VETERINARY INSTRUMENTATION

EQUINE & LARGE ANIMAL

Broadfield Road, Sheffield, UK S8 0XL Tel:0845 130 9596 Fax: 0845 130 8687

E-mail: [email protected] Website: www.vetinst.com Overseas Customers use:Tel:+44 114 258 8530 Fax: +44 114 255 4061 Welcome

Dear Colleague, Welcome to our Equine and Large Animal catalogue. Our last equine catalogue was published in 2004 and we have moved on in many ways. This catalogue now has over twice the number of products including many which are unique or exclusive which I hope will be of interest. You will find new products in all chapters, but the surgery and orthopaedics chapters have the greatest number of additions. One of the main areas of change has been the increase in minimally invasive surgery and we are pleased to have been appointed the exclusive distributor for Scil in the UK. You may not be familiar with the name but you will recognise their products which include the Dr Fritz range of both Arthroscopy and Laparoscopy. Another company which is driving developments in both Arthroscopy and Laparoscopy is Arthrex Vet Systems. Arthrex are now offering a free loan of an Arthroscopy Infusion pump for an annual purchase commitment of patient infusion sets. Arthrex have also recently launched their Autologous Blood John Lapish BSc., BVetMed., MRCVS. Products range with a similar arrangement for a centrifuge and rotor. Chairman Brand new technologies also shown in this catalogue for the first time include Osteoallograft from Veterinary Transplant Services which is available in the UK In 2003 John was awarded the BSAVA ‘Simon for the first time. Award’ in recognition of the welfare benefits of the range of instruments he has developed for In order to provide you with the backup you expect we have both veterinary and use in small animal surgery. nursing technical support to help you, and we offer a no quibble warranty on all products. Best regards ..

John Lapish. BSc., B.Vet.Med., MRCVS Chairman, Veterinary Instrumentation. BSAVA Simon Award New Products 2010

Tooth Rasps with Comfort Grip Handles...... 6 2” Trephine for Modified Frontonasal Flap...... 27 Deciduous Incisor Tooth Forcep...... 11 Pozzi Tenaculum Forceps for ‘Tie Back’ Procedure...... 29 Universal Forceps with Swivelling Jaws...... 12 Resano Bowel Clamp...... 33 Tooth Cutter with Detachable Handles...... 13 Lloyd Davis Bowel Clamp...... 33 Tremaine Tooth Pick...... 15 Viscera Retainer...... 33 Tooth Pick with Secure Grip Handle...... 15 Burford Rib Retractor...... 37 Tooth Elevator - Angled...... 17 Uterine Biopsy Punch...... 38 LED Head Torch...... 19 LED Tube Speculum...... 38 TM TM Osteoallograft Periomix ...... 20 Colostrumeter...... 40 Diamond Cone...... 24 Tracheal Wash Kit...... 40 Farrier Tools — Value Range...... 25 Uterine Flushing Catheter...... 40 Cannulated Luer Lock Infusion Screw...... 27 Broncho-Alveolar Lavage Catheter...... 40

2 EQUINE DENTISTRY Pages 4-23 1 Contents HOOF CARE Pages 24-25 2

CASTRATORS & EMASCULATORS Page 26 3 GENERAL SURGERY Pages 27-41 4 ORTHOPAEDICS& POWER TOOLS Pages 42-54 5

MISCELLANEOUS INSTRUMENTS Page 55 6 OPHTHALMOLOGY Pages 56-59 7 ANAESTHESIA & MONITORING Pages 60-65 8 INSTRUMENT CARE Pages 66-67 9 CAPITAL EQUIPMENT AND MISCELLANEOUS Pages 68-71 10

ARTHROSCOPY & LAPAROSCOPY Pages 72-80 11 AUTOLOGOUS BLOOD PRODUCTS Pages 81-82 12 LARGE ANIMAL SPECIALITIES Pages 83-84 13

INDEX Pages 85-88 DELIVERY DETAILS Page 89-90

TERMS & CONDITIONS Page 91

Extended Use Catheter...... 40 J-Lube & J-Jelly...... 40 Temno Evolution Biopsy Needle...... 41 Page 20 Page 42 Drill Stops...... 42 Heavy Duty Bone Plate Pliers...... 44 TM TM Osteoallograft Orthomix ...... 46 Page 27 Page 44 Blue Line Battery Surgical Power...... 54 PVC Stomach Tube...... 55 Equine Ophthalmic Kit...... 56

Subpalpebral Ocular Lavage Kit...... 57 Page 27 Page 60 Eye Saver Patch...... 57 Matrx VML Anaesthetic Machine...... 60 Silicone Endotracheal Tube...... 65 Nasotracheal Tube...... 65 Page 33 Page 69 Portable LED Light With Tripod...... 69 Autologous Blood Products...... 81/82

3 1 EQUINE DENTISTRY Chapter 1

Equine tooth rasps STRAIGHT LOWER MOLAR

Our tooth rasps are manufactured from premium quality 316 stainless steel, bright polished and fitted with a neoprene handle for comfort. They all feature a notch close to the handle to show the position of the Standard box to take rasp blades ED0021a to ED0021e and ED0024. head. STRAIGHT LOWER MOLAR ED0004 Straight lower molar 45cm (18”) long. £85.00 ED0005 Straight lower molar 60cm (24”) long. £85.00 BOX HEAD TOOTH RASPS (blade not included) A T-wrench is included for blade removal and they can be used with OFFSET LOWER MOLAR solid tungsten carbide blades, tungsten carbide chip blades or traditional steel blades.

ANGLED UPPER PREMOLAR

Standard box to take rasp blades ED0021a to ED0021e and ED0024. OFFSET LOWER MOLAR ED0005b Offset lower molar. 45cm (18”) long. £85.00 Short box to take rasp blades ED0020 to ED0020d and ED0021.

ANGLED UPPER PREMOLAR OBTUSE ANGLED LAST MOLAR/HOOKS ED0001 Angled upper premolar. 35cm (14”) long. £85.00

STRAIGHT PREMOLAR

Short open box to take rasp blades ED0021 only. OBTUSE ANGLED LAST MOLAR/HOOKS ED0005c Obtuse angled last molar/hooks. 53cm (21”) long. £85.00 Short box to take rasp blades ED0020 to ED0020d and ED0021. STRAIGHT PREMOLAR ED0001s Straight premolar. 35cm (14”) long. £85.00

ANGLED UPPER MOLAR OBTUSE ANGLED LAST UPPER MOLAR/HOOKS

Standard box to take rasp blades ED0021a to ED0021e. ANGLED UPPER MOLAR Short box to take rasp blades ED0020a to ED0020d and ED0021. ED0002 Angled upper molar 45cm (18”) long. £85.00 OBTUSE ANGLED LAST UPPER MOLAR/HOOKS ED0003 Angled upper molar 60cm (24”) long. £85.00 ED0005a Angled upper molar 58cm (23”) long. £85.00

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FLAT HEAD TOOTH RASPS LARGE UNIVERSAL STRAIGHT LOWER MOLAR Included is a concave tungsten carbide chip blade, designed to stay on the tooth surface more easily. Screws take a standard screwdriver which is not included.

SMALL UNIVERSAL ANGLED UPPER MOLAR

55cm (22”) long complete with an 11cm (4.5”) long x 3.8cm (1.5”) wide curved universal medium grit tungsten blade. Spare blade code is ED0023 LARGE UNIVERSAL STRAIGHT LOWER MOLAR ED0014 Large universal straight lower molar. £115.00

44cm (17.5”) long complete with an 8.2cm (3.25”) long x 2.5cm (1”) wide curved universal medium grit tungsten blade. Spare blade code is ED0022. SMALL UNIVERSAL ROCKER RASP UPPER/ LOWER MOLAR SMALL UNIVERSAL ANGLED UPPER MOLAR ED0011 Small universal angled upper molar. £105.00

LARGE UNIVERSAL ANGLED UPPER MOLAR

35cm (14”) long complete with an 8.2cm (3.25”) long x 2.5cm (1”) wide curved universal medium grit tungsten blade. Spare blade code is ED0022 SMALL UNIVERSAL ROCKER RASP UPPER/ LOWER MOLAR ED0015 Small universal rocker rasp upper/lower molar. £115.00

55cm (22”) long complete with an 11cm (4.5”) long x 3.8cm (1.5”) wide curved universal medium grit tungsten blade. Spare blade code is ED0023 LARGE UNIVERSAL ANGLED UPPER MOLAR LARGE UNIVERSAL ROCKER RASP UPPER/LOWER MOLAR ED0012 Large universal angled upper molar. £115.00

SMALL UNIVERSAL STRAIGHT LOWER MOLAR

53cm (21”) long complete with an 11cm (4.5”) long x 3.8cm (1.5”) wide curved universal medium grit tungsten blade. Spare blade code is ED0023 45cm (18”) long complete with an 8.2cm (3.25”) long x 2.5cm (1”) wide LARGE UNIVERSAL ROCKER RASP UPPER/LOWER MOLAR curved universal medium grit tungsten blade. Spare blade code is ED0022 ED0016 Large universal rocker angled upper molar. £115.00 SMALL UNIVERSAL STRAIGHT LOWER MOLAR ED0013 Small universal straight lower molar. £115.00

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TOOTH RASPS WITH COMFORT HAND GRIP Small rounded head tooth rasps

SUITABLE FOR SMALL HORSES AND PONIES

Atraumatic shaped head (see photograph below). Blade not included.

ANGLED UPPER

Small box carbide blade. Takes blades ED0021nm, ED0021nf & ED0021nef High quality tooth rasps manufactured in stainless steel. Many new configurations. Flat shaft provides visualization for correct blade orientation. Lightweight with non slip ergonomic hand grip. Colour ANGLED UPPER coded handles for convenience. Can be purchased as a set at a ED0155a Angled Upper 38cm (15”) long. £86.00 discounted rate. Blade not included. 5 configurations available: ED0057 Rear Molar - Designed for dropping over and onto the last molar. 35cm shaft.Requires short blade(ED0020 - ED0020d) . ED0056 Premolar with short right angle shaft. Very effective on premolar hooks. Requires short blade (ED0020 - ED0020d). STRAIGHT LOWER ED0055 Obtuse - For use on upper arcade molers - 29cm shaft. Takes rasp blades ED0021a - ED0021e ED0054 Offset - Excellent for rear molars - 35cm shaft. Takes rasp blades ED0021a - ED0021e. ED0053 Straight - 35cm shaft. Takes rasp blades ED0021a - ED0021e. Small box carbide blade. Takes blades ED0021nm, ED0021nf & ED0021nef TOOTH RASPS - ERGONOMIC HANDLE STRAIGHT LOWER ED0057 Rasp Comfort hand grip - Rear Molar £65.00 ED0155b Straight Lower 38cm (15”) long. £80.00 ED0056 Rasp Comfort hand grip - Premolar £65.00 ED0055 Rasp Comfort hand grip - Obtuse £65.00 ED0054 £65.00 Rasp Comfort hand grip - Offset LOWER BACK HOOKS ED0053 Rasp Comfort hand grip - Straight £65.00 EDPRSET Rasp Set - Comfort hand grip £300.00

ECONOMY DENTAL RASP WITH INTERCHANGEABLE HANDLE

Small box carbide blade. Takes blades ED0021nm, ED0021nf & ED0021nef

LOWER BACK HOOKS ED0155c Lower back hooks 45cm (18”) long. £80.00 ED0155d Lower back hooks 50cm (20”) long. Extended version for larger horses. £86.00

SMALL ROUNDED TUNGSTEN CARBIDE BLADES Economy dental rasp with interchangable handle. Supplied with straight ED0021nm Small rounded Tungsten carbide medium. £54.00 and angled shaft. 30cm shaft. Please note blades are not included. ED0021nf Small rounded Tungsten carbide fine. £54.00 Takes standard blades. ED0021nef Small rounded Tungsten carbide extra fine. £54.00

ECONOMY DENTAL RASP WITH INTERCHANGEABLE HANDLE ED0060 Economy Rasp £60.00

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Actual Size: 8.2cm (3.25”) long 2.5cm (1”) wide. Spare blades to fit tooth STANDARD TUNGSTEN CHIP BLADE COARSE GRIT rasps Actual Size: 5.7cm (2.25”) long 2.5cm (1”) wide. SHORT TUNGSTEN CHIP BLADE COARSE GRIT

STANDARD TUNGSTEN CHIP BLADE COARSE GRIT ED0021a Standard tungsten chip blade coarse grit. £13.00

STANDARD TUNGSTEN CHIP BLADE MEDIUM GRIT SHORT TUNGSTEN CHIP BLADE COARSE GRIT ED0020 Short tungsten chip blade coarse grit. £13.00 SHORT TUNGSTEN CHIP BLADE MEDIUM GRIT

STANDARD TUNGSTEN CHIP BLADE MEDIUM GRIT ED0021b Standard tungsten chip blade medium grit. £13.00

SHORT TUNGSTEN CHIP BLADE MEDIUM GRIT STANDARD SOLID TUNGSTEN CARBIDE COARSE BLADE ED0020a Short tungsten chip blade medium grit. £13.00

SHORT SOLID TUNGSTEN CARBIDE COARSE BLADE

STANDARD SOLID TUNGSTEN CARBIDE COARSE BLADE. ED0021c Standard solid tungsten carbide coarse blade. £55.00 SHORT SOLID TUNGSTEN CARBIDE COARSE BLADE ED0020b Short solid tungsten carbide coarse blade. £52.00 STANDARD SOLID TUNGSTEN CARBIDE MEDIUM BLADE. SHORT SOLID TUNGSTEN CARBIDE MEDIUM

STANDARD SOLID TUNGSTEN CARBIDE MEDIUM BLADE. ED0021d Standard solid tungsten carbide medium blade. £55.00 SHORT SOLID TUNGSTEN CARBIDE MEDIUM BLADE ED0020c Short solid tungsten carbide medium blade. £52.00 SHORT SOLID TUNGSTEN CARBIDE FINE BLADE STANDARD SOLID TUNGSTEN CARBIDE FINE BLADE.

STANDARD SOLID TUNGSTEN CARBIDE FINE BLADE. SHORT SOLID TUNGSTEN CARBIDE FINE BLADE ED0021e Standard solid tungsten carbide fine blade. £55.00 ED0020d Short solid tungsten carbide fine blade £52.00

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SHORT ROUNDED SOLID TUNGSTEN CARBIDE BLADE File type tooth rasps S RASP LARGE DOUBLE ENDED

Reduces the possibilty of injury to the horses mouth. 5.7cm (2.25”) long 2.5cm (1”) wide SHORT ROUNDED SOLID TUNGSTEN CARBIDE BLADE Medium grit tungsten ED0021 Short rounded Tungsten carbide. £54.00 S RASP LARGE DOUBLE ENDED SMALL ROUNDED SOLID TUNGSTEN CARBIDE BLADE ED0017 S rasp large double ended 35cm (14”) long 3.1cm (1.25”) wide. £65.00 ED0017a S rasp extra large double ended 50cm (20”) long 3.1cm (1.25”) wide. £75.00

S RASP MEDIUM DOUBLE ENDED Reduces the possibilty of injury to the horses mouth. 5.7cm (2.25”) long 2cm (0.75”) wide SMALL ROUNDED SOLID TUNGSTEN CARBIDE BLADE ED0021nm Small rounded Tungsten carbide medium. £54.00 ED0021nf Small rounded Tungsten carbide fine. £54.00 ED0021nef Small rounded Tungsten carbide extra fine. £54.00

UNIVERSAL TUNGSTEN CHIP BLADE Medium grit tungsten 30cm (12”) long 1.9cm (0.75”) wide S RASP MEDIUM DOUBLE ENDED ED0018 S rasp medium double ended. £65.00

S RASP SMALL DOUBLE ENDED

Medium grit tungsten 19cm (7.75”) long 1.9cm (0.75”) wide S RASP SMALL DOUBLE ENDED ED0019 S rasp small double ended. £50.00

Accessories LARGE CANVAS BAG Small and large universal tungsten Large canvas bag for all sizes of tooth rasp includes velcro pocket for chip blade, medium grit, curved. instruments and accessories. Small blade is 8.2cm (3.25”) long 2.5cm (1”) wide. Large blade is 11cm LARGE CANVAS BAG (4.5”) long 3.8cm (1.5”) wide. ED0025a Large Canvas bag. £17.50

UNIVERSAL TUNGSTEN CHIP BLADE SPARE SCREWS ED0022 £21.00 Small universal tungsten chip blade. ED0025b Spare screws to fit ED0001 to ED0009. £2.20 ED0023 £22.00 Large universal tungsten chip blade. ED0025b1 Spare screws to fit rasps ED0155 A, B, C and D. (Takes 3.2mm Hex) £2.20 ‘T’ WRENCH FOR TOOTH RASPS ED0025c Spare screws to fit army pattern rasp ED0010. £2.20 T WRENCH FOR TOOTH RASPS ED0025d Spare screws to fit universal rasp ED0011 ED0025 T wrench for tooth rasps (5mm) £5.00 to ED0016 please state large or small blade. £2.20 ED0025f T wrench for tooth rasps (3.2mm) £5.00 ED0025D1 Spare screws to fit universal rasps ED0012, 14, 16. £2.20

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Wolf tooth extraction WOLF TOOTH ELEVATOR Burgess Type

WOLF TOOTH EXTRACTOR SET - BASIC

Wolf tooth elevator available with either standard fibre handle or machined handle for secure grip even when wet. WOLF TOOTH ELEVATOR EDWTF Wolf tooth elevator secure grip handle. £36.50 EDWTFE Wolf tooth elevator standard fibre handle. £23.00

Burgess type in canvas bag with ergonomic handle Set contains; TOOTH ELEVATOR WITH ADJUSTABLE BLADE Handle Straight and cranked extension piece 8.0mm & 10mm Cutting head T-bar for displacing tooth heads T-bar for tightening Canvas bag with pockets

WOLF TOOTH EXTRACTOR SET BASIC ED0027b Wolf tooth Extractor Set - Basic £80.00

WOLF TOOTH EXTRACTOR SET - COMPLETE Tooth elevator with adjustable blade. Length of blade can be changed by loosening the locking screw, adjusting the blade and then re- tightening the locking screw. Supplied with allen key. TOOTH ELEVATOR WITH ADJUSTABLE BLADE ED0058 Tooth Elevator with adjustable blade. £27.50

DENTAL ELEVATOR

Compete Wolf tooth extractor set in canvas bag Set contains; Handle Straight and cranked extension piece 6.5mm, 8.0mm, 10mm &12.5mm Cutting head T-bar for displacing tooth heads T-bar for tightening Tooth Elevator Incisor/Fragment dental forceps Canvas bag with pockets WOLF TOOTH EXTRACTOR SET COMPLETE EDTESET Wolf tooth Extractor Set - Complete £195.00 DENTAL ELEVATOR ED0047 Dental elevator - metal handle (15cm). £45.00 OPTIONAL EXTRAS ED0047b Dental elevator - sharp, metal flat profile (17cm). £45.00 ED0028es Cutting head xtra small 6.5mm dia. £24.50 ED0047c Dental elevator - fibre handle (17cm). £23.00 ED0028b Cutting head large 12.5mm dia. £24.50 ED0028L Cutting head x large 14mm dia. £24.50 ED0028m Cutting head xx large 16mm dia. £24.50

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Extractors and separators TOOTH FORCEPS FOR WOLF TEETH

TOOTH FORCEPS FOR WOLF TEETH

Tooth forceps for wolf teeth fully angled long jaws fully closed 30cm (12”) long

TOOTH FORCEPS FOR WOLF TEETH ED0033a Tooth forceps for wolf teeth fully angled. £55.00

Tooth forceps for wolf teeth, box joint half angled, jaws fully closed 25cm (10”) long REYNOLDS CAP EXTRACTOR UPPER JAW TOOTH FORCEPS FOR WOLF TEETH ED0032 Tooth forceps for wolf teeth. £62.00

TOOTH FORCEPS FOR WOLF TEETH - FINE

Reynolds cap extractor, right handed, upper jaw, serrated jaw, box joint 38cm (15”) long

REYNOLDS CAP EXTRACTOR UPPER JAW ED0030 Reynolds cap extractor 15” right hand. £145.00

Tooth forceps for wolf teeth fine jaws, box joint half angled jaws fully closed 17cm (7”) long

TOOTH FORCEPS FOR WOLF TEETH - FINE REYNOLDS CAP EXTRACTOR LOWER JAW ED0032a Tooth forceps for wolf teeth - fine. £55.00

TOOTH FORCEPS FOR WOLF TEETH

Reynolds cap extractor, right handed, lower jaw, serrated jaw, box joint 38cm (15”) long Tooth forceps for wolf teeth box joint fully angled jaws fully closed 25cm REYNOLDS CAP EXTRACTOR LOWER JAW (10”) long ED0031 Reynolds cap extractor 15” right hand. £145.00 TOOTH FORCEPS FOR WOLF TEETH ED0033 Tooth forceps for wolf teeth fully angled. £65.00

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REYNOLDS CAP EXTRACTOR UPPER JAW - APPLE DECIDUOUS PREMOLAR CAP EXTRACTION FORCEPS

38cm (15”) long, box joint.

DECIDUOUS PREMOLAR CAP EXTRACTION FORCEPS ED0035b Deciduous premolar cap extraction forceps. £155.00

DECIDUOUS INCISOR TOOTH FORCEPS

Reynolds cap extractor, apple jaw, right handed, upper jaw, box joint 38cm (15”) long

REYNOLDS CAP EXTRACTOR UPPER JAW APPLE ED0035c Reynolds cap extractor 15” upper apple jaw. £145.00

REYNOLDS CAP EXTRACTOR LOWER JAW - APPLE

Spring handle increases holding power. Stainless steel. 19cm (7.5”)

DECIDUOUS INCISOR TOOTH FORCEPS ED0061 Deciduous Incisor Tooth Forcep. £65.00

Reynolds cap extractor, apple jaw, right handed, lower jaw, box joint 38cm (15”) long GUNTHERS TOOTH FORCEPS LOWER JAW

REYNOLDS CAP EXTRACTOR LOWER JAW APPLE ED0035 Reynolds cap extractor 15” lower apple jaw. £145.00

CAP EXTRACTOR WITH FLEXIBLE HEAD Gunthers tooth forceps, screw joint, neoprene handles, lower molars. Stainless steel 50cm (20”) long

GUNTHERS TOOTH FORCEPS LOWER JAW ED0031b Gunthers tooth forceps lower. £145.00

GUNTHERS TOOTH FORCEPS UPPER JAW

The flexible head provides a better grip as the head swivels to fit the shape of the cap. Universal for both lower and upper jaws.

CAP EXTRACTOR WITH FLEXIBLE HEAD Gunthers tooth forceps, screw joint, neoprene handles, wider jaw ED0035a Cap extractor with flexible head. £155.00 opening for upper molars stainless steel 50cm (20”) long

GUNTHERS TOOTH FORCEPS UPPER JAW ED0031c Gunthers tooth forceps upper. £145.00

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VETERINARY INSTRUMENTATION MOLAR SEPARATOR UNIVERSAL FORCEPS WITH SWIVELLING JAWS

Screw joint, neoprene handles, wider jaw opening for upper molars. Stainless steel. Fixed jaw forceps achieve, at best, a three point fix on the subject tooth which is prone to slippage. The swivelling jaw on ED0031p self adjusts VETERINARY INSTRUMENTATION MOLAR SEPARATOR to maximise grip on the tooth. The spin lock on the handles maintains ED0031d Molar separator 50cm (20”) long. £150.00 the grip. UNIVERSAL FORCEPS WITH SWIVELLING JAWS ED0031p Universal forceps with swivelling jaws £335.00 UPPER/LOWER SEPARATING FORCEPS

ROUTLEDGE’S MOLAR FORCEP

Upper/lower separating forceps 16.5cm (6.5”) long Routledge’s molar forceps with sliding lock. Stainless steel 52cm (20.5”) long UPPER/LOWER SEPARATING FORCEPS ED0032d Upper/lower separating forceps. £55.00 ROUTLEDGE’S MOLAR FORCEP ED0031e Routledge’s upper molar forceps. £150.00 ED0031f Routledge’s lower molar forceps. £150.00

CHEEK TEETH EXTRACTOR

MOLAR EXTRACTION FORCEP

Cheek teeth extractor with rachet. Stainless steel 55cm (22”) long

CHEEK TEETH EXTRACTOR ED0062 Cheek Teeth Extractor. £175.00

Molar extraction forcep. Stainless steel 41cm (16”) long. Pattern popular in Australia.

MOLAR EXTRACTION FORCEP ED0031L Molar extraction forceps. £140.00

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Tooth Cutters MOLAR CUTTER “B”

TOOTH CUTTER “A”

Molar cutter with simple joint. Jaw shape B, medium gap. 55cm (21.75”) long. Stainless steel.

Tooth cutter compound action large. Jaw shape A, closed jaw . 60cm MOLAR CUTTER “B” (24”) long. ED0031m Molar Cutter “B”. £140.00 TOOTH CUTTER “A” ED0031g Tooth Cutter “A”. £285.00 MOLAR CUTTER “C” TOOTH CUTTER “B”

Molar cutter with simple joint. Jaw shape C, wide gap. 55.3cm (21.75”) Tooth cutter, compound action, large. Jaw shape B, part open jaw. 60cm long. Stainless steel. (24”) long. MOLAR CUTTER “C” TOOTH CUTTER “B” ED0031n Molar Cutter “C”. £140.00 ED0031h Tooth Cutter “B”. £285.00

TOOTH CUTTER “C”

TOOTH CUTTER WITH DETACTABLE HANDLES

Tooth cutter, compound action, large. Jaw shape C, angled head, fully open jaw . 60cm (24”) long.

TOOTH CUTTER “C” ED0031j Tooth Cutter “C”. £285.00

MOLAR CUTTER “A”

Tooth cutter compound action large. Available with Jaw shape A, B or C. Handles detachable for convenience.60cm (24”) complete, 38cm(15”) when broken down. TOOTH CUTTER WITH DETATCHABLE HANDLES ED0064a Tooth Cutter “A” with detachable handles. £265.00 Molar cutter with simple joint. Jaw shape A, closed edges. 55cm (21.75”) ED0064b Tooth Cutter “B” with detachable handles. £265.00 long. Stainless steel. ED0064c Tooth Cutter “C” with detachable handles. £265.00 MOLAR CUTTER “A” ED0031k Molar Cutter “A”. £155.00

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CHIP TYPE TOOTH CUTTER Dental scalers and probes DENTAL SCALERS / GINGIVAL ELEVATOR

Equine chip type tooth cutter 68cm long (27”).

CHIP TYPE TOOTH CUTTER ED0026 Chip type tooth cutter £295.00 Available in normal cutting and reverse cutting styles. 50cm long. Useful for cleaning tartar from the upper cheek teeth and elevating the gingiva. Set of both is discounted by over 20%. DENTAL FULCRUM DENTAL SCALERS / GINGIVAL ELEVATOR ED0065 Dental Scalers normal cutting £35.00 ED0066 Dental Scalers reverse cutting £35.00 EDDSSET Dental Scaler Set £55.00

DENTAL PROBE

Dental fulcrum for use with molar extraction equipment 60cm (24”) long.

DENTAL FULCRUM ED0026a Dental fulcrum £65.00 Available with a fine or heavy tip. 50cm long. Both tips are calibrated for accurate measurement. Useful for probing, cleaning and measuring. Set DRENCHING SYRINGE of both is discounted by over 20%.

DENTAL PROBE ED0067 Dental Probe Fine tip. £35.00 ED0068 Dental Probe Heavy tip. £35.00 EDPROSET Dental Probe set £55.00

DENTAL MIRROR

50cm long dental mirror with T action handle for secure grip. Mirror Available in 400ml. positioned at 30 degrees for an optimum view.

DRENCHING SYRINGE DENTAL MIRROR ED0072 Drenching syringe (400ml). £20.00 EDDM Dental Mirror. £42.50

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PERIODONTAL FORCEPS TOOTH PICK - SECURE GRIP HANDLE

Designed to extract forage and material from periodontal pockets and teeth. 41cm long.

PERIODONTAL FORCEPS ED0069 Periodontal Forceps. £85.00 Set of two fine tooth picks with secure grip handle. Fine with long point (15mm) or short point (10mm). 40cm (16”) long EQUINE DENTAL HAND INSTRUMENT SET

Set comprising one of each instrument as described above. Discounted. TOOTH PICK - SECURE GRIP HANDLE ED0066b Tooth Pick - Long point. £27.50 EQUINE DENTAL HAND INSTRUMENT SET ED0066c Tooth Pick - Short point. £27.50 EDDHSET Dental Hand Instrument Set £200.00 ED0066d Tooth Pick Set. £50.00

DENTAL PICK - HEAVY

VULSELLUM FORCEPS Set of three dental picks / Gingival elevators. Heavy duty. T bar handle. 38cm (15”) long

Our own pattern for grasping loose material in horses’ palates, prior to removal. 7/8 teeth 38cm (15”) long DENTAL PICK - HEAVY ED0069a Dental Pick - Flat end horizontal. £25.00 VULSELLUM FORCEPS ED0069b Dental Pick - Flat end vertical. £25.00 ED0048 Vulsellum forceps £45.00 ED0069c Dental Pick - Heavy and sharp. £25.00 ED0069d Set of 3 dental picks. £65.00

TREMAINE TOOTH PICK DENTAL PICK SET - COMPLETE

Set includes a short hand piece and Long T Bar Handle which accept the six interchangeable heads enabling access to all areas of the mouth. All interchangeable heads can also be rotated. Convenient pick and dental scaler. 42cm (17”) Contains six interchangable heads TREMAINE TOOTH PICK Chisel, Osteotome - Long and short, Elevator - Long and short ED0066a Tremaine Tooth Pick. £45.00 Loop curette. All contained in a canvas bag with pockets DENTAL PICK SET - COMPLETE EDDPSET Dental Pick Set - Complete £365.00

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Dental punches, chisels and MALLET elevators

DENTAL PUNCH

Mallet for use with punches and chisels. Brass, chrome plated 132cm (5.25”) long 0.75kg.

Dental punch 20cm (8”) long x 0.75” diameter. MALLET Available in normal and fine. ED0045 Mallet 750g. £45.00 DENTAL PUNCH ED0043 Dental punch - 12mm head. £38.00 Orthopaedic Mallet ED0043a Dental punch, fine - 8mm head. £38.00 ED0043SET Dental punch set - normal and fine £55.00

DENTAL CHISEL STRAIGHT

ORTHOPAEDIC MALLET 001323 Mallet 140g £40.00 Dental chisel straight. 19cm (7.5”) long blade is 12mm (0.5”) wide. 001320 Mallet 300g £40.00 DENTAL CHISEL STRAIGHT 001321 Heavy Mallet 500g. 240mm £50.00 ED0044 Dental chisel straight. £22.00 Stille-Luer DENTAL CHISEL CURVED

Dental chisel curved. 19cm (7.5”) long blade is 12mm (0.5”) wide. Actual size DENTAL CHISEL CURVED A very large rongeur with a 8mm bite. Can be used to aggressively ED0044a Dental chisel curved. £22.00 removed pieces of tooth. Also useful for removal of heavy plaque on teeth ALEXANDER BONE CHISEL STILLE-LUER 142305 Stille-Luer Heavy Compound Action 8 mm curved £180.00

TOOTH AND BONE FILE TOOTHED

Dental chisel. Available from 6mm to 14mm. ALEXANDER DENTAL CHISEL ED0044bf Alexander 6mm Flat. £30.00 ED0044bh Alexander 6mm Hollow. £30.00 ED0044c Alexander 8mm Hollow. £30.00 ED0044d Alexander 10mm Hollow. £30.00 ED0044e Alexander 12mm Hollow. £30.00 Tooth and bone file, curved with sharp undercut teeth 17cm (6.75”) long. ED0044f Alexander 14mm Hollow. £30.00 TOOTH AND BONE FILE TOOTHED ED0044set Alexander Chisel set (6 in total) £150.00 ED0046 Tooth and bone file - toothed. £30.00

16 www.vetinst.com EQUINE DENTRISTRY 1

TOOTH AND BONE FILE TUNGSTEN CARBIDE INSERT Mouth gags BAYER MOUTH WEDGE 190mm. T handle for secure grip.

Tooth and bone file, flat with solid tungsten carbide surface 17cm (6.75”) long.

TOOTH AND BONE FILE TUNGSTEN CARBIDE INSERT ED0046a Tooth and bone file - Tungsten carbide insert. £45.00

TOOTH ELEVATOR WITH ADJUSTABLE BLADE

BAYER MOUTH WEDGE ED0035g Bayer Mouth Wedge. £60.00

SCHOUPE TYPE GAG - T HANDLE

Tooth elevator with adjustable blade. Length of blade can be changed by loosening the locking screw, adjusting the blade and then re- tightening the locking screw. Supplied with allen key.

TOOTH ELEVATOR WITH ADJUSTABLE BLADE ED0058 Tooth Elevator with adjustable blade. £27.50 Schoupe type gag, extended, stainless steel with T handle. 26cm (10.5”) DENTAL ELEVATOR long includes nylon rope ED0034a SCHOUPE TYPE GAG T HANDLE ED0034 Schoupe type gag T handle. £60.00

SCHOUPE TYPE GAG - BALL HANDLE Schoupe type gag, extended, stainless steel with ball handle. 26cm (10.5”) long includes nylon rope ED0034a

DENTAL ELEVATOR ED0047 Dental elevator - metal handle (15cm). £45.00 ED0047b Dental elevator - sharp, metal flat profile (17cm). £45.00 ED0047c Dental elevator - fibre handle (17cm). £23.00 SCHOUPE TYPE GAG BALL HANDLE ED0034f Schoupe type gag Ball handle. £60.00 TOOTH ELEVATOR - ANGLED

EQUINE DENTAL MOUTH WEDGE

Permits safe access without damaging teeth.

