Chirurgische Instrumente Surgical Instruments
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Phase IX Commodity Supplier DOHUK Medical Equipment Dohuk CODE No. General Terms and Conditions
WHO Phase IX Sector: Health Repairs Annex 07 Commodity Supplier DOHUK Medical Equipment Dohuk CODE No. General terms and conditions - Set of recommended spare parts for two years - Service and operation manuals in English Language Spare parts for Clinical Chemistry Analyzer, Targa BT 3000, SUP/97/26098/1 Cliniline S.A, Switzerland 02-07-00001 * Monthly Replacement Kit # Bt 3000 I.S.E & Dilute Mod. (Vers."A" &"B") 662.0736 10 02-07-00002 * Quarterly Replacement Kit # I.S.E & Diluter Modules, Bt 3000 (Vers. "A") 662.0735 8 02-07-00003 * Glass Barrel 0.5ml 662.0143A 2 02-07-00004 * Glass Barrel 2.5ml 662.0144A 2 02-07-00005 * Sealing Grommet 300.5664A 1 02-07-00006 * Washing Piston 2586 1 02-07-00007 * Hydrophobic Filter 330.9651 10 02-07-00008 * Hose Barb 330.9651B 10 02-07-00009 * Vent Silencer 330.9683 1 02-07-00010 * Valve Cone 2562 1 02-07-00011 * Wave Spring 330.32 2 02-07-00012 * O-Ring 330.5711 8 02-07-00013 * Dow Corning High Vacuum Silicon Grease 2 02-07-00014 * Suction unit 1 02-07-00015 * Test point Alert 2, 12x10ml 6 02-07-00016 * Humatrol P, 6x5ml 6 02-07-00017 * Humatrol N, 6x5ml 6 02-07-00018 * Tensioactif pour TARGA Emball, 4x12.5ml 10 02-07-00019 * Sol. Lavage TARGA emball, 2x50ml 10 02-07-00020 * Glass Barrel 0.5ml 662.0143A 4 02-07-00021 * Glass Barrel 2.5ml 662.0144A 4 02-07-00022 * Hydrophobic Filter 330.9651 12 02-07-00023 * Hose Barb 330.9651B 12 Spare parts for ELISA system for HIV Diagnostics, SUP/99/08072/5 LABSYSTEM - FINLAND 02-07-00024 * HBS Elisa test 15 kit 02-07-00025 * HIV diagnostic kits, HIV I & II 61110111 15 kit Spare parts for KAVO Dental unit, SUP/97/43928/9 KAVO DENTAL Germany 02-07-00026 * Spare rotor cartridge for Turbine KaVo super-torque 640 C " 3 02-07-00027 * Spare rotor cartridge for Turbine KaVo super-torque 650C " 2 02-07-00028 * Set of essential Main electronic boards, e.g. -
Product Catalog Stainless Steel Vaginal Specula
PRODUCT CATALOG STAINLESS STEEL VAGINAL SPECULA Graves Speculum Product No. Description LTL-GS300 Graves Speculum, Small 3” x .75” LTL-GS400 Graves Speculum, Medium 4” x 1.5” LTL-GS450 Graves Speculum, Large 4.50” x 1.5” LTL-GS700 Graves Speculum, XL 7” x 1.5” Pederson Speculum Product No. Description LTL-PS305 Pederson Speculum, Virginal 3” x .5” LTL-PS300 Pederson Speculum, Small 3” x 1” LTL-PS400 Pederson Speculum, Medium 4” x 1” LTL-PS450 Pederson Speculum, Large 4.5” x 1” LTL-PS455 Pederson Speculum, Extra Narrow 4.5” x .5” LTL-PS700 Pederson Speculum, XL 7” x 1” Open Sided Speculum Product No. Description LTL-WGR400 Weisman-Graves Speculum, Medium, Right Open 4” x 1.5” LTL-WGR450 Weisman-Graves Speculum, Large, Right Open 4.5” x 1.5” LTL-WGL400 Weisman-Graves Speculum, Medium, Left Open 4” x 1.5” LTL-WGL450 Weisman-Graves Speculum, Large, Left Open 4.5” x 1.5” LTL-WPR400 Weisman-Pederson Speculum, Medium, Right Open 4” x 1” LTL-WPR450 Weisman-Pederson Speculum, Large, Right Open 4.5” x 1” LTL-WPL400 Weisman-Pederson Speculum, Medium, Left Open 4” x 1” LTL-WPL450 Weisman-Prderspm Speculum, Large, Left Open 4.5” x 1” *We also offer wide view (4cm) and full view (7cm) openings. 1 | TOLL FREE 1 [800] 910-8303 FAX 1 [805] 579-9415 WWW.LTLMEDICAL.NET BIOPSY PUNCHES Standard Style Rotating Style Tischler [Morgan] 7mm x 3mm Baby Tischler 4mm x 2mm Tischler Kevorkian 9.5mm x 3mm Product No. Description Product No. Description Product No. -
