LASER INSTRUMENTATION

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LASER INSTRUMENTATION

Laser Instrumentation (Ebonized)

Ossoff-Karlan Laser Instruments

Pilling recommends the Ossoff-Karlan Laser

Instrumentation presented on the following pages.

GRASPING FORCEPS

509201 Left, 21 cm working length, ebonized

509202 Right, 21 cm working length, ebonized

509203 Straight, 21 cm working length, ebonized

MICRO SUCTION TUBE

Without thumb control.

509204 7 Fr., 7 1/2" (21.5 cm) working length, ebonized

MICRO-LARYNGEAL PROBES

509205 Straight, 26 cm overall length, ebonized

509206 Angled, 25 cm overall length, ebonized

OSSOFF-KARLAN VOCAL CORD ROLLER

This instrument was designed to facilitate greater direct exposure of the infraglottic surface of the true vocal cords.

509207 21 cm working length, ebonized

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509202 509206 509203 509207 509201 509205 509204

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Laser Instrumentation

(continued)

Ossoff-Karlan Laser Instruments

(continued)

LASER MIRRORS (MOST POPULAR)

A highly polished stainless front surface mirror. Available in five sizes. Suction available to draw smoke and steam. Shaft

is ebonized. 8 1/4" (21 cm) working length.

509208 4 mm diameter mirror

LASER PLATFORMS (MOST POPULAR)

The platform is inserted into the subglottic larynx above the level of the packed cottonoids. The platform helps to protect the cottonoids, endotracheal tube and cuff, and tissues of the subglottic larynx from any direct or reflected laser beam radiation. Shaft and tip are ebonized. 21 cm working length.

509214 4 mm diameter platform

Jako Laser Instruments

FRONT SURFACE MIRRORS

For directing the laser beam behind the vocal cord or into other inaccessible areas. Mirrors are made from a highly polished stainless steel and mounted on an aspirating tube, thus allowing the endoscopist to circulate air over the surface of the mirror for defogging or to evacuate smoke and plume.

Non-reflective finish on shaft. 23 cm working length.

ASPIRATING TUBES

For removal of smoke and steam created during laser surgery.

509012 “Velvet Eye” type, 20 cm working length

509013 Open end, 15 cm working length

509014 Clip for attaching aspirating tubes to laryngoscope up to 9 Fr. (3 mm)

LASER INSTRUMENTATION

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509208

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Laser Instrumentation

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Jako Laser Instruments

(continued)

ANGLED RETRACTORS

For protection of the anterior commissure and the evacuation of smoke and plume during laser surgery. Non-reflective

finish on shaft. 23 cm working length.

509004 Adult, right, 8 mm diameter

509005 Adult, left, 8 mm diameter

509006 Pediatric, right, 4 mm diameter

509007 Pediatric, left, 4 mm diameter

SPATULA RETRACTORS

For protection/retraction of the vocal cords and for the evacuation of smoke and plume during laser surgery. 23 cm working length. Non-reflective finish on shaft.

509008 Adult, right, 10 mm diameter

509009 Adult, left, 10 mm diameter

509010 Pediatric, right, 5 mm diameter

509011 Pediatric, left, 5 mm diameter

Dedo Laser Instruments

LASER MIRRORS

Used to direct the laser beam behind the vocal cords to other inaccessible areas. The mirrors are highly polished stainless steel mounted on aspirating tubes, allowing the endoscopist to circulate air over the surface of the mirror for defogging or to evacuate smoke and plume. Non-reflective finish on shaft. 22 cm working length. 509101 6 mm diameter mirror 509102 8 mm diameter mirror 509103 10 mm diameter mirror INCHES

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509006

509010

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506880 506884 506882 506886 506830 506842 506832 506844 506888

Shown with probe inserted into handle. Knives and probes can be set to any angle or depth relative to the handle.

