Laparoscopic Instrumentsfor Advanced Urologic Procedures

A member of the group of companies.

Aesculap Surgical Technologies—Endoscopy

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Optimal oncologic control of small renal cortical neoplasms while maximallypreserving kidney function has been the goal. Reproducing the open surgicaltechnique while maintaining a minimally invasive approach has been thechallenge.

Novel minimally invasive technologies including laparoscopic vascular andkidney clamps and new energy sources now provide the laparoscopic surgeon the opportunity to reproduce the technique of traditional open partial nephrectomy. As such, patients experience all the advantages of openpartial nephrectomy with the clear benefits of laparoscopic renal surgery.

Various thermal devices have been used to reduce bleeding during the excision of the tumor, such as ultrasonic shears, bipolar and monopolar energy devices, and argon beam coagulation. However, with the applicationof energy devices, the renal parenchyma becomes charred resulting in the inability to discern the margins of the tumor. Additionally, coagulated tissuebecomes fragile, which hampers placing sutures. The tissue response to surgical energy devices can also result in delayed urine leakage resultingfrom liquefaction of the necrotic tissue. As such, alternative techniques tosuccessfully perform laparoscopic partial nephrectomy have been developed.

Articles published in The Journal of Urology and The Journal of Endourologyby Clayman, Landman, Gill, and others, report the advantages of renal hilarvascular control. This results in better visualization for improved precisionduring tumor excision, to facilitate hemostatic suturing of the parenchymaldefect, to decrease blood loss, and to minimize operative time.

The innovative and unique laparoscopic vascular clamps from Aesculap include bulldog vessel clips of varying sizes and configurations, and Satinsky-like laparoscopic vascular clamps with their associated trocars withflexible cannulas to permit introduction of curved jaw designs.

The Aesculap Simon Renal Pole Clamp is a kidney clamp which can minimizethe concern of ischemia time constraints by allowing continuous blood perfusion to the functioning kidney during laparoscopic partial nephrectomy.

Aesculap’s vascular sets for advanced urologic surgery have been widelyadopted by the urologic community for laparoscopic partial nephrectomy andlive donor nephrectomy, and are considered by many to be the “Gold Standard.”

Aesculap laparoscopic instruments such as a right angle dissector, L or J hook electrodes, macro bipolar graspers, large jawed scissors, axial needleholders, and many other select designs have become indispensable in the armamentarium of many urologists for laparoscopic partial nephrectomy andother laparoscopic procedures.

INSTRUMENTS FOR LAPAROSCOPIC PARTIAL NEPHRECTOMY

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Vascular Clamps for Temporary Occlusion

PM171R*Satinsky Atraumatic Clamp, 38 mm Jaw,5 mm, 31 cm PM711R PM973R

PM177R*Satinsky Atraumatic Clamp, 51 mm Jaw,5 mm, 31 cm PM718R PM973R

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PM173RCrafoord Endo-vascular Clamp, Short Jaw,5 mm, 31 cm PM713R PM973R

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PM175R*DeBakey Atraumatic Clamp, Curved,5 mm, 31 cm PM716R PM973R

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PM176R*DeBakey Atraumatic Clamp, S-shaped,5 mm, 31 cm PM717R PM973R

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COMPONENTS

COMPLETE JAW INSERT INSULATED STANDARD OPTIONALINSTRUMENT OUTER TUBES HANDLE HANDLES

Optional Handles for Customizing Instruments - Interchangeable for 5 mm and 10 mm Instruments

PO958R (Non-Ratchet) PO959R (Ratchet) PM950R (Non-Ratchet) PM951R (Ratchet) PM954R (Ratchet) PM957R (Ratchet) with lock

Instruments may be ordered COMPLETE or assembled from COMPONENTS ordered separately

*For use with 12.5 mm flexible Trocars

Order by componentDeBakey Atraumatic Forceps, 40 mm Jaw, 5 mm, 31 cm PM657R PM973R

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Fixed applicator for Temporary Endoscopic Vascular ClipsShaft Length: 34 cmDiameter: 12.5 mm

PL531R

CLIP APPLICATORS AND REMOVERS

ATRAUMATIC ENDO VESSEL CLIPS (for temporary occlusion)

Articulating Applicator for Temporary Endoscopic Vascular Clips Shaft Length: 34 cmDiameter: 12.5 mm