Catalogue of Surgical Instruments, for Sale by Codman & Shurtleff, 13
CATALOGUE OF jittigical KttjgtrttittitttjGi, FOR SALE BY CODMAI & SHUETLEPF, 13, Tremont Street, Boston. Amputating Case, containing the following warranted instruments of first quality and finish, in handsome brass-hound Rosewood Case, 16 inches long, 4\ wide, and high: — Capital Saw, Metacarpal Saw, Bone Forceps, Spring-catch Artery Forceps, four Amputating Knives, Tenaculum, Tourniquet, half-dozen assorted Needles, and Ligature Silk, . $25.00 Amputating Case, Mahogany, 16 inches long, 4\ wide, 8j high, containing the following instruments, of plainer finish than the above, first quality, war- ranted : — Capital Saw, Metacarpal Saw, four Am- putating Knives, Bone Forceps, Slide-catch Artery Forceps, Tenaculum, Tourniquet, four assorted Needles, and Ligature Silk 20.00 Amputating Case, Mahogany, inches long, 6 wide, 2f high, containing: — Capital Saw, Metacarpal Saw, three Amputating Knives, large Scalpel, Spring-catch Artery Forceps, Bone Forceps, Tena- culum, Tourniquet, one dozen assorted Needles, and Ligature Silk 18.50 2 CODMAN AND SHURTLEFF’S Amputating and Trepanning Case, Rosewood, brass bound, 16 inches long, wide, 3 high, containing the following instruments of first quality and finish, warranted:— Capital Saw, Metacarpal Saw, Bone Forceps, Spring-catch Artery Forceps, three Amputating Knives, large Scalpel, Tenaculum, Tourniquet, half-dozen assorted Needles, two Tre- phines, Hey’s Saw, Elevator, Brush, and Ligature Silk $35.00 Amputating and Trepanning Case (Parker’s Com- pact), Rosewood, brass bound, 12 inches long, 4 wide, 2J high, containing the following ivory- mounted instruments of best quality and finish, warranted:— Capital Saw, Metacarpal Saw, Hey’s Saw, three Amputating Knives adapted to one handle by screw, Finger Knife, Spring-catch Artery Forceps, Bone Forceps, Tenaculum, Tourniquet, Trephine, Elevator, Brush, six assorted Needles, and Ligature Silk 35.00 Amputating Cases fitted up to order, at prices corres- ponding with number and style of instruments. -
CST-On-Demand-Binder.Pdf
Zander Perioperative Education Zander CST Exam Preparation Course Zander Perioperative Education Certification Preparation for CNOR, CAPA-CPAN, CST and CBSPD Wendy Zander MSN/Ed, RN, CNOR [email protected] Test Taking Strategies Objectives: 1. Apply Test Taking Strategies for the CST exam 2. Create a Personal Study Plan 3. Eligibility • Registering for the exam • Exam Format • Time Management • Test Taking Strategies Eligibility • Current or previously Certified Surgical Technologist (CST) ▫ Evidence of CST Certification • Graduate of a surgical technology program accredited by CAAHEP ▫ Evidence of proof of graduation • Graduate of a surgical technology accredited by ABHES ▫ Evidence of proof of graduation www.periop-ed.com 1 Zander Perioperative Education Military Eligible • A graduate of a military training program in surgical technology is always eligible whether it was before, during or after having CAAHEP accreditation. ▫ a copy of your DD214 (must state location of the base where program was completed), ▫ a copy of your graduation certificate from the surgical technology training program ▫ a smart transcript Accelerated Alternate Delivery (AAD) Pathway • Have on-the-job training in surgical technology • Are a graduate from a surgical technology program that did not hold CAAHEP accreditation during your enrollment CST Testing Fees First Time Test Takers Exam Fee (AST Members) Exam Fee (Non Members) $190 $290 Current or Previous Certified Surgical Technologist Renewing First Time Test Takers Certification by Examination Exam Fee -
