Aesculap Endoscopic · PDF fileAesculap Endoscopic Technology ... indication-related...

Aesculap Endoscopic Technology

Endoscopic vascular surgery in the pelvic region

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Aesculap CompetenceEndoscopic vascular surgery in the pelvic region

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Design fo l lows chal lenge

The future does not choose the easiest path

The introduction of the laparoscopic cholecystectomy in 1987 was greeted as a surgical revolution. Now, endoscopic techniques have also entered the previously untouched field of vascular surgery. In addition to endoluminal procedures, interventions are today being performed on the peripheral and central vascular system using videoendoscopic surgical techniques. The main procedures are aortoiliac bypass operations in occlusive arterial disease and aortic aneurysm resections.

Conventional implantation of an aorto-femoral or aortabiiliac graft can give rise to massive operative trauma and typical postoperative complications such as a high level of pain, caused for example by impairment of the intestinal motor response as a result of the transperitoneal access to the aorta and the iliac artery, as well as pain-related restriction of respiration.

The protection principle

The concept of using a video-endoscopic extraperitoneal surgical technique to treat aortoiliac occlusive diseases helps to avoidthese problems. The minimal tissue trauma-tisation shortens the period of convalescenceand postoperative hospitalisation.

Endoscopic vascular surgery offers many possibilities, principally that of the aortobifemoral bypass with patchplasty and direct suture on the iliac vessels, including endoscopic implantation of a bifurcation graft.

Advancing the frontiers of surgery naturally requires new instrumentation to attain the best possible results in terms of surgical efficiency and patient safety. Aesculap’s wide range of indication-related instruments is the perfect response to the demands of modern endoscopic vascular surgery.

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Aesculap CompetenceEndoscopic vascular surgery in the pelvic region

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technique, but modified to satisfy the specific requirements of laparoscopy. They are characterised by ergonomically improvedtransmission of the wrist movements.

Among other items, the instrument set includes aortic and iliac vascular clips, adapted needle holders, special scissors,removable vascular clips and vessel spatulas. In addition, the set contains specialisedcomponents for laparoscopic surgery, such as locking handles for safe vascular occlusion,low-volume vascular suction and speciallaparoscopic needle holders to make vascularsutures much easier to perform.

The minimally invasive vascular instrument set provides the ideal supplement to Aesculap’s regular, advanced laparoscopyinstruments, and makes it possible to conductprocedures such as totally laparoscopic aorticaneurysm resection or laparoscopically assisted endovascular stenting efficiently as well as video-assisted minilaparotomy.

The end result is a modern set of instruments that allows the laparoscopicvascular surgeon to safely perform basic and advanced vascular surgery procedures.

Demand does not create design

The basic concept in the laparoscopic approach to the vascular system is to use the conventional surgical technique to a very great extent. This is the backgroundagainst which Aesculap has developed a special range of basic endoscopicinstrumentation, consisting of specialisedhollow shaft instruments, special temporaryvascular clips and clip applicators, based on its successful range of vascular surgicalinstruments.

Initial attempts demonstrated the problem of an action radius within the abdomen that was too small to perform a differentiated reconstruction technique. Thus it was that optimally designed instruments working in perfect harmony with each other became the precondition for advanced video-endoscopic vascular surgery.

Set and match?

The Aesculap Major Vascular Set has been specially developed as the basicinstrumentation for aortoiliac surgery assisted by videoendoscopy. The surgeon is provided with the instruments alreadyfamiliar from the conventional operating

Des ign fo l lows chal lenge

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The Major Vascular Set, practice-orientated instrument design: The technology of manoeuvrability

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One of the Major Vascular Set’s crucial advantages is that the instrumentation can be completely disassembled, totally satisfying all hygiene requirements. The instruments are easy to take apart, ensuring that individualcomponents can be quickly exchanged ifnecessary. This lengthens the instruments’ useful life. Furthermore, the modular designmeans that the surgeon can construct his or her ideal instrument. If the standard solution provided in the instrument programme does not correspond to thesurgeon’s individual preferences, he or she can put together a personal set of instrumentsfrom the individual components.

