11
Chapter 11
ARTHROSCOPY & LAPAROSCOPY
Introduction
Standard Arthroscope, 4.0mm
with Arthroscopic Sheath
Using fibre optics the arthroscope is able to deliver light and obtain an
image from within the joint thus obviating the need for an extensive
surgical approach and keeping surgical trauma to soft tissues at a
minimum. However, arthroscopy is not a risk free procedure as it
involves placing sharp metal objects into the joint space.
Although arthroscopy may be considered expensive in terms of both the
dedicated instrumentation required and the time and money involved in
training, it is recommended that sufficient resources are allocated to
purchase good quality equipment at the outset. (Equipment failures being
very frustrating and ultimately very expensive.)
Arthroscopes
An arthroscope is a rigid endoscope consisting of a system of lenses,
which collects and transmits an image from the tip of the instrument along
the shaft to an eyepiece or camera. A light post close to the eyepiece
allows light to be passed into the shaft and down optic fibres surrounding
the lens system to illuminate the subject area at the tip.
• 115 degree field of vision
• special coated front lense system
• elongated working lengths
• non rotating stopcock, robust and durable
The diameter refers to the outside diameter of the unsheathed shaft of the
telescope. Two sizes are commonly used in equinel arthoscopy:4.0mm
and 2.7mm. 4.0mm is the standard, with 2.7 being useful for small joints
like the coffin joint.
The viewing angle is the angle between the lens face and a line drawn at
right angles to the long axis of the arthroscope. A 0˚ scope views straight
ahead from the front of the lens, while a 90˚ scope sees an image at right
angles to the long axis of the scope. Most veterinary arthroscopes have a
viewing angle of 30˚, which is a compromise between field of view and
distortion. The user needs to be aware which way the lens is pointing. The
light post is used as a reference point and is positioned opposite the angle
of view. Rotating the scope along its long axis will allow the surgeon to
view a large area within the joint with minimal repositioning. An oblique
viewing angle does offer the surgeon a limited ability to see ‘around
corners’.
T181-4030
Wide angle telescope, 30°, OD:4 mm, WL:18 cm,
115° field of vision, standard light cable
connectors, autoclavable
£2200.00
S180-4031
Sheath for arthroscopy, OD: 5.5 mm, WL:16 cm
compatible with T181-4030, stopcock,
including blunt & sharp trochar
£350.00
Needle Arthroscope, 2.7mm with Arthroscopic Sheath
Each arthroscope will require a dedicated sheath, which protects the
arthroscope as well as delivering fluid to the tip. Sheaths offering a high
rate of flow are preferable. The sheath reduces the effective working length
of the 4.0mm scope to approx 16.0cm. Conversely, the sheath will
increase the working diameter of the arthroscope. 4.0mm becomes 5.5mm.
All scopes are now available in autoclaveable versions. Autoclaving,
especially for fine scopes, will significantly reduce the working life of the
instrument. Autoclavable scopes can be soaked & we recommend this
method of sterilisation to preserve your scope. If your scope is not marked
autoclavable, it can only be soaked.
T141-2730
Wide angle telescope, 30°, OD: 2.7 mm, WL:14 cm,
large image technology, standard light cable
connectors, autoclavable
£2000.00
S140-2731
Sheath for arthroscopy, OD: 3.8 mm, WL:12 cm,
compatible with T141-2730, stopcock,
including blunt & sharp trochar
£300.00
Accessories for sterilising and storing
72
DE2980-51
Sterilizing & storing tray, 290x80x52mm,
perforated, stainless steel with silicon
specially designed for rigid telescopes
£175.00
DE4680-52
As above but 460x80x52mm
£175.00
ARTHROSCOPY & LAPAROSCOPY
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11
Hand Instruments
TR-03-201
I-18-520
Hook probe for arthroscopy, 3 mm,12 cm,
strong version, heavy handles
Special knife for arthroscopy,
3 mm break safe special cut, heavy handles
I-18-517
I-18-100
Curette, straight, strong version, Cup oval,
size: 6x4 mm
£95.00
Elevator, extra strong, curved, 6 mm
£95.00
Osteotome, curved, 6 mm
£85.00
I-18-622
I-18-536
I-18-110
Chisel, straight, 4 mm
I-18-519
£220.00
Curette, 35° oblique left, strong version,
cup oval, size: 6x4 mm
£100.00
Curette, 35° oblique right, strong version,
cup oval, size: 6x4 mm
£100.00
Special elevator for the coffin joint,
acc to Dr. Zöttl, 12 cm, strong version
£120.00
Special elevator for sesamoide fractures acc.
to Dr. Foerner, 4 mm curved, long.
