SYNERGETICS - PRODUKTKATALOG

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Gavin Gregory
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1 SYNERGETICS - PRODUKTKATALOG 10/2016 1

LASER PROBES DIRECTIONAL LASER PROBES... 12 STRAIGHT LASER PROBES... 12 CURVED LASER PROBES... 12 ILLUMINATED LASER PROBES... 13 INSTRUMENTATION PINNACLE 360... 16 SYNTRIFUGAL... 17 MYOPIC FORCEPS.

2 LASER PROBES DIRECTIONAL LASER PROBES STRAIGHT LASER PROBES CURVED LASER PROBES ILLUMINATED LASER PROBES INSTRUMENTATION PINNACLE SYNTRIFUGAL MYOPIC FORCEPS FOREIGN BODY PICK FORCEPS SCISSORS ILM FORCEPS HEAVY MEMBRANE FORCEPS DUAL PURPOSE FORCEPS DISPOSABLE CANNULAS AND NEEDLES DISPOSABLE BACKFLUSH INSTRUMENTS SPECIAL PRODUCTS ILLUMINATION PHOTON... 6 WIDEFIELD ENDOILLUMINATORS... 7 MIDFIELD ENDOILLUMINATORS... 7 FOCAL ENDOILLUMINATORS... 7 CHANDELIERS ILLUMINATED INFUSION CHANDELIERS... 8 MULTIFUNCTIONAL ILLUMINATION... 8 ILLUMINATION ADAPTERS... 9 I-PACK IRIS RETRACTORS VISCO DISSECTOR DISPOSABLE LENSES LENS RINGS STEALTH PORT ENTRY SYSTEM IRRIGATING TRESE SPATULA DDMS DISPOSABLE INFUSION CANNULAS BIPOLAR VITRECTOMY ACCESSORIES MVR BLADES ONE-STEP PORT ENTRY SYSTEM ONE-STEP STAINLESS PORT ENTRY SYSTEM STEALTH PORT ENTRY SYSTEM... 28

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WIDEFIELD ENDOILLUMINATORS [STERILE, 12/BOX OR STERILE, 6/BOX] Widefield Diffusion Panoramic illumination with a focused center spot, VersaVIT and non-photon Shielded Corona Widefield Shielded to

The PHOTON utilizes a sophisticated system of lenses and filters, combined with a Xenon bulb to provide high levels of illumination through microfibers. Midfield 20ga 56.22P

4 WIDEFIELD ENDOILLUMINATORS [STERILE, 12/BOX OR STERILE, 6/BOX] Widefield Diffusion Panoramic illumination with a focused center spot, VersaVIT and non-photon Shielded Corona Widefield Shielded to control glare 20ga 56.21P ga P 25ga PS MIDFIELD ENDOILLUMINATORS [STERILE, 12/BOX OR STERILE, 6/BOX] PHOTON TM The Synergetics PHOTON revolutionized illumination in vitreoretinal surgery. The PHOTON utilizes a sophisticated system of lenses and filters, combined with a Xenon bulb to provide high levels of illumination through microfibers. Midfield 20ga 56.22P 25ga 27ga P P FOCAL ENDOILLUMINATORS [STERILE, 12/BOX OR STERILE, 6/BOX] This provides a superior viewing environment, without compromising patient safety. Ordering Information Description Quantity Catalog # PHOTON Dual Port Light Source Each PHOTON-2X PHOTON Single Port Light Source Each PHOTON-1X Single Port Adapter (PHOTON ) Each PSPA Vivid 3x brighter than a standard PHOTON endoilluminator Available in PHOTON EX, PHOTON 2X and PHOTON 1X Not available in PHOTON II EX and P2-PHOTON Focal 20ga 56.02P ga P P ga P PS ga P 6 7

CHANDELIERS [STERILE, 12/BOX] ILLUMINATION ADAPTERS Ordering Information Synergetics Adapter for use with: Quantity Catalog # Awh Vivid Beveled cannula shaft for

illumination Includes a pre-loaded trocar/cannula Awh Self-retaining Sutureless and non-photon Oshima Dual Shadow-free chandelier illumination Adjustable fiber depth to

26 DORC Brightstar [PHOTON 1 ] Each 57.27 Alcon Constellation [PHOTON 1 ] Each 57.30 Bausch & Lomb Stellaris PC [PHOTON 1 ] Each 57.40 25ga 56.54.25P 27ga 56.54.27P 25ga 56.

