PROCTOLOGY. 8th EDITION 3/2015 US

Transcription

1 PROCTOLOGY 8th EDITION 3/2015 US

2 Chapter Pages 1 BASIC SETS PRO-SET PROCTOSCOPY PRO RECTOSCOPY: RIGID, FLEXIBLE REC, CLICKLINE-INTRO VIDEO-ASSISTED FISTULA TREATMENT: IN THE ANAL AREA, IN THE COCCYGEAL AREA VAAFT COLORECTAL SURGERY: TRANSANAL ENDOSCOPIC OPERATIONS (TEO ), INSTRUMENTS FOR COLORECTAL SURGERY V-OP, CLICKLINE-INTRO, V-OP-INST COLONOSCOPY, SIGMOIDOSCOPY PRO-VD VITOM VISUALIZATION SYSTEM FOR OPEN SURGERY WITH MINIMAL ACCESS PRO-VITOM UNITS AND ACCESSORIES PRO-UNITS-INTRO, PRO-UNITS U COMPONENTS, SPARE PARTS PRO-SP SP KARL STORZ OR1 NEO, TELEPRESENCE HUMAN MEDICINE, PROTECTION 1

3 Information on events is available on the KARL STORZ website PROCTOLOGY 8th EDITION 3/2015 US

4 Important information for U.S. customers Note: Certain devices and references made herein to specific indications of use may have not received clearance or approval by the United States Food and Drug Administration. Practitioners in the United States should first consult with their local KARL STORZ representative in order to ascertain product availability and specific labeling claims. Federal (USA) law restricts certain devices referenced herein to sale, distribution, and use by, or on the order of a physician, dentist, veterinarian, or other practitioner licensed by the law of the State in which she/he practices to use or order the use of the device. Important Notes: It is recommended to check the suitability of the product for the intended procedure prior to use. Endoscopes and accessories contained in this catalog have been designed in part with the cooperation of physicians and are manufactured by the KARL STORZ group. If subcontractors are hired to manufacture individual components, these are made according to proprietary KARL STORZ plans or drawings. Furthermore, these products are subject to strict quality and control guidelines of the KARL STORZ group. Both contractual and general legal provisions prohibit subcontractors from supplying components manufactured by order of KARL STORZ to competitors. Any assumptions that competitors endoscopes and accessories are acquired from the same suppliers as the KARL STORZ products are not correct. Moreover, endoscopes and instruments provided by competitors are not manufactured according to the design specifications of KARL STORZ. This means it cannot be assumed that these endoscopes and accessories even if they look identical on the outside are constructed in the same manner and have been tested according to the same criteria. Standardized Design and Labeling KARL STORZ participates both in national and international bodies involved in the development of standards for endoscopes and endoscopic accessories. Standardized design and development therefore have long been implemented consistently by KARL STORZ. The user can rest assured that all products by the KARL STORZ group have been designed and constructed not only in compliance with strict internal quality guidelines, but also with international standards. All data relevant for safe use, such as viewing direction, sizes and diameters, or notes regarding sterilization of telescopes, are applied to the instruments, have been formulated according to international standards, and therefore provide reliable information. As we constantly seek to improve and modify our products, we reserve the right to make changes in design that vary from catalog descriptions. Original or Counterfeit KARL STORZ products are name brand articles renowned around the world and represent the state of the art in important areas of healthcare. A large number of copy cat products are currently being offered in many markets. These products are designed intentionally to resemble KARL STORZ products and use marketing strategies that at least point out their compatibility with KARL STORZ products. These products are by no means genuine products, since genuine KARL STORZ products are sold worldwide exclusively under the name of KARL STORZ, which appears on the packaging and the product. In the absence of such labeling, the product is not from KARL STORZ. KARL STORZ, therefore, is unable to ensure that such products are actually compatible with genuine KARL STORZ products or can be used with them without injury to the patient. All pictures, photos and product descriptions are the intellectual property of KARL STORZ SE & Co. KG. Utilisation and copies by third parties have to be authorized. All rights reserved. 4-16

5 KARL STORZ Items Not Available in the U.S. January, 2015 Pending 510(k) / PMA not currently available for sale in the U.S. Order no. Description Section Page NS Suction Ligature Instrument PRO 12 B NS WORBS-MEFFLE Suction Ligature Instrument PRO 12 B N Suction Ligature Instrument PRO 13 B N WORBS-MEFFLE Suction Ligature Instrument PRO 13 B EH ENDOCRANE PRO-VITOM GASTRO PACK PRO-UNITS 5 A U U GASTRO PACK PRO-UNITS 5 A U 9 UI400 S1 ENDOFLATOR 40 SCB PRO-UNITS 14 U 18 UI500 S1 ENDOFLATOR 50 SCB PRO-UNITS 16 A U DUOMAT PRO-UNITS 22 A U UNIMAT 30 PRO-UNITS 26 A U AUTOCON II 80 PRO-UNITS 34 A U 38 Note: References made herein to specific endoscopic procedures or techniques represent the opinions and/or experiences of the named physician(s). KARL STORZ Endoscopy-America, Inc. neither warrants nor represents the appropriateness or efficacy of said procedures. Physicians are encouraged to consult medical literature regarding techniques, compliances and hazards prior to performance of any endoscopic procedure. Note: Some items are pending 510(k). Please contact KARL STORZ Customer Support at (800) regarding the current regulatory status of products above.

6 TERMS AND CONDITIONS KARL STORZ Endoscopy-America, Inc. 1. ORDERS. Orders are to be placed with the Customer Support Department of KARL STORZ Endoscopy-America, Inc. ( KARL STORZ ) or with its sales force. However, orders will only be accepted by KARL STORZ s Customer Support Department located either in El Segundo, California or Southbridge, Massachusetts and only on the condition that in the event of any conflicting, inconsistent and/or additional provisions in a Customer purchase order or other document, the within Terms and Conditions will supersede and prevail and such conflicting, inconsistent and/or additional provisions shall be of no force or effect; KARL STORZ hereby objects to such other provisions or terms proposed by Customer. By accepting delivery of products from, and/or the performance of services by, KARL STORZ, and/or by paying for same, and notwithstanding anything to the contrary in Customer s own purchase order or other document, Customer accepts and agrees to the within Terms and Conditions, all of which constitute the sole and entire agreement of KARL STORZ and Customer, unless and to the extent modified and/or superseded by an agreement in writing signed by both Customer and an authorized representative of KARL STORZ. 2. PRICES. Prices are subject to change without notice. Nevertheless, prices in effect at the time that an order is accepted will prevail. Written quotations are valid for 60 days unless otherwise specified. All applicable taxes, as well as shipping and/or handling charges, will be added to the invoice. 3. TERMS. Shipments are F.O.B. shipping point, shipping and handling prepaid by KARL STORZ and added to the invoice. Invoices are due and payable upon receipt; net 30 days. A finance charge equal to 1-1/2% per month, or the maximum amount allowed by law, whichever is less, may be assessed on all balances outstanding for more than 30 days. Any and all collection expenses, including reasonable attorneys fees, incurred by KARL STORZ to secure payment of any sums due from Customer and/or effectuate repossession of products purchased from KARL STORZ, but not paid for, will be borne by Customer. All controversies, disputes and claims, shall be adjudicated by a court of competent jurisdiction within the County of Los Angeles, State of California or the United States District Court, Central District of California, which courts shall have exclusive jurisdiction over such matters. All transactions by and between Customer and KARL STORZ shall be governed by and construed in accordance with the laws of the State of California without regard to its conflict of laws principles. The invalidity or unenforceability of any of the within Terms and Conditions will not affect the validity or enforceability of any other or remaining term or condition hereof. The within Terms and Conditions apply to products that are supplied to Customer as samples or loans from KARL STORZ. Amounts payable to KARL STORZ for the purchase, lease or rental of products and/or services are not subject to withholding, set-off, or counter-claim under any circumstances without prior written consent of KARL STORZ. 4. SECURITY INTEREST. Until Customer has paid KARL STORZ in full for all products purchased pursuant to an order, KARL STORZ shall have, and Customer hereby grants to KARL STORZ, a security interest in all products purchased, pursuant to such order, and in all proceeds therefrom (including any which Customer receives as payment from an insurer or third party for or as a result of any damage to or loss of said products), to secure payment of the entire purchase price for all products sold, shipped and delivered to Customer pursuant to such order, and all costs, expenses or other charges relating thereto which are payable by Customer to KARL STORZ. Customer is required to execute and deliver such documents, as required and requested by KARL STORZ, to perfect KARL STORZ s security interest(s). 5. SHIPPING. Although KARL STORZ products are carefully packed to minimize in-transit damage, all shipments should be carefully examined upon receipt and if a product is damaged, Customer must document the nature and extent of the damage and immediately contact KARL STORZ. If concealed loss or damage is discovered, Customer must retain all packing materials and immediately notify KARL STORZ, requesting an inspection. If shipments are received short, Customer must contact KARL STORZ s Customer Support Department at once. KARL STORZ reserves the right to make partial shipments on any order. Invoices for partial shipments are payable upon receipt. KARL STORZ is not liable for any damages caused by or attributable to delays and/or non-delivery due to any cause whatsoever. 6. RETURN POLICY. A return merchandise authorization (RMA) must be obtained from KARL STORZ s Customer Support Department prior to returning any products. When phoning or writing KARL STORZ, for an RMA, the Customer Support Representative must be provided with: (a) Customer name and number, as it appears on the invoice; (b) the telephone number and the person to contact; (c) the applicable P.O. number; (d) the KARL STORZ catalog number and, if applicable, the serial number for each product; and, (e) the reason for the return. KARL STORZ reserves the right to refuse or return any products sent back to KARL STORZ without prior authorization of its Customer Support Department. Returns must be carefully packed and shipped pre-paid to KARL STORZ, Attn: RMA number. KARL STORZ s Customer Support Department will provide the return address and the RMA number. When returning products, Customer should include a copy of the original invoice or packing slip to ensure prompt issuing of credit. Full credit will only be issued for products that are returned and received within 120 days of date of shipment ( Ship Date ) so long as such items are unused, in resalable condition and in their original product packaging. If unopened products are received by KARL STORZ 120 or more days after the Ship Date, KARL STORZ may, in its sole and absolute discretion, either refuse acceptance of the returned products or, as a condition to authorizing a return, require payment of an inspection fee of up to 25% of the invoiced price of the product, which will require a separate P.O. number before the RMA is issued. Shipping charges will be reimbursed, inspection fees will not be charged and full credit will be given if the return was due to an error on the part of KARL STORZ. The following products may not be returned for credit or exchanged: (a) products held longer than 120 days from Ship Date (except as provided above); (b) sterile packaged products where the package is opened and/or damaged; (c) discontinued products; (d) instruments that are etched or engraved by Customer; (e) products damaged by Customer; (f) products purchased as is or as demo products; and (g) used products. In order to prevent the transmission of disease to the medical facilities and/or KARL STORZ s personnel, all products must be cleaned and then sterilized and/or disinfected before returning such products to KARL STORZ, which reserves the right to return unclean and contaminated products to Customer. Additionally, if any product becomes damaged and is not immediately returned for repair or exchange, KARL STORZ assumes no responsibility or liability for Customer s continued use of that damaged product. KARL STORZ does not guarantee the performance of, and may decline to repair or accept for repair/exchange, any product that has been repaired, modified and/or altered by any person or entity other than KARL STORZ or an authorized repair facility of KARL STORZ. 7. INSTALLATION, PREVENTATIVE MAINTENANCE, AND OTHER SERVICES. Subject to resource availability, KARL STORZ may, in its sole discretion, (a) install and setup the product, (b) perform preventative maintenance services, (c) provide onsite or remote troubleshooting services and other services, (d) provide software updates, and (e) provide loaners in case of back orders. 8. TRAINING. To the extent reasonable as to the complexity and quantity of products, KARL STORZ will provide training regarding the proper use of products at or near the time of delivery or installation, as applicable. KARL STORZ may also provide additional training regarding the proper use of products upon Customer s request, in KARL STORZ s sole discretion and subject to availability of KARL STORZ personnel. KARL STORZ ENDOSCOPY AMERICA, INC. PI (01/15)

7 9. REPAIR PROGRAM. If repairs become necessary, for damages other than those incurred during initial shipment, Customer must follow the RMA procedure set forth in the Return Policy in Section 6, above. Warranty repairs will be made without charge (see Warranty Policy, Section 10 below, for covered repairs). All other repairs are subject to KARL STORZ's applicable standard repair or exchange charges. If requested, Customer will be advised of the estimated cost of the repair work or a product exchange before it is undertaken. All repairs carry a 90 day warranty. Exchange products carry the applicable KARL STORZ new product warranty. If the damaged product is not returned within 30 days of receipt of the replacement product, Customer will be invoiced for the full list price of the replacement. Subject to the availability of product, KARL STORZ may, in its sole discretion, provide Customer with loaner product while non-warranty repairs are being made. Subject to resource availability, KARL STORZ may, in its sole discretion, perform minor non-warranty repairs without charge. KARL STORZ reserves the right to refuse or return any product sent back without prior authorization of KARL STORZ s Customer Support Department. 10. WARRANTY POLICY. Except as otherwise provided herein and/or by the applicable warranty information for a specific product or type of product, all products are generally warranted to be in good working order at the date of delivery and free from defects in workmanship and materials for 1 year from date of delivery. However, since some products carry a shorter or a longer warranty period, Customer should check with KARL STORZ s Customer Support Department or product specific literature, instruction manual and/or labeling for the exact warranty period. Any such product(s) with a defect occurring during the applicable warranty period will be promptly replaced or, at the sole discretion of KARL STORZ, repaired at no charge to Customer. All repairs shall be performed in a good and workmanlike manner and all replaced parts or products shall be free from defects in materials and workmanship for the remainder of the original warranty period (if any) or the 90 day period set forth in section 9, Repair Program, above, whichever is longer, when used by qualified personnel who are trained in their use. Subject to availability of product, KARL STORZ may, in its sole discretion, provide Customer with loaner product while the defective product is being replaced or repaired. Damage which might arise or be caused, whether by Customer or by any of the users of the products provided by KARL STORZ, as a result of, in connection with, or otherwise attributable to the following is excluded from warranty coverage: (a) misuse, abuse, mishandling and/or improper operation and/or storage; (b) repairs, servicing, modifications and/or alterations performed by any person or entity other than KARL STORZ or an authorized repair facility of KARL STORZ; (c) use in combination with adaptors, accessories and/or equipment from other manufacturers unless authorized or recommended by KARL STORZ; (d) use in any manner other than those for which such products are designed and are otherwise intended to be used; or a failure to comply with power and grounding specifications provided by KARL STORZ. THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS, IMPLIED AND/OR STATUTORY, INCLUDING, BUT NOT LIMITED TO WARRANTIES OF MERCHANTABILITY, FITNESS AND/OR OF SUITABILITY FOR A PARTICULAR PURPOSE, WITH RESPECT TO ALL KARL STORZ PRODUCTS AND/OR SERVICES. ANY AND ALL OTHER WARRANTIES, REPRESENTATIONS AND/OR GUARANTEES, OF ANY TYPE, NATURE OR EXTENT, BE IT IMPLIED, EXPRESS AND/OR WHETHER ARISING UNDER OR AS A RESULT OF ANY STATUTE, LAW, COMMERCIAL USAGE, CUSTOM, TRADE OR OTHERWISE, ARE HEREBY EXPRESSLY EXCLUDED AND DISCLAIMED. Any contrary course of performance by and between the parties will not modify any representations and/or warranties set forth herein. KARL STORZ neither assumes nor authorizes any person to assume for it any other liabilities in conjunction with and/or related to the sale and/or use of its products. To ensure proper use, handling and care of KARL STORZ products, Customer should consult the product specific literature, instruction manual, and/or labeling included with the product or otherwise available. Repairs, modifications or alterations of KARL STORZ products, performed by any person or entity, other than by KARL STORZ or an authorized repair facility of KARL STORZ, nullifies and otherwise voids all applicable KARL STORZ warranties. Repair or replacement of a KARL STORZ product shall not extend the term of any applicable warranty. The remedies provided herein are Customer's exclusive remedies under this Warranty Policy. 11. LIMITATION OF LIABILITY. KARL STORZ is not liable, either directly or by way of express or implied indemnity, for any special, incidental, consequential, punitive, exemplary or indirect damages, including but not limited to alleged damages for delayed shipment, non-delivery, product failure, product design or production, inability to use such products or services, loss of future business (lost profits), or from any other cause, whatsoever, in connection with or arising from the purchase, sale, lease, rental, installation or use of KARL STORZ products, even if KARL STORZ has been advised of the possibility of such damages. SOME JURISDICTIONS DO NOT ALLOW EXCLUSIONS AND DISCLAIMERS OF CERTAIN WARRANTIES OR LIMITATIONS OF LIABILITY, SO THE LIMITATIONS AND/OR EXCLUSIONS, SET FORTH IN THESE TERMS AND CONDITIONS, MAY NOT APPLY. IN THAT EVENT, KARL STORZ S LIABILITY WILL BE LIMITED TO THE GREATEST EXTENT PERMITTED BY LAW IN THE SUBJECT JURISDICTION. 12. DISCOUNTS AND REBATES. The dollar value of discounts and rebates (if any) provided by KARL STORZ to Customer are intended to be discounts or reductions in price described in and in accordance with 42 U.S.C. Section 1320a-7b(b)(3)(A) and 42 C.F.R. Section (h). Customer has an obligation to accurately record and may have an obligation to report all such reductions in purchase price to the Department of Health and Human Services ( DHHS ) or other federal agency, state agencies, or other payers, as applicable. Customer acknowledges that this section is sufficient to advise Customer of its obligations under applicable federal and state laws and regulations. 13. SOFTWARE OWNERSHIP AND LICENSING. With respect to products provided by KARL STORZ and/or its affiliated/related entities (collectively, KARL STORZ ) and containing software components, Customer is granted a non-exclusive, limited, non-transferable license (the License ) to use the programmed logic, computer programs and/or software, including software developed by or on behalf of KARL STORZ ( KARL STORZ Software ) and/or software ( Third Party Software ) developed by or on behalf of third parties (who are considered third party beneficiaries of this Section) embedded in, or for use in conjunction with, such products, internally, but only in the form in which delivered to Customer and for the sole purpose of operating in accordance with KARL STORZ' written instructions for the products provided to Customer (and for no other product or purpose). ( KARL STORZ Software and Third Party Software are referred to collectively as Software ). The Software, and all modifications, enhancements and upgrades thereto, will, at all times, remain the property of KARL STORZ or the applicable third party. Customer may not duplicate, copy, reverse-engineer, de-compile, or disassemble the Software or in any way modify the Software. Customer has no right to, and may not, create derivatives of the Software, and Customer may not attempt to copy, create or re-create the source code of the Software. Any and all such modifications or enhancements to the Software by Customer will immediately become the sole property of KARL STORZ. Customer hereby acknowledges and agrees that (a) the purchase, lease or other acquisition of products does not constitute a transfer of the Software, (b) the Software is the property of KARL STORZ or the applicable third party, (c) Customer neither owns nor acquires any interest in any copyright, patent or other intellectual property right in or to the Software as a result of such purchase, lease or other acquisition of products, (d) KARL STORZ, or the applicable third party, retains and owns all right, title, and interest in and to the Software and the ownership rights therein, at all times, regardless of the form or media in or on which the original or other copies of the Software may exist, and (e) by using the products, Customer is subject to, and is bound by, the terms of any separate third-party license agreement relating to the Third Party Software. In the event of a failure of Customer or its agents, employees or representatives, to comply with any terms and conditions of the License herein granted, the License will, without any further action by KARL STORZ or any other party, immediately end and terminate. KARL STORZ ENDOSCOPY AMERICA, INC. PI (01/15)

8

9 BASIC SETS

10

11 Proctoscopy Basic Set, with option for documentation Basic Instrument Set for Proctoscopy Proctoscopes for Children DP MORGAN Pediatric Proctoscope Tube, outer diameter 11 mm, working length 11 cm, with Obturator DON AP MORGAN Pediatric Proctoscope Tube, outer diameter 9.5 mm, working length 6.5 cm, with Obturator AON Fiber Optic Light Carrier, with fiber optic light cable connector Swab Forceps, length 20 cm ARNOLD Fistula Hook, length 19 cm Proctoscopes for Adults MORGAN Proctoscope Tube, outer diameter 24 mm, working length 6.5 cm, with Obturator ON Same, outer diameter 17 mm, with Obturator ON Fiber Optic Light Carrier, with fiber optic light cable connector Swab Forceps, length 20 cm ARNOLD Fistula Hook, length 19 cm Hemorrhoid Ligature MORGAN Proctoscope Tube, outer diameter 24 mm, working length 6.5 cm, with Obturator ON Fiber Optic Light Carrier, with fiber optic light cable connector Swab Forceps, length 20 cm ARNOLD Fistula Hook, length 19 cm NS Suction Ligature Instrument, for treatment of hemorrhoids, suction opening diameter 10 mm, working length 14 cm, with integrated vacuum pump LED NOVA Cold Light Fountain LED NOVA 150, power supply VAC, 50/60 Hz 495 NL Fiber Optic Light Cable, with straight connector, diameter 3.5 mm, length 180 cm optional for documentation with PROCTOVISION TP 100EN TELE PACK X LED, endoscopic video unit for use with all TELECAM one-chip camera heads and video endoscopes, incl. LED light source similar to Xenon technology, with integrated digital Image Processing Module, 15" LCD TFT monitor with LED backlight, USB/SD memory module, color systems PAL/NTSC, power supply VAC, 50/60 Hz TELECAM One-Chip Camera Head, color system PAL, soakable, gas-sterilizable, with integrated Parfocal Zoom Lens, f = mm (2x), 2 freely programmable camera head buttons Same, color system NTSC MORGAN Proctoscope Tube, outer diameter 24 mm, working length 8 cm, with Obturator ON F Working Attachment, for use with MORGAN Proctoscope Tube and HOPKINS Telescope BA BA HOPKINS Forward-Oblique Telescope 30, eyepiece angled 45, diameter 4 mm, length 9.5 cm, autoclavable, fiber optic light transmission incorporated, color code: red PRO-SET 3 3

12 Rectoscopy Basic Set, with option for documentation Basic Instrument Set for Rectoscopy Rectoscopes for Children HEINKEL Rectoscope Tube, outer diameter 16 mm, working length 20 cm, with Obturator O HEINKEL Rectoscope Tube, outer diameter 12 mm, working length 20 cm, with Obturator O Illumination Head Unit, for HEINKEL rectoscope tubes, with fiber optic light transmission, LUER-Lock hub for rubber insufflation bulb, including Glass Window Plug FK Rubber Insufflation Bulb, with detachable tube, with LUER-Lock Sponge Forceps, working length 30 cm Suction Tube, with cut-off hole, working length 30 cm B c Biopsy Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, single action jaws, medium jaws, standard model for mucosal biopsy, size 5 mm, length 36 cm Rectoscopes for Adults HEINKEL Rectoscope Tube, outer diameter 20 mm, working length 30 cm, with Obturator O HEINKEL Rectoscope Tube, outer diameter 16 mm, working length 30 cm, with Obturator O Illumination Head Unit, for HEINKEL rectoscope tubes, with fiber optic light transmission, LUER-Lock hub for rubber insufflation bulb, including Glass Window Plug FK Rubber Insufflation Bulb, with detachable tube, with LUER-Lock Sponge Forceps, working length 40 cm Suction Tube, with cut-off hole, working length 40 cm B c Biopsy Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, single action jaws, medium jaws, standard model for mucosal biopsy, size 5 mm, length 36 cm LED NOVA Cold Light Fountain LED NOVA 150, power supply VAC, 50/60 Hz 495 NL Fiber Optic Light Cable, with straight connector, diameter 3.5 mm, length 180 cm optional for documentation with RECTOVISION TP 100EN TELE PACK X LED, endoscopic video unit for use with all TELECAM one-chip camera heads and video endoscopes, incl. LED light source similar to Xenon technology, with integrated digital Image Processing Module, 15" LCD TFT monitor with LED backlight, USB/SD memory module, color systems PAL/NTSC, power supply VAC, 50/60 Hz TELECAM One-Chip Camera Head, color system PAL, soakable, gas-sterilizable, with integrated Parfocal Zoom Lens, f = mm (2x), 2 freely programmable camera head buttons Same, color system NTSC Rectoscope Tube, outer diameter 20 mm, length 25 cm, LUER- Lock hub for rubber insufflation bulb, with Obturator O GA Working Attachment, with locking ring for Rectoscope Tube and 2 channels for instruments with diameters up to 5 mm BA HOPKINS Forward-Oblique Telescope 30, with 45 angled eyepiece, diameter 4 mm, length 28.5 cm, for use with Rectoscope Tube and Working Attachment GA 4 PRO-SET 4

