Aesculap Endoscopic Technology
Endoscopic vascular surgery in the pelvic region
Aesculap Competence
Endoscopic vascular surgery
in the pelvic region
2
Design follows challenge
The future does not choose the easiest path
The protection principle
The introduction of the laparoscopic
cholecystectomy in 1987 was greeted as
a surgical revolution. Now, endoscopic
techniques have also entered the previously
untouched field of vascular surgery. In
addition to endoluminal procedures,
interventions are today being performed
on the peripheral and central vascular
system using videoendoscopic surgical
techniques. The main procedures are
aortoiliac bypass operations in occlusive
arterial disease and aortic aneurysm
resections.
The concept of using a video-endoscopic
extraperitoneal surgical technique to treat
aortoiliac occlusive diseases helps to avoid
these problems. The minimal tissue traumatisation shortens the period of convalescence
and postoperative hospitalisation.
Conventional implantation of an aortofemoral or aortabiiliac graft can give rise
to massive operative trauma and typical
postoperative complications such as a high
level of pain, caused for example by
impairment of the intestinal motor response
as a result of the transperitoneal access
to the aorta and the iliac artery, as well as
pain-related restriction of respiration.
Advancing the frontiers of surgery
naturally requires new instrumentation
to attain the best possible results in
terms of surgical efficiency and patient
safety. Aesculap’s wide range of
indication-related instruments is the
perfect response to the demands of
modern endoscopic vascular surgery.
Endoscopic vascular surgery offers
many possibilities, principally that of the
aortobifemoral bypass with patchplasty
and direct suture on the iliac vessels,
including endoscopic implantation of a
bifurcation graft.
3
Aesculap Competence
Endoscopic vascular surgery
in the pelvic region
4
Design follows challenge
Demand does not create design
The basic concept in the laparoscopic
approach to the vascular system is to use
the conventional surgical technique to a
very great extent. This is the background
against which Aesculap has developed a
special range of basic endoscopic
instrumentation, consisting of specialised
hollow shaft instruments, special temporary
vascular clips and clip applicators, based
on its successful range of vascular surgical
instruments.
Initial attempts demonstrated the
problem of an action radius within the
abdomen that was too small to perform
a differentiated reconstruction technique.
Thus it was that optimally designed
instruments working in perfect harmony
with each other became the precondition
for advanced video-endoscopic vascular
surgery.
Set and match?
The Aesculap Major Vascular Set has
been specially developed as the basic
instrumentation for aortoiliac surgery
assisted by videoendoscopy. The surgeon
is provided with the instruments already
familiar from the conventional operating
technique, but modified to satisfy the
specific requirements of laparoscopy. They
are characterised by ergonomically improved
transmission of the wrist movements.
Among other items, the instrument set
includes aortic and iliac vascular clips,
adapted needle holders, special scissors,
removable vascular clips and vessel spatulas.
In addition, the set contains specialised
components for laparoscopic surgery, such
as locking handles for safe vascular occlusion,
low-volume vascular suction and special
laparoscopic needle holders to make vascular
sutures much easier to perform.
The minimally invasive vascular instrument
set provides the ideal supplement to
Aesculap’s regular, advanced laparoscopy
instruments, and makes it possible to conduct
procedures such as totally laparoscopic aortic
aneurysm resection or laparoscopically
assisted endovascular stenting efficiently
as well as video-assisted minilaparotomy.
The end result is a modern set of
instruments that allows the laparoscopic
vascular surgeon to safely perform basic
and advanced vascular surgery procedures.
5
The Major Vascular Set,
practice-orientated instrument design:
The technology of manoeuvrability
6
Design follows challenge
Ideal conditions
One of the Major Vascular Set’s crucial
advantages is that the instrumentation can
be completely disassembled, totally satisfying
all hygiene requirements. The instruments
are easy to take apart, ensuring that individual
components can be quickly exchanged if
necessary. This lengthens the instruments’
useful life. Furthermore, the modular design
means that the surgeon can construct his
or her ideal instrument. If the standard
solution provided in the instrument
programme does not correspond to the
surgeon’s individual preferences, he or she
can put together a personal set of instruments
from the individual components.
