Arrow Rüsch Weck Teleflex Laparoscopic Surgery Solutions from A to Z

Transcription

1 Arrow Rüsch Weck Teleflex Laparoscopic Surgery Solutions from A to Z

2 2 Table of Contents Introduction 3 Table of Contents Solutions from A to Z Laparoscopic Access Weck Vista Insufflation needles Weck Vista laparoscopic trocars Weck reusable obturators Laparoscopic Ligation Weck Horizon ligation system Weck Hem-o-lok ligation system Weck Auto Endo5 Automatic Clip Applier Laparoscopic Retrival MemoBag Laparoscopic Closure Weck EFx endo fascial closure system Laparoscopic Accessories Cholangio catheters Whatever the latest surgical breakthrough looks like, Teleflex is working to make it happen. Our goal as a reliable strong partner in superior medical supplies is to help you minimise risk and maximise outcomes for your patients. We believe highertechnology can have a positive impact on patient care and the hospital s bottom line. That is why we create products that are better by design to offer innovative minimally invasive surgery solutions that help eliminate laparoscopic surgery related complications and improve procedural efficiencies. We want your OR to be equipped with products you can be confident in. of high-quality and often unique surgical instruments to be applied not only in General Surgery, Gynaecology and Urology, but also in highly specialised areas, for example Bariatric, Paediatric or Robotic Surgery. From access to closure, with our stateof-the-art laparoscopic products of consistently high quality and unparalleled performance we can meet the surgeon s need for safety, confidence and ease-of-use and help focus on what s most important: your patient. Teleflex medical technologies designed to improve the health and quality of people s lives The Teleflex laparoscopic surgery portfolio combines the strengths of our distinguished brands such as Arrow, Gibeck, Rüsch, Taut and Weck to provide you with a comprehensive range

3 4 Laparoscopic Access Laparoscopic Access 5 Laparoscopic Access Weck Vista Our bladeless laparoscopic trocars: meet all needs with confidence, clarity and control We provide different versions and lengths for standard, paediatric and bariatric procedures, as well as special trocars that use a balloon which is free from natural rubber latex. The latter are designed to enable open laparoscopic access to maximise access capabilities. Having added advanced features such as high clarity in our optical ports and introduced uniquely designed ridged cannulas for enhanced stability, even during long procedures the Weck Vista series has been designed to meet surgeons demands, offering even greater options. Conical Entry easy one-handed instrument exchange Duckbill Valve reliably prevents backflow Universal Seal unique rotary magnetic valve, simply floats out of the way Transparent Cannula ensures the passage of instruments, sutures, stapler, surgical tissue samples, etc. remains visible Self-Gripping Seal (on Obturator) designed to securely hold laparoscope in place during insertion Atraumatic Tip seeks a non-linear path through the fascia, thereby leaving a small, non-linear defect upon removal Insufflation Needles Our insufflation needles are designed for easy penetration and have a non-slip handle. A red insertion marker appears when the needle obturator is depressed, indicating that the blade is exposed. Available in standard and longer sizes. Ridged Cannula Design Wave design intended to hold port in place bidirectionally Provides port stability throughout long procedures and during one-handed instrument exchange Securely grasps scope Key Features for Trocar Transparent obturator tip Excellent light transmission Clear visualisation of individual fibres in each layer as it passes through tissue Insufflation Needles Ref. Description Qty Insufflation needle 14 G 120 mm 10 Atraumatic tip Smooth/Ridged Cannula design Self Gripping Seal Conical entry Unique universal seal with magnetic valve Transparent cannulla Duckbill valve Transparent Obturator tip Insufflation needle 14 G 150 mm 10

