general surgery - Veterinary Instrumentation
Transcription
general surgery - Veterinary Instrumentation
OUTER COVER 15/3/07 14:04 Page 1 VETERINARY INSTRUMENTATION 2007 VETERINARY INSTRUMENTATION Custom-Made Hybrid Limb Salvage Plate Irish Wolfhound Radius Osteosarcoma 4.5 Screw Holes Serrated Bone Holding Forceps Bone Graft 3.5 Screw Holes Broadfield Road, Sheffield S8 0XL Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: [email protected] Website: www.vetinst.com Overseas Customers use: Tel: +44 114 258 8530 Fax: +44 114 255 4061 www.vetinst.com VETERINARY INSTRUMENTATION Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 Case: Martin Owen & Andy Moores Overseas Customers use Tel: +44 114 258 8530 Fax: +44 114 255 4061 E-mail: [email protected] Website: www.vetinst.com CH00_p03-05_WELCOME 13/3/07 14:29 Page 3 Welcome ..to the 2007 edition of the Veterinary Instrumentation catalogue. The cover illustrates the use of a Veterinary Instrumentation custom made hybrid plate in the management of osteosarcoma in the radius of an Irish Wolfhound. I am grateful to Martin Owen and Andy Moores, who carried out the procedure, for the use of the photograph. Hybrid in this context means smaller screw holes distally than proximally. We now carry a large range of ‘off the shelf’ hybrid plates for both pancarpal and pantarsal arthrodesis. Please see inside the back cover for profiles of the available plates. Management of canine cruciate deficient stifle remains the most common orthopaedic procedure in veterinary surgery. We are still no closer to the ‘answer’. Clearly genetics has a major role. In cases of degenerative cruciate disease, most specialists are performing a tibial plateau geometry altering technique. TPLO is still the most common technique but TTA and TTO are becoming more widespread. The requirement to bring the tibial plateau to sit at right angles to the straight patella ligament to reduce the shear forces within the stifle seems to be gaining acceptance. John Lapish BSc., BVetMed., MRCVS. Managing Director In 2003 John was awarded the BSAVA ‘Simon Award’ in recognition of Veterinary Instrumentation remains happy to support whichever procedure you favour with both instruments and implants. There are a number of new additions to our cruciate repair range. the welfare benefits of the range of instruments he has developed for use in We have added several more options to the external fixation range which are interesting, particularly for very small and and very large patients. small animal surgery. The new web site www.vetinst.com is now fully functional. The information section includes videos, images and papers which may be of interest. The on-line shop allows you to purchase any of our products on your account or by credit card. Best regards….. BSAVA Simon Award New items for 2007 Compound Action Crimper Pg 12 Corkscrew Suture Anchor Pg 23 FiberWire by Arthrex . . . . . . . . . . . . . . . . . . . . . . . .10 Compound Action Cruciate Crimper . . . . . . . . . . .12 Delta TPLO plates . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Slocum Plates Pre-contoured . . . . . . . . . . . . . . . . .15 TPLO plate with locking screws . . . . . . . . . . . . . . .16 TTA Implants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Stifle Lever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Spinlock Stifle Distractors . . . . . . . . . . . . . . . . . . . .19 Cartilage Transplant System by Arthrex . . . . . . . .20 Corkscrew Suture Anchors . . . . . . . . . . . . . . . . . . .23 Fastak Suture Anchors . . . . . . . . . . . . . . . . . . . . . . .23 Arthroscopy Infusion Pump by Arthrex . . . . . . . . .29 OPES Electrosurgery by Arthrex . . . . . . . . . . . . . . .30 Pointed Reduction Forceps with Spinlock . . . . . .32 Extra Length Bone Levers . . . . . . . . . . . . . . . . . . . .38 New AO Stlye Slate Bending Pliers . . . . . . . . . . . .39 Gelpis with Spin lock . . . . . . . . . . . . . . . . . . . . . . . .43 Very Small Pin Punch . . . . . . . . . . . . . . . . . . . . . . . .44 Medipaws Dressing Cover . . . . . . . . . . . . . . . . . . . .46 Vumex External Fixation . . . . . . . . . . . . . . . . . . . . . .53 FESSA External Fixation Pg 53 Galibans Suture Forceps Pg 168 FESSA External Fixation . . . . . . . . . . . . . . . . . . . . . .53 Small Linear Fixator (SLF) . . . . . . . . . . . . . . . . . . . .54 Large Linear Fixator (LLF) . . . . . . . . . . . . . . . . . . . .54 Ring Fixator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64 New MiniDrill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 TPLO Radial Saw Blades . . . . . . . . . . . . . . . . . . . . .76 Mini Spinal Rongeur Set . . . . . . . . . . . . . . . . . . . . .79 Locking Plates and Screws . . . . . . . . . . . . . . . . . . .99 Titanium Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . .99 SupraCondylar Osteotomy Plates . . . . . . . . . . . .102 New Pantarsal Plates . . . . . . . . . . . . . . . . . . . . . . .103 Interlocking Nail 10mm . . . . . . . . . . . . . . . . . . . . .110 20cmm Angiotribes . . . . . . . . . . . . . . . . . . . . . . . . .118 Obstetrical Vectis . . . . . . . . . . . . . . . . . . . . . . . . . .119 Polyester Surgical Mesh . . . . . . . . . . . . . . . . . . . . .120 Anal Sac Surgery Kit . . . . . . . . . . . . . . . . . . . . . . . .120 Bulla Osteotomy Rongeurs . . . . . . . . . . . . . . . . . .122 Loupes 2.5 x with LED Light . . . . . . . . . . . . . . . . .131 LED Headtorch . . . . . . . . . . . . . . . . . . . . . . . . . . . .131 iM3 Elite Dental Machine . . . . . . . . . . . . . . . . . . .138 3 Inhalant Delivery Pg 195 Dental Xray Bisecting Angle Positioner . . . . . . . .145 Animal Skulls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 Kilner Needeholders . . . . . . . . . . . . . . . . . . . . . . . .167 Galibans Suture Holding Forceps . . . . . . . . . . . . .168 Spinlock Gelpis . . . . . . . . . . . . . . . . . . . . . . . . . . . .169 Malleable Retractors . . . . . . . . . . . . . . . . . . . . . . .171 Veterinary Bandage Scissors . . . . . . . . . . . . . . . . .172 General Purpose Dressing Scissors . . . . . . . . . . .172 Scalpel Cutting Guides and Probes . . . . . . . . . . .175 Small Furry GA Circuit . . . . . . . . . . . . . . . . . . . . . .191 Endo Tube Insertion Light . . . . . . . . . . . . . . . . . . .193 Endo Tube Stylet . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Endo Tube Cleaning Brush . . . . . . . . . . . . . . . . . .193 Inhalation Delivery System . . . . . . . . . . . . . . . . . .195 New Cardell Monitors . . . . . . . . . . . . . . . . . . . . . .196 Wireless Otoscope . . . . . . . . . . . . . . . . . . . . . . . . .201 No Contact Thermometer . . . . . . . . . . . . . . . . . . .204 ECG Machine . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204 Oesophageal ECG Probe . . . . . . . . . . . . . . . . . . . .205 Clinical Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . .206 CH00_p03-05_WELCOME 13/3/07 14:29 Page 4 The Company Veterinary Instrumentation was founded by John Lapish BSc., BVetMed., MRCVS. in 1986. Working in Sheffield as a small animal orthopaedic surgeon John was frustrated by the lack of appropriate instrumentation for veterinary surgical procedures. Most of the available instruments at that time were simply the smaller variants of products designed for use in human surgery. Living in Sheffield, centre of the UK Surgical Trades, John was ideally placed to try and develop one or two ideas of his own. So, working with skilled local instrument makers, John began to develop a range of instruments (initially for his own use) designed specifically for veterinary surgery. Requests for these products and suggestions for new items began to trickle in from colleagues and this reinforced the conclusion that a need existed for a specialist instrumentation service to meet the needs of the profession, and small animal orthopaedics in particular. Today the Veterinary Instrumentation range of implants and instruments includes over 3,000 items which are stocked for immediate despatch. Innovation remains a key part of our activity and John works with leading veterinary specialists from all over the world to turn new ideas into practical working instruments. Our products have the professional backup of veterinary and nursing personnel to advise on the selection and use of both instruments and implants. We are always happy to discuss any aspect of instrumentation and can help locate almost any item. Today the technology involved in producing our products ranges from the traditional skills of Sheffield craftsman Len Richardson, (an instrument maker with over 55 years experience who helped develop the first items in the range including the excision arthroplasty rasp and the trochlea rasp) to the ultra-modern. Len uses his extensive experience and hand-eye co-ordination to create runs of 100 identical instruments. He continues to help develop new items and oversees our instrument repair service. By contrast at the other end of the spectrum, all our implants are made by state of the art computer controlled machinery designed to meet the same exacting specifications as their human equivalents. We think we benefit from the best of both worlds, old and new. 4 CH00_p03-05_WELCOME 13/3/07 14:29 Page 5 Contents JOINT SURGERY Pages 6 - 23 1 ARTHROSCOPY Pages 24 - 32 2 GENERAL ORTHOPAEDICS Pages 33 - 50 3 EXTERNAL FIXATION Pages 51 - 66 4 POWER TOOLS Pages 67 - 77 5 SPINAL SURGERY Pages 78 - 82 6 IMPLANTS & INSTRUMENTS Pages 83 - 111 7 TOTAL HIP REPLACEMENT Pages 112 - 115 8 SOFT TISSUE SURGERY Pages 116 - 120 9 HEAD & NECK Pages 121 - 122 10 OPHTHALMIC Pages 123 - 134 11 DENTAL MACHINES Pages 135 - 145 12 DENTAL HAND INSTRUMENTS Pages 146 - 152 13 RODENT DENTISTRY Pages 153 - 156 14 NEEDLES Pages 157 - 162 15 GENERAL SURGERY Pages 163 - 177 16 INSTRUMENT CARE Pages 178 - 183 17 THEATRE WEAR Pages 184 - 187 18 ANAESTHESIA & MONITORING Pages 188 - 198 19 DIAGNOSTICS Pages 199 - 205 20 CLINICAL FURNITURE Pages 206 - 214 21 CLIPPERS Pages 215 - 216 22 TRAINING AIDS Pages 217 - 218 23 INDEX Pages 219 - 226 DELIVERY DETAILS Page 227 TERMS & CONDITIONS Pages 227 - 228 BONE PLATE TEMPLATES Pages 229 - 234 5 CH01_p06-23_Joint Surgery 14/3/07 1 10:12 Page 6 JOINT SURGERY Joint Surgery Adjustable Bone Saw Hard Backed Orthopaedic Saw 140mm long 23mm deep 0.4mm cut. In the style of the XACTO saw blade but is stiffer and has slightly bigger teeth, more suitable for bone. It is made from stainless steel and can be autoclaved. The stiff back helps to guide the saw compared with hack saw type blades which often deviate. Useful for many bone procedures, this saw comes complete with five, fine chrome plated blades. Blade length is adjustable from 40 mm to 100 mm. Procedures include trochleaplasty, tibial crest transplants, amputations, trochanteric osteotomy and excision arthroplasty. Also useful for splitting multi-rooted teeth prior to extraction. Use for wedge sulcoplasty and osteotomies up to 23mm deep. ADJUSTABLE BONE SAW 001000 Adjustable Bone Saw c/w 5 fine blades 001001 Spare Fine Blades. Pack of 5 chrome plated £43.56 HARD BACKED ORTHOPAEDIC SAW (stainless) £8.87 001004 Rhinotomy / Plaster Saw Blade Orthopaedic Hard Back Saw 0.4mm cut. Stainless steel £23.60 Gigli Saw This is a curved stainless blade with a radius of 15mm. Useful for rhinotomy, plaster cutting and osteotomies where access is limited, eg. radius, ulna and ilium during a TPO. RHINOTOMY/PLASTER SAW BLADE 001003 Rhinotomy/Plaster Saw Blade (single) £8.87 Essentially a bone cutting wire. More useful in large dogs. Hard to persuade the saw to cut where you want it to. Can be threaded through holes to make inaccessible cuts. E.g. ulna osteotomies. Coarse Stainless Blade GIGLI SAW Very useful for larger patients. The tooth pitch is 15 teeth per inch. This blade does not clog easily. Also useful for trochleaplasty. COARSE STAINLESS BLADE 001002 Coarse Stainless Blades (single) £8.87 001515 Gigli Saw Handles (pair) £25.60 001516 Gigli Saw 30cm £4.83 001517 Gigli Saw 50cm £5.50 Excision Arthroplasty Rasp X-Acto Saw Although not stainless, this hard backed fine saw is ideal for wedge trochleaplasty. Provided the blade is kept absolutely dry, apart from the actual procedure, you will get several procedures from it before it needs replacing. Handle is aluminium. Consider also the Hard Backed Orthopaedic Saw (001004). Designed specifically to remove any bone spurs following excision arthroplasty. Failure to remove bone spurs is the most common cause of problems with this procedure. Teeth cut on the back stroke. EXCISION ARTHROPLASTY RASP 001010 X-ACTO SAW XACTOB/H Xacto Saw Complete XACTOHANDLE Xacto Saw Handle only £15.02 £9.50 XACTOBLADE Xacto Saw Blade 0.3mm cut £6.52 XACTOSTERILE Xacto Saw Blade Sterile 0.3mm cut Excision Arthroplasty Rasp £36.21 Rectangular Sulcoplasty Instruments NEW £10.59 A rectangular sulcoplasty retains the maximum articular cartilage. Creation of the sulcoplasty can be a challenge in that most osteotomes are too thick and the block tends to break up. Our super slim 8mm osteotome minimises breakup. The rectangular rasp is designed to tidy up the corners of the sulcoplasty to maximise ‘fit’. RECTANGULAR SULCOPLASTY INSTRUMENTS 6 001017 Super Slim Osteotome 8mm £30.55 001018 Rectangular Bone Rasp £24.00 CH01_p06-23_Joint Surgery 14/3/07 10:13 Page 7 1 JOINT SURGERY www.vetinst.com Combination Bone Rasp Set Hohman Retractors with short tip 001041 001042 The three interchangeable rasp blades offer a range of cutting surfaces, flat, round and ‘putti’ style. The handle has an ergonomic design which is easy to grip even when wet. A deceptively useful instrument, this style of Hohman is useful in: 1. retraction of facia lata during CCL repair 2. elevation of femoral head and neck 3. muscle retraction during many joint and fracture procedures. COMBINATION BONE RASP SET If you intend to buy just one Hohman, the one you need is 001041, 18 mm with a short tip. This is usually the one described in texts as ‘Hohman’. 001015 Combination bone rasp with 3 interchangeable heads £120.00 HOHMAN RETRACTORS with short tip Trochlea Rasp Designed for deepening the trochlea groove, the trochlea rasp has a range of diameters to suit breeds from chihuahuas to bull terriers. For larger breeds perform a wedge trochleaplasty using a hard backed saw. An accurately contoured trochlea is essential for a successful trochleaplasty. Articular cartilage is removed to be replaced by fibrocartilage. Trochlea Rasp Hohman Retractor 18mm Short Narrow Tip £33.99 001042 Hohman Retractor 12mm Short Narrow Tip £33.99 Hohman Retractor with long broad tip 001043 001044 TROCHLEA RASP 001020 001041 Useful in and around the shoulder joint and other retraction situations when a blunt tip is desirable. £36.21 HOHMAN RETRACTOR with long broad tip OCD Curette 001043 Hohman Retractor 24mm Long Broad Tip £33.99 001044 Hohman Retractor 18mm Long Broad Tip £33.99 Hohman Retractor broad with short narrow tip 001045 Actual size 001046 The 48 mm Hohman is very useful in the large dog for elevation of the femoral head and neck for excision or toggle. The 24 mm is designed to retract muscles during plating and cerclage procedures. Loose flaps of cartilage at the OCD lesion must be removed. The double ended OCD curette is designed to perform this task within the limited space available. Healthy fibrocartilage within the lesion should not be disturbed. HOHMAN RETRACTOR BROAD with short narrow tip OCD CURETTE 001030 001032 O.C.D. Curette O.C.D. Curette Small £29.92 £29.92 7 001045 Hohman Retractor 48mm Short Narrow Tip £33.99 001046 Hohman Retractor 24mm Short Narrow Tip £33.99 CH01_p06-23_Joint Surgery 14/3/07 1 10:13 Page 8 JOINT SURGERY Joint Surgery Mini Hohman 6mm & 8mm short tip Curved Graft Passer Manipulation of small bone fragments during repair requires careful retraction of soft tissues to minimise devascularisation. The blade of the Hohman retracts the soft tissue as the tip effectively elevates and exposes the bone fragment. Exact anatomical repair of the bones will not result in satisfactory healing without adequate blood supply. Mini Hohmans allow delicate, precise retraction of the vital soft tissues, allowing placement of screws or wires. An assistant to hold these instruments is a distinct advantage. MINI HOHMAN 6mm and 8mm short tip 001047 Mini Hohman Retractor 6mm Short Tip £33.99 001048 Mini Hohman Retractor 8mm Short Tip £33.99 Photography: Hamish Denny Straight Graft Passer Designed to pass through a 2.7 mm hole, the straight graft passer is useful for pulling graft and nylon through bone tunnels. The repair of the cranial cruciate ligament (CCL) by the 'Over the Top' technique requires a curved graft passer to pull the graft through the stifle joint. This design of graft passer has been developed over many years to: STRAIGHT GRAFT PASSER 001050 £33.99 Straight Graft Passer 1. minimise damage to intra - articular structures 2. feel right in use. The handle is comfortable 3. for graft insertion anterior to posterior or vice versa. Bennett Type Graft Passer & Aneurism Needles This design is used by most recognised orthopaedic surgeons. Please see our free CD rom ‘Surgical Management of Canine Cranial Cruciate Disease’ for details and video of the technique. The small eyed graft passers are appropriate for placement of lateral suture wire or monofilament nylon as described by M. L. Olmstead. close-up detail CURVED GRAFT PASSER The sharp tip of the angled graft passer is passed around the fabella by rotating the wrist. The eye is small and accepts all suture materials. BENNETT TYPE GRAFT PASSER & ANEURISM NEEDLES 001051 Very Small Curved Graft Passer 2cm £36.66 001052 Small Curved Graft Passer 3cm £36.66 001053 Large Curved Graft Passer 4.5cm £36.66 001057AL Aneurism Needle 3cm Angled Left Small Eye £36.66 001054 Very Large Curved Graft Passer 6cm £36.66 001057AR Aneurism Needle 3cm Angled Right Small Eye £36.66 001055 Extra Large Curved Graft Passer 8cm £36.66 001058AL Aneurism Needle 4.5cm Angled Left Small Eye £36.66 001056 2cm Graft Passer with small eye £36.66 001058AR Aneurism Needle 4.5cm Angled Right Small Eye £36.66 001057 3cm Graft Passer with small eye £36.66 001059 Large Bennett graft Passer/Ligature Needle £36.66 001058 4.5cm Graft Passer with small eye £36.66 001059 Large Bennet Graft Passer/Ligature Needle £36.66 8 CH01_p06-23_Joint Surgery 14/3/07 10:13 Page 9 1 JOINT SURGERY www.vetinst.com Cranial Cruciate Ligament Lateral Suture System The use of monofilament nylon as a lateral suture is accepted as a method of repair of the cranial cruciate ligament (CCL). Heavy gauge monofilament nylon (100lb, 80lb and 50lb breaking strain) is difficult to tie without making a large knot, which tends to stretch and irritate the soft tissues causing pain and seromas. In addition it is difficult to sterilise. Autoclaving reduces the strength and increases the elasticity of nylon. Veterinary Instrumentation's Lateral Suture System uses nylon sterilized by Ethylene Oxide together with a crimp tube, a method of joining the nylon already well established in other industries. For procedure details see www.k9ccl.com or request our free CD rom ‘Surgical Management of Canine Cranial Cruciate Disease’. info Some CCL deficient patients benefit from the use of double sutures. This is particularly true of very large dogs and 100lb line. Passing a second needle behind the fabella risks damaging both the first line and the peri-fabellar structures which ultimately will hold the nylon sutures. Double line, swaged on sutures allows the placement of two lines with one pass of the needle. Available as single sterile pack. The double line is available swaged on as a loop without crimps and will, therefore, be of interest to those surgeons using the self-locking McKee/Miller knot (VCOT 1999;12:78-80). WHICH SUTURE? (Approx) STRENGTH 50lb 80lb 100lb 100lb x 2 WEIGHT 10 - 15kg 15 - 20kg 20+kg 40kg CRANIAL CRUCIATE LIGAMENT LATERAL SUTURE SYSTEM CDROM Surgical Management of Canine CCL disease - covers OTT, Lateral suture & TPLO These are guidelines only FOC Kits 091154 fabella (cruciate) needles Basic kit Actual Size KITS 091154 CCL Suture System (Swaged on) Basic Kit. Forceps, 2 x each size nylon/needle/crimp sterile packs FABELLA (CRUCIATE) NEEDLES 091144VS Fabella Needle, Very Small - Pack of 6 Has regular eye £8.00 091144 Fabella Needle, Small - Pack of 6. Has regular eye £8.00 091145 Fabella Needle, Medium - Pack of 6. Has regular eye £8.00 091146 Fabella Needle, Large - Pack of 6. Has regular eye £8.00 9 £112.00 091151 CCL Suture System (Swaged on) Basic Kit Plus. Forceps, 2 x each size nylon/needle/crimp sterile packs plus H/D needleholders £132.00 091152 CCL Suture System Starter Kit. Forceps, 2 x each size nylon/crimp sterile packs, pack of S/M/L fabella needles + autoclavable needle box. Needles not swaged on. £146.57 CH01_p06-23_Joint Surgery 14/3/07 1 10:13 Page 10 JOINT SURGERY Joint Surgery Double Leader Line + Needle + Crimps Implants For the application of double lines with the single pass of a needle CRIMPS DOUBLE LEADER LINE + NEEDLE + CRIMPS 091140 10mm Tube Crimp for 50lb line (non sterile) £4.98 091136 12mm Tube Crimp for 80lb + 100lb line (non sterile) £4.98 091133 091165 50lb Double line (500mm x 2 as loop) on v small needle plus 2 x 10mm crimps £13.00 14mm Tube Crimp (non sterile) Suitable for nylon over 100lb 091166 80lb Double line (800mm x 2 as loop) on sm needle plus 2 x 12mm crimps £13.00 £4.98 NON STERILE NYLON 091143 50lb Mono Filament nylon x 50 metre (non sterile) £8.98 091138 80lb Mono Filament nylon x 50 metre (non sterile) £9.98 091134 100lb Mono Filament nylon x 50 metre (non sterile) £9.98 091167 100lb Double line (800mm x 2 as loop) on med needle plus 2 x 12mm crimps info £13.00 Correct Crimping Sterile CCL Packs Sterile Nylon Leader Line Also useful for other ligament replacement procedures, eg. hip toggle, collateral ligament repair. Correct. Three evenly spaced crimps STERILE NYLON LEADER LINE 091141 500mm x 50lb nylon (sterile pack) £3.96 091139 800mm x 80lb nylon (sterile pack) £4.50 091148 800mm x 100lb nylon (sterile pack) £4.50 Incorrect. Not enough crimps Sterile Leader Line & Crimp For use with separate Fabella (cruciate) needles STERILE LEADER LINE & CRIMP 091142 10mm Tube Crimp + 500mm x 50lb nylon (sterile pack) £8.54 091137 12mm Tube Crimp + 800mm x 80lb nylon (sterile pack) £9.70 091147 12mm Tube Crimp + 800mm x 100lb nylon (sterile pack) £9.70 Incorrect. Crimps too close to end of tube Sterile Leader Line & Crimp + Needle NEW This pack contains everything required for a single procedure. STERILE LEADER LINE & CRIMP + NEEDLE 091155 50lb nylon line x 500mm on swaged-on v.small fabella needle + 10mm crimp (sterile) £10.54 091156 80lb nylon line x 800mm on swaged-on small fabella needle + 12mm crimp (sterile) £11.70 091157 100lb nylon line x 800mm on swaged-on medium fabella needle + 12mm crimp (sterile) £11.70 Veterinary Instrumentation is very pleased to have been appointed UK distributor for Arthrex joint surgery products. Arthrex are leaders in the field of Human joint surgery and arthroscopy and have some very innovative products such as FiberWire™ offering significant benefits to the veterinary surgeon. FiberWire™ FiberWire™ is a new composite material consisting of a multi-stranded long chain ultra high molecular weight polyethylene core with a polyester braided jacket. Compared to monofilament nylon, FiberWire™ is stronger, and does not stretch. In addition and very importantly FiberWire™ has much better wear characteristics. Most lateral suture loops fail by abrasion, usually at the fabella. Use of FibreWire™ extends the working life of the lateral suture. FiberWire™ is five times more rsistant to abrasion than standard polyester suture. FiberWire™ ties very well with a creep free soft knot which again compares very well with nylon. Double Leader Line Loop on Needle FIBERWIRE McKee/Miller Self Locking Knot For use with McKee/Miller knot DOUBLE LEADER LINE + NEEDLE 091160 50lb Double line (500mm x 2 as loop) on v small needle 091161 £10.00 80lb Double line (800mm x 2 as loop) on sm needle £10.00 091162 100lb Double line (800mm x 2 as loop) on med needle £10.00 10 AR-7200 #2 FiberWire™ with tapered needles (12) £126.00 AR-7201 #2 FiberWire™ without needles (12) £126.00 AR-7202 #2 FiberWire™ with reverse cut needles (12) £126.00 AR-7205 #2 FiberWire™ - Tapered needles (12) £189.00 AR-7210 #5 FiberWire™ without needles (12) £220.50 AR-7211 #5 FiberWire™ with needles (12) £315.00 AR-7220 2-0 FiberWire™ with tapered needles (12) £126.00 AR-7237 FiberTape (6) £472.50 VAR-2000 FiberWire™ canine cruciate kit - sterile SU (10) £262.50 CH01_p06-23_Joint Surgery 14/3/07 10:13 Page 11 1 JOINT SURGERY www.vetinst.com FiberWire™ Canine Cruciate Lateral Suture Loop Tension Devices Prior to crimping it is suggested that the loop be tensioned sufficiently to eliminate the anterior draw, but not enough to create an outward rotation. This may be achieved by a number of methods: a) Partial crimp - see video, does not require additional instrumentation. b) Simple tension device requiring a pair of gelpis 091132 NEW c) A dedicated loop tensioner 091132A CCL Tensioning Device 091132 - Tensioning Device (gelpis not included) A special FiberWire™ lateral suture has been developed by Arthrex in conjunction with James L. Cook, DVM, PhD, at the Comparative Orthopaedic Laboratory, University of Missouri, consisting of a swaged on curved needle for fabella placement and a straight needle at the other end for easy passage through the proximal tibia. The #5 FiberWire™ (7 metric) is for use in dogs 15kg to 50kg. A #2 FiberWire™ will be available shortly. CCL LOOP TENSIONER 091132 A step by step guide on how to use the new suture can be viewed or downloaded as a pdf by visiting our web site www.vetinst.com. Alternatively ask any of our representatives for a free brochure and sample. If your suture tying technique needs revision we can send you a free CD rom on Arthroscopic Suture techniques. CCL Tensioning Device (pair - gelpis not included) £39.00 CCL Loop Tensioning FIBERWIRE™ CANINE CRUCIATE LATERAL SUTURE VAR-2000 #5 (M7) FiberWire™ Suture (10) £262.50 Instruments 091132A-CCL-Loop-Tensioner Heavy Duty Needle Driver Leader line gripped by thumbscrew. detail in use HEAVY DUTY NEEDLE DRIVER 091153 Heavy Duty Needle Driver with Tungsten jaws Does not require use of extra crimps. £38.50 Speed lock type action gives more ‘feel’ than ratchet type. Jaws designed specifically for crimping system. The literature tells us little about the correct tension. We recommend that the anterior draw is eliminated but that an outward rotation of the tibia is not created. Remember over tensioning is as big a technical error as under tensioning! Instructions on use on www.vetinst.com. CCL LOOP TENSIONER 091132A 11 CCL Loop Tensioner £93.00 CH01_p06-23_Joint Surgery 14/3/07 1 10:13 Page 12 JOINT SURGERY Joint Surgery Crimping Forceps Bone Tunnel Borer Bone tunnels are required in many procedures, e.g. tension wire banding, hip toggling and embrocation techniques. The bone tunnel borer is a simple hand instrument which causes minimal soft tissue damage and minimal fuss in setting up compared with orthopaedic drills. Can be used to pre-drill for screws and suture screws. BONE TUNNEL BORER Dedicated crimping forceps are required to avoid over-crimping or under-crimping, both of which will lead to early implant failure. CRIMPING FORCEPS 091135 Crimping Forceps 001070 Bone Tunnel Borer 2mm £29.53 001073 Bone Tunnel Borer 2.5mm £29.53 001071 Bone Tunnel Borer 2.7mm £29.53 001072 Bone Tunnel Borer 3.5mm £29.53 Countersinking Bone Tunnel Borer £95.00 Compound Action Crimper Bone Tunnel Borer Bone Tunnel Borer - Close Up In order to minimise the stress and abrasion of the nylon as it passes through the bone tunnel, countersinking the hole is advisable. To reduce time and instrumentation the self-countersinking instrument incorporates a countersink on the shaft. COUNTERSINKING BONE TUNNEL BORER 001075 Bone Tunnel Borer with Countersink 2.5mm £38.63 The new compound action crimper delivers a more powerful and controlled crimp than our simple action device. The angle of the jaws gives the surgeon a better view than straight variants. The handles sit almost parallel to the table surface which is more comfortable. In the relaxed postion the compound action crimpers sits more easily in the hand than market alternatives. COMPOUND ACTION CRIMPER 091135C Compound Action Crimper £120.00 Contents of 091157 12 100lb Leader line & Crimp and Swaged on Needle CH01_p06-23_Joint Surgery 14/3/07 10:13 Page 13 1 JOINT SURGERY www.vetinst.com TPLO Kit Tibial Plateau Levelling Operation by Wedge Osteotomy Kit includes; multisaw, stainless converter, shroud, blade 70mm x 12mm, blade 70mm x 25mm. 1 x TPLO272739, 1 x TPLO353555, 1 x TPLO353579 and CD rom on the technique. Gives a 10% discount over individual purchases. (You will also need 2.7/3.5mm AO type bone plate benders). TPLO KIT TPLOKIT TPLO (closing wedge) Start up kit 001287 2.7/3.5 AO Type bone plate benders (pair) £499.00 £29.00 Wedge Osteotomy Gauge Set 9º to 23º The tibial plateau levelling operation (TPLO) alters the anatomy of the stifle to moderate the effect of the loss of the cranial cruciate ligament (CCL). The stifle remains unstable to manipulation but is stable as the dog bears weight. It is claimed that following TPLO, degenerative joint disease changes are minimal compared with other CCL procedures. These plates are widely used to repair the tibia following removal of the bone wedge. The shaft holes are compression. The holes in the head are round but large to give a good range of screw angle. Particularly useful in large dogs and dogs with tibial plateau deformation. See page 231 for TPLO plate profiles. Our free CD rom illustrates and describes the technique. The wedge gauges simplify the marking and cutting of the appropriate wedge. The parallel marks on each gauge allow the surgeon to mark and cut a wedge having equal borders proximally and distally. WEDGE ANGLE FINDER OVERLAY - FREE A simple acetate overlay to help you calculate the tibial plateau angle, from which you can easily calculate the size of the wedge to remove. Includes lines to indicate the normal tibial plateau angle and a 5º line which is regarded as the most appropriate post-op angle. Also included on the acetate are actual size outlines of our range of TPLO plates to help you select the most appropriate plate. See page 231 for actual size profiles. With both borders the same length the resulting closure is better, both functionally and cosmetically. See our website www.k9tplo.com for further info & a step by step guide to the procedure. WEDGE OSTEOTOMY GAUGE SET - 9º to 23º 001493 TIBIAL PLATEAU LEVELLING OPERATION BY WEDGE OSTEOTOMY CDROM Surgical Management of Canine CCL disease - covers OTT, Lateral suture & TPLO FOC TPLO202026 2.0mm DCP 26mm overall length £18.00 TPLO272739 2.7mm DCP 39mm overall length £25.63 TPLO273539 2.7/3.5 DCP 39mm overall length Allows use of 3.5 cancellous screw in head £25.63 TPLO273545 2.7/3.5 DCP 45mm overall length 2.5mm thick £29.00 TPLO353555 3.5mm DCP 55mm overall length £36.90 A very sharp marking point with an easy to hold handle enables the surgeon to mark bone prior to cutting or rotating (Slocum procedure). BONE SCRIBE 001494 £36.90 TPLO353579 3.5mm