Congenital Heart Disease
GUEST EDITORIAL Congenital heart disease Pediatric Anesthesia is the only anesthesia journal ded- who developed hypoglycemia were infants. (9). Steven icated exclusively to perioperative issues in children and Nicolson take the opposite approach of ‘first do undergoing procedures under anesthesia and sedation. no harm’ (10). If we do not want ‘tight glycemic con- It is a privilege to be the guest editor of this special trol’ because of concern about hypoglycemic brain issue dedicated to the care of children with heart dis- injury, when should we start treating blood sugars? ease. The target audience is anesthetists who care for There are no clear answers based on neurological out- children with heart disease both during cardiac and comes in children. non-cardiac procedures. The latter takes on increasing Williams and Cohen (11) discuss the care of low importance as children with heart disease undergoing birth weight (LBW) infants and their outcomes. Pre- non-cardiac procedures appear to be at a higher risk maturity and LBW are independent risk factors for for cardiac arrest under anesthesia than those without adverse outcomes after cardiac surgery. Do the anes- heart disease (1). We hope the articles in this special thetics we use add to this insult? If prolonged exposure issue will provide guidelines for management and to volatile anesthetics is bad for the developing neona- spark discussions leading to the production of new tal brain, would avoiding them make for improved guidelines. outcomes? Wise-Faberowski and Loepke (12) review Over a decade ago Austin et al. (2) demonstrated the current research in search of a clear answer and the benefits of neurological monitoring during heart conclude that there isn’t one. -
Model for Teaching Cervical Dilation and Uterine Curettage
Model for Teaching Cervical Dilation and Uterine Curettage Linda J. Gromko, MD, and Sam C. Eggertsen, MD Seattle, W a s h in g to n t least 15 percent of clinically recognizable pregnan METHODS A cies terminate in fetal loss, with the majority occur ring in the first trimester.1 Cervical dilation and uterine The fabric model was developed under the guidance of curettage (D&C) is frequently important in the manage physicians at the University of Washington Department ment of early pregnancy loss to control bleeding and re of Family Medicine and is commercially available.* The duce the risk of infection. D&Cs are also done for thera model, designed to approximate a 10-week last-menstrual- peutic first trimester abortions in family practice settings. period-sized uterus, is supported by elastic “ligaments” Resident experience may vary greatly, and some may feel on a wooden frame (Figure 1). A standard Graves spec inadequately trained in this procedure. The initial use of ulum can be inserted into the “vagina,” permitting vi gynecologic instruments (ie, tenaculum, sound, dilators, sualization of a cloth cervix. After placement of a tena curette) can feel awkward to the learner, and extensive culum onto the cervix, a paracervical block can be verbal tutoring may be discomfiting to the awake patient. demonstrated and the uterus sounded. Progressive dilation Training on a model can reduce these problems. After with Pratt or Denniston dilators follows: a drawstring al gaining basic skills on a model, the resident can focus on lows for the cervix to retain each successive degree of di gaining additional skills and refining technique during pa lation. -
