EndoWorld OMFS 12 08/2012-E ALL-IN-ONE TMJ Arthroscope Endoscopic Surgery Without Triangulation
Minimally invasive arthroscopic treatment of TMJ disc displacement and ligament elongation in conjunction with diagnostic arthroscopy The most difficult and time-consuming step in TMJ arthroscopy is the so-called triangulation, which involves finding the working channel with the endoscope and navigating the working channel and arthroscope through the joint space simultaneously. The goal is to perform certain surgical steps in the joint space under endoscopic view. These include taking biopsies, removing free joint bodies, and performing endoscopic water-jet surgery, laser applications, endoscopic suturing techniques and other bimanual arthroscopic procedures within the TMJ. The new TMJ Arthroscope from KARL STORZ solves the problem of triangulation by combining the endoscope and the working channel in a single device, thereby eliminating the often laborious search for the working channel in a series of applications. In practice, this means that users can simultaneously view the joint through the arthroscope and use the instruments through the working channel under the very same arthroscopic view. The known anatomic dimensions of the TMJ had to be taken into account in the design of the new endoscope. Prof. Dr. med. Dr. med. dent. Wolfram M. Kaduk Department and Outpatient Clinic for Oral and Maxillofacial Surgery Plastic Surgery University Medical Center of Ernst-Moritz-Arndt-Universität Greifswald, Germany
2 3 Advantages of the ALL-IN-ONE TMJ Arthroscope The new TMJ Arthroscope has an outer diameter of 2.2 mm and an integrated 1.4 mm working channel. It combines the telescope, irrigation channel and working channel in a single solution. The first TMJ arthroscope with an integrated working channel offers the following advantages: Significant time savings since no triangulation is required Single access, only one skin incision required Sufficient stability for TMJ puncture and for the functional requirements of TMJ arthroscopy Simple, improved handling of the endoscope Integrated lavage fluid channel for joint lavage Easy instrument guidance (hook, scissors, forceps, LASER, and water-jet scalpel) in the integrated working channel of the TMJ Arthroscope Endoscope can be guided through the joint space using surgical navigation, for instance, to achieve even better control of TMJ puncture and of the position of the arthroscope in the joint space More gentle on the joint and better protection against joint injury since the working instrument can be introduced through the integrated working channel. The result is even less invasive TMJ arthroscopy Additional surgical options are conceivable, such as simultaneously placing two ALL-IN- ONE TMJ arthroscopes into the joint space for advancing suture techniques.
ALL-IN-ONE TMJ Arthroscope 11578 A Miniature Straight Forward Telescope 0, diameter 2.2 mm, working length 65 mm, autoclavable, working channel 1.4 mm, irrigation channel 0.25 mm, with remote eyepiece and fiber optic light transmission incorporated, for use with Trocar 11578 KA Specially Designed Accessories 11578 KA Trocar, outer diameter 2.6 mm, working length 6.5 cm, graduated, for use with Telescope 11578 A and Obturators 11578 BS/BT
4 5 11578 BS Obturator, sharp, for use with Trocar 11578 KA 11578 BT Obturator, blunt, for use with Trocar 11578 KA 28161 SC Scissors, single action jaws, diameter 1.3 mm, length 30 cm
28161 SB Biopsy Forceps, double action jaws, diameter 1.3 mm, length 30 cm 11580 B Metal Tray, for sterilization and storage of one Miniature Straight Forward Telescope 11575 A, 11581 A, 11582 A, 11583 A or 11578 A, perforated, lid with silicone bridges, with port for irrigation connector, external dimensions (w x d x h): 275 x 178 x 35 mm
6 7 Compatible Camera Heads 20 2120 40 20 2120 40 PAL 20 2121 40 NTSC TELECAM One-Chip Camera Head, autoclavable, with integrated Parfocal Zoom Lens, f = 14-28 mm (2x), 2 freely programmable camera head buttons, including plastic container for sterilization 20 2120 30 PAL TELECAM One-Chip Camera Head, with integrated Parfocal Zoom Lens, f = 25-50 mm (2x), 2 freely 20 2121 30 NTSC programmable camera head buttons 20 2120 32 PAL TELECAM Beamsplitter One-Chip Camera Head, with rotating CCD sensor, f = 25 mm, 2 freely 20 2121 32 NTSC programmable camera head buttons 20 2120 31 PAL TELECAM Beamsplitter One-Chip Camera Head, with rotating CCD sensor, f = 30 mm, 2 freely programmable camera head buttons
KARL STORZ TELE PACK X Crystal clear display 15" LCD display Rotate function for displayed images 24 bit color depth for natural color display DVI video input for brilliant transmission quality DVI video output for connecting HD monitors Easy, extremely reliable control Included membrane keyboard for wipe-down disinfection Hot keys for quick and direct intervention Arrow buttons for intuitive control Connector socket for pedal control Versatile storage options SD slot input for large storage volume USB inputs for external hard drives and USB sticks Gallery function for images Replay of stored videos Patient data input and report Additional features Robust, portable housing Ergonomic handle for easy transport Universal power supply: 100-240 VAC, 50/60 Hz Dimensions: (w x h x d): 450 mm x 350 mm x 150 mm Weight: 7 kg Natural illumination Metal halide Hi-Lux 50 Watt high performance light source Color temperature of 5700 K, which is similar to daylight, guarantees highest color fidelity Up to 1000 hours of lamp life 20 0450 01-EN TELE PACK X, endoscopic video unit for use with TELECAM one-chip camera heads and video endoscopes, including 50 W HiLux light source, 15" LCD TFT monitor, USB/ SD storage media, color systems PAL/ NTSC, with integrated digital Image Processing Module, power supply 100-240 VAC, 50/60 Hz, including - Mains Cord - Mains Cord, US version - USB Flash Drive - Keyboard, with touchpad, US character set
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www.karlstorz.com EndoWorld KARL STORZ GmbH & Co. KG Mittelstraße 8, 78532 Tuttlingen, Germany Postbox 230, 78503 Tuttlingen, Germany Phone: +49 (0)7461 708-0 Fax: +49 (0)7461 708-105 E-Mail: info@karlstorz.de www.karlstorz.com KARL STORZ Endoscopy-America, Inc. 2151 East Grand Avenue El Segundo, CA 90245-5017, USA Phone: +1 424 218-8100 Phone toll free: 800 421-0837 (US only) Fax: +1 424 218-8525 Fax toll free: 800 321-1304 (US only) E-Mail: info@ksea.com 96042016 OMFS 12 08/2012/EW-E