DCP 79mm overall length Heavy Duty £38.95 TPLO354579 3.5/4.5 DCP 79mm overall length Heavy Duty Allows 4.5 screws in head £38.95 TPLO 35456579 79mm overall length, Heavy Duty Allows 4.5/6.5 screws in head £42.85 TPLO 45659030 4.5m DCP 90mm overall length Will accept 6.5 cancellous screws in head 3.0mm thick £75.00 TPLO 45659045 4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 4.5mm thick £75.00 TPLOO Angle Finder & Plate Overlay £76.50 Bone Scribe TPLO353557 3.5mm DCP 57mm overall length Heavy Duty £36.90 TPLO353577 3.5mm DCP 77mm overall length Wedge osteotomy gauge set FOC 13 Bone scribe £12.50 CH01_p06-23_Joint Surgery 14/3/07 1 10:13 Page 14 JOINT SURGERY Joint Surgery Triple Tibial Osteotomy Triple Tibial Osteotomy Some instrumentation is required to make the procedure easier and to minimise errors. The set comprises a saw guide, measuring/marking gauge (osteometer) and a bone manipulation device (wedgie). The saw guide works with flat oscillating blades with a maximum cut thickness of 1mm (thickness at the teeth). See Chapter 5. A new cruciate management technique combining tibial plateau levelling and tibial tubercle advancement. FREE INSTRUCTIONAL DVD Phone 0845 130 9596 or email [email protected] Based on the work of Slocum, Tepic and Montavon, the Triple Tibial Osteotomy has been developed by Dr Warrick Bruce to overcome some of the problems encountered in the Slocum TPLO technique, the Montavon TTA (Tibial Tubercle Advancement) and the closing wedge TPLO technique. The technique uses the well established range of closing wedge osteotomy plates. Triple Tibial Osteotomy 90º Some of the problems include:Work by Tepic suggests that the tibial plateau should be perpendicular to the patella ligament to minimise shear strain at the CrCL. The Slocum technique does not always address this issue. The bi-radial Slocum blade is inefficient and difficult to resharpen resulting in the generation of significant amounts of heat which leads to delayed healing and other complications. Osteometer and Saw guide The Montavon TTA technique creates a large defect in the cranial tibia which requires an expensive titanium cage and plate to prevent collapse during the healing phase. The closing wedge TPLO shortens the tibia and creates a defect in the tibia which has to be protected from the pull of the straight patella ligament by a figure of eight wire. The TTO technique deals with all of these problems:A long osteotomy is made in the tibial crest to allow the tibial tubercle to move forward. The angle correction is made by making a small wedge osteotomy in the caudal tibia which when closed creates a small tibial tubercle advancement. A free instructional DVD is available which fully describes and explains the procedure through video, stills and text files. The DVD also includes an instrument check list. Three Osteotomies TPLO + TTA Full day workshops are held in various locations around the world. Please phone for details or check www.vetinst.com for latest updates TTO KIT 14 TTO008 TTO Instruments (3 items) kit price DVDTTO DVD Illustrating the procedure £190.00 FOC TPL00 Angle Finder and Plate Overlay FOC CH01_p06-23_Joint Surgery 14/3/07 10:13 Page 15 1 JOINT SURGERY www.vetinst.com TPLO Jig Tibial Plateau Levelling by Radial Osteotomy Slocum Slocum Style Plates NEW TPLOS35R slocum style TPLOS27L slocum style The cast Slocum plate meets neither the current metallurgical specification nor the manufacturing process requirements for stainless steel implants. While we are allowed to use our judgement regarding implants it would be relatively hard to defend the use of a non–standard implant should anything go wrong. Once the radial cut is made in the proximal tibia the two parts are essentially unstable. The proximal segment has to be rotated while maintaining alignment. The jig is placed prior to the cut and keeps the two segments under control until the rotation is complete and the two parts fixed internally. In view of the above we have produced a Slocum style plate, machined from 316LVM. The only clear advantage of the cast Slocum plate was its malleability. Our plate has been modified in the head region to make contouring easier, while retaining the stiffness of 316LVM elsewhere for stability and rapid healing. The lower profile makes closure easier. TPLO JIG TPLOJIG SLOCUM STYLE TPLO PLATES TPLO JIG £157.00 TPLOS35L TPLO Plate Slocum Style 3.5mm left £60.00 Slocum TPLO Guide Pin TPLOS35R TPLO Plate Slocum Style 3.5mm right £60.00 End threaded negative pin. Drive directly into the tibia for jig attachment. TPLOS27L TPLO Plate Slocum Style 2.7mm left £40.00 TPLOS27R TPLO Plate Slocum Style 2.7mm right £40.00 SLOCUM TPLO GUIDE PIN 3.2mm TPLO32 Slocum guide pin 3.2mm, thread 25mm £3.50 Slocum Rotation Gauges Delta Style TPLO Plates - Contoured The rotation gauges simplify the rotation procedure. The correct measurement, in millimetres, is read from the table and the appropriate gauge selected. The bone is marked using the scribe or an osteotome. No more fiddling around with rulers. NEW SLOCUM TPLO ROTATION GAUGES 5 to 15mm 001492 Slocum rotation gauges Pre-Contoured Slocum Style TPLO plates £65.20 Veterinary Instrumentation is now able to supply the familiar triangular TPLO range in all the standard sizes, 3.5 Broad, 3.5 Standard and 2.7. These plates are not easy to contour so we offer only the pre-contoured options which may need a final clinical ‘tweak’. NEW DELTA STYLE TPLO PLATES TPLO plates manufactured from impant specification stainless steel (ASTM F 138, ISO 5832-1) are extremely difficult to contour appropriately without leaving stress riser marks in vulnerable places. Our pre-contoured plates are pre-bent and polished to leave no stress riser. A final intra-operative ‘tweak’ may be necessary in individual cases. TPLODEL35BL 3.5 Broad Delta Plate Left £65.00 TPLODEL35BR 3.5 Broad Delta Plate Right £65.00 TPLODEL35L 3.5 Delta Plate Left £49.00 TLPODEL35R 3.5 Delta Plate Right £49.00 TPLODEL27L 2.7 Delta Plate Left £42.00 TPLODEL27R 2.7 Delta Plate Right £42.00 For plate profiles see page 231. PRE-CONTOURED TPLO PLATES TPLOS35RPC 3.5 Right Slocum Style Pre-contoured Plate £61.00 TPLOS35LPC 3.5 Left Slocum Style Pre-contoured Plate £61.00 For plate profiles see page 231. 15 CH01_p06-23_Joint Surgery 1 14/3/07 10:13 Page 16 JOINT SURGERY Joint Surgery TPLO Plates with Locking Screw Holes Cadmus Plates and Templates NEW Calvin Cadmus from Oakland California, as an early Slocum user, recognised that when the TPLO osteotomy was centred along the long axis of the tibia several advantages were seen over non-centred osteotomies. 1) Increased accuracy in achieving the desired post-op tibial plateau angle. 2) Significantly fewer tibial tubercle fractures. 3) Elimination of undesirable angular deformities (genu valgum). 4) Decrease in proximal screw pull out. 5) Lower long term DJD. Calvin has designed a template to ensure that your osteotomy is centred on the long axis, and a range of plates which stabilise the osteotomy along the long axis of the tibia. Ref. ‘Geometrical analysis evaluating the effect of TPLO position on post-operative tibial plateau slope’ VCOT Jan 2004. M.P. Kowaleski.et al. = DCP hole Cadmus Plates = locking hole 1) Surgeon friendly plate fits the contour of the osteotomy. 2) Eliminates intra-articular screw placement. All holes accept regular 3.5 cortical screws 3) Creates compression along the arc of the osteotomy. 4) Hole design provides maximum screw security as well as compression. 5) Machined , not cast, from 316LVM conforming to ASTM 138. Use of locking screws offers an internal/external fixation construct across the osteotomy site. The plate is attached to the screw and the screw is attached to the bone. Rigidity does not depend on the plate being trapped between screw head and bone as in non-locking plates. 6) Easy contour particularly in the proximal tibia. CADMUS TPLO TPLOCAD18L Cadmus TPLO Plate 18mm L £60.00 TPLOCAD18R Cadmus TPLO Plate 18mm R £60.00 TPLOCAD24L Cadmus TPLO Plate 24mm L £60.00 Plates are supplied pre-contoured to minimise the risk of screw hole distortion and stress riser marks. A dedicated drill guide is, however, necessary to place the pilot hole exactly at the correct angle to the plate. TPLOCAD24R Cadmus TPLO Plate 24mm R £60.00 TPLOCAD30L Cadmus TPLO Plate 30mm L £60.00 TPLOCAD30R Cadmus TPLO Plate 30mm R Holes accept both standard cortical screws and locking screws. LNDGCAD27 Cadmus load/neutral guide 2.7mm £103.56 LNDGCAD35 Cadmus load/neutral guide 3.5mm £103.56 DVDTPLOCAD DVD Illustrating use of Cadmus Plate & Template Our new plate is osteotomy centered and maximises the interface around the osteotomy circumference. A novel angled DCP hole distally allows for additional compression of the cranial osteotomy if necessary TPLO PLATES WITH LOCKING SCREW TECHNOLOGY TPLO35BLPCL TPLO Plate locking 3.5 broad left £75.00 TPLO35BLPCR TPLO Plate locking 3.5 broad right £75.00 TPLO35LPCL TPLO Plate locking 3.5 left £70.00 TPLO35LPCR TPLO Plate locking 3.5 right £70.00 £60.00 FOC . Accurate placement of the screws in the head is facilitated by use of a dedicated load and neutral guide which places the pilot hole away from the osteotomy. As the screw is tightened into the hole there is a compressing movement of the screw and bone. The spherical head of the screw then locks into the round hole giving secure full circumferential contact unlike a standard DCP hole. It is easy to create a single compressing movement around the arc of the osteotomy using round holes with the added bonus of extra screw security. For plate profiles see page 229. For locking screw see page 98. 16 CH01_p06-23_Joint Surgery 14/3/07 10:13 Page 17 1 JOINT SURGERY www.vetinst.com Cadmus Templates Examination and Surgery of the Meniscus Stifle Lever NEW CADMUS TEMPLATES TPLOTEM18 Cadmus Centering Template - 18mm £42.00 TPLOTEM24 Cadmus Centering Template - 24mm £42.00 TPLOTEM30 Cadmus Centering Template - 30mm £42.00 Tibial Tuberosity Advancement (TTA) NEW The TTA procedure developed by Tepic and Montavon is designed to bring the tibial plateau to sit at 90 degrees with the straight patella ligament. This effectively neutralises the shear forces within the stifle, under loading, making the stifle stable. This is acheived by advancing the tibial tubercle and stabilising the created defect using a titanium cage and plate. The cage is selected for both thickness and width. The implants are secured using titanium screws. Photo: H. Denny. Titantium is very osteoconductive resulting in rapid healing. The use of stainless steel implants is not recommended. TTA PLATES AND CAGES TITANIUM TTAC616 Cage 6 x 16mm titanium £60.00 TTAC619 Cage 6 x 19mm titanium £60.00 TTAC622 Cage 6 x 22mm titanium £60.00 TTAC919 Cage 9 x 19mm titanium £65.00 TTAC922 Cage 9 x 22mm titanium £65.00 TTAC925 Cage 9 x 25mm titanium £65.00 TTAC1222 Cage 12 x 22mm titanium £70.00 TTAC1225 Cage 12 x 25mm tiatium £70.00 TTAC1228 Cage 12 x 28mm titanium £70.00 TTAP3 Plate 3 hole titanium £20.00 TTAP4 Plate 4 hole titanium £20.00 TTAP5 Plate 5 hole titanium £20.00 TTAP6 Plate 6 hole titanium £20.00 STIFLE LEVER TTAP7 Plate 7 hole titanium £20.00 001115 TTAP8 Plate 8 hole titanium £20.00 TTAF3 Fork 3 prong titanium £25.00 TTAF4 Fork 4 prong titanium £25.00 TTAF5 Fork 5 prong titanium £25.00 TTAF6 Fork 6 prong titanium £25.00 TTAF7 Fork 7 prong titanium £25.00 TTAF8 Fork 8 prong titanium £25.00 Examination and management of meniscal injuries is made extremely difficult by the limited access to the medial meniscus during routine approaches. Exposure of the medial meniscus is typically achieved by either use of a stifle distractor or by a Hohman retractor. Hohman retractors are not designed for levering against articular cartilage in that the blade does not ‘fit’ the trochlea. The stifle lever is designed to substitute the Hohman. The caudal surface of the stifle lever is contoured to fit the trochlea of large dogs. The load is dissipated over a large area minimising trauma. The ring style handle is convenient for retraction by the surgeon using the thumb. The tip atraumatically hooks behind the caudal aspect of the tibial plateau. 17 Stifle Lever £33.99 CH01_p06-23_Joint Surgery 1 14/3/07 10:13 Page 18 JOINT SURGERY Joint Surgery Meniscectomy Instruments Beaver Type Scalpel Handle Ligament Clamp Jaws Holds Beaver and Swann Morton fine blades. Ideal for delicate control and maximum visualisation. Damage to the medial meniscus following CCL rupture increases with: BEAVER TYPE SCALPEL HANDLE 1. time after injury. 2. size of the dog. 06054 Beaver type scalpel handle (VI) 130mm £7.30 06052 Beaver type scalpel handle. 100mm £8.41 06053 Beaver type scalpel handle. 80mm £8.41 Removal of severely damaged cartilage is assisted by instruments designed for the purpose. The jaws of the ligament clamp have multiple small teeth for maximum grip in the presence of synovial fluid. Swann Morton Beaver Type Blades No. 64 No. 65 MENISCECTOMY INSTRUMENTS 001100 Meniscectomy Instrument Set £68.24 001107 Meniscectomy Knife £40.42 001110 Ligament/Cartilage Clamp £35.40 The 64 blade (best for meniscal release) cuts around the tip as well as the ventral surface. The 65 blade (best for trimming flaps) is essentially a scaled down No. 11 blade. The 65A blade is even smaller. Very useful in restricted areas minimising risk to articular cartilage. Toothed Halsteads SWANN MORTON FINE BEAVER TYPE BLADES 05904 No 64 blades (25). Beaver type £18.96 05905 No 65 blades (25). Beaver type £18.96 05906 No 65(a) blades (25). Beaver type £18.96 Meniscus Probes 103185 TOOTHED HALSTEADS 103185 Halstead mosquito forcepts 1/2 teeth Cof £15.00 Fat Pad Retractor Visualisation of the medial meniscus is maximised by retraction of the fat pad. Previously this has been achieved by use of a Senn ("cats paw") retractor. The fat pad retractor has the same clawed foot but has a much more practical means of holding the instrument. Visualisation of the caudal horns of the meniscus can be a challenge. Often the process of exposing the caudal horn can result in distortions. A normal meniscus can look damaged and occasionally a bucket handle tear can sit back and look normal. It is helpful to gently probe the meniscus to establish its true condition. Dimensions refer to length of tip. Use 1mm in dogs < 30k and for dogs >30kg use 2mm. FAT PAD RETRACTOR 001114 Fat Pad Retractor £17.50 833305 Senn cats paw retractor £17.02 MENISCUS PROBE 18 001408 Meniscus Probe 1mm tip £23.23 001409 Meniscus Probe 2mm tip £23.23 CH01_p06-23_Joint Surgery 14/3/07 10:13 Page 19 www.vetinst.com JOINT SURGERY Stifle Distractors STIFLE DISTRACTOR Damage to the medial meniscus is commonly associated with rupture of the Cranial Cruciate Ligament (C.C.L.). It is most frequently found in larger dogs with a longstanding injury. Failure to deal with meniscal damage is a serious omission in C.C.L. repair. Exposure of the medial meniscus for examination and repair is extremely difficult. For further information see our web site or request our free CD rom ‘Surgical Management of Canine Cranial Cruciate Disease’. WHICH DISTRACTOR? 5kg 5-15kg 15-50kg 50kg 001113VS 001113 001112 001112/L 1 001112/L Large Stifle Distractor min spread 10mm max 40mm. £130.06 001112 Stifle Distractor min spread 8mm max 30mm. £130.06 Small Stifle Joint Distractor very small small standard large 001113 6mm Small Stifle Distractor - Actual size The small distractor is also useful as small local muscle and tissue retractors in and around canine joints e.g. elbow exploration. SMALL JOINT DISTRACTOR / RETRACTOR 6mm wide tips 001112 the original stifle distractor remains the most useful 001113 Small Joint Distractor/Retractor 6mm wide tips £90.85 Very Small Stifle Joint Distractor Stifle Distractor The very small distractor is extremely useful as a small joint retractor during the meniscal release procedure. 001113vs It is used to open a small window, caudal to the medial collateral. 3 mm VERY SMALL JOINT DISTRACTOR / RETRACTOR 3mm wide tips 001113VS V Small Joint Distractor/Retractor 3mm wide tips £90.85 Spinlock Stifle Distractor Stifle Distractor Tips NEW 001112 The stifle distractor is designed to separate the femoral component of the stifle from the tibia. Ideally the two joint surfaces should move away from each other in a parallel fashion so that the meniscus is exposed in its natural state and minimally distorted by the examination. One tip is placed in the intercondylar notch and the other on the cranial intercondylar area. Neither tip should involve articular cartilage. Test distractions (by squeezing the handles) will allow the surgeon to find the exact point at which a full distraction will expose the medial (usually) meniscus. The spin lock is then engaged to powerfully open up the stifle joint. The distractor is self-retaining leaving the surgeon with two free hands to examine the meniscus and deal with any pathology. The working tips of our spinlock stifle distractors are just the same as the ratchet version. The spin lock offers a more secure distraction as it is impossible for the distractor to slip. In addition the spin lock variant allows the surgeon to ‘crank’ open the joint is the manner of the larger versions of this instrument. Many of our Gelpi self retaining retractors are also available with a spinlock. See page 44. When closed the tips overlap making the points atraumatic as they enter the joint. Additionally the overlapping feature reduces the profile of the tips as they enter the joint. SPINLOCK DISTRACTORS Money-back guarantee! If this instrument is not an improvement on whatever you are currently using, we will give you a full refund. 001113SL Spinlock Small Stifle Distractor 001113VSSL Spinlock Very Small Stifle Distractor 19 £99.00 £99.00 CH01_p06-23_Joint Surgery 14/3/07 1 10:13 Page 20 JOINT SURGERY Joint Surgery Coughlan Soft Tissue Mangeurs Miscellaneous Joint Surgery Products OATS Osteochondral Autograft Transfer System Close-up detail Developed by Andrew Coughlan of Northwest Surgeons, the mangeur is designed to rapidly remove soft tissues eg. fat pad which can obscure the operative field. Also ideal for the removal of the remnants of the ruptured cranial cruciate ligament. NEW COUGHLAN SOFT TISSUE MANGEURS 001108S Coughlan Soft Tissue Mangeur - very small 2mm x 8mm 001108 2.5mm x 10mm 001109 £96.00 Coughlan Soft Tissue Mangeur - small £96.00 Coughlan Soft Tissue Mangeur - large 5mm x 12mm £96.00 Plate Bending Pliers These pliers will contour 2.7mm and 3.5mm narrow plates. 3.5 DCPs are at the absolute limit and will require multiple small bends. Also useful for bending guide pins in the Slocum TPLO technique. Available elsewhere for £1000 or more. The principle of the OATS system is the harvesting of a graft of bone plus articular cartilage from a non-weight bearing area and placing the graft into a recipient site where the diseased or damaged cartilage has been removed. PLATE BENDING PLIERS The small joint set is designed as a sterile single use set which facilitates the identification, recipient socket preparation, and donor harvesting of a cylindrical osteochondral graft. The recipient socket is prepared with a guide pin and cannulated drill bit (matched to the donor harvester for an anatomic press fit). Available in 6, 8 & 10mm diameters. Other applications: Work by Noel Fitzpatrick suggests that placing a bone core(harvested by the OATS system) across IOHC lesion together with implant support can lead to resolution. OATS SYSTEM 6mm OATS set £360.00 AR-8981-08S 8mm OATS set £360.00 AR-8981-10S 10mm OATS set £360.00 AO type bending pliers 2.7/3.5mm £163.00 001289A AO type bending pliers 2.0/2.7mm £154.00 CCL Staples The set includes a ruler, cannulated drill bit, dual-sided alignment rod, donor harvester, clear graft delivery tube, oversized tamp, core extruder for controlled push in insertion , and an optional graft driver for tap-in insertion. Also included is a core extractor for removal and revision or replacement of the graft. AR-8981-06S 001289 20 CH01_p06-23_Joint Surgery 14/3/07 10:13 Page 21 1 JOINT SURGERY www.vetinst.com CCL Staples - continued Disarticulator The attachment of the facia lata graft to the distal femur is the weakest part of the OTT repair. The small spikes under the head of the staple are designed to engage the graft and firmly fix it to the periosteum. Also useful for re-attaching avulsed ligaments and transfixing the biceps tendon. Made from cobalt chrome. CCL STAPLES 090125 6mm wide CCL staple £21.50 090126 8mm wide CCL staple £21.50 090127 11mm wide CCL staple £21.50 090128 16mm wide CCL staple £21.50 CCL Staple Introducer Rupture of the round ligament (Teres) can be extremely difficult. The disarticulator is designed to elevate the femoral head ready for excision. The notch at the tip of the instrument engages and ruptures the round ligament. The disarticulator is also particulary useful in manipulation of the humeral head in OCD lesions, investigation of elbow lesions and as a general tissue retractor. If you cannot see the cut end of the round ligament you probably have not resected it. The staple introducer holds the staple to facilitate the initial insertion and alignment whilst being struck by a mallet. In case of difficulty starting the staple, pre-drill with 2.0mm pin or drill bit. Accepts all sizes of CCL staple. CCL STAPLE INTRODUCER 090129 Staple Introducer 091130 £100.93 DISARTICULATOR CCL Kit in stainless box (introducer with 8 staples) £288.22 Condyle Clamp Small Disarticulator £33.99 001091 Large Disarticulator £33.99 Hatt Spoon Fracture of the lateral humeral condyle is a relatively common fracture in young dogs. Reduction and repair is simple using the condyle clamp and damage to periarticular structures is reduced to a minimum. No need to lag screw with this clamp. Pressure should be applied proximo-laterally not purely laterally. See diagram. Reduction may be checked by radiography prior to fixation with a single screw. Use only within 48 hours of the fracture and if the fractured condyle is still mobile. Actual size An alternative to the disarticulator in large dogs. The edge of the spoon is sharp. As used by Martin Olmstead. Our pattern has a fibre handle and a finer shaft for better balance. HATT SPOON CONDYLE CLAMP 001080 001090 Condyle Clamp Stainless Steel £39.12 21 001092 Hatt Spoon 230mm. (17mm x 30mm scoop) £47.50 001093 Hatt Spoon 230mm. (12mm x 18mm scoop) £47.50 001094 Hatt Spoon 230mm. (7mm x 12mm scoop) £47.50 CH01_p06-23_Joint Surgery 1 14/3/07 10:13 Page 22 JOINT SURGERY Joint Surgery Hip Toggle Triple Pelvic Osteotomy Triple Pelvic Osteotomy Plate 3.0mm in diameter with an "eye" to hold the suture. Stainless steel. Use 4.8mm drill to produce the hole through the acetabulum. Use the adjustable drill guide to accurately place the hole in the femoral neck, (see chapter 7). All sterile packs contain a nylon Ormrod button for secure fixation of the suture. Available with monofilament or braided nylon. The latter ties better. HIP TOGGLE HIPTOG Hip Toggle 3.0mm + 80lb nylon, omrod button (sterile pack) £9.70 HIPTOGB Hip Toggle 3.0mm + Metric 7 dacron, omrod button, (sterile pack) £9.70 HIPINT Hip Toggle Introducer + hip toggle with nylon + omrod button (sterile pack) TOG Hip Toggle only 3.0mm (non sterile) NEW By rotating of the acetabular segment in immature dogs with severe H.D., this technique is designed to prevent onset and progression of degenerative joint disease and thereby avoid the need for a total hip replacement. The plates are supplied flat to be twisted prior to surgery or pre-bent by ourselves prior to despatch. Please advise angle and side. Thirty degrees rotation is the most widely applied. The plates accept 3.5mm cortical, 3.5mm cancellous, 4mm cancellous and 9/64" Sherman self tapping screws. £64.00 £6.00 ADJDG2035 Adjustable drill guide 2.0, 2.5, 3.5mm drills TRIPLE PELVIC OSTEOTOMY PLATE £125.00 HIPTOGKIT Contains introducer,hip toggle sterile pack as above, drill guide, 3.5 & 4.8mm drills (discounted) £198.00 090167 Large TPO Plate £28.36 090179 Small TPO Plate £28.36 AR-7210 090167L30 Large TPO Plate Prebent 30 Deg. Left £29.56 090167R30 Large TPO Plate Prebent 30 Deg. Right £29.56 090179L30 Small TPO Plate Prebent 30 Deg. Left £29.56 090179R30 Small TPO Plate Prebent 30 Deg. Right £29.56 HDTPODVD TPO Technique DVD Hamish Denny £35.00 # 5 Fiber wire without needles (12) use with HipToggle (TOG) NEW £220.50 Goniometer 12” Plastic 360º Rasenberg TPO Plate NEW The goniometer may be used for the calculation of tibial plateau angles, wedge resections, angles of anteversion etc. Also used to measure pre and post-op range of motion of joints together with the effect of physiotherapy. Clients may use to measure progress. 360º measurement. GONIOMETER GONIO Goniometer 6”/150mm illustrated GONIO2 Goniometer 12”/300mm This plate is more flexible than the VI or the Slocum plate. Less pelvic narrowing than the VI plate. Less screw pull out than Slocum plate. For a free powerpoint presentation on the technique please phone or e-mail us at [email protected] . Cutouts on the plate allow the placement of additional screws should they be necessary. £9.00 £15.00 RASENBERG TPO PLATE 090195 Rasenberg 3.5mm TPO Plate 30 degree Right. £49.00 090196 Rasenberg 3.5mm TPO Plate 30 degree Left. £49.00 CDRAS 22 Powerpoint Presentation on CD FOC CH01_p06-23_Joint Surgery 14/3/07 10:13 Page 23 1 JOINT SURGERY www.vetinst.com Epiphyseal Staples Bone Biter Suture Anchor System Use to correct angular deformities caused by uneven growth of distal growth plates. Staples will only work if there is growth potential in the plate to be stapled. The flanges compress for insertion. Insertion hole created by anchor tip or pre-drilling. EPIPHYSEAL STAPLES Width Leg Length Wire Diameter 090171 12mm wide 10mm wide 1.6mm diameter £4.20 090172 15mm wide 12mm wide 2.0mm diameter £4.20 090173 20mm wide 15mm wide 3.0mm diameter £4.20 090174 25mm wide 3.0mm diameter £4.20 30mm wide Suture Anchors The Bonebiter Suture Anchor System provides a versatile way for veterinary surgeons to utilize suture in the repair of joint instability. This unique method for quickly and easily anchoring sutures on to bone is based on a patented design in human orthopaedics. By drawing upon previous research and development experience, Androcles Inc. was able to develop a suture anchor system with the needs of the veterinary surgeon in mind. Now available in two sizes the Bonebiter is small, easy to install, and able to resist forces equivalent to the breaking strength of a size 2 and a size 5 braided suture. Also used with monofilament nylon, 50lb for the no. 2 anchor and 80lb for the no. 5. Corkscrew Suture Anchor BONE BITER SUTURE ANCHOR SYSTEM Designed for direct insertion without pre-drilling. The titanium corkscrew anchor system offers maximum security in cancellous bone. FiberWire™ sutures can be placed exactly where you want them. A laser marked ring indicates at what point the whole anchor is beneath the surface of the bone. Corkscrew suture anchors are supplied pre-loaded and sterile on screwdriver type applicators. Additional stand above anchors are also available. 100001-00 Bone Biter Suture Anchor Size 2 100002-00 Bone Biter Suture Anchor Size 5 VAR-2100 Corkscrew Suture Anchor 5x15mm Screwdriver £460.00 type with one #5 (Metric 7) FiberWire™ (5 pack) VAR-2102 Corkscrew Suture Anchor 5x15mm £460.00 Screwdriver type with one #2 (Metric 5) FiberWire™ and one #2 (Metric 5) TigerWire™ Corkscrew Suture Anchor only 5x15mm (5 pack) £40.13 110001-00 Bone Biter Driver Set Size 2 (no anchors) £275.87 110002-00 Bone Biter Driver Set Size 5 (no anchors) £275.87 110003-10 Bone Biter Combination Driver Set Size 2 & 5 (Size 2 & 5 driver, no anchors) £351.10 300075-00 Stainless tray with Silicone fingered mat £61.68 Suture Screws £367.50 Presentation is a self-tapping screw with an eyed head. Use where a suture anchor would seem appropriate. Thread forms are the same as equivalent AO type. Requires dedicated insertion tool (see price table below). Useful in; • Coxo femoral luxations • Shearing injuries • Co-lateral ligament repairs • Anchor for CCL lateral sutures Fastak II Suture Anchors Appropriate Suture Materials • Wire • Mono Filament nylon • Polyester • FiberWire™ SUTURE SCREWS Designed for a direct insertion without re-drilling the 2-8mm titanium Fastak is supplied pre-loaded with #2 (Metric 5) FibreWire™ in either a screwdriver type applicator or a cannulated tube application which is driven by your cannulated drill. Additional non-sterile Fastak anchors are also available. A laser marked ring indicates at what point the whole anchor is beneath the surface of the bone. No pre-drilling necessary. FASTAK II SUTURE ANCHOR AR-1324SF Fastak II with #2 (Metric 5) FiberWire™ in tube applicator (5 pack) £393.75 VAR-2200 Fastak II with # (Metric 5) FiberWire™ in Screwdriver applicator (5 pack) £460.00 Fastak II anchor only (5 pack) £335.00 VAR-2201 £40.13 110003-20 Bone Biter Full Set. Includes Combination driver set, 5 x no. 2 anchors, 5 x no.5 anchors, 1.5mm and 2.5m hard drill bits, stainless case with silicone insert. £725.00 CORKSCREW SUTURE ANCHOR VAR-2101 Flanges spring back to “lock” the anchor beneath the cortices. 23 SS2006 2.0mm dia 6mm long 1.0mm hole Cortical £11.09 SS2010 2.0mm dia 10mm long 1.0mm hole Cortical £11.09 SS2708 2.7mm dia 8mm long 1.5mm hole Cortical £11.09 SS2714 2.7mm dia 14mm long 1.5mm hole Cortical £11.09 SS3512 3.5mm dia 12mm long 2.0mm hole Cortical £11.09 SS3520 3.5mm dia 20mm long 2.0mm hole Cortical £11.09 SS4016 4.0mm dia 16mm long 2.0mm hole Cancellous £11.09 SS4024 4.0mm dia 24mm long 2.0mm hole Cancellous £11.09 SSIT20 Insertion tool for 2.0mm suture screws £39.80 SSIT27 Insertion tool for 2.7mm suture screws £39.80 SSIT3540 Insertion tool for 3.5 & 4.0mm suture screws £39.80 CH02_p24-32_Arthroscopy 14/3/07 2 15:20 Page 24 ARTHROSCOPY Arthroscopy Introduction Using fibre optics the arthroscope is able to deliver light and obtain an image from within the joint thus obviating the need for an extensive surgical approach and keeping surgical trauma to soft tissues at a minimum. However, arthroscopy is not a risk free procedure as it involves placing sharp metal objects into the joint space. Although arthroscopy may be considered expensive in terms of both the dedicated instrumentation required and the time and money involved in training, it is recommended that sufficient resources are allocated to purchase good quality equipment at the outset. (Equipment failures being very frustrating and ultimately very expensive.) Dr Fritz, a veterinary surgeon himself, has worked closely with leading authorities in the field of veterinary arthroscopy (e.g. Van Bree, Van Ryssen and Lehman) to develop a range of arthroscopic instruments with our patients in mind. Arthroscopes An arthroscope is a rigid endoscope consisting of a system of lenses, which collects and transmits an image from the tip of the instrument along the shaft to an eyepiece or camera. A light post close to the eyepiece allows light to be passed into the shaft and down optic fibres surrounding the lens system to illuminate the subject area at the tip. An arthroscope may be defined using four different parameters, 1) diameter, 2) viewing angle, 3) field of view and 4) working length. Arthroscopes for small animal use are available in three diameters. Each arthroscope will require a dedicated sheath, which protects the arthroscope as well as delivering fluid to the tip. Sheaths offering a high rate of flow are preferable. The sheath reduces the effective working length of the 1.9mm scope to approx 8.0cm. Conversely, the sheath will increase the working diameter of the arthroscope. 