Highlights Edition 1/2018. Arthroscopy and Sports Medicine

Transcription

1 Highlights 2018 Edition 1/2018 Arthroscopy and Sports Medicine

2 Diamond Standard: HOPKINS Telescopes and Sheaths for Optimal Vision KARL STORZ HOPKINS telescopes are considered to be the best arthroscopes in the industry. The diverse product range covers all arthroscopic interventions while the unique rod lens system ensures excellent image quality with optimal brightness, contrast and detail properties. The product range includes all well-established angles of view in arthroscopy: Arthroscopes with diameters ranging from 1 mm to 4 mm leave nothing to be desired. A selection of sheaths with various locking mechanisms, which are co-ordinated with HOPKINS telescopes, ensures the safe locking of the telescope in the sheath. 2

3 Recommended Sets, consisting of HOPKINS Telescopes, Arthroscope Sheaths and Obturators Set for the Knee Joint: BWA HOPKINS Wide Angle Forward-Oblique Telescope 30, enlarged view, diameter 4 mm, length 18 cm, autoclavable, fiber optic light transmission incorporated, color code: red CR High-Flow Arthroscope Sheath, with snap-in coupling mechanism, diameter 5.5 mm, working length 13.5 cm, two stopcocks, rotatable, for use with HOPKINS telescopes 0, 30, 70 and Obturators BC/BT/BS, O, color code: blue BT Obturator, semisharp, for use with Arthroscope Sheaths DR, CR, CR/R/B, CR, CR and EC, color code: green-red-yellow Set for the Shoulder Joint: BWA HOPKINS Wide Angle Forward-Oblique Telescope 30, enlarged view, diameter 4 mm, length 18 cm, autoclavable, fiber optic light transmission incorporated, color code: red CR High-Flow Arthroscope Sheath, with snap-in coupling mechanism, diameter 6 mm, working length 13.5 cm, two stopcocks, rotatable, for use with HOPKINS telescopes 0, 30, 70 and Obturators BC/BT/BS, O, color code: red BT Obturator, semisharp, for use with Arthroscope Sheaths DR, CR, CR/R/B, CR, CR and EC, color code: green-red-yellow Set for the Hip Joint: CWA HOPKINS Wide Angle Lateral Telescope 70, enlarged view, diameter 4 mm, length 18 cm, autoclavable, fiber optic light transmission incorporated, color code: yellow CR High-Flow Arthroscope Sheath, with snap-in coupling mechanism, diameter 6 mm, working length 13.5 cm, two stopcocks, rotatable, for use with HOPKINS telescopes 0, 30, 70 and Obturators BC/BT, O, color code: red BT Obturator, semisharp, for use with Arthroscope Sheaths CR/R, CR/R, color code: green-red-yellow Set for the Ankle and Elbow Joints: BA HOPKINS Forward-Oblique Telescope 30, diameter 2.7 mm, length 11 cm, autoclavable, fiber optic light transmission incorporated, color code: red DS High-Flow Arthroscope Sheath, with snap-in coupling mechanism, diameter 4 mm, working length 7.5 cm, two stopcocks, rotatable, for use with HOPKINS telescope 30 and Obturator BC BC Obturator, blunt, for use with Arthroscope Sheaths CR/DS Set for the Wrist Joint: BA HOPKINS Wide Angle Forward-Oblique Telescope 30, diameter 2.4 mm, length 10 cm, autoclavable, fiber optic light transmission incorporated, color code: red DS High-Flow Arthroscope Sheath, with snap-in coupling mechanism, diameter 3.5 mm, working length 6.5 cm, two stopcocks, rotatable, for use with HOPKINS Telescope BA and Obturators BU/BV BV Obturator, blunt, for use with Arthroscope Sheaths DS/BS Further HOPKINS telescopes and sheaths can be found in the Arthroscopy and Sports Medicine catalog. 3

4 A Revolution in Imaging: Direction of View with Variable ENDOCAMELEON ARTHRO is a multidirectional arthroscope that combines the existing HOPKINS technology with a variable direction of view. This guarantees optimal image quality with ideal visualization. The desired direction of view can be adjusted between 15 and 90 during surgery. The ENDOCAMELEON is particularly beneficial for working in tight joint spaces as the all-round view has been greatly enhanced. Special Features: HOPKINS telescope with unique rod lens system for optimal brightness and contrast Easy-to-use adjusting knob selects the desired direction of view (15 to 90 ) Better visualization of difficult-to-reach anatomical structures Time-saving as portal changeover is reduced 4

