Surgical Instruments Catalog German Engineering

Total Page:16

File Type:pdf, Size:1020Kb

Surgical Instruments Catalog German Engineering surgical insTrumenTs caTalog German Engineering. American Design. World-Class Quality. Teleflex, KMedic and Pilling are trademarks or registered trademarks of Teleflex Incorporated or its affiliates. Teleflex is a global provider of medical products designed to enable healthcare providers to protect against infections and improve patient and provider safety. The company specializes in products and services for vascular access, respiratory, general and regional anesthesia, cardiac care, urology and surgery. Teleflex also provides specialty products for device manufacturers. © 2013 Teleflex Incorporated. All rights reserved. 2013-2241 Teleflex PO Box 12600 Research Triangle Park, NC 27709 Toll Free: 866.246.6990 Phone: +1.919.544.8000 Teleflex.com GENERAL INFORMATION Bougies/Dilators . 465 Tracheostomy Tubes . 469 Ear Instruments . 493 Nasal Instruments . 503 Mouth and Throat Instruments . 521 Scope and Light Carriers Identification Index . 534 CARDIAC, VASCULAR AND THORACIC INSTRUMENTS Overview . 542 CVT Forceps and Clamps . 544 Bulldog® and Micro Vessel Clamps . 560 Pilling® Vascular Clamps . 573 Vascular Clamps . 575 Aortic Vascular Clamps . 628 Scissors . 656 CVT Needle Holders . 674 Titanium Instruments: Forceps and Clamps . 686 Titanium Instruments: Scissors . 704 Titanium Instruments: Needle Holders . 707 Rib Instruments . 714 CVT Retractors . 720 Valve Instruments . 751 Aortic Punches . 762 Heparin Cannulae . 764 Suction Tubes . 765 Vascular Dilators . 768 Valvulotomes . 772 Mediastinoscopy . 774 Video-Assisted Thoracoscopy . 780 Miscellaneous CVT . 793 Specialty Sets . 798 ORTHOPEDIC INSTRUMENTS Overview . 804 KMedic® Wire And Pin Implants . 806 Kirschner Wires, Steinmann Pin, Vickers K-Wire Dispensers . 809 Vickers Easidriver . 812 KMedic® Gratloch™ Wire Bender . 814 Wire Twisters And Wire/Pin/Rod Cutters . 816 KMedic® Corwin Wire Twister . 819 KMedic® P .I . Wire Twister And Tightener . 820 KMedic® Jet Wire Twister . 821 About KMedic® Wire And Pin Cutters . 822 KMedic® Large Pin Cutter . 830 KMedic® Cable Cutter . 832 Table Top Rod Cutter . 834 Pliers . 835 Pillinginstruments.com | toll free: 866.246.6990 | [email protected] | 3 CARE AND CLEANING High quality surgical instruments are typically made If left in place these contaminants can provide sites GENERAL INFORMATION from surgical grade stainless steel (i.e., 410, 420 etc.). for corrosion to begin. Distilled water (pH near 7) is The grade varies by manufacturer and by type of recommended for soaking and cleaning instruments. instrument. For example, a scissor may be fabricated If cleaning manually, avoid use of wire brushes or of 420 stainless steel to enable the blades to be abrasive powders as these can create sites for hardened adequately for long life. A forceps on the corrosion. An ultrasonic cleaner is recommended. other hand usually does not require the same hardness, and may be fabricated from a 410 grade. CARE After a thorough cleaning, instruments with moving Malleable retractors are made of yet another grade. parts should be lubricated using a product such as The grade of stainless steel selected for specific Weck-Lube® or Wec-Kreem® to keep surfaces instruments is critical for long serviceability. The lubricated. It is important to use water soluble grade of steel reflects its hardness and its resistance lubricating agents only. to corrosion. Unfortunately, there is an inverse relationship, that is, the more the steel can be STERILIZATION hardened, the greater its susceptibility to corrosion. The use of repeated flash cycles is damaging to instruments, therefore a standard steam cycle is In an effort to reduce corrosion problems, Teleflex® preferred. Instruments should be arranged in an open specially treats (passivates) its