(continued)

Feder-Ossoff Microlaryngeal Precision

Instruments for Phonosurgery

FEDER-OSSOFF PHONOSURGERY SET

These instruments were designed specifically for micro-laryngeal procedures to retain, restore, or improve voice quality. Ideal for use in delicate mucosal microflap dissection techniques.

• Delicate Mayo blades on scissors • Matte “laser” finish

• Angled handles and slender diameter shafts • Universal ring handle for knives and probes • 23 to 27 cm working length

• Much smaller than Jako-Kleinsasser • Durable storage and sterilization tray

506800 28 items, 506802 through 506890 (does not include 506884 or 506886)

KNIVES AND KNIFE HANDLE

All knives have 27 cm maximum working length, 3.2 mm – 1 mm tapered shaft. Working length is measured from front portion of handle to tip of instrument.

506880 Straight sickle, 3 mm blade

506882 Curved sickle, 3 mm blade

506884 Phono circle knife, 3 mm blade, (optional only)

506886 Phono knife round, 1.5 mm blade, (optional only)

506888 Universal ring handled knife handle with camlock

PROBE/ELEVATORS

These probe/elevators allow for sharp and blunt dissection and elevating of tissue. All probes fit into the camlock handle (506888). 27 cm working length.

506830 30˚ angle, blunt

506832 60˚ angle, blunt

506842 30˚ angle, sharp

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(continued)

Instruments for Phonosurgery

(continued)

FEDER-OSSOFF MICRO-LARYNGEAL FORCEPS

This series of forceps includes both alligator grasping jaw and cup biopsy jaws. The grasping forceps provide secure hold for delicate traction. The round cups provide a sharp, smooth cutting surface for precise biopsies. All forceps have matte “laser” finish and shafts that taper from 2.0 mm to 0.5 mm. Double action grasping forceps with coarsely serrated jaws and a suction channel. The 1.0 mm suction channel has a Luer-Lok proximal fitting and extends to 6.5 mm from distal end. Grasping forceps finely serrated jaws, 1.1 mm wide tapering to 0.6 mm, 4.0 mm long, working length 23 cm.

Cup forceps round biopsy cups with 1.0 mm jaw, working length 23 cm.

506856 Grasping Forceps, double action, straight, with suction

506858 Grasping Forceps, angled up

506860 Grasping Forceps, straight

506862 Cup Biopsy, 1 mm, straight

506864 Cup Biopsy, 1 mm, up angled

INCHES

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506856

506862 506860

506858

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(continued)

FEDER-OSSOFF MICRO-LARYNGEAL SCISSORS

All blunt scissors have Mayo type dissecting blades tapering to a 1 mm tip. All scissors 23 cm working length, 2 mm diameter shaft, 5˚ bend at handle.

Blunt Scissors

506802 Straight blades, vertical action

506804 Curved blades, horizontal action, open left

506806 Curved blades, horizontal action, open right

506808 Angled up, vertical action

506810 Angled down, vertical action

506822 Angled up, double action

Sharp Scissors

506812 Straight blades, vertical action

506814 Curved blades, horizontal action, open left

506816 Curved blades, horizontal action, open right

506818 Angled up, vertical action

506820 Angled down, vertical action

506824 Double action

LASER INSTRUMENTATION

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506802 506806 506804 506810 506808 506822 506812 506816 506814 506820 506818 506824

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(continued)

SUCTIONS

23 cm working length, with thumb control, laser finish.

506870 3 Fr. diameter

FEDER-OSSOFF PHONOSURGERY

INSTRUMENT STERILIZING TRAY

With individual instrument housing. The tray is a durable construction, protecting the delicate instruments. This tray may be stacked for storage and withstands flash autoclaving. It also withstands temperature of multiple cycles of steam sterilization, ethylene oxide sterilization, and gamma radiation, chemical cold sterilizing agents, disinfectants and germicides.

