PRODUCTS FOR. Gastroenterology

Transcription

1 PRODUCTS FOR Gastroenterology

2 Contents Chait Percutaneous Cecostomy Set Cope Gastrointestinal Suture Anchor Set Carey-Alzate-Coons Gastrojejunostomy Sets Neonatal and Pediatric Carey-Alzate-Coons Gastrojejunostomy Set Carey-Alzate-Coons Gastrojejunostomy Set Double Lumen Shetty Gastrojejunostomy Set Wills-Oglesby Percutaneous Gastrostomy Set Wills-Oglesby Percutaneous Gastrostomy Set Mallinckrodt Institute Modification Frederick-Miller Feeding Tube Sets McLean-Ring Enteral Feeding Tube Set Ultrathane Marx-Cope Gastrojejunostomy Set with AQ Hydrophilic Coating Bilbao-Dotter Hypotonic Duodenography Sets Maglinte Multipurpose Decompression/Enteroclysis Balloon Catheter Maglinte Enteroclysis Catheter Set Enteral Feeding Adapter Cook-Z Stents Gianturco-Rösch Covered Esophageal Design

3 2 GASTROENTEROLOGY CHAIT PERCUTANEOUS CECOSTOMY Used to facilitate antegrade colonic cleansing of the large intestine for patients with fecal incontinence. It features a unique low profile trapdoor fitting, designed to lay flat against the skin for enhanced patient compliance. The Chait Trapdoor Cecostomy Catheter is percutaneously inserted through an existing mature tract. The multicurl tip configuration provides atraumatic retention within the cecum. Three sideports in the distal pigtail of the Trapdoor catheter provide fluid access to the cecum. A saline enema is followed to promote complete evacuation of the contents of the lower bowel through the anal opening. The cecostomy therapy is intended to enable greater independence for patients to manage their fecal incontinence. Supplied sterile in peel-open packages. Intended for one-time use. INITIAL CATHETER PLACEMENT RECOMMENDATIONS Placement of the Chait Trapdoor Cecostomy Catheter is a two-step procedure. Initial cecostomy access is necessary for tract maturation prior to the Trapdoor insertion. Dr. Chait recommends the use of a Chait Percutaneous Cecostomy Set which includes a selection of products designed to simplify introduction of the temporary Dawson-Mueller Drainage Catheter and the Chait Trapdoor Cecostomy Catheter. The set includes the following products: Chait Gastrointestinal Suture Anchor Set (GIAS-100-CHAIT) used for initial access. An 8.5 French temporary Dawson-Mueller Drainage Catheter (ULT P-5S-CLDM-HC) is then introduced for initial cecostomy enemas following the first week of catheter placement. After 6 weeks of initial cecostomy catheter access, the temporary Dawson-Mueller Drainage Catheter is exchanged over an Amplatz Ultra Stiff Wire Guide (THSF AUS) for the Chait Trapdoor Cecostomy Catheter Set (TDCS-100 or the TDCS-100-L). The patient can then proceed with cecostomy enemas using the Trapdoor catheter. Sizing recommendations: TDCS-100 is suited for mature tract lengths up to 6 cm in length and is included in the cecostomy set. TDCS-100-L is suited for mature tract lengths between 7 cm and 14 cm. This catheter set can be ordered separately. The Chait Access Adapter with Connecting Tube (CTU CAA) simplifies irrigation and is included in the TDCS-100/TDCS-100-L cecostomy sets. Additional access adapters with connecting tubes (CTU CAA) can also be ordered separately.