1.9mm becomes 2.8mm. The diameter refers to the outside diameter of the unsheathed shaft of the telescope. Three sizes are commonly used in small animal arthoscopy: 2.7mm, 2.4mm and 1.9mm. Arthroscope technology has improved so much that optically the new 2.4mm arthroscope is as good as the older 2.7mm version. For this reason we now only offer 2.4mm and 1.9mm arthroscopes. Patient size and the joint to be investigated will dictate selection of the arthroscope. The 2.4mm arthroscope is fine for most procedures but can prove a little large in small elbows. As the diameter of the arthroscope becomes smaller, there is less space for optical fibres, which has implications for light transmission and image size. Recent improvements in construction such as the use of rod lens systems as opposed to optic fibres has improved the performance of the smaller arthroscopes. Additionally the smaller arthroscopes are fragile and care must therefore be exercised to avoid damage in use, cleaning and storage. Each sheath has a dedicated trochar which, when inserted in place of the arthroscope prevents blocking of the sheath and is used to create a viewing portal into the joint. Sheaths are supplied with both blunt and sharp trochars. Care should be exercised using the sharp trochar when approaching articular surfaces. Large image technology means the image virtually fills the monitor screen. Exposure control of endoscopic video cameras is much easier, even with a 1.9 mm diameter telescope! All scopes are available in soakable and autoclaveable versions. Autoclaving, especially fine scopes will significantly reduce the working life of the instrument. We advise use of the soakable versions. Standard Arthroscope, 2.4 mm with arthroscopic sheath The viewing angle is the angle between the lens face and a line drawn at right angles to the long axis of the arthroscope (see above right). A 0º scope views straight ahead from the front of the lens, while a 90º scope sees an image at right angles to the long axis of the scope. Most veterinary arthroscopes have a viewing angle of 30º, which is a compromise between field of view and distortion. The user needs to be aware which way the lens is pointing. The light post is used as a reference point and is positioned opposite the angle of view. Rotating the scope along its long axis will allow the surgeon to view a large area within the joint with minimal repositioning. An oblique viewing angle does offer the surgeon a limited ability to see ‘around corners’. For elbow, shoulder and knee joint. 24 T140-2430 Wide angle telescope, 30˚, OD:2.4mm, WL: 14cm, large image technology, standard light cable connectors. soakable T141-2430 Wide angle telescope, 30˚, OD:2.4mm, WL: 14cm, large image technology, standard light cable connectors. autoclavable £1,598.00 S140-2431 Sheath for arthroscopy, OD:3.8mm, WL: 12cm compatible with T140-2430 and T141-2430, stopcock, including blunt & sharp trocar - high flow version £185.00 £1,393.67 CH02_p24-32_Arthroscopy 14/3/07 15:20 Page 25 2 ARTHROSCOPY www.vetinst.com Needle Arthroscope, 1.9 mm with arthroscopic sheath I-18-518 For small dogs and small joints. Egress cannula, with sharp trocar stopcock, ID:3mm, WL:7mm £86.99 Intra Articular Hand Instruments T110-1930 Wide angle telescope, 30°, OD:1.9mm, WL:11cm, large image technology, standard light cable connectors T111-1930 Wide angle telescope, 30˚, OD:1.9mm, WL: 11cm, large image technology, standard light cable connectors - autoclavable £2,031.00 S110-1931 Sheath for arthroscopy, OD:2.8mm, WL: 8cm compatible with T110-1930 and T111-1930, stopcock, including blunt & sharp trocar - high flow version £185.00 I-17-019 Changing rod for arthoscopy sheaths from 1.9mm up to 2.7mm telescopes with sharp tip £12.12 S110-1935 Protection and transportation sheath for 1.9 telescopes, 12cm, autoclavable £15.68 DE-10-65 Lens polish for telescopes, 5g not illustrated £1,568.77 AR-17-00 AR-17-06 AR-17-00 £7.44 Handle for interchangeable hand instruments £49.74 Hand instruments for investigation are designed to move or retract intra-articular structures and usually take the form of blunt probes or grasping forceps. Where intra-articular surgery or sampling is involved additional cutting instruments will be required. The AR-17-00 handle is ergonomic and takes a number different inserts. Arthroscopic Instrumentation Inserts for AR-17-00 Irrigation and Working Cannulae, Trochar Changing System designed by VAN BREE Cannulae and portals: In order to fully examine the joint under investigation it may be necessary to manipulate some intra articular structures. The instruments used must be small and be introduced either directly through the peri-articular soft tissues or via a dedicated cannula. Where serial insertions and withdrawals or a range of instruments are required, particularly through multiple layers of soft tissue, a cannula is preferable to minimize trauma, (trying to re-find a portal can be frustrating). Sets of cannulae dedicated to the most common joints are now available. Initially a small diameter cannula is inserted using a trochar, the portal may then be enlarged by the use of a ‘switching stick’. The stick is inserted into the joint through the small cannula which is then withdrawn. Larger cannulae may be slid down the changing stick and introduced into the joint. Exchanging a small cannula for a larger one can be surprisingly difficult without such an aid. The system is colour coded for ease of use. AR-17-03 Bayonet knife 2.7mm £43.50 AR-17-05 Banana knife 2.7mm £43.50 AR-17-06 Curette 2.7mm, curved £43.50 AR-17-07 Ring curette 2.7mm, small £43.50 AR-17-11 Meniscus knife, Smillie, 2.7mm £43.50 AR-17-12 Micro picking knife, acc to Dr. Brian Beale 2.7mm £43.50 AR-17-19 Hook knife 2.7mm £43.50 AR-17-09 Hook probe 2.2mm, with handle £47.28 AR-17-13 Special elevator, 2.7mm, with handle £65.76 Cannula Sets I-17-755 I-17-500 I-17-700 Working cannula set "shoulder and elbow" Designed by VAN BREE, D: 2.3 / 2.9 / 3.5mm; WL: 3.5-5cm and 7-8 cm, Includes sharp trochar and changing rod £282.69 Working cannula set "elbow" Designed by VAN BREE, consist of 3 cannulas D: 2.3 / 2.9 / 3.5mm; WL: 3.5-5cm. Includes 1 sharp trochar and 1 changing rod(2.3mm) £167.40 Working cannula set "elbow" Designed by VAN BREE, consist of 2 cannulas D: 2.9 / 3.5mm, WL: 7-8cm. Includes 1 sharp trochar and 1 changing rod(2.8mm) £126.84 25 CH02_p24-32_Arthroscopy 14/3/07 2 15:20 Page 26 ARTHROSCOPY Arthroscopy Milling Drill designed by VAN RYSSEN & VAN BREE 2.7 mm Instruments • extremely durable • ergonomic design • long life span This hand driven bur allows curretage of both cartilage and bone through the smallest working cannula . Much cheaper and easier than shaver systems. I-17-822 Milling drill for arthroscopy complete OD:2.2mm, WL:12cm I-17-821 Replacement bur and shaft £195.13 £40.80 Gordon Coronoid Osteotome 2.7 mm Instruments, working length 12 cm Designed and developed by Ian Holsworth, this narrow ostetome is used for arthroscopic sub-total coronoidectomies. AS-17-662 Alligator grasping forcepswith rachet, OD:2.7mm with overstraining protection £390.50 AS-17-632 Universal rongeur and grasping forceps fenestrated OD:2.7mm with overstraining protection £390.50 AS-17-641 Biopsy and spoon OD:2.7mm with overstraining protection £390.50 AS-17-672 Arthroscopic punch, OD:2.7mm with overstraining protection £390.50 AS-17-621 Arthroscopic hook scissors, OD:2.7mm £390.50 TITLE CODE Gordon Coronoid Osteotome £43.50 Arthroscopic Punches, Biopsy Forceps, Rongeurs and Grasping Forceps see also page 32 Arthroscopic forceps and rongeurs should be selected according to patient and portal size. A very small pair of grasping or cutting forceps will fit any portal but will be easily damaged if used on large fragments. Various designs are available for grasping cutting or nibbling intra-articular structures. 2.0 mm Instruments • made for veterinary use • overstraining protected 2.0 mm Instruments, working length 11 cm AS-17-561 Mini grasping forceps, OD:2.0mm £325.00 AS-17-531 Mini rongeur and biopsy forceps, OD:2.0mm £325.00 AS-17-551 Mini punch for arthroscopy, OD:2mm £350.00 AS-17-521 Mini scissor for arthroscopy, OD:2mm Handle with ratchet, ergonomic and small grip 3.4 mm Instruments AS-17-762 Universal rongeur and grasping forceps, fenestrated without ratchet, OD:3.4mm working length 12 cm with overstraining protection £390.50 £325.00 26 CH02_p24-32_Arthroscopy 14/3/07 15:20 Page 27 2 ARTHROSCOPY www.vetinst.com Light Sources & Cables Dr Lehman Aiming Device for the Canine Shoulder Joint Puncture Developed and tested at the Veterinary Faculty of Vienna, Austria Halogen light sources are inexpensive but not as good as the xenon based systems, which are, unfortunately, significantly more expensive to purchase and maintain. Xenon light sources have a higher intensity and are essential if the unit is to be used for laparoscopic work. Thus xenon is preferable but halogen can be used successfully in most joint investigations. Both xenon and halogen bulbs have a limited life (xenon typically 500 hours, halogen typically 2000 hours) and bulb failure is at best embarrassing so always carry a spare. The light cable carries light from the source to the arthroscope by fibre optics. Each cable has dedicated connectors to couple with the light source and the arthroscope. Connections on both light source and arthroscope vary from manufacturer to manufacturer. Converters are available for both light source and arthroscope but it is wise, if possible, to purchase the appropriate cable for the system. H150-5-2 Halogen light source 150W H150-5-2 During recent years, as arthroscopy in small animals has developed, researchers realized the necessity of a specific puncture system to create an instrument portal in the larger joints. Due to the dense muscle mass in shoulder joints, creating a puncture for a working cannula is often quite difficult. If a clean puncture allowing access directly to the joint is not achieved the first time, the risk of a subsynovial oedema increases greatly, thus decreasing the time frame to complete the surgery with each failed puncture. The shoulder puncture system has been specifically designed to help eliminate this risk. The system allows you to align your arthroscope accurately in the joint space. Simply attach the puncture system to the arthroscopic sheaths and maintain your arthroscopic vision in a parallel direction to the shoulder joint rim. At this point you will find the working triangulation portal in an ideal position. After a puncture is created with the desired trochar, simply replace the trochar with a working cannula and start working with your instruments. Useful for both cranial and caudal approaches. Halogen light source 150W £648.92 Xenon light source LK-FX-100 Xenon light source £2,684.62 See VCOT 2004; 17:1-56 for review S140-2738 Aiming device by Dr. Lehmann for the canine shoulder joint; for 2.7 scope T140-2730 and changing/puncture rod I-17-028. £199.26 S140-2438-F Aiming device by Dr Lehman for the canine shoulder for 2.4 scope T140-2432 and changing rod I-17-028 S140- 1938F Aiming device by Dr Lehman for the canine shoulder for 1.9 scope T110-1930 and changing puncture rod I-17-028 I-17-028 Changing & puncture rod KW-48-231 Fibre light cable, 4.8mm, 2.3M, both sides compatible to Wolf, autoclavable £199.26 The aiming device is available for other manufacturers instruments with different working lengths. DVDLEHMAN DVD on use of aiming device. Fibre light cable, 4.8mm, 2.3M, unit side comp. to Storz, endoscope side comp. to Wolf, autoclavable £254.25 KS-48-230 Fibre light cable, 4.8mm, 2.3M, Olympus/Wolf £281.10 KS-48-300 Fibre light cable, 4.8mm, 3.0M, Storz/Storz £199.26 £30.62 All cable combinations available. FOC 27 £281.10 KS-48-231 £281.10 CH02_p24-32_Arthroscopy 14/3/07 2 15:20 Page 28 ARTHROSCOPY Cameras & Monitors Monitor Arthroscopy Direct viewing of the joint through the eyepiece is possible. However, practicality and the issue of contamination dictate that a camera system is an essential part of the equipment. Arthroscopic cameras work in a very similar fashion to video cameras in common usage. The image at the eyepiece of the arthroscope is focussed on a light responsive electronic chip(s). The signal created is transferred to a camera controller, which processes the image into a signal recognized by the monitor and/or recording system. Most veterinary cameras have a single chip, which is sufficient for most users. Professional monitors offer a better image than domestic screens as they have a better resolution. Some pre-owned units are always available. Ring for details. The connection of the camera head to the eyepiece of the arthroscope is also variable. To maximise the choice and longevity of the instrumentation it is advised that a clip on camera head compatible with DIN standard eyepieces be selected. The camera heads are fully immersible. Image Capture Good practice dictates that a record is made of any arthroscopic procedure. Subsequent investigations can be compared to earlier ones and images can be shared and compared with colleagues or tutors as part of a training programme. Domestic video recorders will create a permanent record of a procedure. However the data is relatively crude and difficult to manipulate . Still video printers capture an image from a video stream which can then be printed onto photographic paper. Eco Camera Digital video and data storage technology now allows the surgeon to record and store very large amounts of data in a digital format. The digital information can subsequently be manipulated by appropriate computer software to create both still and moving images in a variety of formats for storage or display. If clinical presentations are anticipated then a digital system is very desirable. Domestic DVD or combined DVD/Hard drive recorders offer huge storage capacities at reasonable prices. 761-113V 1/2" CCD Video Camera The data is stored as Digital Video (DV) which can be converted into many other formats. The major arthroscopy companies offer sophisticated data storage systems which are able to capture and store still and movie files via sterile touch screens or camera finger controls. Permanent records are maintained on DVD discs or computer hard drives. £2375.33 We usually have some pre-owned Sony video printers in stock. Ring for details. Freeze Frame Camera USB Based Image Capture System LK-01-FR-A 1/3" CCD Camera Proline with freeze frame £3002.84 Camera Covers 46-USB-15 DE-10-25 Camera covers, disposable, (30) polyethylene, 13x50cm DE-10-25/Single Single camera cover (disposable) 13x50cm DE-10-01 Camera cover, reusable, waterproof, washable, autoclavable, 12x200cm, 1 pc The USB image capture simply connects between camera and monitor . A foot operated switch takes a full image (more data than video printers) and converts it to a jpeg before storing onto a USB storage stick. The images can then be transferred to your computer quickly and easily without risking the computer in the wet arthroscopy environment. £97.33 £3.44 46-USB-15 USB Image Capture 46-USB-15-1 Footswitch for USB Capture System £41.50 28 £1,133.00 £143.00 CH02_p24-32_Arthroscopy 14/3/07 15:20 Page 29 2 ARTHROSCOPY www.vetinst.com Fluid Infusion and Outflow Peristaltic Infusion Arthroscopy Infusion Pump Infusion of fluids or gas into the joint is essential to create an environment in which the arthroscope can view joint structures. The joint must be expanded and debris removed to maintain a clear field of view. To maintain an appropriate intra-articular pressure (between 40 and 100mm of mercury) (0.053 and 0.133 BAR) fluid inflow and outflow must be carefully regulated. Fluid under pressure may be obtained by either gravity feed systems or a pump. Gravity may be sufficient provided the fluid bags can be lifted high enough but greater, more controllable pressure may be obtained by use of a fluid compression bag. NEW Provided the surgeon is prepared to commit to the purchase of 100 patient infusion sets per year Arthrex is prepared to offer its Continuous Wave Arthroscopy Pump (AR-6450) (value £3675) on free loan. This pump has been in use in the human sector for some 15 years and is very reliable. Line pressure and flow rate are user defined. This means that the fluid pressure does not have to be continually monitored and adjusted by nursing staff. In addition, if the tube pressure is correct, any problems with fluid flow can be immediately localised to the arthroscope. This is not the case with inflated cuffs where only the pressure within the bag is known. The bag of fluid to be infused is placed into a pressure bag, which is inflated using a hand or machine pump. Without careful monitoring hand inflation systems offer erratic pressure levels and use of a regulated pump offers much better control. A carbon dioxide powered pump may be used to pressurize a compression bag or infuse carbon dioxide directly into the To create fluid flow through the joint, appropriate fluid outflow or egress must be maintained. In the smaller joints (elbow, hock and hip), a large bore hypodermic needle may be sufficient. In the larger joints (shoulder, stifle) where greater volumes of fluid are involved, dedicated multi fenestrated egress cannulae may be necessary, the waste fluid may be collected by either bag systems or suction devices. If you are performing 3 or more procedures per day it is cheaper to buy the separate Machine (one per day) and Patient Tube Sets Use of direct CO2 infusion is indicated in some inflamed joints where inflammatory synovial villae obstruct the visual field, the villae being flattened under gas pressure rather than floating free in infused fluid. In addition, use of CO2 increases the field of view and image clarity of the arthroscope. CO2 is usually used intermittently with fluid to allow for flushing. AR-6450 Arthroscopy Pump AR-6415 Combination Machine and Patient Tube (10) £3,858.75 £241.50 AR-6410 Machine Tube Set (10) £262.50 AR-6325 Patient Only Tube Set (10) £147.00 Hand Pressure Infusion Cuffs 29 AR-08-100 Pressure infusion cuff for 500-1000ml complete with pressure gauge and hand pump, reusable. £140.85 AR-08-110 Pressure infusion cuff for 500-1000ml without pressure gauge, Luer Lock (fem), reusable. £92.80 AR-10-948 Silicon tube, 7x2mm, 3m, autoclavable, Luer-Lock (m), needle (f). sterile bags/bottles £81.76 X-7-20-10 Spare silicon tube, 1 metre, size: 7x2mm, colour: nature £7.44 LLM-1258 Spare Luer-Lock connector, male, comp. to silicon tubes 7x2mm £5.46 AR-10-9 Spare needle for infusion bottles/bags, ID: 5.5mm, comp. to silicon tubes (7x2mm) £21.55 X-180-26 Silicon tube, ID: 5mm, 180cm, LLm both ends, autoclavable X-5-15-10 Spare silicon tube, 1m, autoclavable, size: 5x1,5mm, colour: nature £3.88 LLM-1250 Spare Luer-Lock connector (m), comp. to silicon tubes (5x1,5mm) £4.99 DE-10-181 Infusion set, disposable, WL: 180cm, large diameter, box w. 50 pcs £18.14 £88.22 CH02_p24-32_Arthroscopy 2 14/3/07 15:20 Page 30 ARTHROSCOPY Arthroscopy Linvatec Shaver Pressure Pump Infusor Linvatec Shaver System including large and small handpiece. High specification preowned but very good condition. Uses current shaver blades Features: • automatic control • pressure continously adjustable • max. 300mm Hg pressure • easy handling • no mechanical parts • for fluid and CO2 supply AR-10-100 Linshav Arthroscopic electrocautery or radiofrequency devices focally create heat within the tissues to create haemostasis, debridement or to shrink the joint capsule in selected cases of instability. Long, fine insulated probes are available which may be powered by standard surgical electrocautery units. The tips are bathed in fluid at all times but essentially the same processes occur at the tissue level as in surgical electrosurgery. Radiofrequency devices create heat by inter-molecular friction. Tips are available in both monopolar and bipolar formats and may be used to debride structures such as damaged meniscus or fat pad. Capsular shrinkage by radiofrequency may be used to tighten joint capsules following arthroscopy or injury. Radiofrequency ablation dissolves intra-articular tissues at a relatively low temperature. The resulting debris is removed by suction. The technique is therefore an alternative to the shaver for removing soft tissues. At least one manufacturer supplies combined shaver blades and ablator wands which offer both options on the same intra-articular device. Pressure Infusion Cuff with fluid bag Hand pump or Luer-Lock (fem) for infusor Connection to fluid bag Fluid Supply Infusor £2,500.00 Electrocautery Pneumatic pressure infusor, for infusion cuffs, for veterinary arthroscopy, complete 4 mm tube to central pressure supply, DIN tube connection, front side Luer-Lock (f), universal table fixator, easy pressure setting, automatic regulation (0-300mmHg) Patient Linvatec Shaver System Three way stopcock Arthroscopic Procedure Electrosurgical System (OPES) Direct CO2 supply (only in connection with CO2 infusor AR-10-901 CO2 Infusor, for large/small animal arthroscopy, DIN connector tube to pressure reducer (DIN type) pressure setting 0-300mmHg tube connection Luer-Lock(f) £970.26 AR-10-903 Reduction valve for CO2-bottles, UK fitting AR-10-922 Sterile filter system for CO2 infusor, disposable, box with 50 pcs £101.66 £109.41 Shaver Systems Ablation wands A comprehensive orthopaedic electrosurgical system combining arthroscopic ablation, arthroscopic coagulation, open surgery monopolar and bipolar surgery from one fully digital generator. With 3 in 1 system flexibility, the OPES Electrical Generator is also capable of controlling a host of different instruments, including disposable monopolar arthroscopic electrodes, reusable and disposable monopolar open procedure pencils and tips, and reuseable bipolar forceps. The need for separate and costly systems is eliminated. We are offering the OPES system at a very reasonable price. Call or Email for a detailed brochure. Virtually the only powered instrument in use in Veterinary arthroscopy is the shaver. The shaver is essentially a motorized bur. It may be used to debride cartilage, bone or soft tissues. A range of tips of different designs and sizes are available to manage the different tissues. Tips designed for soft tissues are typically larger and more aggressively toothed. Suction may be applied to the cutting tip via the hand piece to remove debris. The hand piece is driven by a control box operated by finger or foot controls. The speed and direction of cut are selectable. The tips are usually designed to be disposable, however with careful use, cleaning and re-sterilisation they may be re-used. Very expensive to buy new, Veterinary Instrumentation maintains a stock of high quality ex-hospital units for sale. AR-9600 OPES Console Ablation wands and electrodes from Phone for details. 30 £5,670.00 £73.50 CH02_p24-32_Arthroscopy 14/3/07 15:20 Page 31 ARTHROSCOPY www.vetinst.com Positioning Aids 2 Sterility Arthroscopes Manipulation of arthroscopes and instrumentation inside a joint via an image on a monitor screen can be very demanding. Careful positioning of the patient and the surgeon is essential. Distilled water and an enzymatic cleaner are used to remove gross contamination from arthroscopes, sheaths and trochars. Arthroscopes are available which can be autoclaved. However, repeated autoclaving of even these arthroscopes will significantly reduce their working life, this being particularly true of the smaller sizes. Sterility is more commonly achieved by soaking in an anti-microbial solution. Historically glutaraldehyde based solutions were the norm but health and safety concerns have led to the development of safer chemicals based on oxidation. The manufacturer’s instructions should be followed carefully. Ethylene oxide, if available, is another option. An operating table, fully adjustable for height and tilt is a prerequisite for good arthroscopy. Once fully draped, orientation around a canine limb can be difficult. Full use should be made of channels, ties and sand bags to fix the overall position of the dog. Sandbags may also be necessary to act as a fulcrum to open a joint maximally for investigation. e.g., elbow. To provide multiple fixed positioning during an investigation a multi arm positioning device is available which when attached between the distal limb and the table may be locked into an infinite range of positions. An optional accessory allows the stifle to be accurately positioned for an investigation. Instruments. All surgical instruments for intra articular use should be autoclaved. Forceps and rongeurs should be thoroughly cleaned by ultrasonics. Irrigation systems will drive debris up into the spring mechanism. Camera systems Most cameras used for veterinary arthroscopy cannot be autoclaved but the head and cable can usually be soaked in the same solution as the arthroscope. Care should be exercised to avoid contact of the sterilizing fluid with the electrical contacts at the end of the cable. (Some camera leads have sealing caps). An assistant outside the sterile area should plug the camera into the controller prior to use. An alternative is the use of a sterile disposable camera sleeve to separate the camera head and cable from the sterile arthroscope eyepiece. Again should ethylene oxide be available it may be used to sterilise the camera head and cable. Multi arm and Stifle brace attachment 026000 020065 Multiarm positioning device with single foot attachment Stifle brace attachment for Multi arm (designed by Schulz and Ian Holsworth) £172.93 Perasafe £93.00 Perasafe is a rapid, instrument compatible, user and environmentally friendly, chemical sterilant. Supplied as a safe, space-saving powder, Perasafe is activated by simply dissolving in luke-warm tap water. Providing rapid sterilisation and re-use of endoscopy instruments, Perasafe gives confidence to users and patients alike. A unique aldehyde-free formulation gives efficacy without harm to instruments, health risks to nursing staff and avoids the need for special fume extraction or waste disposal systems. 020065 31 CH02_p24-32_Arthroscopy 14/3/07 2 15:20 Page 32 ARTHROSCOPY Arthroscopy Arthrex Hand Instruments Perasafe is a pale blue/white powder which, when in solution, sterilises within 10 minutes. Suitable for all surgical instruments and fibrescopes. Formulated not to damage surgical instruments. Supplied in the following packs. 100100 Perasafe Cold Sterilant 24 x 81g (5 litres) £132.00 100101 Perasafe Cold Sterilant 6 x 81g (5 litres) £36.00 DE-10-425 Soak basin for chemical solution disinfection, consisting of basin (perforated) tray & cover for basin, size: 42x16x9,5cm £62.44 DE-5-17 Cleaning brush for small cannulas with ID: 2-4mm, length 17cm £12.44 Grasper - Alligator, Diameter 2.75mm with hooked Tip, Self Release Rapizyme photo Mark Owen Grasping and maintaining a grip on fragments can be very challenging for both surgeon and instrument. Once locked on, the surgeon is understandably reluctant to let go, sometimes taking an instrument beyond it’s working limits. The VAR-11600SR Alligator forcep is toothed for maximum grip, has a self releasing handle and carries a life time warranty against failure. The Alligator grasper is one of a range of canine arthroscopy instruments available as a set from Arthex Vet Systems through Veterinary Instrumentation. Call or e-mail for a full brochure. • Three new enzymes • Easy to use measured bottle • 2ml per litre dilution • Removes all organic material • Ideal for endoscopes ARTHREX HAND INSTRUMENTS • Low foam for ultrasonics • Complete rinsibility • Biodegradeable • Tested by The Royal Institute of Public Health RAPIZYME Bottle 0.5 Litre £15.62 Books The excellent volume by Beale, Hulse, Schulz and Whitney, the leading authorities in the field of small animal veterinary arthroscopy, covers the subject extremely well and includes a CD Rom showing intra operative views. BK06 Small Animal Arthroscopy. Beale, Hulse, Schulz and Whitney £74.16 32 VAR-11600SR Grasper - Alligator, Ø 2.75mm, with Hook Tip VAR-3002S Canine Arthroscopy Set Boxed £630.00 £3,126.00 CH03_p33-50_General Ortho 14/3/07 15:21 Page 33 3 GENERAL ORTHOPAEDICS www.vetinst.com General Orthopaedics Very Large Fragment Forceps Fragment Forceps - Pointed Reduction Forceps Introduction Ideal for fragment reduction, these forceps gently hold fragments in position whilst the permanent fixation is being applied. Particularly useful in the repair of fractures of the distal femur, acetabulum and distal tibia. The smaller sizes are useful in the repair of the long bones of the miniature dog and cat as well as the smaller bones of the distal limbs in large patients NEW 001200 001201 For use in situations where a very wide 'gape' is required or where the bulk of the instrument must be well away from the jaw tips. The spin lock version has been recommended for repositioning of the stifle, prior to placement of a lateral suture wire or nylon in CrCL repair. VERY LARGE FRAGMENT FORCEPS 001202 Very Large Fragment Forceps. 205mm £48.15 001203 Very Large Fragment Forceps with Spin Lock. 215mm £94.00 001208 Twin Point Fragment Forceps 001205 FRAGMENT FORCEPS 001200 Fragment Forceps. 160mm 001201 Small Fragment Forceps. 135mm £48.15 £48.15 001208 Very Small Fragment Forceps. 100mm £37.60 Pointed reduction forceps with spin lock When lag screwing, it is often the case that the exact point where screw placement should be performed is occupied by the point of the reduction forceps. Twin point fragment forceps are designed to give secure fixation of bone fragments while allowing drilling and screwing between the jaw points. Especially useful in repairs of the fractures of the humeral condyles and the small bones distal to the carpus/hock. NEW TWIN POINT FRAGMENT FORCEPS Where delicate reduction of fragments is undertaken, ratchet forceps can be frustrating in that they do not give as much ‘feel’ as is desirable. The spinlock version is used initially with the spinlock flipped out giving the surgeon maximum control. Once in place the spinlock is flipped back into position and then gently tightened. POINTED REDUCTION FORCEPS WITH SPIN LOCK 001201SL Small fragment forceps with spinlock £53.00 33 001205 Twin Point Fragment Forceps. Straight. 170mm £48.15 001206 Twin Point Fragment Forceps Curved. 165mm £48.15 001207 Lewer Forceps £48.15 CH03_p33-50_General Ortho 3 14/3/07 15:21 Page 34 GENERAL ORTHOPAEDICS General Orthopaedics Long Ratchet Schroeder Tenaculum Small Serrated Bone Holding Forceps Reduction of a fractured central tarsal bone Manipulation of the long bones of cats and small dogs is difficult without crushing. The serrated jaws of this forcep are contoured to maximise grip and support. The tips are sharp. They may be used as small fragment forceps. A larger springier version of the straight twin point forceps. This forcep is recommended by Jon Dee for reduction of small fragments prior to drilling and screwing. The addition of the longer ratchet increases its range of application over the standard Schroeder. SCHROEDER TENACULUM LONG RATCHET SMALL SERRATED BONE HOLDING FORCEPS 001219 Long Ratchet Schroeder Tenaculum Str 240mm 9.5” £48.15 001218 Small Serrated Bone Holding Forceps. 