TOOTH ELEVATOR - ANGLED EQUINE DENTAL MOUTH WEDGE ED0058a Tooth elevator - Right. £25.00 ED0034d Equine dental mouth wedge. £60.00 ED0058b Tooth elevator - Left. £25.00 ED0034e Replacement rubber for ED0034d. £10.00

17 1 EQUINE DENTRISTRY

BUTLER MOUTH GAG HAUSSMANN / CLIMAX SPECULUM

Butler mouth gag small. Maximum opening 10cm (4”)

BUTLER MOUTH GAG ED0037 Butler mouth gag small. £95.00

GUNTHER MOUTH GAG Mouth speculum stainless steel. Forged components carry a lifetime guarantee against breakage. Includes leather strap, two mouth plates and two leather stitched bar plates. Also available in pony size.

HAUSSMANN / CLIMAX SPECULUM ED0039 Haussmann / Climax Speculum - Standard. £295.00 ED0039a Haussmann / Climax Speculum - Pony. £295.00 Gunther mouth gag large. Maximum opening 12cm (5”)

MEISTER SPECULUM

GUNTHER MOUTH GAG ED0038 Gunther mouth gag large. £125.00

VARNELL’S MOUTH GAG

Mouth speculum stainless steel. This full mouth speculum has compound action joints to ease opening of the mouth. Caution should be used with all full mouth equine speculums.

MEISTER SPECULUM ED0039b Meister Speculum. £535.00

Varnell’s mouth gag stainless steel, heavy PVC sleeving. Maximum opening 12cm (5”)

VARNELL’S MOUTH GAG ED0036 Varnell’s mouth gag. £60.00

18 www.vetinst.com EQUINE DENTRISTRY 1

DUAL LIGHT ZOOM HEAD TORCH Miscellaneous The beam is switchable between between the LEDs and the Xenon Halogen EQUINE HEAD REST beams. Use the LEDs for broad spread of light. The Xenon offers an ultra bright focusable Designed to be the extra pair of beam. strong hands that always seem necessary. It’s primary mission Supplied with 4 x AA battery is an equine head support pack. stand. Certain procedures Using the 3 x LEDs beam the require sedation in order to be accomplished properly. batteries last 130hrs. The equine head is heavy and Using the xenon beam the even the strongest assistant will batteries will last less time soon tire of holding the head in approximately 4hrs the proper position. The Veterinary Instrumentation DUAL LIGHT HEAD TORCH Head Stand is a thick padded 014202 Dual Light Head Torch £47.50 rest that easily adjusts to the required height. LED HEAD TORCH • Lightweight design disassembles for Very bright 3 LED light transportation and storage source powered by three • Made to last from stainless AAA bateries (supplied) steel and aluminium which last up to 80 hours. • Height adjustment made the light is hinged at the quickly and easily headband for beam adjustment.

EQUINE HEAD REST EDJ491 Equine head rest complete. £220.00 LED HEAD TORCH STAINLESS STEEL BUCKET WITH RASP HOLDER & BRUSH 014203 LED Head Torch 3 LED £27.50 MAGNIFYING LOUPE 2.5X

A simple loupe at a reasonable price. This 2.5X loupe is as great a magnification as you can get without becoming too close to the patient.

MAGNIFYING LOUPE 2.5X 014200 Magnifying Loupe 2.5x £60.00 014200SET Magnifying Loupe 2.5x + Visor light (014200L) £90.00

10 litre stainless steel bucket with VISOR LIGHT detachable rasp holder. Holder designed to protect the rasps whilst they are in the bucket. Rasp brush is held in place with a thumb screw enabling removal and replacement. Base of bucket is lined with rubber to protect rasps and minimise noise. (Rasps not included) Visor light is a lightweight battery powered light, which illuminates the magnified viewing area. Mounts directly onto the Magnifying Loupe 2.5X

STAINLESS STEEL BUCKET WITH RASP HOLDER & BRUSH VISOR LIGHT ED0042 Stainless steel bucket with rasp holder & brush £90.00 014200L Visor Light (clip on) £40.00

19 1 EQUINE DENTRISTRY

TWITCH KENDAL MODEL OSTEOALLOGRAFT TM PERIOMIX TM

TWITCH KENDAL MODEL Veterinary Transplant EGJ44 Equine humane twitch. £25.00 Services is the world’s first animal tissue bank and Veterinary Instrumentation is very pleased to have been appointed exclusive European distributor for their extensive product range. Since 1996, VTS HORSLEY’S TREPHINE have provided the veterinary community with natural bone allograft for canines and felines and are now introducing Osteoallograft TM PeriomixTM for equine patients.

Potential applications include: Horizontal and vertical bone loss Tooth extractions Filling mandibular bone cysts Fracture of the mandible

Benefits Easy to use Faster Healing - Osteoconductive and osteoinductive Cost effective - No need to harvest, saves surgical time Horsley’s trephine including handle. All are 12.5cm (5”) long. Increased availability

HORSLEY’S TREPHINE Store at room temperature 5 year shelf life ED0052a Horsley’s trephine 13mm/0.5” OD. £130.00 For further information, clinical papers and case reviews please visit ED0052b Horsley’s trephine 19mm/0.75” OD. £135.00 www.vtsonline.com ED0052c Horsley’s trephine 25mm/1.0” OD. £150.00 ED0052f Horsley’s trephine 45mm/2.0” OD. £220.00 OSTEOALLOGRAFTTM PERIOMIXTM BNEBPFD6 6cc Osteoallograft Periomix. £175.00 BNEBPFD15 15cc Osteoallograft Periomix (Available Jan 2011) £275.00 BNECBL Cancellous Block (Available Jan 2011) £175.00 LISTON BONE AND TISSUE NIPPERS BOOKS

Liston bone and tissue nippers15cm (6”) long. 25mm blade. Available in straight, angled and curved. LISTON BONE AND TISSUE NIPPERS 141700 Liston 15cm 6” Straight. 25mm blade. £75.00 EQUINE DENTISTRY BOOKS 141705 Liston 15cm 6” Curved 25mm blade. £80.00 BK10 Principles of Equine Dentistry by Klugh £72.00 141710 Liston 15cm 6” Angled 25mm blade. £85.00 BK11 Equine Dentistry Easley, Dixon & Schumacher £105.00

20 www.vetinst.com EQUINE DENTRISTRY 1

Dentalscope

The Dentalscope has been designed specifically for examination of the oral cavity and gutteral pouch of Equines and other large animals. Available as either a basic set or as a wireless option ideal for field practice. Generally considered the scope for equine dentists.

Easy handling Quick cleaning Straightforward disinfection Supplied in a convenient robust carry case.

3 different video connection options Wireless video transmission USB Video cable

Wireless option only available with Compact-W set

EQUINE DENTAL CAMERA WITH LED LIGHT - BASIC Dental video camera with integrated LED light, field of vision: 115 degree, OD:15mm, WL:52cm Connections: Video/USB out including video cable EQUINE DENTAL CAMERA WITH LED LIGHT AND WIRELESS Power transformer (115 - 230V) Software for PC/notebook VIDEO TRANSMISSION Transportation case Equine Dental Camera with LED Light - Basic Compatible to wireless modus Wireless Module Set including sender and USB receiver unit TW61-150B Equine Dental Camera Basic £5725.00 (TWE61-150W) M-56-A LCD Monitor 5.5” £375.00 TW61-150S Equine Dental camera with wireless option £6775.00

21 1 EQUINE DENTRISTRY

MOTORISED BUR SYSTEM Motorised bur system Based on the very robust Foredom motor and foot control the latest version of the motorised bur system is EC approved and has an extra long (60”, 1.5m) flexible drive shaft. The drive shaft is insulated electrically from the motor. The minimum requirement for a system is ; motor and foot control, handpiece, bur, bur guard and soft tissue protector. Typically users purchase the motor system plus a short bur (6” or 8”) for the front of the mouth, and a long bur (10” or 12”) for the molars.

EDDR2 1/4” Foredom Handpiece

A small bur handpiece (D235A) is also useful for delicate work.

Using 240 volts, care must be taken to minimise risk to the operator (always use a circuit breaker) and the patient (keep the speed down and use a soft tissue protector). We recommend the use of a step down tranformer to reduce the voltage to 110. Using 110v on a 240v motor has the effect of making it safer for the operator and reducing maximum bur speed and torque which is safer for the patient. A 110v extension cable is also available further distancing the operator from 240 volts.

MOTORISED BUR SYSTEM EDDR1A Motor kit (contains motor, foot control, 60” (1.5m) flexible drive shaft). £350.00 EDDR8 Aluminium case for above. £50.00 EDDR2 1/4” Foredom handpiece. £90.00 D235A Small Bur Handpiece takes 2.36mm shank (HP fitting).£90.00 EDDR110 110V Conversion kit with plug. £95.00 EDDR110E 110V 14 metre extension. £19.00 D295051/2 Foredom Inner flexidrive 60”. £42.50 D295051/3 Foredom Outer flexidrive 60”. £42.50 D29GREASE Foredom grease. £18.50

5/8” DIAMETER CARBIDE BURS EDBUR6 6” Bur £47.50 EDBUR8 8” Bur £47.50 EDBUR10 10” Bur £47.50 EDBUR12 12” Bur £47.50

5/8” DIAMETER DIAMOND COATED BURS EDBUR6D 6” Bur £55.00 EDBUR8D 8” Bur £55.00 EDBUR10D 10” Bur £55.00 EDBUR12D 12” Bur £55.00

22 www.vetinst.com EQUINE DENTRISTRY 1

BUR GUARDS AND SOFT TISSUE PROTECTION Our bur guards are machined from solid stainless steel and incorporate a support bearing close to the cutting head for improved performance and safety. A stainless steel flange around cutting bur protects soft tissues with a minumum of bulk. The soft tisue protector is interchangable with all the bur guards. Most users purchase a handpiece, long burguard/bur combined.

BUR GUARDS AND SOFT TISSUE PROTECTION EDBG6 6” Bur guard and soft tissue protector. £205.00 EDBG8 8” Bur guard and soft tissue protector. £220.00 EDBG10 10” Bur guard and soft tissue protector. £240.00 EDBG12 12” Bur guard and soft tissue protector. £260.00

Bur Guard Set Bur Guard Bur EDBG12SET

Soft Tissue Protector Handpiece

BUR GUARD SET

We recommend that bur, guard, soft tissue protector and handpiece are purchased and maintained as a set rather than attempting to change bur lengths on site. Each of the following items includes a handpiece, bur, burguard and soft tissue protector.

EDBG6SET 6” Set £300.00 EDBG8SET 8” Set £310.00 EDBG10SET 10” Set £325.00 EDBG12SET 12” Set £345.00

For your convenience the motorised bur system is available as either a 6” and 10” set, or an 8” and 12” set including motor foot control, flexible drive and aluminium case. It is cheaper to purchase the set than the separate items.

MOTORISED BUR SYSTEM SET EDB610 6”/10” Set £950.00 EDB812 8”/12” Set £1000.00

TYPHOON CARBIDE POINT BURS 2” shank. Fast cut, smooth finish, reduced clog.

TYPHOON CARBIDE POINT BURS KB66734 Coarse 21mm cylinder. £42.50 Actual size KB66735 Fine 21mm cylinder. £42.50

23 2 HOOF CARE Chapter 2

HOOF KNIFE HOOF RASP

Hoof knife with small curl, right or left curve. Blade easy to sharpen with Diamond cone (012148)

HOOF KNIFE EH0001 Hoof Knife - right hand. £15.00 EH0002 Hoof Knife - left hand. £15.00

ECONOMY HOOF KNIFE SET

Hoof rasp available with either fine or coarse teeth. Curved profile to aid performance.

HOOF RASP EH0004 Hoof rasp - Coarse. £15.00 EH0005 Hoof rasp - Fine. £15.00

Economy hoof knife set in convient case. HOOF RASP - DOUBLE ENDED ECONOMY HOOF KNIFE SET EHKSET Economy Hoof Knife Set. £25.00

Diamond Cone

Hoof rasp available with both fine and coarse teeth. Straight.

HOOF RASP - DOUBLE ENDED EH0006 Hoof rasp - double ended. £20.00 A useful sharpening tool with many applications including hoof knifes and dental picks and scalers. The diamond cone is indestructable compared with stones which break very easily and uses water rather than oil as a lubricant. DIAMOND CONE HOOF KNIFE - FOLDING 012148 Diamond Cone £37.50

SMALL LOOP HOOF ABCESS KNIFE

Designed to curette out the smallest of abscess with this very sharp, but small loop. Ergonomic shaped wood handle. SMALL LOOP HOOF ABCESS KNIFE HOOF KNIFE - FOLDING EH0003 Small Loop Hoof Abcess Knife. £35.00 EH0006a Hoof knife - folding. £3.50

24 HOOF TESTER FARRIER TOOLS - VALUE RANGE

Range of stainless steel Hoof testers in three different styles Extra Large 47cm length 20cm Maximum Jaw. Heavy Duty 45cm length 12cm Maximum Jaw Useful when the necessity of ‘pulling’ a shoe occurs during the course Light 30cm length 12cm Maximum Jaw of a treatment. Available as a set (including Clinch Cutter shown below) at a discounted rate. HOOF TESTER EH0007 Hoof tester - Extra Large. £40.00 FARRIER TOOLS EH0008 Hoof tester - Heavy Duty. £30.00 EH0012 Shoe Puller / Spreader (30cm). £50.00 EH0009 Hoof tester - Light. £15.00 EH0013 Hoof Cutter - Single Blade. £75.00 EH0014 Hoof Cutter. - Twin Blade £75.00 EH0015 £45.00 BOENING-HERTSCH HOOF TESTER Nail Puller (30cm). EHFASET Farrier Set. £195.00

HOOF BUFFER

This adjustable design enables the jaws to remain parallel for more even and steadier diagnostic pressure. Stainless steel.

BOENING-HERTSCH HOOF TESTER EH0010 Boening-Hertsch Hoof tester. £145.00 HOOF BUFFER EH0011a Hoof buffer £10.00

CLINCH CUTTER STEEL HOOF TRIMMER

Clinch Cutter Double ended tool (15cm) for opening the clinches to This popular compound action model has extra sharp blades that can be reduce hoof wall damage during shoe removal. Stainless steel. replaced. 50cm (20”)

CLINCH CUTTER STEEL HOOF TRIMMER EH0011 Clinch Cutter. £15.00 EH0016 Steel Hoof trimmer. £105.00

25 3 CASTRATORS & EMASCULATORS Chapter 3

SAND’S CASTRATION CLAMP REIMER’S EMASCULATOR

Crushing castration clamp. Available with both curved and straight handles. Stainless steel 12.5” (32cm)

SAND’S CASTRATION CLAMP ES001 Sand’s castration clamp - straight. £105.00 ES001c Sand’s castration clamp - curved. £105.00

VERBOECZY EMASCULATOR

Separate crushing and cutting actions. Cord is initially crushed with a ratchet action. The cut is performed using a separate lever when the surgeon is ready. Stainless steel 13.” (33cm)

REIMER’S EMASCULATOR ES001b Reimer’s emasculator. £245.00

ECRASEUR (CHASSAIGNACS)

With extra crushing area. Stainless steel 11.” (27cm)

VERBOECZY EMASCULATOR ES002 Verboeczy emasculator. £105.00 Ecraseur (Chassaignacs) made of stainless steel. 55cm

ECRASEUR (CHASSAIGNACS) SERRA EMASCULATOR - MODIFIED ES004 Ecraseur. £345.00

ELASTRATOR INSTRUMENT

Draws the cord concentrically into the centre of the jaws. Minimises slippage and haemorrhage. Curved handles. Available with or without Useful in the management of sarcoids rachet. Stainless steel 14” (35cm). This is the standard emasculator.

SERRA EMASCULATOR ELASTRATOR INSTRUMENT ES001a Serra emasculator - with ratchet. £220.00 ESJ36 Elastrator instrument. £15.00 ES001d Serra emasculator - without ratchet. £220.00 ESJ36b Elastrator band - latex (pack of 100). £27.50

26 Chapter 4 GENERAL SURGERY 4

VI Speciality Surgical Products Osseous Infusion Modified Frontonasal Flap

CANNULATED LUER LOCK INFUSION SCREW 45mm / 2” TREPHINE FOR MODIFIED FRONTONASAL FLAP Insertion Key and Screw.

Drill and tap hole.

Insert cannulated

screw

Attach connector and Pictures Greg Quinn

infuse antibiotic Use in the creation of the modified frontonasal flap (SFF) as described by Greg Quinn in Equine Veterinary Journal (2005). Pictures Greg Quinn

Where infection has penetrated and lodged in the medullary cavity of The technique was found to be practical and provided satisfactory bone in the distal limb it may be necessary to infuse antibiotics directly to exposure of the sinus contents for diagnosis and removal of diseased achieve therapeutic levels where they are needed. tissue in a range of disorders. Use of the technique reduces surgery time and a number of risks associated with sinus surgery. Drill and tap 4.5 threaded hole

Insert Cannulated Infusion screw 45MM / 2” TREPHINE FOR MODIFIED FRONTONASAL FLAP Attach syringe and connector and infuse ED0052F 45mm / 2” Trephine. £220.00 Set includes 4 cannulated infusion screws (12mm, 20mm, 35mm, 65mm) and insertion key in a stainless box CANNULATED LUER LOCK INFUSION SCREW SET ESISSET Cannulated luer lock infusion screw set. £125.00 ES014303 Cannulated infusion screw (12mm) £25.00 ES014304 Cannulated infusion screw (20mm) £25.00 ES014305 Cannulated infusion screw (35mm) £25.00 ES014306 Cannulated infusion screw (65mm) £25.00

27 4 GENERAL SURGERY

LigaFiba

Laryngeal Hemiplegia LigaFiba is a new, extremely strong surgical suture material. It is Tie-back/Tie-forward techniques composed entirely of Ultra High Molecular Weight Polyethylene, the same hard wearing material from which we make acetabular cups. Until Tie-back and the more recent Tie-forward techniques require strong, now it has not been possible to spin it fine enough to produce flexible tieable strands. abrasion resistant materials. Monofilament leader line is one such material. Whilst being very strong, leader line has the disadvantage that it is difficult Weight for weight it is 15 x stronger than steel and 2.5 x stronger than nylon. Importantly it has very good abrasion characteristics which is to tie without leaving a large bulky knot which is prone to seroma formation. important when used in hostile environments such as lateral sutures and Veterinary Instrumentation’s crimping systems join materials without hip toggles. leaving a knot. The crimp is both secure and low profile. LigaFiba is available in three breaking strains. 150lb (70kg) 0.6mm in diameter 250lb (113kg) 1.0mm in diameter 500lb (230kg) 1.6mm in diameter Sterile Leader Line & Crimp + Needle LigaFiba has a number of applications in veterinary orthopaedics and is available in a range of sterile presentations. Most Surgeons now prefer our sterile procedure packs. Available as a single or discounted multi-pack. As a braided material LigaFiba should only be used in aseptic conditions. This pack contains everything required for a single procedure. LigaFiba Tie Back Sutures STERILE LEADER LINE & CRIMP + NEEDLE 091155 50lb nylon line x 500mm on swaged-on Extreme strength, minimal stretch and good v. small curved needle + 10mm crimp (sterile) £14.00 abrasion charcteristics make LigaFiba an 091156 80lb nylon line x 800mm on swaged-on ideal material for Tie Back sutures. The loop small curved needle + 12mm crimp (sterile) £15.00 may be either tied or crimped at the end of the procedure. LigaFiba for any given 091157 100lb nylon line x 800mm on swaged-on diameter is more than twice as strong as medium curved needle + 12mm crimp (sterile) £16.00 monofilament nylon. 091155/5 50lb nylon line x 500mm on swaged-on v. small Lateral sutures are supplied sterile with size appropriate curved needle curved needle + 10mm crimp (sterile) 5 Pack £60.00 on one end and a straight round bodied needle at the other. 091156/5 80lb nylon line x 800mm on swaged-on small LIGAFIBA LATERAL SUTURES curved needle + 12mm crimp (sterile) 5 Pack £65.00 LFLS150 150lb LigaFiba Lateral Suture (500mm) £15.00 091157/5 100lb nylon line x 800mm on swaged-on medium curved needle + 12mm crimp (sterile) 5 Pack £70.00 LFLS250 250lb LigaFiba Lateral Suture (500mm) £15.00 091159 5 of each sterile Tie Back pack (50lb, 80lb and 100lb.) LFLS500 500lb LigaFiba Lateral Suture (600mm) £15.00 15 in total £150.00 LigaFiba Crimps LigaFiba ties very well but many surgeons prefer the low profile, security and speed of crimps. Crimps are available for all sizes of LigaFiba. Crimping Forceps Please note that only the LigaFiba crimper is powerful enough for LigaFiba Crimps. LIGAFIBA CRIMPS LFCRIMP150 Crimp for 150lb LigaFiba £6.50 LFCRIMP250 Crimp for 250lb LigaFiba £6.50 LFCRIMP500 Crimp for 500lb LigaFiba £6.50 Dedicated crimping forceps are required to avoid over-crimping or Compound Action Crimpers for LigaFiba under-crimping, both of which will The new compound action crimper delivers lead to early implant failure. a pre-measured crimp with minimal effort. The jaw cut outs prevent over crimping. CRIMPING FORCEPS These crimpers require the least effort of any crimper available. The compound 091135 Crimping Forceps £110.00 action crimper is suitable for all crimps apart from the thin walled 50lb Ande crimp which suits the standard simple action Correct Crimping crimper.

Correct. Three evenly spaced crimps

Incorrect. Not enough crimps

Incorrect. Crimps too close to end of tube COMPOUND ACTION CRIMPERS 091135SC Compound Action LigaFiba Crimpers 230mm £145.00

28 www.vetinst.com GENERAL SURGERY 4

POZZI TENACULUM FORCEPS FOR ‘TIE BACK’ PROCEDURE Stitch up kits

Veterinary Instrumentation offers four versions of a basic stitch up kit contained in an autoclaveable stainless steel case. The kits differ in the style of needleholder included. When bought as a kit a saving of around 20% is made on normal list price.

Use in “Tie-back” surgery to stabilise cricoid.

POZZI TENACULUM FORCEPS ES014250 Pozzi Tenaculum forceps. £38.50

Hobday Procedure KIT A Still widely used the Hobday technique is another option for the 2 x 6" Spencer Wells Artery Forceps Curved management of laryngeal hemiplegia. 2 x 6" Spencer Wells Artery Forceps Straight 1 x Scalpel Handle No 3 1 x 6" Lanes Dissecting Forceps - Rough Handles HOBDAY’S ROARING BUR 1 x 5.5" Straight Mayo Surgical Scissor 1 x 6.25" Gillies Needleholder/ scissor 1 x Stainless Steel Instrument Case

KIT B 2 x 6" Spencer Wells Artery Forceps Curved 2 x 6" Spencer Wells Artery Forceps Straight 1 x Scalpel Handle No 3 Hobday’s roaring bur 10mm (0.375”) bur approx. 21cm (8.5”) long 1 x 6" Lanes Dissecting Forceps - Rough Handles 1 x 5.5" Straight Mayo Surgical Scissor HOBDAY’S ROARING BUR 1 x 6.5" Olsen Hegar Needleholder/scissor ES0049 Hobday’s roaring bur. £42.00 1 x Stainless Steel Instrument Case

KIT C HOBDAY’S ROARING RETRACTOR 2 x 6" Spencer Wells Artery Forceps Curved 2 x 6" Spencer Wells Artery Forceps Straight 1 x Scalpel Handle No 3 1 x 6" Lanes Dissecting Forceps - Rough Handles 1 x 5.5" Straight Mayo Surgical Scissor 1 x 6.5" Mayo Hegar Needleholder T.C. jaws 1 x Stainless Steel Instrument Case

KIT D 2 x 6" Spencer Wells Artery Forceps Curved 2 x 6" Spencer Wells Artery Forceps Straight 1 x Scalpel Handle No 3 1 x 6" LanesDissecting Forceps - Rough Handles 1 x 5.5" Straight Mayo Surgical Scissor 1 x 6.5" Olsen Hegar with Tungsten Jaws Needleholder/scissor 1 x Stainless Steel Instrument Case

Hobday’s roaring retractor. Self retaining. Available in a standard and long version. STITCH UP KITS ESSKA Equine stitch up kit A. £175.00 HOBDAY’S ROARING RETRACTOR ESSKB Equine stitch up kit B. £180.00 ES0028 Hobday’s roaring retractor - standard. (25mm blades) £120.00 ESSKC Equine stitch up kit C. £180.00 ES0028i Hobday’s roaring retractor - long. (40mm blades) £120.00 ESSKD Equine stitch up kit D. £200.00

29 4 GENERAL SURGERY

Surgical Instruments Dissecting Forceps 1/2 Teeth

Veterinary Instrumentation can supply any DISSECTING FORCEPS 1/2 TEETH pattern of surgical instruments. See our 341145 Dissecting Forceps 1/2 teeth 15cm 6” £20.00 general catalogue for details. 341160 Dissecting Forceps 1/2 teeth 18cm 7” £20.00 341170 Lanes Diss Forceps 1/2 teeth 6” 15cm £20.00 349520 Lanes Diss Forceps 2/3 teeth 7” 18cm £20.00 Artery Forceps McPhails

Kocher

The McPhails needleholder has soft copper jaws for extra needle grip. The catch engages with a moderate squeeze on the handles. Further pressure releases the catch and the needle.

McPHAILS 584650 McPhails 15cm 6” N/Holders £55.00 Having a long jaw this forcep is rather like a 584660 McPhails 18cm 7” N/Holders £60.00 Rochester Pean but the tips are toothed for 584670 McPhails 20cm 8” N/Holders £65.00 added security.

KOCHER Gillies 105521 Kocher 15cm 6” Str Artery Forceps £27.50 105522 Kocher 15cm 6” COF Artery Forceps £29.50

Spencer Wells

Combined scissor/needleholder.

Actual size

GILLIES 582950 Gillies RH 16cm 6.25” N/Holders £42.00 The standard veterinary artery forceps. If the text 582951 £46.00 states “artery forceps or haemostat” this is Gillies LH 16cm 6.25” N/Holders probably the one. 602950 Gillies RH 16cm 6.25” T.C. Jaws £80.00 602951 Gillies LH 16cm 6.25” T.C. Jaws £90.00 SPENCER WELLS 106600 Spencer Wells 12.5cm 5” Str Art. Forceps £18.00 Galibans Suture Forceps 106605 Spencer Wells 15cm 6” Str Art. Forceps £21.00 106610 Spencer Wells 18cm 7” Str Art. Forceps £23.00 106615 Spencer Wells 20cm 8” Str Art. Forceps £30.00 106620 Spencer Wells 23cm 9” Str Art. Forceps £40.00 106621 Spencer Wells 30cm 12” Str Art. Forceps £50.00 106625 Spencer Wells 12.5cm 5” Cof Art. Forceps £21.00 106630 Spencer Wells 15cm 6” Cof Art. Forceps £23.00 106635 Spencer Wells 18cm 7” Cof Art. Forceps £25.00 106640 Spencer Wells 20cm 8” Cof Art. Forceps £32.00 106645 Spencer Wells 23cm 9” Cof Art. Forceps £42.00 Use when placing sutures under tension. Galibans used by an assistant are used to atraumatically secure the first throw. The Galibans are removed as the second throw is tightened.

GALIBANS SUTURE HOLDING FORCEPS 58900 Galibans Suture Holding Forceps £37.50

30 www.vetinst.com GENERAL SURGERY 4

Mayo and Mayo Hegar (T.C.) Scissors General Purpose Dressing Scissors

The veterinary general purpose needleholder, available in a large range of sizes with or without tungsten jaws.

MAYO AND MAYO HEGAR (T.C.) 584750 Mayo 12.5cm 5” N/Holders £28.50 The comfortable handles and serrated blades make these a useful all 584760 Mayo 14cm 5.5” N/Holders £29.50 round dressing scissor cheap enough for each consulting room. 584780 Mayo 16.5cm 6.5” N/Holders £31.00 GENERAL PURPOSE DRESSING SCISSORS 584765 Mayo 18cm 7.0” N/Holders £33.00 744840 £8.25 584810 Mayo 19cm 7.5” N/Holders £35.00 General Purpose Dressing Scissors 604700 Mayo Hegar 12.5cm 5” T.C. Jaws £50.00 Lister Bandage 604705 Mayo Hegar 14cm 5.5” T.C. Jaws £52.50 604712 Mayo Hegar 15cm 6” T.C. Jaws £57.50 604715 Mayo Hegar 16.5cm 6.5” T.C. Jaws £60.00 604715L Mayo Hegar 16.5cm 6.5” T.C. Jaws - Left Handed £62.50 604720 Mayo Hegar 18.5cm 7” T.C. Jaws £65.00 604730 Mayo Hegar 19cm 7.5” T.C. Jaws £70.00 604735 Mayo Hegar 20cm 8” T.C. Jaws £75.00 604740 Mayo Hegar 23cm 9” T.C. Jaws £80.00

LISTER BANDAGE 744800 Bandage Scissor 5.5’ 14cm £18.75 744810 Bandage Scissor 7” 18cm £21.50

Heath Stitch Olsen Hegar Scissor / Needleholder

Olsen Hegar's combine the best features of Gillies and needleholders. They cut stitches but also lock. Highly General purpose stitch cutter. recommended. Combined scissor/needleholder. Looser ‘feel’ will feel more like a scissor than a HEATH STITCH needleholder in use. 743800 Heath Stitch Scissors 15cm 6” £40.00

OLSEN HEGAR SCISSOR/NEEDLEHOLDER Littauer Stitch 585400 Olsen Hegar 14cm 5.5” N/Holders £50.00 585410 Olsen Hegar 16.5cm 6.5” N/Holders £55.00 585420 Olsen Hegar 19cm 7.5” N/Holders £60.00 605340 Olsen Hegar 11.5cm 4.5” T.C. Jaws £67.50 605350 Olsen Hegar 14cm 5.5” T.C. Jaws £75.00 605350S Olsen Hegar 14.5cm 5.5” Super Cut T.C. Jaws £85.00 605355 Olsen Hegar 16.5cm 6.5” T.C. Jaws £75.00 605355L Olsen Hegar 16.5cm 6.5” T.C. Jaws - Left Handed £77.50 605380 Olsen Hegar 17cm Supercut T.C. £85.00 605385 Olsen Hegar 18cm Supercut T.C. £90.00 Very nice for removal of small awkward sutures. 605390 Olsen Hegar 19cm Supercut T.C. £95.00 LITTAUER STITCH 605360 £77.50 Olsen Hegar 19cm 7.5” T.C. Jaws 745095 Littauer Stitch Scissors 8cm 3.5” £18.00 605361 £75.00 Olsen Hegar Razor Cut 14.5cm 5.5 ” 745100 Littauer Stitch Scissors 11cm 4.5” £18.00 605362 £77.50 Olsen Hegar Razor Cut 17cm 6.5” 745110 Littauer Stitch Scissors 12.5cm 5” Str. £18.00

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Surgical Scissors Surgical Scissor - Supercut Surgical scissors are typically either one of two designs. The Mayo is the general purpose surgical scissor in which the blade occupies approximately one third of the length of the scissor. The 14cm straight Mayo is the standard veterinary surgical scissor. The Metzenbaum is a finer lighter scissor in which the blade occupies approximately one quarter of the scissor length. Using a 14.5cm metzenbaum rather than a 14cm Mayo will give you a finer scissor but a similar working distance. Each style of scissor is available in four different qualities which vary according to blade construction and cutting characteristics. They can be identified by handle colour.

