SPINAL SURGERY INSTRUMENTATION

Transcription

1 SPINAL SURGERY INSTRUMENTATION

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3 INTRODUCTION Mercian has been established as a supplier of high quality surgical instrumentation for over 45 years. We present our catalogue detailing our range of instrumentation for Spinal Surgery. These specialist instruments are manufactured to the highest possible standards with the most modern processes. STANDARDS Mercian is certified to meet standard ISO Recognised as a mark of excellence applicable to our management systems, processes, procedures and surgical instruments. We are subject to continual assessment of these procedures to ensure standards are maintained by an independent outside notified body. Annual surveillance ensures our compliance with ISO 13485: 2003 and medical directive 93/42/EEC Annex V. WARRANTY To ensure our instruments perform as expected, All Mercian Instruments are covered by a 12 Month Warranty covering any manufacturing/material defect. Any instrument failing these standards will be repaired or replaced without charges. CODE NUMBERS Mercian code numbers are designed to allow you to identify an instrument from only the number. Category Titanium or other variations SP T { Speciality Length of instrument Instrument No. CONTACT SALES ON: established over 45 years

4 INDEX Page No. KERRISON PUNCHES Laminectomy Punch 1&2 Thin Footplate Kerrison Punch 3 Wide Opening Kerrison Punch 3 Titanium Dismantable Punch 4 Curved Foramenotomy Punch 4 Long Anterior Kerrison Punch 5 Bayonet Kerrison Punch 5 Ferris-Smith Kerrison Punch 6 Osteo-Rotating Punch 6 DISC RONGEURS Intervertebral Disc Rongeur 7 Caspar Disc Rongeur 8 Schlesinger Toothed Rongeur 8 Williams Disc Rongeur 9 'Pea Pod' Disc Rongeur 9 Beck Disc Rongeur 9 Munich Grasping Forceps 10 Weil-Blakesley Forceps 10 Decker Rongeur 10 Nicola Biopsy Forceps 10 Micro Disc Rongeur 11 Micro Toothed Disc Rongeur 11 Cushing Disc Rongeur 11 Toothed Fine Disc Rongeur 11 Ferris-Smith Rongeur 12 Anterior Disc Rongeur 12 Anterior Pituitary Rongeur 12 BONE NIBBLERS & CUTTERS Lempert Bone Nibbler 13 Luer Bone Nibbler 13 Adson Bone Nibbler 13 Pennybacker Bone Nibbler 14 Northfields Bone Nibbler 14 'Rat Toothed' Bone Nibbler 14 Zielke Rongeur 15 Matzen Rongeur 15 Beyer Bone Nibbler 15 Jansen Bone Nibbler 16 Marquardt Bone Nibbler 16 Smith-Peterson Bone Nibbler 16 Leksell Bone Nibbler 17 Stille-Luer Bone Nibbler 17 'Mr Blobby' Stille-Luer Bone Nibbler 17 Echlin Duckbill Nibbler 18 Long Anterior Leksell Bone Nibbler 18 Sypert Bone Nibbler 18 McIndoe Bone Cutters 19 Stille-Liston Bone Cutters 19 Liston-Key-Horsley Bone Cutters 19 Tudor Edwards/Vehmehren Costotome 19 Page No. OSTEOTOMES & MALLETS Capener Osteotome 20 Lexer Osteotome 20 Dahmen Osteotome 20 Scaglietti Osteotome 21 Lambotte Osteotome 21 Stille (Swedish) Osteotome 22 Hibbs Osteotome 22 Smith Petersen Osteotome 22 Mallets 23 & 24 ELEVATORS & GOUGES Cobb Elevators 25 & 26 Karl Elevator 26 Adson Elevator 27 Pennybacker Elevator 27 Bone Raspatory 27 Farabeuf Elevator 27 Trethowan Elevator 28 Bristow Elevator 28 Zielke Gouge 28 Capener Gouge 28 DISSECTORS Swedish Dissector 29 Howarth Elevator 29 MacDonald Elevator/Dissector 29 Watson Cheyne Dissector 29 Freers Elevator/Dissector 29 Titanium Micro Dissectors 30 SPINAL CURETTES Bayonet Cervical Micro Curettes 31&32 Lempert Curette 33 Bruns Curette 33 Tufnol Handle Curette 33 Cobb Bone Curette 34 Comfort Handle Curette 34 Long Anterior Curette 34 Light-Grip Cervical Curette 35 Light-Grip Lumbar Curette 36 Cones Curette 37 Karl Ring Curette 37 Zielke Curette 37 Volkmann Curette 37

5 Page No. BONE GRAFT IMPACTORS Cervical Impactor 38 Lumbar Impactor 38 Anterior Impactor 38 Caspar Dowel Holder & Impactor 38 CASPAR CERVICAL DISTRACTION SET Caspar Distraction Set 39 & 40 LAMINA SPREADERS Cervical Vertebral Spreader 41 Cloward Cervical Spreader 41 Cloward Lamina Spreader 41 Baby Inge Lamina Spreader 42 Inge Lamina Spreader 42 Scaglietti Lamina Spreader 42 Long Anterior Lamina Spreader 42 HOOKS & PROBES Adson Dural Hook 43 Titanium Micro Hook 43 Weary Nerve Hook 43 Crile Hook 43 Emmet Hook 43 Cushing Hook 43 Adson Hook 44 Ball Probe 44 Manipulation Hook 44 Blalock Blunt Hook 44 Caspar Exploration Hook 44 NERVE ROOT RETRACTORS Love Bayonet Nerve Root Retractor 45 Krayenbuhl Nerve Root Retractor 45 Caspar Bayonet Nerve Root Retractor 45 O'Connell Nerve Root Retractor 45 Love Nerve Root Retractor 45 McCulloch Nerve Root Retractor 45 Sheppered Suction Nerve Root Retractor 46 Hess Nerve Root Retractor 46 RETRACTORS Meyerding Retractor 47 Langenbeck Retractor 47 Taylor Hip Retractor 47 Cloward Style Blade Retractor 47 Volkmann Retractor 47 Wests Retractor 48 Weitlaner Retractor 48 Mollison Retractor 48 Jefferson Retractor 48 Page No. RETRACTORS cont. Irwin Retractor 49 Travers Retractor 49 Norfolk & Norwich Retractors 49 Cones Retractor 50 Harvey Jackson Retractor 50 Beckman- Adson Retractor 50 Gelpi Laminectomy Retractor 51 Hardman Retractor 51 Meyerding Retractor 51 Viper Scoliosis Retractor 52 McCulloch Retractor Set 53 & 54 Micro Discectomy Instrument Set 55 & 56 'Black Belt' Cervical Retractor Set 57 & 58 Super-Slide Laminectomy Retractor Set 59 & 60 Caspar Retractor Set 61 & 62 Piccolino Mini Lumbar Retractor Set 63 Black Belt Micro Discectomy Retractor Set 64 BAYONET MICRO INSTRUMENTS Yasargil Bayonet Micro Forceps 65 Yasargil Bayonet Tumour Grasping Forceps 65 Yasargil Bayonet Micro Needle Holder 66 Yasargil Bayonet Micro Scissors 66 BIPOLAR FORCEPS Straight Bipolar Forceps 67 Bayonet Bipolar Forceps 68 & 69 Bipolar Coagulation Unit & Foot Switch 69 Bipolar Cables 70 MISC INSTRUMENTS Slim & Square Ended Wire Pliers 71 Muller Claus Wire Cutters 71 Combined Wire Cutters & Pliers 71 Bolt Cutters 72 Orthopaedic Locking Pliers 72 Needle Nosed Locking Pliers 72 Measuring Caliper/Gauges 73 Frazier Suction Tube 74 Bayonet Dissecting Forceps 74 OPERATING CHAIRS The Severn Surgeons Operating Stool 75 The Avon Surgeons Operating Stool 75 Coburg Micro Surgery Stool 76 cm Inch