13 TEO Transanal Endoscopic Operations Basic Set 1/2 Telescope BA HOPKINS Forward-Oblique Telescope 30, angled eyepiece, diameter 5 mm, length 21 cm, autoclavable, fiber optic light transmission incorporated, color code: red OR Rectoscope, working length 7.5 cm TK TEO Operating Rectoscope Tube, outer diameter 40 mm, working length 7.5 cm, with handle for holding system, LUER-Lock connector for vapor evacuation OK TEO Obturator, for use with Operating Rectoscope Tube TK AK TEO Working Attachment, with attachment for Telescope BA, 2 channels for instruments size 5 mm and 1 channel for instruments up to size 12 mm, automatic sealing with silicone leaflet valve, LUER-Lock connector for insufflation, for use with TK OR Rectoscope, working length 15 cm T TEO Operating Rectoscope Tube, outer diameter 40 mm, working length 15 cm, with handle for holding system, LUER-Lock connector for vapor evacuation O TEO Obturator, for use with Operating Rectoscope Tube T A TEO Working Attachment, with attachment for Telescope BA, 2 channels for instruments size 5 mm and 1 channel for instruments up to size 12 mm, automatic sealing with silicone leaflet valve, LUER-Lock connector for insufflation, for use with T Telescope BA HOPKINS Forward-Oblique Telescope 30, angled eyepiece, diameter 5 mm, length 21 cm, autoclavable, fiber optic light transmission incorporated, color code: red optional BAE Wire Tray for Cleaning, Sterilization and Storage of one rigid endoscope with angled eyepiece, including holder for light post adaptors, silicone telescope holders and lid, external dimensions (w x d x h): 460 x 80 x 52 mm Basic Sets continued on next page PRO-SET 5 US 5

14 TEO Transanal Endoscopic Operations Basic Set 2/2 Operating Instruments ME c Dissecting and Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER- Lock irrigation connector for cleaning, single action jaws, width of jaws 4.8 mm, jaws offset downwards, multiple teeth, atraumatic, size 5 mm, length 36 cm MG c Dissecting and Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER- Lock irrigation connector for cleaning, single action jaws, jaws offset downwards, 2 x 4 teeth, size 5 mm, length 36 cm PMR c Universal Grasping Forceps PARROT-JAW, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, single action jaws, jaws offset downwards, curved to the right, size 5 mm, length 36 cm ML c KELLY Universal Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, single action jaws, jaws offset downwards, long, size 5 mm, length 36 cm MAR c Scissors, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, single action jaws, jaws offset downwards, curved to the right, size 5 mm, length 36 cm SC Coagulation Suction Tube, proximally and distally bent downwards, punctual, size 5 mm, length 33 cm DM Coagulation Suction Tube, proximally and distally bent downwards, needle-shaped, size 5 mm, length 33 cm Handle with Trumpet Valve, for suction or irrigation, autoclavable, for use with 5 mm coagulating suction tubes and 5 mm suction and irrigation tubes RLD Holding System, for use with TEO operating rectoscope tubes PO Needle Holder, distal curve, size 5 mm, pistol grip 6 PRO-SET 6

15 Colonoscopy Basic Set PKS Colonoscope, SILVER SCOPE series, color system PAL, sheath outer diameter 12.9 mm, working channel diameter 3.8 mm, working length 1400 mm, deflection up/down 180 /180, deflection left/right 160 /160, field of view 160, depth of field mm NKS Same, color system NTSC 9619 NB 19" HD Monitor, color systems PAL/NTSC, max. screen resolution 1280 x 1024, image format 4:3, power supply VAC, 50/60 Hz, wall-mounted with VESA 100 adaption for individual configurations see catalog GASTROENTEROLOGY GI Camera Control Unit SCB, max. resolution 1920 x 1080 pixels, with integrated ICM (Image Capture Module) and SCB (KARL STORZ Communication Bus), power supply VAC, 50/60 Hz, for use with GI video endoscopes for individual configurations see catalog GASTROENTEROLOGY Cold Light Fountain XENON 100 SCB, including integrated insufflation pump, water bottle and irrigation bottle holder for individual configurations see catalog GASTROENTEROLOGY UNIMAT 30, Suction Pump Set, power supply 230 VAC, 50/60 Hz for individual configurations see catalog GASTROENTEROLOGY AUTOCON II 200, with GASTRO-Cut, power supply VAC, 50/60 Hz for individual configurations see catalog GASTROENTEROLOGY DRS-GI Equipment Cart, rides on 4 antistatic dual wheels, 2 equipped with locking brakes (front), 2 fixed shelves, 1 with push handles, 1 narrow sliding tray holder, mains switch in side boom, 1 drawer unit with lock, integrated cable conduits in both vertical beams, 1 set of non-sliding stands for units, double rear panel with integrated electrical subdistributors with 12 sockets, holder for power supplies, potential earth connectors and cable manager on the outside, 1 camera holder, 1 keyboard drawer, 1 tubing holder, 1 monitor holder VESA 75/100, 4 equipment rails, 1 pump holder, 1 special mains cord 100 cm, isolation transformer 230 VAC (50/60 Hz) 1200 VA with 6 IEC sockets and 6 potential earth connectors, 2 handles on the side Dimensions: Equipment cart: 530 x 1455 x 645 mm (w x h x d), Shelf: 430 x 480 mm (B x T), caster diameter: 125 mm for individual configurations see catalog GASTROENTEROLOGY EN KARL STORZ AIDA compact NEO advanced, FULL HD documentation system for digital storage of still images, video sequences and audio files, power supply 115/230 VAC, 50/60 Hz for individual configurations see catalog GASTROENTEROLOGY SmartScreen, for AIDA control NEO for individual configurations see catalog GASTROENTEROLOGY PRO-SET 7 7

16

17 PROCTOSCOPY

18 Proctoscopy and Rectoscopy Approximately 50% of adults suffer from an anorectal disease and related symptoms at least once in their lives. The disease can be identified by reviewing the patient s medical history thoroughly, thereby allowing a tentative diagnosis to be made. An inspection and rectal digital exploration are the obligatory preliminary medical examinations, which are then followed by instrumental diagnostic procedures. The correct indication for a method of treatment and operation can only be given once a careful and precise proctological investigation has been carried out. A wide range of improvements in the techniques for inpatient and outpatient proctological operations in the last 2 decades, not to mention the innovations in accompanying diagnostic examinations, have led to much greater acceptance and satisfaction amongst the patients concerned. The most significant indications for a proctological examination are: Anal bleeding Skin changes in the anal region Pruritus Anal pain Many diagnoses can be reached upon inspection of the anal region. In this case, the detection of fissures, scar changes or fistula openings indicates a requirement for further examination using an ARNOLD fistula hook. After a digital examination, rectoscopy and proctoscopy are performed using rigid tubes. Depending on the findings and symptoms, various tube sizes can be used for proctoscopy and rectoscopy. A significant aspect of the day-to-day work in proctology includes diagnosing and treating hemorrhoidal complaints. Sclerotherapy and rubber band ligation can be implemented successfully in the treatment of hemorrhoidal diseases which are still in the early stages. A variety of ligation devices can be used for this purpose. Many of the instruments used in ligation treatment require the aid of an assistant, although this is generally not the case when suction ligation instruments with an integrated suction pump is applied. After use, the suction ligation instrument can be dismantled easily and the hygienic preparation performed efficiently. The hand instruments presented here for the diagnosis and treatment of proctological diseases are highly robust and easy to take care of. This guarantees a long service life. The metal and plastic parts can be prepared hygienically in the thermal disinfection device and sterilized in the autoclave. Dr. med. H. MEFFLE, Dr. med. J. THOSS, Colo-Proktologische Gemeinschaftspraxis, Stuttgart, Germany 10 PRO 2

19 Anal Distending Speculum Special Features: With holder for fiber optic light carrier Rounded edges Blunt obturator included 26 mm A A Distending Speculum, for anal examinations, with 3 blades, holder for Fiber Optic Light Carrier 24960, outer diameter 18 mm, working length 6 cm, with Obturator AO, with ratchet AS Same, without ratchet, with adjusting screw Fiber Optic Light Carrier, with fiber optic light cable connector Light Sources and Fiber Optic Light Cables see chapter 8, UNITS PRO 3 D 11

20 Anal Distending Speculum AUCKLAND EASI Model This instrument s design allows a controlled, atraumatic insertion of round staplers through the sphincter. The use of this retractor was found to be very effective with respect to avoiding the risk of a dissection of the distal transversal stapling line, if the head part of the round stapler abruptly overcomes the resistance of the sphincter. This instrument is especially useful for extremely low colorectal anastomoses and reconstructive proctocolectomy with ileal pouch-anal anastomosis using the double-stapling technique. Prof. B. PARRY, M.D., Auckland, New Zealand Special Features: Without fiber optic light carrier Blade spread 40 mm Atraumatic stapler insertion aid for reanastomosis Blunt obturator included Simple fixation and loosening using a rocker lever lock Rounded edges 40 mm AUCKLAND EASI Distending Speculum, for anal examinations, with 3 blades, outer diameter 27 mm, working length 6 cm, with Obturator O, with ratchet PRO 4 E

21 Anal Retractor Distending Speculum A N A B N Anal Retractor and Distending Speculum, basic model without blades, with holder for Fiber Optic Light Carrier A Blade Pair, PARKS Retractor type, only, tapered blades, working length 7.5 cm B Same, working length 9.5 cm Fiber Optic Light Carrier, with fiber optic light cable connector Light Sources and Fiber Optic Light Cables see chapter 8, UNITS PRO 5 D 13

22 Proctoscopes for Children and Adults MORGAN Pediatric Proctoscope Tubes AP EP AP MORGAN Pediatric Proctoscope Tube, outer diameter 9.5 mm, working length 6.5 cm, with Obturator AON DP MORGAN Pediatric Proctoscope Tube, outer diameter 11 mm, working length 11 cm, with Obturator DON EP MORGAN Pediatric Proctoscope Tube, outer diameter 13 mm, working length 11 cm, with Obturator EON Fiber Optic Light Carrier, with fiber optic light cable connector MORGAN Proctoscope Tubes MORGAN Proctoscope Tube, outer diameter 17 mm, working length 6.5 cm, with Obturator ON MORGAN Proctoscope Tube, outer diameter 17 mm, working length 8 cm, with Obturator ON MORGAN Proctoscope Tube, outer diameter 20 mm, working length 6.5 cm, with Obturator ON MORGAN Proctoscope Tube, outer diameter 20 mm, working length 8 cm, with Obturator ON MORGAN Proctoscope Tube, outer diameter 20 mm, working length 15 cm, with Obturator ON MORGAN Proctoscope Tube, outer diameter 24 mm, working length 6.5 cm, with Obturator ON MORGAN Proctoscope Tube, outer diameter 24 mm, working length 8 cm, with Obturator ON MORGAN Proctoscope Tube, outer diameter 30 mm, working length 8 cm, with Obturator ON MORGAN Proctoscope Tube, outer diameter 27 mm, working length 7 cm, with Obturator ON Fiber Optic Light Carrier, with fiber optic light cable connector Insertion Tube, with lateral opening and mirror, for use with MORGAN Proctoscope Tubes and Light Sources and Fiber Optic Light Cables see chapter 8, UNITS 14 PRO 6 D

23 Proctoscopes for Documentation, Teaching and Training PROCTOVISION The use of video endoscopic technology in proctoscopy allows extremely good visualization. Video proctoscopy offers ease of use combined with excellent facilities for collecting data (for example, for the documentation of findings, publications) in diagnostics and therapy and is an effective aid for proctology training F BA working channel F BA F Working Attachment, for use with MORGAN Proctoscope Tube and HOPKINS Telescope BA BA HOPKINS Forward-Oblique Telescope 30, eyepiece angled 45, diameter 4 mm, length 9.5 cm, autoclavable, fiber optic light transmission incorporated, color code: red MORGAN Proctoscope Tube, outer diameter 24 mm, working length 8 cm, with Obturator ON Video Documentation Systems and Light Sources see chapter 8, UNITS Wire Trays for Cleaning, Sterilization and Storage see catalog HYGIENE PRO 7 D 15

24 Proctoscopes for Documentation, Teaching and Training PROCTOVISION The combination of standard instruments for proctoscopy with an all-in-one camera and documentation system enables the on-screen presentation and demonstration of proctological findings as well as treatment steps. KARL STORZ TELE PACK X LED combines a monitor, camera, LED light source and USB memory module in a single mobile unit. The GASTRO PACK version features an additional integrated insufflation pump so that it is suitable for use with flexible endoscopes. With the aid of an adaptor, the unit can also be used with rigid endoscopes. Configuration Examples Option 1 For rigid proctoscopy and rectoscopy Option 2 For rigid and flexible video endoscopes TELE PACK X LED with PROCTOVISION GASTRO PACK with PROCTOVISION and RECTOVISION and RECTOVISION GASTRO PACK with video endoscope Video Documentation Systems see chapter 8, UNITS 16 PRO 8 E

25 Instruments for Proctoscopy K K Sponge Forceps, working length 20 cm Swab Forceps, length 20 cm ARNOLD Fistula Hook, length 19 cm Same, with distal bore 0.5 mm SA n SA PROCTOFORCE ONE Punch, through-cutting, cutting width 3.4 mm, straight jaws, sheath diameter 3.5 mm, straight, handle with cleaning connector, working length 20 cm K K Snare Guide, insulated, with connector pin for unipolar coagulation, working length 20 cm PRO 9 B 17

26 Instruments for the Treatment of Hemorrhoids Sclerosis GABRIEL Syringe, 3 ml, LUER-Lock Injection Needle, straight, LUER-Lock, tip diameter 1 mm, working length 14 cm, for use with Syringe B Same, with thin tip diameter 0.6 mm Injection Needle, angled, LUER-Lock, tip diameter 1 mm, working length 14 cm, for use with Syringe B Same, with thin tip diameter 0.6 mm 18 PRO 10 B

27 Instruments for the Treatment of Hemorrhoids Hemorrhoid Grasping Forceps, working length 16 cm, for use with Ligature Instrument A A A SCHUETZ Ligature Instrument, for treatment of hemorrhoids, opening diameter 11 mm, working length 17 cm including: Loading Cone Ligature Instrument A can be used with proctoscopes as of size 17 mm. Components/Spare Parts see chapter 9 PRO 11 19

28 Instruments for the Treatment of Hemorrhoids Suction Ligature Instruments Special Features: Integrated mechanical vacuum pump Replaceable, ergonomic handle Mobile use possible Use of conventional handles for connecting external pump possible NS NS Suction Ligature Instrument, for treatment of hemorrhoids, suction opening diameter 10 mm, working length 14 cm, with integrated vacuum pump including: Ligature Attachment Handle Loading Cone NS NS WORBS-MEFFLE Suction Ligature Instrument, for treatment of hemorrhoids, lateral suction opening diameter 8 mm, working length 19 cm, with integrated vacuum pump including: Ligature Attachment Handle Loading Cone Ligature Instruments NS/25212 NS can be used with proctoscopes as of size 24 mm. Components/Spare Parts see chapter 9 20 PRO 12 B

29 Instruments for the Treatment of Hemorrhoids Suction Ligature Instruments Special Features: Connection to an external vacuum pump Replaceable, ergonomic handle Optional combination possibility with vacuum handle N N Suction Ligature Instrument, for treatment of hemorrhoids, suction opening diameter 10 mm, working length 14 cm, with connector pin for external vacuum pump including: Ligature Attachment Handle Loading Cone N N WORBS-MEFFLE Suction Ligature Instrument, for treatment of hemorrhoids, lateral suction opening diameter 8 mm, working length 19 cm, with connector pin for external vacuum pump including: Ligature Attachment Handle Loading Cone Ligature Instruments N/25212 N can be used with proctoscopes as of size 24 mm. Suction Pumps see chapter 8, UNITS Components/Spare Parts see chapter 9 PRO 13 B 21

30

31 RECTOSCOPY RIGID FLEXIBLE

32

33 Proctoscopy and Rectoscopy Approximately 50% of adults suffer from an anorectal disease and related symptoms at least once in their lives. The disease can be identified by reviewing the patient s medical history thoroughly, thereby allowing a tentative diagnosis to be made. An inspection and rectal digital exploration are the obligatory preliminary medical examinations, which are then followed by instrumental diagnostic procedures. The correct indication for a method of treatment and operation can only be given once a careful and precise proctological investigation has been carried out. A wide range of improvements in the techniques for inpatient and outpatient proctological operations in the last 2 decades, not to mention the innovations in accompanying diagnostic examinations, have led to much greater acceptance and satisfaction amongst the patients concerned. The most significant indications for a proctological examination are: Anal bleeding Skin changes in the anal region Pruritus Anal pain Many diagnoses can be reached upon inspection of the anal region. In this case, the detection of fissures, scar changes or fistula openings indicates a requirement for further examination using an ARNOLD fistula hook. After a digital examination, rectoscopy and proctoscopy are performed using rigid tubes. Depending on the findings and symptoms, various tube sizes can be used for proctoscopy and rectoscopy. A significant aspect of the day-to-day work in proctology includes diagnosing and treating hemorrhoidal complaints. Sclerotherapy and rubber band ligation can be implemented successfully in the treatment of hemorrhoidal diseases which are still in the early stages. A variety of ligation devices can be used for this purpose. Many of the instruments used in ligation treatment require the aid of an assistant, although this is generally not the case when suction ligation instruments with an integrated suction pump is applied. After use, the suction ligation instrument can be dismantled easily and the hygienic preparation performed efficiently. The hand instruments presented here for the diagnosis and treatment of proctological diseases are highly robust and easy to take care of. This guarantees a long service life. The metal and plastic parts can be prepared hygienically in the thermal disinfection device and sterilized in the autoclave. Dr. med. H. MEFFLE, Dr. med. J. THOSS, Colo-Proktologische Gemeinschaftspraxis, Stuttgart, Germany REC 3 F 25

34 Rectoscopes for Children and Adults RECTOVISION HEINKEL Rectoscope Tubes with Obturator are available in the following sizes: Order No. HEINKEL Rectoscope Tube, with obturator Outer Diameter Working Length Obturator, only Order No mm 20 cm O mm 20 cm O mm 30 cm O mm 25 cm O mm 30 cm O mm 20 cm O mm 25 cm O mm 30 cm O mm 20 cm O REC 4 D

35 Rectoscopes for Children and Adults RECTOVISION N Illumination Head Unit, for HEINKEL rectoscope tubes, with fiber optic light transmission, LUER-Lock hub for rubber insufflation bulb, including Glass Window Plug FK N Adjustable Magnifier, for Illumination Head Unit 24920, with sealing cap, for use with instruments size 10 mm, including Reducer B, for use with instruments size 5 mm Rubber Insufflation Bulb, with detachable tube, with LUER-Lock including: Rubber Bulb Rubber Tube * Gas Filter, for single use, sterile, package of Note: The gas filter is positioned between the rubber bulb and the rubber tube to prevent instrument contamination. Reprocessing of the rubber bellows is nevertheless required when using Filter * Components/Spare Parts see chapter 9 REC 5 D 27

36 Rectoscope for Documentation, Teaching and Training RECTOVISION The use of video endoscopic technology in rectoscopy allows extremely good visualization. Video rectoscopy offers ease of use combined with excellent facilities for collecting data (for example, for the documentation of findings, publications) in diagnostics and therapy and is an effective aid for rectoscopical training. telescope lock working channel GA BA Rectoscope Tube, outer diameter 20 mm, length 25 cm, LUER-Lock hub for rubber insufflation bulb, with Obturator O GA Working Attachment, with locking ring for Rectoscope Tube and 2 channels for instruments with diameters up to 5 mm BA HOPKINS Forward-Oblique Telescope 30, with 45 angled eyepiece, diameter 4 mm, length 28.5 cm, for use with Rectoscope Tube and Working Attachment GA Please note: c Instruments, Biopsy Forceps 25227/25228, Sponge Forceps 25215/25216 and Snare Guides 25731/25732 are not suitable for use with Working Attachment GA. Video Documentation Systems and Light Sources see chapter 8, UNITS Wire Trays for Cleaning, Sterilization and Storage see catalog HYGIENE REC 6 E

37 Rectoscope for Documentation, Teaching and Training RECTOVISION The combination of standard instruments for rectoscopy with an all-in-one camera and documentation system enables the on-screen presentation and demonstration of rectoscopical findings as well as treatment steps. KARL STORZ TELE PACK X LED combines a monitor, camera, LED light source and USB memory module in a single mobile unit. The GASTRO PACK version features an additional integrated insufflation pump so that it is suitable for use with flexible endoscopes. With the aid of an adaptor, the unit can also be used with rigid endoscopes. Configuration Examples Option 1 For rigid proctoscopy and rectoscopy Option 2 For rigid and flexible video endoscopes TELE PACK X LED with PROCTOVISION GASTRO PACK with PROCTOVISION and RECTOVISION and RECTOVISION GASTRO PACK with video endoscope Video Documentation Systems see chapter 8, UNITS REC 7 D 29

38 KARL STORZ c rotating, dismantling, laparoscopic instruments c Instruments, consisting of: Handle Outer sheath Working insert Nothing could be simpler! The c series continues the development of instruments which have proven their value for years. The simplicity of handling and ease with which the instruments can be cleaned has been improved, in particular with respect to of assembly and disassembly. When the rear handle is positioned horizontally, the handle can be separated from the outer sheath and the working insert at the press of a button. Reassembly is equally reliable and quick. The high frequency connection is mounted in a 45 angle on the upper side of the handle, thereby ergonomically guiding the high frequency cable away from the field of operation. Available in size 2 to 10 mm, c instruments can be completely disassembled into separate components. Handle Outer sheath/outer sheath with working insert Working insert This unique, reusable two/three-piece design offers the surgeon the following benefits: Available in size 5 with lengths 36 and 43 cm Choice of handle styles Fully rotational 360 sheath facilitates easy access in all clinical situations No hidden spaces that can trap blood or tissue debris Can be dismantled at the press of a button reducing instrument cleaning time considerably Completely autoclavable Cost-effective reusable instruments reduce OR costs per case and simplify inventory management, eliminating the need to store large quantities of disposable instruments Environmentally correct: If damage occurs, only the component with the defect needs to be replaced not the entire instrument Convenient and ergonomic handling Cleaning port allows the instrument to be cleaned without disassembly Due to the modular c system, the user can individually assemble the desired instrument at any time. 30 CLICKLINE-INTRO 2 A

39 User Information For easy location of the correct catalog number for the required c instrument How to find the required instrument: (a) Select the required instrument size and the required type of jaws (b) Select the required handle style - Metal handles: without connector pin for unipolar coagulation, against a blue background in the table - Handles, insulated: with connector pin for unipolar coagulation, against a red background in the table (c) The catalog number for the fully assembled instrument can be found at the point where the horizontal line of the respective working length (see below) intersects with the vertical column of the required handle. Example: P P c Biopsy Forceps, rotating, size 5 mm, length 43 cm, small spoon-shaped jaws 2.5 mm, single action jaws consisting of: Metal Handle, without ratchet, with larger contact area Outer Sheath, insulated P Forceps Insert Biopsy Forceps and Biopsy Punch c rotating, dismantling, with and without connector pin for unipolar coagulation Size 5 mm (a) Length 36 cm Handle (b) N N 43 cm Single action jaws Working Insert Complete Instrument P P (c) P P P P P P P P _ 5 _ c Micro Biopsy Forceps, small jaws Jaw length in mm Please note: For c instruments only the individual component parts are numbered. The catalog number for the complete instrument is not on the instrument. Instruments with insulated handles with connector pin for unipolar coagulation, are shown against the red background, instruments with handles without connector pin for unipolar coagulation are shown against the blue background. The color green indicates the inserts. CLICKLINE-INTRO 3 B 31

40 Plastic Handles for Scissors and Biopsy Forceps, insulated, c rotating, with connector pin for unipolar coagulation unipolar c Plastic Handle, n without ratchet, with larger contact area at the finger ring c Plastic Handle, without ratchet c Metal Handle, rotating, without ratchet c Plastic Handle, n axial, without ratchet, rotating, double action shanks 32 CLICKLINE-INTRO 4 B

41 Metal Handles for Scissors and Biopsy Forceps, c rotating, without connector pin for unipolar coagulation c Metal Handle, n rotating, without ratchet, with plastic rings with larger contact area c Metal Handle, rotating, without ratchet c Metal Handle, n axial, double action handle shanks, without ratchet F c MOURET n Metal Handle, axial, without ratchet F c MOURET n Metal Handle, axial, with long handle bar, without ratchet CLICKLINE-INTRO 5 A 33

42 c Outer Sheaths Size 5 mm Metal Outer Sheaths, insulated c Metal Outer Sheath, insulated, with LUER-Lock connector for cleaning, size 5 mm, length 36 cm Same, length 43 cm Metal Outer Sheaths M M c Metal Outer Sheath, with LUER-Lock connector for cleaning, size 5 mm, length 36 cm M Same, length 43 cm Please note: Metal outer sheaths may only be used with handles without connectors for unipolar coagulation. 34 CLICKLINE-INTRO 6

