Tradition with a Future

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GYN 57 4.0 03/2018-E Tradition with a Future Solutions for operative hysteroscopy

Intrauterine BIGATTI Shaver (IBS ) The IBS shaver system permits most operative procedures in hysteroscopy such as, for example, polypectomies and myomectomies or the resection of placental remnants. In conjunction with the HYSTEROMAT E.A.S.I., resected tissue is immediately removed from the uterine cavity while the desired intrauterine pressure is maintained throughout the procedure. The IBS system is particularly suitable for the treatment of female infertility patients as interventions are performed without HF current. The IBS consists of a 6 angled telescope with an integrated working channel in which a rigid shaver system is inserted. It features an external diameter of only 6 mm. The shaver is combined with the UNIDRIVE S III motor control unit and activated via a footswitch. Pressing the footswitch simultaneously activates the 4 mm shaver blade and the double roller pump aspiration function. The simultaneous extraction of excised tissue and irrigation fluid ensures optimal viewing conditions. 2

Benefits Minimal outer diameter Resection possible in the doctor s office or clinical outpatient department Less or no dilation necessary (depending on the patient) Perfect visualization at all times thanks to immediate suction of the resected tissue Resection without HF current For use in physiological saline solution (NaCl) Lowers the risk of TUR syndrome when using saline solution Fully reusable system The largest shaver blade in its class, ensuring rapid resection Indications Removal of polyps Removal of myomas Resection of placental remnants Mechanical resection of a myoma G0 using the IBS Your link to the video: Assure yourself of the advantages of IBS 3

Bipolar Resection: Intrauterine high frequency surgery safer and more effective Bipolar resection can be considered the gold standard procedure in the field of operative hysteroscopy. The current is restricted to the area between the two distal electrode loops under the visual control of the surgeon. The use of saline solution in bipolar HF surgery minimizes the risk of the TUR syndrome. The new AUTOCON III 400 and HYSTEROMAT E.A.S.I. double roller pump provide an optimal combination. Benefits Increased safety as the current is not returned via the sheath Risk of TUR syndrome can be significantly reduced Precise cutting and initial cutting without delay The bipolar working element can be used with all KARL STORZ standard resectoscope sheaths and telescopes Allows inexpensive system changeover from unipolar to bipolar Fully reusable system In addition to 26 Fr. and 22 Fr. also available now in 15 Fr. Bipolar resection of intrauterine tissue using a cutting loop Bipolar resection of intrauterine tissue using a coagulation electrode 4

NEW The New 15 Fr. Office Resectoscope Benefits Minimal outer diameter Resection possible in the doctor s office or clinical outpatient department without anesthetics Less or no dilation necessary (depending on the patient) Can also be optionally used as a diagnostic hysteroscope in conjunction with 5 Fr. instruments 5

HYSTEROMAT E.A.S.I. Endoscopic Automatic System for Irrigation The HYSTEROMAT E.A.S.I. is an intelligent, pressure-controlled double roller pump that offers the surgeon sufficient dilation of the uterus with continuous fluid exchange at all times. The result is optimal viewing conditions without a need for additional maneuvers at the inflow and outflow stopcocks, allowing the operating surgeon to concentrate fully on the intervention. The HYSTEROMAT E.A.S.I. is suitable for versatile use. The innovative double roller pump can be used for the following interventions in gynecology: Diagnostic and office hysteroscopy Operative hysteroscopy (resectoscopes and the Intrauterine BIGATTI Shaver) Laparoscopy The pressure and flow characteristics of the various KARL STORZ sheaths have been stored as parameter sets in the HYSTEROMAT E.A.S.I. system. This ensures that the characteristics of various sheaths are optimally taken into account. The pump immediately detects any deviations and selects the required volume of fluid to maintain excellent visibility. Benefits Ensures optimal visualization and constant intrauterine pressure Inflow and outflow stopcocks always stay open Allows surgeon to fully concentrate on the surgical procedure Ideal for use with the Intrauterine BIGATTI Shaver (IBS ) Can be used for all procedures in hysteroscopy and laparoscopy Perfect coordination with various KARL STORZ hysteroscopes for straightforward and intuitive handling 6

