55
;.. "HefnOSI.alo(System _ .._. ::.... ;,1(2]02 / TRANSMEDICA Rapid Urease Test ::: positive 0 ,stnbuted 1n the II.S. @ by K•mberly-Ciua A . ,ell GA 30076 ::: NegatiV8 Global Sales. LL well, GA 30076 USA ,J K•mberly-Ciar , 1 Clark Worldwlde, lnc Trademark or Trademark of K•mber 0 0 ove seo MTW. Endoskopie E cision E NDOC LOT + @nDOCUFF" Jllntelligent IIJ Endoscopv Juan Sánchez Azcona 1323 Col. del Valle Deleg. Benito Juárez México, D.F. C.P. 03100 Tel. 5605-9008 Fax. 5605-9103 www.transmedica.com.mx

· PDF fileEmpresa Con más de 10 años de experiencia en el ramo, ... Article no. Cutting length mm Diameter mm Length cm Special features PU 99 02 33 61 20 2,45-1,95 215 cm

Embed Size (px)

Citation preview

;.. "HefnOSI.alo(System

_ .._. ::.... ;,1(2]02

/ TRANSMEDICA

Rapid Urease Test

::: positive 0,stnbuted 1n the II.S.

• @ by K•mberly-Ciua A . ,ell GA 30076

::: NegatiV8 Global Sales. LL well, GA 30076 USA ,J K•mberly-Ciar , 1 Clark Worldwlde, lnc

Trademark or Trademark of K•mber y·

0 0 ove seo MTW.

Endoskopie

Ecision

E NDOC LOT+

@nDOCUFF"

Jllntelligent IIJ Endoscopv

Juan Sánchez Azcona 1323 Col. del Valle Deleg. Benito Juárez México, D.F. C.P. 03100 Tel. 5605-9008 Fax. 5605-9103

www.transmedica.com.mx

ÍNDICE

22 - 87 MTW ENDOSKOPIE

Vía biliar 22-51

EUS 52-59

Polipectomía 60-64

Accesorios 65, 66, 68

ESD 69-75

97 - 100 OVESCO OTSC SYSTEM.

101 - 106 ENDO-CLOT+

107 - 109 KIMBERLY CLARK

110 - 113 ENDOCUFF

114 - 117 THE STANDARD

118 - 120 MICRO-TECH

121 - 122 INTELLIGENT ENDOSCOPY

123 - 124 EMCISION

125 VARIOS

126 - 128 NOTAS

Esteroscopía mono y doble balón 76-87

Estractor protesis plásticas 88-89

Dilatación 90-91

Pinzas estractoras cuerpos extraños 92-93

ESO 94-96

TRANSMEDICA, S.A. de C.V.

Qué es TRANSMÉDICA?

Empresa Con más de 10 años de experiencia en el ramo, nos hemos posicionado como una compañía altamente competitiva en la que nuestro principal interés es llevar a nuestros clientes la gama más amplia de productos especializados en endoscopía, reconocemos áreas de oportunidades y el potencial de nuevas tecnologías y materiales en equipos y accesorios

Objetivo:

Nuestro objetivo es que los productos que ofrecemos

cumplan con las características y los estándares más altos

de calidad para cubrir las necesidades de nuestros clientes.

Misión:

Nuestra misión se basa en la continua investigación del desarrollo de productos de alta calidad que se lleva a cabo alrededor de todo el mundo, con el fin de ofrecerlos a usted para cubrir las necesidades de equipos y accesorios para la endoscopía y endocirugía.

Visión:

Compromiso Social, Confianza, Innovación, Calidez Humana, Calidad y Profesionalismo

TRANSMÉDICA 2

Re

g.-

No

. 2

03

8 |

07.1

4 |

GB

contrast agent channel

3L Ball Tip Papillotome

guide wire channel

ARTICLE NUMBER 3L BALL TIP PAPILLOTOME FOR GUIDE WIRE 0.035“

Article no. Cutting length

mm

Diameter

mm

Length

cm

Special

features

PU

99 02 33 61 20 2,45-1,95 215 cm 3 Lumen 5

99 02 33 71 25 2,45-1,95 215 cm 3 Lumen 5

99 02 33 81 30 2,45-1,95 215 cm 3 Lumen 5

We reserve the right to make technical changes and to deviate from the depicted images.

MTW-Endoskopie W. Haag KG I Goldsbergstraße 18 I D-46487 Wesel

Phone +49 2803 9120-0 I Fax +49 2803 8113 I E-Mail [email protected] I www.mtw-endoskopie.com

22 TRANSMÉDICA TRANSMÉDICA 23

® Safe-Cut

Artlele-no. X Dlameter Langth (mm) (mm) (cm)

99 0282 41 30 2,3 > 1,8 215

Papillotome with partially insulated

cutting wire

More precise and effectíve cuttíng by the parlially

lnsulated cutt ng wfre. Uníntentíonal injuries olthe smallíntestíne foldin !he vicinity of the papilla are límhed

doublo·lumon for guíde wlre 0.0351nch

®o

1 MTW 1 Endoskopie

Papillotome rotatable

28 TRANSM OICA -------------- - - -- - :

TRANSM OICA 25

1

BaiiTip-papillotome with

atraumatlc tlp, optlonally wlth 0.035" pre-loaded SnapTip guidewlre

MTW Endoskopie

1 BaiiTip-Papillotome with atraumatlc tlp

• BaiiTlp,new rounded atraumatlc tip

• Ellipsoid deslgn(allows lor controlled guidance)

• ERBE plug (lncl OL adapter)

• Cutling lenglh 20 or 30 mm

® innovative • Radlopaque tip

• 0.035" SnapTip kink resistan!guide wire

• With lorm stabilizer (supports 11 o'clock

cutting dlrection)

• Single use @ • The speclal Y construction (2 fumen)

places all importan!inlets such as contrast medium, wire guide channeland the operatlon olthe papillotome directly

in your hand.

/ 1 PaplllotomeBai!Trp

Articlc-no. Diametcr Lcnglh Gutdewire CuUing length Packaglng

(Artlcle-no.003900) unit

9902 7651 2,3> 1,8mm 215cm wlth0.035" Fü rungsdraht 20mm Spleces

99027051 2,3> 1,8mm 215cm wllh0.035" Führungsdrta

1 30mm

Spleces

99023671 2,3> 1.8mm 215cm lor 0.035•Führungsdrahl 20mm

9902 30 71 2,3> l,8mm 215cm lor 0.035"Führungsdraht 30mm

Spieces Spieces

Klnk resistan! gulde wlre SnapTip

00 39 00 400cm 50 mm hydrophlllc

Mlnlmumordorquanlily

0.035' ecated."""ighl pla&um lip 2pieces

26 TRANSM OICA -------------------- -

:

TRANSM OICA 27

1

HF-Needle

HF-Knife for guide wire

1 MTW

Endoskopie

32 TRANSM OICA ---------- - :

Guide wire SnapTip Kink resistent guide wire

Ar ticle no: 00 39 46

0.025“

460 cm

0.035“

460 cm

30 TRANSMÉDICA TRANSMÉDICA 31

Re

g.-

No

. 2

04

6 |

09.1

4 | G

B

SPECIAL BENEFITS:

Good visible radiopaque markers

• Transparent catheters for permanent monitoring of the position of the guide wire

• Suitable for 0.025” or 0.035” guide wire

• Ideal strength of the catheter for the better transfer of the feed force

• Balloon of 12 mm or 16 mm

• Extremely durable balloon

• Particularly good visible radiopaque markers

• Distal scale of the catheter

• Unique identification of each lumen

• High flow rate of contrast medium

ARTICLE NUMBER STONE-EX TRACTION-BALLOON

Article no. Ch. Description Balloon

Ø mm

Length

cm

Guide wire

inch

PU

03 26 72 32 7 > 5 3 lumen, tapered,

transparent catheter

16 200 0.035 5

03 26 72 33 7 3 lumen,

transparent catheter

16 200 0.035 5

03 20 51 20 5 2 lumen,

grey catheter

12 200 0.025 10 without

Fig.

03 20 72 36 LF 7 latexfree, 3 lumen,

grey catheter

16 200 0.035 10 without

Fig.