6 LAMINECTOMY PUNCH Kerrison Laminectomy Punch 90 jaw angle 90 UPWARD 90 UPWARD JAW 18cm/7" Shaft 20cm/8" Shaft Bite Size FSKU 9071 FSKU mm FSKU 9072 FSKU mm FSKU 9073 FSKU mm FSKU 9074 FSKU mm FSKU 9075 FSKU mm FSKU 9076 FSKU mm 90 DOWNWARD 90 DOWNWARD JAW 18cm/7" Shaft 20cm/8" Shaft Bite Size FSKD 9071 FSKD mm FSKD 9072 FSKD mm FSKD 9073 FSKD mm FSKD 9074 FSKD mm FSKD 9075 FSKD mm FSKD 9076 FSKD mm Kerrison Laminectomy Punch 40 DOWNWARD jaw angle 40 DOWNWARD JAW 18cm/7" Shaft 20cm/8" Shaft Bite Size FSKD 4071E FSKD 4081E 1mm FSKD 4072E FSKD 4082E 2mm FSKD 4073E FSKD 4083E 3mm FSKD 4074E FSKD 4084E 4mm FSKD 4075E FSKD 4085E 5mm FSKD 4076E FSKD 4086E 6mm 40 DOWNWARD 1

7 LAMINECTOMY PUNCH 'Black Line' Kerrison Laminectomy Punch 40 UPWARD jaw angle With special Titanium coating on surface Bone ejector 40 UPWARD JAW 18cm/7" Shaft 20cm/8" Shaft 23cm/9" Shaft Bite Size FSKF 4071 Ti FSKF 4081 Ti FSKF 4091 Ti 1mm* FSKF 4072 ETi FSKF 4082 ETi FSKF 4092 ETi 2mm FSKF 4073 ETi FSKF 4083 ETi FSKF 4093 ETi 3mm FSKF 4074 ETi FSKF 4084 ETi FSKF 4094 ETi 4mm FSKF 4075 ETi FSKF 4085 ETi FSKF 4095 ETi 5mm FSKF 4076 ETi FSKF 4086 ETi FSKF 4096 ETi 6mm *1mm not available with Bone Ejector 40 UPWARD Kerrison Laminectomy Punch with Bone Ejector 40 UPWARD jaw angle Bone ejector 40 UPWARD JAW 18cm/7" Shaft 20cm/8" Shaft 23cm/9" Shaft Bite Size FSKF 4071 FSKF 4081 FSKF mm* FSKF 4072E FSKF 4082E FSKF 4092E 2mm FSKF 4073E FSKF 4083E FSKF 4093E 3mm FSKF 4074E FSKF 4084E FSKF 4094E 4mm FSKF 4075E FSKF 4085E FSKF 4095E 5mm FSKF 4076E FSKF 4086E FSKF 4096E 6mm *1mm not available with Bone Ejector 40 UPWARD 2

8 LAMINECTOMY PUNCH Thin Footplate Kerrison Laminectomy Punch 40 UPWARD jaw angle Thin footplate for Cervical surgery 40 UPWARD JAW 18cm/7" Shaft 20cm/8" Shaft Bite Size FSKF 4071T FSKF 4081T 1mm FSKF 4072T FSKF 4082T 2mm FSKF 4073T FSKF 4083T 3mm FSKF 4074T FSKF 4084T 4mm FSKF 4075T FSKF 4085T 5mm FSKF 4076T FSKF 4086T 6mm Reduced footplate 40 UPWARD A reduced footplate thickness useful for a restricted operating area Wide Opening Kerrison Laminectomy Punch 40 UPWARD jaw angle 16mm wide opening jaw Bone ejector 40 UPWARD JAW 20cm/8" Shaft Bite Size FSKW 4081 Ti FSKW 4082 ETi FSKW 4083 ETi FSKW 4084 ETi FSKW 4085 ETi FSKW 4086 ETi 1mm* 2mm 3mm 4mm 5mm 6mm Wide opening jaws allowing the surgeon to envelope more bone 16mm 40 UPWARD *1mm not available with bone ejector 3

9 LAMINECTOMY PUNCH Titanium Dismantable Punch 40 UPWARD jaw angle Titanium coating Take apart for cleaning Bone ejector Press here to open 40 UPWARD JAW 18cm/7" Shaft 20cm/8" Shaft 23cm/9" Shaft Bite Size FSKF 4071 DTi FSKF 4081 DTi FSKF 4091 DTi 1mm FSKF 4072 EDTi FSKF 4082 EDTi FSKF 4092 EDTi 2mm FSKF 4073 EDTi FSKF 4083 EDTi FSKF 4093 EDTi 3mm FSKF 4074 EDTi FSKF 4084 EDTi FSKF 4094 EDTi 4mm FSKF 4075 EDTi FSKF 4085 EDTi FSKF 4095 EDTi 5mm FSKF 4076 EDTi FSKF 4086 EDTi FSKF 4096 EDTi 6mm 40 UPWARD Curved Foramenotomy Punch 40 UPWARD jaw angle Curved shaft designed to improve access to the Foramen 20cm/8" Shaft FFKC 4082 FFKC 4083 FFKC 4084 Bite Size 2mm 3mm 4mm 4

10 LAMINECTOMY PUNCH Long Anterior Kerrison Laminectomy Punch 40 UPWARD jaw angle With special Titanium coating on surface Extra long shaft for Thoracic approach Bone ejector 40 UPWARD JAW 28cm/11" Shaft Bite Size ASKF 4001TI ASKF 4002ETI ASKF 4003ETI ASKF 4004ETI ASKF 4005ETI ASKF 4006ETI 1mm* 2mm 3mm 4mm 5mm 6mm 40 UPWARD *1mm not available with bone ejector working length Bayonet Kerrison Punch 40 UPWARD jaw angle Allows improved visibility With special Titanium coating on surface Bone ejector 40 UPWARD JAW 20cm/7¾" Shaft 23cm/9" Shaft 28cm/11" Shaft Bite Size working length working length working length 12cm/4¾" 18cm/7" 20cm/7¾" FSKF 4081BTi FSKF 4091BTi ASKF 4001BTi 1mm FSKF 4082BETi FSKF 4092BETi ASKF 4002BETi 2mm FSKF 4083BETi FSKF 4093BETi ASKF 4003BETi 3mm FSKF 4084BETi FSKF 4094BETi ASKF 4004BETi 4mm FSKF 4085BETi FSKF 4095BETi ASKF 4005BETi 5mm 5

11 LAMINECTOMY PUNCH Ferris-Smith Kerrison Laminectomy Punch 40 UPWARD jaw angle Modified ring handle 40 UPWARD JAW 18cm/7" Shaft 20cm/8" Shaft Bite Size FSKR 4072 FSKR mm FSKR 4073 FSKR mm FSKR 4074 FSKR mm FSKR 4075 FSKR mm FSKR 4076 FSKR mm 40 UPWARD Osteo-Rotating Punch 40 UPWARD jaw angle Thin foot plate for tight areas Full 360 rotation of shaft Removable shaft allows cleaning & replacement Ergonomically shaped handle 40 UPWARD JAW 18cm/7" Shaft 21cm/8¼" Shaft Bite Size SP SP mm SP SP mm SP SP mm SP SP mm SP SP mm 6