4 GASTROENTEROLOGY 3 CHAIT PERCUTANEOUS CECOSTOMY INTRODUCER NEEDLE 18 gage 7 cm long AMPLATZ ULTRA STIFF WIRE GUIDE.035 inch diameter TFE coated stainless steel, 80 cm long LOADING CARTRIDGE CONTAINING SUTURE ANCHORS (2 each) COONS DILATOR 8.0 French appropriate length ENTEROSTOMY SUTURE ANCHOR Hydrophilic coating 5 cm MAC-LOC Locking Mechanism Open Intro-Tip MAC-LOC DAWSON-MUELLER MULTIPURPOSE DRAINAGE CATHETER WITH MAC-LOC LOCKING LOOP 8.5 French Ultrathane with AQ hydrophilic coating, 25 cm long DAWSON-MUELLER MULTIPURPOSE DRAINAGE CATHETER Closed AMPLATZ ULTRA STIFF WIRE GUIDE.035 inch diameter TFE coated stainless steel, 80 cm long STIFFENING CANNULA TRAPDOOR CECOSTOMY CATHETER 10.0 French (TDCS-100) TRAPDOOR CECOSTOMY CATHETER 10.0 French, optional (TDCS-100-L) ADAPTER CHAIT ACCESS ADAPTER WITH CONNECTING TUBE CHAIT TRAPDOOR CECOSTOMY CATHETER Inserting Pin ORDER Reorder NUMBER Remarks Number 1 Set TDCS-100-CS CHAIT PERCUTANEOUS CECOSTOMY consists of items shown above Components GIAS-100-CHAIT ENTEROSTOMY SUTURE ANCHOR ULT P-5S-CLDM-HC DAWSON-MUELLER MULTIPURPOSE DRAINAGE CATHETER WITH MAC-LOC LOCKING LOOP THSF AUS AMPLATZ ULTRA STIFF WIRE GUIDE TDCS-100 CHAIT TRAPDOOR CECOSTOMY CATHETER for use in tracts up to 6 cm in length FTA-MLLA-R ADAPTER CTU CAA CHAIT ACCESS ADAPTER WITH CONNECTING TUBE (one each included in TDCS-100 and TDCS-100-L) Longer Catheter Set TDCS-100-L CHAIT TRAPDOOR CECOSTOMY CATHETER for use in tracts between 7 and 14 cm in length

5 4 GASTROENTEROLOGY COPE GASTROINTESTINAL SUTURE ANCHOR Used for anchoring the anterior wall of the stomach to the abdominal wall prior to introduction of interventional catheters. Supplied sterile in peel-open packages. Intended for one-time use. INTRODUCER NEEDLE Appropriate gage and length.018 inch diameter mandrill wire SPECIAL STRAIGHT WIRE GUIDE Stainless steel 75 cm long.035 inch diameter spring coil 2 cm Needle SUTURE ANCHOR (2 each, one anchor is supplied preloaded) Suture SPRING COIL ANCHOR Stainless Steel ADDITIONAL PRELOADED SUTURE ANCHOR ENLARGED CROSS SECTION OF INTRODUCER NEEDLE LOADED WITH SUTURE ANCHOR INTRODUCER NEEDLE WIRE GUIDE ORDER Reorder NUMBER Gage Length Diameter Length Number 1 GIAS cm.035 inch 75 cm

6 GASTROENTEROLOGY 5 CAREY-ALZATE-COONS GASTROJEJUNOSTOMY S NEONATAL AND PEDIATRIC Used for percutaneous placement of a catheter for gastroenteric feeding. The Peel-Away sheath provides access for placement of a soft polyurethane catheter into the jejunum. Each set includes a Cope Gastrointestinal Suture Anchor Set for secure fixation of the stomach. The Friction-Lock Malecot portion of the feeding catheter prevents inadvertent removal from the stomach. Supplied sterile in peel-open packages. Intended for one-time use. INTRODUCER NEEDLE 18 gage 7 cm long WIRE GUIDE TFE coated stainless steel SEEKING CATHETER Radiopaque braided nylon ADAPTER DILATOR 8.0 French radiopaque appropriate length INTRODUCER DILATOR Radiopaque PEEL-AWAY INTRODUCER SHEATH Radiopaque TFE LUER LOCK PLUG FRICTION-LOCK MALECOT GASTROJEJUNOSTOMY CATHETER Radiopaque polyurethane Positioning Mark ANCHORING POSITION OF FRICTION-LOCK MALECOT GASTROJEJUNOSTOMY CATHETER GASTROJEJUNOSTOMY INTRODUCER INTRODUCER CATHETER WIRE GUIDE DILATOR SHEATH ORDER French French Reorder NUMBER Size Length Diameter Length Size Length Number 1 Neonatal GJS-500-NEO cm.035 inch 145 cm cm Pediatric GJS-600-PED cm.038 inch 180 cm cm Some product catalog numbers listed are not in stock. Contact COOK Customer Service or your local sales representative for availability and pricing.