43 Biopsy Forceps and Biopsy Punches c rotating, dismantling, with and without connectors for unipolar coagulation Size 5 mm Length 36 cm Handle n n 43 cm Single action jaws Working Insert P P Complete Instrument P P P P P P P P _ 5 _ c Micro Biopsy Forceps, small jaws B B B B B B B B B B _ 6 _ c Biopsy Forceps, medium jaws, standard model for mucosal biopsies MB MB MB MB MB MB MB MB MB MB 15 c MANHES Biopsy Forceps, large jaws DH DH DH DH DH DH DH DH DH DH 10 c Biopsy Punch, through-cutting Rotating Wheel, for c and RoBi handles, autoclavable, package of 5, makes rotation of outer sheath more comfortable A Color-Coded Plug, for LUER-Lock connector for cleaning, red, green, black, 10 each, package of 30 Please note: Further c instruments on request High Frequency Surgery Units and Cords see chapter 8, UNITS REC 9 A 35

44 Instruments for Rectoscopy 25228/ Biopsy Forceps, through-cutting, single action jaws, angled jaws, working length 30 cm Same, working length 40 cm 25216/ Sponge Forceps, working length 30 cm Same, working length 40 cm 25736/ Suction and Coagulation Tube, insulated, with connector for unipolar coagulation, working length 30 cm Same, working length 40 cm 25240/ Suction Tube, with cut-off hole, working length 30 cm Same, working length 40 cm AR AR Suction and Irrigation Tube, with twoway stopcock for single-hand control, diameter 5 mm, working length 43 cm High Frequency Surgery Units and Cords, Suction and Irrigation Systems see chapter 8, UNITS 36 REC 10 A

45 Instruments for Rectoscopy Polypectomy Instruments 25732/ Snare Guide, insulated, with connector pin for unipolar coagulation, working length 30 cm Same, working length 40 cm Snare Guide, insulated, with connector pin for unipolar coagulation, working length 40 cm Polyp Grasping Forceps, working length 40 cm, for use with snare guide Spare Snares: Wire Snare, for Snare Guides and 25732, package of A Wire Snare, single, for Snare Guide REC 11 A 37

46 TROIDL Rectoscope, flexible Special Features: The flexible rectoscope generally offers all the benefits of flexible endoscopes: Optimal visualization, i.e. magnification Sharp imagery Possibility of observation with a video system Optimal control Documentation The decisive advantage of this instrument is the possibility, despite extreme flexion, i.e. to pass the injection cannula through the working channel without difficulty. Inversion increases visualization and, consequently, diagnostic and therapeutic possibilities, through pro- and retrograde viewing. Combined short size and inversion increases practicality The reduced size and/or length ensures easy handling (high practicality) in diagnosis and therapy. The short instrument length facilitates and/or enables injection of the tenacious sclerosis agent. A major benefit. This results in less traumatic treatment for the patient and less discomfort in a particularly sensitive area. A decisive advantage! Range of application: 1. This application offers less traumatic access to body cavities/orifices, providing similar benefits as flexible endoscopy. The anorectal area provides the surgeon or general practitioner with the ideal scope for diagnosis and treatment. A concrete diagnosis in the rectum and anal channel (polyps, ulcers, carcinoma, hemorrhoids, and even fissures and fistulae) is offered. The surgeon has the possibility to determine preand intraoperative resection limits in the distal rectum and what is very important to monitor and document completed anastomosis. This is all performed in the OR with minimal effort. 2. The injection treatment of hemorrhoids I II, perhaps even grade III, is in the foreground of this therapy. This includes the possibility of dilating various stenoses in the distal colorectum. Similar to standard flexible coloscopes, i.e. polyps can be removed with a snare or hemorrhage sources can be treated by injection. 3. The practicality of this short flexible endoscope could make it suitable for use in the abdomen using cannulas and particularly in thoracoscopy, not to mention problems in gynecology. Field of application: Specially suited for the diagnosis of surgical illnesses and surgical procedures in the rectal area (polyps, ulcers, carcinoma, anastomoses, stenoses, hemorrhoids, fissures, fistula). Summary: The flexible rectoscope offers all the benefits of flexible endoscopy. The short size of the instrument enhances these benefits with the correct indication. Its ease of use (general practicality) results in less trauma for the patient in comparison to standard technologies. The physician can, therefore, treat the patient precisely and relatively quickly with minimal discomfort. Prof. Dr. med. Dr. h. c. H. TROIDL REC 12 A

47 TROIDL Rectoscope, flexible PKS/NKS PKS TROIDL Rectoscope, flexible,11.8 mm x 40 cm, color system PAL Direction of view: 0 Sheath diameter: 11.8 mm Working channel diameter: 3.2 mm Working length: 40 cm Distal tip outer diameter: 11.8 mm Deflection up/down: 210 /100 Deflection left/right: 120 /120 Field of view: 140 Depth of field: mm NKS Same, color system NTSC Accessories included in the delivery of PKS/NKS see page 40 Further flexible instruments see chapter 6, COLONOSCOPY, SIGMOIDOSCOPY Video Documentation Systems and Light Sources see chapter 8, UNITS Sterile Single-Use Biopsy Forceps, Sclerosis Needles and Polypectomy Snares see mtp catalog REC 13 39

48 TROIDL Rectoscope, flexible Accessories Accessories included in the delivery of PKS/NKS: SS Irrigation Tube, reusable, for the working channel of flexible video endoscopes YS Y-Irrigation Tube, reusable, for flexible video endoscopes XE Pressure Compensation Cap, ETO cap LX Leakage Tester DA Sealing Cap, for working channel, package of RV Cleaning Valve LV Suction Valve SV Air/Water Valve VB Valve Brush, for video endoscopes B Instrument Oil, 50 ml, silicone-free Video Connecting Cable KV Case 40 REC 14

49 VIDEO-ASSISTED ANAL FISTULA AND PILONIDAL SINUS TREATMENT

50 Video-assisted Anal Fistula and Pilonidal Sinus Treatment MEINERO Technique VAAFT (Video-Assisted Anal Fistula Treatment) MEINERO Technique The MEINERO VAAFT technique is used for the surgical treatment of anal fistulas and their recurrences. The endoscope allows the precise localization of the internal fistula opening under visual control, the treatment of fistulas from the inside, and complete closure of the internal opening key points for successful treatment. A new treatment concept is thus provided, i.e. fistuloscopy, which eliminates the need for preoperative examinations and, therefore, cuts costs. This technique comprises two phases: A diagnostic (fistuloscopy) and an operative one. Following fistuloscopy, radical treatment of the primary and secondary fistula openings is performed under visual control using a unipolar electrode which is passed through the working channel of the endoscope. The risk of incontinence is excluded as there is no sphincter injury. The internal fistula opening depending on the tissue properties can be closed through various methods. Benefits of the VAAFT technique: No hospitalization required Sphincter function retained No risk of incontinence Localization and closure of the internal fistula opening Complete elimination of the fistula from the inside Minimal surgical wounds in the perianal areas Hardly any post-operative treatment required Resumption of work possible within a few days MEINERO EPSIT (Endoscopic Pilonidal Sinus Treatment) Video-assisted Treatment of the Pilonidal Sinus The MEINERO EPSIT technique is used for the surgical treatment of the pilonidal sinus (coccygeal fistula) and its recurrences. The endoscope is inserted through a small incision in the sacrococcygeal area. This enables correct localization of the infected area and fistula tracts under vision. A forceps is introduced through the working channel of the endoscope to remove any hairs located on the pilonidal sinus under visual control. Subsequently, radical treatment is performed using a unipolar electrode which is passed through the working channel of the endoscope. Necrotic material is removed using the fistula brush or a curette. The result is a small incision (depending on the extent of the infected area, two or more incisions may be required). Benefits of the EPSIT technique: No hospitalization required Hardly any postoperative pain Minimal surgical wounds Better quality of life for the patients Excellent cosmetic results Quick resumption of normal activities possible P. MEINERO, M.D. Head of Proctology, Department of Surgery, S. Margherita Ligure Lavagna Hospital, Lavagna, Italy 42 VAAFT 2 A

51 Instruments for Video-assisted Anal Fistula and Pilonidal Sinus Treatment MEINERO Technique Coagulation Electrode, unipolar, for fistulectomy, 7 Fr., length 53 cm KJ KJ c REDDICK-OLSEN Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, double action jaws, size 2 mm, length 30 cm including: Plastic Handle, without ratchet, with larger contact area at the finger ring Outer Sheath with Forceps Insert Fistula Brush including: 3-ring Handle, with outer sheath Fistula Brush Insert, outer diameter 4 mm Fistula Brush Insert, outer diameter 4.5 mm Fistula Brush Insert, outer diameter 5 mm Components/Spare Parts see chapter 9 VAAFT 3 B US 43

52

53 COLORECTAL SURGERY TRANSANAL ENDOSCOPIC OPERATIONS (TEO ) INSTRUMENTS FOR COLORECTAL SURGERY

54 Operating Rectoscope for TEO Transanal Endoscopic Operations Transanal surgical procedures are considered preferable to open surgery. A wide lumen rectoscope enables precise guidance of surgical instruments under visual control. Special features: Autoclavable HOPKINS telescope with fiber optic light transmission and oblique view Excellent view and simple orientation due to 30 direction of view as in laparoscopic surgery Minimal gas loss during instrument changeover due to automatically sealing valves The new design of the channels has been adapted for the use of offset operating instruments Also suitable for staplers with a diameter of 12 mm (large working channel) Available in lengths of 15 and 7.5 cm Connectors for insufflation and vapor evacuation Compatible with all standard laparoscopic camera systems V-OP 2 US

55 Operating Rectoscope for TEO Transanal Endoscopic Operations Excellent view and simple orientation due to 30 direction of view as in laparoscopic surgery Holder for fixation to holding arm Adaptors for fiber optic light cable and LUER-Lock connector for cleaning Minimal gas loss during instrument changeover due to automatically sealing valves 1-10 Autoclavable HOPKINS 5 mm telescope with fiber optic light transmission ans 30 oblique view V-OP 3 US 47

56 Operating Rectoscope for TEO Transanal Endoscopic Operations Working lengths 7.5 cm BA TK AK OK BA HOPKINS Forward-Oblique Telescope 30, angled eyepiece, diameter 5 mm, length 21 cm, autoclavable, fiber optic light transmission incorporated, color code: red TK TEO Operating Rectoscope Tube, outer diameter 40 mm, working length 7.5 cm, with handle for holding system, LUER-Lock connector for vapor evacuation OK TEO Obturator, for use with Operating Rectoscope Tube TK AK TEO Working Attachment, with attachment for Telescope BA, 2 channels for instruments size 5 mm and 1 channel for instruments up to size 12 mm, automatic sealing with silicone leaflet valve, LUER-Lock connector for insufflation, for use with TK V-OP 4 US

57 Operating Rectoscope for TEO Transanal Endoscopic Operations Working length 15 cm BA T A O BA HOPKINS Forward-Oblique Telescope 30, angled eyepiece, diameter 5 mm, length 21 cm, autoclavable, fiber optic light transmission incorporated, color code: red T TEO Operating Rectoscope Tube, outer diameter 40 mm, working length 15 cm, with handle for holding system, LUER-Lock connector for vapor evacuation O TEO Obturator, for use with Operating Rectoscope Tube T A TEO Working Attachment, with attachment for Telescope BA, 2 channels for instruments size 5 mm and 1 channel for instruments up to size 12 mm, automatic sealing with silicone leaflet valve, LUER-Lock connector for insufflation, for use with T V-OP 5 A US 49

58 Operating Rectoscope for TEO Transanal Endoscopic Operations F B I SP AKF Accessories: F Sealing Cap, fenestrated, with holder for Fiber Optic Light Carrier B B Fiber Optic Light Carrier, with connector pin for fiber optic light cable, with sealing ring SP Seal Set, for TEO Working Attachments A/AK I Insertion Aid, for silicone leaflet washers, in the working/sealing cap AKF TEO Working Attachment, 1 channel for instruments up to size 10 mm and 2 channels for instruments up to size 14 mm, automatic sealing with silicone leaflet valve, SPF required as seal set, for use with 5 mm or 10 mm HOPKINS telescopes and with TEO Operating Rectoscope Tube T/TK V-OP 6 US

59 KARL STORZ c rotating, dismantling, laparoscopic instruments c Instruments, consisting of: Handle Outer sheath Working insert Nothing could be simpler! The c series continues the development of instruments which have proven their value for years. The simplicity of handling and ease with which the instruments can be cleaned has been improved, in particular with respect to of assembly and disassembly. When the rear handle is positioned horizontally, the handle can be separated from the outer sheath and the working insert at the press of a button. Reassembly is equally reliable and quick. The high frequency connection is mounted in a 45 angle on the upper side of the handle, thereby ergonomically guiding the high frequency cable away from the field of operation. Available in size 2 to 10 mm, c instruments can be completely disassembled into separate components: Handle Outer sheath/outer sheath with working insert Working insert This unique, reusable two/three-piece design offers the surgeon the following benefits: Available in size 5 with lengths 36 and 43 cm Choice of handle styles Fully rotational 360 sheath facilitates easy access in all clinical situations No hidden spaces that can trap blood or tissue debris Can be dismantled at the press of a button reducing instrument cleaning time considerably Completely autoclavable Cost-effective reusable instruments reduce OR costs per case and simplify inventory management, eliminating the need to store large quantities of disposable instruments Environmentally correct: If damage occurs, only the component with the defect needs to be replaced not the entire instrument Convenient and ergonomic handling Cleaning port allows the instrument to be cleaned without disassembly Due to the modular c system, the user can individually assemble the desired instrument at any time. CLICKLINE-INTRO 1 51

60 User Information For easy location of the correct catalog number of the required c instrument How to find the required instrument: (a) Select the required instrument size and the required type of jaws (b) Select the required handle style - Metal handles: without connector pin for unipolar coagulation, against a blue background in the table - Handles, insulated: with connector pin for unipolar coagulation, against a red background in the table (c) The catalog number for the fully assembled instrument can be found at the point where the horizontal line of the respective working length (see below) intersects with the vertical column of the required handle. Example: ME ME c Dissecting and Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, single action jaws, width of jaws 4.8 mm, jaws offset downwards, multiple teeth, atraumatic, size 5 mm, length 36 cm consisting of: Plastic Handle, without ratchet Metal Outer Sheath ME Forceps Insert Operating Instruments für TEO Transanal Endoscopic Operations, c Dissecting and Grasping Forceps, rotating, dismantling, with and without connector pin for unipolar coagulation Size 5 mm (a) Length 36 cm Handle (b) n n n n n n 43 cm Single action jaws offset downwards Working Insert Complete Instrument ME ME ME(c) ME ME ME ME ME ME ME ME ME ME ME 14 c Dissecting and Grasping Forceps, jaws offset downwards, multiple teeth, atraumatic, width of jaws 4.8 mm Jaw length in mm Please note: For c instruments only the individual component parts are numbered. The catalog number for the complete instrument is not on the instrument. Instruments with insulated handles with connector pin for unipolar coagulation, are shown against the red background, instruments with handles without connector pin for unipolar coagulation are shown against the blue background. The color green indicates the inserts. 52 CLICKLINE-INTRO 2

61 Plastic and Metal Handles for Scissors and Biopsy Forceps, insulated, c rotating, with connector pin for unipolar coagulation unipolar c Plastic Handle, c Plastic Handle, c Plastic Handle, n without ratchet, with n with MANHES style n with hemostat style larger contact area ratchet, with larger ratchet, with larger at the finger ring contact area at the contact area at the finger ring finger ring c Plastic Handle, without ratchet c Metal Handle, rotating, without ratchet c Plastic Handle, n axial, without ratchet, rotating, double action shanks CLICKLINE-INTRO 3 53

62 Metal Handles for Scissors and Biopsy Forceps, c rotating, without connector pin for unipolar coagulation c Metal Handle, c Metal Handle, c Metal Handle, with n rotating, without ratchet, with plastic rings with larger contact area n with MANHES ratchet, with larger contact area at the finger ring n hemostatic style ratchet, with larger contact area at the finger ring F c MOURET n Metal Handle, axial, without ratchet F c MOURET n Metal Handle, axial, with long handle bar, without ratchet c Metal Handle, n axial, double action handle shanks, without ratchet c Metal Handle, rotating, without ratchet 54 CLICKLINE-INTRO 4

63 c Outer Sheaths Size 5 mm Metal Outer Sheaths, insulated c Metal Outer Sheath, insulated, with LUER-Lock connector for cleaning, size 5 mm, length 36 cm Same, length 43 cm Metal Outer Sheaths M M c Metal Outer Sheath, with LUER-Lock connector for cleaning, size 5 mm, length 36 cm M Same, length 43 cm Please note: Metal outer sheaths may only be used with handles without connectors for unipolar coagulation. CLICKLINE-INTRO 5 55

64 Operating Instruments for TEO Transanal Endoscopic Operations, c Dissecting and Grasping Forceps, rotating, dismantling, with and without connector pin for unipolar coagulation Size 5 mm Length 36 cm Handle n n n n n n 43 cm Single action jaws offset downwards Working Insert Complete Instrument ME ME ME ME ME ME ME ME ME ME ME ME ME ME _ 14 _ c Dissecting and Grasping Forceps, jaws offset downwards, multiple teeth, atraumatic, width of jaws 4.8 mm DF DF DF DF DF DF DF DF DF DF DF DF 18 c Universal Grasping Forceps, atraumatic, jaws offset downwards MG MG MG MG MG MG MG MG MG MG MG MG DF DF MG MG _ 14 _ c Dissecting and Grasping Forceps, jaws offset downwards, 2 x 4 teeth PMR PMR PMR PMR PMR PMR PMR PMR PMR PMR PMR PMR PMR PMR _ 14 _ c Universal Grasping Forceps PARROT-JAW, jaws offset downwards, curved to right PML PML PML PML PML PML PML PML PML PML PML PML PML PML _ 14 _ c Universal Grasping Forceps PARROT-JAW, jaws offset downwards, curved to left ML ML ML ML ML ML ML ML ML ML ML ML ML ML 22 c KELLY Universal Grasping Forceps, jaws offset downwards, long Further Grasping Forceps, Scissors and Needle Holders with straight jaws see catalog LAPAROSCOPY 56 V-OP-INST 2 C

65 Operating Instruments for TEO Transanal Endoscopic Operations, c Scissors, rotating, dismantling, with and without connector pin for unipolar coagulation Size 5 mm Length 36 cm n Handle n 43 cm Single action jaws offset downwards Working Insert Complete Instrument MT MT MT MT MT MT 16 c Scissors, jaws offset downwards, serrated MAR MAR MAR MAR MAR MAR 22 c Scissors, jaws offset downwards, curved to right MAL MAL MAL MAL MAL MAL 22 c Scissors, jaws offset downwards, curved to left Further Grasping Forceps, Scissors and Needle Holders with straight jaws see catalog LAPAROSCOPY V-OP-INST 3 C 57

66 Operating Instruments for TEO Transanal Endoscopic Operations, Coagulation Suction Tubes, Dissection Hook Electrodes Length Instrument 33 cm Distal End Instrument DM Coagulation Suction Tube, proximally and distally bent downwards, needle-shaped SC Coagulation Suction Tube, proximally and distally bent downwards Handle with Trumpet Valve, for suction or irrigation, autoclavable, for use with 5 mm coagulating suction tubes and 5 mm suction and irrigation tubes Handle with Two-Way Stopcock, for suction and irrigation, autoclavable, for use with suction and irrigation tubes size 5 mm Length Instrument 33 cm Distal End KG Instrument Dissection Hook Electrode, proximally and distally bent downwards, needle-shaped KGG Dissection Hook Electrode, distally bent downward, needle-shaped High Frequency Surgery Units, High Frequency Surgery Cords and Suction and Irrigation System see chapter 8, UNITS 58 V-OP-INST 4 C

67 n Operating Instruments for TEO Transanal Endoscopic Operations, KOH Macro Needle Holders, dismantling, distally curved KOH Macro Needle Holder, size 5 mm, dismantling, distally curved, consisting of: Handle Outer Sheath The ergonomic handle and the optimal distal curve of the needle holder ensures easier handling for suturing. The jaw profile offers a secure hold that makes it easier to grasp the needle, particularly in the narrow space between the tube and the suture line at the rectosigmoid transition to the rectal side walls. PD D. SCHUBERT, M.D. Head of Department, Klinikum Saarbrücken, Germany The reusable dismantling design offers the user the following benefits: Can be disassembled into two separate components Fully autoclavable Cleaning connector Choice of six different handles Jaws with tungsten carbide inserts User-friendly and ergonomic handling Further Needle Holders see catalog LAPAROSCOPY V-OP-INST 5 C 59

68 n Metal Handles for KOH Macro Needle Holders, dismantling, distally curved Handles, axial and pistol, with disengageable ratchet AR Handle, axial, with disengageable ratchet, ratchet position right AL Handle, axial, with disengageable ratchet, ratchet position left AO Handle, axial, with disengageable ratchet, ratchet position on top PR Handle, pistol-shaped, with disengageable ratchet, ratchet position right PL Handle, pistol-shaped, with disengageable ratchet, ratchet position left PO Handle, pistol-shaped, with disengageable ratchet, ratchet position on top 60 V-OP-INST 6 C

69 n Operating Instruments for TEO Transanal Endoscopic Operations, KOH Macro Needle Holders, dismantling, distally curved Size 5 mm Operating Instruments, length 33 cm, with axial handle for use with trocars size 6 mm Length Handle AR AL AO 33 cm Single action jaws Working Insert Complete Instrument AR AL AO Needle Holder, distally curved, diameter 5 mm Operating Instruments, length 33 cm, with pistol-shaped handle for use with trocars size 6 mm Length Handle PR PL PO 33 cm Single action jaws Working Insert Complete Instrument PR PL PO Needle Holder, distally curved, diameter 5 mm V-OP-INST 7 C 61

70 WEXNER Operating Rectoscope for TEO Transanal Endoscopic Operations n New endoscopic technology solutions are enhancing the capabilities of today s colorectal surgeons, allowing a range of advanced procedures for treating colorectal neoplasia. Transanal endoscopic interventions are believed to offer a viable technique for excision of rectal tumors in certain patients. The method is enhanced by developments in endoscopic instrumentation that combine the enhanced visualization offered by superior optics with an extended reach that helps enable surgeons to perform a more complete and precise surgical excision. A new system for transanal endoscopic rectal surgery combines several innovative design features to enhance functionality when treating rectal tumors. A superior optics system provides crystal clear magnification and excellent visualization, particularly when combined with high-definition systems. Furthermore, rather than using a fixed telescope, the new system for TEO procedures uses a standard 5 mm 30-degree laparoscope. Once inserted into the proctoscope cap, the 5 mm laparoscope can be moved axially or rotated for optimal positioning, then locked in place. In this way, it allows the surgeon to alter the point of view as needed to proceed. Most importantly, while proctoscope caps typically have entry ports that are positioned very close together (placing the instruments more or less in line), the new TEO system uses distinctively curved instruments. To offer ergonomic benefits, the instruments have bent shafts that help to keep the handles from colliding as multiple instruments are used. Instruments for the right hand have handles that curve to the right and tips that curve downward. Instruments for the left hand have handles that curve to the left and tips that curve downward. This design is useful in preventing the hands from colliding since the space in which the instruments are being used and manipulated is very confined. The enhanced TEO system provides a number of key features and benefits to surgeons: Ergonomic instrument design optimizes working space by increasing manipulation efficiency New TEO system provides enhanced proctoring environment New TEO system allows more cost-effective use as a standard 5 mm 30 laparoscope can be used The associated WEXNER c instrumentation can also be used for standard single-port laparoscopic operations Special suction and irrigation cannula with distal wire tray prevents clogging S. WEXNER, MD, Department Chair, Cleveland Clinic Florida, USA 62 V-OP-INST 8 B

71 WEXNER Operating Rectoscope for TEO Transanal Endoscopic Operations n For use with a standard TEO operating tube with a length of 15 cm AW T BA OW BA HOPKINS Forward-Oblique Telescope 30, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated, color code: red OW WEXNER Visual Obturator, for use with HOPKINS Telescope BA and a standard TEO operating rectoscope AW TEO Working Attachment, with variable telescope guide, 2 channels for instrument size 5 mm and 1 channel for instruments up to size 12 mm, automatic sealing with silicone leaflet valve including: Telescope Guide Seal Set Standard TEO Operating Rectoscope with a length of 15 cm see page 49 Components/Spare Parts see chapter 9 V-OP-INST 9 B 63