12 DISC RONGEURS Intervertebral Disc Rongeur STRAIGHT JAW 15cm/6" Shaft 18cm/7" Shaft 20cm/8" Shaft Bite Size F6-S F7-S F8-S 1mm K6-S K7-S K8-S 1.5mm C6-S C7-S C8-S 2mm LG6-S LG7-S LG8-S 3mm S6-S S7-S S8-S 4mm R6-S R7-S R8-S 5mm P6-S P7-S P8-S 6mm Q6-S Q7-S Q8-S 7mm Intervertebral Disc Rongeur 40 ANGLED UPWARD JAW 15cm/6" Shaft 18cm/7" Shaft 20cm/8" Shaft Bite Size F6-U F7-U F8-U 1mm K6-U K7-U K8-U 1.5mm C6-U C7-U C8-U 2mm LG6- U LG7- U LG8- U 3mm S6-U S7-U S8-U 4mm R6-U R7-U R8-U 5mm P6-U P7-U P8-U 6mm Q6-U Q7-U Q8-U 7mm Intervertebral Disc Rongeur 40 ANGLED DOWNWARD JAW 15cm/6" Shaft 18cm/7" Shaft 20cm/8" Shaft Bite Size F6-D F7-D F8-D 1mm K6-D K7-D K8-D 1.5mm C6-D C7-D C8-D 2mm LG6- D LG7- D LG8- D 3mm S6-D S7-D S8-D 4mm R6-D R7-D R8-D 5mm P6-D P7-D P8-D 6mm Q6-D Q7-D Q8-D 7mm 7

13 DISC RONGEURS Caspar Toothed Disc Rongeur Serrated and fenestrated jaws STRAIGHT JAW 16cm/6¼" Shaft 18cm/7" Shaft Bite Size SP SP mm SP SP mm SP SP mm SP SP mm UPWARD JAW 16cm/6¼" Shaft 18cm/7" Shaft Bite Size SP SP mm SP SP mm SP SP mm SP SP mm DOWNWARD JAW 16cm/6¼" Shaft 18cm/7" Shaft Bite Size SP SP mm SP SP mm SP SP mm SP SP mm Schlesinger Toothed Rongeur Fine serration on the jaw edge STRAIGHT JAW 15cm/6" Shaft 18cm/7" Shaft Bite Size SP SP mm SP SP mm SP SP mm 8

14 DISC RONGEURS Williams Discectomy Rongeur 14cm/5½" shaft SP Single toothed 1mm bite Williams Discectomy Rongeur longer pattern 23cm/9" shaft SP Pea Pod Disc Rongeur Short 10mm length jaw 15cm/6" SP SP SP Bite Size 2mm 3mm 4mm 13cm/5¼" Bite Size SP mm Extra fine pattern 5mm length jaws Beck Disc Rongeur 13cm/5¼" shaft 2mm bite SP

15 DISC RONGEURS Munich Grasping Forceps 18cm/7" shaft length 1x2 teeth Straight jaw SP Toothed serrated jaw Weil-Blakesley Forceps 18cm/7" shaft length Fenestrated jaw Straight Jaw Bite Size Upward 30 Angled Jaw Bite Size SP mm SP mm SP mm SP mm SP mm SP mm Decker Rongeur 15cm/6" shaft length Straight jaw SP mm jaw Nicola Micro Cupped Biopsy Forceps 16.5cm/6½" shaft length SP cm/6½ Ø 2.5mm 10

16 DISC RONGEURS Micro Disc Rongeur 17cm/6¾" shaft length 2mm bite Black Titanium coating Very slim shaft Straight jaw SP Upward jaw SP Micro Toothed Disc Rongeur 17cm/6¾" shaft length 2mm micro toothed jaw Black Titanium coating Very slim shaft 40 Upward jaw SP Cushing Disc Rongeur 17cm/6¾" shaft length 2mm x 10mm short jaw Black Titanium coating 40 Upward jaw SP Toothed Fine Disc Rongeur 17cm/6¾" shaft length 2mm fine toothed jaw Black Titanium coating Straight jaw SP

17 DISC RONGEURS Ferris-Smith Disc Rongeur Ring handle Straight Jaw 18cm/7" Shaft 20cm/8" Shaft Bite Size FSRS 0072 FSRS mm FSRS 0073 FSRS mm FSRS 0074 FSRS mm FSRS 0075 FSRS mm 40 Upward Jaw 18cm/7" Shaft 20cm/8" Shaft Bite Size FSRU 0072 FSRU mm FSRU 0073 FSRU mm FSRU 0074 FSRU mm FSRU 0075 FSRU mm Anterior Disc Rongeur 28cm/11" shaft length Longer 28cm shaft for greater reach in the Anterior approach Straight Upward Bite Size A11S-2 A11U-2 2mm A11S-3 A11U-3 3mm A11S-4 A11U-4 4mm A11S-5 A11U-5 5mm Anterior Pituitary Rongeur 35cm/13½" shaft length Extra long length shaft for deeper areas Straight Upward Bite Size SP mm SP SP mm SP mm SP SP mm with teeth with teeth 12

18 BONE NIBBLERS Lempert Bone Nibbler 19cm/7½" length Single action 3mm Bite SP Luer Bone Nibbler 18cm/7" length Single action Straight 8mm Bite SP Curved 8mm Bite SP Adson Bone Nibbler 20cm/8" length Single action 7mm Bite SP

19 BONE NIBBLERS Pennybacker Bone Nibbler 20cm/8" length Single action 4mm Bite SP Northfields Bone Nibbler 20cm/8" length Single action 10mm Bite SP 'Rat Toothed' Bone Nibbler 21cm/8¼" length Single action 5mm Bite SP mm Bite SP x 3 Teeth 3 x 3 Teeth 14

20 BONE NIBBLERS Zielke Intervertebral Rongeur Angled parallel jaws 21cm/8¼" 25cm/9¾" Bite Size SP SP mm SP SP mm 3mm Bite 5mm Bite Matzen Intervertebral Rongeur 20cm/8" length Angled jaws 8mm Bite SP Beyer Bone Nibbler 18cm/7" length Curved double action 4mm Bite SP

21 BONE NIBBLERS Jansen Bone Nibbler 18cm/7" length Curved double action 5mm Bite SP Marquardt Bone Nibbler 20cm/8" length Curved double action 3mm Bite SP Smith-Peterson Bone Nibbler 24cm/9½" length Double action Straight Light Curve Bite Size SP SP mm SP SP mm SP SP mm SP SP mm Straight Light Curve 16

22 BONE NIBBLERS Leksell Bone Nibbler 24cm/9½" length Double action angled Angled Jaw SP SP SP Bite Size 3mm 5mm 8mm 3mm 5mm 8mm Stille-Luer Bone Nibbler 22cm/8¾" length Double action Straight 10mm Bite SP Curved 10mm Bite SP 'Mr Blobby' Stille-Luer Bone Nibbler 26cm/10¼" length Double action Straight 17mm Bite SP Curved 17mm Bite SP

23 BONE NIBBLERS Echlin Duckbill Nibbler 23cm/9" length Double action 2mm Bite SP mm Bite SP mm Bite SP Long Anterior Leksell Bone Nibbler 30cm/12" length Double action 5mm Bite SP mm Bite SP Sypert Bone Nibbler 36cm/14¼" length Double action - very long 5mm Bite SP mm Bite SP

24 BONE CUTTERS McIndoe Bone Cutters 18cm/7" length Double action Angled jaws SP Stille-Liston Bone Cutters 27cm/10¾" length Straight SP Angled SP Liston-Key-Horsley Bone Cutters 27cm/10¾" length SP Tudor Edwards/Vehmehren Costotome 24cm/9½" length For cutting ribs SP

