at the Leading Edge Cannulas 20 & 23 Gauge Instruments Vitreoretinal

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E s ta bl is h ed i n 19 59 20 & Instruments 20g 23g Vitreoretinal 23g 25g Cannulas Re-usable Titanium Cannulas Enhanced performance with better fixation and stabilisation compared to single use 7 Marquis Business Centre Royston Road, Baldock Herts SG7 6XL England Tel: +44 (0)1462 893254 Fax: +44 (0)1462 896288 Email: info@duckworth-and-kent.com at the Leading Edge

Vitreoretinal 20 & & Scissors Featuring Interchangeable Heads High-precision titanium tips on the new titanium handle for vitreoretinal surgery By exploring advanced concepts and embracing new technology, Duckworth and Kent has created an innovative range of vitreoretinal instruments utilising the new ergonomic handle design and featuring interchangeable heads. From the surgeon's perspective, the transition to the new style will feel both seamless and rewarding. These tips are securely screwed onto the threaded handle, a mechanism which eliminates the need for alignment when engaging the head onto the instrument handle. You decide!...select the instruments & accessories for your sets Handle Heads Cleaning Trays Select the handle to fit one or more heads. To complete the set, add the optional cleaning adaptors and special sterilising trays. Vitreoretinal Head Colour Coding Heads Gauge Size Tips & Scissors Tips Colours Curved Up Scissors Straight Scissors Straight Blunt Scissors Asymmetrical End Gripping Delicate Serrated Smooth Rounded Tip Rassam Membrane Picking first ring second ring 2

Handle & Interchangeable Heads - 20 & Scissors 6-676 DK Squeeze Handle for VR Instrument Heads Suitable for all Duckworth & Kent Vitreoretinal Instrument Heads Overall Length 92 mm (without head) Squeeze action handle Scissors Handle not included 32.5mm 143mm Round Squeeze Handle for handle ref: 6-676 Straight Scissors Sharp tipped straight micro scissors with 2.2mm long blade Scissors Head Variations 1-841N Straight Blunt Scissors Blunt tipped straight micro scissors with 1.9mm long blade 1-841BN Curved Scissors NEW tip design Sharp tipped curved micro scissors with 2.2mm long blade 1-842N Straight Scissors Sharp tipped straight micro scissors with 2.5mm long blade Straight 20 gauge tube, length 32.5mm 1-841-1N titanium reusable instruments 3

Interchangeable Heads - 20 & Handle not included 32.5mm 143mm Round Squeeze Handle for handle ref: 6-676 End Gripping ILM Peeling Delicate Serrated Fine end gripping tips, tip length 3.2mm Delicate serrated jaws with blunt tip, tip length 3.0mm Head Variations 2-877N 2-878-1N Asymmetrical NEW tip design Rassam Membrane Picking Smooth Rounded Tip Delicate Serrated End Gripping ILM Peeling Asymmetrical tip design with fine platform 2.0mm jaws, 0.7mm platforms, 55 angled pointed picking tip Straight 20 gauge tube, length 32.5mm 2.0mm smooth rounded tips Straight 20 gauge tube, length 32.5mm Fine end gripping tips, tip length 3.7mm Straight 20 gauge tube, length 32.5mm Delicate serrated jaws with blunt tip, tip length 3.0mm Straight 20 gauge tube, length 32.5mm 2-879N 2-885N 2-868N 2-871N 2-878N 4

Cleaning Adaptors & Trays For Interchangeable Heads 6-675 Protective Cleaning Cover For Interchangeable VR Instrument Heads The new cover is used to protect the detachable tip heads during cleaning and reprocess cycles. A luer flushing adaptor at the back of the cover enables thorough cleaning and disinfection of the fine delicate tips. Syringe or other luer device back flushes tip head Tip head screws on Tip head pivots then locks into place securely 6-675-1 Small Flushing Adaptor for Interchangeable VR Instrument Heads A luer flushing adaptor enables thorough cleaning and disinfection of the fine delicate tips. This method of cleaning ensures long life and reliability. Protective guard fitted to tip (supplied with every head) Tip screws onto adaptor Syringe or other luer device back flushes tip head DK7003-2 Sterilising Tray (up to 2 Heads) T7010-5 Sterilising Tray (up to 4 Heads) Designed to hold one handle, up to two heads, one cleaning guard and adaptor. External dimensions: 17.5cm x 11.0cm x 2.6cm Internal dimensions: 16.5cm x 10.0cm x 1.8cm (without mat) One silicone mat Designed to hold two handles, up to four heads, one cleaning guard and adaptor. External dimensions: 26.4cm x 16.2cm x 2.6cm Internal dimensions: 25.4cm x 15.2cm x 1.8cm (without mat) One silicone mat titanium reusable instruments 5