• Standard Stainless • Supercut Black • Tunsten Carbide Gold One blade is sharpened to a tapered edge which greatly enhances the • Supercut T.C. Black & Gold ability of the scissor to slice through tissues. The standard scissor has much more of a crushing action. Identified by having black handles. SURGICAL SCISSORS -SUPERCUT 760000 £32.50 Surgical Scissor - Standard Mayo Str. 14cm, 5.5”. Supercut 760002 Mayo Cof. 14cm, 5.5”. Supercut £32.50 760008 Metzenbaum 14.5cm, 5.75” Str. Supercut £35.00 760009 Metzenbaum 14.5cm, 5.75” Cof. Supercut" £35.00 760010 Metzenbaum Str. 18cm, 7”. Supercut £42.50 760012 Metzenbaum Cof. 18cm, 7”. Supercut £42.50

Surgical Scissors - Tungsten Carbide

MAYO-STANDARD 745300 Mayo Chamf. Blades 14cm 5.5” Str. £20.00 745300L Mayo Chamf. Blades 14cm 5.5” Str. - Left Handed £21.00 745310 Mayo Chamf. Blades 16.5cm 6.5” Str. £23.00 745320 Mayo Chamf. Blades 19cm 7.5” Str. £28.00 745330 Mayo Chamf. Blades 21.5cm 8.5” Str. £37.50 745400 Mayo Chamf. Blades 14cm 5.5” Cof. £23.00 745410 Mayo Chamf. Blades 16.5cm 6.5” Cof. £28.00 745420 Mayo Chamf. Blades 19cm 7.5” Cof £35.00 745430 Mayo Chamf. Blades 21.5cm 8.5” Cof. £45.00 Stay sharper, longer. Gold handles to distinguish from general surgical METZENBAUM-STANDARD items. The cutting edge is constructed of Tungsten Carbide, a very hard 746100 Metzenbaum ‘Lahey’ Sciss. 14.5m 5.75” Str. £26.00 material. 746101 Metzenbaum Sciss. 15cm 6” Str. £26.00 SURGICAL SCISSORS-TUNGSTEN CARBIDE 746110 Metzenbaum Sciss. 18cm 7” Str. £28.50 752250 £60.00 746110L Metzenbaum Sciss. 18cm 7” Str. - Left Handed £29.50 Mayo Clinical 6” 15cm Str. Hard Edge 752260 £60.00 746115 Metzenbaum Sciss. 20cm 8” Str £35.00 Mayo Clinical 7” 18cm Str. Hard Edge 752280 £62.50 746120 Metzenbaum Sciss. 21.5cm 8.5” Str £37.50 Mayo Clinical 6” 15cm Cof. Hard Edge 752290 £62.50 746130 Metzenbaum Sciss. 24cm 9.5” Str. £42.50 Mayo Clinical 7” 18cm Cof. Hard Edge 754020 £70.00 746200 Metzenbaum ‘Lahey’ 14.5cm 5.75” Cof. £32.00 Metzenbaum 14.5cm 5.75” Str. Hard Edge 754030 £70.00 746210 Metzenbaum ‘McIndoe’ 18cm 7” Cof. £35.00 Metzenbaum 18cm 7” Str. Hard Edge 754060 £70.00 746215 Metzenbaum 19.5cm 8” Cof. £40.00 Metzenbaum 23cm 9.5” Str Hard Edge" 754080 £70.00 746220 Metzenbaum 21.5cm 8.5” Cof. £45.00 Metzenbaum 14.5cm 5.75” Cof. Hard Edge 754090 £70.00 746230 Metzenbaum 24cm 9.5” Cof. £50.00 Metzenbaum 18cm 7” Cof. Hard Edge 754120 Metzenbaum 23cm 9.5” Cof. Hard Edge £70.00 754095 Metzenbaum 35cm 14” Cof. Hard Edge £70.00

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Surgical Scissor - Supercut TC Abdominal Surgery

Doyen

DOYEN 201950 Bowel Clamps Doyen 24cm 9.5” Str £62.50 201955 Bowel Clamps Doyen 24cm 9.5” Cof £67.50

The Supercut TC is our best scissor having the special cutting Resano Bowel Clamp characteristic of the Supercut style but with the long lasting Tungsten blades. Identified by one black and one gold handle

SURGICAL SCISSORS -SUPERCUT TC 760000TC Mayo Str. 14cm, 5.5”. Supercut TC £77.50 760002TC Mayo Cof. 14cm, 5.5”. Supercut TC £77.50 760008TC Metzenbaum 14.5cm, 5.75” Str. Supercut TC £77.50 760009TC Metzenbaum 14.5cm, 5.75” Cof. Supercut TC £77.50 760010TC Metzenbaum Str. 18cm, 7”. Supercut TC £85.00 RESANO BOWEL CLAMP 760012TC Metzenbaum Cof. 18cm, 7”. Supercut TC £85.00 201956 Resano Bowel Clamp. 25cm, 10”. £75.00 201957 Resano Bowel Clamp. 30cm, 12”. £77.50 Towel Clips 201958 Resano Bowel Clamp. 35cm, 14”. £80.00 Lloyd Davis Bowel Clamp BACKHAUS 841350 Backhaus 9cm 3.5” £18.00 841355 Backhaus 10cm 4” £20.00 841360 Backhaus 12.5cm 5” £24.00

CROSS ACTION 846550 Shardel Cross Action 9cm 3.5” £11.50 171566 Jones Cross Action 9cm 3.5” £9.50 841352 Atraumatic Towel Clamp 4.5” £19.50

Tissue Forceps Similar to the Resano in style but with a greater angle on the tips. LLOYD DAVIS BOWEL CLAMP Allis 201952 Lloyd Davis Bowel Clamp. 25cm, 10”. £75.00 General purpose tissue forceps. 201953 Lloyd Davis Bowel Clamp. 30cm, 12”. £77.50 201954 Lloyd Davis Bowel Clamp. 35cm, 14”. £80.00

VISCERA RETAINER

Any surgical intervention into the equine abdomen will, all being well, require closure. Keeping the intestines in position and away from harm during this phase of the procedure is a challenge. The viscera ALLIS retainer is made from flexible silicone 801150 Allis 2/3 teeth 15cm 6” £29.50 which covers and retains the 801155 Allis 3/4 teeth 15cm 6” £29.50 intestines. The abdominal wall is closed over the top of the retainer 801156 Allis 3/4 teeth 18cm 7” £29.50 which is removed at the last minute 801160 Allis 4/5 teeth 15cm 6” £29.50 from the incision before final closure. 801165 Allis 5/6 teeth 15cm 6” £29.50 801170 Allis 6/7 teeth 15cm 6” £29.50 VISCERA RETAINER 801175 Baby Allis 13cm 5” 4/5 teeth £27.50 ESJ208b Viscera Retainer. £70.00

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DeBakey Needleholders Surgical Instruments - Large Much lighter in construction than the Mayo Hegar. These needleholders are very useful for deep surgical procedures where there is limited space Veterinary Instrumentation can supply any e.g. chest surgery. pattern and size of surgical instrument. DEBAKEY Please contact us with your specification. 602015 DeBakey Needleholders 23cm 9” T.C. Jaws £87.50 602020 DeBakey Needleholders 25cm 10” T.C. Jaws £100.00 602025 DeBakey Needleholders 30cm 12” T.C. Jaws £115.00 Please note manufacture of bespoke instrumentation 602030 DeBakey Needleholders 35cm 14” T.C. Jaws £130.00 may take up to 8 weeks.

Kocher KOCHER Surgical Scissors - Tungsten Carbide 105524 Kocher 23cm 9” Str Artery Forceps £35.00 105525 Kocher 25cm 10” Str Artery Forceps £37.50 105526 Kocher 30cm 12” Str Artery Forceps £40.00 105527 Kocher 35cm 14” Str Artery Forceps £42.50 105528 Kocher 23cm 9” COF Artery Forceps £37.50 105529 Kocher 25cm 10” COF Artery Forceps £40.00 105530 Kocher 30cm 12” COF Artery Forceps £42.50 105531 Kocher 35cm 14” COF Artery Forceps £45.00

Dissecting Forceps 1/2 teeth

10p

Stay sharper, longer. Gold handles to distinguish from general surgical items. The cutting edge is constructed of Tungsten Carbide, a very hard material.

SURGICAL SCISSORS-TUNGSTEN CARBIDE 745080 Metzenbaum 23cm 9” Str. Hard Edge £70.00 745081 Metzenbaum 25cm 10” Str. Hard Edge £70.00 10p 745082 Metzenbaum 30cm 12” Str Hard Edge" £70.00 745083 Metzenbaum 35cm 14” Str. Hard Edge £70.00 754092 Metzenbaum 23cm 9” Cof. Hard Edge £70.00 DISSECTING FORCEPS 1/2 TEETH 754093 Metzenbaum 25cm 10” Cof. Hard Edge £70.00 341300 Dissecting Forceps 1/2 teeth 25cm 10” £35.00 754094 Metzenbaum 30cm 12” Cof. Hard Edge" £70.00 341301 Dissecting Forceps 1/2 teeth 30cm 12” £35.00 754095 Metzenbaum 35cm 14” Cof. Hard Edge £70.00 341302 Dissecting Forceps 1/2 teeth 35cm 14” £35.00 341303 Dissecting Forceps 1/2 teeth 40cm 16” £35.00 341304 Dissecting Forceps 1/2 teeth 45cm 18” £35.00 341305 Lanes Diss. Forceps 2/3 teeth 25cm 10” £40.00 Right Angled Clamp 341306 Lanes Diss. Forceps 2/3 teeth 30cm 12” £40.00 341307 £40.00 Lanes Diss. Forceps 2/3 teeth 35cm 14” RIGHT ANGLED CLAMP 014052a Right Angled Clamp 25cm 10” £40.00 Treves, Rat Tooth Forceps 1/2 teeth 014052b Right Angled Clamp 30cm 12” £40.00 014052c Right Angled Clamp 35cm 14” £40.00 DISSECTING FORCEPS 1/2 TEETH 014052d Right Angled Clamp w/o rachet 25cm 10” £40.00 346800 Treves Forceps 25cm 10” £35.00 014052e Right Angled Clamp w/o rachet 30cm 12” £40.00 346801 Treves Forceps 30cm 12” £35.00 014052f Right Angled Clamp w/o rachet 35cm 14” £40.00 346802 Treves Forceps 35cm 14” £35.00 346803 Treves Forceps 40cm 16” £35.00

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Left Handed Instruments SWANN MORTON SCALPEL BLADE REMOVER Veterinary Instrumentation offers a 240109 Scalpel blade remover Forceps £14.25 wide selection of left handed 5525 Scalpel blade remover Disposable (Box 10) £10.00 instruments, a selection of which is shown below. If the instrument you Handles are looking for is not shown, please Veterinary Instrumentation's No.3 scalpel handle is a standard handle but contact us and we will get it for you. has a centimetre/millimetre scale along its length. In addition the back and edge are sharp enough to act as a periosteal elevator for stripping LEFT HANDED SCISSORS periosteum and muscle from bone. 745300L Mayo Scissor 14 cm/ 5.5", Blunt/Blunt, Straight £21.00 745400L Mayo Scissor 14 cm/ 5.5", Blunt/Blunt, Curved £24.00 745310L Mayo Scissor 16.5 cm/ 6.5", Blunt/Blunt, Straight £24.00 PM40 745410L Mayo Scissor 16.5 cm/ 6.5", Blunt/Blunt, Curved £29.00 746100L Metzenbaum Scissor 14.5 cm, 5.75", Blunt/Blunt, Straight £27.00 746200L Metzenbaum Scissor 14.5 cm, 5.75", Blunt/Blunt, Curved £33.00 746110L Metzenbaum Scissor 18 cm / 7", Blunt/ Blunt, Straight £29.50 746115L Metzenbaum Scissor 20 cm / 8", Blunt/Blunt, Straight £36.00 744800L Lister Bandage Scissor 14 cm / 5-1/2", For Left Hand £19.75 744810L Lister Bandage Scissor 18 cm / 7", For Left Hand £22.50 744110L Iris Scissor 11 cm / 4-1/4", Round , Straight £16.00 744130L Iris Scissor 11cm / 4-1/4", Round, Curved £19.00 LEFT HANDED FORCEPS 103175L Halsted-Mosquito Artery Forcep 12.5 cm/ 5", Straight £20.50 103225L Halsted-Mosquito Artery Forcep 12.5 cm/ 5", Curved £20.50 101750L Crile Artery Forcep 14 cm/ 5-1/2", Straight £22.00 101780L Crile Artery Forcep 14 cm/ 5-1/2" , Curved £23.00 SWANN MORTON HANDLES 106230L Rochester Pean Artery Forcep 16 cm/ 6-1/2", Straight £24.00 0803VI No 3 handle with scale and periost elevator back £2.75 106275L Rochester Pean Artery Forcep 16 cm/ 6-1/2", Curved £28.50 0803 No 3 handle £3.50 841350L Backhaus Towel Forcep 9 cm/ 3-1/2" £19.00 0923 No B3 handle £12.50 LEFT HANDED NEEDLE HOLDERS 0804 No 4 handle £3.50 0814 £5.00 604715L Mayo-Hegar Needle Holder 16.5 cm £62.50 No 4 Long handle 0807 £3.50 604720L Mayo-Hegar Needle Holder 18.5 cm/ 7" £67.50 No 7 handle 0909 £3.50 585400L Olsen-Hegar Needle Holder 14 cm / 5-1/2" £52.50 No 9 handle 02652 £3.50 605355L Olsen-Hegar Needle Holder 16.5 cm / 6.5" £77.50 PM40 standard handle 0805 No 5(b) scalpel handle £9.50

Swann Morton Blades Swann Morton ‘Major’ Heavy Duty blades and handles & Handles

Swann Morton heavy duty handles and blades are particularly useful for equine surgery. Handle available in a long or standard version.

Actual size SWANN MORTON BLADES - Carbon Steel 0201 100 blades individually packed size 10 £10.50 SWANN MORTON ‘MAJOR’ HEAVY DUTY HANDLES AND BLADES 0203 100 blades individually packed size 11 £10.50 0640 Swann Morton ‘MAJOR’ Handle - long £5.50 0204 100 blades individually packed size 12 £10.50 0639 Swann Morton ‘MAJOR’ Handle - short £5.50 0205 100 blades individually packed size 15 £10.50 0721 100 blades individually packed S £11.50 0207 100 blades individually packed size 21 £10.50 0722 100 blades individually packed T £11.50 0208 100 blades individually packed size 22 £10.50 0724 100 blades individually packed V £11.50 0210 100 blades individually packed size 23 £10.50 0725 100 blades individually packed W £11.50 0211 100 blades individually packed size 24 £10.50 0728 100 blades individually packed Z £11.50

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TENDON SPLITTER HORSLEY’S TREPHINE

20mm

Horsley’s trephine including handle. All are 12.5cm (5”) long.

HORSLEY’S TREPHINE ED0052a Horsley’s trephine 13mm/0.5” OD. £130.00 TENDON SPLITTER ED0052b Horsley’s trephine 19mm/0.75” OD. £135.00 ESJ89 £35.00 Swedish pattern tendon splitter 20mm blade. ED0052c Horsley’s trephine 25mm/1.0” OD. £150.00 ESJ89i £35.00 Tendon splitter - large. 40mm blade. ED0052f Horsley’s trephine 45mm/2.0” OD. £220.00

LISTON BONE AND TISSUE NIPPERS

TENOTOMY KNIVES

Liston bone and tissue nippers15cm (6”) long. 25mm blade. Available in straight, angled and curved.

LISTON BONE AND TISSUE NIPPERS 141700 Liston 15cm 6” Straight. 25mm blade. £75.00 141705 Liston 15cm 6” Curved 25mm blade. £80.00 141710 Liston 15cm 6” Angled 25mm blade. £85.00

TENOTOMY KNIVES Very Large Fragment Forceps ESJ88a Parker’s tenotomy knife small blunt, cvd 15 x 3mm. £24.00 ESJ88bs Tenotomy knife blunt, str 50mm blade. £24.00 ESJ88bc Tenotomy knife blunt, cvd 50mm blade. £26.00 ESJ88sc Tenotomy knife sharp, cvd 50mm blade. £33.00

PERITONEAL TAPS

For use in situations where a very wide ‘gape' is required or where the bulk of the instrument Peritoneal taps. Blunt tipped with 2 lateral holes. 2.5” (6.5cm) must be well away from the jaw tips.

PERITONEAL TAPS VERY LARGE FRAGMENT FORCEPS ESJ277bs Equine abdominal peritoneal taps. £36.50 001202 Very Large Fragment Forceps. 205mm £70.00 001203 Very Large Fragment Forceps with Spin lock. 215mm £105.00

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Large Twin Point Reduction Forceps Burford Rib Retractor with Spinlock

When using pointed reduction forceps to reduce and compress fractures the position of the jaw tip is exactly where the pilot hole for the screw should be. Use of twin point reduction forceps allows the pilot to be drilled at exactly the correct position.

TWIN POINT REDUCTION FORCEPS WITH SPIN LOCK 001204 Twin Point Reduction Forceps with Spin Lock 215mm £125.00

Modular Osteotome with ultra-thin interchangeable blades and Diamond Rasp

The osteotome is supplied as a Heavy Duty Rib Retractor also useful during exposure of the spine. comfortable handle into which fits Supplied with a range of blades a large range of blades. The blades are very thin 1.1mm BURFORD RIB RETRACTOR making them suitable for a variety ES0040 Burford Rib Retractor £245.00 of procedures including block sulcoplasty. The block including the articular cartilage may be harvested with minimal breakage of the block. Supplied as a handle plus the following blades 4mm, 6mm, 8mm, 10mm, 12mm, 15mm and 20mm. A new diamond-coated 6mm rasp has been added to the range.

MODULAR OSTEOTOME 001380 Modular Osteotome complete with 7 blades £160.00 001382 Modular Osteotome replacement Blade 4mm £18.00 001383 Modular Osteotome replacement Blade 6mm £18.00 001384 Modular Osteotome replacement Blade 8mm £18.00 001385 Modular Osteotome replacement Blade 10mm £18.00 001386 Modular Osteotome replacement Blade 12mm £18.00 001387 Modular Osteotome replacement Blade 15mm £18.00 001388 Modular Osteotome replacement Blade 20mm £18.00 001389 Modular Diamond Rasp 6mm £36.00

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UTERINE BIOPSY PUNCH VAGINAL SPECULUM

Uterine biopsy punch with pistol grip handle and locking nut. 68cm (27”) long.

UTERINE BIOPSY PUNCH ES0039a Uterine biopsy punch. £245.00

CERVIX FORCEPS

Available in both standard and Polansky pattern (shown with wing nuts in picture). Standard pattern is nickel plated, whilst Polansky pattern is stainless steel. Both styles available with 27cm and 35cm long blades. Standard pattern also available with 10cm blades.

VAGINAL SPECULUM ESVS27 Vaginal speculum standard 27cm blades. £125.00 Used in the trans-cervical transfer procedure. Stainless steel 21.5.” (55cm) ESVS35 Vaginal speculum standard 35cm blades. £125.00 ESVP27 Vaginal speculum Polansky 27cm blades. £125.00 CERVIX FORCEPS ESVP35 Vaginal speculum polansky 35cm blades. £125.00 ES0038 Cervix Forceps. £245.00 ESVS10 Vaginal speculum standard 10cm blades. £125.00

LED TUBE SPECULUM

LED Tube Speculum (LTS) for both rectal and vaginal examinations. Designed so the lip at the mouth of the speculum includes fibre optics to allow direct illumination of the problem. The speculum may be connected to your existing endoscopic light source by means of a fibre optic cable (Storz or Wolf fitting) Alternatively an LED light handle may be attached making the LTS free of cabling. Set includes two different lengths 29mm x 450mm long 29mm x 300mm long The LED light handle is supplied with a Storz fitting and may also be used to illuminate arthroscopes, laparoscopes and rhinoscopes. Adaptors are available for other light fittings.

LED TUBE SPECULUM OES300 LED Tube speculum (300mm) (light not included). £350.00 OES450 LED Tube speculum (450mm) (light not included). £350.00 OESSETEQFO LED Tube speculum set . (light not included) £645.00 OESLH LED light source handle. £645.00

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Premium Instrument Boxes Holloware

Veterinary Instrumentation’s range of premium instrument boxes are made from lightweight anodised aluminium. Both lid and base are perforated but protected by replaceable paper filters which allow steam penetration but not micro-organisms. Clip on lid seals are impervious to micro-organisms. HOLLOWARE KID6 6” Kidney Dish £10.00 PREMIUM INSTRUMENT BOXES KID8 8” Kidney Dish £11.00 BX301410P Box External 300mm x 140mm x 100mm £115.00 KID10 10” Kidney Dish £13.50 Box Internal 280mm x 130mm x 84mm KID12 12” Kidney Dish £15.50 BX301470P Box External 300mm x 140mm x 70mm £110.00 LOTBWL4 4” Lotion Bowl £11.00 Box Internal 280mm x 130mm x 55mm LOTBWL6 6” Lotion Bowl £14.00 BX301440P £105.00 Box External 300mm x 140mm x 40mm LOTBWL8 8” Lotion Bowl £20.00 Box Internal 280mm x 130mm x 27mm LOTBWL10 10” Lotion Bowl £25.00 BXPFILTER Replacement Paper Filters w Indicators (x100) £12.00 BXPFIND Paper Labels w Indicators (x 100) £12.00 Fingered Silicone Insert BXREUSE Reuseable Filters (1,000 cycles) £25.00 Autoclavable silicone insert fits the base of the stainless box to prevent instruments contacting and damaging each Instrument Boxes other. There is an insert to fit each of our standard boxes.

Insert shown in use with castroviejo scissors (not included)

FINGERED SILICONE INSERT BXSIL2010 Silicone Insert for Box 200 x 100mm £22.00 BXSIL2540 Silicone Insert for Box 250x150mm £27.50 BXSIL2212 Silicone Insert for Box 220 x 120mm £27.50 BXSIL2215 Silicone Insert for Box 220 x 150mm £27.50 BXSIL2814 Silicone Insert for Box 280 x 140mm £27.50 BXSIL3416 Silicone Insert for Box 340 x 160mm £32.50 BXSIL4020 Silicone Insert for Box 400 x 200mm £32.50 Other sizes available POA Stainless steel in construction with a bacterial filter in the base. The filter allows steam to enter and water vapour to leave but excludes bacteria. Sterile Surgical Skin Marker Available in a range of sizes to suit most instrument sets and autoclaves. Some sizes are available without filter. Replace filters annually.

INSTRUMENT BOXES BX201040 Box 200mm x 100mm x 40mm £45.00 BX201040NF Box 200mm x 100mm x 40mm No Filter £40.00 BX221250 Box 220mm x 120mm x 50mm £52.50 BX221250NF Box 220mm x 120mm x 50mm No Filter £50.00 Supplied in a sterile peel pouch the surgical marker allows the surgeon to BX221550 Box 220mm x 150mm x 50mm £67.50 demarcate selected sites prior to or during surgery. The marker is scrub resistant, non toxic and highly visible. Especially useful around the eyes BX281450 Box 280mm x 140mm x 50mm £67.50 and ears where accurate reconstruction is vital. Also useful for large skin BX281410NF Box 280mm x 140mm x 100mm No Filter £67.50 reconstruction procedures. BX341650 Box 340mm x 165mm x 50mm £74.50 BX341670 Box 340mm x 165mm x 70mm £77.00 STERILE SURGICAL SKIN MARKER BX402070 Box 400mm x 200mm x 70mm £85.00 001487 Surgical Skin Marker Single £2.50 FILTER Filter (State Size Of Box) £5.00 001488 Surgical Skin Marker Single (6 pack) £10.00

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COLOSTRUMETER BRONCHO-ALVEOLAR LAVAGE CATHETER

Many tests are available to equine practitioners for evaluating the newborn foal’s lgG serum level, but this is the only practical and economical test available for evaluating the mare’s colostrum.

The JorVet Equine Colostrumeter utilizes only a small 15ml sample of the mare’s colostrum by comparing the specific gravity to distilled water in a plexiglass hydrometer. From the specific gravity obtained, a This catheter is designed to perform lavage on the equine lung. The determination can be made whether or not the foal will BAL catheter can also be used for cytology or culturing the airways. be receiving colostrum with adequate lgG The catheter is inserted nasally. The cuff inflated when in position. concentration. Please note a 3-way stop cock (not included) is required for Another benefit is if the colostrum specific gravity is administration and aspiration of fluid. fairly high, up to 250cc can be frozen for a colostrum bank. • The stiffness of the catheter makes for ease of passage • 30fr (10mm) x 240cm L EQUINE COLOSTRUMETER • 10cc cuff ESJ281 Equine colostrumeter. £75.00 BAL CATHETER ESJ284 BAL catheter. £45.00 EQUINE TRACHEAL WASH KIT EXTENDED USE CATHETER

Most traditional jugular catheters are teflon. They can create a thrombosis and crack if left in place for over 48 hours. The development of new materials allows large-bore catheters that can safely be left in-dwelling for up to 10 days. The JorVet Extended Transtracheal wash is a very useful diagnostic tool in the treatment of Use Catheter softens at body temperature. Many of the common lower respiratory disease in horses. The JorVet Tracheal Wash Kit catheter-related problems, such as phlebitis, can be minimised with provides a convenient and easy method to obtain high quality diagnostic these catheters. samples. The procedure is simple to perform under light sedation with a • 14g and 16g polyurethane catheter over needle small local block over the lower third of the neck. Sterile. • Non-thrombogenic and non-cracking • Can be safely left in the vein for up to 10 days • 15g cannula and 16g needle • Suture wings with holes or suture groove attachment • Catheter 22”L EXTENDED USE CATHETER EQUINE TRACHEAL WASH KIT EQCC14 Extended use catheter Complete 14g x 5.25”. £12.00 ESJ283 Equine Tracheal wash kit. £12.00 EQCC16 Extended use catheter Complete 16g x 5.25”. £12.00 EQCF14 Extended use catheter - Foal 14g x 3.0”. £12.00 EQCF16 £12.00 UTERINE FLUSHING CATHETER Extended use catheter - Foal 16g x 3.0”. J-LUBE AND J-JELLY

Large silicone catheter with large Foley inflatable balloon.

• Embryo transfer/collection • Lateral eyes on open ended tip This range of lubricants will cover most situations. • Inflatable balloon allows fluid retention in uterus when the catheter is passed beyond the cervix. J-Lube is a concentrated powder that dissolves easily in water and is a • Diameter: 33fr (8mm i.d. x 11mm o.d.) very effective obstetrical lubricant. Makes 25-30 litres of lubricant. 240ml • Includes two different adaptors (8oz) bottle. • Reducing Connector to attach tubing • Barbed Connector with standard luer fitting J-Jelly is an ideal all round lubicant for rectal and obstetrical procedures. Contains methylcellulose. 240 ml (8 fl oz) bottle.

EQUINE UTERINE FLUSHING CATHETER J-LUBE AND J-JELLY ESJ282 Flushing catheter 65cm L. £42.50 J-109 J-Lube. £8.50 ESJ283 Flushing catheter 135cm L. £50.00 J-109f J-Jelly. £4.00

40 GENERAL SURGERY 4

Biopsy Needles - Bone Cortical Bone Trephine Bone Marrow Biopsy - Jamshidi Type

In the Jamshidi type needle the integral stylet locks into the lumen of the needle preventing obstruction by debris. When the needle tip is in the desired location the stylet is removed and the sample aspirated. Stainless steel and re-usable. Used to take a core of bone for The 11 gauge needle with the stylet removed may be used to take a 1.5mm tumour typing. Retractable stylet locates trephine until teeth approx. core of bone from tumours for typing (see also bone trephines). begin to cut and then is retracted. Stylet is finally used to push out core. Core size 3, 4 and 6mm. Preserve in formol saline for the lab. Take multiple samples if possible. CORTICAL BONE TREPHINE 001427 Bone Biopsy Trephine 5mm o/d 3mm core £70.00 001425 Bone Biopsy Trephine 8mm o/d 6mm core £70.00 001426 Bone Biopsy Trephine 6mm o/d 4mm core £70.00

Disposable Skin Biopsy Punch

This item may be re-used providing it is re-sterilised by either ETO or cold sterilisation, see page 64. These are the original Baxter Jamshidi needles. Disposable skin biopsy punch with razor sharp stainless steel blade. Light BONE MARROW BIOPSY JAMSHIDI (DISP) BAXTER weight, ribbed plastic handle for control and comfort. 4, 6 and 8mm diameters available. Supplied sterile. DJ4011 Bone Marrow Biopsy Jamshidi 11g (Disp) Baxter Illinois £42.50 DISPOSABLE SKIN BIOPSY PUNCH DJ4008 Bone Marrow Biopsy Jamshidi 8g (Disp) Baxter SBP4 Skin Biopsy Punch 4mm Diameter Head £3.00 £42.50 Illinois SBP6 Skin Biopsy Punch 6mm Diameter Head £3.00 SBP8 Skin Biopsy Punch 8mm Diameter Head £3.00 SBPSET Set of 4, 6, 8mm Skin Biopsy Punch £7.00

Biopsy Needles - Soft Tissue Spinal Needles Tru-Cut Style

SPINAL NEEDLES 405248 18g x 3.5” Spinal Needles (Disp) (Box 25) £57.50 405247 18g x 3” Spinal Needles (Disp) (Box 25) £85.00

Used to sample liver, kidney and other soft tissues with minimal trauma. Takes just a small sliver of tissue. Disposable but will withstand boiling. Needle is “locked” and when released spring loaded cutting needle takes Skin Staplers the biopsy. Aesculap Manipler Disposable Skin Stapler TRU-CUT STYLE SOFT TISSUE BIOPSY STB18 VI, Trucut type, Supercore Biopsy Needle 14g x 90mm £32.50 STB18B VI, Trucut type, Supercore Biopsy Needle 18g x 90mm £32.50 012521 Trucut soft tissue Biopsy Needle Fully Manual 14g x 115mm £22.50

Temno Evolution Biopsy Needle

The standard soft tissue biopsy needle used by the NHS. 2 different sample sizes can be Lightweight Design Allows the surgeon to see the selected when pulling the plunger. One click High Quality Construction incision as well as closing it equals a 10mm notch exposure, two clicks Consistent reliable performance Flexible Placement Angle 20mm. Expensive but best in class. Slim Grip Design Allows choice of staple depth Unique Angled Head Economical 36 Staples

MANIPLER SKIN STAPLER TEMNO EVOLUTION BIOPSY NEEDLE 783100 Manipler Skin Stapler £10.50 TEM1420/1 £45.00 Temno Evolution Biopsy Needle 14g x 20cm Single 783101 Manipler Skin Stapler, TEM1420/5 Temno Evolution Biopsy Needle 14g x 20cm 5 Pack £200.00 12 units for the price of 10 £105.00

41 5 ORTHOPAEDICS & POWER TOOLS Chapter 5

Taps Insert Sleeves

A tap is essentially a cutting tool designed to pre-cut screw threads into the pilot hole Drill sleeves centre smaller drills in the prior to screw placement. The profile is placement of lag screws. similar to the screw in question but has long flutes to allow bone debris to be cleared. Taps are INSERT SLEEVES available as stand alone ‘T’ bar configuration or as a quick SL4532 Insert sleeve 4.5mm o/d 3.2mm i/d £33.50 release version which require a separate handle. 2.4 2.7, 3.5, SL5540 Insert sleeve 5.5mm o/d 4.0mm i/d £33.50 4.0, 4.5 and 6.5mm quick release taps require Synthes type quick release SL6545 Insert sleeve 6.5mm o/d 4.5mm i/d £33.50 handle. TAP HANDLE QRCS01 Handle for 2.4, 2.7, 3.5, 4.0, 4.5 taps. Synthes fit £120.00 Adjustable Drill Guide

Fibre Tap Handle with rotating cap The working tip of this instrument is a quick release chuck of the Synthes type which accepts drills, taps and screwdriver attachments. Inclusion of this handle would mean that you would not require separate tap handles and screwdriver. The rotating cap which sits in the palm allows the tip to be spun with the fingers. Our adjustable Drill Guide allows accurate placement of drill holes by QUICK RELEASE TAP HANDLE WITH FIBRE HANDLE predetermination of drill entry and exit points. Locks onto bone to minimise QRCS01F Quick Release with Fibre Handle £120.00 errors. • The swivelling point allows use of the guide where access is limited. QUICK RELEASE TAPS • A scale on the instrument measures hole depth TS00045 4.5mm £47.50 TS00045/L 4.5mm. Extra long (195mm) £47.50 In our view this design has significant advantages over ‘CEG’ and ‘C’ guides. TS00055 5.5mm £47.50 DRILL GUIDES & INSERTS TS00065 £47.50 6.5mm ADJDG45 Adjustable drill guide 4.5mm drills £145.00 ADJSL55 Slider to fit 5.5 Cortical (equine) screws fits ADJDG45 £40.00 Drill Guides and Inserts T Bar Taps

CEG4565

These taps require no additional handle. Use of an appropriate sized drill guide enables the surgeon to control exactly the entry and exit points of drills. This ability is extremely important in lag T BAR TAPS screwing. TBT045 T Bar Tap 4.5mm cortical £34.00 Various insert sleeves are available for each drill size, with an accurate TBT065 T Bar Tap 6.5mm cancellous £44.00 guidance system, and provide exact positioning of holes for lag screwing.