25 OSTEOTOMES Capener Osteotome 25cm/9¾ length Tufnol handle Width SP SP SP SP SP SP mm 12mm 15mm 20mm 25mm 30mm Lexer Osteotome 22cm/8½ length Tufnol handle Width SP SP SP SP SP mm 10mm 15mm 20mm 25mm Dahmen Osteotome 30cm/12 length Tufnol handle 5mm 10mm 15mm 20mm 25mm 30mm Straight SP SP SP SP SP SP Width 5mm 10mm 15mm 20mm 25mm 30mm Angled SP SP SP SP SP SP Width 5mm 10mm 15mm 20mm 25mm 30mm 20

26 0STEOTOMES Scaglietti Straight Osteotome Set SP Complete set consisting of: Qty Order Code Description 5 Scaglietti Osteotomes - 5 s 1 SP Instrument Case Scaglietti Osteotomes 26cm/10¼" length Size SP SP SP SP SP mm 9mm 12mm 16mm 19mm Lambotte Osteotome 25cm/9¾" length Straight Width Curved Width SP SP SP SP SP SP SP SP SP SP mm 6mm 8mm 10mm 13mm 16mm 18mm 20mm 25mm 30mm SP SP SP SP SP SP SP SP SP SP mm 6mm 8mm 10mm 13mm 16mm 18mm 20mm 25mm 30mm 21

27 0STEOTOMES Mini- Stille Osteotome 16cm/6¼" length Straight SP SP SP Width 4mm 6mm 8mm Stille (Swedish) Osteotome 20cm/8" length Straight SP SP SP SP SP SP SP SP Width 6mm 8mm 10mm 12mm 15mm 20mm 25mm 30mm Hibbs Osteotome with thin blade 20cm/8" length Extra thin blade Straight Width Curved Width SP SP SP SP SP SP SP SP SP mm 6mm 8mm 10mm 12mm 15mm 20mm 25mm 30mm SP SP SP SP SP SP SP SP SP mm 6mm 8mm 10mm 12mm 15mm 20mm 25mm 30mm Smith Petersen Osteotome 20cm/8" length Width SP SP SP SP SP mm 15mm 20mm 25mm 30mm 22

28 MALLETS Toffee Mallet 19cm/7½" length Head 22mm Ø Weight 165g/6oz HA Ultra Fine Mallet 17cm/6¾" length Head 20mm Ø Weight 145g/5oz HA Heath Mallet 19cm/7" length Stainless steel head Head 40mm Ø Weight 1020g/36oz HA Mallet with Tufnol Handle 23cm/9" length Small head 30mm Ø Weight 350g/12oz HA Medium head 35mm Ø Weight 550g/20oz HA Large head 40mm Ø Weight 700g/25oz HA

29 MALLETS London Splint Mallet 18cm/7" length Head 30mm Ø Weight 450g/16.2oz HA Ombredanne Mallet 24cm/9½" length Head 40mm Ø Weight 550g/20oz HA Mallet with Tufnol Handle 24cm/9½" length Lead filled head Weight 400g/14oz HA Tufnol Mallet 25.5cm/10 length Head 42mm Ø Weight 250g/10oz HA

30 COBB ELEVATORS Cobb Spinal Elevator 31cm/12¼" overall length 18cm/7" handle length 10mm SP mm SP mm SP Harrington Cobb Spinal Elevator 30.5cm/12" overall length 10mm SP mm SP mm SP Cobb Spinal Elevator Extra Long Handle 34cm/13½" overall length 22cm/8¾" handle length 10mm SP mm SP mm SP mm SP mm SP

31 COBB ELEVATORS Comfort Cobb Elevator 32cm/12½" overall length 20cm/8 handle length 10mm SP mm SP mm SP mm SP mm SP Karl Cobb Elevator 32.5cm/12¾" overall length 20cm/8 handle length 10mm SP mm SP mm SP mm SP mm SP Long Anterior Comfort Cobb Elevator 47cm/18¼" overall length 10mm SP mm SP mm SP mm SP mm SP

32 ELEVATORS Adson Periosteal Elevator 16cm/6¼ length Curved blunt Width SP SP mm 7mm Pennybacker Periosteal Elevator 16cm/6¼ length Curved sharp Width SP SP SP mm 6mm 8mm Bone Raspatory with Tufnol Handle 19cm/7½ length Straight Width Curved Width SP mm HA HA mm 6mm Farabeuf Rugine Elevator 15cm/6 length Straight SP Curved* SP Width 12mm Width 12mm *illustrated Farabeuf Rugine Elevator with Hollow Handle 16cm/6¼" length Straight SP Curved* SP Width 12mm Width 12mm *illustrated 27

33 ELEVATORS & GOUGES Trethowan Bone Elevator 22.5cm/8½" length SP Bristow Periosteal Elevator 23cm/9" length Curved sharp 10mm width SP Zielke S-Shaped Gouge 23cm/9" length *illustrated Curved* Width S-Shaped Width SP SP mm 9mm SP SP mm 9mm Capener Lamina Gouge 23cm/9" length Cranked shaft Width SP SP SP SP mm 8mm 11mm 16mm 28

34 DISSECTORS Swedish Dissector 18cm/7" overall length SP Howarth Elevator 21.5cm/8½" overall length SP MacDonald Elevator/Dissector Size HA SP cm/7" 23cm/9" Watson Cheyne Dissector Size HA SP SP cm/7" 23cm/9" 25.5cm/10" Freers Elevator/Dissector 18.5cm/7¼" overall length HA

35 MICRO TITANIUM DISSECTORS Titanium Micro Round Dissectors 19cm/7½ 1mm Small MV mm Medium MV mm Large MV Titanium Micro Elevators 19cm/7½ Curved MV Angled MV Titanium Micro Spatula Dissectors 19cm/7½ 1mm Small MV mm Medium MV mm Large MV Titanium Micro Hooks 19cm/7½ 90 Semi-sharp 90 Blunt 45 Semi-sharp Straight point Needle MV MV MV MV Titanium Micro Curettes 19cm/7½ Small Cup MV Large Cup MV

36 BAYONET CERVICAL MICRO CURETTES Cervical Micro Discectomy Curette Set SP Complete set consisting of: Qty Order Code Description 4 SP Curette Handles 12 Cervical Curette Shafts - includes: 5 Straight Shafts/5 Angled Shafts/2 Down Pushing Shafts 1 SP Sterilising Case Slim Micro Discectomy Curette Handle SP Bayonet handled design for improved visualisation 360 rotating shafts are interchangeable Shaft length is adjustable Lightweight handle Instrument length: 23cm max. for standard curettes Shaft length 10cm Straight Cup Cup Size Forward Angle Cup Size Down Pushing Cup Size SP SP SP SP SP SP SP SP SP SP SP SP

37 BAYONET CERVICAL MICRO CURETTES Bayonet Cervical Curette 21.5cm/8½" overall length 9cm/3½" shaft length Straight Cup Forward Angled Cup Size SP C SP C 0000 SP C SP C 000 SP C SP C 00 SP C SP C Long Bayonet Cervical Curette 24cm/9½" overall length 12cm/4¾" shaft length Straight Cup Forward Angled Cup Size SP CL SP CL 0000 SP CL SP CL 000 SP CL SP CL 00 SP CL SP CL Container for 12 curettes SP

38 SPINAL CURETTES Lempert Curette 21cm/8¼" overall length Straight Cup Size Angled Cup Size SP SP SP SP SP SP SP SP SP SP SP SP Bruns Curette 23cm/9" overall length Straight Cup Size Angled Cup Size SP SP SP SP SP SP SP SP SP SP SP SP Tufnol Handle Micro Curette 26cm/10" overall length Straight Cup Size Angled Cup Size SP SP SP SP SP SP SP SP SP SP