We reserve the right to make technical changes and to deviate from the depicted images

MTW-Endoskopie W. Haag KG I Goldsbergstraße 18 I D-46487 Wesel

Phone +49 2803 9120-0 I Fax +49 2803 8113 I E-Mail [email protected] I www.mtw-endoskopie.com

36 TRANSMÉDICA TRANSMÉDICA 33

Cytology-brush double-lumen with guiding tip

for guide wire

Threelumen

Stone-Extraction-Balloon with two radiopaque metal balloon markers

ARTICLE NUMBER CY TOLOGY-BRUSH WITH GUIDING TIP

DOUBLE LUMEN, FOR GUIDE WIRE 0.035“

Article no. Diameter

brush mm

Diameter

mm

Length

cm

PU

08 21 28 1 2,5 2,7 200 cm 2

We reserve the right to make technical changes and to deviate from the depicted images.

34 TRANSMÉDICA TRANSMÉDICA 35

1 Lithotomy baskets

EASY-CATCH

MTW Endoskopie

MANUFAKTUR

1 Controllable Biopsy-forceps, oval spoonshaped mouth, PTFE -coating, without spike

------ ------ innovative

Until goo bendable

Artlele-no. Diameter Length

(mm) (cm)

1106460210

0646 0210 5

2,6

2,6

120 for Bronchocopes

180 for Gastro- and Ouodenoscopes

This baskets are dístinguished by

excellent tension.

Easy stone catching through

automatically rotation during

expanslon.

40 TRANSM OICA ------------ --- - :

®

Innova ·o

POWER-CATCH

suitable for lithotripsy, for guide wire

MTW Endoskopie

MA NU F AKTUR

wt h vcry ht_gn exp t1s on-strength, tilllotripsy

sultable for llthotrlpsy, or gulde wire

Artfcel -no. X1Y orameter ength gui de wire Descrlption 1•

(mm) (mm) (cm) (lnch)

0316 34 32 25/40 2,9 215 0.035 -,- 0316 36 32 30{45 2,9 215 0.035 •,

0316 38 3.2 40/55 2,9 215 0.035

9903163432 2Sf40 2,9 215 0.035

99 0316 3632 30/45 2.9 215 0.035

99 0316 3832 40f55 2,9 215 0.035

very hl!jh expanston-slrength max.20 Kp lension

sullabte for lllhotrlpsy

All dlsposablo tlthotomy b11sko s ere dollvered In packaglng units.

Packagtng Unrt 2 pieC!eS with pre-assembled handle

for gulde wlre 0.0351nch reusable

+ ® dlsposable

Bile-stone-tithotriptor system

For the a.m.baskets:

(not include<l as astandard)

11the slone ts lrappedin lhe basket.and ilit is

not possible to withdraw the stone from the bile

duct. and also not from the basket. this set wlll help

you. You cut off lhe handle of the basket,take out

the scope, epply the metaltube, and connect it to the

speciaJ crushing handle.

Now you are able l o crush the stone.

Fixing

Article-no.

03 36

38 TRANSM OICA -------------- - - -- - :

Metaltube 09,8 mm

100 cmlenglh

Article-no.

03306

9903306 ® Paclulgln.a unll - 2 ploce•

TRANSM OICA 39

of·contrast medrum ---

1 very high expansion- suitable for 1 Lithotomy baskets, EASY-CATCH strenf hthotrlpsy

t]l'

au e

Lllhotomy baskets,• u«ilil

Article--no. Moasure X/Y Diomoler Length

(mm) eannula (mm) (cm)

03103504 25/40 2,6 215

03103604 30/45 2,6 215

0310 37 04 40/55 2,6 215

03103804 45/60 2,6 215

Handlawllh nozzle lO< lnjootlon

ol contrast medaum

........

® Llthotomy baskets,dl&posable

Artlcle-no. Measure XN Oiamc.tar Length F>ackaglng (mm) eonnula (mm) {cm) unft;Splec:u

99 0310 34 04 15/30 2.6 215 5

99 0310 35 04 25/40 2,6 215 5

9903103604 30/45 2.6 215 5

99 0310 37 04 40/55 2,6 215 5

Handle wllh nozzle for lnjootfon #

44 TRANSM OICA -----------------------------------------------: TRANSM OICA 41

1

"¿1¡3Stonecrusher Trans-endoscopically stone crushing in three steps

innovative

MTW Endoskopie

MAN UFAKTUR

Starter Kit 1 also individually available

,.EasJ Catch"

990J10J604 . Power catch"

990J 16 36 32 . Metal tubes", 3·parts

9903 37

lllll•SIIilc8 unlt = Zpieces unlt = 2 pieces

990JJ07

-.lt• 1piece

42 TRANSM OICA ---------- --- - - :

:------------------- TRANSM OICA 43

POC-guiding catheter for the direct endoscopy of the biliary tract

ORDER-NO. 04205120, PaCkaGING uNIT 2 PIECEs

The POC-guiding catheter, consisting of a balloon catheter with three

extensions, a disposable syringe and a needle for refilling the POC

guiding catheter, was developed for the peroral cholangioscopy

(POC).

The POC-guiding catheter is positioned through the working channel

of a duodenoscope, and the balloon is inflated through the insufflation

lumen of the catheter until the balloon anchors behind the stenosis.

after the removal of the guidewire, the extensions are cut off from

the POC-guiding catheter at the green mark with a sharp side cutter.

Now the duodenoscope can be removed.

subsequently, the guidewire and the cholangioscope

or the nasal gastroscope are advanced through respectively over the

POC guiding catheter through the papilla into the desired area of the

bile duct.

NEEDlE FOR l aTER

REFIllING OF ThE

POC-GuIDING CaThETER.

Thanks to the blocked balloon, the cholangioscope or rather the

nasal gastroscope can be advanced through the stenosis.

In case of insufficient air inflation of the balloon and already

separated extensions of the catheter, or accidental deflation, it is

possible to refill the balloon with the corresponding needle.

ThE RaDIOPaquE PlaTINuM

MaRkER aT ThE DIsTal END OF

ThE ballOON CaThETER hElPs

yOu TO FIND ThE RIGhT

POsITION.

POC-guiding catheter

ARTICLE NUMBER POC-GUIDING CATHETER

Article no. Diameter

Ch.

For guidewire

Ø inch

Length

cm

PU

04 20 51 20 5 0.025 240 2 pieces

We reserve the right to make technical changes and to deviate from the

depicted images.

48 TRANSMÉDICA TRANSMÉDICA 45

POC-guiding catheter for the direct endoscopy of the biliary tract

Illustration 1 Illustration 2

I N C I S I O N A R E A

Illustration 3 Illustration 4

46 TRANSMÉDICA TRANSMÉDICA 47

...

1

_.t'!IQ -

® 1

1

Endoscopy Ultra Sound

Aspiration-needle

MTW Endoskopie

._ ""'

Controllablc EMR·knives 101 · CUof't'&M:hM"

... ....... "02l':t11

- ,._

o.....

Disposable

. -enn11

® <D

Ttltt eontrol li Wcathelff ts

a.pecl.lllyi blt for p;&111 1fttl

havlng Klalallin tumor.

In lhls case- !he call let ls belptut 10

pen 1M atenoela ancl rN<:h u. bUo d\Kta.

t.o- p- Ot

!1 2 -l•l.l 0.25

. ....-llrof»"Q • m.o'WTIII'.....

• lfWII'OW...

-

The EUS Ultrasound Aspirallon-needle

is intended for ultrasonic fine needle

aspiratíon (FNA) of the submucosal and

extra-luminallesions ofthe gastro·

intestinaltract through the working

channel of an ultrasound endoscope.

The device is supplled sterile and

intended for single use only.

52 TRANSM OICA -------------- - - -- - :

TRANSM OICA 49

Article-no. 8.5

Length between

the flaps (cm)

Total length

(cm)

suitable for

guide wire

04 00 80 10 03 JS

04 00 80 10 05 JS

04 00 80 10 07 JS

04 00 80 10 10 JS

04 00 80 10 13 JS

3

5

7

10

13

5

7

9

12

15

Article-no. 10.0

Length between

the flaps (cm)

Total length

(cm)

suitable for

guide wire

04 01 00 10 03 JS

04 01 00 10 05 JS

04 01 00 10 07 JS

04 01 00 10 10 JS

04 01 00 10 13 JS

3

5

7

10

13

5

7

9

12

15

Article-no. 11.5

Ch.

Length between

the flaps (cm)

Total length

(cm)

suitable for

guide wire

04 01 10 10 03 JS

04 01 10 10 05 JS

04 01 10 10 07 JS

04 01 10 10 10 JS

04 01 10 10 13 JS

3

5

7

10

13

5

7

9

12

15

ORIGINAL

2

Guiding-system Jet-Set Ch 7.0, 8.5, 10, 11.5

including pre-loaded endoprosthesis, straight including pre-loaded pancreas endoprosthesis with side holes

length between the flaps length between the flaps

total length total length

Ch.