Ideal conditions

All the instruments are designed with a shaftlength of at least 310 mm. This gives themoptimum manoeuvrability with a 1:1 ratiobetween the intra- and extra-corporeal sectionof the shaft. Thus the centre of gravity of theinstrument at its entry into the abdominal wall lies roughly in the middle of the shaft, withthe degree of movement at the instrumenthandle corresponding to the transfer of thefunction to the instrument tip. Thanks to thisminimum length, the instrument tips can meetat an angle of 40 –180° in an abdominal cavity expanded with CO2 from nearly any entrypoint. The position of the optic trocar in relation to the other working trocars forms anisoceles triangle, with the two equal sides atleast 10 cm long. This provides maximumfreedom of movement during preparation and suturing.

Des ign fo l lows chal lenge

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Further developments in instrument designCompetencies brought to the point

Developed in co-operation with:

Prof. Samir Said, M.D. Ev. Stift St. MartinAbt. für Viszeral- und GefäßchirurgieJohannes-Müller-Str. 756068 Koblenz

Together with one of the initiators of endoscopic vascular surgery in Germany,Prof. Dr. Samir Said in Koblenz, Aesculaphas developed a complete range of instrumentation for this new operatingtechnique. Four years were spent in intensive develop-ment, including animal trials, from the original idea in 1992 to the first surgicalintervention on a human patient using the instruments created during this develop-ment period. The result is a set of basic instrumentation to meet the requirementsof video-endoscopically orientated vascular surgeons in their daily practice.

Right from the beginning, highly specialised instrumentation is primarilyresponsible for the success and futuredevelopment of this operating technique.

Endo clip forceps and temporary vascular clips

The development of an endo clip applicator, an endo

clip remover and temporary vascular clips has intro-

duced a fundamentally new method of working in

laparoscopic vascular surgery. Thus, once the self-

holding vascular clips have been applied, a trocar can

be freed to receive other instruments which serve an

active function, such as preparation, suturing or

temporary tissue fixation.

Satinsky ClampThe Satinsky clamp, with its conventional, double

angled jaw presupposes the use of flexible trocars.

The angles of the jaw are designed on the one hand

to allow the instrument to be introduced into the

abdominal cavity through a 12 mm trocar, and on the

other hand to permit both the aorta and the iliac

vessels to be clamped off tangentially over the longest

possible area.

The clamp’s shape guarantees good vision into the

vessel lumen, permitting a precise suturing technique

with the appropriate stitching direction, despite the

fact that the side walls are pressed closely against

each other through the tangential clamping of the

vessel.

Endo suture grasping forcepsA special endo suture grasping forceps has been

developed to reduce micro-traumatisation of the

suture and the vessels. The forceps is used as a

combination instrument during vessel suture, on the

one hand to grasp the thread and tissue, on the other

hand to receive the needle.

Endoscopic angled scissorsEndo vascular scissors with angled (45°) blades have

been created in particular to achieve good laparascopic

access to the retroperitoneal vessels which run nearly

parallel to the abdominal wall, while avoiding damage

to the rear wall. The angled vascular scissors are used

for arteriotomy after the incision has already been

made with the retractable scalpel and blade holder

described. These vascular scissors are similar to the

conventional Potts-de-Martell angled vascular scissors.

Needle holderThe laparascopic needle holder has undergone a

complex development process. Its main characteristic

is the swan’s neck curvature which makes it easier to

hold the first knot. Whereas the needle holding

surface of the lower jaw is concave, the upper needle

holding surface has been designed with transverse

serrations. This ensures that the needle aligns itself at

90° to the instrument jaw.

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Developed in co-opertation with: Prof. Yves S. Alimi, M.D.

Special instrumentationThe elevated art of the peripheral

A very important contribution to the development of special endoscopic clipswas made by the French surgeon Prof. Dr. Yves S. Alimi. Since 1999, he andAesculap have been cooperating in the development of additional instruments for videoendoscopic vascular surgery.

Vascular clamps

Additional and auxiliary instruments have an important part to play alongside specialised basic instrumentation in minimally invasive vascular surgery.

