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Laparoscopic Instruments
Laparoscopic Instruments Product Catalog Aesculap Laparoscopy 2 Table of Contents Introduction 4-5 Ligation 101-107 Advanced Energy 7-9 DS Clips 102-105 Caiman® Vessel Sealers 8-9 Challenger™ Ti-P 106-107 Monopolar Instruments 11-69 Access & Closure 109-123 Advanced Energy Single Use 12-15 Access Instruments 110 Reposable 16-17 Insufflation 111 Reusable 18-73 Rigid Trocars 112-113 3.5 mm mini 20-23 3.5 mm 113 Scissors 24-29 5 mm 114 Dissecting Forceps 30-35 10 mm 115 Monopolar Instruments Grasping Forceps 36-57 12 mm 116 Biopsy Forceps 58-61 HASSON 117 Spare parts 3.5 mm, 5 mm & 10 mm 62-63 Accessories & Spare Parts 118 Assembly/Disassembly 64-66 Additional Instruments 119 Electrodes 68-69 Flexible Trocars 120-121 Bipolar Instruments Bipolar Instruments 70-74 7 mm & 13 mm 120 Single use 70-71 Accessories & Spare Parts 121 Reusable 72-74 Closure 122-123 Assembly/Disassembly 74 Instruments 123 Specialty Instruments 75-100 Endoscopes 125-127 Slide Lock Graspers 76 Specialty Instruments Endoscopes 126 Bulldog Clips 77 Light Cables 127 Video-Assisted Thorascopic Surgery (VATS) 78-89 Care & Storage 129-138 Advanced Urology 90-91 Services 139-143 Needle Holders & Suturing 92-93 Ligation Index 144-151 Retractors 94-95 Nathanson Retractors 96-97 Suction/Irrigation 98 Suction/Irrigation with Monopolar 99 Closure & Miscellaneous Instruments 100 Access Endoscopes Storage & Care 3 History Blending Old World Craftsmanship with Modern Technology Aesculap AG World Headquarters in Tuttlingen, Germany Our founding father: Aesculap Gottfried Jetter As the -
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. -
Handling of Instruments
Limbs & Things TM learning online Handling of Instruments Overview If you are new to suturing, you will need to learn to recognize each of the instruments you are going to use, understand their function and practise the basic techniques of using them. 1 Scalpel A scalpel is a razor-edged blade on a handle. There are two types of surgical scalpel: reusable and disposable. Reusable scalpels consist of a blade that is replaced after every use, attached to a stainless steel handle that can be sterilised and re-used multiple times. In a hospital setting, this type is more likely to be used in order to reduce waste and to allow doctors to work with a variety of blades and handle sizes. Disposable surgical scalpels are usually single-piece with a plastic handle. This is the type provided in our Hands-on Kit for practice. Although you will use the same scalpel multiple times for practice, in a clinical setting you would dispose of the entire scalpel after a single use. 1.1 Principles A scalpel is essential for incising the skin and for sharp dissection. Held flat, it can also be useful for carefully undermining the skin edge to relieve tension. A razor edged blade engages over a flange on the scalpel handle. Several sizes of scalpel handle are available and size 3 is appropriate for most purposes. Each handle can be fitted with disposable blades of different shapes. The scalpel can be held in one of two ways: - For making large incisions e.g. laparotomy, and subcutaneous fat dissection, hold the scalpel like a table knife, with your index finger guiding the blade. -
Equine Catalog