Article-no.

7.0 Ch.

Length between Total length suitable for

the flaps (cm) (cm) guide wire

04 30 70 10 03 JS 3 5

04 30 70 10 05 JS 5 7

04 30 70 10 07 JS 7 9

04 30 70 10 09 JS 9 11

including pre-loaded endoprosthesis, straight

Ch.

length between the flaps

total length

Article-no.

7.0 Ch.

Length between Total length suitable for

the flaps (cm) (cm) guide wire

04 00 70 10 03 JS 3 5

04 00 70 10 05 JS 5 7

04 00 70 10 07 JS 7 9

04 00 70 10 10 JS 10 12

04 00 70 10 13 JS 13 15

Packaging unit 2 pieces

Guide wire does not belong to the set Packaging unit 2 pieces

Guide wire does not belong to the set

50 TRANSMÉDICA TRANSMÉDICA 51

Re

g.-

No

. 2

02

9 |

07.

14 |

GB

Aspiration forceps Oval spoonshaped mouth with prominent spike

ARTICLE NUMBER

Aspiration forceps

Oval spoonshaped mouth with prominent spike

Article no. Diameter

(mm)

Diameter spike

(mm)

Length

(cm)

Special

Features

99 06 14 02 11 5 1,8 1 180

ARTICLE NUMBER

Lymph node biopsy forceps „Model Ruhrlandklinik Essen“ oval spoonshaped mouth with prominent

spike. The lymph node aspiration forceps was developed to collect samples from much larger para

bronchial lymph nodes.

Article no. Diameter

(mm)

Diameter spike

(mm)

Length

(cm)

Special

Features

99 11 06 11 02 30 1,8 1 120

We reserve the right to make technical changes and to deviate from the

depicted images.

56 TRANSMÉDICA

MTW-Endoskopie W. Haag KG I Goldsbergstraße 18 I D-46487 Wesel

Phone +49 2803 9120-0 I Fax +49 2803 8113 I E-Mail [email protected] I www.mtw-endoskopie.com

TRANSMÉDICA 53

Article no. Description Special features PU

10 70 1 Model Olympus, 2 openings, small for echo-duodenoscope 20

10 70 2 Model Olympus, 2 openings, large for echo-colonoscope 20

10 70 3 Model Pentax, 1 opening for echo-duodenoscope 20

10 70 4 Model Olympus, 1 opening for echo-duodenoscope 20

10 70 5 Model Pentax, 2 openings for echo-duodenoscope 20

10 70 6 Model Olympus series 160, 2 openings 20

10 70 7 Model Fujinon, 1 opening 20

10 70 8 Model Fujinon, 2 openings 20

10 70 9 Model Olympus, 2 openings for echo-bronchoscope 20

10 71 0 Model Pentax 3270, 2 openings for echo-duodenoscope 20

10 71 1 Model Olympus 180, 1 opening for echo-duodenoscope 20

10 71 2 Model Fujinon, radial, 2 openings 20

10 71 3 Model Fujinon, convex, 1 opening 20

Echo-hoods Balloons for echo endoscopy

Images in original size 1 2

Article no. 10 70 1

3 4 Model Olympus, 2 openings, small

Article no. 10 70 2 Ar

Model Olympus, 2 openings, large Mo

5 6

Article no. 10 70 3

Model Pentax, 1 opening

Article no. 10 70 4

Model Olympus, 1 opening

Article no. 10 70 5 7 8 Model Pentax, 2 openings

Article no. 10 70 6

Model Olympus Serie 160, 2 openings

9 10

Article no. 10 70 7

Model Fujinon, 1 opening

Article no. 10 70 8

Model Fujinon, 2 openings

11 12 Article no. 10 70 9

Model Olympus, 2 openings

Article no. 10 71 0

Model Pentax 3270, 2 openings

13

Article no. 10 71 1

Model Olympus 180, 1 opening

Article no. 10 71 2

Model Fujinon, radial, 2 openings

ARTICLE NUMBER EChO-hOODS

Article no. 10 71 3

Model Fujinon, konvex, 1 opening

1

2

3

4

5

6

7

8

9

10

11

12

13

We reserve the right to make technical changes and to deviate from the depicted images

54 TRANSMÉDICA TRANSMÉDICA 55

r diameter Total length Special features PU

(Ch.) (cm)

8,5 195 Cystostome with

pusher and short

straight endoprosthe-

sis for

n set Dr. C. Grotjahn

r diameter Total length Special features PU

(Ch.) (cm)

10 195 Catheter with pusher 2 pieces

and straight

endoprosthesis for

extension of

cyst drainage

wires

r diameter Total length Special features

(Inch) (cm)

0.035 460 Snap-Tip

Kink resistent guide wire

0.035 260 Snap-Tip

Kink resistent guide wire

04 90 10 03

Recommended guide

Article no. Oute

ARtIclE NUMBER 00 39 46

00 39 26

Re

g.-

N0

. 2

03

0| 0

7.1

4 |

GB

Article no. Oute

04 80 05 03

Cyst drainage set Dr. C. Grotjahn

Cyst drainage extensio

Article no. Oute

ARtIclE NUMBER RING kNIFE MoDEl PRoF. DR. U. WIll

Ring knife & Ring knife set Model Prof. Dr. U. Will

Article no. product description PU

04 82 10 00 Ring knife model Prof. Dr. U. Will for

guide wire 0.035“ (no illustration) Ø

1,8 mm, length 215 cm

2

ARtIclE NUMBER RING kNIFE sE t MoDEl PRoF. DR. U. WIll

Article no. product description PU

04 82 10 03 Ring knife set model Prof. Dr. U. Will

consisting of:

• Ring knife for guide wire 0.035“

Ø 1,8 mm, length 215 cm

• Pusher

Ø Ch. 10, length 165 cm

• 3-flap straight endoprosthesis

2

We reserve the right to make technical changes and to deviate from the depicted images.

60 TRANSMÉDICA TRANSMÉDICA 57

Article no. Outer diameter

(Ch.)

Total length

(cm)

Special features PU

04 80 05 03 8,5 195 Cystostome with

pusher and short

straight endoprosthe-

sis for transduodenal

cyst drainage

2 pieces

04 80 08 03 8,5 195 Cystostome with

pusher and straight

endoprosthesis

for cyst drainage

2 pieces

04 80 10 03 10 195 Cystostome with

pusher and straight

endoprosthesis

for cyst drainage

2 pieces

Article no. Outer diameter

(Ch.)

Total length

(cm)

Special features PU

04 90 10 03 10 195 Catheter with pusher

and straight

endoprosthesis for

extension of

cyst drainage

2 pieces

Article no. Outer diameter

(Inch)

Total length

(cm)

Special features

00 39 46 0.035 460 Snap-Tip

Kink resistent guide wire

00 39 26 0.035 260 Snap-Tip

Kink resistent guide wire

Re

g.-

N0

. 2

03

0| 0

7.1

4 |

GB

Cold snare

combination of

cold snaring and emergency coagulation

ARTICLE NUMBER

Cyst drainage set Dr. C. Grotjahn

HF connection

Cyst drainage extension set Dr. C. Grotjahn

Combination of cold snaring and emergency coagulation • cold snaring without Hf currency of polyps Ø 3-8 mm

• hot snaring of polyps Ø 8-15 mm

Recommended guide wires

ARTICLE NUMBER COLD SNARES

A HF connection is available for emergency coagulation

Article no. Opening width

mm

Diameter

mm

Length

cm

Special

features

PU

99 05 21 11 20 2 10 2,3 230 twisted 10

99 05 21 11 20 5 10 2,3 230 monofil 10

We reserve the right to make technical changes and to deviate from the

depicted images.

We reserve the right to make technical changes and to deviate from the depicted images

MTW-Endoskopie W. Haag KG I Goldsbergstraße 18 I D-46487 Wesel

Phone +49 2803 9120-0 I Fax +49 2803 8113 I E-Mail [email protected] I www.mtw-endoskopie.com

58 TRANSMÉDICA TRANSMÉDICA 59

Cyst drainage set

The cyst drainage set consists of a cystostome with an extended pusher and a 2-flap endoprosthesis.

The cyst drainage set was developed for the endoscopic puncture with HF-current. The endoprosthesis

for cyst drainage can be positioned without changing the instruments.

Removable connections

The puncture wire can be removed and replaced by a guide wire

(0.035 inches).