For example, one particular problem in videoendoscopic vascular surgery was caused at first by using conventional vascular clamps which were too weak to close the aorta. The jointly designed clamps can be used for both transperitonealand retroperitoneal access to the aorta.

Reconstruction made easier

Another very important precondition for a sound vascular surgery technique is adequate exposure of the operating site toallow fast and accurate reconstruction.

Various retractors and hooks which can beangled inside the body are available for thispurpose.

Vessel spatulas have been designed for themobilisation of endoluminal structures.These are once again on a par with the conventional models.

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Basic instrumentation for videoendoscopicvascular surgery in the pelvic region

The basic instrumentation for videoendoscopic vascular surgery is of modular construction and is based on the AdTec monopolar range. This means that every jawpart can be combined with every handle according to the user’s requirements.

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PO004R

PO014R

METZENBAUMScissors, serrated, tips curved to the leftwith carbide inserts

Working length 310 mm, diam. 5 mm

POTTS-de MARTELL acc. to SaidEndo vessel scissors


PM973R

PM992R

PO603R

PO682R PO950R

1:1

1:1

Scissors

MINI-METZENBAUM Scissors, serrated, tips curved to the leftwith carbide inserts,PEEK insulation of the distal shaft


PM973RPM710R PO950R1:1

PO950R

PM941RProtection Sleeve in combination with PO014R for a safe introduction of the Potts-DeMartell scissorsthrough the 12.5 mm trocar

Instrumentcomplete

Jaw inserts Insulatedouter tube

Handle

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For more information please also ask for our brochure C 766

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PO950R

Instrumentcomplete


Handle

PO103ROVERHOLTDissecting clamp, 90°


PM975R PO606R PO950R

PO141ROVERHOLTDissecting clamp, 60°


PM975RPO661R

PO189RMASSOUD Delicate forceps for lateral fixation of structures and vascular grafts during dissection and anastomosis


PM973R PO734R PO950R

Dissecting Forceps

PO950R

OVERHOLTDissecting clamp


PM973R PM659R PM954R

PO102RMARYLANDFixation and dissecting forceps, curved


PM973RPO608R1:1

1:1

1:1

1:1

1:1

for use with flexible trocars only diam.12.5 mm

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The basic instrumentation for videoendoscopic vascular surgery is of modular construction and is based on the AdTec monopolar range. This means that every jawpart can be combined with every handle according to the user’s requirements.

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1:1

1:1

1:1

1:1

DE BAKEYAtraumatic clamp, jaw length: 30 mm


PM977RPM651R PO951R

PM172RDE BAKEYAtraumatic clamp, length of jaw: 50mm


PM992RPM712R PM957R

PO118RDE BAKEYAtraumatic clamp, length of jaw: 50mm


PM977RPO624R PO951R

DE BAKEY acc. to. LINDERAtraumatic fixation forceps, s-shaped


PM973RPM689R PM957R

Grasping Forceps

PO196RModell BABCOCKTissue-grasping forceps


PM977RPO741R PO951R1:1

Instrumentcomplete

Jaw inserts Insulated outer tube

Handle

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51 mm

38 mm


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1:1

1:1

1:1

PM173RCRAFOORDEndo-vascular clamp


PM973RPM713R PM957R

PO152RCRAFOORDEndo-vascular clamp


PM976RPO684R PO951R

PM171RSATINSKYAtraumatic clamp


PM973RPM711R PM957R

1:1 SATINSKYAtraumatic clamp


PM973RPM616R PM957R

Grasping Forceps Instrumentcomplete


Handle

1:1 HEINENAtraumatic clamp for parallel clamping of the aorta and lumbar vessels


PM977RPM715R PM957R

for use with flexible trocars only

for use with flexible trocars only

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For more information aboutour axial AdTec needle holderplease also ask for brochureC 004 11

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PL407RDUROGRIP Needle holder, straight


1:1

1:1

1:1

PO553RSAID DUROGRIP Needle holder, crimped


PM992RPO662R PO951R

PL408RDUROGRIP Needle holder, curved left


Needleholder Instrumentcomplete


Handle

1:1

1:1

PL412RDUROGRIP Needle holder, curved left


Thread-guiding tube acc. to SAIDfor modular endoscopic needle holder with diam. 5 mm only, suitable for intracorporal, continuous ligature techniques, with integrated thread-guiding tube diam. 1mm and thread-fixating device

