EndoWorldENT 106-E/11-2009

Pediatric Bronchoscopy VANCOUVER Optical Forceps

In infants and toddlers, bronchial foreign bodies are often too small to be removed with standard optical peanut forceps. Most commonly, very troublesome foreign bodies are nut fragments, only around 2 mm diameter, lodged distally in a segmental brochus, and often surrounded by granulation tissue. Before the development of the Vancouver forceps, the-se small bronchial foreign bodies could only be removed using a small, slim non-optical peanut forceps (without the benefits of distal illumination) or an optical bronchial biopsy forceps (which tends to take a bite out of soft foreign bodies).

The new Vancouver forceps is a marriage of the small, slim peanut forceps with a rod-lens telescope. It provides excellent visualization and the ability to gently grasp the foreign body beyond its equator, in order to facilitate rapid, safe and com-plete removal of the foreign body. It can be used through a bronchoscope as small as 3.5 mm diameter. It has been used successfully to remove a small piece of a crayon and a small nut fragment from segmental bronchi and is anticipated to be-come an important addition to the pediatric bronchoscopists instrumentarium. The Vancouver forceps should help make removal of smaller bronchial foreign bodies faster and safer and might help prevent the need for thoracotomy and bronchotomy in infants and toddlers.

Jeff LUDEMANN M.D.Clinical Associate Professor of Otolaryngology

University of British Columbia and BC Childrens Hospital Vancouver, Canada

Pediatric Bronchoscopy

Fig. 1a: A small piece of crayon is visualized in the segmental bronchus of a toddler.

Fig. 1b: The bronchial walls are gently dilated as the forceps are advanced beyond the equator of the foreign body.

Fig. 2a: The foreign body is gently grasped… Fig. 2b: …and removed from the bronchus…

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Clinical examples

Fig. 3a: ...and through the trachea under optical visualization

Fig. 3b: The foreign body is pictured next to the VANCOUVER forceps (below) and the larger, standard optical peanut forceps (above).

10378 KSF VANCOUVER Optical Forceps, with spring-action handle for controlled removal of peanut fragments and soft foreign bodies with small, delicate jaws, for use with Telescope 10324 AA and the rigid bronchoscopes form the size 6 to 3.5

• SafetyThe New VANCOUVER Optical Forceps is also provided with the spring-actuted handle and prevents the user from exerting too much pressure on the foreign body, thus avoiding the danger of comminu-tion and therefore the risk of the foreign body sliding deeper into the bronchial system.

• Simple handlingThe tactility has been improved still further, so that the user is now able to feel exactly when he has gripped the foreign body. The conventional handle shape has been retained.

10378 KSF VANCOUVER10378 KSF VANCOUVER10378 KSF VANCOUVER

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New VANCOUVER Optical Forceps 10378 KSF for Pediatric Bronchoscopy

10339 A DOESEL-HUZLY Bronchoscope, length 30 cm, size 6

10339 B DOESEL-HUZLY Bronchoscope, length 30 cm, size 5

10339 BB DOESEL-HUZLY Bronchoscope, length 30 cm, size 4.5

10339 C DOESEL-HUZLY Bronchoscope, length 30 cm, size 4

10339 G DOESEL-HUZLY Bornchoscope, length 30 cm, size 3.7

10339 CD DOESEL-HUZLY Bronchoscope, length 30 cm, size 3.5

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10324 AA hr Straight Forward Telescope 0°, diameter 2.9 mm, working length 36 cm, autoclavable. Fiber optic light transmission incorporated. Color code: green

For use with the Pediatric Bronchoscopes

For use with Straight-Forward-Telescope

Additional Instruments

IMAGE 1™ HD HD Camera Control Unit

IMAGE 1 HUB™ HD Three-chip camera systems M 60 dB

Signal-to-noise ratio AGC Video output Input

Micro - processor- controlled

- Composite signal to BNC socket- S-Video signal to 4-pin Mini DIN socket (2x)- RGBS signal to D-Sub socket - SDI signal to BNC socket (only IMAGE 1 HUB™ HD with

SDI module)(2x) - HDTV signal to DVI-D socket (2x)

Keyboard for title generator, 5-pin DIN socket

Specifications:

Control output /input Dimensionsw x h x d (mm) Weight (kg) Power supply Certified to:

- KARL STORZ-SCB® at 6-pin Mini DIN socket (2x)- 3.5 mm stereo jack plug (ACC 1, ACC 2),- Serial port at RJ-11 - USB port (only IMAGE 1 HUB™ HD with ICM) (2x)