The prosthesis is pushed

for ward with the pusher.

Skorpio-Snare

Polypectomy snare

monofil wire with injection-needle

Figure 1 Figure 2

Figure 7

64 TRANSMÉDICA TRANSMÉDICA 61

Article no. Diameter

mm

Length

cm

Opening width

x y in mm PU

99 05 20 11 21 6 2,3 230 X = 15 / Y = 35 5

99 05 20 11 22 6 2,3 230 X = 20 / Y = 40 5

99 05 20 11 23 6 2,3 230 X = 30 / Y = 60 5

Article no. Description Diameter

Ø mm

Length

cm

PU

99 05 20 11 23 8 controllable opening width 2,6 230 2

Re

g.-

No 2

04

5 | 0

8.1

4 |

GB

Re

g.-

No

. 2

03

3 | 0

7.1

4 | G

B

Kudo Snare controllable opening width,

Polypectomy snare suitable

for mucosectomy

y

max. 45 mm

x

Mucosa resection snare

Model „EVK“ Düsseldorf

Symmetrical flat feather snare

• monofil flat wire for stabilization in the rear area

• twisted wire in the front cutting area

ARTICLE NUMBER SYMMETRICAL FLAT FEATHER SNARE

ARTICLE NUMBER KUDo sNARE

We reserve the right to make technical changes and to deviate from the depicted images.

We reserve the right to make technical changes and to deviate from the depicted images.

MTW-Endoskopie W. Haag KG I Goldsbergstraße 18 I D-46487 Wesel

Phone +49 2803 9120-0 I Fax +49 2803 8113 I E-Mail [email protected] I www.mtw-endoskopie.com

MTW-Endoskopie W. Haag KG I Goldsbergstraße 18 I D-46487 Wesel

Phone +49 2803 9120-0 I Fax +49 2803 8113 I E-Mail [email protected] I www.mtw-endoskopie.com

62 TRANSMÉDICA TRANSMÉDICA 63

HF-connection

the injection needle is

pushed back and forth.

ARtIclE NuMBER skoRPIo-sNARE

Polypectomy snare, oval, monofil wire, injection-needle included

cannulas up to 0,7 mm, needle exit 6 mm

Article no. opening width

x y in mm

Diameter

mm

length

cm

Pu

99 05 21 11 22 5 X = 20 / Y = 40 2,6 230 5

We reserve the right to make technical changes and to deviate from the

depicted images.

68 TRANSMÉDICA TRANSMÉDICA 65

Special snares

2 y

Polypectomy snare with injection-needles, X

monofil wire

Article-no. Diameter

(mm)

x

Length

(cm)

Opening-

width X/Y

(mm)

99 05 21 11 22 5 2,6 230 20 / 40 Y

Packaging unit = 5 pieces

monofil wire

Handel with nozzle to move the needle

ARTICLE NUMBER POLYP-CATCHER

Article no. Opening width

x y in mm

Diameter

mm

Length

cm

PU

99 07 30 23 0 X = 30 / Y = 60 2,3 230 10

99 07 40 23 0 X = 40 / Y = 75 2,3 230 10

We reserve the right to make technical changes and to deviate from the depicted images.

MTW-Endoskopie W. Haag KG I Goldsbergstraße 18 I D-46487 Wesel

Phone +49 2803 9120-0 I Fax +49 2803 8113 I E-Mail [email protected] I www.mtw-endoskopie.com

66 TRANSMÉDICA TRANSMÉDICA 67

® 1 1

Bite Block

MTW Endoskopie

MANUFAKTv

Cleaning-brushes, disposable MTW

Endoskopie

• Prevents bite-through and protects your device or instrument

• Attached strap holds mouthpiece in place

REF 10 01 77 3

Packaging unit = 100 pieces

72 TRANSM OICA ; ---------------- TRANSM OICA 69

Cleanlng-brushes, dlsposable ® Cleaning-brushes

Article-no. O·Brush O·IUbe Lenglh

0843050 3mm 1,6mm 100cm

0843150 3mm 1,6mm 180cm

0843250 3mm 1,6mm 230cm

085 1o51 5mm t.Bmm 180cm

'ltn ·•30 cm

280cm

Bite Block

MTW Endoskopie

M · ' F -

All disposable cleamng-brushes are

delivered In packagíng uníts.

Packaglng unlt = 50 plecas

Double-cleanlng-brushes

Article·n 0-Brush 0-tube Length

0843152 3mm 1,6mm 180cm

08 43 25 2 3mm 230cm

08 4 15 2 5mm 180 cm

08 4S 25 2 5mm

0843352 3mm

All disposable cleamng-brushes are

deliveredin packag•ng umts.

Packaglng unll =50 plecas

Disposable

f¡& 70 TRANSM DICI\ ---- -- - - - --------

-

: - - ----- - - - - --

--- TRANSM DICI\ 71

Biopsy valve for Olympus, Funjinon and Pentax endoscopes

order number unit

10 90 1 for Olympus and Funjinon endoscopes 50

10 90 2 for Pentax endoscopes * 50

Polyp Trap

order number unit

10 01 71 3 1

Polyp Trap*

order number unit

10 01 71 4 10

76 TRANSMÉDICA TRANSMÉDICA 73

Mouthguard for

children

Oxyguard D

Mouthguard

Mouthguard, disposable

with headstrap

order number description unit

10 01 76 0 Mouthguard orange, without

headstrap **

1

10 01 76 2 Mouthguard pink, for children

with headstrap

1

10 01 76 5 Oxyguard D Mouthguard for

oxygene insufflation, grey-blue,

without headstrap

10

10 01 76 7 Mouthguard blue, latex free with

blue headstrap **

1

10 01 77 3 Mouthguard, disposable with

headstrap

100

10 01 77 5 Textile-rubber headstrap, only 100

74 TRANSMÉDICA TRANSMÉDICA 75

2

Symmetrical polypectomy snares, X

twisted wire

Article-no. Diameter Length Opening-

(mm) (cm) width X/Y

(mm)

99 05 40 11 12 2 1,8 250 20 / 40

99 05 40 11 13 2 1,8 250 30 / 55

99 05 20 11 20 2 2,3 230 10 / 20 Y

99 05 20 11 21 2 2,3 230 20 / 40

99 05 20 11 23 2 2,3 230 30 / 55

99 05 40 11 21 2 2,3 250 20 / 40

99 05 40 11 23 2 2,3 250 30 / 55

Packaging unit = 5 pieces twisted wire

Symmetrical polypectomy snares, X

monofil wire

Article-no. Diameter Length Opening-

(mm) (cm) width X/Y

(mm)

99 05 20 11 22 5 2,3 230 15 / 30 monofil wire

Y 99 05 20 11 23 5 2,3 230 25 / 50

Handle

99 05 40 11 23 5 2,3 250 25 / 50

Packaging unit = 5 pieces monofil wire

Handle

1

Polypectomy snares

Symmetrical polypectomy snares, X

twisted wire

Article-no. Diameter

(mm)

Length

(cm)

Opening-

width X/Y

(mm)

99 05 40 11 12 2 1,8 250 20 / 40

99 05 40 11 13 2 1,8 250 30 / 55

99 05 20 11 20 2 2,3 230 10 / 20 Y

99 05 20 11 21 2 2,3 230 20 / 40

99 05 20 11 23 2 2,3 230 30 / 55

99 05 40 11 21 2 2,3 250 20 / 40

99 05 40 11 23 2 2,3 250 30 / 55

Packaging unit = 5 pieces twisted wire

Symmetrical polypectomy snares, X

monofil wire

Article-no. Diameter

(mm)

Length

(cm)

Opening-

width X/Y

(mm)

99 05 20 11 22 5 2,3 230 15 / 30

Y 99 05 20 11 23 5 2,3 230 25 / 50

99 05 40 11 23 5 2,3 250 25 / 50

Packaging unit = 5 pieces monofil wire

Asymmetrical polypectomy snares,

twisted wire

Article-no. Diameter

(mm)

Length

(cm)

Opening X

width (mm)

99 05 20 11 21 1 2,3 230 15

X

99 05 20 11 22 1 2,3 230 25

Packaging unit = 5 pieces twisted wire

80 TRANSMÉDICA TRANSMÉDICA 77

Otameter

Leoglh lltDtb fi

Opemng-

Art cle-no. Ofameter l.ength Openlng-

(mm) (cm) wldlh (mm) (cm) wldth

(Xm; m) (X= mm)

1,8 250 20130

2,3 250 20/30

2,3 250 30/45

Diametcr l..ength

Openlng· (mm) (cm) Wldth

(X= mm)

Spraycatheter

Articte-no. Olemeter

(mm)

Length (cm)

..