Fixed Head Vitreoretinal & Scissors 20 & The fixed head range of Vitreoretinal forceps and scissors are a one piece devices featuring the same tip and handle design as the interchangeable head. All fixed head vitreoretinal forceps and scissors are supplied with a protective guard which can be sterilised. Scissors 32.5mm 143mm Round Squeeze Handle Straight Scissors Sharp tipped straight micro scissors with 2.1mm long blade Squeeze action handle closes scissors Round squeeze handle, length 143mm Scissors Variations 1-841 Straight Blunt Scissors Blunt tipped straight micro scissors with 1.75mm long blade Squeeze action handle closes scissors Round squeeze handle, length 143mm 1-841B Curved Scissors NEW tip design Sharp tipped curved micro scissors with 2.2mm long blade Squeeze action handle closes scissors Round squeeze handle, length 143mm 1-842 Straight Scissors Sharp tipped straight micro scissors with 2.5mm long blade Straight 20 gauge tube, length 32.5mm Squeeze action handle closes scissors Round squeeze handle, length 143mm 1-841-1 6

Fixed Head Vitreoretinal & Scissors 20 & 32.5mm 143mm Round Squeeze e Handle End Gripping ILM Peeling Delicate Serrated Asymmetrical NEW tip design Rassam Membrane Picking Smooth Rounded Tip End Gripping ILM Peeling Delicate Serrated Fine end gripping tips, tip length 3.2mm Straight 23 gauge tube, tube length 32.5mm Squeeze handle activates both jaws Round squeeze handle, overall length 144mm Delicate serrated jaws with blunt tip, tip length 3.0mm Straight 23 gauge tube, tube length 32.5mm Squeeze handle activates both jaws Round squeeze handle, overall length 144mm Delicate serrated jaws with blunt tip, tip length 3.0mm Straight 23 gauge tube, tube length 32.5mm Squeeze handle activates both jaws Round squeeze handle, overall length 144mm 2.0mm jaws, 0.7mm platforms, 55 angled pointed picking tips Squeeze action activates both jaws 20 gauge, 33.0mm long shaft Round squeeze handle, length 158mm 2.0mm smooth rounded tips Squeeze action activates both jaws 20 gauge, 33.0mm long shaft Round squeeze handle, length 158.0mm Fine end gripping tips, tip length 3.7mm Straight 20 gauge tube, tube length 32.5mm Squeeze handle activates both jaws Round squeeze handle, overall length 145mm Delicate serrated jaws with blunt tip, tip length 3.0mm Straight 20 gauge tube, tube length 32.5mm Squeeze handle activates both jaws Round squeeze handle, overall length 144mm Variations 2-877 2-878-1 2-879 2-885 2-868 2-871 2-878 titanium reusable instruments 7

Spatulas, Fixation & Calipers 6-912 Giunchiglia Membrane Peeling Spatula, Ultra fine textured tip 0.60mm wide, blunt tip curved 45 Straight 23 gauge shaft, length 32.5mm Round handle, overall length 128mm 6-912-1 Membrane Peeling Spatula, Fine textured tip 0.60mm wide, blunt tip curved 45 Straight 23 gauge shaft, length 32.5mm Round handle, overall length 128mm 9-513-1 Fixation Plate Fixation Plate stabilises the eye when inserting the Instrument Cannula or Infusion Cannula Tip 8.3mm diameter plate, with 15 point fixation Slot allows easy removal of Fixation Plate Round handle, length 124mm 9-513-3 Low Profile Fine Fixation Ring with 3.5mm Caliper Low profile ¾ ring, 5.0mm diameter with 5 point fixation Caliper end 3.5mm internal dimension Fixed flat handle, length 109mm 3.5mm 9-650 DK Castroviejo Style Marking Caliper 0.25mm x 0.25mm delicate marking tips Measures 0.0mm to 15.0mm in 0.25 increments Measurements from centre of tips Adjustable thumb screw Standard caliper handle 8

Cannula Loading 23 & 25 Gauge 2-2-832 Cannula Loading Designed to hold 23 and 25 gauge cannulas 45 angled shafts, tip to angle length 10.0mm Flat handle, length 111mm Instrument Cannula Cannula Loading 2-2-832-1 Cannula Loading - Reverse Action Designed to hold 23 and 25 gauge cannulas 45 angled shafts, tip to angle length 10.0mm Flat handle, length 117mm Reverse action allows forceps to securely hold the cannula when the handle is at rest, whilst releasing the cannula on squeezing the handle. 9-544 Uematsu / Koga Intravitreal Injection Guide 120 5.5mm Ø0.5mm 0.5mm needle guide hole, suitable for 27g needle or smaller 12.0mm diameter ring with snow-tyre pattern fixation Held in the non-dominant hand Suitable for right handed surgeon ref : 9-544 Suitable for Left handed surgeon ref : 9-544-1 Round handle, length 102.5mm The Intravitreal Injection Guide facilitates intravitreal injection procedure, stabilising the eye and needle, whilst accurately positioning the needle to inject drugs to the macula. The unique snow-tyre pattern, rather than sharp points, for fixation gives firmer, more positive control of globe with less discomfort to the patient. The injection needle can be accurately directed without damage to the lens or the retina, and eliminates measurement of the distance to pars plana. The 5.5mm break in the fixation ring enables an anterior chamber tap, if necessary, avoiding high IOP. needle guide needle 3.0mm 12.0mm side view on the eye with a needle passing through the guide fixation ring titanium reusable instruments 9