LARGE DRILL GUIDE (does not include insert sleeves) CEG4565 £82.50 Combination Drill, Tap and Insert Sleeve Large drill guide i/d 6.5mm “C” guide Drill Stops Drilling to a pre-measured depth can be a challenge even with a ‘C’ The large end has an internal diameter which matches the arm! A more reasonably priced clearance drill and tap. The small end has an internal diameter the option is to use a drill stop which same as the pilot drill and an external diameter which fits the is tightened onto the drill bit at the clearance drill hole, ie. the same as an insert sleeve. This single instrument required depth. The set includes 4 stops to cover all the standard drill contains all the guides and sleeves you need to place a lag screw. sizes. 2.0, 2.5, 2.7, 3.2, 3.5 & 4.5mm COMBINATION DRILL, TAP & INSERT SLEEVE The stop is tightened onto the drill bit using the hex driver provided. CDTIS45 £90.00 Combination drill, tap & insert sleeve for 4.5 screws DRILL STOPS DRILLSTOP Drill stop set in stainless case £95.00

42 www.vetinst.com ORTHOPAEDICS & POWER TOOLS 5

Tissue Protection Sleeves Hex Screwdrivers & Rotating pins, drills and taps will "pick up" soft tissues, skin, muscle, nerve and blood vessels, causing serious Screwholding Sleeves damage. Use of tissue protection sleeves minimises Screwdrivers with screw holding sleeves hold the screw until it has such damage. The teeth at the top of the guide locate engaged in the threaded hole. The sleeve is slid back up the shaft to on the bone whilst the stainless tube provides a barrier release the screw without disengaging it. between soft tissue and implant equipment. TISSUE PROTECTION SLEEVES TP0027 For drill/taps to 2.7mm £47.50 Screwdrivers for 2.7, 3.5 & 4.0 Screws TP0035 For drill/taps to 3.5mm £47.50 TP0045 For drill/taps to 4.5mm £47.50

Countersinks

If the screw is destined to screw down onto the surface of the bone without a SDH35S plate, it is helpful to contour the top of the screw hole to fit the screw head. This procedure is especially important when lag screwing relatively small fragments. Failure to countersink may lead to fracture of the bone fragment. HEX SCREWDRIVERS & SCREWHOLDING SLEEVES2.7/3.5 & 4.0 Screws COUNTERSINKS SDHS35F 2.5mm hex screwdriver + sleeve with fibre handle £65.00 COU2535 Small countersink AO Quick Fit Coupling up to 4mm £44.00 SDH35S Screwdriver Attachment Quick Fit 2.7/3.5/4.0 Screws £35.00 COU2535T Small countersink ‘T’ handle up to 4mm £44.00 COU4565 Large countersink AO Quick Fit Coupling 4.5mm + £44.00 COU4565T Large countersink ‘T’ handle 4.5mm + £44.00 Screwdrivers for 4.5, 5.5 & 6.5mm Screws Depth Gauge

Accurate measurement of hole depth is essential in order to select the appropriate screw size. A range of gauges is available for various screw sizes. Hole depth is read from the instrument. Add extra to allow for over penetration. Use in self-tapping or cortical systems.

HEXSCREWDRIVERS 4.5, 5.5 & 6.5 Screws DEPTH GAUGE SDH3500 3.5mm hex screwdriver for 4.5, 5.5 & 6.5mm screws £47.50 DG2735 For 2.7mm & 3.5mm screws £65.00 DG4565 For 4.5mm & 6.5mm screws £165.00 Hex Drive Shaft

Load Neutral Drill Guides

To exert compression at the fracture site, the cortical screw must be positioned precisely within the slot in the compression plate. The The battery drills we use as a base for our shrouded orthopaedic drills load/neutral drill guide has two tips, one for compression (load) and one have adjustable torque settings. While it is advised that the final where no compression is exerted (neutral). There is one combination for tightenening of the screw is performed by hand, much time and effort can each screw/plate size. Each guide is marked with the drill size to be used. saved by power driving. To power drive using our drill we have created two hex driver extensions to fit into a standard Jacobs chuck. Use 2.5 hex LOAD NEUTRAL DRILL GUIDES for 2.7, 3.5 and 4.0mm screws and the 3.5 hex for 4.5 and 5.5 screws. LNDG27 For 2.7mm Compression plates £120.00 LNDG35 For 3.5mm Compression plates £120.00 HEX DRIVE SHAFTS FOR POWER DRIVERS LNDG45 For 4.5mm Compression plates £120.00 DS25HEX 2.5 Hex Drive Shaft for 2.7, 3.5 & 4.0 screws £32.50 DS35HEX 3.5 Hex Drive Shaft for 4.5 & 5.5 screws £32.50

43 5 ORTHOPAEDICS & POWER TOOLS

Screw Holding Forceps Bone Plate Press

A useful instrument for selecting screws with minimal handling. Can be used with any style of screw.

SCREW HOLDING FORCEPS SF2055 Screw Holding Forceps £18.50

Plate Bending

PLATE BENDING 001287 AO type 2.7/3.5 bending levers (pair) 140mm £45.00 001288 AO type 3.5/4.5 broad bending levers (pair) 200mm £55.00 001288L AO type 3.5/4.5 broad bending irons. Long version. £55.00 001282 001283 Plate Bending Pliers, Roller Type 15", 380mm £150.00 001284A Reconstruction Plate Pliers 2.7mm plates £130.00 001284 Reconstruction Plate Pliers 3.5mm plates £130.00 001281 Bone Plate Press Small 285mm £350.00 001282 Bone Plate Press Large 16" 410mm £350.00 Bone plates suitable for 3.5mm and 4.5mm screws are extremely difficult to 001289B A0 style 2.7/3.5mm plate Bending Pliers £245.00 contour in a controlled manner. Most human orthopaedic presses, if large enough to contour the plate, are too large to fit in the typical veterinary 001289C A0 style Heavy Duty plate Bending Pliers £400.00 surgeon's autoclave. Bending Templates To avoid repeated entry into the operation site when contouring The large press will contour all plates but is 410mm long so check your plates, an ‘aluminium' bending template is contoured to the autoclave before purchase. bone. The steel plate is then bent to match the template using irons or a bone plate press. BONE PLATE PRESS BENDING TEMPLATES 001282 Bone Plate Press Large 16” 410mm. BT270760 £6.25 Bending Template 60mm for 2.7 DCPs & Round Hole Plates For all plates. £350.00 BT350786 Bending Template 86mm for 3.5 DCPs & Round Hole Plates £7.25 BT4507120 Bending Template 120mm for 4.5 DCPs Heavy Duty Bone Plate Pliers to 4.5mm & Broad 3.5 DCPs & HD & Round Hole Plates £7.25 BT450590 Bending Template 90mm for 4.5 DCPs Broad 3.5 DCPs & HD & Round Hole Plates £7.25 BT4509150 Bending Template 150mm for 4.5 DCPs Broad 3.5 DCPs & HD & Round Hole Plates £7.25 Plate Bending Pliers - Roller Type

001283 Roller Type Plate Bending Pliers

The largest bone plate pliers in the range, these will contour all plates other than the 4.5 broad. The bending head has 2 interchangeable anvils and the ‘hammer’ side has 3 different shapes which rotate. This offers the surgeon 6 different contouring options to match different plates and different shapes.

HEAVY DUTY PLATE BENDING PLIERS PLATE BENDING PLIERS - ROLLER TYPE 001289C Heavy Duty Plate Bending Pliers £400.00 001283 Plate Bending Pliers, Roller Type 15”, 380mm. Suitable for 3.5 and 4.5mm plates £150.00

44 www.vetinst.com ORTHOPAEDICS & POWER TOOLS 5

Screw Salvage Kit Screw Box 145mm x 105mm x 55mm deep for AO Type Screws This screw box has a hinged lid with a stainless perforated insert. The maximum screw length is 55mm but the marking of the holes is indicated. SCREW BOX SH4500CS Box for 4.5 screws marked 14mm - 36mm £105.00 Screw Box 310mm x 140mm x 115mm deep Large multi-size screwbox Removal of embedded screws can be a challenge particularly when with a clip on lid. Insert fatigue and fracture leaves a headless portion of screw in situ exactly may be lifted out with where a replacement is necessary. Ideally the screw should be removed integral handles the base without creating so much damage that a replacement cannot be set. The being used for instrument VI screw salvage set contains all the tools you might need for all sizes of storage. screw. A loan set is also available. The charge is for 7 days rental and includes a return collection by courier. All losses and breakages will be SCREW BOX LARGE charged accordingly. Mainland UK only. SH455565CS Box for 4.5/5.5/6.5 screws max length 100mm £155.00 SCREW SALVAGE SCSKIT Full Screw Salvage Set £1,950.00 Ruler with Radio Opaque 1.0mm scale SCSKITLOAN Full Screw Salvage Set - Loan £125.00

Screw Extraction Trephine While digital radiography has huge benefits it can Once the head of a screw has become detached the shaft can be very be difficult to scale images. The problem is compounded when prints are made for difficult to extract, particularly when the screw has been in situ for some viewing by a third party. e.g. BVA/KC Elbow time. The screw extraction trephine is designed to ‘core out’ the screw Dysplasia Scheme where accurate shaft either in its entirety or partially to allow the screw to be grasped by measurements down to 2mm are very extraction forceps. The internal diameter is a little larger than the screw to important. The new ruler is 120mm long be extracted. The external diameter is small enough in most cases to allow and graduated in 1.0mm increments. the replacement of the screw by a larger one. Placed at the level of the bone or joint under investigation at the time of radiography it will The trephine fits directly into a Jacobs chuck. enable accurate scaling of lesions. Also available in 500mm length. Reduced visibility over 70 kV 16mAs.

RADIO OPAQUE RULER 001495 Radio Opaque Ruler 120mm £29.50

EQUINE X RAY MARKER - RF/LF/RH/LH

Equine X Ray marker with rotating description (RF/LF/RH/LH). Stainless SCREW EXTRACTION TREPHINES steel with integrated clip. Available Jan 2011 SCET35 Extraction Trephine for 3.5 screws o/d 4.5mm £32.50 EQUINE X RAY MARKER SCET45 Extraction Trephine for 4.5 screws o/d 5.5mm £32.50 XRAYMARK2 Equine X Ray marker. £29.50

45 5 ORTHOPAEDICS & POWER TOOLS

AO Cortical and Cortical Self Tapping Kits 4.5/5.5 Cortical Kit (CORTKIT4.5/5.5) DCP 4 — 10 Hole (5 in total) 4.5 CS Screws 16mm — 40mm (55 in total) 5.5 CS Screws 36mm — 60mm (48 in total) 2x Cortical Tap Tissue Protector 4x Drills Large Countersink 2x Load/Neutural Guide Depth Gauge Hex Screwdriver Orthopaedic Ruler Handle for Tap Bending Template Stainless steel equipment/screw box

AO CORTICAL & CORTICAL SELF TAPPING PLATING KITS CORTKIT4.5 4.5mm Cortical Kit in Stainless Box £1,175.00 CORTSTKIT4.5 4.5mm Cort Self Tap Kit in Stainless Box £1,050.00 CORTKIT4.5/5.5 4.5/5.5mm Cort Kit in Stainless Box £2,350.00

Savings may be made by purchasing pre-assembled kits. The price is typically discounted by 5% less than the component price.

The description cortical means that the pilot hole must be pre-tapped prior OSTEOALLOGRAFT TM ORTHOMIX TM to screw placement. Cortical Self Tapping means that the screw itself has a self tapping tip and cuts its own thread. Self tappers work very well in all but the hardest cortical bone. It recommended that surgeons using self tappers keep a tap ‘just in case’. Veterinary Transplant Each kit contains all you need including screws and implants. Full details Services is the world’s of what the kit includes is available at www.vetinst.com/kits. first animal tissue bank and Veterinary Examples of the Self Tapping kits are shown below: Instrumentation is very pleased to have been 4.5mm Cortical Kit (CORTKIT4.5) appointed exclusive DCP 4 — 10 Hole (5 in total) European distributor for 4.5 CS Screws 16mm — 40mm (55 in total) their extensive product Hex Screwdriver range. Since 1996, over Orthopaedic Ruler 30,000 grafts have been Handle for Tap successfully used in Bending Templates small animal settings and VTS have now Cortical Tap Synthes Fit introduced 2x Drills Osteoallograft TM Load/Neutural Drill Guide OrthomixTM for equine Tissue Protector patients. Large Countersink Depth Gauge Potential applications include: Stainless steel equipment/screw box Fracture Repair - any type of fracture including sesamoid & navicular Arthrodesis procedures, Bone voids and bone loss, Spinal fusions 4.5mm Cortical Self Tapping Kit (CORTSTKIT4.5) DCP 4 — 10 Hole (6 in total) Benefits 4.5 CSST Screws 16mm — 40mm (55 in total) Easy to use Hex Screwdriver Faster Healing - Osteoconductive and osteoinductive 2x Drills Cost effective - No need to harvest, saves surgical time Bending Templates Store at room temperature 5 year shelf life Load/Neut Drill Guide For further information, clinical papers and case reviews please visit Tissue Protector www.vtsonline.com Large Countersink Depth Gauge Orthopaedic Ruler OSTEOALLOGRAFTTM ORTHOMIXTM Stainless steel equipment/screw box BNEBOFD3 3cc Osteoallograft Orthomix. £95.00 BNEBOFD6 6cc Osteoallograft Orthomix. £175.00 BNEBOFD15 15cc Osteoallograft Orthomix. (Available Jan 2011) £275.00

46 www.vetinst.com ORTHOPAEDICS & POWER TOOLS 5

2.7mm Screws & Plates 3.0mm Cancellous Screws 2.7mm Cortical Screws

Use with 2.7mm compression and 2.7mm Available from 12mm to 36mm length. Self tapping. Do not use in cortical reconstruction plates to bone unless using as a salvage screw for a stripped 2.7mm cortical screw. obtain compression at fracture site. 3.0mmCANCELLOUS FULL THREAD SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2mm pilot) CAN3012 12mm £4.25 CAN3014 14mm £4.25 2.7mmCORTICAL SCREWS - HEX HEAD 2.5mm (use 2mm pilot) CAN3016 16mm £4.25 CS2706 6mm £3.20 CAN3018 18mm £5.00 CS2708 8mm £3.20 CAN3020 20mm £5.00 CS2710 10mm £3.30 CAN3022 22mm £5.00 CS2712 12mm £3.30 CAN3024 24mm £5.00 CS2714 14mm £4.25 CAN3026 26mm £5.50 CS2716 16mm £4.25 CAN3028 28mm £5.50 CS2718 18mm £4.25 CAN3030 30mm £6.00 CS2720 20mm £4.75 CAN3032 32mm £6.00 CS2722 22mm £4.75 CAN3034 34mm £6.00 CS2724 24mm £4.75 CAN3036 36mm £6.00 CS2726 £5.30 26mm 2.7mm Compression Plates CS2728 28mm £5.30 CS2730 30mm £6.00 CS2732 32mm £6.00 CS2734 34mm £6.50 CS2736 36mm £6.50 CS2738 38mm £7.25 CS2740 40mm £7.25

Use with 2.7mm cortical screws to produce fracture site compression. 2.7mm Cortical Self Tapping Screws This type of screw is becoming increasingly popular in both human and 2.7mmCOMPRESSION PLATES veterinary orthopaedics. Self tapping flutes at the tip obviate the need for no. of holes thickness (mm) length (mm) pre-tapping which saves time and reduces time related complications. Pull C2702020 2 2.0 20 £21.50 out strength is not affected. C2704036 4 2.0 36 £24.75 2.7mmCORTICAL SELF TAPPING SCREWS C2705044 5 2.0 44 £27.50 - HEX HEAD 2.5mm (use 2mm pilot) C2706052 6 2.0 52 £29.00 CSST2706 6mm £3.35 C2707060 7 2.5 60 £32.50 CSST2708 8mm £3.35 C2708068 8 2.5 68 £35.00 CSST2710 10mm £3.50 C2709076 9 2.5 76 £37.50 CSST2712 12mm £3.50 C2710084 10 2.5 84 £42.50 CSST2714 14mm £4.50 C2712100 12 2.5 100 £45.00 CSST2716 16mm £4.50 C2714116 14 2.5 116 £47.50 CSST2718 18mm £4.50 C2716132 16 2.5 132 £50.00 CSST2720 20mm £5.00 CSST2722 22mm £5.00 Cuttable 2.7mm plate CSST2724 24mm £5.00 CSST2726 26mm £ 5.50 CSST2728 28mm £ 5.50 CSST2730 30mm £ 6.25 This plate is cuttable and stackable. The plate profile is convex for added strength. Also available in a notched style for easy 3 dimensional CSST2732 32mm £ 6.25 contouring. This is the cuttable malleable plate. CSST2734 34mm £6.75 CSST2736 36mm £6.75 CUTTABLE 2.7MM PLATE CSST2738 38mm £7.50 CP276150 Cuttable plate 2.7 screws 24 holes 150 mm long £65.00 CSST2740 40mm £7.50 CM276150 Cuttable, malleable plate 2.7 screws 24 holes 150mm £85.00

47 5 ORTHOPAEDICS & POWER TOOLS

2.7mm Quarter Tubular Plate 3.5mm Cortical Self Tapping Screws

2.7mm1/4 TUBULAR COMPRESSION PLATES T2703023 3 (number of holes) 23 (length in mm) £11.00 T2704031 431 £12.00 T2705039 539 £13.00 T2706047 647 £14.00 T2707055 755 £15.00 T2708063 863 £16.00 3.5/4.0mm Screws & Plates 3.5mm Cortical Screws (1.25 pitch) DIN58812

Use with 3.5mm compression and 3.5mm reconstruction plates to obtain fracture site compression. 3.5mm(1.25 PITCH) CORTICAL SCREWS This type of screw is becoming increasingly popular in both human and - HEX HEAD 2.5mm(use 2.5mm pilot) veterinary orthopaedics. Self tapping flutes at the tip obviate the need for CS3508 8mm £3.75 pre-tapping which saves time and reduces time related complications. Pull out strength is not affected provided the self tapping flutes are positioned CS3510 10mm £3.75 outside the cortex. Add an additional 2mm to screw length c.f. pre-tapped CS3512 12mm £3.75 cortical screws. CS3514 14mm £3.75 CS3516 16mm £4.75 3.5mm(1.25 PITCH) CORTICAL SELF TAPPING SCREWS CS3518 18mm £4.75 - HEX HEAD 2.5mm(use 2.5mm pilot) CS3520 20mm £4.75 CSST3508 8mm £4.00 CS3522 22mm £4.75 CSST3510 10mm £4.00 CS3524 24mm £5.00 CSST3512 12mm £4.00 CS3526 26mm £5.00 CSST3514 14mm £4.00 CS3528 28mm £5.00 CSST3516 16mm £4.00 CS3530 30mm £5.50 CSST3518 18mm £5.00 CS3532 32mm £5.50 CSST3520 20mm £5.00 CS3534 34mm £5.50 CSST3522 22mm £5.00 CS3536 36mm £5.50 CSST3524 24mm £5.25 CS3538 38mm £5.50 CSST3526 26mm £5.25 CS3540 40mm £5.50 CSST3528 28mm £5.25 CS3545 45mm £6.50 CSST3530 30mm £6.00 CS3550 50mm £6.50 CSST3532 32mm £6.00 CS3555 55mm £8.50 CSST3534 34mm £6.00 CS3560 60mm £10.50 CSST3536 36mm £6.00 CS3565 65mm £10.50 CSST3538 38mm £6.00 CS3570 70mm £10.50 CSST3540 40mm £6.50 CS3575 75mm £12.25 CSST3542 42mm £6.50 CS3580 80mm £12.25 CSST3544 44mm £6.50 CS3585 85mm £12.25 CSST3545 45mm £7.00 CS3590 90mm £12.25 CSST3546 46mm £7.00 CS3595 95mm £15.75 CSST3548 48mm £7.50 CS35100 100mm £15.75 CSST3550 50mm £7.50 CS35105 105mm £15.75 CSST3555 55mm £8.50 CS35110 110mm £15.75 CSST3560 60mm £8.50

48 www.vetinst.com ORTHOPAEDICS & POWER TOOLS 5

3.5mm Cancellous Screws (1.75 pitch) 4mm Cancellous Screws Full Threaded Use in cancellous bone where greater screw/bone interface is desirable. Self tapping.

The much coarser thread gives a much bigger "bite" to bone. Use on metaphysis or other cancellous bone. The screw needs its own tap. 4mmCANCELLOUS FULL THREAD SELF TAPPING SCREWS - HEX HEAD 2.5mm(use 2.5mm pilot) 3.5mm(1.75 PITCH) SMALL CANCELLOUS SCREWS CNF4010 10mm £4.00 - HEX HEAD 2.5mm(use 2.0mm pilot) CNF4012 12mm £4.00 CAN3510 10mm £4.00 CNF4014 14mm £4.00 CAN3512 12mm £4.00 CNF4016 16mm £5.00 CAN3514 14mm £4.00 CNF4018 18mm £5.00 CAN3516 16mm £5.00 CNF4020 20mm £5.00 CAN3518 18mm £5.00 CNF4022 22mm £5.00 CAN3520 20mm £5.00 CNF4024 24mm £5.25 CAN3522 £5.00 22mm CNF4026 26mm £5.25 CAN3524 £5.25 24mm CNF4028 28mm £5.25 CAN3526 £5.25 26mm CNF4030 30mm £6.00 CAN3528 £5.25 28mm CNF4032 32mm £6.00 CAN3530 £6.00 30mm CNF4034 34mm £6.00 CAN3532 £6.00 32mm CNF4035 35mm £6.00 CAN3534 £6.00 34mm CNF4036 36mm £6.00 CAN3536 £6.00 36mm CNF4038 38mm £6.00 CAN3538 £6.00 38mm CNF4040 40mm £6.50 CAN3540 £6.50 40mm CNF4045 45mm £7.00 CAN3545 45mm £7.00 CNF4050 50mm £7.50 CAN3550 50mm £7.50 CNF4055 55mm £8.50 CAN3555 55mm £8.50 CNF4060 60mm £8.50 CAN3560 60mm £8.50 4mm Cancellous Screws Part Threaded 3.5mm Compression Plate

4mmCANCELLOUS PART THREAD SELF TAPPING SCREWS - HEX HEAD 2.5mm(use 2.5mm pilot) CNP4010 10mm £4.00 CNP4012 12mm £4.00 Use with 3.5mm cortical or 3.5mm cancellous screws to produce fracture CNP4014 14mm £4.00 compression. CNP4016 £5.00 16mm 3.5mmCOMPRESSION PLATES CNP4018 18mm £5.00 C3502026 2 (number of holes) 26 (length in mm) £22.50 CNP4020 20mm £5.00 C3503038 338 £24.00 CNP4022 22mm £5.00 C3504050 450 £25.00 CNP4024 24mm £5.25 C3505062 562 £26.00 CNP4026 26mm £5.25 C3506074 674 £27.50 CNP4028 28mm £5.25 C3507086 786 £28.50 CNP4030 30mm £6.00 C3508098 £30.00 CNP4035 35mm £6.00 898 C3509111 £32.50 CNP4040 40mm £6.50 9 111 CNP4045 45mm £7.00 C3510122 10 122 £36.50 CNP4050 50mm £7.50 C3512146 12 146 £40.00 CNP4055 55mm £8.50 C3514170 14 170 £42.50 CNP4060 60mm £8.50 C3516194 16 194 £45.00

49 5 ORTHOPAEDICS & POWER TOOLS

4.5mm Screws & Plates 4.5mm Cortical Self Tapping Screws 4.5mm Cortical Screws Use of self tapping screws can save considerable time and trauma. Reducing surgery time will reduce morbidity. Pull out strength is not affected provided the self tapping flutes lie outside of the cortex. Add an extra 1mm when assessing screw length. Self tapping screws are less effective in dense cortical bone. e.g. calcaneus. It is advised that an appropriate tap be available should the need arise. Drill data: Pilot drill 3.2mm Clearance drill 4.5mm

4.5MM CORTICAL SELF TAPPING SCREWS - HEX HEAD=3.5MM PILOT=3.2MM CSST4512 12mm £5.25 CSST4514 14mm £5.25 The standard human cortical screw is suitable for very large dogs and CSST4516 16mm £5.25 equines. Because it is a human product made in large numbers, CSST4518 18mm £5.25 4.5mm screws are relatively inexpensive. CSST4520 20mm £5.25 4.5mmCORTICAL SCREWS CSST4522 22mm £5.25 - HEX HEAD 3.5mm(use 3.2mm pilot) CSST4524 24mm £6.00 CS4512 12mm £4.85 CSST4526 26mm £6.00 CS4514 14mm £4.85 CSST4528 28mm £6.00 CS4516 16mm £4.85 CSST4530 30mm £6.00 CS4518 18mm £4.85 CSST4532 32mm £6.00 CS4520 20mm £4.85 CSST4534 34mm £6.00 CS4522 22mm £4.85 CSST4536 36mm £6.00 CS4524 24mm £5.65 CSST4538 38mm £6.00 CS4526 26mm £5.65 CSST4540 40mm £6.50 CS4528 28mm £5.65 CSST4542 42mm £6.50 CS4530 30mm £5.65 CSST4544 44mm £6.50 CS4532 32mm £5.65 CSST4546 46mm £6.50 CS4534 34mm £5.65 CSST4548 48mm £6.50 CS4536 36mm £5.65 CSST4550 50mm £6.50 CS4538 38mm £5.65 CSST4552 52mm £6.50 CS4540 40mm £6.25 CSST4554 54mm £6.50 CS4542 42mm £6.25 CSST4556 56mm £7.25 CS4544 44mm £6.25 CSST4558 58mm £7.25 CS4546 46mm £6.25 CSST4560 60mm £7.25 CS4548 48mm £6.25 CSST4562 62mm £7.25 CS4550 50mm £6.25 CSST4564 64mm £7.25 CS4552 52mm £6.25 CSST4566 66mm £7.25 CS4554 54mm £6.25 CSST4568 68mm £7.25 CS4556 56mm £7.00 CSST4570 70mm £7.25 CS4558 58mm £7.00 CSST4575 75mm £9.50 CS4560 60mm £7.00 CSST4580 80mm £11.00 CS4562 62mm £7.00 CSST4585 85mm £12.50 CS4564 64mm £7.00 CS4566 66mm £7.00 CS4568 68mm £7.00 CS4570 70mm £7.00 CS4575 75mm £9.00 CS4580 80mm £10.50 CS4585 85mm £12.00

50 www.vetinst.com ORTHOPAEDICS & POWER TOOLS 5

Narrow 4.5mm Compression Plate 5.5/6.5mm Screws 5.5mm Cortical Screws This cortical screw is suitable for equines. Nearly twice as strong as 4.5mm cortical screws. Use with 4.5mm plates. Drill data: Pilot 4.0mm, Clear 5.5mm.

5.5mmCORTICAL SCREWS - HEX HEAD 3.5mm(use 4.0mm pilot) CS5524 24mm £10.50 CS5526 26mm £11.25 CS5528 28mm £12.00 CS5530 30mm £12.50 CS5532 32mm £13.50 CS5534 34mm £14.50 CS5536 36mm £15.50 Use with 4.5mm cortical screws to produce fracture site compression. CS5538 38mm £16.00 CS5540 40mm £16.50 CS5542 £17.00 NARROW 4.5mmCOMPRESSION PLATES 42mm CS5544 44mm £17.50 C45239 2 (number of holes) 39 (length in mm) £24.50 CS5546 46mm £18.00 C45355 355 £25.50 CS5548 48mm £19.00 C45471 471 £26.50 CS5550 50mm £20.00 C45587 587 £27.50 CS5552 52mm £21.00 C456103 6 103 £28.50 CS5554 54mm £22.00 C457119 7 119 £29.50 CS5556 56mm £23.00 C458135 8 135 £31.00 CS5560 60mm £24.00 C459151 9 151 £33.00 CS5564 64mm £25.00 C4510167 10 167 £36.00 CS5570 70mm £26.00 C4511183 11 183 £38.50 CS5580 80mm £28.00 C4512199 12 199 £42.00 CS5590 90mm £30.00 C4513211 13 211 £45.00 CS55100 100mm £32.00 C4514230 14 230 £47.50 C4515246 15 246 £50.00 C4516265 16 265 £62.50 6.5mm Cancellous Screws Broad 4.5mm Compression Plate Drill data: Pilot 3.2mm, Clear 6.5mm.

6.5mmCANCELLOUS SCREWS - FULL THREADED - HEX HEAD 3.5mm(use 3.2mm pilot) CNF6525 25mm £7.00 This is the strongest plate available for veterinary orthopaedics. CNF6530 30mm £7.25 CNF6535 35mm £7.50 BROAD 4.5mmCOMPRESSION PLATES CNF6540 40mm £8.00 B4505087 5 (number of holes) 87 (length in mm) £35.00 CNF6545 45mm £8.50 B4506103 6 103 £36.50 CNF6550 50mm £9.00 B4507119 7 119 £39.00 CNF6555 55mm £9.50 B4508135 8 135 £42.50 CNF6560 60mm £10.00 B4509151 9 151 £45.00 CNF6565 65mm £10.50 B4510167 10 167 £47.50 CNF6570 70mm £11.00 B4511183 11 183 £50.00 CNF6575 75mm £11.50 B4512199 12 199 £52.50 B4513215 13 215 £55.00 B4514231 14 231 £57.50 B4515247 15 247 £60.00 B4516263 16 263 £65.00 B4517279 17 279 £70.00 B4518295 18 295 £75.00

51 5 ORTHOPAEDICS & POWER TOOLS

Drill Bits - AO Quick Fit Drill Bits Quick fit drills have a quick release coupling which enables them to be quickly switched using a quick release drill attachment as supplied with the WHICH DRILL DIAMETER ïòë îòð îòé íòë ìòð ìòë ëòë Mini Driver, Maxi Driver, MPX, MPZ systems and most other powered ÍØÛÎÓßÒ ó з´±¬ ó ïòê îòì îòé ó ó ó systems. G suffix indicates gold titanium nitride coating. ÌÇÐÛ ÓßÒ ó Ý´»¿® ó îòð îòé íòë ó ó ó ßÑ ÌÇÐÛ ó з´±¬ ïòï ïòë îòð îòë îòë íòî ìòð DRILL BITS - AO QUICK FIT ÝÑÎÌ×ÝßÔ ó Ý´»¿® ïòë îòð îòé íòë ìòð ìòë ëòë S090102S 5/64 2.0mm 100mm £21.75 S090102L 5/64 2.0mm 125mm £23.75 S090112S 2.5mm 110mm £22.25 Drill Bits - Hard S090112SG 2.5mm 110mm £30.00 Expensive but last a long time. All quick fit drills, and those round shank S090112L 2.5mm 180mm £24.00 drills with a diameter of 3.2mm or more, come in short and long lengths. S090104S 7/64 2.7mm 100mm £23.50 These drills are much stiffer than implant quality ones. Particularly recommended for drills less than 3.2mm diameter. Drill fragments do not S090104L 7/64 2.7mm 125mm £25.50 cause a problem. G suffix indicates gold titanium nitride coating. S090105S 1/8 3.2mm 145mm £24.50 DRILL BITS - Stainless Steel 420 Hard S090105L 1/8 3.2mm 195mm £26.50 - Not Implant Quality - Long Life - Round Shank S090107 5/32 4.0mm 145mm £24.00 H090102 5/64 2.0mm 100mm £17.00 S090108S 11/64 4.5mm 145mm £25.50 H090112 2.5mm 115mm £17.50 S090108L 11/64 4.5mm 195mm £27.50 H090112G 2.5mm 115mm £25.50 S090109 5.5mm 145mm £31.00 H090104 7/64 2.7mm 130mm £17.50 H090105S 1/8 3.2mm 130mm £18.50 H090105L 1/8 3.2mm 180mm £19.50 Leg Saver Splint H090107S 5/32 4.0mm 130mm £21.00 H090107L 5/32 4.0mm 180mm £21.00 H090108S 11/64 4.5mm 130mm £21.00 H090108L 11/64 4.5mm 180mm £25.00 H090109S 5.0mm 130mm £21.00 H090109L 5.0mm 180mm £25.00

Anti-Skid Drills

H090104AS

Unless a bone drill is driven at 90 degrees to the bone surface there is a tendency for the drill to ‘skid’ over the bone surface placing the hole inappropriately. The anti-skid drill has a special tip to bite into the bone at virtually any useful angle, accurately predetermining the hole position. Made from hard multi use 420 stainless steel. Available in all useful sizes. 2.0, 2.5, 2.7, 3.2, 3.5, & 4.5mm With any serious injury to the distal limb it is vital to support as soon as ANTI-SKID DRILLS possible to minimise further damage. The Kimzey Leg Saver Splint gives support along the front of the leg in cases of distal fractures and H090102AS Anti-Skid Drill 2.0mm 100mm long £19.75 suspensory ligament system failure. Also used as additional support H090112AS Anti-Skid Drill 2.5mm 115mm long £19.75 after casting. H090104AS Anti-Skid Drill 2.7mm 130mm long £20.75 H090105SAS Anti-Skid Drill 3.2mm 130mm long £20.75 LEG SAVER SPLINT H090106SAS Anti-Skid Drill 3.5mm 130mm long £20.75 ELSS1 Foal leg saver splint (contracted tendon). £315.00 H090106SAS/L Anti-Skid Drill 3.5mm 180mm long £21.75 ELSS2 Standard Leg Saver Splint. £315.00 H090108SAS Anti-Skid Drill 4.5mm 130mm long £21.75 ELSS3 Hind Leg Saver Splint. £315.00

52 www.vetinst.com ORTHOPAEDICS & POWER TOOLS 5

RADIOLOGY CASSETTE HOLDER Power Tools Variable Speed Orthopaedic Drill Our model has a removeable battery pack. This feature makes charging easier and a spare battery pack can be maintained on charge. The battery charges more quickly than you can discharge the one in the drill. This remains the best drill we have found. All the original features remain. • excellent control over speed 0-600rpm via trigger • stainless steel chuck (6.35mm capacity) and extension • 80mm through chuck cannulation • autoclavable shroud • low speed, high torque • supplied as a complete kit including stainless chuck, key, extension, autoclavable shroud, 2 batteries and a charger.

VARIABLE SPEED ORTHOPAEDIC DRILL 001600 Variable Speed Orthopaedic Drill (Complete Kit). Drill, chuck, key, shroud, extension, 2 x batteries £330.00 001605 Spare Chuck (& key) 1/4" 6.35mm £110.00 001606 Spare Key for standard chuck £20.00 001607 Drill Extension £42.50 001620 Spare Drill Shroud £16.00 001610 Spare Rechargable Battery £32.50

Multi Saw Battery Powered The Multi Saw is a multi- The length of the function oscillating saw holding handle is adjustable. which may be used as a cast cutter and a surgical oscillating saw. The standard rechargeable saw is supplied as a kit including charger, battery and gypsum type saw blade. Our stainless attachment converts the multi saw into a surgical saw in a similar fashion to our orthopaedic drill. With the converter and shroud in place, all exposed surfaces are sterile. A wide range of blades fit the multi saw. We recommend either the Desoutter S82 series or the Halls 5071 series. The latter offers a slimmer cut 0.8mm c.f. 1.2mm.

