Surgical Product Catalog
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Advanced Energy Systems for Laparoscopic Gynecology Procedures
Available at www.obgmanagement.com S U pp L ement to This supplement is supported by a grant from Ethicon Endo-Surgery, Inc., and has been peer reviewed by the editors of OBG Management. November 2009 Advanced energy systems for laparoscopic gynecology procedures Multifunctional technology yields reliable outcomes, enhances patient safety, and increases procedure efficiency Chair Dr Brill: Probably no surgical instrument defines the gynecolo- gist more than the Kleppinger forceps, the first bipolar device Andrew I. Brill, MD Director of Minimally Invasive used for tubal ligation. It remains an important part of our ar- Gynecology mamentarium despite thermal spread, smoke, char, tissue stick- California Pacific Medical Center ing, and inconsistent hemostasis,1-5 shortcomings that have led San Francisco, California to the development of newer bipolar electrosurgical devices— the LigaSure™ Vessel Sealing System, PlasmaKinetic (PK) plat- Faculty form, and ENSEAL®. These energy-based surgical devices offer John D. Bertrand, MD Director added functionality—coagulation and cutting in a single instru- Minimally Invasive Surgery ment—as well as increased efficiency. These instruments offer Texas Health Dallas specific features that appeal to gynecologic surgeons who have Walnut Hill OB/GYN Associates Dallas, Texas different needs and preferences. Ultrasonic energy technology has also advanced significantly, with instruments such as the Steven D. McCarus, MD Harmonic ACE®, which both cuts and coagulates at the point Chief, Division of Gynecologic Surgery of impact for use in soft-tissue incisions and transections. Director, The Center for Despite our collective surgical experience, the comparative Pelvic Health Florida Hospital Cenebration strengths and weaknesses of these devices have yet to be clearly Orlando, Florida established in an unbiased and reproducible fashion. -
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. -
Applications in Spine Surgery and Surgical Technique Guide
UltraSonic Bone Dissector: Applications in Spine Surgery and Surgical Technique Guide Peyman Pakzaban, MD, FAANS Houston MicroNeurosurgery - Houston, TX Abstract The Misonix BoneScalpel is a novel ultrasonic surgical device that cuts bone and spares soft tissues. This relative selectivity for bone ablation makes BoneScalpel ideally suited for spine applications where bone must be cut adjacent to dura and neural structures. Extensive clinical experience with this device confirms its safety and efficacy in spine surgery. The aim of this report is to describe BoneScalpel’s mechanism of action and the basis for its tissue selectivity, review the expanding clinical experience with BoneScalpel (including the author’s personal experience), and provide a few recommendations and recipes for en bloc bone removal with this revolutionary device. 1 Introduction Mechanism of Action The advent of ultrasonic bone dissection is as Ultrasound is a wave of mechanical energy significant to spine surgery today as the adoption of propagated through a medium such as air, water, or pneumatic drill was several decades ago. Power drills tissue at a specific frequency range. The frequency is liberated spine surgeons from the slow, repetitive, typically above 20,000 oscillations per second fatigue inducing, and occasionally dangerous (20 kHz) and exceeds the audible frequency range, maneuvers that are characteristic of manually hence the name ultrasound. In surgical applications, operated rongeurs. Now ultrasonic dissection with this ultrasonic energy is transferred from a blade to BoneScalpel empowers the surgeon to cut bone with tissue molecules, which begin to vibrate in response. an accuracy and safety that surpasses that of the Whether tissue molecules can tolerate this energy power drill. -
Nurse/Surgical Assistant Quickguide for Baha® FAST Surgery
