ErgoSys Ergonomics to perfection

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ErgoSys Ergonomics to perfection Laparoscopic instruments

2 ErgoSys Ergonomic, economic and precise

The modern handle system for maximum precision PAJUNK ErgoSys sets new standards in laparoscopy in terms of precision, ergonomics and cost-effectiveness. The basis is a new handle that meets the highest ergonomic requirements with its modern design and rounded edges. It is distinctly smooth and easy to operate and so meets the essential prerequisites for fatigue-free work. Its innovative stepless lock is unique and enables precise work that is gentle on tissue. This means an increase in safety for the patient and user. The optional application of disposable and reusable instrument inserts make the modular instrument system particularly economical. 3

Free moving or with lock The handle system with many options The new PAJUNK handle instrument system is equipped for all the requirements and techniques of laparoscopy with a modular system consisting of two handle models, various guide tubes and instrument inserts in disposable and reusable designs. ErgoFlex The handle without lock can be combined with disposable and reusable instrument inserts. ErgoFlex Disposable instrument inserts Insulated shaft tube, Ø 5 mm and connecting rod with snap lock The removable and disposable instrument inserts provide flexibility and costeffectiveness. When scissors are used for coagulation new sharp instruments can be worked with for each intervention. These are only for use with the ErgoFlex handle without lock. Disposable scissors inserts Disposable grasping forceps inserts 4

HF connection Both handles can also be optionally used for monopolar electrocoagulation. The HF power routing system is completely enclosed. Rotation wheel with rotation stop when grasping Toggle switch for a) activating the lock b) deactivating/releasing the lock Thumb rest with extra-wide molding ErgoGrip This handle with an stepless lock is Stepless lock b a characterized by its outstanding precision when grasping and holding. The lock can be activated or deactivated at any time. Four-finger rest ErgoGrip, ErgoFlex Guide tubes A large selection of reusable instrument inserts Guide tube, Ø 10 mm Grasping forceps Scissors Guide tube, Ø 5 mm Biopsy spoon forceps Instrument insert, Ø 3 mm Needle holder Clamps 5

Easy to handle, many versions and precise ErgoSys sets new standards The basis of the ErgoSys instrument system are the two new handles: ErgoGrip with stepless lock and ErgoFlex without lock. They cover not only the entire range of application possibilities but also convince with maximum ergonomics for multiple hand positions. Operation is comfortable and simple for both left-handed and right-handed people. Ergonomic design The wide molding and the distance from the four-finger rest and thumb rest combined with the rounded edges meet the maximum requirements for ergonomics. This guarantees a balanced distribution of force on the individual fingers, prevents signs of fatigue and avoids pressure marks as well as possible nerve compression. Multiple hand positions Clasping the handle is also perfectly supported from an ergonomic view. Each user finds an optimum holding position at any time regardless of preferences. 6

ErgoGrip The handle with a activatable stepless lock ErgoGrip has an stepless lock that ensures every desired position when grasping. This allows for absolutely precise and atraumatic work simultaneously. In contrast to conventional handles with ratchet, ErgoGrip reduces the risk of injury to organs or tissue. The stepless variable lock of ErgoGrip grasps and holds tissue in every possible position where as conventional ratchets lock in the defined positions where the pressure of the instrument on the tissue is inreased or reduced so that tissue can slip out of the instrument jaws. Stepless lock for ErgoGrip Locking positions for conventional laparoscopic instruments Conventional handles have fixed locking positions within the entire opening angle. In contrast the user can choose a completely individual and stepless opening angle when using ErgoGrip. Rebounding thumb ring Opening of the instrument insert with the assistance of a spring in the handle. This prevents signs of fatigue and also eases the adaptation of the instrument inserts to a significant degree. Activating and deactivating the lock The toggle switch is pressed upwards to activate the stepless lock and downwards to deactivate/release it. If the stepless lock is activated, the instrument inserts can be closed at any time when opening is locked. 7

Double secured Ready for use in next to no time The instruments are assembled quickly and conveniently based on the sophisticated fastening system. Two stage anchoring guarantees maximum resistance to torsion for each handle module mode. The first-class quality of the module connection distinguishes itself when large forces act on the system. The two stage locking mechanism makes the laparoscopic instrument doubly resistant to torsion: 1) Screw connection of guide tube and handle 2) Anchoring the instrument insert in the guide tube 1) All handle joints are encapsulated. In this way, soft transitions are achieved and obstructions due to sharp edges prevented a considerable advantage in a sterile environment. 1) Connection of guide tube and handle The proven screw connection of the handle and instrument insert has been retained for the new handle generation. For this reason, inadvertent loosening of the connection during intervention is impossible. 8

The rotation wheel can be adjusted with light pressure from the index finger. A rotation stop ensures the desired position when grasping. 2) 2 a) Anchoring a reusable instrument insert in the guide tube A snap-action mechanism anchors the instrument insert with the guide tube. The notch in the instrument insert and the corresponding counter piece at the guide tube guarantees a torsion-resistant connection for both parts. 2 b) Anchoring a disposable instrument insert in the shaft tube For the disposable system, the disposable instrument insert is clicked in the connecting rod and tightly screwed to the shaft tube. Only combinable with ErgoFlex 9