MULTI SAW BATTERY POWERED 001701 Multi Saw including Gypsum Blade (rechargeable) £325.00 001702 Stainless Converter (c/w spanner) £95.00 RADIOLOGY CASSETTE HOLDER 001703 Waterproof shroud for Multi Saw £15.00 EGJ492c £85.00 Medium cassette holder 90° 001705 Multi Saw Diamond Blade (Resin) £42.50 EGJ492d £125.00 Large cassette holder 45° 001706 Multi Saw (Gypsum) Blade £37.50 EDJ4913 Adjustable handle 130cm to 210cm (required) £55.00 001708 Multi Saw Surgical Kit incl converter, shroud EGJ492g Tunnel cassette holder with perspex top and S82-103 blade £425.00 for various foot radiographs £110.00 001701B Spare Battery for Multisaw £97.50

53 5 ORTHOPAEDICS & POWER TOOLS

Blue Line Battery Surgical Power Power Tools The Blue Line Drill is fully Maxi Driver Modular System autoclavable at 134 degrees. (not batteries). The The MaxiDriver remains the batteries are no memory Lithium for workhorse of very many human and long life. Supplied with a quick fit 1/4” veterinary orthopaedic units. It is (6.3mm) stainless chuck. An AO extremely reliable and almost quick fit attachment may be coupled infinitely repairable. It’s robust construction will tolerate a good deal to the drill’s industry standard hudson of abuse. drive. Fully cannulated. Veterinary Instrumentation is re- Supplied complete with battery, manufacturing the handpieces and battery charger and battery transfer attachments and has taken steps to sleeve. Weight 1110g ensure that all spares are available MAXL100R or can be re-made. The New The Blue Line Saw accepts a range MaxiDriver has a full 1 year of blades from 6mm wide. Saw warranty. The handpiece is significantly bigger than the MiniDriver (940g speed is nicely controlled via the vs 480g). The modular system takes 15 quick release attachments. All trigger. attachments also available in new re-manufactured condition. Please phone for details. A huge range of saw blades is available making the The saw has a maximum oscillation MaxiDriver Kit an extremely good value introduction to orthopaedic of 15000/min. Noise levels are power. MaxiDriver Kits are particularly good value. below 90dB. Supplied complete with battery charger and battery transfer sleeve. Weight 905g

Drill/Saw Set Blue Line Drill Blue Line Saw Jacobs Chuck AO Quick Release Chuck 2 x Battery Chargers 3 x Batteries 2 x Battery Sleeves 12 month Warranty Instructions MAXKITR Basic MaxiDriver Set

The system is CE marked and carries a full 12 month warranty. The batteries should not be autoclaved but an autoclaveable transfer system is MAXL110 Jacobs Chuck MAXL320 Sagittal Saw included.

SPECIAL OFFER Buy both Drill/Saw set and save £500.00. MAXL513 AO Quick Release Drill/Saw Set £2,700.00 Less than the price of the battery charger of other systems!!!

BLUE LINE BATTERY POWER MAXL111 Wire/Pin Driver BLDKIT Blue Line Drill Complete Kit £1,500.00 MAXI DRIVER MODULAR SYSTEM BLAOA AO quick fit attachment £105.00 MAXL100R MaxiDriver Handpiece Refurbished to new £2,200.00 BLSSKIT Blue Line Sagittal Saw £1,500.00 MAXL110 Jacobs Chuck Attachment 6.35mm capacity £275.00 BLDSSET Blue Line Drill/Saw Full set £2,700.00 MAXL111 Wire/Pin Driver 1.6 to 4mm capacity £400.00 BLBAT Spare Battery £165.00 MAXL320 Sagittal Saw Large Attachment £450.00 BL841008 Saw Blade 84mm x 10 x 0.8mm £30.00 MAXL140 Reciprocating Saw Attachment £350.00 BL840808 Saw Blade 84mm x 8 x 0.8mm £30.00 MAXL513 AO Quick Release Attachment £450.00 BL840608 Saw Blade 84mm x 6 x 0.8mm £30.00 MAXIHOSE 3 Metre MA7 Hose to fit MaxiDriver £375.00 BL540906 Saw Blade 54mm x 9 x 0.6mm £30.00 MAXKITR MaxiDriver Basic Kit with as new handpiece £2,800.00 BL622912 Saw Blade 62mm x 29 x 1.2mm £30.00

54 Chapter 6 MISCELLANEOUS INSTRUMENTS 6

PVC STOMACH TUBE BALLING GUN

Inexpensive standard PVC stomach tubes with funnel end. Balling gun. Available in three styles. Foal. 1/4” i.d. 3/8” o.d. x 7’L. Small 5/16” i.d. 1/2” o.d. x 9’L. Small Diameter Length 43cm (17”) Diameter 15mm 5/8” Medium 3/8” i.d. 5/8” o.d. x 9’L. Medium Diameter Length 43cm (17”) Diameter 25mm 1” Large. 1/2” i.d. 3/4” o.d. x 10’L. Large Length 56cm (22”) Diameter 35mm 1 1/2”

PVC STOMACH TUBE BALLING GUN EQSTF PVC Stomach Tube - Foal. £17.50 ESBGS Balling gun Small. £45.00 EQSTS PVC Stomach Tube - Small. £17.50 ESBGM Balling gun Medium. £45.00 EQSTM PVC Stomach Tube - Medium. £17.50 ESBGL Balling gun Large. £50.00 EQSTL PVC Stomach Tube - Large. £17.50

STOMACH PUMP FRICK’S ORAL SPECULUM

Made of heavy duty stainless steel.

FRICK’S ORAL SPECULUM Stomach pump. Delivers liquid on both the up and down stroke. EQOSP Frick’s oral speculum. £22.00 Available in two sizes.

Small Length 40cm (16”) Medium Length 55cm (21 1/2”) TWITCH KENDAL MODEL

STOMACH PUMP EQSPS Stomach pump Small. £65.00 EQSPM Stomach Pump Medium. £65.00

NECK COLLAR

TWITCH KENDAL MODEL EGJ44 Equine humane twitch. £25.00

Simple and secure attachment.

NECK COLLAR EQNCL Neck collar. £29.50

55 7 OPHTHALMOLOGY Chapter 7

Dual Light Zoom Head Torch Equine Ophthalmic Kit The beam is switchable between between the LEDs and the Xenon Halogen beams. Use the LEDs for broad spread of light. The Xenon offers an ultra bright focusable beam. Supplied with 4 x AA battery pack. Using the 3 x LEDs beam the batteries last 130hrs. Using the xenon beam the batteries will last less time approximately 4hrs

DUAL LIGHT HEAD TORCH 014202 Dual Light Head Torch £47.50

LED Head Torch

Very bright 3 LED light source powered by three AAA bateries (supplied) which last up to 80 hours. the light is hinged at the headband for beam adjustment.

The kit contains 8 instruments. All are contained in a stainless steel case with a protective silicon lining which minimises damage to the delicate instruments. Discounted by over 20% compared to component price.

LED HEAD TORCH Instruments included: 014203 LED Head Torch 3 LED £27.50 Halstead Mosquito forceps x2 (one curved and one straight) Beaver Type Handle (Swann Morton ‘fine’ series)(NB Blades not included) Steven’s Tenotomy Scissors Eyelid Speculum Bishop Harman Forceps Castroviejo Needleholders with catch - straight Eyelid Speculum Balloon Cloth Drape Stainless Box with silicon fingered insert

EQUINE OPHTHALMIC KIT EQOPTKIT Equine Ophthalmic Kit. £325.00

EQUINE OPHTHALMIC KIT - INDIVIDUAL INSTRUMENTS 103175 Halstead Mosquito Forceps straight. £19.50 103225 Halstead Mosquito Forceps curved. £19.50 014163 Bishop Harmen Forceps. £52.00 014108 Steven’s Tenotomy Scissors. £24.00 014175 Castroviejo Needleholders with catch T.C. £102.50 014191 Colibri Forceps. £85.00 The equine eye requires a dedicated speculum. None of the human ES014200 Eyelid Speculum. £40.00 designs are big enough. Our speculum is the industry standard design 06054 VI Beaver Blade Handle 130mm. £10.50 and sensibly priced. 05905 25 blades individually packed SM65. £22.50 EYELID SPECULUM ES014200 Eyelid speculum. £40.00

56 www.vetinst.com OPHTHALMOLOGY 7

Subpalpebral Ocular Lavage Kit Ophthalmic Diagnostic Schiotz Tonometer with Weights

A silicone catheter that is surgically placed with a tunnelling trocar into the subpalpebral area. The special base lays flat against the mucosa, allowing ease of administration of medication for extended periods in serious ophthalmic condition. Sterile kit includes: • Silicone lavage catheter • Trocar • Blunt tipped needle (for insertion into catheter) • Injection cap

SUBPALPEBRAL OCULAR LAVAGE KIT EQSOLKIT5 5fr Catheter Kit. £42.50 EQSOLKIT8 8fr Catheter Kit. £42.50 Used to measure intra-occular pressure. Surprisingly well tolerated by patients. Contains full instructions for use.

SCHIOTZ TONOMETER WITH WEIGHTS 581500 Schiotz Tonometer, inclined scale, in case £180.00 JorVet EyeSaver Patch TonoVet TonoVet is based on a new ‘induction impact principle’, where an ultra light probe touches the cornea very gently. As such, no topical anaesthetic is required. Usually the animal does not even notice so sedation is seldom needed. The clear benefit compared to the ‘pen’ type tonometer is TonoVet’s low force on the eye. The probe weight is a mere 26.5mg with a contact time of 0.3 millisecs. The ‘pen’ type probe actually bends the cornea. In practical terms this means that intra-occular pressure can be measured by the Tonovet within an hour of surgery. With ‘pen’ types you have to wait 4 to 5 hours. Uses standard AA batteries. c.f. The custom expensive ‘pen' type ones.

The ultimate in eye care. EyeSaver’s Eye Patch effectively closes the horse’s eye for maximum pain relief while allowing for constant monitoring of the injury or problem. EyeSaver affords the eye the most complete rest possible, eliminating the need for surgical closure.

Each Eyesaver kit contains: Eyesaver Hood, 3 Tear pads 3 snap-on rings 25 gauze pads

Note: Please specify LEFT or RIGHT when ordering as the protective ball cup is securely sewn in place and is not interchangeable.

JORVET EYESAVER PATCH EQESSR Eye Saver Kit Standard Right. £80.00 Placing the sterile tip on the cornea generates a digital pressure reading. EQESSL Eye Saver Kit Standard Left. £80.00 Supplied in aluminium carrying case together with 100 probes. Further information, including published papers are available on request. EQESXLR Eye Saver Kit X-Large Right. £85.00 EQESXLL Eye Saver Kit X-Large Left. £85.00 TONOVET EQESFR Eye Saver Kit Foal/Weaning Right. £85.00 581600 Tonovet Kit £2,195.00 EQESFL Eye Saver Kit Foal/Weaning Left. £85.00 581610 Tonovet Probes (100) £125.00 EQESDS Double sided Eye Saver Kit - Standard. £105.00 CDT0N0 Free procedure CD rom £FOC

57 7 OPHTHALMOLOGY

Beta 200 Ophthalmoscope Heine Heine Diagnostic Sets

Top quality equipment boxed as a kit.

Otoscope Kit

The separation of the illumination and observation beam avoids both corneal and iris reflex. The BETA 200 allows you to view the whole of the illuminated section of the retina even with a small pupil. You will need a handle or other power source see page 59.

BETA 200 OPHTHALMOSCOPE HEINE The kit includes the slit illumination head, three closed speculae (57mm x C-001.30.100 BETA 200 head (no handle) 2.5v £245.00 4mm, 65mm x 6mm, 90mm x 7mm) a spare bulb and a hard case. Kit C-002.30.100 BETA 200 head (no handle) 3.5v £245.00 shown is with a standard battery handle but it is also available with a X-001.88.069 £24.00 Spare 2.5v bulb rechargeable handle or a rechargable handle and charging unit. X-002.88.070 Spare 3.5v bulb £24.00 HEINE OTOSCOPE KIT Finhoff Transilluminator Heine G-112.10.118 Heine Otoscope Kit with Standard Battery Handle £375.00 For scleral transillumination. G-112.20.376 Heine Otoscope Kit with Rechargeable Handle £495.00 G-112.20.420 Heine Otoscope Kit with Rechargeable Handle and Charging Unit £665.00

Otoscope and Ophthalmoscope Kit FINHOFF TRANSILLUMINATOR HEINE C-001.17.080 Finhoff Transilluminator 2.5v £75.00 C-002.17.080 Finhoff Transilluminator 3.5v £85.00 X-001.88.077 Spare 2.5v bulb £24.00 X-002.88.078 Spare bulb 3.5v £24.00

Indirect Viewing Lens

Aspheric 20 diopter hand held lens. Cost effective method for examining the fundus. Supplied with storage bag. The kit includes the slit illumination head, the Beta 200 ophthalmoscope head, three closed speculae (57mm x 4mm, 65mm x 6mm, 90mm x 7mm) spare bulbs and a hard case. Kit shown is with a standard battery handle but it is also available with a rechargeable handle or a rechargable handle and charging unit. HEINE OTOSCOPE AND OPHTHALMOSCOPE KIT G-148.10.118 Heine Otoscope and Ophthalmoscope INDIRECT VIEWING LENS Kit with Standard Battery Handle £635.00 C0017992 Indirect Viewing Lens £80.00 G-148.20.376 Heine Otoscope and Ophthalmoscope Kit with Rechargeable Handle £795.00 G-148.20.420 Heine Otoscope and Ophthalmoscope Kit with Rechargeable Handle and Charging Unit £925.00

58 www.vetinst.com OPHTHALMOLOGY 7

Heine Diagnostic Otoscope Heads and Accessories To create a diagnostic set you will need to combine the diagnostic head of your choice together with a power source.

Power Sources X0288078 Standard N Handle

Designed to facilitate the examination of the external ear and the removal of foreign bodies the slit head otoscope includes a magnifying loupe which swings out of the way for insertion of crocodile forceps. The standard N handle takes regular dry cell batteries. OTOSCOPE HEADS & ACCESSORIES STANDARD N BATTERY HANDLE G-002.21.301 Otoscope / Slit head with magnifying swivel £140.00 X-001.99.118 Standard N Battery Handle £60.00 G0021330 Speculum Metal Closed 4mm £42.00 G0021331 Speculum Metal Closed 6mm £42.00 NT200 Rechargeable Handpiece System G0021332 Speculum Metal Closed 7mm £48.00 G0021353 Speculum Metal Closed 10mm x 150mm £45.00 The NT200 is a rechargeable system which G-000.21.209 Magnifying Swivel Loupe £17.50 is supplied with one handle but has a X-001.88.077 2.5v Bulb for Otoscope £24.00 capacity for 2 handles. X-002.88.044 3.5v Bulb for Otoscope - Screw Fit £24.00 X-002.88.078 3.5v Bulb for Otoscope - Push Fit £24.00

Direct Ophthalmoscope Heads The Beta ophthalmoscope head is the standard direct ophthalmoscope head.

NT200 RECHARGEABLE HANDPIECE SYSTEM X0288070 X-002.99.422 NT200 Charger c/w one handle £445.00 Beta X-002.99.411 Rechargeable handle for NT200 £125.00 ophthalmoscope head EN100 Wall Mount Unit with 2 Handpiece Positions DIRECT OPHTHALMOSCOPE HEADS C-002.30.100 Ophthalmoscope Head 3.5v £235.00 X-001.88.069 2.5v Bulb Beta Ophthalmoscope £22.00 X-002.88.070 3.5v Bulb Beta Ophthalmoscope £22.00

Buster Starlight Diagnostic Set

The latest version of this popular unit is wall mounted with the handpieces A simple torch based set for easy intubation. connected by flexible cables. You will never be dependant on batteries or BUSTER STARLIGHT DIAGNOSTIC SET be concerned as to where the otoscope is! 270500 Buster Starlight diagnostic torch £42.50 EN100 WALL MOUNT UNIT WITH 2 HANDPIECE POSITIONS X-095.12.110 EN100 Modular Unit c/w two handles no heads £340.00 X-095.12.135 Extra Handpiece Position £170.00

59 8 ANAESTHESIA & MONITORING Chapter 8

Veterinary Instrumentation is very pleased to have been appointed exclusive UK distributor for Midmark. The Midmark family also includes the Matrx range of Anaesthesia machines and Cardell monitors. With over 90 years of healthcare manufacturing and clinical use experience, Midmark are recognised as leaders in veterinary dentistry, anaesthesia and monitoring.

Matrx VML

Conventional ‘Tec’ Vapouriser Systems

Anaesthetic machines using calibrated "TEC" type vapourisers deliver into the circuit a gas mixture containing a specified percentage of volatile. In non- rebreathing circuits the patient will breathe this exact mixture. In circuits where some rebreathing occurs, the gas mix will not be the same as dialed on the vapouriser. Veterinary Instrumentation's vapourisers are serviced and re-calibrated prior to Designed for use in equine, bovine and other large animal anesthesia sale. techniques. Outfitted with an optional Small Animal Breathing Circuit, the VML is the machine of choice for practices involving both large and small animals. CONVENTIONAL ‘TEC’ VAPOURISER SYSTEMS ISO3TEC Mark III Isoflurane Vapouriser * £645.00 Dual view oxygen flowmeter — glass tube with a fused scales reading SEVOTEC Mark III Sevoflurane Vapouriser * £645.00 from 1 to 10 LPM — quickly switch from standard to magnified view at the ISOBTEC Mark III Isoflurane Vapouriser - Recalibrated * £525.00 touch of a finger ISO4TEC Mark IV Isoflurane Vapouriser - Recalibrated * £625.00 Easy-to-view inhalation/exhalation valves allow easy monitoring of ISO5TEC £825.00 respiration for patient safety Mark V Isoflurane Vapouriser - Recalibrated * SERVOTEC £175.00 Oxygen flush Vapouriser service and calibrate * 2012-000 £55.00 5200 cc CO2 absorber Isoflurane Key Filled Bottle Adaptor 2015-000 £55.00 Scavenging/adjustable pressure limiting valve Sevoflurane Key Filled Bottle Adaptor

30 litre breathing bag Carriage is extra for all items marked * 2" (5 cm) diameter breathing circuit Accepts VIP 3000 and TEC 3 vaporizers (mounting kit included)

MATRX VML MID91800154 Matrx VML. £3975.00 MID93300513 Optional Small Animal Breathing Circuit. £1425.00

Carriage is extra for all items marked *

60 ANAESTHESIA & MONITORING 8

Fluosorber Oxygen Generator The Fluosorber Very quiet running, floor standing and mobile on 4 absorbs all organic removable castors. When connected to a normal volatiles including 220 volt socket the PV5 will produce up to 5 Halothane and litres/min of dry oxygen between 90% and 94% Isoflurane. The purity. Ideal for one anaesthetic machine. A green absorbed volatile is light indicates that the oxygen concentration is discarded with the above the set point of 85%. If the oxygen exhausted Fluosorber concentration goes below 85% this light changes to after an increase in red and an audible alarm will sound. The generator weight of 200g. is simply plugged into mains electricity and The Fluosorber is ideal therefore has a very low running cost (400w). for situations where How it might benefit you there is no convenient Have you any idea what you are paying for oxygen in cylinders? outside wall. Oxygen cylinders may be costing your practice several thousand pounds per Fluosorbers are year. cheaper in bulk (6). Why not have your own “in practice” oxygen generator. Avoids health and safety risks of continuously handling/changing heavy oxygen cylinders. Reduces infection/contamination by not having dirty old oxygen cylinders in your surgery. FLUOSORBER Avoids the problem of empty O2 cylinders occuring in mid surgery. 025510 Fluosorber (Single) £27.00 Can be used to provide continuous oxygen to sick and convalescent animals. 025515 Fluosorber (Six Pack) £140.00 OXYGEN GENERATOR PV5OXY Oxygen Generator* £1,450.00 Matrx Veterinary Anaesthetic Gas Scavenger Carriage is extra for all items marked *

Connectors

30mm is the international diameter for scavenge systems. Use 30/22 adaptors to link sections of 22mm scavenge tubing.

CONNECTORS 025536F 22mm male to 30mm female £6.50 025536M 22mm male to 30mm male £6.50 The Matrx™ Veterinary Anaesthetic Gas Scavenger offers reliable active 025534 30mm scavenge to 500ml bag tail scavenging of waste anaesthetic gas. It is designed to meet current ASTM and (for ‘T’ piece or mini bain) £14.50 ANSI standards and is available in a post mount or wall mount configuration. PORTEX Portex Swivel with port £17.50 Each Wall or Post Mount Scavenger unit will scavenge the waste anaesthetic gas from one anaesthesia machine. Connectors Semi-Disposable Portable — Post Mount Scavenger comes complete with 20 ft. (6m) of 32mm tubing, 5 ft. (1.5m) of 19mm tubing and post mount hardware. Wall Mount Scavenger comes complete with 2 ft. (.6m) of 32mm tubing, 18 ft. (5.5m) of 19mm tubing and wall mount hardware. • Designed to meet current ASTM and ANSI standards • Available in post mount or wall mount confi gurations • Quiet operation • Can be used with a ventilator or oxygenator CONNECTORS SEMI-DISPOSABLE • Easy to install, compact design with few parts 025536SDF 22mm male to 30mm Scavenge female £3.75 • Standard 19mm inlet connection 025536SDM 22mm male to 30mm Scavenge male £3.75 • Power on/off switch with indicator light 025088 15mm Elbow. 15m - 22m/15f + 7.6mm port £4.25 • Low voltage (12V DC) operation

MATRX VETERINARY ANAESTHETIC GAS SCAVENGER MID91515181 Post Mount Veterinary Scavenger* £485.00 MID91515182 Wall Mount Veterinary Scavenger* £485.00 Carriage is extra for all items marked *

61 8 ANAESTHESIA & MONITORING

Cardell Model 9402 BP/Pulseox Monitor

CARDELL MONITORS Providing reliable data in a compact, affordable unit

Cardell monitors are designed and manufactured exclusively for the veterinary sugeon. There are five different monitor options which include some or all of the following features: Along with the BP advantages of Model 9401, the Model 9402 uses • Cardell independently verified non-invasive blood pressure technology. Nellcor’s OxiMax® digital processing for its pulse oximetry. The OxiMax • Nellcor’s OxiMax all-digital pulse oximetry. technology offers greater accuracy than conventional oximetry, even for difficult-to-monitor patients with motion or low perfusion. A lingual sensor is • Oridian’s CO2 technology. • 3 or 5 lead ECG. included. • Respiration and temperature monitoring. Simply select a package which meets your requirements and Cardell will do the rest. On request we can supply copies of papers proving Cardell technology and reliability. Cardell Model 9403 Multiparameter Monitor BP, SpO2, ECG, Respiration, and Temp.

Cardell Model 9401 Blood Pressure Monitor

This multi-parameter monitor offers the Cardell® reliable blood pressure technology, all-digital pulse oximetry from Nellcor, and ECG. Temperature software is built in. Only the reusable temperature probe must be Provides reliable blood pressure monitoring in a compact and affordable purchased. A 3-lead ECG set is included (or opt for a 5-lead set). Multiple package. The Model 9401 offers systolic, diastolic, mean arterial pressure variable lead trace waveform selection is included along with 5 gain size and heart rate in seconds. It has an automatic mode allowing the user to selections and a trace freeze option. A printer and rolling stand are optional. set measurements from 1-90 minutes. A STAT mode provides continuous readings for five minutes. A manual mode allows the user to take a measurement at any time. There are high and low alarms for all parameters. The Cardell BP technology is known for working reliably in all our patient species. It comes with 13 cuffs in 7 different sizes.

62 www.vetinst.com ANAESTHESIA & MONITORING 8

Cardell Model 9404 Multiparameter Monitor BP/ECG/Resp/Temp ANAESTHESIA SET UP OFFERS Purchase of an an anaesthetic system is expensive. If you purchase an anaesthetic machine and a monitor together you get a 5% discount. Purchase of an anaestheitc machine and a monitor and an oxygen generator will attract a discount of 10%.

+

Any Any Monitor Anaesthesia Machine

For those wanting to check health status in the exam room, or who already = 5% Discount have a pulse oximeter, this monitor offers blood pressure measurements using the superior Cardell® technology along with a 3-lead ECG. Cuffs and the leads are included. Only the reusable temperature probe must be purchased.

Cardell Model 9405 Multiparameter Monitor

BP/SpO2/ECG/CO2/Respiration and Temp.

Any Anaesthesia + Machine

Any Monitor

This multi-parameter monitor has the “best in class” for key parameters: Cardell® blood pressure technology, Nellcor pulse oximetry and Oridion capnography. The ECG is 3-lead, but 5-lead is an option. With its compact size and 4-6 hours of operation from a rechargeable battery, this lightweight monitor is an ideal tool for the modern veterinary practice. An esophageal/rectal temperature probe is optional as is a printer and rolling stand. Included are 13 cuffs in 7 sizes, lingual SpO2 probe, 3 CO2 filter lines and a 3-lead ECG wire set. + = 10% Discount

CARDELL MONITORS CARD9401 Cardell 9401 £1,885.00 CARD9402 Cardell 9402 £2,500.00 CARD9403 Cardell 9403 £3,275.00 CARD9404 Cardell 9404 £2,500.00 Oxygen Generator CARD9405 Cardell 9405 £4,850.00

63 8 ANAESTHESIA & MONITORING

Cardell MAX-12 Multiparameter Monitor Technical Specifications Non-Invasive Blood Pressure Measurement Technique: Oscillometric Parameters: Systolic, diastolic, mean arterial pressure Modes: Manual, Auto Cycle, STAT (5 min. consec.) Determination Time: - Small Cuff: 18 seconds typical @160 BPM 120/80 - Large Cuff: 26 seconds typical @75 BPM 120/80 Blood Pressure Range: 20-265 mmHg Pulse Rate Range: 20-300 beats per minute Accuracy: In humans is shown to be +/-5 mmHg with standard deviation no greater than 8 mmHg. Meets AAMI/ANSI SP10, ‘02. Animal types vary. Invasive Pressure - 2 Channels (Optional) Frequency Response: dc to 12 Hz Input Impedance: 500 KW Accuracy: +/-2% Pulse Oximetry - Nellcor Pulse Rate Range: 35 - 250 bpm Pulse Rate Accuracy: +/-3 bpm SpO2 Range: 0 - 100% SpO2 Accuracy: - Large Animal: 70-100% +/-2 digits - Small Animal: 70-95% +/-3 digits Sensors: Nellcor VetSat & MaxFast ECG 3 Lead: I, II, III 5 Lead: I, II, III, aVR, aVL, aVF, V Patient Cable: 6-Pin AAMI Standard Accuracy: +/-1 BPM The Cardell MAX-12 HD contains the world leading Cardell veterinary Heart Rate Average: 8 beats blood pressure technology, Nellcor’s all-digital Oximax® pulse oximetry, ECG Display: 4 channels Sweep Speed: 12.5/25/50 mm/s and Oridion’s Microstream® CO2 technology. These are complemented by Temperature - 2 Channels a diagnostic quality ECG, respiration via CO and temperature. 2 Range: 9C to 50C The MAX-12 HD is flexible in that you can choose the monitor with or Accuracy: +/-1C from 25C to 40C without invasive blood pressure and multigas monitoring. Most parameters Respiration Size Adjustment: Manual have custom algorithms developed especially for veterinarians.The 12.1” Update Time: Approx. 2 seconds colour display is high definition and can be viewed from an extremely wide End Tidal CO2 - Oridion angle. And up to 8 waveforms can be viewed at one time, including 4 ECG Type: Sidestream waveforms. Response Time: 2.0 sec. Range: 0-99 mmHg The monitor stores 120-hours of graphic and tabular trend information Accuracy: +/-2 mmHg or +/-5% including a 12-minute ECG wave-form you can review. An esophageal Breath Rate: 0-150 bpm ECG is also available (free during introduction). Multi-Gas (Optional) Gas: N20, CO2, Des, Iso, Enf, Ser, Hal. A port is available for downloading graphical trends and numerical data to Trends your PC, or for creating a central monitoring system. And there’s a video Intervals: 2, 4, 8, 24 Hours output connection for displaying the data on a larger monitor. Heart Rate: Up to 120 hours averaged trend NIBP: Last 600 readings, tabular The menu is extra user-friendly with monitor and patient settings easily SpO2: Up to 120 hour averaged trend changed. Review Trend Mode: Displays 120 hrs of HR, RR, Full detailed brochure available on request or from the website SpO2, and IBP in two windows - 2, 4, 8, 24 hour view Display www.vetinst.com/docs Type: Active Matrix TFT colour LCD Screen size: 12.1” Diag. View Angle: 120º Horiz. & Vert. Kit Includes: Sweep Speed: ECG: 50, 25, 12.5 mm/s Monitor Channels: 6-8 Printer 13 BP cuffs (7 sizes) Type: Thermal Nellcor lingual SpO2 probe Number of traces: 3 Speeds: 12.5 & 25 mm/s 3 lead ECG leads Mode: Waveform & Data 3 x CO Filterline sets Battery 2 Type: Lead Acid Operating Time: up to 3 hours Temperature probe Normal Charge Time: 12 hours 1 x Roll paper Power Requirements Manual Voltage Input Range: 100-230 Vac. 50-60 Hz Communications Analog Outputs (worldwide): 13 CARDELL MAX12 MULTIPARAMETER MONITOR Serial Ports: RS232, USB, RJ45 (ethernet port), VGA output port CARDMAX12HD MAX12HD £6,775.00 Size: 10.5”H x 11.5”W x 5.25”D Weight: 16 lbs. 7.3Kg CARDMAX12HDI MAX12HDI w Invasive BP £7,450.00 Safety CARDMAX12HDM MAX12HDm w Multigas monitoring £8,350.00 Unit meets or exceeds the specification, IEC.60601.1, CARDMAX12HDIM £9,050.00 CE0143, FDA, ISO 9001 & ISO 13485 certified MAX12HDim w Invasive BP and Multigas Warranty CARD4F Wall Stand for MAX12 £480.00 Two years (parts and labour), except display face and accessories. CARDMOB.64A Mobile Stand with Basket £685.00 Stand Options Wall Mount code: 4F CARDPAPER4F £42.00 Box 4 rolls printer paper Rolling Stand with Accessory Basket Code: Mob.64A

64 www.vetinst.com ANAESTHESIA & MONITORING 8

Sharn Veterinary TidalGuard™ Sp CO2+SpO2+Resp.+Pulse rate Equine Nasotracheal Tube Capnography Pulseoximeter

This handheld Pulsooximeter provides quantitative mainstream Et CO2 with the newest SpO2 technology in a portable, lightweight, simple and inexpensive monitor. The monitor allows the veterinarian to view critical information A cuffed nasotracheal tube used to deliver anaesthesia gases and including inspired CO and expired CO in 2 2 oxygen via nasal intubation. The tubes have a standard 15mm a waveform and numerical presentation connector. Available in three sizes. with the respiration and pulse oximetry values displayed on the screen. The user Inner Dia (mm) Outer Dia (mm) Length(cm) can also set custom alarm limits and view graphic trends. 7 10.0 55 9 12.3 55 TIDALGUARD™ MONITOR 11 15.7 55 CARDTD TidalGuard™ £2,550.00 All Cardell accessories and spares available EQUINE NASOTRACHEAL TUBE Cardell Accessories EQNT7 Equine Nasotracheal Tube Inner Diameter 7mm. £60.00 EQNT9 Equine Nasotracheal Tube Inner Diameter 9mm. £62.50 EQNT11 Equine Nasotracheal Tube Inner Diameter 11mm. £65.00

Stethoscope Professional 4 FOR THE PRICE OF 3

CARDELL ACCESSORIES CARDPRINT Cardell Printer for 9400 Series £525.00 CARDSENSOR Nellcor Vetsat Sp02 Sensor £215.00 CARDTEMP Temperature Probe £120.00 CARDSV8 80mm, Large Animal Reuseable Cuff £15.50 CARDSV10 102mm, Large Animal Reuseable Cuff £18.50

Equine Silicone Endotracheal Tube

Standard Paediatric Diaphragm and bell options for detailed chest examinations. Very good diagnostic quality. Available in 5 colours. Universal fitting allows connection to most large animal anaesthesia No quibble money back guarantee if machines and ventilators. Available in five sizes. you are not delighted. Supplied with 4 spare ear ‘nibs’ and a spare diaphragm. Inner Dia (mm) Balloon(cm) Length(cm) 20 10 90 STETHOSCOPE PROFESSIONAL 22 10 90 24 12 100 025107R Professional Stethoscope Red £15.00 26 14 100 025107BUR Professional Stethoscope Burgundy £15.00 30 14 100 025107L Professional Stethoscope Lavender £15.00 EQUINE SILICONE ENDOTRACHEAL TUBE STETHOSCOPE PAEDIATRIC EQET20 Equine Endo Tube Inner Diameter 20mm. £105.00 025108R Paediatric Stethoscope Red £15.00 EQET22 Equine Endo tube Inner Diameter 22mm. £110.00 025108BUR Paediatric Stethoscope Burgundy £15.00 EQET24 Equine Endo Tube Inner Diameter 24mm. £115.00 025108B Paediatric Stethoscope Blue £15.00 EQET26 Equine Endo Tube Inner Diameter 26mm. £120.00 025108G Paediatric Stethoscope Hunter Green £15.00 EQET30 Equine Endo Tube Inner Diameter 30mm. £125.00 025108L Paediatric Stethoscope Lavender £15.00

65 9 INSTRUMENT CARE Chapter 9

Micro 90 Concentrate Instrument Cleaners Liquid general purpose instrument cleaner (dilute 1:100) for ultrasonics. Please refer to our standard catalogue for our complete range of instrument cleaners, washers and Autoclaves. Instrument Cleaning Agents Rapidex Cleaner - (Now supplied in bulk or water soluble sachets)

MICRO 90 CONCENTRATE 100300 Micro 90 1Litre dilute 1:100 £12.50

Perasafe is a rapid, instrument compatible, user and environmentally friendly chemical sterilant. Supplied as a safe, space-saving powder Perasafe is activated by simply dissolving in luke- warm tap water. Providing rapid sterilisation and re-use of endoscopy instruments, Perasafe gives confidence An effective degreaser and general instrument cleaner. Some users dislike to users and patients alike. A unique the loose powder format. The new soluble sachets are simply dropped into aldehyde-free formulation gives efficacy the ultrasonic bath. No dry powder is released. without harm to instruments, health risks • Ideal for Ultrasonic cleaners. to nursing staff and avoids the need for • Also effective as a pre-soak for long standing or difficult residues special fume extraction or waste disposal systems. • Tested by the Royal Institute of Public Health Perasafe is a pale blue/white powder which, when in solution, sterilises RAPIDEX CLEANER within 10 minutes. Suitable for all surgical instruments and fibrescopes. RAPIDEX Box of 50 soluble sachets £33.50 Formulated not to damage surgical instruments. Prepared solution lasts 24 RAPIDEXBULK 2.25kg bulk powder £49.50 hours. 81g pack makes 5 litres. May be subdivided to make less. Rapizyme PERASAFE 100100 Perasafe Cold Sterilant 24 x 81g (5 litre size) £160.00 100101 Perasafe Cold Sterilant 6 x 81g (5 litre size) £55.00 Instrument Lubrication Instrument Oil - (autoclavable) Regular lubrication will keep your instruments working longer. Failure to lubricate will result in stiff joints and ultimately breakages. Low boiling point oils are quickly lost during the • Three new enzymes autoclaving process. • Easy to use measured bottle Oils containing teflon offer • 2ml per litre dilution significant extra lubrication. Can be autoclaved. • Removes all organic material • Ideal for endoscopes • Low foam for ultrasonics • Completely rinsable INSTRUMENT OIL — AUTOCLAVABLE • Biodegradeable 100003 Instrument Lubricating Oil £12.50 • Tested by The Royal Institute of Public Health 100006 Teflon Drops £16.50 RAPIZYME RAPIZYME Bottle 0.5 litre £21.50

66 www.vetinst.com INSTRUMENT CARE 9

Surgical Instrument Lubricant Instrument Marking Tape

After washing and drying, a regular spray of instrument lubricant will prolong working life and improve the function of your jointed instruments.