instruments to make position and instruments fabricated from different the surface less chemically active with its environment. metals should be separated to avoid electrochemical All Weck® Instruments feature this special high gloss reactions. Refer to the sterilizer manufacturer’s finish. This finish reduces the number of pits in the instructions and AORN guidelines for proper instrument, which in turn reduces the number of sites sterilization techniques. where corrosion can occur. These steps are necessary due to the environment, which is very harsh as a MAINTENANCE consequence of the composition of blood and other Routine inspection for damaged tips, jaw alignment, fluids, the chemicals used to clean and disinfect the loose box-locks, and worn or damaged ratchets can instruments, and finally the methods used to identify problems. If caught early these problems can sterilize them. often be repaired at a much lower cost than the replacement price of an instrument which has become USE damaged beyond repair. Contact your Teleflex® Sales Use instruments for their intended purpose only. Representative to see the Weck® Care and Cleaning Products, set up an instrument inspection program, CLEANING and review our extensive repair capabilities. Instruments should be thoroughly cleaned with cleaners such as: Wec-Kleen®, Weck® Liquid To locate Instructions For Use (IFU) and Cleaning and Detergent, Weck Instrument Cleaner or Wec-Wash® as Sterilization Instructions for Pilling® Instruments, go soon as possible after use. Once blood or other foreign to: www.teleflex.com/ifu. matter has dried, removal is very difficult. 10 | [email protected] | toll free: 866.246.6990 | Pillinginstruments.com GENERAL INFORMATION POLICIES AND PROCEDURES REFURBISHING/REPAIR SERVICE Certain products are built to order and are subject to Even the finest surgical instruments may need to be availability of raw materials. These products may repaired or refurbished. Teleflex® recognizes the need require longer lead times. to provide rapid responses and quick turnaround times in these situations. RETURN GOODS POLICY All returns must be accompanied by a “Return Goods We accept all brands and types of surgical instruments Authorization Number” which is available by calling in need of refurbishment or repair. To expedite your our Customer Service Department at 866-246-6990. repair, include hospital name and address, department Teleflex®’s invoice number, order number and date of to return, and a contact name and phone number. receipt of goods must be supplied to customer service Any surgical instrument which needs refurbishing in order to obtain a return goods number. or repair, regardless of manufacturer, should be forwarded to: All returns must be made within sixty (60) days of invoice date. The products must be unused and in the Teleflex® original packaging. Surgical Instrument Repair 4177 Varsity Drive Unit B Returned goods must be shipped prepaid to: Ann Arbor, MI 48108 Teleflex® (877) TFX- RPR1 11425 N. Distribution Cove (877) 839-7771 Olive Branch, MS 38654 TERMS AND CONDITIONS The goods should also be accompanied by a copy of the Standard terms are: net 30 days; F.O.B. shipping point, invoice or packing list and a return goods authorization unless otherwise approved in writing by Teleflex®. number. All returns are subject to the Teleflex® instrument’s inspection and acceptance. All orders are subject to approval and acceptance There will be a $5.00 per instrument charge for by Teleflex®. removal of etching applied at the customer’s request. The following items are non-returnable, other than for Teleflex® reserves the right to alter or suspend credit, a manufacturing defect: refuse shipment or cancel unfilled orders, when credit • Sterilized products conditions or delivery delays from the customer warrant such action. • Discontinued products • Engraved