72 n WEXNER Instruments for TEO Transanal Endoscopic Operations ML MLG ML c Grasping Forceps, sheath proximal curved to right, single action jaws, offset downwards, curved to left, size 5 mm, length 43 cm including: Metal Handle Outer Sheath, with working insert MLG Same, sheath proximal curved to left, double action jaws PML PMR PML c Grasping Forceps, sheath proximal curved to right, single action jaws, offset downwards, curved to left, size 5 mm, length 43 cm including: Metal Handle Outer Sheath, with working insert PMR Same, sheath proximal curved to left, jaws curved to right MAL MAR MAR c Scissors, sheath proximal curved to right, single action jaws, offset downwards, curved to left, size 5 mm, length 43 cm including: Metal Handle Outer Sheath, with working insert Components/Spare Parts see chapter MAR Same, sheath proximal curved to left, jaws curved to right 64 V-OP-INST 10 A

73 n WEXNER Instruments for TEO Transanal Endoscopic Operations Needle Holder, curved sheath, diameter 5 mm, with axial handle Suction Tube, curved, diameter 5 mm, with Wire Tray SK and Cleaning Adaptor R Suction Tube, straight, diameter 5 mm, with Wire Tray SK and Cleaning Adaptor R V-OP-INST 11 A 65

74 Holding Systems, U-shaped for TEO Transanal Endoscopic Operations Special Features: Simple, fast and accurate positioning All five joint functions can be fixed by means of a mechanical central clamp Variable height adjustment by using the socket Additional angle adjustment by using socket HR Sockets for use with European and United States standard rails of OR table Maintenance-free and autoclavable With quick release coupling KSLOCK Rotation Socket Socket RLD KLD Holding System, U-shaped, autoclavable, with quick release coupling KSLOCK including: Socket, to clamp to the OR table, for European and US standard rails, also suitable for rails 25 x 10 up to 35 x 8 mm, with lateral clamp for height adjustment of the articulated stand Articulated Stand, reinforced version, U-shaped, with one mechanical central clamp for all five joint functions, with quick release coupling KSLOCK (female) RLD Same, including: Rotation Socket, to clamp to the OR table, for European and US standard rails, with lateral clamp for height and angle adjustment of the articulated stand Components/Spare Parts see chapter 9 66 V-OP-INST 12 A

75 Holding Systems, U-shaped for TEO Transanal Endoscopic Operations HK HK Socket, to clamp to the OR table, for European and US standard rails, also suitable for rails 25 x 10 up to 35 x 8 mm, lateral clamp for height adjustment of the articulated stand HR HR Rotation Socket, to clamp to the operating table, with one mounted Butterfly Nut HRS, for European and US standard rails, with lateral clamp for height and angle adjustment of the articulated stand optional: UL UL Clamping Jaw, universal, clamping range 0 to 18 mm, with quick release coupling KSLOCK (male) V-OP-INST 13 A 67

76

77 Instruments for Colorectal Surgery V-OP-INST 15 A 69

78 LEROY Instrument Set for Colorectal Surgery LEROY Anal Dilator, fiber optic light transmission incorporated This instrument is useful for performing colorectal anastomoses on long rectal stumps, i.e. following sigmoidectomy or left colectomy as it enables atraumatic dilation of the anal sphincter and the introduction of a guide tube with an atraumatic stylet at the distal end. This can be easily advanced right up to the base of the rectal stump. The distal tip of the dilator (thanks to the integrated fiber optic light transmission) is illuminated, enabling its positioning under laparoscopic control. Following the removal of the dilator, the stapler is introduced and can be ideally positioned at the end of the anal stump to prevent injuries with the stapler. The anastomosis is performed whereby the guide tube remains around the stapler. When the anastomosis is completed, the entire device is removed. Laparoscopic positioning of the illuminating end replaces the surgeon s hand in open surgery to control the guide tube. Prof. J. LEROY M. D., Strasbourg, France H H LEROY Anal Dilator, outer diameter 42 mm, inner diameter 35 mm, working length 15 cm, with 8 cm gap on the upper proximal end of the tube, with handle for holding system, fiber optic light transmission incorporated for distal illumination including: Anal Dilator Conical Obturator Blunt Obturator HS Same, outer diameter 37 mm, inner diameter 30 mm Further Instruments for Colorectal Surgery see catalog LAPAROSCOPY Components/Spare Parts see chapter 9 70 V-OP-INST 16 A

79 LEROY Instrument Set for Colorectal Surgery LEROY Retractors, for laparoscopic colorectal surgery Advanced laparoscopic surgery, and laparoscopic rectal surgery in particular, is technically challenging. One of the key requirements for successfully performing this procedure while respecting oncological principles is an optimal exposure and, consequently, a good visualization of the surgical site. Particularly for laparoscopic colorectal surgery involving a complex anatomy (especially in obese male patients), the use of retractors is vital in order to clearly visualize various structures and to enable dissection. In conjunction with KARL STORZ, various retractor types were developed to suit various anatomical conditions. The new generation of extremely stable LEROY retractors (diameter 10 mm) is easy to use and works with the retraction principle familiar from open surgery. The finger-shaped retractors are introduced in extended form. A rotating wheel on the proximal end allows various angles. The distal tip can be angled to max. 90. When introduced via a sub- or suprapubic trocar, the retractors allow anterior traction without increasing pressure on the abdominal wall. Thanks to the new generation of endoscopic colorectal retractors from KARL STORZ, our conversion rate to open surgery is less than 3% while achieving oncologically correct resection in nearly 100% of cases. Prof. J. LEROY M. D., Strasbourg, France Unlike conventional retractors, the LEROY retractors for laparoscopic colorectal surgery are perfectly adapted for the exposure of anatomical planes (especially in male patients) without interfering with dissection. 4 different types of jaws detachable Handle H Further Instruments for Colorectal Surgery see catalog LAPAROSCOPY V-OP-INST 17 71

80 LEROY Instrument Set for Colorectal Surgery LEROY Retractors, for laparoscopic colorectal surgery LEROY H-Retractor The H-retractor features parallel jaws with atraumatic tips that enable wide retraction similar to that obtained with the retractor used in open surgery. It is very useful for the dissection of a small pelvis in female patients HA LEROY Articulating H-Retractor, long jaws, double action jaws, jaws open in parallel, bendable to 90, autoclavable, size 10 mm, length 36 cm LEROY T-Retractor The T-retractor enables wider retraction, for example, in the retro-prostatic region T LEROY T-Retractor, with rotation wheel for angling and extending the distal tip, with LUER-Lock connector for cleaning, autoclavable, size 10 mm, length 30 cm Further Instruments for Colorectal Surgery see catalog LAPAROSCOPY 72 V-OP-INST 18

81 LEROY Instrument Set for Colorectal Surgery LEROY Retractors, for laparoscopic colorectal surgery LEROY V-Retractor The V-retractor is useful for the ventral retraction of the prostate, allowing easier introduction of the scope thanks to the possibility of turning the retractor handle laterally VL LEROY V-Retractor, with rotation wheel for angling and extending the distal tip, with LUER-Lock connector for cleaning, autoclavable, size 10 mm, length 30 cm LEROY I-Retractor The I-retractor is useful for retracting narrow zones without damaging the retracted tissue I LEROY I-Retractor, with rotation wheel for angling the distal tip, with LUER-Lock connector for cleaning, autoclavable, size 10 mm, length 36 cm H Handle Attachment, autoclavable, for use with LEROY retractors for secure hold Further Instruments for Colorectal Surgery see catalog LAPAROSCOPY V-OP-INST 19 73

82

83 COLONOSCOPY, SIGMOIDOSCOPY

84

85 Video Endoscopy System for Colonoscopy and Sigmoidoscopy PRO-VC 1 77

86 SILVER SCOPE Colonoscopes 1 working channel The SILVER SCOPE from KARL STORZ sets new standards in endoscope design as well as image quality. The utilization of the latest innovations in digital technology, high-resolution CCD chips and an enhanced optical system allows an image sharpness unparalleled in endoscopy. The images are distinguished by excellent brightness, resolution and depth of field. By incorporating two diametrically opposed light bundles and intelligent digital processor control, evenly illuminated images are provided, even under difficult lighting conditions. Special Features: High resolution HR Large depth of field 8x magnification for optimal diagnostics Fatigue-free working with an ergonomically formed control body Excellent deflection 3 programmable buttons Powerful 160 wide angle telescope Enhanced easy to operate controls Optimal position of control functions Torsion-proof, 3-step insertion sheath with active and passive sections for optimal handling Optimal instrument passage even at extreme angles 78 PRO-VC 2

87 SILVER SCOPE Colonoscopes Fig. 1: Inconspicuous mucosa in the distal sigmoid colon Fig. 2: Inconspicuous mucosa in the transverse colon Fig. 3: Normal vascular structure in the transverse colon Fig. 4: Biopsy of the mucous membrane (liver flexure) Fig. 5: Rectal hemorrhage Fig. 6: Ascending colon PRO-VC 3 79

88 SILVER SCOPE Colonoscopes 1 working channel Specifications: Field of view: 160 Depth of field: mm (3 freely programmable buttons with double function, i.e. for freeze/print or zoom/brightness) Nozzle for lens cleaning/irrigation/insufflation Lens Nozzle for lens cleaning/irrigation/insufflation Light guide Water jet channel Working channel Light guide Suction valve Lock for control up/down Control right/left 3 freely programmable control buttons Lock for control right/left Control up/down Suction valve Air/water valve Working/biopsy channel Water jet channel Supply tube Connector Leakage tester Ventilation Sealing cap Water bottle connector Suction connector Air pin Light cable connector 80 PRO-VD 4

89 SILVER SCOPE Colonoscopes Overview Order No. SILVER SCOPE PAL NTSC Sheath Outer Diameter Working Channel Diameter Working Length up/down Deflection left/right Field of View Depth of Field Standard Colonoscope PKS NKS 12.9 mm 3.8 mm 1400 mm mm 180 Standard Colonoscope with water-jet channel PKS NKS 12.9 mm 3.8 mm 1600 mm mm Reinforced Colonoscope HPKS HNKS 12.9 mm 3.8 mm 1400 mm mm Reinforced Colonoscope with water-jet channel HPKS HNKS 12.9 mm 3.8 mm 1600 mm mm Accessories for PKS/NKS, PKS/NKS, HPKS/HNKS and HPKS/HNKS see pages PRO-VD 5 US 81

90 SILVER SCOPE Colonoscopes Accessories Accessories included in the delivery of PKS/NKS and HPKS/HNKS: * Biopsy Forceps, for single use, sterile, with oval jaws and spike, coated, working length 230 cm, for use with flexible endoscopes with working channels as of diameter 2.8 mm * Cleaning Brush, for single use, unsterile, with double-sided brush, diameter 5 mm, length 220 cm, for use with flexible endoscopes with working channel diameters mm Accessories included in the delivery of PKS/NKS and HPKS/HNKS: * Biopsy Forceps, for single use, sterile, with oval jaws and spike, coated, working length 230 cm, for use with flexible endoscopes with working channels as of diameter 2.8 mm * Cleaning Brush, for single use, unsterile, length 200 cm, for working channels with diameter 1.2 mm * Cleaning Brush, for single use, unsterile, with double-sided brush, diameter 5 mm, length 220 cm, for use with flexible endoscopes with working channel diameters mm * 82 PRO-VD 6

91 SILVER SCOPE Colonoscopes Accessories Accessories included in the delivery of PKS/NKS, PKS/NKS, HPKS/HNKS and HPKS/HNKS: SS Irrigation Tube, reusable, for the working channel of flexible video endoscopes YS Y-Irrigation Tube, reusable, for flexible video endoscopes SWJ Cleaning Adaptor, for water jet channel, LUER-Lock connector for manual and automated cleaning and disinfection, for use with SILVER SCOPE series, Colonoscope PKS/NKS XE Pressure Compensation Cap, ETO cap LX Leakage Tester DA Sealing Cap, for working channel, package of SRV Cleaning Valve SAV Suction Valve SSV Air/Water Valve VB Valve Brush, for video endoscopes B Instrument Oil, 50 ml, silicone-free * Bite Protector, for single use, dark green, with rubber strap, unsterile SFN Protective Film KV Case * PRO-VD 7 83

92 SILVER SCOPE Colonoscopes Accessories Optional accessories: * Biopsy Forceps, for single use, sterile, with oval jaws and spike, diameter 2.3 mm, working length 180 cm, package of 10, for use with flexible endoscopes with working channels as of diameter 2.8 mm * Biopsy Forceps, for single use, sterile, with oval jaws and spike, diameter 2.3 mm, working length 230 cm, package of 10, for use with flexible endoscopes with working channels as of diameter 2.8 mm SIA Irrigation and Insufflation Adaptor, to connect the working channel of the flexible video endoscope with irrigation pumps and insufflators * Cleaning Brush, for single use, unsterile, with double-sided brush, diameter 1.5 mm, length 220 cm, for use with flexible endoscopes with working channel diameter 1.2 mm * 84 PRO-VD 8

93 Sigmoidoscopes Special Features: High resolution Large depth of field Uniform image brightness, even under difficult lighting conditions Powerful 160 wide angle telescope Enhanced, easy-to-operate controls Optimal positioning of control functions Torsion-proof, 3-step insertion sheath with active and passive sections for optimal handling Optimal instrument passage, even at extreme angles Robust supply tube with standard connections PRO-VD 9 85

94 Sigmoidoscopes 1 working channel Specifications: Field of view: 160 Depth of field: mm (2 freely programmable buttons with double function, i.e. for freeze/print or zoom/brightness) Nozzle for lens cleaning/irrigation/insufflation Light guide Working channel Lens Light guide 2 freely programmable remote control buttons Lock for control up/down Suction control button Irrigation/insufflation control button Control right/left Working channel Control up/down Lock for control right/left Connector Leakage tester Ventilation Supply tube Water bottle connector Suction connector Video processor connector 86 PRO-VD 10

95 Sigmoidoscopes 1 working channel PAL Order No. NTSC Sheath Outer Diameter Working Channel Diameter Working Length up/down Deflection left/right Field of View Depth of View 180 / Sigmoidoscope PKS NKS 13 mm 3.8 mm 700 mm mm 160 Accessories included in the delivery of PKS/NKS: KP Biopsy Forceps, spoon-shaped, oval, with spike, flexible, double action jaws, diameter 2.3 mm, length 120 cm H Cleaning Brush, round, flexible, outer diameter 5 mm, for working channel diameter mm, length 230 cm VB Valve Brush, for video endoscopes SS Irrigation Tube, reusable, for the working channel of flexible video endoscopes YS Y-Irrigation Tube, reusable, for flexible video endoscopes XE Pressure Compensation Cap, ETO cap PRO-VD 11 87

96 Sigmoidoscopes Accessories Accessories included in the delivery of PKS/NKS: LX Leakage Tester DA Sealing Cap, for working channel, package of RV Cleaning Valve LV Suction Valve SV Air/Water Valve B Instrument Oil, 50 ml, silicone-free SFN Protective Film KV Case Optional accessories: KL Biopsy Forceps, reusable, spoon-shaped, round, fenestrated, flexible, double action jaws, diameter 2.3 mm, working length 120 cm KM Biopsy Forceps, reusable, spoon-shaped, round, with spike, fenestrated, flexible, double action jaws, diameter 2.3 mm, length 120 cm SIA Irrigation and Insufflation Adaptor, to connect the working channel of the flexible video endoscope with irrigation pumps and insufflators 88 PRO-VD 12

97 VITOM VISUALIZATION SYSTEM FOR OPEN SURGERY WITH MINIMAL ACCESS

98 n VITOM Visualization System for Open Surgery with Minimal Access 90 PRO-VITOM 2

99 n VITOM Visualization System for Open Surgery with Minimal Access The VITOM system from KARL STORZ represents a revolutionary and innovative way of displaying open surgery with minimal access with an incision length of max. 12 cm in a high quality and ergonomic manner. VITOM is based on the renowned HOPKINS rod lens system from KARL STORZ. With the help of a holding system, VITOM is placed at a working distance of cm above the surgical field. This gives the surgeon more room to work. The small size of the VITOM reduces space requirements in the OR to a minimum. Due to its slim and compact design, the surgical field is not obstructed and even long instruments can be used with ease. The VITOM system provides great depth of field, optimal magnification, good contrast and excellent color reproduction, which are the ideal prerequisites for the best possible recording and playback in FULL HD quality. The first-class enhanced imaging can be observed via a FULL HD monitor from a convenient distance by the surgeon, the assistant as well as the entire OR team. In proctology, the VITOM system has proven to be an excellent alternative to OR illumination cameras, loupes or the naked eye. The VITOM is equipped with an integrated fiber optic light transmission that enables the connection of cold light sources used in endoscopy. The system allows the further use of existing units. A FULL HD endoscope imaging solution from KARL STORZ can also be used with the VITOM system. The VITOM system offers: Excellent FULL HD image quality Great depth of view Large working distance Ergonomic monitor work Compact design requiring minimal space in the OR Use of existing KARL STORZ FULL HD endoscopy system possible Using the VITOM system in pediatric surgery OR photographs courtesy of: Prof. Mario Lima, Head of Minimally Invasive Paediatric Surgery Center, Policlinico S. Orsola Malpighi, Bologna, U. O. Chirurgia Pediatrica, 4 Piano, Italy PRO-VITOM 3 91

100 n VITOM System Overview Exoscope Camera System, Monitor and Light Source see pages see pages Holding Systems VITOM System Overview see pages Documentation System Equipment Cart see pages see page PRO-VITOM 4 US

101 n VITOM System Components Exoscope and Illumination VITOM Telescopes of the 2nd Generation Length 11 cm AA AA VITOM Telescope 0 with Integrated Illuminator, VITOM HOPKINS straight forward telescope 0, working distance cm, length 11 cm, autoclavable, with fiber optic light transmission incorporated and condensor lenses, color code: green Fiber Optic Light Cables 495 TIP or 495 NVC recommended 495 TIP 495 NVC 495 TIP Fiber Optic Light Cable, diameter 4.8 mm, length 300 cm, with straight connector, extremely heat-resistant, enhanced light transmission 495 NVC Fiber Optic Light Cable, with 90 deflection to the instrument, very narrow radius of curvature, diameter 4.8 mm, length 300 cm PRO-VITOM 5 93

102 n VITOM System Components Exoscope and Illumination VITOM Telescopes of the 2nd Generation Length 11 cm DA DA VITOM Telescope 90 with Integrated Illuminator, VITOM HOPKINS telescope 90, working distance cm, length 11 cm, autoclavable, with fiber optic light transmission incorporated and condensor lenses, color code: blue Fiber Optic Light Cable 495 TIP recommended 495 TIP 495 TIP Fiber Optic Light Cable, diameter 4.8 mm, length 300 cm, with straight connector, extremely heat-resistant, enhanced light transmission 94 PRO-VITOM 6

103 n VITOM System Components Exoscope and Illumination VITOM Telescopes of the 1st Generation Diameter 10 mm, length 11 cm VITOM 25 Telescope 0, VITOM 25 HOPKINS straight forward telescope 0, working distance cm, diameter 10 mm, length 11 cm, autoclavable, fiber optic light transmission incorporated, color code: green Fiber Optic Light Cables 495 TIP or 495 NVC recommended 495 TIP 495 NVC 495 TIP Fiber Optic Light Cable, diameter 4.8 mm, length 300 cm, with straight connector, extremely heat-resistant, enhanced light transmission 495 NVC Fiber Optic Light Cable, with 90 deflection to the instrument, very narrow radius of curvature, diameter 4.8 mm, length 300 cm Optional and suitable for VITOM Telescope VITOM 25 Illuminator, with 2 adjustable lenses and holding device for VITOM 25 telescopes, autoclavable, for use with VITOM 25 telescopes ( and equivalent models) and Y-Fiber Optic Light Cable 495 UV, not suitable for use with VITOM telescopes of the 2nd generation with integrated illuminator Note: The illuminator is only suitable for use with VITOM Telescope Use with the VITOM telescopes of the 2nd generation is not possible. PRO-VITOM 7 95

104 n VITOM System Components Y-Fiber Optic Light Cable 495 UV recommended for VITOM 25 Illuminator UV 495 UV Y-Fiber Optic Light Cable, 2x diameter 3.5 mm, length 230 cm, for simultaneous connection of two instruments VITOM 25 Distance Rod, length 25 cm A A2 Wire Tray for Cleaning, Sterilization and Storage of two rigid endoscopes and one light cable, including holder for light post adaptors, silicone telescope holders and lid, external dimensions (w x d x h): 352 x 125 x 54 mm, for rigid endoscopes up to diameter 10 mm and working length 20 cm 96 PRO-VITOM 8

105 VITOM Specifications n Working distance: cm Depth of view at working distance of: 25 cm 50 cm 75 cm Depth of view: approx. 3.5 cm approx. 7 cm approx. 10 cm Field of view at working distance of: 25 cm 50 cm 75 cm IMAGE1 S H3-Z camera zoom 1x 5 cm 10 cm 15 cm IMAGE1 S H3-Z camera zoom 2x 3.5 cm 7 cm 10.5 cm Reproduction scale at working distance of: 25 cm 50 cm 75 cm 26" Monitor: H3-Z camera zoom 1x approx. 8x approx. 4x approx. 3x H3-Z camera zoom 2x approx. 16x approx. 8x approx. 6x 42" Monitor: H3-Z camera zoom 1x approx. 14x approx. 7x approx. 5x H3-Z camera zoom 2x approx. 28x approx. 14x approx. 10.5x 52" Monitor: H3-Z camera zoom 1x approx. 17x approx. 8x approx. 6x H3-Z camera zoom 2x approx. 34x approx. 16x approx. 12x Technical specifications are subject to change. PRO-VITOM 9 97

106 n VITOM System Components Cold Light Fountain XENON 300 SCB Special Features: Extremely high light intensity due to 300 Watt Xenon lamp With integrated KARL STORZ Communication Bus (KARL STORZ-SCB) Cold Light Fountain XENON 300 SCB, with KARL STORZ-SCB, power supply / VAC, 50/60 Hz including: Mains Cord SCB Connecting Cable, length 100 cm Specifications: Lamp type Color temperature Light outlets Light intensity adjustment XENON 15 V, 300 Watt approx K 1 continuously adjustable via a membrane keyboard or KARL STORZ Communication Bus Signal Dimensions w x h x d Weight Certified to 305 x 165 x 335 mm 7.96 kg IEC and UL 544, protection class 1/CF Spare Lamps and Spare Lamp Modules for Cold Light Fountains XENON see catalog TELEPRESENCE Components/Spare Parts see chapter 9 98 PRO-VITOM 10

107 n VITOM System Components IMAGE1 S FULL HD Camera Head for Endoscopy For use with IMAGE1 S Camera System IMAGE1 S CONNECT Module TC 200EN, IMAGE1 S H3-LINK Module TC 300 and with all IMAGE 1 HUB HD Camera Control Units TH 100 TH 100 IMAGE1 S H3-Z Three-Chip FULL HD Camera Head, 50/60 Hz, S-Technologies available, progressive scan, soakable, gas- and plasma-sterilizable, with integrated Parfocal Zoom Lens, focal length f = mm (2x), 2 freely programmable camera head buttons, for use with IMAGE1 S and IMAGE 1 HUB HD/IMAGE1 HD Accessories * Camera Cover, folded inside out, 13 x 242 cm, sterile, for single use, package of 40, for use with all standard endoscopic video camera systems * Same, package of TVB Adaptor, with ergonomic swivel, autoclavable, permits telescope changing under sterile conditions 533 TVB Specifications: IMAGE1 S FULL HD Camera Head Order no. Image sensor Dimensions (w x h x l) Weight Optical interface Min. sensitivity Grip mechanism Cable Cable length IMAGE1 S H3-Z TH 100 3x 1 /3" CCD chip 39 x 49 x 114 mm 270 g integrated Parfocal Zoom Lens, f = mm (2x) F 1.4/1,17 Lux standard eyepiece adaptor non-detachable 300 cm * Optional Accessories for IMAGE 1 HUB HD see catalog TELEPRESENCE PRO-VITOM 11 99

108 n VITOM System Components IMAGE1 S Camera System TC 200EN TC 200EN* IMAGE1 S CONNECT, connect module, for use with up to 3 link modules, resolution 1920 x 1080 pixels, with integrated KARL STORZ-SCB and digital Image Processing Module, power supply VAC/ VAC, 50/60 Hz including: Mains Cord, length 300 cm DVI-D Connecting Cable, length 300 cm SCB Connecting Cable, length 100 cm USB Flash Drive, 32 GB USB Silicone Keyboard, with touchpad, US TC 300 TC 300 IMAGE1 S H3-LINK, link module, for use with IMAGE1 FULL HD three-chip camera heads, power supply VAC/ VAC, 50/60 Hz, for use with IMAGE1 S CONNECT TC 200EN including: Mains Cord, length 300 cm Link Cable, length 20 cm * Available in the following languages: DE, ES, FR, IT, PT, RU Components/Spare Parts see chapter PRO-VITOM 12