Allows rogue instruments to be returned to their kits. Also useful when going on practical courses. Available as a kit or in individual rolls. Also SURGICAL INSTRUMENT LUBRICANT available in high heat version which can tolerate dry heat sterilisers. 100009 Instrument Lubricating Spray £10.50 INSTRUMENT MARKING TAPE 100001 Instrument marking tape (box 8 colours) (120cm) £18.50 Instrument Lube 100001Y Instrument marking tape single yellow (300cm) £7.75 Diluted with water instrument lube 100001R Instrument marking tape single red (300cm) £7.75 becomes an oil emulsion. 100001BR Instrument marking tape single brown (300cm) £7.75 Instruments are allowed to soak to 100001OR Instrument marking tape single orange (300cm) £7.75 allow penetration of lube to all 100001BLU Instrument marking tape single blue (300cm) £7.75 working parts. The excess is 100001G Instrument marking tape single green (300cm) £7.75 drained off prior to autoclaving. 100001W Instrument marking tape single white (300cm) £7.75 The water evaporates during 100001BLK Instrument marking tape single black (300cm) £7.75 autoclaving, leaving a film of oil in 100001DHW £8.75 the joints Dry heat Instrument marking tape single white (300cm) Protective Autoclavable Tips

INSTRUMENT LUBE 100008 EZE Lube Instrument Lube 4 Litre £47.50

Instrument Marking Colour Coded For Steinman, ESF pins and delicate or sharp instruments. Protect both Identity Rings tips and staff.

PROTECTIVE AUTOCLAVABLE TIPS 100011-W Protective Tip White up to 1.6 - 2.0mm dia Pack 20 £8.50 Strong tear-resistant 100011-BL Protective Tip Blue silicone instrument 2.5 - 3mm dia Pack 20 £8.50 coding rings. 100011-G Protective Tip Green up to 3.2 - 4.0mm dia Pack 20 £8.50 100011-R Protective Tip Red up to 4.8mm dia Pack 20 £8.50 100011-Y Protective Tip Yellow up to 6.0 - 6.5mm dia Pack 20 £8.50 100011-O Protective Tip Flat Orange up to 10mm wide Pack 20 £8.50 100011-BR Protective Tip Flat Brown up to 16mm dia Pack 20 £8.50 100011-BLK Protective Tip Flat Black COLOUR CODED IDENTITY RINGS up to 25mm dia Pack 20 £8.50 100012 Coloured Silicone Instrument I.D. Rings x 120 £14.00 100011 Protective Tips Silicone Mixed Pack 80 £28.00

67 10 CAPITAL EQUIPMENT AND MISC Chapter 10

Magnifier TriStar

A superior magnifying light for detailed distortion free examination. • 2.25 x magnification (5 dioptre) • 127mm diameter • 3 adjustable joints • Fluorescent tube 22w • 230-240v 50Hz AC • 10,500 lux light intensity • Options: C-Clamp 6.8kg Mobile 10.0kg

MAGNIFYING PROCEDURE LIGHT RLMCLT Mobile * £250.00 RLMCL Mobile with ‘C’ Clamp * £195.00 * Carriage extra

HF Series Multipurpose Examination Lights

This very compact single light source is an ideal procedure light. The head swivels around to whatever position you require. • Vented shade • stay cool finger tip controller • 50w halogen light source A compact combination of three light sources offers the following features: • 230-240v 50Hz AC • Light pattern is 125mm at 600mm distance • 31,000 lux light intensity • 3 x 20w long life halogen bulbs (2000hr) • Options: 12455 (clamp) • 230-240v 50Hz AC Articulated Wall Mount 12456 (wall mount) • 42,000 lux light intensity Articulated Ceiling Mount Flexible Goose Neck Mobile • Light colour 4,100 Kelvin Flexible Goose neck ‘C’ Clamp • Wall mount option offers 1400mm reach. 8.2kg • Mobile unit raises from 685mm to 2030mm on a non tip base. 11.4kg HF SERIES PROCEDURE LIGHT 12456 HF Flexible Goose Neck Wall Mount 50w * £300.00 12929 HF 3-Part Ceiling Mount 50w * £325.00 TRISTAR LIGHTING 12454 HF Flexible Arm Mobile Base 50w * £475.00 TS2015W Wall Mount TriStar * £875.00 12455 HF Flexible Arm ‘C’ Clamp 50w* £300.00 TS2015M Mobile TriStar * £875.00 12930 HF Articulated Wall Mount Procedure Light* £300.00 18464 Bulb 20w £13.00 Carriage is extra for all items marked * Carriage is extra for all items marked * 68 www.vetinst.com CAPITAL EQUIPMENT AND MISC 10

Celestial Star LED LENSER TORCH

LED Lenser the world’s leading brand of technologically advanced LED lighting products, use only the most powerful LEDs, patented reflector systems and highest quality components to make the brightest, most efficient LED lights available. As used by police forces around the world. Wall mount The Pencil light has twin focus (spot or flood), whilst the small and medium torches have one handed speed focus. Black in Gift Box.

LED LENSER TORCH TOR8404 LED Torch Pencil 140 x 14mm £22.00 Ceiling mount TOR8403 LED Torch Small 94 x 20mm £15.50 TOR8407 LED Torch Medium 135 x 37mm £55.00

Portable LED Light with Tripod

Mobile CS unit

Compact and counterbalanced, the three light source Celestial light is very easy to move and adjust. • Drift free balance arm • 3 x 35w long life halogen bulbs (4000hr) • 230-240v 50Hz AC • 64,500 lux light intensity • Light colour 4,100 Kelvin • Options: The X21 is the brightest hand-held LED light ever produced. Available as Ceiling 23.6kg both a battery powered and rechargable version (Note latter available late Dual Ceiling 47.2kg Wall 17.3kg 2010). The Light-weight unit (1.44kg) has an advanced focus system and Mobile 24.3kg an effective range of over 1500ft. Burn time of the battery powered unit is over 50 hours on high (950 hours on low), whilst the rechargable is 7 hours CELESTIAL STAR LIGHTING on high and 100 hours on low. Black in durable hard carry case. CS2050C Ceiling * £1,375.00 CS2050W Wall Mount * £1,375.00 PORTABLE LED LIGHT WITH TRIPOD CS2050M Mobile* £1,375.00 TORX21SET LED Light (Battery) with tripod £295.00 18544 Autoclaveable handle £52.50 TORX21RSET LED Light (Rechargable) with tripod £395.00 13078 Bulb £15.00 TORX21 LED Light (Battery) £275.00 18676 Corrective Filter £20.00 TORX21R LED Light (Rechargable) £375.00 Carriage is extra for all items marked * TORTRIPOD Tripod £40.00 69 10 CAPITAL EQUIPMENT AND MISC

Laube Blades Surgical Clippers To function with the powerful Laube range of clippers Laube have Andis Super AGR+ Cordless corrected all the faults of all the other blades. Laube blades fit all clippers with corded back up sold by Veterinary Instrumentation, except Pocket pro trimmer and Cardinal wet n dry. Highly recommended and very competitively priced.

LAUBE BLADES 028111 Laube No. 15 blade £29.50 028112 Laube No. 30 blade £29.50 028110 Laube No. 40 blade £29.50 028113 Laube No. 50 blade £29.50

Thermocautery Unit

* Powerful clipper designed for all day heavy use. * Sensa-Charge charger recharges battery is less than an hour. * High speed motor 3800 strokes per minute * Includes No 10 Ceramic edge blade * Cord adaptor converts clipper to mains power in emergencies.

ANDIS SUPER AGR+ CORDLESS 0285604 Andis AGR+ Clipper £230.00 0285142 AGRC Power Groom Cord adaptor £42.50

Oster Clippers A5 This mains (240v) thermocautery device is very robust and reliable with a wide A B C D selection of tips. As the trigger is pressed the are a to be cauterised is illuminated by an integral light. Suitable for a wide range of minor procedures where thermocautery is appropriate. The latest version of the industry standard clipper with a blade locking device to prevent the blade unclipping in use. (blade not included). THERMOCAUTERY UNIT SP33 Thermocautery Unit 240v £95.00 OSTER CLIPPERS A5 SP36 Thermocautery Tip A Knife £28.50 028080 Oster A5 “Golden” body only (no blades) £125.00 SP34 Thermocautery Tip B Pin £28.50 Oster Blades SP35 Thermocautery Tip C Loop £28.50 SP37 D £28.50 OSTER BLADES Thermocautery Tip Ball 028081 Oster Clipper Blade Size 40 £32.50 GIMA BiPolar Electrosurgery Unit 028081/E Oster Clipper Blade Size 40 ELITE £37.50 028082 Oster Clipper Blade Size 15 £32.50 028083 Oster Clipper Blade Size 50 £32.50 028084 Oster Clipper Blade Size 30 £32.50 028082/10 Oster Clipper Blade Size 10 £32.50

Laube 505 Cordless Clipper

• Up to 3 hours clip time • Ultra quiet • 2 speeds 4,000 and 10,000 spm • Motor has limited 5 year warranty • Fits all snap on blades • Pretty well vet and nurse proof!!! GIMABIPOLAR ELECTROCAUTERY UNIT The combination of reliability, solid construction and vastly superior blades HF122 120watt MonoPolar/BiPolar Electrosurgery Unit £945.00 make the Laube (pronounced ‘Lobby’) our first choice for a heavy duty HF125 Spare Autoclavable MonoPolar handpiece for HF122 £70.00 cordless clipper. HF123 Spare Standard Bipolar Forceps for HF122 £90.00 LAUBE 505 CORDLESS CLIPPER HF124 Spare Bipolar Cable for HF122 (A Type) £95.00 028100 Laube 505 Clipper £335.00 HF127 Waterproof Foot Pedal for HF122 £195.00

70 www.vetinst.com CAPITAL EQUIPMENT AND MISC 10

MELAG Class B Autoclaves. Vakuklav 23-B Melag Autoclaves After a lot of research and discussions with users we have selected the MELAG Vakuklav 23-B as representing the best combination of specification, ease of use and value. MELAG is a family run concern with decades of experience in designing and producing autoclaves. Melag autoclaves are backed up by a UK wide network of engineers. For extra rapid cycle times consider the Melag Cheeta class autoclave. Little Sister type autoclaves are designed to sterilise non wrapped solid items on open trays. This type of autoclave is classified as type N and in human practice it is not permitted for sterilisation of wrapped instruments (even in autoclave bags) or hollow instruments for fear that the steam will not fully penetrate. To ensure full penetration of steam a vacuum cycle must first remove the air from the chamber. Type B autoclaves are the highest specification machines and are suitable for the sterilisation of all wrapped or non- wrapped, solid, hollow and porous products. In addition the Type B autoclaves produce dry packs and instruments, which minimises staining and corrosion of instruments. In human hospitals it is a requirement that printed records are created and kept of each cycle. Now that MRSA infections are also appearing in veterinary practice it would seem reasonable that we should do the same. melag type23 B Why MELAG? Conformation - International regulation prEN13060/1-4 categorises autoclaves as types N, S and B according to their operational parameters and intended applications. All Melag autoclaves conform. Independent Validation - Melag Type B autoclaves have been independently validated by a leading German University and have MELAG VAKUKLAV 23-B exceeded the requirements of prEN13060/1-4 for Class B Autoclaves. îíóÞ Ê¿µ«µ´¿ª Water Purity - Only the best quality demineralised or sterile water should be used to avoid autoclave malfunction and possible long term damage. ݸ¿³¾»® •·¦» ìë ¨ îë½³ øïèþ ¨ ïðþ÷ ¼·¿ ʱ´«³» îîòê ´·¬®»• Melag type B machines automatically check water quality before each cycle. If the sterilising water contains impurities the autoclave will inform DIMENSIONS & WEIGHT the operator and prevent use of the contaminated water. This feature is É·¼¬¸ êê½³ Ø»·¹¸¬ ìí½³ unique to Melag and significantly contributes to Melag’s enviable Ü»°¬¸ ìç½³ reputation for long term reliability and longevity. É»·¹¸¬ ìíµ¹ Water Cycle - Melag Type B autoclaves allow the user a choice of either Ú±±¬°®·²¬ ìê½³ one-way or water recirculation. With either system the autoclave will inform FURNITURE the user when refilling or draining is required ê Ì®¿§• ©·¬¸ ®»ª»®•·¾´» êñí ®¿½µ ¿²¼ ¸¿²¼´» Simplicity - Simple push button operation. With its large back lit alphanumeric display Melag informs the user of the cycle chosen and MELAG TYPE 23-B stages reached within the cycle. MELAG 23-B Vacuum Class B Steriliser and Printer, Comprehensive cycles - The user has a wide choice of cycles for 22.6lt chamber £4,950.00 different load types. MELAWIN Software for PC/Modem connection SOFTWARE £425.00 Documentation - For security every Melag Type B machine includes a printer which comprehensively documents every cycle and sterilizing event. Alternatively each Melag B can be supplied with MelaWin software which runs unobtrusively in the background. This programme archives every cycle. These are available for printing and examination. Reliability and Longevity - All Melag autoclaves are manufactured from the highest quality materials available. Pressure chambers and doors are manufactured from stainless steel, pressure lines and pipes from Teflon and all other parts in contact with water from bronze. Door seals are manufactured from long life silicon. Lifetime chamber guarantee. Melag recommended service intervals are 1000 cycles or 2 years whichever is shorter.

71 11 ARTHROSCOPY & LAPAROSCOPY Chapter 11

Introduction Standard Arthroscope, 4.0mm Using fibre optics the arthroscope is able to deliver light and obtain an with Arthroscopic Sheath image from within the joint thus obviating the need for an extensive surgical approach and keeping surgical trauma to soft tissues at a minimum. However, arthroscopy is not a risk free procedure as it involves placing sharp metal objects into the joint space.

Although arthroscopy may be considered expensive in terms of both the dedicated instrumentation required and the time and money involved in training, it is recommended that sufficient resources are allocated to purchase good quality equipment at the outset. (Equipment failures being very frustrating and ultimately very expensive.)

Arthroscopes An arthroscope is a rigid endoscope consisting of a system of lenses, which collects and transmits an image from the tip of the instrument along • 115 degree field of vision the shaft to an eyepiece or camera. A light post close to the eyepiece • special coated front lense system allows light to be passed into the shaft and down optic fibres surrounding • elongated working lengths the lens system to illuminate the subject area at the tip. • non rotating stopcock, robust and durable The diameter refers to the outside diameter of the unsheathed shaft of the T181-4030 Wide angle telescope, 30 , OD:4 mm, WL:18 cm, telescope. Two sizes are commonly used in equinel arthoscopy:4.0mm ° 115 field of vision, standard light cable and 2.7mm. 4.0mm is the standard, with 2.7 being useful for small joints ° connectors, autoclavable £2200.00 like the coffin joint. S180-4031 Sheath for arthroscopy, OD: 5.5 mm, WL:16 cm The viewing angle is the angle between the lens face and a line drawn at compatible with T181-4030, stopcock, right angles to the long axis of the arthroscope. A 0 scope views straight including blunt & sharp trochar £350.00 ahead from the front of the lens, while a 90 scope sees an image at right angles to the long axis of the scope. Most veterinary arthroscopes have a Needle Arthroscope, 2.7mm with Arthroscopic Sheath viewing angle of 30, which is a compromise between field of view and distortion. The user needs to be aware which way the lens is pointing. The light post is used as a reference point and is positioned opposite the angle of view. Rotating the scope along its long axis will allow the surgeon to view a large area within the joint with minimal repositioning. An oblique viewing angle does offer the surgeon a limited ability to see ‘around corners’.

Each arthroscope will require a dedicated sheath, which protects the arthroscope as well as delivering fluid to the tip. Sheaths offering a high rate of flow are preferable. The sheath reduces the effective working length of the 4.0mm scope to approx 16.0cm. Conversely, the sheath will increase the working diameter of the arthroscope. 4.0mm becomes 5.5mm.

All scopes are now available in autoclaveable versions. Autoclaving, especially for fine scopes, will significantly reduce the working life of the instrument. Autoclavable scopes can be soaked & we recommend this method of sterilisation to preserve your scope. If your scope is not marked autoclavable, it can only be soaked.

T141-2730 Wide angle telescope, 30°, OD: 2.7 mm, WL:14 cm, large image technology, standard light cable connectors, autoclavable £2000.00 S140-2731 Sheath for arthroscopy, OD: 3.8 mm, WL:12 cm, compatible with T141-2730, stopcock, including blunt & sharp trochar £300.00

Accessories for sterilising and storing DE2980-51 Sterilizing & storing tray, 290x80x52mm, perforated, stainless steel with silicon specially designed for rigid telescopes £175.00 DE4680-52 As above but 460x80x52mm £175.00

72 www.vetinst.com ARTHROSCOPY & LAPAROSCOPY 11

Hand Instruments

TR-03-201 Puncture needle, ID:3mm, WL:20cm, incl. sharp trocar £135.00

I-18-520 Hook probe for arthroscopy, 3 mm,12 cm, strong version, heavy handles £85.00

I-18-635 Special egress curette, straight, strong version, oval cup: 5.5mm, 3 mm opening and LL(f) suction connector, WL:11cm £220.00 I-18-521 Special knife for arthroscopy, 3 mm break safe special cut, heavy handles £125.00

I-18-621 Curette, 35° oblique left, strong version, cup oval, size: 6x4 mm £100.00 I-18-601 Curette, straight, strong version, Cup oval, size: 6x4 mm £95.00

I-18-622 I-18-517 Elevator, extra strong, curved, 6 mm £95.00 Curette, 35° oblique right, strong version, cup oval, size: 6x4 mm £100.00

I-18-100 Osteotome, curved, 6 mm £85.00 I-18-536 Special elevator for the coffin joint, acc to Dr. Zöttl, 12 cm, strong version £120.00

I-18-110 Chisel, straight, 4 mm £85.00

I-18-534 Special elevator for sesamoide fractures acc. to Dr. Foerner, 4 mm curved, long. £165.00

I-18-518 Egress cannula, with sharp trocar, stopcock, ID: 3 mm, WL: 7 cm £125.00

I-18-519 Egress cannula, with sharp trocar, I-18-963 Hook scissors for arthroscopy, straight, stopcock, ID: 4 mm, WL: 7 cm £125.00 single action jaws, OD: 4 mm, WL: 15 cm £445.00

73 11 ARTHROSCOPY & LAPAROSCOPY

Rongeurs Light Sources & Cables Standard Line Instruments Halogen light sources are inexpensive but not as good as the xenon based systems, which are, unfortunately, significantly more expensive to purchase High quality instruments with long life span specifically designed for and maintain. Xenon light sources have a higher intensity and are essential arthroscopy. Standard Handle type, small jaws, extremely durable if the unit is to be used for laparoscopic work. Thus xenon is preferable but halogen can be used successfully in most joint investigations. Both xenon and halogen bulbs have a limited life (xenon typically 500 hours, halogen typically 2000 hours) and bulb failure is at best embarrassing so always carry a spare. The light cable carries light from the source to the arthroscope by fibre optics. Each cable has dedicated connectors to couple with the light source and the arthroscope. Connections on both light source and arthroscope vary from manufacturer to manufacturer. Converters are available for both light source and arthroscope but it is wise, if possible, to purchase the appropriate cable for the system.

H150-5-2 Halogen Light Source 150W

I-18-661 Rongeur "standard line", cup size: 4x8 mm, oval, straight, fenestrated, WL: 11 cm £475.00 I-18-6611 Rongeur "standard line", cup size: 4x8 mm, oval, straight, fenestrated, ratchet, WL: 11 cm £535.00 I-18-662 Rongeur "standard line", cup size: 4x8 mm, oval, angled upwards, fenestrated, L: 11 cm £535.00 Ergonomic Line Instruments High quality instruments with long life span specifically designed for arthroscopy. Ergonomic Handle type, small jaws, extremely durable.

H150-5-130 Ø¿´±¹»² ´·¹¸¬ •±«®½» ïëðÉ £1,100.00

Xenon Light Source

I-18-7613 Rongeur, cup size: 4 x 8 mm, fenestrated straight, WL: 12 cm, ergonomic handles £495.00

LK-FX-100 È»²±² ´·¹¸¬ •±«®½» £3,450.00 I-18-6412 Rongeur/hook grasper "Chip-catcher", for large fragments, rachet, WL: 13.5 cm £545.00 Power Line Instruments High quality instruments with long life span specifically designed for arthroscopy. Heavy Handle type, small jaws, extremely durable.

KW-48-231 Ú·¾®» ´·¹¸¬ ½¿¾´»ô ìòè³³ô îòíÓô ¾±¬¸ •·¼»• ½±³°¿¬·¾´» ¬± ɱ´ºô ¿«¬±½´¿ª¿¾´» £450.00 KS-48-231 Ú·¾®» ´·¹¸¬ ½¿¾´»ô ìòè³³ô îòíÓô «²·¬ •·¼» ½±³°ò ¬± ͬ±®¦ô »²¼±•½±°» •·¼» ½±³°ò ¬± ɱ´ºô ¿«¬±½´¿ª¿¾´» £400.00 I-18-973 Rongeur "power line", cup size: 5x10 mm, straight, oval cup, KS-48-230 Ú·¾®» ´·¹¸¬ ½¿¾´»ô ìòè³³ô îòíÓô Ñ´§³°«•ñɱ´º £425.00 WL: 15 cm, heavy handles, extremely durable £545.00 KS-48-300 Ú·¾®» ´·¹¸¬ ½¿¾´»ô ìòè³³ô íòðÓô ͬ±®¦ñͬ±®¦ £425.00 I-18-974 Rongeur "power line", cup size: 5x10 mm fenestrated, straight, small tip, WL: 15 cm, heavy handles, All cable combinations available. extremely durable £545.00

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Cameras & Monitors Monitor Direct viewing of the joint through the eyepiece is possible. However, practicality and the issue of contamination dictate that a camera system is an essential part of the equipment. Arthroscopic cameras work in a very similar fashion to video cameras in common usage. The image at the eyepiece of the arthroscope is focussed on a light responsive electronic chip(s). The signal created is transferred to a camera controller, which processes the image into a signal recognised by the monitor and/or recording system. Most veterinary cameras have a single chip, which is sufficient for most users. Flat Screeen Professional Monitor Pre-owned cathode ray tube type monitor The connection of the camera head to the eyepiece of the arthroscope is also variable. To maximise the choice and longevity of the instrumentation Professional monitors offer a better image than domestic screens as they it is advised that a clip on camera head compatible with DIN standard have a better resolution. Some pre-owned units are always available. Ring eyepieces be selected. The camera heads are fully immersible. for details. Image Capture Good practice dictates that a record is made of any arthroscopic procedure. Subsequent investigations can be compared to earlier ones and images can be shared and compared with colleagues or tutors as part of a training programme. Domestic video recorders will create a permanent record of a procedure. However the data is relatively crude and difficult to manipulate . Still video printers capture an image from a video stream which can then be printed onto photographic paper. Digital video and data storage technology now allows the surgeon to record and store very large amounts of data in a digital format. The digital information can subsequently be manipulated by appropriate computer software to create both still and moving images in a variety of formats for storage or display. If clinical presentations are anticipated then a digital system is very desirable. Domestic DVD or combined DVD/Hard drive recorders offer huge storage capacities at reasonable prices. The data is stored as Digital Video (DV) which can be converted into many other formats. The major arthroscopy companies offer sophisticated data storage systems which are able to capture and store still and movie files Top quality equipment from a major human arthroscopic company but at via sterile touch screens or camera finger controls. Permanent records are a discount price. It is important to obtain the best possible image. maintained on DVD discs or computer hard drives. Arthroscopy is difficult enough without working with poor quality images. Buy the best ‘scope’ and camera you can afford. The Eagle Eye camera We usually have some pre-owned Sony video printers in stock. is human quality as is the matching light source. Ring for details.

ARTHREX EAGLE EYE CAMAERAS AND LIGHTS USB Based Image Capture System AR-5970SP Û¿¹´» Û§» Í·²¹´» ݸ·° Ý¿³»®¿ £4,250.00 AR-3595SP Û¿¹´» Û§» íð𩿬¬ È»²±² ´·¹¸¬ ͱ«®½» £3,950.00 AR-3041 Ô·¹¸¬ Ý¿¾´» £500.00 EAGLE OFFER Û¿¹´» Û§» Í·²¹´» ݸ·° Ý¿³»®¿ õ È»²±² Ô·¹¸¬ ͱ«®½» ú Ý¿¾´» Save £3,200.00 £5,500.00

Camera Covers

The latest version the image capture device captures both still images and mpegs directly onto a USB stick ready for transfer to permanent storage. DE-10-25 Ý¿³»®¿ ½±ª»®•ô ¼·•°±•¿¾´»ô øíð÷ °±´§»¬¸§´»²»ô Capture is activated by pressing a button on the front panel or if the ïí¨ëð½³ £120.00 surgeon prefers to keep control there is an optional foot control. CAMPT Ý¿³»®¿ ½±ª»® ©·¬¸ °»®º±®¿¬»¼ ¬·° îëð½³ ¨ ïîòë½³ øê𠕬»®·´»÷ £120.00 46-USB-200 ËÍÞ ×³¿¹» Ý¿°¬«®» Ö°»¹ ¿²¼ Ó°»¹ £2,500.00 CAMET Ý¿³»®¿ ½±ª»® ©·¬¸ »´¿•¬·½·•»¼ ¬·° 46-USB-15-1 Ú±±¬•©·¬½¸ º±® ËÍÞ Ý¿°¬«®» ͧ•¬»³ £150.00 îëð½³ ¨ ïîòë½³ øê𠕬»®·´»÷ £150.00 DE-10-25/Single Í·²¹´» ½¿³»®¿ ½±ª»® ø¼·•°±•¿¾´»÷ ïí¨ëð½³ £5.50 DE-10-01 Ý¿³»®¿ ½±ª»®ô ®»«•¿¾´»ô ©¿¬»®°®±±ºô ©¿•¸¿¾´»ô ¿«¬±½´¿ª¿¾´»ô ïî¨îðð½³ô ï °½ £70.00

75 11 ARTHROSCOPY & LAPAROSCOPY

Fluid Infusion and Outflow Hand Pressure Infusion Cuffs Infusion of fluids or gas into the joint is essential to create an environment in which the arthroscope can view joint structures. The joint must be expanded and debris removed to maintain a clear field of view. To maintain an appropriate intra-articular pressure (between 40 and 100mm of mercury) (0.053 and 0.133 BAR) fluid inflow and outflow must be carefully regulated. Fluid under pressure may be obtained by either gravity feed systems or a pump. Gravity may be sufficient provided the fluid bags can be lifted high enough but greater, more controllable AR-08-100 Ю»••«®» ·²º«•·±² ½«ºº º±® ëððóïððð³´ ½±³°´»¬» ©·¬¸ pressure may be obtained by use of a fluid compression bag. °®»••«®» ¹¿«¹» ¿²¼ ¸¿²¼ °«³°ô ®»«•¿¾´» £275.00 The bag of fluid to be infused is placed into a pressure bag, which is AR-08-300 Ю»••«®» ·²º«•·±² ½«ºº º±® íðððóëððð³´ ½±³°´»¬» ©·¬¸ inflated using a hand or machine pump. Without careful monitoring hand °®»••«®» ¹¿«¹» ¿²¼ ¸¿²¼ °«³°ô ®»«•¿¾´» £325.00 inflation systems offer erratic pressure levels and use of a regulated pump AR-08-110 Ю»••«®» ·²º«•·±² ½«ºº º±® ëððóïððð³´ ©·¬¸±«¬ offers much better control. A carbon dioxide powered pump may be used °®»••«®» ¹¿«¹»ô Ô«»® Ô±½µ øº»³÷ô ®»«•¿¾´» £175.00 to pressurize a compression bag or infuse carbon dioxide directly into the AR-10-948 Í·´·½±² ¬«¾»ô é¨î³³ô í³ô ¿«¬±½´¿ª¿¾´»ô joint. Dedicated roller type pumps are able to maintain a constant line Ô«»®óÔ±½µ ø³÷ô ²»»¼´» øº÷ô •¬»®·´» ¾¿¹•ñ¾±¬¬´»• £125.00 pressure over extended periods but they may require dedicated tubing, are X-7-20-10 Í°¿®» •·´·½±² ¬«¾»ô ï ³»¬®»ô •·¦»æ é¨î³³ô ½±´±«®æ ²¿¬«®¿´ £12.50 expensive to purchase and are more prone to breakdown. LLM-1258 Í°¿®» Ô«»®óÔ±½µ ½±²²»½¬±®ô ³¿´»ô To create fluid flow through the joint, appropriate fluid outflow or egress ½±³°ò ¬± •·´·½±² ¬«¾»• é¨î³³ £15.00 must be maintained. In the smaller joints (elbow, hock and hip), a large AR-10-9 Í°¿®» ²»»¼´» º±® ·²º«•·±² ¾±¬¬´»•ñ¾¿¹•ô ×Üæëòë³³ô bore hypodermic needle may be sufficient. In the larger joints (shoulder, ½±³°ò ¬± •·´·½±² ¬«¾»• øé¨î³³÷ £45.00 stifle) where greater volumes of fluid are involved, dedicated multi X-180-26 Í·´·½±² ¬«¾»ô ×Üæë³³ô ïèð½³ô ÔÔ³ ¾±¬¸ »²¼•ô ¿«¬±½´¿ª¿¾´» £40.00 fenestrated egress cannulae may be necessary, the waste fluid may be X-5-15-10 Í°¿®» •·´·½±² ¬«¾»ô ï³ô ¿«¬±½´¿ª¿¾´»ô collected by either bag systems or suction devices. •·¦»æ ë¨ïôë³³ô ½±´±«®æ ²¿¬«®» £9.50 Use of direct CO2 infusion is indicated in some inflamed joints where LLM-1250 Í°¿®» Ô«»®óÔ±½µ ½±²²»½¬±® ø³÷ô ½±³°ò inflammatory synovial villae obstruct the visual field, the villae being ¬± •·´·½±² ¬«¾»• øë¨ïòë³³÷ £15.00 flattened under gas pressure rather than floating free in infused fluid. In addition, use of CO2 increases the field of view and image clarity of the arthroscope. CO2 is usually used intermittently with fluid to allow for Pressure Pump Infusor flushing. Features: • automatic control • pressure continously adjustable • max. 300mm Hg pressure • easy handling Arthroscopy Infusion Pump • no mechanical parts