£165.00
Hook scissors for arthroscopy, straight,
single action jaws, OD: 4 mm, WL: 15 cm
£445.00
£85.00
I-18-534
I-18-518
Special egress curette, straight, strong version,
oval cup: 5.5mm, 3 mm opening and LL(f)
suction connector, WL:11cm
£125.00
I-18-621
I-18-601
£135.00
£85.00
I-18-635
I-18-521
Puncture needle, ID:3mm, WL:20cm,
incl. sharp trocar
Egress cannula, with sharp trocar,
stopcock, ID: 3 mm, WL: 7 cm
£125.00
Egress cannula, with sharp trocar,
stopcock, ID: 4 mm, WL: 7 cm
£125.00
I-18-963
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11
ARTHROSCOPY & LAPAROSCOPY
Rongeurs
Light Sources & Cables
Standard Line Instruments
Halogen light sources are inexpensive but not as good as the xenon based
systems, which are, unfortunately, significantly more expensive to purchase
and maintain. Xenon light sources have a higher intensity and are essential
if the unit is to be used for laparoscopic work. Thus xenon is preferable but
halogen can be used successfully in most joint investigations. Both xenon
and halogen bulbs have a limited life (xenon typically 500 hours, halogen
typically 2000 hours) and bulb failure is at best embarrassing so always
carry a spare. The light cable carries light from the source to the
arthroscope by fibre optics. Each cable has dedicated connectors to couple
with the light source and the arthroscope. Connections on both light source
and arthroscope vary from manufacturer to manufacturer. Converters are
available for both light source and arthroscope but it is wise, if possible, to
purchase the appropriate cable for the system.
High quality instruments with long life span specifically designed for
arthroscopy. Standard Handle type, small jaws, extremely durable
H150-5-2 Halogen Light Source 150W
I-18-661
Rongeur "standard line", cup size: 4x8 mm,
oval, straight, fenestrated, WL: 11 cm
£475.00
I-18-6611
Rongeur "standard line", cup size: 4x8 mm,
oval, straight, fenestrated, ratchet, WL: 11 cm
£535.00
Rongeur "standard line", cup size: 4x8 mm,
oval, angled upwards, fenestrated, L: 11 cm
£535.00
I-18-662
Ergonomic Line Instruments
High quality instruments with long life span specifically designed for
arthroscopy. Ergonomic Handle type, small jaws, extremely durable.
H150-5-130
Halogen light source 150W
£1,100.00
Xenon Light Source
I-18-7613
I-18-6412
Rongeur, cup size: 4 x 8 mm, fenestrated
straight, WL: 12 cm, ergonomic handles
Rongeur/hook grasper "Chip-catcher",
for large fragments, rachet, WL: 13.5 cm
£495.00
LK-FX-100
Xenon light source
£3,450.00
KW-48-231
Fibre light cable, 4.8mm, 2.3M,
both sides compatible to Wolf, autoclavable
£450.00
KS-48-231
Fibre light cable, 4.8mm, 2.3M, unit side comp.
to Storz, endoscope side comp.
to Wolf, autoclavable
£400.00
KS-48-230
Fibre light cable, 4.8mm, 2.3M, Olympus/Wolf
£425.00
KS-48-300
Fibre light cable, 4.8mm, 3.0M, Storz/Storz
£425.00
£545.00
Power Line Instruments
High quality instruments with long life span specifically designed for
arthroscopy. Heavy Handle type, small jaws, extremely durable.
I-18-973
I-18-974
Rongeur "power line", cup size: 5x10 mm, straight, oval cup,
WL: 15 cm, heavy handles, extremely durable
£545.00
Rongeur "power line", cup size: 5x10 mm fenestrated,
straight, small tip, WL: 15 cm, heavy handles,
extremely durable
£545.00
All cable combinations available.
