this interview - 39 Essex Chambers

EXTRACT FROM CATALOG GYNECOLOGY
FETOSCOPY
6th EDITION 1/2012
1-12
В© All pictures, photos and product descriptions are the intellectual
property of KARL STORZ GmbH & Co. KG.
Utilisation and copies by third parties have to be authorized.
All rights reserved.
Overview of KARL STORZ Catalogs
Endoscopes, Instruments, Accessories, Units and Imaging Systems
Neuro-Endoscopy
Oral and Maxillary Surgery
ENT, Esophagoscopy – Bronchoscopy
Plastic Surgery
Anesthesiology and Emergency Medicine
Cardiovascular Surgery
Thorax
Gastroenterology
Laparoscopy
Gynecology
Urology
Proctology
Arthroscopy, Sports Medicine,
Spine Surgery
Microscopy
Pediatric Surgery
NOTES
KARL STORZ OR1в„ў
Telepresence
ENDOPROTECT1
Spare Parts Catalog
Veterinary Medicine –
Large/Small Animals
Industrial Endoscopy
Request per business reply card for all specialties, see final catalog page!
www.karlstorz.com
IM 1
The Foundation
The bronze statue entitled “The Instrument Maker” was commissioned by Dr. h. c.
Karl Storz. The statue symbolizes the commitment of the KARL STORZ company
to the traditions of Tuttlingen, a city long associated with the manufacture of
instruments. The statue also honors the creative spirit and dedication this family
enterprise has demonstrated towards the advancement of medical technology.
The principles on which Dr. h. c. Karl Storz founded the company more than
60 years ago still guide the worldwide operations of today: willingness to learn
and ingenuity.
Two castings of “The Instrument Maker” exist. One stands in front of Tuttlingen
Town Hall. The other marks the entrance to the administrative building of
KARL STORZ GmbH & Co. KG.
Karl Storz began producing instruments for ENT
specialists in 1945. His intention was to develop
instruments which would enable the practitioner to
look inside the human body. The technology available
at the end of the Second World War was still very
modest: The area under examination in the interior
of the human body was illuminated with miniature
electric lamps; alternatively, attempts were made to
reflect light from an external source into the body
through the endoscopic tube. Karl Storz pursued a
plan: He set out to introduce very bright, but cold
light into the body cavities through the instrument,
thus providing excellent visibility while at the same
time allowing objective documentation by means of
image transmission.
The Founder, Dr. med. h. c. Karl Storz
IM 2
In realizing this dream, Karl Storz benefited from
two rather contrary character traits: the unerring
meticulousness of the craftsman and the imaginative
power of the artist and inventor. Karl Storz was
both. As a practitioner and an understanding,
cosmopolitan entrepreneur, he succeeded not only
in conveying his plans to his employees, but also in
inspiring them with his enthusiasm.
With more than 400 patents and operative samples
to his name, many of which were to play a major
role in showing the way ahead, Karl Storz played
a crucial role in the development of modern
endoscopy.
Sketches of ideas and workshop drawings
produced by Karl Storz prove today his
creativity.
The Golden Master Craftsman’s Diploma
of the company’s founder, Karl Storz
Four Pillars of Endoscopy
Modern high-technology medical systems consist of
components from the most diverse fields of engineering: Optics, mechanics and electronics as well as
the associated software must work in perfect harmony if the instruments are to function as desired.
As simple as the requirement for a harmonious
interplay of the individual components may sound,
its realization is in fact a highly complex matter.
No matter how much meticulous care is given to
development, the quality of the end product is
decided by day-to-day manufacturing routine. The
perfect instrument can only be created when all
components are ideally matched and coordinated.
Our company attains this high quality by ensuring
that each and every component is developed,
manufactured and subjected to a constant quality
control process at our own company. This concept
guarantees a maximum of functionality and quality
for each individual endoscopic system. The continuity of this quality-consciousness is ensured by the
company’s tenet of training its employees from all
sectors at our own company.
Optics
A modern endoscope must generate as brilliant an
image as possible. Decisive factors in this consideration are light intensity, depth of focus, contrast and
resolution. The basis of an optimal image transmission in endoscopy was the introduction of the
Optical elements are manufactured for
various end products.
rod lens system by Professor Harold H. Hopkins,
allowing a highly realistic image of the surface and
structure of internal organs to be produced - this
lens system has been subjected to continual further
improvement and is setting standards worldwide.
The high optical quality and power of KARL STORZ
endoscopes are a delight to all practitioners. The
key to this success is the precise harmonization of
all parameters for perfectly matched optics. The
company’s laboratories have since produced a
number of further developments, for example video
endoscopes, fiberoptic endoscopes, 3D imaging
systems, high magnification contact endoscopes
and the new DCIВ® optics series.
Mechanics
Nowadays, industrial manufacture generally means
mechanical series production. In view of the high
demands placed on mechanical quality, however,
the precision that lies in the hand of the master
instrument maker is indispensable. Herein lies the
strength of KARL STORZ products. Discontentment
with even the most perfect performance is the high
maxim behind the development and manufacture of
each and every product from the KARL STORZ
company. Design, too, is not left to chance, but
corresponds perfectly to the function and ergonomics
of the various instruments.
Computer-controlled quality assurance for
the optical systems.
Assembled and tested once more – quality
is a basic tenet at KARL STORZ.
IM 3
Four Pillars of Endoscopy
Electronics
Software
The inherent advantages of endoscopic techniques
lie not only in providing a means of looking inside the
human body for diagnosis, but also in endoscopically
supported therapy that subjects the patient to a minimum of trauma. Therapeutic systems and facilitating
modalities were developed and manufactured by
KARL STORZ from the very outset. Nowadays,
systems such as those used for tissue disintegration,
lithotripsy, high-frequency surgery, insufflation and
irrigation number among the standard range of
products.
Modern electronics only produce satisfying results in
combination with dedicated software. Therefore,
software is playing an increasingly important role in
product development at KARL STORZ. Software is
improving image quality in video systems, reducing
optical defects caused by the system, such as the
MoirГ© pattern in fiberscopes, is enabling device
control with unsurpassed precision and facilitating
operation thanks to the user-friendly menu control.
In the modern operating room the use of software
Through the innovative application of state-of-the-art
electronics and micro mechanics, the therapeutic
units from KARL STORZ provide a maximum of
safety and operational convenience. The ability of the
appliances to be networked to information systems
makes for an integrative systems solution resulting in
optimal efficiency for the patient, surgeon and operating room personnel.
All therapeutic devices and their delivery systems for
use inside the human body are designed using the
latest computer-supported development and simulation facilities, in accordance with national and international standards and guidelines for medical products. They continue to be subjected to numerous
quality assurance measures throughout the manufacturing process and undergo a 100% final inspection prior to delivery to the customer. This secures
the unsurpassed quality of electronic systems and
system components from KARL STORZ.
Installation of the auto-rotation system into
video cameras
IM 4
can unfold even greater potential. Peripheral devices
can be integrated in the endoscopic operating room
via defined interfaces, which means that all relevant
devices can be operated and controlled from one
central point. Even speech control from the sterile
area has become possible. Complex tasks can be
simplified and optimized through the straightforward
use of predefined, stored settings. Additionally, there
are the quick and secure possibilities for image and
video documentation and transfer and not least the
integration of sophisticated multimedia applications
for audio and video communication, such as broadcasting in lecture theaters or obtaining specialist
consultation over distances of thousands of miles.
Documentation and digital post-editing
of findings
Thanks to modern multimedia software,
broadcasts from the operating room can be
viewed anywhere in the world.
Quality and Precision
Award-Winning Design
KARL STORZ won the 1993 IF Award for medical
device design. The IF bestowed its honor based on
design concept, functionality, and focus on hygiene
standards.
The IF made special note of the attention to design
detail, especially the use of international symbol
labeling and the availability of multi-lingual instruction
manuals.