7 6 GASTROENTEROLOGY CAREY-ALZATE-COONS GASTROJEJUNOSTOMY Used for percutaneous placement of a catheter for gastroenteric feeding. The Peel-Away sheath provides access for placement of the soft polyurethane catheter into the jejunum. The set includes a Cope Gastrointestinal Suture Anchor Set for secure fixation of the stomach. The Friction-Lock Malecot portion of the feeding catheter prevents inadvertent removal from the stomach. Supplied sterile in peel-open packages. Intended for one-time use. INTRODUCER NEEDLE 18 gage 9 cm long WIRE GUIDE TFE coated stainless steel SEEKING CATHETER Radiopaque braided nylon ADAPTER DILATORS 10.0 and 14.0 French radiopaque 17 cm long PEEL-AWAY INTRODUCER SHEATH Radiopaque TFE INTRODUCER DILATOR Radiopaque LUER LOCK PLUG FRICTION-LOCK MALECOT GASTROJEJUNOSTOMY CATHETER Radiopaque polyurethane Positioning Mark ANCHORING POSITION OF FRICTION-LOCK MALECOT GASTROJEJUNOSTOMY CATHETER GASTROJEJUNOSTOMY INTRODUCER INTRODUCER CATHETER WIRE GUIDE DILATOR SHEATH ORDER French French Reorder NUMBER Size Length Diameter Length Size Length Number 1 GJS cm.038 inch 260 cm cm Replacement Catheter PU10.2-NT-100-P-NS-GJS

8 GASTROENTEROLOGY 7 CAREY-ALZATE-COONS GASTROJEJUNOSTOMY DOUBLE LUMEN Used for percutaneous placement of a double lumen catheter for simultaneous feeding of the jejunum and aspiration of gastric contents in the stomach. The catheter is inserted using a Peel-Away sheath technique. Each set includes a Cope Gastrointestinal Suture Anchor Set for secure fixation of the stomach. The Friction-Lock Malecot portion of the feeding catheter prevents inadvertent removal from the stomach. Supplied sterile in peel-open packages. Intended for one-time use. INTRODUCER NEEDLE 18 gage 9 cm long WIRE GUIDE TFE coated stainless steel SEEKING CATHETER Radiopaque braided nylon DILATING SYSTEM 8.0 French radiopaque guiding catheter 80 cm long; 12.0, 16.0, 20.0 and 24.0 French radiopaque dilators 30 cm long PEEL-AWAY INTRODUCER SHEATH Radiopaque TFE INTRODUCER DILATOR Radiopaque Aspiration Port FRICTION-LOCK MALECOT DOUBLE LUMEN GASTROJEJUNOSTOMY CATHETER Radiopaque polyurethane LUER LOCK PLUG Feeding Port ADAPTER Positioning Mark ANCHORING POSITION OF FRICTION-LOCK MALECOT DOUBLE LUMEN GASTROJEJUNOSTOMY CATHETER GASTROJEJUNOSTOMY INTRODUCER INTRODUCER CATHETER WIRE GUIDE DILATOR SHEATH ORDER French French Reorder NUMBER Size Length Diameter Length Size Length Number 1 GJS-1650D cm.038 inch 260 cm cm Replacement Catheter PU16.5D-NT-80-P-2S-GJS