74
ARTHROSCOPY & LAPAROSCOPY
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Cameras & Monitors
11
Monitor
Direct viewing of the joint through the eyepiece is possible. However,
practicality and the issue of contamination dictate that a camera system is
an essential part of the equipment. Arthroscopic cameras work in a very
similar fashion to video cameras in common usage. The image at the
eyepiece of the arthroscope is focussed on a light responsive electronic
chip(s). The signal created is transferred to a camera controller, which
processes the image into a signal recognised by the monitor and/or
recording system.
Most veterinary cameras have a single chip, which is sufficient for most
users.
Flat Screeen Professional Monitor
The connection of the camera head to the eyepiece of the arthroscope is
also variable. To maximise the choice and longevity of the instrumentation
it is advised that a clip on camera head compatible with DIN standard
eyepieces be selected. The camera heads are fully immersible.
Pre-owned cathode ray tube type monitor
Professional monitors offer a better image than domestic screens as they
have a better resolution. Some pre-owned units are always available. Ring
for details.
Image Capture
Good practice dictates that a record is made of any arthroscopic
procedure. Subsequent investigations can be compared to earlier ones
and images can be shared and compared with colleagues or tutors as part
of a training programme. Domestic video recorders will create a permanent
record of a procedure. However the data is relatively crude and difficult to
manipulate . Still video printers capture an image from a video stream
which can then be printed onto photographic paper.
Digital video and data storage technology now allows the surgeon to
record and store very large amounts of data in a digital format. The digital
information can subsequently be manipulated by appropriate computer
software to create both still and moving images in a variety of formats for
storage or display. If clinical presentations are anticipated then a digital
system is very desirable. Domestic DVD or combined DVD/Hard drive
recorders offer huge storage capacities at reasonable prices.
The data is stored as Digital Video (DV) which can be converted into many
other formats. The major arthroscopy companies offer sophisticated data
storage systems which are able to capture and store still and movie files
via sterile touch screens or camera finger controls. Permanent records are
maintained on DVD discs or computer hard drives.
Top quality equipment from a major human arthroscopic company but at
a discount price. It is important to obtain the best possible image.
Arthroscopy is difficult enough without working with poor quality images.
Buy the best ‘scope’ and camera you can afford. The Eagle Eye camera
is human quality as is the matching light source.
We usually have some pre-owned Sony video printers in stock.
Ring for details.
ARTHREX EAGLE EYE CAMAERAS AND LIGHTS
AR-5970SP
Eagle Eye Single Chip Camera
£4,250.00
AR-3595SP
Eagle Eye 300watt Xenon light Source
£3,950.00
AR-3041
Light Cable
EAGLE OFFER Eagle Eye Single Chip Camera
+ Xenon Light Source & Cable Save £3,200.00
USB Based Image Capture System
£500.00
£5,500.00
Camera Covers
DE-10-25
Camera covers, disposable, (30) polyethylene,
13x50cm
£120.00
CAMPT
Camera cover with perforated tip
250cm x 12.5cm (60 sterile)
£120.00
CAMET
Camera cover with elasticised tip
250cm x 12.5cm (60 sterile)
DE-10-25/Single Single camera cover (disposable) 13x50cm
DE-10-01
Camera cover, reusable, waterproof, washable,
autoclavable, 12x200cm, 1 pc
The latest version the image capture device captures both still images
and mpegs directly onto a USB stick ready for transfer to permanent
storage.
Capture is activated by pressing a button on the front panel or if the
surgeon prefers to keep control there is an optional foot control.
£150.00
£5.50
£70.00
75
46-USB-200
USB Image Capture Jpeg and Mpeg
£2,500.00
46-USB-15-1
Footswitch for USB Capture System
£150.00
11
ARTHROSCOPY & LAPAROSCOPY
Fluid Infusion and Outflow
Hand Pressure Infusion Cuffs
Infusion of fluids or gas into the joint is essential to create an environment
in which the arthroscope can view joint structures. The joint must be
expanded and debris removed to maintain a clear field of view.
To maintain an appropriate intra-articular pressure (between 40 and
100mm of mercury) (0.053 and 0.133 BAR) fluid inflow and outflow must
be carefully regulated. Fluid under pressure may be obtained by either
gravity feed systems or a pump. Gravity may be sufficient provided the
fluid bags can be lifted high enough but greater, more controllable
pressure may be obtained by use of a fluid compression bag.
