Endoscopic Technology for Gastroenterology & Pulmonology

Transcription

1 Endoscopic Technology for Gastroenterology & Pulmonology

2 General Information ı Information Générale ı Allgemeine Informationen Información General ı Informazioni Generali ı Informações Gerais Biopsy ı Biopsie ı Biopsie Biopsia ı Biopsia ı Biópsia Foreign Body Retrieval ı Extraction de Corps Etrangers ı Fremdkörperentnahme Extractor de Cuerpos Extraños ı Recupero Corpi Estranei ı Retirada de Corpo Estranho Polypectomy ı Polypectomie ı Polypektomie Polipectomía ı Polipectomia ı Polipectomia ERCP ı CPRE ı ERCP ERCP ı ERCP ı ERCP Sphincterotomy ı Sphinctérotomie ı Papillotomie Esfinterotomía ı Sfinterotomia ı Papilotomia Stone Extraction ı Extraction ı Steinextraktion Extracción de Cálculos ı Estrazione Calcoli ı Extração de Cálculos Lithotripsy ı Lithotripsie ı Lithotripsie Litotripsia ı Litotrissia ı Litotripsia Drainage ı Drainage ı Drainage Drenaje ı Drenaggio ı Drenagem Guide Wires ı Fil Guide ı Führungsdrähte Alambre Guía ı Fili Guida ı Fio Guia Dilation ı Dilatation ı Dilatation Dilatación ı Dilatazione ı Dilatação Endoscopic Ultrasound ı Echo-Endoscopique ı Endoskopischer Ultraschall Ecografía Endoscópica ı Endoscopico ad Ultrasuoni ı Ultra-som Endoscópico Hemostasis ı Hémostase ı Hämostase Hemostasia ı Emostasi ı Hemostasia Cytology ı Cytologie ı Zytologie Citología ı Citologia ı Citologia Accessories ı Accessoires ı Sonstiges Otros ı Altri ı Outros

3 General Information Allgemeine Informationen

4 Needle and Catheter Sizing Charrière (Ch.) French (Fr.) Milimeter (mm) Inch (in.) Gauge (G) Milimeter (mm) Inch (in.) Ver. 2.0 ( ) Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

5 Biopsy Biopsie

6 FlexiBite Biopsy Forceps Single Use FlexiBite Sharp Standard & Serrated Cups Precise & Clean Tissue Acquisition Versions with Coated Metal Spiral with Positioning Bands Friction Minimized Passage through Working Channel Convenient Evaluation of Forceps Position for a Controlled & Safe Catheter Advancement and Removal FlexiBite Jumbo Double Cup Capacity in Comparision to Standard Versions Hot -Biopsy Forceps Safe Electro-coagulation & Excision of Small Polyps FlexiBite with Coated Metal Spiral and Positioning Bands

7 FlexiBite Biopsy Forceps Single Use Cup Shapes Oval Cups Oval Cups with Spike Serrated Oval Cups Serrated Oval Cups with Spike Biopsy Forceps Standard Bronchoscopy FlexiBite Biopsy Forceps with Metal Spiral, sterile packed Oval Cups Oval Cups with Spike Catalog No. Cup Shapes Outer Diameter Working Length Minimum Working Channel Diameter GBF Oval Cups 1.8 mm 120 cm 2.0 mm GBF Oval Cups with Spike 1.8 mm 120 cm 2.0 mm Gastroscopy & Colonoscopy FlexiBite Biopsy Forceps with Metal Spiral, sterile packed Oval Cups Oval Cups with Spike Catalog No. Cup Shapes Outer Diameter Working Length Minimum Working Channel Diameter GBF Oval Cups 2.3 mm 180 cm 2.5 mm GBF Oval Cups 2.3 mm 230 cm 2.5 mm GBF Oval Cups with Spike 2.3 mm 180 cm 2.5 mm GBF Oval Cups with Spike 2.3 mm 230 cm 2.5 mm Serrated Oval Cups Serrated Oval Cups with Spike FlexiBite Biopsy Forceps with Metal Spiral, sterile packed Catalog No. Cup Shapes Outer Diameter Working Length Minimum Working Channel Diameter GBF Serrated Oval Cups 2.3 mm 230 cm 2.5 mm GBF Serrated Oval Cups with Spike 2.3 mm 230 cm 2.5 mm Hot -Biopsy Forceps Oval Cups Monopolar Hot -Biopsy Forceps with Coated Metal Spiral, sterile packed Catalog No. Cup Shapes Outer Diameter Working Length Minimum Working Channel Diameter GBF Oval Cups 2.4 mm 180 cm 2.8 mm GBF Oval Cups 2.4 mm 230 cm 2.8 mm Medi-Globe Hot -Biopsy Forceps are directly compatible with Olympus electro-surgical generators. To verify compatibility with other electro-surgical generators please contact your Medi-Globe sales representative. Please also consult the Medi-Globe Accessories leafl et to see a complete list of active cords manufactured to fi t most generators. 2

8 Biopsy Forceps with Coated Metal Spiral Bronchoscopy FlexiBite Biopsy Forceps with Coated Metal Spiral Oval Cups Oval Cups with Spike Catalog No. Cup Shapes Outer Diameter Working Length Minimum Working Channel Diameter GBF Oval Cups 1.8 mm 120 cm 2.0 cm GBF Oval Cups with Spike 1.8 mm 120 cm 2.0 cm Gastroscopy & Colonoscopy Oval Cups Oval Cups with Spike FlexiBite Biopsy Forceps with Coated Metal Spiral with Positioning Bands, sterile packed Catalog No. Cup Shapes Outer Diameter Working Length Minimum Working Channel Diameter GBF Oval Cups 2.3 mm 180 cm 2.5 mm GBF Oval Cups 2.3 mm 230 cm 2.5 mm GBF Oval Cups with Spike 2.3 mm 180 cm 2.5 mm GBF Oval Cups with Spike 2.3 mm 230 cm 2.5 mm FlexiBite Jumbo Biopsy Forceps with Coated Metal Spiral and Positioning Bands, sterile packed Catalog No. Cup Shapes Outer Diameter Working Length Minimum Working Channel Diameter GBF Oval Cups 3.0 mm 230 cm 3.2 mm GBF Oval Cups with Spike 3.0 mm 230 cm 3.2 mm Serrated Oval Cups Serrated Oval Cups with Spike FlexiBite Biopsy Forceps with Coated Metal Spiral with Positioning Bands, sterile packed Catalog No. Cup Shapes Outer Diameter Working Length Minimum Working Channel Diameter GBF Serrated Oval Cups 2.3 mm 230 cm 2.5 mm GBF Serrated Oval Cups with Spike 2.3 mm 230 cm 2.5 mm FlexiBite Jumbo Biopsy Forceps with Coated Metal Spiral and Positioning Bands, sterile packed Catalog No. Cup Shapes Outer Diameter Working Length Minimum Working Channel Diameter GBF Serrated Oval Cups 3.0 mm 230 cm 3.2 mm GBF Serrated Oval Cups with Spike 3.0 mm 230 cm 3.2 mm 3

9 FlexiBite Biopsy Forceps Single Use Distributed by: Ver. 6.0 ( ) Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

10 Foreign Body Retrieval Fremdkörperentnahme

11 Polyp & Foreign Body Retrievers Single Use Polyp & Foreign Body Retrievers Strong & Wide Opening Graspers Large Variety of Applications Ergonomically Shaped Handle User-Friendly and Safe

12 Polyp & Foreign Body Retrievers Single Use Polyp & Foreign Body Retrievers Foreign Body Retriever Polyp Retriever Foreign Body Retriever Foreign Body Basket Grasper with Hooks Grasper with Eyelets Grasper with Forked Jaws (2:2) Grasper with Forked Jaws (1:2) Foreign Body Retriever Grasper with Hooks Catalog No. Grasper Shape Catheter Outer Diameter Working Length GFB Prong Grasper 2.5 mm 180 cm GFB Prong Grasper 2.5 mm 230 cm Polyp Retriever Grasper with Eyelets Catalog No. Grasper Shape Catheter Outer Diameter Working Length GFB Prong Grasper 2.5 mm 180 cm GFB Prong Grasper 2.5 mm 230 cm GFB Prong Grasper 2.5 mm 180 cm GFB Prong Grasper 2.5 mm 230 cm Foreign Body Retriever Grasper with Forked Jaws Catalog No. Grasper Shape Catheter Outer Diameter Working Length GFB Forked Jaws 2:2 2.5 mm 180 cm GFB Forked Jaws 2:2 2.5 mm 230 cm GFB Forked Jaws 1:2 2.5 mm 180 cm GFB Forked Jaws 1:2 2.5 mm 230 cm Foreign Body Basket Catalog No. Grasper Shape Basket Diameter Catheter Outer Diameter Working Length GFB Wire Basket 25 mm 2.5 mm 230 cm GFB Wire Basket 25 mm 2.5 mm 230 cm Ver. 3.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

13 PolyCatch Retrieval Device Single Use Easy Opening Oval Shaped Retrieval Pouch Efficient Capture and Retrieval of Polyps & Foreign Bodies Non-destructive Removal of Polyps for Accurate Pathologic Examination Rotatable Pouch User-friendly & Precise Device Positioning Latex-free Pouch Material Eliminates Potential Risk for Latex Allergic Reactions

14 PolyCatch Retrieval Device Single Use PolyCatch Retrieval Device The PolyCatch is designed for the endoscopic retrieval of polyps and foreign bodies from the gastrointestinal tract. The latex-free retrieval pouch saves time and is user-friendly for easy removal of polyps such as large and/or sessile polyps, which are indicated for piecemeal resection. Compared to prongtype polyp graspers, the PolyCatch retrieval device secures the specimen without damaging the tissue for accurate pathologic examination. The PolyCatch is also perfect for extraction of swallowed foreign bodies such as coins, batteries and small toys as well as removal of bezoar fragments. The rotational function of the instrument allows a precise positioning. The product model no. GFB is compatible with accessory channels of 2.0 mm diameter and is recommended for pediatric gastroscopes. Features Easy Opening Oval Shaped Retrieval Pouch Efficient Capture and Retrieval of Polyps & Foreign Bodies Non-destructive Removal of Polyps for Accurate Pathologic Examination Rotatable Pouch User-friendly & Precise Device Positioning Latex-free Pouch Material Eliminates Potential Risk for Latex Allergic Reactions PolyCatch Retrieval Device Single Use, sterile packed Catalog No. Pouch Opening Diameter Pouch Dimensions Length (L) x Depth (D) Catheter Diameter Working Length GFB mm L 35 mm x D 13 mm 1.8 mm 120 cm GFB mm L 45 mm x D 17 mm 2.6 mm 180 cm GFB mm L 45 mm x D 17 mm 2.6 mm 230 cm GFB mm L 50 mm x D 20 mm 2.6 mm 230 cm Length Depth Distributed by: Ver. 2.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de

15 Polypectomy Polypektomie

16 RotaSnare Polypectomy Snares Single Use RotaSnare 360 Rotating Versions Easier Polyp Snaring Multifilament Loop Versions Safe Ectomy and Coagulation Monofilament Loop Versions Precise and Smooth Cutting Version with Insulated Tip Minimizes Risk of Mucosa Traumas

17 RotaSnare Rotating & Standard Polypectomy Snares Single Use Loop Shapes Oval Hexagonal Asymmetric Rotating Polypectomy Snares RotaSnare Rotating and with Multifilament Loop Oval Oval with Insulated Tip Catalog No. Loop Shape Loop Diameter Sheath Diameter Working Length GPS Oval 15 mm 2.5 mm 180 cm GPS Oval 15 mm 2.5 mm 230 cm GPS Oval with Insulated Tip 15 mm 2.5 mm 180 cm GPS Oval with Insulated Tip 15 mm 2.5 mm 230 cm GPS Oval 25 mm 2.5 mm 180 cm GPS Oval 25 mm 2.5 mm 230 cm GPS Oval with Insulated Tip 25 mm 2.5 mm 180 cm GPS Oval with Insulated Tip 25 mm 2.5 mm 230 cm GPS Oval 35 mm 2.5 mm 180 cm GPS Oval 35 mm 2.5 mm 230 cm GPS Oval with Insulated Tip 35 mm 2.5 mm 180 cm GPS Oval with Insulated Tip 35 mm 2.5 mm 230 cm Hexagonal Hexagonal with Insulated Tip RotaSnare Rotating and with Multifilament Loop Catalog No. Loop Shape Loop Diameter Sheath Diameter Working Length GPS Hexagonal 25 mm 2.5 mm 180 cm GPS Hexagonal 25 mm 2.5 mm 230 cm GPS Hexagonal with Insulated Tip 25 mm 2.5 mm 180 cm GPS Hexagonal with Insulated Tip 25 mm 2.5 mm 230 cm Medi-Globe polypectomy snares are directly compatible with Olympus electro-surgical generators. To verify compatibility with other electro-surgical generators please contact your Medi-Globe sales representative. Please also consult the Medi-Globe Accessories leaflet to see a complete list of active cords manufactured to fit most generators. 2