Thread -guiding tube

Mandrin

clamping yoke

310 mmPM972P 5/10 mm

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Special instrumentation for videoendoscopicvascular surgery in the pelvic region

60 mm

60 mm

73 mm

For improved force transfer, the vascular clamps of the supplementary instruments are of non-modular construction. The instruments have a rinsing port for cleaning. Since the instruments are practically never exchanged during surgery, they can be used directly transcutaneously.

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diam. Length Total length

SATINKSKY, acc. to ALIMIAtraumatic distal and proximal clamp,for clamping the area of the anastomosis.

10 mm 360 mm 516 mmPL210R

SATINKSKY, acc. to ALIMIAtraumatic distal and proximal clamp,for clamping the area of the anastomosis.

10 mm 375 mm 531 mmPL211R

1:1

1:1

1:1 DE BAKEY, acc. to EDOGAAtraumatic proximal clamp. The design of the curved jaw fulfils the requirements whileclamping the calcified aorta.

10 mm 365 mm 521 mmPL212R

Vascular Clamps

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79 mm

80 mm

80 mm

60 mm

73 mm

For improved force transfer, the vascular clamps of the supplementary instruments are of non-modular construction. The instruments have a rinsing port for cleaning. Since the instruments are practically never exchanged during surgery, they can be used directly transcutaneously.

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diam. Length Total length

DE BAKEY, mod. ALIMIAtraumatic proximal and distal clamp. The curvage allows extended space for theanastomosis of the graft.

10 mm 355 mm 508 mmPL214R

DE BAKEY, mod. ALIMIAtraumatic distal clamp, for parallel clamping of the aorta and lumbal vessels.

10 mm 335 mm 491 mmPL213R

DE BAKEY, mod. ALIMIAtraumatic proximal and distal clamp,jaws 10° angled

10 mm 341 mm 496 mmPL215R

1:1

1:1

1:1

DE BAKEYAtraumatic vascular clamp,straight shaft with straight jaw

10 mm 295 mm 530 mmPL216R1:1

DE BAKEYAtraumatic vascular clamp,straight shaft with curved jaw

10 mm 310 mm 504 mmPL217R1:1

Vascular Clamps

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Special instrumentation for laparoscopic-assisted surgery in the pelvic region

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SATINSKY, mod. SAID

Atraumatic clamp, ratchet could be locked,length 375 mm

PL091R

RYDER, mod. SAID

Strong needle holder, length 330 mmPL090R

SATINSKY, mod. SAIDAtraumatic clamp, ratchet could be locked,length 370 mm

PL092R

1:1

1:1

1:1

DE BAKEY, mod. SAID

Atraumatic clamp, ratchet could be locked,

length 330 mm

PL093R1:1

CRAFOORD, mod. SAID

Vascular clamp, ratchet could be locked,

length 360 mm

PL094R1:1

Vascular Clamps

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MÜLLER

BT 626 RRetractor, 250 x 30 mm/60 mm

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MÜLLERDUROGRIP Needleholder, length 350 mm

BM106R

MÜLLER

DUROGRIP Needleholder, length 360 mmBM089R

MÜLLERDUROGRIP Suture forceps, length 300 mm

BD185R

1:1

1:1

1:1

Atraumatic forceps, length 350 mm FB409R1:1

DUROTIP Fadenschere, length 360 mm BC298W1:1

Instruments, long patterns

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Cat. No. Closing force Jaw length Jaw shape Colour coding

PL580S 200 g 25 mm curved gold

PL582S 300 g 45 mm curved gold

PL585S 350 g 25 mm curved –

PL587S 450 g 45 mm curved –

Venous endoscopic vessel clips with reduced closing force are especially marked at the end (gold).