Nurse/Surgical Assistant Quickguide for Baha® FAST Surgery sound sense for a better life Products in this manual are protected by the following patents: US 5 735 790, US 5 935 170, EP 0715839, EP 0715838 and corresponding patents in other countries and pending patent applications. All products can be subject to change without notice. No part of this publication may be replaced, stored in a retrieval system, or transmitted, in any form by means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of the publisher. Caution: Federal law (USA) restricts this device to sale by or on the order of a medical practitioner. ©Entific Medical Systems AB, 2005. All rights reserved. Nurse/Surgical Assistant Quickguide 3 Contents C o n t e n t s • Instruments for set-up 4 • Procedure step by step 6 • Preparation for surgery 8 • Sterilization guidelines 9 • Implantmed sterilization guidelines 11 • Check list 13 Nurse/Surgical Assistant Quickguide 3 Instruments for set-up Instruments for set-up Surgical instruments Pick’n Place instrument set for Baha® The instrument set for Baha® includes instruments for fixture/abutment connection. A complete list of the instruments included is described in detail below. 1. 1. Surgical organizer, titanium 2. Dissector 2. 3. Forceps, titanium 4. Cylinder wrench 3. 5. Screwdriver Unigrip 95 mm 6. Counter torque wrench 4. 7. Drill indicator 8. Connection to handpiece 5. 9. Fixture mount Unigrip (should be placed into titanium organizer) 10. Indicator for Baha 6. 11. Machine screwdriver Unigrip 25 mm 12. Hexagon screwdriver 20 mm 7. 13. Raspatorium 14. -
(Title of the Thesis)*
DEVELOPMENT OF ELECTRONIC INSTRUMENTATION FOR COMPUTER-ASSISTED SURGERY by Kaci Carter A thesis submitted to the Department of Electrical and Computer Engineering In conformity with the requirements for the degree of Master of Applied Science Queen’s University Kingston, Ontario, Canada (August, 2015) Copyright ©Kaci Carter, 2015 Abstract In the operating room, feedback, such as instrument positioning guidance provided by surgical navigation systems is typically displayed on an external computer monitor. The surgeon’s attention is usually focused on the surgical tool and the surgical site, so the display is typically out of the direct line of sight. A simple visual feedback mechanism was developed to be mounted on the surgical tool. This feedback is within the surgeon’s direct line of sight and alerts the surgeon when it is necessary to look at the monitor for detailed navigation information. The combination of visual feedback with the surgical navigation system is designed to aid the surgeon in cutting around a tumor, maintaining negative margins, while reducing the amount of healthy tissue contained within the cut. The tool- mounted visual feedback device was designed to be light-weight, compatible with electromagnetic (EM) tracking, and pose no risk of galvanic connection to the patient. The device was tested through the resection of multiple tumor contour models using computer navigation screen only, and computer navigation screen with visual feedback mounted on the surgical tool. Use of the device was shown to decrease the amount of healthy tissue contained within the surgical cut, and to increase the subjects’ confidence in their ability to follow acceptable margins. -
Fürst Surgical Instruments 1-800-MEDLINE (633-5463) | Medline.Com 1 Experience a New Standard
Fürst Surgical Instruments 1-800-MEDLINE (633-5463) | medline.com 1 Experience a new standard. Choose Fürst for general instrument patterns. Quality, Precision, and Value. Fürst general patterns help reduce instrument costs while maintaining a high level of surgeon satisfaction. Significant savings on routine instrument purchases. A review of purchases made by a health system with 20+ facility locations found that the Fürst line could provide significant savings on over 50% of their annual routine instrument purchases.* Clinically accepted performance. In an independent review, 98.5% of evaluators found Fürst instruments to perform as well as competitive market leaders through extensive clinical use and processing.* Why choose Medline? We’re committed to supporting you. Your Medline Representative is your gateway to everything Fürst—from answering your questions to guiding you through the selection process, and providing you with samples. Fürst’s Lifetime Warranty. We warranty every Fürst surgical instrument to be free of functional defects in workmanship and materials. Medline promises to repair or replace, free of charge, any surgical instrument that does not meet these requirements when used for its intended surgical purpose. 2 MEDLINE 1-800-MEDLINE (633-5463) | medline.com 3 Inches 10 10 250 240 230 9 9 Knife Handles 220 No. 3 Knife Handles Item No. Length Description 210 MDS0610300F 5" (12.7 cm) For blades 10-12, 15 8 MDS0610301F 5" (12.7 cm) Engraved ruler. For blades 10-12, 15. 8 200 190 No. 3K Knife Handle Round. Knurled handle. For blades 10-12, 15. 180 7 Item No. Length 7 MDS0190694F 4" (10.2 cm) 170 No. -
Instruments 449-478 4/3/06 10:42 AM Page 449