18 Standard Polypectomy Snares Oval Oval with Insulated Tip Standard with Multifilament Loop Catalog No. Loop Shape Loop Diameter Sheath Diameter Working Length GPS Oval 15 mm 2.5 mm 180 cm GPS Oval 15 mm 2.5 mm 230 cm GPS Oval with Insulated Tip 15 mm 2.5 mm 180 cm GPS Oval with Insulated Tip 15 mm 2.5 mm 230 cm GPS Oval 25 mm 2.5 mm 180 cm GPS Oval 25 mm 2.5 mm 230 cm GPS Oval 25 mm 2.5 mm 300 cm GPS Oval with Insulated Tip 25 mm 2.5 mm 180 cm GPS Oval with Insulated Tip 25 mm 2.5 mm 230 cm GPS Oval 35 mm 2.5 mm 180 cm GPS Oval 35 mm 2.5 mm 230 cm GPS Oval with Insulated Tip 35 mm 2.5 mm 180 cm GPS Oval with Insulated Tip 35 mm 2.5 mm 230 cm GPS Oval 50 mm 2.5 mm 180 cm GPS Oval 50 mm 2.5 mm 230 cm Oval Monofilament Standard with Monofilament Loop Catalog No. Loop Shape Loop Diameter Sheath Diameter Working Length GPS Oval 15 mm 2.5 mm 230 cm GPS Oval 25 mm 2.5 mm 230 cm GPS Oval 35 mm 2.5 mm 230 cm Hexagonal Hexagonal with Insulated Tip Standard with Multifilament Loop Catalog No. Loop Shape Loop Diameter Sheath Diameter Working Length GPS Hexagonal 25 mm 2.5 mm 180 cm GPS Hexagonal 25 mm 2.5 mm 230 cm GPS Hexagonal with Insulated Tip 25 mm 2.5 mm 180 cm GPS Hexagonal with Insulated Tip 25 mm 2.5 mm 230 cm GPS Hexagonal 35 mm 2.5 mm 180 cm GPS Hexagonal 35 mm 2.5 mm 230 cm GPS Hexagonal with Insulated Tip 35 mm 2.5 mm 180 cm GPS Hexagonal with Insulated Tip 35 mm 2.5 mm 230 cm Asymmetric Standard with Multifilament Loop Catalog No. Loop Shape Loop Diameter Sheath Diameter Working Length GPS Asymmetric 15 mm 2.5 mm 230 cm GPS Asymmetric 25 mm 2.5 mm 230 cm 3

19 RotaSnare Polypectomy Snares Single Use Distributed by: Ver. 5.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de

20 ERCP ERCP

21 E.R.C.P. Catheters Single Use E.R.C.P. Catheters Pre-Curved Catheter with Memory Effect Easier Positioning to the Papilla and Possible Manual Tip Manipulation for Individual Anatomy Guide Wire Compatibility Contrast Injection while Guide Wire is in Place Metal Tips / Metal Rings Maximum X-Ray Visualization Color Graduation Macroscopically Controlled Cannulation Depth

22 E.R.C.P. Catheters Single Use E.R.C.P. Catheters Standard Tip 5 mm Tapered Tip Metal Cone Tip Round Metal Tip Bullet Type Metal Tip Metal Ball Tip Compatible to.035 Guide Wire E.R.C.P. Catheter Pre-Curved with Color Graduation and Metal Tips / Metal Rings, Removable Nitinol Stylet, sterile packed Catalog No. Tip Shape Catheter Outer Diameter GER Standard Tip 1.8 mm GER mm Tapered Tip 1.8 mm GER Metal Cone Tip 1.8 mm GER Round Metal Tip 1.8 mm GER Bullet Type Metal Tip 1.8 mm GER Metal Ball Tip 1.8 mm Compatible to.021 Guide Wire E.R.C.P. Catheter Pre-Curved with Color Graduation and Metal Tips / Metal Rings, Removable Nitinol Stylet, sterile packed Catalog No. Tip Shape Catheter Outer Diameter GER mm Tapered Tip 1.8 mm Distributed by: Ver. 3.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

23 Sphincterotomy Papillotomie

24 RotaCut Sphincterotomes Single Use Sphincterotomes Rotatable Tip Precise Orientation & Positioning 2 & 3 Lumen Versions Contrast Medium Injection while Guide Wire is in Place Monofi lament Cutting Wire Accurate & Accurate Cut Version with Semi-insulated Cutting Wire Safe & Controlled Papillary Roof Incision Color Marking with Black Rings Macroscopically Controlled Cannulation Depth

25 RotaCut Sphincterotomes Single Use Sphincterotomes Medi-Globe offers a wide range of sphincterotomes in triple, double and single lumen formats. A differentiating feature of Medi-Globe sphincterotomes is the ability to rotate the distal tip from 11 o clock to 1 o clock for precise orientation and positioning. Medi-Globe sphincterotomes are available with cutting wires of various lengths and in several tip styles to facilitate biliary and pancreatic duct access in nearly all anatomical requirements. RotaCut RotaCut sphincterotomes are equipped with a braided cutting wire. RotaCut - M RotaCut - M sphincterotomes are equipped with a monofi lament cutting wire. Premier Cut Premier Cut sphincterotomes are equipped with a semi-insulated, braided cutting wire. S.O.S. Sphincterotomes A S.O.S. Speed Option Set is comprised of a double lumen sphincterotome with braided cutting wire, which is preloaded with a hydrophilic Tefl on coated Nitinol guide wire in.035 diameter and a length of 450cm. Sphincterotome Tips Tapered Tip Precut Standard B II Shape Shark Fin Sphincterotome Needle Knife Sphincterotome Fistolotome Medi-Globe sphincterotomes are directly compatible with Olympus electro-surgical generators. To verify compatibility with other electrosurgical generators please contact your Medi-Globe sales representative. Please also consult the Medi-Globe Accessories leafl et to see a complete list of active cords manufactured to fi t most generators. 2

26 3-Lumen Rotatable Guide Wire Sphincterotomes Tapered Tip RotaCut Sphincterotome with Braided Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter Max. Accepted Guide Wire GSP Tapered Tip 5 mm 20 mm 2.55/2.05 mm.035 GSP Tapered Tip 5 mm 25 mm 2.55/2.05 mm.035 GSP Tapered Tip 5 mm 30 mm 2.55/2.05 mm.035 RotaCut - M Sphincterotome with Monofilament Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter Max. Accepted Guide Wire GSP Tapered Tip 5 mm 20 mm 2.55/2.05 mm.035 GSP Tapered Tip 5 mm 25 mm 2.55/2.05 mm.035 GSP Tapered Tip 5 mm 30 mm 2.55/2.05 mm.035 Premier Cut Sphincterotome with Braided and Semi-insulated Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter Max. Accepted Guide Wire GSP Tapered Tip 5 mm 30 mm 2.55/2.05 mm Lumen Rotatable Guide Wire Sphincterotomes Tapered Tip RotaCut Sphincterotome with Braided Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter Max. Accepted Guide Wire GSP Tapered Tip 5 mm 20 mm 2.05/2.55 mm.035 GSP Tapered Tip 5 mm 30 mm 2.05/2.55 mm.035 GSP Tapered Tip 10 mm (long nose) 20 mm 2.05/2.55 mm.035 GSP Tapered Tip 10 mm (long nose) 30 mm 2.05/2.55 mm.035 GSP Tapered Tip 20 mm (long nose) 30 mm 2.05/2.55 mm.035 GSP Tapered Tip 5 mm 20 mm 1.7 mm.021 GSP Tapered Tip 5 mm 30 mm 1.7 mm.021 3

27 2-Lumen Rotatable Guide Wire Sphincterotomes Precut RotaCut Sphincterotome with Braided Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter Max. Accepted Guide Wire GSP Precut Tip - 20 mm 2.05/2.55 mm.035 GSP Precut Tip - 30 mm 2.05/2.55 mm.035 GSP Precut Tip - 20 mm 1.7 mm.021 GSP Precut Tip - 30 mm 1.7 mm.021 B II RotaCut Billroth II Sphincterotome with Braided Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter Max. Accepted Guide Wire GSP Billroth II - Variable 2.05/2.55 mm.035 Tapered Tip Premier Cut Sphincterotome with Braided and Semi-insulated Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter Accepted Guide Wire GSP Tapered Tip 5 mm 20 mm 2.05/2.55 mm.035 GSP Tapered Tip 5 mm 30 mm 2.05/2.55 mm.035 GSP Tapered Tip 15 mm (long nose) 20 mm 2.05/2.55 mm.035 GSP Tapered Tip 15 mm (long nose) 30 mm 2.05/2.55 mm.035 Tapered Tip S.O.S. Sphincterotome Speed Option Set with Pre-loaded Hydrophilically Tefl on Coated Nitinol Guide Wire in.035 Diameter and 450 cm Length Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter Accepted Guide Wire GSP GSP RotaCut, Tapered Tip Premier Cut, Semiinsulated Cutting Wire, Tapered Tip 5 mm 30 mm 2.55 / 2.05 mm Pre-loaded 5 mm 30 mm 2.55 / 2.05 mm Pre-loaded 4

28 RotaCut Sphincterotomes Single Use 1-Lumen Rotatable Sphincterotomes Tapered Tip Standard Tip RotaCut Sphincterotome with Braided Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter GSP Standard Tip 5 mm 20 mm 1.7 mm GSP Standard Tip 5 mm 30 mm 1.7 mm GSP Tapered Tip 5 mm 20 mm 1.7 mm GSP Tapered Tip 5 mm 30 mm 1.7 mm Precut RotaCut Sphincterotome with Braided Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter GSP Precut - 20 mm 1.7 mm GSP Precut - 30 mm 1.7 mm Needle Knife Needle Knife Sphincterotomes Catalog No. Needle Projection Outer Sheath Diameter GSP mm 1.7 mm GSP mm 1.7 mm GSP mm 1.7 mm Special Versions Fistolotome Shark Fin Special Sphincterotomes Catalog No. Description Outer Sheath Diameter GSP Fistolotom, Cutting Spiral 4 mm 1.8 mm GSP Shark Fin Sphincterotome, Cutting Wire 15 mm 1.7 mm 5

29 RotaCut Sphincterotomes Single Use Distributed by: L-GSP-SU-00-ENG Ver. 5.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de

30 Stone Extraction Steinextraktion

31 Stone Extraction Balloons 2 & 3 Lumen Single Use Stone Extraction Balloons LATEX Version in FREE Latex-Free Balloon Quality Eliminates Patient Risk for Allergic Reactions Multi-Stage Extractor Flexible Diameter Adjustment from 9-16 mm in One Balloon Including a Set of 3 Syringes for Predefi ned Infl ation Diameters of 9 mm, 13 mm & 16 mm

32 Stone Extraction Balloons 2 & 3 Lumen Single Use Stone Extraction Balloon Latex LATEX and Latex-Free LATEX FREE Version in Latex-Free Balloon Quality Eliminates Patient Risk for Allergic Reactions Radiopaque Marking at the Distal and Proximal End of the Balloon Precise Positioning One Centimeter Marking on the Catheter Macroscopically Controlled Penetration Depth Long Nitinol Stylet (175 cm) Kink Free Advancement through the Working Channel for Procedures without Guide Wire Use Multi-Stage Extractor additionally: Flexible Diameter Adjustment from 9-16 mm in One Balloon Time-Saving and Cost-Effective Including Set of 3 Syringes for Predefi ned Infl ation of 9 mm, 13 mm & 16 mm Safe for Exact Infl ation 3-Lumen Versions Stone Extraction Balloon with Contrast Injection Above the Balloon Catalog No. Balloon Material Balloon Diameter Air Inflation Liquid Inflation Catheter Diameter Working Length Guide Wire Compatibility GEB LATEX 16 mm 5.0 ml 2.5 ml 7.5 Fr. 200 cm.035 GEB LATEX 16 mm 5.0 ml 2.5 ml 7.5 Fr. 200 cm.035 Multi-Stage Extractor with Contrast Injection Above the Balloon, including a Set of 3 Syringes for Predefi ned Infl ation Diameter of 9 mm, 13 mm & 16 mm Catalog No. Balloon Material Balloon Diameter Air Inflation Liquid Inflation Catheter Diameter Working Length Guide Wire Compatibility GEB LATEX 9-16 mm 1.5 ml 9 mm 2.5 ml 13 mm 5.0 ml 16 mm GEB LATEX 9-16 mm 1.5 ml 9 mm 2.5 ml 13 mm 5.0 ml 16 mm Non-applicable 7.5 Fr. 200 cm.035 Non-applicable 7.5 Fr. 200 cm Lumen Versions Stone Extraction Balloon with Contrast Injection Above the Balloon Catalog No. Balloon Material Balloon Diameter Air Inflation Liquid Inflation Catheter Diameter Working Length Guide Wire Compatibility GEB LATEX 12 mm 3.0 ml 1.5 ml 5 Fr. 200 cm.025 GEB LATEX 12 mm 3.0 ml 1.5 ml 5 Fr. 200 cm.025 GEB LATEX 16 mm 5.0 ml 2.5 ml 7 Fr. 200 cm.035 GEB LATEX 16 mm 5.0 ml 2.5 ml 7 Fr. 200 cm.035 Note for Stone Extraction Balloon Versions with Latex: Caution: This Product Contains Latex Which May Cause Allergic Reactions. Ver. 5.0 ( ) Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