4 6 Laparoscopic Access Laparoscopic Access 7 Weck Vista Laparoscopic Trocars Smooth Rigid 5 mm Trocar 5 mm Trocar Smooth Smooth cannula Standard obturator Variety of sizes and lengths Cannulas available separately Ridged Ridged cannula enhances stability Standard and optical obturators Variety of sizes and lengths Cannulas available separately Optical obturator Clear visualisation of tissue layers for direct visualisation Conical entry Obturator has built-in grip to stabilise 5 mm or 10 mm scope during entry mm 70 mm 5 mm mm 70 mm 3 mm 5 mm mm 100 mm 5 mm mm 125 mm 5 mm 5 mm Cannula 40511C 5 mm 100 mm 5 mm 10 mm Trocar mm 100 mm Univ. Seal 5 mm 10 mm 10 mm C annula C 10 mm 100 mm Univ. Seal 5 mm 10 mm 12 mm Trocar mm 100 mm Univ. Seal 5 mm, 10 mm 12 mm mm 125 mm Univ. Seal 5 mm, 10 mm 12 mm 40507R 5 mm 70 mm 5 mm 43507R 5 mm 70 mm 3 mm 5 mm 40511R 5 mm 100 mm Optical 5 mm 40513R 5 mm 125 mm 5 mm 5 mm Cannula 40511RC 5 mm 100 mm 5 mm 8 mm Trocar 40811R 8 mm 100 mm 5 mm 8 mm 10 mm Trocar R 10 mm 100 mm Optical 5 mm 10 mm 10 mm Canula RC 10 mm 100 mm Univ. Seal 5 mm 10 mm 12 mm Cannula C 12 mm 100 mm Univ. Seal 5 mm, 10 mm 12 mm 12 mm Trocar R 12 mm 100 mm Optical 5 mm, 10 mm 12 mm Balloon R 12 mm 125 mm Univ. Seal 5 mm, 10 mm 12 mm 12 mm Cannula Balloon Trocar RC 12 mm 100 mm Univ. Seal 5 mm, 10 mm 12 mm Balloon Selection of balloon options One-handed locking clamp Easily repositioned foam cuff Designed to minimise loss of pneumoperitoneum Hasson Open hasson technique for primary entry One-handed locking clamp Easily repositioned foam cuff S 10 mm 53 mm* 5 mm, 10 mm mm 70 mm* 5 mm 10 mm mm 70 mm* 5 mm 10 mm, 12 mm L 10 mm 100 mm* 5 mm, 10 mm L 12 mm 100 mm* 5 mm 10 mm, 12 mm *Length is measured from the bottom of the check-valve to the top of the balloon 15 mm Trocar 41510R 15 mm 110 mm Reducer Cap 5 mm, 15 mm Hasson Hasson Trocar mm 100 mm Univ. Seal 5 mm, 10 mm 12 mm L 12 mm 125 mm Univ. Seal 5 mm 10 mm, 12 mm

5 8 Laparoscopic Access Laparoscopic Ligation 9 Weck Reusable Obturators Laparoscopic Ligation The convenient solution: more control, less trauma, less waste Weck reusable obturators are easy to use and being eco-friendly keep waste in the OR to a minimum. The sturdy one-piece design is easy to reprocess and facilitates entry, while the bladeless asymmetrical tip helps minimise tissue trauma. Weck Vista single-use cannulas are compatible with the reusable obturators. Depending on needs, a conical access port for easy instrument exchange is available, as are ridged or smooth cannulas. Weck Horizon Ligation System Secure-locking titanium technology: easy, efficient and economic Teleflex has a record of ligation history and experience of more than 40 years. The result is a cost saving ligation system with an incredibly easy loading system for more efficiency in surgery. Bladeless Asymmetrical Tip minimises tissue trauma One-Piece Design Easy to reprocess Sturdy Stainless Steel to facilitate entry A unique heart-shaped wire provides better grip and a clip design with transverse grooves resists scissoring. The reusable clip appliers save costs. They can be detached for easy cleaning and to eliminate potential contamination. They come with a 360 rotation knob for better access and improved visibility. Cartridges and appliers are colour-coded to match each other. An adhesive backing keeps the cartridges in place. Weck Vista Single-Use Cannula Horizon Titanium Ligating Clips ref. CLIP SIZE CLIPS/CARTRIDGE CARTRIDGEs/ BOX Clips/ Box M M ML ML L L Reusable Obturators Ref. SIZE COMPATIBLE SINGLE-USE CANNULA QTY per Box S 5 mm 70 mm mm 100 mm 40511C, 40511RC mm 100 mm C, RC mm 100 mm C, RC 1 Horizon Take-apart Appliers T M 10 mm 10 mm 10 mm 33 cm T ML 10 mm 10 mm 10 mm 33 cm 1 Horizon Non-take-apart Appliers L 12 mm 12 mm 12 mm 28 cm 1 Key Features of Reusable Obturators Eco-friendly to reduce waste in the OR Low maintenance one-piece design Asymmetrical tip designed to minimise tissue trauma Sturdy stainless steel facilitates entry Non-Take-apart Ligating Applier, Endosaphenous M 5 mm shaft, 7 mm jaw 8 mm 8 mm 32 cm 1