109 n VITOM System Components Monitors 9826 NB 9826 NB 26" FULL HD Monitor, color systems PAL/NTSC, max. screen resolution 1920 x 1080, image format 16:9, power supply VAC, 50/60 Hz, 5 V DC output (1 A), wall-mounted with VESA 100 adaption including: External 24 VDC Power Supply Mains Cord 9627 NB/NB NB 27" FULL HD Monitor, color systems PAL/NTSC, max. screen resolution 1920 x 1080, image format 16:9, interface: RS 232, power supply VAC, 50/60 Hz, wall mount with VESA 100 adaptor including: External 24 VDC Power Supply Mains Cord 9627 NB-2 Same, with double video inputs PRO-VITOM

110 n VITOM System Components Monitors KARL STORZ FULL HD Monitors 26" 27" Wall-mounted with VESA 100 adaption 9826 NB 9627 NB 9627 NB-2 Inputs: DVI-D 1x 1x 2x Fibre Optic optional optional 3G-SDI 1x optional RGBS (VGA) 1x 1x 2x S-Video 1x 1x 2x Composite/FBAS 1x 1x 2x Outputs: DVI-D 1x 1x 1x S-Video 1x 1x Composite/FBAS 1x 1x 1x 3G-SDI 1x optional Signal Format Display: 4:3 5:4 16:9 Picture-in-Picture PAL/NTSC compatible Optional accessories: 9826 SF Monitor Stand, basic monitor stand, tiltable, rotation +/-30, disinfectable, color white, VESA 100 adaptor, for use with 26" FULL HD Monitor 9826 NB, 26" 3D Monitor 9826 NB-3D and other monitors 9626 SF Monitor Stand, with integrated cable channel, for use with Monitors 9619 NB, 9626 NB, 9626 NB-2, 9627 NB, 9627 NB-2 Technische Angaben: KARL STORZ FULL HD Monitor 26" 27" Desktop with pedestal optional optional Wall-mounted with 100 adaption 9826 NB 9627 NB/NB-2 Brightness 500 cd/m 2 (type) 240 cd/m 2 (type) Max. viewing angle 178 vertical 178 vertical Pixel distance 0.3 mm 0.3 mm Reaction time 8 ms 12 ms Contrast ratio 1400:1 3000:1 Mount 100 mm VESA 100 mm VESA Weight 7.7 kg 9.8 kg Rated power 69 W 45 W Operating conditions 5-35 C 0-40 C Storage C C Rel. humidity max. 85% max. 85% Dimensions w x h x d 643 x 396 x 87 mm 696 x x 55 mm Power supply VAC VAC Larger KARL STORZ FULL HD Monitors see catalog KARL STORZ OR1 NEO Signal Cables see catalog TELEPRESENCE 102 PRO-VITOM 14

111 n VITOM System Components MULTISWITCH A compact solution enables the straightforward and efficient distribution and individual routing of several highresolution video signals, even without an integrated OR. MULTISWITCH offers the possibility to administer and distribute up to 4 DVI sources (camera systems, PC etc.) to four independent outputs (monitors, recording devices). The MULTISWITCH unit can be placed directly on the videocart and can be upgraded with all FULL HD endoscopy towers from KARL STORZ. The MULTISWITCH features two modes of operation: 1. Mode A (switcher): Enables the simple selection of a source and simultaneous distribution to all four outputs. This mode is used when, during live transmission, an image is switched from various sources and has to be distributed to all connected monitors. 2. Mode B (router): Distribution of any four sources to any four outputs (monitors, documentation systems). This mode is always useful if a flexible distribution of individual DVI sources to the outputs is necessary. Functions and Areas of Application: Medical-grade routing and changeover solution for DVI-D signals Straightforward administration and distribution of up to four DVI video signals to up to four outputs Two operating modes switcher or router Convenient use via four membrane keyboards. LEDs on the front panel display the operating mode in use. Easy switching or routing of DVI-D sources in the OR or during live transmission. The simultaneous connection of a documentation system enables the recording of up to four sources. Convenient distribution of DVI-D sources in the OR to various monitors or documentation systems. PRO-VITOM

112 n VITOM System Components MULTISWITCH MULTISWITCH DVI-D Switch/Router, for DVI-D video signal distribution and switching, with 4 DVI-D inputs and 4 DVI-D outputs, power supply VAC, 50/60 Hz, video inputs: 4 x DVI-D (DVI jack), video outputs: 4 x DVI-D (DVI jack), dimensions (w x h x d): 305 x 84 x 249 mm, weight 2.2 kg, for use as 1 x 4 DVI-D switch or 4 x 4 DVI-D router including: MULTISWITCH Unit Mains Cord, length 300 cm 2x DVI-D Connecting Cable, length 200 cm DVI-D Connecting Cable, length 200 cm Same, length 300 cm W W Fiber Optic Cable, for the transmission of a DVI-D signal, with fixed transmitter and receiver modules, for the transmission of a HD signal from the IMAGE 1 HUB Camera Control Unit to a HDTV monitor, DVI-D male connector, length 10 m Same, length 20 m Specifications: Video inputs Video outputs Use 4x DVI-D 4x DVI-D 4 membrane keyboards with LED display Dimensions w x h x d Weight Power supply 305 x 84 x 249 mm 2.2 kg VAC, 50/60 Hz Max. video resolution 1920 x 1080p, 50/60 Hz Schutzart IP 20 (DIN 60529) Components/Spare Parts see chapter PRO-VITOM 16

113 n VITOM System Components Mechanical Holding Systems The mechanical holding systems from KARL STORZ offer a versatile, convenient and cost-effective possibility for the secure positioning of instruments and telescopes. A wide range of accessories enables the systems to be configured for any desired fields of application. The robust construction ensures reliable positioning without oscillation. Special Features: Simple, fast and accurate positioning Many fields of application possible thanks to various articulated stands and a wide range of accessories Flexible positioning enables a large number of different positions All joints can be easily released or fixed by means of the central clamp Socket for use with European and United States standard rails of OR table Variable height adjustment by using the socket Extension Rod HM for the adjustment of particularly large working distances, for example, the VITOM system Ergonomical positioning at the operating table Eases the work routine of the assistant Instruments and telescopes are clamped securely Steady imaging of the operation field Maintenance-free solid construction Autoclavable KSLOCK rapid coupling for mounting clamping jaws, instruments and accessories with KSLOCK pins PRO-VITOM

114 n VITOM System Components Mechanical Holding System Socket + Articulated Stand + Clamping Jaw Socket Standard Socket Rotation Socket HK HR Articulated Stand straight L-shaped L-shaped, long U-shaped HA HB HC HD C B C B C E D D A A A D D C A B A 30 cm C 20 cm B D 17 cm A 48 cm C 20 cm B 15 cm D 17 cm A 48 cm C 27 cm B 15 cm D 24 cm A 25 cm C 10 cm E 17 cm B 31 cm D 20 cm To complete the mechanical holding system, a clamping jaw is required. Clamping Jaws for the Mechanical Holding System see page PRO-VITOM 18 US

115 n VITOM System Components Mechanical Holding System Clamping Jaws UGN Clamping Jaw, metal, clamping range 16.5 up to 23 mm, with quick release coupling KSLOCK (male), for use with all square-headed HOPKINS telescopes UKN Clamping Jaw, metal, clamping range 4.8 up to 12.5 mm, with quick release coupling KSLOCK (male), for use with instrument and telescope sheaths UGK Clamping Jaw, with ball joint, large, clamping range 16.5 to 23 mm, with quick release coupling KSLOCK (male), for use with all square-headed HOPKINS telescopes UKK Clamping Jaw, with ball joint, small, metal, clamping range 4.8 to 12.5 mm, with quick release coupling KSLOCK (male), for use with instrument and telescope sheaths UL Clamping Jaw, universal, clamping range 0 to 18 mm, with quick release coupling KSLOCK (male) UF Clamping Jaw, for use with all KARL STORZ polymer housing fiberscopes, with quick release coupling KSLOCK (male) Accessories CN Clamping Cylinder, folding, for flexible mounting of 10 mm telescopes on the telescope sheath, autoclavable. The clamping cylinder allows vertical movement and rotation of the telescope HM Extension Rod, 50 cm, with lateral clamp for height adjustment of the articulated stand, for use with Articulated Stands HA/HB/HC and Sockets HK/HR PRO-VITOM

116 n VITOM System Components VERSACRANE Holding System GS GM GS VERSACRANE Holding Arm, low, for use in the lithotomy position, spring-supported, with quick release coupling KSLOCK, for use with Mobile Stand GM and KARL STORZ clamping jaws. The VERSACRANE holding arm is intended for use with VITOM scopes/exoscopes GM Mobile Stand, for use with VERSACRANE Holding Arm GS UGN Clamping Jaw, metal, clamping range 16.5 up to 23 mm, with quick release coupling KSLOCK (male), for use with all square-headed HOPKINS telescopes CN Clamping Cylinder, folding, for flexible mounting of 10 mm telescopes on the telescope sheath, autoclavable. The clamping cylinder allows vertical movement and rotation of the telescope. For use with Clamping Jaw UGN and UGK and POINT SETTER universal adaptor mm * Cover, elasticated, package of 20 Note: Should the need arise, a sterile cover may be used for the VERSACRANE holding arm. The VERSACRANE holding arm may not be used with rigid endoscopes. * 108 PRO-VITOM 20

117 n VITOM System Components ENDOCRANE Holding System EH EH ENDOCRANE, piezoregulated holding arm, including stand including: Socket, to clamp to the OR table Control Unit Cover*, elasticated, package of 20 Spring Balance Mains Cord Case UGN Clamping Jaw, metal, clamping range 16.5 up to 23 mm, with quick release coupling KSLOCK (male), for use with all square-headed HOPKINS telescopes CN Clamping Cylinder, folding, for flexible mounting of 10 mm telescopes on the telescope sheath, autoclavable. The clamping cylinder allows vertical movement and rotation of the telescope * Cover, elasticated, package of 20 * Components/Spare Parts see chapter 9 PRO-VITOM

118 n VITOM System Components POINT SETTER Holding System WKS WKS POINT SETTER, pneumatic holding arm, set including: POINT SETTER Arm OR Table Adaptor KSLOCK Adaptor, for KARL STORZ clamping jaws KARL STORZ Clamping Jaw, large KARL STORZ Clamping Jaw, small KARL STORZ Clamping Jaw, for fiberscopes Pressure Regulator, 7 bar Cover*, elasticated, 42 x 164 cm, package of CN Clamping Cylinder, folding, for flexible mounting of 10 mm telescopes on the telescope sheath, autoclavable. The clamping cylinder allows vertical movement and rotation of the telescope * Cover, elasticated, package of 20 Note: Compressed air tubing is required to operate the POINT SETTER arm. Please select the appropriate tubing from page 111 and add it to your order. * Components/Spare Parts see chapter PRO-VITOM 22 US

119 n VITOM System Components POINT SETTER Holding System Alternative and Spare Connecting Tubes WA Connecting Tube, for POINT SETTER, Dräger, max. pressure 8 bar/115 psi, length 600 cm WB Connecting Tube, for POINT SETTER, Dräger air motor, max. pressure 8 bar/115 psi, length 600 cm WC Connecting Tube, for POINT SETTER, compressor, max. pressure 8 bar/115 psi, length 600 cm WN Connecting Tube, for POINT SETTER, Schrader, max. pressure 8 bar/115 psi, length 600 cm WO Connecting Tube, for POINT SETTER, with open end, max. pressure 8 bar/115 psi, length 600 cm Accessories and Expendable Materials Air Compressor, for POINT SETTER, 0 8 bar, power supply 230 VAC, 50/60 Hz, dimensions (w x d x h): approx. 500 x 320 x 340 mm, weight approx. 22 kg including: Fabric Reinforced Tube, for connecting CALCUSPLIT SCB Connecting Tube, length 600 cm, for use with POINT SETTER holding system, required pressure setting min. 6 to max. 8 bar C Same, power supply 115 VAC, 50/60 Hz Pressure Regulator, 7 bar, must be used for pressure > 8 bar on supply line! Max. allowed inlet pressure 10 bar. For use with POINT SETTER arm CN Clamping Cylinder, folding, for flexible mounting of 10 mm telescopes on the telescope sheath, autoclavable. The clamping cylinder allows vertical movement and rotation of the telescope. For use with Clamping Jaw UGN and UGK and POINT SETTER universal adaptor mm ECW Spring Balance, loading capacity 25 N * * Cover, elasticated, package of 20 Components/Spare Parts see chapter 9 PRO-VITOM

120 n VITOM System Components KARL STORZ AIDA compact NEO advanced/standard Continuous first-class documentation! Data Acquisition AIDA compact NEO: Recording screen Still images, video sequences and audio comments can easily be recorded during an examination or intervention by pressing the on-screen button, activitating the footswitch, or pressing the camera head button. All captured data are displayed on the right-hand side as a thumbnail preview to ensure the data have been generated. Patient data can be entered via an onscreen or standard keyboard. The system also offers the possibility to transfer all relevant patient data via a DICOM worklist or a link to the hospital information system (HIS) without requiring manual entry in the patient entry screen. AIDA compact NEO: Review screen Flexible Review, Data Storage and Efficient Data Export Captured still images or video files can easily be viewed, edited, or deleted on-screen before final storage. KARL STORZ AIDA compact NEO efficiently stores all recorded data on DVD, CD, USB stick, external/internal drive, the relevant network and/or on a FTP server. It is also possible to save the data directly on the PACS and/or HIS servers via the AIDA communication HL7/DICOM interface package. Data that cannot be stored successfully remains in a cache until final archiving is possible. AIDA compact NEO: Patient data 112 PRO-VITOM 24

121 n VITOM System Components KARL STORZ AIDA compact NEO advanced/standard AIDA compact NEO advanced: SD and HD signal support: Y/C (S-Video) Composite input DVI-D input Picture-in-Picture function: Display of channel 2 (SD) in channel 1 (FULL HD) Resolution: Still images 1920 x 1080 and SD Videos 1080p, 720p and SD Interface package (DICOM/H7) included NEO Secure security software Recommended applications: Universal (cart or OR1 installation) AIDA compact NEO standard: SD and HD signal support (HD-SDI)**: Y/C (S-Video)/RGB input Composite input SD/HD-SDI input Resolution Still images 1920 x 1080 and SD** Videos 720p and SD** Interface package (DICOM/H7) included NEO Secure security software Recommended applications: OR1 installation included DVI to HDI-SDI converter Equipment cart solution with focus on SD EN* KARL STORZ AIDA compact NEO standard, HD documentation system for digital storage of still images, video sequences and audio files, power supply 115/230 VAC, 50/60 Hz, including: AIDA control NEO (V3.1) AIDA control NEO V3.1 Software, incl. communication (DICOM/HL7) USB Silicone Keyboard, with touchpad, US AIDA compact HD Frame Grabber Card 2x Connecting Cables, for controlling peripheral units Connecting Cable, mini-din plug to BNC socket BNC Video Cable, length 200 cm Mains Cord EN* KARL STORZ AIDA compact NEO advanced, FULL HD documentation system for digital storage of still images, video sequences and audio files, power supply 115/230 VAC, 50/60 Hz * Available in the following languages: DE, ES, FR, IT, PT, PL, RU, DK, SE, JP, CN ** Use of DVI-IN requires a separate converter Components/Spare Parts see chapter 9 PRO-VITOM

122 n VITOM System Components Documentation System " Touch Screen, 24V, wall mounting, RS 232, VGA, resolution max x 1024 (SXGA mode), including RS 232 cable, SVGA cable, mains cord and external power supply 24 VDC, power supply VAC, 50/60 Hz * * Sterile Cover, for 19" KARL STORZ touch screen MSK Monitor Holding Arm, height and side adjustable, tilting, can be mounted either on the left or on the right side, swivel range 190, reach 300 mm, loading capacity max. 15 kg, with monitor holder VESA 75/100, for Equipment Carts xx 114 PRO-VITOM 26

123 n VITOM System Components Equipment Cart DRB Equipment Cart including: basic equipment cart, rides on 4 antistatic dual wheels, 2 equipped with locking brakes (rear), 3 fixed shelves, 1 with push handles, mains switch in side boom, 1 drawer unit with lock, integrated cable conduits in both vertical beams, 1 set of non-sliding stands for units, double rear panel with integrated electrical subdistributors (with 12 sockets), holder for power supplies, potential earth connectors and cable winding on the outside, 1 camera holder, 2 equipment rails sidewise Dimensions: Equipment Cart: 730 x 1490 x 716 mm (w xhxd), Shelf: 630 x 480 mm (w x d), Caster diameter: 150 mm Accessories: MHB Monitor Arm, height adjustable, swiveling and tilting, central mount, swivel range approx. 210, loading capacity max. 18 kg, with monitor holder VESA 75/100, for use with Equipment Cart BAS/DRB and LCG TBG Isolation Transformer, 230 VAC, 2000 VA, with 8 special mains socket expulsion fuses, 8 grounding plugs, for Equipment Carts BAS/DRB/LAP/GU IW Earth Leakage Monitor, for use with Isolation Transformer TBK and TBG KKM Mains Cord, with cold device plug and socket, with UL approval, length 100 cm PRO-VITOM

124

125 UNITS AND ACCESSORIES CAMERA SYSTEMS LIGHT SOURCES INSUFFLATORS SUCTION AND IRRIGATION SYSTEMS HIGH FREQUENCY SURGICAL UNITS LIGHT SOURCES CAMERA SYSTEMS

126

127 Units and Accessories for Proctology CAMERA SYSTEMS LIGHT SOURCES INSUFFLATORS The units manufactured by KARL STORZ combine longlasting precision mechanics with state-of-the-art microelectronic programmable controls. At KARL STORZ, the greatest emphasis is placed on user and patient safety. The quality assurance system of KARL STORZ is certified in accordance with the requirements of ISO 9001/EN It guarantees constant quality testing in the selection of materials and components. At the end of each manufacturing process, tests are carried out with automatic measuring and testing systems developed specially for this purpose. The results are recorded and logged. That gives each device a distinct fingerprint that can be checked at any time before and after it is delivered to the customer. SUCTION AND IRRIGATION SYSTEMS HIGH FREQUENCY SURGERY UNITS The standardized, modular design of KARL STORZ units was developed based on extensive ergonomic studies and is conceived for ease of care and cleaning and user-friendly practice, as well as to meet the demands of the special hygienic standards required in surgery. Clearly laid out adjacent function keys and displays guarantee efficient operation and make it easier to constantly monitor actual and set parameters. Acoustic and visual warning signals also assist the user. The settings can be changed manually at any time. Automatic microelectronic control systems guarantee optimum operating conditions and therefore relieve the surgeon in his work who can then fully concentrate on medical procedures. INSUFFLATORS LIGHT SOURCES CAMERA SYSTEMS SUCTION AND IRRIGATION SYSTEMS The overall KARL STORZ product line includes the following categories of units with accessories: Insufflators Suction and Irrigation Systems Motor Systems Lithotripsy Systems Units for High Frequency Surgery HIGH FREQUENCY SURGICAL UNITS PRO-UNITS INTRO U 3

128

129 Camera Systems CAMERA SYSTEMS CAMERA SYSTEMS n n TELE PACK X LED GASTRO PACK U 5

130 n TELE PACK X LED Documentation Terminal, Compact, Mobile CAMERA SYSTEMS TELE PACK X LED is a compact, portable and flexible system that can be used for a wide range of applications from the doctor s office through to the emergency room in various disciplines such as gynecology, urology, anesthesiology or plastic surgery. To enable swift and easy work with the TELE PACK X LED, the system combines all that is needed: Monitor, camera and light source. Consideration has also been given to documentation: Integrated data management enables comprehensive recording of medical examinations or surgical interventions. Multiple USB ports and an SD card slot are available to store the data. Crystal-clear display 15" LED backlight display Image rotation 24-bit color depth for natural color rendition DVI-D video output for connecting monitors Flexible storage possibilities SD card slot for high storage capacity USB ports for external hard drives, USB flash drives MPEG4 video recording with sound via microphone input Compatible with medical-grade USB Color Printer 549 M Picture gallery for recordings Playback of saved videos Patient information input and reports Natural illumination High-performance LED light source similar to Power LED 175 Color temperature of 6400 K, similar to daylight, guarantees color fidelity Average lamp life up to 30,000 hours Easy control combined with highest safety Membrane keyboard for wipe-down disinfection Hot keys for rapid and direct adjustment Arrow keys for intuitive control Appendix Sturdy, portable housing Ergonomically designed handle for convenient transport Stroboscopy function via a separate special footswitch Universal power supply: VAC, 50/60 Hz Dimensions (w x h x d): 450 x 350 x 150 mm Weight: 7 kg U 6 PRO-UNITS 2

131 TELE PACK X LED Sample Configuration n CAMERA SYSTEMS TP 100EN TP 100EN TELE PACK X LED, endoscopic video unit for use with all TELECAM one-chip camera heads and video endoscopes, incl. LED light source similar to Xenon technology, with integrated digital Image Processing Module, 15" LCD TFT monitor with LED backlight, USB/SD memory module, color systems PAL/NTSC, power supply VAC, 50/60 Hz including: USB Silicone Keyboard, with touchpad, US character set USB Flash Drive, 8 GB Mains Cord Specifications: Power input Power supply Dimensions w x h x d Weight Interfaces Light sources 100 W VAC 450 x 350 x 150 mm 7 kg - Video interface: DVI-D (in/out) - Audio: 3.5 mm jack (rear), Line in, Line out - Footswitch port: 5-pin socket for footswitch - LEMO connector (lateral) - Printer port: USB - Lamp type: LED - Color temperature: 6400 K - Average service life: approx. 30,000 hours Image format Video codec Video format Memory interface LED backlight monitor Loudspeaker output JPG MPEG-4 PAL/NTSC USB 2.0; SD memory card (SDHC compatible) - Screen size: 15" - Resolution: 1024 x Contrast: 700:1 2 W Keyboards with Foreign Language Character Sets see catalog TELEPRESENCE Further Accessories for TELE PACK X LED see catalog TELEPRESENCE Components/Spare Parts see chapter 9 PRO-UNITS 3 U 7

132 GASTRO PACK n CAMERA SYSTEMS The system enables mobile use in video endoscopy whenever and wherever required. The GASTRO PACK combines image processor, light source, monitor, insufflation pump, keyboard, and documentation in one compact unit. It is compatible with all current KARL STORZ video endoscopes and Special Features: Integrated image processor, light source, and monitor 12" color TFT flat screen monitor Automatic exposure control Innovative Solarc lamp technology Insufflation pump adjustable to 3 levels Automatic white balance Date and time can be displayed or hidden bronchoscopes. The additional version for integration into the endoscopy cart without a monitor or external keyboard as well as an extensive range of documentation solutions and accessories complement the product range and allow customization to individual needs. Patient data can be displayed or hidden Stopwatch function Automatic storage of patient and endoscope data Memory card (128 MB) Carrying handle for portable use Specifications: Voltage range VAC Small dimensions: with TFT flat screen monitor folded down (w x h x d): 305 x 148 x 358 mm without TFT flat screen monitor (w x h x d): 305 x 111 x 261 mm Weight approx. 7.6/5 kg 2 video outputs: S-Video, Composite 1 video input: Composite Optionally available: Holder for Video Connecting Cable HV One-pedal footswitch Two-pedal footswitch External monitor: 9619 NB KARL STORZ HD Monitor 19" (separate pedestal) U 8 PRO-UNITS 4 A

133 GASTRO PACK Individual Configuration n GASTRO PACK, color system PAL, endoscopic video unit, for use with analog one-chip camera heads and KARL STORZ video endoscopes, incl. Solarc light source, integrated insufflation pump, integrated keyboard, integrated digital Image Processing Module, firmly mounted foldable 12" LCD TFT monitor and PCMCIA memory card, power supply VAC, 50/60 Hz or 12VDC including: GASTRO PACK,PAL Case Water Bottle Irrigation Bottle Holder PCMCIA Memory Card, 128 MB Mains Cord, length 300 cm S-Video (Y/C) Connecting Cable, length 180 cm BNC Video Cable, length 200 cm CAMERA SYSTEMS Same, color system NTSC U GASTRO PACK, color system PAL, endoscopic video unit, for use with analog one-chip camera heads and KARL STORZ video endoscopes, incl. Solarc light source, integrated insufflation pump, integrated digital Image Processing Module, PCMCIA memory module, external keyboard with US-English character set, power supply VAC, 50/60 Hz or 12VDC including: GASTRO PACK Control Unit, PAL Water Bottle Irrigation Bottle Holder Mains Cord, length 300 cm BNC Video Cable, length 200 cm Keyboard, with US-English character set U Same, color system NTSC PRO-UNITS 5 A U 9

