Endoscopy in Small Exotic Animals

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Ethelbert Dennis Williams
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EndoWorld VET 23-2-E/02-2007 Endoscopy in Small Exotic

1 EndoWorld VET 23-2-E/ Endoscopy in Small Exotic Animals Set for birds, reptiles, amphibians, small mammals and fishes

Endoscopy: an essential tool for the exotic animal veterinariantitioner Structures visualized: Heart Lungs Air sac Liver Proventriculus Ventriculus Intestines Pancreas Spleen Adrenal gland Kidney

2 Endoscopy: an essential tool for the exotic animal veterinariantitioner Structures visualized: Heart Lungs Air sac Liver Proventriculus Ventriculus Intestines Pancreas Spleen Adrenal gland Kidney Ureter Reproductive tract Esophagus Crop Cloaca Trachea Syrinx Fat bodies Swim bladder Gills Teeth Larynx Endoscopic procedures: Celioscopic examination Biopsy Sex identification Sampling of debris Foreign body retrieval Cloacoscopy Cystoscopy Rhinoscopy Otoscopy Vaginoscopy Intubation Thoracoscopy Arthroscopy Minimally invasive endosurgery Laser surgery, electrosurgery Fine needle injection or aspiration Saline-infusion gastro-intestinal endoscopy Therapeutic curettage, lavage of lesions Salpingectomy, ovariectomy, orchidectomy Oral cavity examination and dental procedures

2 3 The small and delicate nature of many exotic animals makes

In fact, the benefits of magnification, illumination and

routine diagnostic technique in birds, reptiles, amphibians,

Comments from Veterinarians This makes me more confident as a

I am finally getting answers that I would have otherwise missed.

3: Iguana esophagus, fluid infusion 1 2 3 Fig.

3 2 3 The small and delicate nature of many exotic animals makes them ideally suited to endoscopy. In fact, the benefits of magnification, illumination and minimal invasion have led to the acceptance of endoscopy as a routine diagnostic technique in birds, reptiles, amphibians, small exotic mammals and fish. Comments from Veterinarians This makes me more confident as a practitioner. I am finally getting answers that I would have otherwise missed. We all know that a definitive diagnosis requires a biopsy! I get more referrals and better income! How can I afford NOT to have endoscopy? Fig 1: Turtle immature ovary Fig. 2: Iguana testis and vas deferens Fig. 3: Iguana esophagus, fluid infusion Fig. 4: Cranial abdomen, ferret Fig. 5: Testis, plum headed parakeet Fig. 6: Cloacal lymphoma, umbrella cockatoo Fig. 7: Cranial thoracic air sac, Amazon parrot Fig. 8: Guinea pig molar malocclusion Fig. 9: Testis, Amazon parrot Endoscopic photographs courtesy of Dr. Stephen Hernandez-Divers, University of Georgia (1, 2, 3); Dr. Michael Murray, Monterey Bay Aquarium (4, 5, 6); and Dr. Michael Taylor, University of Guelph (7, 8, 9).

4 Standard Telescope, 2.7 mm for multipurpose use BA hr Forward-Oblique Telescope 30, diameter 2.7 mm, length 18 cm, autoclavable. Fiber optic light transmission incorporated. Color code: red Examination and Protection Sheath Protects the telescope during examination US Examination and Protection Sheath for Telescope BSA, diameter 3.5 mm, working length 17 cm. Diagnostic Sheath Accepts flexible instruments 5 Fr CV Diagnostic Sheath 14.5 Fr., with instrument channel 5 Fr. and 2 stopcocks, with Obturator CB Trocar 3.5 mm For laparoscopy, multipuncture approach GK Trocar, size 3.5 mm, consisting of: K Trocar only with pyramidal tip G1 Cannula only, length 5 cm L1 Silicone Leaflet Valve

