ENDOSCOPES AND INSTRUMENTS FOR CARDIOVASCULAR SURGERY

Transcription

1 ENDOSCOPES AND INSTRUMENTS FOR CARDIOVASCULAR SURGERY 8th EDITION 3/2015 US

2 Chapter Pages 1 BASIC INSTRUMENT SETS SET ENDOSCOPIC VESSEL HARVESTING VE-VS 7-20 VIDEO ENDOSCOPES, HOPKINS TELESCOPES, 3 CA-VA HO TROCARS AND ACCESSORIES LAPAROSCOPIC AORTIC SURGERY AI VITOM VISUALIZATION SYSTEM FOR 5 CARDIO-VAS-VITOM OPEN SURGERY WITH MINIMAL ACCESS HOLDING SYSTEMS AND TRAINING MODELS CARDIO-VAS-HT HEADLIGHTS VE-J CARDIO-UNITS-INTRO, 8 UNITS AND ACCESSORIES CARDIO-UNITS U COMPONENTS, SPARE PARTS CARDIO-VAS-SP SP KARL STORZ OR1 NEO, TELEPRESENCE HUMAN MEDICINE, PROTECTION 1

3 Information on events is available on the KARL STORZ website ENDOSCOPES AND INSTRUMENTS FOR CARDIOVASCULAR SURGERY 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.

5 KARL STORZ Items Not Available in the U.S. October, 2015 Pending 510(k) / PMA not currently available for sale in the U.S. Description Section Page LUTZ Clip Applicator VE-VS 13 A 19 3D Camera Platforms CA-VA-HO 2A 7A Single-use Scissors AI 19 B 21 B DM Deployable Vascular Clamp, parallel-action jaws AI 30 A 66 Insufflators and Smoke Gas Suction Control CARDIO-UNITS 2 10 U 5-14 DUOMAT CARDIO-VAS-UNITS 14 D U 18 AUTOCON II 80 CARDIO-UNITS U 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 KARL STORZ Intellectual Property Rights KARL STORZ SE & Co. KG is the proprietor and/or licensee of the following US-Patents in the fields of ENDOSCOPES AND INSTRUMENTS FOR CARDIOVASCULAR SURGERY US US MD MD US BA, FA US BA US x US BA, FA AA, BA US FD US US US x US SD US DC US AA, BA US H US AA, BA, FA US D US US BA AA, BA AA, BA, FA AA, BA AA, BA, FA AA, BA, FA, AE AA

9 BASIC INSTRUMENT SETS

10 Units for Cardiovascular Surgery Basic Set 9832 NB-3D 32" 3D Monitor TC 200EN* Cold Light Fountain XENON 300 SCB UI 400 S1 UG 220 IMAGE1 S CONNECT TC 009 USB Adaptor, for ACC 1 and ACC 2 TC 300 TC 302 IMAGE1 S H3-LINK ENDOFLATOR 40 SCB ENDOMAT LC SCB AUTOCON II Neutral Electrode Neutral Electrode Connecting Cable Two-Pedal Footswitch UG 500 Equipment Cart, wide DFH Footswitch Holder, for two- and threepedal footswitches UG 609 UG 310 IMAGE1 S D3-LINK BA TIPCAM 1 S 3D LAP 9800 GP 3D Polarization Glasses, passive 9800 C 3D Clip-on Glasses, circularly polarized 495 TIP Fiber Optic Light Cable WD 200-EN* UG 410 AIDA Documentation System Monitor Holder Bottle Holder, for CO 2 bottles Isolation Transformer Earth Leakage Monitor * IMAGE1 S CONNECT and AIDA Documentation System also available in the following languages: DE, ES, FR, IT, PT, RU Units see chapter 8, UNITS FULL HD Camera Platforms see catalog TELEPRESENCE Communication Bus with Accessories see catalog KARL STORZ OR1 NEO SET 2 A

11 Units for Cardiovascular Surgery Basic Set 9826 NB 26" FULL HD Monitor TC 200EN* TC 300 TH 102 TC 010 IMAGE1 S H3-LINK Cold Light Fountain XENON 300 SCB UI 400 S1 Two-Pedal Footswitch USB Two-Pedal Footswitch WD 200-EN* UG 220 UG 500 Equipment Cart, wide DFH Footswitch Holder, for two- and threepedal footswitches UG 609 UG 310 UG 410 IMAGE1 S CONNECT TC 009 USB Adaptor, for ACC 1 and ACC 2 IMAGE1 S H3-Z FI Three-Chip FULL HD Camera Head ENDOFLATOR 40 SCB ENDOMAT LC SCB AUTOCON II Neutral Electrode Neutral Electrode Connecting Cable AIDA Documentation System Monitor Holder Bottle Holder, for CO 2 bottles Isolation Transformer Earth Leakage Monitor 3-15 * IMAGE1 S CONNECT and AIDA Documentation System also available in the following languages: DE, ES, FR, IT, PT, RU Units see chapter 8, UNITS FULL HD Camera Platforms see catalog TELEPRESENCE Communication Bus with Accessories see catalog KARL STORZ OR1 NEO SET 3 A 3

12 Endoscopic Vessel Harvesting Basic Instrument Set Endoscopic Saphenous Vein Harvesting LUTZ Recommended Set FDZ Endoscopic Vein Retractor, FREIBURG model, for harvesting the great saphenous vein, enhanced telescope guiding channel, distal width 25 mm, working length 27 cm, with integrated guide in handle for fiber optic light cable, autoclavable, including cleaning adaptor FA HOPKINS Forward-Oblique Telescope 45, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated VR Ring Dissector, for blunt exposure of the vessel, distal angled to right, size 3 mm, working length 41 cm MW ROBI METZENBAUM Scissors, CLERMONT-FERRAND model, rotating, dismantling, with connector pin for bipolar coagulation, double action jaws, curved jaws, slender blades, for cutting and bipolar coagulation, size 5 mm, length 43 cm L LUTZ Clip Applicator, rotating, angled jaws, size 5 mm, working length 43 cm, for use with Clips 8665 T 8665 T Clip, titanium LT 200, medium, sterile, 5 mm, package of 36 cartridges with 6 clips each FG ROBI LUTZ Grasping Forceps, CLERMONT-FERRAND model, rotating, dismantling, with connector pin for bipolar coagulation, double action jaws, width of jaws 2 mm, distally angled 45, for grasping and coagulation of vessels, size 5 mm, length 43 cm Endoscopic Radial Artery Harvesting BISLERI Recommended Set FCZ BISLERI Endoscopic Radial Artery Retractor, for harvesting the arteria radialis, distal width 20 mm, working length 27.5 cm, with U-shaped instrument guiding channel, with integrated channel for smoke evacuation, with integrated guide in the handle for fiber optic light cable, autoclavable, including cleaning adaptor FA HOPKINS Forward-Oblique Telescope 45, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated VR Ring Dissector, for blunt exposure of the vessel, distal angled to right, size 3 mm, working length 41 cm VL Ring Dissector, for blunt exposure of the vessel, distal angled to left, size 3 mm, working length 41 cm MW ROBI METZENBAUM Scissors, CLERMONT-FERRAND model, rotating, dismantling, with connector pin for bipolar coagulation, double action jaws, curved jaws, slender blades, for cutting and bipolar coagulation, size 5 mm, length 43 cm CS ROBI Grasping Forceps, CLERMONT-FERRAND model, rotating, dismantling, with connector pin for bipolar coagulation, narrow jaws, for dissecting, grasping, and bipolar coagulation of fine structures, size 5 mm, length 43 cm SET 4 A

13 Laparoscopic Aortic Surgery Basic Instrument Set KOLVENBACH Recommended Set FA HOPKINS Telescope 45, enlarged view, diameter 10 mm, length 31 cm, autoclavable 6x MC Trocar, with conical tip, with insufflation stopcock, size 11 cm, working length 10.5 cm, color code: green 3x DB Reduction Sleeve, 11/ A Handle, pistol grip, with clamping valve, for suction and irrigation, autoclavable SC Suction and Irrigation Tube, size 5 mm, length 36 cm LH Suction and Irrigation Tube, with lateral holes, size 10 mm, length 36 cm DF c Dissecting and Grasping Forceps, rotating, without ratchet, with connector pin for unipolar coagulation KW c MATKOWITZ Grasping Forceps, rotating, without ratchet, with connector pin for unipolar coagulation 2x ML c KELLY Dissecting and Grasping Forceps, rotating, without ratchet, with connector pin for unipolar coagulation MA c Scissors, rotating, double action jaws, serrated, spoon-shaped, curved, without ratchet, with connector pin for unipolar coagulation 2x ON c Grasping Forceps, rotating, single action jaws, with especially fine atraumatic serration, fenestrated, with ratchet, without connector pin for unipolar coagulation DY c DeBAKEY Grasping Forceps, rotating, single action jaws, atraumatic, with ratchet, without connector pin for unipolar coagulation DD c Grasping Forceps, rotating, to hold the deployable vascular clamp, size 10 mm, length 36 cm DJ Vascular Clamp Applicator, size 10 mm, length 32 cm, for use with Deployable Vascular Clamps DH, DI and DM DH Deployable Vascular Clamp, single action jaws, length of jaws 5 cm, size 10 mm, for use with Vascular Clamp Applicator DJ DI Deployable Vascular Clamp, single action jaws, length of jaws 6 cm, size 10 mm, for use with Vascular Clamp Applicator DJ DM Deployable Vascular Clamp, parallel-action jaws, length of jaws 7 cm, size 10 mm, for use with Vascular Clamp Applicator DJ MD ROBI KELLY Dissecting and Grasping Forceps, CLERMONT-FERRAND model, rotating, dismantling, with connector pin for bipolar coagulation SB SATINSKY Laparoscopic Clamp, long version, length of jaws 10 cm, depth of jaws 2.5 cm, straight sheath, with axial ring handle, ratchet with safety locking device, size 10 mm, length 30 cm 2x SS Laparoscopic Vascular Clamp, straight jaws, length of jaws 7 cm, straight sheath, with axial ring handle, ratchet with safety locking device, size 10 mm, length 30 cm 2x VC Vascular Cross Clamp, jaws slightly curved, length of jaws 5 cm, straight sheath, with axial ring handle, ratchet with safety locking device, size 10 mm, length 30 cm RAO KOH Macro Needle Holder, with tungsten carbide inserts, jaws curved to right, with ratchet, size 5 mm, length 33 cm LAO KOH Macro Needle Holder, with tungsten carbide inserts, jaws curved to left, with ratchet, size 5 mm, length 33 cm VR Retractor, dismantling, with variable curvature, blunt, size 10 mm, length 36 cm DO BERCI Micro Knife, pointed, distendable, size 5 mm, length 31 cm FP Fan Retractor, dismantling, distendable, diameter 10 mm, length 36 cm 2x PT Surgical Sponge Holder, self-retaining, size 10 mm, length 30 cm KGB Holding System, L-shaped 3-15 SET 5 A 5

14 Laparoscopic Aortic Surgery Basic Instrument Set COGGIA Recommended Set BA HOPKINS Forward-Oblique Telescope 30, enlarged view, diameter 10 mm, length 31 cm, autoclavable FA HOPKINS Telescope 45, enlarged view, diameter 10 mm, length 31 cm, autoclavable 6x MC Trocar, with conical tip, with insufflation stopcock, size 11 cm, working length 10.5 cm, color code: green 2x DB Reduction Sleeve, 11/5 mm 6x DB Reducer, 11/5 mm FAO KOH Macro Needle Holder, dismantling, with LUER-Lock irrigation connector for cleaning, single action jaws, straight jaws, with tungsten carbide inserts, with ergonomic handle, axial, disengageable ratchet, ratchet position top, size 5 mm, length 33 cm 2x SS Vascular Clamp, straight jaws, length of jaws 7 cm, straight sheath, with axial ring handle, ratchet with safety locking device, size 10 mm, length 30 cm 3x VC Vascular Clamp, jaws slightly curved, length of jaws 5 cm, straight sheath, with axial ring handle, ratchet with safety locking device, size 10 mm, length 30 cm ON c Grasping Forceps, rotating, single action jaws, with especially fine atraumatic serration, fenestrated, without ratchet, with connector pin for unipolar coagulation 2x MA c Scissors, rotating, double action jaws, serrated, spoon-shaped, curved, without ratchet, with connector pin for unipolar coagulation MA c Scissors, rotating, double action jaws, serrated, spoon-shaped, curved, without ratchet, with connector pin for unipolar coagulation ML c KELLY Dissecting and Grasping Forceps, rotating, without ratchet, with connector pin for unipolar coagulation 3x ON c Grasping Forceps, rotating, with especially fine atraumatic serration, fenestrated, without ratchet, with connector pin for unipolar coagulation DO BERCI Micro Knife, pointed, distendable, size 5 mm, length 31 cm KLA Holding System, straight FP Fan Retractor, dismantling, distendable, diameter 10 mm, length 36 cm A Handle, pistol grip, with clamping valve, for suction and irrigation, autoclavable SC Suction and Irrigation Tube, size 5 mm, length 36 cm SET 6 A

15 ENDOSCOPIC VESSEL HARVESTING VEIN RETRACTOR FOR ENDOSCOPIC SAPHENOUS VEIN HARVESTING 8-9 ARTERY RETRACTOR FOR ENDOSCOPIC RADIAL ARTERY HARVESTING DISSECTORS FOR BLUNT EXPOSURE OF VESSELS 12 c SCISSORS, DISSECTING AND GRASPING FORCEPS ROBI BIPOLAR SCISSORS AND GRASPING FORCEPS CLIP APPLICATORS 19 ACCESSORIES: UNIPOLAR AND BIPOLAR HIGH FREQUENCY CORDS 20

16 Endoscopic Vessel Harvesting Benefits of the instrument set: Resterilizable and completely reusable, providing significant cost benefits The high-quality HOPKINS telescope with its 45 viewing angle allows visualization of the surgical field with excellent image quality. The proximally angled endoscope eyepiece and handle with integrated light cable guide provide unrestricted instrument maneuvrability underneath the retractor. Retractor with spoon-shaped tip and open system concept: This eliminates the need for CO 2 insufflation in order to create a working tunnel VE-VS 2 A

17 Vein Retractor, FREIBURG Model, HOPKINS Telescope FDZ FDZ Endoscopic Vein Retractor, FREIBURG model, for harvesting the great saphenous vein, enhanced telescope guiding channel, distal width 25 mm, working length 27 cm, with integrated guide in handle for fiber optic light cable, autoclavable, for use with HOPKINS Telescope FA including: Cleaning Adaptor, for telescope channel FA FA HOPKINS Forward-Oblique Telescope 45, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated, color code: black Please note: Vein Retractor FDZ is only suitable for use with Fiber Optic Light Cables 495 NL and 495 NA size 3.5 mm. Components/Spare Parts see chapter 9 Fiber Optic Light Cables for use with HOPKINS Telescopes see page 35 Containers for Sterilization and Storage of Telescopes see catalog HYGIENE VE-VS 3 A 9

18 Artery Retractor for Endoscopic Radial Artery Harvesting Following the recent revival of the radial artery as the second vessel of choice for arterial myocardial revascularization, its endoscopic harvesting has been the subject of great interest in order to achieve the same clinical benefits as in endoscopic vein harvesting. The endoscopic technique for harvesting the radial artery offers the following advantages compared to the open procedure: Less neurological complications Less wound complications Less wound infections Less hematomas Enhanced aesthetic results Despite the excellent performance of the endoscopic vein retractor already available on the market, the different anatomical features of the radial artery made the development of a new retractor necessary. Special features of the BISLERI Endoscopic Radial Artery Retractor: Autoclavable, stainless steel instrument HOPKINSr lens, 45 angled telescope for optimal visualization of the operative field Ergonomic handle Enhanced front and rear design Improved smoke evacuation thanks to special channel Tunnel-like design G. BISLERI, M. D. Division of Cardiac Surgery, University of Brescia Medical School, Italy Fig. 1: Incision, 1 cm proximal to radial styloid prominence Fig. 2: Retractor positioned in the forearm Fig. 3: Assessing the potential presence of residual side branches with the artery dissector Fig. 4: Healed surgical scar VE-VS 4 A