Dear Customer, Sontec Instruments, Inc. is a family owned & operated medical company, providing personalized service featuring the finest in surgical instrumentation for over half a century. Our surgical instruments encompass the entire human anatomy including specialty products specific to small and large animal surgery. Owner of Sontec Instruments, Dennis Russell Scanlan III and his sons, Johann, Stefan and Angus Scanlan bring with them a lifetime of experience creating the highest quality products made by the world’s leading manufacturing facilities featuring, cutting edge robotic technology, handmade workmanship combined with an understanding how to make exactly what our valued customers have come to expect. Dennis R. Scanlan, III President & CEO and his wife Caron C. Scanlan thank you, for the opportunity to present our specialty Equine catalog. Sincerely, Dennis Russell Scanlan III Printed 8/20 Colorado, USA / 1.800.821.7496 / www.SontecInstruments.com 1 Table of Contents Important Information . 4 Rongeurs ..............33 Equine Specialty . 55 Forceps . 121 Retractors ............149 Scissors. 159 Needle Holders . 209 Index ................228 Colorado, USA / 1.800.821.7496 / www.SontecInstruments.com 3 IMPORTANT INFORMATION Troubleshooting Guide Guarantee & Repairs Policy System Needle Holders • Equine (Arthroscopic) • Repair is necessary when needle holder Problem Cause Solution Sontec® surgical instruments are guaran- • Eye no longer securely holds needle when teed to be free of defects in materials and • Neurology & Orthopedic locked on the second ratchet tooth, and workmanship. Any Sontec® instrument that • Orthopedic & Arthroscopic needle turns easily by hand Rust Worn chrome plating on Be aware of plating condition and remove from is defective will be repaired or replaced at our • Urology brass instruments service when wear is visible. -
LAPAROSCOPIC SUTURING SYSTEM with the SZABO-BERCI NEEDLE DRIVER SET Including an Illustrated Slip Knot Demonstration
® LAPAROSCOPIC SUTURING SYSTEM WITH THE SZABO-BERCI NEEDLE DRIVER SET including an Illustrated Slip Knot Demonstration Zoltán SZABÓ LAPAROSCOPIC SUTURING SYSTEM WITH THE SZABO-BERCI NEEDLE DRIVER SET including an Illustrated Slip Knot Demonstration Zoltán SZABO, Ph.D., F.I.C.S San Francisco, California, U.S.A. 4 Laparoscopic Suturing System with the SZABO-BERCI Needle Driver Set Clinical cases: Laparoscopic Suturing System with the Barry N. Gardiner, M.D. SZABO-BERCI Needle Driver Set San Ramon, California, U.S.A. including an Illustrated Slip Knot Demonstration and Zoltán Szabó, Ph.D., F.I.C.S Steven A. Stanten, M.D. San Francisco, California, U.S.A Oakland, California, U.S.A. Correspondence address of the author: Zoltán Szabó, Ph.D., F.I.C.S., M.O.E.T. Institute Microsurgery & Operative Endoscopy Training Director: Zoltán Szabó 153, States Street San Francisco, CA 94114, U.S.A. Phone: 001 (415) 626-34 00 Fax: 001 (415) 626-34 44 E-mail: [email protected] All rights reserved. 1st edition 1993 © 2015 GmbH P.O. Box, 78503 Tuttlingen, Germany Important notes: Phone: +49 (0) 74 61/1 45 90 Medical knowledge is ever changing. As new research and clinical Fax: +49 (0) 74 61/708-529 experience broaden our knowledge, changes in treatment and therapy E-Mail: [email protected] may be required. The authors and editors of the material herein have consulted sources believed to be reliable in their efforts to provide No part of this publication may be translated, reprinted information that is complete and in accord with the standards or reproduced, transmitted in any form or by any means, accept ed at the time of publication. -
Procedure Procedure Code Description Rate 500
Procedure Procedure Code Description Rate 500 HEPATOTOMY $0.00 50010 RENAL EXPLORATION, NOT NECESSITATING OTHER SPECIFIC PROCEDURES $433.85 50020 DRAINAGE OF PERIRENAL OR RENAL ABSCESS; OPEN $336.00 50021 DRAINAGE OF PERIRENAL OR RENAL ABSCESS; PERCUTANIOUS $128.79 50040 NEPHROSTOMY, NEPHROTOMY WITH DRAINAGE $420.00 50045 NEPHROTOMY, WITH EXPLORATION $420.00 50060 NEPHROLITHOTOMY; REMOVAL OF CALCULUS $512.40 50065 NEPHROLITHOTOMY; SECONDARY SURGICAL OPERATION FOR CALCULUS $512.40 50070 NEPHROLITHOTOMY; COMPLICATED BY CONGENITAL KIDNEY ABNORMALITY $512.40 NEPHROLITHOTOMY; REMOVAL OF LARGE STAGHORN CALCULUS FILLING RENAL 50075 PELVIS AND CALYCES (INCLUDING ANATROPHIC PYE $504.00 PERCUTANEOUS NEPHROSTOLITHOTOMY OR PYELOSTOLITHOTOMY, WITH OR 50080 WITHOUT