Content. 5. Laser 30 a. Laser probes, single use 31 b. Laser accessories, reusable Device Accessories 33

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1 Accessories

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3 Content Page 1. Phaco 4 a. Hexadisq phaco handpiece, reusable 5 b. easyphaco tips, single use 6 c. easyphaco tips, reusable 7 d. Various phaco accessories, single or reusable 8 2. Irrigation / Aspiration 10 a. I/A handpiece coaxial, reusable 11 b. I/A Quick tip System coaxial, reusable 12 c. I/A handpiece bimanual, single use 13 d. I/A handpiece bimanual, reusable HF Function / Diathermy 14 a. Diathermy handpiece, reusable 15 b. HFDS glaucoma tip, reusable 15 c. Diathermy tip, reusable 15 d. Endo diathermy tips, reusable 15 e. Diathermy forceps, reusable 17 f. Capsulotomy tip, reusable Vitrectomy 18 a. PMS pars plana micro incision system, single use 19 b. Infusion terminal, single use 20 c. Continuous Flow-Cutter, single use 23 d. Classic pneumatic vitrectomy cutter, single use 23 e. Light instruments, single use 25 f. DEX forceps, single use 27 g. Various vitrectomy accessories, single use or reusable Laser 30 a. Laser probes, single use 31 b. Laser accessories, reusable Device Accessories Surgery Packs 34 a. TwinVac cassette, single use 34 b. Example phaco pack, single use 34 c. Example vitrectomy pack, single use 34

4 Phaco easyphaco technology Thanks to Oertli s clever needle design, its sophisticated fluidics concept and world class pump systems, easyphaco technology offers visible and tangible benefits: Unprecedented chamber stability, perfect emulsification and extremely effective aspiration of fragments Gentle and effective aspiration resulting in excellent followability and holdability of fragments Concentrated axial ultrasound and highest possible power generation for perfect emulsification Elimination of vacuum fluctuations thanks to a capillary aspiration path Oertli easyphaco technology is available in three different tip sizes. All incisions are covered irrespectively of whether you work with sub 2 mm coaxial micro phaco or with standard incision sizes up to 3.2 mm. Recommended setting for easyphaco easytip CO-MICS for incisions of mm easytip 2.2 mm for incisions of mm easytip 2.8 mm for incisions of mm Venturi pump Vacuum (mmhg) Vacuumeffect (%) Minimum Peristaltic pump/speep mode Flow (ml/min) Vakuum (mmhg) Phaco 1 (Grooving) Phaco Phaco 1 (Grooving) Phaco Phaco 1 (Grooving) Phaco easytip CO-MICS for incisions of mm easytip 2.2 mm for incisions of mm easytip 2.8 mm for incisions of mm Venturi pump Vacuum (mmhg) Vacuumeffect (%) Maximum Peristaltic pump/speep mode Flow (ml/min) Vacuum (mmhg) Phaco 1 (Grooving) Phaco Phaco 1 (Grooving) Phaco Phaco 1 (Grooving) Phaco Recommended height of bottle: 100 cm above patient s eye. Recommended additional settings: Pulse mode, 40 Hz, 60 % cooling for phaco 2. easyphaco is a development by Oertli R&D in scientific collaboration with Prof. Rupert Menapace, Vienna.

5 5 Phaco a. Hexadisq phaco handpiece, reusable Having an outside diameter of 13 mm, an internal infusion tube, being extremely light weight (47 grams) and completely made of titanium, the Hexadisq phaco handpiece has set the standards since The handpiece, which is equipped with 6 piezo crystals, is ideally suited for easyphaco technology and MICS. VG U/S phaco handpiece with cable 3 m VV Protection cap for phaco handpiece, titan

6 Phaco b. easyphaco tips, single use Sterile/single use, box of 10 including sleeve, test chamber, phaco key and emergency key VV806833A Titanium easytip CO-MICS, 30 for incisions of mm VV Titanium easytip CO-MICS, 53 for incisions of mm VV806835B Titanium easytip 2.2 mm, 15 for incisions of mm VV806835A Titanium easytip 2.2 mm, 30 for incisions of mm VV Titanium easytip 2.2 mm, 40 for incisions of mm VV Titanium easytip 2.8 mm, 30 for incisions of mm

7 7 Phaco c. easyphaco tips, reusable VV Titanium easytip CO-MICS, 30 for incisions of mm VV Titanium easytip CO-MICS, 53 for incisions of 1.6 mm mm VV Irrigation sleeve for easytip CO-MICS, Silicone, grey VV800735B Titanium easytip 2.2 mm, 15 for incisions of mm VV800735A Titanium easytip 2.2 mm, 30 for incisions of mm VV Titanium easytip 2.2 mm, 40 for incisions of mm VV Irrigation sleeve for easytip 2.2 mm, Silicone, transparent VV Titanium easytip 2.8 mm, 30 for incisions of mm VV Irrigation sleeve for easytip 2.8 mm, Silicone, blue