Quality Management System
The KARL STORZ Quality Management System has
been certified according to the requirements of the
ISO 9001/ISO 13485 standard thus confirming the
high quality of KARL STORZ endoscopes and
instruments. As far as our customers are concerned,
the certification means additional safety and the
guarantee that quality will continue to remain consistent in the future.
Endoscopes and instruments from KARL STORZ
prove their worth day by day in worldwide use. This
high standard of quality is made possible by state-ofthe-art microelectronics together with precise longlife mechanics. Service and maintenance are facilitated by the modular design concept.
Instruments undergoing practical tests
at KARL STORZ.
Precise manufacture in highly modern production
facilities and constant quality controls in the course
of and at the end of the manufacturing chain guarantee unsurpassed quality.
The safety of instruments and appliances is of
utmost importance to KARL STORZ. No components are used until their reliability and safety are
unequivocally established. In close cooperation with
official inspection bodies (TГњV, DEKRA, UL) detailed
tests are undertaken and the equipment approved.
The manufacture and testing of the instruments and
appliances is carried out in accordance with the IEC
601-1 international and the MPG national standards.
At the conclusion of each production run, safety
tests are carried out with specially developed automatic measuring systems and the results individually
documented: Each and every device thus leaves its
own unmistakable fingerprint prior to delivery.
KARL STORZ is Quality –
and Quality is not Disposable!
Service goes with the product - faults are
registered
Documentation for product improvements
IM 5
The Global Enterprise
The superb quality of KARL STORZ
instruments and devices, particularly
endoscopes, triggered worldwide demand.
Within a few years, production facilities
and subsidiaries expanded to meet this
challenge. The small workshop in the
house of Karl Storz's parents, where work
began in 1945, grew to become a worldwide leader in endoscopic equipment.
A company then, as now, built on the confidence placed in us by the customer.
в—Џ Headquarters:
Tuttlingen, Germany
в—Џ Production locations:
Tuttlingen, Germany
Munich, Germany
Charlton (Massachusetts), USA
Goleta (California), USA
Dundee, Scotland
Tallinn, Estonia
Schaffhausen, Switzerland
Widnau, Switzerland
Bucharest, Romania
Athens, Greece
Thessaloniki, Greece
Istanbul, Turkey
Moscow, Russia
Kiev, Ukraine
Beirut, Lebanon
Cape Town, South Africa
Astana, Kazakhstan
Abu Dhabi, United Arab
Emirates
New Delhi, India
Ho Chi Minh City, Vietnam
Sydney, Australia
HongKong/Beijing/
Shanghai/Chengdu/
Shenyang/Guangzhou,
P. R. China
Singapore, Singapore
Taipei, Taiwan
Tokyo, Japan
в—Џ Sales and marketing subsidiaries:
Tuttlingen, Germany
Berlin, Germany
Toronto, Canada
Los Angeles (California), USA
Miami (Florida), USA
Havanna, Cuba
Mexico City, Mexico
SГЈo Paulo, Brazil
Buenos Aires, Argentina
Oslo, Norway
Stockholm, Sweden
IM 6
Helsinki, Finland
Copenhagen, Denmark
London-Slough, Great Britain
Vianen, Netherlands
Brussels, Belgium
Paris, France
Vienna, Austria
Madrid, Spain
Verona, Italy
Zagreb, Croatia
Ljubljana, Slovenia
IM 7
Development and Manufacture
Medical instruments and appliances from
KARL STORZ are esteemed throughout the world
as the most advanced and reliable available. The
customer is convinced not only by perfection in
manufacture, but also by the constant flow of new
ideas. The opportunities available in diagnosis and
therapy are becoming increasingly multi-faceted
and effective.
As a result, the production plants must be continually
extended and new facilities established. New sales
organizations are also necessary, in order to provide
the interested customer with the desired information
and products within a very short time. The company’s headquarters are located in Tuttlingen, in
southwestern Germany. This is the center of our
mechanical and optical manufacture. The production
facilities abroad are dedicated to the development
and manufacture of special products. The high-technology video cameras, for example, are produced
exclusively by KARL STORZ Imaging in Goleta,
(California), USA; optical and electronic components
are manufactured at the plants in Tuttlingen and
Schaffhausen (Switzerland); modern 3D systems are
jointly developed by the Tuttlingen and Goleta
plants; the glass fiber for light transmission and the
flexible image bundles are produced in Charlton,
(Massachusetts), USA.
Under the management of Dr. h. c. mult. Sybill Storz,
the enterprise has steadily continued to develop and
has registered over a hundred new patents. The
range of endoscopic equipment for human and
veterinary medicine and for industrial applications
now encompasses over 8,000 products.
Revolutionary new developments such as the OR1TM
fully networked operating room or the AIDA centralized image and data management system supplement
the range and demonstrate that at KARL STORZ, the
future has already become the present.
Production locations
KARL STORZ GmbH & Co. KG
MittelstraГџe 8
D-78532 Tuttlingen, Germany
KARL STORZ Endovision, Inc.
91 Carpenter Hill Road
Charlton, MA 01507, USA
KARL STORZ GmbH & Co. KG
Munich Branch Office
Carl-von-Linde-StraГџe 15
D-85748 Garching, Germany
KARL STORZ Imaging Inc.
175 Cremona Drive
Goleta, CA 93117, USA
KARL STORZ – Development and manufacturing complex, Tuttlingen
IM 8
KARL STORZ – IMAGING, Goleta
(California), USA
KARL STORZ – ENDOVISION, Charlton
(Massachusetts), USA
International Marketing and Logistics
The Tuttlingen headquarters recently received an
impressive new extension: the Entrée – an annex in
the form of an optical lens, in glass and steel, tall,
transparent and spacious. It unites several functions
under one roof which used to be located in various
places in the town. On an area of 14,000 square
meters (150,000 square feet) everything is to be
found that allows the company to react even more
efficiently and rapidly to the wishes of the customer.
an immense storage facility. This abundance of
material is managed by special computer programs
which ensure that all orders are rapidly processed.
Information material and operating instructions are
also stored here. This building also accommodates
a huge number of endoscopic systems, which are
dispatched to almost 2,000 congresses, workshops and seminars each year for demonstration
purposes, then tested here once more and brought
in line with the highest technological standards.
On the basis of precisely determined logistics, the
instruments, appliances and spare parts are kept in
KARL STORZ Endoscopy (UK) Ltd.
Thomas Wise Place
Dundee DD2 1UB, Great Britain
KARL STORZ Video Endoscopy
Estonia OГњ
Akadeemia tee 21 A
12618 Tallinn, Estonia
KARL STORZ – Endoskop-Produktions
GmbH, Schaffhausen branch, Switzerland
STORZ Endoskop Produktions GmbH, Tuttlingen (D)
Schaffhausen Branch Office
SchneckenackerstraГџe 1
CH-8200 Schaffhausen, Switzerland
STORZ Endoskop Produktions GmbH, Tuttlingen (D)
Schaffhausen Branch Office
Nöllenstrasse 13
CH-9443 Widnau, Switzerland
KARL STORZ – administrative building,
Tuttlingen
KARL STORZ – logistics and training center,
Tuttlingen
IM 9
Sales and marketing subsidiaries
KARL STORZ GmbH & Co. KG
MittelstraГџe 8, 78532 Tuttlingen
Postfach 230, 78503 Tuttlingen
Germany
Phone: +49 (0)7461 708-0
Fax:
+49 (0)7461 708-105
E-Mail: [email protected]
Web:
www.karlstorz.com
KARL STORZ Endoskope Berlin GmbH
Ohlauer StraГџe 43
10999 Berlin, Germany
Phone: +49 (0)30 30 69 09-0
Fax:
+49 (0)30 3 01 94 52
KARL STORZ Endoscopy Canada Ltd.
2345 Argentia Road, Suite 100
Mississauga, ON, L5N 8K4, Canada
Phone: +1 905 816-81 00
Fax:
+1 905 858-09 33
KARL STORZ Endoscopy-America, Inc.