19 BISLERI Artery Retractor, HOPKINS Telescope FCZ FCZ BISLERI Endoscopic Radial Artery Retractor, for harvesting the arteria radialis, distal width 20 mm, working length 27.5 cm, with U-shaped instrument guiding channel, with integrated channel for smoke evacuation, with integrated guide in the handle for fiber optic light cable, autoclavable, for use with HOPKINS Telescope FA including: Cleaning Adaptor, for telescope channel FA FA HOPKINS Forward-Oblique Telescope 45, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated, color code: black Please note: Artery Retractor FCZ is only suitable for use with Fiber Optic Light Cables 495 NL and 495 NA size 3.5 mm. Components/Spare Parts see chapter 9 Fiber Optic Light Cables for use with HOPKINS Telescopes see page 35 Containers for Sterilization and Storage of Telescopes see catalog HYGIENE VE-VS 5 B 11

20 Dissectors for Blunt Exposure of Vessels VR VL Ring Dissector, for blunt exposure of the vessel, distal angled to left, size 3 mm, working length 41 cm VR Ring Dissector, for blunt exposure of the vessel, distal angled to right, size 3 mm, working length 41 cm VE-VS 6 B

21 KARL STORZ c rotating, dismantling instruments for endoscopic vessel harvesting 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 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. c instruments can be dismantled 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: 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 design Cost-effective reusable instruments reduce O.R. costs per case and simplify inventory management, eliminating the need to store large quantities of disposable instruments Environmentally correct, i.e. 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. Note: This chapter includes all c instruments recommended for endoscopic vessel harvesting. For further c instruments, see catalog LAPAROSCOPY VE-VS 7 B 13

22 Plastic Handles for Scissors and Biopsy Forceps, c rotating, with connector pin for unipolar coagulation The anatomy of the hand varies in size from person to person. Wider contact areas at the finger and thumb ring and a more ergonomic design ensures the c handles are comfortable to hold, preventing pressure marks even after hours of use. Due to their ergonomic shape, the new handles can be used in various holding positions and, therefore, meet a wide range of demands. Special Features: Comfortable handling Prevention of pressure marks Variable holding positions due to ergonomic shape Appropriate design unipolar c Plastic Handle, without ratchet c Plastic Handle, without ratchet, with larger contact area at the finger ring c Plastic Handle, n axial, without ratchet, rotating, double action shanks Metal Outer Sheaths, insulated c Metal Outer Sheath, insulated, with LUER-Lock connector for cleaning, size 5 mm, length 43 cm Plug, for LUER-Lock irrigation connector for cleaning, black, autoclavable, package of A Color-Coded Plug, for LUER-Lock irrigation connector for cleaning, red, green, black, 10 each, package of Unipolar High Frequency Cords see page VE-VS 8 A

23 Scissors, Dissecting and Grasping Forceps c rotating, dismantling, with connector pin for unipolar coagulation Size 5 mm Operating Instruments, length 43 cm unipolar Length Handle n 43 cm Double action jaws: Working Insert Complete Instrument MW MW MW MW 15 c Scissors, serrated, curved, conical MA MA MA MA 20 c Scissors, spoon-shaped blades, serrated, curved ML ML ML ML 22 c KELLY Dissecting and Grasping Forceps, long DN DN DN DN 18 c Dissecting and Grasping Forceps, dolphin nose Single action jaws: EH EH EH EH _ 10 _ c Hook Scissors 3-15 VE-VS 9 A 15

24 ROBI Instruments Rotating bipolar grasping forceps and scissors for endoscopic vessel harvesting, CLERMONT-FERRAND model The ROBI System KARL STORZ set itself the task of designing instruments that meet the specific demands of minimally invasive surgery and developed the rotating, bipolar ( ROBI ) instruments CLERMONT-FERRAND model in co-operation with Prof. Wattiez (Strasbourg, France) for this purpose. All instruments in this range can be rotated 360 and feature jaws with a robust hinge for secure grasping. This makes the instruments safe and easy to use. Another important feature of these instruments is the bipolar coagulation function. The use of bipolar energy offers significant advantages over unipolar energy as the carefully applied current flows between the branches of the utilized HF instrument and must not travel over long distances through the body of the patient via a neutral electrode. Furthermore, the jaws of the ROBI instruments are insulated by an intermediate ceramic layer. This reduces flashover and, therefore, offers more safety during HF application. The new ergonomic handle design with a larger contact area and the top-mounted 45 HF connector provides enhanced user comfort. The instruments can be dismantled for easy and safe reprocessing and also feature an irrigation connector at the sheath. In addition to a wide range of scissors or grasping and dissecting forceps in various lengths and sizes, KARL STORZ offers the ROBI LUTZ grasping forceps specifically for endoscopic vessel harvesting. ROBI LUTZ Grasping Forceps straightforward and efficient bipolar vessel removal The angled shape of this bipolar grasping forceps enables punctual coagulation away from the saphenous vein so that no damage is caused to the main branch. First the forceps is used to compress the vein walls along the entire diameter of the vessel in order to interrupt the blood flow and thus achieve sufficient hemostasis. The non-insulated and, therefore, effective surface of the forceps is limited. The punctual application of energy on this limited surface prevents unnecessary and inadvertent thermal damage to adjacent structures such as the nerves or skin. In contrast to the use of a bipolar scissors, compression completely interrupts the blood flow. Furthermore, thermal energy is utilized along the entire forceps surface for coagulation and does not disperse due to insufficient interruption. The use of this bipolar grasping forceps is generally sufficient to detach the side branches of the great saphenous vein. In exceptional circumstances such as, for example, particularly large side branches, a clip applicator proves useful. C. LUTZ, M.D. Diakonisches Klinikum Stuttgart, Germany VE-VS 10 A

25 n ROBI Instruments Rotating bipolar grasping forceps and scissors for endoscopic vessel harvesting, CLERMONT-FERRAND model bipolar Special Features: Robust joint mechanism allows safe, yet powerful grasping 360 rotating sheath New handle allows precise work and direct force transmission Ergonomic handle design provides enhanced user comfort Top mounted 45 high frequency connector pin leads the cable away from the operative field The instruments in size 5 mm can be disassembled in the usual manner as insert, outer sheath and handle Color coding on the working insert and handle enables easier indentification of compatible components ROBI Handle, insulated, for size 5 mm ROBI Plastic Handle, without ratchet Size 5 mm ROBI Metal Outer Sheath, insulated ROBI Metal Outer Sheath, insulated, with LUER-Lock irrigation connector for cleaning, size 5 mm, length 43 cm Bipolar High Frequency Cords see page 20 VE-VS 11 A 17

26 ROBI Bipolar Scissors n and Grasping Forceps rotating, dismantling, with connector pin for bipolar coagulation, CLERMONT-FERRAND model Size 5 mm Operating Instruments, length 43 cm bipolar Length n Handle cm Double action jaws Working Insert MW FG 20 Complete Instrument MW ROBI METZENBAUM Scissors, CLERMONT-FERRAND model, curved, slender blades, for cutting and bipolar coagulation FG ROBI LUTZ Forceps, CLERMONT-FERRAND model, width of jaws 2 mm, distally angled 45, for grasping and coagulation of vessels Single action jaws CS CS ROBI Grasping Forceps, CLERMONT-FERRAND model, narrow jaws, for dissection, grasping and bipolar coagulation of fine structures Please note: For the instrument only the individual component parts are numbered. The catalog number for the complete instrument is not on the instrument. Please take this number from the numbers indicated in the red background of the table above. The color green indicates the working inserts VE-VS 12 A

27 Clip Applicator L L LUTZ Clip Applicator, rotating, angled jaws, size 5 mm, working length 43 cm, for use with Clips 8665 T 8665 T Clip, titanium LT 200, medium, 5 mm, sterile, package of 36 cartridges with 6 clips each Please note: The use of clips other than indicated can lead to damage of the jaws. VE-VS 13 A 19

28 Accessories Unipolar and Bipolar High Frequency Cords Unipolar High Frequency Cords KARL STORZ Instrument High Frequency Surgery Units unipolar 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 M Unipolar High Frequency Cord, with 8 mm plug, length 300 cm, for use with AUTOCON II 400 SCB system (112, 116) and Valleylab models Bipolar High Frequency Cords KARL STORZ Instrument High Frequency Surgery Units bipolar 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 LW Bipolar High Frequency Cord, length 300 cm, pin distance on unit side 22 mm, for use with high frequency surgical units with bipolar sockets with 22 mm pin distance 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. 20 VE-VS 14 A

29 VIDEO ENDOSCOPES HOPKINS TELESCOPES TROCARS AND ACCESSORIES 3D CAMERA PLATFORMS n ENDOCAMELEON HOPKINS TELESCOPES FIBER OPTIC LIGHT CABLES AND ACCESSORIES FOR TELESCOPES 35 TROCARS AND ACCESSORIES 36

30 3D Camera Platforms Discover a New World in 3D Exact depth perception inside the human body is essential for any endoscopic procedure. Studies 1 have shown that even experienced surgeons benefit from three-dimensional display technology with regard to the duration and precision of an intervention. The IMAGE1 S 3D system provides excellent depth of field to enable precise hand-eye coordination in threedimensional vision and simplifies particularly complex endoscopic procedures for the surgeon. This first-class stereoscopic system from KARL STORZ leads to significant improvements in surgical efficiency and patient safety in the OR. IMAGE1 S 3D consists of 3D video endoscopes with a 0 or 30 direction of view that are 10 mm in diameter as well as 3D camera modules and 3D monitors with passivepolarized 3D glasses. The lightweight design makes the 3D video endoscopes easy to use, even after long hours of surgery. Furthermore, the 3D video endoscopes from KARL STORZ are autoclavable. Two image sensors at the distal end are precisely aligned mechanically. Complemented by precise electronics in the endoscope and camera control unit, the system generates endoscopic 3D images that are true to life. Combined with 3D monitors, this system offers the surgeon an excellent complete system that makes it easy to switch between 2D and 3D applications. 1 3D visualization in medical applications (Fraunhofer-Institut für Nachrichtentechnik, Heinrich-Hertz-Institut HHI, April 2013) CA-VA HO 2 A

31 3D Camera Platforms Overview 3D Monitors 9832 NB-3D 9826 NB-3D 3D Polarization Glasses 3D Clip-on Glasses 9800 GF 9800 GP 9800 C IMAGE1 S CONNECT TC 200EN IMAGE1 S D3-LINK TC 302 TIPCAM 1 S 3D LAP in FULL HD AA/BA CA-VA HO 3 A 23

32 IMAGE1 S 3D in FULL HD Camera Control Unit, Link Module n Special Features: Forward and backward compatibility with video endoscopes and FULL HD camera heads Compatible with all light sources TC 200EN* IMAGE1 S CONNECT TC 302 IMAGE1 S D3-LINK including: for use with: 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 up to 3 link modules, with integrated KARL STORZ-SCB and digital Image Processing Module Mains Cord, length 300 cm Link Cable, length 20 cm TIPCAM 1 S 3D LAP Specifications: Video outputs 2x DVI-D 1920 x 1080 pixels 1x 3G-SDI 1920 x 1080 pixels (level A) Monitor frequency Remote outputs USB ports Unit communication Service interface Power consumption Power supply Dimensions (w x h x d) Weight 50/60 Hz optional with TC 009 4x USB, (2x front, 2x rear) Communication Bus (SCB) RJ45 62 VA VAC / VAC 305 x 54 x 320 mm 305 x 54 x 320 mm 2.1 kg 1.86 kg 3-15 * Available in the following languages: DE, EN, ES, FR, IT, PT, RU Components/Spare Parts see catalog TELEPRESENCE 24 CA-VA HO 4 A

33 IMAGE1 S 3D in FULL HD 3D Video Endoscopes n TIPCAM 1 S 3D LAP AA BA including: Video Connecting Cables for use with: IMAGE1 S CONNECT TC 200EN* IMAGE1 S D3-LINK TC 302 Specifications: Image sensor Focal length Direction of view Outer diameter Total length Working length Video cable Cable conduit Camera head buttons Reprocessing Weight 2x FULL HD CMOS, distal mm mm 45 cm 32 cm non-detachable, 300 cm straight freely programmable autoclavable, gas- and plasma-sterilizable 420 g 3-15 Components/Spare Parts see catalog TELEPRESENCE CA-VA HO 5 A 25

34 3D Camera Platforms 16:9 FULL HD Monitors 9826 NB-3D 26" 3D Monitor 9832 NB-3D 32" 3D Monitor wall-mounted with VESA 100 adaptor, for use with Monitor Stand 9826 SF with integrated power supply, wall-mounted with VESA 200 adaptor, for use with Monitor Stand 9832 SFH including: Mains Cord External 24 VDC Power Supply 3x Passive 3D Glasses Mains Cord 3x Passive 3D Glasses Specifications: Screen diagonal 26" 32" Resolution 1920 x 1080 Contrast ratio 1000:1 Brightness 350 cd/m 2 (typ.) 340 cd/m 2 (typ.) Max. viewing angle 178 vertical Video inputs 2x DVI-D, 2x HD-SDI, 1x RGBS (VGA), 1x S-Video, 1x Composite Video outputs 1x DVI, 2x HD-SDI, 1x S-Video, 1 Composite RS-232C connector for external control (D-Sub 9-pin), RS-232C-compatible DC output DC 5 V 1 A Mount 100 mm VESA 200 mm VESA Power supply external internal Unit properties 4:3, 16:9, Picture-in-Picture Monitor frequency 50/60 Hz Rated power 72 W 124 W Power supply VAC / VAC Dimensions (w x h x d) 643 x 396 x 87 mm 776 x 443 x 114 mm Weight 7.1 kg 15.5 kg Monitor stand optional 9826 SF optional 9832 SFH CA-VA HO 6 A

35 3D Camera Platforms Accessories Accessories for IMAGE1 S 3D in FULL HD USB Silicone Keyboard, with touchpad Character Sets: DE German FR French ES Spanish RU Russian IT Italian US US-English PT Portuguese Accessories for 3D Video Endoscopes XTC Wire Tray for Cleaning, Sterilization and Storage of TIPCAM 1 S 3D LAP Video Endoscopes AA/BA and one light cable, autoclavable, external dimensions (w xd x h): 640 x 150 x 87 mm TC Wire Tray for Cleaning, Sterilization and Storage of TIPCAM 1 Video Endoscopes 266x3 AA/BA, TIPCAM 1 3D Video Endoscopes 266x4 AA/BA and one light cable, autoclavable, external dimensions (w x d x h): 480 x 320 x 75 mm Accessories for 3D FULL HD Monitors 9800 GF 3D Polarization Glasses, fogless, passive, package of 2, for use with 3D monitors 9800 GP 3D Polarization Glasses, passive, package of 2, for use with 3D monitors 9800 C 3D Clip-on Glasses, circularly polarized 3-15 Please note: The instruments displayed in the trays are not included in delivery. CA-VA HO 7 A 27

36 3D Camera Platforms Accessories Further accessories USB Flash Drive, 32 GB Same, 4 GB 495 TIP Fiber Optic Light Cable, with straight connector, extremely heat-resistant, enhanced light transmission, diameter 4.8 mm, length 300 cm 495 NCSC Fiber Optic Light Cable, with straight connector, extremely heat-resistant, with safety lock, diameter 4.8 mm, length 250 cm CA-VA HO 8 A

