Endoscopic Treatment of VUR

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2 Endoscopic Treatment of VUR

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10 (Sodium Hyaluronate) 120mg/50ml Pre-Filled Ready-To-Use Syringes Sodium Hyaluronate First Line GAG Replacement Therapy FP10 APPROVED APPROVED IN UK & EU COUNTRIES Hyacyst PFS range is ideal for Self-Instillation at home Hyacyst 120 PFS is as effective as combination GAG layer therapy (ialuril ) 1 Hyacyst PFS - Proven Effect for the treatment of Intercystitial Cystitis & Recurrent Bacterial Cystitis Make that Change

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17 HOMECATH HYDROPHILIC URINARY CATHETER HOMECATH HYDROPHILIC URINARY CATHETER WITH WATER SACHET SIZE CH 06 CH 08 CH 10 CH 12 CH 14 CH 16 CH 18 MALE HCM- SN 4006 HCM- SN 4008 HCM- SN 4010 HCM- SN 4012 HCM- SN 4014 HCM- SN 4016 HCM- SN 4018 FEMALE HCF-SN 2012 HCF-SN 2014 HCF-SN 2016 HCF-SN 2018 PEDIATRIC HCP-SN 2006 HCP-SN 3006 HCP-SN 2008 HCP-SN 3008 HCP-SN 2010 HCP-SN 3010 DILACATH HCD- SN 4012 HCD- SN 4014 HCD- SN 4016 HCD- SN 4018 TIEMANN HCT-SN 4010 HCT-SN 4012 HCT-SN 4014 HCT-SN 4016 HCT-SN 4018 HOMECATH HYDROPHILIC URINARY CATHETER - READY TO USE SIZE CH 06 CH 08 CH 10 CH 12 CH 14 CH 16 CH 18 MALE FEMALE PEDIATRIC DILACATH TIEMANN HCM-WA 4006 HCM-WA 4008 HCM-WA 4010 HCM-WA 4012 HCM-WA 4014 HCM-WA 4016 HCM-WA 4018 HCF-WA 2012 HCF-WA 2014 HCF-WA 2016 HCF-WA 2018 HCP-WA 2006 HCP-WA 2008 HCP-WA 2010 HCP-WA 3006 HCP-WA 3008 HCP-WA 3010 HCD-WA 4012 HCD-WA 4014 HCD-WA 4016 HCD-WA 4018 HCT-WA 4010 HCT-WA 4012 HCT-WA 4014 HCT-WA 4016 HCT-WA

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20 6ml 11ml

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23 HydroTouch is a sterile Water Soluble Lubricating Gel which is used when putting a tube or instrument into a body cavity. It is used for lubricating Urinary Catheters, Endoscopes, Surgical Instruments etc. prior to insertion and as a personel lubricant for sexual. HydroTouch are also used in gynecological procedures for the insertion of douches, enemas, rectal thermometers and similar types of nozzles. This product is not a spermicide and cannot be used as a contraceptive Safe to use with condoms. HydroTouch is a clear, water-soluble, non-irritating, petroleum free lubricating gel. BENEFITS Syringe falls easily from protective tray enabling gold standard Aseptic Non Touch Technique (ANTT) when preparing a sterile field Manufacturing, Expiry and LOT numbers are printed on each individual syringe s tear off strip and are easily retained for accurate recording Syringe format is familiar to clinicians and easy to use Latex Free and hypoallergenic Eliminates the risk of suction or damage to tissue Easy to prime syringe for precise and controlled application Both 6ml and 11ml pre-filled syringes presented in a sterile package No risk of urethral trauma, necrosis or catheter induced urethritis. The risk of urinary tract infection is reduced because urethral defence mechanisms are not compromised. Allows greater freedom for expression of sexuality. Access for cleansing and catheter changes are easier, allowing greater ability for patients to self-care. Allows greater comfort, particularly for patients who are chairbound. Allows the facilitation of trials of voiding after major surgery. HOW TO USE Content; Propylene Glycol Hydroxyethylcellulose Purified Water Classification Hydrotouch has been CE marked as a Class IIa Medical Device under the Medical Devices Directive 93/42/EEC. Cost Effective Solution Hydrotouch is a cost effective solution enabling Clinicians to achieve significant savings while also ensuring best possible outcomes for the patients. Remove the syringe (6ml/11ml) from its sterile package by tearing off. Move the cap from the end of syringe. Instil a drop of gel to facilitate it easier. Insert the nozzle into the area to be lubricated and press the plunger of the syringe slowly to push out of some Lubricant Gel. SYRINGE WITH SMOOTH CATHETER TIP The syringe enables distribution of the lubricating gel in a continuous even flow along the urethra. The smooth nozzle minimises the risk of trauma to the urethral opening. Hydrotouch is available as sterile in disposable packages, prefilled in 6ml, 11ml in syringes. CATALOG NO. HYT 006 HYT 011 CONTENT HYDRO TOUCH 6ml HYDRO TOUCH 11ml QTY/ BOX (25x6ml/Box) (25x11ml/Box)