33 Stone Extraction Baskets Single Use Stone Extraction Baskets 45 Injection Port & Integrated Sealing Cap User-friendly and Easy Injection of Contrast Medium Detachable Instrument Holder & Outer Sheath Applicable to Emergency Lithotripsy Spiral and StoneBuster Handle in Emergency Cases Ergonomic Instrument Holder Simple and Safe Basket Manipulation

34 Stone Extraction Baskets Single Use Features & Benefits 45 Injection Port & Integrated Sealing Cap User-friendly and Easy Injection of Contrast Medium Detachable Instrument Holder & Outer Sheath Applicable to Emergency Lithotripsy Spiral and StoneBuster Handle in Emergency Cases Ergonomic Instrument Holder Simple and Safe Basket Manipulation Stone Extraction Basket Set Set Consists of Basket, Outer Sheath (Working Length 180 cm), Sealing Cap and Instrument Holder Catalog No. Description Basket Diameter Outer Sheath Diameter GEB Wire Baskets 20 mm 1.9 mm GEB Wire Baskets 25 mm 1.9 mm GEB Wire Baskets 30 mm 1.9 mm GEB Wire Baskets 20 mm 1.9 mm GEB Wire Baskets 25 mm 1.9 mm GEB Wire Baskets 30 mm 1.9 mm GEB Wire Baskets 20 mm 2.5 mm GEB Wire Baskets 25 mm 2.5 mm GEB Wire Baskets 30 mm 2.5 mm GEB Wire Baskets 20 mm 2.5 mm GEB Wire Baskets 25 mm 2.5 mm GEB Wire Baskets 30 mm 2.5 mm Distributed by: Ver. 4.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

35 Lithotripsy Lithotripsie

36 StoneBuster Injectable Mechanical Lithotripsy System Injectable Mechanical Lithotripsy System Unique StoneBuster Handle User-friendly Twist & Pull Technology Delivers High Basket Tension to Biliary Stones Effective One Step Stone Crushing Version Papilla Cannulation, Biliary Stone Capture & Crushing without Exchange of Components Highly sophisticated System Concept Safe & Reliable Management of Emergency Lithotripsy Cases Pre-assembled Set Configurations for Specific Treatment Requirements Convenient Handling for the Assembly & Detachability of Components

37 StoneBuster Injectable Mechanical Lithotripsy System StoneBuster Injectable Mechanical Lithotripsy System The StoneBuster system is a very comprehensive and effective system intended to crush and to manage large and impacted stones in the common bile duct via flexible endoscopy. The unique StoneBuster Handle is user friendly and is capable of providing sufficiently high tensions to the surface of a biliary stone via the metal spiral and lithotripsy basket components of the system, resulting in crushing of the stone. One of the key advantages, apart from the power and user-friendliness of the StoneBuster system is the ability to effectively and safely manage an emergency lithotripsy case without significantly increasing risk to the patient. In addition to the overall flexibility of the StoneBuster system, it also offers the convenience of easy assembly and fewer device components. Medi-Globe offers individual or set system components and is available in single use or reusable formats. The StoneBuster system offers a wide range of treatment options. The pre-assembled, sterile and ready to use Stone Crushing Set, (GML XXX) in combination with the StoneBuster Handle, (GML ) offer the possibility to One Step Stone Crushing Set a) cannulate the papilla, b) capture a biliary stone and c) crush it, all without exchange of system components. The metal spiral is equipped with a Luer-lock port making it possible to inject contrast as necessary during the procedure. Basket Insertion Set For patients with difficult anatomies, cannulation of the biliary system is made easier with the StoneBuster s pre-assembled Basket Insertion Set, (GML XXX). After easier cannulation and positioning of the basket is performed by using the softer and more flexible Basket Insertion Set, the plastic sheath of the Basket Insertion Set is replaced by an injectable metal spiral (GML ). The process of mechanical lithotripsy is then completed by attachment and utilization of the StoneBuster Handle, (GML ) to crush the biliary stone(s). 2

38 Safe and Reliable Management of Emergency Lithotripsy Cases In the unusual case where a biliary stone is unable to be crushed and reduced in size using the standard lithotripsy procedure, Medi-Globe offers an Emergency Spiral, (GML ) to safely complete the lithotripsy procedure. The Emergency Spiral is shorter and of larger diameter than the injectable metal spiral, (GML ) and will generate much higher levels of basket tension around the stone. Use of the Emergency Spiral is performed by first, removing the injectable metal spiral from the basket cable and then advancing the Emergency Spiral over the basket cable in its place. The StoneBuster Handle, (GML ) is then attached to the Emergency Spiral and the basket cable is also securely fixed to the StoneBuster Handle. The procedure of mechanical lithotripsy is then continued in order to crush the stone, or in extreme situations, break the basket wire(s) allowing the stone to be released and the basket safely removed from the patient. StoneBuster Injectable Mechanical Lithotripsy System StoneBuster Silver Case Edition Starter Set Catalog No. Description GML S Injectable Mechanical Lithotripsy System composed in a stylish Silver Case including 1 x StoneBuster Handle (GML ), reusable 2 x Injectable Metal Spirals (GML ), reusable 1 x Emergency Spiral (GML ), reusable 1 x Instrument Holder (100601), reusable 1 x 4-Wire Basket with 25 mm basket diameter (GML ), single use 1 x 4-Wire Basket with 30 mm basket diameter (GML ), single use 1 x 6-Wire Basket with 30 mm basket diameter (GML ), single use Stone Crushing Set Pre-assembled Single Use Lithotripsy Basket (Length 280 cm) housed in an Injectable Metal Spiral (Length 180 cm) and connected with an Instrument Holder, sterile packed Catalog No. Description Sheath Outer Diameter Basket Diameter Minimum Accessory Channel Diameter GML Wire Basket 2.6 mm 20 mm 2.8 mm GML Wire Basket 2.6 mm 25 mm 2.8 mm GML Wire Basket 2.6 mm 30 mm 2.8 mm GML Wire Basket 2.6 mm 20 mm 2.8 mm GML Wire Basket 2.6 mm 25 mm 2.8 mm GML Wire Basket 2.6 mm 30 mm 2.8 mm 3

39 Basket Insertion Set Pre-assembled Single Use Lithotripsy Basket (Length 400 cm) housed in an Injectable Plastic Sheath with Sealing Cap (Length 180 cm) and connected with an Instrument Holder, sterile packed Catalog No. Description Sheath Outer Diameter Basket Diameter Minimum Accessory Channel Diameter GML Wire Basket 2.6 mm 20 mm 2.8 mm GML Wire Basket 2.6 mm 25 mm 2.8 mm GML Wire Basket 2.6 mm 30 mm 2.8 mm GML Wire Basket 2.6 mm 20 mm 2.8 mm GML Wire Basket 2.6 mm 25 mm 2.8 mm GML Wire Basket 2.6 mm 30 mm 2.8 mm Injectable Basket Single Use Lithotripsy Basket (Length 280 cm), sterile packed Catalog No. Description Basket Diameter GML Wire Basket 20 mm GML Wire Basket 25 mm GML Wire Basket 30 mm GML Wire Basket 20 mm GML Wire Basket 25 mm GML Wire Basket 30 mm Injectable Basket Reusable Lithotripsy Basket (Length 280 cm) Catalog No. Description Basket Diameter GML Wire Basket 20 mm GML Wire Basket 25 mm GML Wire Basket 30 mm GML Wire Basket 20 mm GML Wire Basket 25 mm GML Wire Basket 30 mm Individual & Replacement Components For Injectable Mechanical Lithotripsy System Catalog No. Description Outer Diameter Minimum Accessory Channel Diameter GML StoneBuster Handle, reusable GML Injectable Metal Spiral (Length 180 cm), reusable, sterile packed GML Emergency Spiral (Length 80 cm), reusable, sterile packed Instrument Holder, reusable 2.6 mm 2.8 mm 3.4 mm Not applicable 4

40 StoneBuster Standard Mechanical Lithotripsy System Single Use & Reusable StoneBuster Standard Mechanical Lithotripsy System The following sets and components are for Standard (Non-Injectable) Mechanical Lithotripsy Systems, which are available and in use in several markets. Basket Insertion Set Pre-assembled Single Use Lithotripsy Basket (Length 400 cm) housed in a Plastic Insertion Sheath with Injection Port and Sealing Cap (Length 180 cm) and connected with an Instrument Holder, sterile packed Catalog No. Description Sheath Outer Diameter Basket Diameter Minimum Accessory Channel Diameter GML Wire Basket 2.6 mm 20 mm 2.8 mm GML Wire Basket 2.6 mm 25 mm 2.8 mm GML Wire Basket 2.6 mm 30 mm 2.8 mm GML Wire Basket 2.6 mm 20 mm 2.8 mm GML Wire Basket 2.6 mm 25 mm 2.8 mm GML Wire Basket 2.6 mm 30 mm 2.8 mm Basket Insertion Set Reusable Lithotripsy Basket (Length 400 cm), Reusable Plastic Insertion Sheath with Injection Port (Length 180 cm), Reusable Instrument Holder and Single Use Sealing Cap Catalog No. Description Sheath Outer Diameter Basket Diameter Minimum Accessory Channel Diameter S 4-Wire Basket 2.6 mm 20 mm 2.8 mm S 4-Wire Basket 2.6 mm 25 mm 2.8 mm S 4-Wire Basket 2.6 mm 30 mm 2.8 mm S 6-Wire Basket 2.6 mm 20 mm 2.8 mm S 6-Wire Basket 2.6 mm 25 mm 2.8 mm S 6-Wire Basket 2.6 mm 30 mm 2.8 mm Individual & Replacement Components Standard Mechanical Lithotripsy System Catalog No. Description Outer Diameter Minimum Accessory Channel Diameter GML StoneBuster Handle, reusable GML Metal Spiral (Length 180 cm), reusable, sterile packed 2.6 mm 2.8 mm GML Emergency Spiral (Length 80 cm), reusable, 3.4 mm Not applicable sterile packed Plastic Insertion Sheath with Injection Port 2.6 mm 2.8 mm (Length 180 cm), reusable Instrument Holder, reusable Sealing Cap, Single use, sterile packed 5

41 StoneBuster Mechanical Lithotripsy System Single Use & Reusable Distributed by: Ver. 4.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de

42 Drainage Drainage

43 Biliary & Pseudo-Cyst Drainage Stents Single Use Biliary & Pseudo-Cyst Drainage Stents Well Balanced Wall Diameter Maximum Inner Lumen with Highest Form Stability & Kink Resistance Tapered & Round Ends Atraumatic Implantation Pseudo-Cyst Double Pigtail Stents with Special Markers Precise Placement via EUS Guidance Pre-Assembled Stent Introducer Sets Convenient & Time-Saving Positioning of Biliary Stents

44 Biliary & Pseudo-Cyst Drainage Stents Single Use Biliary & Pseudo-Cyst Drainage Stents Medi-Globe offers the biliary stent as single component (catalog no. without S ) and additionally as integrated part of a set. Depending on the stent diameter and design sets consist of the following components: 7 French Stents and All Pigtail / Double Pigtail Stents Stent Pusher Tefl on Coated Stainless Steel Guide Wire Straight Stents in Diameter Larger than 7 French Stent Pusher Tefl on Coated Stainless Steel Guide Wire Guiding Catheter Medi-Globe manufactures stents in numerous sizes, which are not all listed in this leafl et. You are kindly requested to contact us to check the availability of the requested sizes. cm Biliary Stent Set, Straight with Bottom Hole (Amsterdam Type) Catalog No. Stent Guiding Catheter Pusher Guide Wire French Size Length between French Size Length French Size Length Diameter Length Flaps GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm 2

45 cm Biliary Stent Set, Straight with Side Ports Catalog No. Stent Guiding Catheter Pusher Guide Wire French Size Length between French Size Length French Size Length Diameter Length Flaps GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm cm Biliary Stent Set, Maxi-Flow Catalog No. Stent Guiding Catheter Pusher Guide Wire French Size Length between French Size Length French Size Length Diameter Length Flaps GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm 3

46 Biliary & Pseudo-Cyst Drainage Stents Single Use cm Biliary Stent Set, Maxi-Flow Catalog No. Stent Guiding Catheter Pusher Guide Wire French Size Length between French Size Length French Size Length Diameter Length Flaps GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm cm Biliary Stent Set, Multi-Flap Catalog No. Stent Guiding Catheter Pusher Guide Wire French Size Length between French Size Length French Size Length Diameter Length Flaps GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm 4

47 cm Biliary Stent Set, Curved Catalog No. Stent Guiding Catheter Pusher Guide Wire French Size Length between French Size Length French Size Length Diameter Length Flaps GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm cm Biliary Stent Set, Single Pigtail Catalog No. Stent Pusher Guiding Wire French Size Length French Size Length Diameter Length between Pigtail GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.052 (1.32 mm) 400 cm 5