134 GASTRO PACK Individual Configuration n CAMERA SYSTEMS Equipment cart configuration: UG 110 UG 110 Equipment Cart, narrow, small, rides on 4 antistatic dual wheels equipped with locking brakes, mains switch on cover, energy beam with integrated electrical subdistributors with 6 sockets, grounding plugs, Dimensions: Equipment Cart: 660 x 1265 x 730 mm (w xhxd), Shelf: 450 x 25 x 510 mm (w x h x d), Caster diameter: 150 mm including: Base Module, equipment cart, narrow Cover, equipment cart, narrow Beam Package, equipment cart, small 2x Shelves, narrow Drawer Unit with Lock, narrow 2x Equipment Rails, long TROLL-E Mobile Stand, rides on 4 antistatic dual wheels, 2 equipped with locking brakes, for mounting monitors with VESA 75/100 connection, integrated cable conduit in vertical beam, 1 shelf and cable manager, load capacity for monitor: max. 15 kg, Dimensions: Mobile stand: 670 x 1660 x 670 mm (w x h x d), Shelf: 455 x 350 mm (w x d), caster diameter: 100 mm Trolley is delivered unassembled U 10 PRO-UNITS 6 A

135 Light Sources LIGHT SOURCES LIGHT SOURCES Cold Light Fountain HALOGEN 250 twin Cold Light Fountain LED NOVA 150 Cold Light Fountain XENON 100 SCB U 11

136 Cold Light Fountain HALOGEN 250 twin Special Features: Compact and lightweight design Automatic backup operation in case of lamp failure Manual light intensity control LIGHT SOURCES Cold Light Fountain HALOGEN 250 twin, power supply 100/120/230/240 VAC, 50/60 Hz including: Mains Cord Accessories: 105 Halogen Spare Lamp, 250 W, 24 V Specifications: Lamp type Color temperature Light outlets Light intensity adjustment HALOGEN 24 V, 250 Watt approx K 1 adjustable in 3 steps Dimensions w x h x d Weight Certified to 305 x 109 x 265 mm 7 kg IEC 601-1, CE acc. to MDD, protection 1/CF Components/Spare Parts see chapter 9 U 12 PRO-UNITS 8

137 Cold Light Fountain LED NOVA 150 Special Features: The best of both worlds: High cost-effectiveness coupled with bright and durable LED technology Average lamp life of approx. 30,000 hours Very high energy efficiency with the latest LED technology Extremely quiet operation combined with minimal heat generation High environmental performance as neither lead nor mercury are used in the LED lamp Continuously variable, adjustable brightness control LIGHT SOURCES Cold Light Fountain LED NOVA 150, power supply VAC, 50/60 Hz including: Mains Cord Specifications: Lamp type High Performance LED Weight 2.3 kg Color temperature Light outlets approx K 1 Certified to IEC 601-1, protection class 1/CF Dimensions w x h x d 305 x 84.5 x 238 mm Components/Spare Parts see chapter 9 PRO-UNITS 9 U 13

138 Cold Light Fountain XENON 100 SCB with integrated insufflation pump For use with KARL STORZ video endoscopes LIGHT SOURCES Special Features: Optimal light efficiency Electronically adjustable light intensity Powerful ventilation with low noise level No overheating of environment Special diaphragm focuses the light onto the field of view New dielectric heat protection filter improves light efficiency by around 20% With connection possibilities to the KARL STORZ Communication Bus (KARL STORZ-SCB) for unit integration Problem-free lamp replacement Integrated insufflation pump High light intensity Xenon lamp provides daylight coloration Display of lamp service life Insufflation pump with 3 performance levels 100 W Xenon lamp Cold Light Fountain XENON 100 SCB, with integrated KARL STORZ-SCB, including an integrated insufflation pump and 100 Watt Xenon bulb, power supply VAC, 50/60 Hz, for use with video endoscopes including: Mains Cord Water Bottle Bottle Holder Irrigation Adaptor, for water bottle Accessories: Air Filter, XENON Adaptor, with insufflation connector Specifications: Xenon Lamp Pump Operating conditions - Capacity: 100 W - Lamp life: approx. 500 h - Color temperature: approx K - Pressure levels: 3 - Max. pressure: 0.51 bar - Max. flow rate: 5 l/min. - Operating temperature: 0 C +40 C - Humidity: 30 90% Power Supply Dimensions w x h x d Weight Certified to VAC +/-10%, 50/60 Hz VAC +/-10%, 50/60 Hz 305 x 110 x 380 mm 5.4 kg - IEC , , UL , CSA 22.2, No M 90 - Mode of operation: Continuous The system can be operated with KARL STORZ-SCB units. Spare Lamps and Spare Lamp Modules for Cold Light Fountains XENON and further light sources see catalog TELEPRESENCE Components/Spare Parts see chapter U 14 PRO-UNITS 10 A

139 Fiber Optic Light Cables for Cold Light Fountains Fiber Optic Light Cable, with straight connector 495 NE Fiber Optic Light Cable, diameter 4.8 mm, length 300 cm 495 NCS Fiber Optic Light Cable, diameter 4.8 mm, length 250 cm, with straight connector, extremely heat-resistant, enhanced light transmission n 495 NCSC Fiber Optic Light Cable, with straight connector, extremely heat-resistant, with safety lock, diameter 4.8 mm, length 250 cm 495 NB Fiber Optic Light Cable, diameter 4.8 mm, length 180 cm 495 ND Fiber Optic Light Cable, diameter 3.5 mm, length 300 cm 495 NA Fiber Optic Light Cable, diameter 3.5 mm, length 230 cm n 495 NAC Fiber Optic Light Cable, with straight connector, extremely heat-resistant, with safety lock, enhanced light transmission, can be used for ICG applications, diameter 3.5 mm, length 230 cm 495 NL Fiber Optic Light Cable, diameter 3.5 mm, length 180 cm 495 NTA Fiber Optic Light Cable, diameter 2.5 mm, length 230 cm 495 NT Fiber Optic Light Cable, diameter 2.5 mm, length 180 cm 495 TIP Fiber Optic Light Cable, diameter 4.8 mm, length 300 cm, with straight connector, extremely heat-resistant LIGHT SOURCES Please note: The high light concentration at the end of the light cable causes heat to be generated in the focal point. The end of the light cable should never be placed on the patient's drape or skin as long as the cold light fountain is turned on, since the light intensity could cause burns in the patient or set the drape on fire. Sterilization and Disinfection: The fiber optic light cables can be sterilized in the autoclave at 273 F (134 C). Gas sterilization is recommended and chemical disinfection is possible. Recommended combination: Light cable with endoscope* Diameter light cable Diameter endoscope mm mm mm mm mm mm *Special endoscopes may deviate. Adaptors for connecting KARL STORZ fiber optic light cables with endoscopes and light sources from other manufacturers see catalog TELEPRESENCE PRO-UNITS 11 A U 15

140 LIGHT SOURCES

141 Insufflators INSUFFLATORS n n ENDOFLATOR 40 SCB ENDOFLATOR 50 SCB INSUFFLATORS U 17

142 n ENDOFLATOR 40 SCB Recommended Standard Set Configuration Special Features: Ease of use thanks to touch screen control Clear, adjacent displays for set value and actual value facilitate monitoring of the insufflation process Fast and reliable insufflation via an adjustable flow rate up to 40 l/min Innovative sensitive mode with special safety limits for sensitive applications Automatic adjustment of insufflation rate to diverse instrument resistance values ensures the fastest possible insufflation Fully automatic, electronically controlled gas refill (e. g. in case of gas loss when changing instruments) SECUVENT Safety System: Constant monitoring of intraabdominal pressure; any overpressure is reduced immediately With connection possibilities to the KARL STORZ Communication Bus (KARL STORZ-SCB) for unit integration INSUFFLATORS UI400 S1 ENDOFLATOR 40 SCB, with integrated SCB module, power supply VAC, 50/60 Hz including: SCB Connecting Cable, length 100 cm Universal Wrench Insufflation Tubing Set*, with gas filter, sterile, for single use, package of 5 Specifications: Operating mode Gas flow Pressure Gas Measuring/control system Parameter display - High-flow mode - Sensitive mode - Sensitive mode: l/min - High-flow mode: 1-40 l/min - Sensitive mode: 1-15 mmhg - High-flow mode: 1-30 mmhg CO 2 Electronic - Set pressure - Actual pressure (intraabdominal) - Gas flow - Gas consumption: l - Status display gas consumption SECUVENT safety system Power supply Dimensions w x h x d Weight Certified to VAC, 50/60 Hz 305 x 164 x 315 mm 6 kg IEC 601-1, CE acc. to MDD * Optional Accessories for ENDOFLATOR 40 SCB see pages U Components/Spare Parts see chapter 9 U 18 PRO-UNITS 14

143 ENDOFLATOR 40 SCB System Components n CO 2 Bottle, empy, Pin-Index connector CO 2 Bottle, empty, German connector High Pressure Tube, Pin-Index connector High Pressure Tube, German connector High Pressure Tube, ISO connector Low Pressure Tube, for central CO 2 gas supply length 55 cm length 102 cm length 55 cm length 102 cm length 102 cm UI001, length 150 cm UI002, length 300 cm UI003, length 600 cm U N I T S I D E PATIENT SIDE Gas Filter, sterile, for single use INSUFFLATORS * Insufflation Tubing Set Insufflation Tube, sterilizable * UI004 Operating Rectoscope Tubes * T, A, BA PRO-UNITS 15 US U 19

144 n ENDOFLATOR 50 SCB with Speed-flow Insufflation (50 l/min), Recommended Standard Set Configuration Special Features: Ease of use due to large, color 7" touch screen Simultaneous display of set values and actual values facilitate monitoring of the insufflation process Automatic adjustment of insufflation rate to diverse instrument resistance values ensures the fastest possible insufflation Fully automatic, electronically controlled gas refill (e.g. in case of gas loss when changing instruments) SECUVENT Safety System: Constant monitoring of intraabdominal pressure Very high gas flow capacity of up to 50 l/min Especially suitable for providing a high gas flow when using smoke generating techniques Powerful high-flow mode for fast insufflation of large gas volumes up to 50 l/min A High-Capability Trocar (HiCap ) is a recommended option Tubing set with integrated heating element for preheating gas to body temperature to prevent peritoneum from cooling down With connection possibilities to the KARL STORZ Communication Bus (KARL STORZ-SCB) for unit integration INSUFFLATORS UI500 S1 ENDOFLATOR 50 SCB, with integrated SCB module, power supply VAC, 50/60 Hz including: Mains Cord, length 300 cm 3x Insufflation Tubing Set*, with integrated gas heater and gas filter, for single use, sterile 5x Insufflation Tubing Set*, with gas filter, for single use, sterile Universal Wrench SCB Connecting Cable, length 100 cm Specifications: Operating mode - High-flow mode - Sensitive mode SECUVENT safety system Gas flow Pressure Gas Measuring/control system Parameter display - Sensitive mode: l/min - High-flow mode: 1-40 l/min - Sensitive mode: 1-15 mmhg - High-flow mode: 1-30 mmhg CO 2 Electronic - Set pressure - Actual pressure (intraabdominal) - Gas flow - Gas consumption: l - Status display gas consumption Gas heating Power supply Dimensions w x h x d Weight Certified to VAC, 50/60 Hz 305 x 164 x 315 mm 7.7 kg IEC 601-1, CE acc. to MDD * Optional Accessories for ENDOFLATOR 50 SCB see pages U Components/Spare Parts see chapter 9 U 20 PRO-UNITS 16 A

145 ENDOFLATOR 50 SCB System Components n CO 2 Bottle, empy, Pin-Index connector CO 2 Bottle, empty, German connector High Pressure Tube, Pin-Index connector High Pressure Tube, German connector High Pressure Tube, ISO connector Low Pressure Tube, for central CO 2 gas supply length 55 cm length 102 cm length 55 cm length 102 cm length 102 cm UI001, length 150 cm UI002, length 300 cm UI003, length 600 cm U N I T S I D E PATIENT SIDE Insufflation Tubing Set INSUFFLATORS * Operating Rectoscope Tubes T, A, BA * PRO-UNITS 17 A US U 21

146 Optional Accessories for Insufflators for use with ENDOFLATOR 40 SCB UI400 S1 ENDOFLATOR 50 SCB UI500 S * Insufflation Tubing Set, with gas filter, for single use, hydrophobic on both sides, with 3 m insufflation tube and male LUER-Lock, sterile, package of 10, for use with insufflation units with a gas flow up to 50 l/min, tested and approved accessory for KARL STORZ insufflation units * Same, heatable INSUFFLATORS * Gas Filter, ISO connector, hydrophobic on both sides, sterile, for single use, package of 25, for use with insufflation units with gas flow up to 50 l/min, approved and tested accessory for KARL STORZ insufflation units UI004 Insufflation Tube, sterilizable, inner diameter 9 mm, length 250 cm J VERESS Pneumoperitoneum Needle, with spring-loades blunt inner cannula, LUER-Lock, autoclavable, diameter 2.1 mm, length 10 cm JK Same, length 7 cm JL Same, length 13 cm JLL Same, for setting up pneumoperitoneum for adipose patients employing DOUGLAS puncture, length 15 cm HC HiCap Trocar, size 11 mm * U 22 PRO-UNITS 18 A

147 Optional Accessories for Insufflators for use with ENDOFLATOR 40 SCB UI400 ENDOFLATOR 50 SCB UI CO 2 High Pressure Tube, American connection/german connection, length 55 cm Same, length 102 cm CO 2 High Pressure Tube, American connection/pin-index connection, length 55 cm Same, length 102 cm CO 2 High Pressure Tube, American connection/iso connection, length 102 cm UI001 UI002 UI003 Low Pressure Tube, for the central CO 2 gas supply, length 150 cm Same, length 300 cm Same, length 600 cm INSUFFLATORS CO 2 Bottle, empty, with German connection CO 2 Bottle, empty, with Pin-Index connection UI005 Bottle Holder, fold-away, holder for KARL STORZ CO 2 gas bottles 1000 ml, including attachments High Pressure Inline Gas Filter SCB Connecting Cable, length 60 cm Same, length 30 cm PRO-UNITS 19 A U 23

148 INSUFFLATORS

149 Suction and Irrigation Systems SUCTION AND IRRIGATION SYSTEMS n DUOMAT UNIMAT 30 SUCTION AND IRRIGATION SYSTEMS U 25

150 DUOMAT Suction and Irrigation Pump, Recommended Standard Set Configuration Special Features: Simple, powerful suction and irrigation system for universal use Suction bottle with overflow protection Low noise level DUOMAT, Suction and Irrigation Pump, power supply / VAC, 50/60 Hz including: VACUsafe Suction*, 2 l SUCTION AND IRRIGATION SYSTEMS Specifications: Pressure, non-regulated max. 400 mmhg (53.2 kpa) Suction pressure non-regulated: max. (-)0.75 bar (-75 kpa) Dimensions w x h x d Weight 305 x 110 x 260 mm 5 kg Power supply , VAC, 50/60 Hz Certified to IEC 601-1, CE acc. to MDD * Optional Accessories for DUOMAT see pages U Components/Spare Parts see chapter 9 U 26 PRO-UNITS 22 A

151 DUOMAT System Components U N I T S I D E PATIENT SIDE Silicone Tubing Set for Irrigation (pressure infusion cuff instrument connection) part 1 of 2 Silicone Tubing Set for Irrigation (unit bottle connection) part 1 of 2 Silicone Tubing Set for Suction part 1 of 2 Filter Silicone Tubing Set for Suction (unit bacterial filter connection) part 1 of 2 Filter mtp* Pressure Infusion Cuff Silicone Tubing Set for Irrigation (pressure infusion cuff instrument connection) part 2 of Bottle Cap for Irrigation Bottle Silicone Tubing Set for Irrigation (bottle instrument connection) part 2 of Bottle Caps, Suction Bottle, 5l, Bottle Stand, Bottle Stand Holder for Bottle Stand mtp* Suction Bottle, 1.5 l, Bottle Cap, Bottle Stand Silicone Tubing Set (bottle instrument connection) part 2 of Silicone Tubing Set (bottle instrument connection) part 2 of 2 SUCTION AND IRRIGATION SYSTEMS Suction and Irrigation Tube AR * PRO-UNITS 23 A U 27

152 Optional Accessories for Suction and Irrigation Systems For use with DUOMAT SCB Pressure Infusion Cuff, 1.5 l Pressure Infusion Cuff, 3 l Bottle Cap, sterilizable, for use with irrigation bottles 1 l and 1.5 l, sterile (cylindrical and square) type Abbott and Baxter Laboratories Bottle Cap, sterilizable, for use with irrigation bottle 1 l, sterile (round), type Fresenius and B. Braun (old type), Delta Pharma (round) Bottle Cap, sterilizable, for use with irrigation bottle 1 l, sterile (round or square), type B. Braun (old type) and Delta Pharma Suction Bottle, 1.5 l, sterilizable SUCTION AND IRRIGATION SYSTEMS Bottle Cap, for suction bottles 1.5 l and 5 l, sterilizable Bottle Stand, for suction bottle 1.5 l or irrigation bottle 1 l BN Suction and Irrigation Tube, with lateral holes, with two-way stopcock for single-hand control, size 5 mm, length 36 cm VG Puncture Needle, for sterile infusion solution 1 l, sterilizable, working length 22 cm B Puncture Needle, for sterile infusion solution 500 ml, sterilizable, working length 18 cm U 28 PRO-UNITS 24 A

153 Optional Accessories for Suction and Irrigation Systems For use with DUOMAT SCB Irrigation Liquid Bottle, 1 l, sterilizable Suction Bottle, 5 l, sterilizable Bottle Cap, for suction bottles 1.5 l and 5 l, sterilizable Bottle Stand, for suction bottle 5 l Bottle Stand Holder, for Bottle Stand Silicone Tubing Set, for suction, sterilizable Silicone Tubing Set, for suction, sterilizable, short Silicone Tubing Set, sterilizable, for use with Pressure Infusion Cuff and Silicone Tubing Set, for irrigation, sterilizable, for use with Bottle Caps , , and Puncture Needle VG Silicone Tubing Set, sterilizable, for irrigation/insufflation, for use with Puncture Needle B * Filter, for single use, unsterile, for use in fluid suction, specially adapted, package of 10 SUCTION AND IRRIGATION SYSTEMS * VACUsafe Canister, 2 l, package of * VACUsafe Suction Bag, 2 l, with filter, for single use, package of 48, color code: green * PRO-UNITS 25 A U 29

154 n UNIMAT 30 Universal Suction Pump, Recommended Standard Set Configuration Special Features: High suction performance of 30 l/min Particularly low noise and vibration Fast vacuum build-up to 85 kpa Maintenance-free cylinder/piston system Very easy to use Hydrophobic bacterial filter protects pump Problem-free cleaning For use in the doctor s office or hospital SUCTION AND IRRIGATION SYSTEMS Specifications: Suction performance Vacuum Power supply Dimensions w x h x d Weight Certified to UNIMAT 30, Suction Pump Set, power supply 230 VAC, 50/60 Hz including: Bacterial Filter Secretion Bottle, 2 l Bottle Cap, with grip Connecting Tube, short Patient Tube Overflow Case Mains Cord, length 300 cm VACUsafe Promotion Pack Suction* C Same, power supply 115 VAC, 50/60 Hz 30 l/min up to 85kPa, 640 mmhg 115/230 VAC, 50/60 Hz 245 x 345 x 282 mm 7 kg IEC 601-1, CE acc. to MDD Rated power/power consumption Protection class Inspections & certifications 1A, 100 Watt (115 VAC) 0.45 A, 100 Watt (230 VAC) protection class I, BF, IPX 1 MDD 93/42 EWG, EN , EN , EN , ISO 9001, UL * Optional Accessories for UNIMAT 30 see page U 32 Components/Spare Parts see chapter 9 U 30 PRO-UNITS 26 A

155 UNIMAT 30 System Components n U N I T S I D E PATIENT SIDE Connecting Tube, short Bacterial Filter Secretion Bottle Bottle Cap Overflow Case Patient Tube SUCTION AND IRRIGATION SYSTEMS PRO-UNITS 27 A U 31

156 Optional Accessories for Suction and Irrigation Systems For use with UNIMAT for Bronchoscopy: N Aspirator, for collecting secretions, with cut-off hole, can be connected to suction tubes or suction catheters T Same, without cut-off hole Bacterial Filter Secretion Bottle, 2 l Bottle Cap, with grip Overflow Case Connecting Tube, short Patient Tube 400 A Mains Cord, length 300 cm UG 624 Pump Holder, for mounting suction pump UNIMAT to equipment cart UGxxx * VACUsafe Canister, 1.5 l, package of * VACUsafe Canister, 2 l, package of * VACUsafe Canister, 3 l, package of 12 SUCTION AND IRRIGATION SYSTEMS * VACUsafe Suction Bag, 1.5 l, with filter, for single use, package of 48, color code: green * Same, 2 l * Same, 3 l mtp* Gelling Granulate, in 20 g bag * VACUsafe Suction Tube, 1.7 m, with red and blue multiadaptors, for single use, unsterile, package of * VACUsafe Connecting Tube, 30 cm, with green multiadaptor, unsterile, package of * VACUsafe Canister Holder, for use with 25 x 10 mm and 34 x 8 mm rails * U 32 PRO-UNITS 28 A

157 High Frequency Surgical Units HIGH FREQUENCY SURGICAL UNITS n n AUTOCON II 200 AUTOCON II 80 HIGH FREQUENCY SURGICAL UNITS U 33

158 HIGH FREQUENCY SURGICAL UNITS

159 AUTOCON II 200/80 Special Features Special Features: AUTOCON II 200 AUTOCON II 80 Degree of coagulation (effect) can be preselected in several steps: The degree of coagulation measures extent of coagulation depth Autostart function: Manual adjustment of operating time limit for bipolar coagulation Voltage-regulated cutting Separate papillo-cut and gastro-cut functions enable fractionated cutting with regulated HF current at different cutting speeds for flexible endoscopy Autostart function for bipolar coagulation: Automatic activation of coagulation current as soon as coagulation electrode touches tissue with both branches Activation of HF functions possible via footswitch or manual control switch for unipolar or bipolar Modular connecting sockets for unipolar and bipolar applications can be selected according to individual requirements HIGH FREQUENCY SURGICAL UNITS PRO-UNITS 31 A U 35

160 n AUTOCON II 200 High Frequency Surgery Unit, Recommended Standard Set Configurations AUTOCON II 200, power supply VAC, 50/60 Hz including: Mains Cord C AUTOCON II 200, power supply VAC, 50/60 Hz including: Mains Cord, US version AUTOCON II 200, with GASTRO-Cut, power supply VAC, 50/60 Hz including: Mains Cord C010 AUTOCON II 200, with GASTRO-Cut, power supply VAC, 50/60 Hz including: Mains Cord, US version Specifications: HIGH FREQUENCY SURGICAL UNITS HF rated power Max. voltage Degree of coagulation - Cutting Power-Cut (unipolar): 220 Watt/500 Ohm GASTRO-Cut (unipolar): 200 Watt/75 Ohm - Coagulation Standard-Coag (unipolar): 120 Watt/50 Ohm Forced-Coag (unipolar): 120 Watt/500 Ohm Standard-Coag (bipolar): 120 Watt/75 Ohm - Cutting Power-Cut (unipolar): 740Vp GASTRO-Cut (unipolar): 550Vp - Coagulation Standard-Coag (unipolar): 190Vp Forced-Coag (unipolar): 1800Vp Standard-Coag (bipolar): 190Vp Power-Cut: 8 GASTRO-Cut: 4 Standard-Coag: 8 Forced-Coag: 4 Bipolar Standard-Coag: 8 Autostart Autostop Optional Accessories for AUTOCON 200 see pages U Components/Spare Parts see chapter 9 Safety systems Power supply Dimensions w x h x d Weight Certified to Coagulation bipolar Coagulation unipolar standard - permanent power control - maldosage - neutral electrode safety system - automatic self-test VAC or VAC, 50/60 Hz 410 x 165 x 385 mm 10 kg IEC , CE acc. to MDD U 36 PRO-UNITS 32 A

161 AUTOCON II 200 System Components n Two-Pedal Footswitch One-Pedal Footswitch U N I T S I D E PATIENT SIDE Connecting Cable Neutral Electrode E Unipolar High Frequency Cord M c Dissecting and Grasping Forceps ME HIGH FREQUENCY SURGICAL UNITS PRO-UNITS 33 U 37

162 n AUTOCON II 80 High Frequency Surgery Unit, Recommended Standard Set Configurations AUTOCON II 80, power supply VAC, 50/60 Hz including: Mains Cord Specifications: HIGH FREQUENCY SURGICAL UNITS HF rated power Max. voltage - Dry Cut: 80 Watt/500 Ohm - Forced Coag: 50 Watt/500 Ohm - Soft Coag: 80 Watt/100 Ohm - Auto Cut: 80 Watt/500 Ohm - Bipolar Soft: 80 Watt/100 Ohm - Dry Cut: 830Vp - Forced Coag: 1200Vp - Soft Coag: 180Vp - Auto Cut: 500Vp - Bipolar Soft: 180Vp Safety systems Power supply Dimensions w x h x d Weight Certified to Optional Accessories for AUTOCON II 80 see pages U Components/Spare Parts see chapter 9 - permanent power control - maldosage - neutral electrode safety system - automatic self-test VAC, 50/60 Hz 280 x 135 x 300 mm 4 kg IEC , CE acc. to MDD U 38 PRO-UNITS 34 A