5 28731 AE ENDOCAMELEON ARTHRO HOPKINS Telescope, diameter 4 mm, length 18 cm, autoclavable, variable direction of view from 15 90, adjustment knob for selecting the desired direction of view, fiber optic light transmission incorporated, color code: gold EC Arthroscope Sheath ENDOCAMELEON, with snap-in coupling mechanism, diameter 6 mm, working length 13.5 cm, distal tapered, with irrigation holes, two stopcocks, rotatable, for use with ENDOCAMELEON ARTHRO HOPKINS Telescope AE and Obturator O with cannulated handle or Obturators BC/BT BT Obturator, semisharp, for use with Arthroscope Sheaths DR, CR, CR/R/B, CR, CR and EC, color code: green-red-yellow EWK Changing Rod ENDOCAMELEON, cannulated, diameter 3.8 mm, length 31 cm, for use with Arthroscope Sheath ENDOCAMELEON EC and Nitinol Guide Wire GW 5

6 VITOM 3D 3D Visualization for Hand and Plastic Surgery The VITOM 3D system provides many surgical disciplines with a revolutionary solution for the visualization of microsurgical and open surgical interventions. Application possibilities are similar to that of the operating microscope. The most important functions are controlled via the IMAGE1 PILOT which is mounted to the OR table in close proximity to the surgeon. Smaller, lighter and more compact than an operating microscope Lower acquisition costs and creates synergistic effects with endoscopy by using the same video tower thus combining the benefits of endoscopy and microscopy Ergonomic work the user is not confined to the eyepiece Improved workflow the OR team can view the procedure in the same image quality as the surgeon 6

7 Overview VITOM 3D with integrated illuminator Holding Arm for VITOM 3D TH 200 Fiber Optic Light Cables Sterile Cover for VITOM 3D TH 001* HSP 495 VIT/TIP IMAGE1 PILOT IMAGE1 PILOT Sterile Cover IMAGE1 S Camera System Cold Light Fountain Power LED 300 SCB TC * TC 200 TC 302 TL 300 Holding Arm for IMAGE1 PILOT 3D Monitors TM 330, TM 263 3D Polarization Glasses, 3D Clip-on Glasses * HA HR 9800 GF 9800 C Note: VITOM 3D can also be used for other fields of application such as, for example, NEUROSURGERY, ENT or SPINE SURGERY as well as conventional open surgery, e.g., CARDIOVASCULAR SURGERY. 7

8 VITOM 3D 3D Visualization for Hand and Plastic Surgery TH 200 VITOM 3D, with zoom and focus function, integrated illumination and horizontal alignment, working distance cm, fiber optic light transmission incorporated, suitable for wipe disinfection, for use with IMAGE1 S CONNECT + IMAGE1 S D3-LINK + IMAGE1 PILOT TC 014 IMAGE1 PILOT, control unit with 3D wheel, 4 programmable function keys and USB port, for intuitive control of camera systems and connected units, for use with IMAGE1 S and VITOM 3D TH 200 IMAGE1 PILOT is required for the use of VITOM 3D. VITOM 3D and IMAGE1 PILOT are always used with a holding system. Please note that special clamping jaws are required to mount VITOM 3D to the holding system. Specifications: Sensor system Zoom Working distance (WD) Magnification (WD 30 cm with 32" 3D monitor) Cleaning 4K infinitely variable cm approx x wipe disinfection 8

9 VERSACRANE Holding System for the Convenient Positioning of VITOM HSP VERSACRANE Holding Arm, high, mobile, spring-supported, with quick release coupling KSLOCK, for use with KARL STORZ clamping jaws. The VERSACRANE holding arm is intended for use with VITOM scopes. including: Mobile Stand, for VERSACRANE holding arm WARNING: The VERSACRANE holding arm cannot be used with rigid endoscopes! 9