DILATION, ENDOSCOPY, LITHOTRIPSY, STENTI $504.00 PERCUTANEOUS NEPHROSTOLITHOTOMY OR PYELOSTOLITHOTOMY, WITH OR 50081 WITHOUT DILATION, ENDOSCOPY, LITHOTRIPSY, STENTI $504.00 501 DIAGNOSTIC PROCEDURES ON LIVER $0.00 TRANSECTION OR REPOSITIONING OF ABERRANT RENAL VESSELS (SEPARATE 50100 PROCEDURE) $336.00 5011 CLOSED (PERCUTANEOUS) (NEEDLE) BIOPSY OF LIVER $0.00 5012 OPEN BIOPSY OF LIVER $0.00 50120 PYELOTOMY; WITH EXPLORATION $420.00 50125 PYELOTOMY; WITH DRAINAGE, PYELOSTOMY $420.00 5013 TRANSJUGULAR LIVER BIOPSY $0.00 PYELOTOMY; WITH REMOVAL OF CALCULUS (PYELOLITHOTOMY, 50130 PELVIOLITHOTOMY, INCLUDING COAGULUM PYELOLITHOTOMY) $504.00 PYELOTOMY; COMPLICATED (EG, SECONDARY OPERATION, CONGENITAL KIDNEY 50135 ABNORMALITY) $504.00 5014 LAPAROSCOPIC LIVER BIOPSY $0.00 5019 OTHER DIAGNOSTIC PROCEDURES -
STILLE Surgical Instruments
Selected Models STILLE Surgical Instruments Quality tools behind the talent Surgical Perfection ”The world’s best instruments, for the world’s best surgeons” STILLE Surgical Instruments For over 175 years, we have developed and manufactured the best surgical In this catalogue you will find a wide selection of instruments, Including the instruments for the world’s most demanding surgeons. We would like to original supercut scissor developed in 1984 and our new Diamond supercut extend a sincere thank you to all our current customers and welcome our design. Quality goes into our STILLE forceps, needle holders, clamps, rongeurs, future customers to experience the STILLE difference. In this catalog we curettes and retractors, as well as, a fine selection of stainless and titanium present a selection of STILLE original surgical instruments. micro instruments. Common to all of our instruments is that they are smooth and consistently perform to your expectations. Our outstanding balance, Precision, durability and feel are characteristic qualities of all STILLE solid design and ergonomics provides the surgeon with a reliable instrument instruments. The majority are handcrafted by our highly skilled artisans in throughout long and complex procedures. Eskilstuna, Sweden. Our instrument manufacturing process from melting steel rods to finished product is a long one, involving multiple stages of We at STILLE are proud to have developed the world’s first double-action development. Our method of crafting STILLE instruments involves only bone ronguer. We also developed the world’s first osteotome with the classic the highest-grade steel, which provides a unique feel and reliability to the 8-sided handle. -
2019 Compilation of Inpatient Only Procedure Lists by Specialty
2019 Compilation of Inpatient Only Procedure Lists by Specialty (for CPT searching) 2019 Bariatric Surgery: Is the Surgery Medicare Inpatient Only or not? Disclaimer: This is not the CMS Inpatient Only Procedure List (Annual OPPS Addendum E). No guarantee can be made of the accuracy of this information which was compiled from public sources. CPT Codes are property of the AMA and are made available to the public only for non-commercial usage. Gastric Bypass or Partial Gastrectomy Procedures Inpatient Only Procedure Not an Inpatient Only Procedure 43644 Laparoscopy, surgical, gastric restrictive 43659 Unlisted laparoscopy procedure, stomach procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) 43645 Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption 43775 Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) 43843 Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical- banded gastroplasty 43845 Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch) 43846 Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy 43847 Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction -
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 -
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 -
Supercut & Tungsten Carbide Instruments