9 8 GASTROENTEROLOGY SHETTY GASTROJEJUNOSTOMY Used for percutaneous placement of a catheter for gastroenteric feeding. The Peel-Away sheath provides access for placement of the soft polyurethane catheter into the jejunum. The set includes a Cope Gastrointestinal Suture Anchor Set for secure fixation of the stomach. A loop with suture drawstring, located in the mid-portion of the feeding catheter, prevents inadvertent removal from the stomach. Jejunal feeding is facilitated by the nontapered end hole and three large, oval sideports in the distal portion of the catheter. Supplied sterile in peel-open packages. Intended for one-time use. AMPLATZ EXTRA STIFF WIRE GUIDE TFE coated stainless steel appropriate diameter and length SEEKING CATHETER Radiopaque braided nylon COONS DILATOR(S) 7.0, 8.0, 10.0 and 14.0 French radiopaque 20 cm long ADAPTER PEEL-AWAY INTRODUCER SHEATH Radiopaque TFE INTRODUCER DILATOR Radiopaque FIXATION DEVICE (WITH PULL TIE) Silicone LUER LOCK PLUG SHETTY GASTROJEJUNOSTOMY CATHETER Radiopaque polyurethane GASTROJEJUNOSTOMY INTRODUCER INTRODUCER CATHETER WIRE GUIDE DILATOR SHEATH ORDER French French Reorder NUMBER Size Length Diameter Length Size Length Number 1 GJS-1400-SHETTY cm.038 inch 145 cm cm Replacement Catheter ULT14.0-NT-63-P-3S-GJS-SHETTY

10 GASTROENTEROLOGY 9 WILLS-OGLESBY PERCUTANEOUS GASTROSTOMY Used for the percutaneous placement of a catheter for gastroenteric feeding. A loop with suture drawstring prevents inadvertent removal from the stomach. Supplied sterile in peel-open packages. Intended for one-time use. CATHETER NEEDLE Radiopaque polyethylene catheter with stainless steel stylet LUNDERQUIST-RING TORQUE WIRE GUIDE TFE coated stainless steel DILATORS 7.0, 10.0 and 12.0 French radiopaque 20 cm long FIXATION DEVICE (WITH PULL TIE) Silicone CATHETER INTRODUCTION STIFFENING CANNULA 18 gage stainless steel LUER LOCK PLUG CATHETER Radiopaque polyurethane Open ADAPTER Closed CONNECTING TUBE Polyvinylchloride ONE-WAY STOPCOCK Plastic GASTROSTOMY CATHETER WIRE GUIDE CATHETER NEEDLE ORDER French French Reorder NUMBER Size Length Sideports Diameter Length Size Length Number 1 WOGS cm inch 125 cm cm

11 10 GASTROENTEROLOGY WILLS-OGLESBY PERCUTANEOUS GASTROSTOMY MALLINCKRODT INSTITUTE MODIFICATION Used for percutaneous placement of a 14.0 French catheter for gastroenteric feeding. A loop with suture drawstring located in the distal tip of the feeding catheter, prevents inadvertent removal from the stomach. Multiple sideports in the pigtail portion of the catheter facilitate gastric feeding. Supplied sterile in peel-open packages. Intended for one-time use. CATHETER NEEDLE Radiopaque polyethylene catheter with stainless steel stylet AMPLATZ EXTRA STIFF WIRE GUIDE TFE coated stainless steel ADAPTER DILATOR(S) and 14.0 French radiopaque 20 cm long CATHETER INTRODUCTION STIFFENING CANNULA Clear polyethylene LUER LOCK PLUG CATHETER Ultrathane GASTROSTOMY CATHETER WIRE GUIDE CATHETER NEEDLE ORDER French French Reorder NUMBER Size Length Sideports Diameter Length Size Length Number 1 WOGS-1400-MKDT-A cm inch 100 cm cm

12 GASTROENTEROLOGY 11 FREDERICK-MILLER TUBE S Used for enteral feeding. The wire guide allows placement of the feeding tube under fluoroscopic control. Supplied sterile in peel-open packages. Intended for one-time use. WIRE GUIDE TFE coated stainless steel STANDARD TUBE WITH PRE-ATTACHED ADAPTER AND WEIGHTED TIP LUER LOCK PLUG LUER LOCK TUBE WITH WEIGHTED TIP Radiopaque polyvinylchloride MULTIPURPOSE TUBING ADAPTER Plastic ADAPTER TUBE WIRE GUIDE ORDER French Reorder NUMBER Size Length Sideports Tip Diameter Length Number 1 Standard C-FMT cm 3 closed end.045 inch 100 cm C-FMT cm 3 closed end.045 inch 145 cm Luer Lock C-FMT LL cm 3 closed end.045 inch 145 cm