10 Accessories VTK VITOM 3D Clamping Jaw, with ball joint and quick release coupling KSLOCK (male), for use with VITOM 3D and KARL STORZ holding systems with quick release coupling KSLOCK VTP VITOM 3D Clamping Jaw, for POINT SETTER, with dovetail connector, for use with VITOM 3D and POINT SETTER holding system 495 VIT Fiber Optic Light Cable, with straight connector, extremely heat-resistant, enhanced light transmission, diameter 4.8 mm, length 550 cm Note: The 550 cm long Light Cable 495 VIT is a necessary requirement for the VERSACRANE. TH 001* Cover, for VITOM 3D, sterile, for single use, package of 10 TH 002 VITOM 3D Illuminator, additional lighting for VITOM 3D, with 1 adjustable lens, autoclavable, for use with VITOM 3D and light cable TH 003 Protective Cover, for VITOM 3D Wire tray for reprocessing the VITOM 3D illuminator Set 2B ZH Wire Tray, stackable, with hole place walls LH Lid SH Silicone Mat LARGE DIAMOND PS Fixation Pin, package of AS Silicone Tie-downs, package of 12 * Please note: The instruments displayed are not included in the wire tray. 10

11 IMAGE1 PILOT with Holding System for Fixation to the Operating Table TC 014 IMAGE1 PILOT, control unit with 3D wheel, 4 programmable function keys and USB port, for intuitive control of camera systems and connected units, for use with IMAGE1 S and VITOM 3D TH HR Rotation Socket, to clamp to the operating table, with one mounted Butterfly Nut HRS, for European and US standard rails, with lateral clamp for height and angle adjustment of the articulated stand HB Articulated Stand, reinforced version * Cover, elasticated, 42 x 164 cm, sterile, for single use, package of 20, for use with KARL STORZ holding systems * 11

12 Monitor TM " 3D Monitor including: Monitor Power Supply, external, 24 V Mains Cord 3x 3D Polarization Glasses, fogless, passive Cable Cover 9832 SFH Monitor Stand, for professional use, height-adjustable, tiltable, rotation +/-30, disinfectable, color white, with VESA 200 adaptor, for use with 32" 3D Monitor TM GF 3D Polarization Glasses, fogless, passive, package of 2, for use with 3D monitors 9800 C 3D Clip-on Glasses, circularly polarized 12

13 Performance Meets Ergonomics: The New DrillCut-X ARTHRO Shaver Handpiece The new DRILLCUT-X ARTHRO shaver handpiece stands out due to its excellent cleanability and exceptional versatility. Another striking feature is its ergonomic design. Due to its small dimensions, the tool is suitable for use in both large and small joints. The shaver handpiece is controlled via the UNIDRIVE S III ARTHRO console. Ergonomic design allows various hand positions Possible to lock blades in 4 positions (0, 90, 180, 270 ) Low-noise operation Handpiece weight of only 310 g allows fatigue-free work Unique feature: The distal end of the shaver handpiece is detachable so that optimal cleaning of previously hard-to-access areas is possible DX DRILLCUT-X ARTHRO Shaver Handpiece, up to 8000 rpm, for use with UNIDRIVE S III ARTHRO SCB , as of software status

14 ENDOMAT SELECT Meets Your Exact Requirements ENDOMAT SELECT for arthroscopy is a roller pump that regulates the irrigation of fluids according to the latest standards. ENDOMAT SELECT for arthroscopy communicates effectively with the KARL STORZ shaver unit UNIDRIVE S III ARTHRO. It also regulates the pressure and the flow rate to provide optimal imaging while maintaining joint distension. An optional feature is the BOOST mode that can be activated at any time. This provides a temporary increase in pressure and irrigation inside the joint in order to stop bleeding. ENDOMAT SELECT has been designed as an interdisciplinary pump. Depending on individual preferences, the pump can be equipped with various software packages so that the unit can be used for either individual or multiple disciplines. Benefits at a glance: User-friendly interface and simple handling thanks to tubing set for single hand control Rapid communication with the shaver unit Safe use thanks to tubing set recognition Seamless integration into existing systems Optional software allows further applications to be added at any time 14