instruments or instruments PARTIAL SHIPMENTS AND SPECIAL ORDERS etched by hospital Due to demand for certain products, Teleflex® cannot • Instruments returned after sixty (60) days guarantee that every product will be available for of invoice date immediate shipment. If a back order situation occurs, • Custom or modified items partial shipment will be made where possible. Your invoice will indicate any product on back order. • Silicone goods • Disposable products If partial shipments are not acceptable or practical, we will make every effort to ship the complete order at the earliest possible time. Pillinginstruments.com | toll free: 866.246.6990 | [email protected] | 11 SCALES AND GAUGES FAHRENHEIT AND CONVERSION SCALE CENTIGRADE SCALES To ConverT From To ml u Tiply By F° C° 500 260 Ounces (AVDP .) Grams 28 .349523 GENERAL INFORMATION 401 205 Ounces (APOTH .) Grams 31 103486. 392 200 383 195 Grains Grams 0 .06479891 374 190 Pounds (AVDP .) Kilograms 0 .45359237 356 180 347 175 Inches Centimeters 24 .5 338 170 Feet Meters 0 .3048 329 165 320 160 Yards Meters 0 9144. 311 155 302 150 Ounces (U .S . Fluid) Cubic Centimeters 29 .573730 284 140 Ounces Cubic Centimeters 28 .41305 275 135 (British Fluid) 266 130 Quarts (U .S . Fluid) Liters 0 9. 463264 248 120 Cubic Inches Cubic Centimeters 16 .387064 239 115 230 110 Grams Grains 15 .432358 212 100 Grams Ounces (AVDP .) 0 .35273962 203 95 194 90 Grams Ounces (APOTH .) 0 .32150737 176 80 167 75 Kilograms Pounds (AVDP .) 2 .2046226 140 60 Millimeters Inches 0 .039370079 122 50 113 45 Centimeters Inches 0 .39370079 105 406 .5 Meters Feet 3 .2808399 104 40 104 40 Cubic Centimeters Cubic Inches 0 .61023744 100 37 .8 Cubic Centimeters (Fluid) Ounces (U .S . Fluid) 0 .33814023 98 .5 36 9. 95 35 Liters Quarts (U .S . Fluid) 1 .056718 86 30 77 25 68 20 50 10 41 5 32 0 23 -5 14 -10 +5 -15 -4 -20 -13 -25 -22 -30 -40 -40 -76 -60 16 | [email protected] | toll free: 866.246.6990 | Pillinginstruments.com
Recommended publications
  • Mediastinoscopic Esophagectomy with Lymph Node Dissection Using a Bilateral Transcervical and Transhiatal Pneumomediastinal Approach
    Tokairin et al. Mini-invasive Surg 2020;4:32 Mini-invasive Surgery DOI: 10.20517/2574-1225.2020.23 Technical Note Open Access Mediastinoscopic esophagectomy with lymph node dissection using a bilateral transcervical and transhiatal pneumomediastinal approach Yutaka Tokairin1,2, Yasuaki Nakajima2, Kenro Kawad2, Akihiro Hoshin2, Takuya Okada2, Toshihiro Matsui2, Kazuya Yamaguchi2, Kagami Nagai2, Yusuke Kinugasa2 1Department of Surgery, Toshima Hospital Tokyo Metropolitan Health and Hospitals Corporation, Tokyo 173-0015, Japan. 2Department of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo 113-8510, Japan. Correspondence to: Dr. Yutaka Tokairin, Department of Surgery, Toshima Hospital Tokyo Metropolitan Health and Hospitals Corporation, 33-1 Sakaecho, Itabashi-ku, Tokyo 173-0015, Japan. E-mail: [email protected] How to cite this article: Tokairin Y, Nakajima Y, Kawad K, Hoshin A, Okada T, Matsui T, Yamaguchi K, Nagai K, Kinugasa Y. Mediastinoscopic esophagectomy with lymph node dissection using a bilateral transcervical and transhiatal pneumomediastinal approach. Mini-invasive Surg 2020;4:32. http://dx.doi.org/10.20517/2574-1225.2020.23 Received: 17 Feb 2020 First Decision: 17 Mar 2020 Revised: 24 Mar 2020 Accepted: 1 Apr 2020 Published: 16 May 2020 Science Editor: Itasu Ninomiya Copy Editor: Jing-Wen Zhang Production Editor: Tian Zhang Abstract We developed a method for mediastinoscopic esophagectomy via a bilateral transcervical and transhiatal approach under pneumomediastinum as a less-invasive radical operation. The right recurrent nerve is first identified using an open approach, and the right cervical paraesophageal lymph nodes and part of the right recurrent nerve lymph nodes are dissected, after which pneumomediastinum is initiated.