Lens Ring Holder & Depressors 6-590 Ota Sutureless Lens Ring Holder 11.5mm 18mm This device eliminates the need to suture the lens. Internal ring holds the lens and the four smaller rings are held in position by cannulas 11.5mm internal diameter ring 4 rings, centre of each ring is on an 18mm diameter Each ring is 3.3mm in diameter 6-615 Tsukahara Scleral Depressor Highly polished tip Tip length 6.0mm, maximum diameter 1.2mm 55 angled shaft Large diameter round handle, length 114mm Used for smoothing sclera after removing an Instrument Cannula used during vitreoretinal surgery. 6-635-4 Nishimura Depressor and Manipulator 0.5mm diameter pin 3.0mm long Shaft with pin angled at 40 3.0mm round highly polished depressor Round handle, length 128mm Used for 23 gauge and 25 gauge vitreoretinal surgery to enable the surgeon to indent the sclera to allow for peripheral retinal examination. The pin is inserted into the cannula to provide for easy manipulation and enhanced access to cut and remove vitreous surrounding the cannula. 6-635-2 DK Schocket Double Ended Scleral Depressor 2.5mm round and 4.5mm cylinder tips Round handle, length 135mm 10

Cannulas DK7610 Vitrectomy Cannula System Duckworth & Kent has developed a Vitrectomy Cannula System, ref: DK7610, which allows a range of small incision vitrectomy instruments to pass through cannulas and into the posterior chamber. The system permits a complete sutureless surgical procedure through a small incision that minimizes the potential for surgical trauma. All of Duckworth & Kent's Vitrectomy Instruments are compatible with this system. Vitrectomy Cannula System includes the following: 3 x Instrument Cannulas, ref: 8-640-2 1 x Infusion Cannula, ref: 8-641-2 3 x Cannula Plugs, ref: 8-642-1 1 x Cannula Inserter, ref: 6-190-1 1 x Cannula Loading. ref: 2-2-832 1 x Fine Fixation Ring with Caliper, ref: 9-513-3 1 x Sterilising Tray, ref: T7003-2 Instrument Cannula, Step Instrument Cannula, 8-640-2 Cannula for 23 gauge Instruments 45 bevelled tip, overall length 5.6mm Cannula plug, ref:8-642-1, seals cannula when not in use Instrument Cannula is inserted into the sclera with the aid of the Cannula Inserter, ref: 6-190-1 Step prevents the accidental removal of the Cannula Fibre Optic, 8-640-6 Cannula for 23 gauge chandelier / fibre optic probes Larger footplate stabilises position of fibre optic 45 bevelled tip, overall length 6mm Cannula Plug, 8-642-1, seals Cannula when not in use Instrument Cannula is inserted into the sclera with the aid of the Cannula Inserter, ref: 6-190-1 Grooves prevent the accidental removal of the Cannula Nishimura Fibre Optic Cannula, Cannula for 23 gauge chandelier / fibre optic probes Larger footplate stabilises position of fibre optic 45 bevelled tip, overall length 6mm Cannula Plug, 8-642-1, seals Cannula when not in use Instrument Cannula is inserted into the sclera with the aid of the Cannula Inserter, ref: 6-190-1 8-640-7 The Nishimura Fibre Optic Cannula has a unique screw thread fitting for the Nishimura Infusion Cannula (ref: 8-641-7). 23g Infusion Cannula titanium reusable instruments 11

Cannulas Instrument Cannula for Incision 8-640-9 Cannula for 23 gauge instruments Seals 20 gauge incision. The instrument is used after inscerting silicone oil through a 20g port Overall length 6mm Cannula Plug, 8-642-1, seals Cannula when not in use Instrument Cannula is inserted into the sclera with the aid of the Cannula Inserter, ref: 6-190-1 Cannula Plug, Seals 23 gauge Instrument Cannula when not in use Cannula Plug 8-642-1 Instrument Cannula 6-190-1 Cannula Inserter, Designed to assist the insertion of the 23 gauge Instrument Cannulas and Infusion Cannulas Blunt tip Round handle, length 100mm Instrument Cannula Cannula Inserter 23g 12