39 SPINAL CURETTES Cobb Bone Curette 28cm/11" length Straight Cup Size Angled Cup Size SP mm SP mm SP mm SP mm SP SP SP mm 3.5mm 4.0mm SP SP SP mm 3.5mm 4.0mm 2.0mm 2.5mm 3.0mm 3.5mm 4.0mm SP mm SP mm SP mm SP mm SP mm SP mm SP SP mm 8.0mm SP SP mm 8.0mm 4.5mm 5.0mm 5.5mm 6.5mm 8.0mm Comfort Handle Curette 29cm/11½" overall length 20cm/8" handle length Straight Cup Size Angled Cup Size SP mm SP mm SP mm SP mm SP SP SP mm 13mm 15mm SP SP SP mm 13mm 15mm 6.5mm 8.5mm 11mm 13mm 15mm Long Anterior Curette 38cm/15" overall length Straight Cup Size Angled Cup Size SP mm SP mm SP SP mm 8mm SP SP mm 8mm 4.3mm 7mm 8mm 34

40 SPINAL CURETTES Light-Grip Cervical Curettes 26cm/10¼" overall length 13cm/5¼" handle length Colour coded handles Cup Size Straight Forward Angled Down Angled SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP Light-Grip Cervical Curette Rack Holds 12 Cervical Curettes SP

41 SPINAL CURETTES Light-Grip Lumbar Curettes 34cm/13½" overall length 20cm/8" handle length Colour coded handles Cup Size Straight Forward Angled Down Angled SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP SP Light-Grip Lumbar Curette Rack Holds 12 Lumbar Curettes SP

42 SPINAL CURETTES Cones Ring Curette 23cm/9" overall length Straight Ring Size Angled Ring Size 3mm ring SP SP mm 6mm SP SP mm 6mm 6mm ring SP mm SP mm 8mm ring Karl Ring Curette 32.5cm/12¾" overall length Straight Ring Size Angled Ring Size 6mm ring SP SP mm 8mm SP SP mm 8mm 8mm ring SP mm SP mm 10mm ring Zielke Curette 21cm/8¼" overall length Straight Size Angled Size SP mm SP mm SP mm SP mm Volkmann Double Ended Curette 22cm/8¾" overall length Size SP SP SP Small Medium Large Small Medium Large 37

43 BONE GRAFT IMPACTORS Cervical Bone Graft Impactor 90 Offset 22cm/8½" length 6mm x 12mm Tip SP mm x 6mm Tip SP cm length Lumbar Bone Graft Impactor 22cm/8½" length 7mm x 12mm SP mm x 13mm SP Anterior Bone Graft Impactor 34cm/13½" length 9 x 16mm Tip SP x 23mm Tip SP Caspar Bone Graft Holder and Impactor 21.8cm/8¼" length 6 x 12mm Tip SP Dowel holder for taking larger block grafts and for vertebral body replacement 38

44 CASPAR CERVICAL DISTRACTION SET Caspar Vertebral Body Distraction Set SP For retraction of the vertebral body in the cervical spine to allow access to the disc Less instrumentation in the disc space Distraction screws are secured into the vertebral body either side of the disc, the retractor is then slid over the screws and retracted Complete set consisting of: Qty Order Code Description 1 SP Retractor Right 1 SP Drill Guide Right 1 SP Screw Driver 1 SP Distraction Drill 1 SP Sterile Distraction Screws 14mm Boxes of 10 Distraction Retractors SP Right SP Left 39

45 CASPAR CERVICAL DISTRACTION SET Drill Guide SP Right SP Left Screw Driver SP Distraction Drill For pre-drilling pilot holes for distraction screws in combination with the drill guide Drill 2mm Ø SP Caspar Distraction Screws 7cm/2¾" post length Sterile packed Thread length Thread length SP SP SP mm 14mm 16mm Supplied Sterile in boxes of 10 40

46 LAMINA & VERTEBRAL SPREADERS Cervical Vertebral Spreader 13cm/5¼" length 3mm tip SP SP Depth 70mm 95mm* *Illustrated depth 95mm Cloward Cervical Spreader 17cm/6¾" length Max opening 20mm SP Depth 50mm Cloward Lamina Spreader 15cm/6" length SP Depth 70mm 41

47 LAMINA & VERTEBRAL SPREADERS Baby Inge Lamina Spreader 18cm/7 length 7mm Toothed 7mm Smooth 7mm Cross Serrated HA HA S HA X Inge Lamina Spreader 24cm/9½" length Max opening 50mm SP mm 20mm Scaglietti Lamina Spreader 28cm/11" length With speed lock SP Long Anterior Lamina Spreader 28cm/11" length Max opening 40mm SP

48 HOOKS & PROBES Adson Dural Hook 19cm/7½" length 3mm tip length Sharp SP Blunt SP Titanium Micro Hook 19cm/7½" length 3mm tip length 90 Semi-sharp MV Blunt MV Weary Blunt Nerve Hook 19.5cm/7¾" length 6mm fine tip length SP Crile Blunt Hook 20cm/8" length 7mm tip length SP Emmet Sharp Hook 22cm/8¾" length 5mm tip length SP Cushing Blunt Hook 28cm/11" length 5mm tip length SP

49 HOOKS & PROBES Adson Hook 20cm/8" length 5mm tip length Sharp SP Blunt SP Ball Tipped Probe 23cm/9 length 2mm Ø ball 4mm 6mm 8mm SP SP SP Ball Tipped Probe - Fine Pattern 23cm/9 length 1mm Ø ball 4mm 6mm 8mm SP S SP S SP S Manipulation Hook 23.5cm/9¼" length 4mm tip length SP Blalock Blunt Hook 24cm/9½" length 5mm tip length SP Caspar Exploration Hook Insulated 24.5cm/9¾" length Insulated shaft SP SP SP SP

50 NERVE ROOT RETRACTORS Love Bayonet Nerve Root Retractor 21cm/8¼" length SP Width 4mm Krayenbuhl Nerve Root Retractor Double bayonet Width 21cm/8¼" 24cm/9½" SP SP mm 4mm Caspar Bayonet Nerve Root Retractor 24cm/9½" length Width 100mm length SP SP mm 6mm O Connell Nerve Root Retractor 21.5cm/8½" length SP Love Nerve Root Retractor 22cm/8¾" length 5mm tip width *illustrated SP SP SP Straight 25 Angled* 90 Angled McCulloch Nerve Root Retractor 12.5cm/5" working length 90 angled 6mm tip SP

51 NERVE ROOT RETRACTORS Sheppered Suction Nerve Root Retractor With suction aspiration Fibre optic illumination 4mm tip width 26cm/10½" length SP cm/12¼" length SP Suction Illumination Nerve Root Retractor 31cm/12" length With suction 7mm tip width SP Hess Nerve Root Retractor 19cm/7½" length Width SP SP SP SP mm 4mm 5mm 7mm 3mm 4mm 5mm Nerve Root Retractor 19cm/7½" length With fibre optic illumination 7mm SP SP Width 3mm 5mm 46

52 HAND HELD RETRACTORS Meyerding Retractor 22.5cm/9" length Langenbeck Retractor 21.5cm/8½" length Blade Blade SP mm x 16mm SP mm x 6mm SP mm x 25mm SP mm x 13mm SP mm x 50mm SP mm x 25mm SP mm x 20mm Volkmann Catspaw Retractor 21.5cm/8½" length Semi sharp teeth Taylor Hip Retractor 19cm/7½" length Depth SP SP SP mm 85mm 100mm 15 x 15mm 3 Prong SP Cloward Style Blade Retractor 11cm/4¼" length 15 x 20mm 4 Prong SP SP SP SP Width 13mm 18mm 20mm 15 x 30mm 6 Prong SP