NEW AUTOCON III 400 The high-end HF unit from KARL STORZ offers great user comfort and intuitive control. The 9" color touch screen displays procedures for all areas of application according to the needs of the user. A footswitch allows settings to be changed during surgery directly from the sterile area. Alternatively, two sockets with separate instruments can be controlled via a footswitch. The maximum power of 400 Watt (unipolar and bipolar) is precisely regulated by a generator. Only the amount of energy required for the desired tissue effect is emitted. This unit delivers optimal performance combined with great patient safety. The bipolar technique, which is particularly beneficial for patient safety, has been specially optimized for this unit. Together with the bipolar resectoscopes from KARL STORZ, the unit achieves optimal results in bipolar resection. Benefits Neutral electrode monitoring for great patient safety Automatic smoke evacuation with the S-PILOT from KARL STORZ 400 W unipolar and bipolar performance For interdisciplinary use Predefined procedures for each speciality Intuitive handling thanks to 9" color touch screen Can be integrated into the KARL STORZ OR1 Excellent hygiene conditions thanks to smooth surface 7

Intrauterine BIGATTI Shaver (IBS ) Components NEW Only 6.3 mm in diameter 26208 AMK HOPKINS Wide Angle Straightforward Telescope 6, Set, with parallel eyepiece, length 20 cm, 19 Fr., autoclavable, fiber optic light transmission incorporated with working channel, with LUER-Lock connector for inflow, color code: green-blue including: Wide Angle Straightforward Telescope 6 Obturator LUER-Lock Tube Connector 26 7020 50 DRILLCUT-X II Shaver Handpiece GYN Optional 40 7120 90 Handle, adjustable, for use with DRILLCUT-X II Shaver Handpiece GYN 8

Order No. 26208 SA 26208 SB Description Shaver Blade GYN, straight, sterilizable, concave cutting edge, double serrated, oval cutting window, diameter 4 mm, length 32 cm Shaver Blade GYN, straight, sterilizable, double serrated cutting edge, rectangular cutting window, diameter 4 mm, length 32 cm Optional 41200 RA 41250 RA 26208 SZ Cleaning Adaptor, LUER-Lock, for cleaning the inner and outer blades of DRILLCUT-X accessories Cleaning Adaptor, LUER-Lock, for cleaning DRILLCUT-X / DRILLCUT-X II handpieces Coagulation Electrode, bipolar, for use with Intrauterine BIGATTI Shaver (IBS ) 26176 LE Bipolar High Frequency Cord, length 300 cm Required Units 26 7010 01-1 UNIDRIVE S III SCB 20 7010 70 Control Cable, for transmission of footswitch control signal between UNIDRIVE S III and HYSTEROMAT E.A.S.I. SCB 26 3400 01-1 HYSTEROMAT E.A.S.I. SCB, including: Mains Cord SCB Connecting Cable, length 100 cm Basic Tubing Set, for single use Recommended Accessories * 031717-10* Tubing Set IRRIGATION, with two puncture needles, sterile, for single use, package of 10, for use with HYSTEROMAT E.A.S.I. SCB 031217-10* Tubing Set SUCTION, sterile, for single use, package of 10, for use with HYSTEROMAT E.A.S.I. SCB 030970-10* Tissue Trap Filter, with adaptor, unsterile, for single use, package of 10 Optional Accessories for HYSTEROMAT E.A.S.I. can be found in the GYNECOLOGY catalog (7th Edition 1/2015) 9

NEW Intrauterine HF Surgery with the Bipolar 15 Fr. Office Resectoscope for use with AUTOCON III 400 26120 AA HOPKINS Straight Forward Telescope 0, diameter 2.9 mm, length 30 cm, autoclavable, fiber optic light transmission incorporated, color code: green 26053 EBH Working Element Set, bipolar, including: Working Element 10x Cutting Loop, Bipolar High Frequency Cord 26053 SCK Resectoscope Sheath, 15 Fr., oblique beak, rotating inner sheath 26053 OC Standard Obturator Optional: 26053 CD Telescope Bridge, with channel for semirigid 5 Fr. operating instruments Order No. Description 011050-10 Cutting Loop, bipolar, sterile, for single use, package of 10 10