2151 East Grand Avenue
El Segundo, CA 90245-5017, USA
Phone: +1 424 218-81 00
800 421-08 37***
Fax:
+1 424 218-85 26
800 321-13 04***
KARL STORZ Veterinary
Endoscopy America, Inc.
175 Cremona Drive
Goleta, CA 93117, USA
Phone: +1 805 968-7776
Fax:
+1 805 685-2588
KARL STORZ Endoscopia
Latino-America, Inc.
815 N. W. 57th Avenue, Suite 480
Miami, FL 33126-2042, USA
Phone: +1 305 262-89 80
Fax:
+1 305 262-89 86
KARL STORZ Endoscopia
Miramar Trade Center
Edificio Jerusalem, Oficina 108
La Habana, Cuba
Phone: +53 7 2 04 1097
Fax:
+53 7 2 04 1098
KARL STORZ
Endoscopia MГ©xico S.A. de C.V
Lago Constanza No 326
Col. Chapultepec Morales,
D.F.C.P. 11520, MГ©xico, MГ©xico
Phone: +52 55 525 056 07
Fax:
+52 55 554 501 74
KARL STORZ Marketing AmГ©rica
Do Sul Ltda.
Rua Joaquin Floriano, nВ°. 413,
20В° andar/floor, Itaim Bibi,
CEP-04534-011 SГЈo Paulo, Brasil
Phone: +55 11 3526-4600
Fax:
+55 11 3526-4680
KARL STORZ Endoscopia Argentina S.A.
Zufriategui 627 6В° Piso
B1638 CAA - Vicente Lopez
Provincia de Buenos Aires, Argentina
Phone: +54 11 4718 0919
Fax:
+54 11 4718 2773
KARL STORZ Endoskopi Norge AS
P. O. Box 153, Rolf Olsenvei 28
N-2007 Kjeller, Norway
Phone: +47 6380 5600
Fax:
+47 6380 5601
KARL STORZ Endoskop Sverige AB
Storsätragränd 14
12739 Skärholmen, Sweden
Postal address: Po Box 8013,
14108 Kungens Kurva, Sweden
Phone: +46 8 505 648 00
Fax:
+46 8 505 648 48
KARL STORZ Endoscopy Suomi OY
Itälahdenkatu 23a
00210 Helsinki, Finland
Phone: +35 8 968 247 74
Fax:
+35 8 968 247 755
KARL STORZ Endoskopi Danmark A/S
Skovlytoften 33,
2840 Holte, Danmark
Phone: +45 45 16 26 00
Fax:
+45 45 16 26 09
KARL STORZ Endoscopy (UK) Ltd.
392 Edinburgh Avenue, Slough
Berkshire, SL1 4UF
Great Britain
Phone: +44 17 53 50 35 00
Fax:
+44 17 53 57 81 24
KARL STORZ Endoscopie
Nederland B. V.
Phone: +31 651 938 738
+31 135 302 231
KARL STORZ Endoscopy
Belgium N. V.
Phone: +32 473 810 451
Marketing activities include the organization
of international trade fairs.
IM 10
KARL STORZ Endoscopie France S.A.
12, rue Georges Guynemer
Quartier de l’Europe
78280 Guyancourt, France
Phone: +33 1 30 48 42 00
Fax:
+33 1 30 48 42 01
KARL STORZ Endoskop Austria GmbH
LandstraГџer Hauptstr. 148/1/G1
1030 Wien, Austria
Phone: +43 1 71 56 04 70
Fax:
+43 1 71 56 04 79
KARL STORZ Endoscopia IbГ©rica S.A.
Parque Empresarial San Fernando
Edificio Munich – Planta Baja
28830 Madrid, Spain
Phone: +34 91 6 77 10 51
Fax:
+34 91 6 77 29 81
KARL STORZ Endoscopia Italia S. r. l.
Via dell’Artigianato, 3
37135 Verona, Italy
Phone: +39 045 822 2000
Fax:
+39 045 822 2001
KARL STORZ Adria Eos d.o.o.
Zadarska 80
10000 Zagreb, Croatia
Phone: +385 1 640 6070
Fax:
+385 1 640 6077
KARL STORZ Endoscopija d.o.o.
VerovЕЎkova c. 60A
1000 Ljubljana, Slovenia
Phone: +386 1 620 5880
Fax:
+386 1 620 5882
KARL STORZ Endoscopia Romania srl
Str. Prof. Dr. Anton Colorian, nr. 74,
Sector 4
041393 Bukarest, Romania
Phone: +40 31 425 08 00
Fax:
+40 31 425 08 01
KARL STORZ Endoskope Greece E.P.E
Sokratous & Kyprou 2
15127 Melissa, Greece
Phone: +30 210 61 31 386
Fax:
+30 210 61 31 392
KARL STORZ Endoskope Greece Ltd.*
Ipsilantou Str. 32
54248 Thessaloniki, Greece
Phone: +30 2310 304868
Fax:
+30 2310 304862
KARL STORZ Industrial**
Gedik Is Merkezi B Blok
Kat 5, D 38-39
Bagdat Cad. No: 162
Maltepe Istanbul, Turkey
Phone: +90 216 442 95 00
Fax:
+90 216 442 90 30
OOO KARL STORZ
Endoskopy – WOSTOK
Derbenyevskaya nab. 7, building 4
115114 Moscow, Russia
Phone: +7 495 983 02 40
Fax:
+7 495 983 02 41
TOV KARL STORZ Ukraine
Obolonska naberezhna, 15
building 3, office 3
04210 Kiev, Ukraine
Phone: +380 44 42668-14, -15, -19
Fax:
+380 44 42668-20
KARL STORZ Endoskope
Regional Center for Endoscopy S.A.L.
Solidere – Beirut Souks
Block M, 3rd Floor
2012 3301 Beirut – Lebanon
Phone: +961 1 99 93 90
Fax:
+961 1 99 93 91
KARL STORZ Endoscopy
(South Africa) (Pty) Ltd.
P. O. 6061
Roggebaai 8012, South Africa
Phone: +27 21 417 2600
Fax:
+27 21 421 5103
TOO KARL STORZ Endoskopy
Kasachstan
Bokeykhan Ulica 8/2, VP-1
010000 Astana, Respublika Kasachstan
Phone: +7 7172 57 52 16, 57 28 49,
57 09 34
Fax:
+ 7 7172 43 96 96
KARL STORZ Endoscopy –
Gulf & Near East
Villa # 7, Mushrif Business Park
Mushrif District, P.O.Box 30635
Abu Dhabi, United Arab Emirates
Phone: +971 2 44 77 593
Fax:
+971 2 44 77 594
KARL STORZ Endoscopy India
Private Ltd.
D-181, Okhla Industrial Area Phase-1,
New Delhi 110 020, India
Phone: +91 11 26 81 54 45-51
Fax:
+91 11 26 81 29 86
KARL STORZ GmbH & Co. KG
Resident Representative Office
80/33 (44/19) Dang Van Ngu
F.10 – Q. Phu Nhuan
Ho Chi Minh City, Vietnam
Phone: +848 991 8442
Fax:
+848 844 0320
KARL STORZ Endoscopy
Australia Pty. Ltd.
15 Orion Road Lane Cove NSW 2066
P O Box 50 Lane Cove NSW 1595
Australia
Phone: +61 2 9490 6700
800 996 562***
Fax:
+61 2 9420 0695
KARL STORZ Endoscopy China Ltd.
Hong Kong Representative Office
Unit 1601,
Chinachem Exchange Square
1 Hoi Wan Street, Quarry Bay
Hong Kong
People’s Republic of China
Phone: +852 28 65 24 11
Fax:
+852 28 65 41 14
KARL STORZ Endoscopy (Shanghai) Ltd.
Beijing Branch Company
Room 610, China Life Tower No. 6,
Chaowai Street
Beijing, 100020
People’s Republic of China
Phone: +86 10 8525 3725
Fax:
+86 10 8525 3728
KARL STORZ Endoscopy (Shanghai) Ltd.