PL530R

Item No. Closing Force Jaw Length Jaw Shape

PL544S 350 g 25 mm Short/Straight

PL545S 450 g 45 mm Long/Straight

PL548S 350 g 25 mm Short/CurvedPL549S 450 g 45 mm Long/Curved

VASCULAR BULLDOG CLIPS AND APPLIERS

SIMON RENAL POLE CLAMP

KIDNEY CLAMP

Item No. Jaw Length Shaft Length Diameter

PO228R 100 mm 37 cm 10 mm

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Vascular Clamps for Temporary Occlusion

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PL701Maryland Dissector, 5 mm, 31 cmSix Single Sterile Marylands per Box

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Hemostasis

SYSTEM COMPONENTS

MONOPOLAR ELECTRODE TIPS

GK372RMonopolar Handle, 5 mm, 33 cm

GK383R Ceramic Electrode Tip, J-Hook

GK384R Ceramic Electrode Tip, L-Hook

MONOPOLAR ELECTRODES

BIPOLAR INSTRUMENTSCOMPONENTS

COMPLETE JAW INSERT INSULATED HANDLEINSTRUMENT OUTER TUBES

PM400RBipolar Metzenbaum Scissors, 5 mm, 31 cm PM430R PM973R PM450R

PM401RBipolar Maryland Dissector, 5 mm, 31 cm PM431R PM973R PM450R

PM402RBipolar Micro Forceps, 5 mm, 31 cm PM432R PM973R PM450R

PM403RBipolar Macro Forceps, 5 mm, 31 cm PM433R PM973R PM450R

PM408RBipolar Maryland Dissector, fenestrated5 mm, 31 cm PM438R PM973R PM450R

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DISPOSABLE BIPOLAR INSTRUMENTS

PL700Metzenbaum Scissors, 5 mm, 31 cmSix Single Sterile Scissors per Box

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Suturing

AXIAL NEEDLE HOLDERS

*Instrument sold by component

31 cm 37 cm 42 cm

KNOT PUSHERS

Knot Pusher, 5 mm, 33 cm PL432R Straight Handle

PM654R Jaw InsertKnot Pushing/Knot Tightening Forceps, 5 mm*, 31 cm PM973R Outer Tube

PO958R Handle

CROCE/OLMI Assemble withDissecting and Suture Scissors with Knot Pusher, 5 mm, 31 cm PO022R PO958R Handle

Durogrip TC Needle Holder, Curved Left, 5 mm PL408R PL405R PL417Durogrip TC Needle Holder, Curved Right, 5 mm PL413R PL415R

Durogrip TC Needle Holder, Straight, 5 mm PL407R PL404R PL416

Super Righting Needle Holder, 5 mm PL414R

Durogrip TC Needle Holder, Fenestrated, 5 mm PL410R

Durogrip TC Needle Holder, Crimped/Fenestrated, 5 mm PL411R

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Solid Knot Pusher, 5 mm, 33 cm PL651R1⁄2

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PO014RPotts-DeMartell Scissors, 10 mm, 31 cm PO682R PM992R

PM941R Protection Sleeve for safeIntroduction Through the 12.5 mm Trocar

Order by ComponentLarge Metzenbaum Scissors, TC, Serrated10 mm, 31 cm PM604R PM974R

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SCISSORS, MONOPOLAR

SCISSORS, SPECIALTY MONOPOLAR

Optional Handles for Customizing Instruments - Interchangeable for 5 mm and 10 mm Instruments

Instruments may be ordered COMPLETE or assembled from COMPONENTS ordered separately

PO886 Disposable Hook Scissors Jaw Insert, 5 mm, 31 cm, 10 per box for PO/PM Handles

PO887 Disposable Mini-Metz Scissors, 5 mm, 31 cm, 10 per box for PO/PM Handles

PO888 Disposable Metzenbaum Scissors Jaw Insert, 5 mm, 31 cm, 10 per box for PO/PM HandlesPO889 Disposable Metzenbaum Scissors Jaw Insert, 5 mm, 42 cm, 10 per box for PO/PM Handles

ITEM NO. DESCRIPTION

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Cutting and Ligating

PO958R (Non-Ratchet) PM950R (Non-Ratchet)

PO885SU Disposable Slightly Curved Metzenbaum Scissors Jaw Insert, 5 mm, 31 cm, 10 per box for PO/PM Handles