• for fluid and CO2 supply AR-10-100 в»«³¿¬·½ °®»••«®» ·²º«•±®ô º±® ·²º«•·±² ½«ºº•ô º±® ª»¬»®·²¿®§ ¿®¬¸®±•½±°§ô ½±³°´»¬» ì³³ ¬«¾» ¬± ½»²¬®¿´ °®»••«®» •«°°´§ô Ü×Ò ¬«¾» ½±²²»½¬·±²ô º®±²¬ •·¼» Ô«»®óÔ±½µ øº÷ô «²·ª»®•¿´ ¬¿¾´» º·¨¿¬±®ô »¿•§ °®»••«®» •»¬¬·²¹ô ¿«¬±³¿¬·½ ®»¹«´¿¬·±² øðóíðð³³Ø¹÷ £1,250.00

Pressure Infusion Cuff with fluid bag

Provided the surgeon is prepared to commit to the purchase of 100 patient Hand pump or Luer-Lock infusion sets per year Arthrex is prepared to offer its Continuous Wave (fem) for infusor Connection Arthroscopy Pump (AR-6450) (value £3,750) on free loan. This pump has to fluid bag been in use in the human sector for some 15 years and is very reliable. Fluid Infusor Three Line pressure and flow rate are user defined. This means that the fluid Patient Supply way pressure does not have to be continually monitored and adjusted by stopcock

nursing staff. In addition, if the tube pressure is correct, any problems with Direct CO2 supply (only in connection with CO infusor fluid flow can be immediately localised to the arthroscope. This is not the 2 case with inflated cuffs where only the pressure within the bag is known. If you are performing 3 or more procedures per day it is cheaper to buy the

separate Machine (one per day) and Patient Tube Sets. AR-10-901 ÝÑî ײº«•±®ô º±® ´¿®¹»ñ•³¿´´ ¿²·³¿´ ¿®¬¸®±•½±°§ô Ü×Ò ½±²²»½¬±® ¬«¾» ¬± °®»••«®» ®»¼«½»® øÜ×Ò ¬§°»÷ °®»••«®» AR-6450 ß®¬¸®±•½±°§ Ы³° £3,750.00 •»¬¬·²¹ ðóíð𳳠ع ¬«¾» ½±²²»½¬·±² Ô«»®óÔ±½µøº÷ £1,550.00 AR-6415 ݱ³¾·²¿¬·±² Ó¿½¸·²» ¿²¼ п¬·»²¬ Ì«¾» øïð÷ £260.00 AR-10-903 λ¼«½¬·±² ª¿´ª» º±® ÝÑî󾱬¬´»•ô ËÕ º·¬¬·²¹ £165.00 AR-6410 Ó¿½¸·²» Ì«¾» Í»¬ øïð÷ £290.00 AR-10-922 ͬ»®·´» º·´¬»® •§•¬»³ º±® ÝÑî ·²º«•±®ô ¼·•°±•¿¾´»ô AR-6325 п¬·»²¬ Ѳ´§ Ì«¾» Í»¬ øîð÷ £160.00 ¾±¨ ©·¬¸ ëð °½• £195.00

76 www.vetinst.com ARTHROSCOPY & LAPAROSCOPY 11

Shaver Systems Electrocautery Arthroscopic electrocautery or radiofrequency devices focally create heat Virtually the only powered instrument in use in Veterinary arthroscopy is the within the tissues to create haemostasis, debridement or to shrink the joint shaver. The shaver is essentially a motorized bur. It may be used to debride capsule in selected cases of instability. Long, fine insulated probes are cartilage, bone or soft tissues. A range of tips of different designs and sizes available which may be powered by standard surgical electrocautery units. are available to manage the different tissues. Tips designed for soft tissues The tips are bathed in fluid at all times but essentially the same processes are typically larger and more aggressively toothed. Suction may be applied occur at the tissue level as in surgical electrosurgery. to the cutting tip via the hand piece to remove debris. The hand piece is Radiofrequency devices create heat by inter-molecular friction. Tips are driven by a control box operated by finger or foot controls. The speed and available in both monopolar and bipolar formats and may be used to debride direction of cut are selectable. The tips are usually designed to be structures such as damaged meniscus or fat pad. Capsular shrinkage by disposable, however with careful use, cleaning and re-sterilisation they may radiofrequency may be used to tighten joint capsules following arthroscopy be re-used. Very expensive to buy new, Veterinary Instrumentation or injury. Radiofrequency ablation dissolves intra-articular tissues at a maintains a stock of high quality ex-hospital units for sale. relatively low temperature. The resulting debris is removed by suction. The Phone for details. technique is therefore an alternative to the shaver for removing soft tissues. At least one manufacturer supplies combined shaver blades and ablator wands which offer both options on the same intra-articular device. Linvatec Shaver

The Linvatec Arthroscopic Procedure Electrosurgical System (OPES) Shaver System is very interesting from a veterinary arthroscopy point of view as it is able to use 2.0mm micro burs. Other major brands have a minumum blade diameter of 2.8mm which may not seem a very big difference but is almost half as big again.

The Universal Drive Console is a Microprocessor-controlled power unit that drives and controls current Linvatec handpieces. C9820, C9824, C9828, & Micro C9840. The latter is the most useful but most difficult to Ablation wands find. A wide range of current blades are available. CONSOLE FUNCTIONS INCLUDE: A comprehensive orthopaedic electrosurgical system combining Audio response feedback. The unit tells you which direction the bur is moving. arthroscopic ablation, arthroscopic coagulation, open surgery monopolar Normal (on-off) and variable (accelerator) footswitch speed controls. and bipolar surgery from one fully digital generator. With 3 in 1 system Footswitch sensitivity controls. flexibility, the OPES Electrical Generator is also capable of controlling a Handpiece aspirate mode. host of different instruments, including disposable monopolar arthroscopic Handpiece reverse/forward/oscillate cutting modes. electrodes, reusable and disposable monopolar open procedure pencils Speed and direction of rotation are displayed. and tips, and reuseable bipolar forceps. The need for separate and costly HANDPIECES systems is eliminated. Provided the surgeon is prepared to agree to an Balance, sealed and lightweight. Sealed motor assembly. Up to 6000rpm in forward or reverse. Up to annual purchase commitment Arthrex is prepared to offer its OPES 1500rpm in oscillate Console (AR-9600) (Value £5,500) on FREE loan. Email [email protected] Suction control valve. or phone John to discuss the purchase commitment. Cutting modes are controlled by footswitch or from the drive console. Supplied as kit including console, footcontrol (exact model may vary) AR-9600 ÑÐÛÍ Ý±²•±´» £5,500.00 and micro C9840 handpiece which take the micro series of blades going Þ·°±´¿® º±±¬ °»¼¿´ down to 2mm with 6 month warranty AR-9600FB £240.00 AR-9611SFR Þ·°±´¿® º±®½»°• £265.00 Þ·°±´¿® º±®½»°• ½¿¾´» LINSHAV Ô·²ª¿¬»½ ͸¿ª»® ͧ•¬»³ ݱ³°´»¬» £2,500.00 AR-961CR £120.00 Ó±²±°±´¿® ¸¿²¼°·»½» ø¼·•°±•¿¾´»÷ øÞ±¨ ±º ë÷ SBC9960 î³³ Ô·²ª¿¬»½ Ó·½®± Ù¿¬±® ͸¿ª»® Þ´¿¼» £115.00 AR-9610 £80.00 Ù®±«²¼ °¿¼ SBC9950 î³³ Ô·²ª¿¬»½ Ó·½®± Ý«¼¿ ͸¿ª»® Þ´¿¼» £130.00 VAR-1005-01 £45.00 Ý¿¾´» SBC9911 î³³ Ô·²ª¿¬»½ Ó·½®± Í°¸»®·½¿´ ͸¿ª»® Þ´¿¼» £125.00 VAR-1005-06 £70.00 SBC9961 îòç³³ Ô·²ª¿¬»½ Ó·½®± Ù¿¬±® ͸¿ª»® Þ´¿¼» £115.00 Ablation wands and electrodes from £80.00 Ñ°»• Ô·¬»®¿¬«®» SBC9962 íòë³³ Ô·²ª¿¬»½ Ó·½®± Ù¿¬±® ͸¿ª»® Þ´¿¼» £115.00 BROPES £FOC SBC9264 íòë³³ Ô·²ª¿¬»½ Ù¿¬±® ͸¿ª»® Þ´¿¼» £115.00 SBC9253 íòë³³ Ô·²ª¿¬»½ Ý«¼¿ ͸¿ª»® Þ´¿¼» £115.00 SBC9111 ìòë³³ Ô·²ª¿¬»½ Í°¸»®·½¿´ ͸¿ª»® Þ´¿¼» £125.00

77 11 ARTHROSCOPY & LAPAROSCOPY

Laparoscopes for Minimally Invasive Surgery

Laparoscopes

Safety trocar Tissue pressure exposes the sharp tip

T501-1000

230-264

T291-1030 10MM INNER DIAMETER TROCHARS & CANNULAE FOR 10MM ’SCOPES 230-264 Cannula only, magnetic valve, ID:10 mm, WL:20 cm, Good optics are a pre-requisite for successful laparoscopy. The more you inflation stopcock £345.00 see the easier it becomes. Fritz ’scopes have a patented large image 230-161 Safety trochar only compatible to cannulas ID:10 mm, optical system taking in a wide field of vision producing a full screen, very WL: 20 cm, fully dismantable with cork screw handles £325.00 high definition image. All the laparoscopes are autoclavable and have standard eyepiece and 16MM INNER DIAMETER FORSTAPLERANDTISSUEEXTRACTIONORBIOPSIES light cable connectors. 635-203 Cannula only, magnetic valve, ID:16 mm, WL:15 cm Trinox, without stopcock £325.00 LAPAROSCOPES 235-111 Trochar only with sharp tip for trochars ID: 16 mm, T501-1000 Wide angle telescope, 0°, OD:10mm, WL:50cm, WL: 15 cm £115.00 large image optical system, stand. light connectors, autoclavable for equine and large animal practice £3450.00 Accessories T501-1030 Wide angle telescope, 30°, OD:10mm, WL:50cm, large image optical system, stand. light connectors, autoclavable for equine and large animal practice £3450.00 T291-1030 Wide angle telescope, 30°, OD:10mm, WL:30cm, SIRIUS system, autoclavable, standard light cable connectors £2350.00 Trochars and Cannulae Trochar cannulas are designed with different types of valves to reduce or

to avoid CO2 loss when changing instruments and telescope during laparoscopy and thoracoscopy. Our reusable and patented magnetic valve trocar system has several advantages compared to other valve types. They are lightweight and because of the valve construction, the insertion of ACCESSORIES instruments and scopes will pass smoothly through without scratching or 230-505 λ¼«½»® ¿¼¿°¬»® º±® ¬®±½¸¿® ½¿²²«´¿• ©·¬¸ ×Üæï𠬱 ëòë³³ £33.00 touching the front lens like in a so called automatic valve system. In 237-505 λ¼«½»® ¿¼¿°¬»® º±® ¬®±½¸¿® ½¿²²«´¿• ©·¬¸ ×Üæïí ¬± ëòë³³ £33.00 addition there is nearly no gas loss even when changing instruments. 231-211 Í»¿´·²¹ ½¿°•ô º±® ¬®±½¸¿® ½¿²²«´¿ ëòë³³ °ò ±º ïð °½• £27.00 There are no mechanical parts to clean inside except the magnetic flap 230-211 Í»¿´·²¹ ½¿°• º±® ¬®±½¸¿®• ¿²¼ ®»¼«½»® ¿¼¿°¬»®• £27.00 itself which is a great help to your staff. 231-215 Ó¿¹²»¬·½ ª¿´ª» º´¿° ëòë³³ô °ò ±º î °½•ò £35.00 Trochar Cannulas with magnetic valving 230-215 Ó¿¹²»¬·½ ª¿´ª» º´¿° èñïð³³ô °ò ±º î °½•ò £35.00 5.5mm Inner Diameter

Spleen/Kidney Trocar

5.5MM INNER DIAMETER CANNULAE FOR 5MM ’SCOPES 231-265 Cannula only, magnetic valve, ID:5,5 mm, WL:20 cm, inflation stopcock £335.00 Designed by Dr Marien for closing of the spleen/kidney space. 231-161 Safety trochar only, compatible to cannulas ID:5,5 mm, WL: 20 cm, fully dismantable with cork screw handles £310.00 SPLEEN/KIDNEY TROCAR 231-129 Trochar only, with pyramidal tip for trochar with ID: 5.5 mm, TR-23-250 Working trocar acc. to Dr.Marien,ID:23 mm, 17 cm, WL:20 cm £95.00 including cannula (TR-250) sharp trochar (TR-23) £245.00

78 www.vetinst.com ARTHROSCOPY & LAPAROSCOPY 11

Palpation, Dissection and Hand Instruments Fritz hand instruments have a modular construction. The handles, the Puncture Instruments connecting tubes and the working jaw tips are interchangeable. Easily stripped down for cleaning, compatible to 5mm and 10mm trochar Laparoscopy First Puncture Needle. Veress cannulas. All handles have a High Frequency connector. Handles

LAPAROSCOPY NEEDLE VERESS L-19-150 Ê»®»•• Ò»»¼´» î³³ ¨ ïëð³³ Ô«»® Ô±½µ £95.00

Thoracoscopy First Puncture Needle, long version H11 /H12 H01 /H05

The instruments may have plastic coated or stainless handles. They may or may not have a ratchet. The ratchet may be external or enclosed. See THORACOSCOPY NEEDLE individual instruments for exact construction. TR-03-201 ̸±®¿½±•½±°§ Ò»»¼´» í³³ ¨ îðð³³ Tubular sheaths ·²½´«¼»• •¸¿®° ¬®±½¸¿® £135.00

5mm or 10mm diameter options. 5mm diameter, 470mm long protected interchangeable needle with outer Different working lengths which may be rotated through 360 degrees. tube. Consists of: Insulated or stainless steel. L-47 Inside tube Luer lock Connector L-47-2 Outside tube/probe L-210 Needle 1x28mm 5mm Instruments Complete PALPATION PROBE & PUNCTURE CANNULA Scissors Metzenbaum Scissors 531.01H05V L-47-210 п´°¿¬·±² Ю±¾»ñÝ¿²²«´¿ £195.00 5 mm, 33 cm, curved left, insulated, L-210 ײ¶»½¬·±² Ý¿²²«´¿ ï ¨ îè³³ ½±³°¿¬·¾´» ¬± Ôóííñìé î°½• £52.00 rotatable, dismantable,consisting of: L-218 ײ¶»½¬·±² Ý¿²²«´¿ ïòç ¨ îê³³ ½±³°¿¬·¾´» ¬± Ôóííñìé î°½• £52.00 jaws insert (53M01), sheath (53R1) handle (H 05), color code: white L-218R ײ¶»½¬·±² Ý¿²²«´¿ î ¨ ìð³³ ¾´«²¬ ½±³°¿¬·¾´» Metzenbaum Scissors 541.01H05V ¬± Ôóííñìé î°½• £52.00 As above except 43cm

SCISSORS Ó»¬¦»²¾¿«³ ͽ·••±®• øíí½³÷ Knot tier and cutter 531.01H05V £425.00 541.01H05V Ó»¬¦»²¾¿«³ ͽ·••±®• øìí½³÷ £425.00

Biopsy Forceps Makes it easy to thread and Biopsy Forceps 531.61H01V tighten sutures. Integrated cutting 531.61H01V Biopsy forceps, double device. action jaws, with spikes, 5 mm,33 cm, 5mm diameter 400mm long. rotatable, dismantable,consisting of: jaws insert (53 M 61), sheath (53 R 1) KNOT TIER AND CUTTER handle (H 01), color code: black L-19-544 Õ²±¬ Ì·»® Ô±²¹ Ê»®•·±² £200.00 BIOPSY FORCEPS 531.61H01V Þ·±°•§ Ú±®½»°• ܱ«¾´» ß½¬·±² Ö¿© øíí½³÷ £425.00 541.61H01V Þ·±°•§ Ú±®½»°• ܱ«¾´» ß½¬·±² Ö¿© øìí½³÷ £425.00 Adjustable Fan Retractor

Dissecting Forceps

Dissecting Forceps (Maryland) 531.40H01V 5 mm, 33 cm, turned, insulated, rotatable, dismantable, consisting of: jaws insert (53 M 40), sheath (53 R 1) The spread of the five blades can be adjusted externally. handle (H 01), color code: black O/D 10mm WL:340mm Luer lock irrigation connector. DISSECTING FORCEPS FAN RETRACTOR 531.40H01V Ü·••»½¬·²¹ Ú±®½»°• øÓ¿®§´¿²¼÷ øíí½³÷ £375.00 L-19-1006 Ú¿² 묮¿½¬±® £505.00 541.40H01V Ü·••»½¬·²¹ Ú±®½»°• øÓ¿®§´¿²¼÷ øìí½³÷ £375.00

79 11 ARTHROSCOPY & LAPAROSCOPY

Grasping Forceps Atraumatic Grasping Forceps Grasping forceps 531.22H11V Atraumatic grasping forceps, 5 mm, 33 cm, universal, insulated, 141.49H11V rotatable, dismantable, consisting of: jaws 10mm, 37 cm, insulated, rotatable, insert (53 M 22), sheath (53 R 1) handle dismantable, consisting of: jaws insert (13 (H 11), color code: black M 49), sheath (13 R 1) handle (H 11) color code: black ATRAUMATIC GRASPING FORCEPS GRASPING FORCEPS 141.49H11V ߬®¿«³¿¬·½ Ù®¿•°·²¹ Ú±®½»°• £525.00 531.22H11V Ù®¿•°·²¹ Ú±®½»°• øíí½³÷ £425.00 Claw Grasping Forceps 541.22H11V Ù®¿•°·²¹ Ú±®½»°• øìí½³÷ £425.00 Claw grasping forceps, 146.32H11V 10 Claw Grasping Forceps mm, 37 cm, metal, double action jaws, rotatable, dismantable, consisting of: jaws Claw Grasping Forceps 536.30H12V insert (13 M 32), sheath (13 R 6) handle 5 mm, 33 cm, straight, metal, rigid, (H 11) dismantable, consisting of: jaws insert (53 M 30), sheath (53 R 6) handle (H 12) CLAW GRASPING FORCEPS 146.32H11V Ý´¿© Ù®¿•°·²¹ Ú±®½»°• £525.00

CLAW GRASPING FORCEPS Needle Holders 536.30H12V Ý´¿© Ù®¿•°·²¹ Ú±®½»°• øíí½³÷ £425.00 546.30H12V Ý´¿© Ù®¿•°·²¹ Ú±®½»°• øìí½³÷ £425.00

10mm Instruments Complete NEEDLE HOLDERS Scissors L-19-581 ÌÝ ¶¿©ô •¬®¿·¹¸¬ô ×Üæ ë ³³ô ´±²¹ ª»®•·±²ô ÉÔæ íé ½³ô ¿¨·¿´ ¸¿²¼´»ô ÔÔ ½´»¿²·²¹ ½±²²»½¬±® £645.00 Mayo scissors, 141.11H05V, L-19-583 ÌÝ ¶¿©ô ¿²¹´»¼ «°©¿®¼ô ×Üæ ë ³³ô ´±²¹ ª»®•·±²ô ÉÔæ íé ½³ô ¿¨·¿´ ¸¿²¼´»ô ÔÔ ½´»¿²·²¹ ½±²²»½¬±® £645.00 10 mm, 37 cm,insulated, rotatable, dismantable, consisting of: jaws insert (13 M 11), sheath (13 R 1) handle (H 05) color Suction/Irrigation Instrument code: white

SCISSORS 141.11H05V Ó¿§± ͽ·••±®• øíé½³÷ £525.00

Dissecting Forceps (Overholt) Available in both 5mm and 10mm diameters. 5mm has single channel whilst 10mm has 2 channels to seperate suction and irrigation. Dissecting forceps, (OVERHOLT), Component and replacement parts available. Visit www.vetinst.com for 141.48H11V details. turned, 10 mm, 37 cm, insulated, rotatable, dismantable,consisting of: jaws insert (13 SUCTION/IRRIGATION INSTRUMENT M 48), sheath (13 R 1) SM1-54RH98 Í«½¬·±²ñ×®®·¹¿¬·±² ײ•¬®«³»²¬ ×Üæë³³ô handle (H11) color code: black ÉÔíé½³ ³»¬¿´ ¬«¾» £475.00 SK1-54RH98 Í«½¬·±²ñ×®®·¹¿¬·±² ײ•¬®«³»²¬ ×Üæë³³ô DISSECTING FORCEPS (OVERHOLT) ÉÔíé½³ ·•±´¿¬»¼ ¬«¾» £475.00 141.48H11V Ü·••»½¬·²¹ Ú±®½»°• øѪ»®¸±´¬÷ £525.00 S9-14T2RH98 Í«½¬·±²ñ×®®·¹¿¬·±² ײ•¬®«³»²¬ ×Üæïð³³ô ÉÔíé½³ Ñ´·ª» ¬·° £400.00 Babcock Grasping Forceps S9-14T4RH98 Í«½¬·±²ñ×®®·¹¿¬·±² ײ•¬®«³»²¬ ×Üæïð³³ô Babcock grasping forceps, 141.26H11V ÉÔíé½³ л®º±®¿¬»¼ ¬·° £400.00 10mm, 37 cm, insulated, rotatable, dismantable, consisting of: jaws insert (13 Special devices M 26), sheath (13 R 1) handle (H 11) color code: black

BABCOCK GRASPING FORCEPS 141.26H11V Þ¿¾½±½µ Ù®¿•°·²¹ Ú±®½»°• £525.00 Universal Grasping Forceps Please contact us for technical details / specifications. Universal grasping forceps, 141.25H11V 10 mm, 37 cm, insulated, double action SPECIAL DEVICES jaws, rotatable, dismantable, consisting of: H140-3S Suction and irrigation pump. Complete with 2 one litre jaws insert (13 M 25), sheath (13 R 1) bottles. Designed specifically for gastro enterology. £1,225.00 handle (H 1) color code: black H160-AB Suction pump with 1 Litre bottle. £425.00 741-009V CO2 Inflator DIN gas connection type. £3225.00 UNIVERSAL GRASPING FORCEP For further information about Light sources, Cameras and monitors 141.25H11V ˲·ª»®•¿´ Ù®¿•°·²¹ Ú±®½»° £525.00 please see Page 74-77 in the Arthroscopy section. 80 Chapter 12 AUTOLOGOUS BLOOD PRODUCTS 12

Autologous Blood Products

The use of Autologous Blood Products is rapidly gaining acceptance as a treatment option in a number of orthopaedic conditions. Arthrex Vet Systems have developed two systems, which, through collection and treatment of a relatively small volume of the patient’s blood, significantly increases the concentration of active factors.

ABPS (Autologous Blood Processing System)

A major inducer of osteoarthritis has been shown to be the inflammatory cytokine interleukin-1 (IL-1) which plays a key role in accelerating tissue destruction. In the healthy joint interleukin-1 receptor antagonist (IL-1Ra) blocks the destructive effect of IL-1. In the osteoarthritic joint insufficient IL- 1Ra is produced to block the increasing levels of IL-1 resulting in inflammation, pain and eventually cartilage destruction.

The Arthrex ABPS system using 50ml of blood, binds monocytes to glass beads which are then incubated for 24 hours to generate increased levels of IL-Ra and other relevant growth factors. After incubation the Arthrex-ABPS device is spun to separate the serum. The extracted serum may then be used immediately or frozen for later use.

In addition to the Arthrex-ABPS device containing the glass beads, the system requires a standard incubator and a dedicated centrifuge. Depending on usage Arthrex will offer the centrifuge and rotor on free loan.

Users of earlier Orthogen Interlukin Receptor Antagonist systems do not require an additional centrifuge and will find that Arthrex-ABPS (VAR-1011) provides significantly elevated levels of IL-1Ra. The new Arthrex device provides a much more user friendly, leak free, means of collecting, incubating and separating the blood products.

Indications for use (as described by Dr. Wayne Mcllwraith and Dr. David Frisbie, Colorado State University)

Well defined synovitis and capsulitis in animals previously treated with AUTOLOGOUS BLOOD PROCESSING SYSTEM (ABPS) HA and/or cortiosteriods. Post arthroscopic joints with focal articular cartilage disease. VAR-1011 ßÞÐÍ •»¬ ø•·²¹´»÷ò £165.00 ABS-10020 Ý»²¬®·º«¹» Ø»¬¬·½¸ ᬱº·¨ íî A full information pack on Arthrex-ABPS is available which includes ©·¬¸ •©·²¹ ±«¬ ®±¬±®ò £2750.00 research papers, step by step guides and client information leaflets. ABS-10022 Ý»²¬®·º«¹» ¾«½µ»¬ò £275.00 Code BRABPS. Visit www.vetinst.com for further information. ABS-10026 ݱ«²¬»®©»·¹¸¬ º±® Ý»²¬®·º«¹»ò £85.00 VAR-1040 Ó·²· ·²½«¾¿¬±®ò £650.00

Free loan of centrifuge and rotor ABPS CONSUMABLES ABPS4495152 Combi stopper Blue (100pcs). £13.50 Provided the surgeon is prepared to commit to an initial purchase of 20 sets (£3300) and an annual purchase of 50 sets, Arthrex is ABPS4099206 Sterifix 0.2 Injection filter (100pcs). £85.00 prepared to offer its Centrifuge with rotor/accessories (value over ABPS5206634 Adaptor Female/Female (1 Packet:100pcs). £110.00 £3100) on free loan. (Please note the incubator is not included in this ABPS4617053VOmnifix syringe 5ml (1 Packet:100pcs). £27.50 offer.) ABPS4617304F Omnifix syringe 30ml (1 Packet:100pcs). £45.00 Please call for details. ABPS4665643 Sterican needle 21G. (100pcs) £13.50

81 12 AUTOLOGOUS BLOOD PRODUCTS

ACP Autologous Conditioned Plasma

Outside the bloodstream, platelets become activated and release proliferative and morphogenic proteins relevant to healing in a variety of tissue types including bone, tendon and cartilage. Arthrex ACP significantly increases the levels of both platelets and growth factors compared to whole blood. In vitro studies using cell cultures and ACP derived plasma has demonstrated increased proliferation of tenocytes, osteoblasts and chrondrocytes.

High concentrations of growth factors like those found in ACP have been shown to have regenerative and modulating effects on impaired cartilage and tendons.

The procedure requires the use of only 10ml of blood together with the Arthrex double syringe primed with ACD-A which is then spun down using a dedicated centrifuge and rotor. Depending on usage Arthrex will supply the centrifuge and rotor on free loan. The centrifuge is the same as is used with the Arthrex-ABPS system.

A full information pack on Autologous Conditioned Plasma (ACP) is available on request. Code BRACP. Visit www.vetinst.com for further information.

ACP DOUBLE SYRINGE SYSTEM Free loan of centrifuge and rotor ABS-10010 ßÝÐñܱ«¾´» ͧ®·²¹» øîð «²·¬•÷ò £1500.00 Provided the surgeon is prepared to commit to an initial purchase of ABS-10007 ß²¬·½±¿¹«´¿²¬ ßÝÜóß ì³´ò £175.00 2 boxes (40 units) of syringes (£3000) and an annual purchase of 5 ABS-10020 Ý»²¬®·º«¹» Ø»¬¬·½¸ ᬱº·¨ íî boxes, Arthrex is prepared to offer its Centrifuge with ©·¬¸ •©·²¹ ±«¬ ®±¬±®ò £2750.00 rotor/accessories (value over £3100) on free loan. (Please note Ý»²¬®·º«¹» ¾«½µ»¬ò Incubator is not included in this offer.) ABS-10022 £275.00 ݱ«²¬»®©»·¹¸¬ º±® Ý»²¬®·º«¹»ò Please call for details. ABS-10026 £85.00 VAR-1040 Ó·²· ·²½«¾¿¬±®ò £650.00

82 Chapter 13 LARGE ANIMAL SPECIALITIES 13

Large Animal Specialist products

Laparoscopic Set for repositioning and fixation of abomasal displacement in Cattle.

Dr. Fritz offers a new set for the correction of abomasal displacement in dairy cattle using a minimally invasive technique developed by Dr. Janowitz. This set allows the veterinary surgeon to use a quick and extremely safe technique with no medication requirements as well as quick recovery of the patient. The procedure can be carried out in the field. The equipment is easy to handle and to clean. At the heart of the set is a specially developed robust scope with a length designed specifically for this purpose.

Instruments are specifically designed for use in large animal field situations and stored in a practical transport case to guarantee a long life.

In research programs it emerged that the traditional toggle system often offered inadequate strength and resulted in either rupture of the suture material or breakage of the plastic toggle material. This has led to the development of a new safety toggle with a 90 cm long break safe double suture.

Set consists of: • Wide angled telescope • LED Battery Light handle and spare bulb • Suture grasping forceps, long • Inflation and puncture needle • Trochars and trocar cannulas • Abomasal puncture system • Safety toggle pins (5 pcs) • Christianssen’s Spieker Insertion tool and Trochar • Sterilising and storage tray • Inflation pump • Cleaning brushes • Transportation case

For further information regarding the technique and detailed information about the set, please visit www.vetinst.com or request the Dr Fritz brochure on Bovine Laparoscopy. (Code: BRCOW) A range of accessories have been also developed by Dr Christiansen to enable laproscopic repositioning in a standing upright position. BOVINE LAPAROSCOPIC SET BOVSET Þ±ª·²» Ô¿°¿®±•½±°·½ Í»¬ ·²½´«¼·²¹ ݸ®·•¬·¿²••»²Ž• ¿½½»••±®·»• º±® «°®·¹¸¬ °±•·¬·±²ò £5725.00 BOVSETWO Þ±ª·²» Ô¿°¿®±•½±°·½ Í»¬ »¨½´«¼·²¹ ݸ®·•¬·¿²••»²Ž• ¿½½»••±®·»• º±® «°®·¹¸¬ °±•·¬·±²ò £4725.00 BOV8652 Þ±ª·²» •¿º»¬§ ¬±¹¹´» °·²ò ë °½• £37.50

83 13 LARGE ANIMAL SPECIALITIES

RecSpecTM RAMALT (Recto-anal mucosa-associated lymphoid tissue) Speculum. www.ramalt.com

Eradication of TSE infections is a long standing goal for the UK policy on animal health and consumer protection. The national scrapie plan (NSP) aims to reduce the incidence of scrapie within the National Flock by breeding for genetic resistance to the disease. In addition, control of scrapie is facilitated by the elimination of clinical scrapie suspect cases and by management procedures directed to block or minimise transmission of the infection. Moreover, detection and subsequent removal of pre-clinical scrapie cases would help preventing the spread of the infection, both within and between flocks, and would facilitate epidemiological monitoring, if the technique(s) involved were suitable for high throughput sampling.

The tissue source should be both rich in disease-specific prion protein (PrPd) and accessible as a field biopsy. Two tissues amenable to biopsy are known to contain diagnostically useful amounts of the disease-specific prion protein (PrPd). However, both palatine tonsil and third eyelid biopsies are difficult to obtain, requiring total anaesthesia and experience to be performed accurately, and none of them are likely to have practical field application. A further source, the rectal mucosa at the recto-anal junction contains abundant lymphoid tissue (RAMALT) in an anatomically accessible site, and in preliminary studies carried out on clinically affected sheep, it has been shown that it is also strongly positive for PrPd. It is also easily sampled using simple biopsy instruments and does not require anaesthesia, being in principle suitable for large scale field studies. The technique is greatly simplified by use of a purposed designed speculum and a disposable scissor and forceps

MATERIALS & METHODS The RAMALT is located immediately beneath the last 1cm of rectal mucosa at the end of the alimentary tract. The lymphoid follicles are found in aggregates underneath the crypts of the rectal mucosa folds (Fig 1) and become more visible when treated with glacial acetic acid (Fig. 2) and trans- illuminated (Fig. 3).This information was vital for obtaining the correct material in biopsies from live animals (Fig. 4).

Biopsy Procedure in Live Animals We have developed a biopsy procedure to obtain RAMALT tissue from live sheep including the design, manufacture and testing of a disposable speculum to gain access to the target 1cm2 area of rectal mucosa (Fig. 5). The speculum is inserted in the anus after liberal application of analgesic cream which also doubles as a lubricant. The folds of the rectal mucosal are now easily identified (Figs. 6 & 7).

• A sample of RAMALT tissue is taken by picking up the base of a crypt with forceps and cutting off the resultant ‘tent’ of tissue with scissors (Fig. 8).

•This precise location of sampling ensures adequate RAMALT lymphoid follicles are present that is essential for the detection of scrapie1.

•Biopsy sample fixed and processed, thin sections cut and mounted on glass slides. Tissue sections examined for the presence of the disease associated marker PrPd (Fig. 9)2.

•Brown staining within the lymphoid follicles is a positive result for scrapie (Fig. 9). The same would apply for deer with CWD.

The ramalt speculum can be purchased in packs of 10 or 100. A single use disposable set of scissors and forceps are also available in 10’s or 100’s.