37 ENDOCAMELEON CA-VA HO 9 29

38 ENDOCAMELEON Recommended in combination with IMAGE1 S (CLARA and CHROMA modes) Telescope with variable direction of view Until now, surgeons had to choose in advance which telescope or direction of view to use in a procedure. Moreover, surgeons were restricted to the selected direction of view throughout the surgery or had to make an intraoperative telescope change. To prevent this predicament in the future, we developed the ENDOCAMELEON : a telescope that allows you to adjust the desired direction of view also during surgery between 0 and 120. The ENDOCAMELEON combines the user comfort of the proven HOPKINS telescope with the advantages and potential of a telescope featuring a variable direction of view offering you the quality you expect from KARL STORZ telescopes. The innovative ENDOCAMELEON technology is not difficult to use and, due to the external moving parts, does not take up extra intracorporal space. Handling remains straightforward and ergonomic. Image alignment is the same as rigid telescopes: the direction of view is selected by simply turning the adjustment knob, making the system very intuitive to use. As the ENDOCAMELEON is equipped with a standard eyepiece, the variable direction of view benefits all standard camera systems. Thanks to the HOPKINS rod lens system, ENDOCAMELEON also offers image quality that enables a useful application of three-chip cameras or HD camera systems. To have the direction of view best suited for each situation available at all times offers the surgeon a higher degree of safety. With the ENDOCAMELEON, visual inspection of the entire surgical field is easily achieved. Instrument movement can be controlled throughout the entire procedure and hemorrhages in previously inaccessible areas can be detected and controlled. With a simple turn of the adjusting knob, the ENDOCAMELEON enables the user to easily select the direction of view between 0 and 120 to suit all OR requirements. ENDOCAMELEON with variable direction of view, lateral view ENDOCAMELEON with variable direction of view, isometric view CA-VA HO 10 A

39 ENDOCAMELEON Diameter 10 mm, length 32 cm Trocar size 11 mm Recommended in combination with IMAGE1 S (CLARA and CHROMA modes) Special Features: Variable direction of view HOPKINS telescope with unique rod lens system Easy-to-use adjusting knob for selecting the direction of view Rigid sheath with a diameter of 10 mm AE AE ENDOCAMELEON HOPKINS Telescope, diameter 10 mm, length 32 cm, autoclavable, variable direction of view 0 120, with adjusting knob for selecting the direction of view, fiber optic light transmission incorporated, color code: gold Fig. 1: Mitral valve reconstruction 3-15 Fiber Optic Light Cables for use with HOPKINS Telescopes see page 35 Containers for Sterilization and Storage of Telescopes see catalog HYGIENE CA-VA HO 11 31

40 HOPKINS Telescopes Diameter 2 mm, length 26 cm, trocar size 2.5 mm AA AA HOPKINS Straight Forward Telescope 0, diameter 2 mm, length 26 cm, autoclavable, fiber optic light transmission incorporated, color code: green BA HOPKINS Forward-Oblique Telescope 30, diameter 2 mm, length 26 cm, autoclavable, fiber optic light transmission incorporated, color code: red Diameter 3.3 mm, length 25 cm, trocar size 3.9 mm AA AA HOPKINS Straight Forward Telescope 0, enlarged view, diameter 3.3 mm, length 25 cm, autoclavable, fiber optic light transmission incorporated, color code: green BA HOPKINS Forward-Oblique Telescope 30, enlarged view, diameter 3.3 mm, length 25 cm, autoclavable, fiber optic light transmission incorporated, color code: red Fiber Optic Light Cables for use with HOPKINS Telescopes see page 35 Containers for Sterilization and Storage of Telescopes see catalog HYGIENE 32 CA-VA HO 12

41 HOPKINS Telescopes Diameter 5 mm, length 24 cm, trocar size 6 mm AA AA HOPKINS Straight Forward Telescope 0, enlarged view, diameter 5 mm, length 24 cm, autoclavable, fiber optic light transmission incorporated, color code: green BA HOPKINS Forward-Oblique Telescope 30, enlarged view, diameter 5 mm, length 24 cm, autoclavable, fiber optic light transmission incorporated, color code: red Diameter 5 mm, length 29 cm, trocar size 6 mm AA AA HOPKINS Straight Forward Telescope 0, enlarged view, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated, color code: green BA HOPKINS Forward-Oblique Telescope 30, enlarged view, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated, color code: red FA HOPKINS Telescope 45º, enlarged view, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated, color code: black 3-15 Fiber Optic Light Cables for use with HOPKINS Telescopes see page 35 Containers for Sterilization and Storage of Telescopes see catalog HYGIENE CA-VA HO 13 33

42 HOPKINS Telescopes Diameter 10 mm, length 31 cm, trocar size 11 mm AA AA HOPKINS Straight Forward Telescope 0, enlarged view, diameter 10 mm, length 31 cm, autoclavable, fiber optic light transmission incorporated, color code: green BA HOPKINS Forward-Oblique Telescope 30, enlarged view, diameter 10 mm, length 31 cm, autoclavable, fiber optic light transmission incorporated, color code: red FA HOPKINS Telescope 45, enlarged view, diameter 10 mm, length 31 cm, autoclavable, fiber optic light transmission incorporated, color code: black Fiber Optic Light Cables for use with HOPKINS Telescopes see page 35 Containers for Sterilization and Storage of Telescopes see catalog HYGIENE 34 CA-VA HO 14

43 Fiber Optic Light Cables and Antifog Solution Fiber Optic Light Cables with Straight Connector Light Cable and Endoscope Combination Please note: Symbol coding on the light cable and endoscope allows easier identification and light cable/endoscope combination. Light Cable Diameter mm mm mm Antifog Solution Endoscope Diameter mm mm mm 495 NT Fiber Optic Light Cable, diameter 2.5 mm, length 180 cm 495 NTA Fiber Optic Light Cable, diameter 2.5 mm, length 230 cm 495 NL Fiber Optic Light Cable, diameter 3.5 mm, length 180 cm 495 NA Fiber Optic Light Cable, diameter 3.5 mm, length 230 cm 495 NAC Fiber Optic Light Cable, diameter 3.5 mm, length 230 cm, n extremely heat-resistant, with safety lock, enhanced light transmission, can be used for ICG applications 495 ND Fiber Optic Light Cable, diameter 3.5 mm, length 300 cm 495 NB Fiber Optic Light Cable, diameter 4.8 mm, length 180 cm 495 NCS Fiber Optic Light Cable, diameter 4.8 mm, length 250 cm, extremely heat-resistant, enhanced light transmission 495 NCSC Fiber Optic Light Cable, diameter 4.8 mm, n length 250 cm, extremely heat-resistant, with safety lock 495 NE Fiber Optic Light Cable, diameter 4.8 mm, length 300 cm B C D B ULTRA STOP Antifog Solution, 25 ml, pipette bottle C Same, 30 ml, sterile pierce bottle D Same, 15 ml, atomizer bottle Adaptor for connecting KARL STORZ fiber optic light cables with endoscopes and light sources from other manufacturers see catalog TELEPRESENCE CA-VA HO 15 35

44 Trocars and Accessories Sizes 6 and 11 mm with insufflation stopcock Special Features: Specifically designed to meet the needs of minimally invasive cardiac surgery, the trocar length of 6.5 cm allows easy and safe use. Even when completely inserted, the trocar is at a safe distance to the heart. This prevents injury and ensures safe handling. The insufflation stopcock with LUER-Lock connector that is angled 45 permits placing several trocars in adjacent intercostal spaces. Cannula Silicone Leaflet Valve Trocar Size: Working length: Color code: 6 mm 6.5 cm black 11 mm 6.5 cm green-white Trocar, with blunt tip including: Cannula, with insufflation stopcock Trocar Silicone Leaflet Valve HA H A L HA H A L1 Accessories RE Reducer, 6/3 mm RE Reducer, 11/5 mm For trocars only the individual components are numbered. The catalog number for the entire assembled trocar, as shown in the table in bold print, does not appear on the instrument. Further Trocars for use with Telescopes see catalog LAPAROSCOPY 36 CA-VA HO 16

45 LAPAROSCOPIC AORTIC SURGERY HOPKINS TELESCOPES, ENDOCAMELEON TROCARS AND ACCESSORIES 42 c SCISSORS, DISSECTING AND GRASPING FORCEPS, ROTATIP ROBI INSTRUMENTS VASCULAR CLAMPS NEEDLE HOLDERS HANDLES, SUCTION AND IRRIGATION TUBES, TUBING SETS KNIVES, RETRACTORS, SURGICAL SPONGE HOLDERS ACCESSORIES: UNIPOLAR AND BIPOLAR HIGH FREQUENCY CORDS 76

46 Laparoscopic Aortic Surgery Patients with abdominal aortic aneurysms are increasingly being treated using endovascular techniques. However, due to the long-term problems related to endografts and migrating prostheses, laparoscopic aortic surgery is emerging as a minimally invasive alternative, especially for younger patients. Thus, in addition to conventional and endoluminal surgery, a third approach has become established. Indications for laparoscopic aortic surgery: Laparoscopic techniques can be offered to patients with aorto-iliac diseases or abdominal infrarenal aortic aneurysms. A further indication, which is gradually emerging, is related to patients with failing endografts or graft migrations following stent implants. In these cases, laparoscopy is used to occlude the lumbar artery or to fix prostheses. A distinction is made between total laparoscopic procedures and laparoscopy assisted techniques: 1. A total laparoscopic approach offers the patient all the benefits of a video endoscopic procedure but requires laparoscopic suturing of the aortic anastomosis and a certain degree of patient selection. Long-term results are excellent and the side-effects of a conventional laparotomy can be avoided, i.e., incisional hernia can thus be prevented. 2. Laparoscopy assisted aortic procedures involve a mini-laparotomy between 7 and 10 cm with conventional instruments still being utilized to suture the aortic anastomosis. Postoperative pain and the incidence of incisional hernias is certainly greater than that of a total laparoscopic approach. However, the laparoscopy assisted technique has the advantage that it can be offered to most patients. 3. Hand-assisted laparoscopy is now established as a third approach. The advantage of this procedure is that the surgeon can insert one hand into the abdomen during laparoscopic surgery without losing the pneumoperitoneum. The so-called handport is inserted through a mini-incision of 7 cm and all the essential steps of the operation are performed under pneumoperitoneum. This procedure can also be offered to the majority of patients. If the working incision for the handport is made in the lower abdomen, post-operative pain and the incidence of incisional hernia is as low as in a total laparoscopic approach. The laparoscopic treatment of complications caused by endoluminal stent implants will play an increasing role in the future. In this case, total laparoscopy can be used, for example, to open the aneurysmal sac, to remove a thrombus, or to repair a lumbar artery feeding an endoleak. Graft migration can also be prevented by applying special suturing techniques. Vascular surgery now avails of the special instrumentation required to offer laparoscopic techniques to patients with aortoiliac occlusive disease or infrarenal aneurysms. It can be concluded that, with these minimally invasive techniques, postoperative recovery of patients is faster as compared to conventional surgery. Prof. R. KOLVENBACH M. D., Augusta Krankenhaus Düsseldorf, Germany AI 2

47 HOPKINS Telescopes Diameter 10 mm, length 31 cm, trocar size 11 mm AA AA HOPKINS Straight Forward Telescope 0, enlarged view, diameter 10 mm, length 31 cm, autoclavable, fiber optic light transmission incorporated, color code: green BA HOPKINS Forward-Oblique Telescope 30, enlarged view, diameter 10 mm, length 31 cm, autoclavable, fiber optic light transmission incorporated, color code: red FA HOPKINS Telescope 45, enlarged view, diameter 10 mm, length 31 cm, autoclavable, fiber optic light transmission incorporated, color code: black Fiber Optic Light Cables for use with HOPKINS Telescopes see page 35 Containers for Sterilization and Storage of Telescopes see catalog HYGIENE AI 3 39

48 ENDOCAMELEON Recommended in combination with IMAGE1 S (CLARA and CHROMA modes) Telescope with variable direction of view Until now, surgeons had to choose in advance which telescope or direction of view to use in a procedure. Moreover, surgeons were restricted to the selected direction of view throughout the surgery or had to make an intraoperative telescope change. To prevent this predicament in the future, we developed the ENDOCAMELEON : a telescope that allows you to adjust the desired direction of view also during surgery between 0 and 120. The ENDOCAMELEON combines the user comfort of the proven HOPKINS telescope with the advantages and potential of a telescope featuring a variable direction of view offering you the quality you expect from KARL STORZ telescopes. The innovative ENDOCAMELEON technology is not difficult to use and, due to the external moving parts, does not take up extra intracorporal space. Handling remains straightforward and ergonomic. Image alignment is the same as rigid telescopes: the direction of view is selected by simply turning the adjustment knob, making the system very intuitive to use. As the ENDOCAMELEON is equipped with a standard eyepiece, the variable direction of view benefits all standard camera systems. Thanks to the HOPKINS rod lens system, ENDOCAMELEON also offers image quality that enables a useful application of three-chip cameras or HD camera systems. To have the direction of view best suited for each situation available at all times offers the surgeon a higher degree of safety. With the ENDOCAMELEON, visual inspection of the entire surgical field is easily achieved. Instrument movement can be controlled throughout the entire procedure and hemorrhages in previously inaccessible areas can be detected and controlled. With a simple turn of the adjusting knob, the ENDOCAMELEON enables the user to easily select the direction of view between 0 and 120 to suit all OR requirements. ENDOCAMELEON with variable direction of view, lateral view ENDOCAMELEON with variable direction of view, isometric view AI 4 B

49 ENDOCAMELEON Diameter 10 mm, length 32 cm Trocar size 11 mm Recommended in combination with IMAGE1 S (CLARA and CHROMA modes) Special Features: Variable direction of view HOPKINS telescope with unique rod lens system Easy-to-use adjusting knob for selecting the direction of view Rigid sheath with a diameter of 10 mm AE AE ENDOCAMELEON HOPKINS Telescope, diameter 10 mm, length 32 cm, autoclavable, variable direction of view 0 120, with adjusting knob for selecting the direction of view, fiber optic light transmission incorporated, color code: gold Fig. 1: Laparoscopic aortic surgery Fiber Optic Light Cables for use with HOPKINS Telescopes see page 35 Containers for Sterilization and Storage of Telescopes see catalog HYGIENE AI 5 B 41

50 Trocars and Accessories Size 11 mm Cannula Multifunctional Valve Trocar Size: Working length: Color code: 11 mm 10.5 cm green Trocar, with conical tip including: Cannula, without valve, with insufflation stopcock Trocar Multifunctional Valve MC H C M1 Accessories DB Reduction Sleeve, reusable, instrument diameter 5 mm, trocar cannula outer diameter 11 mm, color code: green DB Reducer, 11/5 mm For KARL STORZ trocars only the individual components are numbered. The catalog number for the entire assembled trocar does not appear on the instrument. This is shown in the table in bold print. For further trocars for use with telescopes see catalog LAPAROSCOPY 42 AI 6 B

51 KARL STORZ c rotating, dismantling 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 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. 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: 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 design Cost-effective reusable instruments reduce O.R. costs per case and simplify inventory management, eliminating the need to store large quantities of disposable instruments Environmentally correct, i.e. 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. Note: This chapter includes all c instruments recommended for use with endoscopic vessel harvesting. For further c Instruments, see catalog LAPAROSCOPY in SURGERY, GYNECOLOGY and UROLOGY AI 7 B 43

52 Plastic Handles for Scissors, Dissecting and Grasping Forceps, c rotating, with connector pin for unipolar coagulation The anatomy of the hand varies in size from person to person. Wider contact areas at the finger and thumb ring and a more ergonomic design ensures the c handles are comfortable to hold, preventing pressure marks even after hours of use. Due to their ergonomic shape, the new handles can be used in various holding positions and, therefore, meet a wide range of demands. Special Features: Comfortable handling Prevention of pressure marks Variable holding positions due to ergonomic shape Appropriate design unipolar c Plastic Handle, without ratchet, with larger contact area at the finger ring c Plastic Handle, with MANHES style ratchet, with larger contact area at the finger ring c Plastic Handle, with hemostat style ratchet, with larger contact area at the finger ring c Plastic Handle, with disengageable ratchet, with larger contact area at the finger ring c Plastic Handle, axial, with ratchet, rotating, n double action shanks c Plastic Handle, axial, without ratchet, n rotating, double action shanks Unipolar High Frequency Cords see page AI 8 B