All the instruments are designed with a shaft
length of at least 310 mm. This gives them
optimum manoeuvrability with a 1:1 ratio
between the intra- and extra-corporeal section
of the shaft. Thus the centre of gravity of the
instrument at its entry into the abdominal
wall lies roughly in the middle of the shaft, with
the degree of movement at the instrument
handle corresponding to the transfer of the
function to the instrument tip. Thanks to this
minimum length, the instrument tips can meet
at an angle of 40 –180° in an abdominal
cavity expanded with CO2 from nearly any entry
point. The position of the optic trocar in
relation to the other working trocars forms an
isoceles triangle, with the two equal sides at
least 10 cm long. This provides maximum
freedom of movement during preparation and
suturing.
7
Further developments in instrument design
Competencies brought to the point
Together with one of the initiators of
endoscopic vascular surgery in Germany,
Prof. Dr. Samir Said in Koblenz, Aesculap
has developed a complete range of
instrumentation for this new operating
technique.
Four years were spent in intensive development, including animal trials, from the
original idea in 1992 to the first surgical
intervention on a human patient using the
instruments created during this development period. The result is a set of basic
instrumentation to meet the requirements
of video-endoscopically orientated vascular
surgeons in their daily practice.
Right from the beginning, highly
specialised instrumentation is primarily
responsible for the success and future
development of this operating technique.
Developed in co-operation with:
Prof. Samir Said, M.D.
Ev. Stift St. Martin
Abt. für Viszeral- und Gefäßchirurgie
Johannes-Müller-Str. 7
56068 Koblenz
8
Endoscopic angled scissors
Endo vascular scissors with angled (45°) blades have
been created in particular to achieve good laparascopic
access to the retroperitoneal vessels which run nearly
parallel to the abdominal wall, while avoiding damage
to the rear wall. The angled vascular scissors are used
for arteriotomy after the incision has already been
made with the retractable scalpel and blade holder
described. These vascular scissors are similar to the
conventional Potts-de-Martell angled vascular scissors.
Needle holder
The laparascopic needle holder has undergone a
complex development process. Its main characteristic
is the swan’s neck curvature which makes it easier to
hold the first knot. Whereas the needle holding
surface of the lower jaw is concave, the upper needle
holding surface has been designed with transverse
serrations. This ensures that the needle aligns itself at
90° to the instrument jaw.
Endo suture grasping forceps
A special endo suture grasping forceps has been
developed to reduce micro-traumatisation of the
suture and the vessels. The forceps is used as a
combination instrument during vessel suture, on the
one hand to grasp the thread and tissue, on the other
hand to receive the needle.
Satinsky Clamp
The Satinsky clamp, with its conventional, double
angled jaw presupposes the use of flexible trocars.
The angles of the jaw are designed on the one hand
to allow the instrument to be introduced into the
abdominal cavity through a 12 mm trocar, and on the
other hand to permit both the aorta and the iliac
vessels to be clamped off tangentially over the longest
possible area.
The clamp’s shape guarantees good vision into the
vessel lumen, permitting a precise suturing technique
Endo clip forceps and temporary
vascular clips
The development of an endo clip applicator, an endo
with the appropriate stitching direction, despite the
fact that the side walls are pressed closely against
each other through the tangential clamping of the
vessel.
clip remover and temporary vascular clips has introduced a fundamentally new method of working in
laparoscopic vascular surgery. Thus, once the selfholding vascular clips have been applied, a trocar can
be freed to receive other instruments which serve an
active function, such as preparation, suturing or
temporary tissue fixation.
9
Special instrumentation
The elevated art of the peripheral
A very important contribution to the
development of special endoscopic clips
was made by the French surgeon
Prof. Dr. Yves S. Alimi. Since 1999, he and
Aesculap have been cooperating in the
development of additional instruments for
videoendoscopic vascular surgery.
Developed in co-opertation with:
Prof. Yves S. Alimi, M. D.
10
Vascular clamps
Additional and auxiliary instruments
have an important part to play alongside
specialised basic instrumentation in
minimally invasive vascular surgery.