8 Phaco d. Various phaco accessories, single or reusable VE Key for Phaco Tips with titanium insert VV Test chamber for phaco, silicone VV Active infusion set Sterile/single use, box of 6

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10 Irrigation / Aspiration Quick Tips with Safety Design 1 Extended leg length for better sub-incisional accessibility 2 Downsizing of aspiration opening for better occludability, safety during aspiration and a stable anterior chamber 3 Repositioning of the aspiration opening that prevents from unintentional grasping of the capsular bag Features and benefits The Quick Tips with Safety Design, especially in combination with the SPEEP Mode, provide the highest standard of safety, control and efficiency in the procedure of I/A. In detail, we provide the following benefits: Completely stable anterior chamber Improved sub-incisional accessibility Better occludability High standard of safety during capsule cleaning process Additionally, the tips are equipped with the sophisticated Quick Tip snap-on lock closing that enables a fast change of the tip in the sterile field. The I/A Quick Tips with Safety Design are intended for application with sleeve.

11 11 Irrigation / Aspiration a. I/A Handpiece coaxial, reusable VE I/A Handpiece Quick Tip, titanium VE Irrigations handpiece «Titano» with Luer connection VE Luer adaptor Quick Tip female

12 Irrigation / Aspiration b. I/A Quick Tip system coaxial, reusable VE Quick tip for I/A with sleeve, 45, aspiration opening 0.25 mm, leg length 1.2 mm, for incisions from mm, SAFETY DESIGN VE Quick tip for I/A with sleeve, 45, aspiration opening 0.25 mm, leg length 1.5 mm, for incisions from mm, SAFETY DESIGN VE Quick tip for I/A with sleeve, 45, aspiration opening 0.25 mm, leg length 2.1 mm, for incisions from mm, SAFETY DESIGN VE Quick tip for I/A with sleeve, 45, aspiration opening 0.35 mm, leg length 1.5 mm, for incisions from mm VE Quick tip for I/A with sleeve, straight, aspiration opening 0.35 mm, for incisions from mm VV Irrigation sleeve for easytip CO-MICS, silicone, grey (for VE655527) VV Irrigation sleeve for easytip 2.2 mm, silicone, transparent (for VE655035, VE655525, VE655526, VE655535) VV Irrigation sleeve silicone for easytip 2.8 mm, silicone, blue (for VE655035, VE655525, VE655526, VE655535) VE Quick tip for I/A, sleeveless, 45, aspiration opening 0.35 mm, leg length 1.5 mm, for incisions from mm, diameter 1.80 mm

13 13 Irrigation / Aspiration c. I/A handpiece bimanual, single use Sterile/single use, box of 10 VV I/A bimanual instruments set d. I/A handpiece bimanual, reusable VE I/A bimanual instrument kit, (1 irrigation and 1 aspiration instrument) VE I/A bimanual instrument kit, roughened tips VE I/A bimanual instrument kit 23G

14 HF Function / Diathermy HFDS ab interno MIGS technology High Frequency Deep Sclerotomy (HFDS) glaucoma surgery is a new ab interno procedure to lower the intraocular pressure in open-angle glaucoma. Using high frequency energy, six small pockets are formed in the iridocorneal angle, which significantly reduce the outflow resistance for aqueous humour. Features and benefits Ideal for combinations with cataract surgeries Very short intervention times No bleb formation No corneal scars No fibroblast movement to the sclera Procedure can be repeated Area of application Positioning of abee tip Literature Pallas G, Pajic B. 1999: Die Sklerathalamektomie (STE): Stabile postoperative Augendruckregulierung beim Offenwinkel- und Kapselhäutchenglaukom. Klein Monatsbl Augenheilk 2000; 216: Pajic B. Pallas G, Gerding H, Böhnke M.: A novel technique of ab interno glaucoma surgery: follow-up results after 24 months. Graefes Arch Clin Exp Opthalmol 2005 Jul; 19:1-6 Pajic B.: High-Frequency Deep Sclerotomy, Cataract & Refractive Surgery Today, October Forming of sclerotomy bags mmhg Pre-op Days Months 0 Excellent long-term results (72 months) after conducted HFDS procedure.

