® ACCURATE SURGICAL & SCIENTIFIC INSTRUMENTS® For diamond perfect performance ® UROLOGY GOLDSTEIN MICROSPIKE ™ APPROXIMATOR CLAMPS FOR VASOVASOSTOMY & VASOEPIDIDYMOSTOMY REDUCES OPERATING TIME. The Goldstein Microspike TM approximator gripping surfaces, securely grasp only the ENDS CLAMP SLIPPAGE. clamps can reduce operating time signifi - adventitia of the vas deferens or epididymis, GENTLE TO MUCOSA. cantly and facilitate better anastomoses. so there is no danger of mucosal damage. These Microspike TM clamps have been And because the clamp folds in both direc - TWO-DIRECTION FOLD FACILITATES ANTERIOR used successfully in thousands of vaso- tions, the vas or epididymal lumen can be AND POSTERIOR WALL vasostomies and vasoepididymostomies exposed equally well during anterior and ANASTOMOSES. worldwide. The Microspike TM approximator posterior anastomoses. TM ADJUSTABLE AND LOCKABLE. clamps stabilize the end of the vas deferens Our newest Microspike approximator or epididymis without slippage or use of clamp, ASSI.MKCV2040, is designed EASILY STABILIZED BY ATTACHING A HEMOSTAT damaging closing pressure. It often obviates especially for the convoluted vas. The OR NEEDLE HOLDER. the necessity for inguinal extensions of the testicular side opening is 4mm in diameter scrotal incision in cases of large gaps. to safely accommodate the convoluted vas AUTOCLAVABLE. The flat tipped, non-penetrating stainless without undue pressure. steel spikes protruding from the clamp’s Recommended by Marc Goldstein, M.D., F.A .C.S.; Professor of Reproductive Medicine and Urology; Co-Executive Director, Cornell Institute for Reproductive Medicine; Director, Center for Male Reproductive Medicine and Microsurgery; Surgeon-in-Chief, Male Reproductive Medicine and Surgery, New York Presbyterian Hospital 2mm dia. opening to accommodate vas deferens Microspike TM for Microspike TM for VAS OVASOSTOMY VAS OVASOSTOMY in the Convoluted Vas ASSI.MSPK3678 ASSI.MKCV2040 4mm dia. opening to accommodate the convoluted vas 2mm dia. opening with four flat-tipped, stainless steel spikes 4mm dia. opening to 2mm dia. opening accommodate epididymis to accommodate vas deferens Microspike TM for (end-to-end) VAS OEPIDIDYMOSTOMY Microspike TM for (end-to-side) ASSI.METE5168 VAS OEPIDIDYMOSTOMY ASSI.METS3668 g 6mm dia. opening to 2mm dia. opening accommodate epididymis. to accommodate Nonsliding clamp is fixed vas deferens at a right angle. 2 1 • I Use of slotted vas holding forceps results in a clean, perfect 90° cut in vas or epididymis. Microspikes grip adventitia of vas without injuring mucosa. Vas fixed in Microspike Fins on both ends of the Microspike allow stabilization Folding feature allows clamp for vasovasostomy. with locking needle holder or hemostat. better exposure of lumen. Extended tightening stem makes adjustments and locking of clamp easy. End-to-side vasoepididymostomy clamp. Adjust clamp position by Tightening stem sliding along bar. locks the adjustment bar in any position. Adjustable bar. End-to-end vasoepididymostomy clamp. Procedures performed by Marc Goldstein, M.D., NOTE: Both gripping Professor of Urology and surfaces have four flat Director, Center for Male tipped stainless steel Reproductive Medicine spikes to grip adventitia securely without and Microsurgery, mucosal damage. The New York Hospital – Cornell Medical Center Fins for attaching stabilizing clamp. 3 ASSI ® UROLOGY SETS FOR VASOVASOSTOMY & VASOEPIDIDYMOSTOMY ASSI ® features a pair of superior convoluted vas. Included in the set urology sets equipped with all the are six vas holding forceps to instrumentation necessary to perform accommodate the various diame - delicate vasovasostomy procedures. ters of the vas. Each forceps has a The basic urology set (ASSI.GVAS1) different diameter opening ranging RECOMMENDED BY features 5 instruments tailored from 2 to 6mm for this purpose. MARC GOLDSTEIN, M.D. specifically for vasovasostomy surgery. These holding forceps are designed The ASSI.GVAS1 also includes a with a convenient guide slot that Microspike approximator clamp assures a straight and even cut of (ASSI.MSPK3678). the vas without tissue drag. The deluxe set (ASSI.GVAS2) Both sets are contained in a contains a selection of instruments fully autoclavable stainless steel including all 4 Microspike approxi- case with unique rubber mator clamp models for vasoepididy - finger mats (top and bottom) to mostomy procedures (end-to-end and protect the instruments. end-to-side); vasovasostomy and Use of slotted vas holding forceps Basic Set results in a clean, ASSI.GVA S1 for perfect 90° cut in vasovasostomy. vas or epididymis. ASS I.GVAS1 Basic Set Basic Set consists of the following: (no substitutions) One ASSI.SAS15R8 Straight blade scissors, 15cm One ASSI.B138 