Refernces and acknowledgements 1. L. González, M. Jeffrey, S. Sisó, S. Martin, S.J.Bellworthy, M. J.Stack, M.J. Chapman, L.Davis, M.P. Dagleish & H.W. Reid (2005) Diagnosis of preclinical scrapie in samples of rectal mucosa. Veterinary Record 156 (26), pp846-847. 2. Race R, Jenny A, Sutton D. (1998) Scrapie infectivity and proteinase K-resistant prion protein in sheep placenta, brain, spleen, and lymph node: implications for transmission and antemortem diagnosis. J Infect Dis 178, pp949-953.

This project was funded by the UK Department of Environment, Food and RECSPEC Rural Affairs (DEFRA) (Project SE1788) and performed in collaboration λ½Í°»½ÌÓ øïð «²·¬•÷ with the Veterinary Laboratories Agency MRSPEC £8.50 MRSPEC100 λ½Í°»½ÌÓ øïðð «²·¬•÷ £80.00 MORKIT Ü·•°±•¿¾´» •½·••±®ñº±®½»° øïð «²·¬•÷ £12.50 MORKIT100 Ü·•°±•¿¾´» •½·••±®ñº±®½»° øïðð «²·¬•÷ £110.00

84 Index 3 Metre Hose for Maxi Driver ...... 54 Biopsy Punch,Disposable ...... 41 Cassette Holder, Adjustable Handle ...... 53 Biopsy Punch,Uterine ...... 38 Castration clamps-Sand’s ...... 26 Biopsy, Ramalt ...... 84 Catheter Kit, Ophthalmic ...... 57 Bipolar Cable ...... 77 Catheter, Jugular, Extended Use ...... 40

Ablation Wands ...... 77 Bipolar Foot Pedal ...... 77 Centrifuge, ABPS ...... 81 Abomasal Displacement Set ...... 83 Bipolar Forceps ...... 77 Centrifuge, ACP ...... 82 Blade, Diamond for Multisaw ...... 53 Cervix Forceps ...... 38 ABPS ...... 81 Blade, Gypsum for Multisaw ...... 53 Chip type tooth cutter ...... 14 Accessories, Rasp ...... 8 Blades for tooth rasps ...... 6-8 Chisel, Bone Alexander ...... 16 ACP ...... 82 Blood Pressure Cuffs ...... 64 Chisel, Dental ...... 16 Active Scavenger ...... 61 Blue Line Battery Surgical Power ...... 54 Christianssen’s introducer ...... 83 Adjustable Handle for Cassette Holder ...... 53 Boening-Hertsch Hoof tester ...... 25 Chuck, Jacobs ...... 53 Adjustable Drill Guide ...... 42 Bone & Tooth File ...... 16,17 Chuck, Jacobs, Spare Key ...... 53 Air Hose for Maxi Driver ...... 54 Bone Graft ...... 46 Circuits, anaesthesia ...... 60 Alexander Bone Chisel ...... 16 Bone graft, Osteoallograft ...... 20 Clamp,Right Angled ...... 34 Anaesthetic connectors ...... 61 Bone nippers, Liston ...... 20 Claw Grasping Forceps ...... 80 Anaesthetic Machines ...... 60 Bone Plate Press ...... 44 Clinch cutter ...... 25 Anaesthetic Monitor Accessories ...... 64 Book - Equine Dentistry ...... 20 Clipper Blades ...... 70 Anaesthetic Monitors ...... 62-64 Bovine Laparoscopy Set ...... 83 Clippers ...... 70 Anaesthetic Set Up Offer ...... 63 Bovine Safety Toggle Pin ...... 83 CO2 Infusor ...... 76 Anaesthsia and Monitoring ...... 60-65 Bowel Clamps,Doyen ...... 33 Coffin Joint Elevator ...... 73 Angled upper molar rasp ...... 4 Box head tooth rasps ...... 4, Collar, Neck ...... 55 Angled upper premolar rasp ...... 4 Boxes, Screw ...... 45 Colostrumeter ...... 40 AO Cortical Kits ...... 46 Boxes,Instrument ...... 39 Combination Drill, Tap and Sleeve Guide ...... 42 AO Quick Release Attachment for Blue Line Saw . . . .54 Broad Compression Plate 4.5mm ...... 51 Comfort Grip Tooth Rasps ...... 6 AO Quick Release Attachment for Maxi Driver ...... 54 Broncho-Alveolar Lavage Catheter ...... 40 Compression Plate 4.5mm ...... 51 Arthrex ABPS ...... 81 Bucket, Stainless with rasp holder ...... 19 Compression Plate Broad 4.5mm ...... 51 Arthrex ACP ...... 82 Bulbs, Ophthalmic ...... 58-59 Compression Plates ...... 47-51 Arthrex Eagle Eye Camera ...... 75 Bur guards & soft tissue protectors ...... 22 Compression Plates 2.7mm ...... 47 Arthroscopes ...... 72 Bur system, motorised ...... 22 Compression Plates 3.5mm ...... 49 Arthroscopic Electrosurgical System ...... 77 Bur, equine dental ...... 22, 23 Connector, Luer-Lock ...... 76 Arthroscopy ...... 72-74 Burford Rib Retractor ...... 37 Connectors, anaesthetic ...... 61 Arthroscopy Infusion Pump ...... 76 Burgess Wolf Tooth Extraction Set ...... 9 Converter for Multisaw ...... 53 Arthroscopy, Hand Instruments ...... 73 Buster Starlight Diagnostic Torch ...... 59 Cortical Kits ...... 46 Atraumatic Grasping Forceps ...... 80 Butler Mouth Gag ...... 18 Cortical Screws ...... 47-51 Attachments for Blue Line Saw ...... 54 Cortical Screws 3.5mm ...... 48 Attachments for Maxi Driver ...... 54 Cortical Screws 2.7mm ...... 47 Autoclavable Tips ...... 67 Cortical Screws 4.5mm ...... 50 Autoclaves ...... 71 C Drill Guide ...... 42 Cortical Screws 5.5mm ...... 51 Autologous Blood Processing ...... 81 Camera Covers ...... 75 Cortical Self Tapping Kits ...... 46 Autologous Conditioned Plasma ...... 82 Cameras ...... 75 Cortical Self Tapping Screws ...... 47-51 Cancellous Screws ...... 47-51 Cortical Self Tapping Screws 2.7mm ...... 47 Cancellous Screws 3.0mm ...... 47 Cortical Self Tapping Screws 3.5mm ...... 48 Cancellous Screws 3.5mm ...... 49 Cortical Self Tapping Screws 4.5mm ...... 50 Babcock Grasping Forceps, Laparoscopy ...... 80 Cancellous Screws 4.0mm ...... 49 Countersinks ...... 43 Bag, canvas ...... 8 Cancellous Screws 6.5mm ...... 51 Crimping Forceps ...... 28 Balling Gun ...... 55 Cannulae, Laparoscopy ...... 78 Curette, Arthroscopy ...... 73 Bayer mouth wedge ...... 17 Canvas bag ...... 8 Cuttable Malleable Plate ...... 47 Bending Levers ...... 44 Cap extractor, Reynolds ...... 10-11 Cuttable Plate 2.7mm ...... 47 Bending Pliers ...... 44 Capital Equipment and Miscellaneous ...... 68 Cutters, Tooth ...... 13,14 Bending Templates ...... 44 Capnography Pulseoximeter ...... 64 Biopsy Forceps, Laparoscopy ...... 79 Carbide bur, equine dental ...... 22, 23 Biopsy Needle,Jamshidi Type ...... 41 Cardell Accessories ...... 64 Biopsy Needles-Soft Tissue ...... 41 Cardell Monitors ...... 62-64 DCP Plates ...... 47-51 Biopsy Needle-Temno Evolution ...... 41 Cassette Holder ...... 53 Debakey Needle holders ...... 34

85 Dental Camera, Equine ...... 21 Hoof trimmer-Steel ...... 25 Dental elevators ...... 9 Hook Probe, Arthroscopy ...... 73 Dental elevators ...... 17 Hook Scissors, Arthroscopy ...... 73

Dental fulcrum ...... 14 Fan Retractor Adjustable ...... 79 Horsley’s trephine ...... 20, 36 Dental hand instrument set ...... 15 Farrier set ...... 25 Hose for Maxi Driver ...... 54 Dental Pick set ...... 15 File, Tooth & Bone ...... 16-17 Humane Twitch ...... 55 Dental Punches, Chisels & Elevators ...... 16-17 Finhoff Transilluminator ...... 58 Dental rasp, economy with interchangeable handle . . .6 Flat head tooth rasps ...... 5 Dental scalers & probes ...... 15 Fluosorber ...... 61 Dentalscope, Dr Fritz ...... 21 Flushing catheter,Uterine ...... 40 Image Capture ...... 75 Depth Gauge ...... 43 Forcep, Vulsellum ...... 15 Incisor (Deciduos) Tooth Forceps ...... 11 Diamond Blade for Multisaw ...... 53 Forceps, Periodontal ...... 15 Incubator, ABPS ...... 81 Diamond bur, equine dental ...... 22 Forceps,Dissecting ...... 30 Incubator, ACP ...... 82 Diamond cone ...... 24 Forceps,Kocher ...... 30 Indirect Viewing Lens ...... 58 Dissecting Forceps ...... 34 Forceps, Left Handed ...... 35 Infusion Cuffs ...... 76 Infusion Pump, Arthroscopy ...... 76 Dissecting Forceps, Laparoscopy ...... 79 Foredom motorised bur system ...... 22 Infusion Screw-Cannulated luer lock ...... 27 Doyen Bowel Clamp ...... 33 Fragment Forceps,Very Large ...... 36 Fricks Oral Speculum ...... 55 Injection Cannula ...... 79 Drenching syringe ...... 14 Fulcrum, dental ...... 14 Insert Sleeve ...... 42 Dressing Scissors-General purpose ...... 31 Instol Spray ...... 67 Drill Bits ...... 52 Instrument Boxes ...... 39 Drill Guide , Large C ...... 42 Instrument Care ...... 66-67 Drill Guide, Adjustable ...... 42 Instrument Cleaning Agents ...... 66 Drill Guide, combination tap & sleeve ...... 42 Gags, mouth ...... 17-18 Instrument Lubrication ...... 66-67 Drill Guide, Load Neutral ...... 43 Galibans Suture Forceps ...... 30 Gillies ...... 30 Instrument Marking ...... 67 Drill Stop ...... 42 Grasping Forceps, Laparoscopy ...... 80 Irrigation Instrument, laparoscopy ...... 80 Drill, Extension for Variable Speed Drill ...... 53 Ground Pad ...... 77 Isoflorane Vapouriser ...... 60 Drill, Blue Line Kit ...... 54 Gun, Balling ...... 55 Drill, Shroud for Variable Speed Drill ...... 53 Gunther Mouth Gag ...... 18 Drill, Variable Speed Orthopaedic ...... 53 Gunthers Tooth Forceps ...... 11 Drive Shaft, Hex for Power Drivers ...... 43 Gypsum Blade for Multisaw ...... 53 Jacobs Chuck ...... 53 Dual Light Head Torch ...... 56 Halogen Light Source ...... 74 Jacobs Chuck Attachment for Maxi Driver ...... 54 Jacobs Chuck Spare Key ...... 53 J-Jelly ...... 40 J-Lube ...... 40 Economy Dental rasp with interchangeable handle . . . .6 JorVet EyeSaver Patch ...... 57 Handles, Laparoscopy ...... 79 Ecraseur (Chassaignacs) ...... 26 Handpiece, Foredom motor system ...... 22 Egress Cannula, Arthroscopy ...... 73 Haussmann/Climax Speculum ...... 18 Egress Curette, Arthroscopy ...... 73 Head rest, equine ...... 19 Elastrator Instrument ...... 26 Head torches ...... 19 Kendal model twitch ...... 20 Electrocautery ...... 77 Heine Diagnostics ...... 58 Key for Jacobs Chuck ...... 53 Electrodes ...... 77 Heine Ophthalmoscope ...... 58 Kidney Dishes ...... 39 Elevator, Arthroscopy ...... 73 Heine Otoscope ...... 58 Kits, Ophthalmic ...... 56 Elevators, Dental ...... 17 Hex Drive Shaft for Power Drivers ...... 43 Knife, Arthroscopy ...... 73 Emasculator-Reimer’s ...... 26 Hobdays Roaring Bur ...... 29 Knot Tier & Cutter ...... 79 Emasculator-Serra-Modified ...... 26 Hobdays Roaring Retractor ...... 29 Kocher Artery Forceps ...... 34 Emasculator-Verboeczy ...... 26 Holloware ...... 39 Endotracheal Tube ...... 65 Hoof buffer ...... 25 Ergonimic Handle Tooth Rasps ...... 6 Hoof knife ...... 24 ET tubes ...... 65 Hoof knife set-Economy ...... 24 Laparoscopes ...... 78 Extension for Variable Speed Drill ...... 53 Hoof rasp -Double ended ...... 24 Laparoscopy ...... 78-80 Extractors & Separators ...... 10-12 Hoof rasp-Coarse ...... 24 Laparoscopy, Bovine Set ...... 83 Eyelid Speculum ...... 56 Hoof rasp-Fine ...... 24 Large universal angled upper molar rasp ...... 5 Ezee-Lube ...... 67 Hoof testers ...... 25 Large universal rocker rasp upper/lower molar ...... 5

86 Large universal straight lower molar rasp ...... 5 Needleholders,Debakey ...... 34 Punch, dental ...... 16 Leader Line ...... 28 Needleholders,Left Handed ...... 35 Puncture Cannula ...... 79 LED Head Torch 3 LED ...... 56 Needles, laparoscopy ...... 79 Puncture Needle, Arthroscopy ...... 73 Left Handed Instruments ...... 35 Needles,Spinal ...... 41 PVC Stomach Tubes ...... 55 Leg Saver Splints ...... 52 LigaFiba ...... 28 Light LED with Tripod ...... 69

Light Cable Connectors ...... 72 Obtuse angled last molar/hooks ...... 4 Quick Fit Screwdriver Attachment 2.7/3.5/4.0mm Screws ...... 43 Light Cables ...... 74 Obtuse angled last upper molar/hooks ...... 4 Quick Release Attachment for Blue Line Saw ...... 54 Light Sources ...... 74 Oesophageal Stethoscopes ...... 65 Quick Release Attachment for Maxi Driver ...... 54 Light, visor ...... 19 Offset lower molar ...... 4 Lighting ...... 68-69 Olsen Hegar Scissor/Needleholder ...... 31 Linvatec Shaver & Blades ...... 77 OPES Console ...... 77 Lister Bandage Scissors ...... 31 Ophthalmic Diagnostics ...... 57 Liston bone & tissue nippers ...... 20 Ophthalmic Kit ...... 56 Radio Opaque Ruler ...... 45 Liston Bone and Tissue Nippers ...... 36 Ophthalmoscope ...... 58 Radiology Cassette Holder ...... 53 Ramalt ...... 84 Load Neutral Drill Guide ...... 43 Ophthalmoscope Head ...... 59 Rapidex ...... 66 Lotion Bowls ...... 39 Oral Speculum ...... 55 Rapizyme ...... 66 Loupe, simple ...... 19 Orthomix ...... 46 Rasp accessories ...... 8 Lower back hooks rasps ...... 6 Orthopaedic Drill, Variable Speed ...... 53 Rasp holder in stainless bucket ...... 19 Orthopaedic mallets ...... 16 Rasp Set, Comfort Grip ...... 6 Osteoallograft periomix ...... 20 Rasp, Dental, Economy with interchangeable handle . .6 Osteollograft ...... 46 Rasp, small round head ...... 6 Magnetic Valve Flap ...... 78 Osteotome, Arthroscopy ...... 73 Rasp/file, double ended S ...... 8 Magnifier ...... 68 Osteotome,Modular ...... 37 Rasps, replacement blades ...... 6-8 Magnifying Swivel Loupe ...... 59 Oster Clippers ...... 70 Rasps, tooth Equine ...... 4-8 Mallets ...... 16 Otoscope kit ...... 58 Rat Tooth Forceps, 1/2 teeth ...... 34 Marking Tape ...... 67 Overholt Dissecting Forceps, Laparoscopy ...... 80 Reciprocating Saw Attachment for Maxi Driver ...... 54 Matrx Anaesthetic Gas Scavenger ...... 61 Oxygen Generator ...... 61 RecSpec ...... 84 Matrx VML ...... 60 Recto-anal Muscosa Associated Lymphoid Tissue Maxi Driver Modular System ...... 54 Speculum ...... 84 Mayo Scissors, Laparoscopy ...... 80 Reducer Adapter ...... 78 McPhails Needleholders ...... 30 Palpation Probe ...... 79 Reduction Valve CO2 ...... 76 Meister speculum ...... 18 Parkers Tenotomy knife ...... 36 Reynolds Cap Extractor ...... 10-11 Metzenbaum Scissors, Laparoscopy ...... 79 Peridontal forceps ...... 15 Rib Retractor,Burford ...... 37 Micro 90 Concentrate ...... 66 Peritoneal Tap ...... 36 Right Angled Clamp ...... 34 Modular Osteotome ...... 37 Pick, Dental ...... 15 Rocker rasp, large universal upper/lower ...... 5 Molar cutters ...... 13 Plate Bending ...... 44 Rongeur Stille-Luer ...... 16 Molar forceps ...... 12 Plate Bending Levers ...... 44 Rongeurs, Arthroscopy ...... 74 Molar separators ...... 12 Plate Bending Pliers, H/D ...... 44 Round Head Tooth Rasps, Small ...... 6 Monitors ...... 75 Plate Bending Pliers, Roller ...... 44 Routledge’s molar forceps ...... 12 Monitors, anaesthetic ...... 62-64 Plate Press, Large ...... 44 Ruler with Radio Opaque Scale ...... 45 Monopolar Hand piece ...... 77 Plates ...... 47-51 Mouth gags ...... 17,18 Plates Compression ...... 47-51 Mouth Speculum ...... 18 Plates Cuttable ...... 47 Multiparameter Monitor ...... 64 Plates Malleable Cuttable ...... 47 S Rasp, double ended ...... 8 Multisaw, Battery Powered ...... 53 Plates Tubular ...... 48 Sagittal Saw Attachment for Maxi Driver ...... 54 Pneumatic Pressure Infusor ...... 76 Sagittal Saw Kit Blue Line ...... 54 Power Tools ...... 53-54 Salvage Kit, Screw ...... 45 Pressure Infusion Cuffs ...... 76 Saw Blades for Blue Line Saw ...... 54 Nasotrachel Tubes ...... 65 Pressure Pump Infusor ...... 76 Saw, Blue Line Sagittal Kit ...... 54 Neck Collar ...... 55 Principles of Equine Dentistry ...... 20 Scalers, dental hand ...... 14-15 Needle Holders, Laparoscopy ...... 80 Probe, dental ...... 15 Scalpel Blade ...... 35 Needleholders ...... 30 Pump, Stomach ...... 55 Scalpel Handle ...... 35

87 Scavenger Systems Anaethesia ...... 61 Straight lower molar rasp ...... 4 Twitch, Kendal model Humane ...... 20, 55

Schoitz Tonometer ...... 57 Straight upper premolar rasp ...... 4 Typhoon carbide point bur ...... 23 Schoupe type gag ...... 17 Subpalpebral Ocular Lavage Kit ...... 57 Scissors, Laparoscopy ...... 80 Suction Instrument, Laparoscopy ...... 80 Scissors,Left Handed ...... 35 Surgical Clippers ...... 70 Scissors,Surgical ...... 32-33 Surgical Scissors,Tungsten Carbide ...... 34 Screw Boxes ...... 45 Universal large angled upper molar rasp ...... 5 Screw Extraction Trephine ...... 45 Universal Replacement tungsten chip blades ...... 8 Screw Holding Forceps ...... 44 Universal small angled upper molar rasp ...... 5

Screw Holding Sleeve for Hex Screwdriver SDH2540 .43 T Wrench for Tooth Rasps ...... 8 Universal small straight lower molar rasp ...... 5 Screw Salvage Kit ...... 45 Tap Handle, Synthes Fit ...... 42 USB Image Capture Device ...... 75 Screwdriver Attachment Quick Fit Taps, Quick Release ...... 42 2.7/3.5/4.0mm Screws ...... 43 Uterine Biopsy Punch ...... 38 Taps, T Bar ...... 42 Screwdrivers ...... 43 Teflon Drops ...... 66 Uterine Flushing Catheter ...... 40 Screws Cancellous ...... 47-51 Telescopes, Arthroscopy ...... 73 Screws Cortical ...... 47-51 Telescopes, Laparoscopy ...... 78 Screws Cortical Self tapping ...... 47-51 Templates, Bending ...... 44 Sealing Caps ...... 78 Tenaculum Forceps-Pozzi ...... 29 Vapouriser Keys ...... 60 Separators & Extractors ...... 10-12 Tendon Splitter ...... 36 Sevoflurane Vapouriser ...... 60 Vapourisers ...... 60 Tenotomy Knives ...... 36 Shaver Blades ...... 77 Thermocautery Unit ...... 70 Variable Speed Orthopaedic Drill ...... 53 Shaver System ...... 77 Thoracoscopy Needle ...... 79 Varnells Mouth Gag ...... 18 Sheaths Tubular, Laparoscopy ...... 79 Tissue Forceps ...... 33 Veress Needle ...... 79 Shroud for Multisaw ...... 53 Tissue Protection Sleeve ...... 43 Viscera Retainer ...... 33 Shroud for Variable Speed Drill ...... 53 Tonometer ...... 57 Silicon Tube ...... 76 Visor light ...... 19 Tonovet ...... 57 Silicone insert for boxes ...... 39 Vulsellum forcep ...... 15 Tooth & Bone File ...... 16-17 Silicone Rings ...... 67 Tooth cutter, detachable handles ...... 13 Skin Marker,Sterile Surgical ...... 39 Tooth cutters ...... 13-14 Slit Head, Heine ...... 59 Tooth elevator, adjustable ...... 9 Small loop hoof abscess knife ...... 24 Tooth elevator, Wolf ...... 9 Wall mounted unit, Ophthalmic ...... 59 Small Round Head Tooth Rasps ...... 6 Tooth forceps ...... 10-12 Waterproof Shroud ...... 53 Small universal angled upper molar rasp ...... 5 Tooth forceps, Wolf Teeth ...... 9-10 Wedge, mouth ...... 17 Small universal straight lowermolar rasp ...... 5 Tooth rasps - Ergonomic Handle ...... 6 Soft tissue protectors, motorised bur system ...... 23 Tooth rasps, angled ...... 4-6, 8 Wire / Pin Driver Attachment for Maxi Driver ...... 54 Spare Battery for Blue Line Saw ...... 54 Tooth rasps, Equine ...... 4-8 Wolf tooth extraction ...... 9,10 Spare Battery for Multisaw ...... 53 Tooth rasps, replacement blades ...... 6-8 Wolf Tooth extraction kit, complete ...... 9 Spare Battery for Variable Speed Orthopaedic Drill . . .53 Tooth rasps, straight ...... 4-6, 8 Wrench, T, for Tooth Rasps ...... 8 Speculum, Eye ...... 56 Torch LED Lenser ...... 69 Speculum, Oral ...... 55 Torch, head mounted ...... 19 Speculum, Otoscope ...... 59 Torches, head ...... 56 Speculum,LED Tube ...... 38 Torches, pen ...... 59 Speculum,Vaginal ...... 38 Towel Clips ...... 33 Xenon Light Source ...... 74 Spencer Wells Artery Forceps ...... 30 Tracheal Wash Kit,Equine ...... 40 Spinal Needles ...... 41 Tremaine tooth pick ...... 15 Spleen/Kidney Trochar ...... 78 Trephine- 2/45mm ...... 27 Splints , Leg Saver ...... 52 Trephine, Horsleys ...... 20, 36 Stapler, Skin ...... 41 Trephine, Screw Extraction ...... 45 Sterilisation, Arthroscopy ...... 72 Trephine, Cortical Bone ...... 41 Stethoscopes ...... 65 Treves,Rat Tooth Forceps ...... 34 Stille-Luer Rongeur ...... 16 Trochars, Laparoscopy ...... 78 Stitch Scissors ...... 31 Tubing, Infusion Pump ...... 76 Stitch up kits ...... 29 Tubular Plates 2.7mm ...... 48 Stomach Pump ...... 55 Tungsten carbide replacement blades ...... 6-8 Stomach Tubes ...... 55 Twin Point Reduction Forceps ...... 37

88 Deliveries Terms & TIMED DELIVERIES In stock items will be despatched as soon as practicable. NB: Urgent items may be despatched on the day of ordering, provided we Conditions receive the order BEFORE 3.30PM (and the stock is available). Please VETERINARY INSTRUMENTATION LTD state clearly that the order is urgent and advise your preferred method of TERMS AND CONDITlONS OF TRADE delivery. 1. Definitions

Please note that the only certain way to obtain the goods when you want 1.1 ‘Company’ means Veterinary Instrumentation Ltd. them is to collect them yourself! All delivery systems can fail. All we can do is to despatch according to your instructions. Veterinary Instrumentation 1.2 ‘Customer’ means the veterinary practice or any person to whom the staff are happy to help trace wayward deliveries but please do not give Company has agreed to supply goods. them a hard time when the problem is outside their control. 1.3 ‘Goods’ means the products which the Company is to supply to the customer in accordance with these conditions. STANDARD DELIVERY

Prices include first class mail postage and packing to UK addresses 1.4 ‘Writing’ includes telex, cable, facsimile transmission, e-mail or (unless otherwise stated). similar means of communication.

2.Breakages and Shortages SPECIAL DELIVERY — POST OFFICE SERVICE In the case of obvious shortages or suspected damage to deliveries of Delivery next day by 1.00 pm (NB: NOT AVAILABLE FOR SATURDAY goods, the driver’s delivery note must be signed accordingly by the DELIVERIES) to England & Lowland Scotland person accepting the delivery on behalf of the customer. All claims for Cost: from £5.50 + VAT. broken or missing goods should be reported to the Company no later than three days from the date of delivery. Where independent transport is used failure to sign or indicate on delivery notes any shortage and/or COURIER DELIVERIES damage will invalidate the Company’s claim against the carrier involved Delivery next day (up to 6pm weekdays) to England & Lowland Scotland — and therefore the customer’s claim against the Company. price depends on weight and destination 3.Returned Goods Policy Cost: from £5.50 + VAT.

3.1Under normal circumstances, goods will not be accepted for return TIMED DELIVERIES for credit other than for the following reasons: a)To correct a Company delivery or order error. Delivery next day (weekdays only) to England & Lowland Scotland — price b)In response to a recall instigated by a manufacturer. depends on weight and area c)Where the products or packages are alleged to have been faulty, Cost: from £9.00 + VAT. damaged or tampered with prior to delivery. d)Where the products have been offered on a pre-arranged ‘sale or return’ basis. SATURDAY DELIVERIES AND OTHER AREAS e)Where the Company agrees, in advance of their return, to accept Cost and availability upon application. goods not covered by any of the above criteria.

3.2 Goods Returned to Correct a Company Error: RETURNS POLICY a)The goods must be returned within 7 working days of receipt. Goods Any returns should be within 7 days of delivery and should be in perfect requiring temperature-controlled storage must be notified to the original condition. Details of the invoice or delivery note should be included Company no later than the next working day and must have been with any return. stored in accordance with the manufacturer’s recommendations whilst Abuse of our sale or return policy may result in a restocking charge. The on the customer’s premises. Goods must be adequately packaged to restocking charge may also be levied for late returns. ensure that no damage is caused during their return to the Company. b)All returned goods must be in perfect original condition; not marked in Non stock items or specials made to customer specifications may not be any way; should not show any evidence of being tampered with. returned. c)To be considered for return for credit, the goods must be accompanied by a copy of the original invoice or delivery note, or the PAYMENT TERMS number of the specific invoice on which the goods were supplied, together with a reason for their return. If this information is missing, Payment is due strictly on or before the last day of the month following the there will be a delay in issuing a credit. date of the company's invoice. Accounts with more than 60 days debt may be stopped. All payments to be made in sterling (£). 3.3 Returns where the products or packages are alleged to have been faulty, damaged or tampered with prior to delivery: VAT a)Details of the fault or damage should be notified to the Company as soon as possible in order that the manufacturer can be alerted if All prices are shown without VAT. appropriate. VAT will be added to the invoice where appropriate. b) Goods must be packed separately and accompanied by a copy of the invoice or delivery note (as in 3.2(c)).

89 3.4 Where the Company agrees to accept the return of goods not b)Strikes, lock-outs or other industrial actions or trade disputes (whether covered by any of the criteria recited in clauses 3.2 - 3.4.Goods will only involving employees of the Company or third parties); be accepted by prior agreement with the Company and must be c)War or threat of war, sabotage, insurrection, civil disturbance or accompanied all the information detailed in 3.2(c) in addition to the name requisition; of the person who has authorised the return. d)Import or export regulations or embargos; Please note: Goods returned under this category may be subject to a e)Difficulties in obtaining raw materials, labour, fuel, parts or machinery; handling charge. f)Power failure or breakdown in machinery.

3.5 Goods Returned to Stock 8. Liability Goods returned by customers for any of the above reasons will only be Goods are sold on the understanding that the customer is solely considered for credit if: responsible for determining the suitability of the goods for the purposes a)It is known that they have been stored in accordance with the for which the customer intends to use them. Accordingly the Company’s manufacturers recommendations. liability for any loss or damage suffered by the customer and arising by b)They have been assessed and accepted by a person authorised by defects in the goods, shall be limited to the invoice price of the goods in the Company so to do. The assessment will take into account the respect of or in relation to which loss or damages is claimed. The nature of the product, any special storage conditions required and the Company will not accept under any circumstances liability for time elapsed since the goods were supplied. consequential loss, damage or loss of profits arising from the use of the goods, service, information and advice. 3.6 Special Orders These products will not be accepted for return or credit unless supplied 9. Title and Risk as a result of a Company error. In such cases, the product must be Unless otherwise agreed in writing between the parties prior to delivery, returned within 7 working days of receipt. the title to the goods shall not be transferred to the customer until the full purchase price has been paid to the Company. The risk of loss or 3.7 Packaging damage to the goods shall pass to the customer on the date that the All returned goods must be securely packaged to prevent damage goods are received and accepted by the customer. during the return journey. 10. Insolvency 3.8 Date Expired Goods Date Expired Goods will only be accepted for credit in accordance with 10.1 This clause applies if: the terms laid down by the manufacturer concerned. a)The customer makes any voluntary arrangement with its creditors or becomes subject to an administration order or (being an individual or 4. Price of Goods firm) becomes bankrupt or (being a company) goes into liquidation Goods will be invoiced at the prevailing price at the date of despatch to (otherwise than for the purpose of a solvent amalgamation or the customer. The price of goods shall be subject to alteration by the reconstruction); Company without prior notice to the customer. The price is exclusive of b)An encumbrancer takes possession, or a receiver is appointed, over any Value Added Tax for which the customer shall be additionally liable any of the property or assets of the customer; to pay the Company. c)The customer ceases, or threatens to cease, to carry on business; d)The Company reasonably apprehends that any of the events 5. Terms of Payment mentioned above is about to occur in relation to the customer and notifies the customer accordingly. 5.1 The customer shall pay the amount of the invoice on or before the last day of the month following the date of the Company’s invoice unless 10.2 If this clause applies then, without prejudice to any other right or otherwise agreed in writing by the Company. If the customer fails to pay remedy available to the Company, the Company shall be entitled to on the due date, the Company reserves the right to: cancel the Contract or suspend any further deliveries under the Contract a) Suspend any further deliveries to the customer. without liability to the customer. If the Goods have been delivered but b)Appropriate any payment raised by the customer to such of any other not paid for, the price shall become immediately due and payable invoices raised by the Company for goods supplied to the customer notwithstanding any previous agreement or arrangement to the contrary. as the Company may think fit, notwithstanding any purported appropriation by the customer and: 11. Indemnity c)Charge the customer interest (both before and after any judgement) on The customer agrees to indemnify the Company against all loss, amounts unpaid at the rate of 2.5% per month until payment is made in damage, costs, legal costs and professional and other expenses of any full. Notice of interest charges will be served in writing on the customer. nature whatsoever incurred or suffered by the Company or by a third party as a result of the use of the Goods, the breach of any legislation 6. Delivery relating to the use of the Goods or as a result of any breach of the Any dates/times quoted for delivery of the goods are to be treated as Contract by the customer. estimates only and the Company shall not be liable for any loss, injury, damage or expense arising from delay in delivery of the goods 12. Jurisdiction howsoever caused. These conditions shall be construed in accordance with and governed by English Law. Each of the parties irrevocably submits for all purposes 7. Force Majeure in connection with the Conditions to the exclusive jurisdiction of the The Company shall not be liable to the customer or be deemed to be in Courts of England. breach of the Contract by reason of any delay in performing, or any failure to perform, any of the Company’s obligations in relation to the Goods, if the delay or failure was due to any cause beyond the Company’s reasonable control. Without prejudice to the generality of the foregoing, the following shall be regarded as causes beyond the Company’s reasonable control: a)Act of God, explosion, flood, tempest, fire or accident;

90 Distributors Worldwide

For further information about becoming a distributor please contact: VETERINARY INSTRUMENTATION Broadfield Road, Sheffield, UK S8 0XL Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: [email protected] Website: www.vetinst.com Overseas Customers use: Tel: +44 114 258 8530 Fax: +44 114 255 4061

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