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www.cookmedical.com Cook Europe Shared Service Centre Country Telephone E-mail Austria (+43) 1-795-67-121 oeorders@cook.ie Belgium ench (+32) 27-00-16-33 beorders@cook.ie Belgium Flemish (+32) 27-00-16-33 nlorders@cook.ie Denmark (+45) 38487607 daorders@cook.ie Distributors (+353) 61-239240 sscdistributors@cook.ie ance (+33) 1-71-23-02-69 frorders@cook.ie Germany (+49) 6950-072804 deorders@cook.ie Hungary (+36) 17779199 huorders@cook.ie Italy (+39) 02-69-68-28-53 itorders@cook.ie Netherlands (+31) 202-013-367 nlorders@cook.ie Norway (+47) 23-16-2968 noorders@cook.ie Poland (+48) 223060159 plorders@cook.ie Spain (+34) 91-2702691 esorders@cook.ie Switzerland ench (+41) 44-8-009-609 frorders@cook.ie Switzerland Italian (+41) 44-8-009-609 itorders@cook.ie Switzerland German (+41) 44-8-009-609 deorders@cook.ie Sweden (+46) 85-876-94-68 seorders@cook.ie UK (+44) 20-7365-4183 ukorders@cook.ie COOK 2009 LIT0036-5 AORTIC INTERVENTION CARDIOLOGY CRITICAL CARE ENDOSCOPY INTERVENTIONAL RADIOLOGY PERIPHERAL INTERVENTION SURGERY UROLOGY WOMEN S HEALTH

Urology PEDIATRIC FOCUS

Contents General Information......................................2 Injekt VUR Injection Needle.............................2 Pediatric Ureteral Catheter................................3 Whistle Tip Ureteral Catheter.............................3 Angled Tip Ureteral Catheter.............................3 Flexor DL.............................................4 Flexor..................................................4 Sof-Flex Double Pigtail Stent Set..........................5 C-Flex Double Pigtail Ureteral Stent Set...................5 Urethral Meatal Dilator...................................5 Tarkington Urethral Stent Set.............................6 Zaontz Urethral Stent....................................6 Koyle Diaper Stent......................................6 Mini-Perc Entry Set.....................................7 Pediatric Nephrostomy Catheter/Stent Set..................7 Salle Intraoperative Pyeloplasty Stent Set...................7 Percutaneous Pigtail Nephrostomy Set.....................8 Silicone Foley Catheter...................................8 Pediatric Urinary Drain Bag Set............................8

2 General Information General Information Pediatric Urology Cook Medical is one of the world s best-known and most respected names in the medical device industry. Closely allied with top medical research facilities, teaching hospitals and leading specialists around the world, Cook Medical continues to provide innovative, physician-driven, quality medical devices to healthcare providers who will accept nothing but the best for their patients. Our pediatric urology products continue to provide cutting-edge technology to practitioners who demand better outcomes with fewer complications. Cook Medical shares your high standards in pediatric patient care. We have provided this assurance for over 40 years and will continue to do so into the future. We hope you ll be pleased Please refer to our Focus Catalogue to view our range of Urology products. Injekt VUR Injection Needle Used to inject legally marketed therapeutic/bulking agents into the genitourinary system, most specifically for VUR in the pediatric population and bladder neck injection in the general population. Outer Sheath Filiform Tip Needle gage G51158 IFI-383523 3.8 23 35 5

Pediatric Urology 3 Pediatric Ureteral Catheter Used for drainage and retrograde pyelogram in pediatric patients. A stiffening stylet is included to aid in catheter placement. G15885 022230 3.0 70 Whistle Tip Ureteral Catheter Used for drainage and retrograde pyelogram. Sold in boxes of 10. Right G14028 022103 3.0 70 G14029 022104 4.0 70 Angled Tip Ureteral Catheter Used for directing a flexible-tipped wire guide in the ureter. The angled tip allows passage of the catheter past a ureteral stone in preparation for ESWL. Set includes wire guide. Wire Guide Diameter inch Wire Guide Tip Configuration 20 Angled Tip G14597 023104 4.0 70.028 145 Tapered

4 Pediatric Urology Flexor DL Dual Lumen Ureteral Access Sheath Used to establish a conduit during endoscopic urological procedures facilitating the passage of endoscopes and other instruments into the urinary tract. The Flexor Dual Lumen (DL) Ureteral Access Sheath now provides ureteral dilation with two continuous working channels. The larger lumen provides protected introduction of endoscopes. The secondary lumen allows protected introduction of instruments 3 or smaller, such as laser fibers, stone baskets or working wires. The additional lumen may be used for irrigation or the delivery of contrast media, freeing the working channel of the endoscope for additional uses. Primary Lumen ID Secondary Lumen ID G46072 FUS-095013-DL 9.5 3.0 13 G46029 FUS-120013-DL 12.0 3.0 13 Flexor Ureteral Access Sheath Used to establish a conduit during endoscopic urological procedures facilitating the passage of endoscopes and other instruments into the urinary tract. The Flexor Ureteral Access Sheath provides ureteral dilation and a continuous working channel for the introduction of endoscopes and other instruments during ureteral access procedures. The Flexor sheath protects the ureter during repeated instrument exchanges, reducing the potential for trauma. The continuous channel also protects delicate instruments and the smaller flexible scopes from damage, reducing costly repairs. ID G32853 FUS-095013 9.5 13 G32852 FUS-120013 12.0 13