15 15 HF Function / Diathermy a. Diathermy handpiece, reusable VE Handpiece long, plug-on, diathermy, cable 3 m, floating connector (black) VE Handpiece short, plug-on, diathermy, capsulotomy, cable 3 m, floating connector b. HFDS glaucoma tip, reusable VE abee glaucoma tip, ab interno, High Frequency Deep Sclerotomy c. Diathermy tips, reusable VE Diathermy plug-on tip «Eraser», 1.1 mm, 25 mm, 50 bevel d. Endo diathermy tips, reusable VE Endo diathermy plug-on tip, 20G, 28 mm, 54 pointed VE Endo diathermy plug-on tip, 23G, 28 mm, 54 pointed VE Endo diathermy plug-on tip, 25G, 28 mm, 54 pointed VE Endo diathermy plug-on tip, 20G, 28 mm, 54 pointed, tapered 0.45 mm

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17 17 HF Function / Diathermy e. Diathermy forceps, reusable VE Bipolar forceps plug-on curved f. Capsulotomy tip, reusable VE Capsulotomy plug-on tip standard VE Capsulotomy plug-on tip long, 0.5 mm capsular Fimosis

18 Vitrectomy Caliburn trocar cannula system «The lancet-pointed needle from Oertli had remarkable low piercing and cutting forces.» Independent study* Features and benefits Superb post-operative wound tightness New surface finish for even smoother incisions Less resistance on trocar edge-entry Patented snap-on lock infusion line for more flexibility Incision template for exact trocar placement Patented integrated, double-slotted sealing membrane Easy finding and entry with instruments Reliably constant IOP during surgery Reliable retention of the trocar Color coded for each gauge size (23G, 25G) Application 1. Pull the conjunctiva slightly sideways over the sclera with the Oertli incision template. 2. Insert the trocar in the sclera through the incision opening by holding cannula blade at an angle of maximum After inserting the blade, lift the blade vertically and gently penetrate the sclera with the instrument. 4. Insert the trocar completely until its head touches the sclera. The shaft is now fully inserted. 5. Connect the infusion line with the patent-registered snap mechanism to the trocar. Insert the remaining trocars in the sclera using the above mentioned procedure (steps 1 to 4). * Source: Geometry, penetration force, and cutting profile of different 23-gauge trocars systems for pars plana vitrectomy, C.H. Meyer MD, H. Kaymak MD, published in the November 2014 issue of the Retina Journal (Volume: 34: , 2014).

19 19 Vitrectomy a. PMS Pars Plana micro incision system, single use Sterile/single use, box of 10 23G VV Caliburn PMS system, one step, self sealing 25G VV Caliburn PMS system, one step, self sealing

20 Vitrectomy Sterile/single use, box of 10 23G VV Infusion line 6 mm for PMS, self sealing 23G VV G infusion trocar with infusion line and mandrel for PMS system VV PMS incision template b. Infusion terminal, single use Sterile/single use, box of 10 20G VV Infusion terminal 4 mm, BSS 20G VV Infusion terminal 4 mm, silicone 6000CS 20G VV Infusion terminal 6 mm, BSS 20G VV Infusion terminal 6 mm, silicone 6000CS 20G VV Infusion terminal «No Stitch» 4.5 mm 20G VV Infusion terminal «No Stitch» 6 mm

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22 Vitrectomy Continuous Flow-Cutter a new level of vitrectomy cutter «This cutter is very efficient and effective. I have got an outstanding control for peripheral vitreous removal» Early user, Italy Features and benefits 100% continuous flow for tear-free high speed cutting Perfect portioning of vitreous body removal Highest efficiency and safety in core vitrectomy Excellent precision for all maneuvers Ability to peel and manipulate membranes Continuous holding force Absolute minimal distance of cutter port from the distal end Pneumatic push-pull cutter (no spring) Double cut-rate Vitreous body removal Continuous Flow-Cutter: Continuous flow without any notice able fluctuations. With each cycle, vitreous body is removed twice Standard Cutter: Flow is interrupted with each cycle. With each cycle, vitreous body is removed once

23 23 Vitrectomy c. Continuous Flow-Cutter, single use Sterile/single use, box of 10 20G VV Continuous Flow-Cutter, Twinac 23G VV Continuous Flow-Cutter, Twinac 25G VV Continuous Flow-Cutter, Twinac d. Classic pneumatic vitrectomy cutter, single use Sterile/single use, box of 10 20G VV SPS Twinac Vitrectomy Cutter 23G VV SPS Twinac Vitrectomy Cutter 25G VV SPS Twinac Vitrectomy Cutter

24 Vitrectomy Endo illuminator panorama wide panorama illumination Features and benefits Wide panoramic tip for optimal illumination Shielded design to avoid glare during the procedure Oertli micro-connector Color coded by gauge size