53 Metal Handles for Scissors, Dissecting and Grasping Forceps, c rotating, without connector pin for unipolar coagulation Metal Handles, with and without ratchet c Metal Handle, without ratchet, with larger contact area at the finger ring c Metal Handle, n with MANHES style ratchet, with larger contact area at the finger ring c Metal Handle, n with hemostatic style ratchet, with larger contact area at the finger ring c Metal Handle, with disengageable ratchet, n with larger contact area at the finger ring AI 9 B 45

54 Metal Handles for Dissecting and Grasping Forceps, c rotating, without connector pin for unipolar coagulation Metal Handles, axial, with and without ratchet c Metal Handle, axial, with hemostat style ratchet, double action n handle shanks c Metal Handle, axial, without ratchet, double action handle n shanks c MOURET Metal Handle, axial, with hemostat style ratchet c MOURET Metal Handle, axial, with hemostat style ratchet, with long handle bar AI 10 B

55 Metal Outer Sheaths for Dissecting and Grasping Forceps, c Size 5 mm c Metal Outer Sheath, insulated, with LUER-Lock connector for cleaning, size 5 mm, length 30 cm Same, length 36 cm Same, length 43 cm M M c Metal Outer Sheath, with LUER-Lock connector for cleaning, size 5 mm, length 30 cm M Same, length 36 cm M Same, length 43 cm Please note: The metal outer sheaths may only be used in conjunction with handles without a connector pin for unipolar coagulation. AI 11 B 47

56 Accessories for Handles and Outer Sheaths Rotating Wheel, for c handles without larger contact surface and ROBI handles, autoclavable, package of 5, makes rotation of outer sheath more comfortable G Rotating Wheel, for c and ROBI handles, n autoclavable, package of 5, makes rotation of outer sheath more comfortable F Spring, for Handle 33131, autoclavable To obtain a self-retaining effect, the spring has to be manually attached to the handle S Spring, for Handle 33131, autoclavable To obtain a spreading effect, the spring has to be manually attached to the handle Plug, for LUER-Lock irrigation connector for cleaning, black, autoclavable, package of A Color-Coded Plug, for LUER-Lock irrigation connector for cleaning, red, green, black, 10 each, package of AI 12 B

57 User Information for easy location of the desired 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: ML ML c KELLY Dissecting and Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, double action jaws, long, size 5 mm, length 36 cm including: Plastic Handle, without ratchet, with larger contact area Metal Outer Sheath ML Forceps Insert Dissecting and Grasping Forceps c rotating, dismantling, insulated, with connector pin for unipolar coagulation Size 5 mm Operating instruments, lengths 30, 36 snd 43 cm, for use with trocars size 6 mm unipolar Length 30 cm (b) Handle (a) 36 cm 43 cm Double action jaws Working Insert Complete Instrument cm ML 30 cm ML ML ML (c) ML ML ML ML ML c KELLY Dissecting and Grasping Forceps, long Length of jaws in mm Please note: For c instruments only the individual component parts are numbered. The catalog number for the complete instrument does not appear 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 lengths. AI 13 A 49

58 Dissecting and Grasping Forceps c rotating, dismantling, insulated, with connector pin for unipolar coagulation Size 5 mm Operating instruments, lengths 30, 36 and 43 cm, for use with trocars size 6 mm Length Handle cm 36 cm 43 cm Double action jaws Working Insert Complete Instrument ML ML ML ML ML ML ML ML ML 22 c KELLY Dissecting and Grasping Forceps, long DF DF DF DF DF DF DF DF DF 17 c Dissecting and Grasping Forceps, atraumatic KW KW KW 18 c MATKOWITZ Grasping Forceps Single action jaws ON ON ON ON ON ON ON ON ON 26 c Grasping Forceps, with especially fine atraumatic serration, fenestrated DY DY DY DY DY DY c DeBAKEY Grasping Forceps, atraumatic 50 AI 14 A

59 unipolar Handle n n Complete Instrument ML ML ML ML ML ML ML ML ML ML ML ML DF DF DF DF DF DF DF DF DF DF DF DF KW KW KW KW ON ON ON ON ON ON ON ON ON ON ON ON DY DY DY DY DY DY DY DY AI 15 A 51

60 Dissecting and Grasping Forceps c rotating, dismantling, without connector pin for unipolar coagulation Size 5 mm Operating instruments, lengths 30, 36 and 43 cm, for use with trocars size 6 mm Length 30 cm n Handle n cm 43 cm Double action jaws Working Insert Complete Instrument ML ML ML ML ML ML ML ML ML ML ML ML 22 c KELLY Dissecting and Grasping Forceps, long DF DF DF DF DF DF DF DF DF DF DF DF 17 c Dissecting and Grasping Forceps, atraumatic KW KW KW KW 18 c MATKOWITZ Grasping Forceps Single action jaws ON ON ON ON ON ON ON ON ON ON ON ON 26 c Grasping Forceps, with especially fine atraumatic serration, fenestrated DY DY DY DY DY DY DY DY c DeBAKEY Grasping Forceps, atraumatic 52 AI 16 A

61 n Handle ML ML ML ML ML ML Complete Instrument ML ML ML ML ML ML ML ML ML DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF KW KW KW KW KW ON ON ON ON ON ON ON ON ON ON ON ON ON ON ON DY DY DY DY DY DY DY DY DY DY AI 17 A 53

62 Scissors c rotating, dismantling, insulated, with connector pin for unipolar coagulation Size 5 mm Operating instruments, lengths 30, 36 and 43 cm, for use with trocars size 6 mm unipolar Length 30 cm Handle n 36 cm 43 cm Double action jaws Working Insert MA MA MA Complete Instrument MA MA MA MA MA MA c Scissors, spoon-shaped jaws, serrated, curved AI 18 A

63 Single-use Scissors c rotating, dismantling n The new single-use scissors from KARL STORZ can be combined with all reusable handles from the c series. This makes the new single-use scissors fully downward compatible, providing a practical solution for regular use or as a backup system. The instrument design is based on the scissor jaws of the already available reusable c Scissor Inserts MA and MS. Color coding at the proximal end of the instrument allows clear identification of the single-use components AI 19 B 55

64 Single-use Scissors c rotating, dismantling n Size 5 mm Operating instruments, length 36 cm, for use with trocars size 6 mm Special Features: Scissor blades are always sharp and/or optimal cutting effect Sterile packed for immediate use in the OR Proven scissor blade design Compatible with all handles from the c series (without ratchet) Packaging Cost-effective solution: single-use meets reusable The single-use scissors are delivered in packages of 10 in a dispenser box with instructions for use. Each scissors insert with outer sheath, including 3 patient labels, are sterile packed in an individual blister pack AI 20 B

65 Single-use Scissors c rotating, dismantling n unipolar MA-D MA-D c Scissors Insert with Outer Sheath, curved, double action jaws, spoon-shaped jaws, length of blades 17 mm, size 5 mm, length 36 cm, sterile, for single use, package of MS-D c METZENBAUM Scissors Insert with Outer Sheath, curved, length of blades 12 mm, double action jaws, size 5 mm, length 36 cm, sterile, for single use, package of AI 21 B 57

66 n Plastic Handle for Dissecting and Grasping Forceps, insulated, ROTATIP rotating, with connector pin for unipolar coagulation Special Features Jaw rotation (endless in both directions) is independent of the outer sheath and achieved using a rotary wheel in the handle Can be disassembled in three parts: Handle, outer sheath and working insert Greater sheath stability unipolar ROTATIP Plastic Handle, without ratchet, with larger contact area at the finger ring Size 5 mm Outer Sheath, insulated ROTATIP Outer Sheath, insulated, with LUER-Lock connector for cleaning, size 5 mm, length 43 cm 3-15 Unipolar High Frequency Cords see page AI 22 B

67 n Dissecting and Grasping Forceps ROTATIP insulated, with connector pin for unipolar coagulation, with rotating jaw and straight sheath Size 5 mm Operating instruments, length 43 cm, for use with trocars size 6 mm unipolar MLR Length n Handle cm Single action jaws Working Insert ONR Complete Instrument ONR ROTATIP Grasping Forceps, atraumatic, fenestrated Double action jaws AFR AFR ROTATIP Grasping Forceps, atraumatic, fenestrated MLR MLR ROTATIP KELLY Dissecting and Grasping Forceps, long 3-15 AI 23 B 59

68 ROBI Instruments Rotating Bipolar Grasping Forceps and Scissors, CLERMONT-FERRAND Model A prerequisite for successful, minimally invasive laparoscopic procedures is the selection of the correct HF instruments and units combined with the basic principles of surgery. During a surgical procedure, the operating surgeon must be able to grasp various tissue structures, to dissect and work on the relevant organ (incision/dissection), and to control hemorrhage (suturing and/or hemostasis). Instruments that perform multiple functions means there is less need for instrument exchange. This saves the surgeon considerable time and effort. KARL STORZ set itself the task of designing instruments that meet the specific demands of minimally invasive surgery and developed the rotating, bipolar ( ROBI ) instruments the CLERMONT-FERRAND model in co-operation with Prof. Wattiez (Strasbourg, France) for this purpose. Like all other instruments in the ROBI series, they are fully rotatable by 360 and can be disassembled into a handle, sheath and insert. The instruments are autoclavable and easy to handle and clean. To meet various needs and requirements, the jaws of the ROBI bipolar grasping forceps vary in regard to size and width. Jaws with rougher toothing are suitable for grasping thicker and heavier tissue whereas jaws with finer toothing are better for grasping more fragile tissue structures. Fenestrated jaws offer the advantage that even structures which are difficult to grasp can be securely gripped. To enable optimum grasping, even from less favorable angles and positions, all instruments can be rotated 360. This function proves to be particularly advantageous when using monoarticulate forceps in order to place the jaws in the ideal position. Dissection Function The identification of tissue structures via dissection is a prerequisite for minimizing risks in precision surgery. ROBI Bipolar Grasping Forceps Grasping Function The use of retractors in minimally invasive surgery is not always possible or useful. The surgeon, therefore, requires an instrument that is capable of grasping tissue precisely and is able to maintain the tissue at a safe distance to the operating site. The delicate KELLY jaws represent a standard dissection instrument without which the CLERMONT- FERRAND series would not be complete. We have also included very slender and extra-flat jaws to meet the demands of all difficult anatomical conditions. By opening the handle, the jaws can be moved and the tissue surface can be spread apart. Conventional bipolar forceps, for example, have no joint between the jaws. Closure of the jaws is effected by sliding an external tube. As a result, opening is usually passive. Instruments with an imprecise grasping function do not allow precise dissection AI 24

69 ROBI Instruments Rotating Bipolar Grasping Forceps and Scissors, CLERMONT-FERRAND Model The joint mechanism of the ROBI instruments provides the surgeon with a natural tactile feedback. The force exerted on the tissue can, therefore, be felt at the handle and thus permits a precise dose for dissection. Tactile feedback enables optimal tissue dissection, according to Wattiez. In addition to biarticulate jaws for easier handling of delicate tissue and vessels, the CLERMONT-FERRAND series also feature instruments with robust, monarticulate jaws which facilitate dissection in critical regions and reduce trauma to a minimum. These instruments are appropriate for oncological procedures such as, for example, lymph node dissection. Micro instruments are being increasingly used in dissection due to their enhanced precision and advancements in high frequency technology. The delicate instruments from the CLERMONT-FERRAND series are ideal for use with bipolar energy. The Coagulation Function The use of bipolar energy offers significant advantages over unipolar energy. The carefully applied current flows between the branches of the utilized HF instrument and must not travel over long distances through the body of the patient via a neutral electrode. With the aim of providing maximum user safety, ROBI instruments were designed and equipped with bipolar HF technology to ensure minimal patient discomfort. An essential feature of ROBI instruments is that the forceps inserts consist of two jaws that are insulated by a ceramic layer. This reduces flashover and, therefore, offers more safety during HF application. Despite these safety precautions, it is important to observe basic rules and principles for optimum work with bipolar HF energy and to keep risks at a minimum. In general, it is important to ensure that no critical viscera is in contact with the instrument and that only the relevant tissue is grasped between the two jaws of the forceps when activating or contacting the bipolar instrument. Coagulation occurs by means of heating the tissue. If the tissue is heated too severely or the HF application times are too long, there is a risk that burns will occur around the operating site. Heat dispersion can be restricted by selecting the appropriate HF power setting. A W power setting is generally sufficient for laparoscopic interventions. In principle, the higher the selected HF power setting, the shorter the exposure time and vica versa. The longer the exposure time, the more extensive the heat dispersion. Care must be taken that HF energy has adequate penetration depth, which is not always easy for the surgeon to see or predict. After selecting the power setting, the surgeon applies the energy with as short an exposure time as possible. The power setting used generally depends on the size of the selected jaws as the density of the energy transferred to the tissue is directly relative to the size of the jaws. With the same power setting, the narrower the jaws, the greater the energy density. The thicker the jaws, the higher the power setting required. With thicker jaws, the operating surgeon has to choose a higher power setting (approx. 50 W) but with a shorter exposure time. With thinner jaws, a lower power setting of approximately 35 W is selected AI 25 B 61

70 ROBI Instruments Rotating Bipolar Grasping Forceps and Scissors, CLERMONT-FERRAND Model ROBI Bipolar Scissors Cutting Function To meet the different requirements of various tissue structures during the incision phase, we also added curved METZENBAUM scissors as well as serrated jaws for difficult-to-grasp tissue structures to the existing straight scissor versions in the CLERMONT-FERRAND series. Tissue impedance is another important aspect that needs to be considered in order to avoid unintentional thermal damage. Through more or less heavy compression of the tissue, the surgeon can alter the tissue impedance and, thus, modify the dispersion of electrical energy. The more the tissue is compressed, the greater the impedance. Altering the electrical HF energy influences coagulation time, which then becomes shorter. In contrast to conventional bipolar forceps, grasping forceps from the ROBI series thanks to their tactile feedback allow the pressure applied to the tissue to be altered and, as a result, the impedance to be changed. During the procedure, blood and tissue may coagulate on the jaws. This may act as an insulation layer and change the distribution of energy. In extreme cases, there is no current flow and coagulation is no longer possible. To prevent soiling of the jaws, the appropriate power setting depending on the size of the jaws must be selected. Furthermore, long exposure times and coagulation in blood should be avoided. Precise, preventative coagulation is the best safety precaution. Coagulation Function Bipolar ROBI scissors have also been specially designed for use with HF energy and enable both coagulation and cutting in the coagulated area, the tissue that has become white. As soon as the tissue becomes pink again, the incision is interrupted and coagulation can be continued. Of course, the same safety precautions apply to ROBI scissors regarding the use of bipolar HF energy as described above for grasping forceps. Conclusion Optimization of the minimally invasive intervention is dependent on the number and selection of functions that are possible for the surgeon. ROBI grasping forceps offer the surgeon an instrument with grasping, dissection and coagulation functions. ROBI scissors also offer the possibility of dissection and coagulation as well as, of course, incision. Thanks to the quickchange ROBI system, working inserts can be rapidly exchanged during surgery and according to surgical requirements. This multifunctionality leads to an optimization of the surgical procedure which becomes easier, faster and safer as a result. The ROBI grasping forceps and scissors from the CLERMONT-FERRAND series feature a high degree of user-friendliness in the customary KARL STORZ tradition AI 26 B

