NEURO 4-5 07/2014-E Pediatric Neuroendoscope GAAB Recommended Set Pediatric and Minimally Invasive Minifiber Endoscope for especially atraumatic intracranial endoscopy, e.g., pediatric ventriculostomy, cystostomy, biopsy, use in narrow ventricles and cavities In intracranial endoscopy and especially for ventriculoscopy and cystoscopy, rigid HOPKINS® endoscopes are predominantly used due to their optimal optical qualities, ease of steering including neuronavigation and because of the availability of stable, rigid instruments. However, to ensure effective endoscopic manipulation, e.g., during endoscopic ventriculostomy or aquaductoplasty, a sheath diameter of approx. 6.6 mm is necessary for puncture access (e.g., critical size for accessing the foramen of Monro). If no complex options are required for hemostasis and manipulation (dissection of tissue or removal of tumors), e.g. for standard ventriculostomy, septostomy or aquaductoplasty, the new, autoclavable “minifiber telescope” offers the advantage of being less invasive due to the overall diameter of 4.5 mm including the sheath. The resolution of the minifiber telescope with 35,000 pixels is higher than that of a flexible endoscope and enables good optical orientation; at the same time straight instruments can also be used which are both easy to steer and effective. Straight instruments permit a blunt puncture of membranes similar to ventriculostomy, cystostomy and septostomy. At the same time, biopsy samples, smaller tissue resections and the removal of foreign bodies can also be carried out using biopsy forceps. Stomata can be most effectively enlarged and with a minimum of trauma using a 2-F balloon catheter while efficient hemostasis is possible with unipolar diathermy. In addition to the working channel, the compact endoscope is also equipped with adequately dimensioned irrigation channels (separate inlet and outlet). These channels have a diameter of 1.15 mm and can be used as additional working channels for 1 mm flexible instruments. This means that even simultaneous manipulation with two instruments is possible, e.g., to open or incise membranes and for tissue dissection. Use of the endoscope (access points, steering direction) corresponds to the general procedure for intracranial endoscopy and neuronavigational steering is possible. Prof. Dr. habil. M. R. GAAB Former Senior Consultant, Department of Neurosurgery, Klinikum Nordstadt, Klinikum Region Hannover (KRH) Hannover, Germany Practice Address: Robert-Enke-Straße 1 (Spine Center) D-30169 Hannover, Germany 2 3 Special Features • Fiber optic system with very good quality • Suitable for pediatric interventions and in relatively narrow cavities (also with precise neuronavigation) • The physician has both hands free – this allows easier instrument application and handling • High irrigation rate – two separate irrigation channels with a diameter of 1 mm for continuous irrigation and suction • Central working channel with a diameter of 1.3 mm allows the use of rigid instruments • Lateral irrigation channel allows use of additional instruments with a diameter of 1 mm parallel to the working channel •Autoclavable GAAB Recommended Set for pediatric neurosurgery / minimally invasive intracranial endoscopy in ventricles and cysts 1 2 3 4 5 6 8 7 4 5 GAAB Recommended Set for pediatric neurosurgery / minimally invasive intracranial endoscopy in ventricles and cysts 1 28162 AMA 2 28162 CS 3 4 5 6 7 8 28160 11161 11161 28160 28162 28161 28160 TVL KA KA KB EK FL SG GAAB Neuroscope 6º, autoclavable, diameter 3.8 mm, working length 21 cm, for use with Operating Sheath 28162 CS Operating Sheath, graduated, outer diameter 4.5 mm, working length 20 cm, with blunt Obturator 28162 CSO Coagulation Electrode, unipolar, flexible, diameter 1 mm, working length 53 cm Biopsy Forceps, flexible, double action jaws, diameter 1 mm, length 60 cm Grasping Forceps, flexible, double action jaws, diameter 1 mm, length 60 cm Scissors, single action jaws, diameter 1.3 mm, working length 34 cm Biopsy Forceps, double action jaws, diameter 1.3 mm, working length 30 cm Grasping Forceps, double action jaws, diameter 1.3 mm, working length 30 cm Forceps, for ventriculostomy, flexible, double action jaws, diameter 1 mm, working length 60 cm (not illustrated) Recommended container for sterilization: Angled Telescope: 39501 XKN Instrument: 39360 AK Please note: The use of Balloon Catheter 28162 SB with diameter 0.7 mm is also recommended. Notes 6 7 Notes It is recommended to check the suitability of the product for the intended procedure prior to use. Consent to receive electronic information q Yes, I agree to receive future information by email at the following address: Email Name Department / Practice Street address ZIP, Town Signature I agree to my data being stored at KARL STORZ for this purpose. I can withdraw my consent at any time and without giving reasons by emailing KARL STORZ at [email protected]. KARL STORZ will not make these data available to third parties. KARL STORZ Endoscopy-America, Inc. 2151 East Grand Avenue El Segundo, CA 90245-5017, USA Phone: +1 424 218-8100 Phone toll free: 800 421-0837 (US only) Fax: +1 424 218-8525 Fax toll free: 800 321-1304 (US only) E-Mail: [email protected] 96022004 NEURO 4-5 07/2014/EW-E KARL STORZ GmbH & Co. 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