163 AUTOCON II 80 System Components n Two-Pedal Footswitch One-Pedal Footswitch U N I T S I D E PATIENT SIDE Connecting Cable Neutral Electrode E Unipolar High Frequency Cord M c Dissecting and Grasping Forceps ME HIGH FREQUENCY SURGICAL UNITS PRO-UNITS 35 A U 39

164 Optional Accessories for AUTOCON II 200/80 for use with AUTOCON II 200 AUTOCON II Two-Pedal Footswitch, for use with AUTOCON II 400 SCB and AUTOCON II One-Pedal Footswitch, for activating coagulation, for use with AUTOCON II 400 SCB and AUTOCON II Two-Pedal Footswitch, digital, one-stage, for use with AUTOCON II One-Pedal Footswitch, digital, one-stage, for use with AUTOCON II Neutral Electrode, of conductive silicone with 2 rubber ties for fastening, contact surface A = 500 cm 2, for use with Connecting Cable E Neutral Electrode, of conductive silicone, with 1 rubber tie for fastening, contact surface A = 187 cm², for use with Connecting Cable Neutral Electrode Connecting Cable, for Neutral Electrodes and E, length 400 cm UR Neutral Electrode Connecting Cable, for Neutral Electrode US Neutral Electrode Connecting Cable, for Neutral Electrode Neutral Electrode, for single use, contact surface divided into two, A = 169 cm 2, package of 50, Connecting Cable required Connecting Cable, for connecting Neutral Electrode 27802, length 500 cm HIGH FREQUENCY SURGICAL UNITS Electrode Handle, with 2 buttons for activating the unipolar generator, yellow button: unipolar cutting, blue button: unipolar coagulation (Cable required) High Frequency Cable, for Electrode Handle , length 400 cm Electrode Handle, without buttons, with integrated connecting cable, length 300 cm U 40 PRO-UNITS 36 A

165 Surgery Electrodes Set Accessories unipolar Surgery Electrodes Set including: Container with Lid and Sterilizing Insert, for 16 electrodes with diameter 4 mm Wire Snare, 5 mm Same, 10 mm Ribbon Snare, 10 mm KIRSCHNER Spatula Electrode, straight MAGENAU Knife Electrode, angled Knife Electrode, lancet-shaped Ball Electrode, 2 mm Same, 4mm Same, 6mm Needle Electrode Flat Electrode, 8 x10mm For use with Electrode Handles and Components/Spare Parts see chapter 9 Same, 10 x 15 mm HIGH FREQUENCY SURGICAL UNITS PRO-UNITS 37 A U 41

166 Accessories Unipolar High Frequency Cords unipolar KARL STORZ Instrument High Frequency Electrosurgical Units M Unipolar High Frequency Cord, with 4 mm plug, length 300 cm, for models KARL STORZ, Erbe type T, older models and Ellman M Unipolar High Frequency Cord, with 4 mm plug, length 300 cm, for use with Martin HF units M Unipolar High Frequency Cord, with 5 mm plug, length 300 cm, for AUTOCON II 400 SCB system (111, 115, 122, 125), AUTOCON II 200, AUTOCON II 80, AUTOCON system (50, 200, 350) and Erbe type ICC HIGH FREQUENCY SURGICAL UNITS Please note: All high frequency cords of this page are delivered with a length of 300 cm. If a length of 500 cm is requested please add letter L to the part number, e. g ML, LVL. U 42 PRO-UNITS 38 A

167 Accessories Bipolar High Frequency Cords bipolar KARL STORZ Instrument High Frequency Electrosurgical Units LE Bipolar High Frequency Cord, length 300 cm, for AUTOCON II 400 SCB system (111, 113, 115, 122, 125), AUTOCON II 200, AUTOCON II 80, Coagulator B/C/D, B/C/D, B/C/D, B/C/D, AUTOCON series (50, 200, 350), Erbe-Coagulator, T and ICC series LM Bipolar High Frequency Cord, length 300 cm, for use with Martin HF units LV Bipolar High Frequency Cord, length 300 cm, for AUTOCON II 400 SCB system (112, 114, 116, 122, 125), AUTOCON II 200, AUTOCON II 80 and Valleylab coagulators HIGH FREQUENCY SURGICAL UNITS PRO-UNITS 39 A U 43

168 Compatibility High Frequency Cords to AUTOCON HF Electrosurgical Units AUTOCON II 80 AUTOCON 200 AUTOCON II C C C C010 Unipolar High Frequency Cords UR US M M Bipolar High Frequency Cords LE LV HIGH FREQUENCY SURGICAL UNITS U 44 PRO-UNITS 40 A

169 COMPONENTS SPARE PARTS

170

171 Introduction The chapter Components / Spare Parts contains detailed information on KARL STORZ instruments. For easy location and reference, an index is available which lists the order number of the spare parts as well as those of the entire instrument, set or unit. Hotline Queries concerning products, exchange, maintenance and cleaning can be addressed to the KARL STORZ EP1 Hotline: 07461/ , from Monday to Thursday from 7-18 h and Friday from 7-17 h. Example: Components / Spare Parts Catalog page Sponge Forceps A Spare Parts Sealing Cap, small A Forceps Insert Plug, for LUER-Lock connector Spring Handle Spare parts assigned to instrument with catalog page reference and order numbers for individual components/spare parts SP 1

172 Table of Contents COMPONENTS / SPARE PARTS PROCTOLOGY Fiber Optic Light Carrier, HOPKINS Telescope, Working Attachment SP 2 Sponge Forceps, Snare Guide SP 3 GABRIEL Syringe SP 4 SCHÜTZ Ligature Instrument SP 4 Suction Ligature Instrument SP 4 WORBS-MEFFLE Suction Ligature Instrument SP 4 Suction Ligature Attachment, WORBS-MEFFLE Handle, Suction Ligature Instrument SP 5 WORBS-MEFFLE Suction Ligature Instrument SP 6 RECTOSCOPY Illumination Head Unit, Glass Window Plug SP 7 Adjustable Magnifier, Reducer SP 8 Rubber Insufflation Tube, Working Attachment, HOPKINS Telescope SP 9 c Metal Outer Sheath SP 10 c Micro Biopsy Forceps, Biopsy Forceps and Biopsy Punches SP 11-SP 12 Sponge Forceps SP 13 Suction and Irrigation Tube, Snare Guide SP 14 Snare Guide, Polyp Grasping Forceps SP 15 VIDEO-ASSISTED ANAL FISTULA TREATMENT c Grasping Forceps, Fistula Brush SP 16 COLORECTAL SURGERY HOPKINS Telescopes, TEO Working Attachments SP 17 TEO Operating Rectoscope Tubes, Sealing Cap SP 18 Fiber Optic Light Carrier, c MOURET Metal Handles SP 19 c Dissecting and Grasping Forceps, Universal Grasping Forceps SP 20, SP 22 c Scissors SP 21, SP 23 Coagulation Suction Tubes, Handles, HOPKINS Telescope SP 24 TEO Working Attachment, c Grasping Forceps and Scissors SP 25 Suction Tubes, Holding System, U-shaped SP 26 Holding System, U-shaped, LEROY Anal Dilators, LEROY Anal Dilator Tubes, LEROY Retractors SP 27 COLONOSCOPES, SIGMOIDOSCOPES SILVER SCOPE Colonoscopes SP 28-SP 29 Colonoscopes, Sigmoidoscopes SP 30-SP 32 VITOM VITOM Telescopes SP 33 Cold Light Fountain XENON 300 SCB, IMAGE1 S CONNECT, IMAGE1 S H3-LINK, MULTISWITCH DVI-D Switch/Router SP 34 Mechanical Holding Systems SP 35 ENDOCRANE Holding System SP 35 POINT SETTER Holding System SP 36-SP 37 AIDA compact NEO advanced/standard SP 37 CAMERA SYSTEMS TELE PACK X LED SP 38 Equipment Cart SP 38 LIGHT SOURCES Cold Light Fountain HALOGEN 250 twin SP 39 Cold Light Fountain LED NOVA 150 SP 39 Cold Light Fountain XENON 100 SCB SP 39 INSUFFLATORS ENDOFLATOR 40 SCB SP 40 ENDOFLATOR 50 SCB SP 40 SUCTION AND IRRIGATION SYSTEMS DUOMAT SP 41-SP 42 UNIMAT 30 SP 43-SP 44 HIGH FREQUENCY SURGICAL UNITS AUTOCON II 200 SP 45 AUTOCON II 80 SP 45 Surgery ElectrodesSet SP 46 II

173 Numerical Index COMPONENTS / SPARE PARTS Product Page Product Page Product Page SP SP SP SP SP E SP N SP T SP SP SP SP XE SP 28, SP LX SP 28, SP 29, SP 30, SP NKS SP PKS SP HNKS SP HPKS SP NKS SP PKS SP HNKS SP HPKS SP NKS SP PKS SP DA SP 28, SP LV SP 30, SP RV SP 30, SP SAV SP SRV SP 28, SP SSV SP 28, SP SV SP 30, SP SW SP BS SP 38, SP SP SP SP C SP SP C SP SP 34, SP SP SP US SP 34, SP 37, SP SP SP V02 SP C01 SP V01 SP EN SP EN SP SP D SP SP SP 34, SP SP 38, SP SP SP SP SP SP SP SP SP SP U SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP C SP SP C010 SP SP SP C SP C010 SP SP SP SP AA SP DA SP SP SP A SP B SP C SP H SP S SP A SP B SP 7, SP SP FK SP B SP N SP A SP AK SP AW SP AWC SP AWS SP BA SP F SP H SP HB SP HBS SP HC SP HCS SP HS SP HT SP HTS SP SP SP T SP TK SP BA SP F SP SP B SP BA SP GA SP AR SP SP SP SP SP U SP SP U SP SP SP SP SP E SP G SP 5, SP GS SP 4, SP A SP 4, SP KA SP 4, SP N SP NS SP A SP 4, SP KN SP 4, SP N SP NS SP SP SP 1, SP A SP 1, SP SP A SP K SP A SP KA SP SP 14 III

174 Numerical Index COMPONENTS / SPARE PARTS Product Page Product Page Product Page A SP AK SP SP C SP SP C SP SP SP 43, SP SP 43, SP SP SP SP 43, SP DF SP MAL SP MAR SP ME SP MG SP ML SP MT SP PML SP PMR SP DF SP ME SP MG SP ML SP PML SP PMR SP DF SP ME SP MG SP ML SP PML SP PMR SP DF SP MAL SP MAR SP ME SP MG SP ML SP MT SP PML SP PMR SP DF SP ME SP MG SP ML SP PML SP PMR SP DF SP ME SP MG SP ML SP PML SP PMR SP DM SP SC SP DF SP MAL SP MAR SP ME SP MG SP ML SP MT SP PML SP PMR SP DF SP ME SP MG SP ML SP PML SP PMR SP DF SP ME SP MG SP ML SP PML SP PMR SP DF SP MAL SP MAR SP ME SP MG SP ML SP MT SP PML SP PMR SP DF SP ME SP MG SP ML SP PML SP PMR SP DF SP ME SP MG SP ML SP PML SP PMR SP MAL SP MAR SP ML SP MLG SP PML SP PMR SP MAL SP MAR SP ML SP MLG SP PML SP PMR SP SP SP SP K SP BA SP BT SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP C SP SP SP BV SP HG SP HK SP 26, SP 27, SP HR SP 26, SP 27, SP HRS SP 27, SP HZ SP 26, SP WA SP WB SP WC SP 36, SP WKS SP WO SP ECW SP EH SP EHS SP HA SP HB SP HC SP HD SP 26, SP KLD SP RLD SP UA SP UF SP UGN SP UKN SP SP 10, SP 11, SP 12, SP 16, SP 18, SP 21, SP 23, SP 25, SP A SP 11, SP 12, SP 16, SP 21, SP 23, SP KJ SP 16 IV

175 Numerical Index COMPONENTS / SPARE PARTS Product Page Product Page Product Page KJ SP HA SP I SP T SP VL SP SP SP P SP F SP F SP SP SP M SP SP M SP B SP DH SP MB SP P SP B SP DH SP MB SP P SP B SP DH SP MB SP P SP B SP DH SP MB SP P SP B SP DH SP MB SP P SP B SP DH SP MB SP P SP B SP DH SP MB SP P SP B SP DH SP MB SP P SP A SP 34, SP 35, SP 37, SP 38, SP 39, SP 40, SP 43, SP B SP F SP SP B SP S SP SP 28, SP F SP 2, SP 7, SP 9, SP 17, SP 19, SP 24, SP 27, SP G SP 2, SP 7, SP 9, SP 17, SP 19, SP 24, SP 27, SP MK SP 37, SP S SP SP 29, SP SP 1, SP 3, SP SP SP SP 29, SP SP 29, SP SP SP SP SP SP SP 29, SP SP 29, SP SP SP SP SP SP SP 9, SP SP SP 1, SP 3, SP 13, SP SP SP SP SP SP 1, SP SP SP SP 3, SP 14, SP SP 14, SP SP SP SP 14, SP SP SP SP SP SP 14, SP 24, SP SP 14, SP SP SP SP SP SP SP SP 11, SP 12, SP 16, SP 18, SP 21, SP 23, SP SP SP SP SP SP SP SP SP SP SP 38 ET SP 38 ET SP 27, SP 35 TC 011 SP 34 TC 200EN SP 34 TC 300 SP 34 TP 100EN SP 38 UG 010 SP 38 UG 020 SP 38 UG 041 SP 38 UG 110 SP 38 UG 601 SP 38 UG 603 SP 38 UG 608 SP 38 UI400 SP 40 UI400 S1 SP 40 UI500 SP 40 UI500 S1 SP 40 V

176 Proctology Fiber Optic Light Carrier, HOPKINS Telescope, Working Insert Components / Spare Parts Catalog page Fiber Optic Light Carrier 11, 13, 14 Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 F 495 G 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation Components / Spare Parts Catalog page BA HOPKINS Forward-Oblique Telescope F 495 G Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation Components / Spare Parts Catalog page F Working Attachment Spare Part Knurled Screw SP 2 PRO-SP 2 A

177 Proctology Sponge Holder, Snare Guide Components / Spare Parts Catalog page K Sponge Forceps Spare Parts Forceps Insert Plug, for LUER-Lock connector Spring Handle Sealing Cap, small Components / Spare Parts Catalog page K Snare Guide 17 Spare Parts AK C AK Wire Snare Plug, with sleeve C Sealing Cap, drill hole diameter 1.2 mm PRO-SP 3 A SP 3

178 Proctology GABRIEL Syringe, SCHÜTZ Ligature Instrument, Suction Ligature Instrument, WORBS-MEFFLE Suction Ligature Instrument Components / Spare Parts Catalog page GABRIEL Syringe 18 Spare Part E Replacement Cylinder, for Syringe E Components / Spare Parts A SCHÜTZ Ligature Instrument KA Loading Cone Catalog page KA Components / Spare Parts NS Suction Ligature Instrument A Ligature Attachment GS Handle KA Loading Cone KA A Catalog page GS Components / Spare Parts NS WORBS-MEFFLE Suction Ligature Instrument A Ligature Attachment GS Handle KN Loading Cone KN A Catalog page GS SP 4 PRO-SP 4 A

179 Proctology Suction Ligature Attachment, WORBS-MEFFLE Handle, Suction Ligature Instrument Components / Spare Parts Catalog page A Suction Ligature Attachment, for N and NS 20, 21 Spare Part Knurled Screw Components / Spare Parts Catalog page GS WORBS-MEFFLE Handle, for NS and NS 20 Spare Parts Compression Spring, diameter 1.6 x 21 mm Threaded Ring O-Ring Components / Spare Parts N Suction Ligature Instrument A Ligature Attachment G Handle KA Loading Cone KA A Catalog page G PRO-SP 5 A SP 5

180 Proctology WORBS-MEFFLE Suction Ligature Instrument Components / Spare Parts N WORBS-MEFFLE Suction Ligature Instrument A Ligature Attachment G Handle KN Loading Cone KN Catalog page A G SP 6 PRO-SP 6 A US

181 Rectoscopy Illumination Head Unit, Glass Window Plug Components / Spare Parts Catalog page Illumination Head Unit F 495 G Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation Components / Spare Parts Catalog page FK Glass Window Plug B Spare Parts 249 B Glass Window, for rectoscope cap 249 A Rubber Gasket, for resectoscope sealing cap PRO-SP 7 A SP 7

182 Rectoscopy Adjustable Magnifier, Reducer Components / Spare Parts Catalog page N Adjustable Magnifier B Spare Parts B Reducer, for use with 5 mm instruments with Adjustable Magnifier N Seal Components / Spare Parts Catalog page B Reducer Spare Part Sealing Cap, (50/3.6) SP 8 PRO-SP 8 A

183 Rectoscopy Rubber Insufflation Bulb, Working Attachment, HOPKINS Telescope Components / Spare Parts Rubber Insufflation Bulb B Rubber Bulb S Rubber Tube Spare Part S Catalog page B LUER-Lock Tube Connector, male, tube diameter 6 mm Components / Spare Parts Catalog page GA Working Attachment Spare Parts Movable Mandrel Sealing Cap, (40/4) Components / Spare Parts Catalog page BA HOPKINS Forward-Oblique Telescope F 495 G Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation PRO-SP 9 A SP 9

184 Rectoscopy c Metal Outer Sheaths Components / Spare Parts Catalog page c Metal Outer Sheath, insulated c Metal Outer Sheath, insulated Spare Parts Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of Halfround Plate Silicone Ring Components / Spare Parts M c Metal Outer Sheath M c Metal Outer Sheath Catalog page Spare Parts Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of Halfround Plate Silicone Ring SP 10 PRO-SP 10 A

185 Rectoscopy c Micro Biopsy Forceps, Biopsy Forceps and Biopsy Punches Components / Spare Parts Catalog page P c Micro Biopsy Forceps P c Micro Biopsy Forceps P c Micro Biopsy Forceps P c Micro Biopsy Forceps B c Biopsy Forceps B c Biopsy Forceps B c Biopsy Forceps B c Biopsy Forceps MB c MANHES Biopsy Forceps MB c MANHES Biopsy Forceps MB c MANHES Biopsy Forceps MB c MANHES Biopsy Forceps DH c Biopsy Punch DH c Biopsy Punch DH c Biopsy Punch DH c Biopsy Punch /29100/29100 A Spare Parts Plug, single, for LUER- Lock connector for cleaning, black, autoclavable Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of A Color-Coded Plug, for LUER-Lock connector for cleaning, red, green, black, 10 each, package of 30 PRO-SP 11 A SP 11

186 Rectoscopy c Micro Biopsy Forceps, Biopsy Forceps and Biopsy Punches Components / Spare Parts Catalog page P c Micro Biopsy Forceps P c Micro Biopsy Forceps P c Micro Biopsy Forceps P c Micro Biopsy Forceps B c Biopsy Forceps B c Biopsy Forceps B c Biopsy Forceps B c Biopsy Forceps MB c MANHES Biopsy Forceps MB c MANHES Biopsy Forceps MB c MANHES Biopsy Forceps MB c MANHES Biopsy Forceps DH c Biopsy Punch DH c Biopsy Punch DH c Biopsy Punch DH c Biopsy Punch /29100/29100 A Spare Parts Plug, single, for LUER- Lock connector for cleaning, black, autoclavable Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of A Color-Coded Plug, for LUER-Lock connector for cleaning, red, green, black, 10 each, package of 30 SP 12 PRO-SP 12 A

187 Rectoscopy Sponge Forceps Components / Spare Parts Catalog page Sponge Forceps A Spare Parts Sealing Cap, small A Forceps Insert Plug, for LUER-Lock connector Spring Handle Components / Spare Parts Catalog page Sponge Forceps A Spare Parts Sealing Cap, small A Forceps Insert Plug, for LUER-Lock connector Spring Handle PRO-SP 13 A SP 13

188 Rectoscopy Suction and Irrigation Tube, Snare Guide Components / Spare Parts Catalog page AR Suction and Irrigation Tube 36 Spare Parts Spring Cap Stopcock Components / Spare Parts Catalog page Snare Guide Spare Parts Wire Snare, package of Guiding Rod Plug, with sleeve Sealing Cap Components / Spare Parts Catalog page Snare Guide Spare Parts Wire Snare, package of Guiding Rod Plug, with sleeve Sealing Cap SP 14 PRO-SP 14 A

189 Rectoscopy Snare Guide, Polyp Grasping Forceps Components / Spare Parts Catalog page Snare Guide A Spare Parts A Wire Snare Guiding Rod Plug, with sleeve Sealing Cap Components / Spare Parts Catalog page Polyp Grasping Forceps Spare Part Forceps Insert PRO-SP 15 A SP 15

190 Video-assisted Anal Fistula Treatment c Grasping Forceps, Fistula Brush Components / Spare Parts KJ c REDDICK-OLSEN Grasping Forceps Plastic Handle, without ratchet, with larger contact area KJ Outer Sheath with Working Insert Catalog page /29100/29100 A KJ KJ Spare Parts Plug, single, for LUER- Lock connector for cleaning, black, autoclavable Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of A Color-Coded Plug, for LUER-Lock connector for cleaning, red, green, black, 10 each, package of 30 Components / Spare Parts Fistula Brush H 3-ring Handle S Outer Sheath A Fistula Brush Insert, outer diameter 4 mm B Fistula Brush Insert, outer diameter 4.5 mm C Fistula Brush Insert, outer diameter 5 mm Catalog page A/B/C S H SP 16 PRO-SP 16 A US

191 Colorectal Surgery HOPKINS Telescopes, TEO Working Attachments Components / Spare Parts Catalog page BA HOPKINS Forward-Oblique Telescope 30 48, F 495 G Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation Components / Spare Parts Catalog page AK TEO Working Attachment A TEO Working Attachment / / / Spare Parts / / / Spring Cap Sealing Bellows, large, 5 mm Stopcock Sealing Bellows, large, 10 mm Silicone Leaflet Washer, small Sealing Bellows, large, 12 mm Silicone Leaflet Washer, large Sealing Bellows, small, 5 mm PRO-SP 17 A US SP 17

192 Colorectal Surgery TEO Operating Rectoscope Tubes, Sealing Cap Components / Spare Parts Catalog page TK TEO Operating Rectoscope Tube T TEO Operating Rectoscope Tube Spare Parts Plug, single, for LUER- Lock connector for cleaning, black, autoclavable Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of 10 Components / Spare Parts Catalog page F Sealing Cap B Spare Parts 249 B Glass Window, for rectoscope cap Ring O-Ring SP 18 PRO-SP 18 A US

193 Colorectal Surgery Fiber Optic Light Carrier, c MOURET Metal Handles Components / Spare Parts Catalog page B Fiber Optic Light Carrier 50 Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 F 495 G 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation Components / Spare Parts F c MOURET Metal Handle F c MOURET Metal Handle Catalog page Spare Parts Knurled Screw Expander Spring PRO-SP 19 A US SP 19

194 Colorectal Surgery c Dissecting and Grasping Forceps, Universal Grasping Forceps Components / Spare Parts Catalog page ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps 56 Spare Parts for Dissecting and Grasping Forceps, Universal Grasping Forceps see SP 21 SP 20 PRO-SP 20 A US

195 Colorectal Surgery c Scissors Components / Spare Parts Catalog page MT c Scissors MT c Scissors MAR c Scissors MAR c Scissors MAL c Scissors MAL c Scissors /29100/29100 A Spare Parts Plug, single, for LUER- Lock connector for cleaning, black, autoclavable Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of A Color-Coded Plug, for LUER-Lock connector for cleaning, red, green, black, 10 each, package of 30 PRO-SP 21 A US SP 21

196 Colorectal Surgery c Dissecting and Grasping Forceps, Universal Grasping Forceps Components / Spare Parts Catalog page ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps ME c Dissecting and Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps DF c Universal Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps MG c Dissecting and Grasping Forceps PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PMR c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW PML c Universal Grasping Forceps PARROT-JAW ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps ML c KELLY Universal Grasping Forceps 56 Spare Parts for Dissecting and Grasping Forceps, Universal Grasping Forceps see SP 23 SP 22 PRO-SP 22 A US

197 Colorectal Surgery c Scissors Components / Spare Parts Catalog page MT c Scissors MT c Scissors MAR c Scissors MAR c Scissors MAL c Scissors MAL c Scissors /29100/29100 A Spare Parts Plug, single, for LUER- Lock connector for cleaning, black, autoclavable Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of A Color-Coded Plug, for LUER-Lock connector for cleaning, red, green, black, 10 each, package of 30 PRO-SP 23 A US SP 23