1 Foreign-body removing forceps,

r<'usb e

MTW Endoskopie

lithotomy and foreign body baskets,

disposable MTW 1

Endoskopie

Foreign·body removing forceps,3-arms, metal spring

Article-no.

130710120 1,8 250 30

Llthotomy and foreign body baskets, twi sted wires

®

99 13 0311 24 • 9913031134

9913031136

Packaging unit:5 pieces

Polypotome.3-arms, metal spring

( "-_

.

Art cle-no.

13 0720 22 o 2.2 250 30

tilidiñif·

Spraycatheter,

reusa;)le

13 01 01 21 o 1,8 250

13 01 01 31 o 2,3 250

-·: f '

m!

78 TRANSM OICA ------------------- : TRANSM OICA 79

Article-no. Olameter Length (X= mm) Desc:riptlon

(mm) (cm)

Article-no. Ofameter Length (mm) (cm) (X" mm} Deserlptton

®

1 Papillotomes,

disposable

MTW. Endoskopie

Sclerosing-needles,

disposable MTW. 1

Endoskopie

Papillotome, flliform

Sclerosing-needles, click-lock-system,

disposable

Article-no. Dlamntar (mm)

Lenglh (cm)

(X" mm) ® Artlcle-no.

Dlamettlf Length CannuJa O.scrlptlon

(mm) (cm) (onm)

Type

991302 00 51 1,6 250 30 0910728111 0910728212

1.8 2,2

280 280

0.7 O,7 wilh metaltip

•a• "b"

Papillotome, flli form, for guide wlre 0.035 inch ®

Packaglng unll:10 pfeees

9913023051 2,3> 1,8 250 30 ,.,

Papillotome B-11-stomach ®

991302 3161 2,3 250 15 1.,_

Needle-papillotome. lnjectíon through the cannula ® Article-no. Dlameter Length

(mm) (cm) (X= mm)

9913020111 2,3 250 6

84 TRANSM OICA -------------- - - -- - :

TRANSM OICA 81

2

Symmetrical polypectomy snares, X

twisted wire

Article-no. Diameter Length Opening-

(mm) (cm) width X/Y

(mm)

99 05 40 11 12 2 1,8 250 20 / 40

99 05 40 11 13 2 1,8 250 30 / 55

99 05 20 11 20 2 2,3 230 10 / 20 Y

99 05 20 11 21 2 2,3 230 20 / 40

99 05 20 11 23 2 2,3 230 30 / 55

99 05 40 11 21 2 2,3 250 20 / 40

99 05 40 11 23 2 2,3 250 30 / 55

Packaging unit = 5 pieces twisted wire

Symmetrical polypectomy snares, X

monofil wire

Article-no. Diameter Length Opening-

(mm) (cm) width X/Y

(mm)

99 05 20 11 22 5 2,3 230 15 / 30

Y 99 05 20 11 23 5 2,3 230 25 / 50

Handle 99 05 40 11 23 5 2,3 250 25 / 50

Packaging unit = 5 pieces monofil wire

Handle

twisted wire

1

Polypectomy snares

Symmetrical polypectomy snares,

X

monofil wire, rotatable

Article-no. Diameter

(mm)

Length

(cm)

Opening-

width X/Y

(mm)

99 05 20 21 22 5 2,3 230 17 / 32

Y 99 05 20 21 23 5 2,3 230 25 / 50

Packaging unit = 5 pieces monofil wire

Symmetrical polypectomy snares, X

twisted wire

Article-no. Diameter

(mm)

Length

(cm)

Opening-

width X/Y

(mm)

99 05 20 12 20 2 ES 2,3 230 15 / 30

Packaging unit = 50 pieces Y

99 05 20 12 23 2 2,3 230 30 / 55

Packaging unit = 10 pieces

99 05 20 12 23 2 ES 2,3 230 30 / 55

Packaging unit = 50 pieces

twisted wire

Symmetrical polypectomy snares, hexagonal X

twisted wire

Article-no. Diameter

(mm)

Length

(cm)

Opening-

width X/Y

(mm)

99 05 20 12 23 4 ES 2,3 230 30 / 55

Packaging unit = 50 pieces

Y

99 05 20 12 23 4 2,3 230 30 / 55

Packaging unit = 10 pieces

twisted wire

82 TRANSMÉDICA

Handle TRANSMÉDICA 83

GPAK Bile duct prosthesis application catheter

and endoprosthesis extraction catheter

88 TRANSMÉDICA TRANSMÉDICA 85

on­

markers

------

®

1 Guiding-systems. disposable

Jet-Set

MTW Endoskopie

New threelumen stone-extracti

balloon, with 2 opaque metal balloon MTW 1

' Endoskopie

Guiding-system consisting of:

Guiding catheter with 3 platinum rings

and Pusher

Bestei Nr.

Gu•dlng catheter

Pusher

forendo- for gulde wlre Color Paelceglng

O 1 Lengll'l O 1 Lengt prostheses unll (CI'.I ) / (cm) (Ch.) 1 (em) Ch.

0413818 5 1 250 8,5 1 220 8.5 l""i wl'liel 5 pieees

Guide wire

reusable

Klnk resistan!guide wire

NITINOL•

Artlcle-no. Charr. o mm

Lenglh Guido wlm (cm) (lnch)

Article-no. Oiamler (lneh)

Length Oescnpllon

(cm)

13 0326 72 33

Packaglng unll :2 pieces

7 16 250 0.035 lhreelumen

00 22 55 0.025 550 groen·black

86 TRANSM OICA ------------------- - : TRANSM OICA 87

Article no. Length be-

tween the

flaps (cm)

Total

length

(cm)

Diame-

ter

(Ch.)

Diame-

ter

(Ch.)

Length

(cm)

for guide wire

Ø inch

04 20 80 10 03 G 3 5 8,5 8,5 220 0.035

04 20 80 10 05 G 5 7 8,5 8,5 220 0.035

04 20 80 10 07 G 7 9 8,5 8,5 220 0.035

04 20 80 10 10 G 10 12 8,5 8,5 220 0.035

04 20 80 10 13 G 13 15 8,5 8,5 220 0.035

04 20 80 10 15 G 15 17 8,5 8,5 220 0.035

04 21 00 10 03 G 3 5 10 10 220 0.035

04 21 00 10 05 G 5 7 10 10 220 0.035

04 21 00 10 07 G 7 9 10 10 220 0.035

04 21 00 10 10 G 10 12 10 10 220 0.035

04 21 00 10 13 G 13 15 10 10 220 0.035

04 21 00 10 15 G 15 17 10 10 220 0.035

Article no. Diameter

(Ch.)

Length

(cm)

04 12 81 8 8,5 220 for endoprostheses Ch. 8,5

04 12 81 9 10 220 for endoprostheses Ch. 10

Reg

.-N

o.

20

31 |

07.1

4 |

GB

ARTICLE NUMBER GPAK WITH ONE ENDOPROSTHESIS

Packaging unit: 2 pieces

Size of the endoprosthesis Size of the prosthesis system

Foreign body removing-forceps short alligator mouth, 1 to 2 teeth,

long alligator mouth 1 to 2 teeth

ADDITIONALLY AVAIL ABLE ENDOPROSTHESES FOR THE GPAK-ENDOPROSTHESIS-SET

Endoprosthesis straight, dark gray, PTFE, with platinum ring.

Please select an order number from the table above for additional endoprostheses.

The „G“ at the end of order number is omitted.

Total length

Length between the flaps

Ø 8,5 Ch. or Ø 10 Ch.

ARTICLE NUMBER FOREIGN BODY REMOVING-FORCEPS ARTICLE NUMBER ENDOPROSTHESIS EXTRACTION CATHETER

Packaging unit = 2 pieces

Article no. Description Diameter

mm

Length

cm

PU

99 07 21 32 0 short alligator mouth, 1 to 2 teeth 2,3 230 100

99 07 21 42 0 long alligator mouth, 1 to 2 teeth 2,3 230 100

We reserve the right to make technical changes and to deviate from the depicted images.

MTW-Endoskopie W. Haag KG I Goldsbergstraße 18 I D-46487 Wesel

Phone +49 2803 9120-0 I Fax +49 2803 8113 I E-Mail [email protected] I www.mtw-endoskopie.com

92 TRANSMÉDICA TRANSMÉDICA 89

Re

g.-

No.