25P 1 For use with PHOTON (P) endoilluminators ILLUMINATED INFUSION CHANDELIERS [STERILE, 12/BOX] Standard 20ga Suture in 23ga and 25ga Includes a pre-loaded

5 CHANDELIERS [STERILE, 12/BOX] ILLUMINATION ADAPTERS Ordering Information Synergetics Adapter for use with: Quantity Catalog # Awh Vivid Beveled cannula shaft for glare-free fluid-air exchange Adjustable fiber depth to optimize illumination Includes a pre-loaded trocar/cannula Oshima Vivid Adjustable fiber depth to optimize illumination Includes a pre-loaded trocar/cannula Awh Self-retaining Sutureless and non-photon Oshima Dual Shadow-free chandelier illumination Adjustable fiber depth to optimize illumination Includes 2 pre-loaded trocar/cannulas Cannula System Compatible Refer to reference guide for cannula compatibility DORC Associate Each DORC Brightstar [PHOTON 1 ] Each Alcon Constellation [PHOTON 1 ] Each Bausch & Lomb Stellaris PC [PHOTON 1 ] Each ga P 27ga P 25ga P 29ga P 25ga P 1 For use with PHOTON (P) endoilluminators ILLUMINATED INFUSION CHANDELIERS [STERILE, 12/BOX] Standard 20ga Suture in 23ga and 25ga Includes a pre-loaded trocar/cannula and non-photon High-Flow Includes a pre-loaded trocar/ cannula 20ga 56.30P / ga P 23ga P 25ga P MULTIFUNCTIONAL ILLUMINATION Chow Membrane Pick Malleable tip allows for pick profile customization Sterile, 12/Box 2-Port Vitrectomy High-Flow Irrigating Endoilluminator Widefield illumination Available in a non-photon configuration Sterile, 12/Box Aspirating Light Pipe Improves bimanual surgical capabilities Reduces instrument exchanges Sterile, 12/Box Microfiber Illuminated Vitrector Sleeve Converts a 25ga, Alcon vitrector to a 20ga, illuminated vitrector Sterile, 12/Box 23ga P 20ga ga P 20-ga 56.61P 8 9

Talented surgeons want the best tools in the operating room, and Synergetics consistently offers the high quality tools and products used by top retinal surgeons. Our laser probes are no exception.

6 Talented surgeons want the best tools in the operating room, and Synergetics consistently offers the high quality tools and products used by top retinal surgeons. Our laser probes are no exception. For years, we have offered the largest selection of laser probes on the market, establishing the Synergetics brand as a leader in the industry. With our extensive line of high-performance laser probes, developed with years of experience and the guidance of retinal surgeons worldwide, Synergetics continues the tradition of providing surgeons innovative surgical tools that meet infinite expectations

7 DIRECTIONAL LASER PROBES [STERILE, 12/BOX] ILLUMINATED LASER PROBES [STERILE, 12/BOX] Original Fixed fiber, moving shaft Fiber is directed away from actuation button Extendable Fixed shaft, moving fiber Fiber is directed away from actuation button Inverted and Extendable Fixed shaft, moving fiber Fiber is directed toward actuation button Directional II Fixed fiber, moving shaft Fiber is directed away from finger wheel, 23ga, 25ga and 27ga 20ga ga 55.26E 23ga E 20ga ga ga E 25ga E 23ga ga ga E 25ga ga Illuminated Directional Fixed fibers, moving shaft Fiber is directed away from actuation button Widefield light pattern Illuminated Directional II Fixed fibers, moving shaft Fibers are directed away from finger wheel Midfield light pattern Ergonomic Directional II handle Flexible Tapered, Illuminated Flexible nitinol tip for easy insertion into, and extraction from, cannulas Midfield light pattern Curved, Maxillum, 37 Curve 6 illumination fibers provide shadow-free illumination Focused light pattern 20ga ga P 23ga P 20ga ga P 25ga P 25ga P 25ga P STRAIGHT LASER PROBES [STERILE, 12/BOX] 20ga ga ga ga Straight Direct access to the treatment site, 23ga, 25ga and 27ga Curved, Fixed Extended, 37 Curve 2.5 mm extension of laser fiber Focused light pattern Straight, Fixed Extended 2.5 mm extension of laser fiber Focused light pattern Straight, Maxillum 6 illumination fibers provide shadow-free illumination Focused light pattern CURVED LASER PROBES [STERILE, 12/BOX] 20ga 55.69P 23ga P 25ga P 23ga P 20ga ga P 22 Curve Stainless steel shaft Tapered tip for easy insertion into 20ga sclerotomies Flexible Tapered Flexible nitinol tip for easy insertion into, and extraction from, cannulas TruCurve Stainless steel shaft Degree of curvature varies from 25 37, depending on gauge size, 23ga, 25ga and 27ga 20ga ga ga ga ga ga ga