Unit 3901-3904, Tower 1
Grand Gateway, No.1 Hong Qiao Road
Shanghai, 200030
People’s Republic of China
Phone: +86 21 6113-1188
Fax:
+86 21 6113-1199
KARL STORZ Endoscopy
Singapore Sales Pte Ltd
3791 Jalan Bukit Merah
06-07 e-Centre @ Redhill
Singapore 159471, Singapore
Phone: +65 65 32 55 48
Fax:
+65 65 32 38 32
KARL STORZ Endoscopy Taiwan Ltd.
6F-1, No. 10, Sec. 1, Beisin Rd.
Sindian, Taipei County 231
Taiwan (R.O.C.)
Phone: +886 993 014 160
Fax:
+886 2 8672 6399
KARL STORZ Endoscopy Japan K. K.
Stage Bldg. 8F, 2-7-2 Fujimi
Chiyoda-ku, Tokyo 102-0071, Japan
Phone: +81 3 6380-8622
Fax:
+81 3 6380-8633
* Repair and Service Subsidiary
** marketing and distribution for Industrial Endoscopy
*** only accessible inside Australia
KARL STORZ Endoscopy (Shanghai) Ltd.
Chengdu Branch Company
F-5, 24/F., Chuanxing Mansion
No. 18 Renming Road South
Chengdu, Sichuan, 610016
People’s Republic of China
Phone: +86 28 8620-0175
Fax:
+86 28 8620-0177
KARL STORZ Endoscopy (Shanghai) Ltd.
Shenyang Branch Company
Rm 2225, Tower B, City Plaza,
No. 83, Zhongshan Road,
Heping District,
Shenyang, Liaoning, 110001
People’s Republic of China
Phone: +86 24 6258-9911
Fax:
+86 24 6258-9922
KARL STORZ Endoscopy (Shanghai) Ltd.
Guangzhou Branch Company
Room 1119-20, Dongshan Plaza
69 Xianlie Road Middle
Dongshan District
Guangzhou, Guangdong, 510095
People’s Republic of China
Phone: +86 20 8732-1281
Fax:
+86 20 8732-1286
KARL STORZ Endoscopy
Asia Marketing Pte Ltd
3791 Jalan Bukit Merah
06-11 e-Centre @ Redhill
Singapore 159471, Singapore
Phone: +65 63 76 10 66
Fax:
+65 63 76 10 68
At KARL STORZ, customers are provided
with comprehensive information about their
products.
IM 11
Celebrate 60+ Years of Achievement
1953 1960
1945
1956
1970
1965
1980
1971
1985
1982
1989
1987
1999
2001
2003
2005
1996
2000
2002
2004
2007
2006
2009
2008
KARL STORZ Endoscopy History
в—Џ
More than 60 years of excellence.
в—Џ
Commitment to innovation.
в—Џ
Strong service orientation.
в—Џ
Commitment to education.
KARL STORZ Endoscopy Future
в—Џ
Offer solutions to the health care provider.
в—Џ
Develop programs to promote efficiency
and instrument utilization.
в—Џ
Develop products that are both clinically and cost effective.
в—Џ
Develop products for all areas of endoscopy to meet
the needs of our most sophisticated customers.
Is KARL STORZ Right for you?
в—Џ
The answer is clearly YES if your goals are cost savings
and standardization.
Endoscopes from KARL STORZ - unsurpassed in quality
Mechanical components - perfect right
down to the last detail
Complex solutions - no problem for
KARL STORZ
2011
2010
Table of Contents
FETOSCOPY
Transabdominal Embryoscopy and Fetoscopy – Complementing Amniocentesis in the First Trimester of Pregnancy
122-123
Transabdominal Embryoscopy and Fetoscopy Set – Miniature Straight Forward Telescope
124
Transabdominal Embryoscopy and Fetoscopy Set – Sheaths and Puncture Needle
125
Transabdominal Embryoscopy and Fetoscopy Set – Operating Sheaths
Transabdominal Fetoscopy Set in the Early Second Trimester – Miniature Straight Forward Telescope
Transabdominal Fetoscopy Set in the Early Second Trimester – Operating Sheaths
126
127, 130
128-129, 131, 134
Transabdominal Fetoscopy Set in the Early Second Trimester
132
Transabdominal Fetoscopy Set in the Early Second Trimester – HOPKINS® II Telescopes
133
Instruments for Fetoscopy – Semirigid Operating Instruments, Palpation Probe
135
Instruments for Fetoscopy – TAKE-APART Bipolar Grasping Forceps
136
В®
Instruments for Fetoscopy – Bipolar Optical Grasping Forceps and Optical Scissors
137
Instruments for Fetoscopy – Shunting Set, CVS Biopsy Forceps, CVS Biopsy Cannulas
138
Trocars for Fetoscopy – Sizes 2.6 and 3.2 mm
139
Trocars for Fetoscopy – Size 3.5 mm
140
Trocars for Fetoscopy – Sizes 3.9 and 4.7 mm
141
Trocars for Fetoscopy – Size 3.6 x 5.4 and 3.2 x 4.95 mm
142
Trocars only, for Fetoscopy
143
Accessories for Fetoscopy
144
Wire Trays for Cleaning, Sterilization and Storage of Instruments
145
Unipolar and Bipolar High Frequency Cords
146
I
Index
FETOSCOPY
A
M
ALKEN Motion Control Device
144
Miniature Straight Forward Telescope 0В°
124, 127, 130
Miniature Straight Forward Telescope 0В° Set
B
Biopsy Forceps
135
O
Bipolar High Frequency Cord
146
Operating Sheath
137
Optical Scissors
Bipolar Optical Grasping Forceps
132
125, 126, 128, 129, 131, 134
137
P
C
Cannula
139, 140, 141, 142
Cleaning Brush
132
CVS Biopsy Cannula
138
CVS Biopsy Forceps
138
E
Examination Sheath
125, 131
F
Palpation Probe
135
Plastic Container
124, 127, 130
Plug
144
Protection Tube
124
Puncture Needle
125, 129
S
Seal
144
Sealing Cap
142
Fetoscopy Trocar
139
Shunting Set
Fixation Pin
145
Silicone Leaflet Valve
138
139, 140, 141, 142
Silicone Tie-Downs
G
Grasping Forceps
135
H
145
T
TAKE-APARTВ® Bipolar Grasping Forceps
136
Telescope Lock Plug
144
HOPKINSВ® II Forward-Oblique Telescope 30В°
133
Touhy Borst Y-Connector
HOPKINS II Straight Forward Telescope 0В°
133
Trocar
139, 140, 141, 142, 143
HOPKINSВ® II Telescope 12В°
133
Trocar only
139, 140, 141, 142, 143
В®
I
Insertion Adaptor
144
U
144
L
Unipolar High Frequency Cord
146
W
Large Diamond Grid Silicone Insert
145
Wire Tray for Cleaning, Sterilization and Storage
145
Light Adaptor
144
Working Insert
134
II
Numerical Index
FETOSCOPY
11506 AAK
11506 P
11510 A
11510 C
11510 KA
11510 KC
11510 KD
11510 KE
11510 KI
11510 L
11510 P
11510 V
11515 AA
11516 C1
11516 C2
11516 CL
11516 CS
11516 L
11516 S
11517 B1
11517 B2
11517 BL
11517 BS
11517 L
11517 S
11518 A2
11518 AS
11518 S
11519 A2
11519 AS
11519 S
11520 A2
11520 AS
11520 S
11540 AA
132
129
124
135
125
125
125
126
126
135
124
144
127
139
139
139
139
139
139
141
141
141
141
141
141
141
141
141
142
142
142
142
142
142
127
11540 FG
11540 HLS
11540 KA
11540 KB
11540 KD
11540 KE
11540 OS
11603 L1
11605 AA
11605 F
11605 KC
11630 AA
11630 KF
11630 KH
11650 FC
11650 FS
11650 L
11650 P
11650 R
11650 TD
11650 TG
11650 TH
11650 TI
11660
26002 M
26004 M
26005 M
26006 M
26008 AA
26008 BUA
26008 FUA
26022 MA
26022 Y
26022 YD
26040 BX
137
137
128
128
129
129
137
139
130
131
131
130
131
131
138
138
138
135
138
143
143
143
143
138
146
146
146
146
133
133
133
144
144
144
144
26161 U
26161 UF
26161 UH
26167 FG
26176 L
26176 LA
26176 LE
26176 LM
26176 LV
26184 HLS
27651 AK
30114 A
30114 AK
30114 C
30114 FG
30114 G1
30114 G2
30114 GA
30114 GAL
30114 GK
30114 GKL
30114 K
30114 L1
30117 L1
30118 L1
30160 L1
39100 PS
39100 S
39360 AS
39360 B
39502 Z
495 EW
6011590
6127390
134
134
134
136
146
146
146
146
146
136
132
140
140
140
139
140
140
140
140
140
140
140
140
141
141
142
145
145
145
124, 127, 130
145
144
144
142
III
FETOSCOPES
Transabdominal Embryoscopy
and Fetoscopy
Complementing Amniocentesis in the First Trimester of Pregnancy
Introduction
Early prenatal diagnosis often approaches the limits of
ultrasonography in precise assessment of the fetus in
the first and second trimesters of pregnancy. Further
evaluation of a malformed fetus can be done by fetoscopy. For a long time, the development of diagnostic
fetoscopy was prevented by its invasiveness; however,
refinement of this technology allowed us to present a
semirigid endoscope that is 1 mm in diameter and can
be used with a 1.3 mm needle introduced transabdominally. This provides a clear image of external
fetal anatomy, and access to fetal tissues; amniocentesis can therefore be performed at the same time.