    [Show full text]
  • Surgical Instrument Catalogue
    Company Profile Dixons Surgical Instruments Ltd is a leading UK manufacturer of Surgical and Orthopaedic Instruments. We specialise in the manufacture of Precision Medical Devices and can offer a full service from Design, through Prototyping and on to Full Production Runs. The company was founded in November 1948 by Frank Dixon in Caledonian Road, London before moving to Leigh-On-Sea, Essex in 1956. Frank's son, John Dixon, joined the company in 1960 and trained in all aspects of the business. On the death of his Father in 1979, John took over as Managing Director. He was joined shortly after by his wife, Joan Dixon, who became the Financial Director. The company steadily expanded over the years and in 1989 it moved from the site in Leigh-On-Sea to a purpose built factory in Wickford, Essex, approximately 30 miles (50 Km) east of London. John and Joan's son, Jay Dixon, joined the company in 1990 and carried out a 5 year apprenticeship as a Surgical Instrument Maker. He then followed in his Father’s footsteps by training in all other aspects of the business, becoming Technical Director in 2004. In 2010 Jay Dixon was appointed Managing Director, while John Dixon moved into the role of Chairman. Joan Dixon continues to be the Financial Director. Today our Surgical and Orthopaedic Instruments are manufactured at our Wickford factory using a combination of the latest CNC controlled machines, along with the manual skills of our experienced craftsmen. This approach enables us to make Surgical and Orthopaedic Instruments in the most accurate and efficient way possible whilst still retaining that finishing touch required for truly excellent instruments.
    [Show full text]
  • Hybrid Video-Assisted Thoracoscopic Surgery Sleeve Lobectomy for Non-Small Cell Lung Cancer: a Case Report
    6846 iMDT Corner Hybrid video-assisted thoracoscopic surgery sleeve lobectomy for non-small cell lung cancer: a case report Chenlei Zhang1, Zhanwu Yu1, Jijia Li1, Peng Zu1, Pingwen Yu1, Gebang Wang1, Takuro Miyazaki2, Ryuichi Waseda3, Raul Caso4, Giulio Maurizi5, Hongxu Liu1 1Department of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, China; 2Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan; 3Department of General Thoracic, Breast, and Pediatric Surgery, Fukuoka University, Fukuoka, Japan; 4Department of Surgery, MedStar Georgetown University Hospital, Washington, DC, USA; 5Department of Thoracic Surgery, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy Correspondence to: Hongxu Liu. Department of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, No.44 Xiaoheyan Road, Dadong District, Shenyang 110042, China. Email: [email protected]. Submitted Feb 04, 2020. Accepted for publication Oct 24, 2020. doi: 10.21037/jtd-20-2679 View this article at: http://dx.doi.org/10.21037/jtd-20-2679 Introduction procedure. Also, hybrid VATS SL is a safer approach, especially in patients with infiltration of the pulmonary Lung cancer continues to be the leading cause of cancer- artery (PA), as it makes the surgeon more comfortable related death in China and worldwide (1,2). Sleeve during the bronchial and arterial anastomoses. Literatures lobectomy (SL) and pneumonectomy are surgical options for have shown that hybrid VATS approach has advantages for the treatment of locally advanced non-small cell lung cancer select T3 chest wall lung cancers (13) and superior sulcus (NSCLC). SL was initially intended as a parenchyma- tumors (14) over conventional open surgery.
    [Show full text]
  • NCCN Guidelines for Patients: Non-Small Cell Lung Cancer
    NCCN.org/patients/surveyPlease complete our online survey at NCCN Guidelines for Patients® Version 1.2016 Lung Cancer NON–SMALL CELL LUNG CANCER Presented with support from: Available online at NCCN.org/patients Ü NCCN Guidelines for Patients® Version 1.2016 Lung Cancer NON-SMALL CELL LUNG CANCER Learning that you have cancer can be overwhelming. The goal of this book is to help you get the best cancer treatment. It explains which cancer tests and treatments are recommended by experts of non-small cell lung cancer. The National Comprehensive Cancer Network® (NCCN®) is a not-for-profit alliance of 27 of the world’s leading cancer centers. Experts from NCCN have written treatment guidelines for doctors who treat lung cancer. These treatment guidelines suggest what the best practice is for cancer care. The information in this patient book is based on the guidelines written for doctors. This book focuses on the treatment of non-small cell lung cancer. Key points of the book are summarized in the related NCCN Quick Guide™. NCCN also offers patient resources on lung cancer screening as well as other cancer types. Visit NCCN.org/patients for the full library of patient books, summaries, and other patient and caregiver resources. ® NCCN Guidelines for Patients i Lung Cancer – Non-Small Cell, Version 1.2016 Endorsers and sponsors Endorsed and sponsored in part by LUNG CANCER ALLIANCE LUNG CANCER RESEARCH COUNCIL Lung Cancer Alliance is proud to collaborate with National Comprehensive As an organization that seeks to increase public awareness and Cancer Network to sponsor and endorse these NCCN Guidelines for understanding about lung cancer and support programs for screening and Patients®: Non–Small Cell Lung Cancer.