For example, one particular problem in
videoendoscopic vascular surgery was
caused at first by using conventional
vascular clamps which were too weak
to close the aorta. The jointly designed
clamps can be used for both transperitoneal
and retroperitoneal access to the aorta.
Reconstruction made easier
Another very important precondition for
a sound vascular surgery technique is
adequate exposure of the operating site to
allow fast and accurate reconstruction.
Various retractors and hooks which can be
angled inside the body are available for this
purpose.
Vessel spatulas have been designed for the
mobilisation of endoluminal structures.
These are once again on a par with the
conventional models.
11
Basic instrumentation for videoendoscopic
vascular surgery in the pelvic region
The basic instrumentation for videoendoscopic vascular surgery is of modular
construction and is based on the AdTec monopolar range. This means that every jaw
part can be combined with every handle according to the user’s requirements.
12
Scissors
1:1 METZENBAUM
Scissors, serrated, tips curved to the left
with carbide inserts
Instrument
complete
Jaw inserts
Insulated
outer tube
PO004R
PO603R
PM973R
PO950R
Handle
PM710R
PM973R
PO950R
PO682R
PM992R
PO950R
Working length 310 mm, diam. 5 mm
1:1 MINI-METZENBAUM
Scissors, serrated, tips curved to the left
with carbide inserts,
PEEK insulation of the distal shaft
Working length 310 mm, diam. 5 mm
1:1 POTTS-de MARTELL acc. to Said
Endo vessel scissors
PO014R
Working length 310 mm, diam. 10 mm
Protection Sleeve
in combination with PO014R for a safe
introduction of the Potts-DeMartell scissors
through the 12.5 mm trocar
PM941R
13
Basic instrumentation for videoendoscopic
vascular surgery in the pelvic region
For more information
please also ask for our
brochure C 766
14
Dissecting Forceps
1:1 MARYLAND
Fixation and dissecting forceps, curved
Instrument
complete
Jaw inserts
Insulated
outer tube
Handle
PO608R
PM973R
PO950R
PM659R
PM973R
PM954R
PO141R
PO661R
PM975R
PO950R
PO103R
PO606R
PM975R
PO950R
PO189R
PO734R
PM973R
PO950R
PO102R
Working length 310 mm, diam. 5 mm
1:1 OVERHOLT
Dissecting clamp
Working length 310 mm, diam. 5 mm
1:1 OVERHOLT
Dissecting clamp, 60°
Working length 310 mm, diam. 10 mm
1:1 OVERHOLT
Dissecting clamp, 90°
Working length 310 mm, diam. 10 mm
1:1 MASSOUD
Delicate forceps for lateral fixation
of structures and vascular grafts during
dissection and anastomosis
Working length 310 mm, diam. 5 mm
for use with flexible trocars only diam.12.5 mm
15
Basic instrumentation for videoendoscopic
vascular surgery in the pelvic region
The basic instrumentation for videoendoscopic vascular surgery is of modular
construction and is based on the AdTec monopolar range. This means that every jaw
part can be combined with every handle according to the user’s requirements.