53 SELF RETAINING RETRACTORS Wests S/R Retractor 14cm/5½" length 3 x 4 Sharp prongs Prong depth 18mm SP Weitlaner S/R Retractor 14cm/5½" length 3 x 4 Blunt prongs Prong depth 18mm SP Mollison S/R Retractor - Child 13cm/5¼" length 2 x 2 Sharp prongs 12mm depth SP Mollison S/R Retractor - Adult 17cm/6¾" length 4 x 4 Sharp prongs 15mm depth SP Jefferson S/R Retractor 13cm/5¼" length 3 x 4 Blunt prongs 16mm depth SP

54 SELF RETAINING RETRACTORS Irwin S/R Retractor 17.5cm/6¾" length 4 x 4 Sharp prongs Prong depth 20mm SP Travers S/R Retractor 20cm/8" length 4 x 5 Blunt prongs Prong depth 26mm SP Norfolk and Norwich S/R Retractor 20cm/8" length 4 x 5 Blunt prongs Prong depth 50mm x 23mm width SP Norfolk and Norwich Deeper Prongs S/R Retractor 20cm/8" length 4 x 5 Blunt prongs Prong depth 70mm x 23mm width SP

55 SELF RETAINING RETRACTORS Cones Self Retaining Retractor 3x4 Prongs Jointed arms Blunt Prongs Length Depth SP cm/5" 15mm SP cm/6½" 15mm SP cm/8" 20mm SP cm/9½" 25mm Sharp Prongs Length Depth SP cm/5" 15mm SP cm/6½" 15mm SP cm/8" 20mm SP cm/9½" 25mm Harvey Jackson Self Retaining Retractor 30.5cm/12" length Prong depth 45mm 3x3 Sharp prongs SP Beckman - Adson Retractor 33cm/13" length 4 x 5 Blunt prongs Prong depth 32mm Jointed arms SP

56 SELF RETAINING RETRACTORS Gelpi Laminectomy Retractor Sharp Prongs Prong depth Blunt Prongs Prong depth 18.5cm/7¼" 19.5cm/7¾" 20cm/8" 20cm/8" SP SP SP SP mm 50mm 70mm 90mm 18.5cm/7¼" 19.5cm/7¾" 20cm/8" 20cm/8" SP B SP B SP B SP B 30mm 50mm 70mm 90mm Hardman Retractor 20cm/8" length Prong depth SP mm equal prongs SP long prong - Left* SP long prong - Right Short prong 30mm depth * Long left prong illustrated 50mm depth Meyerding Hemi Laminectomy Retractor 18cm/7" length Solid Blade Left Blade Size Solid Blade Right SP x 10mm SP SP x 10mm SP SP x 10mm SP SP x 20mm SP SP x 20mm SP SP x 20mm SP Narrow Blade Wide Blade 51

57 SELF RETAINING RETRACTORS Viper Hinged Scoliosis Retractor 30cm/11¾" length Sharp Depth Prongs SP H SP H SP H 40mm 70mm 100mm 40mm prong depth 70mm prong depth Viper Scoliosis Retractor 30cm/11¾" length Sharp prongs 100mm prong depth Depth Prongs SP SP SP mm 70mm 100mm 52

58 McCULLOCH RETRACTOR SET This Specialist Retractor allows the consultant the optimal exposure to the disc with the minimum incision. The design of the retractor allows unhindered access around the wound with the jointed arms folding along the patients back. The black finish eliminates distracting reflections under the microscope during surgery. The wide selection of blades available allows the surgeon full flexibility in approaches to the disc. Basic McCulloch Retractor Set SP Complete set consisting of: Qty Order Code Description 1 each SP Retractor Frame 4 pairs SP Wide Muscle Blades Sizes 4cm to 7cm depth 4 pairs SP Narrow Muscle Blades Sizes 4cm to 7cm depth 4 each SP Hook Blades Sizes 3cm to 6cm depth 4 each SP Toothed Blades Sizes 3cm to 6cm depth 1 each SP Instrument Container Extended McCulloch Retractor Set SP Complete set consisting of: Qty Order Code Description 2 each SP Retractor Frames 6 pairs SP Wide Muscle Blades Sizes 3cm to 8cm depth 6 pairs SP Narrow Muscle Blades Sizes 3cm to 8cm depth 6 each SP Hook Blades Sizes 2cm to 7cm depth 6 each SP Toothed Blades Sizes 2cm to 7cm depth 1 each SP Instrument Container 53

59 McCULLOCH RETRACTOR SET Jointed Arms Retractor Frame Jointed arms Maximum spread 70mm SP Retractor Frame Rigid arms Retractor Frame Extra long rack 140mm spread SP SP S 27mm width SP cm depth SP cm depth SP cm depth SP cm depth Wide Muscle Blades - 6 Teeth Extra deep { SP SP SP SP SP cm depth 8cm depth 9cm depth 10cm depth 12cm depth Hook Blades Extra deep { SP SP SP SP SP SP SP SP SP cm depth 3cm depth 4cm depth 5cm depth 6cm depth 7cm depth 8cm depth 9cm depth 10cm depth Narrow Muscle Blades - 4 Teeth Extra deep { 20mm width SP SP SP SP SP SP SP SP SP cm depth 4cm depth 5cm depth 6cm depth 7cm depth 8cm depth 9cm depth 10cm depth 12cm depth SP cm depth Toothed Blades Extra deep { SP SP SP SP SP SP SP SP cm depth 4cm depth 5cm depth 6cm depth 7cm depth 8cm depth 9cm depth 10cm depth Thin Muscle Blades - 2 Teeth 17mm width SP SP SP SP SP SP cm depth 4cm depth 5cm depth 6cm depth 7cm depth 8cm depth 54

60 MICRO DISCECTOMY SET McCulloch Style Intrument Set with Container SP Complete set consisting of: Qty Order Code Description 1 SP McCulloch Spinal Hook, 4mm tip - 23cm/9" length 1 SP McCulloch Spinal Probe, 4mm tip - 23cm/9" length 1 SP McCulloch Spinal Probe, 6mm tip - 23cm/9" length 1 SP Cobb Spinal Elevator, 12mm width - 26cm/10¼" length 1 SP Cobb Spinal Elevator, 19mm width - 26cm/10¼" length 1 SP Spinal Osteotome, 4mm width - 22cm/8½" length 1 SP Spinal Osteotome, 6mm width - 22cm/8½" length 1 SP 'Hockey Stick' Chisel, 5mm width - 22cm/8½" length, curved right 1 SP 'Hockey Stick' Chisel, 5mm width - 22cm/8½" length, curved left 1 SP Elevator Double Ended, 24cm/9¾" length 1 SP McCulloch Suction Tube, Fenestrated tip, 23cm/9" length, 6FG, 2.0mm Ø 1 SP McCulloch Suction Tube, Fenestrated tip, 23cm/9" length, 7FG, 2.3mm Ø 1 SP McCulloch Suction Tube, Fenestrated tip, 23cm/9" length, 9FG, 3.0mm Ø 1 SP McCulloch Suction Tube, Fenestrated tip, 23cm/9" length, 12FG, 4.0mm Ø 1 SP McCulloch Nerve Root Retractor, 90 angled, 6mm tip, 12.5cm/5" working length McCulloch Style Spinal Hook/Probe 23cm/9" length 4mm 6mm 8mm Hook Tip 4mm Probe Ball Tip 4mm Probe Ball Tip 6mm Probe Ball Tip 8mm SP SP SP SP