The bag of fluid to be infused is placed into a pressure bag, which is
inflated using a hand or machine pump. Without careful monitoring hand
inflation systems offer erratic pressure levels and use of a regulated pump
offers much better control. A carbon dioxide powered pump may be used
to pressurize a compression bag or infuse carbon dioxide directly into the
joint. Dedicated roller type pumps are able to maintain a constant line
pressure over extended periods but they may require dedicated tubing, are
expensive to purchase and are more prone to breakdown.
To create fluid flow through the joint, appropriate fluid outflow or egress
must be maintained. In the smaller joints (elbow, hock and hip), a large
bore hypodermic needle may be sufficient. In the larger joints (shoulder,
stifle) where greater volumes of fluid are involved, dedicated multi
fenestrated egress cannulae may be necessary, the waste fluid may be
collected by either bag systems or suction devices.
Use of direct CO2 infusion is indicated in some inflamed joints where
inflammatory synovial villae obstruct the visual field, the villae being
flattened under gas pressure rather than floating free in infused fluid. In
addition, use of CO2 increases the field of view and image clarity of the
arthroscope. CO2 is usually used intermittently with fluid to allow for
flushing.
AR-08-100
Pressure infusion cuff for 500-1000ml complete with
pressure gauge and hand pump, reusable
£275.00
AR-08-300
Pressure infusion cuff for 3000-5000ml complete with
pressure gauge and hand pump, reusable
£325.00
AR-08-110
Pressure infusion cuff for 500-1000ml without
pressure gauge, Luer Lock (fem), reusable
£175.00
AR-10-948
Silicon tube, 7x2mm, 3m, autoclavable,
Luer-Lock (m), needle (f), sterile bags/bottles
£125.00
X-7-20-10
Spare silicon tube, 1 metre, size: 7x2mm, colour: natural £12.50
LLM-1258
Spare Luer-Lock connector, male,
comp. to silicon tubes 7x2mm
£15.00
AR-10-9
Spare needle for infusion bottles/bags, ID:5.5mm,
comp. to silicon tubes (7x2mm)
£45.00
X-180-26
Silicon tube, ID:5mm, 180cm, LLm both ends, autoclavable £40.00
X-5-15-10
Spare silicon tube, 1m, autoclavable,
size: 5x1,5mm, colour: nature
LLM-1250
Spare Luer-Lock connector (m), comp.
to silicon tubes (5x1.5mm)
£9.50
£15.00
Pressure Pump Infusor
Features:
• automatic control
• pressure continously
adjustable
• max. 300mm Hg pressure
• easy handling
• no mechanical parts
• for fluid and CO2 supply
Arthroscopy Infusion Pump
AR-10-100
Pneumatic pressure infusor, for infusion cuffs,
for veterinary arthroscopy, complete 4mm tube to
central pressure supply, DIN tube connection, front
side Luer-Lock (f), universal table fixator, easy pressure
setting, automatic regulation (0-300mmHg)
£1,250.00
Pressure Infusion Cuff
with fluid bag
Provided the surgeon is prepared to commit to the purchase of 100 patient
infusion sets per year Arthrex is prepared to offer its Continuous Wave
Arthroscopy Pump (AR-6450) (value £3,750) on free loan. This pump has
been in use in the human sector for some 15 years and is very reliable.
Line pressure and flow rate are user defined. This means that the fluid
pressure does not have to be continually monitored and adjusted by
nursing staff. In addition, if the tube pressure is correct, any problems with
fluid flow can be immediately localised to the arthroscope. This is not the
case with inflated cuffs where only the pressure within the bag is known.
Hand pump or Luer-Lock
(fem) for infusor
Connection
to fluid bag
Patient
Fluid
Supply
Infusor
Three
way
stopcock
Direct CO2 supply
(only in connection with CO2 infusor
If you are performing 3 or more procedures per day it is cheaper to buy the
separate Machine (one per day) and Patient Tube Sets.