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25 ELITE F LEX BALLOON DILATORS Ureteral Balloon Dilator Used for balloon dilatation of ureter Accept 0.035" guidewire 5 Fr shaft 18 atm rated burst pressure 4mm (12 fr) x 4 cm balloon 3,5 Fr shaft diameter Catalog No. UBD Length 70 cm Transureteroscopic Balloon Dilator Used for balloon dilatation of ureter Provided with stylet Accept 0.018" guidewire 18 atm rated burst pressure 4 mm (12 Fr) x 4 cm balloon; 3,5 Fr shaft diameter Supplied with stopcock Catalog No. TUB Length 70 cm Nephrostomy Track Balloon Dilator Balloon Lumen 30F Amplatz Sheath loaded over the shaft Guidewire Radiopaque Markers Used for nephrostomy track dilatation Accepts 0,035 guidewire 12 atm rated burst pressure 10 mm (30 Fr) x 12 cm balloon Supplied with or without Amplatz Sheath Catalog No. NBD Length 55 cm

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27 ELITE F LEX PERCUTANEOUS NEPHROSTOMY DRAINAGE SET - PIGTAIL Percutaneous Nephrostomy Drainage Set - PIGTAIL A convenient complete set for percutaneous placement of drainage catheter - pigtail design Soft polyurethane material provides superior biocompatibility and drainage Highly radiopaque for precises placement Set consists of: Initial puncture needle - 3 part. Guidewire 150 cm, J tip, fixed core, teflon coated 0,38 Fascial Dilators, MALECOT Drainage Catheter with Styler Urine bag connector Scalpel Catalog No. Description Size Dilator Size PNS-0630 Percutaneous Drainage Set - Pigtail PNS-0730 Percutaneous Drainage Set - Pigtail PNS-0830 Percutaneous Drainage Set - Pigtail PNS-0930 Percutaneous Drainage Set - Pigtail PNS-1030 Percutaneous Drainage Set - Pigtail PNS-1230 Percutaneous Drainage Set - Pigtail PNS-1430 Percutaneous Drainage Set - Pigtail Pigtail Catheter only Catalog No. Description Size PNC-0630 PNC-0730 PNC-0830 PNC-0930 PNC-1030 PNC-1230 PNC-1430 Perc. Nephrostomy Catheter - Pigtail Perc. Nephrostomy Catheter - Pigtail Perc. Nephrostomy Catheter - Pigtail Perc. Nephrostomy Catheter - Pigtail Perc. Nephrostomy Catheter - Pigtail Perc. Nephrostomy Catheter - Pigtail Perc. Nephrostomy Catheter - Pigtail Catheters with Locking Loop system is also available

28 ELITE F LEX PERCUTANEOUS NEPHROSTOMY DRAINAGE SET - MALECOT Percutaneous Nephrostomy Drainage Set - MALECOT A convenient complete set for percutaneous placement of drainage catheter - malecot design Soft polyurethane material provides superior biocompatibility and drainage Highly radiopaque for precises placement Set consists of: Initial puncture needle - 3 part. Guidewire 150 cm, J tip, fixed core, teflon coated 0,38 Fascial Dilators, MALECOT Drainage Catheter with Styler Urine bag connector Scalpel Catalog No. Description Size Dilator Size MNS-1030 Percutaneous Drainage Set - Malecot MNS-1230 Percutaneous Drainage Set - Malecot MNS-1430 Percutaneous Drainage Set - Malecot MNS-1630 Percutaneous Drainage Set - Malecot Malecot Catheter with Stylet only Catalog No. MNC-1030 MNC-1230 MNC-1430 MNC-1630 Description Perc. Nephrostomy Catheter - Malecot Perc. Nephrostomy Catheter - Malecot Perc. Nephrostomy Catheter - Malecot Perc. Nephrostomy Catheter - Malecot Size