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DISPOSABLE OPTIONS Syntrifugal TM Handle and Disposable (D) Tip The Syntrifugal line provides surgeons with the best of both worlds a reusable

Surgeons enjoy consistent tactile feel with the freedom to choose from a comprehensive selection of disposable tips.

23ga, 25ga and 27ga. Syntrifugal Large Handle: D00.01SL Each Pinnacle 360 TM Syntrifugal Small Handle: D00.

As its name suggests, the Pinnacle 360 product line is at the top of its class in both quality and value.

9 DISPOSABLE OPTIONS Syntrifugal TM Handle and Disposable (D) Tip The Syntrifugal line provides surgeons with the best of both worlds a reusable titanium handle with a disposable tip. Surgeons enjoy consistent tactile feel with the freedom to choose from a comprehensive selection of disposable tips. Additional benefits include: Large and small handle options Handle design that allows the tip to rotate 360 Disposable tips available in 20ga, 23ga, 25ga and 27ga. Syntrifugal Large Handle: D00.01SL Each Pinnacle 360 TM Syntrifugal Small Handle: D00.01SS Each Pinnacle 360 is our line of fully disposable, hand-held retinal surgical instruments. As its name suggests, the Pinnacle 360 product line is at the top of its class in both quality and value. With Pinnacle 360, surgeons can expect safe, consistent performance on every case. Pinnacle 360 offers the widest variety of disposable tip options. Additional benefits include: 360 actuation to approach the retina from any angle Ergonomic design to reduce fatigue Color coded handles for gauge identification Available in 18ga, 19ga, 20ga, 23ga, 25ga and 27ga 20ga 23ga 25ga 27ga Foreign Body 16 17

MYOPIC FORCEPS [STERILE, 5/BOX] ILM FORCEPS [STERILE, 5/BOX] Fine Tip Eckardt Thinner tip than standard Eckardt provides better view and positioning with similar grasping characteristics

platforms and microserrations for precise, optimum grasping and Syntrifugal handle, 23ga, 25ga and 27ga Tano Asymmetrical Excellent for fine membranes and more aggressive membranes of diabetic

08PIN D39.08 20ga D09.04 20ga 09.12PIN 25ga 09.10.25PIN D39.10.25 23ga 39.08.23PIN D39.08.23 23ga 39.03.23PIN D39.03.23 23ga 09.12.23PIN 25ga 39.08.25PIN D39.08.25 25ga 39.03.25PIN D39.03.25 25ga 09.

5 mm Available in 18ga Forceps Jaws excellent for grasping large, irregularly shaped foreign bodies Available in 19ga Magnet Designed for removal of iron or steel foreign bodies Available in 18ga

12.23PIN 20ga D09.40.20 25ga 39.12.25PIN 25ga Morris/Witherspoon Fullview ILM Curved bottom conforms to the epiretinal surface and small cutout offers unobstructed view Available in Syntrifugal and