AR-10-901
CO2 Infusor, for large/small animal arthroscopy, DIN
connector tube to pressure reducer (DIN type) pressure
setting 0-300mm Hg tube connection Luer-Lock(f) £1,550.00
AR-6450
Arthroscopy Pump
£3,750.00
AR-6415
Combination Machine and Patient Tube (10)
£260.00
AR-10-903
Reduction valve for CO2-bottles, UK fitting
£165.00
AR-6410
Machine Tube Set (10)
£290.00
AR-10-922
AR-6325
Patient Only Tube Set (20)
£160.00
Sterile filter system for CO2 infusor, disposable,
box with 50 pcs
£195.00
76
ARTHROSCOPY & LAPAROSCOPY
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Shaver Systems
Electrocautery
Arthroscopic electrocautery or radiofrequency devices focally create heat
within the tissues to create haemostasis, debridement or to shrink the joint
capsule in selected cases of instability. Long, fine insulated probes are
available which may be powered by standard surgical electrocautery units.
The tips are bathed in fluid at all times but essentially the same processes
occur at the tissue level as in surgical electrosurgery.
Virtually the only powered instrument in use in Veterinary arthroscopy is the
shaver. The shaver is essentially a motorized bur. It may be used to debride
cartilage, bone or soft tissues. A range of tips of different designs and sizes
are available to manage the different tissues. Tips designed for soft tissues
are typically larger and more aggressively toothed. Suction may be applied
to the cutting tip via the hand piece to remove debris. The hand piece is
driven by a control box operated by finger or foot controls. The speed and
direction of cut are selectable. The tips are usually designed to be
disposable, however with careful use, cleaning and re-sterilisation they may
be re-used. Very expensive to buy new, Veterinary Instrumentation
maintains a stock of high quality ex-hospital units for sale.
Radiofrequency devices create heat by inter-molecular friction. Tips are
available in both monopolar and bipolar formats and may be used to debride
structures such as damaged meniscus or fat pad. Capsular shrinkage by
radiofrequency may be used to tighten joint capsules following arthroscopy
or injury. Radiofrequency ablation dissolves intra-articular tissues at a
relatively low temperature. The resulting debris is removed by suction. The
technique is therefore an alternative to the shaver for removing soft tissues.
At least one manufacturer supplies combined shaver blades and ablator
wands which offer both options on the same intra-articular device.
Phone for details.
Linvatec Shaver
Arthroscopic Procedure Electrosurgical System (OPES)
The Linvatec
Shaver System is
very interesting
from a veterinary
arthroscopy point
of view as it is
able to use
2.0mm micro
burs. Other major
brands have a
minumum blade diameter of 2.8mm which may not seem a very big
difference but is almost half as big again.
The Universal Drive Console is a Microprocessor-controlled power unit
that drives and controls current Linvatec handpieces. C9820, C9824,
C9828, & Micro C9840. The latter is the most useful but most difficult to
find. A wide range of current blades are available.
CONSOLE FUNCTIONS INCLUDE:
Audio response feedback. The unit tells you which direction the bur is
moving.
Normal (on-off) and variable (accelerator) footswitch speed controls.
Footswitch sensitivity controls.
Handpiece aspirate mode.
Handpiece reverse/forward/oscillate cutting modes.
Speed and direction of rotation are displayed.
HANDPIECES
Balance, sealed and lightweight.
Sealed motor assembly. Up to 6000rpm in forward or reverse. Up to
1500rpm in oscillate
Suction control valve.
Cutting modes are controlled by footswitch or from the drive console.
Supplied as kit including console, footcontrol (exact model may vary)
and micro C9840 handpiece which take the micro series of blades going
down to 2mm with 6 month warranty
LINSHAV
SBC9960
SBC9950
Linvatec Shaver System Complete
2mm Linvatec Micro Gator Shaver Blade
2mm Linvatec Micro Cuda Shaver Blade
11
Ablation wands
A comprehensive orthopaedic electrosurgical system combining
arthroscopic ablation, arthroscopic coagulation, open surgery monopolar
and bipolar surgery from one fully digital generator. With 3 in 1 system
flexibility, the OPES Electrical Generator is also capable of controlling a
host of different instruments, including disposable monopolar arthroscopic
electrodes, reusable and disposable monopolar open procedure pencils
and tips, and reuseable bipolar forceps. The need for separate and costly
systems is eliminated. Provided the surgeon is prepared to agree to an
annual purchase commitment Arthrex is prepared to offer its OPES
Console (AR-9600) (Value £5,500) on FREE loan. Email [email protected]
or phone John to discuss the purchase commitment.