48 Biliary & Pseudo-Cyst Drainage Stents Single Use cm Biliary Stent Set, Double Pigtail Catalog No. Stent Pusher Guiding Wire French Size Length French Size Length Diameter Length between Pigtails GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.052 (1.32 mm) 400 cm GBS S cm cm.052 (1.32 mm) 400 cm GBS S cm cm.052 (1.32 mm) 400 cm cm Pseudo-Cyst Double Pigtail Stents with Position Markers Catalog No. Stent French Size Length between Pigtails GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm 6

49 Stent-Introducer Components Single Use Pre-assembled Stent-Introducer Sets Pre-assembled Stent Introducer Set consists of a guiding catheter and pusher in one device. The set is a convenient option to single components for the placement of straight and curved biliary stents (catalog model: GBS-01-XX-XXX GBS-05-XX-XXX), which require a guiding catheter. The set has an extra port to inject contrast medium during the entire procedure and while a guide wire is in place. Radiopaque metal markers on the guiding catheter and the pusher allow a precise positioning under X-ray view. Pre-assembled Stent-Introducer Set with 1 Metal Ring on the Guiding Catheter Catalog No. Pusher Guiding Catheter French Size Length Color Concept French Size Length between Flaps GBS cm orange cm GBS cm red cm GBS cm blue cm Pre-assembled Stent-Introducer Set with 4 Metal Rings in a Distance of 5 cm on the Guiding Catheter Catalog No. Pusher Guiding Catheter French Size Length Color Concept French Size Length between Flaps GBS cm orange cm GBS cm red cm GBS cm blue cm 7

50 Stent-Introducer Components Single Use Guiding Catheters Guiding Catheters are available with one and with four metal rings. The metal markers on the 4 ring version are in a distance of 5 cm and allow a pre-measurement of the stricture length and ease the selection of the correct stent. Pushers Pushers follow for each diameter a defi ned color concept to differentiate the related french sizes. Guiding Catheter with 1 Metal Ring Catalog No. French Size Length Pusher with 1 Metal Ring Catalog No. French Size Color Concept Length GBS cm GBS cm GBS cm GBS cm Guiding Catheter with 4 Metal Rings Catalog No. French Size Length GBS cm GBS cm GBS grey 220 cm GBS yellow 160 cm GBS yellow 220 cm GBS orange 160 cm GBS orange 180 cm GBS orange 220 cm GBS red 160 cm GBS red 180 cm GBS red 220 cm GBS blue 160 cm GBS blue 180 cm GBS blue 220 cm Distributed by: Ver. 5.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

51 Pancreatic Stents Single Use Pancreatic Stents Well Balanced Wall Diameter Maximum Inner Lumen with Highest Form Stability & Kink Resistance Tapered & Round Ends Atraumatic Implantation Radiopaque Material Exact Control of Placement

52 Pancreatic Stents Single Use Pancreatic Stents Medi-Globe offers the pancreatic stents as single component (catalog no. without S ) and additionally as integrated part of a set. Depending on the stent diameter and shape sets include the following components: 7 French Stents and All Pigtail / Double Pigtail Stents Stent Pusher Tefl on Coated Stainless Steel Guide Wire Straight Stents in Diameter Larger than 7 French Stent Pusher Tefl on Coated Stainless Steel Guide Wire Guiding Catheter cm Pancreatic Stent Set Multi-Flap with Pigtail Catalog No. Stent Pusher Guide Wire French Size Length between French Size Length Diameter Length Pigtail GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.035 (0.89 mm) 450 cm GBS S cm cm.052 (1.32 mm) 400 cm GBS S cm cm.052 (1.32 mm) 400 cm GBS S cm cm.052 (1.32 mm) 400 cm GBS S cm cm.052 (1.32 mm) 400 cm GBS S cm cm.052 (1.32 mm) 400 cm GBS S cm cm.052 (1.32 mm) 400 cm cm Pancreatic Stent Straight with Radial Holes Catalog No. French Size Length between Flap Pancreatic Stent Straight with Radial Holes Catalog No. French size Length between Flap GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm 2

53 cm Pancreatic Stent Set S - Shape Catalog No. Stent Guiding Catheter Pusher Guide Wire French Size Length French Size Length French Size Length Diameter Length GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm N/A N/A cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm GBS S cm cm cm.035 (.089 mm) 450 cm Guiding Catheters Guiding Catheters are available with one and with four metal rings. The metal markers on the 4 ring version are in a distance of 5 cm and allow a pre-measurement of the stricture length and ease the selection of the correct stent. Pushers Pushers follow for each diameter a defi ned color concept to differentiate the related French sizes. Guiding Catheter with 1 Metal Ring Catalog No. French Size Length Pusher with 1 Metal Ring Catalog No. French Size Color Concept Length GBS cm GBS cm GBS cm GBS cm Guiding Catheter with 4 Metal Rings Catalog No. French Size Length GBS cm GBS cm GBS grey 220 cm GBS yellow 160 cm GBS yellow 220 cm GBS orange 160 cm GBS orange 180 cm GBS orange 220 cm GBS red 160 cm GBS red 180 cm GBS red 220 cm GBS blue 160 cm GBS blue 180 cm GBS blue 220 cm

54 Pancreatic Stents Single Use Distributed by: Ver. 3.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

55 Nasal Biliary Drainages Single Use Nasal Biliary Drainages Various Types and Sizes Available Fit for All Anatomic Cases Well Balanced Wall Diameter Maximum Inner Lumen with Highest Form Stability & Kink Resistance Tapered & Round Ends Atraumatic Implantation Standard with Pigtail Standard Pigtail

56 Nasal Biliary Drainages Single Use Nasal Biliary Drainages Sets Nasal Biliary Drainages Sets Set Components: Drainage Catheter, Nasal Tube, Drainage Connecting Tube, Injection Connector and Tefl on Coated Stainless Steel Guide Wire Catalog No. Catheter Shape Drainage Catheter Nasal Tube Drainage Connecting Tube Guide Wire French Size Length Length Length Diameter Length GND S Pigtail cm 50 cm 135 cm.035 (0.89 mm) 400 cm GND S Pigtail cm 50 cm 135 cm.035 (0.89 mm) 400 cm GND S Pigtail cm 50 cm 135 cm.052 (1.32 mm) 400 cm GND S Standard cm 50 cm 135 cm.035 (0.89 mm) 400 cm GND S Standard cm 50 cm 135 cm.035 (0.89 mm) 400 cm GND S Standard cm 50 cm 135 cm.052 (1.32 mm) 400 cm GND S Standard with Pigtail cm 50 cm 135 cm.035 (0.89 mm) 400 cm GND S Standard with Pigtail cm 50 cm 135 cm.035 (0.89 mm) 400 cm GND S Standard with Pigtail cm 50 cm 135 cm.052 (1.32 mm) 400 cm All Nasal Biliary Drainage Catheters are also available individually (Catalog set no. without S ). Individual Components Nasal Tube Catalog No. French Size Length Product GND cm GND cm GND cm Injection Connector Catalog No. French Size Product GND GND GND Drainage Connecting Tube Catalog No. Length Product GND cm Ver. 3.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

57 Guide Wires Führungsdrähte

58 Guide Wires Single Use & Autoclavable Bavarian Guide Wires Hydrophically, Tefl on Coated Nitinol Wire Kink Resistant Easy, Low Friction Advancement Radiopaque Tip Enhanced Visibility Autoclavable Reusable If Device Integrity Is Intact EasyPass Guide Wires Super Flexible, Hydrophilic EasyPass Tip Providing Excellent Accessibility & Guide Wire Passage through Especially Challenging Anatomy High Performance Radiopaque Tip Precise Guide Wire Control & Maneuverability under Flouroscopic Imaging Two-Color Tefl on Coated Nitinol Wire Kink Resistant Cyst Guide Wire Uncoated Nitinol Wire Kink Resistant Compatible with 19 Gauge EUS-FNA Systems for Cyst Drainage

59 Guide Wires Single Use & Autoclavable Guide Wires Bavarian Guide Wires are mainly indicated for cannulation and placement of diagnostic and therapeutic instruments in the biliary and pancreatic systems. The guide wire may be left in place during sphincterotomy. Users can choose between a Soft Tip and a slightly stiffer Standard Tip version. The guide wire is autoclavable and accepts a reuse, depending of the instrument integrity after the fi rst-time use. EasyPass Guide Wires are featured with a super fl exible 8 cm long highly radiopaque and hydrophilic tip. This EasyPass guide wire has outstanding performance characteristics and provides enhanced maneuverability through diffi cult to access anatomical structures. The Tefl on coated Nitinol guide wire may be left in place during sphincterotomy. Bavarian Guide Wires and EasyPass Guide Wires are also available in a shorter length for the use in combination with available short wire systems. Bavarian Wires Hydrophilically, Teflon Coated Nitinol Wire, with Two-Color and a 5 cm Tapered Radiopaque Tip, Autoclavable, Sterile Packed Catalog No. Description Diameter Length GGW Soft Tip.021 (0.53 mm) 400 cm GGW Soft Tip.021 (0.53 mm) 450 cm GGW Soft Tip.025 (0.64 mm) 450 cm GGW Soft Tip.035 (0.89 mm) 400 cm GGW Soft Tip.035 (0.89 mm) 450 cm GGW Standard Tip.035 (0.89 mm) 400 cm GGW Standard Tip.035 (0.89 mm) 450 cm Bavarian Wires For Short Wire Systems Hydrophilically, Teflon Coated Nitinol Wire, with Two-Color and a 5 cm Tapered Radiopaque Tip, Autoclavable, Sterile Packed Catalog No. Description Diameter Length GGW Soft Tip.021 (0.53 mm) 260 cm GGW Soft Tip.025 (0.64 mm) 260 cm GGW Soft Tip.035 (0.89 mm) 260 cm EasyPass Guide Wire Two-Color Tefl on Coated Nitinol Wire with 8 cm Super Flexible, Hydrophilic & Radiopaque Tip, Single Use, Sterile Packed Catalog No. Description Diameter Length GGW Super Flexible Tip.035 (0.89 mm) 260 cm GGW Super Flexible Tip.035 (0.89 mm) 450 cm 2

60 Standard Guide Wires are cost effective alternatives for a wide range of endoscopic procedures that require the use of a guide wire. NOTE: This type of guide wire is not applicable for sphincterotomy. Cyst Guide Wire is exclusively indicated for introduction and advancement through a 19-Gauge EUS-FNA system and perfect for the placement of plastic stents, (primarily double pigtail stents) in cyst drainage applications. The uncoated guide wire allows smooth and precise performance through a beveled EUS-FNA needle. Standard Guide Wires Tefl on coated Stainless Steel Wire, Single Use, Sterile Packed Catalog No. Description Diameter Length GGW Fixed Core.035 (0.89 mm) 400 cm GGW Fixed Core.035 (0.89 mm) 450 cm GGW Movable Core.035 (0.89 mm) 400 cm GGW Movable Core.035 (0.89 mm) 450 cm Cyst Guide Wire Compatible with 19-Gauge EUS-FNA Systems for Cyst Drainage Uncoated Nitinol Wire, Single Use, Sterile Packed Catalog No. Description Diameter Length GGW cm Flexible Radiopaque Tip.030 (0.75 mm) 400 cm 3

61 Guide Wires Single Use & Autoclavable Distributed by: Ver. 5.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

62 Dilation Dilatation

63 ExPander Dilation Balloons Single Use ExPander Versions with Integrated Stabilization Wire and Atraumatic Flexible Tip Facilitate Usage within Anatomy Cases, which not Accept the Placement of a Guide Wire Guide Wire Compatible Versions Precise and Time-saving Balloon Positioning Diameter Consistency and Maximum Radial Force Along the Entire Balloon Length Effective Dilation of Tight Stenosis Radiopaque Metal Markers Highly Visible X-Ray Control

64 ExPander Dilation Balloons Single Use Biliary Biliary Dilation Balloon with 2 Radiopaque Markers, Double Lumen for Guide Wire Compatibility, Catheter Length 200 cm Catalog No. Balloon Diameter Balloon Length Catheter Outer Diameter Guide Wire Acceptance Minimum Accessory Channel GDB mm 20 mm 1.9 mm.035 (0.89 mm) 2.6 mm GDB mm 20 mm 1.9 mm.035 (0.89 mm) 2.6 mm GDB mm 30 mm 1.9 mm.035 (0.89 mm) 2.8 mm Esophageal Esophageal Dilation Balloon with Integrated Radiopaque Stabilization Wire and Atraumatic Flexible Tip, Catheter Length 200 cm Catalog No. Balloon Diameter Balloon Length Catheter Outer Diameter Guide Wire Acceptance Minimum Accessory Channel GDB mm 80 mm 1.9 mm n.a. 2.8 mm GDB mm 80 mm 1.9 mm n.a. 2.8 mm GDB mm 80 mm 1.9 mm n.a. 2.8 mm GDB mm 80 mm 1.9 mm n.a. 3.2 mm Esophageal Dilation Balloon with 2 Radiopaque Markers, Double Lumen for Guide Wire Compatibility, Catheter Length 200 cm Catalog No. Balloon Diameter Balloon Length Catheter Outer Diameter Guide Wire Acceptance Minimum Accessory Channel GDB mm 80 mm 1.9 mm.035 (0.89 mm) 3.2 mm GDB mm 80 mm 1.9 mm.035 (0.89 mm) 3.2 mm GDB mm 80 mm 1.9 mm.035 (0.89 mm) 3.2 mm GDB mm 80 mm 1.9 mm.035 (0.89 mm) 3.2 mm Achalasia Dilation Balloon for Achalasia Treatment with 3 Radiopaque Markers, Double Lumen for Guide Wire Compatibility, Catheter Length 100 cm Catalog No. Balloon Diameter Balloon Length Catheter Outer Diameter Guide Wire Acceptance Minimum Accessory Channel GDB mm 80 mm 4.7 mm.047 (1.20 mm) n.a. GDB mm 80 mm 4.7 mm.047 (1.20 mm) n.a. GDB mm 80 mm 4.7 mm.047 (1.20 mm) n.a. Infl ation / Defl ation System Inflation / Deflation System with Manometer Inc. 3-Way Stopcock Catalog No. Description GDB Filling Volume 30 ml, Manometer Pressure Max. 30 ATM / 440 PSI Ver. 4.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

