Highlights Edition, Quarter 3. Laparoscopy

Transcription

1 Highlights Edition, Quarter 3 Laparoscopy

2 The New Trocar Generation from KARL STORZ The new trocar generation combines single-use and reusable components. In line with the KARL STORZ company philosophy, the cannulas and trocars were designed with reusable components in mind. The valve seal is intended for single use. Special Features: Ergonomic shape of the trocar ensures safe and comfortable handling during placement of the trocar One-piece sealing system for single use (package of 10) Minimal friction between the valve seal and the instrument Considerably reduced weight and good balance thanks to the newly designed plastic trocar housing Color coding for clear identification of different sizes Available in the sizes 2.5 mm 13.5 mm 2

3 Size 2.5 mm 3.5 mm Working length 5 cm 5 cm 10 cm Color code blue green green Trocar, with pyramidal tip including valve seal, for single use, package of 10 Trocar, with blunt conical tip including valve seal, for single use, package of 10 Trocar, with conical tip including valve seal, for single use, package of GZS GZS GZG GNS GNG GYS GYG Size 6 mm 11 mm Working length 5 cm 10 cm 10 cm Color code black black green Trocar, with pyramidal tip GZS GZG GZG including valve seal, for single use, package of 10 Trocar, with blunt conical tip GNS GNG GNG including valve seal, for single use, package of 10 Trocar, with conical tip including valve seal, for single use, package of GYS GYG GYG Size Working length Color code Trocar, with pyramidal tip including valve seal, for single use, package of 10 Trocar, with blunt conical tip including valve seal, for single use, package of 10 Trocar, with conical tip including valve seal, for single use, package of 10 Valve Seals, for single use, package of 10 For trocars size 2.5 mm For trocars size 3.5 mm For trocars size 6 mm For trocars size 11 mm For trocars size 13.5 mm 13.5 mm 10 cm blue GZG GNG GYG XV XV XV XV XV RS Reducer, 13.5/5 mm and 11/5 mm 3

4 CLICKline Single-use Scissors Simply Sharp! The new single-use scissor inserts MA-D and MS-D can be combined with all reusable handles in the KARL STORZ CLICKLINE series, providing a practical solution for regular use or as a backup system. Special Features: Scissor blades are always sharp, resulting in optimal cutting effect Inserts sterile-packed in individual blister packs and delivered in packages of 10 in a dispenser box Proven scissor blade designs Cost-effective solution: Single-use meets reusable Color coding allows clear identification of the single-use components 4

5 34310 MA-D CLICKLINE 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 CLICKLINE 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 CLICKLINE Plastic Handle, without ratchet, with larger contact area at the finger ring, with connector pin for unipolar coagulation CLICKLINE Plastic Handle, axial, without ratchet, double action shanks, rotating, insulated, with connector pin for unipolar coagulation Further handles for combination with the single-use scissors can be found in the Laparoscopy catalog. 5

6 Instrument Set for Minilaparoscopy Minilaparoscopy has now become a popular surgical technique as this method also in hybrid procedures with standard instruments (diameter 5 mm) represents a flat learning curve for the user and enhanced cosmetic results for the patient. Special Features: Complete instrument set for minilaparoscopy (diameter 3.5 mm) available (trocars, unipolar and bipolar instruments, suction-irrigation systems, suture and ligature instruments) Modular design: 3-part dismantling instruments for maximum hygiene and variability Diverse combination possibilities thanks to a wide range of jaws with various outer sheaths and CLICKLINE handles Additional stability due to combination with metal outer sheath Rotating bipolar instruments (diameter 3.5 mm) 6

