EXTRACT FROM CATALOG GYNECOLOGY FETOSCOPY 6th EDITION 1/2012 1-12 © 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 OR1™ 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 DCI® 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 Moiré 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 (TÜV, 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. ● Headquarters: Tuttlingen, Germany ● 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 ● Sales and marketing subsidiaries: Tuttlingen, Germany Berlin, Germany Toronto, Canada Los Angeles (California), USA Miami (Florida), USA Havanna, Cuba Mexico City, Mexico São 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 Mittelstraße 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-Straße 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 OÜ Akadeemia tee 21 A 12618 Tallinn, Estonia KARL STORZ – Endoskop-Produktions GmbH, Schaffhausen branch, Switzerland STORZ Endoskop Produktions GmbH, Tuttlingen (D) Schaffhausen Branch Office Schneckenackerstraße 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 Mittelstraße 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 Straße 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 México S.A. de C.V Lago Constanza No 326 Col. Chapultepec Morales, D.F.C.P. 11520, México, México Phone: +52 55 525 056 07 Fax: +52 55 554 501 74 KARL STORZ Marketing América Do Sul Ltda. Rua Joaquin Floriano, n°. 413, 20° andar/floor, Itaim Bibi, CEP-04534-011 São Paulo, Brasil Phone: +55 11 3526-4600 Fax: +55 11 3526-4680 KARL STORZ Endoscopia Argentina S.A. Zufriategui 627 6° 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 Landstraßer Hauptstr. 148/1/G1 1030 Wien, Austria Phone: +43 1 71 56 04 70 Fax: +43 1 71 56 04 79 KARL STORZ Endoscopia Ibérica 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. Verovškova 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 ● More than 60 years of excellence. ● Commitment to innovation. ● Strong service orientation. ● Commitment to education. KARL STORZ Endoscopy Future ● Offer solutions to the health care provider. ● Develop programs to promote efficiency and instrument utilization. ● Develop products that are both clinically and cost effective. ● Develop products for all areas of endoscopy to meet the needs of our most sophisticated customers. Is KARL STORZ Right for you? ● 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 ® 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 0° 124, 127, 130 Miniature Straight Forward Telescope 0° 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-APART® Bipolar Grasping Forceps 136 Telescope Lock Plug 144 HOPKINS® II Forward-Oblique Telescope 30° 133 Touhy Borst Y-Connector HOPKINS II Straight Forward Telescope 0° 133 Trocar 139, 140, 141, 142, 143 HOPKINS® II Telescope 12° 133 Trocar only 139, 140, 141, 142, 143 ® 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 0° straight-forward miniature endoscope is 1 mm in diameter and 20 cm in length. It has a 70° 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 70° 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: ● 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., Université Paris-Ouest, CHI Poissy, St Germain, Département Obstétrique Gynécologie, 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 ● 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. ● MINI-FET 3 123 Transabdominal Embryoscopy and Fetoscopy Set Miniature Straight Forward Telescope Size 1 mm 11510 A Miniature Straight Forward Telescope 0°, semirigid, with remote eyepiece, with rotating and locking LUER-Lock adaptor, fiber optic light transmission incorporated, including Protection Tube 11510 P Direction of view: 0° Angle of view: 70° 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 0°, semirigid, with remote eyepiece, autoclavable, fiber optic light transmission incorporated Direction of view: 0° Angle of view: 90° Working length: 30.6 cm Outer diameter: 1.3 mm 39360 B Plastic Container, for sterilization and storage 11515 AA Miniature Straight Forward Telescope 0°, semirigid, autoclavable, fiber optic light transmission incorporated Direction of view: 0° Angle of view: 90° 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 0°, semirigid, autoclavable, with remote eyepiece, fiber optic light transmission incorporated Direction of view: 0° Angle of view: 95° Working length: 30 cm Outer diameter: 2 mm 39360 B Plastic Container, for sterilization and storage 11605 AA Miniature Straight Forward Telescope 0°, semirigid, autoclavable, fiber optic light transmission incorporated Direction of view: 0° Angle of view: 95° 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 0° 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 HOPKINS® II Telescopes Size 2 mm 26008 AA 26008 AA HOPKINS® II Straight Forward Telescope 0°, diameter 2 mm, length 26 cm, autoclavable, fiber optic light transmission incorporated, color code: green 26008 FUA 26008 FUA HOPKINS® II Telescope 12°, 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 HOPKINS® II Forward-Oblique Telescope 30°, 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 HOPKINS® 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 HOPKINS® 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 HOPKINS® 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-APART® Bipolar Grasping Forceps Size 2.4 mm, for use with Trocars 11516 CL and 11516 CS bipolar 26167 FG 26167 FG TAKE-APART® 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-APART® 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-APART® 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 APART® 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 90°, 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 AUTOCON® II 400 SCB system (111, 115, 122, 125), AUTOCON® II 200, AUTOCON® II 80, KARL STORZ AUTOCON® 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 AUTOCON® 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 AUTOCON® II 400 SCB system (111, 113, 115, 122, 125), AUTOCON® II 200, AUTOCON® II 80, KARL STORZ Coagulator 26021 B/C/D, 860021 B/C/D, 27810 B/C/D, 28810 B/C/D, AUTOCON® 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 AUTOCON® 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 – ✂ Catalogs Please cut out reply card. (please checkmark): Print Version CD Version Catalogs (please checkmark): Neuro-Endoscopy KARL STORZ OR1™, 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 OR1™ NOTES Telepresence ✂ 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 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 – ✂ 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 ✂ CD Version Catalogs (please checkmark): Neuro-Endoscopy KARL STORZ OR1™, 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 OR1™ NOTES Telepresence ✂ 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.
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