305 x 89 x 335 2.95 100-240 VAC, 50/60 Hz

IEC 601-1, 601-2-18, CSA 22.2 No. 601, UL 2601-1 and CE acc. to MDD, protection class 1/CF

22 2010 11U102 IMAGE 1 HUB™ HD Camera Control Unit (CCU) with SDI Module

for use with IMAGE 1™ HD and standard one- and three-chip camera heads, max. resolution 1920 x 1080 Pixel, with integrated KARL STORZ SCB® and integrated digital Image Processing Module, color systems PAL/NTSC, power supply 100 – 240 VAC, 50/60 Hzconsisting of:

22 2010 20-102 IMAGE 1 HUB™ HD (with SDI) Camera Control Unit400 A Mains Cord3 x 536 MK BNC/BNC Video Cable, length 180 cm547 S S-Video (Y/C) Connecting Cable, length 180 cm20 2032 70 Special RGB Connecting Cable2x 20 2210 70 Connecting Cable, for controlling peripheral units,

length 180 cm20 0400 86 DVI Connecting Cable, length 180 cm20 0901 70 SCB Connecting Cable, length 100 cm20 2001 30U Keyboard, with English character set

22 2010 20-1xx

• Maximum resolution and the consistent use of the 16:9 aspect ratio guarantee FULL HD

• Endoscopiccamerasystemshavetobeequip-ped with three-CCD chips that support the 16:9 input format as well as capturing images with a resolution of 1920 x 1080 pixels

The benefits of High Definition Technology (HD) for medical applications are• Up to 6 times higher input resolution of the cameradeliversmoredetailanddepthoffocus

• Using16:9formatduringimageacquisitionenlargesthefieldofvisionandsupportsergono-micviewing

• The brilliance of color enables optimal diagnosis• Lateralviewisenhancedby32%whenthe

endoscope iswithdrawnslightly,providingthe same image enhancement as a standard system.Anyverticalinformationlossisrestoredand the lens remains clean

SDI – Serial Digital Interface: optimized to display medical images on Flat Screens, Routing with OR1™ and digital recording with AIDA-DVD-M

ICM: USB-connector for recording video streams and stills on USB storage media or for connection of USB printers for direct printing of the recorded stills

IMAGE 1™ HD HD Camera Head

6 7

max. resolution 1920 x 1080 pixels, progressive scan, soakable, gas and plasma sterilizable, with integrated Parfocal Zoom Lens, focal length f = 15 – 31 mm (2x), 2 freely programmable camera head buttons, for use with color system PAL/NTSC

400 A Mains Cord9523 PS External 24VDC Power Supply9419 NSF Pedestal

The following accessories are included:

RG

B t

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5x B

NC

soc

ket

KARL STORZ HD Flat Screens

Color systems PAL/NTSC

Wall mounted with VESA

100-adaption

Desktop with pedestal

Order No.Version

Screen diagonal

Max. screen resolution Video input

l l ll l

VGA

to

15-p

in

HD

-D-S

ub s

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HD

-SD

I to

BN

C s

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Com

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BN

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Vide

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4-p

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Min

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SDI t

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DVI

to

DVI

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1920 x 1200

l

22 2200 55-3 50 Hz IMAGE 1™ H3-Z, 60 Hz Drei-Chip HD Kamerakopf

22 2200 55-3

Image sensor

Pixel output signall H x V

Dimensions

Weight

Min. sensitivity

Lens

Grip mechanism

Cable

Cable length

3x 1/3" CCD-Chip

1920 x 1080

Diameter 32-44 mm, length 114 mm

246 g

F 1,4/1,17 Lux

Integrated Parfocal Zoom Lens, f = 15-31 mm

Standard eyepiece detector,

non-detachable

300 cm

Specifications:

9524 NB

9526 NB

9524 N

9526 N

24"

26"

24"

26"

KARL STORZ AIDA® compact HD – the compact solution for digital storage

Special Features:• Digitalstorageofstillimageswitharesolutionof1920x1080,videosequencesin720pand

audio files• InterfacepackageHL7/DICOM• Sterile,ergonomicoperationviatouchscreen,voicecontrol,cameraheadbuttonsand/orfoot

switches• AutodetectionoftheconnectedcamerasystemonHD-SDI/SD-SDIinput(SD-SDIinputexclu-sivewiththeIMAGE1™camerasystem)

• EfficientarchivingonDVD,CD-ROMorUSBstick,multisessionandmultipatient• Possibilityofsavingonthenetwork• OptionalconnectiontothePACS,RISandHIS• Automaticgenerationofstandardreports• ApproveduseofcomputersandmonitorsintheORenvironmentasperEN60601-1• CompatibilitytotheKARLSTORZCommunicationBus(SCB)andtothe