65 Endoscopic Ultrasound Endoskopischer Ultraschall

66 SonoTip Pro Control Endoscopic Ultrasound-Guided FNA System Single Use Twist-Lock Technology for Sheath & Needle Length Adjustment Single Hand Operation Needle Length Adjustment (0-8.5 cm) Ergonomically Shaped Sturdy Handle Design Effective and Easy Puncture in Dense Target Lesions Optimized for a Wide Range of Puncture Techniques Specially Treated Needle Superior Needle Visibility Versions with Unique Sheath Stabilizer Controlled Needle Advancement in Large Channel Scopes New Features Enhanced Luer-Lock Design for Secure Connection to the Endoscope Colored Plastic Sheath Improved Visualization Under Endoscopic Imaging More Precise Needle Placement and Better Performance in Angulated Endoscope Positions

67 SonoTip Pro Control Endoscopic Ultrasound-Guided FNA System Single Use SonoTip Pro Control 25 Gauge SonoTip Pro Control Including a VacLock Aspiration Syringe with a Filling Volume of 20 ml Catalog No. Description Needle Diameter Outer Diameter Round Stylet GUS EUS-Guided FNA System with Twist-Lock Technology Blue Colored Plastic Sheath 25 Gauge 0.5 mm 1.8 mm GUS EUS-Guided FNA System with Twist-Lock Technology Blue Colored Plastic Sheath with Tip Stabilizer to Accommodate Large Working Channels (e.g. 3.2 mm, 3.7 mm, 3.8 mm) 25 Gauge 0.5 mm 2.7 mm 22 Gauge SonoTip Pro Control Including a VacLock Aspiration Syringe with a Filling Volume of 20 ml Catalog No. Description Needle Diameter Outer Diameter Round Stylet GUS GUS EUS-Guided FNA System with Twist-Lock Technology Blue Colored Plastic Sheath Compatible with Guide Wires of maximal Ø.018 EUS-Guided FNA System with Twist-Lock Technology Blue Colored Plastic Sheath with Tip Stabilizer to Accommodate Large Working Channels (e.g. 3.2 mm, 3.7 mm, 3.8 mm) Compatible with Guide Wires of maximal Ø Gauge 0.7 mm 22 Gauge 0.7 mm 1.8 mm 2.7 mm SonoTip Pro Control Including a VacLock Aspiration Syringe with a Filling Volume of 20 ml Catalog No. Description Needle Diameter Outer Diameter Beveled Stylet GUS GUS Gauge EUS-Guided FNA System with Twist-Lock Technology Blue Colored Plastic Sheath Compatible with Guide Wires of maximal Ø.018 EUS-Guided FNA System with Twist-Lock Technology Blue Colored Plastic Sheath with Tip Stabilizer to Accommodate Large Working Channels (e.g. 3.2 mm, 3.7 mm, 3.8 mm) Compatible with Guide Wires of maximal Ø Gauge 0.7 mm 22 Gauge 0.7 mm 1.8 mm 2.7 mm SonoTip Pro Control Including a VacLock Aspiration Syringe with a Filling Volume of 20 ml Catalog No. Description Needle Diameter Outer Diameter Round Stylet GUS EUS-Guided FNA System with Twist-Lock Technology Blue Colored Plastic Sheath Compatible with Guide Wires of maximal Ø.030 (Recommended Medi-Globe catalog no. GGW ) 19 Gauge 1.1 mm 2.1 mm 2

68 Components for SonoTip Pro Control EUS-FNA Line Aspiration Syringe with a Larger Filling Volume of 20 ml Catalog No. Description Aspiration Syringe VAC120 VacLok Syringe 20 ml (included in SonoTip Pro Control EUS FNA Systems) Nitinol Guide Wire Compatible to 19 Gauge EUS-FNA Systems Catalog No. Description Diameter Length Nitinol Guide Wire GGW Cyst Guide Wire, uncoated with 15 cm Radiopaque Flexible Spring Tip cm Pseudo-Cyst Drainage Stents, Double Pigtail with Position Markers Catalog No. Description French Size Length Pseudo-Cyst Drainage Stent GBS Double Pigtail Stent with Position Markers cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm GBS cm 3

69 SonoTip Pro Control Endoscopic Ultrasound-Guided FNA System Single Use Distributed by: Ver. 5.0 ( ) Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de

70 SonoTip II EUS-FNA Endoscopic Ultrasound-Guided FNA Systems Single Use SonoTip II EUS-FNA Specially Treated Needle Excellent Echogenicity Unique Sheath Stabilizer Controlled Needle Advancement in Large Channel Scopes Lockable Sheath & Needle Length Adjustor Variable Needle Projection (0-8.5 cm) Luer-locking Needle and Stylet Secure Needles and Stylet Tip Positioning

71 SonoTip II EUS-FNA Endoscopic Ultrasound-Guided FNA Systems Single Use SonoTip II EUS-FNA 25 Gauge Needles SonoTip II Including a Vacuum Syringe with a Filling Volume of 10 ml Catalog No. Description Needle Diameter Outer Diameter Round Stylet GUS GUS EUS-Guided FNA System Blue Colored Plastic Sheath EUS-Guided FNA System Blue Colored Plastic Sheath with Tip Stabilizer to Accommodate Large Working Channels (e.g. 3.2 mm, 3.7 mm, 3.8 mm) 25 Gauge / 0.5 mm 1.8 mm 25 Gauge / 0.5 mm 2.7 mm 22 Gauge Needles SonoTip II Including a Vacuum Syringe with a Filling Volume of 10 ml Catalog No. Description Needle Diameter Outer Diameter Round Stylet GUS GUS EUS-Guided FNA System Metal Spiral Compatible with Guide Wires of maximal.018 EUS-Guided FNA System Metal Spiral with Tip Stabilizer to Accommodate Large Working Channels (e.g. 3.2 mm, 3.7 mm, 3.8 mm) Compatible with Guide Wires of maximal Gauge / 0.7 mm 1.8 mm 22 Gauge / 0.7 mm 2.7 mm SonoTip II Including a Vacuum Syringe with a Filling Volume of 10 ml Catalog No. Description Needle Diameter Outer Diameter Beveled Stylet GUS GUS Gauge Needle EUS-Guided FNA System Metal Spiral Compatible with Guide Wires of maximal.018 EUS-Guided FNA System Metal Spiral with Tip Stabilizer to Accommodate Large Working Channels (e.g. 3.2 mm, 3.7 mm, 3.8 mm) Compatible with Guide Wires of maximal Gauge / 0.7 mm 1.8 mm 22 Gauge / 0.7 mm 2.7 mm SonoTip II Including a Vacuum Syringe with a Filling Volume of 10 ml Catalog No. Description Needle Diameter Outer Diameter Round Stylet GUS EUS-Guided FNA System Metal Spiral Compatible with Guide Wires of maximal.030 (Recommended Medi-Globe catalog no. GGW ) 19 Gauge / 1.1 mm 2.1 mm 2

72 Accessories for SonoTip II EUS-FNA Line Aspiration Syringe with a Larger Filling Volume of 20 ml Catalog No. Description Aspiration Syringe VAC120 VacLok Syringe 20 ml Nitinol Guide Wire Compatible to 19 Gauge EUS-FNA Systems Catalog No. Description Diameter Length Nitinol Guide Wire GGW Nitinol Guide Wire, uncoated with 15 cm Radiopaque Flexible Spring Tip cm Pseudo-Cyst Drainage Stents, Double Pigtail with Position Markers Catalog No. Description Size Length Pseudo-Cyst Drainage Stent GBS Double Pigtail Stent with Position Markers 8.5 FR 2 cm GBS FR 5 cm GBS FR 7 cm GBS FR 9 cm GBS FR 2 cm GBS FR 5 cm GBS FR 7 cm GBS FR 9 cm 3

73 SonoTip II EUS-FNA Endoscopic Ultrasound-Guided FNA Systems Single Use Distributed by: L-GUS-SU-00-ENG Ver. 2.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de

74 Endoscopic Ultrasound FNA Systems For Pentax Fibre Ultrasound Endoscopes FG-32UA, FG-34UX, FG-36UX & FG-38UX Endoscopic Ultrasound Hancke-Vilmann FNA Systems Reusable Components (Handle & Metal Spiral) Combined with Single Use Needle / Stylet Unit Cost-effective Individual Component Replacement Echogentic Needle Tip Preparation Highly Visible Ultrasound Imaging Graduated Needle Adjuster Variable Needle Projection (0-12 cm)

75 Endoscopic Ultrasound FNA Systems Endoscopic Ultrasound FNA Systems These EUS-FNA systems, also well known as type Hancke-Vilmann needles, are particularly designed and manufactured for a specifi c range of Pentax Fibre Ultrasound Endoscopes. A complete EUS-FNA Hancke-Vilmann needle set consist of an aluminum handle and a metal spiral, which are reusable and autoclavable and a disposable aspiration needle / stylet unit, which has to discard after the treatment. All components are supplied sterile separately and have to assemble prior of use. 22 Gauge Needles EUS-FNA Hancke-Vilmann Needle Set for Pentax FG-32UA, sterile packed Catalog No. Description Metal Spiral Outer Diameter Minimum Accessory Channel Diameter Set includes: 1 x Handle (100202), Reusable 1 x Metal Spiral (222284), Reusable 1 x Aspiration Needle / Stylet Unit (222282), Single Use 1.8 mm 2.0 mm Replacement Components for EUS-FNA Hancke-Vilmann Needle Set for Pentax FG-32UA Catalog No. Description Metal Spiral Outer Diameter Minimum Accessory Channel Diameter Aspiration Needle / Stylet Unit, Single Use, sterile packed Metal Spiral, Reusable, sterile packed 1.8 mm 2.0 mm EUS-FNA Hancke-Vilmann Needle Set for Pentax FG-34UX and FG-36UX, sterile packed Catalog No. Description Metal Spiral Outer Diameter Minimum Accessory Channel Diameter Set includes: 1 x Handle (100202), Reusable 1 x Metal Spiral (222484), Reusable 1 x Aspiration Needle / Stylet Unit (222482), Single Use 1.8 mm 2.0 mm Replacement Components for EUS-FNA Hancke-Vilmann Needle Set for Pentax FG-34UX and FG-36UX Catalog No. Description Metal Spiral Outer Diameter Minimum Accessory Channel Diameter Aspiration Needle / Stylet Unit, Single Use, sterile packed Metal Spiral, Reusable, sterile packed 1.8 mm 2.0 mm 2

76 For Pentax Fibre Ultrasound Endoscopes FG-32UA, FG-34UX, FG-36UX & FG-38UX 19 Gauge Needle EUS-FNA Hancke-Vilmann Needle Set for Pentax FG-38UX, sterile packed Catalog No. Description Metal Spiral Outer Diameter Minimum Accessory Channel Diameter Set includes: 1 x Handle (100202), Reusable 1 x Metal Spiral (223284), Reusable 1 x Aspiration Needle / Stylet Unit (223282), Single Use 2.1 mm 2.3 mm Replacement Components for EUS-FNA Hancke-Vilmann Needle Set for Pentax FG-38UX Catalog No. Description Metal Spiral Outer Diameter Minimum Accessory Channel Diameter Aspiration Needle / Stylet Unit, Single Use, sterile packed Metal Spiral, Reusable, sterile packed 2.1 mm 2.3 mm Handle for EUS-FNA Hancke-Vilmann Needle Systems Catalog No. Description Aluminium Handle with Graduated Needle Adjuster, Reusable, sterile packed Accessories for 19 Gauge Endoscopic Ultrasound FNA Systems Nitinol Guide Wire Compatible to 19 Gauge EUS-FNA Systems Catalog No. Description Diameter Length Nitinol Guide Wire GGW Nitinol Guide Wire, uncoated with 15 cm Radiopaque Flexible Spring Tip cm Pseudo-Cyst Drainage Stents, Double Pigtail with Position Markers Catalog No. Description Size Length Pseudo-Cyst Drainage Stent GBS Double Pigtail Stent with Position Markers 8.5 FR 2 cm GBS FR 5 cm GBS FR 7 cm GBS FR 9 cm GBS FR 2 cm GBS FR 5 cm GBS FR 7 cm GBS FR 9 cm 3