198 Colorectal Surgery Coagulation Suction Tubes, Handles, HOPKINS Telescope Components / Spare Parts Catalog page DM Coagulation Suction Tube SC Coagulation Suction Tube 58 Spare Part O-Ring, small Components / Spare Parts Catalog page Handle with Trumpet Valve Spare Parts Spring Knurled Cap Piston Components / Spare Parts Catalog page Handle with Two-Way Stopcock Spare Parts BT BT Stopcock Spring Cap Components / Spare Parts BA HOPKINS Forward-Oblique Telescope F 495 G Catalog page 63 Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation SP 24 PRO-SP 24 A US

199 Colorectal Surgery TEO Working Attachment, c Dissecting Forceps and Scissors Components / Spare Parts AW TEO Working Attachment AWC Working Attachment AWS Telescope Guide SP Seal Set Catalog page 63 Components / Spare Parts MLG c Grasping Forceps P Metal Handle MLG Outer Sheath, with working insert Catalog page ML c Grasping Forceps P Metal Handle ML Outer Sheath, with working insert PMR c Grasping Forceps P Metal Handle PMR Outer Sheath, with working insert PML c Grasping Forceps P Metal Handle PML Outer Sheath, with working insert MAR c Scissors P Metal Handle MAR Outer Sheath, with working insert MAL c Scissors P Metal Handle MAL Outer Sheath, with working insert MLG P Spare Parts Plug, single, for LUER- Lock connector for cleaning, black, autoclavable Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of A Color-Coded Plug, for LUER-Lock connector for cleaning, red, green, black, 10 each, package of 30 PRO-SP 25 US SP 25

200 Colorectal Surgery Suction Tubes, Holding Systems, U-shaped Components / Spare Parts Catalog page Suction Tube, straight, with Wire Tray SK Suction Tube, curved, with Wire Tray SK 65 Spare Parts Spring Cap Stopcock Components / Spare Parts KLD Holding System, U-shaped HK Socket HD Articulated Stand Catalog page RLD Holding System, U-shaped HR Rotation Socket HD Articulated Stand HR HD RLD Components / Spare Parts HD Articulated Stand Catalog page 66 Spare Part HZ Set Screw, for articulated stands HZ SP 26 PRO-SP 26 US

201 Colorectal Surgery Holding System, U-shaped, LEROY Anal Dilators, LEROY Anal Dilator Tubes, LEROY Retractors Components / Spare Parts HK Socket, to clamp to the OR table Spare Part ET Butterfly Nut, for fixing the retaining rod Catalog page ET Components / Spare Parts HR Rotation Socket, to clamp to the operating table Spare Part HRS Butterfly Nut, to clamp Socket HR to the operating table, one already mounted on Socket HR HRS Catalog page 67 Components / Spare Parts H LEROY Anal Dilator HT Anal Dilator Tube HC Conical Obturator HB Blunt Obturator H Catalog page F 495 G HS LEROY Anal Dilator HTS Anal Dilator Tube HCS Conical Obturator HBS Blunt Obturator HC HB Components / Spare Parts Catalog page HT LEROY Anal Dilator Tube HTS LEROY Anal Dilator Tube 70 Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation Components / Spare Parts HA LEROY Articulating H-Retractor T LEROY T-Retractor VL LEROY V-Retractor I LEROY I-Retractor Catalog page Spare Part Plug, for LUER-Lock connector PRO-SP 27 US SP 27

202 Colonoscopes, Sigmoidoscopes SILVER SCOPE Colonoscopes Components / Spare Parts PKS Colonoscope, SILVER SCOPE series, PAL NKS Colonoscope, SILVER SCOPE series, NTSC PKS Colonoscope, SILVER SCOPE series, PAL NKS Colonoscope, SILVER SCOPE series, NTSC HPKS Colonoscope, SILVER SCOPE series, PAL HNKS Colonoscope, SILVER SCOPE series, NTSC HPKS Colonoscope, SILVER SCOPE series, PAL HNKS Colonoscope, SILVER SCOPE series, NTSC Catalog page SAV SSV DA Spare Parts DA Sealing Cap, for working channel, package of XE Pressure Compensation Cap, for ventilation during gas sterilization SRV Cleaning Valve, reusable SAV Suction Valve, reusable LX Leakage Tester, with bulb and manometer SSV Air/Water Valve, reusable Lanyard, for plugs from the SILVER SCOPE series SP 28 PRO-SP 28 US

203 Colonoscopes, Sigmoidoscopes SILVER SCOPE Colonoscopes Components / Spare Parts SRV Cleaning Valve Catalog page 83 Spare Parts O-Ring, red, 3.1 x 1.6 mm Components / Spare Parts SSV Air/Water Valve Catalog page 83 Spare Parts O-Ring, red, 3.1 x 1.6 mm Components / Spare Parts O-Rings for Supply Connectors Catalog page Spare Parts O-Ring, black, bottom, 23 x 1.5 mm O-Ring, for water bottle connector on the supply connector Components / Spare Parts LX Leakage Tester Catalog page Spare Parts Silicone Tube O-Ring PRO-SP 29 US SP 29

204 Colonoscopes, Sigmoidoscopes Colonoscopes, Sigmoidoscopes Components / Spare Parts PKS Sigmoidoscope, PAL NKS Sigmoidoscope, NTSC Catalog page LV SV DA Spare Parts DA Sealing Cap, for working channel, package of LX Leakage Tester, with bulb and manometer RV Cleaning Valve, reusable LV Suction Valve, reusable SV Air/Water Valve, reusable Plug, for LUER-Lock connector for cleaning, black, autoclavable, package of Lanyard, for plugs from the SILVER SCOPE series XE Pressure Compensation Cap, for ventilation during gas sterilization SP 30 PRO-SP 30 US

205 Colonoscopes, Sigmoidoscopes Colonoscopes, Sigmoidoscopes Components / Spare Parts RV Cleaning Valve Catalog page 88 Spare Part O-Ring Components / Spare Parts LV Suction Valve Catalog page 88 Spare Parts O-Ring, for suction valve, large, red, 2.5 x 1.5 mm O-Ring, for suction valve, small, red, 2 x 1.5 mm Components / Spare Parts SV Air/Water Valve Catalog page 88 Spare Part O-Ring, red, 3.1 x 1.6 mm PRO-SP 31 US SP 31

206 Colonoscopes, Sigmoidoscopes Colonoscopes, Sigmoidoscopes Components / Spare Parts O-Rings for Supply Connectors Catalog page Spare Parts O-Ring, black, bottom, 23 x 1.5 mm O-Ring, for water bottle connector on the supply connector O-Ring, blue, top, 26 x 3.5 mm Components / Spare Parts LX Leakage Tester Catalog page Spare Parts Silicone Tube O-Ring SP 32 PRO-SP 32 US

207 VITOM VITOM Telescopes Components / Spare Parts AA VITOM Telescope 0 with Integrated Illuminator 495 F 495 G Catalog page 93 Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation Components / Spare Parts DA VITOM Telescope 90 with Integrated Illuminator Catalog page 94 Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 F 495 G 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation Components / Spare Parts VITOM 25 Telescope F 495 G Catalog page 95 Spare Parts 495 F Receptacle, diameter 9 mm, for Wolf fiber optic light cable 495 G Screw Base, for KARL STORZ fiber optic light cables and Olympus Corporation PRO-SP 33 US SP 33

208 VITOM Cold Light Fountain XENON 300 SCB, IMAGE1 S CONNECT, IMAGE1 S H3-LINK, MULTISWITCH DVI-D Switch/Router Components / Spare Parts Cold Light Fountain XENON 300 SCB Catalog page Cold Light Fountain XENON 300 SCB, power supply / VAC, 50/60 Hz 400 A Mains Cord SCB Connecting Cable, length 100 cm Components / Spare Parts TC 200EN IMAGE1 S CONNECT 400 A Mains Cord, length 300 cm DVI-D Connecting Cable, length 300 cm SCB Connecting Cable, length 100 cm USB Flash Drive, 32 GB US USB Silicone Keyboard, with touchpad, US Catalog page 100 Components / Spare Parts TC 300 IMAGE1 S H3-LINK 400 A Mains Cord, length 300 cm TC 011 Link Cable, length 20 cm Catalog page 100 Components / Spare Parts MULTISWITCH DVI-D Switch/Router MULTISWITCH Device 400 A Mains Cord, length 300 cm DVI-D Connecting Cable, length 200 cm Catalog page 104 SP 34 PRO-SP 34 US

209 VITOM Mechanical Holding Systems, ENDOCRANE Holding System Components / Spare Parts HK Socket, to clamp to the OR table Catalog page 106 Spare Part ET Butterfly Nut, for fixing the retaining rod ET Components / Spare Parts HR Rotation Socket, to clamp to the operating table Catalog page 106 Spare Part HRS Butterfly Nut, to clamp Socket HR to the operating table, one already mounted on Socket HR HRS Components / Spare Parts HA Articulated Stand HB Articulated Stand HC Articulated Stand HD Articulated Stand Catalog page Spare Part HZ Set Screw, for articulated stands HZ Components / Spare Parts EH ENDOCRANE, piezoregulated holding arm EHS ENDOCRANE Arm, including stand HG Socket, to clamp to the OR table Control Unit * Cover, elasticated, package of ECW Spring Balance 400 A Mains Cord, length 300 cm BV Case Catalog page 109 * PRO-SP 35 US SP 35

210 VITOM POINT SETTER Holding System Components / Spare Parts WKS POINT SETTER, pneumatic holding arm, set Catalog page 110 Spare Parts WA Connecting Tube, for POINT SETTER, Dräger, max. pressure 8 bar/115 psi, length 600 cm WB Connecting Tube, for POINT SETTER, Dräger air motor, max. pressure 8 bar/115 psi, length 600 cm WC Connecting Tube, for POINT SETTER compressor, max. pressure 8 bar/115 psi, length 600 cm WO Connecting Tube, for POINT SETTER, with open end, max. pressure 8 bar/115 psi, length 600 cm UA KSLOCK Adaptor, for KARL STORZ clamping jaws UGN KARL STORZ Clamping Jaw, large UKN KARL STORZ Clamping Jaw, small UF KARL STORZ Clamping Jaw, for fiberscopes Pressure Regulator, 7 bar SP 36 PRO-SP 36 US

211 VITOM POINT SETTER Holding System, AIDA compact NEO advanced/standard Components / Spare Parts Air Compressor, for POINT SETTER Air Compressor, 0 8 bar, power supply 230 VAC, 50/60 Hz, dimensions (w x d x h): approx. 500 x 320 x 340 mm, weight approx. 22 kg Fabric Reinforced Tube, for connecting CALCUSPLIT SCB WC Connecting Tube, length 600 cm, for use with POINT SETTER holding system, required pressure setting min. 6 to max. 8 bar Catalog page 111 Components / Spare Parts C Air Compressor, for POINT SETTER C Air Compressor, 0 8 bar, power supply 115 VAC, 50/60 Hz, dimensions (w x d x h): approx. 500 x 320 x 340 mm, weight approx. 22 kg Fabric Reinforced Tube, for connecting CALCUSPLIT SCB WC Connecting Tube, length 600 cm, for use with POINT SETTER holding system, required pressure setting min. 6 to max. 8 bar C Catalog page 111 Components / Spare Parts Catalog page EN/ EN KARL STORZ AIDA compact NEO advanced/standard D AIDA control NEO (V3.1) AIDA control NEO V3.1 Software, incl. communication (DICOM/HL7) US USB Silicone Keyboard, with touchpad, US V02 AIDA compact HD Frame Grabber Card V01 AIDA compact FHD Frame Grabber Card C01 AIDA FHD Frame Grabber Breakout Cable Connecting Cable, for controlling peripheral units DVI-D Connecting Cable, length 200 cm Connecting Cable, mini-din plug to BNC socket 536 MK BNC Video Cable, length 200 cm 400 A Mains Cord PRO-SP 37 US SP 37

212 Camera Systems TELE PACK X LED, Equipment Cart Components / Spare Parts Catalog page TP 100EN TELE PACK X LED U US USB Silicone Keyboard, with touchpad, US character set ET USB Flash Drive, 8 GB 400 F Mains Cord Components / Spare Parts GASTRO PACK, color system PAL Catalog page U GASTRO PACK,PAL Case BS Water Bottle Irrigation Bottle Holder PCMCIA Memory Card, 128 MB 400 A Mains Cord, length 300 cm 547 S S-Video (Y/C) Connecting Cable, length 180 cm 536 MK BNC Video Cable, length 200 cm Same, color system NTSC GASTRO PACK, NTSC U GASTRO PACK, color system PAL GASTRO PACK,PAL BS Water Bottle Irrigation Bottle Holder PCMCIA Memory Card, 128 MB 400 A Mains Cord, length 300 cm 547 S S-Video (Y/C) Connecting Cable, length 180 cm 536 MK BNC Video Cable, length 200 cm U Keyboard, with US-English character set U Same, color system NTSC GASTRO PACK, NTSC Components / Spare Parts Catalog page UG 110 Equipment Cart U 10 UG 010 UG 020 UG 041 UG 603 UG 601 UG 608 Base Module, equipment cart, narrow Cover, equipment cart, narrow Beam Package, equipment cart, small Shelf, narrow Drawer Unit with Lock, narrow Equipment Rail, long SP 38 PRO-SP 38

213 Light Sources Cold Light Fountain HALOGEN 250 twin, Cold Light Fountain LED NOVA 150, Cold Light Fountain XENON 100 SCB Components / Spare Parts Cold Light Fountain HALOGEN 250 twin Cold Light Fountain HALOGEN 250 twin, power supply 100/120/230/240 VAC, 50/60 Hz 400 A Mains Cord Catalog page U12 Components / Spare Parts Cold Light Fountain LED NOVA 150 Catalog page U Cold Light Fountain LED NOVA 150, power supply VAC, 50/60 Hz 400 A Mains Cord Components / Spare Parts Cold Light Fountain XENON 100 SCB Cold Light Fountain XENON 100 SCB 400 A Mains Cord BS Water Bottle Irrigation Bottle Holder SW Irrigation Adaptor, for water bottle Catalog page U 14 Components / Spare Parts BS Water Bottle Catalog page U Spare Parts Irrigation Bottle Cap, with double tube, autoclavable SW Irrigation Adaptor, for water bottle Irrigation Bottle, 250 ml, autoclavable O-Ring, water bottle seal, 6.1 x 1.6 mm Irrigation Bottle Holder PRO-SP 39 SP 39

214 Insufflators ENDOFLATOR 40 SCB, ENDOFLATOR 50 SCB Components / Spare Parts Catalog page UI 400 S1 ENDOFLATOR 40 SCB U 18 UI 400 ENDOFLATOR 40 SCB, power supply VAC, 50/60 Hz SCB Connecting Cable, length 100 cm Universal Wrench * Insufflation Tubing Set, with gas filter, sterile, for single use, package of HP HICAP Trocar, size 11 mm UI400 S1 UI 500 S1 ENDOFLATOR 50 SCB U 20 UI 500 ENDOFLATOR 50 SCB, power supply VAC, 50/60 Hz SCB Connecting Cable, length 100 cm Universal Wrench * Heated Insufflation Tubing Set, with gas filter, sterile, for single use, package of HP HICAP Trocar, size 11 mm UI500 S1 Spare Parts Mains Fuse, T 2.0 AH, 250 V, package of LUER-Lock Tube Connector, male, tube diameter 10 mm ISO Connector, female * SP 40 PRO-SP 40

215 Suction and Irrigation Systems DUOMAT Components / Spare Parts DUOMAT Set, suction and irrigation pump Catalog page U DUOMAT, power supply , VAC, 50/60 Hz * VACUsafe Promotion Pack Suction, 2 l Spare Parts Mains Fuse, T 0.2 A (SB), package of Mains Fuse, T 0.5 A (SB), package of 10 Components / Spare Parts Silicone Tubing Set, for irrigation Catalog page U 29 Spare Part LUER-Lock Tube Connector, male, tube diameter 6 mm Components / Spare Parts Silicone Tubing Set Catalog page U 29 Spare Parts Puncture Needle, for irrigation bottle LUER-Lock Tube Connector, female, tube diameter 6 mm LUER-Lock Tube Connector, male, tube diameter 6 mm * PRO-SP 41 SP 41

216 Suction and Irrigation Systems DUOMAT Components / Spare Parts Catalog page Silicone Tubing Set, for suction U Silicone Tubing Set, for suction U 29 Spare Parts LUER-Lock Tube Connector, male, tube diameter 9 mm Tubing Connector Set, for Bottle Cap LUER-Lock Tube Connector, female, tube diameter 8 mm Components / Spare Parts Bottle Cap, for irrigation bottle holder Bottle Cap, for irrigation bottle holder Bottle Cap, for irrigation bottle holder Catalog page U 28 U 28 U 28 Spare Part Seal Set, for bottle caps SP 42 PRO-SP 42

217 Suction and Irrigation Systems UNIMAT 30 Components / Spare Parts UNIMAT 30, Suction Pump Set, 230 VAC Catalog page U UNIMAT 30, suction pump, power supply 230 VAC, 50/60 Hz Bacterial Filter Secretion Bottle, 2 l Bottle Cap, with grip Connecting Tube, short Patient Tube Overflow Case 400 A Mains Cord, length 300 cm * VACUsafe Promotion Pack Suction Spare Parts Mains Fuse, T 0.63 A, L 250 V Connecting Tube, short Bacterial Filter Patient Tube Components / Spare Parts Catalog page C UNIMAT 30, Suction Pump Set, 115 VAC U C UNIMAT 30, suction pump, power supply 115 VAC, 50/60 Hz Bacterial Filter Secretion Bottle, 2 l Bottle Cap, with grip Connecting Tube, short Patient Tube Overflow Case 400 A Mains Cord, length 300 cm * VACUsafe Promotion Pack Suction C Spare Parts Mains Fuse, T 1.6 A, L 250 V Connecting Tube, short Bacterial Filter Patient Tube * PRO-SP 43 SP 43

218 Suction and Irrigation Systems UNIMAT 30 Components / Spare Parts N Aspirator T Aspirator Catalog page U 32 U E Spare Parts Washer E Spare Glass Components / Spare Parts Secretion Bottle Catalog page U Spare Parts Bottle Cap, with grip Overflow Case SP 44 PRO-SP 44

219 High Frequency Surgical Units AUTOCON II 200, AUTOCON II 80 Components / Spare Parts AUTOCON II AUTOCON II 200, power supply VAC, 50/60 Hz 400 A Mains Cord, length 300 cm Catalog page U AUTOCON II AUTOCON II 200, with GASTRO-Cut, power supply VAC, 50/60 Hz 400 A Mains Cord, length 300 cm C C C AUTOCON II C AUTOCON II 200, power supply VAC, 50/60 Hz 400 B Mains Cord, US version, length 200 cm C010 AUTOCON II C010 AUTOCON II 200, with GASTRO-Cut, power supply VAC, 50/60 Hz 400 B Mains Cord, US version, length 200 cm Spare Part for use at 230 V: Mains Fuse, T 4.0 AL (SB), package of 10 Spare Part for use at 110 V: Mains Fuse, T 8.0 AL (SB), package of 10 Components / Spare Parts AUTOCON II AUTOCON II 80, power supply VAC, 50/60 Hz 400 A Mains Cord, length 300 cm Catalog page U 38 Spare Part Mains Fuse, T 4.0 AL (SB), package of PRO-SP 45 SP 45

220 Surgery Electrodes Set Components / Spare Parts Surgery Electrodes Set Container with Lid and Sterilizing Insert, for 16 electrodes with diameter 4 mm Wire Snare, 5 mm Wire Snare, 10 mm Ribbon Snare, 10 mm KIRSCHNER Spatula Electrode, straight MAGENAU Knife Electrode, angled Knife Electrode, lancet-shaped Ball Electrode, 2 mm Ball Electrode, 4 mm Ball Electrode, 6 mm Needle Electrode Flat Electrode, 8 x 10 mm Flat Electrode, 10 x 15 mm Catalog page U SP 46 PRO-SP 46

221 KARL STORZ OR1 NEO ERGONOMICS, SAFETY AND EFFICIENCY IN THE OR TELEPRESENCE IMAGING SYSTEMS ILLUMINATION

222 KARL STORZ OR1 NEO ERGONOMICS, SAFETY AND EFFICIENCY IN THE OR The KARL STORZ OR1 NEO objective is to provide an optimal operating room design for performing minimally invasive and conventional surgeries. Customized to meet disciplinary and interdisciplinary needs, the OR1 NEO operating room concept offers the optimal solution to each requirement for an integrated OR workstation design. The system s modular design allows all components and functionalities to be integrated in the OR1 NEO operating room solution and, therefore, become part of the workstation system. Once again, KARL STORZ sets new standards in ergonomics, safety and efficiency in the OR. System integration Data management and documentation Telemedicine The OR1 NEO components provide a customized system and compatible applications. Each component offers a reliable solution on its own; the sum of all components forms a complete multifunctional system. TELEPRESENCE Imaging systems Illumination FULL HD New Vision in Medicine IMAGE 1 HUB HD offers the user the highest image quality for the precise display of even the finest tissue and vascular structures. IMAGE 1 HUB HD enables the connection of the latest HD camera heads and all standard IMAGE1 camera heads. Existing IMAGE1 can be updated to enable HD images to be displayed and HD camera heads to be utilized. KARL STORZ WIDEVIEW monitors deliver optimal image display. Using the 16:10 aspect provides a larger display window and improves the viewing ergonomics. HUMAN MEDICINE DVD PROTECTION 1 The KARL STORZ Product Line encompasses Endoscopes, Instruments, Accessories, Units and Imaging Systems for the full range of Human Medicine Specialties: - Neurosurgery - Oral and Maxillofacial Surgery - Endoscopes and Instruments for ENT, Esophagoscopy & Bronchoscopy - Plastic Surgery - Endoscopes for Anesthesiology and Emergency Medicine - Endoscopes and Instruments for Cardiovascular Surgery - Thorax - Gastroenterology - Laparoscopy - Gynecology - Urology - Proctology - Arthroscopy, Sports Medicine & Spine Surgery - Pediatric Surgery - KARL STORZ OR1 NEO - Telepresence Field Service Technician Program On-Site Services Program No-Fault Service Plans Custom Service Solutions Platform for Staff Training Academy of Clinical Education PROECTION 1 Services delivers comprehensive solutions to assist you in ensuring optimum surgical performance, asset management, and cost savings. Choose KARL STORZ as your Service Partner and focus on what really matters patient care. 7-11

223 Request per Business Reply Card or per FAX or one of KARL STORZ distribution companies check selections - fill in your address on back - send If you need additional reply cards available, KARL STORZ also offers this service using the Internet: Please send us detailed information: (please check): KARL STORZ OR1 NEO ERGONOMICS, SAFETY AND EFFICIENCY IN THE OR We are particularly interested in: System integration Data management and documentation Telemedicine Please cut out reply card! TELEPRESENCE We are particularly interested in: FULL HD New vision in medicine Camera systems Monitors and video printers Light sources HUMAN MEDICINE DVD The KARL STORZ Product Line encompasses Endoscopes, Instruments, Accessories, Units and Imaging Systems for the full range of Human Medicine Specialties PROTECTION 1 We are particularly interested in: Field Service Technician Program On-Site Services Program No-Fault Service Plans Custom Service Solutions Platform for Staff Training Academy of Clinical Education We would like a non-binding consultancy meeting. Request an appointment with your KARL STORZ Representative Address: Hospital/Office Postage paid REPLY Contact Street Postal Code Town/City KARL STORZ ENDOSCOPY-AMERICA, INC East Grand Avenue El Segundo, CA , USA Tel.

224 Request per Business Reply Card or per FAX or one of KARL STORZ distribution companies check selections - fill in your address on back - send If you need additional reply cards available, KARL STORZ also offers this service using the Internet: Please cut out reply card! Address: Hospital/Office Postage paid Contact REPLY Street Postal Code Town/City KARL STORZ ENDOSCOPY-AMERICA, INC East Grand Avenue El Segundo, CA , USA Tel. Please send us detailed information: (please check): KARL STORZ OR1 NEO ERGONOMICS, SAFETY AND EFFICIENCY IN THE OR We are particularly interested in: System integration Data management and documentation Telemedicine TELEPRESENCE We are particularly interested in: FULL HD New vision in medicine Camera systems Monitors and video printers Light sources HUMAN MEDICINE DVD The KARL STORZ Product Line encompasses Endoscopes, Instruments, Accessories, Units and Imaging Systems for the full range of Human Medicine Specialties PROTECTION 1 We are particularly interested in: Field Service Technician Program On-Site Services Program No-Fault Service Plans Custom Service Solutions Platform for Staff Training Academy of Clinical Education We would like a non-binding consultancy meeting. Request an appointment with your KARL STORZ Representative