AR-9600
OPES Console
AR-9600FB
Bipolar foot pedal
£240.00
AR-9611SFR
Bipolar forceps
£265.00
AR-961CR
Bipolar forceps cable
£120.00
£115.00
AR-9610
Monopolar handpiece (disposable) (Box of 5)
£80.00
£130.00
VAR-1005-01
Ground pad
£45.00
Cable
£70.00
£80.00
£2,500.00
SBC9911
2mm Linvatec Micro Spherical Shaver Blade
£125.00
VAR-1005-06
SBC9961
2.9mm Linvatec Micro Gator Shaver Blade
£115.00
Ablation wands and electrodes from
BROPES
SBC9962
3.5mm Linvatec Micro Gator Shaver Blade
£115.00
SBC9264
3.5mm Linvatec Gator Shaver Blade
£115.00
SBC9253
3.5mm Linvatec Cuda Shaver Blade
£115.00
SBC9111
4.5mm Linvatec Spherical Shaver Blade
£125.00
77
Opes Literature
£5,500.00
£FOC
11
ARTHROSCOPY & LAPAROSCOPY
Laparoscopes for Minimally
Invasive Surgery
Laparoscopes
Safety trocar Tissue pressure exposes the sharp tip
T501-1000
230-264
10MM INNER DIAMETER TROCHARS & CANNULAE FOR 10MM ’SCOPES
T291-1030
Good optics are a pre-requisite for successful laparoscopy. The more you
see the easier it becomes. Fritz ’scopes have a patented large image
optical system taking in a wide field of vision producing a full screen, very
high definition image.
LAPAROSCOPES
Wide angle telescope, 0°, OD:10mm, WL:50cm,
large image optical system, stand. light connectors,
autoclavable for equine and large animal practice £3450.00
T501-1030
Wide angle telescope, 30°, OD:10mm, WL:50cm,
large image optical system, stand. light
connectors, autoclavable for equine and
large animal practice
£3450.00
T291-1030
Wide angle telescope, 30°, OD:10mm, WL:30cm,
SIRIUS system, autoclavable, standard light
cable connectors
£2350.00
Cannula only, magnetic valve, ID:10 mm, WL:20 cm,
inflation stopcock
230-161
Safety trochar only compatible to cannulas ID:10 mm,
WL: 20 cm, fully dismantable with cork screw handles £325.00
£345.00
16MM INNER DIAMETER FOR STAPLER AND TISSUE EXTRACTION OR BIOPSIES
All the laparoscopes are autoclavable and have standard eyepiece and
light cable connectors.
T501-1000
230-264
635-203
Cannula only, magnetic valve, ID:16 mm, WL:15 cm
Trinox, without stopcock
£325.00
235-111
Trochar only with sharp tip for trochars ID: 16 mm,
WL: 15 cm
£115.00
Accessories
Trochars and Cannulae
Trochar cannulas are designed with different types of valves to reduce or
to avoid CO2 loss when changing instruments and telescope during
laparoscopy and thoracoscopy. Our reusable and patented magnetic valve
trocar system has several advantages compared to other valve types.
They are lightweight and because of the valve construction, the insertion of
instruments and scopes will pass smoothly through without scratching or
touching the front lens like in a so called automatic valve system. In
addition there is nearly no gas loss even when changing instruments.
There are no mechanical parts to clean inside except the magnetic flap
itself which is a great help to your staff.
ACCESSORIES
Trochar Cannulas with magnetic valving
230-505
Reducer adapter for trochar cannulas with ID:10 to 5.5mm
£33.00
237-505
Reducer adapter for trochar cannulas with ID:13 to 5.5mm
£33.00
231-211
Sealing caps, for trochar cannula 5.5mm p. of 10 pcs
£27.00
230-211
Sealing caps for trochars and reducer adapters
£27.00
231-215
Magnetic valve flap 5.5mm, p. of 2 pcs.
£35.00
230-215
Magnetic valve flap 8/10mm, p. of 2 pcs.
£35.00
5.5mm Inner Diameter
Spleen/Kidney Trocar
5.5MM INNER DIAMETER CANNULAE FOR 5MM ’SCOPES
231-265
Cannula only, magnetic valve, ID:5,5 mm,
WL:20 cm, inflation stopcock
231-161
Safety trochar only, compatible to cannulas ID:5,5 mm,
WL: 20 cm, fully dismantable with cork screw handles £310.00
231-129
Trochar only, with pyramidal tip for trochar with ID: 5.5 mm,
WL:20 cm
£95.00
£335.00
Designed by Dr Marien for closing of the spleen/kidney space.