6 10 Laparoscopic Ligation Laparoscopic Ligation 11 Weck Hem-o-lok Ligation System Secure-locking polymer technology: fast, firm and removable Our Hem-o-lok ligation system combines speed with security, and ligates vessels and/or tissues from 3 to 16 mm with 3 sizes of clips, and with 5 and 10 mm clip appliers. A lightweight 360 rotation knob facilitates access and improves visibility. Closure is confirmed by tactile and audible feedback. Unlike absorbable clips, the Hem-o-lok can be removed. It is non-conductive and compatible for CT as well as MRI. The clip is inert, non-toxic and radiolucent. Precision Bosses engineered for maximum security Hem-o-lok Ligating Clips ref. CLIP SIZE Ligation of Vessels and Tissue CLIPS/ CARTRIDGE CARTRIDGEs/ BOX ML 3 10 mm L 5 13 mm XL 7 16 mm Clips/ Box Hem-o-lok Take-apart Appliers Our reusable and detachable appliers provide for easy cleaning and eliminate potential contamination. They are colour-coded to match the cartridges. An adhesive backing keeps the cartridge in place. Penetrating Lock 1 2 teeth to provide effective closure Hem-o-lok Take-apart Appliers Tactile and Audible Response confirms that Hem-o-lok has locked onto vessel Bowed Design provides ability to encompass added tissue Straight T ML 5 mm 5 mm 5 mm 33 cm 1 Curved T L 10 mm 10 mm 10 mm 33 cm T XL 10 mm 10 or 12 mm 10 or 12 mm 33 cm 1 Hem-o-lok Take-apart Appliers, 20 Angled, Curved Curved T20 ML 5 mm 10 mm 5 mm 33 cm T20 L 10 mm 12 mm 12 mm 33 cm T20 XL 10 mm 15 mm 12 mm 33 cm 1 Integrated Teeth to help prevent slippage in any direction Surface Properties of the non-absorbable polymer prevent infection Living Hinge provides flexibility when opening and closing

7 12 Laparoscopic Ligation Laparoscopic Ligation 13 Weck Auto Endo5 Automatic Clip Applier Hem-o-lok Non-take-apart Appliers Our non-take-apart Appliers provide another way to easy cleaning and eliminate potential contamination. They are colour-coded to match the cartridges. An adhesive backing keeps the cartridge in place. Hem-o-lok Non-take-apart Appliers, Long Straight L ML 5 mm 5 mm 5 mm 45 cm 1 Curved L L 10 mm 10 mm 10 mm 45 cm L XL 10 mm 10 or 12 mm 12 mm 45 cm 1 Hem-o-lok Removers The uniqueness of the system lies in its ability to remove the polymer Hem-o-lok clips. To this effect we supply two different sizes of removers. Hem-o-lok Clip Removers ref. Clip Size ø remover ø trocar ø less working length qty Straight T ML 5 mm 5 mm 5 mm 33 cm L ML 5 mm 5 mm 5 mm 45 cm T L/XL 10 mm 10 mm 10 mm 33 cm L L/XL 10 mm 10 mm 10 mm 45 cm 1 20 angled T20 L/XL 10 mm 10 mm 10 mm 33 cm 1 Greater confidence The Weck Auto Endo5 Automatic Clip Applier provides greater confidence in secure occlusion using Weck Hem-o-lok Polymer Ligation Clips. Its innovative design keeps each clip seated in the applier jaws during application and delivers enhanced clip retention on the chosen structure. Secure-locking clip technology Hem-o-lok Clips deliver unparalleled ligation security compared to leading competitors,* thanks to their integrated ridges and proprietary distal locking mechanism. The M/L clip has a clip aperture of 4.9 mm and a closed clip length of 9.2 mm. Weck Auto Endo5 Automatic Clip Applier Features 5 mm shaft Lessens trauma to the patient compared to 10 mm appliers Procedural flexibility With its ergonomic design, longer shaft, and 15 Hem-o-lok M/L Clips the only clips indicated for ligating up to a 10 mm vessel or tissue structure through a 5 mm port the Auto Endo5 Clip Applier increases procedural flexibility. 35 cm shaft length Makes it the longest available automatic endoscopic clip applier on the market for enhanced reach and procedural flexibility Hem-o-lok Clinical Applications General Surgery Cholocystectomy Right, left and middle colectomy Anterior colo-rectal resection Appendectomy Gastectomy Nissen fundoplication Splenectomy Urology Prostatectomy Nephrectomy Adrenalectomy Gynecology Hysterectomy Delivers 15 Weck Hem-o-lok M/L Polymer Ligation Clips Indicated for ligating up to a 10 mm vessel or tissue structure through a 5 mm port Last clip lockout Delivers an orange tab into applier jaws to clearly indicate when empty