5 4 5 Instruments for use with diagnostic sheath CV Z Biopsy Forceps, flexible, double spoon, oval jaws, 5 Fr. The most versatile biopsy forceps: it can be employed in most tissues to collect a deep, longitudinal sample. Also useful for sampling exudate and debris T Grasping Forceps, flexible, double action jaws, oval, 5 Fr. The standard grasping forceps with large serrations; particularly useful for grasping medium to large objects and removing exudate and debris EK Scissors, semi-rigid, single action jaws, 4 Fr., length 34 cm. The scissors are an essential part of the operating system. Air sac, peritoneal and pleural membrane can be easily incised X Needle, flexible, with outer tube. Outer tube diameter 1.5 mm, needle diameter 0.7 mm, length of outer tube 31 cm. Used for injection, aspiration and irrigation L Polypectomy Snare, 5 Fr., length 32 cm, unipolar, consisting of: LA Handle LB Tubing, only LC Snare, only LD Adaptor Used for ovariectomy and orchidectomy in birds and reptiles VK Wire Basket, flexible, 5 Fr., length 60 cm, consisting of: 1 x VT 3-ring Handle 1x VR Basket 1 x VS Coil Some smooth or rounded objects can only be grasped by use of a retrieval basket such as this A Needle End Electrode, 5 Fr., 53 cm. The needle can be energized using a radiosurgical unit for incision and coagulation of structures.

6 BLAKESLEY Forceps For trimming cheek teeth of rabbits and rodents BLAKESLEY Forceps, straight, working length 11 mm, size 1 (3.5 mm) Diagnostic Telescope For celioscopy, cystoscopy, rhinoscopy and cloacoscopy in smaller exotic animals BA Diagnostic Telescope, with Forward- Oblique Telescope 30, enlarged view, autoclavable, 9.5 Fr., fiber optic light transmission incorporated, instrument channel 3 Fr. and 2 LUER-lock cones. Color code: red Instruments for use with Diagnostic Telescope BA ZJ Biopsy Forceps, double action jaws, flexible, 3 Fr., length 28 cm TJ Grasping Forceps, double action jaws, 3 Fr. This delicate forceps is useful for blunt dissection or for grasping smaller objects. Miniature Telescope For tracheoscopy, cystoscopy and rhinoscopy in smaller patients Miniature Straight Forward Telescope 0, semi-rigid, 1 mm Ø, length 20 cm, Fiber optic light transmission incorporated.

6 7 Insufflation 62 4305 08-1 Electronic CO2 Endoflator SCB, Set consisting of: 26 4305 20-1 Electronic CO2 Endoflator with SCB 20 4001 43 Silicon

Pneumoperitoneum Needle with spring-loaded blunt stylet, LUER-lock, length 10 cm Light Sources 691315 01 Cold Light Fountain XENON NOVA, lamp type:

Fountain VETERINARY with built-in antifog-pump/insufflation pump for gastroscopy, power supply: 230 VAC, 50/60 Hz, including mains cord 400 A 691110

7 6 7 Insufflation Electronic CO2 Endoflator SCB, Set consisting of: Electronic CO2 Endoflator with SCB Silicon Tubing, sterilizable Universal Wrench SCB-Connecting Cable, length 100cm Sterile Filter, Package of J VERESS Pneumoperitoneum Needle with spring-loaded blunt stylet, LUER-lock, length 10 cm Light Sources Cold Light Fountain XENON NOVA, lamp type: 175 Watt Xenon lamp, power supply: / VAC, 50/60 Hz, including mains cord 400 A XENON Spare Lamp 175 watt Cold Light Fountain VETERINARY with built-in antifog-pump/insufflation pump for gastroscopy, power supply: 230 VAC, 50/60 Hz, including mains cord 400 A C Same, power supply: 115 VAC, 50/60 Hz 103 Halogen Lamp, 150 watt, 15 volt NA Fiber Optic Light Cable, diameter 3.5 mm, length 230 cm (not pictured)

www.karlstorz.com EndoWorld KARL STORZ GmbH & Co.

8 EndoWorld KARL STORZ GmbH & Co. KG Mittelstraße 8, Tuttlingen, Germany Postfach 230, Tuttlingen, Germany Phone: / Fax: / KARL STORZ Veterinary Endoscopy America Inc. 175 Cremona Drive Goleta, CA 93117, USA Phone: / Fax: / EW VET 23-2-E/

Multi-Purpose Rigid Telescope For The Small Animal Practice

VET 16-5 07/2014-E NEW & IMPROVED Multi-Purpose Rigid Telescope For The Small Animal Practice Multi-Purpose Rigid Telescope for the Small Animal Practice Endoscopic technology today allows direct, optically