Cat. No. Closing force Jaw length Jaw shape Colour coding

PL550S 250 g 25 mm straight gold

PL552S 300 g 45 mm straight gold

PL555S 350 g 25 mm straight –

PL557S 450 g 45 mm straight –

Atraumatic endo-vessel-clips acc. to SAID (temporary)


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Applicator for endo vessel clip acc. to SAID

PL502R

Removal forceps for endo vessel clip acc. to SAID

PL507R 12.5 mm 350 mm

12.5 mm 350 mm

Clip forceps

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Suture hook PO193R 5 mm 330 mm

BB361R package of 10 pieces, sterile


BB363R package of 1 piece, sterile




BB369R package of 1 piece, sterile

Blades must be ordered separately

Scalpel handle for knife blades

diam. length included blade, blade retractable

BB060R 5 mm 330 mm

4,8 mm

1 mm

diam. Shaft length

Knot guide instrumentIntracorporal knot pusher according to Kuthe

PL 432 R 5 mm 310 mm

1⁄1

Additional instrumentation for videoendo-scopic vascular surgery in the pelvic region

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Retraction instruments for holding away organs and tissue structures, with one-hand operation for easy activation or release of the retention mechanism

Spreadable retractor PL680R 10 mm 310 mm

diam.

Endo-dissectorto get around vessels

PL669R 5 mm 310 mm

Retraction instrument for fine structures.

Proximal instrument end can be manually angled (30°, 45°, 75°, 90°)

PL661R

PL662R

5 mm

10 mm

400 mm

400 mm

Dissection spatula, semi-sharp

Endo vessel spatula

PL659R

PL657R

5 mm

5 mm

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for the use of curved instruments with diam. 5 mm

for the use of curved instruments with diam. 10 mm

EJ800R EJ820R

Flexible Trocarscomplete 100 mm length (with valve and obturator)

Ø 7 mm Ø 12.5 mm


Flexible trocars for curved instruments andfor special jaw types

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Rigid trocars with silicone flap valve

Standard Trocarcomplete 110 mm length (without obturator)

with insufflation connection

EJ771R

EJ785R

EJ751R

EJ755R

EJ701R

EJ715R

EJ786REJ756REJ716R

EJ788REJ558REJ718R

Triangular

Blunt

Ø 5.5 mm Ø 10 mm Ø 12.5 mm

Ø 5 mm Ø 10 mm Ø 12 mm

Obturator, 110 mm length

Sharp

MIT Trocar System

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Equipment and endoscopes for minimal invasive surgery

The Aesculap Visual System offers impressive, true to life reproduction as well as all the advantages one would expect of a modern digital system. The high quality components, such as the digital camera, endoscope and light source, are perfectly coordinated to produce the best possible picture.

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Visual System / Units

Cat.-No. Direction of view diam. Length

PE889A 0° 10 mm 33 cmPE909A 30° 10 mm 33 cmPE969A 45° 10 mm 33 cm

Endoscopes

● autoclavable up to 134°C , 2 bar● Full screen image● Integrated rod lens system● Steris/Sterrad compatible

Medical Monitors

- 3 Chip-Camera with digital SDI video signal output

PV420 PAL SystemPV422 NTSC System

consisting of: Camera control unit, camera headand RGB video signal cables

Accessories:PV122S, Endolens, f = 25-50mm, focusablePV123S, Endolens, f = 30 mm, focusable

OP930 180 W

Accessories:Light guide cable, autoclavable, diam. 4.8 mm:

OP906 Length: 180 cmOP913 Length: 250 cmOP914 Length: 350 cm

Xenon Light Source

PV939 PAL, NTSC, 14“ (34 cm), CRT MonitorPV937 PAL, NTSC, 20“ (51 cm), CRT MonitorPV915 PAL, NTSC, 15“ (38 cm), Flat Screen MonitorPV919 PAL, NTSC, 19“ (49 cm), Flat Screen Monitor

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Uni-Graft® K DV ...the safe choice

Uni-Graft® K DV, Giemsa, Mag. 100 x.

Uni-Graft® K DV offers all you would expect from a safe and reliable vascular prostheses. Over many years Uni-Graft® K DVhas been used in hundred thousands of patients, for thoracic, abdominal and peripheral indications, all over the world. The clinical records are proof of an out-standing performance.