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COMPONENTS

ORDER BY JAW INSERT INSULATED OPTIONALCOMPONENT OUTER TUBES HANDLES

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Reusable Clip Appliers

MULTI-FIRE� Fast, precise and reliable clip application complimented by an ergonomic delivery� Shafts available in 5 mm and 10 mm diameters� Superior quality ligation clip available in S/M and M/L sizes� Reusable clip applier, disposable clip cartridges� Easy and simple handling

CHALLENGER TI-P PNEUMATIC CLIP APPLIERS

PL604R5 mm diam., 31 cm length

12 S/M clips per cartridge

CLIP CARTRIDGES & CO2 CYLINDER S/M Clips M/L Clips

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PL574T� 12 sterile clip cartridges� 1 CO2 cylinder per cartridge� For use with 5 mm clip

applier

PL579T� 12 sterile clip cartridges� 1 CO2 cylinder per cartridge� For use with 10 mm clip

applier

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SINGLE-FIRE

LAPAROSCOPIC APPLIER Item No. Shaft Length Diameter

LCASLS2R 80 cm 5.5 mm

LCASLS5R 33 cm 10 mm

LCASLS5-45R 45 cm 10 mm

CLIP CARTRIDGES S/M Clips M/L Clips

L5180-130 cartridges per boxfor use with 5.5 mm single-fire clip appliers

V3120-120 cartridges per boxfor use with 10 mm single-fire clip appliers

PL606R10 mm diam., 37 cm length

8 M/L clips per cartridge

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Optional Handles for Customizing Instruments - Interchangeable for 5 mm and 10 mm instruments

Dissecting and Grasping

Instruments may be ordered COMPLETE or assembled from COMPONENTS ordered separately

COMPONENTS

COMPLETE JAW INSERT INSULATED STANDARD OPTIONALINSTRUMENT OUTER TUBES HANDLE HANDLES

PO103RRight Angle, 90° Dissecting Forceps, 10 mm, 31 cm PO606R PM975R

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PO218RCrile Dissecting Forceps, Curved, 5 mm, 31 cm PO771R PM973R

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PM165RMaryland Dissecting Forceps,Insulated to Tip, 5 mm, 31 cm PM699R PM973R

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PO102RMaryland Dissecting Forceps, PO608R PM973R5 mm, 31 cm

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PO187RRight Angle, 90° DissectingForceps, 5 mm, 31 cm PO730R PM973R

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PO113RBabcock Grasping Forceps,Single Action, 5 mm, 31 cm PO619R PM973R

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PO117RClaw Grasper, 2 x 3 Teeth,10 mm, 31 cm PO623R PM974R

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PO958R (Non-Ratchet) PO959R (Ratchet) PM950R (Non-Ratchet) PM951R (Ratchet)

PO231RMixter Dissector, Right Angle, 90°5 mm, 31 cm PO784R PM973R

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Flexible Trocars

Complete trocar -100 mm length with valve and obturator

• Shaft sufficiently flexible to permit insertion

of curved instruments and sufficiently firmto ensure access to the operation area

• For the use of curved instruments or specialmouth shapes

Ø12.5 mm

EJ590R EJ826P Flexible Cannula, 12.5 mm x 100 mm

Complete TrocarIncludes: Obturator, Cannula and Trocar Body,12.5 mm x 100 mm

Suggested AccessoriesCABLES & ACCESSORIES

GN073Bipolar Cable for Aesculap, Wolf, Martin, Berchtold, 12 ft.

INSTRUMENT

US349SPBipolar Cable for Valleylab, Conmed, Bovie, 12 ft. (Disposable, Single-use - 10 units/box)

US354 Monopolar Cable, VALLEYLAB, CONMED, BIRCHER, BOVIE, ERBE ICC, 4 mm diam., 10 ft.

JG598 Sterilit® Instrument Oil

GK2824 m length, suitable for units like: Codman CMC II, CMC III, 38 mm Pin Distance

GK2814 m length, suitable for units like: Aesculap, BOWA, EMC, Lamidey, Söring, Valleylab, 28.6 mm Pin Distance

DOC461 Rev C 5M 6/10

Aesculap, Inc. | 3773 Corporate Parkway | Center Valley, PA | 18034Phone 800-282-9000 | Fax 610-791-6886 | www.aesculapusa.com

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