29 ELITE F LEX RE-ENTRY MALECOT DRAINAGE CATHETER Re-Entry MALECOT With urine bag connector For Renal Drainage After PCNL procedure gently insert the catheter over the placed guidewire Catalog No. RMC RMC RMC RMC RMC RMC Direct Puncture Nephrostomy Drainage Set Designed for percutaneous nephrostomy following the direct-puncture technique particularly when there is a dilated urine collection system, a hydronephrosis. The catheter is back-loaded on a two-part trocar needle and straightened and then introduced through a skin incision directly. The procedure does away with the use of guidewire and fascial dilators as there is no dilatation performed. PIGTAIL DRAINAGE CATHETER The set may also be used for cyst and abscess drainage INITIAL PUNCTURE NEEDLE-2 PART TROCAR ASSEMBELED FOR PUNCTURE SCALPEL Catalog No. DPN-0730 DPN-0830 DPN-0930 DPN-1030 Size

30 ELITE F LEX GUIDEWIRES EliteFlexStriped Guidewires Nichel Titanium (Niti)one side stiff, one side flexible 3 cm Length 150 cm, diameter 0,035 Black and white stripes for better endoscopic visualisation Catalog No Tip Shape Length Guide Wire ESG Straight 150 cm Titanium Hydrophilic Super Guidewires Exacting tolerances of each wire facilitates easy reliable instrument delivery. Hydrophilic coating and bonded polymer jacket permit smooth navigation through tortous anatomies. Non-King nitinol shaft. Catalog No Tip Shape Length Guide Wire HGW-3515 Straight 150 cm Stainless Steel Guidewires Teflon coated (PTFE) Lunderquist, Schuller & Bentson Guidewires are also available One side stiff, one side flexible tip straight or J Catalog No Tip Shape Diameter Length PGS Straight cm PGS Straight cm PGS Straight cm PGS Straight cm PGS Straight cm PCJ mm J cm PCJ mm J cm PCJ mm J cm

31 ELITE F LEX URETERAL CATHETERS Ureteral Catheters cone tip open angled tip open / closed straight tip closed straight tip open Catalog No. Tip Size UCO-3070 UCO-4070 UCO-5070 UCO-6070 UCO-7070 UCC-3070 UCC-4070 UCC-5070 UCC-6070 UCC-7070 straight tip closed Open Tip Open Tip Open Tip Open Tip Open Tip straight tip closed CH 3 CH 4 CH 5 CH 6 CH 7 Catalog No. Tip Size UAO-3070 UAO-4070 UAO-5070 UAO-6070 UAO-7070 Closed Tip Closed Tip Closed Tip Closed Tip Closed Tip angled tip closed Open Tip Open Tip Open Tip Open Tip Open Tip CH 3 CH 4 CH 5 CH 6 CH 7 Catalog No. Tip Size UAC-3070 UAC-4070 UAC-5070 UAC-6070 UAC-7070 angled tip closed Closed Tip Closed Tip Closed Tip Closed Tip? Closed Tip CH 3 CH 4 CH 5 CH 6 CH 7 Catalog No. Tip Size cone tip closed CH 3 CH 4 CH 5 CH 6 CH 7 Catalog No. Tip Size UCT-5070 UCT-6070 UCT-5070 Shaft CH 5 Shaft CH 6 Shaft CH 7 Cone CH 8 Cone CH 10 Cone CH 12 Ureteral-Catheters with closed tips are delivered with stylet 70 cm, made from PEBAX

32 ELITE S OFT URETERAL STENTS Ureteral Stent Set Standard Double J and Multiloop Stents EliteSoft Ureteral Stents are designed to be placed endoscopically or via open surgery. EliteSoft Ureteral stents are made up of radiopaque, soft flexible and bio-compatible material. EliteSoft Stents are designed with curl(s) so as to facilitate anchoring. The stent with suture help physician easy positioning and/or removal. Catalog No Catalog No Open/Closed Open/Open Size Length Guide Wire USC-3010 USC-3012 USC-3014 USC-3016 USO-3010 USO-3012 USO-3014 USO Fr 3.0 Fr 3.0 Fr 3.0 Fr 10 cm 12 cm 14 cm 16 cm USC-4010 USC-4012 USC-4014 USC-4016 USC-4712 USC-4714 USC-4716 USC-4720 USC-4722 USC-4724 USC-4726 USC-4728 USC-4730 USC-47ML USC-6016 USC-6020 USC-6024 USC-6026 USC-6028 USC-6030 USC-60ML USO Fr 10 cm USO Fr 12 cm USO Fr 14 cm USO Fr 16 cm USO Fr 12 cm USO Fr 14 cm USO Fr 16 cm USO Fr 20 cm USO Fr 22 cm USO Fr 24 cm USO Fr 26 cm USO Fr 28 cm USO Fr 30 cm USO-47ML 4.7 Fr 26+ cm USO Fr 16 cm USO Fr 20 cm USO Fr 24 cm USO Fr 26 cm USO Fr 28 cm USO Fr 30 cm USO-60ML 6.0 Fr 26+ cm Set consits of: Stent: Made of aliphatic polyurethan Pusher, with or without guidewire Guidewire: Stainless steel, teflon coated (PTFE), one side stiff, one side flexible, 150 cm, 0,018 to 0,035