20

39 | 0

7.1

4 | G

B

Dilatation balloons

Inflator

Dilatation balloons • TTS – dilatation balloon (achalasia excluded)

• for guide wire 0,035“

• high pressure build-up

• different versions

• easy handling

• ergonomic form

• advanced safety standards

ARTICLE NUMBER DIL ATATION BALLOON

Article no. Catheter (mm) Balloon (mm) Pressure (ATM) Working channel

Length ø Length ø Recommen-

ded

Maximum

permitted ø

12 06 40 250 2500 2,4 40 6 8 13 2,8

12 08 40 250 2500 2,4 40 8 8 13 2,8

12 10 40 250 2500 2,4 40 10 8 13 2,8

12 12 60 250 2500 2,4 60 12 6 10 2,8

12 14 60 250 2500 2,4 60 14 5 9 2,8

12 18 80 250 2500 2,4 80 18 4 8 2,8

12 20 80 250 2500 2,4 80 20 4 7 2,8

ARTICLE NUMBER ACHAL ASIA BALLOON

Article no. Catheter (mm) Balloon (mm) Pressure (ATM) Length ø Length ø Recommen-

ded

Maximum

permitted

12 30 80 90 900 3,5 80 30 2,5 4 Use outside the

endoscope 12 35 80 90 900 3,5 80 35 2,5 4

ARTICLE NUMBER INFL ATIONS-INSTRUMENT

Article no. Capacity (cc) Pressure (ATM) Connection

12 30 3 30 30 3-way-valve

We reserve the right to make technical changes and to deviate from the depicted images.

MTW-Endoskopie W. Haag KG I Goldsbergstraße 18 I D-46487 Wesel

Phone +49 2803 9120-0 I Fax +49 2803 8113 I E-Mail [email protected] I www.mtw-endoskopie.com

90 TRANSMÉDICA TRANSMÉDICA 91

Article no. Description Diameter

mm

Length

cm

PU

99 07 23 12 3 3 arms

PTFE-Mantel

2,3 230 100

2 mm

X

1,4 mm

2 further ESD-/EMR-Knives from

®

Endoskopie

ESD-knife, insulated Sapphire ball tip, model "b"

Ø 2,3 mm

Article-no.

X

(mm)

Diameter

(mm)

Electrode

Ø (mm)

X

Length

(cm)

99 02 02 71 5 2,3 0,4 185

• variable setting of cutting length • minimal invasion into deeper tissue

• minimal risk of perforation b

Hook-knife, model "c"

Article-no. X

(mm)

Diameter

(mm)

Electrode

Ø (mm)

Length

(cm)

99 02 02 81 5 2,6 0,4 185

• incision and dissection longitudinal and lateral direction • cutting and raising of mucusa in pulling technique

c

Triangle-knife, model "d"

Article-no.

X

(mm)

Diameter

ca. (mm)

Electrode

Ø (mm)

Length

(cm) X

Polypotome 99 02 02 91 5 2,6 0,4 185

• marking, incision and dissection • cut in any direction • hemostasis of smaller bleeding d

UNI-knife (universal-knife), model "f"

Foreign body

removing forceps

PTFE-tube

Article-no.

X

(mm)

Diameter

ca. (mm)

Wire

Ø (mm)

Length

(cm) X

PTFE-tube

99 02 05 11 variabel 2,3 > 1,8 0,3 185 • cut in any direction • variable cutting length for marking, incision and dissection • perforation protection at the end of the tube

• flexibility reduces mechanical perforation f

ESD-knife, insulated Sapphire tip with triangle,

model "g"

Detail „A“

Cutting

Saphir-

Ø 2,3 mm

ARTICLE NUMBER FOREIGN BODY REMOVING FORCEPS

Article-no. X

(mm)

Diameter

(mm) Electrode

Ø (mm)

Length

(cm) knife tip

X

Detail „A“

99 02 22 91 5 2,3 0,4 185

• for simple white area dissection • variable setting of cutting length • minimal invasion into deeper tissue • minimal risk of perforation

g Triangle knife

ARTICLE NUMBER POLYPOTOME

Article no. Description Diameter

mm

Length PU

cm

99 07 23 22 3 3 arms

PTFE-tube

99 07 24 22 3 4 arms

PTFE-tube (no illustration)

2,3 230 100

2,3 230 100

96 TRANSMÉDICA TRANSMÉDICA 93

-Set ®

Endoskopie "Endoscopic Submucosa-Dissection"

-Set

"Endoscopic Submucosa-Dissection"

®

2

-Set "Endoscopic Submucosa-Dissection"

Needle-knife, model "a"

X Article-no. X

(mm)

Diameter

(mm) Electrode

Ø (mm)

Length

(cm)

99 02 02 11 6 1,6 0,3 185

Needle tip

• incision and dissection

Injection-needle, with distal guide ring

X

Article-no.

X

(mm)

Diameter

(mm)

Needle

Ø (mm)

Length

(cm)

09 10 71 82 12 5 2,35 0,7 180

• for local injection and tissue lifting

Ø 2,3 mm ESD-knife, insulated Sapphire tip, model "e"

Article-no. X Diameter Electrode Length

(mm) X

ca. (mm) Ø (mm) (cm)

99 02 22 81 5 2,3 0,4 185

• best setting of cutting length

• minimal invasion into deeper tissue

• minimal risk of perforation

• able to lift tissue

Grasping-forceps X

Article-no. X

(mm)

Diameter

(mm)

Length

(cm)

07 21 24 0 10 2,6 185

• for atraumatical removal of tissue by maintaining

the tissue border line

ESD-set 8 99 02 01 0 consisting of:

1x Needle-knife 99 02 02 11

1x Injection-needle 09 10 71 82 12

1x ESD-knife, insulated Saphir tip 99 02 22 81

1x Grasping-forceps 07 21 24 0

Substitute-ESD-set 8 99 02 01 1 consisting of:

1x Needle-knife 99 02 02 11

1x Injection-needle 09 10 71 82 12

1x ESD-knife, insulated Saphir tip 99 02 22 81

Technical changes and picture deviations are reserved

94 TRANSMÉDICA TRANSMÉDICA 95

Detalles y componentes

OTSC® System Está formado por un capuchón de aplicación con un clip incorporado, hilo y una manija para la liberación del clip.

El capuchón se coloca en la punta del endoscopio. El clip se acciona apretando el hilo con la manija de lib-

eración. El sistema es muy flexible, por lo que es usado para múltiples indicaciones y en todos los equipos

convencionales de endoscopia. Los diversos clips y capuchones pueden clasificarse de la siguiente manera:

Carac terísticas y tamaños del capuchón de aplicación :

• Tres diferentes tamaños de capuchones adaptables para casi todos los endoscopios comerciales

(tamaños 11, 12, 14)

• Dos diferentes profundidades del capuchón para agarrar menos o más tejido durante la aproximación

(3 y 6 mm)

• Carac terísticas de los clips :

• Tres diferentes tamaños adaptados al tamaño del capuchón ( tamaños 11, 12, 14)

• Tres diferentes formas de dientes adecuado para diferentes indicaciones y tejidos ( tipos a, t, gc)

Versiones del OTSC® : type a type t type gc

Diámetro del endoscopio Ø 8.5 – 11 mm Ø 10.5 – 12 mm Ø 11.5 – 14 mm Over-The-Scope Clipping system para endoscopia flexible Profundidad

del capuchón

3 mm 6 mm

OTSC® Reloader

El Recargador es usado para recargar un segundo clip en un OTSC® System ya montado si fuera necesario en la

misma sesión. El OTSC® Reloader no se incluye en el OTSC® System y debe ser ordenado separadamente.

Está disponible con clips de todos los tamaños y versiones.

Accesorios de aplicación del OTSC®

Dos instrumentos están disponibles para facilitar el uso del OTSC® System.

Para una mejor aproximación del tejido especial-

mente cuando está endurecido (ej. fístulas, úlceras

crónicas). Shaft flexible, longitud 165 cm y 220 cm.

OTSC® Anchor 220 tt, especial para tejido delgado.

Para una fácil aproximación de los bordes

de la lesión (ej. perforación).

Shaft flexible, longitud 165 cm y 220 cm.