77 Endoscopic Ultrasound FNA Systems For Pentax Fibre Ultrasound Endoscopes FG-32UA, FG-34UX, FG-36UX & FG-38UX Distributed by: Ver. 3.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

78 SonoTip EBUS Pro Flex Endobronchial Ultrasound-Guided TBNA System Single Use Dimensionally Stable Nitinol Needle The Unique Memory Properties of the Nitinol Needle Prevents Permanent Needle Bend During Advancement Through Curved Endoscope Positions. Eliminates Needle Deformation ( Banana-Effect ) After Initial Puncture for Precise Needle Positioning in Repeated Passes Twist-Lock Technology for Sheath & Needle Length Adjustment Single Hand Operation Needle Length Adjustment (0-4 cm) Specially Treated Needle Tip Provides Excellent Echogenicity Blue Colored Plastic Sheath Creates a High Contrast Image Under Endoscopic Visualization Providing Clear Identification of the Outer Sheath and the Respiratory Tract for Precise Needle Guidance Luer-locking Needle and Stylet Provides Exact Needle and Stylet Tip Positioning SonoTip EBUS Pro Flex Eliminates Needle Deformation ( Banana-Effect )

79 SonoTip EBUS Pro Flex Endobronchial Ultrasound-Guided TBNA System Single Use SonoTip EBUS Pro Flex The SonoTip EBUS Pro Flex is the first EBUS-TBNA system in the world that features a needle comprised entirely of Nitinol. The dimensionally stable and kink resistant properties of Nitinol prevent the needle from sustaining a permanent bend resulting in what is known as the Banana-Effect as the needle is advanced through the endoscope s curved and angulated positions. Other materials traditionally used to manufacture needles are susceptible to permanent bends or kinks. The Nitinol needle supports the linear alignment of the needle below the ultrasound transducer resulting in optimal visibility during needle guidance and puncture. Additionally, the Nitinol needle resists needle deformation after the initial puncture resulting in smooth and easy advancement through the accessory channel of the endoscope and consistently straight and precise positioning in repeated passes. The SonoTip EBUS Pro is equipped with a stainless steel needle. Both models, SonoTip EBUS Pro Flex and SonoTip EBUS Pro use the unique patented Twist-Lock technology for precise sheath and needle length adjustment. The new and more user friendly handle design allows one hand operation by the clinician while maintaining the endoscope s position during the procedure. Finally, the overall handle length of the SonoTip EBUS Pro systems is shortened in order to meet better the specific and ergonomic requirements of the bronchoscopy procedure. Compatible to Olympus EBUS endoscopes SonoTip EBUS Pro Flex with Nitinol Needle and Round Stylet, Click-Lock Adapter integrated Including a VacLock Aspiration Syringe with a Filling Volume 5-20 ml Single Use Catalog No. Description Needle Diameter Diameter Outer Diameter GUS EBUS-guided TBNA System 22 Gauge / 0.7 mm 1.8 mm SonoTip EBUS Pro with Stainless Steel Needle and Round Stylet, Click-Lock Adapter integrated Including a VacLock Aspiration Syringe with a Filling Volume 5-20 ml Single Use Catalog No. Description Needle Diameter Diameter Outer Diameter GUS EBUS-guided TBNA System 22 Gauge / 0.7 mm 1.8 mm Click-Lock Adapter for Fixation onto Olympus EBUS endoscopes Compatible to Pentax EBUS endoscopes SonoTip EBUS Pro Flex with Nitinol Needle and Round Stylet, Including a VacLock Aspiration Syringe with a Filling Volume 5-20 ml Single Use Catalog No. Description Needle Diameter Diameter Outer Diameter GUS EBUS-guided TBNA System 22 Gauge / 0.7 mm 1.8 mm L-GUS-SU-04-ENG Ver. 1.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de

80 SonoTip II EBUS-TBNA Endobronchial Ultrasound-Guided TBNA System Single Use SonoTip II EBUS-TBNA Dimensionally Stable Nitinol Needle (EBUS Flex) Prevents the Permanently Bent Needle Effect During Needle Advancement Resists Needle Deformation ( Banana-Effect ) After Initial and Subsequent Punctures for Precise Needle Positioning in Repeated Passes Specially Treated Needle Tip Excellent Echogenicity Blue Colored Plastic Sheath High Contrast Imaging Under Endoscopic View between Instrument and Respiratory Tract for Precise Needle Guidance Lockable Sheath & Needle Length Adjustor Controlled Needle Placement & Variable Needle Projection (0-4.0 cm) Luer-locking Needle and Stylet Secure Needles and Stylet Tip Positioning SonoTip II EBUS Flex Avoid Needle Deformation ( Banana-Effect )

81 SonoTip II EBUS-TBNA Endobronchial Ultrasound-Guided TBNA System Single Use SonoTip II EBUS-TBNA Medi-Globe offers the SonoTip II EBUS-TBNA Systems in two different needle versions: SonoTip II EBUS Flex is comprised of a complete dimensionally stable Nitinol needle. This feature prevents the permanently bent needle effect ( Banana- Effect ) resulting from the needle advancement through curved endoscope positions. Furthermore this design resists needle deformation after the initial and subsequent punctures and therefore providing consistently straight and precise positioning in repeated passes. SonoTip II EBUS Standard is comprised of a stainless steel needle for effective punctures. SonoTip II EBUS Flex with Nitinol Needle and Round Stylet Including 10 ml Vacuum Syringe with Stopcock Catalog No. Description Needle Diameter Sheath Outer Diameter GUS GUS EBUS-TBNA System for Pentax Ultrasound Bronchoscope EBUS-TBNA System for Olympus Ultrasound Bronchoscope 22 Gauge / 0.7 mm 1.8 mm 22 Gauge / 0.7 mm 1.8 mm SonoTip II EBUS Standard with Round Stylet Including 10 ml Vacuum Syringe with Stopcock Catalog No. Description Needle Diameter Sheath Outer Diameter GUS GUS EBUS-TBNA System for Pentax Ultrasound Bronchoscope EBUS-TBNA System for Olympus Ultrasound Bronchoscope 22 Gauge / 0.7 mm 1.8 mm 22 Gauge / 0.7 mm 1.8 mm Compatibility Accessories for Olympus Ultrasound Bronchoscope To ensure the compatibility of EBUS-TBNA System (GUS / GUS ) to Olympus Ultrasound Bronchoscope a special Adapter (GAC ) is required. The Adapter includes a sealing / valve combination, which need to be replaced after several reprocessing cycles. Replacement sealings / valves are available in a Service Kit (GAC ). Compatibility Accessories for Olympus Ultrasound Bronchoscope Catalog No. Description GAC GAC Adapter for Olympus Ultrasound Bronchoscope Reusable Service Kit for Olympus EBUS Bronchoscope Adapter including 10 pcs. of Silicone Sealings, 10 pcs. of Mini Valves and one Allen Wrench Ver. 1.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

82 Hemostasis Hämostase

83 Injectra Injection Needles Single Use Injectra Top Down Injection User-friendly Injection of Medicine Removable Safety Clip Prevents Needle Projection during Accessory Channel Advancement Automatic Needle Retraction by Pressing a Release Button Secures the Needle in the Plastic Sheath during Instrument Removal Needle Lock Mechanism Stable & Controlled Puncture in Targeted Tissue and Vessels

84 Injectra Injection Needles Single Use Bronchoscopy Injectra Injection needle, sterile packed Catalog No. Needle Diameter Needle Length Sheath Outer Diameter Working Length GSN Gauge / 1.0 mm 6.0 mm 2.3 mm 120 cm GSN Gauge / 0.7 mm 6.0 mm 1.9 mm 120 cm Gastroscopy Injectra Injection needle, sterile packed Catalog No. Needle Diameter Needle Length Sheath Outer Diameter Working Length GSN Gauge / 1.0 mm 4.0 mm 2.3 mm 180 cm GSN Gauge / 1.0 mm 6.0 mm 2.3 mm 160 cm GSN Gauge / 1.0 mm 6.0 mm 2.3 mm 180 cm GSN Gauge / 0.7 mm 4.0 mm 1.9 mm 180 cm GSN Gauge / 0.7 mm 6.0 mm 1.9 mm 160 cm GSN Gauge / 0.7 mm 6.0 mm 1.9 mm 180 cm GSN Gauge / 0.5 mm 4.0 mm 1.9 mm 180 cm GSN Gauge / 0.5 mm 6.0 mm 1.9 mm 180 cm Colonoscopy Injectra Injection needle, sterile packed Catalog No. Needle Diameter Needle Length Sheath Outer Diameter Working Length GSN Gauge / 1.0 mm 4.0 mm 2.3 mm 230 cm GSN Gauge / 1.0 mm 6.0 mm 2.3 mm 230 cm GSN Gauge / 0.7 mm 4.0 mm 1.9 mm 230 cm GSN Gauge / 0.7 mm 6.0 mm 1.9 mm 230 cm GSN Gauge / 0.5 mm 4.0 mm 1.9 mm 230 cm GSN Gauge / 0.5 mm 6.0 mm 1.9 mm 230 cm Ver. 3.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

85 Fibrin Needles Single Use Fibrin Needles Double Lumen Coaxiale Needle in Needle -System Precise Confl uence of Fibrinogen/Thrombin at Intended Position Removable Safety Clip Secure Needle within the Catheter 15 Beveled Needle Effective Needle Puncture Easy Grip Handle Easy Handling

86 Fibrin Needles Single Use Fibrin Needles Fibrin Needle Catalog No. Needle Diameter Needle Length Catheter Outer Diameter Working Length GFN mm 4.0 mm 2.5 mm 180 cm GFN mm 4.0 mm 2.5 mm 230 cm GFN mm 6.0 mm 2.5 mm 180 cm GFN mm 6.0 mm 2.5 mm 230 cm GFN mm 8.0 mm 2.5 mm 180 cm GFN mm 8.0 mm 2.5 mm 230 cm Distributed by: Ver. 4.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

87 Cytology Zytologie

88 Cytology Brushes Single Use Cytology Brushes Brush with Ellipsoid Tip Effi cient Tube Closure to Secure Smear Yield Set Versions including Brush and Scissor Safe and User-friendly Specimen Handling Sophexa Easy Brush Guide Wire Compatible Cytology Brush for Smear Acquisition from the Bile Duct

89 Cytology Brushes Single Use Bronchoscopy Cytology Brush with Ellipsoid Tip and Ergonomic Handle Catalog No. Description Working Length Sheath Outer Diameter Minimim Accessory Channel Diameter GCB Cytology Brush 120 cm 1.8 mm 2.0 mm GCB Cytology Brush 120 cm 2.45 mm 2.8 mm GCB Set incl. Cytology Brush & Scissor 120 cm 1.8 mm 2.0 mm GCB Set incl. Cytology Brush & Scissor 120 cm 2.45 mm 2.8 mm Gastroscopy Cytology Brush with Ellipsoid Tip and Ergonomic Handle Catalog No. Description Working Length Sheath Outer Diameter Minimim Accessory Channel Diameter GCB Cytology Brush 180 cm 1.8 mm 2.0 mm GCB Cytology Brush 180 cm 2.45 mm 2.8 mm GCB Set incl. Cytology Brush & Scissor 180 cm 1.8 mm 2.0 mm GCB Set incl. Cytology Brush & Scissor 180 cm 2.45 mm 2.8 mm Colonoscopy Cytology Brush with Ellipsoid Tip and Ergonomic Handle Catalog No. Description Working Length Sheath Outer Diameter Minimim Accessory Channel Diameter GCB Cytology Brush 230 cm 1.8 mm 2.0 mm GCB Cytology Brush 230 cm 2.45 mm 2.8 mm GCB Set incl. Cytology Brush & Scissor 230 cm 1.8 mm 2.0 mm GCB Set incl. Cytology Brush & Scissor 230 cm 2.45 mm 2.8 mm Sophexa Easy Brush Guide Wire Compatible Cytology Brush for Smear Acquisition mainly from the Bile Duct. Cytology Brush with Ellipsoid Tip and Ergonomic Handle Catalog No. Description Working Length Sheath Outer Diameter Minimim Accessory Channel Diameter GCB Cytology Brush 230 cm 2.45 mm 2.8 mm Ver. 3.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

90 Aspiration Needles for Bronchoscopy & Gastroscopy - Single Use Aspiration Needles Coaxial Luer-Lock for Vacuum Syringe Easy Aspiration of Cells Safety Clip and Lock Mechanism Secure Needle Advancement and Projection 15 Beveled Needle with Side Hole Atraumatic Piercing Capability Maximum Yield of Aspirates