16
Grasping Forceps
1:1 Modell BABCOCK
Tissue-grasping forceps
Instrument
complete
Jaw inserts
Insulated
outer tube
Handle
PO741R
PM977R
PO951R
PM651R
PM977R
PO951R
PM172R
PM712R
PM992R
PM957R
PO118R
PO624R
PM977R
PO951R
PM689R
PM973R
PM957R
PO196R
Working length 370 mm, diam. 10 mm
1:1 DE BAKEY
Atraumatic clamp, jaw length: 30 mm
Working length 370 mm, diam. 10 mm
1:1 DE BAKEY
Atraumatic clamp, length of jaw: 50mm
Working length 220 mm, diam. 10 mm
1:1 DE BAKEY
Atraumatic clamp, length of jaw: 50mm
Working length 370 mm, diam. 10 mm
1:1 DE BAKEY acc. to. LINDER
Atraumatic fixation forceps, s-shaped
Working length 310 mm, diam. 5 mm
17
Basic instrumentation for videoendoscopic
vascular surgery in the pelvic region
38 mm
m
51
For more information
please also ask for our
brochure C 766
18
m
Grasping Forceps
1:1 CRAFOORD
Endo-vascular clamp
Instrument
complete
Jaw inserts
Insulated
outer tube
Handle
PM173R
PM713R
PM973R
PM957R
PO152R
PO684R
PM976R
PO951R
PM171R
PM711R
PM973R
PM957R
Working length 310 mm, diam. 5 mm
1:1 CRAFOORD
Endo-vascular clamp
Working length 370 mm, diam. 5 mm
1:1 SATINSKY
Atraumatic clamp
Working length 310 mm, diam. 5 mm
for use with flexible trocars only
1:1 SATINSKY
Atraumatic clamp
PM616R
PM973R
PM957R
Working length 310 mm, diam. 5 mm
for use with flexible trocars only
1:1 HEINEN
Atraumatic clamp for parallel clamping
of the aorta and lumbar vessels
PM715R
PM977R
PM957R
Working length 370 mm, diam. 10 mm
19
Basic instrumentation for videoendoscopic
vascular surgery in the pelvic region
For more information about
our axial AdTec needle holder
please also ask for brochure
C 004 11
20
Needleholder
Instrument
complete
Jaw inserts
Insulated
outer tube
Handle
1:1 SAID
DUROGRIP Needle holder, crimped
PO553R
PO662R
PM992R
PO951R
Working length 310 mm, diam. 10 mm
1:1 DUROGRIP Needle holder,
straight
PL407R
Working length 310 mm, diam. 5 mm
1:1 DUROGRIP Needle holder,
curved left
PL408R
Working length 310 mm, diam. 5 mm
1:1 DUROGRIP Needle holder,
curved left
PL412R
Working length 310 mm, diam. 10 mm
1:1 Thread-guiding tube acc. to SAID
for modular endoscopic needle holder with
diam. 5 mm only, suitable for intracorporal,
continuous ligature techniques, with
integrated thread-guiding tube diam. 1mm
and thread-fixating device
5/10 mm
PM972P
Thread -guiding tube
310 mm
clamping yoke
Mandrin
21
Special instrumentation for videoendoscopic
vascular surgery in the pelvic region
60
m
m
73
m
m
60
mm
For improved force transfer, the vascular clamps of the supplementary
instruments are of non-modular construction. The instruments have a
rinsing port for cleaning. Since the instruments are practically never
exchanged during surgery, they can be used directly transcutaneously.
22
Vascular Clamps
diam.
Length
Total length
1:1 SATINKSKY, acc. to ALIMI
Atraumatic distal and proximal clamp,
for clamping the area of the anastomosis.
PL210R
10 mm
360 mm
516 mm
1:1 SATINKSKY, acc. to ALIMI
Atraumatic distal and proximal clamp,
for clamping the area of the anastomosis.
PL211R
10 mm
375 mm
531 mm
1:1 DE BAKEY, acc. to EDOGA
Atraumatic proximal clamp. The design of
the curved jaw fulfils the requirements while
clamping the calcified aorta.
PL212R
10 mm
365 mm
521 mm
23
Special instrumentation for videoendoscopic
vascular surgery in the pelvic region
73 mm
79 mm
m
80 m
80 mm
For improved force transfer, the vascular clamps of the supplementary
instruments are of non-modular construction. The instruments have a
rinsing port for cleaning. Since the instruments are practically never
exchanged during surgery, they can be used directly transcutaneously.
24
60 mm
Vascular Clamps
diam.
Length
Total length
1:1 DE BAKEY, mod. ALIMI
Atraumatic distal clamp, for parallel
clamping of the aorta and lumbal vessels.
PL213R
10 mm
335 mm
491 mm
1:1 DE BAKEY, mod. ALIMI
Atraumatic proximal and distal clamp.
The curvage allows extended space for the
anastomosis of the graft.