Modules for PAJUNK laparoscopic instruments Instrument system for reuse Always the right combination: The handle, insulated guide tubes and instrument inserts can be mounted in any size-related arrangement as a modular system. ErgoSys handles Product Item.-No. PU ErgoFlex handle for modular instrument inserts 1292-30-00 1 ErgoGrip handle with activatable stepless lock for modular instrument inserts 1292-30-10 1 ErgoSys guide tubes Product Size Working length Item.-No. PU Insulated guide tube Ø 5 mm 330 mm 1292-13-05 1 Ø 5 mm Ø 10 mm Ø 10 mm 330 mm 1292-13-10 1 Ø 5 mm 450 mm 1292-14-05 1 Ø 10 mm 450 mm 1292-14-10 1 Clamps Ø 10 mm 10 BABCOCK clamp, double action COLLIN clamp, double action Clamp with DeBAKEY teeth 2 x 3, jaw 40 mm, double action 330 mm 1292-83-10 1 450 mm 1292-84-10 1 330 mm 1292-83-15 1 450 mm 1292-84-15 1 330 mm 1292-83-41 1 450 mm 1292-84-41 1

Grasping forceps Ø 10 mm MARYLAND grasping forceps, double action MIXTER dissection- and grasping forceps, double action Claw grasping forceps, 2 x 3 teeth, single action BABCOCK grasping forceps, double action Biopsy spoon forceps, single action 330 mm 1292-63-20 1 450 mm 1292-64-20 1 330 mm 1292-63-21 1 450 mm 1292-64-21 1 330 mm 1292-63-30 1 450 mm 1292-64-30 1 330 mm 1292-63-31 1 450 mm 1292-64-31 1 330 mm 1292-73-15 1 450 mm 1292-74-15 1 Scissors Ø 5 mm Hook-type scissors, straight, single action Dissecting scissors, straight, double action Dissecting scissors, curved, METZENBAUM, double action Dissecting scissors, curved, METZENBAUM, with fine teeth, double action Micro-scissors, straight, single action Micro-scissors, curved, single action Peritoneal scissors, straight, single action 330 mm 1292-93-10 1 450 mm 1292-94-10 1 330 mm 1292-93-13 1 450 mm 1292-94-13 1 330 mm 1292-93-14 1 450 mm 1292-94-14 1 330 mm 1292-93-15 1 450 mm 1292-94-15 1 330 mm 1292-93-16 1 450 mm 1292-94-16 1 330 mm 1292-93-17 1 450 mm 1292-94-17 1 330 mm 1292-93-18 1 450 mm 1292-94-18 1 Needle holders Ø 5 mm Needle holder, straight, single action, carbide-coated, with needle alignment Needle holder, left-angled, single action, with carbide insert Needle holder, right-angled, single action, with carbide insert 330 mm 1292-95-10 1 450 mm 1292-96-10 1 330 mm 1292-95-11 1 450 mm 1292-96-11 1 330 mm 1292-95-12 1 450 mm 1292-96-12 1 11

Grasping forceps Ø 5 mm Grasping forceps, 2 x 1 teeth, double action OVIDUCT grasping forceps, smooth, double action DOLPHIN dissection- and grasping forceps, double action Grasping forceps with reservoir, blunt, double action Grasping forceps with reservoir, double action Grasping forceps, pointed, with reservoir, double action Atraumatic grasping forceps, pointed, cross-cut serration, 18 mm, double action Mouse tooth type grasping forceps with 2 x 4 teeth, double action Alligator grasping forceps, double action Dissection- and grasping forceps, double action Dissection- and grasping forceps, fenestrated, double action MARYLAND dissection- and grasping forceps, double action MIXTER dissection- and grasping forceps, double action ALLIS grasping forceps, double action Grasping forceps with fine cross toothing, double action BABCOCK grasping forceps, double action Atraumatic grasping forceps, fenestrated, single action 330 mm 1292-53-09 1 450 mm 1292-54-09 1 330 mm 1292-53-10 1 450 mm 1292-54-10 1 330 mm 1292-53-11 1 450 mm 1292-54-11 1 330 mm 1292-53-12 1 450 mm 1292-54-12 1 330 mm 1292-53-13 1 450 mm 1292-54-13 1 330 mm 1292-53-14 1 450 mm 1292-54-14 1 330 mm 1292-53-15 1 450 mm 1292-54-15 1 330 mm 1292-53-16 1 450 mm 1292-54-16 1 330 mm 1292-53-17 1 450 mm 1292-54-17 1 330 mm 1292-53-18 1 450 mm 1292-54-18 1 330 mm 1292-53-19 1 450 mm 1292-54-19 1 330 mm 1292-53-20 1 450 mm 1292-54-20 1 330 mm 1292-53-21 1 450 mm 1292-54-21 1 330 mm 1292-53-22 1 450 mm 1292-54-22 1 330 mm 1292-53-23 1 450 mm 1292-54-23 1 330 mm 1292-53-26 1 450 mm 1292-54-26 1 330 mm 1292-53-27 1 450 mm 1292-54-27 1 12