140mm £37.60 Reduction Forceps Serrated Jaws Bone Holding Forceps Introduction Sadly there is no such instrument as a universal bone holding forcep. The range of sizes and shapes of bones and bone fragments is immense. Additionally the function required will vary also. Some applications require gentle holding others require aggressive clamping and manipulation. Select appropriate forceps for the procedure. 001217 VI Bone Holding Forceps Pancarpal arthrodosis These reduction forceps have serrated jaws and spin lock which provides secure incremental control. REDUCTION FORCEPS SERRATED JAWS 001217 VI BONE HOLDING FORCEPS 001210 Bone Holding Forceps 195mm Reduction Forceps serrated jaws spin lock 190mm A general purpose bone holder for use in maintaining fracture reduction in I/M pinning. Also very useful for lag screwing and bone plating in that drills and screws can be passed through the centre of the jaw at the point of maximum compression. A very popular forcep. £48.15 34 £48.15 CH03_p33-50_General Ortho 14/3/07 15:21 Page 35 3 GENERAL ORTHOPAEDICS www.vetinst.com Small curved serrated reduction forceps Kern Bone Holding Forceps 001996 Kern bone holding forceps give a very firm controllable grip on long bones, facilitating manipulation and reduction of fragments. A quick release ratchet locks the jaws. A nice forcep for the manipulation of small bones or small bone fragments. You cannot have too many bone holding forceps! Kerns are very useful in general orthopaedics and for surgery around the hip joint, in particular: SMALL CURVED SERRATED REDUCTION FORCEPS 001996 Small Curved Serrated Reduction Forceps 145mm/6" • femoral shaft fractures £33.00 • triple pelvic osteotomy Self Centering Bone Holding Forceps • hip toggle • fractures of the acetabulum. KERN BONE HOLDING FORCEPS 001216 Mini Kern Bone Holding Forceps 4.75”. 125mm £48.15 001213 Kern Bone Holding Forceps 6.75” 170mm (small) £48.15 001214 Kern Bone Holding Forceps 8.5” 215mm (large) £48.15 Dingmans Forceps Useful for manipulation of bone fragments. Self Centering Forceps Veterinary Pattern DINGMANS FORCEPS (LONG RATCHET) 001470 Dingmans forceps long ratchet. 215mm £62.23 Plate Holding Forceps Some fracture reductions require that the bone forceps jaws be angled from the handles (see photo). Such forceps require: 1. A sophisticated hinge mechanism to allow the jaws to maintain alignment as they open and close. 2. A special locking device which can cope with the laxity at the hinge. The spin lock and the special jaw make the instrument very nice to use but very expensive. The veterinary pattern reflects the special requirements of veterinary anatomy i.e. the handles typically have to stand up from the bone compared with the human situation where the limbs are effectively cylinders and the handles can drop away from the bone. SELF CENTERING BONE HOLDING FORCEPS 001209 Self Centering Forceps Very Small - 150mm £150.50 001211 Self Centering Forceps Small - 190mm £150.50 001212 Self Centering Forceps Large - 240mm £150.50 001209V Self Centering Forceps Very Small - 150mm Vet Pattern £150.50 001211V Self Centering Forceps Small - 190mm Vet Pattern £150.50 001212V Self Centering Forceps Large - 240mm Vet Pattern £150.50 These forceps are designed to maintain plate position through a hole in the plate. Without fixation, bone plates tend to slip and slide over the bone surface. The ball, just behind the point of the jaw, locates in the bone plate causing minimal interference elsewhere in the operation site. Also useful as reduction forceps in soft, young bone as the balls prevent over penetration of bone. PLATE HOLDING FORCEPS 001215 35 Plate Holding Forceps. 160mm £51.68 CH03_p33-50_General Ortho 3 14/3/07 15:21 Page 36 GENERAL ORTHOPAEDICS General Orthopaedics Lowman Bone Clamp Veterinary Pattern Cat Size Implant Cutters Surgical Finish A traditional clamp has been extensively reworked for veterinary patients to include patterns for cats and medium dogs. The human patterns are typically much too big. 001229 •Lightweight •Requires minimal exposure •Use to reduce oblique fractures •Secures plate to fracture prior to screw placement LOWMAN BONE CLAMP VERINARY PATTERN 001991 Lowman bone clamp veterinary pattern £48.15 001993 Lowman clamp large <Bone 30mm £89.00 Implant Cutters 001231 Implant Cutters Surgical Finish Cutting orthopaedic implants with a hack saw is hard work and very time consuming. Stainless steel has the unfortunate property of work hardening i.e. the harder you try to cut it, the harder it becomes. The surgical finish cutters are made from stainless steel with tungsten carbide cutting inserts. As with all tungsten carbide instruments avoid cutting at the tips of the inserts as this will fracture the hard-wearing but brittle insert. 001234 The close-cut models are designed to cut pins and wires close to the bone surface. It is particularly useful where wires are to be left in situ, e.g. repair of the fracture of the distal femur and tibial crest transplants. IMPLANT CUTTERS SURGICAL FINISH 001229 Safety Cutter to 4mm Stainless. 320mm £156.00 001231 Implant Cutter Stainless to 1/4” 6mm capacity. 490mm £192.27 001236 Close cut style 001231/A Implant Cutter Stainless to 1/4” 6mm capacity. Detachable handles to allow autoclaving in Little Sister type autoclaves. Length stripped down 260mm. £230.00 001231VL Implant Cutter Stainless to 1/4” 6mm capacity. 63cm long 001234 £160.00 001237 Implant Cutter Stainless to 4mm capacity 37cm long £118.45 001234XL Implant Cutter Stainless to 4mm capacity 46cm long £118.45 001236 Implant Cutter Stainless to 2.5mm capacity. Close Cut £107.87 001237 Implant Cutter Stainless to 2.2mm capacity. 230mm £107.87 001238 Implant Cutter Stainless to 1.5mm capacity Close Cut. 150mm £94.06 001230 Implant Cutter Stainless to 1.5mm capacity. 150mm £94.06 001238 Close cut style Side Cutting 2.0TC Wire Cutter This is a stainless version of our popular industrial wire cutter (001235). TC inserts cut hard wire to a maximum of 2.0mm 001231/A This style of our large pin cutters strips down to fit into small autoclaves. 001235TC SIDE CUTTING WIRE CUTTER 001235TC Side Cutting 2.0TC wire cutter £73.00 36 CH03_p33-50_General Ortho 14/3/07 15:21 Page 37 GENERAL ORTHOPAEDICS www.vetinst.com Implant Cutter Industrial Finish 3 ‘K’ Wire / ‘A’ Wire Extraction Forceps 001232/001233 Designed to firmly grip wires 0.9mm to 2.0mm. Tungsten Carbide jaws maximise grip, fine nose minimises trauma to surrounding tissue. 'K' WIRE/'A' WIRE EXTRACTION FORCEPS 001244 K' Wire/'A' Wire Remover - 140mm £41.90 001235 Wire Contouring Pliers Actual Size These items are essentially industrial tools but selected for high quality. The black finish will stain during steam sterilisation but prior spraying with WD40, or similar, will give years of service. When it looks horrible put it in the tool kit and buy another pair. Good value. IMPLANT CUTTER INDUSTRIAL FINISH 001232 Implant Cutter Industrial Finish to 1/4” 6mm capacity. 460mm £95.03 001233 Implant Cutter Industrial Finish to 4mm capacity. 350mm £69.01 001235 Implant Cutter Industrial Finish to 2.0mm capacity. 165mm £18.14 Pin Grip In situations where pins and wires are inserted for temporary fixation, removal can be performed with a minimum of trauma using pin grips. The jaws are especially designed to be inserted through a small skin incision. A groove in the jaw of the stainless version locates the pin and the device can be locked in position for easy withdrawal - especially useful where threaded pins have been used. Use to contour both soft and hard wires. The jaw design has multiple anvil shapes and a pair of soft wire cutters. WIRE CONTOURING PLIERS 001245 PIN GRIP 001241 Pin Grip Stainless Steel Modified Jaw. 175mm £41.90 001242 Pin Grip (Ind. Fin.). 165mm £23.99 37 Wire Contouring Pliers 150mm £41.90 CH03_p33-50_General Ortho 3 14/3/07 15:21 Page 38 GENERAL ORTHOPAEDICS General Orthopaedics Small Pin Vice ‘Sismey’ Wire Introducer A useful kit including wire passing and suture passing needles. The needles may be positioned in a wide variety of different angles. This small pin chuck holds wires and instruments up to a diameter of 2.5mm. Particularly useful for finger tip control over insertion of arthrodesis and "K" wires. close up detail SMALL PIN VICE 001223 Small Pin Vice. 100mm “SISMEY” WIRE INTRODUCER £102.74 Jacobs Chuck £121.25 £13.42 001221 Standard Jacobs Chuck 1/4” Capacity 001605 Replacement 1/4” Chuck (& key) only - no handle £88.68 001606 Spare key for 1/4” chuck £13.42 V1497D Spare Needles - Small V1497B Spare Hollow Tubes (3) £48.57 £3.90 £3.90 £13.13 Cerclage wire can be a very useful means of fragment fixation. However, inappropriate use can lead to devitalisation and wires are often to be found in the middle of delayed and non-unions. If the fracture reduction is not stable it would be better to take the wire out. Multiple wires may stabilise a situation where a single wire will not. Wires must be tight. Typically one in five wires will break if you are making the loops tight enough. Cerclage wire is tightened by either twisting or tensioning a wire loop. 001605S Replacement 5/32” Chuck (& key) only- no handle £88.68 001606S Spare key for 5/32” chuck Spare Needles - Large Introduction JACOBS CHUCK Small Jacobs Chuck 5/32” Capacity.260mm Sismeys Wire Introducing Set V1497C Cerclage WireTwisters &Tighteners The standard instrument for insertion of intra-medullary pins, external fixator pins, arthrodesis and "K" wires. The standard chuck has a 1/4" (6mm) capacity. The small chuck has a capacity of 5/32" (4mm) and is particulary useful for placing smaller pins in cats and miniature dogs. The standard chuck can be quite unwieldy in small patients. 001220 001255 £121.25 Wire Twister / Shear Cutter - STILL THE BEST BY FAR • Jaws lock onto wire to enable easy twisting under tension for kink free cerclage. The wire must be twisted under tension to create an even spiral. Wire Passers These devices are used to direct orthopaedic cerclage wire around long bones with minimal trauma. Devascularisation of bone fragments is a serious risk, particularly where cerclage wire is being applied. Devitalised bone can turn into a sequestrum. Try to keep as much soft tissue attachment as possible. Available as a double ended instrument or in single individual sizes. • Improved design long life shear action cutter will cut 18 gauge (1.2mm) wire twisted double. • Serrated jaws grip and turn cut ends. Jaws have fenestration for extra grip • not designed to cut A+K wires and pins • available with tungsten carbide jaws for extra grip 001250 WIRE PASSERS 001250 Wire Passer double ended. 145mm £29.90 001252 20mm dia wire passer single ended. 205mm £18.00 001253 30mm dia wire passer single ended. 220mm £18.00 001254 40mm dia wire passer single ended. 250mm £18.00 001256 Set of 3 single ended wire passers £42.00 WIRE TWISTER/SHEAR CUTTER 001260 Wire Twister/Shear Cutter. 165mm £46.25 001261 Wire Twister/Shear Cutter - Tungsten Carbide Jaws. 165mm (not fenestrated) £58.80 38 CH03_p33-50_General Ortho 14/3/07 15:21 Page 39 3 GENERAL ORTHOPAEDICS www.vetinst.com Twisterz - Wire Twister Bone Plate Benders 001286 1.5/2.0mm 001287 2.7/3.5mm Features “J” slots for quick capture and release. Textured handle for better grip and control. Bell shaped nut provides better leverage for tightening. Reduced threads require less turning of the nut for locking at wire and handle. TWISTERZ - WIRE TWISTER 200010.00 Twisterz Wire Twisters. 155mm £98.00 001288 3.5 Broad/4.5mm Wire Tightener for Eyed Wires Bone plates appropriate for the repair of load bearing long bones are very stiff. Accurate contouring of plates is essential for precise fracture reduction, however, MARKING OF PLATES DURING THE BENDING PROCESS WILL LEAD TO REDUCED FATIGUE STRENGTH. Contoured plates should be placed with adequate support to minimise cyclical loading. Bone plate benders used in pairs are the most economic method of plate contouring. Used to tension eyed wires very tightly. The cerclage is finished by kinking the wire back against the eye. See page 94 for wire loops. BONE PLATE BENDERS Wires with Eyelet 001286 AO type 1.5/2.0 bending levers (pair) 130mm £24.30 001287 AO type 2.7/3.5 bending levers (pair) 140mm £29.00 001288 AO type 3.5/4.5 broad bending levers (pair) 200mm £33.70 001288L 3.5/4.5 TPLO Plate Bending Levers (pair) 240mm 30º £33.70 Extra long bone levers WIRE TIGHTENER FOR EYED WIRES 001262 Wire Loop Tightener. 125mm £68.73 Wire Tightener with Two Cranks for Double Loop Cerclage and Eyed Wire Today’s implant stainless steel is much stiffer than 20 years ago yet the design of standard plate contouring equipment remains unchanged. Bending and twisting 3.5mm and 4.5mm plates using standard benders is a challenge. Most TPLO plates require careful contouring and are much stiffer than the original cast Slocum plates. Our longer benders (240mm) with 4mm and 6mm slots are designed with TPLO plates in mind to make bending and twisting much easier. EXTRA LENGTH BONE LEVERS 001288L Use with single crank for eyelet wires. Use both cranks to tighten double loops. WIRE TIGHTENER WITH TWO CRANKS 001264 Wire Twister with Two Cranks £85.00 39 3.5/4.5/TPLO Bending Levers 240mm £33.70 CH03_p33-50_General Ortho 3 14/3/07 15:21 Page 40 GENERAL ORTHOPAEDICS Reconstruction Plate Pliers General Orthopaedics Plate Bending Pliers - Roller Type 001283 Roller Type Plate Bending Pliers Reconstruction Plate Pliers PLATE BENDING PLIERS - ROLLER TYPE 001283 Plate Bending Pliers, Roller Type 15”, 380mm. Suitable for 3.5 and 4.5mm plates £122.00 RECONSTUCTION PLATE PLIERS 001284A Reconstruction Plate Pliers for 2.7 plates. 280mm £98.80 001284 Reconstruction Plate Pliers for 3.5 plates. 290mm £98.80 AO Type Plate Bending Pliers 2.7/3.5 NEW Bone Plate Press 001282 More powerful and with more ergonomic handles these plate bending pliers are designed to bend today’s high tensile 2.7 and 3.5 bone plates. They will also bend 32.mm/1/8” slocum jig pins. AO PLATE BENDING PLIERS 001289B AO Plate Bending Pliers 2.7/3.5mm £198.00 Plate Bending Pliers These pliers will contour 2.7mm and 3.5 plates. *They will work on 3.5mm DCPs but not very well as they are at the very limit of their capacity. Also available for 2.0/2.7mm plates. Also useful for bending guide pins in the Slocum TPLO technique. Similar instruments are available elsewhere for £1000 plus. Bone plates suitable for 3.5mm and 4.5mm screws are extremely difficult to contour in a controlled manner. Most human orthopaedic presses, if large enough to contour the plate, are too large to fit in the typical veterinary surgeon's autoclave. PLATE BENDING PLIERS The small bone plate press is designed for all small animal plates and will fit in your autoclave. Will contour 2.7, 3.5, 3.5 broad and 4.5 narrow plates. The large press will contour all plates but is 410mm long so check your autoclave before purchase. BONE PLATE PRESS 001281 Bone Plate Press Small 285mm. For plates up to and including 4.5mm narrow £290.00 001282 Bone Plate Press Large 16” 410mm. For all plates. £290.00 40 001289 Plate bending pliers 2.7/3.5mm plates* £163.00 001289A Plate bending pliers 2.0/2.7mm. 200mm £154.00 CH03_p33-50_General Ortho 14/3/07 15:21 Page 41 3 GENERAL ORTHOPAEDICS www.vetinst.com Parallel Action Pliers Mini-Friedman Actual size Useful in bulla osteotomy. MINI-FRIEDMAN 142501 Mini-Friedman Rongeur curved. 3mm bite Micro-Friedman Useful for bending, holding and cutting small pins and wires, parallel action pliers may also be used in conjunction with bone plate benders for contouring smaller plates. The industrial version will stain and rust with autoclaving. These changes can be minimised by copious lubrication prior to autoclaving together with dry storage. Will cut arthrodesis and 'K' wires to a maximum of 2.0mm. A small spine rongeur. Actual size MICRO-FRIEDMAN 142502 Micro-Friedman Rongeur curved. 15.5cm. 2.2mm bite PARALLEL ACTION PLIERS 001290 Parallel Action Pliers (Stainless Steel). 170mm £43.00 001291 Parallel Action Pliers (Industrial finish). 165mm £25.32 £48.34 £48.34 Lempert Straight Actual Size Bone Gouge Forceps (Rongeurs) Introduction Rongeurs vary with respect to bite size and jaw angle. Where a rongeur has a specific function it is indicated in the description. Punch type forceps and some smaller rongeurs are described in chapter 6 Spinal Surgery. Useful for spines and bulla osteotomy. LEMPERT STRAIGHT Simple Action Rongeurs 6730/10 Typically simple action rongeurs offer a wide bite but rely on the physical strength of the surgeon. Most small rongeurs have a simple action. Lempert Rongeurs Str. 190mm 3mm bite £55.60 Compound Action Rongeurs VI Small Curved Rongeurs The compound action give a mechanical advantage to the surgeon but reduces the bite width. Jansen Actual size A good general purpose rongeur for small bone nibbling procedures, e.g. at excision arthroplasty, arthrodesis, sequestrum removal. SMALL CURVED RONGEURS 001300 Small Curved Rongeur. 4mm bite £48.26 Actual size Compound action, powerful but small bite. JANSEN 142200 41 Jansen 19cm 7.5” Curved Rongeur. 4mm bite £142.15 CH03_p33-50_General Ortho 3 14/3/07 15:21 Page 42 GENERAL ORTHOPAEDICS General Orthopaedics Ruskin Liston Actual size A heavy duty compound action rongeur. A widely used bone cutter with the following jaw options: straight, angled and curved. RUSKIN 142270 Ruskin (Liston) 23cm 9” Cof Rongeur. 6mm bite £117.00 LISTON Stille-Luer A very large rongeur. 141700 Liston 15cm 6” Str. 25mm blade £60.67 141705 Liston 15cm 6” Cof. 25mm blade £63.23 141710 Liston 15cm 6” Aof. 25mm blade £66.68 141730 Liston 18cm 7” Str. 25mm blade £62.58 141735 Liston 18cm 7” Cof. 25mm blade £65.13 141740 Liston 18cm 7” Aof. 25mm blade £66.68 141755 Liston 20cm 8” Str. 30mm blade £71.36 141760 Liston 20cm 8” Cof. 30mm blade £96.03 141765 Liston 20cm 8” Aof. 30mm blade £75.50 141745 Liston 23cm 9” Str. 30mm blade £81.55 Actual size STILLE-LUER 142305 Stille-Luer Heavy Compound Action 8 mm curved £142.80 Compound Action Bone Cutter Bone Cutters All three following designs are similar but vary according to size of bite. Introduction McIndoe Bone cutters vary with respect to length and angle of cut. Simple Action Cutters Small Angled Cutters Compound jointed action gives power but reduces bite size. MCINDOE 141900 A very useful small cutter. The jaw is angled to allow cutting where access is restricted, e.g. excision arthroplasty in cats and small dogs and tibial crest transplant. The design allows for transection of the tibial crest while retaining distal periosteal attachments. Also useful for articular cartilage removal in arthrodesis, digit and tail amputations. SMALL ANGLED CUTTERS 001310 Small Angled Cutter. 15mm Blade £48.26 42 McIndoe 17cm 6.75” Aof. 15mm blade £117.82 CH03_p33-50_General Ortho 14/3/07 15:21 Page 43 3 GENERAL ORTHOPAEDICS www.vetinst.com Ruskin AO Type Periosteal Elevator The AO type instrument is the archetypal 'periosteal elevator'. Available in a curved 6mm tip and a square 6mm tip. AO TYPE PERIOSTEAL ELEVATORS 001271 Curved 6mm Fibre Handle AO type. 180mm £27.16 001274 Square ended tip AO type. 6mm £27.16 Howarth Dissector (Modified) Similar in design to McIndoe but larger. RUSKIN 141940 Ruskin (Liston) 19cm 7.5” Str. 25mm blade 141960 Ruskin (Liston) 19cm 7.5” Aof. 25mm blade £117.82 £117.82 141970 Ruskin (Liston) 26cm 10.5” Str. 25mm blade £135.05 001273 Developed by Richard Whitelock specifically to clear soft tissues from the proximal tibia in the TPLO procedure. It is also useful as a general purpose periosteal elevator. Horsley HOWARTH DISSECTOR (MODIFIED) 001273 Howarth Dissector (Modified) £27.16 Very Fine Periosteal Elevator VERY FINE PERIOSTEAL ELEVATOR 001272 Heavy duty compound action cutters. Plaster Cutting HORSLEY 141660 Horsley 26cm,10.5" AOF cutter. 35mm blade. £98.60 141660S Horsley 26cm,10.5" STR cutter. 35mm blade. £75.00 Very fine 2mm/3mm Periosteal Elevator. 180mm £24.28 Plaster Shears Bruns/Bohler Periosteal Elevators Bone Lever/Periosteal Elevator Simple action serrated jaw. One end of this instrument is bent for use as a hook for retrieving and manipulating bone fragments. The other end is a periosteal elevator useful for clearing soft tissue from bone prior to plating, drilling or burring. PLASTER SHEARS BRUNS/BOHLER 161405 BONE LEVER/PERIOSTEAL ELEVATOR Plaster Shears Bruns/Bohler. 245mm £59.74 Plaster Shears Stille 001270 Bone Lever/Periosteal Elevator. 195mm. 4mm/7mm £27.16 Freer Periosteal Elevator The Freer elevator is a fine instrument which is particularly useful in spinal work. FREER PERIOSTEAL ELEVATOR 7350/05 Freer Periosteal Elevator 5mm. 180mm £24.28 Very powerful compound action. PLASTER SHEARS (STILLE) 161406 43 Plaster Shears Stille. 245mm £93.77 CH03_p33-50_General Ortho 3 14/3/07 15:21 Page 44 GENERAL ORTHOPAEDICS Engels Plaster Saw General Orthopaedics Travers A blunt multi pronged flat retractor with a relatively wide gape, suitable for skin or large exposures. A simple cast saw for removal of plaster casts. Quiet and inexpensive. ENGELS PLASTER SAW 001510 TRAVERS SELF RETAINING RETRACTOR £21.44 Engels Plaster Saw. 145mm Self Retaining Retractors 703050 Travers Self Retaining Retractors 8” 20cm (90mm spread) £146.25 703051 Travers Self Retaining Retractors 6.5” 16.5cm (70mm spread) Travers Mini 95cm (43mm spread) £123.20 £37.80 703053 Wests Where scrubbed surgical assistance is lacking, self retaining retractors are an invaluable aid. Adequate retraction is essential for good visualisation of the fracture site or lesion. In addition retraction will minimise damage to the soft tissues. Both are key elements of successful orthopaedic surgery. Gelpi Self Retaining Retractor A sharp multi pronged curved retractor which can sit quite nicely on our patients without distorting the surgical site. WESTS SELF RETAINING RETRACTOR 703250 Wests Self Retaining Retractor 5.5” 14cm (50mm spread) 703253 Wests Mini 95cm (40mm spread) £83.46 £37.80 Weislander The Gelpi is an extremely versatile retractor useful in almost any orthopaedic procedure. Short blunt tips give focal retraction for precise exposure of the fracture or lesion. Virtually an extra pair of hands. Veterinary Instrumentation's retractor has a very fine ratchet for controlled incremental retraction. The curved shape sits nicely on our patients. Useful in the following procedures and many more: • Excision arthroplasty, • OTT repair of CCL, • Meniscal examination, • All OCD arthrotomy procedures, • Fracture repairs, • Wobblers, • Laminectomies. Similar to Wests but flat. Available with sharp or blunt prongs. GELPI SELF RETAINING RETRACTOR 001330 Gelpi Self Retaining Retractor. 180mm (120mm spread) £86.41 001330SL Gelpi Self Retaining Retractor with spin lock for extra strength £86.41 NEW 001331 Gelpi Long Reach. 200mm £86.41 001332 Gelpi Small (50mm spread). 135mm £86.41 0013301 Gelpi Mini Flat (45mm spread) 90mm £37.80 0013302 Gelpi Mini Curved (45mm spread) 90mm 001333 Odd leg Gelpi (pair). 205mm £183.69 001334 Odd leg Gelpi short (pair). 130mm £183.69 WEISLANDER SELF RETAINING RETRACTOR £37.80 44 702150 Weislander Self Retaining Retractor 14cm sharp tips (60mm spread) £104.91 702152 Weislander Self Retaining Retractor 14cm blunt tips (60mm spread) £104.91 CH03_p33-50_General Ortho 14/3/07 15:21 Page 45 3 GENERAL ORTHOPAEDICS www.vetinst.com ‘K’ Wire / Small Pin Punch Osteotomes Light The cut ends of "K" wires, arthrodesis wires and small pins used for fragment fixation e.g. distal femoral fractures, should be buried beneath the bone or articular surface to minimise soft tissue irritation. The tip of the punch is concave to locate onto the pin end. The other end is struck with a mallet. Use 001360 for pins and 001361 for wires. Swedish Pattern Use an osteotome to make a precise elective cut, e.g. trochanteric osteotomy, excision arthroplasty. “K” WIRE/SMALL PIN PUNCH 001360 001361 NEW OSTEOTOMES Pin Punch. 135mm £30.55 623880 Osteotome Swedish 30mm x 205mm £30.55 Small Pin Punch. 1.6mm tip 135mm £30.55 623870 Osteotome Swedish 25mm x 205mm £30.55 623860 Osteotome Swedish 20mm x 205mm £30.55 623850 Osteotome Swedish15mm x 205mm £30.55 623840 Osteotome Swedish 12mm x 205mm £30.55 001342 Osteotome Light 12mm x 140mm £30.55 001343 Osteotome Light 10mm x 140mm £30.55 001344 Osteotome Light 8mm x 140mm £30.55 001345 Osteotome Light 6mm x 140mm £30.55 001346 Osteotome Light 4mm x 140mm £30.55 ‘K’ Wire Bender Chisels Use a chisel where heavier bone removal is required, e.g. sequestrum removal. Small wires are commonly used to re-attach bone fragments which have been produced either by trauma or electively by osteotomy. To minimise 'backing out', the cut ends of "K" wires and arthrodesis wires should either be buried or bent sharply and cut 5-10mm from the bend. The cut ends are then rotated to the most comfortable position (see photo). Bending with fingers or pliers is difficult to control and is very likely to damage the repair. CHISELS The "K" wire/small pin bender is designed to slip over the wire concentrating all the bending forces at the pin/bone interface. The instrument is double ended, the small end is for 0.9mm, 1.1mm and 1.4mm wires, the large end is for 1.6mm & 2.0mm wires. "K" WIRE/SMALL PIN BENDER 001362 “K” Wire Bender. 140mm 001350 Chisel 12mm x 205mm £30.55 001351 Chisel 10mm x 140mm £30.55 001352 Chisel 8mm x 140mm £30.55 001353 Chisel 6mm x 140mm £30.55 001354 Chisel 4mm x 140mm £30.55 162350 Chisel Swedish 15mm x 205mm £30.55 162360 Chisel Swedish 20mm x 205mm £30.55 162370 Chisel Swedish 25mm x 205mm £30.55 Gouges £30.55 Orthopaedic Mallet Use a gouge where bone contouring is essential. GOUGES For use with osteotomes, chisels, gouges and staples. Different weights are available according to surgeon preference and patient size. ORTHOPAEDIC MALLET 001320 Mallet 300g £29.90 001321 Heavy Mallet 500g. 240mm £32.15 001325 Nylon Faced Mallet 500g. 240mm £32.15 45 001355 Gouge 12mm x 205mm £30.55 001356 Gouge 10mm x 140mm £30.55 001357 Gouge 8mm x 140mm £30.55 001358 Gouge 6mm x 140mm £30.55 001359 Gouge 4mm x 140mm £30.55 CH03_p33-50_General Ortho 3 14/3/07 15:21 Page 46 GENERAL ORTHOPAEDICS General Orthopaedics Trephine Orthopaedic Distractors VI Pattern Application: Stainless steel and re-usable with a retractable stylet. Extend the stylet to provide secure location at the trephine site until trephine teeth bite. Withdraw the stylet to harvest the bone. Push the bone core out using the stylet. Where a very long core is required the stylet may be removed completely. • Overcoming muscle contraction prior to fracture reduction • Accurate alignment of bone fragments prior to plating Features: • Locking wing nuts fix the distractor as a scaffold for the bone fragments to facilitate plating. • Creation of window for bone graft harvest. • Less risk of iatrogenic fractures than with use of bone pins or drills • Three joints maximise flexibility • Cortical bone biopsy • Use with external fixation pins 3.2mm to 4.0mm. • Available in three diameters. VI PATTERN TREPHINES 001500 Orthopaedic Distractor. 330mm 001425 Trephine 8mm o/d 6mm core. 170mm £53.33 001426 Trephine 6mm o/d 4mm core 115mm £53.33 AO Pattern (Human) 001427 Trephine 5mm o/d 3mm core. 115mm £53.33 • Two joints £266.78 • Heavier • More powerful with tommy bar lever Bone Scoops Volkman/Brun AO PATTERN (HUMAN) Useful for heavy curettage and collection of cancellous bone grafts. 001502 Orthopaedic Distractor. AO pattern. 410mm £195.00 VOLKMAN 782200 Volkman Single Ended Scoop 4mm x 170mm £22.66 782205 Volkman Single Ended Scoop 3mm x 170mm £22.66 782210 Volkman Single Ended Scoop 5mm x 170mm £22.66 782220 Volkman Single Ended Scoop 6mm x 170mm £22.66 782600 Volkman Scoop Double Ended Small 4mm/6mm x 200mm £29.60 782610 Volkman Scoop Double Ended Medium 5mm/6mm x 200mm £29.60 782620 Volkman Scoop Double Ended Large 6mm/8mm x 200mm £29.60 Bone Scribe A very sharp marking point with an easy to hold handle enables the surgeon to mark bone prior to cutting or rotating (Slocum procedure). One end is pointed and the other is sharpened as a blade. BONE SCRIBE 001494 46 Bone scribe (double ended) 200mm £12.50 CH03_p33-50_General Ortho 14/3/07 15:21 Page 47 3 GENERAL ORTHOPAEDICS www.vetinst.com Stainless Vernier Caliper Esmarch Bandage Exsanguination of the distal limbs makes visualisation of the small bones and associated structures much easier, eg carpal arthrodesis. Wrap from digits and then unwrap from digits. Made from latex rubber, supplied non-sterile. ESMARCH BANDAGE 090169 STAINLESS VERNIER CALIPER Vernier Caliper Stainless Steel £13.70 Splints & Support Useful for very accurate measurement of screws, drill bits and bone intraoperatively. Supplied with full instructions for use. Accurate to 0.1mm. 001490 Esmarch Bandage 75mm Padded Splints £65.20 Orthopaedic Ruler imperial Made from green foam lined plastic, splints provide temporary first aid support until surgery is appropriate. Alternatively use for longer term support where other forms of fixation are inappropriate. PADDED SPLINTS metric Used to measure pins, wires, drills and screw diameter. Supplied in either metric or imperial sizes. 090120 Padded splint. Small. 210mm 090121 Padded splint. Medium. 310mm £2.16 090122 Padded splint. Large. 410mm £2.78 Medipaws NEW ORTHOPAEDIC RULER 001498 Orthopaedic Ruler Imperial. 175mm £12.22 001497 Orthopaedic Ruler Metric. 175mm £12.22 £1.85 Waterproof/breathable, facilitates compliance, reduces rewraps, saves resources. Available in 5 colour-coded sizes Drill & Screw Gauge A professional waterproof but breathable cover for dressings and casts. Available in 5 colour-coded sizes, they have a durable no-skid bottom, and elasticised straps with Velcro closures as well as an upper cord lock. MEDIPAWS Measures screws up to 60mm and drills from 1.1mm to 3.5mm. DRILL AND SCREW GAUGE 001496 Screw and drill gauge. 60mm £9.50 47 200020 Medipaws Boot Extra Small 200025 Medipaws Boot Small £6.75 £7.50 200030 Medipaws Boot Medium £8.25 200035 Medipaws Boot Large £9.00 200040 Medipaws Boot Extra Large 200050 Medipaws Boot (Set of 5) £9.75 £36.25 CH03_p33-50_General Ortho 3 14/3/07 15:21 Page 48 GENERAL ORTHOPAEDICS Thera-Paw General Orthopaedics Thermo Plastic Splinting Marq-Easy Thermo Plastic Splinting Rectangular Sheets The wide variety of shapes and sizes of animal patients makes splinting a challenge. Thermal plastic, widely used in human medicine, is heated in hot water and moulded to a specific custom shape for the patient. The thermal plastic material is available in a variety of rectangular- sized flat sheets. White. MARQ-EASY THERMO PLASTIC SPLINTING Rectangular Sheets Thera-Paw acts as a reusable bandage with a protective base • The ultra-cushioned sole alleviates pain, reducing lameness and promoting more even weight distribution. 940A Thermo Plastic Splinting Sheet - 1/8” thick. 4” x 9” For narrow long legs £5.50 940B Thermo Plastic Splinting Sheet - 1/8” thick. 6”x 12” £9.12 940C Thermo Plastic Splinting Sheet - 1/8” thick. 