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Vascular protheses Uni-Graft® K DV

Dog, Uni-Graft® K DV, 2 weeks, Giemsa, Mag. 340 x. Dog, Uni-Graft® K DV, 24 hours, Giemsa, Mag. 200 x.

A polyester double velour warp-knit construction ensures good graft incorporation in the surrounding tissueat the site of implantation. The uniqueUni-Graft® gelatin impregnation makesthe prostheses absolutely impermeable to blood. The gelatin used for the impregnation is a less thrombogenic material. It is cross-linked in a patentedprocedure without the use of formaldehyde or glutaraldehyde resulting in a non-cytotoxic and bio-compatible implant.

Uni-Graft® K DV shows uncompromised healing.

The porous knit permits ingrowth of cells and ensures integration with the surrounding tissue. The inner velour provides the basis for a firm adhesion of the developing neointima. In the initial phase after implantation a fine fibrin layer covers the inner surface of the prostheses. This natural fibrin film provides the initial interface between the blood and the prosthetic wall. It also is the basis for the formation of a stable inner capsule which in clinical conditions in most cases is the final blood contact surface.

With Uni-Graft® K D the gelatin will be infiltrated already two weeks after implantation by myofibroblasts. No white blood cells are present, proving that the gelatin is absorbed without any immunological response or hypersensitivity.

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Vascular protheses Uni-Graft® K DV

Uni-Graft® product range

Further sizes and configurations are available upon request. Please contact your local representative.

Sale in Germany through BBD Aesculap GmbH only.

Bifurcations, usable length 40 cm Cat. No.

12 x 6 mm diameter 110 4535







18 x 10 mm diameter 110 4594

20 x 10 mm diameter 110 4608

20 x 11 mm diameter 110 4616

22 x 11 mm diameter 110 4624

24 x 12 mm diameter 110 4640

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Straight tubes, usable length 15 cm Cat. No.

10 mm diameter 110 1102








Straight tubes, usable length 30 cm Cat. Nr.









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2xHRT 17

HR1/2 circle round bodied needle

HR 262xHR 26

2xHR 26

C0026009 C0026010

HR 13

HR 10

45 C0026029 C0026030

USP metric5/0 4/0 3/0

1 1,5 2

45

HR 17

2xHR 13

75 C0026004 C0026005

C0026843 C0026844 C002684575

2xHR 17C002680475

2xHR 1790 C0026903 C0026904 C0026905

C0026024 C0026025HR 22

2xHR 22

75 C0026014 C0026015

C002673190

C002673875

Threadlength

cm

Needle lengthmm

green

green

75green

green

green

green

green

green

green

green

2xHR 26C0026814 C002681590

HR 3075 C0026056

2xHRT 178x75 M0027787

HRT1/2 circle round bodied needle with trocar point

Pledgets3x3 mm

MULTIPACK

Pledgets7x3 mm

MULTIPACK

green/white

green/white

M0027788

2xHRT 1790 C0026413 C0026414 C0026415

8x75

green

green

green

The new polyester generation specially designed for vascular surgeryBraided and coated, non-absorbable suture made of polyester

Further sizes and configurations are available upon request.Please contact your local representative.


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C0026327

C0026484 C0026485

2xHRT 26

PremiCron® green/white

C Box of 36 units B Box of 24 units G Box of 12 units M Box of 6 multipacks

DR3/8 circle roundbodied needle

2xDR 12

2xDR 845 C0026822

DR 12

2xDR 8

45 C0026121

C002782245

DR 1875 C0026104

C0026853 C002685475

2xDR 1890 C0026858

C0026863 C0026864 C0026865752xDR 18

HRT 26


1 1,5 2

HRT1/2 circle roundbodied needle with trocar point

2xHRT 22

2xHRT 22

8x75 M0027798

M00277978x75

2xHRT 2675 C0026435

C002633575

90 C0026445

Threadlength

cm

Needle lengthmm

green/white

green/white

green

green

green

green

white

green

green

2xDRT 18

DRT 1275

DRT 18

75

C0026343 C0026344 C002634575

DRT3/8 circle roundbodied needle with trocar point

Pledgets3x3 mm

MULTIPACK

Pledgets7x3 mm

MULTIPACK

green

green

green

green

green

green

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The perfect combination for vascular suturesMonofilament, non-absorbable material made of blue polypropylene