8 14 Laparoscopic Ligation Laparoscopic Retrieval 15 Laparoscopic Retrieval With the Hem-o-lok Clip s large distal opening and polymer flexibility, the Auto Endo5 Clip Applier is indicated for ligating larger structures than comparable 5 mm metal clip appliers. Rüsch Memobag Specimen retrieval system a bag with memory The Rüsch Memobag Specimen Retrieval System from Teleflex allows the simple deployment, handling, and retrieval of a pre-loaded tissue bag to help protect against contamination in the operating field. The MemoBag Specimen Retrieval System is introduced through the trocar via the introducer sheath Product information product code product description quantity/sales unit AE05ML T Weck Auto Endo5 5 mm Automatic Endoscopic 35 cm Clip Applier Weck Hem-o-lok Reusable Endoscopic Take a Part Clip Remover 3 1 Applicable specialties General Gynecologic Thoracic Bariatric Paediatric Cardiac Colorectal Urologic ENT Deployment is simple the pre-loaded tissue bag is delivered through an introducer sheath via trocar into the surgical space. After deployment, a nitinol wire at the bag s upper rim remembers and adopts its original shape, keeping the bag open. The trocar can then be used to introduce other instruments. Specimens can be easily manipulated and removed with the bag s reliable open/ close mechanism. The MemoBag Tissue Bag is also strong, able to stand up to the tension created by specimen retrieval during surgical procedures The pushing cannula releases the pre-loaded tissue bag, which then opens automatically inside the abdomen Remove the introducer sheath after deployment, freeing the trocar for other uses MemoBag Ref. size/volume Ø extraction bag Ø Trocar Qty ml 50 mm 10 mm ml 100 mm 10 mm ,200 ml 130 mm 10 mm 5 Nitinol Wire remembers its original form and adopts its intended shape Key Features for Weck Hem-o-lok Clip Key Features for Memobag Integrated ridges designed to prevent slippage with a reliable 360 grip Locking mechanism provides secure closure with tactile and auditory feedback Three points of contact in the applier jaws for enhanced stability Flexible hinge enables 10 mm structure ligation through a 5 mm port Bow shape for easy removal with appropriate instrument Made of impermeable, tearresistant polyurethane material Available in a range of preloaded tissue bag sizes, including a large 1200 ml capacity tissue bag Following tissue bag deployment, trocar is free for other procedural uses Color-coded to facilitate choice of size

9 16 Laparoscopic Closure Laparoscopic Closure 17 Laparoscopic Closure Suture retriever button designed to make capture and retrieval of suture strands fast and secure Weck EFx Shield Fascial Closure System The EFx Shield System offers speed and safety with an array of enhanced features The Weck EFx Shield Fascial Closure System from Teleflex is the only shielded port closure device, providing enhanced sharps protection for safe, uniform, and consistent fascial closure. Reset button Slide lock makes wing deployment and approximation easy Fast, safe suture retrieval To prepare the system, remove both components from the packaging and load the EFx Shield device with a size 0, 18-inch absorbable suture. Step 1: Deploy the device Insert the device into the defect and use the slide lock to engage wing shields. Once the wings are locked, position them against the abdominal wall. The suture retriever exit line should be below skin level to ensure an optimal suture purchase. Finger grip pads ergonomic device control Step 2: Retrieve the suture Fully insert the suture retriever into the guide channel and press the black suture retrieval button until it locks to capture the suture. Remove the retriever and press the reset button to repeat the process on the other side. Retraction wings for substantial retraction and improved stability on the abdominal wall Suture retrieval wing shields provide enhanced sharps protection, safe suture retrieval, and accurate placement 1 cm lateral to the defect midline Suture retriever exit line proper depth of suture positioning Suture anchors enable quick and secure suture loading for ease of use Ordering Information Step 3: Collapse and close Reposition the slide lock to collapse the wing shields, then remove the device from the defect. Secure both ends of the suture and tie using your preferred method to complete the closure. Ref. Description Qty. EFX002 Weck EFx Shield Fascial Closure System 5/box Key Features for Weck EFx Shield Unique shielded wing design for enhanced sharps protection Intuitive wing deployment Innovative suture retrieval system for unassisted fascial closures

