B&H SURGICAL. Laparoscopic Reference Guide. P.O. Box Santa Clarita, CA Toll Free: Ph: Fax:

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B&H SURGICAL Laparoscopic Reference Guide P.O. Box 800192 Santa Clarita, CA 91380-0192 Toll Free: 800-971-9066 Ph: 661-257-0788 Fax: 661-257-0688

5mm Diameter Shaft NE300 Allis 12mm Jaw Length NE377 Babcock 22mm Jaw Length NE303 Endo Allis 34mm Jaw Length Ask about our Insufflation Tubing! NE301 Long Allis 28mm Jaw Length NE323 Dorsey Fenstrated Grasper 30mm Jaw Length NE310 Round Tip Allis 34mm Jaw Length NE305 Pennington 19mm Jaw Length NE330 Babcock 25mm Jaw Length NE311 Curved Dissecting 23mm Jaw Length NE324 Endo Babcock 25mm Jaw Length NE312 Short Curved Dissecting 13mm Jaw Length NE335 Paddle Babcock 29mm Jaw Length NE319 Delicate Cone 11mm Jaw Length

5mm Diameter Shaft NE325 DeBakey Tissue 38mm Jaw Length NE304 Glassman 30mm Jaw Length NE331 Dolphin Nose Dissecting W/Cup 16mm Jaw Length NE349 Mini-Micro Dissecting NE320 Micro Dolphin Dissecting 11mm jaw length NE313 Mixter 19mm jaw length NE343 Micro Dolphin Dissecting NE309 Pointed w/cup NE314 Duckbill 10mm jaw length NE317 Mini Right Angle NE355 Flat NE316 Straight Mini NE341 Curved Maryland NE315 Straight Tapered

5mm Diameter Shaft NE329 Micro Dissecting NE308 Alligator NE346 Atraumatic Grasper Single Action NE332 Cobra Jaw NE333 Atraumatic Grasper Double Action NE326 Extracting Reverse Teeth NE302 Traumatic Grasper 2x3 Teeth NE339 Retrograde NE345 Traumatic Grasper 2x3 Teeth S/A NE342 Dolphin Nose NE321 Claw 2x3 Teeth NE328 Fenestrated NE348 Ripple Claw NE306 Strong Fenestrated

5mm Diameter Shaft NE340 Kocher NE338 Maxi Fenestrated 18mm jaw length NE327 NE307 McKernan Tri-Grasper Fenestrated 21mm jaw length NE347 w/cup NE336 Tri-Grasper 16mm jaw length NE337 Long 19mm jaw length NE318 Atraumatic Tube 14mm jaw length NE344 Oviduct Atraumatic 11mm jaw length NE334 Wave jaw Biopsy s, 5mm Diameter Shaft NE359 Biopsy Scoop NE322 Biopsy w/two Teeth 11mm jaw length NE360 Biopsy w/one Tooth

Scissors, 5mm Diameter Shaft NE354 Straight Metz Scissor 16mm jaw length NE351 Straight Micro Scissor 7mm jaw length NE350 Curved Metz Scissor 16mm jaw length NE353 Curved Micro Scissor 7mm jaw length NE352 Delicate Curved Metz Scissor NE356 Hook Scissor 8mm jaw length E357 Delicate Scissor Straight, S/A NE364 5mm Tenaculum 36mm jaw length 10mm Diameter Shaft NE414 10mm Shaft with 5mm Angled 16mm jaw length NE412 10mm Right Angled 37mm jaw length NE416 10mm Mixter 27mm jaw length NE413 10mm Shaft with 5mm Right Angled 19mm jaw length

10mm Diameter Shaft NE410 10mm Atraumatic Vascular 33mm jaw length NE404 10mm Glassman 60mm jaw length NE430 10mm Babcock Short Jaw 25mm jaw length NE418 10mm Long Heavy 40mm jaw length NE431 10mm Babcock w/debakey teeth 35mm jaw length NE419 10mm Short Heavy 28mm jaw length NE432 10mm Babcock w/straight Serrations 35mm jaw length NE441 10mm Shaft with 5mm Maryland Tip NE434 10mm Babcock Paddle Style 35mm jaw length NE417 10mm Pennington 38mm jaw length E402 Angled Circle Grasper 24mm jaw length NE424 10mm Spoon 35mm jaw length NE420 10mm Claw 29mm jaw length NE415 10mm Maxi Grasper 35mm jaw length NE411 Endo Fichera Grasper 64mm jaw length NE437 10mm Tenaculum 36mm jaw length

Insulated Handles M Monopolar MR Monopolar Rotating Non-Insulated Handles S Standard SR Standard Rotating ACR Auto Closure Rotating SLR Slide Lock Rotating R Ratchet AC Auto Closure SL Slide Lock RR Ratchet Rotating