Inhaltsverzeichnis Index Index Indice Alfabético Indice
Inhaltsverzeichnis Index Index Indice alfabético Indice Inhaltsverzeichnis Index Index Indice alfabético Indice E-01 Inhaltsverzeichnis Index Index Indice alfabético Indice A B Accessories for sterilization container ......... 88-38 to 88-41 BABCOCK seizing forceps ........................................ 64-02 Adenotome LAFORCE .............................................. 46-19 BABINSKY percussion hammer ............................... 02-07 ADLERKREUTZ thumb and tissue forceps ............... 10-04 BACKHAUS-CLIP tube holder towel clamp .............. 14-03 ADSON BABY hemostatic forceps ............................ 12-09 BACKHAUS KOCHER towel clamp .......................... 14-02 ADSON-Baby retractor .............................................. 18-15 BACKHAUS towel clamp ........................................... 14-02 ADSON BAGGISH uterine biopsy specimen forceps ............. 70-45 bone rongeur ........................................................ 32-03 BAILEY-BABY rib contractor ..................................... 56-18 ADSON-BROWN thumb and tissue forceps ............. 10-03 BAILEY-GIBBON rib contractor ................................. 56-18 ADSON BAILEY rib contractor ............................................... 56-18 elevator ................................................................. 32-21 BAINBRIDGE hemostatic forceps ............................................... 12-09 atraumatic forceps ................................................ 13-09 hypophyseal forceps ............................................ -
Bone Forceps and Rongeurs
Bone Forceps and Rongeurs Zepf Bone Forceps and Preferred by both neurosurgeons and Rongeurs have double action joints orthopaedic surgeons. that allow a surgeon to use one hand to cut bone with ease and precision. Unique shape of rongeurs allows for no blocking of the field of vision. Secured with screws which allows instrument to be sharpened or repaired Long history of genuine reliability. as needed. Page 10 Zepf Bone Forceps and Rongeurs 35-6401 PLIERS W/SIDE CUT, WIDE JAW 8. 35-6504 LEWIN BONE HOLDING FORCEPS 7” 35-6508-18 VERBRUGGE BONE HOLD. FORCEPS 7” 35-6513 LANE BONE HOLDING FORCEPS 13” 35-6544 FARABEUF BONE HOLDING FORCEPS 10” 35-6554 KLEINERT-KUTZ BONE CUTTING FORCEPS 6” 35-6562 LISTON BONE CUTTING FORCEPS STR 7.5” 35-6566 LISTON BONE CUTTING FORCEPS STR 10.5” 35-6567 LISTON BONE CUTTING FORCEPS ANGLED 10.75” 35-6570 KLEINERT-KUTZ BONE RONGEUR CRV 5.25” 35-6571 KLEINERT-KUTZ RONGEUR STRONG CRV 5.25” 35-6579-16 LEMPERT BONE RONGEUR CVD.6.25” 35-6579-19 LEMPERT BONE RONGEUR 7.5” 35-6583 BEYER BONE RONGEUR 7” 35-6587-15 KLEINERT-KUTZ BONE RONGEUR 6” 35-6587-18 KLEINERT-KUTZ BONE RONGEUR 7” 35-6590 BEYER BONE RONGEUR 7.25” STR. 35-6591 BEYER BONE RONGEUR 7.25” CVD. 35-6595 ZAUFAL-JANSEN BONE RONGEUR 7” CRV 35-6600 MARQUARDT BONE RONGEUR 8” CRV 35-6604 LUER BONE RONGEUR 8.75” STR. 35-6606 LUER BONE RONGEUR 8.75” curved 35-6610-1 LEKSELL BONE RONGEUR 9.5 SLY CRV WIDE 35-6610-2 LEKSELL BONE RONGEUR 9.5” SLY CRV NARROW 35-6612 STILLE-LUER DUCKBILL RONGEUR 9.5” 35-6612-1 LEKSELL BONE RONGEUR 9.5” WIDE 35-6612-2 LEKSELL BONE RONGEUR 9.5” NARROW 35-7956-3 SELVERSTONE LAMINECTOMY RONGEUR 6” 2X3MM 35-7956-5 SELVERSTONE LAMINECTOMY RONGEUR 6” 2X5MM 35-7960-4 SCHLESINGER LAMINECTOMY RONGEUR 6” 35-7964 CUSHING LAMINECTOMY RONGEUR 6” CRV UP 35-7983 FERRIS-SMITH LAMINECTOMY RONGEUR 7” STR 35-8004-2 SPURLING-KERRISON LAMINECTOMY PUNCH 7” 35-8008-5 SPURLING-KERRISON LAMINECTOMY PUNCH 7” SURGICAL INSTRUMENTS, INC. -