33 ELITE S OFT URETERAL STENTS Ureteral Stents Soft and flexible for patient comfort Biocompatible polyurethane with low encrustation tendency and superior radiopacity for enchanged visualisation. Ureteral Stents - Specialities Mono - J Stents Open/Closed Open/Open Catalog No. Catalog No. Open/Closed Open/Open Size Length Guide Wire MSC-4770 MSO Fr 70 cm MSC-5070 MSO Fr 70 cm MSC-6070 MSO Fr 70 cm MSC-7070 MSO Fr 70 cm Endopyelotomy Stents Open/Closed Catalog No. Open/Closed Size Open/Open Length Guide Wire ESO /12.0 Fr 24 cm ESO /12.0 Fr 26 cm ESO /12.0 Fr 28 cm ESO /14.0 Fr 24 cm ESO /14.0 Fr 26 cm ESO /14.0 Fr 28 cm Catalog No. Open/Closed Size Open/Open Length Guide Wire Tumor Stents Open/Closed TSO /12.0 Fr 24 cm TSO /12.0 Fr 26 cm TSO /12.0 Fr 28 cm TSO /14.0 Fr 24 cm TSO /14.0 Fr 26 cm TSO /14.0 Fr 28 cm MONO-J, EP and TS stents are supplied with pusher. If you like the set with guidewire, add + G

34 ELITE F L EX BASKET CATHETERS EliteFlex Helical Baskets Helical Design Helical With Titanium Basket and possibility to dismantle the wire Catalog No. Size Length Guide Wire NBH-2412 NBH-2470 NBH-2490 NBH-3012 NBH-3070 NBH-3090 NBH-4012 NBH-4070 NBH-4090 NBH-5012 NBH-5070 NBH Fr 2.4 Fr 2.4 Fr 3 Fr 3 Fr 3 Fr 4 Fr 4 Fr 4 Fr 5 Fr 5 Fr 5 Fr 120 cm 70 cm 90 cm 120 cm 70 cm 90 cm 120 cm 70 cm 90 cm 120 cm 70 cm 90 cm EliteFlex Flatwire Baskets Flatwire Design Flatwire With Titanium Basket and possibility to dismantle the wire Catalog No. Size Length Guide Wire NBF-2412 NBF-2470 NBF-2490 NBF-3012 NBF-3070 NBF-3090 NBF-4012 NBF-4070 NBF-4090 NBF-5012 NBF-5070 NBF Fr 2.4 Fr 2.4 Fr 3 Fr 3 Fr 3 Fr 4 Fr 4 Fr 4 Fr 5 Fr 5 Fr 5 Fr 120 cm 70 cm 90 cm 120 cm 70 cm 90 cm 120 cm 70 cm 90 cm? 120 cm 70 cm 90 cm

35 ELITE F LEX BASKET CATHETERS EliteFlex Tipless Baskets Tipless Design Catalog No. Size Length Guide Wire With Titanium Basket and possibility to dismantle the wire NBT-2412 NBT-2470 NBT-2490 NBT-3012 NBT-3070 NBT-3090 NBT-4012 NBT-4070 NBT-4090 NBT-5012 NBT-5070 NBT Fr 2.4 Fr 2.4 Fr 3 Fr 3 Fr 3 Fr 4 Fr 4 Fr 4 Fr 5 Fr 5 Fr 5 Fr 120 cm 70 cm 90 cm 120 cm 70 cm 90 cm 120 cm 70 cm 90 cm? 120 cm 70 cm 90 cm EliteFlex Grasping Forceps Catalog No. Size Length Guide Wire TGF-3012 TGF-3070 TGF-3090 TGF-4012 TGF-4070 TGF-4090 TGF-5012 TGF-5070 TGF Fr 3 Fr 3 Fr 4 Fr 4 Fr 4 Fr 5 Fr 5 Fr 5 Fr 3 Prong 3 Prong 3 Prong 3 Prong 3 Prong 3 Prong 3 Prong 3 Prong 3 Prong 120 cm 70 cm 90 cm 120 cm 70 cm 90 cm 120 cm 70 cm 90 cm?