Curved needle holder, 13cm One ASSI.JFL3P Straight forceps with platform One ASSI.D5AZ Dilator One ASSI.MSPK3678 Microspike approximator clamp for Vasovasostomy One ASSI.ICFM2326 Instrument case with silicone inserts 4 1.800.645.3569 (NEW YORK OFFICE) 1.800.255.9378 (WEST CO AST OFFICE) ASSI.GVAS2 DELUXE SET ASSI. CB S35 Sterile Blades Deluxe Set ASSI.GVA S2 ASS I.GVAS2 Deluxe Set for vasoepididymostomy Deluxe Set consists of the following: (no substitutions) and vasovasostomy. One ASSI. SAS15R8 Straight blade scissors, 15cm One ASSI. B138 Curved needle holder, 13cm One ASSI. JFL3P Straight forceps with platform One ASSI. JFLP3 Fixation forceps One ASSI. D5AZ Dilator ASSI. NHF2 One Vas holding forceps, 2mm For cutting the One ASSI. NHF2.5 Vas holding forceps, 2.5mm ͖ straight Vas One ASSI. NHF3 Vas holding forceps, 3mm For cutting the One ASSI. NHF4 Vas holding forceps, 4mm ͖ convoluted Vas One ASSI. NHF5 Vas holding forceps, 5mm For cutting the One ASSI. NHF6 Vas holding forceps, 6mm ͖ epididymis One ASSI.BHS11 Blade holder, 11cm 1 Pkg. ASSI.CBS35 Straight blades, sterile (10 bl./pkg.) One ASSI.MSPK3678 Microspike approximator clamp for Vasovasostomy One ASSI.METE5168 Microspike approximator clamp for end to end Vasoepididymostomy One ASSI.METS3668 Microspike approximator clamp for end to side Vasoepididymostomy One ASSI.MKCV2040 Microspike approximator clamp for Vasovasostomy in the Convoluted Vas One ASSI.ICFM2326 Instrument case with silicone inserts ACCURA TE SURGICAL & SCIENTIFIC INSTR UMENTS CORPORA TION 300 SHAMES DRIVE, WESTB UR Y, NY 1 1590, TEL: 516.333.257 0 • F AX: 1.516.99 7.4948 • WEST CO AST SALES: SAN DIEGO , CA: 619.296.994 5 E-MAIL: [email protected] • INTERNET: www.accuratesurgical.com 5 ASSI ®’s Lipshultz Urology Microsurgical Recommended by Larry I. Lipshultz, M.D., Set For Vasovasostomy Professor of Urology, Baylor College of Medicine and Vasoepididymostomy Set features Lipshultz Epididymovasostomy Dissecting Scissors, including instruments tailored specifically for Vasovasostomy and Vasoepididymostomy surgery. ASSI.LVAS1 SET Lipshultz Urology Microsurgical Set Set consists of the following: (no substitutions) QUANTITY CATALOG NUMBER PRODUCT DESCRIPTION Four ASSI.4318 Castroviejo Forceps, 12mm One ASSI.B158 Round Handle Needle Holder One ASSI.SDC15RVL “Lipshultz” Epididymovasostomy Dissecting Scissors One 103000BP Microtip Bipolar Forceps Two ASIM5511 Jewelers Forceps, 0.3mm Tip Two ASSI.JF4 Jewelers Forceps, 0.4mm Blunt Tip One ASSI.NHF2 Vas Holding Forceps, 2mm One ASSI.NHF2.5 Vas Holding Forceps, 2.5mm One ASSI.NHF3 Vas Holding Forceps, 3mm One ASSI.NHF3.5 Vas Holding Forceps, 3.5mm One ASSI.BHS11 Blade Holder, 11cm One Box ASSI.CBS35 Straight Blades, Sterile (10 blades/box) One AS575C Instrument Case with Silicone Mat 6 1.800.645.3569 (NEW YORK OFFICE) 1.800.255.9378 (WEST CO AST OFFICE) Lipshultz Epididymovasostomy Microdissection Scissors These unique scissors enable the careful dissection “not only of the tunica of the epididymis for epididymal tubular exposure, but also allow elliptical cutting of the tubule itself to ensure a perfect circle for an epididymovasostomy reanastomosis . ” Micropoint tip. Larry I. Lipshultz, M.D., Professor of Urology, Baylor College of Medicine Gentle curve at the tip assures perfect elliptical cut. •Decreases the chance of inadvertently opening an epididymal tube during dissection. •Well-balanced, resting easily in the hand. •Unusually smooth ventrally. ASSI.SDC15RVL ASSI.SDC15RVL Dissecting Scissors, Lipshultz pattern,15cm, round handle, 8mm diameter, curved, slender, tapered, 7mm long blades ASSI.SAS15RVL Dissecting Scissors, Lipshultz pattern,15cm, round handle, 8mm diameter, straight, slender, tapered, 7mm long blades ACCURA TE SURGICAL & SCIENTIFIC INSTR UMENTS CORPORA TION 300 SHAMES DRIVE, WESTB UR Y, NY 1 1590, TEL: 516.333.257 0 • F AX: 1.516.99 7.4948 • WEST CO AST SALES: SAN DIEGO , CA: 619.296.994 5 E-MAIL: [email protected] • INTERNET: www.accuratesurgical.com 7 ASS I® Bipola r S ci ss ors For Radical Prostatectomy ® ACCURATE SURGICAL & SCIENTIFIC INSTRUMENT S® For diamond perfect performance ® accurate surgical & scientific instruments corporation 300 Shames Drive, Westbury, NY 11590 800.645.3569 516.333.2570 fax: 516.997.4948 west coast: 800.255.9378 www.accuratesurgical.com 8 e-mail: [email protected] ASS I® Bipolar Scissors ASSI ® Bipolar Scissors enable cutting and dissection with simultaneous bipolar coagulation. They can also be used for precise pinpoint or zone coagulation of blood vessels and tissue. The various working lengths allow the scissors to be used for a large number of applications in open surgery. A patented design developed by Dr. J. Manushakian, ensures that the scissors are easy to use. The electrical