25 25 Vitrectomy e. Light instruments, single use Sterile/single use, box of 10 20G VV Endo illuminator 90, micro connector 23G VV Endo illuminator 90, micro connector 25G VV Endo illuminator 90, micro connector 20G VV Endo illuminator Panorama, shielded, micro connector 23G VV Endo illuminator Panorama, shielded, micro connector 25G VV Endo illuminator Panorama, shielded, micro connector

26 Vitrectomy DEX disposable forceps «The best ILM forceps, I have ever used» Early user, Germany Features and benefits Perfect ergonomics achieved by 360 actuation Short efficient stroke for direct closing of the instrument Precise grasping due to the carefully manufactured tips Excellent holding force stemming from a superior tip design No shredding of the peeled membrane due to tips without sharp edges

27 27 Vitrectomy f. DEX forceps, single use Sterile/single use, box of 10 23G DVF DEX Maculorhexis forceps 25G DVF DEX Maculorhexis forceps 23G DVF DEX End Grasping forceps 25G DVF DEX End Grasping forceps 23G DVF DEX Nanotapered Awh forceps 25G DVF DEX Nanotapered Awh forceps

28 Vitrectomy g. Various vitrectomy accessories, single use or reusable VV Sterile/single use, box of 10 Air delivery line with filter and air/bss connector VV Sterile/single use, box of 10 Silicone application set 20 cc, visco system VV Titanium tip, Phaco, for Pars Plana phacoemulsification, 20G

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30 Laser Laser probes precisely controlled laser application «Excellent how I can control the bending of the probe with my fingertips. I was able to create spots in different rows simply be squeezing the laser probe.» Early user, Switzerland Features and benefits 0 to 90 bending angle of the tip outstanding reach to the peripheral retina Ergonomic handle with 360 actuation Control of the bending at the surgeon s fingertips allowing to position different rows of laser with gentle surgeon control Naturally straight therefore safe to remove without having to retract the curved fiber

31 31 Laser a. Laser probes, single use Sterile/single use, box of 10 20G VK Laser probe, straight 23G VK Laser probe, straight 25G VK Laser probe, straight 20G VK Laser probe, curved 23G VK Laser probe, flexible curved 23G 25G VK Laser probe, flexible curved 23G 23G VK Laser probe, steerable 25G VK Laser probe, steerable

32 Laser b. Laser accessories, reusable F18.P1E MED Filter impact OD6+, blocked wavelength 532 nm User Protection Filter Zeiss / HS Moeller Microscope User Protection Filter Leica Microscope User Protection Filter Topcon Microscope

33 33 Device Accessories Device Accessories VE Programmable wireless pedal, dual linear VE Cover VE Instrument tray

34 OP Packs a. Cassette TwinVac Sterile/single use, box of 10 VV I/A cassette TwinVac including giving set and display cover bag b. Example phaco pack Sterile/single use, box of 10 VV660011D Phaco pack OS4, cassette, easytip 2.2 mm, 40, sleeve, test chamber, phaco key, emergeny key, giving set, display cover bag c. Example vitrectomy pack Sterile/single use, box of 6 VV660113BP Vitrectomy pack OS4, 23G, cassette, Caliburn cannula system autoseal One Step, SPS, panorama light shielded, air with connector Air/BSS, giving set, display cover bag Further phaco and vitrectomy packs are available on request.

35 35 Reprocessing and sterilization All disposable products labelled with this symbol are delivered in a sterile state and are intended for single use. They must not be reused. Reusable products, which are not labelled with this symbol, are suited for multiple use. Reprocessing of these products must be carried out according to Oertli instructions for use TN Instructions for Processing (Cleaning, Disinfection and Sterilization) of Instruments. The procedures described in TN have been validated according to ISO Norms and quality control Oertli attaches utmost importance to quality and continuous improvement of its products and quality management systems. All products listed in this catalogue correspond to the high Swiss quality standard and bear the CE marking. Oertli uses the following standard dimensions (outer diameter) 20G 0.89 mm 23G 0.64 mm 25G 0.51 mm Packaging recommended for sterilization: Possible packaging that can be used for reprocessing the various reusable products are described in Oertli instructions for use TN Disclaimer All details in this catalogue were correct at the time of publication. There may be changes without notice as a result of enhancements to the design or safety of products. The details specified in the relevant quotation or delivery documentation shall apply.

36 Oertli Instrumente AG CH-9442 Berneck Switzerland Phone +41 (0) Fax +41 (0) Ecknauer+Schoch ASW. BD1040.E