12” x 24” £34.19 Velcro Straps • The use of perforated top-sole material and cut-out design allow the paw to breathe and keeps the injured site free from moisture build-up. Use in areas that do not require dressing to help hold the splint in proper position. Kit includes Velcro 1" x 36" strap and 12" hook patch with one side adhesive. Both can be trimmed to customise the splint. • The rubberized, non-skid base and toe-cap are waterproof, protect the site from further injury, and provide better traction. • The vertical closure design runs parallel to the carpal/tarsal bones, dispersing pressure over a wide area. VELCRO STRAPS 940V • Thera-Paw is easily cleaned by rinsing it under warm water. Mild detergent may be used. It air dries in under 1 hour, and is ready for immediate reapplication. Velco Straps £5.70 Compact Foam Lining • Thera-Paw is designed to stay in place and to be worn for extended periods • The inner vertical seams have been removed to reduce rubbing and abrasion. • The material gives with movement and allows proper blood flow. • The wide-based closure accommodates a variety of foot sizes and provides a snug fit. • The front opening and closing mechanism makes it easy to slip Thera-Paw into place. • The outer safety strap provides additional security, to ensure that TheraPaw stays on even the most active dogs. • The dual closing mechanism reduces the risk that a dog can remove the garment. THERA-PAW 200002 Thera-paw Small (T/B) £10.00 200003 Thera-paw Small/Medium (T/C) £10.50 200003#2 Thera-paw Small/Medium#2 (T/D) £10.50 200004 Thera-paw Medium (T/E) £11.00 200005 Thera-paw Medium/Large (T/F) £11.50 200006 Thera-paw Large (T/G) £12.00 This special foam padding with one adhesive side can be placed into the splint for patient comfort. Blue. 16" x 24" x 3/8" thickness. COMPACT FOAM LINING 48 940X Compact Foam Lining Blue 16" x 24" x 3/8" thickness £17.10 940CD CD illustrating the use of thermoplastic splinting 940P Heat gun for softening thermoplastic FREE £19.50 CH03_p33-50_General Ortho 14/3/07 15:21 Page 49 Adjustable Thomas Splints Mobility Carts Trolleys to support dogs' hind limbs in the event of loss of partial or total mobility. Characteristics: - Welded, galvanized metal and aluminium chassis - Height and length adjustable - Adjustable straps - Synthetic protective fur, removable for washing - Soft rubber wheels - Reinforcement hoop to lift the animal and to help it to cross the pavement. Indications: - Paralysis or paresis of dogs rear limbs, particularly in German Shepherds, Labradors, Dachshunds, Poodles, Fox Terriers etc. - Functional re-education following a slipped disc - Temporary immobilization of the rear limbs following surgery or injury, fitting a plaster cast, a splint, external fixators, etc... On request: - Axle offset to improve the mobility of a handicapped animal, allowing use of the hind feet (A) - Inflatable wheels for the large model - Model for cats - Model made to measure with the following information: 1. Thoracic strap, circumference at the level of the forefeet 2. Space between the front and back feet 3. Height under the tail Used for temporary stabilisation of fractures, particularly of the proximal limb pending internal/external fixation. May also be used as sole means of fracture management where severity of fracture or economics preclude a more sophisticated repair. Take care not to allow distal ring to sit at fracture site. Stainless steel manufacture. Splint is adjustable for length. CANIS-MOBILE ADJUSTABLE THOMAS SPLINTS 1 2 (Circumference mm) min/max 260400 Small Dog 3 mini/max (diameter of circle mm) 410 max 160/260mm 170/270mm £231.00 260402 Medium Dog 660 max 250/350mm 240/270mm £265.00 260404 Large Dog 3 GENERAL ORTHOPAEDICS www.vetinst.com 900 max 350/500mm 410/560mm £295.00 272100 Hind leg size 1 100 272110 Hind leg size 2 120 £24.15 272120 Hind leg size 3 150 £25.72 272130 Hind leg size 4 160 £26.77 272140 Fore leg size 2 100 £25.20 272150 Fore leg size 3 140 £26.77 272160 Fore leg size 4 180 £27.82 1 Canis-Mobile® 3 2 49 £23.75 CH03_p33-50_General Ortho 3 14/3/07 15:21 Page 50 GENERAL ORTHOPAEDICS General Orthopaedics Mobility Assist section). The caudal ring of the harness should sit just behind the scapulae in the centre of the spine. If the ring is too far back it will limit the effectiveness of the Biko device. Some harnesses drop the ring too far caudally e.g. a large harness on a stocky dog. Measurement ‘A’ is the distance from the ring to the cranial aspect of the proximal metatarsus. Measure ‘B’ is the circumference around the foot at the level of the proximal metatarsus. Coding . Using the above measurements the product code becomes BIKOAABB, where AA is measurement A in cms and BB is measurement B in cms. Degenerative myelopathy (CDRM) is not uncommon, particularly in the German Shepherd, Boxer and Pembroke Corgi. It is a difficult condition to manage either medically or surgically. Whilst the progression of the degeneration can be delayed by dietary supplements, treatment options are very limited. Sooner or later the control over the hind limb deteriorates to the point where walking and particularly turning is difficult. Excoriation of the toes and dorsal surface of the foot typically follows. Affected dogs are well in themselves and owners are often highly motivated. Keeping the dog as active as possible is important to delay progression. The Biko physio brace has been developed to assist the dog in walking and turning for as long as possible. The system is based on elastic straps which run from a chest harness to the hind feet. As the the hind foot reaches the end of the stride and the weight is transferred to the opposite foot the strap helps to bring the trailing foot straight forward ready for the next stride thereby compensating for the loss of muscle tone. Dogs suffering from nerological deficits, both temporary and permanent, due to disc pathology will also benefit from the Biko brace. The brace is simple to apply and is tolerated very well. Dogs resume useful levels of activity significantly improving the length and the quality of their lives. The physiotherapy occurs whenever the dog is walking which makes it more effective than sessional hydrotherapy or physiotherapy. Use of the Biko brace delays euthanasia or use of a cart. Feedback from owners is excellent. Biko Kit includes: Set of two braces, Set of two hindfoot cuffs and Instructions for the programme of use For best results the brace should be exactly the correct length. Selection of the appropriate brace requires that the patient is measured as shown. For more information including videos view online at www.biko.co.at/indexenglish.php Once fitted the programme supplied should be followed closely for best results. Use of the Biko brace may be combined with other therapies such as physio or hydrotherapy. A DVD illustrating the benefits of the Biko brace and the measurements required is available free of charge. BIKO CANINE PHYSIO BRACE Should scuffing continue we recommend the use of Therapaws (see page 43) Measurements and coding Before the dog can be measured for the Biko device an appropriate harness must be in position. This may be supplied by the veterinary surgeon or purchased elsewhere. If there is any difficulty we can supply (see pricing 50 BIKOAABB Biko Physio Brace (all sizes) suggested client price £72.00 £110.00 BIH1 Harness Small Black £5.50 BIH2 Harness Medium Black £6.50 BIH3 Harness Large Black £8.60 BIH4 Harness Very Large Black DVDBIKO Biko DVD £10.30 FOC CH04_p51-66_External Fixation 14/3/07 15:25 Page 51 4 EXTERNAL FIXATION www.vetinst.com Single KE Plus Clamp Introduction External fixation can offer major advantages over "conventional methods" in the management of many fractures. 1. Relatively easy to apply. 2. Maintains limb use and joint mobility. Medium KE Plus with large positive pin 3. Well tolerated by patients. 4. Low cost c.f. plating systems and is largely re-useable. 5. Relatively low risk procedure. 6. Particularly useful in the presence of infection Medium KE Plus with small positive pin SINGLE KE PLUS CLAMPS 001525 Large Single KE Plus Clamp £12.50 001526 Medium Single KE Plus Clamp £12.50 001527 Small Single KE Plus Clamp £12.50 Single KE Clamp Fixator Systems This clamp remains the industry standard in veterinary orthopaedics. Most criticisms levelled at KE are usually attributable to pilot error. Used correctly KE is very effective. Used to attach fixation pin to connecting bar, the single clamp is the key element of any external fixation frame. Its size will dictate the size of the fixation pin and the size of the connecting bar. The greater the diameter of the connecting bar and the greater the number of connecting bars, the stronger the apparatus. KE Plus 'The Second Generation' KE equipment is a very versatile system which has stood the test of time and remains the industry standard. However, one major limitation is that positive threaded pins cannot be inserted through the standard clamp. Most authorities are recommending the use of at least some positive threaded pins in any construct. As a guide, we would suggest small clamps for up to 5kgs, medium clamps for 5 - 30kgs, and large clamps or multiple medium frames for over 30kgs. Veterinary Instrumentation has developed KE Plus specifically to increase the range of pins which may be used including positive threaded pins. For any given size of clamp it is now possible to use both larger and smaller diameter pins than standard KE systems. KE Plus is fully compatible with your existing KE set up. KE Plus clamps have a matt finish compared with the polished standard KE clamps. WHICH PINS? LARGE SINGLE MEDIUM SINGLE SMALL SINGLE Each clamp will accept a variety of pins. The pin size indicated is the largest possible. Smaller pins will also work although the fixation is not quite as rigid. e.g. the proximal radius may need a slightly smaller pin than the distal radius. SINGLE KE CLAMP info LARGEST THREAD DIAMETER 6.5mm 4.8mm 3.6mm SMALLEST SHANK DIAMETER 3.0mm 2.4mm 0.9mm Insert sleeves may be used through the KE Plus clamps to act as soft tissue protectors for pilot drills. 51 001583 Large KE Clamp Single £10.00 001591 Medium KE Clamp Single £10.00 001593 Small KE Clamp Single £10.00 CH04_p51-66_External Fixation 4 14/3/07 15:25 Page 52 EXTERNAL FIXATION External Fixation Double Clamps Extra Large Clamps and Bars Used to attach a connecting bar to another connecting bar. If possible, the fixation pins in the proximal fragment should be linked to the pins in the distal fragment via single clamps and a single connecting bar. This is not always possible because of the shape of the bones or the angle of placement of the pins. Standard KE clamps made very much larger. Bars are 1/2" 12.5mm in diameter. Clamps will accept up to 5/16" 8mm pins. Suitable for foals and calves. It may be necessary to connect the pins in the proximal fragment to a short connecting bar and the pins in the distal segment to another short connecting bar. Finally the two short connecting bars are joined by a long connecting bar using double clamps. The frame is not as rigid as the single connecting bar frame. Double clamps may be used to connect long bars proximally and distally, as in type III frames. EXTRA LARGE CLAMPS & BARS DOUBLE CLAMPS EXL01 Extra Large Single Clamp £29.69 EXL02 Extra Large Double Clamp £59.34 EXL09 Extra Large Connecting Bar 100mm £11.15 EXL05 Extra Large Connecting Bar 150mm £11.15 EXL06 Extra Large Connecting Bar 200mm £15.06 001594 Small Double Clamp £16.50 EXL07 Extra Large Connecting Bar 300mm £20.84 001592 Medium Double Clamp £17.50 EXL08 Extra Large Connecting Bar 400mm £27.86 001584 Large Double Clamp £19.30 Split Clamp Connecting Bars Connecting bars are available in 5/16" for large clamps, 3/16" for medium clamps and 1/8" for small clamps. The thicker the bar, the stronger the frame. The shorter the bar between bone fragments, the stronger the frame. Rigidity is important early in fracture healing. When significant callus is present, it is often helpful to introduce some slight axial motion by either removing some pins or moving the clamps further away from the bone. This is known as staging down or dynamising. Bars are available in a variety of lengths. Specials to order including angled bars. Allow 7 days. CONNECTING BARS 001595 Small Connecting Bar 1/8" x 30mm £3.52 001559 Small Connecting Bar 1/8" x 50mm £3.52 001590 Small Connecting Bar 1/8" x 75mm £3.85 001596 Small Connecting Bar 1/8" x 100mm £3.85 001560 Small Connecting Bar 1/8" x 150 mm £4.20 001588 Medium Connecting Bar 3/16" x 75mm £4.66 001576 Medium Connecting Bar 3/16" x 100mm £4.66 001587 Medium Connecting Bar 3/16" x 150mm £5.04 SPLIT CLAMP 001589 Medium Connecting Bar 3/16" x 200mm £5.04 001547S Small Split Clamp Single £14.30 001589XL Medium Connecting Bar 3/16" x 250mm £6.00 001547M Medium Split Clamp Single £14.30 001586 Large Connecting Bar 5/16" x 100mm £8.10 001547L Large Split Clamp Single £14.30 001563 Large Connecting Bar 5/16" x 150mm £8.10 001585 Large Connecting Bar 5/16" x 240mm £9.89 001549 Large Connecting Bar 5/16 " x 340mm £15.67 Occasionally it is necessary to add a pin to a frame to improve stability. If the pin is required in the middle of a frame it will be necessary to dismantle the whole frame. The split clamp enables the surgeon to introduce additional pins without disassembly. When fully loosened the clamp slides over the connecting bar. Not as secure as a standard single clamp. 52 CH04_p51-66_External Fixation 14/3/07 15:25 Page 53 4 EXTERNAL FIXATION www.vetinst.com Vumex FESSA Vumex External Fixation FESSA External Fixation NEW 6mm FESSA plus distral radius/ulna cat 1.1mm pins NEW The Vumex external fixation system is particularly appropriate for small dogs and cats together with rabbits, guinea pigs and exotics. The system is very lightweight. The bars are knurled for maximum grip and are easily contoured. The grub screw pushes the bar against the pin which is locked with a minimum of three point fixation. Developed for use in the French army FESSA is a lightweight tubular fixator with a number of interesting features. VUMEX EXTERNAL FIXATION F0101.2030 Alpha Clamp (upto 2mm wire, 3mm rod) £9.50 F0101.3040 Beta Clamp (upto 3mm wire, 4mm rod) £9.50 • The tube incorporates the pin clamping mechanism and is thus very strong and has extremely good angular pin rigidity. F0102.3040 Beta Clamp Add on (upto 3mm wire, 2 mm rod) £12.60 F0101.4040 Beta Clamp (upto 4mm wire/rods) £14.91 F0202.40 £18.30 Bi-axial Uniplanar hinge joint F0401.2007 Straight rod knurled 2mm x 75mm £18.50 F0401.2010 Straight rod knurled 2mm x 100mm £18.50 F0401.2015 Straight rod knurled 2mm x 150mm £18.50 F0401.2507 Straight rod knurled 2.5mm x 75mm £21.00 F0401.2510 Straight rod knurled 2.5mm x 100mm £21.00 F0401.2515 Straight rod knurled 2.5mm x 150mm £21.00 • Available in 6 and 8mm diameter tubes. • 6mm tube accepts pins of shaft diameter 0.9mm to 1.8mm making it extremely useful in the management of fractures in cats and exotics. • 8mm tube accepts pins of shaft diameter 1.6mm to 3.2mm. • Design allows placement of multiple parallel pins close together in small fragments. • Pins can be placed at right angles to tube or angled through adjacent holes. Pins are locked into position by hex driven grub screws. F0401.2520 Straight rod knurled 2.5mm x 200mm £21.00 FESSA EXTERNAL FIXATION F0401.3007 Straight rod knurled 3mm x 75mm £24.00 015500 F0401.3010 Straight rod knurled 3mm x 100mm £24.00 F0401.3015 Straight rod knurled 3mm x 150mm £24.00 015502 FESSA Tube 6mm x 30mm F0401.3020 Straight rod knurled 3mm x 200mm £24.00 015504 FESSA Tube 6mm x 45mm £21.50 F0401.3025 Straight rod knurled 3mm x 250mm £26.50 015506 FESSA Tube 6mm x 65mm £23.50 F0401.4010 Straight rod knurled 4mm x 100mm £26.50 015507 FESSA Hex Driver Screwdriver Type £38.00 F0401.4015 Straight rod knurled 4mm x 150mm £26.50 015508 FESSA Hex Driver Allen Key Type F0401.4020 Straight rod knurled 4mm x 200mm £26.50 015509 FESSA 6mm (1.5 Hex) Locking Screws (10) £15.00 F0401.4025 Straight rod knurled 4mm x 250mm £26.50 015534 FESSA 6mm Hinge £43.00 F0401.4035 Straight rod knurled 4mm x 350mm £26.50 015510 FESSA Tube 8mm x 100mm £25.00 F0402.2502 Large L rod knurled 2.5mm £39.50 015512 FESSA Tube 8mm x 150mm £27.00 F0402.3002 Large L rod knurled 3.0mm £45.00 015514 FESSA Tube 8mm x 200mm £29.00 F0402.4002 Large L rod knurled 4.0mm £49.00 015516 FESSA Hex Driver ScrewdriverType £38.00 F0703.01 Bender tube pair £17.50 015517 FESSA Hex Driver Allen Key Type F0702.0120 Allen key 2.0mm A/F disposable £3.00 015520 FESSA 8mm (2.0 Hex) Locking Screws (10) £15.00 F0702.0120 Allen key 3.0mm A/F disposable £3.00 015536 FESSA 8mm Hinge £43.00 53 FESSA 6 & 8mm Set. One of each tube, 10 of each screw, includes 10% discount £157.95 £19.50 £5.00 £5.00 CH04_p51-66_External Fixation 4 14/3/07 15:25 Page 54 EXTERNAL FIXATION External Fixation Linear Fixators Small Linear Fixator (SLF) Large Linear Fixator (LLF) NEW NEW The small linear fixator is designed for use in the stabilisation of fractures requiring pins with thread diameters ranging from 1.5mm to 4mm. The clamps are of two types. The ‘slide on’ type is fed onto the end of the bar. The ‘hook on’ type may be fitted into the middle of an existing frame. Each type of clamp is available as two variants, the 4.0mm variant and the 2.5mm variant. The 4.0mm variant is used to connect bars to each other and for pin thread diameters 4.0mm, 3.5mm and 3.0mm. The 2.5 variant is used for pins with thread diameters 2.5mm, 2.0mm and 1.5mm. Double Pin clamp The clamps are of two types. The ‘Slide on’ type is fed onto the end of the bar. The ‘Clip on’ type may be fitted into the middle of an existing frame. The clip on clamp is springloaded and clips onto the bar in a semi- retained fashion pending tightening. Additionally the pin clamp is springloaded, the pins clip in and are retained pending insertion and tightening. The tightening of the clamp to the bar and the clamp to the pins are separate operations. There is minimal slipping and sliding during assembly. The clamp offers multi-point fixation to pins 3.00mm to 6.0mm. A feature of all the clamps is a system of internal locking grooves which interlock when tightened giving very rigid angular fixation (c.f. KE type systems) The clamps may be used with either Stainless Steel or Carbon Fibre bars of 4.0mm in diameter. This is a beautifully engineered system which costs little more than KE. Available as a set including clamps, wrenches, stainless bars, carbon bars and pins of all sizes saving 20% on component costs. SMALL LINEAR FIXATOR Small Linear Kit. 8 Slide On (4.0), 8 Hook On (4.0), 8 Slide On (2.5), 8 Hook On (2.5), Spanner, 1 of each carbon bar, 6 off each pin. Stainless Box. Kit is discounted 20% £465.44 015300 Small Linear Clamp ‘Slide On’ 4.0mm shaft 015310 Small Linear Clamp ‘Hook On’ 4.0mm shaft £11.00 015305 Small Linear Clamp ‘Slide On’ 2.5mm shaft £10.00 015315 Small Linear Clamp ‘Hook On’ 2.5mm shaft £11.00 001566 7mm spanner The clamps are used with radioluscent Carbon Fibre bars, 11.0mm in diameter. Available as a set including both clamp styles, wrenches and carbon bars at a discount price. Use standard pins between 3.00mm and 6.00mm in diameter. £10.00 LARGE LF(LINEAR FIXATOR) SYSTEM £4.80 001566T 7mm ‘T’ Wrench Stainless Bar 75mm £3.00 015205 Stainless bar 100mm £3.00 015210 Stainless Bar 150mm £5.00 015215 Stainless Bar 200mm £5.00 015200C Carbon Fiber Bar 75mm £5.00 015205C Carbon Fiber Bar 100mm £5.00 015210C Carbon Fiber Bar 150mm £8.00 015215C Carbon Fiber Bar 200mm £8.00 SMALL LINEAR FIXATOR PINS Code 015100 015590 Large Linear Kit. 8 Slide On, 8 Clip On, 2 Double Pin, 2 Double, Spanner, 1 each bar. Box Kit is discounted 20% £368.32 015592 Large Linear Clamp ‘Slide On’ 015594 Large Linear Clamp ‘Clip On’ £15.00 015595 Large Linear Double Bar Clamp £19.30 015596 Large Linear Double Pin Clamp £16.00 015597 Large Linear ‘T’ Double Pin Clamp £22.00 015550 Carbon Fiber Bar 11.0mm x 150mm £12.50 015555 Carbon Fiber Bar 11.0mm x 200mm £14.10 015560 Carbon Fiber Bar 11.0mm x 250mm £16.50 015565 Carbon Fiber Bar 11.0mm x 300mm £19.00 015570 Carbon Fiber Bar 11.0mm x 350mm £24.00 015580 Spanner 11mm 015585 Box Spanner Wrench 11.00mm £12.00 015203 Overall Length Shaft Dia Thread Dia Thread Lgth (mm) Price 80 4.0 4.0 35 £3.50 015105 80 4.0 3.5 30 £3.50 015110 80 4.0 3.0 25 £3.50 015115 60 2.5 2.5 20 £3.50 015120 50 2.5 2.0 15 £3.50 015125 50 2.5 1.5 12 £3.50 Double Bar clamp The large linear fixator is designed for use in the stabilisation of fractures requiring pins with thread diameters ranging from 3.0mm to 6.0mm. A feature of all the clamps is a system of internal locking grooves which interlock when tightened giving very rigid angular fixation (c.f. KE type systems). 015301 ‘T’ Double Pin clamp 54 £12.00 £4.80 £15.00 CH04_p51-66_External Fixation 14/3/07 15:25 Page 55 4 EXTERNAL FIXATION www.vetinst.com ESF Hinge Trochar Pins Trochar Our Trochar pins have a special long point designed to cut bone. Use of pins with short trochar tips generates heat which leads to pin loosening. The smooth shanks of the pins provide minimal pull out resistance. Trochar pins should, therefore, be placed at converging or diverging angles compared to other pins in the same bone fragment. TROCHAR PINS 001556 Trochar Pin 2mm £2.50 001557 Trochar Pin 3mm £2.50 001558 Trochar Pin 4mm £2.50 EXL10 1/4” Trochar Pin £7.58 EXL 11 5/16” Trochar Pin £9.14 Cortical Negative Threaded Pins(Ellis type) Cortical Designed specifically to maintain reduction of luxated hips by means of a simple frame on the pelvis, the ESF hinge is also useful in transarticular frames where continued mobility is desirable, e.g. hock and elbow. The drilling tip of this type of pin is the long Trochar. Immediately behind the Trochar is a short fine thread designed to engage the far cortex. The smooth shank engages the near cortex. The thread/shank junction (the weakest part of the pin) is positioned in the medullary cavity and is therefore protected. Attaches to standard KE equipment. Relatively weak in abduction. Supplied with instructions for use. ESF HINGE 001597 ESF Hinge Joint Small £35.67 001598 ESF Hinge Joint Medium £35.67 001599 ESF Hinge Joint Large £35.67 Ellis type pins have improved pull out resistance over Trochar pins and the angle of placement is not as critical. Ellis pins should be placed at right angles to the bone if possible. CORTICAL NEGATIVE THREADED PINS (ELLIS TYPE) Pin Choice There are some rules: 1. Threaded pins have a higher pull out resistance and may be placed at right angles to the bone surface c.f. smooth pins. It is therefore possible to place more pins per bone fragment using threaded pins. 2. Try to place at least 3 pins in each fragment. If only 2 pins are possible use as large a diameter as seems safe. The bone holding power of a pin is proportional to the bone/pin interface it creates. 1/3 fragment diameter is the usual guideline. NEGATIVE PIN 1.1 1.5 2.0 2.5 2.7 3.0 3.2 4.5 POSITIVE PIN 1.5 1.9 2.3 £3.00 001528 Ellis pin 1.1mm £3.00 001529 Ellis pin 1.6mm £3.00 001550 Ellis Pins 2mm £3.00 001551 Ellis Pins 3mm £3.00 001552 Ellis Pins 4mm £3.00 Negative bicortical pins have had a bad reputation for early failure at the thread pin junction. Where selection of pin and frame are appropriate failure of negative threaded pins is rare. 5 The longer your frame needs to stay in situ (based on fracture type and patient factors), the greater the stability and bone/pin interface you will require. If in doubt, go for a modified type II, fully threaded. SHANK 1.6 2.0 2.4 3.0 3.2 3.5 4.0 5.0 £3.00 Ellis pins 1/8" - (3.2mm) Bicortical 4. Type II frames work much better with mid thread pins but care needs to be exercised not to exceed a safe diameter (e.g. proximal radius). WHICH PRE-DRILL? Ellis pins 3/32" - (2.4mm) 001531 Bicortical Negative Threaded Pins 3. As far as end thread pins are concerned, do not worry too much about the positive/negative profile. Select your pins based on thread diameter not shaft diameter. Your fixator system (old KE) may impose positive profile pins on you to obtain a given thread diameter. info 001530 The important criterion is thread diameter not shaft diameter. For any given thread diameter both positive and negative threaded pins are equally strong. Virtually all human pins are negative threaded! BICORTICAL FINE NEGATIVE THREADED PINS Code NEW 3.0 3.8 55 Shaft Diameter Thread Diameter Thread Length Overall Length Price BCNET11 1.1mm 1.1mm 15mm 70mm £3.70 BCNET16 1.6mm 1.6mm 20mm 70mm £3.70 BCNET20 2.0mm 2.0mm 24mm 85mm £3.90 BCNET24 2.4mm 2.4mm 25mm 100mm £4.00 BCNET30 3.0mm 3.0mm 35mm 130mm £4.40 BCNET35 3.5mm 3.5mm 40mm 130mm £4.70 BCNET40 4.0mm 4.0mm 45mm 150mm £5.20 BCNET50 5.0mm 5.0mm 50mm 150mm £5.70 CH04_p51-66_External Fixation 4 14/3/07 15:25 Page 56 EXTERNAL FIXATION Coarse Negative Threaded Pins External Fixation Pearson Positive Threaded Pins The thread on this pin is similar to a self-tapping cortical screw. The drilling tip is, again, the long Trochar. In young bone, use without pre-drilling; in older, hardened bone, use smaller pilot hole. The much improved pull out resistance means that these pins can be placed parallel within the same bone fragment; useful when fragment is smaller or when aligning proximal and distal fragments. More prone to pin fracture than Ellis pins. Always use three pins on either side of the fracture if possible. The benefits of positive threaded pins in long term ESF frames are well known. However, there is evidence that impaction of bone debris causes problems at the bone pin interface. The special fluting of the Pearson Pin addresses these problems. The special tip DOES NOT require predrilling thereby reducing time and soft tissue morbidity. COARSE NEGATIVE THREADED PINS 001567 Coarse Threaded Pin 2mm £3.95 001568 Coarse Threaded Pin 3mm £3.95 001569 Coarse Threaded Pin 4mm £3.95 PEARSON POSITIVE THREADED PINS PP01 Pearson 1/8” Shank end positive thread for medium clamp £7.60 Positive Threaded Pins - Cortical PP02 Pearson 5/32” Shank end positive thread for large clamp £10.67 PP03 Pearson 1/8” Shank mid positive thread for medium clamp £9.30 End Thread PP04 Pearson 5/32” Shank mid positive thread for large clamp £11.60 Mid Thread The fine threads of these pins are proud of the shank eliminating the weak point where the thread ends in other pins. The major benefit of positive pins is that the additional thread diameter creates a larger bone pin interface for a given shaft diameter. This style of pin is useful where a good pull out resistance is required and where it is anticipated that the frames will be left in situ for long periods - 6 weeks plus. Use KE Plus clamps if available. Place at right angles to the bone. £5.20 £5.20 PRE-DRILLS CET0020 2.4mm shank 3.2mm threads 100mm long - end thread £5.50 CET0021 3.2mm shank 4.0mm threads 130mm long - end thread £5.50 CET0022 4.0mm shank 4.8mm threads 150mm long - end thread £7.00 POSITIVE THREADED PINS - MID THREAD CMT0018 1.6mm shank 2.0mm threads 85mm long - mid thread £7.50 CMT0019 2.0mm shank 2.4mm threads 105mm long - mid thread £7.50 CMT0023 2.4mm shank 3.2mm threads 105mm long - mid thread £7.50 CMT0024 3.2mm shank 4.0mm threads 130mm long - mid thread £7.50 CMT0025 4.0mm shank 4.8mm threads 150mm long - mid thread £8.10 £15.90 For positive threaded pins use a drill slightly smaller than the shaft. For negative threaded pins use the same size drill as the pilot drill for the equivalent screw diameter. POSITIVE THREADED PINS - END THREAD CET0019 2.0mm shank 2.4mm threads 85mm long - end thread £13.80 EXL13 1/4”Pearson Positive Mid Thread Extra Large clamp Pre-Drills The mid threaded pin provides good pull out resistance in frames where the fixation pins are supported on either side of the limb by connecting bars. i.e. Type II frames. CET0018 1.6mm shank 2.0mm threads 70mm long - end thread EXL12 1/4”Pearson Positive End Thread Extra Large clamp H090202 1.9mm pre-drill for 2.0mm shank positive pin. £12.92 H090203 2.3mm pre-drill for 2.4mm shank positive pin. £12.92 H090205 3.0mm pre-drill for 3.2mm shank positive pin. £15.33 H090207 3.8mm pre-drill for 4.0mm shank positive pin. £17.24 H090101 1.5mm pre-drill for 2.0mm shank negative pin £12.52 H090102 2.0mm pre-drill for 2.4mm shank negative pin £12.92 H090104 2.7mm pre-drill for 3.2mm shank negative pin £14.44 H090106L 3.5mm pre-drill for 4.0mm shank negative pin £17.13 ESF Lag Pins with Olive John Ferguson Positive Threaded Pins - Cancellous The coarser threads of these pins are appropriate for use in the proximal tibia and occasionally in the distal radius. Used almost exclusively in the management of complex humeral fractures involving a variant on the ‘Y’ or ‘T’ fracture. The olive, positioned at the end of the threaded portion of the pin, acts as the screw head in a lag screw. Bone fragments may be compressed and incorporated into the external fixator frame. The bone fragment involved is usually the lateral condyle. POSITIVE THREADED PINS - CANCELLOUS CANET0026 2.4mm shank 3.5mm threads 115mm long cancellous end thread £6.50 CANET0027 3.2mm shank 4.8mm threads 150mm long cancellous end thread £7.50 ESF LAG PINS WITH OLIVE CANMT0029 2.4mm shank 3.5mm threads 150mm long cancellous mid thread £7.50 001534 ESF lag pins. Small 2.4mm shank 25mm x 3.2mm thread £13.50 CANMT0030 3.2mm shank 4.8mm threads 180mm long cancellous mid thread £8.50 001535 ESF lag pins. Medium 3.2 shank 40mm x 4.0mm thread £13.50 56 CH04_p51-66_External Fixation 14/3/07 15:25 Page 57 4 EXTERNAL FIXATION www.vetinst.com Pin Cutters Pin Insertion See page 36 Safety Pin Cutter to 4mm Standard Cutters Correct pin insertion requires slow axial rotation under pressure. A Jacobs hand chuck can be used particularly where bone is young and soft. There is a tendency when using a hand chuck to produce a hole which is not circular, this will reduce the pin/bone interface resulting in premature pin loosening. The small Jacobs hand chuck gives better control and is big enough for 2, 3 and 4mm pins. Safety Cutter The ideal instrument in my experience, is the Variable Speed Orthopaedic Drill which offers maximum control and minimal wobble. It delivers pure axial rotation. It is a low speed, high torque device and, of course, useful elsewhere in veterinary orthopaedics. For further details about the drill and spare chucks see Chapter 5 - Power Tools. PIN INSERTION 001600 Variable speed orthopaedic drill kit £294.58 001660 Minidrill Kit £238.00 001220 Small Jacobs Chuck and handle 5/32" (4mm) capacity £121.25 001221 Standard Jacobs Chuck and handle 1/4" (6.35mm) capacity £121.25 ESF Tissue Protector Most types of bolt cutter; • cause the cut end to fly off in a potentially dangerous manner • create a sharp point leading to soft tissue irritation • deform the cut area which may jam in ESF clamps. The enclosed shearing action of this pin cutter addresses all these problems. The cutting range and type of action makes this cutter ideal for trimming ESF pins. The actual cut is 5mm below the surface of the cutter. SAFETY PIN CUTTER to 4mm 001229 Safety Cutter to 4mm Stainless 32cm £156.00 Protection of soft tissue is very important when placing an ESF frame. Tissue protection whilst placing single pins is relatively straight forward. However, once a bar is in position passing a pin through a clamp into bone presents a particular difficulty. Standard tissue protectors cannot be removed. The ESF tissue protector splits along its length to allow removal. The tip has small serrations to encourage grip on the bone surface. ESF TISSUE PROTECTOR 001548 57 ESF Tissue Protector £41.12 CH04_p51-66_External Fixation 4 14/3/07 15:25 Page 58 EXTERNAL FIXATION External Fixation Type Two Kit - (modified) ESF Kits ESF & Shearing Injury When purchased as kits there is typically a 10% reduction in total cost. All single clamps will be KE Plus. Type One Kit Contains two long bars and 6 or 8 KE Plus clamps. Pins and spanners are not included. Use to create a bilateral frame using a long (preferably mid-threaded) pin proximally and distally. TYPE TWO K E PLUS KIT (MODIFIED) 001520 Bilateral Kit Large 6 Clamps 2 Bars £85.30 001521 Bilateral Kit Medium 6 Clamps 2 Bars £76.57 001522 Bilateral Kit Small 6 Clamps 2 Bars £74.43 001520/P Bilateral Kit Large 8 Clamps 2 Bars £107.80 001521/P Bilateral Kit Medium 8 Clamps 2 Bars £99.07 001522/P Bilateral Kit Small 8 Clamps 2 Bars £96.93 NB: No pins or spanners are supplied with these kits. Standard Kit Consists of 8 single KE Plus clamps, 2 double clamps, 2 long bars, 2 short bars. Some fractures and some patients require more elaborate frames using either more clamps or more connecting bars. The standard kit will enable you to deal with most situations. Contains a long bar and 4 or 6 KE Plus single clamps. Pins and spanners are not included. This is the minimum frame you should try to use. Two pins only in the distal fragment is more acceptable than 2 pins proximally. Pin complications are usually fewer in the distal fragment. TYPE ONE K E PLUS KIT 001570 Unilateral Kit Large 4 Clamps 1 Bar 240mm £53.90 001571 Unilateral Kit Medium 4 Clamps 1 Bar 150mm £49.54 001572 Unilateral Kit Small 4 Clamps 1 Bar 100mm £48.46 001570P Unilateral Kit Large 6 Clamps 1 Bar 240mm £76.40 001571P Unilateral Kit Medium 6 Clamps 1 Bar 200mm £72.00 001572P Unilateral Kit Small 6 Clamps 1 Bar 150mm £71.28 STANDARD K E PLUS KIT 001580 Large Standard Kit 4mm. 8 single + 2 double clamps & bars 2 long + 2 short £157.12 NB: No pins or spanners are supplied with these kits. 001581 Medium Standard Kit 3mm. 8 single + 2 double clamps & bars 2 long + 2 short £138.96 001582 Small Standard Kit 2mm. 8 single + 2 double clamps & bars 2 long + 2 short £132.97 001578 Stainless Box with partitions NB: No pins or spanners are supplied with these kits. 58 £89.23 CH04_p51-66_External Fixation 14/3/07 15:25 Page 59 4 EXTERNAL FIXATION www.vetinst.com Boxed ESF Kits (spanners included) ‘T’ Bar Wrenches Useful for speedy tightening of clamps in that the wrench can be ‘spun’ using the shaft. ‘T’ BAR WRENCHES 001566T Small T Wrench - 7mm £12.00 001565T Medium T Wrench - 8mm £12.00 001564T Large T Wrench - 10mm £15.00 Meynard Fixation Clamps The full kit comprises one of each “standard kit” plus a compartmentalised stainless steel box in which to sterilise it. However typically, double clamps weaken frames and are to be avoided if possible. 