PL214R
10 mm
355 mm
508 mm
1:1 DE BAKEY, mod. ALIMI
Atraumatic proximal and distal clamp,
jaws 10° angled
PL215R
10 mm
341 mm
496 mm
1:1 DE BAKEY
Atraumatic vascular clamp,
straight shaft with straight jaw
PL216R
10 mm
295 mm
530 mm
1:1 DE BAKEY
Atraumatic vascular clamp,
straight shaft with curved jaw
PL217R
10 mm
310 mm
504 mm
25
Special instrumentation for laparoscopicassisted surgery in the pelvic region
26
Vascular Clamps
1:1 RYDER, mod. SAID
Strong needle holder, length 330 mm
PL090R
1:1 SATINSKY, mod. SAID
Atraumatic clamp, ratchet could be locked,
length 375 mm
PL091R
1:1 SATINSKY, mod. SAID
Atraumatic clamp, ratchet could be locked,
length 370 mm
PL092R
1:1 DE BAKEY, mod. SAID
Atraumatic clamp, ratchet could be locked,
length 330 mm
PL093R
1:1 CRAFOORD, mod. SAID
Vascular clamp, ratchet could be locked,
length 360 mm
PL094R
27
MÜLLER
BT 626 R
Retractor, 250 x 30 mm/60 mm
28
Instruments, long patterns
1:1 MÜLLER
DUROGRIP Needleholder, length 360 mm
BM089R
1:1 MÜLLER
DUROGRIP Needleholder, length 350 mm
BM106R
1:1 MÜLLER
DUROGRIP Suture forceps, length 300 mm
BD185R
1:1 Atraumatic forceps, length 350 mm
FB409R
1:1 DUROTIP Fadenschere, length 360 mm
BC298W
29
Special instrumentation for videoendoscopic
vascular surgery in the pelvic region
Atraumatic endo-vessel-clips acc. to SAID (temporary)
Cat. No.
Closing force
Jaw length
Jaw shape
Colour coding
PL550S
250 g
25 mm
straight
gold
PL552S
300 g
45 mm
straight
gold
PL555S
350 g
25 mm
straight
–
PL557S
450 g
45 mm
straight
–
Cat. No.
Closing force
Jaw length
Jaw shape
PL580S
200 g
25 mm
curved
gold
PL582S
300 g
45 mm
curved
gold
PL585S
350 g
25 mm
curved
–
PL587S
450 g
45 mm
curved
–
Colour coding
Venous endoscopic vessel clips with reduced closing force are especially marked at the end (gold).
30
Clip forceps
PL502R
Applicator for endo vessel clip
acc. to SAID
12.5 mm
350 mm
PL507R
Removal forceps for endo
vessel clip acc. to SAID
12.5 mm
350 mm
31
Additional instrumentation for videoendoscopic vascular surgery in the pelvic region
diam.
Scalpel handle for knife blades
BB060R
length included blade, blade retractable
5 mm
330 mm
Blades must be ordered separately
Suture hook
BB361R
package of 10 pieces, sterile
BB362R
package of 10 pieces, sterile
BB363R
package of 1 piece, sterile
BB364R
package of 10 pieces, sterile
BB365R
package of 10 pieces, sterile
BB367R
package of 10 pieces, sterile
BB369R
package of 1 piece, sterile
diam.
Shaft length
PO193R
5 mm
330 mm
PL 432 R
5 mm
310 mm
1 mm
4,8 mm
Knot guide instrument
Intracorporal knot pusher according to Kuthe
1
⁄1
32
diam.
Endo-dissector
to get around vessels
PL669R
5 mm
310 mm
Endo vessel spatula
PL657R
5 mm
Dissection spatula, semi-sharp
PL659R
5 mm
Retraction instrument for fine structures.