7 26046 BA HOPKINS Forward-Oblique Telescope 30, diameter 5 mm, length 29 cm, autoclavable, fiber optic light transmission incorporated BA HOPKINS Forward-Oblique Telescope 30, enlarged view, diameter 3.3 mm, length 25 cm, autoclavable, fiber optic light transmission incorporated 533 TVB Adaptor, autoclavable, permits telescope changing under sterile conditions GYG Trocar, with conical tip, with LUER-Lock connector for insufflation, size 6 mm, working length 10 cm 3x GYG Alternative: 3x KAK Trocar, with conical tip, with LUER-Lock connector for insufflation, size 3.5 mm, working length 10 cm CARVALHO Trocar, with blunt tip, without LUER-Lock connector for insufflation, length 10 cm, for use with instruments size 3.5 mm ML CLICKLINE 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 3.5 mm, length 36 cm ONM CLICKLINE Grasping Forceps, rotating, dismantling, without connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, single action jaws, fenestrated, with especially fine atraumatic serration, size 3.5 mm, length 36 cm MW CLICKLINE Scissors, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, double action jaws, serrated, curved, conical, size 3.5 mm, length 36 cm MD CLICKLINE KELLY Dissecting and Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, double action jaws, size 3.5 mm, length 36 cm ULM CLICKLINE REDDICK-OLSEN Dissecting and Grasping Forceps, rotating, dismantling, without connector pin for unipolar coagulation, with LUER-Lock irrigation connector for cleaning, double action jaws, robust, size 3.5 mm, length 36 cm CNL CADIERE Coagulation and Dissection Electrode, L-shaped, with cm-marking, distal tip tapered, with connector pin for unipolar coagulation, size 3.5 mm, length 36 cm MD ROBI KELLY Grasping Forceps, CLERMONT-FERRAND model, with connector pin for bipolar coagulation, double action jaws, size 3.5 mm, length 36 cm ON ROBI Grasping Forceps, CLERMONT-FERRAND model, with connector pin for bipolar coagulation, fenestrated, double action jaws, size 3.5 mm, length 36 cm G Rotating Wheel, for CLICKLINE and ROBI handles, autoclavable, package of A Handle, pistol grip, with clamping valve, for suction and irrigation, autoclavable ANL Suction and Irrigation Tube, with lateral holes, size 3.5 mm, length 36 cm RNL KOH Ultramicro Needle Holder, jaws curved to right, with tungsten carbide insert, straight handle, with disengageable ratchet, size 3.5 mm, length 36 cm The entire KARL STORZ product portfolio for minilaparoscopy and accessories can be found in the Laparoscopy catalog and the Minilaparoscopy catalog excerpt. 7

8 RoBi Rotating Bipolar Grasping Forceps and Scissors in sizes 3.5 mm and 5 mm The new generation of ROBI instruments allows precise work on tissue. The enhanced instrument design and the materials used ensure the highest mechanical stability. The new handle design with the enhanced force limiter prevents the jaws from overloading. Color coding on the forceps insert and the handle enables clear identification of the new modular ROBI components. Special Features: Available in sizes 3.5 and 5 mm Robust joint mechanism in conjunction with the force limiter ensures powerful, yet safe grasping Insulated outer sheath, 360 rotating Modular design for optimal cleaning Wide range of jaws To view the application video, please scan the QR code 8

9 RoBi Bipolar Grasping Forceps and Scissors, size 3.5 mm Rotating, 2-part, dismantling, with connector pin for bipolar coagulation, CLERMONT-FERRAND model Operating instruments, length 36 cm, for use with trocars size 3.5 mm Working Insert with Outer Sheath Handle cm Double action jaws Working Insert with Outer Sheath Complete Instrument MD MD _ 12 mm _ ROBI KELLY Grasping Forceps, CLERMONT-FERRAND model, especially suitable for dissection, color code: light blue ON ON _ 12 mm _ ROBI Grasping Forceps, CLERMONT-FERRAND model, with especially fine atraumatic serration, fenestrated jaws, color code: light blue MW MW _ 13 mm _ ROBI Scissors, CLERMONT-FERRAND model, curved blades, color code: light blue Jaw length in mm (approximate measurements) Further information is available in the Laparoscopy catalog. 9

10 RoBi Bipolar Grasping Forceps, size 5 mm Rotating, 3-part, dismantling, with connector pin for bipolar coagulation, CLERMONT-FERRAND model Operating instruments, lengths 36 cm and 43 cm, for use with trocars size 6 mm Outer Sheath Handle cm 43 cm Double action jaws Working Insert Complete Instrument ON ON ON ON 18 mm ROBI Grasping Forceps, CLERMONT-FERRAND model, with especially fine atraumatic serration, fenestrated jaws, color code: light blue KF KF _ 14 mm _ ROBI Grasping Forceps, CLERMONT-FERRAND model, flat and fenestrated jaws, for dissection and grasping, color code: light blue MD MD MD MD 19 mm ROBI KELLY Grasping Forceps, CLERMONT-FERRAND model, especially suitable for dissection, color code: light blue ML ML 24 mm ROBI KELLY Grasping Forceps, long, CLERMONT-FERRAND model, especially suitable for dissection, color code: light blue Jaw length in mm (approximate measurements) Further information is available in the Laparoscopy catalog. 10

11 RoBi Bipolar Scissors 5 mm Rotating, 3-part, dismantling, with connector pin for bipolar coagulation, CLERMONT-FERRAND model Operating instruments, lengths 36 cm and 43 cm, for use with trocars size 6 mm Outer Sheath Handle cm 43 cm Single action jaws Working Insert Complete Instrument MT MT 23 mm _ ROBI Scissors, CLERMONT-FERRAND model, straight jaws, for cutting vessels and tissue layers, color code: light blue MZ MZ 23 mm _ ROBI Scissors, CLERMONT-FERRAND model, straight jaws, serrated, color code: light blue Double action jaws MW MW MW MW _ 20 mm _ ROBI METZENBAUM Scissors, CLERMONT-FERRAND model, curved jaws, slender scissor blades, color code: light blue Jaw length in mm (approximate measurements) Further information is available in the Laparoscopy catalog. 11