001579ND is based on single clamps only. For ideal construction use at least 3 pins in each fragment. Stainless steel external fixators. Very simple, very inexpensive ESF system widely used with success in France and Spain. The clamps split allowing placement of pins, (both positive threaded and negative threaded) mid frame. Not as strong as KE or KE Plus type so more clamps are needed. Bars are available in all sizes. There are now Meynard clamps available which fit standard KE bars. Very useful for mid frame and positive threaded pins. Clamps which work with KE bars carry a KE suffix. NB: pins are only supplied with kit 001579NDP which includes positive pins of all appropriate sizes. BOXED ESF KITS(SPANNERS INCLUDED) 001579 Boxed Full Kit (including doubles) in Stainless Box. S/M/L Std kits + spanners. £522.32 001579ND Boxed Full Kit No Doubles. As above but with no double clamps £397.70 001579NDP Full kit in stainless steel box. Includes for each size of the 3 sizes: 8 Single clamps, 2 long bars, spanner, 2 mid thread positive pins, 4 end thread positive pins, the correct predrill and an ESF tissue protector £614.37 MEYNARD CLAMPS Spanners & Wrenches Standard spanners, sockets or combination spanners are available for all clamp sizes. SPANNERS 001566 Spanner Small £4.80 001565 Spanner Medium £4.80 001564 Spanner Large £4.80 86012 Socket Drive Handle 86104 Small Socket £2.64 86105 Medium Socket £2.64 86107 Large Socket £2.64 86685 Angled Wrench Medium £8.00 86687 Angled Wrench Large £8.00 clamp diameter fixation pin diameter bar diameter 260002 12 1.1 2 260003 12 1.2 2 £2.71 260004 12 1.6 2 £3.28 260005 14 1.5 3 £3.28 260005KE 14 1.5 3 £3.28 260006 14 2.0 3 £3.28 260007 16 2.0 4 £3.79 260013KE 16 2.4 3.2 £4.10 260013 16 2.4 4 £4.10 260008 16 3.0 4 £3.79 260014KE 16 3.0-3.2 4.8 (3/16") £5.10 260015KE 24 4.0 6.3 £7.20 260009 24 4.0 6 £6.66 £2.71 MEYNARD CONNECTING BARS £10.14 260030 3mm for 14mm clamps. 50mm long. £5.41 260040 4mm for 16mm clamps. 100mm long £6.49 260042 4mm for 16mm clamps. 200mm long £6.49 260043 4mm for 16mm clamps. 250mm long £7.59 260060 2mm for 12mm clamps. 500mm long; cut to length £5.23 260062 3mm for 14mm clamps. 500mm long; cut to length £6.46 260064 4mm for 16mm clamps. 500mm long; cut to length £8.30 260068 6mm for 24mm clamps. 500mm long; cut to length £10.05 59 CH04_p51-66_External Fixation 4 14/3/07 15:25 Page 60 EXTERNAL FIXATION Acrylic Pin External Fixation System External Fixation An Acrylic Pin External Fixator (APEF) is created by replacing mechanical connecting clamps and rigid connecting bars with mouldable acrylic columns. APEF is indicated for any fracture or arthrodesis where a comparable sized bar/column fixator would be appropriate. Research has shown the acrylic columns provide equal or greater strength when compared to the traditional K-E designs in all standard configurations. The illustration shows use of frame alignment kit APFAK422. Please bear in mind that, ultimately, the acrylic has to be poured which will have implications for the repair. APEF Base Kit Acrylic Tube Packs These convenient, premeasured, easy mix dispensing packs contain both powder and liquid separated by a temporary divider. These packs contain the appropriate amount of tubing and plugs. ACRYLIC TUBE PACKS The kit includes: • a carrying case • a sterilisation tray, • 4 x 3mm (1/8") diameter centrally threaded full pins, • 4 x 3mm (1/8") diameter end threaded half pins, • 8 x 3mm (1/8") diameter medium smooth pins, • 8 x 2mm (3/32") diameter small smooth pins • frame alignment kit, • 1 x double acrylic tube pack, • 1 x single acrylic tube pack, • 1 x half acrylic tube pack • and a procedural video. APNSPT150 Triple Tube Pack (150ml). 450mm x 21mm tube plus acrylic and plugs. £36.40 APNSPD100 Double Tube Pack (100ml). 300mm x 21mm tube plus acrylic and plugs. £32.62 APNSPS50 Single Tube Pack (50ml). 150mm x 21mm tube plus acrylic and plugs. £25.00 APNSPDM50 Double Mini Tube Pack (50ml). 300mm x 15mm tube plus acrylic and plugs. £21.70 APNSPH25 Half Tube Pack (25ml). 150mm x 15mm tube plus acrylic and plugs. £19.00 APNSPQ12 Quarter Tube Pack (12.5ml). 150mm x 10mm tube plus acrylic and plugs. £14.00 APEF TIPS • Rather than wait a fixed time to pour, wait until the mix starts to thicken. The setting time will vary with ambient temperature. APEF BASE KIT • Once cut, roll up the bag to minimise waste. APBKUNST • Use cotton wool to help clot any seepage. APEF Base Kit. Includes Carrying Case, (non sterile) Sterilisation Tray £402.00 G70025-000 Base Kit Container Only • Remember to orientate the tube so that the acrylic runs down the tube. £34.33 G70029-000 Pin Sterilization Tray Only (Anodised Aluminium) £51.00 60 CH04_p51-66_External Fixation 14/3/07 15:26 Page 61 4 EXTERNAL FIXATION www.vetinst.com Acrylic Bi-Packs APEF Tubing These convenient, premeasured, easy mix and dispensing packs contain both powder and liquid separated by a temporary divider. You will require tubing; see below. ACRYLIC BI-PACKS APNSBT150 Triple Acrylic Bi-Pack (150ml) £32.40 APNSBD100 Double Acrylic Bi-Pack (100ml) £24.50 APNSBS50 Single Acrylic Bi-Pack (50ml) £16.80 APNSBH25 Half Acrylic Bi-Pack (25ml) £13.18 APNSBQ12 Quarter Acrylic Bi-Pack (12.5ml) £9.96 APEF TUBING APTK21 21mm (1") Dia.Tube Kit 152cm (60") Tubing 10 Endplugs £6.50 APTK15 15mm (5/8") Dia.Tube Kit 152cm (60") Tubing 10 Endplugs £6.50 APTK10 10mm (3/8") Dia.Tube Kit 122cm (48") Tubing 8 Endplugs £5.25 APEF Pins & Frame Alignment Kit Mixing the acrylic APEF pins come in either 3.2mm (1/8") diameter or 2.4mm (3/32") diameter. The threaded pins have a positive profile thread. APEF functions very well with all Vet Instrumentation ESF pins. APEF PINS APPINETH18 End-Threaded Half Pin. 3.2mm shank APPINCTH18 Centrally Threaded Full Pin. 3.2mm shank APFAK422 Frame Alignment kit £10.30 £10.30 £150.00 Accessories The carrying case and the pin sterilisation tray that come with the base kit can be bought separately. The pin sterilisation tray is made from anodised aluminium. Removing frame alignment clamps 61 CH04_p51-66_External Fixation 4 14/3/07 15:26 Page 62 EXTERNAL FIXATION External Fixation Epoxy ESF Putty Epoxy Epoxy ESF Putty Epoxy E.S.F. putty is a simple to use, quick and convenient alternative to the standard bar and clamp system. The putty, once mixed, stiffens in 5 minutes and within 1 hour is fully cured. The putty can be applied and then the fracture reduced allowing precise manipulation of the fracture site. The versatility of the system allows the putty to be used in place of clamps, to cover sharp ends of cut pins, and many other applications. There are two pack sizes in a bar format with the premeasured catalyst in the centre of the bar ready for mixing. The product is clean and has a long shelf life. Only mix the quantity you need, cutting the required amount off the end of the bar. If you find you don't have enough, more can be prepared in a matter of seconds. E.S.F. putty sticks to itself very well and may be used for repairs and corrections. Particularly useful in fractures in small furries where proximal and distal fragments may be attached together with 'blobs' of putty in place of clamps regardless of fixation pin site. • Easy to use • Economical • Versatile Typical Applications • ESF applications requiring multiple pins of various sizes placed at various angles. • ESF applications in rabbits and guinea pigs • Fractures of the jaw • Protecting sharp ends of cut pins • Joining non-standard pins and bars • Use to add a pin mid frame EPOXY ESF PUTTY EPOXY1 Epoxy ESF Putty 55G £8.50 EPOXY2 Epoxy ESF Putty 110G £17.50 62 CH04_p51-66_External Fixation 14/3/07 15:26 Page 63 EXTERNAL FIXATION www.vetinst.com Dynamic Fixators External fixation has an increasingly important place in veterinary orthopaedics including the management of fractures, non unions and growth plate abnormalities in adult dogs. In addition to the standard KE and KE Plus systems,Veterinary Instrumentation also offers a range of dynamic external fixators which are of particular use in the management of growth plate injuries in the growing dog. Linear Distractors Uniplanar Dynamic Distractor Bone lengthening is occasionally required to substitute bone lost through growth plate abnormalities, e.g. short radius or trauma. The bilateral dynamic fixator is more user friendly than the ring fixator. N.B 1.00mm pitch means that one full turn of the adjuster moves the assembly 1.00mm. Sliding clamps are available as either single or doubles. When significant bowing of the bone involved has occurred (usually radius) some singles may be necessary. UNIPLANAR DYNAMIC DISTRACTOR 001910 Sliding Single Clamp 3/32” Pins £17.81 001911 Sliding Double Clamp 3/32” Pins £35.06 001912 Sliding Single Clamp 1/8” Pins £19.26 001913 Sliding Double Clamp 1/8” Pins £38.65 001914 Sliding Single Clamp 5/32” Pins £20.84 001915 Sliding Double Clamp 5/32” Pins £41.88 001918 Wire Insert Guide £44.09 001920 Threaded Rod - Small 50mm Pitch .75mm 001921 Threaded Rod - Small 75mm Pitch .75mm £9.86 001922 Threaded Rod - Small 100mm Pitch .75mm £11.55 001923 Threaded Rod - Small 150mm Pitch .75mm £13.39 001930 Threaded Rod - Medium 75mm Pitch 1.0mm £8.49 001931 Threaded Rod - Medium 150mm Pitch 1.0mm £12.43 001932 Threaded Rod - Medium 200mm Pitch 1.0mm £15.13 001940 Threaded Rod - Large 100mm Pitch 1.00mm £12.43 001941 Threaded Rod - Large 200mm Pitch 1.00mm £17.25 001951 Knurled Adjuster - Small £8.18 001952 Knurled Adjuster - Medium £9.07 001953 Knurled Adjuster - Large 001960 Locking Nut - Small £1.17 001961 Locking Nut - Medium £1.45 001962 Locking Nut - Large £1.69 001900 Radius Assembly - Small 3/32”. Does not include pins. £185.70 001901 Radius Assembly - Medium 1/8”. Does not include pins. £209.68 001902 Radius Assembly - Large 5/32”. Does not include pins. £236.11 £6.27 £10.31 Most sliding clamps are now supplied in the KE Plus configuration allowing a wider choice of pin & through clamp placement of positive pins. case: John Taylor. 63 4 CH04_p51-66_External Fixation 4 14/3/07 15:26 Page 64 EXTERNAL FIXATION External Fixation Ring Fixators Kit Contents: DESCRIPTION Ring Fixator Kit (001800) 70, 100, 120 &160mm Rings Full Ring 70mm Aluminium or Carbon Fibre 4 5/8 Ring 70mm Aluminium or Carbon Fibre 1 Full Ring 100mm Aluminium or Carbon Fibre 4 5/8 ring 100mm Aluminium or Carbon Fibre 1 Half Rings - 120 mm Stainless Steel 8 Half Rings - 160 mm Stainless Steel 8 5/8th Ring - 120 mm Stainless Steel 1 5/8th Ring - 160 mm Stainless Steel 1 Multiple-pin fixation clamp/Wrench cube 2 Fixator Pin Bolt 2 Cannulated Bolt 30 Offset Bolt 12 Connection Bolts 10 Telescopic Rod - 100 mm Veterinary Instrumentation’s full ring fixator set includes all the instrumentation and implants for virtually all appropriate Veterinary procedures. It is closely based on the well proven original Ilizarov model with some modifications for small animal use. For full details check www.ringfixator.com. QTY 3 Telescopic Rod - 150 mm 3 Threaded Rod - 100 mm 6 Threaded Rod - 150 mm 6 The kit is available in two forms: 001800A has 70 and 100mm rings manufactured in high tensile aluminium. 001800C has the 70 and 100mm rings made from ultra lightweight carbon fibre. In both sets the 120 and 160mm rings are made from stainless steel. Threaded Rod - 200 mm Square nut 8 Connection plates are used to convert half or 5/8 rings into ellipsoid or ovals. Non slip nylon bushed nut 6 A range of clamps is included to allow the fixation of wires to the rings in a variety of positions. Half pins (negative or positive profiles) may be added to the frames using the posts and clamps provided. 3 Hole connection plate 4 4 Hole connection plate 4 5 Hole connection plate 2 Several spanners are included to enable the surgeon to access clamps in restricted areas and to allow the surgeon to accurately control wire alignment and to a degree wire tension. 6 Hole connection plate 2 7 Hole connection plate 2 Twisted plate 2 Male post 2 holes 2 Hinges are included for dynamic angular deformity correction. Male Post - 3 Holes 2 360 degree universal joints are included. Male post - 4 holes 2 The incremental motors move 0.25mm per click. Female post - 2 holes 2 A dedicated mechanical tensioner facilitates application of tension. Female Post - 3 Holes Although not critical using smaller rings, tension is very important using thin wires on large rings. Washer Nut - 10 mm Conical washers allow rings to change angle relative to the threaded rods for small angular adjustments. 6 100 2 30 Hinge female 6 Hinge male 6 Universal Joints 3 Incremental motors (4 clicks = 1mm) 3 Wrenchocube 3 Hole 2 K. Wire - 1.5 mm 20 K. Wire - 1.8mm 20 Olive Wire - 1.5mm 5 Olive Wire - 1.8mm 5 Angulated Wrench 1 10mm Spanner 2 Mechanical Tensioner 1 Stainless Steel Container 1 RING FIXATOR KIT 001800A Complete Ring Ex. Fix. Set 70/100mm (Aluminium) 120/160 (Stainless Steel) £2,200.00 Alex Li 001800C Complete Ring Ex. Fix. Set 70/100mm (Carbon Fibre) 120/160 (Stainless Steel) £2,400.00 64 CH04_p51-66_External Fixation 14/3/07 15:26 Page 65 4 EXTERNAL FIXATION www.vetinst.com Rings Stand Off Pin Clamps 70 and 100mm rings are available in high tensile aluminium, carbon fiber. 120mm and 160mm rings are made from stainless steel and are sold as half rings. 5/8 rings are available in all sizes where anatomy dictates that full rings will interfere with soft tissues. Fixator pins may be attached to rings some distance away from the ring using a wrenchocube (left) or a standard KE clamp attached to a medium KE post (right). RINGS 001840 70mm Aluminium Ring £20.00 001843 100mm Aluminium Ring £30.00 001841 5/8 70mm Aluminium Ring £20.00 001844 5/8 100mm Aluminium Ring £30.00 001810 70mm Carbon Fiber Ring £25.00 001811 100mm Carbon Fiber Ring £30.00 001815 5/8 70mm Carbon Fiber Ring £25.00 001816 5/8 100mm Carbon Fiber Ring £30.00 001846 120mm Stainless Half Ring £14.00 001848 160mm Stainless Half Ring £16.00 001847 5/8 120mm Stainless Ring £20.00 001849 5/8 160mm Stainless Ring £22.00 WRENCHOCUBE AND KE POST 001834 Wrenchocube (3 hole) 001837 Medium KE Post £6.00 £12.00 Combination Wire/Pin Post NEW CONNECTION PLATES 001820 2 Hole £3.50 0018933 3 Hole £3.50 0018934 4 Hole £3.50 0018935 5 Hole £4.00 0018938 Twisted Connection Plate £4.50 This post allows the placement of either pins or wires parrallel to the ring but standing off 20mm. COMBINATION POST 001857 Combination Wire/Pin Post £15.00 Wire Clamps Clamp Posts - Male and Female Wires are attached to rings using clamps. The wire either passes through a center cannulation or placed alongside. WIRE CLAMPS 001851 Cannulated Wire Bolt £4.00 001854 Offset Wire Bolt £4.00 001855 Standard Nut 001854N Nylon Bushed Nut £4.00 001828 Connecting Bolt £1.00 001852 Washer £0.50 001852 Washer Spacing 2mm £0.80 001852S Washer Slotted £1.00 Use to place wires standing off the ring through either cannulated clamps or offset clamps. Female fitting posts can be attached to threaded rods. POSTS £.60 Fixator Pin Clamp 0018942 Male Post 2 Holes £4.50 0018943 Male Post 3 Holes £4.50 0018944 Male Post 4 Holes £4.50 0018952 Female Post 2 Holes £4.50 0018954 Female Post 4 Holes £4.50 Threaded Rods THREADED RODS FIXATOR CLAMP 001853 Fixator Pin Clamp 4mm £4.50 65 001823 75mm Threaded Rod £4.00 001825 100mm Threaded Rod £5.00 001826 150mm Threaded Rod £5.00 001827 200mm Threaded Rod £8.00 CH04_p51-66_External Fixation 4 14/3/07 15:26 Page 66 EXTERNAL FIXATION External Fixation Hinges and Conical Washers Spacer NEW Using conical washers it is possible to move a ring relative to another ring by up to 10º. Where a greater correction is necessary use hinges. The hinge is available as a male or female component. Assemble hinges using connection bolts and nuts. Where multiplanar movement is required use the universal joint. Use to fix two rings 40mm apart without using threaded rods and nuts. SPACER 001832 Spacer 40mm £7.00 CONICAL WASHERS, HINGES AND UNIVERSAL JOINTS 001856 Conical Washers (set of 4 components) £8.00 001813 Male Hinge £4.50 001814 Female Hinge 001839 Universal Swivel Wrenches and Spanners £4.50 £36.00 Telescopic Rod WRENCHES AND SPANNERS Use to quickly connect rings without the tiresome feeding of threaded rods through rings. 001817 10mm Open Ended Spanner 001838 Angled Wrench £23.20 £4.80 001821 10mm Box Spanner £15.00 Mechanical Tension Device TELESCOPIC RODS 001890 Telescopic Rod 100mm £8.00 001891 Telescopic Rod 150mm £8.00 Incremental Linear Motor NEW Wires must be placed under tension in the Ilizarov system. This is particularly true of the larger rings. It is recommended that 60-90Kg of tension is applied. TENSION DEVICE MECHANICAL 001830 Limb lengthening requires that rings are distracted relative to one another by 1mm per day preferably in 0.25mm increments. The incremental motor has a locking collar which when pressed allows the collar to be rotated 1/4 of a full turn moving the rings 0.25mm apart. Incremental motor 0.25mm 001855S Nut Square Adjusting £82.00 Wires 300mm 12” Long WIRES 001881 1.5mm Wire (pack 5) 001882 1.8mm Wire (pack 5) £12.00 £30.00 001883 1.5mm Olive Wire (pack 5) £40.00 £2.00 001884 1.8mm Olive Wire (pack 5) £40.00 INCREMENTAL LINEAR MOTOR 001818 Tension Device Mechanical 66 £12.00 CH05_p67-77_Power Tools 13/3/07 11:15 Page 67 5 POWER TOOLS www.vetinst.com Synthes Quick Fit Adaptor - Jacobs Electrical Power Variable Speed Orthopaedic Drill Converts both small and large Jacobs chuck to take Synthes fit drills and taps. Adds 40mm length. SYNTHES QUICK FIT ADAPTOR 001612 Synthes Quick Fit Adaptor - Jacobs £95.46 Mini Re-chargeable Drill NEW Our latest model now has a removeable battery pack. This feature makes charging easier and a spare battery pack can be maintained on charge. The battery charges more quickly than you can discharge the one in the drill. This remains the best drill we have found. All the original features remain. • excellent control over speed 0-600 via trigger • stainless steel chuck (6.35mm capacity) and extension • 80mm through chuck cannulation • autoclavable shroud • low speed, high torque • supplied as a complete kit including stainless chuck, key, extension, autoclavable shroud, 2 batteries and a charger. VARIABLE SPEED ORTHOPAEDIC DRILL 001600 Variable Speed Orthopaedic Drill (Complete Kit). Drill, chuck, key, shroud, extension,2 x batteries £294.58 001605 Spare Chuck (& key) 1/4" 6.35mm £88.68 001606 Spare Key for standard chuck £13.42 001607 Drill Extension £25.41 001620 Spare Drill Shroud £10.51 Spare Battery Pack Our standard orthopaedic drill can feel quite bulky when used in cats or with fine wires. Our mini drill fits in the palm of your hand and weighs only 730 grams. Speed is variable via the trigger 0-600 rpm appropriate for drills and wires For use as standby or replacement. The quick charge unit supplied with the drill charges the spare battery pack faster than you can discharge the battery pack in the drill. With drills having a permanent integral battery, once the battery fails the drill must be replaced, but with this system you simply replace the battery. • forward and reverse key above the trigger • stainless steel chuck and key 5mm capacity with extension • 50mm through cannulation • supplied with two NiCad batteries to ensure you are never left without a charged battery SPARE BATTERY PACK 001610 Spare Rechargeable Battery £25.60 • supplied as a complete kit with two batteries, charger, stainless cannulated extension, 5mm chuck and key and waterproof shroud MINI RECHARGEABLE DRILL 67 001660 Mini Rechargeable Drill complete kit 001661 Waterproof Shroud £238.00 £10.51 001605S Spare chuck with key £88.66 CH05_p67-77_Power Tools 13/3/07 5 11:15 Page 68 POWER TOOLS Power Tools Desoutter Cast Cutter Removal of casts without a power saw is extremely hard work and very time consuming. This has implications for procedure costs and anaesthetic risk. The Desoutter saw is extremely reliable and makes short work of all cast materials. (The harder synthetics require the diamond blade). DESOUTTER CAST CUTTER 001700 Desoutter Cast Cutter CC4 001710 Spare Blade for Gypsum Casts 64cm £516.27 £16.50 001720 Diamond Blade for Resin Casts 64mm £69.73 001721 Diamond Blade for Resin Casts 80mm £69.73 Blades fit both CC1 & CC4 Multi Saw Multi Saw Multi Saw in use during a closing wedge TPLO operation Slocum Blade Adaptor NEW The Multi saw is a multi-function oscillating saw which may be used as a cast cutter and a surgical oscillating saw. The standard rechargeable saw is supplied as a kit including charger, battery and gypsum type saw blade. Our stainless attachment converts the multi saw into a surgical saw in a similar fashion to our orthopaedic drill. With the converter and shroud in place, all exposed surfaces are sterile. Excellent for total femoral head and neck excision and TPLO by Tibial Wedge Osteotomy. A wide range of blades fit the multi saw. We recommend either the Desoutter S82 series or the Halls 5071 series. The latter offers a slimmer cut 0.8mm c.f. 1.2mm. This adaptor converts our standard Multi Saw into a radial/biradial blade driver. The mount is in fact the old Stryker triangular mount. Please bear in mind the following, once mounted the saw sits at right angles to the long axis of the saw c.f. standard Slocum type saws. Additionally the cut is less aggressive in that the oscillation is 4º rather than the 6º of standard saws. The cut will, therefore, be slower. Ideal as a budget alternative or as a back up to your air saw. MULTI SAW 001701 Multi Saw including Gypsum Blade (rechargeable) £307.97 001702 Stainless Converter (c/w spanner) £67.77 001703 Waterproof shroud for Multi Saw £10.51 001705 Multi Saw Diamond Blade (Resin) £35.00 001706 Multi Saw (Gypsum) Blade £30.20 001708 Multi Saw Surgical Kit incl converter, shroud and S82-103 blade 001701B Spare Battery for Multisaw MULTI SAW SLOCUM BLADE ADAPTOR 001707 £380.00 £85.32 68 Multi Saw Slocum Blade Adaptor £67.77 CH05_p67-77_Power Tools 13/3/07 11:15 Page 69 www.vetinst.com POWER TOOLS Multi Saw Blades MULTI SAW BLADES Cast Blades S82-100 0.9mm 45mm S82-103 1.2mm S82-104 1.2mm SB5071-134 0.6mm SB5071-132 SB5071-135 SB5071-133 CODE CAST BLADES 001705 Diamond Multi Saw Blade 63mm for resin casts £35.00 001706 Standard Multi Saw Blade for gypsum casts £30.20 Surgical Blades Other patterns available - phone for full list CUT THICKNESS LENGTH PRICE 12mm £36.42 70mm 12mm £36.42 70mm 25mm £36.42 41mm 9.0mm £36.42 0.8mm 41mm 19.5mm £36.42 1.0mm 30mm 5.0mm £36.42 0.6mm 25.5mm 9.0mm £36.42 Actual Size † SB5071-132 SB073310 Actual Size Actual Size * S82-103 WIDTH SB073310 0.7mm 33mm 10.0mm £36.42 All blades with a central hole bigger than 6mm will fit the multi saw. Actual Size *† S82-100 5 † NEW Actual Size * Actual Size S82-104 † SB5071-133 NEW Actual Size Actual Size † SB5071-134 † SB5071-135 NEW *Also fits desoutter M171/M172 † Suitable for use with TTO Sawguide 69 CH05_p67-77_Power Tools 13/3/07 5 11:15 Page 70 POWER TOOLS Power Tools Wire Driver K111 Air Power 3M’s Orthopaedic Equipment Reattachment of osteotomies or small bone fragments is often best achieved using "K" or arthrodesis wires. 3M's equipment remains the first choice for top referral practices and university departments. The equipment is very reliable and relatively easy to maintain. There is also a place for 3M equipment in general practice for veterinary orthopaedic surgeons who enjoy their surgery and who wish to provide their clients and patients with the best possible care. Driving long wires often results in bending. Driving short wires in a Jacobs chuck requires time consuming and repeated adjustments. Unfortunately 3M equipment is no longer available new. Our experience with 3M is such that we have obtained good quality pre-owned supplies which will provide many years of quality service at a reasonable price. We can service all 3M equipment. Call for details. Mini Driver K200 Hand Piece The 3M Mini Driver is a modular system comprising a handpiece plus a range of quick fit attachments. Where we offer a set for sale it will include: handpiece, drill, wiredriver, saw, AO quick fit attachment, hose and autoclave case. The wire driver is designed to drive "K" and arthrodesis wires 0.9mm to 2.0mm accurately with finger tip advancement of the wires. Sagittal Saw K220 For osteotomies in confined areas, e.g. excision arthroplasty, radial osteotomy, triple pelvic osteotomy. A large range of saws and blades are available. See overleaf for blades. The Mark II K220 saw attachment (illustrated) is stronger and takes longer blades than the earlier K120. AO/Synthes Quick Release Chuck K114A MINI DRIVER A201 Full Air Return Hose 3 Metre. For Minos and Minidriver £586.60 Mini Driver Pre-owned Kits from £2,500 please phone or e-mail for details The AO quick release permits the use of Synthes fitting drills and taps. Without the need for a chuck key, tool changes are very slick. Jacob’s Chuck K110 (5mm) K109 (6.35mm) We try to keep in stock Mini Driver Sets to meet all requirements and budgets. Please call for details or check the pre-owned section on www.vetinst.com. Check the pre-owned section of www.vetinst.com for latest offers The standard drill attachment has a 5mm capacity. A 6.35mm (1/4”) attachment is available. 