Materials and Methods
The semirigid 0В° straight-forward miniature endoscope
is 1 mm in diameter and 20 cm in length. It has a 70В°
field of view and is made of over 10,000 pixels. The
miniature endoscope is connected to its focusing
eyepiece by a 100 cm flexible portion. The needlescope
is connected to the 18 gauge (1.3 mm) trocar via a
lateral female LUER-Lock adaptor to enable suction
and irrigation. This trocar may include a single needle,
or have a 1 to 1.1 mm operating channel on the side.
Several instruments, including a 24 gauge puncture
needle, a 1 mm biopsy forceps, or a 600 micron laser
fiber, may be used through the lateral operating channel
under full endoscopic vision.
The light guide is connected to the eyepiece and to a
xenon light source. The camera used is equipped with
a zoom lens. Local analgesia is achieved by injecting
10 ml of 1% non-adrenalized xylocaine into the myometrium. The needle is inserted transabdominally into
the amniotic cavity, and the endoscope is directed
towards the fetal parts under continuous sonographic
guidance. Amniocentesis can be performed either before or during the fetoscopy.
Discussion
Verification of prenatally diagnosed abnormalities is
therefore critical for genetic counseling. However, despite
medical advice, when termination is requested in the first
trimester, some patients will not be willing to go through
stresses caused by induced labor, and dilatation or aspiration techniques are unlikely to allow a thorough postmortem examination. The fetal anatomy therefore should
be assessed prior to evacuation, and transabdominal feto
scopy is another option for this.
Prior to the development of high-resolution ultrasound
equipment, transabdominal fetoscopy was performed
using 6 and 2.2 mm endoscopes for examining the
human fetus and fetal blood sampling or fetal tissue
biopsy. However, fetal loss occurred in as much as 4% to
8% of cases. Further development and refinement of this
technology allowed direct visualization of the fetus with a
fiber optic endoscope that could be guided inside the
amniotic cavity through a 20 – 21 gauge amniocentesis
needle. However, micro-endoscopy using a flexible
endoscope with a diameter of 0.5 mm presents several
limitations: the resolution depth is short (up to 15 mm), the
field of view is very narrow (approx. 5 mm in diameter at
1 cm), and lighting often insufficient. These limitations
result from a compromise between the number of optic
and light fibers that can be incorporated in the endoscope
(currently 3,000 fibers).
1-992
Embryoscopy was first performed transcervically using
various types of hysteroscopes ranging from 6 to 22 mm
in diameter. The scope was passed transcervically under
ultrasound guidance into the extracoelomic cavity without disturbing the amnion. For this reason, this technique
should be performed between 7.5 and 11 weeks’ gestation. It is therefore confined to diagnosis of severe
genetic syndromes with a high risk of recurrence that
may be diagnosed in the form of external structural
defects prior to 11 weeks’ gestation. This procedure
cannot be performed after 11 weeks, since the extracoelomic space has disappeared, and trauma to
the amnion becomes more likely. Ultrasonographic
examination of the fetus in the first trimester is best
performed after 11 weeks’ gestation and is currently
offered to a low risk population for precise dating of
pregnancy as well as part of screening for fetal
aneuploidy. The most common abnormalities diagnosed
or suspected at this stage of pregnancy include:
exencephaly, abnormal nuchal area (cystic hygromata or
nuchal translucency), exomphalos, facial cleft, abnormal
position of the limbs and hydrops fetalis. Complete
examination of a 12-week-old fetus by ultrasound is very
unlikely, and lethal or complex abnormalities as well as
isolated structural defects can be associated with
additional abnormalities not detected by ultrasound.
Therefore, abnormalities that are strongly suspected
must be confirmed. One option is to wait for a detailed
ultrasound examination in the second trimester of
pregnancy, but this is rarely considered by the parents
who are usually anxious to request a rapid and complete
fetal evaluation, especially when a termination of the
pregnancy is a possible option.
122
MINI-FET 2
Transabdominal Embryoscopy
and Fetoscopy
Complementing Amniocentesis in the First Trimester of Pregnancy
This only permits partial visualization of the fetal anatomy
and depends on high resolution ultrasound to direct the
needle towards the fetal part under investigation. The new
miniature endoscope presented here allows better
visualization with increased depth (from 2 mm to more
than 5 cm) and a 70В° angle of view (2 cm diameter at
1 cm), and the light source provides a clear image of the
fetus, reducing the procedure time.
There are several concerns regarding the use of this
new examination technique:
в—Џ
The procedure-related risk of miscarriage can
probably be estimated to be between that of
second trimester fetoscopy performed for
diagnostic purpose and that of first trimester
amniocentesis. The semi-flexible miniature endoscope is passed through a 1.3 mm needle
compatible with first trimester diagnosis. This
procedure will add one minute to an amniocentesis.
We therefore believe that fetoscopy probably does
not significantly increase the basic risk of
amniocentesis done at the same gestational age.
However, this remains to be demonstrated and
patients should be counseled accordingly.
Prof. Y. VILLE M. D.,
UniversitГ© Paris-Ouest, CHI Poissy, St Germain,
DГ©partement ObstГ©trique GynГ©cologie,
Poissy Cedex, France
The risks to the developing retina are still in
question; however no retinal damage or other
development abnormalities were established in
chicken or in sheep after exposure to embryoscopic
and fetoscopic white light. Human data are still
limited but infants born after first trimester
transcervical embryoscopy did not demonstrate
any visual abnormalities.
1-992
в—Џ
Care should be taken in making a diagnosis of fetal
abnormality in the first trimester since precise
sonographic evaluation is usually only possible in
the second trimester of pregnancy. This causes
parents anxiety that may or may not be justified and
might lead to a termination of a normal pregnancy,
especially when this can be done at the parents
request in the first trimester of pregnancy. Furthermore, even when termination of pregnancy is
performed for major fetal abnormality, induction
with prostaglandins provides a better opportunity
for post-mortem examination than destructive
techniques. This is particularly important since
fetoscopy offers only an incomplete evaluation of
the external fetal anatomy, and associated internal
abnormalities can be missed by ultrasound at this
stage of pregnancy.