SPLEEN/KIDNEY TROCAR
TR-23-250
78
Working trocar acc. to Dr.Marien,ID:23 mm, 17 cm,
including cannula (TR-250) sharp trochar (TR-23)
£245.00
ARTHROSCOPY & LAPAROSCOPY
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Palpation, Dissection and
Puncture Instruments
11
Hand Instruments
Fritz hand instruments have a modular construction. The handles, the
connecting tubes and the working jaw tips are interchangeable.
Easily stripped down for cleaning, compatible to 5mm and 10mm trochar
cannulas. All handles have a High Frequency connector.
Laparoscopy First Puncture Needle. Veress
Handles
LAPAROSCOPY NEEDLE VERESS
L-19-150
Veress Needle 2mm x 150mm Luer Lock
£95.00
Thoracoscopy First Puncture Needle, long version
H11 /H12
The instruments may have plastic coated or stainless handles. They may
or may not have a ratchet. The ratchet may be external or enclosed. See
individual instruments for exact construction.
THORACOSCOPY NEEDLE
TR-03-201
H01 /H05
Thoracoscopy Needle 3mm x 200mm
includes sharp trochar
Tubular sheaths
£135.00
5mm diameter, 470mm long protected interchangeable needle with outer
tube. Consists of:
5mm or 10mm diameter options.
Different working lengths which may be rotated through 360 degrees.
Insulated or stainless steel.
L-47
L-47-2
L-210
5mm Instruments Complete
Inside tube Luer lock Connector
Outside tube/probe
Needle 1x28mm
Scissors
PALPATION PROBE & PUNCTURE CANNULA
L-47-210
Palpation Probe/Cannula
L-210
Injection Cannula 1 x 28mm compatible to L-33/47 2pcs
L-218
Injection Cannula 1.9 x 26mm compatible to L-33/47 2pcs £52.00
L-218R
Injection Cannula 2 x 40mm blunt compatible
to L-33/47 2pcs
Metzenbaum Scissors 531.01H05V
5 mm, 33 cm, curved left, insulated,
rotatable, dismantable,consisting of:
jaws insert (53M01), sheath (53R1)
handle (H 05), color code: white
Metzenbaum Scissors 541.01H05V
As above except 43cm
£195.00
£52.00
£52.00
SCISSORS
Knot tier and cutter
531.01H05V
Metzenbaum Scissors (33cm)
£425.00
541.01H05V
Metzenbaum Scissors (43cm)
£425.00
Biopsy Forceps
Makes it easy to thread and
tighten sutures. Integrated cutting
device.
Biopsy Forceps 531.61H01V
531.61H01V Biopsy forceps, double
action jaws, with spikes, 5 mm,33 cm,
rotatable, dismantable,consisting of:
jaws insert (53 M 61), sheath (53 R 1)
handle (H 01), color code: black
5mm diameter 400mm long.
KNOT TIER AND CUTTER
L-19-544
Knot Tier Long Version
£200.00
BIOPSY FORCEPS
531.61H01V
Biopsy Forceps Double Action Jaw (33cm)
£425.00
541.61H01V
Biopsy Forceps Double Action Jaw (43cm)
£425.00
Adjustable Fan Retractor
Dissecting Forceps
Dissecting Forceps (Maryland)
531.40H01V
5 mm, 33 cm, turned, insulated,
rotatable, dismantable, consisting of:
jaws insert (53 M 40), sheath (53 R 1)
handle (H 01), color code: black
The spread of the five blades can be adjusted externally.
O/D 10mm WL:340mm Luer lock irrigation connector.