70 CH05_p67-77_Power Tools 13/3/07 11:15 Page 71 K120 Blades 5 POWER TOOLS www.vetinst.com K220 Blades Other patterns available - phone for full list Actual Size K124 K134 K148 K154 Actual Size K132 Actual Size Actual Size K122 K142 Actual Size K133 Actual Size Actual Size K123 Other patterns available K155 K152 K144 K120 BLADES CODE CUT THICKNESS LENGTH WIDTH PRICE 6.4mm £36.53 31.0mm 6.4mm £36.53 15.1mm 10.4mm £36.53 1.0mm 31.0mm 10.4mm £36.53 K125 1.0mm 15.1mm 16.5mm £36.53 K131 0.7mm 15.1mm 6.4mm £36.53 K121 1.0mm 15.1mm K122 1.0mm K123 1.0mm K124 K132 0.7mm 31.0mm 6.4mm £36.53 K133 0.7mm 15.1mm 10.4mm £36.53 K134 K135 0.7mm 0.7mm 31.0mm 15.1mm 10.4mm 16.5mm K220 BLADES CODE £36.53 £36.53 CUT THICKNESS LENGTH WIDTH PRICE 6.4mm £36.53 30.0mm 6.4mm £36.53 30.0mm 10.2mm £36.53 0.65mm 27.4mm 19.0mm £36.53 K147 0.65mm 27.4mm 14.0mm £36.53 K148 0.65mm 27.4mm 9.5mm £36.53 K149 0.65mm 42.7mm 19.1mm £36.53 K152 0.65mm 30.0mm 6.4mm £36.53 K154 0.65mm 42.7mm 9.5mm £36.53 K155 0.65mm 42.7mm 14.0mm £36.53 K141 1.0mm 14.2mm K142 1.0mm K144 1.0mm K146 Minos A200 A dedicated bur system, the Minos A200 drives a large range of burs at up to 100,000 rpm. This is the top line instrument in use at most universities and referral practices. Relatively robust in that the bur is driven by an air vane. Always use an appropriate length bur guard to protect the bur and operator. Usually available pre-owned. Further details and trials are available on request. A set will include the A200 motor, bur guard and a hose. MINOS A200 PRE3MMINOS 71 Pre-owned Minos A200 kit. Includes hose, bur guard £1734.00 CH05_p67-77_Power Tools 13/3/07 5 11:15 Page 72 POWER TOOLS Power Tools MPZ Blades Other patterns available - phone for full list Actual Size Desoutter Orthopaedic Equipment Desoutter is a long established U.K. company providing high quality air driven equipment for orthopaedic surgeons. Excellent equipment with high quality, local backup. S85-103 Actual Size MPZ Modular System S85-100 Actual Size S85-110 Actual Size S85-117 MPZ BLADES (WRENCH FITTING) WIDTH PRICE S85-100 0.7mm 23mm 10.4mm £36.42 S85-103 0.7mm 11mm 6.4mm £36.42 S85-107 0.7mm 44mm 19mm £36.42 S85-109 0.7mm 44mm 17mm £36.42 S85-110 0.7mm 33mm 10mm £36.42 S85-117 0.7mm 48mm 17mm £36.42 Actual Size S83-101 Actual Size S83-107 Actual Size This system is similar in size and feel to the Mini Driver. The range of available attachments is greater than the Mini Driver. The saw can take blades up to 44mm useable length. The pin driver attachment accepts pins up to 3.2mm (1/8”) which is very useful when placing external fixation pins. CODE CUT THICKNESS LENGTH S83-110 MPZ MODULAR SYSTEM MPZ224884 Multidrive MPZ Handpiece £2,474.00 MPZ9510 Small Jacobs Chuck attachment max 4.0mm £363.00 MPZ9610 Large Jacobs Chuck attachment max 6.3mm £384.00 MPZ9520 AO attachment MPZ9580 Sagittal Saw Attachment (quick release) £1,159.00 MPZ9550 Sagittal Saw Attachment (wrench fitting) £1,159.00 MPZ9640 Reciprocating Saw Attachment £1,159.00 MPZ9560 Wire Driver Attachment 0.6 to 1.8mm £1,095.00 MPZ9600 Pin Driver Attachment 1.8 to 3.2mm £1,095.00 MPZ10900 3 metre hose MA7 fitting £395.00 MPZ MINI SAG SAW MX500 BLADES (QUICK RELEASE) £250.00 CODE CUT THICKNESS LENGTH 72 WIDTH PRICE S83-101 0.7mm 25mm 10mm £36.42 S83-103 0.7mm 25mm 6.4mm £36.42 S83-107 0.7mm 48mm 19mm £36.42 S83-109 0.7mm 48mm 15mm £36.42 S83-110 0.7mm 38mm 10mm £36.42 CH05_p67-77_Power Tools 13/3/07 11:15 Page 73 www.vetinst.com POWER TOOLS MPX Modular System MPX MODULAR SYSTEM 5 MPX222554 MPX Handpiece MPX8150 Jacobs Chuck 4mm cap £2598.00 MPX8000 Jacobs Chuck 6.35mm cap MPX8080 Wire Pin Driver 0.6 to 3.2mm £1350.00 MPX8040 MPX Sagittal Saw Large Blade Head £1159.00 MPX9310 Mini Sagittal Saw Large Blade Head £1159.00 MPX8010 AO Quick Release Attachment £427.00 MPX5300 3 Metre MA7 Hose to fit MPX £250.00 £527.00 £527.00 MPX MINI SAG SAW MX500 BLADES (QUICK RELEASE) CODE Heavier duty than the MPZ system, the MPX will be of interest to those surgeons with a high through put of Closing Wedge TPLOs. The working blade length goes up to 100mm. MPX Blades MPX BLADES CODE S80-101 CUT THICKNESS LENGTH 1.4mm WIDTH PRICE 87mm 25mm £36.42 £36.42 1.0mm 87mm 25mm S80-103 0.8mm 60mm 12mm £36.42 S80-106 1.35mm 87mm 25mm £36.42 S80-109 0.8mm 32mm 12mm £36.42 PRICE 0.7mm 25mm 10mm £36.42 S83-103 0.7mm 25mm 6.4mm £36.42 S83-107 0.7mm 48mm 19mm £36.42 S83-109 0.7mm 48mm 15mm £36.42 S83-110 0.7mm 38mm 10mm £36.42 S83-101 Actual Size S80-102 CUT THICKNESS LENGTH Actual Size Other patterns available - phone for full list WIDTH S83-101 S83-107 Actual Size Actual Size S80-109 S83-110 Actual Size S80-102 Actual Size S80-106 73 CH05_p67-77_Power Tools 13/3/07 5 11:15 Page 74 POWER TOOLS Power Tools Micro 100 Sagittal Saw Halls (Linvatec) Orthopaedic Power All the following use the same standard Halls hose 5042-35E. A combination of these stand alone units is an alternative to the modular systems. A small sagittal saw for routine osteotomies. Not really big enough for closing wedge TPLOs. HALLS UK HOSE 5042-35E MICRO 100 SAGITTAL SAW (Preowned) Halls UK hose. MA-7 £443.97 MICROSAG £1,250.00 Sagittal Saw Blades - many patterns available please phone or e-mail for details Micro 100 Reciprocating Saw Wire Driver Useful where access is limited. Used by some surgeons e.g. Gary Clayton-Jones and John Ferguson to create a radial osteotomy in a modification of the TPLO technique. MICRO 100 RECIPROCATING SAW (Preowned) MICRORS £1,200.00 Reciprocating Saw Micro 100 Reciprocating Saw Blades 5053-021 This is a stand alone unit. 5053-059M MICRO 100 RECIPROCATING SAW BLADES CODE “In my view the Halls wiredriver has a nicer action than the 3Ms version. The trigger has a two stage action. An initial squeeze grips the wire and a full squeeze initiates the drive mechanism. Wires may be inserted incrementally very quickly. At no time is a long section of wire exposed which tends to bend. Fits standard Halls hoses (which is the same as the Whittemore saw). This is a stand alone unit unlike the Mini driver and Maxi driver which are modular.” The only disadvantage is that the maximum wire size is 1.8mm. Wire Driver LENGTH WIDTH PRICE 0.6mm 39mm N/A £36.42 S22-059M 0.6mm 60mm N/A £36.42 Surgairtome II This is the current replacement for the Minos A200. Available both new and pre-owned. Similar performance to the Minos but has an air brake, so the bur stops immediately the trigger is released. Not as robust as the Minos as the drive is through gears but preferred by some surgeons e.g. Simon Wheeler. WIRE DRIVER (Preowned) MICRODRV CUT THICKNESS 5053-021 £1,200.00 SURGAIRTOME II 505800 Surgairtome II kit. Includes hose, medium bur guard and case 5058 Surgairtome motor. PREHALLSSURG Pre-owned Surgairtome II kit. Includes hose and bur guard 74 NEW NEW £3,800.00 £3,080.00 from £1,800.00 CH05_p67-77_Power Tools 13/3/07 11:15 Page 75 5 POWER TOOLS www.vetinst.com Bur Guards Bur Brush Burs and bur guards are common to both the Minos and the Surgairtome II. A bur guard should always be used when driving burs. Spinning at 100,000 rpm the shaft needs support. When burs stop cutting mid procedure the reason is usually clogging of the cutting flutes. High speeds (100,000 rpm) minimise the problem. Dremel type flexdrive units are particularly prone. Our bur brush is used to clean the bur without damaging it. It may be more convenient to change the bur and clean them up afterwards. BUR GUARDS 1375-023 Extra Long Bur Guard £456.46 1375-011 Long Bur Guard £289.55 BRUSH 1375-012 Medium Bur Guard £289.55 A315 £17.20 Bur Brush Burs All surgical burs have a 2.36mm shank (HP fitting) and will fit in all high speed surgical bur machines e.g. 3M's Minos, Halls Surgairtome, Foredom. We have selected Komet burs for their high quality. All are single pack and non sterile. In human surgery burs are regarded as disposable items. In veterinary surgery the cost precludes using burs as disposables. However, use of burs which are less than sharp extends procedure time and creates heat. We do advise that burs are checked and changed on a regular basis. Diamond burs are sharper and create less heat that carbide equivalents. Adequate irrigation is essential. Please see chart for options and prices. BURS BUR TYPE illustrations are actual size 75 HEAD OVERALL BUR SIZE LENGTH GUARD ORDER CODE PRICE (Carbide) £ ORDER CODE PRICE (Diamond) £ 1.8 50mm Medium M18R £24.50 - - 2.0 50mm Medium M20R £24.50 M20D £65.35 2.3 50mm Medium M23R £24.50 - - 3.0 50mm Medium M30R £24.50 M30D £68.33 4.0 50mm Medium M40R £48.50 M40D £68.33 5.0 50mm Medium M50R £48.50 - - 6.0 50mm Medium M60R £48.50 M60D £68.33 1.8 72mm Long L18R £28.50 - - 2.0 72mm Long L20R £28.50 L20D £36.40 3.0 69mm Long L30R £37.40 L30D £38.50 4.0 69mm Long L40R £37.40 L40D £42.20 5.0 69mm Long L50R £52.48 L50D £57.30 6.0 69mm Long L60R £55.51 L60D £68.00 6.5 69mm Long L65R £58.21 - - 2.0 95mm Extra Long X20R £41.20 X20D £47.50 2.3 95mm Extra Long X23R £41.20 X23D £47.50 3.0 95mm Extra Long X30R £41.20 X30D £47.50 4.0 95mm Extra Long X40R £57.50 X40D £69.38 5.0 95mm Extra Long X50R £63.10 X50D £69.38 CH05_p67-77_Power Tools 13/3/07 5 11:15 Page 76 POWER TOOLS Power Tools Air Regulators and Hose Probes notch UK MA7 TPLO Saws and Blades US Schrader Slocum TPLO blades create a patented biradial cut which means that the tibial plateau segment fits the distal tibia section exactly with maximum bone contact. While this is a good thing the design of the blade does not cut very efficiently and needs regular hand sharpening if excess heat is not to be produced. Veterinary Instrumentation has been looking at TPLO blades for a number of years and is introducing a range of Radial blades which cut better and are cheaper to replace than the Slocum original. They have the same triangular stryker connection. All the air equipment runs on Medical Air at 7 Bar (100PSI) Drills and saws can be run from compressors as their air requirement is intermittent. High speed drills need bottled gas or a big compressor. A twin dial regulator is best to control gas pressure (001756). One dial gives bottle pressure, the other one gives line pressure (7 Bar). Currently the stainless steel radius saw is only available in 24mm. A multi blade hub is under development due for release in April 2007. Phone for an update. UK supplied hoses come with an MA7 probe (Medical Air 7 Bar pressure). Schrader fittings on hoses purchased from the USA look similar to UK MA7 probes. Many will however not lock into UK MA7 sockets. The best solution is to change the probe. A cheaper alternative is to use a Schrader/MA7 adaptor (001758). TPLO SAWS AND BLADES AIR REGULATORS AND HOSE PROBES 001756 Medical Air Regulator MA7 outlet 001758 Schrader / MA7 Convertor (plug in) 001759 Hose conversion US Schrader to UK Probe £271.86 £52.00 £120.00 Air Instrument Care Products Orthopaedic instruments are expensive to buy and replace. Regular basic maintenance will ensure continuing excellent performance and minimal repair bills. Many instruments which come to us for repair have simply not been lubricated. Follow manufacturer's recommendations exactly. AIR INSTRUMENT CARE PRODUCTS M105 Blitz Spray Cleaner £18.00 M317 Lubricant for Minidriver and Minos £14.00 M316 VI Air Instrument Oil £7.00 76 TPLOSW TPLO Saw TPLOB24A TPLO Radial cut blade and assembly. 24mm £390.00 £1,900.00 TPLOB24 TPLO Radial cut blade only. 24mm TPLOH TPLO Saw Hose with UK fitting MA7 £85.00 £435.66 CH05_p67-77_Power Tools 13/3/07 11:16 Page 77 5 POWER TOOLS www.vetinst.com TPLO Radial Saw Blades Slocum Flat Blade Convertor NEW 001770 Allows any saw with a Slocum type drive to drive flat blades Huge range of blades available Friction grip allows infinite range of blade angles Use for osteotomies, wedge TPLO’S, TTO, TTA. SLOCUM FLAT BLADE CONVERTOR 001770 21, 27, Mandrel Slocum Flat Blade Convertor £67.77 Used Air Equipment 21 Blade We maintain a large stock of used air equipment which John Lapish has personally selected for condition. Everything carries a 6 month warranty. Loan items are usually available. The stock list varies from day to day so please telephone to ask for our current stock list. All items available on a sale or return basis so that you can trial before you buy. Usually available - Mini Driver, Maxi Driver (Larger version of Mini Driver) Desoutter MPZ and MPX Halls Drills & Saws Surgairtome II Minos 21, 27, Mandrel 27 Blade Check the pre-owned section of www.vetinst.com for latest offers We are now able to supply radial cut blades in the following sizes: 18, 21, 24, 27, & 30mm. The 18 & 24mm blades fit the small mandrel and the 21, 27 & 30 blades fit the large mandrel. It is sensible to buy a mandrel for each blade size you wish to use. The theoretical benefits of a bi-radial blade are well known. However, in practice the bi-radial blade is not very efficient at cutting bone even when new. After hand sharpening the efficiency falls still further. An inefficient blade creates heat. The thermal necrosis produced by the bi-radial blade neutralises any benefit derived from the bi-radial cut. Our titanium blades are light, thin, hard and replaceable. In addition the blades have a ’set’ (the teeth are alternately offset as in all wood cutting saws) which creates a slot slightly wider than the blade. This reduces the friction and heat still further as well as preventing the blade jamming in the osteotomy. When the blade becomes worn simply replace with new sharp blade. RADIAL CUT TPLO BLADES TPMDRL182430 Mandrel for 18, 24 & 30mm Blades £232.50 TPMDRL2127 Mandrel for 21 & 27mm Blades £232.50 TPCLLR30 Adaptor for 30mm Blade (required) TPBL18 18mm Blade £115.00 TPBL21 21mm Blade £115.00 TPBL24 24mm Blade £115.00 TPBL27 27mm Blade £115.00 TPBL30 30mm Blade £115.00 £39.00 77 CH06_p78-82_Spinal Surgery 6 13/3/07 16:02 Page 78 SPINAL SURGERY Spinal Surgery Electric Flexidrive Bur System Surgery of the spine Introduction Surgery of the spine in the cat and the dog can be performed in general practice provided that appropriate skills and instrumentation are available. Diagnostic skills and equipment are of course equally important. Myelography is another procedure which is not particularly difficult and can be very rewarding. However, myelography perhaps should only be performed if the means to correct the problem is available. Spinal surgery is an increasingly common topic at CPD meetings and courses. Equipped with knowledge and some instruments, practice (initially on cadavers) makes perfect. For the occasional spinal surgeon, this budget system performs very well. The burs run at 0 - 15,000 rpm controlled via a foot pedal and the flexidrive is easy to use. Now supplied with removable, autoclavable handpiece. Use sterile autoclavable film to shroud the flexible shaft. Supplied as a complete kit including burs and instructions. When you are cutting more than one back per month think about a Minos/Surgairtome. See pages 71 and 74. ELECTRIC FLEXIDRIVE BUR SYSTEM Many procedures can be performed using hand instruments only, eg. fenestration of cervical and thoraco/lumbar discs. Even hemilaminectomies and slotting can be done manually provided that the correct instruments and time are available. Access to high speed drills and burs does, however, make life easier and significantly reduces surgery time. The choice of power tools is very difficult with a wide range of options. Important criteria include drill speed, bur range, ease of sterilising and expense. Veterinary Instrumentation has assembled a range of hand instruments and surgical power tools which will enable the veterinary surgeon to perform most spinal procedures. 001640A Mini Drill (Electric Drive) 15,000 rpm Foredom full kit incl burs D235 Spare Handpiece £47.95 D295051/2 Spare Inner Drive Flex £34.92 D295051/3 Spare Outer Drive Flex £34.92 001641 Collet for HP burs 001785 1.6mm Round Short Carbide Bur £3.61 HP8 2.3mm Round Short Carbide Bur £2.44 001787 2.7mm Round Short Carbide Bur £6.40 001784 6.0mm Round Short Carbide Bur £13.05 £470.92 £6.79 Percussion Mallet The range is such that if you do not know exactly what you require ask for a selection on a sale or return basis. Simon Wheeler's book is an excellent guide. The new edition is now available which is even better. BOOK BK05 Small Animal Spinal Disorders £84.99 Designed for consistent neurological examination. Much better than whatever you are using at the moment! PERCUSSION MALLET 001322 78 Percussion Hammer £17.31 CH06_p78-82_Spinal Surgery 13/3/07 16:02 Page 79 6 SPINAL SURGERY www.vetinst.com Friedman Rongeurs & Punches All rongeurs and spine forceps cut with one part of the jaw inserted into the compromised spinal canal. Our spine instruments are designed to minimise the size of the lower jaw. In many cases this will reduce the cutting strength of the instrument which should only be used on appropriate bone thickness. A selection of rongeurs will be required. Duck-billed Daniel Rongeurs Actual Size Actual Size Actual Size 142501 142502 Very fine rongeurs for incremental removal of bone overlying the spine. FRIEDMAN Designed by Simon Wheeler BVSc PhD, these rongeurs can remove full thickness laminal bone in small dogs. They are, however, best used to remove the layer of deep cortical bone overlying the spinal cord once the superficial cortex and cancellous bone have been removed using power tools; this is particularly true of the medium and large dog. 142501 Mini Friedman curved 3mm bite. Length 12mm. 142502 Micro Friedman curved 2.2mm bite. £48.34 155mm/6". Length 15.5cm. Micro Spine Rongeur Set £48.34 NEW DUCK-BILLED DANIEL RONGEURS 001400 Duck Billed Daniels Rongeur177mm long 3mm bite £62.53 Daniel Rongeur Actual size Actual Size Very fine rongeurs with a 1.75mm bite. Available in three variations. Straight, Curved and Angled. Significant savings when purchased as a set of three. MICRO SPINE RONGEURS 142600 The jaws of this instrument are straight and the bite is small. Also suitable for bulla osteotomy. Micro Spine Rongeurs Set of 3 £99.00 Laminectomy Rongeurs DANIEL RONGEUR 001402 Daniel Rongeurs 130mm long 2mm bite AOF £62.53 Lempert Rongeur Actual Size These rongeurs have been developed specifically for laminectomy in the dog. Features: • Sigmoid shaped for maximum visualisation of surgical site and ease of grip. •Lower jaw is very slim to minimise trauma to the spinal cord. • Available in jaw widths of 2, 3 and 4mm. Length 16cm. • Stronger than Duck-billed Daniels A useful rongeur with a small bite favoured by Simon Wheeler for incremental bone nibbling around the spine. A selection of small rongeurs is desirable when operating on the spine. LAMINECTOMY RONGEURS LEMPERT RONGEUR 6730/10 Lempert Rongeurs 3mm bite 190mm Str £55.60 79 001432 Laminectomy Rongeurs 2mm £124.28 001433 Laminectomy Rongeurs 3mm £124.28 001434 Laminectomy Rongeurs 4mm £124.28 CH06_p78-82_Spinal Surgery 6 13/3/07 16:02 Page 80 SPINAL SURGERY Spinal Surgery Compound Action Spinal Rongeurs Actual size Modular Forceps with Rotating Punch & Rongeur Inserts Much more powerful than the Daniels, this instrument can nibble through full thickness lamina. The jaws are very fine and angled to allow the surgeon to enlarge the inter-verterbral foramen. Available in 2, 3, 4 and 5mm jaw widths. Length 19cm. COMPOUND ACTION SPINAL RONGEURS 001429 Compound Action Spinal Rongeurs 2mm £180.47 001430 Compound Action Spinal Rongeurs 3mm £180.47 001431 Compound Acion Spinal Rongeurs 4mm £180.47 001440 Compound Action Spinal Rongeurs 5mm £180.47 Stille-Luer Rongeurs The standard handpiece accepts six different inserts which can be changed very quickly and simply even mid-procedure. Each insert will rotate 360º in 40º increments without impairing cutting efficiency. Full kit with 6 inserts supplied in stainless case for autoclaving. Length 28cm. Actual size Length 22.5cm. Larger inserts available. STILLE-LUER RONGEURS Full set with six inserts in case: 142305 • Rongeur 1.5mm insert Stille-Luer Heavy Compound Action Rongeurs 8 mm curved £142.80 Smith Kerrison Punch Forceps • Rongeur 2.0mm insert • 40º 1.0mm insert • 40º 2.0mm insert • Rongeur 3.0mm insert • 40º 3.0mm insert MODULAR FORCEPS WITH PUNCH & RONGEUR INSERTS 001448 close up detail Kerrison Modular, Multi-Position Inserts £350.00 40º Bone Punch Forceps (Low Profile) This instrument is designed for use with high speed bur systems. The bur is used to remove the outer cortical layer and the underlying cancellous layer, leaving only the inner cortical bone (appoximately egg shell thickness). Access to the neural canal is achieved using the bur or a small mobiliser (001420). The powerful nibbling action allows the final layer of bone to be removed in a very controlled manner. This is a traditional design with a 40 degree upward cutting jaw. Robust spine forceps. Good quality and excellent value. SMITH KERRISON PUNCH FORCEPS 001445 Smith-Kerrison Punch Forceps 2mm £92.30 001446 Smith-Kerrison Punch Forceps 3mm £92.30 From a surgical standpoint the foot should be as small as possible, for strength the foot needs to be as large as possible. This wedge shape is a good compromise. In addition the foot is polished to minimise friction and trauma to the spine. Overall length 21cm. 80 CH06_p78-82_Spinal Surgery 13/3/07 16:02 Page 81 6 SPINAL SURGERY www.vetinst.com Freer Periosteal Elevator Finer than a standard orthopaedic elevator, this instrument is useful in cats and miniature dogs. Particularly good around the spine. 5mm tip FREER PERIOSTEAL ELEVATOR 7350/05 Freer Periosteal Elevator 5mm £24.28 Very Fine Periosteal Elevator 40° BONE PUNCH 001438 Spine Punch Forceps 2mm 40° upward cut £180.47 001439 Spine Punch Forceps 3mm 40° upward cut £180.47 001441 Spine Punch Forceps 4mm 40° upward cut £180.47 Even smaller than the Freer this double ended instrument is suitable for very fine work. 2 and 3mm tips. Cone Laminectomy Retractor VERY FINE PERIOSTEAL ELEVATOR 001272 Very Fine Periosteal Elevator 2mm/3mm £24.28 Dandy Nerve Hook hook detail The Dandy Nerve hook is useful for manipulation of nerves and nerve roots. Also useful for manipulation of the medial meniscus during CCL procedures. Similar in size to a Travers retractor but with articulated arms, the cone retractor allows a very flexible field of retraction, with the additional benefit that it can be folded away from the operation site. Maximum retraction, minimum interference. DANDY NERVE HOOK Cone Laminectomy Retractor Nerve Hook 1mm £23.23 001409 Dandy Nerve Hook 2mm £23.23 House Curette CONE LAMINECTOMY RETRACTOR 001335 001408 £180.53 House Curette detail Gelpi Odd Leg Retractor One arm (short) engages the neural spine, the other (long) retracts the longissimus dorsi muscle. Supplied in pairs. House Curette detail The House Curette is a strong small curette to lift bone from around the spinal cord. Double ended 2.5 and 3.0mm scoops. HOUSE CURETTE 7262/05 GELPI ODD LEG RETRACTORS 001333 Gelpi Odd Legs (Pair) 20.5cm £183.69 001334 Gelpi Short Odd Legs ( Pair ) 13cm £183.69 House Curette. 2.5 and 3.0mm scoops Rosens Mobiliser £25.34 curved tip detail Spike & Shield Odd Leg Retractor With care, intraneural canal structures can be manipulated. Removal of disc debris is essential to achieve decompression of the cord. The curved tip of this instrument is very useful. ROSENS MOBILISER 001420 Operates in a similar fashion to the odd leg Gelpis but the muscle retaining shield creates a wider field of view. Supplied in pairs left and right. SPIKE & SHIELD ODD LEG RETRACTOR 001480 Large 25x25mm shield (pair) £183.69 001482 Small 12x12mm shield (pair) £183.69 81 Rosen’s Mobiliser £25.34 CH06_p78-82_Spinal Surgery 6 13/3/07 16:02 Page 82 SPINAL SURGERY Sheas Curette Spinal Surgery McKee Distractor with Speedlock scoop detail Fenestration of discs, particularly cervical discs, can be a useful procedure. The Sheas currette is a very small scoop. 2.5mm in diameter. SHEAS CURETTE 001410 Sheas Disc Curette 2.5mm diameter Younger Good Scaler, Jaquette Scaler £25.34 The odd legs of this dedicated distractor engage the intravertebral space proximal to and distal to the space involved. The speedlock opens the disc space leaving it uncluttered by instrumentation. Younger Scaler detail Younger Scaler An alternative to washers is fusion using bone cement with or without screws. See page 115. Jaquette Scaler MCKEE DISTRACTOR WITH SPEEDLOCK 090257 Jaquette Scaler detail McKee Distractor with Speedlock 24cm £161.62 Bone Wax Both instruments are recommended by Simon Wheeler for the removal of wafer thin bone overlying the spinal cord during laminectomy. The Younger Good scaler is blunt backed and useful for removal of disc material from both disc spaces and neural canal. This is not a standard scaler in that all the sharp surfaces are softened to minimise spinal trauma. The Jaquette scaler is sharp and best suited to hooking out the final lamina. YOUNGER GOOD SCALER , JAQUETTE SCALER 001422 Younger Good Scaler £16.89 001424 Small Jaquette Scaler 34/35 £16.89 It will not help you if you hit a venous sinus but will control the seepage of blood from cut cancellous bone which obscures the visual field. The wax physically blocks the blood vessels. Burley Disc Scoop The Burley Disc Scoop is designed to remove material without repeated insertions into the disc space. As the scoop is moved around, the nuclear material travels along the channel and out. BONE WAX 001460 Burley Disc Scoop £16.34 Bone Cement An alternative is the distraction of the disc space using a small screw and filling the space with Bone cement with Gentamycin BCIG Bone Cement. Bone cement is also used for stabilising spinal fractures. Use screws or pins to provide ‘keying’ points. BURLEY DISC SCOOP 001501 Bone Wax 12 x 2.5g For full list of available bone cement see pages 114 and 115. £41.33 BONE CEMENT Wobblers BC1G GelFoam Digital Bone Cement with Gentamycin £29.80 NEW Gelfoam is absorbable gelatin which is water insoluble, non elastic, porous and pliable. It is used for its haemostatic properties particularly in an around the spine. It is also thought to act as a barrier to minimise scar tissue ingrowth at laminectomy sites. Simon Wheeler thinks that it is ‘marvellous’ At the present time distraction fusion techniques seem to offer the best chances of success. The rapid improvement following surgery encourages the owners to persevere to long term stabilisation. The Mckee washer has been shown to give a relatively high success rate for this most difficult condition. Each size washer has its own distractor to facilitate insertion. The washer is maintained in situ by a 3.5mm position screw. WOBBLERS 090250 6.0 McKee Wobbler Washer No 2 090251 7.5 McKee Wobbler Washer No 1 £18.38 £18.38 090255 6.0 Wobbler Washer Distractor £30.65 GELFOAM 090256 7.5 Wobbler Washer Distractor £30.65 GELFOAM 82 Gelfoam (Pack 4) £69.50 CH07_p83-111_Implants 13/3/07 15:17 Page 83 IMPLANTS & INSTRUMENTS www.vetinst.com Instruments 7 Stainless Equipment Boxes BX2735CS Implant Designs and Specifications For many years, veterinary orthopaedics have been complicated by the use of two incompatible plating systems: AO/ASIF type cortical screws plus compression type plates, and Sherman type screws plus Sherman and Venables type plates. The two systems differed both in their metallurgy and their strength. All our implants are now made from stainless steel of the latest human specification, exceeding DIN 17443 and ISO 5832/1 (all are versions of stainless 316LV). This is the same specification material used by other manufacturers. In addition where international standards have been applied to screw threads e.g. 3.5 cortical screws (DIN 58812) our implants meet these standards. It is now safe to use implants from a variety of sources provided they meet the above specifications. All implants made in Europe must be compatible with each other. Round hole plates may be used with cortical screws. Only corticocancellous screws with spherical heads can be used to achieve compression using compression plates. The design of this stainless lidded box is such that steam can circulate freely to ensure complete sterility. The standard size is 250 x 150 x 55mm, which fits all typical veterinary autoclaves. A range of boxes has been developed to house plating equipment and implants for each screw size system. Self-Tapping Cortical Screws Suffix CS is for AO type cortical screw equipment. Suffix ST is for self-tapping (Sherman) type equipment. Equipment not included. After many years of being advised by AO that self-tapping screws were unacceptable, it now seems that they are fine and are supplied as selftapping cortical screws. The pull out resistance is unaffected provided the self-tapping flutes sit outside the bone. In our view long holes in hard bone should be pre-tapped e.g. a trans-condylar screw in the mature humerus or a position screw through the calcaneus. Veterinary Instrumentation's cortical kits are now available with self-tapping cortical screws or regular cortical screws which require a tap. Implant Codes BX20CS To minimise confusion regarding ordering, we have given our implants codes which accurately describe the item in question. For example: C2706052 is a compression plate for 2.7 screws which has 6 holes and is 52mm long. STAINLESS EQUIPMENT BOX BX25055 Empty 250x150x55mm To further assist in decision making and ordering, templates are printed on pages 229 to 234 which show the exact shape of all the plates available. Each outline is described by its own code. Acrylic overlays of these templates for use during fracture planning with radiographs are available free of charge from Veterinary Instrumentation. BX1520CS Fitted for 1.5, & 2.0mm screws £102.24 BX20ST or CS Fitted for 2mm screws & equipment £102.24 BX27ST or CS Fitted for 2.7mm screws £102.24 BX35ST or CS Fitted for 3.5mm screws £102.24 BX202735ST or CS Fitted for 2.0, 2.7 & 3.5mm screws £102.24 Which screw? BX2735ST or CS £102.24 Hexagonal AO type Self Tapping Cortical. All have a CSST prefix followed by the diameter and length of screw, e.g. CSST2718 is an 18mm 2.7 self-tapping cortical screw. Self-tapping or Needs a tap AO type screw, cortical or cancellous Prefix is CS followed by the diameter and length of screw, e.g. CS3520 is a 20mm 3.5 cortical screw. HEAD TYPE Either 2.0 or 2.7 (7/64”) Sherman type self-tapping screw. All have ST prefix followed by the length of screw, e.g. ST2012 is a 12mm 2.0 self-tapping screw. Slotted Single slot or Cross head (Philips type) 3.5 (9/64”) Sherman type self-tapping screw. Prefix is ST35 followed by the length of screw, e.g. ST3519 is a 19mm 3.5 self-tapping screw. 83 Fitted for 2.7, & 3.5mm screws £63.90 CH07_p83-111_Implants 7 13/3/07 15:17 Page 84 IMPLANTS & INSTRUMENTS Instrument Boxes Implants & Instruments Screw Boxes SH3500CS The screw box securely holds a range of screws in clearly marked holes. A screw length measuring scale is also provided. The lid holds the screws in place during autoclaving and storing. Stainless steel in construction with a bacterial filter in the base. The filter allows steam to enter and water vapour to leave but excludes bacteria. Suffix CS is for AO type cortical screws. Suffix ST is for self-tapping (Sherma) type screws. Available in a range of sizes to suit most instrument sets and autoclaves. Fingered silicone inserts are available to minimise contact between instruments. Replace filters annually. SCREW BOX INSTRUMENT BOX BX201040 200x100x40mm £26.99 BX201040NF 200x100x40mm. Solid no filter £26.99 BX221250 220x120x50mm £35.33 BX221250NF 220x120x50mm. Solid no filter £35.33 BX221550 220x150x50mm £36.53 BX281450 280x140x50mm £46.66 BX341650 340x165x50mm £56.65 BX341670 340x165x70mm £61.00 BX402070 400x200x70mm £63.86 SH2700ST For 2.7mm screws (10-50mm) £51.12 SH3500ST For 3.5mm screws (10-50mm) £51.12 SH2735ST For 2.7 & 3.5mm screws (10-50mm) SH202735ST For 2.0, 2.7 & 3.5mm screws £51.12 £57.51 SH2735CS Screw box for 2.7 & 3.5mm screws (10-28mm) £51.12 SH2700CS Screw box for 2.7mm screws (6mm to 34mm) £51.12 SH3500CS Screw box for 3.5mm screws (10-28mm) SH3540CS Screw box for 3.5, 10-38mm & 4.0 screws (12-55mm) £57.51 SH202735CS Screw box 2mm / 2.7mm / 3.5mm screws £57.51 SH4500CS Screw box for 4.5mm screws (14 to 36mm) £51.12 SH5500 Screw box 5.5mm screws £57.12 £51.12 FILTERS Filter State Box Size £2.00 Fingered Silicone Insert SCREW BOX SH455565CS Screw box 4.5-6.5 screws (14 to 50mm) £78.50 Needle Boxes (Autoclavable) Available in polypropylene or stainless steel. See page 146 POLYPROPYLENE NEEDLE BOX Insert shown in use with Castroviejo scissors (not included) 091149 Polypropylene Needle Box £1.75 STAINLESS STEEL NEEDLE BOX Autoclavable silicone insert to protect delicate instruments. FINGERED SILICONE INSERT BXSIL201040 For 200x100mm box £20.00 BXSIL221250 For 220x125mm box £21.00 BXSIL100 For 240x110mm (per segment) (NB. large boxes will need more than one segment) £20.00 84 NDLBOX Stainless Steel Needle Box £12.66 NDLBOXL Needle/Small Parts Box Large £18.66 CH07_p83-111_Implants 13/3/07 15:17 Page 85 7 IMPLANTS & INSTRUMENTS www.vetinst.com Sherman Self-Tapping Equipment Sherman Self-Tapping Screws & Plates Screwdrivers & Sleeves for Slotted Screws (Sherman Type) SHERMAN TYPE SCREW LENGTHS - Measure from top of countersink to tip INCHES 3/8 1/2 5/8 3/4 7/8 1 1 1/8 1 1/4 1 3/8 1 1/2 MM 10 13 16 19 22 25 28 31 34 38 1 5/8 1 3/4 1 7/8 2 2 1/4 2 3/8 2 1/2 2 5/8 2 3/4 2 7/8 3 44 48 50 57 60 64 66 69 72 75 41 NB: 2mm Sherman Type Self Tapping Screws are measured in 2mm increments from 6mm. Self-tapping screws can be somewhat fiddly to start, particularly the smaller ones. Screwdrivers with screwholding sleeves hold the screw in place until the threads are engaged. Once the self tapping process has started the sleeve is pulled back, releasing the screw. Available for 2.0, 2.7, and 3.5mm slotted screws. ST - PREFIX PILOT DRILL JACOBS HARD JACOBS SOFT SYNTHES FIT TAP CLEARANCE DRILL JACOBS HARD JACOBS SOFT SYNTHES FIT SCREW DRIVER- FLAT SCREWDRIVER FLAT END SDF200 For 2mm screws £39.80 SDF270 For 7/64”/2.7mm screws £39.80 SDF350 For 9/64”/3.5mm screws £39.80 info DRILL SIZES for Self Tapping Sherman Type Screws - Slotted Head 2.0 1.6 7/64” - 2.7mm 2.4 H090112 090103 S090112S N/A 2.7 H090104 090104 S090104S SDF270 090111 2.0 H090102 090102 S090102S SDF200 9/64” - 3.5mm 2.7 H090104 090104 S090104S 3.5 H090106S 090106 S090106S SDF350 2mm Self Tapping System (Sherman) SCREWHOLDING SLEEVE SSF201 For 2mm screws £31.17 SSH2740 For 7/64”/2.7mm & 9/64”/3.5mm screws £31.17 Cruciate Screwdriver 2mm Self Tapping System (Sherman) Designed to fit the 3.5mm cruciate head. And offers a more secure drive however it will not fit the 2.7mm self tapping screw. Screw holding sleeves do not work with the cruciate screwdriver. The 2mm self tapping system enables the veterinary surgeon to plate the bones of cats and miniature dogs without involving prohibitive costs. The range includes "T" plates, cuttable plates and reconstruction plates. SCREWDRIVER CRUCIATE TIP SDC350 Screwdriver cruciate tip for 3.5mm screws £39.80 2mm Self Tapping Kit (Sherman) The 2mm kit includes both equipment and implants to cover the typical range of 2mm patients. All contained in a dedicated stainless box. Depth Gauge SELF TAPPING KIT 2mm STAPKIT.2.0 Self Tapping Kit 2mm - ring for full details £357.23 2mm Self Tapping Screws (Sherman) Used in conjunction with our 2mm bone plates, 2mm self tapping screws allow the veterinary surgeon to plate the long bones of small patients or the small bones of larger patients. Until now this has been possible only with sophisticated equipment. The head is a simple slot. Accurate measurement of hole depth is essential in order to select the appropriate screw size. A range of gauges is available for various screw sizes. Hole depth is read from the instrument. Add extra to allow for over penetration and screw head. Use in self-tapping or cortical systems. 