C Box of 36 units B Box of 24 units G Box of 12 units M Box of 6 multipacks

HR1/2 circle round bodied needle

2xHR 26

DR 12

C0090500

2xHR 13

HR 13

75 C0090954


1 1,5 2

75

HR 17

2xHR 13

75 C0090012 C0090013 C0090014

C009075090

2xHR 17C0090901 C0090902 C009090390

HR 2275 C0090029 C0090030

C0090976 C00909772xHR 22

HR 26

90 C0090907 C0090908

C0090040 C009004175

C009053075

Threadlength

cm

Needle lengthmm

90

2xDR 12C009091775

DR 1875 C0090120

2xDR 1890 C0090919 C0090920

DR3/8 circle roundbodied needle

Further sizes and configurations are available upon request.Please contact your local representative.


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Premilene®. Thread quality you can rely on.

C0090580 C0090581

2xHRT 26

HRT1/2 circle roundbodied needle with trocar point

2xDRT 18

DRT 1275 C0090307

DRT 18

2xDRT 12

75 C0090319 C0090320 C0090321

C009076475

DRT 2675 C0090533 0090534

C0090945 C009094690

2xHRC 1790 C0090570 C0090571

C0090949902xDRT 26

HRT 22


1 1,5 2

2xHRT 17

HRT 17

90 C0090925 C0090926 C0090927

C0090312 C009031375

2xHRT 2290 C0090935 C0090936

C009032575

90 C0090937

Threadlength

cm

Needle lengthmm

2

2xHRC 2290

DRC 12C009055175

DRT3/8 circle roundbodied needle with trocar point

HRC1/2 circle roundbodied needle with short cutting tip

DRC3/8 circle roundbodied needle with short cutting tip

Complications having far reaching consequences can only be avoided by using an endoscope and sophisticated instrumentationto make surgery to the aortoiliac vessels as non-traumatic as possible if the surgeon and the operating team performing the endoscopic procedure have truly mastered this new technique.Both theoretical and practical training in the videoendoscopic treatment of aortoiliac vessels, which is still in an experimentalphase, is therefore absolutely essential.

In modern and architecturallyinteresting surroundings, youcan absorb yourself in currenttopics, learning or perfectingthe latest operating techniques,for instance in laparoscopy, gy-naecology, endoscopic vascular surgery or neuro-endoscopy.

Our programme of courses is directed both to beginners in the various techniques andto the experienced surgeonwho wishes to become familiarwith more advanced endos-copic methods.

The AESCULAPIUM, the new forum for communicationin medicine, offers all technicalpossibilities for workshop demonstrations of new operating techniques and highlights in medical techno-logy as they are used in practice, and for transmittingoperations by satellite into the AESCULAPIUM auditorium.

Video conferences can be staged at any time. Exchangesof experience and inter-disciplinary dialogue with recognised international leaders of opinion are regularitems in the AESCULAPIUM’scalendar of events.

You can request the currentprogramme of events offeredby the AESCULAP AKADEMIEGmbH by telephone(++49(0)7461-95-2001) or via the Internet underwww.aesculap-akademie.de.

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Aesculap competenceThe knowledge advantage – conquer the future with competence

Dry practice sessions: clamping off, cutting, suturing - the endoscopic method demands from the surgeon atotally different handling technique.

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Visit our homepage

Brochure No. C 365 02

Aesculap AG & Co. KG

Am Aesculap-Platz78532 TuttlingenPhone +49 7461 95-0Fax +49 7461 95-2600

www.aesculap.de

All it takes to operate.

1204/2.0/5

All rights reserved. Technical alterations are possible. This leaflet may be used for no other purposes than offering, buying and selling of our products. No part may be copied or reproduced in any form. In the case of misuse we retain the rights to recall our catalogues and pricelists and to take legal actions.

Aesculap Endoscopic · PDF fileAesculap Endoscopic Technology ... indication-related...

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