506890 Inside dimensions: 11 3/4" (29.8 cm) x 15 1/4" (38.7 cm) x 3" (7.6 cm) at handles

MICRO-LARYNGEAL FORCEPS

The serrated triangular jaw allows for a larger surface area of tissue to be grasped within the 3 mm wide tips. These forceps have 23 cm working length and have a non-reflective finish for use with lasers.

Jaws are uniquely angled and fenestrated to better grasp along the longitudinal surface of the respective chord, 2.75 mm wide triangular jaw, serrated jaw, 2 mm shaft. Fits adult laryngoscopes without interfering with microscope, 5˚ bend at the handle. Non-reflective finish, can be used in laser surgery.

506950 Triangular fenestrated, serrated jaw forceps, right, 23 cm working length

506952 Triangular fenestrated, serrated jaw forceps, left, 23 cm working length

INCHES

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LASER SUBGLOTTISCOPES AND INSTRUMENTATION

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522244 522245 507065 522244 7.3 mm mm13 22 mm 522245 9.5 mm mm13 21 mm

Laser Subglottiscopes

OSSOFF ADULT SUBGLOTTISCOPES

Designed to view and access beyond the vocal cords for standard and laser procedures for subglottic stenosis and subglottic lesions. • Extended length with tapered tube (longer than standard

laryngoscope). • Wide proximal end.

• Matte finish inside lumen to reduce possible reflection of laser beam. • Integral, distally opened smoke evacuation channel.

• Removable 14 gauge, 3 7/8" (9.8 cm) ventilating needle. • Needle locking mechanism and tubing clip on the handle. • Single, one piece design fiberoptic light carrier/cable. • Adult size laryngoscope handle.

• Includes 502599 Needle Luer-Lok Adapter to Sanders Tubing. • Passes easily through the vocal cords to reach the subglottic area. • Provides binocular vision with use of a microscope with 350-400 lens. • Less chance of burning unintended tissue.

• Allows for removal of laser plume rapidly. • Allows for Venturi ventilation (order separately).

• Assures proper placement and hold of ventilating needle while keeping tubing out of the way.

• Provides optimum distally delivered light.

• Allows use of laryngoscope holder (502245), or Tobey Laryngoscope Holder (502248) for two-handed surgery.

NOMINAL MAX. O.D. CATALOG OVERALL MIN. PROXIMAL AT DISTAL MAX. NUMBER SIZE LENGTH I.D. DIMENSIONS TIP O.D. 522244Adult Female 229 mm 7.3 mm 22.0 x 13.0 mm 11.0 mm 32.0 mm

522245 Adult Male 229 mm 9.5 mm 21.0 x 13.0 mm 12.0 mm 33.0 mm

Complete Sanders Venturi System listed on pages 8 through 11.

REPLACEMENT VENTILATING NEEDLE

502600 14 gauge

REPLACEMENT LIGHT CARRIER

527860 For either scope, 522244 and 522245

ASPIRATING TUBE, THUMB VALVE CONTROL

507065 4 mm (12 Fr), 35 cm working length, long enough for

adult subglottiscopes

Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.),

NOT TO SCALE.

BOSTON UNIVERSITY SUSPENSION SYSTEM (see page 71 for details) SCOPE SERVICE TO ADAPT HANDLE FOR USE WITH BU SYSTEM

113094 Tap new scope for BU System — must be added to your order

111170 Tap old scope for BU System — contact PILLING Repair Dept. at 1 800 434-9480

502261 Strong Laryngoscope Handle Extension — must be ordered along with scope for use with BU System

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Laser Subglottiscopes

(continued)

MICROSUBGLOTTIC INSTRUMENTS

Designed for laser microsurgery of the entire subglottic space and upper cervical trachea, this instrumentation includes forceps, scissors, suction tube, probe, mirror and platform, (all 28 cm in length and laser finished).