Pediatric Urology 5 Sof-Flex Double Pigtail Stent Set Used for temporary drainage from the ureteropelvic junction to the bladder in pediatric patients. Set includes stent, wire guide and stent positioner. CAUTION: Periodic evaluation is advised; stent must not remain indwelling more than 6 months. Set G15606 039308 3.0 8 G15607 039310 3.0 10 G15608 039312 3.0 12 G15929 039314 3.0 14 C-Flex Double Pigtail Ureteral Stent Set Used for temporary internal drainage from the ureteropelvic junction to the bladder. Set includes stent, wire guide, stent positioner and catheter. CAUTION: Periodic evaluation is advised; stent must not remain indwelling more than 6 months. Set G14794 036308 3.7 8 G14637 036310 3.7 10 G14834 036312 3.7 12 G14700 036314 3.7 14 Urethral Meatal Dilator Used for dilation of the penile urethral meatus. G15161 073403 6.0 10.0

6 Pediatric Urology Tarkington Urethral Stent Set Used for stenting the urethra after hypospadias or epispadias repair and to provide postoperative drainage of the bladder. The stent is designed to be stabilized in the urethra without use of sutures at the meatus. Set includes stent and wire guide. G15614 032408 8.0 10 Zaontz Urethral Stent Used for stenting the urethra after hypospadias or epispadias repair and to provide postoperative drainage of the bladder. G16758 032306 6.0 12 G15049 032308 8.0 12 G15050 032310 10.0 12 Koyle Diaper Stent Used for stenting the urethra after hypospadias or epispadias repair and to provide postoperative drainage of the bladder. The externalized portion of the stent is of sufficient length to allow drainage into a second or outside diaper, keeping the inside diaper dry during the healing process. Stent only Comment G18827 KDSCF-060050-FL26-IM 6.0 50 26 from tip to flare with ink marks Set G17666 KDSCFS-060050 6.0 50 G17668 KDSCFS-080050 8.0 50

Pediatric Urology 7 Mini-Perc Entry Set Docimo Set Used to gain percutaneous access into the renal pelvis to treat stone disease. The dual lumen catheter and the Peel-Away introducer are sized for use in pediatric patients. Set includes needle, wire guides, sheath, introducer and catheter. G17895 080000-DOCIMO Pediatric Nephrostomy Catheter/Stent Set Used to prevent postoperative stricturing and to allow renal drainage after an endopyelotomy. CAUTION: Periodic evaluation is advised; stent must not remain indwelling more than 4 months. Stent Segment Stent Segment Accepts Wire Guide Diameter inch/mm G15034 080208-S6 8.2 15 4.7 5.038/.97 G15035 080208-S7 8.2 15 4.7 7.038/.97 Salle Intraoperative Pyeloplasty Stent Set Used to establish and maintain nephrostomy drainage following pyeloplasty. Set includes wire guide, stylet, catheter, stent, Tuohy-Borst adapter, retention disc and connecting tube. CAUTION: Periodic evaluation is advised; stent must not remain indwelling more than 4 weeks. Usable Wire Guide Diameter inch/mm Wire Guide Comment G32773 SIPSF-040018-59 4.0 12-18.025/.64 145 G18168 SIPSF-040018-56-6 4.0 12-18.025/.64 145 6 stylet G32774 SIPSF-050018-59 4.7 12-18.038/.97 145

8 Pediatric Urology Percutaneous Pigtail Nephrostomy Set Used for percutaneous placement of a pigtail catheter in the renal pelvis for nephrostomy drainage. EchoTip needle design provides enhanced visualization of needle tip when used with ultrasonic imaging equipment. Set includes two needles, wire guide, catheter, 7 dilators, connecting tube and retention disc. CAUTION: Periodic evaluation is advised; stent must not remain indwelling more than 4 months. G14161 080006 6.0 15 Silicone Foley Catheter Used to provide drainage of urine from the bladder. All-silicone construction avoids latex sensitivity concerns. Sold in boxes of 12. Inflation Volume ml Open End G17203 028506-OE 6.0 28 1.5 G17200 028508-OE 8.0 34 1.5 Set with.021 inch Wire Guide (sold individually) G17214 028506-OE-21 6.0 28 1.5 Pediatric Urinary Drain Bag Set Used to provide pediatric patients with an appropriately sized disposable system for urine drainage and collection. Supplied nonsterile. Intended for single-patient use only. Volume ml G17939 UDPS-200 200