Infusion Cannulas 8-644 Infusion Cannula, 8-644-1 Infusion Cannula Tip Only, 23 gauge, 45 bevelled tip Infusion Cannula is inserted directly into the sclera Grooves prevents accidental removal of Cannula Supplied as Cannula tip only 23 gauge, 45 bevelled tip Infusion Cannula is inserted directly into the sclera Grooves prevents accidental removal of Cannula Silicone tubing and luer fitting supplied 8-641-2 Infusion Cannula, 8-641-3 Infusion CannulaTip Only, 23 gauge tip Infusion Cannula is inserted into the sclera through an Instrument Cannula Supplied as Cannula tip only 23 gauge tip Infusion Cannula is inserted into the sclera through an Instrument Cannula Silicone tubing and luer fitting supplied Infusion Cannula Tip Only, 23 gauge tip only Infusion Cannula is inserted into the eye through an Instrument Cannula Supplied as Cannula tip only Infusion Cannula Tip Only, 8-641-4 Nishimura Infusion Cannula, 23 gauge tip only Infusion Cannula is screwed into the Nishimura Fibre Optic Cannula Supplied as Cannula tip only 23 gauge tip only Two irrigating side ports Infusion Cannula is inserted into the eye through an Instrument Cannula Supplied as Cannula tip only 8-641-8 23g 8-641-7 The Nishimura Fibre Optic Cannula has a unique screw thread fitting for the Nishimura Infusion Cannula (ref: 8-641-7) screws into. Nishimura Fibre Optic Cannula (ref: 8-640-7) titanium reusable instruments 13

25 Gauge Infusion Cannulas DK7605 25 Gauge Vitrectomy Cannula System Duckworth & Kent has developed a 25 Gauge Vitrectomy Cannula System, ref: DK7605, which allows a range of small incision vitrectomy instruments to pass through cannulas and into the posterior chamber. The systems permit a complete sutureless surgical procedure through a small incision that minimizes the potential for surgical trauma. Vitrectomy Cannula System includes the following: 3 x Instrument Cannulas, ref: 8-640 1 x Infusion Cannula, ref: 8-641 3 x Cannula Plugs, ref: 8-642 1 x Cannula Inserter, ref: 6-190 1 x Cannula Loading. ref: 2-2-832 1 x Fine Fixation Ring with Caliper, ref: 9-513-3 1 x Sterilising Tray, ref: T7003-2 Instrument Cannula, 25 Gauge Instrument Cannula, 25 Gauge Cannula for 25 gauge Instruments Step prevents accidental removal of Cannula 45 bevelled tip, overall length 6mm Cannula Plug, 8-642, seals Cannula when not in use Instrument Cannula is inserted into the sclera with the aid of the Cannula Inserter, ref: 6-190 8-640 25g Cannula for 20g Incision 8-640-8 Cannula for 25 gauge Instruments Seals 20 gauge Incision Overall length 5.6mm Cannula Plug, 8-642, seals Cannula when not in use Instrument Cannula is inserted into the sclera with the aid of the Cannula Inserter, ref: 6-190 The 8-640-8 is used after incerting silicone oil through a 20g port Cannula Plug, Seals 23 gauge Instrument Cannula when not in use Cannula Plug 8-642 Instrument Cannula 25g 14

25 Gauge Infusion Cannulas 6-190 Cannula Inserter, Designed to assist the insertion of the 23 gauge Instrument Cannulas and Infusion Cannulas Blunt tip Round handle, length 100mm Instrument Cannula Cannula Inserter 8-641 Infusion Cannula, 25 Gauge 8-641-1 Infusion CannulaTip Only, 25 Gauge 25 gauge tip Infusion Cannula is inserted into the sclera through an instrument Cannula Supplied as Cannula tip only 25 gauge tip Infusion Cannula is inserted into the sclera through an instrument Cannula Silicone tubing and luer fitting supplied Infusion Cannula Tip Only, 25 Gauge gauge tip only Infusion Cannula is inserted into the eye through an instrument Cannula Supplied as Cannula tip only 8-641-625g titanium reusable instruments 15

enter vitrectomy into our website search engine to see our entire vitrectomy range OR Scan the QR code and be taken straight to our site via your smartphone 7 Marquis Business Centre Royston Road, Baldock Herts SG7 6XL England Tel: +44 (0)1462 893254 Fax: +44 (0)1462 896288 Email: info@duckworth-and-kent.com February 2011 Duckworth & Kent Revised 16.03.2012 D&K is a registered trademark. All other brand names are trademarks or registered trademarks of their respective owners. All schematic line drawings, photographs and copy in this leaflet are fully protected by copyright. No part of this leaflet may be reproduced in any form without prior written permission. We reserve the right to make changes at any time, without notice, in product specifications and availability. Descriptive, typographic, or photographic errors are subject to correction. Name(s) of instruments are often comprised of surgeon's name, combination of surgeons' names or by the category of the instrument. at the Leading Edge