10 MYOPIC FORCEPS [STERILE, 5/BOX] ILM FORCEPS [STERILE, 5/BOX] Fine Tip Eckardt Thinner tip than standard Eckardt provides better view and positioning with similar grasping characteristics Microserrated Tewari Omnicep Fine enough for ILM work, but sturdy enough for ERM and PVR membranes 37mm working length 23ga PIN-M 23ga PIN-M 25ga PIN-M 25ga PIN-M 37mm working length Fine Tip Eckardt Thinner tip than standard Eckardt provides better view and positioning with similar grasping characteristics and Syntrifugal handle Eckardt Nail-like platforms and microserrations for precise, optimum grasping and Syntrifugal handle, 23ga, 25ga and 27ga Tano Asymmetrical Excellent for fine membranes and more aggressive membranes of diabetic retinopathy and Syntrifugal handle, 23ga, 25ga and 27ga End-Grasping Tweezer-like platforms suitable for pinch and peel technique FOREIGN BODY [STERILE, 5/BOX] 23ga PIN D ga 39.08PIN D ga D ga 09.12PIN 25ga PIN D ga PIN D ga PIN D ga PIN 25ga PIN D ga PIN D ga PIN 27ga PIN 27ga PIN Joseph/Meredith BB Removal Specifically designed for grasping all standard BBs without slippage up to 4.5 mm Available in 18ga Forceps Jaws excellent for grasping large, irregularly shaped foreign bodies Available in 19ga Magnet Designed for removal of iron or steel foreign bodies Available in 18ga 18ga 11.40PIN 19ga 11.20PIN 18ga 12.21PIN Microserrated End- Grasping Thinner tip than the standard end-grasping provides better view and microserrations provide a superior grasping surface 23ga PIN 20ga D ga PIN 25ga Morris/Witherspoon Fullview ILM Curved bottom conforms to the epiretinal surface and small cutout offers unobstructed view Available in Syntrifugal and 25ga PICK FORCEPS [STERILE, 5/BOX] SCISSORS [STERILE, 5/BOX] HEAVY MEMBRANE FORCEPS [STERILE, 5/BOX] DUAL PURPOSE FORCEPS [STERILE, 5/BOX] Ducournau Serrated Unique tip provides pick/serrated jaw for superior membrane removal Available in Syntrifugal Pick Great gripping platform and superior functionality with integrated pick Horizontal Curved Curved back to minimize heeling in safe on surface of retina and Syntrifugal handle Vertical Curved heel minimizes inadvertent contact with retina and conforms to eye 20ga D ga PIN 20ga 23.76PIN D ga 10.24PIN 23ga 25ga PIN 23ga PIN D ga PIN 25ga PIN D ga PIN Pyramid Tip Pointed tip for fine grasping and a broad base for coarse grasping and Syntrifugal handle Serrated Jaw Blunt, atraumatic serrations prevent shredding tissue, 23ga and 25ga Apte Corset Wide platform allows for removal of membranes in a single maneuver without traumatizing the retina Microserrated Tewari Omnicep Fine enough for ILM work, but sturdy enough for ERM and PVR membranes and Syntrifugal handle 23ga PIN 23ga PIN 23ga PIN 23ga PIN D ga PIN 25ga PIN 25ga PIN 25ga PIN D

DISPOSABLE CANNULAS AND NEEDLES DISPOSABLE BACKFLUSH INSTRUMENTS Autoclavable Handle with Slide Disposable Backflush Handle Universal Soft Tip Needle D30.10 and D30.10.23 and 23ga 6/box Blunt Tip D31.

11 DISPOSABLE CANNULAS AND NEEDLES DISPOSABLE BACKFLUSH INSTRUMENTS Autoclavable Handle with Slide Disposable Backflush Handle Universal Soft Tip Needle D30.10 and D and 23ga 6/box Blunt Tip D /Box Brush Tip D /Box Soft Tip D31.08, D , D /Box Rigid Micro Injection Cannula, Straight and mm at tip Black, disposable handle 5/box Rigid Micro Injection Cannula, Angled and mm at tip Black, disposable handle 5/box De Juan/Awh Subretinal Injection ga tip.10mm at tip Available in 25ga 5/box Soft Tip Cannula , and Available in 23ga, 25ga and 27ga 6/box Transconjunctival Chow Silicone Oil Injection Cannula Available in 25ga 6/box 20 21

I-PACK [STERILE, 10/BOX] Ordering Information 18060 Components 1mL Tuberculin Syringe 1 Pair Synthetic Latex-Free Gloves 1 30ga 1/2 Needle 1 27ga 1/2 Needle 2 18ga 1 Needles 6 Cotton Swabs 6 1

5-4mm Scleral Marker 18061 Components 2 1mL Tuberculin Syringes 1 Pair Synthetic Latex-Free Gloves 1 30ga 1/2 Needle 1 27ga 1/2 Needle 2 18ga 1 Needles 6 Cotton Swabs 6 1 5-4mm Scleral Marker 1 Eye