509301 Operating Platform, 3mm

509302 Front Surface Mirror, 3 mm

509303 Micro Suction Tube, 6 Fr.

509304 Straight Probe

509305 Grasping Forceps, Straight

509306 Angled Cup Forceps

509307 Straight Scissors

509300 Set of 7 instruments (509301 – 509307)

LASER SUBGLOTTISCOPES AND INSTRUMENTATION

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509305 509306 509307 509302 509303 509304

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Laser Subglottiscopes

(continued)

HEALY-JAKO PEDIATRIC SUBGLOTTISCOPE

The Healy-Jako Subglottiscope was designed specifically for the pediatric patient. The small tapered 6 mm distal tip allows the subglottiscope to pass farther down the airway and give access to lesions below the level of the vocal cords, while still being able to utilize the operating microscope. Supplied with light carriers permanently attached to fiberoptic cables.

Features:

• Non-reflective, matte interior finish. This finish decreases the chance of the laser beam reflecting off the inside of the scope and burning unintended tissue. The subglottiscope is most useful when the carbon dioxide laser is used.

• Disconnect handle. Subglottiscope can be held by standard laryngoscope holder 502245. When the handle is unscrewed, the subglottiscope can be easily inserted and manipulated.

• Large fiberoptic light carriers. The large cables allow for maximum illumination and light intensity for still and cine color photography. • Includes 502599 Luer-Lok hub adapter to Sanders tubing.

NOMINAL

CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE.

NUMBER LENGTH I.D. DIMENSIONS O.D. CARRIER

522242 155 mm 5.7 mm 18.5 x 10.0 mm 29.0 mm 527830R* 527835L*

Complete Sanders Venturi System listed on pages 8 through 11.

REPLACEMENT VENTILATING NEEDLE

For Venturi ventilation on these three subglottiscopes.

502600 14 gauge, angled blunt

REPLACEMENT LUER-LOK HUB ADAPTER

502599 To Sanders hub adapter to Sanders tubing

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* R indicates right light carrier L indicates left light carrier

522242 522242 5.7 mm mm10 18.5 mm 502600 502599

Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.),

NOT TO SCALE.

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Fax: 800-332-2308

46

522280 522281 522282 522283 522284 3 mm mm7.9 11.7 mm 4 mm mm8 12.5 mm 5 mm mm8.5 11.2 mm 6 mm mm8.7 11.4 mm

* Patent No. 4,799,485 and D 304, 494 Design Pat. No.

522285 522287 MILLIMETERS

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Laser Subglottiscopes

(continued)

OSSOFF NEONATAL SUBGLOTTISCOPE SET

*

For the treatment of upper respiratory distress in premature and neonatal infants caused by:

• Stenosis of the larynx or trachea • Choanal atresia

• Laryngeal webs

• Malformations of the larynx or trachea • Excessive mucous or fluid in the airway

The Ossoff Neonatal Subglottiscope is used for:

• Manually opening the airway

• Providing an opening for the removal of mucous and fluids • Diagnosing the cause for airway distress

• Surgically removing or ablating, with a laser, the stenotic tissue

The Ossoff Neonatal Subglottiscope set consists of:

• Four interchangeable scope tubes, 3 mm to 6 mm inside diameters, 10.5 cm working length, see drawings for nominal proximal dimensions

• One interchangeable fiberoptic, distally delivered light carrier • One interchangeable Venturi needle, 20 gauge for ventilation

• Two-piece handle assembly to accept the interchangeable scope tubes • One fiberoptic light cable

• Sterilizing tray

522280 Ossoff Neonatal Subglottiscope Set*

522281 3 mm Subglottiscope tube

522285 Handle assembly 2-piece

522286 Sterilizing Tray

522287 Venturi ventilation needle, 20 gauge, with retaining clip

526210 Fiberoptic light carrier

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LASER LARYNGOSCOPES

The use of lasers for ablative surgery for tissue removal has

become increasingly popular. To meet the demand, Pilling

has a complete line of laryngoscopes and accessories available

for use in laser surgery. All of our laser instruments have a

non-reflective, dull finish to reduce the chance of the laser

beam reflecting off the instrument. Pilling is continuing to

work with leading surgeons in the development of more

advanced instruments for use in laser surgery to meet this

ever-increasing demand.