    [Show full text]
  • 22Nd European Conference on General Thoracic Surgery ABSTRACTS
    22ND EUROPEAO N C NFERENCE ON GENERAL THORACIC SURGERY COPENHAGEN – DENMARK 2014 22 nd European Conference European onGeneral ABSTRACTS 15 –18June2014 Copenhagen www.ests.org of Thoracic of Thoracic Surgeons SocietyEuropean – Thoracic SurgeryThoracic Denmark 22nd European Conference on General Thoracic Surgery 15 – 18 June 2014 Bella Center, Copenhagen, Denmark 01 ests2014_toc.indd 1 14.05.2014 14:05:18 22nd European Conference on General Thoracic Surgery 2 01 ests2014_toc.indd 2 14.05.2014 14:05:18 Copenhagen – Denmark – 2014 TABLE OF CONTENTS TABLE OF CONTENTS Monday, 16 June 2014 Session I/ Brompton 5 Session II/ Videos 17 Session III/ Pulmonary Non Neoplastic 23 Session IV/ Young Investigators Award 32 Session V/ Pulmonary Neoplastic I 51 Session VI/ Innovative/Experimental 63 Oscar Night Videos 78 Tuesday, 17 June 2014 Session VIII/ Mixed Thoracic I 85 Session IX/ Mixed Thoracic II 97 Session X/ Pulmonary Neoplastic II 109 Session XI/ Videos II 123 Session XII/ Interesting Cases 129 Session XIII/ Oesophagus/Mediastinum 134 Session XIV/ Airway/Transplantation 146 Session XV/ Chest Wall/Diaphragm/Pleura 155 Session XVI/ MITIG – VATS RESECTIONS 166 Posters 178 Nurse Symposium-Oral 332 Nurse Symposium-Posters 342 List of Authors 361 3 01 ests2014_toc.indd 3 14.05.2014 14:05:18 22nd European Conference on General Thoracic Surgery ABSTRACTS 4 02_ests2014.indd 4 14.05.2014 14:07:30 Abstracts 001 - 006 Copenhagen – Denmark – 2014 ABSTRACTS Monday A.M. MONDAY, 16 JUNE 2014 08:30 - 10:30 SESSION I: BROMPTON B-001 ERGON – TRIAL: ERGONOMIC EVALUATION OF SINGLE-PORT ACCESS VERSUS THREE-PORT ACCESS VIDEO-ASSISTED THORACIC SURGERY Luca Bertolaccini1, A.
    [Show full text]
  • Medicure Instruments
    MEDICURE edicure Instruments MED CURE MedicurM e Instruments MI-503 MI-502 MI-501 KOCHER’S MOSQUITO FORCEPS FORCEPS SPENCER WELLS ARTERY FORCEPS STAINLESS STEEL STRAIGHT ARTERY MI-504 MI-505 MI-506 MI-507 MI-508 KOCHER’S DISSECTING FORCEPS DISSECTING FORCEPS RUSSIAN DISSECTING FINE DISSECTING FORCEPS STAINLESS STEEL - PLAIN STAINLESS STEEL - TOOTH FORCEPS FORCEPS - PLAIN CURVED ARTERY MI-509 MI-510 MI-511 TOWEL CLIP FINE DISSECTING DENNIS BROWNE TOWEL FORCEPS CROSS-ACTION FORCEPS - TOOTH DISSECTING FORCEPS BACKHAUS GENERAL SURGERY INSTRUMENTS MEDICURE edicure Instruments MED CURE MedicurM e Instruments MI-512 MI-513 MI-513 MI-514 LISTER SINUS B.P. HANDLE NO. 3 B.P. HANDLE NO. 4 B.P. HANDLE NO. 7 MALLEBLE PROBE DRESSING FORCEPS WITH EYE MI-515 MI-5164 MI-514 BOZEMANN KILNER MI-517 MAYO HEGARS NEEDLE HOLDERS NEEDLE HOLDERS FINE DRESSING SCISSORS NEEDLE HOLDERS STRAIGHT STRAIGHT STRAIGHT (SHARP x BLUNT) STRAIGHT STAINLESS STEEL STAINLESS STEEL STAINLESS STEEL STAINLESS STEEL MI-521 MI-518 MI-519 MI-520 STITCH RIBBON SCISSORS DRESSING SCISSORS IRIS SCISSORS KNAPP SCISSORS STRAIGHT STRAIGHT (SHARP x SHARP) STRAIGHT STRAIGHT STAINLESS STEEL STAINLESS STEEL STAINLESS STEEL STAINLESS STEEL GENERAL SURGERY INSTRUMENTS MEDICURE edicure Instruments MED CURE MedicurM e Instruments MI-523 MI-524 MI-525 STEVENS SCISSORS MAYO SCISSORS GREEN BERG SCISSORS MI-522 STRAIGHT STRAIGHT (KILNER) METZENBAUM SCISSORS STAINLESS STEEL STRAIGHT STAINLESS STEEL STRAIGHT STAINLESS STEEL STAINLESS STEEL MI-528 MI-529 ALLIS TISSUE POTT’S ANGLED GRASPING FORCEPS MI-526
    [Show full text]
  • Alternative – Universal Extended Video Mediastinoscopy with Distending, Narrow Blades Extended Video Mediastinoscopy with Distending, Tapered Blade System