12 NATHANSON Liver Retractors The new NATHANSON liver retractors are particularly characterized by a large and atraumatic surface area. Special Features: Large surface area for the stable retraction of the entire liver Fatigue-free retraction when used in conjunction with a mechanical holding system Available in three sizes 12

13 30623 NAS NATHANSON Liver Retractor, small surface area, diameter 5 mm NAM NATHANSON Liver Retractor, medium surface area, diameter 5 mm NAL NATHANSON Liver Retractor, large surface area, diameter 6 mm RKC Holding System, autoclavable, with quick release coupling KSLOCK including: Rotation Socket, to clamp to the OR table, for European and US standard rails, with lateral clamp for height and angle adjustment of the articulated stand Articulated Stand, reinforced version, L-shaped, especially large swivel range, with one mechanical central clamp for all five joint functions, height 48 cm, swivel range 66 cm, with quick release coupling KSLOCK (female) 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 13

14 Flexible Video Choledochoscopes The flexible video choledochoscopes from KARL STORZ allow exploration of both the intra- and extrahepatic bile ducts as well as the surgical removal of gallstones. Special Features:: Chip-on-the-tip technology for excellent image quality* Compatible with the IMAGE1 S platform and backward-compatible to IMAGE 1 HUB HD Menu navigation via camera head (e.g., Picture-in-Picture) Minimal sheath circumference 2.8 and 5.3 mm Infinitely adjustable deflection up to 270 Direct transmission of hand movements through to the distal end *To view the application video, please scan the QR code 14

15 11292 VSK Flexible Video Choledochoscope IMAGE1 S, steerable, deflection of distal tip: 270 /270 Direction of view: 0 Angle of view: 90 Working channel inner diameter: 1.2 mm Sheath size: 2.8 mm Working length: 50 cm VSUK Same, with contrapositive deflection mechanism For use with the following camera systems: IMAGE1 S IMAGE 1 HUB HD in conjunction with Video Endoscope Adaptor TC VP Flexible Video Choledochoscope, PAL, deflection of distal tip: 210 /140 Direction of view: 0 Angle of view: 120 Working channel inner diameter: 2.1 mm Sheath size: 5.3 mm Working length: 37 cm VPU Same, with contrapositive deflection mechanism For use with the following camera systems: IMAGE1 S in conjunction with Video Endoscope Adaptor TC 001 IMAGE 1 HUB HD in conjunction with Video Endoscope Adaptor TELECAM / TELE PACK X LED in conjunction with Video Endoscope Adaptor Further information on flexible video choledochoscopes is available in the Laparoscopy catalog. Further information on camera systems is available in the Telepresence catalog. 15

16 Fluorescence Imaging The near-infrared (NIR/ICG) system from KARL STORZ provides visualization beyond the tissue surface. Near-infrared (NIR) technology makes it possible to visualize the distribution of the fluorescent contrast agent indocyanine green (ICG). Fluorescence imaging is suitable for diverse and interdisciplinary fields of application: BLOOD: Blood vessels and blood perfusion BILE: Bile ducts and bile leakage LYMPH: Lymph vessels and lymph nodes, lymphatic leakage Can be used for standard white light and fluorescence imaging Fluorescence mode with background illumination Quick and easy switchover via footswitch between fluorescence and standard white light modes Telescopes for endoscopic and open surgical interventions Optimal illumination and contrast enhancement thanks to the IMAGE1 S camera platform 16

17 IMAGE1 S System IMAGE 1 HUB System Camera System IMAGE1 S CONNECT TC 200 IMAGE 1 HUB HD Camera CCU IMAGE1 S H3-LINK TC 300 ICG Light Source D-LIGHT P/ Camera Head IMAGE1 S IMAGE1 H3-Z FI TH 102 H3-Z FI Light Cable Fiber Optic Light Cable 495 NCSC Telescope Exoscope HOPKINS Telescope ACA/BCA VITOM II ICG AGA CN/UGK/HC HM/HR 17

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19 It is recommended to check the suitability of the product for the intended procedure prior to use. 19

20 KARL STORZ GmbH & Co. KG Mittelstraße 8, Tuttlingen, Germany Postbox 230, Tuttlingen, Germany Phone: +49 (0) Fax: +49 (0) LAP /2016/QHL-E