Grasping forceps Ø 5 mm Atraumatic grasping forceps, cross-toothed, single action Atraumatic grasping forceps, multiple fine-toothed, single action Claw grasping forceps, 2 x 3 teeth, single action Grasping forceps MAXI GRIP, double action Atraumatic claw grasper with wavy teeth, single action Atraumatic claw grasper with wavy teeth, reservoir, double action DeBAKEY clamp, jaw length 30 mm, double action Atraumatic grasping forceps, fenestrated, double action DORSEY grasping forceps, with large window, double action ENDOCLINCH atraumatic wave grasper, fenestrated, double action KELLY grasping forceps, double action AGGRESSIV claw grasping forceps, double-action RETRACTION corrugated grasping forceps, single action Biopsy punch, single action Biopsy spoon forceps, double action Biopsy spoon forceps with thorn, double action 330 mm 1292-53-28 1 450 mm 1292-54-28 1 330 mm 1292-53-29 1 450 mm 1292-54-29 1 330 mm 1292-53-30 1 450 mm 1292-54-30 1 330 mm 1292-53-31 1 450 mm 1292-54-31 1 330 mm 1292-53-32 1 450 mm 1292-54-32 1 330 mm 1292-53-33 1 450 mm 1292-54-33 1 330 mm 1292-53-36 1 450 mm 1292-54-36 1 330 mm 1292-53-37 1 450 mm 1292-54-37 1 330 mm 1292-53-38 1 450 mm 1292-54-38 1 330 mm 1292-53-39 1 450 mm 1292-54-39 1 330 mm 1292-53-42 1 450 mm 1292-54-42 1 330 mm 1292-53-43 1 450 mm 1292-54-43 1 330 mm 1292-53-44 1 450 mm 1292-54-44 1 330 mm 1292-73-10 1 450 mm 1292-74-10 1 330 mm 1292-73-13 1 450 mm 1292-74-13 1 330 mm 1292-73-14 1 450 mm 1292-74-14 1 13

Modules for PAJUNK laparoscopic instruments Instrument system for reuse ErgoSys shaft inserts Ø 3 mm Ø 3 mm, working length 250/330 mm DOLPHIN dissection- and grasping forceps, double action 250 mm 1292-42-10 1 330 mm 1292-43-10 1 Atraumatic grasping forceps, pointed, cross-cut serration, double action 250 mm 1292-42-13 1 330 mm 1292-43-13 1 Universal grasping forceps, double action 250 mm 1292-42-14 1 330 mm 1292-43-14 1 MARYLAND dissection- and grasping forceps, double action 250 mm 1292-42-15 1 330 mm 1292-43-15 1 Claw grasping forceps, 2 x 3 teeth, single action 250 mm 1292-42-16 1 330 mm 1292-43-16 1 Dissecting scissors, straight, double action 250 mm 1292-42-17 1 330 mm 1292-43-17 1 Dissecting scissors, curved, METZENBAUM, double action 250 mm 1292-42-18 1 330 mm 1292-43-18 1 Hook-type scissors, straight, single action 250 mm 1292-42-20 1 330 mm 1292-43-20 1 Micro-scissors, straight, single action 250 mm 1292-42-21 1 330 mm 1292-43-21 1 Biopsy spoon forceps, double action 250 mm 1292-42-22 1 330 mm 1292-43-22 1 Biopsy spoon forceps with thorn, double action 250 mm 1292-42-23 1 330 mm 1292-43-23 1 14 Atraumatic grasping forceps, fenestrated, double action 250 mm 1292-42-24 1 330 mm 1292-43-24 1

Modules for PAJUNK laparoscopic instruments Disposable instrument system ErgoSys handle Product Item.-No. PU ErgoFlex handle for modular instrument inserts 1292-30-00 1 Guide tube Connecting rod Ø 5 mm Insulated guide tube, Ø 5 mm 330 mm 1293-15-05 1 450 mm 1293-16-05 1 Connecting rod with snap lock 330 mm 1293-20-05 1 450 mm 1293-21-05 1 Disposable scissors inserts Product Modell Item.-No. PU METZENBAUM disposable scissors insert, individual sterile packaging large 1293-93-01 10 METZENBAUM disposable scissors insert, individual sterile packaging medium 1293-93-02 10 METZENBAUM disposable scissors insert, individual sterile packaging small 1293-93-03 10 Disposable grasping forceps inserts Product Item.-No. PU ENDOCLINCH disposable grasping forceps insert, individual sterile packaging 1293-53-10 10 MARYLAND disposable grasping forceps insert, individual sterile packaging 1293-53-20 10 Adapter Product Item.-No. PU High pressure irrigation adapter with female LuerLock connector, for all ErgoSys shaft inserts and guide tubes 1292-43-98 1 15

www.ergo-sys.com PAJUNK Medical Systems L.P. 6611Bay Circle, Suite 140 Norcross, Georgia 30071 Phone: 770.493.6832 Fax: 678.514.3388 E-mail: info@pajunk-usa.com XS200174B 12/13