100 TRANSMÉDICA TRANSMÉDICA 97

El nuevo OTSC® System es sinónimo de eficacia en endoscopia flexible para

• Sangrado agudo

• Cierre de todo el espesor de la pared

• Compresión y aproximación del tejido

• Manejo de complicaciones luego de endoscopias o intervenciones quirúrgicas

OTSC ® O ver-The-Scope Clipping para endoscopia f lexible

Type a

Type t

Type gc

El OTSC® System es un nuevo sistema de clipado para

ser aplicado por vía endoscópica. Ofrece al médico

tres características únicas comparadas

con otros sistemas:

• Mayor volumen de tejido asegurado

• Mayor estabilidad del sitio de la lesión

• Estiramiento mínimo del tejido circundante

Las excepcionales características y las funciones tera-

péuticas del sistema están basados en su material

único y en el diseño: El Nitinol superelástico es bio-

compatible y de ser necesario el clip puede ser aplica-

do como un implante a largo plazo.

El uso del OTSC® System es intuitivo y fácil, muy simi-

lar a otros dispositivos que usan capuchones. Es

compatible con todos los endoscopios comerciales.

Una variedad de tamaños y tipos están disponibles.

Todos los productos OTSC® son descartables y

diseñados para el uso en un solo paciente.

Además para un cierre fácil y preciso de lesiones

grandes, se disponen de accesorios de aplicación

del OTSC: OTSC® Twin Grasper y el OTSC® Anchor

ayudan a aproximar el tejido para el tratamiento

de perforaciones, fístulas, etc.

Aplicación

Hemostasia Cierre de paredes

Visualización de la lesión

(Si es necesario usar los accesori-

os de aplicación del OTSC®)

… aproximación del

capuchón al tejido …

… aplicación del clip con la

manija de liberación …

… procedimiento

completado.

Visualización de la lesión

(Si es necesario usar los accesorios

de aplicación del OTSC®) …

… aproximación del

capuchón al tejido …

… aplicación del clip con la

manija de liberación …

… procedimiento

completado.

Ejemplo: Detener la hemorragia post polipec tomía

Más ejemplo: Úlcera péptica sangrante

Ejemplo: Cierre de fístula en el colon

Más ejemplos: Perforaciones, fugas anostomóticas, otras complicaciones post operatorias

Indicaciones adicionales Marcado endoscópico, cierre de órganos en el tracto gastrointestinal despues de interveniónes NOTES (Natural Orifice Transluminal Endoscopic Surgery)

98 TRANSMÉDICA TRANSMÉDICA 99

Application System

EPI provides an innovative powder delivery system to enable endoscopists to spray the powder- G I

format agent directly to the designated site via endoscope. The innovative applicator includes a

delivery catheter and a specially designed powder/gas mixing chamber that is connected to the

powder container and an external gas source.

The delivery catheter is inserted into the endoscope and positioned towards the lesion in the gastro-

intestinal tract. Pressure coming from the gas compressor propels the powder through the catheter

directly to the designated area. The unique anti-reflux design prevents occlusion.

Technology Advantages

+ Directly spray the powder to the designated area

+ Works for both gastroscopy and colonoscopy

+ Easy to deploy

NEW TOPICAL THERAPEUTIC SOLUTIONS

FOr GASTROINTESTINAL ENDOSCOPy

104 TRANSMÉDICA TRANSMÉDICA 101

Technologies

Polymer Solution for hemostasis

AMP® technology is a proprietary engineering process that modifies plant starch into biocompatible,

absorbable hemostatic polysaccharides.

AMP® particles have a molecular structure that rapidly absorbs water from blood, causing a high

concentration of platelets, red blood cells and coagulation proteins at the bleeding site which accel-

erates the physiologic clotting cascade. The interaction of AMP® particles with blood rapidly

produces a gelled matrix that adheres to and seals the bleeding tissue. AMP® particles are readily

dissolved by saline irrigation and are degraded rapidly by human enzymes.

AMP® particles have been widely used in open surgery and proved to be safe and effective in

achieving hemostasis.

+ Efficacy

+ Safety

+ Ease of Use

102 TRANSMÉDICA TRANSMÉDICA 103

102 TRANSMÉDICA

Agentes de diagnóstico y consumibles

Clotest (prueba de detección para helicobacter pylori).

Product

EndoClot® Polysaccharide Hemostatic

System (EndoClot® PHS)

EndoClot® PHS consists of Absorbable Modified Polymers (AMP®) and a powder delivery system. It

is intended for use as an adjunct hemostat to control bleeding from capillary, venous or arteriolar

vessels in the upper and lower GIT.

Powder

AMP® particles are biocompatible, non-pyrogenic and starch

derived. AMP® particles contain no human or animal com-

ponents.

+ Adhesive

+ Ultra hydrophilic

+ Fast degradation

Applicator

The applicator is composed of a powder/gas mixing chamber,

a delivery catheter and connecting tube with a gas filter to

external gas source.

+ Easy to control

+ Anti-reflux design to prevent occlusion

+ Effective for use in hard to reach areas

air source

EndoClot® Air Compressor is the recommended gas source

for the powder delivery system.

H (Anti-reflux gear):

Air Pressure at 18 ± 3 kPa

L (Powder spraying gear):

Air Pressure at 12 ± 3 kPa

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Hemostatic solution in upper and

lower GIT to control bleedings

EndoClot® PHS is safe and effective for controlling bleeding in GIT. It works particularly well for

large and oozing wounds. Additionally, it allows endoscopists to control bleeding when conventional

hemostatic techniques are impractical to apply. EndoClot™ PHS can be used to prevent re-bleeding

after endoscopic, invasive surgery.

Indications for use:

+ Peptic ulcer bleeding

+ Bleeding from minimally invasive surgery

+ Biopsy

+ Polypectomy

+ EMR

+ ESD

Application techniques

+ Remove excess blood

+ Spray a liberal amount of AMP® particles on the wound site

+ Hold the dispenser and gas/powder chamber in an upright position to

avoid spillage when inserting catheter into endoscope

+ Avoid direct contact of catheter tip with any fluid to prevent blockage

+ Avoid folding catheter

+ Apply quickly, deflation is required when EndoClot™ PHS is used

in GIT for over more than one minute

A B C D E

A EMR was applied to remove the colon adenoma

B AMP® particles were applied to control heavy postoperative bleeding

C A gel-like barrier formed to ”seal” the bleeding wound

D 48 hour reexamination – clean wound

E 1 month reexamination – wound healed completely

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Agentes de diagnóstico y consumibles

Pytest (prueba de aliento).

Consumibles para Pytest

• Air pump - Bomba de aire

• Líquido colector. 1000ml

• Collection vials (viales)

• Dispensador

• Dispensador RDSF

• Líquido de centelleo. Galón 4 lts

• Set estándar (set de calibración).

• Máquina Pytest

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1

1 proving

visualisation

and tip control

during

co onoscopy.

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Designed to:

•Enhance visualisation of colonic mucosa

•lmprove tip control during extubation

•Help clinicians perform EMR on difficult

lesions.

The Endocuff is disposable and simply slides over the tip of the colonoscope distal to the bending section. lt does not interfere with normal colonoscope function. Each individual flexible arm is hinged at its base so that during anal intubation and forward motion they automatically retract into the EndoCuff casing to create a smooth low friction surface. The Endocuff takes colonoscopy to a new level of detection with its innovative, intuitive and easy to use approach. The Endocuff gently opens the colon for easy inspection, its unique array of flexible arms maintains the tip of the instrument in the centre of the lumen and retracts the mucosal folds to allow dynamic inspection as they move back into their resting position. Endocuff provides better tip control so that the endoscopist is able to withdraw without sudden slippage. The flexures can be inspected in greater detail and concertinaed tracts of sigmoid colon are opened as the arms gently separate the folds to provide a clear view of the mucosa behind them. Maintaining tip position during EMR and polypectomy is essential to ensure the procedure is performed safely and quickly. The Endocuff acts as a handbrake allowing optimization of tip position during therapy and retrieval and helps to prevent movement as instruments are fed through the biopsy channel. Endocuff brings better tip control and vision to colonoscopy.

@noocupp·

1 lmproved

lip control

The advantages of Endocuff assisted colonoscopy:

•There is no interference of vision even when using the latest 170 degree colonoscopes.

•The mucosal folds are retracted automatically during colonoscope withdrawal, enabling their upstream surface and the mucosa between the folds to be viewed.

•The movement of the folds provides a dynamic picture so even the smallest of polyps can be identified by the play of light across the mucosal surface.

•Fold retraction begins before de fold is viewed so there is no need to keep re-intubating to manipulate folds that are beyond the tip.

•Larger folds, folds ata flexure or those in a wider part of the colon can be manipulated with ease.