15 UP 210 UP 605 ENDOMAT SELECT, suction and irrigation pump, incl. mains cord, power supply VAC, 50/60 Hz Arthroscopy Software, license, allows selection of the procedures KNEE, HIP, SHOULDER and Small Joints, for use with ENDOMAT SELECT UP Tubing Set, irrigation, PC, for single use, sterile, package of 10, for use with KARL STORZ HAMOU ENDOMAT and ENDOMAT SELECT UP 210 UP 006 Control Cable, for transmission of the footswitch signal between UNIDRIVE S III ARTHRO SCB and ENDOMAT SELECT UP 210 * 15

16 A Portfolio for all Demands: Techniques for Cruciate Ligament Reconstruction Products and techniques that set a new standard in established arthroscopic knee surgery were successfully developed in collaboration with well-known orthopedic specialists and trauma surgeons. The versatile product range for anatomically correct reconstruction of the cruciate ligaments includes instruments for both the anterior and posterior cruciate ligaments. Graft harvesting and preparation: Offers optimal harvesting and preparation of all common grafts Tunnel placement: A large selection of aimers, drills and dilators ensures efficient tunnel placement Tibial and femoral fixation systems: Interference screws manufactured from ultramodern materials as well as fixation buttons made of titanium for femoral and tibial anchorage ensure excellent long-term results and patient satisfaction 16

17 Bioresorbable Interference Screws: MEGA FIX B The Bioresorbable Interference Screw Material: Amorphous stereocopolymer Poly(L-Lactide-co-D, L-Lactide) Diameter Length Art. No. 6 mm 7 mm 8 mm 9 mm 19 mm 23 mm 19 mm 23 mm 28 mm 19 mm 23 mm 28 mm 23 mm 28 mm B B B B B B B B B B Note: Also available as a composite consisting of amorphous stereocopolymer Poly(L-Lactide-co-D, L-Lactide) and the ceramic material ß-TCP (ß tricalcium phosphate) (80:20). MEGA FIX P The Perforated Bioresorbable Interference Screw Material: Amorphous stereocopolymer Poly(L-Lactide-co-D, L-Lactide) Diameter Length Art. No. 8 mm 9 mm 10 mm 23 mm 28 mm 23 mm 28 mm 35 mm 28 mm 35 mm P P P P P P P 11 mm 35 mm P Note: Also available as a composite consisting of amorphous stereocopolymer Poly(L-Lactide-co-D, L-Lactide) and the ceramic material ß-TCP (ß tricalcium phosphate) (80:20). Extracortical Implant Systems for Femoral and Tibial Fixation FT FLIPPTACK, extracortical fixation button, 4 x 12 mm, sterile, for single use TT ENDOTACK, tibial fixation button, 10 x 16 mm, sterile, for single use Further information on instruments and implants for cruciate ligament reconstruction is available in the Arthroscopy and Sports Medicine catalog. 17

18 Unique: Minimally Invasive Harvesting of the Quadriceps Tendon for Reconstruction of the Cruciate Ligaments and MPFL The quadriceps tendon is used in cruciate ligament revision surgery and, more and more frequently, for the primary reconstruction of the anterior (ACL) and posterior (PCL) cruciate ligaments. The quadriceps tendon has also emerged as an ideal graft source for the reconstruction of the medial patellofemoral ligament (MPFL). A special tendon harvesting system was designed to provide fast, safe and atraumatic tendon harvesting, featuring the following properties: Reproducible technique Easy and safe subcutaneous tendon harvesting Defi ned harvesting depth Attractive cosmetic results The instrument set also enables quadriceps tendon harvesting for the anatomical reconstruction of the medial patellofemoral ligament (MPFL). One of the benefits of this technique is that the patella remains free of implant fixations and drill tunnels. 18

19 28185 QS Quadriceps Tendon Cutter, for subcutaneous terminal cutting of the quadriceps tendon MH Handle, for use with Quadriceps Tendon Knives FA FF and Quadriceps Tendon Separators EA EC MB Tendon Thickness Tester, for determining the thickness of the quadriceps tendon Knives for Harvesting the Quadriceps Tendon MPFL Reconstruction Cutting Dimensions (w h) Art. No. Tendon Knife vertical parallel 10 4 mm FA Tendon Knife vertical parallel 12 4 mm FB Tendon Separator horizontal parallel 2 mm in height EA Tendon Separator horizontal parallel 3 mm in height EB Cruciate Ligament Reconstruction Cutting Dimensions (w h) Art. No. Tendon Knife vertical parallel 8 6 mm FC Tendon Knife vertical parallel 9 6 mm FD Tendon Knife vertical parallel 10 6 mm FE Tendon Knife vertical parallel 12 6 mm FF Tendon Separator horizontal parallel 5 mm in height EC 19