Refer to Scope Measurement Chart for definition of provided Scope Dimensions on pages 416, 417 and 418.

Laser Laryngoscopes

PILLING BIVALVE LASER LARYNGOSCOPES

These special scopes are modified designs of the Dedo-Pilling Anterior Commissure and Ossoff Posterior Commissure micro and laser laryngoscopes.

• The Dedo Anterior Commissure scopes provide minimal chance of teeth breakage, yet offers optimum microscopic visibility.

• The Ossoff Posterior Commissure scopes provide the ability to lift the endotracheal tube and permit entrance and microscopic visibility beyond the vocal cords.

• These scopes provide increased visibility at the surgical site through expansion and distension of the split tubes.

PILLING-DEDO DOUBLE-ACTION LASER LARYNGOSCOPES

Features:

• Lower blade separation provides an increased operative area for ease of instrumentation.

• Distal expansion of the lower blade allows maximum visibility of the cords and beyond.

• Non-reflective internal surface minimizes laser beam deflection. • Removable handle reduces weight during insertion. This handle can

be attached to the standard laryngoscope holder (502245), or Tobey Laryngoscope Holder 502248, or adapted for use with the Boston University System (502260).

• Smoke evacuation channel is permanently attached and extends distally for maximum removal of laser plume.

• One large fiberoptic light carrier is supplied with attached cable for optimum distal lighting.

Both styles of bivalve Laser Larynogoscopes have O.D. measurements which can exceed the anatomical limits for their intended patient size. A thumb operated lever allows the physician to tactily gauge the degree of pressure exerted.

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Top thumb screw lower blade separation Removable handle mechanism Thumb lever lower blade distal expansion Fiberoptic

light cable Attached smoke evacuation channel

Double-action type with lower blade separated

Double-action type with lower blade separated and expanded

BOSTON UNIVERSITY SUSPENSION SYSTEM (see page 71 for details) SCOPE SERVICE TO ADAPT HANDLE FOR USE WITH BU SYSTEM

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Removable handle for attachment to laryngoscope holder

Phone Toll Free: 800-523-6507

Fax: 800-332-2308

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LASER LARYNGOSCOPES

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522290 522292 522291 522290 13.2 mm 20 mm 22 mm 522292 9.8 mm 26 mm 21 mm 522291 12.7 mm 26 mm 22 mm

Laser Laryngoscopes

(continued)

PILLING-DEDO DOUBLE-ACTION

ANTERIOR COMMISSURE LARYNGOSCOPES

CLOSED NOMINAL CLOSED

CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 522290 Adult 179 mm 13.2 mm 22.0 x 20.0 mm 33.0 mm 527860

522292 Adolescent 136 mm 9.8 mm 21.0 x 26.0 mm 32.0 mm 527863

PILLING-OSSOFF DOUBLE-ACTION

POSTERIOR COMMISSURE LARYNGOSCOPE

CLOSED NOMINAL CLOSED

CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 522291 Adult 178 mm 12.7 mm 22.0 x 26.0 mm 33.0 mm 527860 Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.),

NOT TO SCALE.

NOT TO SCALE.

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LASER LARYNGOSCOPES

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522228 522243 522228 13.4 mm 19 mm 20 mm 522243 12.6 mm 20 mm 20 mm

Laser Laryngoscopes

(continued)

DEDO LASER MICRO-LARYNGOSCOPES

The Dedo Laser Micro-Laryngoscope was designed specifically for use with the CO2laser. Supplied with two light carriers permanently attached to fiberoptic cables.

Features:

• Non-reflective, dull interior finish.

• Large oval light carriers to provide maximum illumination for photography.

• Integral aspirating channel for automatic smoke and steam evacuation.