71 ROBI Bipolar Dissecting n and Grasping Forceps rotating, dismantling, with connector pin for bipolar coagulation, CLERMONT-FERRAND Model Size 5 mm Operating instruments, lengths 36 and 43 cm bipolar Special Features: Robust joint mechanism allows safe, yet powerful grasping 360 rotating sheath New handle allows precise work and direct force transmission Ergonomic handle design provides enhanced user comfort Top mounted 45 high frequency connector pin leads the cable away from the operative field The instruments in size 5 mm can be disassembled in the usual manner as insert, outer sheath and handle Color coding on the working insert and handle enables easier indentification of compatible components ROBIr Metal Outer Sheaths, insulated, with LUER-Lock irrigation connector for cleaning ROBI Metal Outer Sheath, insulated, with LUER-Lock irrigation connector for cleaning, size 5 mm, length 36 cm Same, length 43 cm Outer Sheath Length 36 cm n Handle Length 43 cm Double action jaws Working Insert MD MD 19 Complete Instrument MD MD ROBI KELLY Dissecting and Grasping Forceps, CLERMONT-FERRAND model, especially suitable for dissection Please note: For the instrument only the individual component parts are numbered. The catalog number for the complete instrument is not on the instrument. Please take this number from the numbers indicated in the red background of the table above. The color green indicates the working lengths. Bipolar High Frequency Cords see page 76 AI 27 B 63

72 Endoscopic Vascular Clamps Special Features: All vascular clamps are available as straight versions. The conical shape of the instruments and the round sheath enable problem-free percutaneous insertion into the abdomen. A maximum incision of only 5 mm is necessary for inserting the vascular clamps. Gas loss during insertion is minimal so that the surgical workflow is hardly disturbed. The outer diameter of the sheath is 10 mm SB All the handles are equipped with a simple, but efficient securing mechanism to prevent unintentional opening of the clamps during the intervention. The irrigation port on the shaft enables perfect hygienic preparation of the instruments. Safety is the objective of every intervention. Safety is the reason for the robust design of the handle AI 28 B

73 Endoscopic Vascular Clamps Size 10 mm Operating instruments, length 30 cm, for use with trocars size 11 mm or percutaneous insertion VC Vascular Clamp, jaws slightly curved, length of jaws 5 cm, straight sheath, with axial ring handle, ratchet with safety locking device, size 10 mm, length 30 cm SS Vascular Clamp, straight jaws, length of jaws 7 cm, straight sheath, with axial ring handle, ratchet with safety locking device, size 10 mm, length 30 cm SB SATINSKY Laparoscopic Vascular Clamp, long version, length of jaws 10 cm, depth of jaws 2.5 cm, straight sheath, with axial ring handle, ratchet with safety locking device, size 10 mm, length 30 cm SC SATINSKY Laparoscopic Vascular Clamp, short version, length of jaws 8 cm, depth of jaws 2 cm, straight sheath, with axial ring handle, ratchet with safety locking device, size 10 mm, length 30 cm AI 29 B 65

74 Endoscopic Vascular Clamps Deployable Vascular Clamps Size 10 mm Operating instruments, length 32 cm, for use with trocars size 11 mm A deployable vascular clamp has been specially developed by KARL STORZ for occluding the aorta. The clamp has atraumatic, detachable jaws that can be applied to the aorta with the help of a vascular clamp applicator. The hook-and-eye combination of jaw and applicator enables easy retrieval of the jaws without the need for additional instruments. In addition to easy handling and secure vascular clamping, the instrument provides the surgeon with greater freedom of movement during the entire endoscopic procedure. The trocar that introduces the vascular clamp can be freely used once the jaws are positioned DJ DJ Vascular Clamp Applicator, size 10 mm, length 32 cm, for use with Deployable Vascular Clamps DH, DI and DM including: Inner Rod Outer Sheath DH Deployable Vascular Clamp, single action jaws, length of jaws 5 cm, size 10 mm, for use with Vascular Clamp Applicator DJ DI Same, length of jaws 6 cm DM Deployable Vascular Clamp, parallel-action jaws, length of jaws 7 cm, size 10 mm, for use with Vascular Clamp Applicator DJ 3-15 Components/Spare Parts see chapter 9 66 AI 30 A

75 Endoscopic Vascular Clamps c Grasping Forceps Größe 10 mm Optional accessory for use with the deployable vascular clamp to hold the deployable vascular clamp firmly inside the abdominal cavity while the clamp applicator is detached during introduction and deployment, or attached during clamp retrieval DD DD c Grasping Forceps, rotating, double action jaws, for grasping of deployable vascular clamps, size 10 mm, length 36 cm including: Metal Handle, without ratchet Metal Outer Sheath Forceps Insert 7-04 Components/Spare Parts see chapter 9 AI 31 A 67

76 KOH Macro Needle Holder dismantling KOH Macro Needle Holder, size 5 mm, dismantling, consisting of: Handle Outer sheath Working insert Cleaning and sterilization are gaining increasing importance for KARL STORZ as a manufacturer of surgical instruments. Similar to all our surgical instruments, the cleaning and hygiene of our needle holders also play an important role. Our KOH macro needle holders feature consistent effectiveness and precision, with significantly improved cleaning results achieved by dismantling the instrument. The handle, outer sheath and inner part can be cleaned and sterilized separately for perfect results. The reusable dismantling design offers the user the following benefits: Can be disassembled into three separate components Fully autoclavable Cleaning connector Choice of six different handles and three different working inserts With tungsten carbide inserts Environmentally correct: In the event of damage, only the component with the defect needs to be replaced User-friendly and ergonomic handling AI 32 A

77 Handles and Outer Sheaths KOH Macro Needle Holders, dismantling Handles, axial and pistol grip, 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 grip, with disengageable ratchet, ratchet position right PL Handle, pistol grip, with disengageable ratchet, ratchet position left PO Handle, pistol grip, with disengageable ratchet, ratchet position on top Metal Outer Sheaths Size 5 mm A A Metal Outer Sheath, with LUER-Lock connector for cleaning, size 5 mm, length 33 cm A Same, length 43 cm AI 33 B 69

78 KOH Macro Needle Holder dismantling Size 5 mm Operating instruments, lengths 33 and 43 cm, axial, for use with trocars size 6 mm Working length Handle AR AL AO 33 cm 43 cm Single action jaws Working Insert R R Complete Instrument RAR RAL RAO RAR RAL RAO KOH Macro Needle Holder, dismantling, jaws curved to right, with tungsten carbide inserts, for use with suture material size 0/0 to 7/ L L LAR LAL LAO LAR LAL LAO KOH Macro Needle Holder, dismantling, jaws curved to left, with tungsten carbide inserts, for use with suture material size 0/0 to 7/ F F FAR FAL FAO FAR FAL FAO KOH Macro Needle Holder, dismantling, straight jaws, with tungsten carbide inserts, for use with suture material size 0/0 to 7/ AI 34 A

79 KOH Macro Needle Holder dismantling Größe 5 mm Operating Instruments, lengths 33 and 43 cm, pistol grip, for use with trocars size 6 mm Working length Handle PR PL PO 33 cm 43 cm Single action jaws Working Insert R R Complete Instrument RPR RPL RPO RPR RPL RPO KOH Macro Needle Holder, dismantling, jaws curved to right, with tungsten carbide inserts, for use with suture material size 0/0 to 7/ L L LPR LPL LPO LPR LPL LPO KOH Macro Needle Holder, dismantling, jaws curved to left, with tungsten carbide inserts, for use with suture material size 0/0 to 7/ F F FPR FPL FPO FPR FPL FPO KOH Macro Needle Holder, dismantling, straight jaws, with tungsten carbide inserts, for use with suture material size 0/0 to 7/ AI 35 A 71

80 Suction and Irrigation Tubes, Handles for Suction and Irrigation Sizes 5 and 10 mm Operating Instruments, length 36 cm, for use with trocars sizes 6 and 11 mm SC SC Suction and Irrigation Tube, size 5 mm, length 36 cm, for use with suction and irrigation handles LH Suction and Irrigation Tube, with lateral holes, size 10 mm, length 36 cm, for use with suction and irrigation handles A A Handle, straight, with clamping valve, for suction and irrigation, autoclavable, for use with Suction and Irrigation Tubes LH, LH and LH A A Handle, pistol grip, with clamping valve, for suction and irrigation, autoclavable, for use with Suction and Irrigation Tubes LH, LH and LH RV RV Suction and Irrigation Handle, straight, with roller valve, for suction and irrigation, autoclavable AI 36 A

81 Tubing Sets for use with Handles A, A and RV * Tubing Set, for single use, sterile, package of 10, for use with Suction and Irrigation Handles A, A and RV * Complete Tubing Set, with two puncture cannulas, for single use, sterile, package of 10, for use with Handles A, A and RV in combination with ENDOMAT LC 3-15 * Please note: Sterile tubing sets for Handles A, A and RV can be ordered directly from the company mtp. AI 37 73

82 Knives, Retractors Sizes 5 and 10 mm Operating Instruments, lengths 31 and 36 cm, for use with trocars sizes 6 and 11 mm DO DO BERCI Micro Knife, pointed, distendable, size 5 mm, length 31 cm FP FP Fan Retractor, dismantling, distendable, size 10 mm, length 36 cm VR VR Retractor, dismantling, with variable curvature, blunt, size 10 mm, length 36 cm including: Handle Outer Sheath Insert 3-15 Components/Spare Parts see chapter 9 74 AI 38

83 Surgical Sponge Holders PT PT Surgical Sponge Holder, self-retaining, size 5 mm, length 30 cm including: Handle Outer Sheath, insulated Sponge Holder Insert PT Surgical Sponge Holder, self-retaining, size 10 mm, length 30 cm including: Handle Outer Sheath, insulated Sponge Holder Insert 3-15 Components/Spare Parts see chapter 9 AI 39 75

84 Accessories Unipolar and Bipolar High Frequency Cords Unipolar High Frequency Cords KARL STORZ Instrument High Frequency Surgical Units unipolar 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 M Unipolar High Frequency Cord, with 8 mm plug, length 300 cm, for use with AUTOCON II 400 SCB system (112, 116) and Valleylab models Bipolar High Frequency Cords KARL STORZ Instrument High Frequency Surgical Units bipolar 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 LW Bipolar High Frequency Cord, length 300 cm, pin distance on unit side 22 mm, for use with high frequency surgical units with bipolar sockets with 22 mm pin distance 3-15 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. 76 AI 40

85 VITOM VISUALIZATION SYSTEM FOR OPEN SURGERY WITH MINIMAL ACCESS

86 VITOM Visualization System for Open Surgery with Minimal Access CARDIO-VAS-VITOM 2

87 VITOM Visualization System for Open Surgery with Minimal Access Today, most surgical procedures still involve open surgery, while a steadily growing proportion is performed endoscopically. As a full-range supplier in minimally invasive surgery, KARL STORZ takes account of this fact with the new HAVE 1 concept. In conjunction with the innovative VITOM system, KARL STORZ camera and documentation systems can be used for visualizing and documenting open surgeries as well. Combining technologies for minimally invasive procedures with those for open surgery is efficient, economic, and improves the workflow in the operating room. HAVE 1 the visualization and documentation solution for minimally invasive and open surgery from a single source. Benefits of HAVE 1 : Only KARL STORZ offers the VITOM system, which allows visualizing and documenting open surgeries in all medical specialties Excellent FULL HD image quality Great depth of field Large working distance Ergonomic work via the monitor Compact design requiring minimal space in the OR Use of existing KARL STORZ FULL HD endoscopy system Brilliant Visualization in FULL HD KARL STORZ HAVE 1 : H A V e 1 IMAGE1 S AIDA compact NEO HD VITOM Endoscopy The complete solution from a single source FULL HD camera platform Medical Data Management System Brilliant visualization of open surgeries The diamond standard in minimally invasive surgery Your contact for imaging and documentation 3-15 CARDIO-VAS-VITOM 3 79

88 n VITOM Visualization System for Open Surgery with Minimal Access Brillant Visualization in FULL HD The IMAGE1 S FULL HD camera system provides optimal support for all interventions in minimally invasive and open surgery. Documentation The VITOM system is perfectly suited for the documentation of interventions in open surgery with minimal access. Ergonomic Work Enhanced images of the open surgical procedure can be observed via a FULL HD monitor from a convenient distance by the surgeon, the assistant as well as the entire OR team. The system offers everyone present in the OR an optimal view of the surgical field. Teaching and Training The VITOM system is an excellent tool for teaching and training purposes as the system offers an unrestricted and magnified view of the surgical site both inside and outside the OR. Fields of Application The VITOM system offers an innovative way of displaying open surgical procedures with minimal access and has been successfully used in cardiovascular surgery, e.g., mitral valve surgery and pediatric surgery. Moreover, the VITOM system is an excellent teaching and training aid and an ideal tool for documentation CARDIO-VAS-VITOM 4

89 n VITOM System Overview VITOM Telescope 0 with Integrated Illuminator VITOM Telescope 90 with Integrated Illuminator AA, AA, DA Clamping Cylinder Fiber Optic Light Cable CN 495 TIP Mechanical Holding Arm IMAGE1 S H3-Z Three-Chip FULL HD Camera Head Cold Light Fountain XENON 300 SCB UGK TH HC IMAGE1 S Camera System HR TC 200EN TC " FULL HD Monitor NB CARDIO-VAS-VITOM 5 81

90 n VITOM System Components Exoscopes and Illumination VITOM Telescopes with Integrated Illuminator 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 Note: The telescope used in this set is assigned the order number AA. Optional: AA 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 Note: The telescope used in this set is assigned the order number 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 Note: The telescope used in this set is assigned the order number DA CARDIO-VAS-VITOM 6

91 VITOM Accessories for VITOM Telescopes VITOM Scope 0 VITOM Scope 90 with Integrated Illuminator AA DA VITOM 25 Scope AA 495 TIP Fiber Optic Light Cable, with straight connector, extremely heat-resistant, enhanced light transmission, diameter 4.8 mm, length 300 cm 495 NVC Fiber Optic Light Cable, with 90 deflection to the instrument, very narrow radius of curvature, diameter 4.8 mm, length 300 cm VI 495 UV VI VITOM 25 Illuminator, for straight forward telescopes 0, 2 adjustable lenses with holding device for VITOM 25, autoclavable, for use with Y-Fiber Optic Light Cable 495 UV 495 UV Y-Fiber Optic Light Cable, 2x diameter 3.5 mm, length 230 cm, for simultaneous connection of two instruments VD VITOM 25 Distance Rod, length 25 cm 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 CARDIO-VAS-VITOM 7 83

92 VITOM Specifications Working distance Depth of view Field of view IMAGE1 S H3-Z camera zoom 1x IMAGE1 S H3-Z camera zoom 2x Reproduction scale 26" Monitor: H3-Z camera zoom 1x H3-Z camera zoom 2x 25 cm, 50 cm, 75 cm approx. 3.5 cm, 7 cm, 10 cm 5 cm, 10 cm, 15 cm 3.5 cm, 7 cm, 10.5 cm approx. 8x, 4x, 3x approx. 16x, 8x, 6x 42" Monitor: H3-Z camera zoom 1x approx. 14x, 7x, 5x H3-Z camera zoom 2x approx. 28x, 14x, 10,5x 52" Monitor: H3-Z camera zoom 1x approx. 17x, 8x, 6x H3-Z camera zoom 2x approx. 34x, 16x, 12x CARDIO-VAS-VITOM 8

93 HOLDING SYSTEMS AND TRAINING MODELS HOLDING SYSTEMS TRAINING MODELS 89-90

94 Mechanical Holding Systems with KSLOCK 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, for use with 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 CARDIO-VAS-HT 2

95 E Mechanical Holding Systems with KSLOCK 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 D D A A A A D D C B 3-15 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 88 CARDIO-VAS-HT 3 87

96 Mechanical Holding Systems Recommended Clamping Jaws and Accessories 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) Accessories UF Clamping Jaw, for use with all KARL STORZ polymer housing fiberscopes, with quick release coupling KSLOCK (male) 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 * Cover, elasticated, package of * 88 CARDIO-VAS-HT 6