в—Џ
MINI-FET 3
123
Transabdominal Embryoscopy
and Fetoscopy Set
Miniature Straight Forward Telescope
Size 1 mm
11510 A
Miniature Straight Forward Telescope 0В°,
semirigid, with remote eyepiece, with rotating
and locking LUER-Lock adaptor, fiber optic
light transmission incorporated, including
Protection Tube 11510 P
Direction of view:
0В°
Angle of view:
70В°
Working length:
20 cm
Outer diameter:
1 mm
11510 P
Protection Tube, for use with
Miniature Straight Forward Telescope 11510 A
39360 B
Plastic Container, for sterilization and
storage
1-994
11510 A
124
MINI-FET 4 B
Transabdominal Embryoscopy
and Fetoscopy Set
Sheaths and Puncture Needle
For use with Miniature Straight Forward Telescope 11510 A
11510 KA
11510 KA
Examination Sheath, diameter 1.3 mm, with pyramidal
obturator, with 1 LUER-Lock adaptor, for single use,
package of 2, for use with Miniature Straight Forward
Telescope 11510 A
11510 KD
11510 KD
Operating Sheath, with pointed tip, 6.5 Fr., with
2 obturators, with working channel for laser fibers up
to 600 micron-core (maximum outer diameter
900 micron) or Puncture Needle 11510 KC, with 2 LUERLock adaptors, for single use, package of 2, for use with
Miniature Straight Forward Telescope 11510 A
11510 KC
Puncture Needle, diameter 0.6 mm, length 26.5 cm,
for single use, package of 6, for use with Operating
Sheath 11510 KD
1-994
11510 KC
MINI-FET 5 B
125
Transabdominal Embryoscopy n
and Fetoscopy Set
Operating Sheaths
For use with Miniature Straight Forward Telescope 11510 A
11510 KE
11510 KE
Operating Sheath, straight, with pointed tip, 5.6 Fr.,
with 2 obturators, with 0.8 mm working channel for laser
fibers up to 400 micron-core (maximum outer diameter
700 micron) or Puncture Needle 11510 KC, with 2
LUER-Lock adaptors, for single use, package of 2, for
use with Miniature Straight Forward Telescope 11510 A
11510 KI
Operating Sheath, curved, with pointed tip, 5.6 Fr.,
with 2 obturators, with 0.8 mm working channel for
laser fibers up to 400 micron-core (maximum outer
diameter 700 micron) or Puncture Needle 11510 KC,
with 2 LUER-Lock adaptors, package of 2, for use with
Miniature Straight Forward Telescope 11510 A
7-11
11510 KI
126
MINI-FET 6 D
Transabdominal Fetoscopy Set
in the Early Second Trimester
Miniature Straight Forward Telescope
Size 1.3 mm
11540 AA
11540 AA
Miniature Straight Forward Telescope 0В°,
semirigid, with remote eyepiece, autoclavable,
fiber optic light transmission incorporated
Direction of view:
0В°
Angle of view:
90В°
Working length:
30.6 cm
Outer diameter:
1.3 mm
39360 B
Plastic Container, for sterilization and
storage
11515 AA
Miniature Straight Forward Telescope 0В°, semirigid,
autoclavable, fiber optic light transmission incorporated
Direction of view:
0В°
Angle of view:
90В°
Working length:
30.6 cm
Outer diameter:
1.3 mm
Color code:
green
2-081
n 11515 AA
MINI-FET 7 B
127
Transabdominal Fetoscopy Set
in the Early Second Trimester
Operating Sheaths
For use with Miniature Straight Forward Telescope 11540 AA and 11515 AA
11540 KA
11540 KA
Operating Sheath, straight, 8 Fr., with 2 obturators,
with working channel size 1 mm, with 1 stopcock and
1 LUER-Lock adaptor, for use with Miniature Straight
Forward Telescope 11540 AA
11540 KB
Operating Sheath, curved, 8 Fr., with 2 obturators, with
working channel size 1 mm, with 1 stopcock and 1
LUER-Lock adaptor, for use with Miniature Straight
Forward Telescope 11540 AA
2-081
11540 KB
128
MINI-FET 8 B
Transabdominal Fetoscopy Set
in the Early Second Trimester
Operating Sheaths
For use with Miniature Straight Forward Telescope 11540 AA and 11515 AA
11540 KE
n 11540 KE
Operating Sheath, curved, size 3.3 mm, with
2 channels and obturator with pyramidal tip,
for use with Miniature Straight Forward
Telescope 11540 AA
11540 KD
11540 KD
Puncture Needle, diameter 0.9 mm, length 35 cm,
for single use, package of 6, for use with
Operating Sheath 11540 KE
11506 P
Puncture Needle, sharp, individually
adjustable handle, length 50 cm, sterile,
package of 10, for use with Miniature Straight
Forward Telescope 11506 AA
7-11
n 11506 P
MINI-FET 9 B
129
Transabdominal Fetoscopy Set
in the Early Second Trimester
Miniature Straight Forward Telescope
Size 2 mm
11630 AA
11630 AA
Miniature Straight Forward Telescope 0В°,
semirigid, autoclavable, with remote eyepiece,
fiber optic light transmission incorporated
Direction of view:
0В°
Angle of view:
95В°
Working length:
30 cm
Outer diameter:
2 mm
39360 B
Plastic Container, for sterilization and
storage
11605 AA
Miniature Straight Forward Telescope 0В°,
semirigid, autoclavable, fiber optic light
transmission incorporated
Direction of view:
0В°
Angle of view:
95В°
Working length:
30 cm
Outer diameter:
2 mm
Color code:
green
4-051
11605 AA
130
MINI-FET 10 B
Transabdominal Fetoscopy Set
in the Early Second Trimester
Operating Sheaths
For use with Miniature Straight Forward Telescope 11630 AA and 11605 AA
11630 KF
11630 KF
Operating Sheath, with pointed tip, 9 Fr., with 2 obturators,
with working channel size 1 mm, with 1 stopcock and
1 LUER-Lock adaptor, for use with Miniature Straight
Forward Telescopes 11630 AA and 11605 AA
11630 KH
11630 KH
Operating Sheath, with blunt tip, 9 Fr., with 2 obturators,
with working channel size 1 mm, with 1 stopcock and
1 LUER-Lock adaptor, for use with Miniature Straight
Forward Telescopes 11630 AA and 11605 AA
11605 F
11605 F
Operating Sheath, 9 Fr., with pyramidal Obturator 11605 FO,
with working channel for laser fibers up to 400 micron-core
(maximum outer diameter 600 micron), with 1 stopcock and
1 LUER-Lock adaptor, for use with Miniature Straight Forward
Telescopes 11630 AA and 11605 AA
11605 KC
4-051
11605 KC
MINI-FET 11 B
Examination Sheath, diameter 2.7 mm, with pyramidal
obturator, with 1 stopcock and 1 LUER-Lock adaptor, for use
with Miniature Straight Forward Telescopes 11630 AA
and 11605 AA
131
Transabdominal Fetoscopy Set
in the Early Second Trimester
n
11506 AA
11506 AAK
Miniature Straight Forward Telescope 0В° Set,
with 30,000 pixels, semirigid, diameter 3.3 mm,
working length 30 cm, autoclavable, irrigation
connector, central working channel 4 Fr., lateral
working channel 3 Fr., with remote eyepiece,
fiber optic light transmission incorporated
including:
Seal, for working channel, package of 10
2x LUER Adaptor, with seal
Case
Recommended Accessories
Cleaning Brush, round, flexible, outer diameter 2 mm,
for working channel diameter 1.2 – 1.8 mm,
length 75 cm
7-11
27651 AK
Components/Spare Parts see chapter 14
132
MINI-FET 12 C
Transabdominal Fetoscopy Set
in the Early Second Trimester
HOPKINSВ® II Telescopes
Size 2 mm
26008 AA
26008 AA
HOPKINSВ® II Straight Forward Telescope 0В°,
diameter 2 mm, length 26 cm, autoclavable,
fiber optic light transmission incorporated,
color code: green
26008 FUA
26008 FUA
HOPKINSВ® II Telescope 12В°, diameter 2 mm,
length 26 cm, autoclavable, fiber optic
connector on opposite side, fiber optic light
transmission incorporated,
color code: black
26008 BUA
6-022
26008 BUA
HOPKINSВ® II Forward-Oblique Telescope 30В°,
diameter 2 mm, length 26 cm, autoclavable,
fiber optic connector on opposite side,
fiber optic light transmission incorporated,
color code: red
Please note:
When using KARL STORZ camera systems, a greater magnification may be achieved
with the HOPKINSВ® II telescopes.