20 SilCut PRO Punches for Precise Interventions Unique Hygiene Concept for Easy and Efficient Instrument Cleaning The hand instruments in the SILCUT PRO product line set new standards in arthroscopic resection. Furthermore, KARL STORZ CLEANFIT offers a cleaning concept that is yet another groundbreaking feature for hand instruments in arthroscopy. SILCUT PRO instruments stand out thanks to their precision, sharpness and perfect ergonomic design. The product range includes punches for large and small joints. In addition, the grasping forceps from the SILGRASP PRO Line supplement this portfolio. All demands of arthroscopic precision instruments were kept in mind during the design and construction of the SILCUT PRO range: Utmost precision thanks to an extremely flat profile Optimal cleaning thanks to integrated LUER-connector Optimized functional and ergonomic design 20

21 Punches with square jaw shape cross-toothed, cutting width 3.4 mm, sheath diameter 3.5 mm, working length 12 cm BBL SILCUT PRO Upbiter, jaws curved, 15 upwards, sheath curved 15 to left and 10 curved upwards BBR SILCUT PRO Upbiter, jaws curved, 15 upwards, sheath curved 15 to right and 10 curved upwards Punches with special jaw shape with circumferential teeth, cutting width 4.3 mm, sheath diameter 3.5 mm, straight sheath, working length 12 cm CL SILCUT PRO Side Punch, angled jaws, curved to left CLU SILCUT PRO Side Punch, angled jaws, 15 upwards, left CR SILCUT PRO Side Punch, angled jaws, curved to right CRU SILCUT PRO Side Punch, angled jaws, 15 upwards, right 45 with circumferential teeth, cutting width 5.8 mm, sheath diameter 3.5 mm, straight sheath, working length 12 cm E SILCUT PRO Giga Punch, straight jaws EU SILCUT PRO Giga Punch, curved jaws, 15 upwards with circumferential teeth, cutting width 5 mm, sheath diameter 3.5 mm, straight sheath, working length 12 cm S SILCUT PRO Square Punch, rhombic jaws SU SILCUT PRO Square Punch, rhombic jaws, 15 upwards Scissors, sheath diameter 3.5 mm, straight, working length 14 cm SP SILCUT PRO Scissors, straight jaws All instruments are equipped with a handle with connector for cleaning. Further information on grasping forceps and instruments is available in the Arthroscopy and Sports Medicine catalog. 21

22 Effective Suture Management in Shoulder Arthroscopy SHOULDER PRO suture forceps The new suture forceps expands the familiar SHOULDER PRO line to offer the surgeon a wide range of instruments for successful and targeted soft tissue perforation. This results in optimized suture management in reconstructive surgery for the rotator cuff and shoulder instability. TARPUN SHOULDER PRO suture forceps Easy and atraumatic penetration of soft tissue with the sharp and extremely slender upward-opening jaws Simplified suture grasping thanks to hook integrated in the jaw FETCHER SHOULDER PRO suture forceps Efficient grasping of the suture anchor, without twisting the suture forceps, thanks to downward-opening jaws and large aperture angle Best possible and atraumatic tissue handling thanks to the extremely slender design of the curved jaw with an upward pointing instrument tip Available with straight jaws as well as jaws curved to the left and right 22

23 TARPUN SHOULDER PRO Suture Forceps, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, handle with cleaning connector, working length 14 cm GFN TARPUN SHOULDER PRO Suture Forceps, jaws 47 upwards FETCHER SHOULDER PRO Suture Forceps, for punching soft tissue and suture management in shoulder arthroscopy, sheath diameter 3.5 mm, handle with cleaning connector, working length 14 cm HC FETCHER SHOULDER PRO Suture Forceps, straight jaws HL FETCHER SHOULDER PRO Suture Forceps, curved jaws, 43 left HR FETCHER SHOULDER PRO Suture Forceps, curved jaws, 43 right Further information on suture instruments is available in the Arthroscopy and Sports Medicine catalog. 23