•The Endocuff centres the colonoscope in the middle of the lumen preventing sudden slip back and annoying "red-out".

•The protrusions can be used to manipulate mucosal lesions and the environment around them during EMR. Lesions that are difficult to access and those hidden behind folds are now accessible for treatment.

Endocuff enhances the endoscope

without impeding its flexibility

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1 1

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1

C€

1

THE STANDARD

lntend use

Black Eye is indicated for endoscopically marking lesions in the Gl tract when the

endoscopist anticipates the lesion will require surgical removal within 30 days.

Technological Characteristics and Substantial Equivalence

Black Eye is substantially equivalent to the predicate colon marker. The Black Eye and the predicate

device have same indications for use. Both are carbon black formulations that are used for

endoscopically tattooing or marking the colon.

The Black Eye Endoscopic Marking System provides a method of marking cancerous lesions on the

wall of a patient's stomach or colon during an endoscopic procedure. The mark provides a reference

point for subsequent removal of the tissue. The inexpensive packaging solution turned the

technology into a product, by creating a whimsical brand identity that uses color and simple

iconography that make it appear less threatening, thereby reducing user anxiety.

Why it's better for your patients

lt's safe.

India ink preparations contain shellac, phenol and ammonia that, even in dilute solutions, should be avoided. Black Eye's biocompatible. Non-toxic formulation contains no India lnk.

lt's sterile.

Black Eye is a single use product so sterility is easily maintained. Each syringe is stream-sterilized prior to packaging and shipping.

Each syringe is prefilled.

Preparation is simplified thanks to Black Eye's ready-to-use product design. Each syringe comes with Scc of the marking fluid.

Just shake it vigorously prior to use.

lt's easy to work with.

Black Eye is easier to use than lndia-ink-based markers, and it has a shelf life of two years.

Packing 5ml syringe, box of 10.

0120

THE STANDARD CO, LTD.

Jdh 1007, Digital 2cha Valley, Byucksan, #481 -1O, Gasan-dong, Gaumchaon-gu, Seoul, Korea.

Tel: 82-2-838-5533. Fax 82-2-838-5523,[email protected] www.thestandard.co.kr

www.thestandard.co.kr

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1 Non-India lnk based CE aooroved tattoo lnk. 1

ENDOSCOPIC MARKER

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- THE STANOARO CO_ LTD•

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Te:! 82·1·83.8·5533. Fu::82 2-838·5Slltn.b:m@thestd co.kr. WWol(.thf'standatd.coJu

120 TRANSMÉDICA -------------- - - - -- - : :--------------------------- TRANSMÉDICA 117

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TRANSMÉDICA 119 64 TRANSMÉDICA

CLINICAL DATA

A recent clinical trial of 22 patients (16 pancreatic,

6 cholangiocarcinoma) was reported in

Gastrointestinal Endoscopy Journal (GIE). The

patients were treated with the EndoHPB catheter

between January 2009 and April 2010 and the

study was conducted to demonstrate safety and

report on 90 day biliary patency. Deployment of the

catheter was successful in 21 patients. Self

Expanding Metal Stent (SEMS) placement was

achieved in all cases after deployment of our

catheter (Steel et al, GIE 2011;73:149-153).

In another trial, the Imperial College team have also

observed a statistically significant improvement in

survival at 3 months and 6 months in patients

treated with intraductal RF ablation compared to a

retrospective cohort treated only with SEMS (pre-

publication data).

USAGE

The HabibTM EndoHPB can be used with a range of

commonly available RF generators. The purchase of

a corresponding adapter cable is required.

PUBLICATIONS

Feng X, Pai M, Mizandari M, Chikovani T, Spalding D,

Jiao L, Habib N. Towards the optimization of

management of hepatocellular carcinoma. Frontiers

of Medicine 2011;5(3):271-27

Steel AW., et al. Endoscopically applied

radiofrequency ablation appears to be safe in the

treatment of malignant biliary obstruction.

Gastrointestinal Endoscopy 2011;73(1):149- 153.

Monga A, Gupta R, Ramchamdani M, Rao GV,

Santosh D, Reddy N. Endoscopic radiofrequency

ablation of cholangiocarcinoma: a new palliative

treatment modality. Gastrointestinal Endoscopy,

2011; 20/10: 1-3.

Radiofrequenzablation bei malignen

Gallengangsstenosen: Eine Publikation – zwei

Meinungen! (in Austrian German)

Itoi T, et al. Evaluation of effects of a novel

endoscopically applied radiofrequency ablation

biliary catheter using an ex-vivo pig liver. Journal of

Hepato-Biliary-Pancreatic Sciences, 2011; Published

Online 25 October 2011: 1-5.

SmartBand™ Ligation System

Banding is our Business

PRODUCT NUMBER

6800

FDA STATUS

510(k) Cleared - Class II

Clearing of obstructed SEMS with HabibTM EndoHPB

SPECIFICATIONS

8Fr (2.6mm), Useable Length

180cm

SHELF LIFE

3 Years

CE STATUS

Cleared - Class IIb

REQUIRED ACCESSORIES

EMcision generator adapter

cable

IMPORTANT 1Prior to use, refer to Instructions for Use supplied with the device for indications, contraindications, adverse effects, suggested

procedure, warnings, power settings and precautions.

A 90cm length catheter specifically for percutaneous use is available to order (product number 3700)

CONTACT: [email protected] MORE INFORMATION: WWW.EMCISION.COM

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Product Specifications Used to endoscopically ligate esophageal varices at or above the gastroesophageal junction and to ligate

internal hemorrhoids

HabibTM

• High-retention bands contain less than half the latex proteins

compared to other banding devices*

• Specialized UV protected packaging maintains band performance for

up to 24 months shelf life

• Advanced friction-fit barrel design is compatible with the widest

range of upper GI endoscopes from 8.6mm – 11.6mm

• Revolutionary, single-hub ligation handle allows for

full-functionality with the simplicity of a one-way rotation for band deployment

• Larger handle stem inner diameter, 9.8Fr, ensures maximum space

for suction and flushing capabilities**

• Improve endoscopic view during the procedure by using the

dedicated flush port and connector tube for immediate irrigation

• The one-piece loading device utilizes PermaCoil™ technology

for reliable device assembly

• Use the standalone SmartBand Ligation Pack when additional bands

are required to complete the procedure

EndoHPB

Ablation of Tissue in the

Gastro-intestinal Tract

The HabibTM EndoHPB is a novel endoscopic bipolar radiofrequency

(RF) catheter used to ablate tissue in the gastro-intestinal tract.

SmartBand Ligation Kit

Components: Ligation Handle, Loading Device, Connector Tube and Deployment Cord with Barrel of Bands

Order

Number

Reference Part

Number

Barrel

Diameter (mm)

Number of

Bands

Band

Material

Shelf Life

(months)

IE11002 SLK-6 8.6 - 11.6 6 Latex 24

This device is supplied non-sterile and is disposable, single-use only

SmartBand Ligation Pack

Components: Deployment Cord with Barrel of Bands

Order

Number

Reference Part

Number

Barrel

Diameter (mm)

Number of

Bands

Band

Material

Shelf Life

(months)

IE11001 SLP-6 8.6 - 11.6 6 Latex 24

This device is supplied non-sterile and is disposable, single-use only

We have received 510(k) clearance by the FDA

“to assist in the coagulation of tissue during

Endoscopic surgical procedures in the

Gastrointestinal tract”. Endoscopists are using

this device on tumors in the bile duct and head

of the pancreas for partial tumor destruction

prior to stent insertion and to clear occluded

metal stents.

The HabibTM EndoHPB has an 8Fr (2.6mm)

diameter, 180cm useable length and two

stainless steel electrodes at the distal tip. It is

compatible with endoscopes that have a

The catheter is introduced over a 0.035"

guidewire into the common bile duct (CBD) via

the Ampulla of Vater, where it is used to heat

and ablate tissue. Its electrodes are designed to

operate at an efficient energy level and are

activated at maximum 10 Watts for only 90

seconds1 before the device is removed and a

stent inserted. The EndoHPB’s safety and

efficacy have been established by a growing

number of publications in medical journals and

the device has been successfully used in

hundreds of patients throughout the world with

no perforations of the bile duct wall reported. *Data on file at Intelligent Endoscopy

**Not compatible with Pentax® endoscopes. Pentax is a registered trademark of Pentax Medical. working channel of 3.2mm or greater.

CONTACT: [email protected] MORE INFORMATION: WWW.EMCISION.COM

© IE 2014 SLS-022015

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