KARL STORZ OR1™ connect series• KARLSTORZAIDA®compactHDisanattractive,digitalalternativetovideoprinters, videorecordersanddictaphones

20 0406 08U KARL STORZ AIDA® compact HD System Documentation system for digital storage of still

images, video sequences and audio files, power supply: 115/230 VAC, 50/60 Hz consisting of:20 0460 20 KARL STORZ AIDA® control II,

with integrated DVD/CD writer20 0405 77 AIDA compact II HD-Frame Grabber Card20 0902 34U PS/2 Compact Keyboard, English, with drape20 0404 02-17 AIDA® compact II HD Software,

with voice control and software protection20 040275 KARL STORZ USB Stick, with 2 GB2x 202210 70 Connecting Cable536 MK BNC-Connecting Cable, length 180 cm536 MKD BNC-Connecting Cable, length 30 cm20 0400 86 DVI-Connecting Cable, length 180 cm400 A Mains Cord20 0400 87 MiniDIN Cable Plug, to BNC female

l PAL l NTSC

l S-Video (Y/C) l Compositel RGBSl SDIl HD-SDIl DVI

l JPGl BMP

l MPEG2 l WAV l DVD+R l DVD+RW l DVD-R l DVD-RW l CD-R l CD-RW l USB stick

Video systems Signal input Image formats Video formats Audio formats Storage media

Specifications::

8 9

20 0904 01 15" KARL STORZ Touch Screen, wall mounted, RS-232, VGA, DVI-D resolution max. 1024 x 768 (XGA) incl. 3 Touch Screen covers

power supply: 100 VAC–240 VAC, 50/60 Hz consisting of: 20 0903 31 15" Touch Screen 20 0400 73 RS-232Cable, length 600 cm 20 0402 72 SVGA Cable, length 600 cm 20 0903 86 Touch Pen 20 0904 83 Adapter Set, VESA 75

20 0904 05 19" KARL STORZ Touch Screen, 24V Wall mounted, RS-232, VGA, DVI-D resolution max. 1280 x 1024 (SXGA mode), incl. 3 Touch Screen covers, power supply: 100 VAC–240 VAC, 50/60 Hz consisting of: 20 0904 37 19" Touch Screen 20 0400 73 RS-232Cable, length 6 m 20 0402 72 SVGA Cable, length 6 m 20 0903 86 Touch Pen

20 0904 03 15" KARL STORZ Touch Screen Desktop, RS-232, VGA, DVI-D resolution max. 1024 x 768 (XGA), incl. 3 Touch Screen covers power supply: 100 VAC–240, 50/60 Hz

consisting of: 20 0903 31 15" Touch Screen 20 0904 86 Base Stand 20 0903 86 Touch Pen

20 00904 06 19" KARL STORZ Touch Screen, 24V Desktop, RS-232, VGA, DVI-D resolution max. 1280 x 1024 (SXGA mode), incl. 3 Touch Screen covers power supply: 100 VAC–240 VAC, 50/60 Hz consisting of: 20 0904 37 19” Touch Screen 20 0904 87 Base Stand 20 0903 86 Touch Pen

Touch Screen Monitors

201331 01-1 KARLSTORZColdLightFontainXENON300,with integrated KARL STORZ SCB, integrated Anti-Fog pump, one 300 Watt Xenon Lamp and one KARL STORZ light outlet power supply: 100-125/220-240 VAC, 50/60 Hzconsisting of:20 1331 20-1 XENON 300400 A Mains Cord610 AFT Silikon Tubing Set, length 250 cm20 0901 70 SCB-Connecting Cable, length 100 cm

201330 27 Xenon Spare Lamp Module, 300 Watt, 15 Volt

201330 28 XENON Spare Lamp, 300 Watt, 15 Volt

Cold Light Fountain XENON 300 SCB®

Cold Light Fountain

Notes

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www.karlstorz.com

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KARL STORZ GmbH & Co. KGMittelstraße 8, 78532 Tuttlingen, GermanyPostfach 230, 78503 Tuttlingen, GermanyPhone: +49 (0)7461 708-0Fax: +49 (0)7461 708-105E-Mail: info@karlstorz.dewww.karlstorz.com

KARL STORZ Endoscopy-America, Inc.2151 E. Grand AvenueEl Segundo, CA 90245-5017, USAPhone: +1 424 218-8100Phone toll free: 800 421-0837 (US only)Fax: +1 424 218-8525Fax toll free: 800 321-1304 (US only)E-Mail: info@ksea.com