11 Cardiac Instruments
FEHLING AORTIC PUNCHES INS TRUMENTS AORTENSTANZEN 11/1 FEHLING... ... THE DIFFERENCE INSTRUMENTS FOR THORACIC, CARDIAC AND VASCULAR SURGERY INSTRUMENTE FÜR THORAX-, HERZ- UND GEFÄSSCHIRURGIE FEHLING Hanauer Landstraße 7A · 63791 Karlstein/Germany · www.fehling-instruments.de INSTRUMENTS +49(0) 6188 - 9574.40 +49(0) 6188 - 9574.45 [email protected] FEHLING STERNAL RETRACTORS INSTRUMENTS STERNUMSPREIZER 11/2 CALAFIORE STERNAL RETAINER STERNUMOFFENHALTER 1 1 ⁄2 ⁄4 1 1 1 ⁄16 ⁄2 ⁄2 STERNUM BLADE SCREW NUT STERNUMBLATT FLAT WRENCH STORAGE TRAY MUTTER GABELSCHLÜSSEL LAGERUNGS- LEFT RIGHT SINGLE USE BEHÄLTER LINKS RECHTS MPA-5 MPC-1L MPC-1R NEONATAL 7 x 30 mm** MPB-1 7 x 30 mm* 7 x 30 mm* Ø 8 MPC-0P MPB-7L MPB-7R 10 x 18 mm* 10 x 18 mm* MPA-6 “PEDIATRIC“ PEDIATRIC 45 x 65 mm** MPB-2 MPA-2L MPA-2R Ø 12 10 x 50 mm* 10 x 50 mm* MPA-3L MPA-3R ADULT 15 x 70 mm* 15 x 70 mm* MPA-9 45 x 65 mm** MPC-0A Ø 16 “ADULT“ MPA-4L MPA-4R ADIPOSIS 20 x 100 mm* 20 x 100 mm* MPA-7 70 x 90 mm** MPB-3 Ø 16 MPB-5L MPB-5R 15 x 30 mm* 15 x 30 mm* MPA-8 MPC-0C OSTEOPOROSIS 95 x 115 mm** “CURVED“ MPB-6L MPB-6R Ø 16 20 x 30 mm* 20 x 30 mm* *blade size / Blattgröße **opening width / Öffnungsweite exemplary configuration exemplary configuration Beispielkonfiguration Beispielkonfiguration ADULT - ADIPOSIS OSTEOPOROSIS FEHLING RETRACTORS INSTRUMENTS SPREIZER 11/3 TILTING KIPPBAR FOR PARTIAL STERNOTOMY FÜR PARTIELLE STERNOTOMIE BLADE SIZE BLATTGRÖSSE SPREADING WIDTH 160 mm a x b SPREIZWEITE 100 mm 35 x 50 mm MRM-5 45 x 50 mm MRM-6 215 mm 1 ⁄3 MARJAN 2 ⁄3 SUPERFLEX SOFT TISSUE RETRACTOR WEICHGEWEBERETRAKTOR 200 x 25 mm MTI-0 2 ⁄3 STERILISATION AND STORAGE TRAY FOR MTI-0 STERILISIER- UND LAGERSIEB FÜR MTI-0 220 x 51,2 x 19,5 mm MTK-0 FEHLING PROBES/SIZERS INSTRUMENTS SONDEN/LEHREN 11/6 SUPERPLAST A 45 mm A for mitral valve repair techniques without prosthetic ring SUPERPLAST instruments are construc- für Mitralklappenrekonstruktion ted of shape-memory metal. -
The Drainage of Subretinal Fluid: a Randomized Controlled Clinical Trial
THE DRAINAGE OF SUBRETINAL FLUID: A RANDOMIZED CONTROLLED CLINICAL TRIAL BY George F. Hilton, MD INTRODUCTION AMONG THE MANY CONTROVERSIES IN RETINAL DETACHMENT SURGERY, NONE HAS been more persistent than the unresolved question of drainage versus nondrainage. The controversy has persisted for over 20 years, and more than 60 papers have been written on the subject; however, to date there have been no controlled studies. The ongoing interest in this problem is illustrated by a recent Jules Gonin Club symposium on the drainage of subretinal fluid. After numer- ous papers on the subject the final summary acknowledged: "We are still challenged by the question: To drain or not to drain.'"1 The interest in this question is enhanced by the fact that most retinal surgeons regard the procedure ofsubretinal fluid drainage as a potentially hazardous step. Martin2 has defined it as "the most dangerous part of a retinal detachment operation." Ferguson3 referred to it as "the most crucial point" in the operation, and Norton4 observed that "fluid drainage is the one aspect ofthe surgical procedure over which the surgeon has the least control and although complications are unusual, they can be disas- trous." Not all authors are equally impressed with the potential complica- tions ofdrainage. Chawla5 regarded this surgical step as "only one danger among equals," and Schepens6 wrote that "the rate of complications from correctly performed perforation for the release of subretinal fluid is less than 1%." This question was recently brought into focus by a pair of papers representing the two major schools of thought on the issue. -