10 18 Laparoscopic Accessories Laparoscopic Accessories 19 Laparoscopic Accessories Cholangio Catheters Catheter memory for efficient and precise performance Intraoperative cholangiography, a time-consuming trial of patience? Not any more. Use one of our guided precision instruments and reach your destination much faster! Taut Introducer for the most advantageous placement of the catheter Arrow Cholangio Catheters The Arrow balloon cholangiography catheter sets are designed to provide reliable catheter placement and save time when performing cholangiograms. You can choose from either the introducer version, designed to be used with an existing abdominal port, or the percutaneous version which can be inserted directly through the abdomen. Introducers ref. internal Diameter working length Compatible Catheters qty PI Fr. / 1.6 mm 7.6 cm M55, 18305, PI-93* 7.5 Fr. / 2.4 mm 8.9 cm M55, M56, M57, 18305, PI Fr. / 2.7 mm 8.9 cm M55, M56, M57, , 18305, PI Fr. / 3.3 mm 20.3 cm M55, M56, M57, , 18305, Cholangio Catheter Ref. description qty CS-01700* *contains natural latex Arrow-Karlan introducer laparoscopic cholangiography set with Arrow-Karlan balloon catheter 5 *Contains natural latex rubber. All other items are latex-free M M M Taut Cholangio Catheters Taut is the pioneer who invented the original cholangio catheter which has become any surgeon s first choice for intraoperative cholangiography. Ref and can be used with Hem-o-lok, thus saving time and costs. Cholangiogram Catheters ref. Catheter Diameter Tip Diameter working length Metal Support Tube qty M Fr. / 1.5 mm 4.5 Fr. / 1.5 mm 45.7 cm Yes M Fr. / 1.5 mm 5.5 Fr. / 1.8 mm 45.7 cm Yes M Fr. / 1.5 mm 6.5 Fr. / 2.2 mm 45.7 cm Yes Fr. / 1.5 mm 7.5 Fr. / 2.5 mm 45.7 cm No ** 4.5 Fr. / 1.5 mm 4.5 Fr. / 1.5 mm 76.0 cm No ** 4.5 Fr. / 1.5 mm 4.5 Fr. / 1.5 mm 76.0 cm Yes 10 **Compatible with Hem-o-lok ML Key Features for Cholangio Catheter Memory: to customise and curve the catheter near the tip and to steer it more parallel to the cystic duct Cholangio Catheter Ref. description qty CS-01701* *contains natural latex Arrow percutaneous laparoscopic cholangiography set with Arrow-Karlan balloon catheter Patented metal support tube: to maximise clip pressure without occluding the catheter and to facilitate introduction into the cystic duct 5

11 Teleflex is a global provider of medical technologies designed to improve the health and quality of people s lives. We apply purpose driven innovation a relentless pursuit of identifying unmet clinical needs to benefit patients and healthcare providers. Our portfolio is diverse, with solutions in the fields of vascular and interventional access, surgical, anesthesia, cardiac care, urology, emergency medicine and respiratory care. Teleflex employees worldwide are united in the understanding that what we do every day makes a difference. For more information, please visit teleflex.com. Teleflex is the home of Arrow, Deknatel, Hudson RCI, LMA, Pilling, Rüsch, and Weck trusted brands united by a common sense of purpose. Corporate Office Phone , 550 E. Swedesford Road, Suite 400, Wayne, PA 19087, USA Regional Offices United States: Phone , Toll Free , cs@teleflex.com, 3015 Carrington Mill Boulevard, Morrisville, NC 27560, USA Latin America: Phone , la.cs@teleflex.com, 3015 Carrington Mill Boulevard, Morrisville, NC 27560, USA International: Phone +353 (0) , orders.intl@teleflex.com, Teleflex Medical Europe Ltd., IDA Business and Technology Park, Dublin Road, Athlone, Co Westmeath, Ireland Australia Austria +43 (0) Belgium +32 (0) Canada +1 (0) China (Shanghai) +86 (0) China (Beijing) +86 (0) Czech Republic +420 (0) France +33 (0) Germany +49 (0) Greece India +91 (0) Italy Japan +81 (0) Korea Mexico Netherlands +31 (0) New Zealand Portugal Singapore (SEA non-direct sales countries) Slovak Republic +421 (0) South Africa +27 (0) Spain Switzerland +41 (0) United Kingdom +44 (0) For more information, please visit teleflex.com. Teleflex, the Teleflex logo, Arrow, Gibeck, Hem-o-lok, Horizon, MemoBag, Rüsch, Taut, Weck, Weck Auto Endo5, Weck EFx Shield, and Weck Vista are trademarks or registered trademarks of Teleflex Incorporated or its affiliates, in the U.S. and/or other countries. Information in this material is not a substitute for the product Instructions for Use. Not all products may be available in all countries. Please contact your local representative. Revised: 11/ Teleflex Incorporated. All rights reserved REV A MC / GH