97 Training Models for endoscopic vein harvesting The training model for endoscopic vein harvesting comprises a reusable housing and a replaceable insert. To closely represent the flexed position of the leg during endoscopic vein harvesting, both the housing and insert are curved. The silicone-coated insert features simulated subcutaneous tissue with an embedded vessel TV TV Training Model, for endoscopic vein harvesting including: Working Insert Housing Cover Pins 7-11 Components/Spare Parts see chapter 9 CARDIO-VAS-HT 7 89

98 Training Models for endoscopic artery harvesting The training model offers a realistic method for endoscopic artery harvesting that is quick and easy to learn. Consequently, it provides a cost-effective alternative to human samples. The replaceable working insert features muscle, fascia and an imitation blood vessel TA TA Training Model, for endoscopic artery harvesting including: Forearm Housing with Hand Working Insert Quick Lock-Release Mechanism Protective Cover Lubricant 7-11 Components/Spare Parts see chapter 9 90 CARDIO-VAS-HT 8

99 HEADLIGHTS LED HEADLIGHT KS70 n HEADLIGHT KS60 WITH COLD LIGHT ILLUMINATION 94

100 LED Headlight KS70 n Special Features: Battery lifespan of up to 21 hours (at brightness level 1) allows use in extensive procedures Brightness adjustment in 3 levels Maintenance-free, high-performance LED in combination with liquid lens technology ensures high depth illumination and an optimal concentration of light energy without a loss of luminosity* Continuously adjustable light field diameter as well as the position and angle of the light unit for perfect orientation of the illumination path Optimal wearing comfort due to balanced, lightweight headband design Lightweight and compact design of the lamp unit Optical charge status display and blinking lights as low battery warning indicator Quick and easy battery replacement Direct charging via a micro-usb plug connected to the headlight or external charging station * Unlike standard lenses, the light field diameter is adjusted not by narrowing the outer edges of the light field by means of the aperture, but by adjusting the lens curvature itself. This results in variations in the illuminating angle and light concentration. 92 VE-J 2 B

101 LED Headlight KS70 n White light version LED Headlight KS70, white light, lightweight model, control unit and rechargeable battery box on headband, charging unit, illumination area adjustable from mm in diameter with 40 cm working distance including: Control Unit Battery Box 2x Battery Pack Charger USB Headband LED Headlight KS70, white light, flexible, lightweight model, control unit and rechargeable battery box on headband, charging unit, illumination area adjustable from mm in diameter with 40 cm working distance including: Control Unit Battery Pack Charger USB Soft Headband Yellow light version LED Headlight KS70, yellowish light, lightweight model, control unit and rechargeable battery box on headband, charging unit, illumination area adjustable from mm in diameter with 40 cm working distance including: Control Unit Battery Box 2x Battery Pack Charger USB Headband 3-15 Components/Spare Parts see chapter 9 VE-J 3 B 93

102 Headlight KS60 with Cold Light Illumination Special Features: Luminous field can be focused adjustable from 20 to 80 mm at a working distance of 40 cm resulting in brightness of over 175,000 lux Double lens system provides outstanding illumination in the depths of the operating field Precise delineation and no luminous field color margins Homogeneous illumination of the luminous field without shadows Lightweight headband provides improved comfort, also suitable for a small head size, can be adjusted both horizontally and vertically Sterilizable handle allows adjustment under sterile conditions, movable and height adjustable Light cable is divided in the head area, ensuring even distribution of weight Extremely robust and flexible light cable due to special protective casing Convenient light cable length of 290 cm provides greater freedom of movement / Headlight KS60, with double lens system and Y-fiber optic light cable, >175,000 lux, illuminated area adjustable from mm in diameter with 40 cm working distance, with removable and sterilizable focus handle including: Headband Y-Fiber Optic Light Cable Clip with Band Same, including: Y-Fiber Optic Light Cable, with 90 deflection to the cold light source Components/Spare Parts see chapter 9 94 VE-J 4

103 UNITS AND ACCESSORIES INSUFFLATORS AND SMOKE GAS SUCTION CONTROL SUCTION AND IRRIGATION SYSTEMS HIGH FREQUENCY SURGERY UNITS

104

105 Units and Accessories for Cardiovascular Surgery SUCTION AND IRRIGATION SYSTEMS HIGH FREQUENCY SURGERY UNITS INSUFFLATORS AND SMOKE GAS SUCTION CONTROL INSUFFLATORS AND SMOKE GAS SUCTION CONTROL 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. The overall KARL STORZ product line includes the following categories of units with Insufflators and Smoke Gas Suction Control Suction and Irrigation Systems Motor Systems Lithotripsy Systems Units for High Frequency Surgery CARDIO-UNITS INTRO U 3

106

107 Insufflators INSUFFLATORS AND SMOKE GAS SUCTION CONTROL INSUFFLATORS n n ENDOFLATOR 40 SCB ENDOFLATOR 50 SCB SMOKE GAS SUCTION CONTROL n S-PILOT U 5

108 n ENDOFLATOR 40 SCB Recommended Standard Set Configuration INSUFFLATORS AND SMOKE GAS SUCTION CONTROL 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 UI 400 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 HICAP Trocar, size 11 mm 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 6 CARDIO-UNITS 2

109 ENDOFLATOR 40 SCB System Components n CO 2 Bottle, empty, Pin-Index connector High Pressure Tube, Pin-Index connector length 55 cm length 102 cm CO 2 Bottle, empty, German connector High Pressure Tube, German connector length 55 cm length 102 cm High Pressure Tube, ISO connector length 102 cm Low Pressure Tube, for central CO 2 gas supply UI001, length 150 cm UI002, length 300 cm UI003, length 600 cm INSUFFLATORS AND SMOKE GAS SUCTION CONTROL U N I T S I D E PATIENT SIDE Insufflation Tubing Set * HICAP Trocar HC VERESS Pneumoperitoneum Cannula J * CARDIO-UNITS 3 D U 7

110 n ENDOFLATOR 50 SCB with Speed-Flow Insufflation (50 l/min), Recommended Standard Set Configuration INSUFFLATORS AND SMOKE GAS SUCTION CONTROL 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 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 ) that allows ideal flow conditions is included in the set 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 UI 500 S1 ENDOFLATOR 50 SCB, with integrated SCB module, power supply VAC, 50/60 Hz including: SCB Connecting Cable, length 100 cm Universal Wrench Heated Insufflation Tubing Set*, with gas filter, sterile, for single use, package of 3 HICAP Trocar, size 11 mm Specifications: Operating mode Gas flow Pressure Gas Measuring/control system Parameter display - High-flow mode - Sensitive mode - Sensitive mode: 0,1-15 l/min - High-flow mode: 1-50 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 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 8 CARDIO-UNITS 4 C

111 ENDOFLATOR 50 SCB System Components n CO 2 Bottle, empty, Pin-Index connector High Pressure Tube, Pin-Index connector length 55 cm length 102 cm CO 2 Bottle, empty, German connector High Pressure Tube, German connector length 55 cm length 102 cm High Pressure Tube, ISO connector length 102 cm Low Pressure Tube, for central CO 2 gas supply UI001, length 150 cm UI002, length 300 cm UI003, length 600 cm INSUFFLATORS AND SMOKE GAS SUCTION CONTROL U N I T S I D E PATIENT SIDE Heatable Insufflation Tubing Set * HICAP Trocar HC VERESS Pneumoperitoneum Cannula J * CARDIO-UNITS 5 C U 9

112 Optional Accessories for Insufflators INSUFFLATORS AND SMOKE GAS SUCTION CONTROL * 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 for use with ENDOFLATOR 40 SCB UI400 S1 ENDOFLATOR 50 SCB UI500 S * 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 UI 004 Insufflation Tube, sterilizable, inner diameter 9 mm, length 250 cm J VERESS Pneumoperitoneum Needle, with spring-loaded 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, length 15 cm * U 10 CARDIO-UNITS 6 C

113 Optional Accessories for Insufflators for use with CO 2 High Pressure Tube, American connection/german connection, length 55 cm Same, length 102 cm ENDOFLATOR 40 SCB UI400 ENDOFLATOR 50 SCB UI500 INSUFFLATORS AND SMOKE GAS SUCTION CONTROL 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 UI 001 UI 002 UI 003 Low Pressure Tube, for the central CO 2 gas supply, length 150 cm Same, length 300 cm Same, length 600 cm CO 2 Bottle, empty, with German connection CO 2 Bottle, empty, with Pin-Index connection UI 005 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 CARDIO-UNITS 7 B U 11

114 n S-PILOT Smoke Gas Suction Control INSUFFLATORS AND SMOKE GAS SUCTION CONTROL Special Features: Intelligent, fully automatic control of the vacuum generated for smoke evacuation in combination with HF units integrated in SCB Footswitch can be activated if using equipment from other manufacturers Touch key enables smooth insertion of the tube With connection option for KARL STORZ Communication Bus (KARL STORZ-SCB) Compatible with all standard insufflation units with pressure control compatible with all standard insufflation units with suction control U 12 CARDIO-UNITS 8 C

115 n S-PILOT Smoke Gas Suction Control, Recommended Standard Set Configuration UP 501 S1 UP 501 S3 S-PILOT, including footswitch, power supply VAC, 50/60 Hz including: One-Pedal Footswitch Tubing Set Suction*, sterile, for single use, package of 5 SCB Connecting Cable, length 100 cm S-PILOT, without footswitch, power supply VAC, 50/60 Hz including: Tubing Set Suction*, sterile, for single use, package of 5 SCB Connecting Cable, length 100 cm INSUFFLATORS AND SMOKE GAS SUCTION CONTROL Accessories * Tubing Set, for smoke, gas and fluid suction, for single use, sterile, package of * VACUsafe Suction Bag, 2 l, with filter, for single use, package of 48, color code: green * VACUsafe Canister, 2 l, package of * VACUsafe Connecting Tube, 30 cm, with green multiadaptor, unsterile, package of 10 UP 004 UP 005 S-PILOT Connecting Cable, diameter 3.5 mm, length 300 cm, for use with ConMed System 2450 or 5000 S-PILOT Connecting Cable, diameter 2.5 mm, length 300 cm, for use with Covidien Force Triad or Covidien Valleylab Force FX Specifications: Power supply Rated power VAC, 50/60 Hz 30 W Dimensions w x h x d Weight 305 x 50 x 320 mm 1.92 kg * Components/Spare Parts see chapter 9 CARDIO-UNITS 9 C U 13

116 n S-PILOT System Components INSUFFLATORS AND SMOKE GAS SUCTION CONTROL U N I T S I D E PATIENT SIDE Tubing Set, for smoke, gas and fluid suction * for use with ** UI500 S1 ENDOFLATOR 50 SCB UI400 S1 ENDOFLATOR 40 SCB THERMOFLATOR SCB Electronic CO 2 ENDOFLATOR SCB * ** Also compatible with all other insufflator models from KARL STORZ U 14 CARDIO-UNITS 10

117 Suction and Irrigation Systems SUCTION AND IRRIGATION SYSTEMS ENDOMAT LC SCB DUOMAT SUCTION AND IRRIGATION SYSTEMS U 15

118 ENDOMAT LC SCB Roller Pumps Suction or Irrigation System, Recommended Standard Set Configuration Special Features: Simple roller pump system, flow-regulated, for irrigation or suction. To improve visibility during irrigation, the second level of Footswitch can be used to activate a flow between 500 and 1000 ml/min. SCB model with connections to the KARL STORZ Communication Bus (KARL STORZ-SCB) SUCTION AND IRRIGATION SYSTEMS ENDOMAT LC SCB, with integrated SCB module, power supply VAC, 50/60 Hz including: Silicone Tubing Set, for irrigation, sterilizable Silicone Tubing Set, for suction, sterilizable SCB Connecting Cable, length 100 cm Recommended Optional Accessories: One-Pedal Footswitch, digital, two-stage, for activating a higher flow for improved visibility * Tubing Set, with two puncture cannulas, for single use, sterile, for irrigation, package of 10, for use with ENDOMAT LC * Tubing Set, for suction, for single use, sterile, package of * Complete Tubing Set, with two puncture cannulas, for single use, sterile, package of 10, for use with Handles A, A and RV in combination with ENDOMAT LC Specifications: Flow regulated Pressure Suction pressure Power supply ml/min non-regulated: max mmhg (150 kpa) non-regulated: bar (-46 kpa) VAC, 50/60 Hz Dimensions w x h x d Weight Certified to 305 x 110 x 260 mm 4.5 kg IEC 601-1, CE acc. to MDD * Optional Accessories for ENDOMAT LC SCB see pages U Components/Spare Parts see chapter 9 U 16 CARDIO-UNITS 12 C

119 ENDOMAT LC SCB System Components One-Pedal Footswitch (optional) Silicone Tubing Set, for irrigation U N I T S I D E PATIENT SIDE Silicone Tubing Set, for suction, part 1 of 2 Bottle Caps Suction Bottles, 5 l Bottle Stands Holder for Bottle Stand Suction and Irrigation Tube Handle SUCTION AND IRRIGATION SYSTEMS LH CARDIO-UNITS 13 B U 17

120 DUOMAT Suction and Irrigation System, Recommended Standard Set Configuration Special Features: Simple, powerful suction and irrigation system for universal use Suction bottle with overflow protection Low noise level SUCTION AND IRRIGATION SYSTEMS DUOMAT, Suction and Irrigation Pump, power supply / VAC, 50/60 Hz including: VACUsafe Suction*, 2 l Specifications: Pressure non-regulated max. 400 mmhg (53.2 kpa) Dimensions w x h x d 305 x 110 x 260 mm Suction pressure non-regulated: max. (-)0.75 bar (-75 kpa) Weight 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 18 CARDIO-VAS-UNITS 14 D

121 DUOMAT System Components U N I T S I D E PATIENT SIDE Silicone Tubing Set, for irrigation (unit pressure infusion cuff connection) part 1 of 2 Pressure Infusion Cuff Silicone Tubing Set, for irrigation (unit pressure infusion cuff connection) part 2 of Silicone Tubing Set, for irrigation (unit bottle connection) part 1 of 2 Bottle Cap for Irrigation Bottle Silicone Tubing Set, for irrigation (bottle instrument connection) part 2 of Silicone Tubing Set, for suction, part 1 of 2 Filter Bottle Caps, Suction Bottle, 5l, Bottle Stand, Bottle Stand Holder for Bottle Stand mtp* Silicone Tubing Set, for suction (unit bacterial filter connection) part 1 of 2 Filter Suction Bottle, 1.5 l, Bottle Cap, Bottle Stand Silicone Tubing Set (bottle instrument connection) part 2 of mtp* Silicone Tubing Set (bottle instrument connection) part 2 of 2 SUCTION AND IRRIGATION SYSTEMS Suction and Irrigation Tube Handle LH * CARDIO-VAS-UNITS 15 D U 19

122 Optional Accessories for Suction and Irrigation Systems for use with ENDOMAT LC SCB DUOMAT Pressure Infusion Cuff, 1.5 l Pressure Infusion Cuff, 3 l SUCTION AND IRRIGATION SYSTEMS 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 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 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 20 CARDIO-UNITS 16 C

123 Optional Accessories for Suction and Irrigation Systems for use with ENDOMAT LC SCB DUOMAT 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 One-Pedal Footswitch, digital, two-stage, for activating a higher flow for improved visibility SUCTION AND IRRIGATION SYSTEMS One-Pedal Footswitch, digital, one-stage, for irrigation Connector Set, for ENDOMAT LC, for use with Silicone Tubing Sets , and Pump Tube, sterilizable, package of 25 CARDIO-UNITS 17 C U 21

124 Optional Accessories for Suction and Irrigation Systems for use with ENDOMAT LC SCB DUOMAT Silicone Tubing Set, for suction, sterilizable Silicone Tubing Set, for suction, sterilizable, short Silicone Tubing Set, sterilizable, for use with Pressure Infusion Cuff and SUCTION AND IRRIGATION SYSTEMS Silicone Tubing Set, for irrigation, sterilizable, for use with Bottle Caps , , and Puncture Needle VG SCB Connecting Cable, length 30 cm 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 * VACUsafe Canister, 2 l, package of * VACUsafe Suction Bag, 2 l, with filter, for single use, package of 48, color code: green * VACUsafe EXTRA-LARGE LUER-Lock Tubing Set * U 22 CARDIO-UNITS 18 C