• The same narrow dimensions as the standard Dedo-Pilling Micro-Laryngoscope allows its use in many cases in which larger micro-laryngoscopes are contraindicated.

NOMINAL

DEDO LASER LARYNGOSCOPE EXTRA LONG

The Dedo Laser Laryngoscope, Extra Long was designed for the patient with a great distance between the teeth and vocal cords.

NOMINAL

Extra Long

NOT TO SCALE.

NOT TO SCALE.

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Fax: 800-332-2308

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LASER LARYNGOSCOPES

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522231 522237 522238 522231 11.9 mm 20 mm 22 mm 522237 9.8 mm 18 mm 18 mm 522238 9.7 mm 20 mm 21 mm

Laser Laryngoscopes

(continued)

OSSOFF-KARLAN LASER MICRO-LARYNGOSCOPES

The Ossoff-Karlan Laser Micro-Laryngoscopes are modifications of the Dedo and Jako Micro-laryngoscopes with additions of special features for laser surgery. The Posterior Commissure scope is a special design of Drs. Ossoff and Karlan. Supplied with two light carriers permanently attached to cables.

Features:

• Bifurcated smoke evacuation channels. • Non-reflective, dull interior finish. • Large oval light carriers for photography.

OSSOFF-KARLAN-DEDO

NOMINAL

522237 Child 130 mm 9.8 mm 18.0 x 18.0 mm 30.0 mm 527863

522238 Adolescent 152 mm 9.7 mm 21.0 x 20.0 mm 33.0 mm 527862

Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.),

NOT TO SCALE.

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522232 522233 19 mm 522232 15.6 mm 28 mm

522233

12.3

mm 19 mm

22 mm

Laser Laryngoscopes

(continued)

OSSOFF-KARLAN-JAKO

NOMINAL

CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 522232 Adult 178 mm 15.6 mm 28.0 x 19.0 mm 38.0 mm 527805R*

527800L*

OSSOFF-KARLAN POSTERIOR COMMISSURE

NOMINAL

NOT TO SCALE.

NOT TO SCALE.

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I A B C G H K F E D J 522229 12 mm 19 mm 18.4 mm 522229 H G K LEGEND

A,C,D,F Channels for ventilating needle up to 14 gauge

B, E Channels for light carriers or ventilating needles

G, H Ventilating needles and adapters

I, J Light carriers

K Luer-Lok hubs to fit tubing adapter

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Laser Laryngoscopes

(continued)

ABRAMSON-DEDO MICRO-LARYNGOSCOPE

The Abramson modification of the Dedo-Pilling Micro-Laryngoscope was designed to increase the efficiency of Venturi type ventilation. It provides the physician with a choice of six positions for placement of the Venturi Needle (up to 14 Ga.). The inside is a non-reflective finish for use in laser surgery. 14 Ga. blunt needles may be used for smoke evacuation. Supplied with a set of right and left light carriers, two 12" 14 Ga. blunt needles, and two Luer-Lok adapters to bare Sanders system tubing.

NOMINAL

CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 522229 Adult 177 mm 12.0 mm 19.0 x 19.0 mm 28.0 mm 527586R*

527587L*

REPLACEMENT VENTILATING NEEDLES

522241 12" blunt

REPLACEMENT CLIPS

522240 For ventilating needles

REPLACEMENT ADAPTER

502599 Needle Luer-Lok hub to Sanders tubing

VENTURI VENTILATING BLUNT NEEDLES

502594 4" (10.1 cm), 14 gauge

502600 4" (10.1 cm), 14 gauge, bent 90˚

502596 4" (10.1 cm), 16 gauge

502598P4" (10.1 cm), 18 gauge

502590 4" (10.1 cm), 20 gauge

Complete Sanders Venturi System listed on pages 8 through 11.

LASER LARYNGOSCOPES

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Ventilating Needles, Adapters and Clips for 522229 are

listed below. Complete Sanders Venturi System listed on

pages 8 through 11.