61 MICRO DISCECTOMY SET Cobb Spinal Elevator 26cm/10¼" length SP SP Width 12mm 19mm Spinal Osteotome 22cm/8½" length SP SP Width 4mm 6mm 'Hockey Stick' Chisel 22cm/8¾" length 5mm width SP SP Curved right Curved left Elevator Double Ended 24cm/9¾" length SP McCulloch Suction Tube 23cm/9" length Fenestrated tip FG Diameter SP FG 2.0mm Ø SP FG 2.3mm Ø SP FG 3.0mm Ø SP FG 4.0mm Ø McCulloch Nerve Root Retractor 12.5cm/5" working length 90 angled 6mm tip SP

62 'BLACK BELT' CERVICAL RETRACTOR SET * Titanium Blade Set illustrated An advanced Cervical retractor system suitable for both Anterior and Posterior Cervical Surgery but with attachments for Micro Discectomy Surgery. Basic Black Belt Cervical Retractor System Coloured Titanium Black Belt Cervical Retractor System M Complete set consisting of: Qty Order Code Description Retractor Frame RIGHT Retractor Frame LEFT Retractor Frame OFFSET Blade Insertion Clamps /70 Pronged Blades 34mm-70mm /70 Blunt Blades 34mm-70mm /55 Two Level Pronged Blades 40mm-55mm /55 Two Level Blunt Blades 40mm-55mm Container Complete set consisting of: Qty Order Code Description M Retractor Frame RIGHT M Retractor Frame LEFT M Retractor Frame OFFSET M Blade Insertion Clamps /70M Pronged Blades 34mm-70mm /70M Blunt Blades 34mm-70mm /55M Two Level Pronged Blades 40mm-55mm /55M Two Level Blunt Blades 40mm-55mm M Container Extended Black Belt Cervical Retractor System Consisting of: Standard Black Belt Retractor with the addition of Micro Discectomy Attachments as detailed on page 56. Coloured Titanium Extended Black Belt Cervical Retractor System M Consisting of: Standard Black Belt Retractor with the addition of Micro Discectomy Attachments as detailed on page

63 'BLACK BELT' CERVICAL RETRACTOR SET Blades The blade shape is designed to resist climbing out of the surgical site The wider two level blades have an extra bend near the tip, which follows the contour of the vertebrae for visualising Full jointed retractor arms Black non-glare finish Wide blade range Suitable for single or multi level retraction Spring loaded clamp jaws Thumb screw Blade Inserter Clamp Spring loaded clamping jaws for easy blade engagement Clamp handles create minimal visual obstruction Blade/clamp assembly may be used for hand retraction 22mm wide blunt blade 22mm wide pronged blade 27mm wide two level blunt blade 27mm wide two level pronged blade 17mm wide optional narrow Cervical blades 40mm to 60mm depth Clamps are quickly/ easily removed after retractor arms have securely engaged the blades T-Shape blade Interspinus Ligament blade Lumbar Micro Discectomy Attachments With this set the standard Cervical Retractor becomes a Lumbar Microdiscectomy Retractor unit Complete set consisting of: Qty Order Code Description Micro Disc attachment Spike blade Spike Blade Blade lock Arm lock T-Shape Blade Inner Spine Ligament Blade Pronged Blade 85mm depth 58

64 SUPER-SLIDE II LAMINECTOMY RETRACTOR SET * Titanium Blade Set illustrated A powerful retractor with a selection of blade depths which can be positioned anywhere along the retractor arms. Allows excellent exposure of the spine in Pedicle Screw and Laminectomy procedures. Super-Slide Retractor Basic Set Complete set consisting of: Qty Order Code Description Retractor Frame Small blades 2" deep Medium blades 3" deep Large blades 4" deep Instrument container Titanium Super-Slide Retractor Basic Set Complete set consisting of: Qty Order Code Description Retractor Frame Small Titanium blades 2" deep Medium Titanium blades 3" deep Large Titanium blades 4" deep Instrument container Super-Slide Retractor Extended Set Includes components of basic set plus: Qty Order Code Description Supplementary blades 4¾" deep Unilateral blade heads Unilateral T-blades Titanium Super-Slide Retractor Extended Set Includes components of Titanium basic set plus: Qty Order Code Description Supplementary Titanium blades 4¾" deep Unilateral blade heads T Unilateral Titanium T-blades 59

65 SUPER-SLIDE II LAMINECTOMY RETRACTOR SET Crank handle Quick release for blades Jointed arms Super-Slide Retractor Blades Will not slip out of wound during surgery Narrow blade design minimizes potential of tissue necrosis at blade and tissue contact point Blades feature quick release locking system * Titanium Blades illustrated IMPROVED INSTRUMENT ACCESS Supplementary ¾" deep Large " deep Medium " deep Small " deep Unilateral Blade Attachment Blades lock into any chosen position along the retractor arms and may be changed at any time during surgery Arm locks allow the surgeon the choice of either attaching to the retractor arms then placing the unit into the wound or placing the blades into the wound then engaging the frame arms To obtain a unilateral exposure, use the unilateral blade attachments contained in the extended set. The T-Blade is designed to attain a firm purchase on the Spinous process The T-Blade can be adjusted to the correct depth with the blade lock Blade lock Unilateral T-Blade T Arm lock

66 { { CASPAR MICRO LUMBAR DISCECTOMY RETRACTOR SET Counter retractor Ball snap locking Lateral blades Jointed arms Specula Caspar Micro Discectomy Retractor This Retractor Set allows a micro surgery approach to Lumbar Disc Specula have a black surface finish to prevent glare Fenetrasted blades on the specula reduce the risk of movement during surgery Complete Set SP Consisting of: Lateral Blades Depth Specula Depth SP SP SP SP SP SP mm 45mm 50mm 55mm 60mm 65mm SP SP SP SP SP SP mm 45mm 50mm 55mm 60mm 65mm SP SP SP SP SP Counter Retractor Frame Blade Ejector Forceps Sterilising Container Tray Insert for Specula Tray Insert for Lateral Blades SP mm SP mm SP mm SP mm SP SP mm 100mm SP SP mm 100mm Optional extra deep 61

67 CASPAR MICRO LUMBAR DISCECTOMY RETRACTOR SET Lateral Blades depth 65mm 60mm 55mm 50mm 45mm 40mm 75mm Blade Ejector Forceps SP Specula Range depth 65mm 60mm 55mm 50mm 45mm 40mm 75mm Caspar Micro Discectomy Retractor Frame SP

68 PICCOLINO MINI LUMBAR RETRACTOR SET Counter retractor Jointed arms Counter Retractor Frame Specula Lateral blades Lateral Blades Radiolucent depth Piccolino Mini Lumbar Retractor Set Micro Lumbar Surgery Lateral blades are radiolucent Reduced 20mm incision Complete Set SP Consisting of: Lateral Blades Depth Specula Depth Specula SP mm SP mm SP mm SP mm SP mm SP mm SP mm SP mm SP mm SP mm SP mm SP mm SP mm SP mm SP mm SP Counter Retractor Frame 63

69 BLACK BELT MICRO DISCECTOMY RETRACTOR SET Black Belt Micro Discectomy Retractor Set A specialist retractor for Lumbar Micro Discectomy Surgery featuring: Jointed retractor arms Adjustable blade depth Range of pronged blades Powerful ratchet action with quick release mechanism T-Blade Spike Blade Complete Set Complete set consisting of: Inner Spine Ligament Blade Qty Order Code Description Retractor Frame Blade Inserting Clamp Spike Blade T-Shape Blade Inner Spine - Ligament Blade Pronged Blade 40mm Pronged Blade 45mm Pronged Blade 50mm Pronged Blade 60mm Pronged Blade 70mm Pronged Blade 85mm Sterilising Container Jointed retractor arms Adjustable depth for Spike Blade Quick release 64

