the 1st Dillingen International Forum on Military Medicine 2013. With special thanks to our main sponsors: Conference Contact

For content and agenda enquiries: GOLD Christoph Büttner, MC Dr, Rear Admiral uh (ret), Editor­in chief of MCIF Heike Lange, Publisher of MCIF BETA Verlag & Marketinggesellschaft mbH | Celsiusstraße 43 | 53125 Bonn Tel.: +49(0)228 / 91937­15 | Fax: +49(0)228 / 91937­23 info@beta­publishing.com

For organization, registration, sponsorship or exhibition enquiries: Oleg Obolenski, Project Management Military Medicine Congresses BETA Verlag & Marketinggesellschaft mbH | Celsiusstraße 43 | 53125 Bonn SILVER Tel.: +49(0)228 / 91937­41 | Fax: +49(0)228 / 91937­23 events@beta­publishing.com

Layout: Hanns­Friedrich Beckmann, www­publish­design.de

EXHIBITORS ATMOS MedizinTechnik GmbH & Co. KG MAQUET Vertrieb und Service Deutschland GmbH MEDICON eG Paul Hartmann AG

22 Notes Thank you

NOTES

THANK YOU

for joining us at this 1st Dillingen International Forum on Military Medicine 2013!

We hope that you will take many valuable memories and experiences home with you.

24 25 Events Program Üben am Modell. Umsetzen DEUTSCHLAND GmbH im richtigen Leben. MCIF International Events

Save the date

MCIF International Conference on Disaster and Military Medicine 2013 21–22 November 2013, during the MEDICA Trade Fair 2013, Düsseldorf, Germany

For further details please refer to our homepage: www.mci-forum.com

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