13 I-PACK [STERILE, 10/BOX] Ordering Information Components 1mL Tuberculin Syringe 1 Pair Synthetic Latex-Free Gloves 1 30ga 1/2 Needle 1 27ga 1/2 Needle 2 18ga 1 Needles 6 Cotton Swabs 6 1 Barraquer Eyelid Speculum, Adult mm Scleral Marker Components 2 1mL Tuberculin Syringes 1 Pair Synthetic Latex-Free Gloves 1 30ga 1/2 Needle 1 27ga 1/2 Needle 2 18ga 1 Needles 6 Cotton Swabs 6 1 Barraquer Eyelid Speculum, Adult mm Scleral Marker 1 Eye Drape (16 x 16 ) Components 2 1mL Tuberculin Syringes 1 Pair Synthetic Latex-Free Gloves 1 30ga 1/2 Needle 1 27ga 1/2 Needle 2 18ga 1 Needles 6 Cotton Swabs 6 1 Barraquer Eyelid Speculum, Adult mm Scleral Marker 1 Disposable Forceps, x 4 Gauze Pads Components 2 1mL Tuberculin Syringes 1 Pair Synthetic Latex-Free Gloves 1 30ga 1/2 Needle 1 27ga 1/2 Needle 2 18ga 1 Needles 6 Cotton Swabs 6 1 Barraquer Eyelid Speculum, Adult mm Scleral Marker 1 Eye Drape (16 x 16 ) 1 Disposable Forceps, x 4 Gauze Pads Synergetics has packaged everything you need for office injections into one complete, sterilized I-PACK. The I-PACK will save you hours of ordering time, reduce and organize your inventory, and reduce preparation time since everything you need is conveniently packaged together. The handy plastic tray also serves as a reservoir that you can use for your povidone-iodine solution. Simply pour the solution into the compartment with the speculum, where it can be used for both your speculum and for dipping cotton swabs. The two additional compartments can be used for discarded vials, swabs, and needles, making cleanup quick and easy. Benefits: Components 1 30ga 1/2 Needle 1 Barraquer Eyelid Speculum, Adult mm Scleral Marker Components 1 Pair Synthetic Latex-Free Gloves 1 30ga 1/2 Needle 6 Cotton Swabs 6 1 Barraquer Eyelid Speculum, Adult mm Scleral Marker SAVE ORDERING TIME: Affordable, one-stop, quick ordering for all of your office injection requirements. CONTROL INVENTORY: With only the I-PACK to monitor, keeping track of inventory has never been so easy. REDUCE PREPARATION TIME: No more fumbling around, trying to locate misplaced speculums. Everything you need is contained in a ready-to-use, seal-tight, sterile package

IRIS RETRACTORS VISCO DISSECTOR STEALTH PORT ENTRY SYSTEM [STERILE, 6/BOX] IRRIGATING SPATULAS Disposable 40.02-2 and 40.

25 Injects viscoelastic for delaminating large membranes from the retina Available in 25ga (28ga tip) Sterile, 6/Box DISPOSABLE LENSES [STERILE, 10/BOX] Infusing Instrument Cannulas 58.

23 Hand-crafted tip geometry is ideal for dissection Glare-free finish Standard luer lock connection Reusable Non-cannula compatible design allows for a longer platform Available in 23ga Irrigating

14 IRIS RETRACTORS VISCO DISSECTOR STEALTH PORT ENTRY SYSTEM [STERILE, 6/BOX] IRRIGATING SPATULAS Disposable and retractors/set in case one is lost or damaged Sterile, 2/box or Sterile, 6/box Hubbard Visco Dissector Injects viscoelastic for delaminating large membranes from the retina Available in 25ga (28ga tip) Sterile, 6/Box DISPOSABLE LENSES [STERILE, 10/BOX] Infusing Instrument Cannulas MM 3mm shaft length Stainless steel cannulas Allows for two port PPV via 20ga sclerotomyand 23ga instrumentation Irrigating Trese Spatula Hand-crafted tip geometry is ideal for dissection Glare-free finish Standard luer lock connection Reusable Non-cannula compatible design allows for a longer platform Available in 23ga Irrigating Trese Spatula D Cannula compatible design allows for dissection without the need for scleral sutures Glare free finish Standard luer lock connection Sterile, single use, 6/Box Available in 23ga DDMS TM Diamond Dusted Membrane Scrapers Flat VFD Field of view: 36 Image magnification: 1.0x Bi-Concave VBCD Field of view: 25 Image magnification: 0.8x Magnifying VMD Field of view: 30 Image magnification: 1.5x Widefield VWFD Field of view: 48 Image magnification: 0.5x Tano 20.04, and S 5/Box Stiff Tano /Box Retractable Tano 20.16, and ga 3/Box, 23ga and 25ga 5/Box Adjustable Tano with Pick /Box 30 Prism V30PD Field of view: 33 (offset 30 ) Image magnification: 1.0x DISPOSABLE INFUSION CANNULAS BIPOLAR [STERILE, 6/BOX] LENS RINGS Awh Sutureless Lens Ring Used to stabilize a vitrectomy lens 3 sizes/pack Sterile, 10/Box 4mm Tip All purpose length Sterile, 5/box 6mm Tip and For severe vitreous hemorrhaging For use with Synergetics steel cannula sets (sold separately) Sterile, 6/box Bipolar Cautery , and Available in 23ga, 25ga and 27ga 26 27