1779-80 Encampment
yr / 1 ■>**' / « * 2 T ¿ v/.- X» '.- .I 3 2 1 !1 3 7 9 ? 7 MORRISTOWN NATIONAL HISTORICAL PARK 1779-80 ENCAMPMENT A STUDY OF MEDICAL SERVICES APRIL 1971 MORRISTOWN NATIONAL HISTORICAL PARK 1779-80 ENCAMPMENT A STUDY OF MEDICAL SERVICES by RICARDO TORRES-REYES OFFICE OF HISTORY AND HISTORIC ARCHITECTURE EASTERN SERVICE CENTER WASHINGTON, D. C. APRIL 1971 UNITED STATES DEPARTMENT OF THE INTERIOR NATIONAL PARK SERVICE Foreword This report on the medical services at Morristown during the winter encampment of 1779-80 was undertaken to restudy and evaluate the subject in the light of the standard practices of the Continental Army Medical Department. One phase of the evaluation is to determine if the existence and location of the present replica of the so-called Tilton Hospital in the Jockey Hollow area can be justified historically. For interpretive purposes, the report reviews the organic structure of the medical or hospital department, identifies and describes health problems and diseases, and outlines the medical resources of the military surgeons to combat incident diseases and preserve the health of the soldiers. Research on the subject was conducted at the Library of Congress, the National Archives, Pennsylvania Historical Society, American Philosophical Society, the Library Company of Philadelphia and the Morristown NHP library. Several persons contributed to the completion of this study. As usual, Superintendent Stephen H. Lewis and Historians Bruce W. Steward and Diana F. Skiles provided splendid cooperation during my stay in the park; Leah S. Burt, Assistant Park Archivist, located Dr. Cochran's "LetterBook" in the Morristown Public Library. In the National Archives, the diligent efforts of Miss Marie Bouhnight, Office of Old Military Records, resulted in locating much-needed hospital returns of Valley Forge, Middlebrook and Morristown. -
새 파일 2018-03-07 09.31.08
Scanned by CamScanner Art No DISECTING KNIFE all metal DISECTING KNIFE all metal DISECTING KNIFE all metal DISECTING KNIFE all metal DISECTING KNIFE all metal DISECTING KNIFE all metal DISSECTING KNIFE all metal DISECTING KNIFE all metal DISECTING KNIFE all metal DISSECTING Knife all metal 010-110-235 AYRE Cone Knife 23,5 cm 010-120-270 SEGOND Myom Knife 27,0 cm 010-130-210 VIRCHOW Cartilage Knife with wooden 010-140-255 AUTOPSY Knife heavy pattern 010-150-160 VIRCHOW Brain Knife with hollow handle 010-150-200 VIRCHOW Brain Knife with hollow handle 010-150-240 VIRCHOW Brain Knife with hollow handle 010-160-110 WALB Organ Knife with wooden handle 010-160-140 WALB Organ Knife with wooden handle 010-160-170 WALB Organ Knife with wooden handle 010-200-003 SCALPEL handle No. 3, 12,0 cm 010-202-003 SCALPEL Handle No. 3, 010-204-003 SCALPEL Handle No. 3L, 21,5 cm 010-205-003 SCALPEL Handle No. 3L, angled, long 010-206-003 SCALPEL HANDLE, long, with hollow handle 010-207-003 SCALPEL HANDLE angled, 010-210-004 SCALPEL Handle No. 4, 12,0 cm 010-212-034 SCALPEL Handle No. 3 + 4, double-ended 010-214-004 SCALPEL Handle No. 4L, long 010-215-004 SCALPEL andle No. 4L, angled, long 010-216-004 SCALPELL Handle No.4, 22 cm straight 010-220-007 SCALPEL Handle No. 7, 16,0 cm 010-222-017 SCALPEL Handle No. 7K, 12,5 cm 010-230-003 SCALPEL Handle, round hollow 010-271-160 SCALPELBLADE Remover Forceps curved 010-280-000 SCALPEL BLADE Remover SCHINK Dermatome complete 30,0 cm SPARE blade only SKIN straightening plate only 010-351-000 SILVER Dermatome 19 cm HUMBY