Instruments_449-478 4/3/06 10:42 AM Page 449 Neuro Hammers & Diagnostic ADC® NEUROLOGICAL HAMMERS Four of the most popular hammers for diagnosis of neurological function. 369110105375 Buck Hammer, 7 1/4˝, Chrome Plated Handle w/2 sided rubber head, Handle Conceals “screw-in” Brush, Needle Contained Within The Head 369310105374 Taylor Hammer, 7 1/2˝, Chrome Handle w/triangular rubber head, Orange 3693BK10141795 Taylor Hammer, 7 1/2˝, Chrome Handle w/triangular rubber head, Black 3693DG10141796 Taylor Hammer, 7 1/2˝, Chrome Handle w/triangular rubber head, Dark Green 3693RB10141797 Taylor Hammer, 7 1/2˝, Chrome Handle w/triangular rubber head, ADC® TUNING FORKS Royal Blue 369510105372 Wartenberg Pinwheel, 7 1/2˝, Stainless Steel Handle w/textured grip, Non magnetic, corrosion resistant aluminum alloy construction weighs 1/3 of Rotating Spur comparable steel tuning forks. Produced from 3/8˝ x 1˝ bar stock for superior 369710105373 Babinski Hammer, 8 1/2˝, Octagonal Stainless Steel Handle w/concealed performance and consistent frequency accuracy. Extra long 2˝ handle of turned needle, Rubber Head smooth aluminum to facilitate bone conduction tests. 50012810105366 Tuning Fork w/fixed weight, 128cps Frequency 50025610105367 Tuning Fork w/fixed weight, 256cps Frequency 50051210105368 Tuning Fork w/o weight, 512cps Frequency 50102410105369 Tuning Fork w/o weight, 1024cps Frequency 50204810105370 Tuning Fork w/o weight, 2048cps Frequency 50409610105371 Tuning Fork w/o weight, 4096cps Frequency 1-200 1-220 MILTEX HAMMERS 1-20010090643 Taylor Percussion -
Federal Chargemaster Price Transparency Edgewood (2).Xlsx
EDGEWOOD SURGICAL HOSPITAL CHARGES Federal reporting rules require hospitals to maintain a catalog of thousands of procedure codes, code descriptions and list prices in a complex accounting tool, known as the hospital chargemaster. The prices listed on the chargemaster do not reflect what patients will ultimately pay as insurance companies negotiate discounts on the list prices. In addition, co-pays, co-insurance and deductibles can also bring additional discounts before a final charge is determined. To get an accurate estimate of what your out of pocket expenses will be, contact us at (724) 646-0400, Monday through Friday, from 8 a.m. – 4:30 p.m. Chg Code Description Chg Amt 1 NF-HUMULIN R INJ SOLN 100U/1ML $61.61 99077 EXTENDED RECOVERY ROOM PER MINUTE $15.00 99078 OBSERVATION 1-4 HOURS $550.00 99079 OBSERVATION >5 HOURS **EACH** $15.00 99085 OR TIME PER MINUTE COMPLEX (>3 STAFF) $197.00 99086 OR TIME PER MINUTE MAJOR (3 STAFF) $136.00 99087 OR TIME PER MINUTE MINOR (1-2 STAFF) $93.00 99088 SURGICAL NEUROMONITORING $1,350.00 99089 SURGICAL EYE LASER $1,743.00 99090 PAIN MANAGEMENT PER MINUTE $187.00 99091 OR TIME PER MINUTE ADDITIONAL STAFF $1.00 99092 FORCE TRIAD RENTAL $350.00 99093 YAG LASER CHARGE $1,182.00 99094 PAIN MANAGEMENT PER MINUTE RF $326.00 99100 CONS SEDATION (SAME DOC) <5YR 30-MIN $302.00 99101 CONS SEDATION (SAME DOC) <5YR 30-MIN $302.00 99102 CONS SEDATION (SAME DOC) ADD'S 15-MIN $151.00 99103 CONS SEDATION (DIFF DOC) <5YR 30-MIN $302.00 99104 CONS SEDATION (DIFF DOC) >5 YR 30-MIN $302.00 99105 CONS SEDATION (DIFF -
Lengthening Reconstruction Surgery for Congenital Femoral Deficiency
Lengthening Reconstruction Surgery for Congenital 13 Femoral Defciency Dror Paley and Fran Guardo Contents 13.6 Rehabilitation After Superhip and Superknee Surgery ........................... 000 13.1 Introduction.............................................. 000 13.6.1 Preoperative ............................................... 000 13.1.1 Classifcation.............................................. 000 13.6.2 Acute.......................................................... 000 13.2 Evaluating the Child with 13.6.3 First 6 Weeks After Surgery ...................... 000 Unilateral CFD......................................... 000 13.6.4 After 6 Weeks ............................................ 000 13.2.1 History ....................................................... 000 13.7 Femoral Lengthening of Type 1 CFD .... 000 13.2.2 Physical Exam............................................ 000 13.7.1 Choice of Osteotomy Level for 13.2.3 Radiographic Examination ........................ 000 Lengthening of the Congenital 13.3 Surgical Reconstructive Strategy ........... 000 Short Femur ............................................... 000 13.3.1 Step 1: Preparatory Surgery of the 13.7.2 Soft Tissue Releases for Lengthening Hip and Knee ............................................. 000 in Cases of CFD......................................... 000 13.3.2 Step 2: Serial Lengthenings of 13.7.3 Knee Instability Consideration .................. 000 the Femur ................................................... 000 13.7.4 Distal Femoral Lengthening-Ilizarov -
Care and Maintenance of Tissue and Dressing Forceps