91 Aspiration Needles for Bronchoscopy & Gastroscopy - Single Use Bronchoscopy Aspiration Needle with Metal Spiral and including 10 ml Vacuum Syringe with Stopcock Catalog No. Needle Diameter Needle Length Metal Spiral Outer Diameter Working Length Minimum Accessory Channel GAN Gauge / 0.8 mm 12 mm 1.9 mm 100 cm 2.1 mm Gastroscopy Aspiration Needle with Plastic Tube and including 10 ml Vacuum Syringe with Stopcock Catalog No. Needle Diameter Needle Length Sheath Outer Diameter Working Length Minimum Accessory Channel GAN Gauge / 0.8 mm 12 mm 1.9 mm 180 cm 2.1 mm Distributed by: Ver. 4.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

92 Accessories Sonstiges

93 Colonoscopy Accessories Single Use Polyp Trap Four Independent, Selectable Chambers with Visible Markers Accurate Classifi cation of Polyps & Specimens Highly Flexible Tubes Easy to Connect to Endoscope and Suction Device Laboratory Sticker in Each Box Convenient Documentation Colonoscopy Short Universal Size with Divided Rear Panels Protects Patient s Intimacy & Allows to Maintain Patient s Modesty Colon Decompression Catheter Radiopaque Catheter with 6 Sideports Effi cient Decompression of Toxic Mega-Colons & Pseudo-Obstructions

94 Colonoscopy Accessories Single Use Polyp Trap The Polyp Trap is used as a collection and transport container for polyps and specimens, which are removed during an endoscopy procedure for histological examination. Polyp Trap Including a Laboratory Sticker Sheet per Box Catalog No. Description Unit Polyp Trap with four clear, visible marked chambers and four open areas for straight suction. Pre-assembled highly fl exible connection tubes for quick and easy installation. Box of 20 Colonoscopy Short Perfect garment to protect patient s intimacy & to maintain his / her modesty. Colonoscopy Short Catalog No. Description Unit GAC Bacteriostatic, water resistant and breathable, universal size with divided rear panels Box of 10 Colon Decompression Catheter Colon Decompression Catheter Set Including a Radiopaque Decompression Catheter with 6 Sideports and Tefl on Coated Stainless Steel Guide Wire Catalog No. Catheter Diameter Catheter Length Guide Wire Diameter Guide Wire Length Fr. 175 cm.035 (0.89 mm) 400 cm Fr. 175 cm.035 (0.89 mm) 400 cm Fr. 175 cm.035 (0.89 mm) 400 cm Colon Decompression Catheter (catheter only) Radiopaque Decompression Catheter with 6 Sideports Catalog No. Catheter Diameter Catheter Length Accepted Guide Wires Fr. 175 cm.035 (0.89 mm) (2.2 mm) Fr. 175 cm.035 (0.89 mm) (2.2 mm) Fr. 175 cm.035 (0.89 mm) (2.2 mm) Ver. 4.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

95 Cleaning Brushes Single Use Cleaning Brushes Double-Sided Brushes Effi cient Cleaning of Residues Channel-Friendly Plastic Coated Brush Tip Avoids Accessory Channel Scratch Colored Catheter Quick Identifi cation of Different Brush Sizes Stackable Dispenser Box Hygienic and User-Friendly Storage

96 Cleaning Brushes Single Use Cleaning Brushes Cleaning Brush Double Sided, Individually Packed in a Dispenser Box Catalog No. Brush Diameter Catheter Length Accessory Channel Compatibility GAC mm 230 cm 2.0 mm Box of 100 Unit Product GAC mm 230 cm 2.8 mm Box of 100 GAC Brush 1: 5 mm / Brush 2: 11 mm 230 cm mm Box of 100 Valve Cleaning Brush Double Sided Catalog No. Brush Diameter Unit Product GAC Brush 1: 5 mm / Brush 2: 12 mm Box of 25 Cleaning Brush-Set Catalog No. Cleaning Brush Valve Cleaning Brush Unit Product Brush Diameter Catheter Length Accessory Channel Compatibility Brush Diameter GAC mm 230 cm 2.8 mm Brush 1: 5 mm / Brush 2: 12 mm Box of 100 Distributed by: L-GAC-SU-01-ENG Ver. 4.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de

97 Bite Blocks Single Use Reusable Bite Blocks Ergonomic Adaption to Patient s Facial Outline High Patient Comfort LATEX Complete Latex-Free FREE Eliminates Risk of Latex Allergy Reactions Stackable Dispenser Hygienic and User-Friendly Storage

98 Bite Blocks Single Use Reusable Single Use Bite Block Types GAC GAC GAC Bite Block Complete Latex-Free, Individually Packed in a Dispenser Box Catalog No. Description Opening Size Unit GAC With Tongue Pressure and Rubber Headstrap W 19 mm x H 18 mm Box of 50 GAC With Rubber Head Strap W 26 mm x H 18 mm Box of 50 GAC With Textile Head Strap W 23 mm x H 20 mm Box of 100 Bite Block Type Bite Block Complete Latex-Free, Individually Packed in a Dispenser Box Catalog No. Description Opening Size Unit GAC Without Head Strap W 26 mm x H 18 mm Box of 100 Reusable Bite Block Type Bite Block Complete Latex-Free, Individually Packed Catalog No. Description Opening Size Unit GAC Without Head Strap W 26 mm x H 18 mm Box of 5 Ver. 3.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

99 Biopsy Valves Single Use Biopsy Valves Covers and Seals the Opening of the Accessory Channel Inlet Supports the Insuffl ation and Suction Function Avoids the Leakage of Potentially Hazardous Bodily Fluids Versions with Irrigation Line and Luer-Lock Adapter Connectivity to a Syringe or External Water Pump

100 Biopsy Valves Single Use Biopsy Valves The latex-free biopsy valves are used to cover and seal the opening of accessory channel inlet of gastroscopes, colonoscopes and duodenoscopes. The valves: a) facilitate the insuffl ation and suction function during an endoscopic procedure. b) avoid the leakage of potentially hazardous bodily fl uids for the protection of the patient and medical staff, for example while changing endoscopic instruments. The version, featuring an irrigation line allows to connect a syringe or an external water pump. Biopsy Valves single use, individually packed in a dispenser Catalog No. Description Colour Unit Product GAC Biopsy Valve, compatible to endoscopes of: Olympus Fujinon (500 Series and newer) Storz Blue Box of 100 GAC Biopsy Valve, compatible to endoscopes of: Pentax Red Box of 100 Biopsy Valves with Irrigation Line and Luer-Lock Adapter single use, individually packed in a dispenser Catalog No. Description Colour Unit Product GAC Biopsy Valve, compatible to endoscopes of: Olympus Fujinon (500 Series and newer) Storz Blue Box of 50 GAC Biopsy Valve, compatible to endoscopes of: Pentax Red Box of 50 Ver. 1.0 ( ) Manufactured by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany / / sales@medi-globe.de

101 Accessories Spray Catheters & Active Cords Spray Catheters Application of Colorizing Liquids for Chromoendoscopy & Narcotics. Active Cords Connecting Hot -Biopsy Forceps, Polypectomy Snares and Sphincterotomes to HF-Generators of Various Manufacturers.

102 Accessories Spray Catheters & Active Cords Spray Catheters Coaxial Spray Catheter for Chromoendoscopy and the Application of Narcotics. Spray Catheter Single Use Catalog No. Spray Head Diameter Catheter Diameter Working Length GSC mm 1.8 mm 180 cm GSC mm 1.8 mm 230 cm Spray Catheter Reusable Catalog No. Spray Head Diameter Catheter Diameter Working Length mm 1.8 mm 180 cm mm 1.8 mm 230 cm Active Cords Active Cords for Connecting Medi-Globe Instruments to HF-Generators of Various Manufacturers. Active Cord Catalog No. Description Length GAC Active Cord, Erbe 4 mm 300 cm GAC Active Cord, Erbe 5 mm 300 cm GAC Active Cord, Martin / Berchthold 4 mm 300 cm GAC Active Cord, Valleylab 8 mm 300 cm GAC Active Cord, Olympus 6 mm 300 cm Distributed by: Ver. 5.0 ( ) Distributed by: Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de

103 Endoscopic Technology for Gastroenterology & Pulmonology Medi-Globe GmbH ı Medi-Globe-Straße 1-5 ı Achenmühle, Germany / ı / ı sales@medi-globe.de

104 Reusable Instrument Line Gastroenterology & Pulmonology Reusable Instrument Line Medi-Globe GmbH is a proud and internationally recognized manufacturer and supplier of high quality reusable instruments and accessories for gastroenterology and pulmonology. With today s rising healthcare costs, budget limitations, reimbursement policies and local requirements, reusable instruments continue to offer many cost saving benefits and are the preference of choice by many of Medi- Globe s customers. Medi-Globe s reusable line is manufactured in Germany, or in one of its wholly owned and operated European facilities. Medi-Globe s reusable instruments are compatible with steam autoclave and require sterilization prior to use as they are supplied non-sterile. Medi-Globe reusable devices are durable and of high quality. Content Page ReBite Biopsy Forceps 2 ReBite- Hot Biopsy Forceps 4 Polyp & Foreign Body Retrievers 5 Foreign Body Forceps 5 RotaSnare Polypectomy Snares 6 E.R.C.P. Catheters 8 Bavarian Wires - Guide Wires 9 RotaCut Sphincterotomes 10 Stone Extraction Baskets 11 Active Cords, Spray Catheters & Bite Block 12

105 ReBite Biopsy Forceps Reusable ReBite Detachable Cups Optimal Cleaning & Enhanced Instrument Life Ground Distal Spiral (10 cm) Easy Passage through Curved Endoscope Positions Pulmonary Oval Cups ReBite Biopsy Forceps with Fenestrated Cups Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter Oval 1.8 mm 120 cm 2.0 mm Oval 2.3 mm 120 cm 2.5 mm Oval Cups with Spike ReBite Biopsy Forceps with Fenestrated Cups Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter Oval with Spike 1.8 mm 120 cm 2.0 mm Oval with Spike 2.3 mm 120 cm 2.5 mm Serrated Oval Cups ReBite Biopsy Forceps with Fenestrated Cups Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter Serrated Oval Cups 1.8 mm 120 cm 2.0 mm Serrated Oval Cups 2.3 mm 120 cm 2.5 mm 2

106 Gastro & Colon Oval Cups ReBite Biopsy Forceps with Fenestrated Cups Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter Oval 1.8 mm 160 cm 2.0 mm Oval 1.8 mm 180 cm 2.0 mm Oval 1.8 mm 230 cm 2.0 mm Oval 2.3 mm 160 cm 2.5 mm Oval 2.3 mm 180 cm 2.5 mm Oval 2.3 mm 230 cm 2.5 mm Oval 2.3 mm 300 cm 2.5 mm Oval Cups with Spike ReBite Biopsy Forceps with Fenestrated Cups Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter Oval with Spike 1.8 mm 160 cm 2.0 mm Oval with Spike 1.8 mm 180 cm 2.0 mm Oval with Spike 1.8 mm 230 cm 2.0 mm Oval with Spike 2.3 mm 160 cm 2.5 mm Oval with Spike 2.3 mm 180 cm 2.5 mm Oval with Spike 2.3 mm 230 cm 2.5 mm Serrated Oval Cups ReBite Biopsy Forceps with Fenestrated Cups Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter Serrated Oval Cups 1.8 mm 160 cm 2.0 mm Serrated Oval Cups 1.8 mm 180 cm 2.0 mm Serrated Oval Cups 1.8 mm 230 cm 2.0 mm Serrated Oval Cups 2.3 mm 160 cm 2.5 mm Serrated Oval Cups 2.3 mm 180 cm 2.5 mm Serrated Oval Cups 2.3 mm 230 cm 2.5 mm Serrated Oval Cups with Spike ReBite Biopsy Forceps with Fenestrated Cups Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter WN Serrated Oval Cups with Spike 2.3 mm 180 cm 2.5 mm WN Serrated Oval Cups with Spike 2.3 mm 230 cm 2.5 mm ReBite Biopsy Forceps in different lenghts as listed are available on request. 3

107 ReBite Biopsy Forceps Reusable Special Versions Oval Cups ReBite Mini Biopsy Forceps Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter Oval 1.0 mm 110 cm 1.2 mm Oval 1.0 mm 120 cm 1.2 mm Oval 1.0 mm 180 cm 1.2 mm Oval 1.0 mm 230 cm 1.2 mm Oval Cups Oval Cups with Spike ReBite Jumbo Biopsy Forceps with Extra Large Fenestrated Cups Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter Oval 3.4 mm 180 cm 3.6 mm Oval 3.4 mm 230 cm 3.6 mm Oval with Spike 3.4 mm 180 cm 3.6 mm Oval with Spike 3.4 mm 230 cm 3.6 mm ReBite - Hot Hot -Biopsy Forceps Reusable ReBite - Hot Medi-Globe s reusable Hot biopsy forceps is a two-piece instrument. One unit is comprised of the long catheter and forceps cups as referenced in our product catalog, (catalog no. 406XXXH & 407XXXH). The second required device component is the handle, (catalog no ) which is compatible with all Medi-Globe Hot biopsy forceps catheter units. This two-piece component system permits individual component replacement as necessary, without having to purchase a complete new instrument. Medi-Globe s Hot biopsy forceps handle is directly compatible with Olympus manufactured electro-surgical generators. To ensure compatibility with other types of electro-surgical generator units, please refer to the Active Cords section of this leaflet to select the appropriate active cord for your electrosurgical generator. Oval Cups Oval Cups with Spike Hot -Biopsy Forceps (excluding handle), Oval Fenestrated Cups, Teflon Insulated Metal Spiral Catalog No. Cup Shape Outer Diameter Working Length Minimum Accessory Channel Diameter H Oval 2.5 mm 180 cm 2.7 mm H Oval 2.5 mm 230 cm 2.7 mm H Oval Cups with Spike 2.5 mm 180 cm 2.7 mm H Oval Cups with Spike 2.5 mm 230 cm 2.7 mm Handle with Connection to HF-Generators Catalog No. Description Handle for Hot - Biopsy Forceps 4