VITRECTOMY ACCESSORIES MVR BLADES [STERILE, 6/BOX] Adjustable Gas-Pressurized Infusion Tubing Set 17565-10EA Includes 1 prespike and 2 stopcocks 6/Box Silicone Oil Collection Chamber

6/Box Disposable MVR Blade 58.00.20 58.00.23 Angled Available in 23ga ONE-STEP PORT ENTRY SYSTEM ONE-STEP STAINLESS PORT ENTRY SYSTEM One-Step Port Entry System 58.20, 58.

20V and 23ga as 6 sets of 3 Polyimide cannulas with built-in valve One-Step Port Entry System, Stainless 58.23S, 58.25S and 58.

27SV as 6 sets of 3 as 6 sets of 3 Also available in 23ga and 25ga as 6 individual cannulas, plus blade Stainless steel cannulas with removable valve cap Stainless steel cannulas

15 VITRECTOMY ACCESSORIES MVR BLADES [STERILE, 6/BOX] Adjustable Gas-Pressurized Infusion Tubing Set EA Includes 1 prespike and 2 stopcocks 6/Box Silicone Oil Collection Chamber Silicone tip allows for removal of cst silicone oil through an existing instrument cannula Extrusion controlled via foot pedal 15mL collection chamber volume Sterile, 6/Box Disposable MVR Blade Angled Available in 23ga ONE-STEP PORT ENTRY SYSTEM ONE-STEP STAINLESS PORT ENTRY SYSTEM One-Step Port Entry System 58.20, and 23ga as 6 sets of 3 Also available in 20ga and 23ga as 6 individual cannulas, plus blade Polyimide cannulas Valved One-Step Port Entry System 58.20V and 23ga as 6 sets of 3 Polyimide cannulas with built-in valve One-Step Port Entry System, Stainless 58.23S, 58.25S and 58.27S Available in 23ga, 25ga and 27ga Valved One-Step Port Entry System, Stainless 58.23SV, 58.25SV and 58.27SV as 6 sets of 3 as 6 sets of 3 Also available in 23ga and 25ga as 6 individual cannulas, plus blade Stainless steel cannulas with removable valve cap Stainless steel cannulas STEALTH PORT ENTRY SYSTEM Stealth Port Entry System 58.23STH and 58.25STH Stainless steel cannulas MM 3mm shaft length Stainless steel cannulas Valved Stealth Port Entry System 58.23STHV and 58.25STHV Stainless steel cannulas with removable valve cap MMV 3mm shaft length Available in 23ga Stainless steel cannulas with removable valve cap 28 29

16 KONTAKT: Deutschland Tel.: Fax:

PRODUCTS SIZE REF. Irrigating Trese Spatula (Disposible) 23G(24G) D Reflux Handle Replacement Reflux Reservoir 31.

PRODUCTS SIZE REF. Irrigating Trese Spatula (Disposible) 23G(24G) D Reflux Handle Replacement Reflux Reservoir 31. PRODUCTS SIZE Rice ILM Elevator 127 o (42G) (42G) 20.02.23 20.02.25 PICKS AND SPATULAS Awh Serrated Pick 135 o (30G) (30G) 20.41.23 20.41.25 Michels Hook 90 o (36G) 28.21 Thomas Subretinal Perforator/Spatula