    THOR 19 2.0 11/2020-E Alternative – Universal Extended video mediastinoscopy with distending, narrow blades Extended video mediastinoscopy with distending, tapered blade system By creating visibility and space, video mediastinoscopy allows the precise display and dissection of mediastinal structures and is therefore valuable for lymph node staging. Mediastinal staging as well as extended or complex endoscopic interventions, including video-assisted mediastinoscopic lymphadenectomy (VAMLA), can be performed with the aid of a distending video mediastinoscope system. KARL STORZ offers an atraumatic, easy-to-use, compact blade system with a holding arm device and an integrated irrigation and suction channel for this purpose. Two adjustment wheels in the handle allow distal distension of the blades and height adjustment in parallel. Combined with a matching HOPKINS® wide angle telescope, this autoclavable blade system provides the operating surgeon with an optimal overview of the working area. In conjunction with a holding arm with KSLOCK, bimanual work is also possible. The corresponding DCI® camera head IMAGE1 S™ D1 is operated via the modular KARL STORZ IMAGE1 S™ camera platform. Consequently, the system is likely to experience a renaissance in the coming years. We also offer instruments and other accessories that are compatible with the system. © KARL STORZ 96082019 THOR 19 2.0 11/2020 EW-E 2 Components of the KARL STORZ video mediastinoscopy system for extended mediastinoscopy Monitor 27" FULL HD Monitor TM220 Camera System IMAGE1 S CONNECT®
    [Show full text]
  • STILLE Surgical Instruments Kirurgisk Perfektion I Närmare 180 År Surgical Perfection for Almost 180 Years
    STILLE Surgical Instruments Kirurgisk perfektion i närmare 180 år Surgical Perfection for almost 180 years I närmare 180 år har vi utvecklat och tillverkat de bästa kirurgiska For almost 180 years, we have developed and manufactured the best instrumenten till världens mest krävande kirurger. Vi vill rikta ett stort surgical instruments for the world’s most demanding surgeons. tack till alla våra trogna kunder och samtidigt välkomna våra nya kunder. We would like to extend a heartfelt thank you to all our loyal I den här katalogen presenterar vi vårt kompletta sortiment av customers and a warm welcome to our new customers. In this catalog STILLEs original instrument. we present our complete range of STILLE original surgical instruments. Precision, hållbarhet och känsla är typiska egenskaper för alla Precision, durability and feel are characteristic qualities of all STILLE STILLE-instrument. Den stora majoriteten är handgjorda av våra instruments. The vast majority are handcrafted by our highly skilled skickliga instrumentmakare Eskilstuna. Instrumentets resa från rundstål instrument makers in Eskilstuna, west of Stockholm, Sweden. The instru- till ett färdigt instrument är lång, och består av många tillverkningssteg. ments’ journey from a rod of stainless steel to a finished instrument is a STILLEs unika tillverkningsmetod och användning av enbart det bästa long one, involving multiple stages. STILLE’s unique method of crafting its materialet ger våra instrument deras unika känsla och hållbarhet. instrument materials, and its usage of only the very highest-grade steels, give our instruments their unique feel and durability. I det första kapitlet hittar du våra saxar, allt från vanliga operationssaxar till våra unika SuperCut och Diamond SuperCut-saxar.