125 High Frequency Surgical Units HIGH FREQUENCY SURGICAL UNITS AUTOCON II 400 SCB AUTOCON II 200 AUTOCON II 80 HIGH FREQUENCY SURGERY UNITS U 23

126

127 AUTOCON II 400 SCB Special Features: For interdisciplinary use Cutting-edge next-generation unit with a convenient, easy-to-disinfect touch screen Bi-Vascular-Safe mode for bipolar coagulation and thermofusion of large-lumen vessels Equipped with 2 bipolar or 2 unipolar HF outputs depending on unit Defibrillator-safe CF outputs for maximum patient and user safety Permanent safety due to continuous monitoring of the contact between the neutral electrode and the patient during unipolar use 2 freely programmable foot pedals can be connected simultaneously Automatic activation of HF energy or via handswitch or footswitch depending on mode used Self-test for maximum patient and user safety Unit versions for standard use, bipolar resection and thermofusion of large-lumen vessels according to individual user requirements Up to 28 pre-programmed procedures for a wide range of disciplines make the unit extremely simple to operate. 100 program memories are available for individual programming. unipolar bipolar bipolar NaCl BiVascularSafe HIGH FREQUENCY SURGERY UNITS CARDIO-UNITS 21 A U 25

128 AUTOCON II 400 SCB Safety Aspects and Main Features HIGH FREQUENCY SURGERY UNITS Integrated voltage stability control or arc control The two state-of-the-art generators both guarantee optimal surgical cutting and coagulation power that adapts continuously to the particular indication, especially when there are wide variations in the tissue structures and tissue impedances. At the press of a button, the operator can switch between arc control (TOP Cut mode) and voltage stability control (POWER Cut mode). TOP Cut mode In this mode, the HF energy required for a cutting effect is automatically reduced to the necessary physical minimum in each individual case. The electric arc always remains at a constant level, thus ensuring a uniform surgical effect. Such precise work offers a clear safety advantage and produces a cut that conserves tissue and reduces stress for the patient. This increased safety with the AUTOCON II 400 SCB unit is achieved by using the latest and fastest microprocessor and sensor technology, which enables the unit to capture all the important parameters, such as variable incision speed, geometry of the active electrode, different impedance behavior of biological tissue types and fluids, and transition and contact resistances. This data is then used to adjust the HF power output and HF voltage. This means that the operator is not restricted in his work or obliged to adapt to the HF unit. On the contrary, the HF unit adapts optimally to all the user's application and operating techniques. POWER Cut mode with constant HF voltage and power This mode ensures a uniform surgical effect and consistent cutting efficiency over a wide impedance range and many different tissue types. RAM system return electrode application monitoring This safety system continuously monitors the contact quality between the neutral electrode and the patient s skin, and additionally indicates it with symbols. If the contact surface area decreases, the safety system gives an early visual and acoustic alarm, thus preventing a burn under the application site of the patient electrode. To increase the contact reliability of the neutral electrode, the user can prevent the application of single-faced electrodes. Gastro Cut and Papillo Cut These two new resection modes, which were specially developed by KARL STORZ for use in flexible endoscopy, permit a fractionated and controlled cut with no bleeding. The special HF generator technology allows controlled output of cutting and coagulation pulse current. Both the pulse sequence and the pulse speed can be set separately and specifically for each mode. LF/HF leakage currents Stray currents and the associated risk of burns are minimized by design measures. SCB- and OR1 -compatible The units are designed for integration in the KARL STORZ Communication Bus (SCB). Full integratability of the HF unit in the networked, and even speech-controlled, operating room of the future is already a standard feature (system requirement: RUI software release or later). C-Cut mode and LAP-C-Cut mode the intermittent coagulation-cutting mode with AUTOCON II 400 SCB Designed for blood-free cutting during laparoscopy and when using irrigation liquids, the electric current is specially modulated and offers a reproducible coagulation current with high cutting efficiency. This makes time-consuming subsequent coagulation a thing of the past. Using the C-Cut mode thus reduces the need for blood transfusions and saves surgery time. The result is an overall reduction in operating costs, and for the patient it means additional protection. Bipolar generator with 370 W HF power This outstanding performance range allows the unit to be used in conjunction with the newly developed bipolar special and standard accessories. This highend unit is even suitable for indications using irrigation liquids, which in the past could only be performed with special-purpose HF systems. The safety of the bipolar technology from KARL STORZ eliminates the need for applying a neutral electrode, including for interventions which used to be standard unipolar procedures. Unipolar generator with 300 W HF power With a peak power of 300 watts, the AUTOCON II 400 SCB is ideally equipped for interventions in all areas of use U 26 CARDIO-UNITS 22 C

129 AUTOCON II 400 SCB Safety Aspects and Main Features Precise power setting and power limitation Exact fine tuning in 1 W steps is provided for interventions requiring maximum precision with very low power. Up to 8 hemostatic effects Individual selection of up to 8 hemostatic effects for unipolar and bipolar cutting, each with up to 370 W output, permits optimal control of coagulation and the surgical effect in every situation. Forceps auto-start function When the forceps tips contact the tissue, bipolar coagulation is activated automatically after a freely adjustable delay of up to 9.9 seconds. 6.5" touch screen The color touch screen makes the AUTOCON II 400 SCB the world s first HF unit with this new, user-friendly operating technology. It also offers the important advantage of very easy cleaning and wipe-down disinfection. 100 program memories Simple programming of the indication-related unit parameters makes the AUTOCON II 400 SCB easy and intuitive to operate because all the programs can be stored in numeric order or text-based with user name and indication. The stored programs can be called up in the indication list at the touch of a button. Bipolar coagulation auto-stop function Automatic power shutdown when the coagulation procedure has been ended. Self-test program A comprehensive software safety concept ensures smooth, safe use after switching on. Detected component faults are indicated by an error code display, enabling rapid troubleshooting. The self-test also includes the connected accessories for the specific purpose of minimizing waiting times in preoperative work-up Software upgrade The service port on the back of the unit allows the HF functions of the AUTOCON II 400 SCB to be expanded economically for future forms of HF treatment. This means that the AUTOCON II 400 SCB is always up-todate. HIGH FREQUENCY SURGERY UNITS CARDIO-UNITS 23 B U 27

130 AUTOCON II 400 SCB, AUTOCON II 200/80 Special Features Special Features: AUTOCON II 400 SCB 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 Bi-Vascular-Safe mode for bipolar coagulation and thermofusion of large-lumen vessels Easy to use due to automatic mode selection thanks to recognition of instrument-cable connection Spray coagulation: Coagulation with modulated HF voltage (Up > 500 V); very long arcs enable coagulation of large and bleeding areas of tissue without contact to tissue Autostart function: Manual adjustment of operating time limit for bipolar coagulation Voltage-regulated cutting Arc-controlled cutting, unipolar 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 Bipolar resection with KARL STORZ bipolar electrotomes Bipolar application with NaCl irrigation solution HIGH FREQUENCY SURGERY UNITS Modular connecting sockets for unipolar and bipolar applications can be selected according to individual requirements 100 applications with text can be stored Convenient use via 6.5" touch screen Switchover function enables switching between two modes within a user program via a footswitch from the sterile area Compatible with KARL STORZ Communication Bus (KARL STORZ-SCB) Service port for software updates and HF functionality upgrades U 28 CARDIO-UNITS 24 C

131 AUTOCON II 400 SCB Specifications HF Modes Effects P max. at 500 Ohm V P max. at 500 Ohm Crest Factor Arc Control Voltage Control Unipolar TOP-Cut POWER-Cut C-Cut LAP-C-Cut Gastro-Cut Papillo-Cut Standard Coag (at 50 Ohm) Forced Coag Spray Coag Bipolar Bipolar-Cut Saline-C-Cut Saline-C-Cut ++* Saline-Time-C-Cut Saline-Time-C-Cut ++* Saline Coag 8 Saline Coag ++* 8 Saline-Time-Coag Saline-Time-Coag ++* Specifications: Safety systems 8 8 time sec. 8 time sec. Bipolar Soft Coag 8 Bipolar Soft mit Auto-Stop 8 8 time sec. 8 time sec. Bi-Vascular-Safe** (at 75 Ohm) (at 75 Ohm) 200 (at 75 Ohm) 200 (at 50 Ohm) 200 (at 75 Ohm) 200 (at 75 Ohm) 120 (at 75 Ohm) 120 (at 75 Ohm) 300 (at 25 Ohm) *Only for units with additional resection module - Automatic self-test - Maldosage - Neutral electrode safety system (dynamic, two-part, one- and two-part NE) - LF/HF leakage current monitor - Activation time - Deactivable HF Power supply Dimensions w x h x d Weight Certified to **with software package Bi-Vascular-Safe x-12x: VAC, 50/60 Hz xU12x: VAC, 50/60 Hz 448 x 164 x 345 mm 10 kg IEC , CE acc. to MDD HIGH FREQUENCY SURGERY UNITS CARDIO-UNITS 25 C U 29

132 AUTOCON II 400 SCB High Frequency Surgery Unit, Recommended Standard Set Configurations AUTOCON II 400 SCB, power supply VAC, 50/60 Hz including: Mains Cord SCB Connecting Cable, length 100 cm AUTOCON II 400 SCB, power supply VAC, 50/60 Hz including: Mains Cord SCB Connecting Cable, length 100 cm Application Standard: Unipolar/Bipolar High-End Unit version -122 ( VAC) U122 ( VAC) -125 ( VAC) U125 ( VAC) Product No U U125 basic unit U125 basic unit, incl. additional resection module U125 basic unit, incl. Bi-Vascular-Safe mode U125 basic unit, incl. additional resection module + Bi-Vascular-Safe mode Socket Position HIGH FREQUENCY SURGERY UNITS Optional Accessories for AUTOCON II 400 SCB see pages U Components/Spare Parts see chapter 9 Bipolar Combination Bipolar Combination Unipolar 3-pin and Erbe NE 6.3 mm jack and 2-pin Bipolar Combination Bipolar Multifunction Unipolar 3-pin and Erbe NE 6.3 mm jack and 2-pin U 30 CARDIO-UNITS 26 C

133 AUTOCON II 400 SCB System Components Three-Pedal Footswitch Two-Pedal Footswitch One-Pedal Footswitch U N I T S I D E PATIENT SIDE Bipolar High Frequency Cord LE TAKE-APART Bipolar Grasping Forceps HA Unipolar High Frequency Cord Unipolar High Frequency Cord Connecting Cable M A BiVascular Clamp Handle Knife Electrode c KELLY Dissecting and Grasping Forceps ML Neutral Electrode HIGH FREQUENCY SURGERY UNITS CARDIO-UNITS 27 C U 31

134 AUTOCON 200 High Frequency Surgery Unit, Recommended Standard Set Configuration 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 Specifications: HIGH FREQUENCY SURGERY UNITS HF rated power Max. voltage Coagulation degrees - Cutting Power-Cut (unipolar): 220 Watt/500 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 - Coagulation Standard-Coag (unipolar): 190Vp Forced-Coag (unipolar): 1800Vp Standard-Coag (bipolar): 190Vp Power-Cut: 8 Standard-Coag: 8 Forced-Coag: 4 Bipolar Standard-Coag: 8 Autostart Autostop Safety systems Power supply Dimensions w x h x d Weight Certified to Optional Accessories for AUTOCON II 200 see pages U Coagulation bipolar Coagulation bipolar 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 Components/Spare Parts see chapter 9 U 32 CARDIO-UNITS 28 C

135 AUTOCON 200 System Components Two-Pedal Footswitch One-Pedal Footswitch U N I T S I D E PATIENT SIDE Connecting Cable Neutral Electrode Bipolar Connecting Cable Unipolar High Frequency Cord Handle with Cable, unipolar Unipolar High Frequency Cord ROBI LUTZ Forceps LE FG Handle Knife Electrode Knife Electrode M c KELLY Dissecting and Grasping Forceps ML HIGH FREQUENCY SURGERY UNITS CARDIO-UNITS 29 C U 33

136 AUTOCON II 80 High Frequency Surgery Unit, Recommended Standard Set Configuration AUTOCON II 80, power supply VAC, 50/60 Hz including: Mains Cord HIGH FREQUENCY SURGERY UNITS Technische Angaben: 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 Optional Accessories for AUTOCON II 80 see pages U Safety systems Power supply Dimensions w x h x d Weight Certified to - 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 Components/Spare Parts see chapter 9 U 34 CARDIO-UNITS 30

137 AUTOCON II 80 System Components Two-Pedal Footswitch One-Pedal Footswitch U N I T S I D E PATIENT SIDE Connecting Cable Neutral Electrode E Bipolar Connecting Cable Unipolar High Frequency Cord Handle with Cable, unipolar Unipolar High Frequency Cord ROBI LUTZ Forceps LE FG Handle Knife Electrode Knife Electrode c Grasping Forceps M ML HIGH FREQUENCY SURGERY UNITS CARDIO-UNITS 31 U 35

138 Optional Accessories for AUTOCON II 400 SCB and AUTOCON II 200/80 for use with AUTOCON II 400 SCB AUTOCON II 200 AUTOCON II Three-Pedal Footswitch, for use with AUTOCON II 400 SCB 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 HIGH FREQUENCY SURGERY UNITS 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 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 36 CARDIO-UNITS 32

139 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, 2mm Same, 4mm Same, 6mm For use with Electrode Handles and Components/Spare Parts see chapter 9 Needle Electrode Flat Electrode, 8 x10mm Same, 10 x 15 mm HIGH FREQUENCY SURGERY UNITS CARDIO-UNITS 33 U 37

140 Accessories Unipolar High Frequency Cords Unipolar High Frequency Cords KARL STORZ Instrument High Frequency Surgery Units unipolar 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 M Unipolar High Frequency Cord, with 8 mm plug, length 300 cm, for use with AUTOCON II 400 SCB system (112, 116) and Valleylab models HIGH FREQUENCY SURGERY 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 38 CARDIO-UNITS 34

141 Accessories Bipolar High Frequency Cords Bipolar High Frequency Cords KARL STORZ Instrument High Frequency Surgery Units bipolar 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 LW Bipolar High Frequency Cord, length 300 cm, pin distance on unit side 22 mm, for use with high frequency surgical units with bipolar sockets with 22 mm pin distance BiVascularSafe BiVascularClamp, total length 20 cm, with thermoinsulation, for open surgery, integrated MF cable length 4 m Same, total length 21 cm, with corrugated jaws Same, total length 27 cm 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. HIGH FREQUENCY SURGERY UNITS CARDIO-UNITS 35 U 39

142 Compatibility High Frequency Cords to AUTOCON HF Electrosurgical Units AUTOCON II AUTOCON 200 AUTOCON II C C AUTOCON II 400 SCB Unipolar High Frequency Cords UR US M M M Bipolar High Frequency Cords LE LM LW LV Bipolar High Frequency Cords/Instruments to Multifunction Socket AUTOCON II 400 SCB HIGH FREQUENCY SURGERY UNITS U 40 CARDIO-UNITS 36

143 COMPONENTS SPARE PARTS

144

145 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 FA HOPKINS Forward-Oblique 45 Catalog Page 11, 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 Spare parts assigned to instrument with catalog page reference and order numbers for individual components/spare parts 3-15 SP 1