PL661R
5 mm
400 mm
Proximal instrument end can be manually angled
(30°, 45°, 75°, 90°)
PL662R
10 mm
400 mm
Spreadable retractor
PL680R
10 mm
310 mm
Retraction instruments for holding away organs
and tissue structures, with one-hand operation for
easy activation or release of the retention mechanism
33
Flexible trocars for curved instruments and
for special jaw types
Flexible Trocars
complete 100 mm length (with valve and obturator)
Ø 7 mm
Ø 12.5 mm
For more information
please also ask for our
brochure C 357
34
EJ800R
EJ820R
for the use of curved
instruments with diam. 5 mm
for the use of curved
instruments with diam. 10 mm
Rigid trocars with silicone flap valve
MIT Trocar System
Standard Trocar
complete 110 mm length (without obturator)
Ø 5.5 mm
Ø 10 mm
EJ701R
EJ751R
Ø 12.5 mm
EJ771R
with insufflation
connection
Obturator, 110 mm length
Ø 5 mm
Ø 10 mm
Ø 12 mm
EJ715R
EJ755R
EJ785R
Triangular
EJ716R
EJ756R
EJ786R
Sharp
EJ718R
EJ558R
EJ788R
Blunt
35
Equipment and endoscopes for
minimal invasive surgery
The Aesculap Visual System offers
impressive, true to life reproduction as
well as all the advantages one would
expect of a modern digital system.
The high quality components, such as
the digital camera, endoscope and light
source, are perfectly coordinated to
produce the best possible picture.
For more information
please also ask for our
brochure C 467
36
Visual System / Units
Endoscopes
Cat.-No.
Direction of view
diam.
Length
●
autoclavable up to 134°C , 2 bar
Full screen image
● Integrated rod lens system
● Steris/Sterrad compatible
PE889A
PE909A
PE969A
0°
30°
45°
10 mm
10 mm
10 mm
33 cm
33 cm
33 cm
- 3 Chip-Camera with
digital SDI video signal output
PV420 PAL System
PV422 NTSC System
●
consisting of: Camera control unit, camera head
and RGB video signal cables
Accessories:
PV122S, Endolens, f = 25-50mm, focusable
PV123S, Endolens, f = 30 mm, focusable
Xenon Light Source
OP930
180 W
Accessories:
Light guide cable, autoclavable, diam. 4.8 mm:
OP906
OP913
OP914
Length: 180 cm
Length: 250 cm
Length: 350 cm
Medical Monitors
PV939
PV937
PV915
PV919
PAL, NTSC,
PAL, NTSC,
PAL, NTSC,
PAL, NTSC,
14“ (34 cm), CRT Monitor
20“ (51 cm), CRT Monitor
15“ (38 cm), Flat Screen Monitor
19“ (49 cm), Flat Screen Monitor
37
Uni-Graft® K DV ...the safe choice
Uni-Graft® K DV, Giemsa, Mag. 100 x.
Uni-Graft® K DV offers all you would
expect from a safe and reliable vascular
prostheses. Over many years Uni-Graft® K DV
has been used in hundred thousands of
patients, for thoracic, abdominal and
peripheral indications, all over the world.
The clinical records are proof of an outstanding performance.
38
Vascular protheses Uni-Graft® K DV
Dog, Uni-Graft® K DV, 2 weeks, Giemsa, Mag. 340 x.
Dog, Uni-Graft® K DV, 24 hours, Giemsa, Mag. 200 x.
Uni-Graft® K DV shows uncompromised healing.
A polyester double velour warp-knit
construction ensures good graft
incorporation in the surrounding tissue
at the site of implantation. The unique
Uni-Graft® gelatin impregnation makes
the prostheses absolutely impermeable
to blood. The gelatin used for the
impregnation is a less thrombogenic
material. It is cross-linked in a patented
procedure without the use of
formaldehyde or glutaraldehyde
resulting in a non-cytotoxic and biocompatible implant.
The porous knit permits ingrowth of cells and ensures integration
with the surrounding tissue. The inner velour provides the basis for
a firm adhesion of the developing neointima. In the initial phase
after implantation a fine fibrin layer covers the inner surface of the
prostheses. This natural fibrin film provides the initial interface
between the blood and the prosthetic wall. It also is the basis for
the formation of a stable inner capsule which in clinical conditions
in most cases is the final blood contact surface.
With Uni-Graft® K D the gelatin will be infiltrated already two weeks
after implantation by myofibroblasts. No white blood cells are present,
proving that the gelatin is absorbed without any immunological
response or hypersensitivity.