    [Show full text]
  • Mediastinoscopy: a Clinical Evaluation of 400 Consecutive Cases
    Thorax: first published as 10.1136/thx.24.5.585 on 1 September 1969. Downloaded from Thorax (1969), 24, 585. Mediastinoscopy: A clinical evaluation of 400 consecutive cases C. L. SARIN1 AND H. C. NOHL-OSER From the Thoracic Surgical Unit, Harefield Hospital, Harefield, Middlesex Mediastinoscopy was carried out in 400 cases, including 296 of bronchogenic carcinoma. At the time of presentation the new growth had already spread to involve the mediastinal lymph nodes in slightly more than 50% of these. The incidence of involvement was 76% in oat-cell and 35% in squamous-cell carcinoma. Non-resectability at thoracotomy was encountered in seven out of 120 patients. We advocate this procedure in every case of bronchogenic carcinoma which is considered operable on other counts. In patients in whom the mediastinal lymph nodes are invaded by growth we prefer radical radiotherapy to surgery, as the long-term survival of the two methods is comparable. This procedure may be the only source of positive histological proof of diagnosis, not only in carcinoma but in other types of intrathoracic disease. We believe that this procedure reduces the number of unnecessary exploratory thoracotomies. Carlens (1959) introduced diagnostic exploration sible. Biopsy in such cases can be obtained from tissues inside the thoracic inlet. in the of the superior mediastinum. The space explored just Bleeding, copyright. is part of the superior mediastinum which is presence of incipient or developed superior vena caval of the obstruction, or dense fibrosis of the pre-tracheal situated around tihe intrathoracic part fascia, can make the procedure difficult or impossible.
    [Show full text]
  • Corrigendum for Open Surgical Instruments for the Department Of
    Date: - 07th September, 2018 Corrigendum For Open Surgical Instruments for the Department of Surgical Oncology NIT Issue Date : 25th July, 2018 NIT No. : Admn/Tender/71/2018-AIIMS.JDH Pre-Bid Meeting : 06th August, 2018 at 04:00 PM Earlier Last Date of Submission : 04th September, 2018 at 03:00 PM Extended Last Date of Submission : 19th September, 2018 at 03:00 PM Bid opening : 20th September, 2018 at 03:15 P.M The following revised and additional specification will be added:- 1. Page No. 11 & 12 For S. No. Name of Surgical Instrument Quantity 1 SS TRAY LARGE 470X320X50MM 4 2 SS TRAY SMALL 350X240X40MM 8 3 KIDNEY DISH LARGE 250X140X40MM 8 4 KIDNEY DISH SMALL 170X100X35MM 10 5 SS BOWL 80X40MM 6 6 SS BOWL 166X50MM 6 7 SSBOWL 160X65MM 8 8 SS BOWL 147X65MM 8 9 SS DRUM LARGE 15X12 INCH 4 10 SS DRUM SMALL 11X9 INCH 4 11 BACKHAUS TOWEL CLAMP 13 CM 64 12 FORSTER SPONGE HOLDER 18 Cm 18 13 BP HANDLE NO. 3 8 14 BP HANDLE NO. 4 7 15 BP HANDLE NO. 7 9 16 SUCTION TIP 2MM 9 17 SUCTION TIP 5MM 8 18 YANKAUER SUCTION TIP 10 MM 4 19 SS SCALE 5 20 DEAVER RETRACTOR SMALL 18CM(TIP 19MM) 14 Corrigendum for Open Surgical Instruments at AIIMS Jodhpur Page 1 21 DEAVER RETRACTOR MEDIUM 30.5CM (TIP 25 MM) 10 22 DEAVER RETRACTOR LARGE 31.5CM (TIP 50MM) 10 23 DOYEN’S RETRACTOR 4 24 MORRIS RETRACTOR 25cm ( BLADE 7x4cm) 6 25 SKIN HOOK 32 26 LANGENBECK RETRACTOR SMALL 16cm (TIP 21x 8mm) 16 27 LANGENBECK RETRACTOR MEDIUM 22cm (TIP 50x11mm) 16 28 LANGENBECK RETRACTOR LARGE 22.5cm (TIP 85x15mm) 14 29 C ZERNY RETRACTOR 17.2 cm 14 30 VEIN RETRACTOR 18 31 BALFOUR ABDOMINAL RETRACTOR 20cm 3 32 MASTOID RETRACTOR 4 33 PERIOSTEUM ELEVATOR SHARP 4 34 PERIOSTEUM ELEVATOR BLUNT 4 35 DISSECTING TOOTH FORCEPS 15 CM 16 36 DISSECTING PLAIN FORCEPS 18 CM 16 37 ARTERY FORCEPS CVD 15 CM 36 38 ARTERY FORCEPS ST.