Units and Accessories for Fetoscopy see chapter 13, UNITS
Container for Sterilization and Storage of Telescopes see catalog HYGIENE
MINI-FET 13 B
133
Transabdominal Fetoscopy Set
in the Early Second Trimester
Operating Sheaths
For use with HOPKINSВ® II Telescopes 26008 AA, 26008 FUA and 26008 BUA
26161 U
26161 U
Operating Sheath, 9 Fr., with pyramidal Obturator 26161 UO,
with working channel for laser fibers up to 600 micron-core
(maximum outer diameter 900 micron), with 1 stopcock and
1 LUER-Lock adaptor, for use with HOPKINSВ® II Telescope
26008 AA
26161 UF
26161 UF
Operating Sheath, 11.5 Fr., with pyramidal Obturator
26161 UFO, with working channel for laser fibers up to
600 micron-core (maximum outer diameter 900 micron),
with 1 stopcock and 1 LUER-Lock adaptor, for use with
Working Insert 26161 UH
26161 UH
Working Insert, with steering lever,
for use with Operating Sheath 26161 UF
6-022
26161 UH
Units and Accessories for Fetoscopy see chapter 13, UNITS
134
MINI-FET 14 B
Instruments for Fetoscopy
Semirigid Operating Instruments, Palpation Probe
Semirigid Operating Instruments, 3 Fr.
11510 L
11510 L
Biopsy Forceps, single
action jaws, 3 Fr., length
25 cm
11510 C
Grasping Forceps, double
action jaws, 3 Fr., length 35 cm
Palpation Probe, diameter 3 mm
11650 P
Palpation Probe, with cm markings, with
irrigation channel, diameter 3 mm, length 40 cm,
with LUER-Lock adaptor, with blunt obturator
6-023
11650 P
MINI-FET 15 B
135
Instruments for Fetoscopy
TAKE-APARTВ® Bipolar Grasping Forceps
Size 2.4 mm, for use with Trocars 11516 CL and 11516 CS
bipolar
26167 FG
26167 FG
TAKE-APARTВ® Bipolar Grasping Forceps,
flat jaws, serrated, size 2.4 mm, length 26 cm
including:
Handle
Outer Sheath
Working Insert, package of 5, for single use
Size 3 mm, for use with Trocars 30114 GA and 30114 GK
26184 HLS
TAKE-APARTВ® Bipolar Grasping Forceps,
flat jaws, serrated, size 3 mm, length 30 cm
including:
Handle
Outer Sheath
Forceps Insert
4-052
26184 HLS
Units and Accessories for HF Electrosurgery see chapter 13, UNITS
Components/Spare Parts see chapter 14
136
MINI-FET 16 B
Instruments for Fetoscopy
n
Bipolar Optical Grasping Forceps and Optical Scissors
For use with Miniature Straight Forward Telescope 11540 AA
bipolar
Size 2.4 mm, for use with Trocar 11520 AS
11540 FG
11540 FG
Bipolar Optical Grasping Forceps,
flat jaws, serrated, size 2.4 mm,
length 24.5 cm
including:
Handle, with outer sheath
Working Insert, serrated,
package of 5, for single use
Size 3 mm, for use with Trocar 11519 AS
11540 HLS
11540 HLS
Bipolar Optical Grasping Forceps,
flat jaws, serrated, size 3 mm,
length 24.5 cm
including:
Handle, with outer sheath
Working Insert, serrated
Size 3 mm, for use with Trocars 30114 GA, GK
11540 OS
2-081
11540 OS
Optical Scissors, single action
jaws, size 3.3 mm, for use with
Miniature Straight Forward
Telescope 11540 AA
Components/Spare Parts see chapter 14
MINI-FET 17 A
137
Instruments for Fetoscopy
Shunting Set, CVS Biopsy Forceps, CVS Biopsy Cannulas
Shunting Set, diameter 3 mm
11660 C
11660 B
11660 A
11660
Shunting Set
including:
Outer Sheath, diameter 3 mm, length 19.5 mm
3x Obturator, with pyramidal tip
Pusher
CVS Biopsy Forceps, size 2.2 mm
11650 FC
11650 FC
11650 FS
CVS Biopsy Forceps, curved, with
LUER-Lock adaptor for cleaning,
size 2.2 mm, length 22 cm
Same, straight
CVS Biopsy Cannulas, size 2 mm
11650 L
11650 L
4-051
11650 R
CVS Biopsy Cannula, with opening to the left, with
1 LUER-Lock adaptor, size 2 mm, length 22 cm
Same, with opening to the right
Components/Spare Parts see chapter 14
138
MINI-FET 18 A
Trocars for Fetoscopy
Sizes 2.6 and 3.2 mm
with insufflation connector
for use with TAKE-APARTВ® Bipolar Grasping Forceps 26167 FG
Cannula
Silicone Leaflet Valve
Trocar only
Size:
Working length:
Color code:
2.6 mm
Trocar, with pyramidal tip
including:
Cannula,
with LUER-Lock connector
Trocar only
Silicone Leaflet Valve
10 cm
black-yellow
13 cm
black
11516 CS
11516 CL
11516 C1
11516 C2
11516 S
11603 L1
11516 L
11603 L1
Size 3.2 mm
30114 FG
Fetoscopy Trocar, with LUER-Lock connector,
size 3.2 mm, length 10 cm
4-052
30114 FG
MINI-FET 19 A
139
Trocars for Fetoscopy
Size 3.5 mm
with insufflation connector
for use with TAKE APARTВ® Bipolar Grasping Forceps 26184 HLS
Cannula
Silicone Leaflet Valve
Trocar only
Size:
Working length:
Color code:
3.5 mm
5 cm
green
Trocar, with pyramidal tip
including:
Cannula,
with LUER-Lock connector
Trocar only
Silicone Leaflet Valve
30114 GK
Trocar, with blunt tip
including:
Cannula,
with LUER-Lock connector
Trocar only
Silicone Leaflet Valve
30114 GA
10 cm
green-yellow
n 30114 GKL
30114 G1
30114 G2
30114 K
30114 L1
30114 C
30114 L1
n 30114 GAL
30114 G2
30114 AK
30114 L1
30114 A
30114 L1
7-11
30114 G1
140
MINI-FET 20 A
Trocars for Fetoscopy
Sizes 3.9 and 4.7 mm
with insufflation connector
Cannula
Silicone Leaflet Valve
Trocar only
for use with Operating Sheaths 11630 KF/KH
Size:
Working length:
Color code:
3.9 mm
Trocar, with pyramidal tip
including:
Cannula,
with LUER-Lock connector
Trocar only
Silicone Leaflet Valve
10 cm
red-green
13 cm
red
11517 BS
11517 BL
11517 B2
11517 B1
11517 S
30117 L1
11517 L
30117 L1
for use with Operating Sheath 26161 UF
Size:
Working length:
Color code:
4.7 mm
10 cm
blue
11518 AS
11518 A2
11518 S
30118 L1
4-052
Trocar, with pyramidal tip
including:
Cannula,
with LUER-Lock connector
Trocar only
Silicone Leaflet Valve
MINI-FET 21
141
Trocars for Fetoscopy
n
Size 3.6 x 5.4 and 3.2 x 4.95 mm
with insufflation connector
for use with Bipolar Optical Grasping Forceps 11540 HLS (11519 AS)
and Bipolar Optical Grasping Forceps 11540 FG (11520 AS)
Cannula
Silicone Leaflet Valve
Trocar only
3.6 x 5.4 mm
10 cm
blue
Size:
Working length:
Color code:
11519 AS
11520 AS
11519 A2
11520 A2
11519 S
30160 L1
6127390
11520 S
30160 L1
6127390
7-11
Trocar, with pyramidal tip,
drop-shaped profile
including:
Cannula,
with LUER-Lock connector
Trocar only
Silicone Leaflet Valve
Sealing Cap
3.2 x 4.95 mm
10 cm
blue-white
142
MINI-FET 22
Trocars only, for Fetoscopy
For use with flexible trocars
11650 TD
11650 TD
Trocar only, 7 Fr., diameter 2.5 mm,
length 16 cm, package of 2
11650 TG
Trocar only, 10 Fr., diameter 3.3 mm,
length 17 cm, package of 2
Same, 11 Fr., diameter 3.6 mm
Same, 12 Fr., diameter 3.9 mm
2-081
11650 TH
11650 TI
Please note:
Products 11650 TD, 11650 TG, 11650 TH and 11650 TI are designed for use with the flexible trocars offered by
the company Cook (CHECK-FLO® PERFORMER® INTRODUCER SETS: RCF–x.x–38-J or RCFP–x.x–38-J).