39
Vascular protheses Uni-Graft® K DV
Uni-Graft® product range
Further sizes and configurations are available upon request.
Please contact your local representative.
Sale in Germany through BBD Aesculap GmbH only.
40
Bifurcations, usable length 40 cm
Cat. No.
12 x 6 mm diameter
110 4535
12 x 7 mm diameter
110 4519
14 x 7 mm diameter
110 4527
14 x 8 mm diameter
110 4551
16 x 8 mm diameter
110 4560
16 x 9 mm diameter
110 4578
18 x 9 mm diameter
110 4586
18 x 10 mm diameter
110 4594
20 x 10 mm diameter
110 4608
20 x 11 mm diameter
110 4616
22 x 11 mm diameter
110 4624
24 x 12 mm diameter
110 4640
Straight tubes, usable length 15 cm
Cat. No.
10 mm diameter
110 1102
12 mm diameter
110 1129
14 mm diameter
110 1145
16 mm diameter
110 1161
18 mm diameter
110 1188
20 mm diameter
110 1200
22 mm diameter
110 1226
24 mm diameter
110 1242
Straight tubes, usable length 30 cm
Cat. Nr.
10 mm diameter
110 2109
12 mm diameter
110 1137
14 mm diameter
110 4144
16 mm diameter
110 4160
18 mm diameter
110 4187
20 mm diameter
110 4209
22 mm diameter
110 4225
24 mm diameter
110 4241
41
The new polyester generation specially
designed for vascular surgery
Braided and coated, non-absorbable suture made of polyester
Needle
length
mm
HR
Thread
length
cm
5/0
USP metric
4/0
3/0
1
1,5
2
45
C0026009
C0026010
C0026029
C0026030
C0026843
C0026844
C0026845
C0026004
C0026005
HR 10
1/2 circle round
bodied needle
green
HR 13
45
green
2xHR 13
75
green
HR 17
75
green
2xHR 17
75
C0026804
green
2xHR 17
90
C0026903
C0026904
C0026905
C0026024
C0026025
green
HR 22
75
green
2xHR 22
Further sizes and
configurations are
available upon request.
Please contact your
local representative.
90
C0026731
green
2xHR
26
HR 26
75
C0026014
2xHR 26
75
Sale in Germany through
BBD Aesculap GmbH only.
C0026015
green
C0026738
green
2xHR 26
90
C0026814
C0026815
green
HR 30
75
C0026056
green
HRT
2xHRT 17
1/2 circle round
bodied needle with
trocar point
2xHRT 17
Pledgets
3x3 mm
8x75
MULTI
PACK
green/white
Pledgets
7x3 mm
8x75
MULTI
PACK
green/white
M0027787
M0027788
2xHRT 17
90
green
42
C0026413
C0026414
C0026415
PremiCron® green/white
Needle
length
mm
HRT
2xHRT 22
1/2 circle round
bodied needle with
trocar point
2xHRT 22
Thread
length
cm
Pledgets
3x3 mm
8x75
MULTI
PACK
green/white
Pledgets
7x3 mm
8x75
MULTI
PACK
green/white
5/0
USP metric
4/0
3/0
1
1,5
2
M0027797
M0027798
HRT 26
75
C0026335
green
2xHRT 26
75
C0026435
green
2xHRT 26
90
C0026445
green
DR
2xDR 8
45
3/8 circle round
bodied needle
C0026822
green
2xDR 8
45
C0027822
white
DR 12
45
C0026121
green
2xDR 12
75
C0026853
C0026854
green
DR 18
75
C0026104
green
2xDR 18
75
C0026863
C0026864
C0026865
green
2xDR 18
90
C0026858
green
DRT
DRT 12
75
3/8 circle round
bodied needle with
trocar point
C0026327
green
DRT 18
75
C0026343
C0026344
C0026345
C0026484
C0026485
green
2xDRT 18
75
green
C Box of 36 units B Box of 24 units G Box of 12 units M Box of 6 multipacks
43
The perfect combination for vascular sutures
Monofilament, non-absorbable material made of blue polypropylene
Needle
length
mm
HR
5/0
USP metric
4/0
3/0
1
1,5
2
Thread
length
cm
75
C0090500
75
C0090954
HR 13
1/2 circle round
bodied needle
2xHR 13
2xHR 13
90
C0090750
HR 17
75
C0090012
C0090013
C0090014
90
C0090901
C0090902
C0090903
75
C0090029
C0090030
90
C0090976
C0090977
75
C0090040
C0090041
90
C0090907
C0090908
2xHR 17
HR 22
2xHR 22
HR 26
2xHR 26
DR
DR 12
3/8 circle round
bodied needle
75
C0090530
75
C0090917
2xDR 12
DR 18
75
Further sizes and
configurations are
available upon request.