70 BAYONET MICRO INSTRUMENTS Yasargil Bayonet Micro Forceps Flat handled Blunt tips Tip 22.5cm/8½" 24cm/9½" MV * MV mm 1mm *illustrated Yasargil Bayonet Tumour Grasping Forceps Flat handled Spoon shaped jaws 22.5cm/8½" MV cm/8½" MV Tip 3mm 5mm Flat serrated jaws 22.5cm/8½" MV * 22.5cm/8½" MV Tip 3mm 5mm *illustrated Curette toothed jaws 22.5cm/8½" MV cm/8½" MV Tip 3mm 5mm Yasargil Bayonet Micro Forceps Round bodied Tip 21cm/8¼" 23cm/9" MV MV * 1mm 1mm *illustrated Yasargil Bayonet Tumour Grasping Forceps Round bodied Flat serrated jaws Tip 21cm/8¼" MV mm 65

71 BAYONET MICRO INSTRUMENTS Yasargil Bayonet Micro Needle Holder Flat handled Delicate 1mm jaws With Lock Straight Curved Without Lock Straight Curved 23cm/9" MV MV cm/9" MV MV Bayonet Micro Needle Holder Round bodied Delicate 1mm jaws With Lock Straight Curved Without Lock Straight Curved 21cm/8¼" MV MV cm/8¼" MV MV cm/9" MV MV cm/9" MV MV Yasargil Bayonet Micro Scissors Flat handled 22.5cm/8¾" length Regular Blades Vannas Fine Blades Straight MV Straight MV Curved MV Curved MV

72 STRAIGHT BIPOLAR FORCEPS Straight Bipolar Forceps 16.5cm/6½" length Tip mm mm Fine tip Regular tip 19cm/9" length Tip mm mm Fine tip Regular tip 26cm/10¼" length Tip mm Straight Bipolar Forceps Supergliss Non-Stick Tips The material specially developed for SuperGliss non-stick forceps prevents overheating of the tips during coagulation. 18.5cm/7¼" length SG SG Tip 0.7mm 1.0mm Fine tip Regular tip 20cm/8" length Tip SG 0.7mm SG 1.0mm Fine tip Regular tip 67

73 BAYONET BIPOLAR FORCEPS Bayonet Bipolar Forceps 19cm/7½" length Tip mm mm mm 23cm/9" length Tip mm mm 25cm/9¾" length Tip mm mm Bayonet Bipolar Forceps SuperGliss Non-Stick Tips 20cm/8½" length SG SG SG Tip 0.7mm 1.0mm 1.2mm The material specially developed for SuperGliss non-stick forceps prevents overheating of the tips during coagulation. 23cm/9" length SG SG SG Tip 0.7mm 1.0mm 1.2mm 25cm/9¾" length SG SG SG Tip 0.7mm 1.0mm 1.2mm 68

74 BAYONET BIPOLAR FORCEPS Bayonet Bipolar Forceps 22.5cm/8¾ length Non-Stick tips Mallis 2 pin fitting Tip Size 0.5mm 0.7mm 1.0mm 1.3mm 1.5mm 2.0mm AU AUS/ AU AUS AU AUS Bipolar Coagulation Unit BM780 MK II 70 Watts Foot switch control Foot Switch 69

75 BIPOLAR CABLES Bipolar Lead Fitting Block End Forceps Banana Plug Valleylab Machine Fitting 4.5 metre length L Bipolar Lead Fitting Block End Forceps Erbe BM780 Machine Fitting 4.5 metre length L Bipolar Lead Fitting American 2-Pin Forceps Banana Plug Valleylab Machine Fitting 4.5 metre length S 70

76 MISC INSTRUMENTS Slim & Square Ended Wire Pliers 19cm/7½" length *illustrated Slim Nose SP Serrated jaw Square Ended* SP Muller Claus Wire Cutters Tungsten carbide edges 8-810E18 18cm/7" length* Cuts wire up to 2mm Ø 8-800E22 22cm/8¾" length Cuts wire up to 3mm Ø *illustrated Combined Wire Cutters & Pliers 18cm/7" length Suitable for wires up to 1.6mm Ø Parallel closing jaws

77 MISC INSTRUMENTS Bolt Cutters with dismantable arms Max. cap 6.3mm pins Take apart arms for easier sterilisation Must be used in conjunction with a Rod Holder. Ordering Code: Orthopaedic Locking Pliers Hardened jaws Length cm/7" Small cm/8" Medium cm/9½" Large Needle Nosed Locking Pliers Code Length cm/8¾" Small cm/9¾" Medium cm/11¾" Large A very useful instrument for orthopaedic surgery allowing the surgeon to securely clamp on to wires and implants. 72

78 MISC INSTRUMENTS Measuring Caliper 25cm/10" length Measuring range 0 to 50mm SP Castroviejo Caliper 7cm/2¾" length Measuring range 3mm to 25mm SP Vernier Caliper 22.5cm/9" length Measuring range 15cm SP Depth Gauge Measuring depth up to 50mm SP Depth Gauge Measuring depth up to 70mm SP Direct Reading Depth Gauge 23cm length Measuring depth up to 40mm SP

79 MISC INSTRUMENTS Frazier Suction Tube 17cm/6¾" length FG Diameter SP FG 2.0mm Ø SP FG 2.3mm Ø SP FG 2.7mm Ø SP FG 3.0mm Ø SP FG 3.3mm Ø SP FG 3.7mm Ø SP FG 4.0mm Ø Frazier Suction Tube 23cm/9" length FG Diameter SP FG 2.0mm Ø SP FG 2.3mm Ø SP FG 2.7mm Ø SP FG 3.0mm Ø SP FG 3.3mm Ø SP FG 3.7mm Ø SP FG 4.0mm Ø Bayonet Dissecting Forceps 19cm/7½" SP SP cm/8½" SP SP Tip Size 1mm 2mm Tip Size 1mm 2mm 74

80 OPERATING CHAIRS Back rest The Severn Surgeons Operating Stool with Back Rest Suitable for all types of surgery Comfortable Surgeons seat Adjustable back rest 5 anti-static castors Height adjustment with foot plate height range 55cm to 78cm The Severn Surgeons Urology Operating Stool with Back Rest Lower height range 48cm to 67cm Foot plate for height adjustment The Avon Surgeons Operating Stool without Back Rest Suitable for all types of surgery Comfortable Surgeons seat 5 anti-static castors Hydraulic height adjustment with foot plate, range 55cm to 78cm The Avon Surgeons Urology Operating Stool with Back Rest Lower height range 48cm to 67cm Foot plate for height adjustment 75

81 OPERATING CHAIRS Adjustable Arm Rest Coburg Micro Surgery Stool Suitable for all types of micro surgery including: Neuro Surgery, Opthalmic Surgery & ENT Surgery. Brake Foot Pump 3014/2016 Arm rests with swivel ball joints, detachable and autoclavable Hydraulic height adjustment with foot pump Adjustable back rest Foot brake to give stability Comfortable Surgeons seat, either round or saddle shaped 5 anti-static castors Height range 61cm to 76cm Available with round seat Coburg Stool Suitable for all types of micro surgery including: Neuro Surgery, Opthalmic Surgery & ENT Surgery Hydraulic height adjustment with foot pump Adjustable back rest Foot brake to give stability Comfortable Surgeons seat, either round or saddle shaped 5 anti-static castors Height range 61cm to 76cm Available with round seat Brake Foot Pump 76