108 Polyp & Foreign Body Retrievers Reusable Polyp & Foreign Body Retrievers Wide Opening of Graspers Large Variety of Applications Detachable Distal Tips (Forceps) Optimal Cleaning & Enhanced Instrument Life Ground Distal Spiral (10 cm) Easy Passage through Curved Endoscope Positions 4-Prong Graspers with Eyelets Polyp Retrievers Catalog No. Grasper Shape Outer Diameter Working Length Prong Grasper with Eyelets 2.5 mm 180 cm Prong Grasper with Eyelets 2.5 mm 230 cm 4-Prong Graspers with Hooks Foreign Body Retrievers Catalog No. Grasper Shape Outer Diameter Working Length Prong Grasper with Hooks 2.5 mm 180 cm Prong Grasper with Hooks 2.5 mm 230 cm Rat Tooth Alligator Foreign Body Forceps with Detachable Tip Catalog No. Tip Shape Outer Diameter Working Length Rat Tooth 1.8 mm 180 cm Rat Tooth 1.8 mm 230 cm Rat Tooth 2.5 mm 180 cm Rat Tooth 2.5 mm 230 cm Foreign Body Forceps with Detachable Tip Catalog No. Tip Shape Outer Diameter Working Length Alligator 1.8 mm 180 cm Alligator 1.8 mm 230 cm Alligator 2.5 mm 180 cm Alligator 2.5 mm 230 cm 5

109 RotaSnare Polypectomy Snares Reusable RotaSnare Medi-Globe s reusable polypectomy snare is a three-piece instrument. One complete unit is comprised of a) Snare Wire b) Insertion Tube c) Handle for Polypectomy Snares (catalog no ) This component system permits individual component replacement as necessary, without having to purchase a complete new instrument. Medi-Globe s handle for polypectomy snares is directly compatible with Olympus manufactured electro-surgical generators. To ensure compatibility with other types of electro-surgical generator units, please refer to the Active Cords section of this leaflet to select the appropriate active cord for your electro-surgical generator. 360 Rotating Versions Easier Polyp Snaring Multifilament Loop Wire Safe Cut and Long Lasting Loop Complete Component Detachability Economical Component Replacement Rotating Polypectomy Snares Oval Oval with Insulated Tip RotaSnare with Multifilament Loop (Snare Wire without Handle and Insertion Tube) Catalog No. Loop Shape Loop Diameter Working Length Compatible Insertion Tube Catalog No Oval 15 mm 180 cm Oval 15 mm 230 cm Oval 25 mm 180 cm Oval 25 mm 230 cm Oval, with Insulated Tip 25 mm 180 cm Oval, with Insulated Tip 25 mm 230 cm Oval 35 mm 180 cm Oval 35 mm 230 cm Oval, with Insulated Tip 35 mm 180 cm Oval, with Insulated Tip 35 mm 230 cm Hexagonal Hexagonal with Insulated Tip RotaSnare with Multifilament Loop (Snare Wire without Handle and Insertion Tube) Catalog No. Loop Shape Loop Diameter Working Length Compatible Insertion Tube Catalog No Hexagonal 25 mm 180 cm Hexagonal 25 mm 230 cm Hexagonal, with Insulated Tip Hexagonal, with Insulated Tip 25 mm 180 cm mm 230 cm

110 Standard Polypectomy Snares, non-rotatable Onion Standard with Multifilament Loop (Snare Wire without Handle and Insertion Tube) Catalog No. Loop Shape Loop Diameter Working Length Compatible Insertion Tube Catalog No Onion 50 mm 180 cm Onion 50 mm 230 cm Oval Monofilament Standard with Monofilament Loop (Snare Wire without Handle and Insertion Tube) Catalog No. Loop Shape Loop Diameter Working Length Compatible Insertion Tube Catalog No Oval 25 mm 180 cm Oval 25 mm 230 cm Hexagonal Standard with Multifilament Loop (Snare Wire without Handle and Insertion Tube) Catalog No. Loop Shape Loop Diameter Working Length Compatible Insertion Tube Catalog No Hexagonal 25 mm 180 cm Hexagonal 25 mm 230 cm Hexagonal 35 mm 180 cm Hexagonal 35 mm 230 cm Asymmetric Standard with Multifilament Loop (Snare Wire without Handle and Insertion Tube) Catalog No. Loop Shape Loop Diameter Working Length Compatible Insertion Tube Catalog No Asymmetric 15 mm 180 cm Asymmetric 15 mm 230 cm Asymmetric 25 mm 180 cm Asymmetric 25 mm 230 cm Insertion Tubes with Sheath Diameter 2.5 mm Catalog No. Compatible to Snare Wire catalog nos , , , , , , , , , , , , , , , , , , , , , , Handle with Connection to HF - Generators Catalog No. Description Handle for Polypectomy Snares 7

111 E.R.C.P. Catheters Reusable E.R.C.P. Catheters Pre-Curved Catheter with Memory Effect Easier Positioning to the Papilla and Possible Manual Tip Manipulation for Individual Anatomy Color Markings Macroscopically Controlled Cannulation Depth Metal Tip / Metal Rings Maximum Visualization under Fluoroscopy Tip Shapes Standard Tip 10 mm Tapered Tip 5 mm Tapered Tip Bullet Metal Tip Ball Metal Tip Metal Cannula Compatible to.035 Guide Wire E.R.C.P. Catheter with Removable Nitinol Stylet Catalog No. Tip Shape Catheter Outer Diameter Standard Tip 1.8 mm mm Tapered Tip 2.2 mm mm Tapered Tip 2.2 mm Bullet Metal Tip 1.8 mm Ball Metal Tip 1.8 mm Compatible to.021 Guide Wire E.R.C.P. Catheter with Removable Nitinol Stylet Catalog No. Tip Shape Catheter Outer Diameter mm Tapered Tip 1.8 mm mm Tapered Tip 1.8 mm Special Version Minor E.R.C.P. Catheter with Removable Nitinol Stylet Catalog No. Tip Shape Catheter Outer Diameter Metal Cannula Length 1 mm 1.8 mm 8

112 Bavarian Wires Guide Wires Reusable Bavarian Guide Wires Bavarian Guide Wires are mainly indicated for cannulation and placement of diagnostic and therapeutic instruments in the biliary and pancreatic systems. The guide wire may be left in place during sphincterotomy. Users can choose between a Soft Tip and a slightly stiffer Standard Tip version. The guide wire is autoclavable and accepts a reuse, depending of the instrument integrity after the first time use. Teflon Coated Nitinol Wire Kink Resistant Hydrophilcally Coated Easy, Low Friction Advancement Radiopaque Tip Enhanced Visibility Autoclavable Reusable If Device Integrity Is Intact Usable During Sphincterotomy Bavarian Wires Hydrophilically Two Colored Teflon Coated Nitinol Wire with a 5 cm Tapered Radiopaque Tip, Autoclavable, Sterile Packed Catalog No. Description Diameter Length GGW Soft Tip.021 (0.53 mm) 400 cm GGW Soft Tip.021 (0.53 mm) 450 cm GGW Soft Tip.025 (0.64 mm) 450 cm GGW Soft Tip.035 (0.89 mm) 400 cm GGW Soft Tip.035 (0.89 mm) 450 cm GGW Standard Tip.035 (0.89 mm) 400 cm GGW Standard Tip.035 (0.89 mm) 450 cm 9

113 RotaCut Sphincterotomes Reusable Sphincterotomes Medi-Globe s reusable sphincterotome is a two-piece instrument. One unit is comprised of the sphincterotome catheter and the second required device component is the handle (Catalog No ), which is compatible with all Medi-Globe sphincterotome catheters. This two piece component system permits individual component replacement as necessary, without having to purchase a complete new instrument. Medi-Globe s handle for sphincterotomes is directly compatible with Olympus manufactured electro-surgical generators. To ensure compatibility with other types of electro-surgical generator units, please refer to the Active Cords section of this leaflet to select the appropriate active cord for your electrosurgical generator. Rotatable Guide Wire Sphincterotomes Tapered Tip B II RotaCut Guide Wire Sphincterotome with Braided Cutting Wire Catalog No. Description Tip Length Cutting Wire Length Outer Sheath Diameter Accepted Guide Wire Tapered Tip 5 mm 20 mm 2.05/2.55 mm Tapered Tip 5 mm 30 mm 2.05/2.55 mm Billroth II 10 mm Variable 2.05/2.55 mm.035 Rotatable Standard Sphincterotomes Tapered Tip Standard Tip RotaCut Standard Sphincterotome with Braided Cutting Wire Catalog No. Tip Shape Tip Length Cutting Wire Length Outer Sheath Diameter Standard 5 mm 20 mm 1.7 mm Standard 5 mm 30 mm 1.7 mm Tapered Tip 5 mm 20 mm 1.7 mm Tapered Tip 5 mm 30 mm 1.7 mm Needle Knife Sphincterotome Needle Knife Needle Knife Sphincterotome Catalog No. Needle Projection Outer Sheath Diameter mm 1.7 mm Handle with Connection to HF-Generators Catalog No. Description Handle for Sphincterotomes 10

114 Stone Extraction Baskets Reusable Stone Extraction Baskets Medi-Globe s stone extraction basket sets offer a certain compatibility with the StoneBuster mechanical lithotripsy system. Sets with the catalog model nos. 60XXXX are fully detachable and in emergency case the Teflon tube can be replaced against an emergency spiral (catalog no. GML ) and connected to StoneBuster handle (catalog no. GML ) to exercise an emergency lithotripsy for a basket removal out of the patient. Combi - Sets with the catalog model nos. 615XXX are for use as stone extraction basket and depending on the situation also as lithotripsy basket. The Teflon tube can be replaced by a standard lithotripsy metal spiral (catalog no. GML ) and in connection with StoneBuster handle (catalog no. GML ) a through the endoscope mechanical lithotripsy can be performed. Stone Extraction Basket Set Consists of Basket, Outer Sheath (Working Length 180 cm), Stepless Adjustable Sealing Cap and Instrument Holder Catalog no. Description Basket Diameter Outer Sheath Diameter Wire Basket 20 mm 1.9 mm Wire Basket 25 mm 1.9 mm Wire Basket 30 mm 1.9 mm Wire Basket 20 mm 1.9 mm Wire Basket 25 mm 1.9 mm Wire Basket 30 mm 1.9 mm Wire Basket 20 mm 2.5 mm Wire Basket 25 mm 2.5 mm Wire Basket 30 mm 2.5 mm Wire Basket 20 mm 2.5 mm Wire Basket 25 mm 2.5 mm Wire Basket 30 mm 2.5 mm Combi Set Stone Extraction / Lithotripsy Basket Consists of Basket, Outer Sheath (Working Length 280 cm), Stepless Adjustable Sealing Cap and Instrument Holder Catalog no. Description Basket Diameter Outer Sheath Diameter Wire Basket 20 mm 2.5 mm Wire Basket 25 mm 2.5 mm Wire Basket 30 mm 2.5 mm Wire Basket 20 mm 2.5 mm Wire Basket 25 mm 2.5 mm All sets are equipped with an instrument holder and are ready for use. For convenience reasons Medi-Globe offers optionally a sturdy handle (catalog no ) with thumb ring and finger slide. Handle for Stone Extraction Baskets (Optionally) Catalog No. Description Handle for Stone Extraction Baskets 11

115 Active Cords, Spray Catheters & Bite Block Reusable Active Cords Active Cords for Connecting Medi-Globe Instruments to HF-Generators of Various Manufacturers Catalog No. Description Length GAC Active Cord, Erbe 4 mm 300 cm GAC Active Cord, Erbe 5 mm 300 cm GAC Active Cord, Martin 4 mm 300 cm GAC Active Cord, Valleylab 8 mm 300 cm GAC Active Cord, Olympus 6 mm 300 cm Spray Catheters Coaxial Spray Catheter for Chromoendoscopy and the Application of Narcotics. Spray Catheter Reusable Catalog No. Spray Head Diameter Catheter Diameter Working Length mm 1.8 mm 180 cm mm 1.8 mm 230 cm Bite Block Bite Block Reusable, Individually Packed Catalog No. Description Opening Size Unit GAC Without Head Strap W 26 mm x H 18 mm Box of 5 L-RU-00-ENG Ver. 4.0 ( ) Medi-Globe GmbH Medi-Globe-Straße Achenmühle, Germany & / / sales@medi-globe.de