Please contact your
local representative.
Sale in Germany through
BBD Aesculap GmbH only.
44
C0090120
2xDR 18
90
C0090919
C0090920
C Box of 36 units B Box of 24 units G Box of 12 units M Box of 6 multipacks
Premilene®. Thread quality you can rely on.
Needle
length
mm
HRT
5/0
USP metric
4/0
3/0
1
1,5
2
75
C0090312
C0090313
90
C0090925
C0090926
Thread
length
cm
HRT 17
1/2 circle round
bodied needle with
trocar point
2xHRT 17
C0090927
HRT 22
75
C0090325
90
C0090935
2xHRT 22
C0090936
2xHRT 26
90
DRT
C0090937
DRT 12
3/8 circle round
bodied needle with
trocar point
75
C0090307
75
C0090764
75
C0090319
2xDRT 12
DRT 18
C0090320
C0090321
90
C0090945
C0090946
75
C0090533
0090534
2xDRT 18
DRT 26
2xDRT 26
90
HRC
C0090949
2xHRC 17
1/2 circle round
bodied needle with
short cutting tip
2
90
C0090570
C0090571
2xHRC 22
90
DRC
3/8 circle round
bodied needle with
short cutting tip
C0090580
C0090581
DRC 12
75
C0090551
45
Aesculap competence
The knowledge advantage – conquer the
future with competence
Complications having far reaching consequences can only be
avoided by using an endoscope and sophisticated instrumentation
to make surgery to the aortoiliac vessels as non-traumatic as
possible if the surgeon and the operating team performing the
endoscopic procedure have truly mastered this new technique.
Both theoretical and practical training in the videoendoscopic
treatment of aortoiliac vessels, which is still in an experimental
phase, is therefore absolutely essential.
In modern and architecturally
interesting surroundings, you
can absorb yourself in current
topics, learning or perfecting
the latest operating techniques,
for instance in laparoscopy, gynaecology, endoscopic
vascular surgery or neuroendoscopy.
Our programme of courses
is directed both to beginners
in the various techniques and
to the experienced surgeon
who wishes to become familiar
with more advanced endoscopic methods.
The AESCULAPIUM, the
new forum for communication
in medicine, offers all technical
possibilities for workshop
demonstrations of new
operating techniques and
highlights in medical technology as they are used in
practice, and for transmitting
operations by satellite into
the AESCULAPIUM auditorium.
46
Video conferences can be
staged at any time. Exchanges
of experience and interdisciplinary dialogue with
recognised international
leaders of opinion are regular
items in the AESCULAPIUM’s
calendar of events.
You can request the current
programme of events offered
by the AESCULAP AKADEMIE
GmbH by telephone
(++49(0)7461-95-2001)
or via the Internet under
www.aesculap-akademie.de.
Visit our homepage
Dry practice sessions: clamping off,
cutting, suturing - the endoscopic
method demands from the surgeon a
totally different handling technique.
47
All it takes to operate.
Aesculap AG & Co. KG
All rights reserved. Technical alterations are possible. This leaflet may be used for
no other purposes than offering, buying and selling of our products. No part may
be copied or reproduced in any form. In the case of misuse we retain the rights to
recall our catalogues and pricelists and to take legal actions.
Brochure No. C 365 02
Am Aesculap-Platz
78532 Tuttlingen
Phone +49 7461 95-0
Fax
+49 7461 95-2600
www.aesculap.de
1204/2.0/5