Intrauterine HF Surgery with the Bipolar 22 Fr. Resectoscope for use with AUTOCON III 400 26020 FA HOPKINS Telescope 12, enlarged view, diameter 2.9 mm, length 30 cm, autoclavable, fiber optic light transmission incorporated, color code: black 26055 EBH Working Element Set, bipolar, including: Working Element 2x Cutting Loops Cutting Electrode, pointed Coagulation Electrode, with ball end Bipolar High Frequency Cord Protection Tube 26055 SCK Resectoscope Sheath, 22 Fr., oblique beak, rotating inner sheath 26055 CO Standard Obturator Order No. Description 26055 GP1 Cutting Loop, bipolar 26055 NB Coagulation Electrode, bipolar, with ball end 26055 BL1 Cutting Electrode, bipolar, pointed 280 Protection Tube, for sterilization and storage of electrodes, loops, curettes and knives 11

Intrauterine HF Surgery with the Bipolar 26 Fr. Resectoscope for use with AUTOCON III 400 26105 FA HOPKINS Telescope 12, enlarged view, diameter 4 mm, length 30 cm, autoclavable, fiber optic light transmission incorporated, color code: black 26040 EBH Working Element Set, bipolar, including: Working Element, bipolar 2x Cutting Loops, bipolar Cutting Electrode, bipolar, pointed Coagulation Electrode HALF MOON, with ball end Bipolar High Frequency Cord Protection Tube 26050 SCK Resectoscope Sheath, 26 Fr., oblique beak, rotating inner sheath 26040 OC Standard Obturator Order No. Description 26040 GP1 Cutting Loop, bipolar 26040 NB Coagulation Electrode, HALF MOON, bipolar 26040 BL1 Cutting Electrode, bipolar, pointed 26040 JB1 Cutting Loop, bipolar, longitudinal 280 Protection Tube, for sterilization and storage of electrodes, loops, curettes and knives 12

NEW The new AUTOCON III 400 UH 400 AUTOCON III 400, high-end HF generator, power supply 220-240 VAC, 50/60 Hz including: Mains Cord UF 902 Two-Pedal Footswitch, with button for switchover function, for use with HF generators UH 801 Bipolar High Frequency Cord, length 400 cm, for KARL STORZ AUTOCON III 400 SCB, for use with KARL STORZ bipolar resectoscopes 13

Notes It is recommended to check the suitability of the product for the intended procedure prior to use. 14

Reply KARL STORZ SE & Co. KG Product Marketing Gynecology Dr.-Karl-Storz-Straße 34 or fax to +49 (0)7461/708-75585 78532 Tuttlingen, Germany Yes, I am interested in the solutions for operative hysteroscopy from KARL STORZ. Please send me a quote for r Intrauterine BIGATTI Shaver (IBS ) r Bipolar Office Resectoscope (15 Fr.) r Bipolar Resectoscope (22 Fr.) r Bipolar Resectoscope (26 Fr.) r AUTOCON III 400 (UH 400) r HYSTEROMAT E.A.S.I. (26 3400 01-1) r The following products:......... (please specify the required products). r I am interested in sites where I can see operative hysteroscopy with the IBS in use. r I am interested in sites where I can see operative hysteroscopy with the bipolar resectoscope in use: r 15 Fr. r 22 Fr. r 26 Fr. r Please arrange a visit from your sales representative. My address: Name, Title Clinic, Department Street Zip Code, Town/City Phone Fax E-mail Signature 15

KARL STORZ SE & Co. KG Dr.-Karl-Storz-Straße 34, 78532 Tuttlingen/Germany Postbox 230, 78503 Tuttlingen/Germany Phone: +49 (0)7461 708-0 Fax: +49 (0)7461 708-105 E-Mail: info@karlstorz.com www.karlstorz.com 96122029 GYN 57 4.0 03/2018/EW-E