146 Table of Contents COMPONENTS / SPARE PARTS TELESCOPES HOPKINS Telescopes SP 2 ENDOSCOPIC VESSEL HARVESTING Endoscopic Vein Retractor and Artery Retractor, Outer Sheath SP 3 Cannula, Reduction Sleeve, Multifunctional Valve SP 4 LAPAROSCOPIC AORTIC SURGERY Outer Sheaths SP 5 Vascular Clamps, Vascular Clamp Applicator, c Grasping Forceps SP 6 Handles SP 7 Suction and Irrigation Tubes SP 8 Micro Knife, Fan Retractor, Retractors, Handle SP 9 Surgical Sponge Holders, Handle, Outer Sheaths SP 10 VITOM VITOM Telescopes SP 11 HOLDING SYSTEMS AND TRAINING MODELS Mechanical Holding Systems SP 12 Training Models SP 13 HEADLIGHTS LED Headlights KS70 SP 14 Headlights KS60 SP 15-SP 16 UNITS AND ACCESSORIES Insufflators ENDOFLATOR 40 SCB SP 17 ENDOFLATOR 50 SCB SP 17 S-PILOT SP 17 Suction and Irrigation Systems ENDOMAT LC SCB SP 18 DUOMAT SP 19-SP 20 High Frequency Surgical Units AUTOCON II 400 SCB SP 21 AUTOCON II 200 SP 22 AUTOCON II 80 SP 22 Surgery Electrodes Set SP 23 Product Page Product Page Product Page SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP 17, SP 18, SP SP SP 21, SP SP 21, SP SP SP SP SP SP 18, SP SP SP SP SP SP SP 18, SP SP SP SP SP SP SP SP SP SP SP SP C SP SP SP AA SP BA SP AA SP BA SP DO SP KO SP SP SP II

147 Numerical Index SPARE PARTS AND ACCESSORIES Product Page Product Page Product Page SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP 18, SP HK SP HR SP HRS SP HZ SP HA SP HB SP HC SP HD SP SP 3, SP 5, SP 6, SP H2 SP M1 SP DB SP A SP A SP SP FP SP R SP V SP VR SP SP SP SP 15, SP SP SP 15, SP SP SP H SP K SP SP PT SP SP PT SP SP SP M SP SP M SP PT SP SP 3, SP M SP M SP PT SP A SP D SP RV SP A SP D SP SC SP LH SP SP SP A SP 21, SP B SP AA SP AE SP BA SP FA SP AA SP BA SP AA SP AA SP DA SP AA SP BA SP FA SP FA SP FC SP FCZ SP FD SP FDZ SP FZ SP TA SP TB SP TC SP TD SP TE SP TF SP TG SP TH SP TI SP TJ SP TK SP TV SP DJ SP DK SP DL SP SB SP SC SP SS SP VC SP F SP 2, SP G SP 2, SP NY SP NYW SP DD SP DD SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP 3, SP 5, SP SP 3, SP 5, SP SP SP SP SP 4 ET SP 12 UI400 SP 17 UI400 S1 SP 17 UI500 SP 17 UI500 S1 SP 17 UP501 SP 17 UP501 S1 SP 17 UP501 S3 SP 17 III

148 Telescopes HOPKINS Telescopes Components / Spare Parts FA HOPKINS Forward-Oblique Telescope 45 Catalog Page 9, 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 AA HOPKINS Straight Forward Telescope 0, enlarged view BA HOPKINS Forward-Oblique Telescope 30, enlarged view AA HOPKINS Straight Forward Telescope BA HOPKINS Forward-Oblique Telescope AA HOPKINS Straight Forward Telescope 0, enlarged view 34, BA HOPKINS Forward-Oblique Telescope 30, enlarged view 34, FA HOPKINS Telescope 45, enlarged view 34, AA HOPKINS Straight Forward Telescope 0, enlarged view BA HOPKINS Forward-Oblique Telescope 30, enlarged view FA HOPKINS Telescope 45, enlarged view AA HOPKINS Straight Forward Telescope 0, enlarged view BA HOPKINS Forward-Oblique Telescope 30, enlarged view 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 AE ENDOCAMELEON HOPKINS Telescope 495 F 495 G Catalog Page 31, 41 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 3-15 SP 2 CARDIO-VAS-SP

149 Endoscopic Vessel Harvesting Endoscopic Vein Retractor and Artery Retractor, Outer Sheath Components / Spare Parts FDZ Endoscopic Vein Retractor, FREIBURG model Catalog Page FD Vein Retractor, FREIBURG model FZ Cleaning Adaptor, for telescope channel FD FZ Components / Spare Parts FCZ BISLERI Endoscopic Radial Artery Retractor Catalog Page FC BISLERI Artery Retractor FZ Cleaning Adaptor, for telescope channel FC FZ Components / Spare Parts Catalog Page c Metal Outer Sheath Spare Parts Plug, for LUER-Lock irrigation connector for cleaning, black, autoclavable, package of Halfround Plate Silicone Ring 3-15 CARDIO-VAS-SP 1 SP 3

150 Endoscopic Vessel Harvesting Cannula, Reduction Sleeve, Multifunctional Valve Components / Spare Parts Catalog Page H2 Cannula Spare Parts Spring Cap Stopcock Components / Spare Parts Catalog Page DB Reduction Sleeve Spare Part Sealing Cap, (50/4) Components / Spare Parts Catalog Page M1 Multifunctional Valve Spare Parts Sealing Screw Tappet Sealing Cap, small Sealing Cap, (60/10) Seal 3-15 SP 4 CARDIO-VAS-SP 2 A

151 Laparoscopic Aortic Surgery Outer Sheaths Components / Spare Parts Catalog Page c Metal Outer Sheath, insulated c Metal Outer Sheath, insulated c Metal Outer Sheath, insulated Spare Parts Plug, for LUER-Lock irrigation connector for cleaning, black, autoclavable, package of Silicone Ring Halfround Plate Components / Spare Parts Catalog Page A Metal Outer Sheath A Metal Outer Sheath M c Metal Outer Sheath M c Metal Outer Sheath M c Metal Outer Sheath Spare Parts Plug, for LUER-Lock irrigation connector for cleaning, black, autoclavable, package of Silicone Ring Halfround Plate Components / Spare Parts Catalog Page ROBI Metal Outer Sheath ROBI Metal Outer Sheath, insulated , 63 Spare Part Plug, for LUER-Lock irrigation connector for cleaning, black, autoclavable, package of 10 CARDIO-VAS-SP 3 A SP 5

152 Laparoscopic Aortic Surgery Vascular Clamps, Vascular Clamp Applicator, c Grasping Forceps Components / Spare Parts VC Vascular Clamp SS Vascular Clamp SB SATINSKY Laparoscopic Vascular Clamp SC SATINSKY Laparoscopic Vascular Clamp Spare Part Plug, for LUER-Lock connector Catalog Page Components / Spare Parts DJ Vascular Clamp Applicator DK Inner Rod DL Outer Sheath Catalog Page DL DK Components / Spare Parts DL Outer Sheath Catalog Page 66 Spare Part Plug, for LUER-Lock connector Components / Spare Parts DD c Grasping Forceps Catalog Page Metal Handle, without ratchet M Metal Outer Sheath DD Forceps Insert DD M Components / Spare Parts M Metal Outer Sheath Spare Part Catalog Page Plug, for LUER-Lock irrigation connector for cleaning, black, autoclavable, package of Halfround Plate Silicone Ring 3-15 SP 6 CARDIO-VAS-SP 4 A

153 Laparoscopic Aortic Surgery Handles Components / Spare Parts A Handle, straight Catalog Page 72 Spare Parts D Seal Set Adaptor Adaptor, complete Cap Nut Components / Spare Parts A Handle, pistol grip Catalog Page 72 Spare Parts D Seal Set Cap Nut Adaptor, complete Blind Plug Adaptor Components / Spare Parts RV Suction and Irrigation Handle Catalog Page 72 Spare Parts D Seal Set Adaptor Adaptor, complete Cap Nut CARDIO-VAS-SP 5 A SP 7

154 Laparoscopic Aortic Surgery Suction and Irrigation Tubes Components / Spare Parts SC Suction and Irrigation Tube Catalog Page 72 Spare Part O-Ring, small Components / Spare Parts LH Suction and Irrigation Tube Catalog Page 72 Spare Parts O-Ring, large Adaptor O-Ring, small 3-15 SP 8 CARDIO-VAS-SP 6 A

155 Laparoscopic Aortic Surgery Micro Knife, Fan Retractor, Retractors, Handle Components / Spare Parts DO BERCI Micro Knife Catalog Page KO Spare Parts KO BERCI Spare Blade Cap Components / Spare Parts FP Fan Retractor Catalog Page 74 Spare Part Outer Sheath Components / Spare Parts VR Retractor Catalog Page Handle V Outer Sheath R Insert R V Components / Spare Parts Catalog Page Handle Spare Part Knurled Screw CARDIO-VAS-SP 7 A SP 9

156 Laparoscopic Aortic Surgery Surgical Sponge Holders, Handle, Outer Sheaths Components / Spare Parts PT Surgical Sponge Holder Catalog Page PT Handle Outer Sheath, insulated PT Sponge Holder Insert Components / Spare Parts PT Surgical Sponge Holder Catalog Page PT Handle Outer Sheath, insulated PT Sponge Holder Insert Components / Spare Parts Handle Catalog Page K Spare Parts H K Handle Core H Handle Shell Components / Spare Parts Outer Sheath, insulated Outer Sheath, insulated Catalog Page Spare Parts Plug, for LUER-Lock irrigation connector for cleaning, black, autoclavable, package of SP 10 CARDIO-VAS-SP 8 A

157 VITOM VITOM Telescopes Components / Spare Parts AA VITOM Telescope 0 with Integrated Illuminator 495 F 495 G Catalog Page 82 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 82 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 AA VITOM 25 HOPKINS Straight Forward Telescope F 495 G Catalog Page 82 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 3-15 CARDIO-VAS-SP 9 A SP 11

158 Mechanical Holding Systems Components / Spare Parts HK Socket, to clamp to the OR table Catalog Page 87 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 87 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 3-15 SP 12 CARDIO-VAS-SP 10 A

159 Training Models Components / Spare Parts TV Training Model TH Working Insert TI Housing TJ Cover TK Pins Catalog Page TH TI TK TJ Components / Spare Parts TA Training Model Catalog Page TB Forearm TC Housing with Hand TD Working Insert TE Quick Lock-Release Mechanism TF Protective Cover TG Lubricant TB TE TC 3-15 CARDIO-VAS-SP 11 A SP 13

160 Headlights LED Headlights KS70 Components / Spare Parts LED Headlight KS LED Headlight KS Control Unit Battery Box Battery Pack Charger USB Headband Catalog Page LED Headlight KS LED Headlight KS Control Unit Battery Box Battery Pack Charger USB Headband LED Headlight KS LED Headlight KS Control Unit Battery Pack Charger USB Soft Headband 3-15 SP 14 CARDIO-VAS-SP 12 A

161 Headlights Headlights KS60 Components / Spare Parts Headlight KS Headlight KS60, with removable and sterilizable Focus Handle Headband, fully adjustable, with Forehead Cushion , with cross band, including holder for Headlight NY Y-Fiber Optic Light Cable, with special protective casing for Headlight , length 290 cm Clip with Band, for attaching the fiber optic light cable to OR clothing Catalog Page NY 495 NY Headlight KS Headlight KS60, with removable and sterilizable Focus Handle Headband, fully adjustable, with Forehead Cushion , with cross band, including holder for Headlight NYW Y-Fiber Optic Light Cable, with special protective casing for Headlight , with 90º deflection to the cold light source, length 290 cm Clip with Band, for attaching the fiber optic light cable to OR clothing NYW NYW CARDIO-VAS-SP 13 A SP 15

162 Headlights Headlights KS60 Components / Spare Parts Headband, for and Catalog Page 94 Spare Parts Forehead Cushion, with push-button lock Protection Clip, for cold light cable, for fixing the light cable to the headband, 2 pcs Components / Spare Parts Catalog Page Headlight KS60, for and Spare Part Handle, with focusing screw, sterilizable 3-15 SP 16 CARDIO-VAS-SP 14 A

163 Insufflators ENDOFLATOR 40 SCB, ENDOFLATOR 50 SCB, S-PILOT Components / Spare Parts Catalog Page UI 400 S1 ENDOFLATOR 40 SCB U 6 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 8 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 Components / Spare Parts Catalog Page UI400 ENDOFLATOR 40 SCB U 6 Spare Part ISO Connector, female Components / Spare Parts Catalog Page UP 501 S1 S-PILOT, including footswitch U 13 UP 501 S-PILOT One-Pedal Footswitch * Tubing Set Suction, sterile, for single use, package of SCB Connecting Cable, length 100 cm UP 501 S3 S-PILOT, without footswitch UP UP 501 S-PILOT * Tubing Set Suction, sterile, for single use, package of SCB Connecting Cable, length 100 cm * CARDIO-VAS-SP 15 A SP 17

164 Suction and Irrigation Systems ENDOMAT LC SCB Components / Spare Parts ENDOMAT LC SCB Catalog Page U ENDOMAT LC, with KARL STORZ-SCB, power supply VAC, 50/60 Hz Silicone Tubing Set, for irrigation, sterilizable Silicone Tubing Set, for suction, sterilizable SCB Connecting Cable, length 100 cm Spare Part Mains Fuse, T 1.0 A (SB), package of 10 Components / Spare Parts Silicone Tubing Set, for irrigation Catalog Page U 16 Spare Parts LUER-Lock Tube Connector, male, tube diameter 9 mm Pump Tube, sterilizable, package of Puncture Needle, for irrigation bottle Connector Set Components / Spare Parts Silicone Tubing Set, for suction Catalog Page U 16 Spare Parts LUER-Lock Tube Connector, male, tube diameter 9 mm Pump Tube, sterilizable, package of Tubing Connector Set Connector Set 3-15 SP 18 CARDIO-VAS-SP 16 A

165 Suction and Irrigation Systems DUOMAT Components / Spare Parts DUOMAT Catalog Page U DUOMAT, power supply / VAC, 50/60 Hz * VACUsafe 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 U22 Spare Part LUER-Lock Tube Connector, male, tube diameter 6 mm Components / Spare Parts Silicone Tubing Set Catalog Page U22 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 3-15 * CARDIO-VAS-SP 17 A SP 19

166 Suction and Irrigation Systems DUOMAT Components / Spare Parts Catalog Page Silicone Tubing Set, for suction U Silicone Tubing Set, for suction U 22 Spare Parts LUER-Lock Tube Connector, male, tube diameter 9 mm Tubing Connector Set LUER-Lock Tube Connector, female, tube diameter 8 mm Components / Spare Parts Bottle Cap, for irrigation bottle Bottle Cap, for irrigation bottle Bottle Cap, for irrigation bottle Catalog Page U20 U20 U20 Spare Part Seal Set, for bottle caps 3-15 SP 20 CARDIO-VAS-SP 18 A

167 High Frequency Surgical Units AUTOCON II 400 SCB Components / Spare Parts x-12x AUTOCON II 400 SCB x-12x AUTOCON II 400 SCB, power supply VAC, 50/60 Hz 400 A Mains Cord SCB Connecting Cable, length 100 cm Catalog Page U xU12x AUTOCON II 400 SCB xU12x AUTOCON II 400 SCB, power supply VAC, 50/60 Hz 400 A Mains Cord SCB Connecting Cable, length 100 cm x-12x xU12x Spare Part for use with 230 V: Mains Fuse, T 4.0 AL (SB), package of 10 Spare Part for use with 110 V: Mains Fuse, T 8.0 AL (SB), package of CARDIO-VAS-SP 19 A SP 21

168 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 C AUTOCON II C AUTOCON II 200, power supply VAC, 50/60 Hz 400 B Mains Cord, US version, length 200 cm C Spare Part for use with 230 V: Mains Fuse, T 4.0 AL (SB), package of 10 Spare Part for use with 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 34 Spare Part Mains Fuse, T 4.0 AL (SB), package of SP 22 CARDIO-VAS-SP 20 A

169 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 CARDIO-VAS-SP 21 A SP 23

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

172 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

173 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.

174 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