    [Show full text]
  • Cervical Mediastinal L SUSAN ALEXANDER L for STAGING of LUNG CANCER
    Cervical Mediastinal l SUSAN ALEXANDER l FOR STAGING OF LUNG CANCER ervical mediastinal exp- bronchogenic lung cancer by sam- loration (CME), or pling selected lymph nodes in and mediastinoscopy, is a around the trachea, its major surgical procedure to bifurcation and the great vessels. C explore and sample Lymph nodes are removed and lymph nodes in the space between sent to pathology for tissue diag- the lungs, (the mediastinum), nosis to determine the histology when diagnostic imaging studies of the tumor. CME is performed (X-ray, CT scan, etc) suggest a primarily to stage lung cancer growth in the lungs or mediasti- and determine the extent of the nal region. The most common pur- disease and establish treatment pose of the CME is to diagnose options. DECEMBER 2002 The Surgical Technologist 9 224 DECEMBER 2002 CATEGORY 1 If cancer exists in the lymph nodes, the cell type nodes that are not accessible through CME. In (histology) identifies the type of cancer and one series of 100 patients with tumors in this extent of the lymph nodes involved. If tumor area, 22 were found to be inoperable despite hav­ involvement in the mediastinal area is demon­ ing a negative mediastinoscopy.5 Left anterior strated in the pathology review of the speci- mediastinotomy through the second intercostal men(s) (lymph nodes), the patient may be space is the preferred method to assess the oper­ spared an unnecessary thoracotomy; however, ability of these patients, as suggested by Pearson this means that the tumor is inoperable.5 and coworkers.5 Less than 50% of patients undergoing cura­ History tive resection for bronchogenic carcinoma sur­ CME was originally described by Harken and vive five years.
    [Show full text]
  • Experience with Video Mediastinoscopy at a Tertiary Cancer Center
    Oncology and Radiotherapy © 1 (50) 2020: 001-005 • RESEARCH ARTICLE From radiological assumption to pathological conviction: experience with video mediastinoscopy at a tertiary cancer center Nizamudheen MP, Abhay K Kattepur, Satheesan B Department of Surgical Oncology, Malabar Cancer Centre, Thalassery, Kerala, India Purpose: To describe the role of mediastinoscopy in the setting of mediastinaladenopathy secondary to pulmonary and non-pulmonary cancers. INTRODUCTION Methods: Retrospective analysis of patients undergoing video mediastinoscopy SUMMARY from November 2016 to December 2018 at tertiary cancer center for Cervical mediastinoscopy is a time tested tool for the mediastinaladenopathy from lung cancer and non-pulmonary cancers with invasive staging of mediastinal nodes. Standard cervical mediastinal nodes. mediastinoscopy helpsin approaching lymph node stations viz. Results: Twelve patients were included out of which 11 patients underwent right upper paratracheal (station 2R), right lower paratracheal diagnostic mediastinoscopy. The median age was 58 years. Seven patients had lung cancer. The mean number of nodes sampled was 10.5 (range: (4R), left upper paratracheal (2L), right lower paratracheal 2-28 nodes). Five patients had mediastinaladenopathy from non-pulmonary (4L) and sub-carinal (7). Hilar nodes (station 10) can also cancer like endometrial, oropharyngeal and Hodgkin’s lymphoma. Recurrent laryngeal nerve palsy was noted in one patient. be accessed byexperienced surgeons, although it can be Conclusion: Mediastinoscopy serves as a valuable asset for staging of lung technically challenging. Overall, this procedure is accurate and cancer and in the assessment of suspicious nodes in the setting of non- carries minimal morbidity [1]. The role of mediastinoscopy pulmonary cancers. However, training and expertise is in the need of the hour to prevent redundancy of this valuable procedure.
    [Show full text]