13 12 GASTROENTEROLOGY MCLEAN-RING TUBE ULTRATHANE Used for enteral feeding. The feeding tube has a weighted distal end to facilitate passage. The feeding tube end hole allows placement over a wire guide if ineffective peristalsis or obstruction exists. Supplied sterile in peel-open packages. Intended for one-time use. COONS INTERVENTIONAL WIRE GUIDE TFE coated stainless steel TUBE Ultrathane MULTIPURPOSE TUBING ADAPTER Plastic TUBE WIRE GUIDE ORDER French Reorder NUMBER Size Length Sideports Diameter Length Number 1 MRT cm inch 275 cm

14 GASTROENTEROLOGY 13 MARX-COPE GASTROJEJUNOSTOMY WITH AQ HYDROPHILIC COATING Used for percutaneous placement of a coaxial catheter system for simultaneous feeding of the jejunum and aspiration of gastric contents in the stomach. The Peel-Away sheath provides access for the placement of the 16.0 French locking pigtail gastrostomy catheter into the stomach. The set includes a Cope Gastrointestinal Suture Anchor Set for secure fixation of the stomach. The 8.5 French AQ hydrophilic coated jejunostomy catheter is inserted coaxially through the proximal fitting of the gastrostomy catheter and out a large sideport. The tip of the jejunostomy catheter is advanced past the stomach and into the jejunum. The hub of the jejunostomy catheter Luer locks into the gastrostomy catheter to prevent inadvertent dislodgement. Supplied sterile in peel-open packages. Intended for one-time use. INTRODUCER NEEDLE 18 gage 10 cm long WIRE GUIDE TFE coated stainless steel SEEKING CATHETER Radiopaque braided nylon COONS DILATOR(S) 10.0 and 14.0 French radiopaque 20 cm long PEEL-AWAY INTRODUCER SHEATH Radiopaque TFE INTRODUCER DILATOR Radiopaque FIXATION DEVICE (WITH PULL TIE) Silicone ONE-WAY STOPCOCK Plastic J-TUBE LUER LOCK PLUGS JEJUNOSTOMY CATHETER Ultrathane with AQ hydrophilic coating SIDEPORT PIGTAIL GASTROSTOMY CATHETER 16.0 French Ultrathane 25 cm long G-TUBE GASTROJEJUNOSTOMY INTRODUCER INTRODUCER CATHETER WIRE GUIDE DILATOR SHEATH ORDER French French Reorder NUMBER Size Length Diameter Length Size Length Number 1 GJS-1600-MCGJ cm.038 inch 145 cm cm Replacement Catheter ULT8.5-NT-70-LL-NS-0-MCJ-HC

15 14 GASTROENTEROLOGY BILBAO-DOTTER HYPOTONIC DUODENOGRAPHY S Used to perform radiographic studies that show duodenal anatomy while eliminating the interference from peristaltic activity. The feeding tube is packaged with a torque cable to provide directional control into the duodenum once the patient has initially swallowed the feeding tube. Supplied sterile in peel-open packages. Intended for one-time use. SBD-100 and SBD-600 SBD-200 SBD-200-HERL-MOD TUBE WIRE GUIDE ORDER French Reorder NUMBER Size Length Sideports Tip Diameter Length Number 1 SBD cm 6 closed end.065 inch 125 cm SBD cm 9 open end.095 inch 125 cm SBD cm 6 closed end.065 inch 135 cm SBD-200-HERL-MOD cm none open end.065 inch 135 cm

16 GASTROENTEROLOGY 15 MAGLINTE MULTIPURPOSE DECOMPRESSION/ENTEROCLYSIS BALLOON CATHETER Used for small bowel decompression and enteroclysis. Introduction and placement is similar to standard nasogastric tube. A second lumen allows air to pass to the distal tip of the catheter reducing negative pressure during small-bowel decompression. Supplied sterile in peel-open packages. Intended for one-time use. SUMP LUMEN BALLOON CATHETER Polyvinylchloride Inflated Balloon LUER LOCK PLUG ADAPTER Plastic TORQUE CABLE TFE Coated stainless steel ORDER French Reorder NUMBER Size Length Number 1 MDEC cm