DISSECTING FORCEPS
FAN RETRACTOR
L-19-1006
Fan Retractor
£505.00
79
531.40H01V
Dissecting Forceps (Maryland) (33cm)
£375.00
541.40H01V
Dissecting Forceps (Maryland) (43cm)
£375.00
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ARTHROSCOPY & LAPAROSCOPY
Grasping Forceps
Atraumatic Grasping Forceps
Atraumatic grasping forceps,
141.49H11V
10mm, 37 cm, insulated, rotatable,
dismantable, consisting of: jaws insert (13
M 49), sheath (13 R 1) handle (H 11) color
code: black
Grasping forceps 531.22H11V
5 mm, 33 cm, universal, insulated,
rotatable, dismantable, consisting of: jaws
insert (53 M 22), sheath (53 R 1) handle
(H 11), color code: black
ATRAUMATIC GRASPING FORCEPS
GRASPING FORCEPS
141.49H11V
531.22H11V
Grasping Forceps (33cm)
£425.00
541.22H11V
Grasping Forceps (43cm)
£425.00
Atraumatic Grasping Forceps
£525.00
Claw Grasping Forceps
Claw grasping forceps, 146.32H11V 10
mm, 37 cm, metal, double action jaws,
rotatable, dismantable, consisting of: jaws
insert (13 M 32), sheath (13 R 6) handle
(H 11)
Claw Grasping Forceps
Claw Grasping Forceps 536.30H12V
5 mm, 33 cm, straight, metal, rigid,
dismantable, consisting of: jaws insert (53
M 30), sheath (53 R 6)
handle (H 12)
CLAW GRASPING FORCEPS
146.32H11V
Claw Grasping Forceps
£525.00
Needle Holders
CLAW GRASPING FORCEPS
536.30H12V
Claw Grasping Forceps (33cm)
£425.00
546.30H12V
Claw Grasping Forceps (43cm)
£425.00
10mm Instruments Complete
NEEDLE HOLDERS
Scissors
Mayo scissors, 141.11H05V,
10 mm, 37 cm,insulated, rotatable,
dismantable, consisting of: jaws insert (13
M 11), sheath (13 R 1) handle (H 05) color
code: white
L-19-581
TC jaw, straight, ID: 5 mm, long version,
WL: 37 cm, axial handle, LL cleaning connector £645.00
L-19-583
TC jaw, angled upward, ID: 5 mm, long version,
WL: 37 cm, axial handle, LL cleaning connector £645.00
Suction/Irrigation Instrument
SCISSORS
141.11H05V
Mayo Scissors (37cm)
£525.00
Dissecting Forceps (Overholt)
Available in both 5mm and 10mm diameters. 5mm has single channel
whilst 10mm has 2 channels to seperate suction and irrigation.
Component and replacement parts available. Visit www.vetinst.com for
details.
Dissecting forceps, (OVERHOLT),
141.48H11V
turned, 10 mm, 37 cm, insulated, rotatable,
dismantable,consisting of: jaws insert (13
M 48), sheath (13 R 1)
handle (H11) color code: black
SUCTION/IRRIGATION INSTRUMENT
SM1-54RH98
DISSECTING FORCEPS (OVERHOLT)
141.48H11V
Dissecting Forceps (Overholt)
£525.00
Babcock Grasping Forceps
Babcock grasping forceps, 141.26H11V
10mm, 37 cm, insulated, rotatable,
dismantable, consisting of: jaws insert (13
M 26), sheath (13 R 1)
handle (H 11) color code: black
Suction/Irrigation Instrument ID:5mm,
WL37cm metal tube
£475.00
SK1-54RH98
Suction/Irrigation Instrument ID:5mm,
WL37cm isolated tube
£475.00
S9-14T2RH98
Suction/Irrigation Instrument ID:10mm,
WL37cm Olive tip
£400.00
S9-14T4RH98
Suction/Irrigation Instrument ID:10mm,
WL37cm Perforated tip
£400.00
Special devices
BABCOCK GRASPING FORCEPS
141.26H11V
Babcock Grasping Forceps
£525.00
Universal Grasping Forceps
Please contact us for technical details / specifications.
SPECIAL DEVICES
Universal grasping forceps, 141.25H11V
10 mm, 37 cm, insulated, double action
jaws, rotatable, dismantable, consisting of:
jaws insert (13 M 25), sheath (13 R 1)
handle (H 1) color code: black
UNIVERSAL GRASPING FORCEP
141.25H11V
Universal Grasping Forcep
H140-3S
Suction and irrigation pump. Complete with 2 one litre
bottles. Designed specifically for gastro enterology. £1,225.00
H160-AB
Suction pump with 1 Litre bottle.
741-009V
CO2 Inflator DIN gas connection type.
£425.00
£3225.00
For further information about Light sources, Cameras and monitors
please see Page 74-77 in the Arthroscopy section.
£525.00
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