24 Effective Suture Management in Shoulder Arthroscopy SILGRASP Suture Graspers The new suture graspers expand the product portfolio for shoulder arthroscopy to enable successful suture management in reconstructive surgery for the rotator cuff and shoulder instability. SILGRASP suture graspers Enables the grasping of suture material and soft tissue thanks to the slender, serrated and atraumatic jaws Reliable suture transportation thanks to special jaw design that prevents the suture from slipping out, even under strong traction Also suitable for knee arthroscopy SILGRASP curved suture graspers Easier to grasp sutures that run parallel to the instrument thanks to jaws curved to the left or right Simplified suture grasping due to jaws with large aperture angle 24

25 SILGRASP Suture Grasper, sheath diameter 3.5 mm, handle with cleaning connector, working length 14 cm 28171SHN SILGRASP Suture Grasper, straight jaws SILGRASP Suture Grasper, sheath diameter 3.5 mm, handle with cleaning connector, working length 16 cm SGL SILGRASP Suture Grasper, curved jaws, 45 left, 5 curved to left SGR SILGRASP Suture Grasper, curved jaws, 45 right, 5 curved to right Further information on suture instruments is available in the Arthroscopy and Sports Medicine catalog. 25

26 Even More Precise Hip Arthroscopy Perfect results thanks to new aimer and optimized instruments As a pioneer in hip arthroscopy, we deliver the first aimer offering horizontal triangulation. In addition to standard vertical triangulation, this allows faster and more precise portal placement. KARL STORZ also provides sharper knives for the capsule and labrum that save costs thanks to their reusability. These knives allow a minimally invasive incision of the joint capsule in the portal zone and are able to detach the acetabular labrum at the bony rim from the periphery to the center. The new KARL STORZ suture forceps for hip arthroscopy features an even more stable tip and is designed for atraumatic work. An optimized suture grasper allows safe grasping of the suture thanks to the instrument geometry. The extra long foreign body forceps (a working length of 22 cm) makes it easier to access all areas. And the extra stable microfracture chisel with 90 curve adds the final touch to your instrument set. Reach a greater level of surgical precision with KARL STORZ instruments. 26

27 28140 ZAA Hip Aimer Mandatory: ZBA Guide Sleeve, short, working length 10.5 cm or ZCA Guide Sleeve, long, working length 14.5 cm Optional: ZDA Aimer Attachment, for horizontal triangulation LM Knife, round, straight, working length 11.5 cm BM Knife, round, round, angled 20, working length 11.5 cm GA Suture Forceps, for punching soft tissue and suture management in hip arthroscopy, curved upwards, working length 19 cm CF Microfracture Chisel, for the hip, curved FD SILGRASP Foreign Body Grasper, aggressive, sheath diameter 4 mm, straight, handle with cleaning connector and ratchet, working length 22 cm SGD SILGRASP Grasper, sheath diameter 3.5 mm, straight, handle with cleaning connector, working length 19 cm BA SILCUT PRO Wide Upbiter, through-cutting, cross-toothed, cutting width 4.5 mm, jaws curved, 15 upwards, sheath diameter 3.5 mm, 15 curved upwards, handle with cleaning connector, working length 19 cm Further information on instruments is available in the Arthroscopy and Sports Medicine catalog. 27

28 Precise Measurement of the Stability of the Knee Joint: KLT Knee Laxity Tester The Knee Laxity Tester (KLT) was developed to allow fast, straightforward, and reproducible instrumented stability testing. It meets the requirements for quantifying the drawer movement. The tester offers the following advantages: Rapid and easy calibration Exact and fast measurement process High accuracy (± 0.1 mm) Four important clinical tests can be performed with the KLT: 1. Lachman test 2. Spontaneous posterior drawer test in 90 flexion 3. Fixed posterior drawer test 4. Anterior drawer test in 90 flexion KLT Knee Laxity Tester, for instrumented stability tests 28

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31 It is recommended to check the suitability of the product for the intended procedure prior to use. 31

32 KARL STORZ SE & Co. KG Dr.-Karl-Storz-Straße 34, Tuttlingen/Germany Postbox 230, Tuttlingen/Germany Phone: +49 (0) Fax: +49 (0) ART /2018/YHL-E