MINI-FET 23
143
Accessories for Fetoscopy
26040 BX
n
Telescope Lock Plug, with LUER-Lock
for aspiration of liquid
Light Adaptor, angled 90В°, diameter 4.8 mm,
free rotatable to connect with standard telescopes
26022 MA
ALKEN Motion Control Device, for attachment to
the working channel, for instruments up to 5 Fr.,
enables precision introduction and fixation of laser
fibers or instruments, advanced in 1/10 mm steps
11510 V
Touhy Borst Y-Connector, rotating, sterile,
with one-way stopcock, package of 5
6011590
Plug, for lateral LUER-Lock adaptor
26022 Y
Insertion Adaptor, with LUER-Lock adaptor,
with removable seal for single use, to be
connected at the working channel of
Operating Sheath 11510 KD
26022 YD
Seal, for single use, package of 30,
for use with 26022 Y
4-051
495 EW
144
MINI-FET 24
Wire Trays for Cleaning, Sterilization
and Storage of Instruments
n
39502 Z/11630 AA
39502 Z/11506 AA
39502 Z/11510 A
39502 Z/11540 AA
39502 Z
Wire Tray for Cleaning, Sterilization and Storage
of instruments, stackable, including hole plate walls
and foldaway handles, external dimensions (w x d x h):
480 x 250 x 66 mm
39100 S
Large Diamond Grid Silicone Insert
39100 PS
Fixation Pin, package of 12
39360 AS
Silicone Tie-Down, package of 12
7-11
Required accessories
Please note: The instruments displayed are not included in the tray.
MINI-FET 25
145
Unipolar and Bipolar High Frequency Cords
Unipolar High Frequency Cords
KARL STORZ
Instrument
unipolar
High Frequency
Electrosurgical Unit
26002 M
Unipolar High Frequency Cord, with 4 mm plug
for models KARL STORZ, Erbe type T, older models
and Ellman, length 300 cm
26004 M
Unipolar High Frequency Cord, with 4 mm plug
for models Berchtold and Martin, length 300 cm
26005 M
Unipolar High Frequency Cord, with 5 mm plug for
AUTOCONВ® II 400 SCB system (111, 115, 122, 125),
AUTOCONВ® II 200, AUTOCONВ® II 80, KARL STORZ
AUTOCONВ® system (50, 200, 350) and Erbe
type ICC, length 300 cm
26006 M
Unipolar High Frequency Cord, with 8 mm plug
for models KARL STORZ AUTOCONВ® II 400 SCB
system (112, 116) and Valleylab, length 300 cm
Bipolar High Frequency Cords
bipolar
High Frequency
Electrosurgical Unit
26176 LE
Bipolar High Frequency Cord, for
AUTOCONВ® II 400 SCB system (111, 113, 115,
122, 125), AUTOCONВ® II 200, AUTOCONВ® II 80,
KARL STORZ Coagulator 26021 B/C/D,
860021 B/C/D, 27810 B/C/D, 28810 B/C/D,
AUTOCONВ® system (50, 200, 350), ErbeCoagulator, T and ICC series, length 300 cm
26176 LM
Bipolar High Frequency Cord, for Martin and
Berchtold coagulators, length 300 cm
26176 L
Bipolar High Frequency Cord, with 2x 4 mm
banana plug for KARL STORZ Coagulator
26020 XA/XB and Ellman, length 300 cm
26176 LA
Bipolar High Frequency Cord, with 2x 4 mm
banana plug for KARL STORZ Coagulator
26020 XA/XB and Valleylab, length 300 cm
26176 LV
Bipolar High Frequency Cord, for KARL STORZ
AUTOCONВ® II 400 SCB system (112, 114, 116,
122, 125) and Valleylab coagulators, length 300 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. 26002 ML, 26176 LVL.
146
MINI-FET 26
1-994
KARL STORZ
Instrument
Request per Business Reply Card
or per FAX
+49 (0)7461 708 404 or one of KARL STORZ distribution companies
– checkmark – provide address on back of card – send –
вњ‚
Catalogs
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Catalogs
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Neuro-Endoscopy
KARL STORZ OR1в„ў, Telepresence
Oral and Maxillofacial Surgery
ENDOPROTECT1,
Spare Parts Catalog (all specialties)
ENT – Esophagoscopy –
Bronchoscopy
Print
Version
CD
Version
Plastic Surgery
Anesthesiology and Emergency Medicine
Catalog excerpts
(please checkmark):
Print Version
with CD
Cardiovascular Surgery
Thorax
Gastroenterology
Laparoscopy
Gynecology
Urology
Proctology
Arthroscopy, Sports Medicine,
Spine Surgery
Standard Instruments
Fetoscopy
Laryngology
Otology – Ear
Rhinology and Rhinoplasty
Sinoscopy, Rhinoscopy, Postrhinoscopy
Pediatric Laparoscopy
Microscopy
Pediatric Surgery
KARL STORZ OR1в„ў
NOTES
Telepresence
вњ‚
Address:
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paid
Hospital/ Office
Contact
Street
Postal Code
REPLY
Town/City
Tel.
KARL STORZ GmbH & Co. KG
E-mail
Postfach 230
вњ‚
D-78503 Tuttlingen/Germany
Request per Business Reply Card
or per FAX
+49 (0)7461 708 404 or one of KARL STORZ distribution companies
– checkmark – provide address on back of card – send –
вњ‚
Address:
Postage
paid
Hospital/ Office
Contact
Street
Postal Code
REPLY
Town/City
Tel.
KARL STORZ GmbH & Co. KG
E-mail
Postfach 230
D-78503 Tuttlingen/Germany
вњ‚
CD
Version
Catalogs
(please checkmark):
Neuro-Endoscopy
KARL STORZ OR1в„ў, Telepresence
Oral and Maxillofacial Surgery
ENDOPROTECT1,
Spare Parts Catalog (all specialties)
ENT – Esophagoscopy –
Bronchoscopy
Print
Version
CD
Version
Plastic Surgery
Anesthesiology and Emergency Medicine
Catalog excerpts
(please checkmark):
Print Version
with CD
Cardiovascular Surgery
Thorax
Gastroenterology
Laparoscopy
Gynecology
Urology
Proctology
Arthroscopy, Sports Medicine,
Spine Surgery
Standard Instruments
Fetoscopy
Laryngology
Otology – Ear
Tear along perforation!
(please checkmark):
Print
Version
Rhinology and Rhinoplasty
Sinoscopy, Rhinoscopy, Postrhinoscopy
Pediatric Laparoscopy
Microscopy
Pediatric Surgery
KARL STORZ OR1в„ў
NOTES
Telepresence
вњ‚
Catalogs
Important Notes:
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.