SUPERCUT & TUNGSTEN carBIDE INSTRUMENTS 589 Davies Drive York, PA 17402 toll-free phone 866-854-8300 toll-free fax 866-854-8400 phone 717-840-9335 fax 717-840-9347 email [email protected] www.miltex.com INTRODUCTION The Miltex name is synonymous with premium surgical instrumentation. Manufactured of the highest quality stainless steel forgings by skilled German craftsmen to exacting specifications. The surgical “feel” of our instruments, the superb cutting ability, the smoothly beveled box locks and jaw edges which protect suture material from snags or cutting are just a few features that differentiate and make Miltex products outperform and stand-out from the competition. These premium SuperCut and Tungsten Carbide instruments include a comprehensive offering of scissors, needle holders, forceps, rasps and other specialty patterns. Our instrument selections recognize and meet the variety of clinical needs for all specialties including General Surgery, Plastic Surgery, Dermatology, Ophthalmology, Dentistry, Veterinary and many more. Illustrations and content signify general description only and may be subject to minor changes TABLE OF CONTENTS TABLE OF CONTENTS Scissors .................................................................. 4-19 Forceps ..................................................................20-23 Needle Holders .......................................................24-32 Specialty Patterns .....................................................33 Rasps .....................................................................34-36 www.miltex.com INSTRUMENT GRADES MILTEX® SUPERCUT SCISSORS SuperCut Scissors have a specially designed razor-sharp Razor-Sharp upper blade edge that cuts effortlessly through tissue. The Edge lower blade has micro-fine serrations to hold tissue and prevent slippage. For easy identification, Miltex SuperCut Scissors have two black ring handles. Micro-Fine Serrations SuperCut scissors are designed to cut tissue only. Dropping or mis- handling will cause the razor-sharp edge to nick or become irregular. -
Instruments for Cardiac and Vascular Surgery
Instruments for Cardiac and Vascular Surgery Aesculap Surgical Specialty Products - Cardiothoracic Instruments for Cardiac and Vascular Surgery OPERATE WITH GREATER PRECISION At Aesculap, we understand your practice faces evolving challenges from a rapidly aging patient population and increasingly complex diseases. For that reason, we are committed to delivering innovative cardiothoracic technologies, designed and manufactured with the same high standard of quality we have maintained for over 150 years. Our focus on solutions for minimally-invasive cardiothoracic surgery is driven by the desire to improve patient outcomes. In addition to our portfolio of cutting-edge technologies for beating heart coronary surgery, we offer a broad line of specialized instruments and retractors designed to meet the demanding needs of today’s cardiovascular, vascular and thoracic surgeons. In this catalog, you will find a select range of instruments that are commonly used in cardiac and vascular surgery. As the world’s largest instrument manufacturer, we are proud of our strict quality standards and meticulous workmanship that allow you to address challenging cardiac and vascular procedures with greater precision. The working surfaces of Aesculap DUROGRIP™ The non-reflective TITANIUM instruments the jaws of all needle holders have NOIR™ coating is six provide incomparable Dia Dust™ instruments jaws with high quality times as hard as normal operating sensitivity are coated with a fine tungsten carbide inserts. instrument steel, through light-weight layer of diamond dust, The smooth jaw surface providing increased handling. With a non- which results in a hard as well as the 0.2 mm resistance against both reflective finish and surface with high wear micro serration guarantee wear and corrosion.