17 16 GASTROENTEROLOGY MAGLINTE ENTEROCLYSIS CATHETER Used for enteroclysis. The balloon prevents reflux of contrast medium. Supplied sterile in peel-open packages. Intended for one-time use. CATHETER Polyvinylchloride ADAPTER Plastic Inflated Balloon TORQUE CABLE TFE Coated stainless steel CATHETER TORQUE CABLE ORDER French Reorder NUMBER Size Length Diameter Length Tip Number 1 MEC cm.065 inch 195 cm angled

18 GASTROENTEROLOGY 17 ADAPTER Used for an enteral feeding adapter for gastrostomy, gastrojejunostomy and feeding tube catheters. The vinyl feeding adapter is designed to facilitate a connection between the catheter and in-line feeding systems. Supplied sterile in peel-open packages. Intended for one time-use. Plastic Closed Vinyl Open ORDER Reorder NUMBER Remarks Number 1 FTA-MLLA-R Male to multipurpose fitting

19 18 GASTROENTEROLOGY COOK-Z STENTS GIANTURCO-RÖSCH COVERED ESOPHAGEAL DESIGN Used to maintain patency of the esophagus by transversing esophageal strictures due to tumor encasement or compression. Polyethylene film covering the stent prevents tumor ingrowth. Double flared design and central fixation barbs facilitate stabilization within the esophagus. The inner diameter of the stent is 16 mm enabling the patient to consume well-chewed food. Delivery of the stent is performed using the specially designed introducer supplied with the set. Refer to Suggested Instructions for Use supplied with set for complete Cook-Z stent esophageal design selection criteria and placement recommendations. Not intended for intravascular use. Supplied sterile in peel-open packages. Intended for one-time use. Flushing Port Twist to lock DILATOR WITH LOCKING MECHANISM Radiopaque 70 cm long Positioning markers STENT INTRODUCER SHEATH WITH LOCKING MECHANISM 24.0 French 60 cm long radiopaque sheath 1. CUT HERE 2. TWIST AND PULL METAL OLIVE TIP AT DISTAL END STENT INTRODUCER CATHETER WITH LOADING CARTRIDGE AND PRE-LOADED STENT Twist to lock PROTECTION PLUG BARB SCALPEL GIANTURCO-RÖSCH COVERED ESOPHAGEAL STENT EXPANDED STENT ORDER Medial Proximal and Distal Stent Reorder NUMBER Outer Diameter Outer Diameter Length Number 1 GZES PE-CLT 18 mm 25 mm 10 cm GZES PE-CLT 18 mm 25 mm 12 cm GZES PE-CLT 18 mm 25 mm 14 cm U.S. Patent Numbers 4,580,568; 5,282,824; U.S. Patent Pending; Canadian Patents 1988; 1995; Australian Patent Numbers ; ; Japanese Patent Numbers ; ; European Patent Number ; European Patent Pending Some product catalog numbers listed are not in stock. Contact COOK Customer Service or your local sales representative for availability and pricing.

20 NOTES

21 NOTES

22 Diagnostic and Interventional Products COOK INCORPORATED P.O. Box 489, Bloomington, IN U.S.A. Phone: , Toll Free: , Toll Free FAX: COOK (CANADA) INC. 111 Sandiford Drive, Stouffville, Ontario, L4A 7X5 CANADA Phone: , Toll Free: WILLIAM A. COOK AUSTRALIA PTY. LTD. Brisbane Technology Park, 12 Electronics Street, Eight Mile Plains Brisbane, QLD 4113 AUSTRALIA, Phone: WILLIAM COOK EUROPE ApS Sandet 6, DK-4632, Bjaeverskov, DENMARK, Phone: COPYRIGHT COOK INCORPORATED 2000 GJSB1100