NE15-0110 5mm Knot pusher (Open end) 32cm NE15-0105 5mm Knot pusher (Closed end) 32cm NE15-0110XL 5mm Knot pusher (Open end) 45cm NE15-0105XL 5mm Knot pusher (Closed end) 45cm NEN303 5mm Laparoscopic Probes 32cm NEN304 5mm Laparoscopic Probes 45cm EN335 5mm Trumpet Valve Suction Irrigator NEN315 J NEN320 Right Angle L NEN310 Spatula Axial Handle Needle Holder Ergonomically designed handle allows more efficient handling of needles and sutures Luer Lock rinsing channel One-piece design, eliminates lost parts during sterilization Replaceable Tungsten Carbide inserts ensure a strong grip, and longevity. NE12-0123 Curved Left NE12-0120 Straight NE12-0122 Curved Right NE08-0120A 10mm, 5 finger, 32cm, Articulating Fan Retractor NE08-0120 10mm, 5 finger, 32cm, Non-Articulating Fan Retractor NE08-0115A 5mm, 3 finger, 32cm, Articulating Fan Retractor NE08-0115 5mm, 3 finger, 32cm, Non-Articulating Fan Retractor

B&H SURGICAL P.O. Box 800192 Santa Clarita, CA 91380-0192 Toll Free: 800-971-9066 Ph: 661-257-0788 Fax: 661-257-0688 OPERATIVE LAPAROSCOPIC INSTRUMENTS USE AND OPERATING INSTRUCTIONS INTENDED USE: Hand held Laparoscopic instruments are intended for grasping, cutting, dissecting, retracting, clamping, cauterizing, and/or suction/irrigation in conjunction with a Laparoscope during laparoscopic surgery. The instruments are designed to be used through a portal, the opening maintained by an introducer or cannula which allows for insertion and removal of the instrument without damage to the surrounding soft tissue. Instruments should be used only by personnel completely familiar with their operation. Using an instrument improperly or for a task which was not intended, may result in a damaged or broken instrument. OPERATING INSTRUCTIONS: Proper care and maintenance of hand held laparoscopic instruments is essential for safe and effective operation. Prior to each use, instruments should be thoroughly examined for broken or worn parts that may inhibit the function. Specifically, instruments used for electrosurgery must be checked for nicks, cracks, or exposed metal on the shaft and handle insulation. Careful inspection upon receipt and frequent inspection during use for functional integrity is recommended as a safeguard against possible injury to patient or operator. Instruments should be used with extreme care when inserting or removing from the cannula. The tips must be closed during insertion and removal to prevent damage to the working end of the instrument. The instrument must be inserted through the cannula straight to prevent any lateral pressure which may damage the instrument. If you have any concern or questions regarding an instrument please contact B&H Surgical at 800-971-9066.

OPERATIVE LAPAROSCOPIC INSTRUMENTS CARE AND HANDLING INSTRUCTIONS INSTRUMENT CLEANING: A) Open all hinged instruments and disassemble any removable parts. Rinse with deionized water to remove any gross debris. Hand wash instrument using neutral ph detergent or enzymatic cleaner and a soft brush, being sure to flush all lumens and channels with the solution. Thoroughly clean inside of instrument by flushing solution through the luer flush port. Avoid the use of steel wool, wire brushes and/or abrasive detergents. B) Clean entire surface of instrument, paying special attention to the jaw and hinged area to be sure all blood and debris is removed. C) Thoroughly rinse instrument with deionized water after cleaning to remove any residual debris or cleaning solution. After rinsing, inspect the instrument as described on previous page for proper function. D) Instruments that are to be steam sterilized should be lubricated with non-silicone, antimicrobial, water soluble lubricant per manufacturer s instructions. Do not rinse or towel dry. Do not use mineral oil, petroleum jelly or silicone sprays which may inhibit sterilization and cause build-up in the crevices of the instrument. STERILIZATION: Follow the hospital Infection Control Procedure. The instrument can be sterilized using a steam autoclave, heat sterilization or gas sterilization. The recommended steam autoclave cycle is 10 minutes at 270 degrees F gravity cycle. As recommended by the A.A.M.I. Standards and Recommended Practices, the sterilizer manufacturer s written instructions for cycle parameters should be followed. The use of flash sterilization is not recommended as it can shorten the life of the instrument, and voids the Mfg. warranty. STORAGE: Instruments must be completely dry and lubricated to prevent damage. Store instruments in areas which provide protection from extremes in temperature and humidity. Instruments are delicate and should always be stored with tip guards to prevent damage to working end of the instrument.