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37 ELITE F LEX DILATORS Fascial Dilator Set (20 cm length) Fully radiopaque polyethylene, with female luer-lock, accepts 0,038 " guidewires Catalog No. FDS 6-10 FDS 8-18 Size 5 dilators 6 dilators 6 Fr - 7 Fr - 8 Fr - 9 Fr - 10 Fr 8 Fr - 10 Fr - 12 Fr - 14 Fr - 16 Fr - 18 Fr Ureteral Dilator Set Dilator (70 cm length) With female luer - lock, accepts 0,038" guidewire Catalog No. Size UDS 6/ Dilators 6 Fr - 8 Fr - 10 Fr - 12 Fr - 14 Fr - 16 Fr Nottingham One Step Dilator (70 cm length) Taper length 4 cm, accepts 0,038" guidewire Catalog No. NOT 6-10 NOT 6-12 Size Shaft 10 Fr Shaft 12 Fr Taper from 6 Fr - 10 Fr Taper from 6 Fr - 12 Fr Adult Meatal Dilator To dilate urethral meatus Paediatric and adult models Pediatric Catalog No. MDA MDP Adult meatal dilator Peadiatric meatal dilator

38 ELITE S AFE FILTER TUR COLLECTOR SET Tur Collector With Filter It deficency of pathologic information after post-op analyse. Reliable Hygenic and dry operation environment Protective Comfortable Catalog No. FTCS To the patient s leg To the operators neck Polypropilen Filtre Filtre Case Polyester Tube 200 cm İnterventional procedures prevent you and environment in hygenic conditions 14

39 Soft Tissue Biopsy Reusable Automatic Biopsy Gun - Strong, safe, long-lasting and easy-to-use Reusable Core Biopsy Gun. - Provides high-power, high-speed shot and high-quality histological samples. - At the front and at the back of two trigger mechanism allows an easier and better use. - Security is automatically activated only when the system is installed. - Allows to take histological samples easily without removing the needle from gun. - Intake depth 25 mm. LENGTH 10 CM LENGTH 16 CM Disposable Biopsy Needles LENGTH 20 CM LENGTH 35 CM REUSABLE AUTOMATIC BIOPSY GUN ABI Reusable Automatic Biopsy Gun 15 mm ABI Reusable Automatic Biopsy Gun 25 mm Disposable Biopsy Needles ( with inserter ) Anadolu OSB 29 Ekim Caddesi No: Sincan/Ankara,Turkey Tel: Fax: export@istemmedikal.com

40 Soft Tissue Biopsy True-Cut Biopsy Needle Elite Sharp (fully automatic) is a disposable, easy and user-friendly biopsy needle. Elite Sharp Biopsy Needle is quite ideal for ultrasound and CT guided biopsy and it has the ability to be used with one hand. Two different trigger at the front and basck of the Biopsy Gun allows you more simple and beter ease of use. 18 MM sample chamber ensures sufficient samples for clinical examination. Razor-sharp stainless steel cutting corners ensure to take high quality samples. Each needle has an echogenic tip in order to ensure precise placement guided by ultrasound. Numerical centimeters marking assists exact depth of placement. Elite Sharp Disposable Biopsy Needle

41 ELITE S HARP Automatic Biopsy Gun Needle / Automatic Cutting Needle Automatic Biopsy Gun Needle Automatic Biopsy Gun needle is a tru-cut type biopsy needle can be used with common reusable biopsy guns Depth marks Large sample notch ( 20 mm ) Colour code Optionally available with co-axial introducer needle Echogenic tip Needles with spacer for easy positioning Special automatic gun needle ABN ABN ABN ABN ABN ABN ABN ABN ABN ABN ABN Automatic Biopsy Gun Needle / Automatic Cutting Needle SBN SBN SBN SBN SBN SBN SBN SBN SBN SBN SBN

42 ELITE S HARP Accessories Cystoscopic Injection Needle Istem cystoscopic injection needles are designed to be used for injection into the ureteral orificies,urethra and/or bladder wall under cystoscopic vision. Flexible metal or pebax shaft User-friendly design Echogenic tip Clear and colour coded needle Hub design Initial Puncture Needle İstem trocar tip initial puncture needle may be used as percutaneous entry to introduce guidewires Steel needle with its fitted stile Atraumatic tip design Clear and luer-lock needle hub Colour-coded

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MEDICAL EQUIPMENT. Program. 6 Ureteral Stents Specialities 9 Ureteral Stents hydrophilic

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