Instrument Whisperer by Rick Schultz Care and Maintenance of Tissue and Dressing Forceps LTHOUGH TISSUE AND Q: What are atraumatic forceps? INSPECTING FORCEPS dressing forceps have a A: Atraumatic forceps are designed to Forcep inspection begins at the proximal relatively basic design, they minimize damage and trauma to the end, where the forcep is held. Inspect the require careful inspection to tissue. The most common styles are base of the forcep where the two halves Aensure surgeon satisfaction and patient Cooley and Debakey. are joined. Cracks commonly occur at safety. It is important to first understand the rivet and move to the edge. Inspect the answers to the following frequently the handle and tips for blood and tissue. asked questions. Dressing forceps must be inspected in the serrations, while the teeth of tissue forceps Q: What is the difference between tissue must be closely examined for bioburden. forceps and dressing forceps? Finally, inspect the distal tips to ensure A: Tissue forceps have teeth (e.g., 1x2, Q: The Operating Room (OR) places they meet evenly and don’t overlap. If 2x3, 3x4) that are designed to grasp forceps on the side of the tray. Is this the tips are out of alignment, remove the and manipulate tissue. Dressing forceps acceptable? forcep from the tray and send it out for have serrations instead of teeth, and A: Yes. However, placing forceps on the repair. are designed to grasp and hold gauze side of the tray is a practice occasionally Tissue Forcep Dressing Forcep and dressing during a surgical procedure. used in the OR to organize and quickly pass the forcep to the sterile field. -
Chirurgische Instrumente Surgical Instruments
CHIRURGISCHE INSTRUMENTE SURGICAL INSTRUMENTS SURGICAL INSTRUMENTS Percussion Hammers & Aesthesiometers 01-103 01-102 DEJERINE 01-104 DEJERINE With Needle TAYLOR Size: 200 mm Size: 210 mm Size: 195 mm 01-101 ½ ½ ½ TROEMNER Size: 245 mm ½ 01-109 01-106 01-107 WARTENBERG BUCK RABINER Pinwheal For 01-105 With Needle With Needle 01-108 Neurological BERLINER And Brush And Brush ALY Examination Size: 200 mm Size: 180 mm Size: 255 mm Size: 190 mm Size: 185 mm ½ ½ ½ ½ ½ Page 1 2 Stethoscopes 01-112 01-110 01-111 BOWLES PINARD (Aluminum) aus Holz (Wooden) Stethoscope Size: 155 mm Size: 145 mm With Diaphragm ½ ½ 01-113 01-114 ANESTOPHON FORD-BOWLES Duel Chest Piece 01-115 With Two Outlets BOWLES Page 2 3 Head Mirrors & Head Bands 01-116 01-117 ZIEGLER mm ZIEGLER mm Head mirror only Head mirror only with rubber coating with metal coating 01-118 01-120 ZIEGLER MURPHY Head band of plastic black Head band of celluloid, white 01-119 ZIEGLER Head band of plastic white 01-121 01-122 Head band of plastic, Head mirror with black white, soft pattern plastic head band. Page 3 4 Head Light 01-123 CLAR Head light, 6 volt, with adjustable joint, white celluloid head band, cord with plugs for transformer 01-124 White celluloid head band, only, for 01-125 Spare mirror only, for 01-126 spare bulb 01-127 CLAR Head light, 6 volt, with adjustable joint, white celluloid head band, with foam rubber pad and cord with plugs for transformer 01-128 White celluloid head band, only, for head light 01-129 mirror only, for head light 01-130 spare foam rubber pad, for head band -
Paper No. 1 UNITED STATES PATENT and TRADEMARK OFFICE
Paper No. 1 UNITED STATES PATENT AND TRADEMARK OFFICE _______________ BEFORE THE PATENT TRIAL AND APPEAL BOARD _____________ AURIS HEALTH, INC. Petitioner, v. INTUITIVE SURGICAL OPERATIONS, INC. Patent Owner. Patent No. 6,491,701 _______________ Inter Partes Review No. IPR2019-01532 ____________________________________________________________ Petition for Inter Partes Review of U.S. Patent No. 6,491,701 IPR2019-01532 TABLE OF CONTENTS I. INTRODUCTION ............................................................................................1 II. REGULATORY INFORMATION ................................................................ 2 A. CERTIFICATION PETITIONER MAY CONTEST THE ’701 PATENT (§ 42.104(A)) 2 B. IDENTIFICATION OF CHALLENGED CLAIMS (§ 42.104(B)) ............................... 3 C. FEE FOR INTER PARTES REVIEW (§ 42.15(A)) .................................................. 3 III. BACKGROUND ..........................................................................................3 A. BACKGROUND TECHNOLOGY ..........................................................................3 B. SUMMARY OF THE ’701 PATENT ......................................................................5 C. SUMMARY OF THE ’701 PATENT’S PROSECUTION HISTORY ............................ 8 D. PERSON OF ORDINARY SKILL IN THE ART ....................................................... 9 IV. CLAIM CONSTRUCTION ......................................................................10 A. “END EFFECTOR” (ALL CHALLENGED CLAIMS) .............................................11