2mm SELF TAPPING SCREWS - single slot head (use 1.6mm pilot) DEPTH GAUGE ST2006 6mm £1.66 ST2008 8mm £1.66 DG2027 For 2.0mm & 2.7mm screws £57.51 ST2010 10mm £1.79 DG2735 For 2.7mm & 3.5mm screws £57.51 ST2012 12mm £1.79 ST2014 14mm £1.88 ST2016 16mm £1.88 ST2018 18mm £2.01 ST2020 20mm £2.01 85 CH07_p83-111_Implants 7 13/3/07 15:17 Page 86 IMPLANTS & INSTRUMENTS Implants & Instruments 2mm Bone Plates (Round holes) 2.7mm SELF TAPPING SCREWS - single slot head (use 2.4mm pilot) Available in a wide range of sizes, the 2mm plates used with either 2mm self tapping screws or 2mm AO cortical screws, provides the secure repair of the small bones of the dog and cat. See template for details. 2mm ROUND HOLE PLATE PR200213 2 (number of holes) 13 (length in mm) £5.28 PR200420 4 20 £7.90 PR200423 4 23 £7.90 PR200525 5 25 £9.60 PR200528 5 28 £9.60 PR200630 6 30 £11.93 PR200633 6 33 £11.93 PR200735 7 35 £13.51 PR200738 7 38 £13.51 PR200840 8 40 £15.20 PR200843 8 43 £15.20 CP2051502mm Cuttable plate 30 holes x 150mm £48.69 CM2051502mm Cuttable malleable plate 30 holes x 150mm £68.51 ST2710 3/8" (length in inches) 10mm (length in mm) £1.34 ST2713 1/2" 13mm £1.50 ST2716 5/8" 16mm £1.87 ST2719 3/4" 19mm £1.87 ST2722 7/8" 22mm £1.87 ST2725 1" 25mm £1.87 ST2728 1 1/8" 28mm £1.87 ST2731 1 1/4" 31mm £2.04 ST2734 1 3/8" 34mm £2.04 ST2738 1 1/2" 38mm £2.04 ST2741 1 5/8" 41mm £2.04 ST2744 1 3/4" 44mm £2.04 ST2748 1 7/8" 48mm £2.04 ST2750 2" 50mm £2.04 ST2757 2 1/4" 57mm £2.04 2.7mm Round Hole Plate (6mm wide - 2mm thick) Bone plates for 2.7mm or 7/64" screws usually have too few holes in the wrong places. The 2.7mm round hole plate has holes at 6mm intervals in a range of lengths. These plates are stronger than Sherman plates. See template for details. 2.7mm - 7/64" Self Tapping System (Sherman) 2.7mm Round Hole Plate 2.7mm / 7/64" ROUND HOLE PLATE (6mm wide) This system of screws and plates utilises the familiar 7/64" self tapping screw. The head has a single slot. Until now the available bone plates for this screw were extremely limited, the plates were too weak with too few holes. A wide range of plates are now available, including "T" plates and reconstruction plates 2.7mm - 7/64" Self Tapping Screws (Sherman) For use with 2.7mm - 7/64" round hole plates in small to medium patients. Use screwdriver SDF270. 86 PR270215 2 (number of holes) 15 (length in mm) £6.32 PR270424 4 24 £7.90 PR270427 4 27 £7.90 PR270530 5 30 £9.61 PR270533 5 33 £9.61 PR270636 6 36 £11.93 PR270639 6 39 £11.93 PR270742 7 42 £13.49 PR270745 7 45 £13.49 PR270848 8 48 £15.20 PR270851 8 51 £15.20 CP276150 2.7mm / 7/64" Cuttable plate 24 holes x 150mm £43.82 CM276150 2.7mm / 7/64" Cuttable malleable plate 24 holes x 150mm £54.78 CH07_p83-111_Implants 13/3/07 15:17 Page 87 7 IMPLANTS & INSTRUMENTS www.vetinst.com 2.7mm Heavy Duty Round Hole Plate 3.5mm Standard Round Hole Plates 2.7mm Heavy Duty Round Hole Plate Slightly wider than the standard 2.7 round hole plate and available in longer sections, this plate is suitable for applications where extra strength is required, e.g. neutralisation or buttress fixation of long bones A cheaper alternative to 3.5mm compression plates. The material is compatible with cortical and Sherman screws. If compression is unnecessary or undesirable use a round hole plate. The plate profile is the same as a 3.5mm DCP. HEAVY DUTY 2.7mm / 7/64" ROUND HOLE PLATE (8mm wide) HPR270744 7 (number of holes) 44 (length in mm) HPR270750 7 50 £14.38 £14.38 HPR270850 8 50 £15.66 HPR270856 8 56 £15.66 HPR270956 9 56 £16.41 HPR270962 9 62 £16.41 HPR271062 10 62 £18.19 HPR271068 10 68 £18.19 HPR271168 11 68 £19.98 HPR271174 11 74 £19.98 HPR271274 12 HPR271280 12 74 80 3.5mm / 9/64" ROUND HOLE PLATE £21.76 £21.76 3.5mm 9 / 64” Self Tapping Screws (Sherman) P3502022 2 (number of holes) 22 (length in mm) £6.14 P3504046 4 46 £7.68 P3504052 4 52 £7.68 P3505058 5 58 £9.34 P3505064 5 64 £9.34 P3506070 6 70 £11.58 P3506076 6 76 £11.58 P3507082 7 82 £13.11 P3507088 7 88 £13.11 P3508094 8 94 £14.76 P3508100 8 100 £14.76 P3509106 9 106 £16.07 P3509118 9 118 £16.07 P3510118 10 118 £18.67 P3510130 10 130 £18.67 3.5mm Heavy Duty Plate Round Holes (12mm wide 4mm thick) Although looked down upon by some orthopaedic surgeons, the 9/64" Sherman bone screw has a very similar pull out resistance to 3.5mm cortical screws. The main problem with this screw has been the lack of suitable bone plates. Our range of 3.5mm round hole bone plates widens the scope of these self tapping screws considerably. Use flat screwdriver SDF350 or cruciate screwdriver SDC3500. The head of this screw is conical. It cannot be used in DCP’s to create inter-fragmentary compression. 3.5mm / 9/64" SELF TAPPING SCREWS (cross slot head - use 2.7mm pilot) ST3510 3/8” (length in inches) 10 (length in mm) £1.50 ST3513 1/2” 13 £1.50 ST3516 5/8” 16 £1.87 ST3519 3/4” 19 £1.87 ST3522 7/8” 22 £1.87 ST3525 1” 25 £1.87 ST3528 1 1/8” 28 £1.87 ST3531 1 1/4” 31 £2.04 HEAVY DUTY 3.5mm / 9/64" ROUND HOLE PLATE ST3534 1 3/8” 34 £2.04 H3508104 8 (number of holes) 104 (length in mm) £15.20 ST3538 1 1/2” 38 £2.04 H3509117 9 117 £16.55 ST3541 1 5/8 41 £2.04 H3510130 10 130 £19.23 ST3544 1 3/4” 44 £2.04 H3511143 11 143 £21.05 ST3548 1 7/8” 48 £2.04 H3512156 12 156 £22.88 ST3550 2” 50 £2.04 H3513169 13 169 £24.49 ST3557 2 1/4” 57 £2.04 H3514180 14 180 £26.67 ST3564 2 1/2” 64 £2.04 H3515195 15 195 £28.60 The heavy duty plate is stronger than either 3.5mm compression plate or our 3.5mm standard round hole plate. Use of this plate makes 3.5mm cortical or 9/64" Sherman screws appropriate in even the largest canine breed. The plate profile is the same as a 3.5mm broad DCP. 87 CH07_p83-111_Implants 7 13/3/07 15:17 Page 88 IMPLANTS & INSTRUMENTS Implants & Instruments Venables and Sherman plates are included to fulfil our commitment to supply a comprehensive range of implants. Please consider our range of round hole plates and DCP’s. Typically Sherman and Venables Plates are limited in terms of plate strength and hole distribution. Sherman Plates Venables Plates SHERMAN BONE PLATES 090041 Size 0 6 holes 140mm £15.53 090180 8 (number of holes) 5 (length in) 127 (length mm)£10.30 090042 Size 1 6 holes 117mm £15.53 090181 7 4.5 114 £11.13 090043 Size 2 6 holes 117mm £15.53 090182 6 4.5 114 £10.50 090044 Size 3 6 holes 117mm £15.53 090183 6 4.0 102 £10.50 090045 Size 4 6 holes 92mm £15.53 090184 5 4.0 102 £10.50 090046 Size 5 4 holes 79mm £15.53 090185 5 3.5 89 £10.50 090047 Size 6 4 holes 79mm £15.53 Size 6.5 4 holes 76mm £15.53 VENABLES BONE PLATES 090186 4 3.5 89 £10.50 090048 090187 4 3.0 76 £8.50 090049 Size 7 4 holes 57mm £15.53 090188 4 2.5 64 £8.50 090050 Size 8 4 holes 51mm £15.53 090189 4 1.75 45 £8.50 090051 Size 10 3 holes 45mm £15.53 090190 4 1.5 38 £7.35 090052 Size 11 3 holes 35mm £15.53 090191 4 1.25 32 £7.35 090053 Size 12 2 holes 32mm £15.53 info AO Type Screws, Plates and Equipment DRILL & EQUIPMENT for Cortical and Cancellous Screws CORTICAL = CS CORTICAL SELF TAP = CSST CANCELLOUS = CAN CORTICAL 1.5 CORTICAL 2.0 SELFTAPPING CORTICAL 2.0 SMALL CANCELLOUS 2.2 CORTICAL 2.7 SELFTAPPING CORTICAL 2.7 SMALL CANCELLOUS 3.0 CORTICAL 3.5 SMALL CANCELLOUS 3.5 SELFTAPPING CORTICAL 3.5 CANCELLOUS 4.0 CORTICAL 4.5 CORTICAL 5.5 CANCELLOUS 6.5 PILOT DRILL 1.1 1.5 1.5 1.5 2.0 2.0 2.0 2.5 2.0 2.5 2.5 3.2 4.0 3.2 JACOBS HARD H090100 H090101 H090101 H090101 H090102 H090102 H090102 H090112 H090102 H090112 H090112 H090105S H090107 H090105S JACOBS SOFT - 090101 090101 090101 090102 090102 090102 090112 090102 090112 090112 090105 090107 090105 SYNTHES FIT S090100S S090101S S090101S S090101S S090102S S090102S S090102S S090112S S090102S S090112S S090112S S090105S S090107 S090105S TAP - QUICK FIT TD0015 TD0020 N/A N/A TS0027 N/A N/A TS12535 TS17535 N/A TS17535 TS00045 TS00055 TS00065 TAP - ‘T’ BAR TT0015 TT0020 N/A N/A TT0027 N/A N/A TT12535 TT17535 N/A TT17535 TT00045 - TT00065 CLEARANCE DRILL 1.5 2.0 2.0 2.0 2.7 2.7 3.0 3.5 3.5 3.5 4.0 4.5 5.5 6.5 JACOBS HARD H090101 H090102 H090102 H090102 H090104 H090104 H090205 H090106S H090106S H090106S H090107 H090108S H090109 - JACOBS SOFT 090101 090102 090102 090102 090104 090104 - 090106 090106 090106 090107 090108 - - SYNTHES FIT S090101S S090102S S090102S S090102S S090104S S090104S SDD1500 S090106S S090106S S090106S S090107 S090108S S090109 - SCREW DRIVER - TYPE 1.5 HEX 1.5 HEX 1.5 HEX 1.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 3.5 HEX 3.5 HEX 3.5 HEX SDH1520 SDH1520 SDH1520 SDH1520 SDH2540 SDH2540 SDH2540 SDH2540 SDH2540 SDH2540 SDH2540 SDH3500 SDH3500 SDH3500 Cortical Kits Placement of a compression plate is a specialist procedure requiring training and dedicated equipment. It is convenient to purchase the range of specialised instruments as a kit in a stainless steel autoclavable case. The kit contains a screw rack and a range of plates and screws to meet typical requirements. The instruments are discounted when purchased as a kit. By carefully positioning screws within the special holes of compression plates, compression can be exerted at the reduced fracture site as the screw is tightened. As the spherical head of the screw strikes the rear edge of the hole in the plate, the screw, (and the attached bone) are forced away from the edge of the hole and towards the fracture site. For more details phone 0845 130 9596 or visit www.vetinst.com and follow the info: links to “kits.” The object of compression is to provide for primary bone union. A special guide must be used to position accurately the screw hole within the plate. The oval shaped holes in DCP’s allow a greater range of screw angulations than round hole plates. Cortical screws are available in both tapped and self tapping formats. Compression Plates and Cortical Screws (AO/ASIF type) COMPRESSION PLATES & CORTICAL SCREWS (AO/ASIF type) CORTKIT1.5/2 1.5/2.0mm Cortical Kit in Stainless Box 2.0mm Cortical Kit in Stainless Box CORTSTKIT2 2.0mm Cortical Self Tapping Kit in Stainless Box £808.96 £834.00 CORTKIT2.7/3.5 2.7/3.5mm Cortical Kit in Stainless Box £1,666.99 CORTSTKIT2735 2.7/3.5mm Cortical Self Tapping Kit in Stainless Box £1,548.35 CORTKIT4.5 88 £1,201.85 CORTKIT2 4.5mm Cortical Kit in Stainless Box £965.56 CH07_p83-111_Implants 13/3/07 15:17 Page 89 7 IMPLANTS & INSTRUMENTS www.vetinst.com Taps Adjustable Drill Guide A tap is essentially a cutting tool designed to pre-cut screw threads into the pilot hole prior to screw placement. The profile is similar to the screw in question but has long flutes to allow bone debris to be cleared. Taps are available as stand alone ‘T’ bar configuration or as a quick release version which require a separate handle. 2.7, 3.5, 4.0, 4.5 and 6.5mm quick release taps require Synthes type quick release handle. 1.5 and 2.0mm quick release taps require a small dental fit handle. TAPS QRCS01 Handle for 2.7, 3.5, 4.0, 4.5 taps. Synthes fit Fiber Tap Handle with rotating cap £95.46 NEW The working tip of this instrument is a quick release chuck of the Synthes type which accepts drills, taps and screwdriver attachments. Inclusion of this handle would mean that you would not require separate tap handles and screwdriver. The rotating cap which sits in the palm allows the tip to be spun with the fingers. Our adjustable Drill Guide allows accurate placement of drill holes by predetermination of drill entry and exit points. Locks onto bone to minimise errors. • The swivelling point allows use of the guide where access is limited. • Supplied with 2.0, 2.5 and 3.5 drill sleeves. Use the appropriate sleeve for the drill in use. QUICK RELEASE TAP HANDLE WITH FIBER HANDLE QRCS01F £95.46 Quick Release with Fiber Handle Quick Release Tap Handle Dental Fit TD0015 • A scale on the instrument measures hole depth. • Applications include condyle fractures, femoral neck tunnels and screw holes, proximal TPLO screws, ununited anconeal process. Metal Handle In our view this design has significant advantages over ‘CEG’ and ‘C’ guides. DRILL GUIDES & INSERTS Suitable for dental fit 1.5 and 2.0mm taps. Also accepts screwdriver and countersink attachments for the 1.5/2.0 systems. QUICK RELEASE TAP HANDLE DENTAL FIT DC20 Handle for 2mm tap (dental fit) £99.00 ADJDG2035 Adjustable drill guide for 2.0/2.5/3.5mm drills £125.00 ADJDG45 Adjustable drill guide 4.5mm drills £100.96 ADJSL55 Slider to fit 5.5 Cortical (equine) screws fits ADJDG45 £29.00 QUICK RELEASE TAPS TD0015 1.5mm cortical £30.42 TD0020 2.0mm cortical £32.85 TS00027 2.7mm cortical £23.44 TS12535 3.5mm (1.25 pitch) cortical £23.44 TS17535 3.5mm (1.75 pitch) small cancellous £25.44 TS00045 4.5mm £25.44 TS00045/L 4.5mm. Extra long (195mm) £27.98 TS00055 5.5mm £35.44 TS00065 6.5mm £35.44 Drill Guides and Inserts CEG2735 CEG4565 T Bar Taps Use of an appropriate sized drill guide enables the surgeon to control exactly the entry and exit points of drills. This ability is extremely important in lag screwing. These taps require no additional handle. Various insert sleeves are available for each drill size, with an accurate guidance system, and provide exact positioning of holes for lag screwing, (e.g. for a 3.5mm cortical screw, drill 3.5 lag hole in proximal cortex, insert SL3525 and drill through it into the trans cortex. Finally tap and insert screw.) T BAR TAPS TT0015 T Bar Tap 1.5mm cortical £23.44 TT0020 T Bar Tap 2.0mm cortical £23.44 TT0027 T Bar Tap 2.7mm cortical £23.44 TT12535 T Bar Tap 3.5 (125pitch) cortical £23.44 SMALL DRILL GUIDE (does not include insert sleeves) TT17535 T Bar Tap 3.5(175pitch) small cancellous £23.44 CEG2735 TT00045 T Bar Tap 4.5mm cortical £23.44 LARGE DRILL GUIDE (does not include insert sleeves) TT00065 T Bar Tap 6.5mm cancellous £35.44 CEG4565 89 Small drill guide i/d 3.5mm “C” guide Large drill guide i/d 6.5mm “C” guide £53.12 £67.07 CH07_p83-111_Implants 7 13/3/07 15:17 Page 90 IMPLANTS & INSTRUMENTS Triple Drill Guides Implants & Instruments Hex Screwdrivers & Screwholding Sleeves Screwdrivers with screw holding sleeves hold the screw until it has engaged in the threaded hole. The sleeve is slid back up the shaft to release the screw without disengaging it. Triple drill guides are used to accurately position drills and K or arthrodesis wires. The three holes in the head allow for the placement of parallel derotation wires. Hex Screwdrivers for 2.0 & 1.5 Screws TRIPLE DRILL GUIDE/SLEEVES SLG1115 Double drill guide/sleeve for 1.1 & 1.5mm drills £80.86 SLG0020 Triple drill guide/sleeve for 2.0mm drills £78.50 SLG0025 Triple drill guide/sleeve for 2.5mm drills £78.50 Screwdriver & sleeve for 2mm screws. SDHS20F Combination Drill, Tap and Insert Sleeve HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 1.5/2.0 Screws SDH1520 1.5mm hex screwdriver- 1.5/2mm screws £40.80 SSH2000 Screwholding sleeve for1.5/2.0mm screws to fit SDH1520 £31.17 SDHS20F 1.5mm hex screwdriver + sleeve- with fibre handle The large end has an internal diameter which matches the clearance drill and tap. The small end has an internal diameter the same as the pilot drill and an external diameter which fits the clearance drill hole, ie. the same as an insert sleeve. This single instrument contains all the guides and sleeves you need to place a lag screw. £57.79 SDD1500 1.5mm Hex Dental Fit Screwdriver Attachment fits DC20 £22.29 Screwdrivers for 2.7, 3.5 & 4.0 Screws SDHS35F COMBINATION DRILL, TAP & INSERT SLEEVE CDTIS20 Combination drill, tap & insert sleeve for 2.0 screws £76.00 CDTIS27 Combination drill, tap & insert sleeve for 2.7 screws £76.00 SDH35S CDTIS35 Combination drill, tap & insert sleeve for 3.5 screws £76.00 CDTIS45 Combination drill, tap & insert sleeve for 4.5 screws £76.00 HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 2.7/3.5 & 4.0 Screws Insert Sleeves SDH2540 2.5mm hex screwdriver for 2.7, 3.5, 4mm screws £40.80 SSH2740 Screwholding sleeve for 2.7, 3.5, 4mm screws to fit SDH2540 £31.17 SDHS35F 2.5mm hex screwdriver + sleeve with fibre handle Drill sleeves centre smaller drills in the placement of lag screws. £57.79 SDH35S Screwdriver Attachment Synthes Fit 2.7/3.5/4.0 Screws £22.50 Screwdrivers for 4.5, 5.5 & 6.5mm Screws HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 4.5, 5.5 & 6.5 Screws INSERT SLEEVES SL2015 Insert sleeve 2.0mm o/d 1.5mm i/d £27.29 SL2720 Insert sleeve 2.7mm o/d 2.0mm i/d £27.29 SL3520 Insert sleeve 3.5mm o/d 2.0mm i/d £27.29 SL3525 Insert sleeve 3.5mm o/d 2.5mm i/d £27.29 SL3527 Insert sleeve 3.5mm o/d 2.7mm i/d £27.29 SL4532 Insert sleeve 4.5mm o/d 3.2mm i/d £27.29 SL6545 Insert sleeve 6.5mm o/d 4.5mm i/d £27.29 SDH3500 3.5mm hex screwdriver for 4.5, 5.5 & 6.5mm screws £40.80 SSH4500 Screwholding sleeve for 4.5/6.5 mm screws to fit SDH3500 £31.16 Tissue Protection Sleeves Rotating pins, drills and taps will "pick up" soft tissues, skin, muscle, nerve and blood vessels, causing serious damage. Use of tissue protection sleeves minimises such damage. The teeth at the top of the guide locate on the bone whilst the stainless tube provides a barrier between soft tissue and implant equipment. TISSUE PROTECTION SLEEVES 90 TP2020 For drill/taps to 2.0mm £38.30 TP0027 For drill/taps to 2.7mm £38.30 TP0035 For drill/taps to 3.5mm £38.30 TP0045 For drill/taps to 4.5mm £38.30 CH07_p83-111_Implants 13/3/07 15:17 Page 91 7 IMPLANTS & INSTRUMENTS www.vetinst.com Depth Gauge Bending Templates To avoid repeated entry into the operation site when contouring plates, an 'aluminium' bending template is contoured to the bone. The steel plate is then bent to match the template using irons or a bone plate press. Accurate measurement of hole depth is essential in order to select the appropriate screw size. A range of gauges is available for various screw sizes. Hole depth is read from the instrument. Add extra to allow for over penetration. Use in self-tapping or cortical systems. BENDING TEMPLATES BT200737 Bending Template 37mm for 2mm DCPs & Round Hole Plates £4.16 BT270760 Bending Template 60mm for 2.7 DCPs & Round Hole Plates £4.16 BT350786 Bending Template 86mm for 3.5 DCPs & Round Hole Plates £5.22 DEPTH GAUGE DG1520 For 1.5mm & 2.0mm screws £57.51 DG2027 For 2.0mm & 2.7mm screws £57.51 DG2735 For 2.7mm & 3.5mm screws £57.51 DG4565 For 4.5mm & 6.5mm screws £137.74 Load Neutral Drill Guides BT4507120 Bending Template 120mm for 4.5 DCPs & Broad 3.5 DCPs & HD & Round Hole Plates £5.22 BT450590 Bending Template 90mm for 4.5 DCPs Broad 3.5 DCPs & HD & Round Hole Plates £5.22 AO Type Screws & Plates 1.5mm Screws To exert compression at the fracture site, the cortical screw must be positioned precisely within the slot in the compression plate. The load/neutral drill guide has two tips, one for compression (load) and one where no compression is exerted (neutral). There is one combination for each screw/plate size. Each guide is marked with the drill size to be used. 1.5mm Cortical Screws Available 6mm to 34mm length. Use 1.1mm pilot drill and 1.5mm hex screwdriver. Use extreme care when tightening as the threads have a very fine pitch. Use in combination with 2.0 plates. The head is slightly smaller than the 2.0 cortical screw. LOAD NEUTRAL DRILL GUIDES LNDG20 For 2.0mm Compression plates £103.56 1.5mm CORTICAL SCREWS - HEX HEAD 1.5mm (use 1.1mm pilot) LNDG27 For 2.7mm Compression plates £103.56 CS1506 6mm £3.54 LNDG35 For 3.5mm Compression plates £103.56 CS1507 7mm £3.54 LNDG45 For 4.5mm Compression plates £103.56 CS1508 8mm £3.54 CS1509 9mm £3.54 CS1510 10mm £3.74 CS1511 11mm £3.74 CS1512 12mm £3.74 CS1514 14mm £4.47 CS1516 16mm £4.47 CS1518 18mm £4.76 CS1520 20mm £4.76 CS1522 22mm £5.50 CS1524 24mm £5.50 CS1526 26mm £5.50 CS1528 28mm £5.50 CS1530 30mm £5.50 CS1532 32mm £5.50 CS1534 34mm £5.50 Countersinks If the screw is destined to screw down onto the surface of the bone without a plate, it is helpful to contour the top of the screw hole to fit the screw head. This procedure is especially important when lag screwing relatively small fragments. Failure to countersink may lead to fracture of the bone fragment. COUNTERSINKS COU2535 Small countersink COU4565 Large countersink COU4565T Large countersink ‘T’ handle COUDEN £36.94 £36.94 £36.94 Mini Countersink Dental fit for 1.5/2.0mm screws £36.94 Plate Bending PLATE BENDING 001286 AO type 1.5/2.0 bending levers (pair) 130mm £24.30 001287 AO type 2.7/3.5 bending levers (pair) 140mm £29.00 001288 AO type 3.5/4.5 broad bending levers (pair) 200mm 001283 Plate Bending Pliers, Roller Type 15", 380mm £33.70 £122.00 001284A Reconstruction Plate Pliers 2.7mm plates £98.80 001284 Reconstruction Plate Pliers 3.5mm plates £98.80 001281 Bone Plate Press Small 285mm £290.00 001282 Bone Plate Press Large 16" 410mm £290.00 001289 2.7/3.0mm Bone Plate Contouring Pliers £163.00 001289A 2.0/2.7mm Bone plate Contouring Pliers £154.00 001289B A0 style 2.7/3.5mm plate Bending Pliers £198.00 91 CH07_p83-111_Implants 7 13/3/07 15:17 Page 92 IMPLANTS & INSTRUMENTS Implants & Instruments 2.2mm Cancellous Screws 2.0mm Screws & Plates 2.0mm Cortical Screws Available from 8mm to 24mm length. Self tapping. Do not use in cortical bone unless using as a salvage screw for a stripped 2.0mm cortical screw. 2.2mm CANCELLOUS SELF TAPPING SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot) Available 6mm to 34mm length, the spherical head of these screws provides for compression when used in association with 2.0mm compression plates. 2.0mm CORTICAL SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot) CS2006 6mm £3.54 CS2008 8mm £3.54 CS2010 10mm £3.74 CS2012 12mm £3.74 CS2014 14mm £4.47 CS2016 16mm £4.47 CS2018 18mm £4.76 CS2020 20mm £4.76 CS2022 22mm £5.49 CS2024 24mm £5.49 CS2026 26mm £5.49 CS2028 28mm £5.49 CS2030 30mm £5.49 CS2032 32mm £5.49 CS2034 34mm £5.49 8mm £3.73 CSST2010 10mm £3.94 CSST2012 12mm £3.94 CSST2014 14mm £4.67 CSST2016 16mm £4.67 CSST2018 18mm £4.96 CSST2020 20mm £4.96 CSST2022 22mm £5.70 £3.58 CAN2212 12mm £3.58 CAN2214 14mm £3.58 CAN2216 16mm £3.58 CAN2218 18mm £4.39 CAN2220 20mm £4.39 CAN2222 22mm £4.39 CAN2224 24mm £4.39 1.5 / 2.0mm COMPRESSION PLATES no. of holes thickness (mm) length (mm) CP20422 4 1.0 22 £19.04 CP20527 5 1.0 27 £21.48 CP20632 6 1.0 32 £23.18 CP20737 7 1.5 37 £31.55 CP20842 8 1.5 42 £34.27 CP201052 10 1.5 52 £45.37 CP201262 12 1.5 62 £56.37 Mini Bone Plates 2.0mm CORTICAL SELF TAPPING SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot) CSST2008 £3.58 10mm Use with 2.0mm cortical screws if compression is required. This type of screw is becoming increasingly popular in both human and veterinary orthopaedics. Self tapping flutes at the tip obviate the need for pre-tapping which saves time and reduces time related complications. Pull out strength is not affected provided the self-tapping flutes lie outside the bone cortex. Allow an extra 1mm when assessing screw length. Drill data; pilot drill 1.5mm, clearance drill 2.0mm. 6mm 8mm CAN2210 1.5 / 2.0mm Compression Plates 2.0mm Cortical Self Tapping Screws - hex head 1.5mm (use 1.5mm pilot) CSST2006 CAN2208 £3.73 Mini Bone Plates Use with 2mm cortical screws if compression is required. 2 mm MINI BONE PLATES 92 MP20317 3 (number of holes) 17 (length in mm) £16.67 MP20423 4 23 £18.25 MP20529 5 29 £18.25 MP20635 6 35 £21.83 MP207039 7 39 £21.83 CH07_p83-111_Implants 13/3/07 15:17 Page 93 7 IMPLANTS & INSTRUMENTS www.vetinst.com 3.0mm Cancellous Screws 2.7mm Screws & Plates 2.7mm Cortical Screws Use with 2.7mm compression and 2.7mm reconstruction plates to obtain compression at fracture site. Available from 12mm to 36mm length. Self tapping. Do not use in cortical bone unless using as a salvage screw for a stripped 2.7mm cortical screw. 3.0mm CANCELLOUS FULL THREAD SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2mm pilot) CAN3012 12mm £3.58 2.7mm CORTICAL SCREWS - HEX HEAD 2.5mm (use 2mm pilot) CAN3014 14mm £3.58 CS2706 6mm £2.78 CAN3016 16mm £3.58 CS2708 8mm £2.78 CAN3018 18mm £4.39 CS2710 10mm £2.90 CAN3020 20mm £4.39 CS2712 12mm £2.90 CAN3022 22mm £4.39 CS2714 14mm £3.81 CAN3024 24mm £4.39 CS2716 16mm £3.81 CAN3026 26mm £4.39 CS2718 18mm £3.81 CAN3028 28mm £4.39 CS2720 20mm £4.21 CAN3030 30mm £5.19 CS2722 22mm £4.21 CAN3032 32mm £5.19 CS2724 24mm £4.21 CAN3034 34mm £5.19 CS2726 26mm £4.82 CAN3036 36mm £5.19 CS2728 28mm £4.82 CS2730 30mm £5.29 CS2732 32mm £5.29 CS2734 34mm £5.89 CS2736 36mm £5.89 CS2738 38mm £6.52 CS2740 40mm £6.52 2.7mm Compression Plates 2.7mm Cortical Self Tapping Screws This type of screw is becoming increasingly popular in both human and veterinary orthopaedics. Self tapping flutes at the tip obviate the need for pre-tapping which saves time and reduces time related complications. Pull out strength is not affected. Use with 2.7mm cortical screws to produce fracture site compression. 2.7mm COMPRESSION PLATES no. of holes thickness (mm) length (mm) C2702020 2 2.0 20 £17.34 C2704036 4 2.0 36 £22.30 £2.98 C2705044 5 2.0 44 £24.72 £2.98 C2706052 6 2.0 52 £25.75 £3.10 C2707060 7 2.5 60 £28.65 8 2.5 68 £31.44 £34.28 2.7mm CORTICAL SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2mm pilot) CSST2706 CSST2708 CSST2710 6mm 8mm 10mm CSST2712 12mm £3.10 C2708068 CSST2714 14mm £4.01 C2709076 9 2.5 76 CSST2716 16mm £4.01 C2710084 10 2.5 84 £37.03 CSST2718 18mm £4.01 C2712100 12 2.5 100 £41.06 CSST2720 20mm £4.01 C2714116 14 2.5 116 £45.05 CSST2722 22mm £4.41 C2716132 16 2.5 132 £48.00 CSST2724 24mm £4.41 CSST2726 26mm £5.02 CSST2728 28mm £5.02 CSST2730 30mm £5.49 CSST2732 32mm £5.49 CSST2734 34mm £6.10 CSST2736 36mm £6.10 CSST2738 38mm £6.72 CSST2740 40mm £6.72 93 CH07_p83-111_Implants 7 13/3/07 15:17 Page 94 IMPLANTS & INSTRUMENTS Implants & Instruments 2.7mm Quarter Tubular Plate 3.5mm Cortical Self Tapping Screws Thin but strong due to the curved profile. Fits the shape of small femurs quite well. Has a wider hole spacing than 2.7mm DCP. 2.7mm 1/4 TUBULAR COMPRESSION PLATES T2703023 3 (number of holes) 23 (length in mm) £6.80 T2704031 4 31 £7.39 T2705039 5 39 £7.81 T2706047 6 47 £8.53 T2707055 7 55 £9.36 T2708063 8 63 £10.00 3.5/4.0mm Screws & Plates 3.5mm Cortical Screws (1.25 pitch) DIN58812 Use with 3.5mm compression and 3.5 mm reconstruction plates to obtain fracture site compression. 3.5mm (1.25 PITCH) CORTICAL SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) This type of screw is becoming increasingly popular in both human and veterinary orthopaedics. Self tapping flutes at the tip obviate the need for pre-tapping which saves time and reduces time related complications. Pull out strength is not affected provided the self tapping flutes are positioned outside the cortex. Add an additional 2mm to screw length c.f. pre-tapped cortical screws. CS3510 10mm £3.27 CS3512 12mm £3.27 CS3514 14mm £3.27 CS3516 16mm £4.21 CS3518 18mm £4.21 CS3520 20mm £4.21 CS3522 22mm £4.21 3.5mm (1.25 PITCH) CORTICAL SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) CS3524 24mm £4.21 CSST3510 10mm £3.57 CS3526 26mm £4.21 CSST3512 12mm £3.57 CS3528 28mm £4.21 CSST3514 14mm £3.57 CS3530 30mm £5.01 CSST3516 16mm £3.57 CS3532 32mm £5.01 CSST3518 18mm £4.51 CS3534 34mm £5.01 CSST3520 20mm £4.51 CS3536 36mm £5.01 CSST3522 22mm £4.51 CS3538 38mm £5.01 CSST3524 24mm £4.51 CS3540 40mm £5.01 CSST3526 26mm £4.51 28mm £4.51 CS3545 45mm £5.89 CSST3528 CS3550 50mm £5.89 CSST3530 30mm £5.32 CS3555 55mm £7.93 CSST3532 32mm £5.32 CS3560 60mm £9.43 CSST3534 34mm £5.32 CS3565 65mm £9.43 CSST3536 36mm £5.32 CS3570 70mm £9.43 CSST3538 38mm £5.32 CS3575 75mm £10.93 CSST3540 40mm £5.32 CS3580 80mm £10.93 CSST3545 45mm £6.20 CS3585 85mm £10.93 CSST3550 50mm £6.20 CSST3555 55mm £7.59 CS3590 90mm £10.93 CS3595 95mm £14.49 CS35100 100mm £14.49 CS35105 105mm £14.49 CS35110 110mm £14.49 94 CH07_p83-111_Implants 13/3/07 15:17 Page 95 7 IMPLANTS & INSTRUMENTS www.vetinst.com 4mm Cancellous Screws Full Threaded 3.5mm Cancellous Screws (1.75 pitch) Use in cancellous bone where greater screw/bone interface is desirable. 4mm FULLY THREADED CANCELLOUS SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) The much coarser thread gives a much bigger "bite" to bone. Use on metaphysis or other cancellous bone. The screw needs its own tap. 3.5mm (1.75 PITCH) SMALL CANCELLOUS SCREWS - HEX HEAD 2.5mm (use 2.0mm pilot) CNF4010 10mm £2.90 CNF4012 12mm £2.90 CNF4014 14mm £3.14 CNF4016 16mm £3.14 CAN3510 10mm £3.58 CNF4018 18mm £3.45 CAN3512 12mm £3.58 CNF4020 20mm £3.45 CAN3514 14mm £3.58 CNF4022 22mm £3.58 CAN3516 16mm £3.58 CNF4024 24mm £3.58 CAN3518 18mm £4.39 CNF4026 26mm £3.99 CAN3520 20mm £4.39 CNF4028 28mm £3.99 CAN3522 22mm £4.39 CNF4030 30mm £4.88 CAN3524 24mm £4.39 CNF4035 35mm £4.88 CAN3526 26mm £4.39 CNF4038 38mm £4.88 CAN3528 28mm £4.39 CNF4040 40mm £4.88 CAN3530 30mm £5.20 CNF4045 45mm £5.70 CAN3532 32mm £5.20 CNF4050 50mm £5.70 CNF4055 55mm £6.52 CNF4060 60mm £6.52 CAN3534 34mm £5.20 CAN3536 36mm £5.20 CAN3538 38mm £5.20 CAN3540 40mm £5.20 CAN3545 45mm £6.15 CAN3550 50mm £6.15 CAN3555 55mm £6.89 CAN3560 60mm £7.25 4mm Cancellous Screws Part Threaded The near cortex does not need overdrilling with a guide hole which can be useful in small bone fragments. 4mm PART THREADED CANCELLOUS SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) 95 CNP4010 10mm £2.90 CNP4012 12mm £2.90 CNP4014 14mm £2.90 CNP4016 16mm £2.90 CNP4018 18mm £3.79 CNP4020 20mm £3.79 CNP4022 22mm £3.79 CNP4024 24mm £3.79 CNP4026 26mm £3.79 CNP4028 28mm £3.79 CNP4030 30mm £4.60 CNP4035 35mm £4.60 CNP4040 40mm £4.60 CNP4045 45mm £5.55 CNP4050 50mm £5.55 CNP4055 55mm £6.13 CNP4060 60mm £6.19 CH07_p83-111_Implants 7 13/3/07 15:17 Page 96 IMPLANTS & INSTRUMENTS Implants & Instruments 3.5mm Compression Plate Veterinary IF Plate (Keyhole plate) Occasionally a lag screw has to be placed exactly where the neutralisation plate required to protect it should sit. This usually results in a compromise of one or the other being placed in a less than ideal position or a fiddle trying to feed the screw through the plate at the same time as reducing the fracture. Veterinary Instrumentation’s new keyhole plate allows the plate to be placed after the lag screw. Before tightening the screw it is a simple matter to fit the protecting plate over the head of the screw. The screw head tightens into the narrower part of the keyhole. The design of the keyhole allows a greater range of screw angle than is possible in a standard DCP. The strength of the plate is unaffected. Available as a 3.5 7 hole DCP i.e. the keyhole hole and three either side. Use with 3.5mm cortical or 3.5mm cancellous screws to produce fracture compression. 3.5mm COMPRESSION PLATES C3502026 2 (number of holes) 26 (length in mm) C3503038 3 38 £20.65 £21.34 C3504050 4 50 £22.02 C3505062 5 62 £23.18 C3506074 6 74 £23.84 C3507086 7 86 £25.22 C3508098 8 98 £26.56 C3509111 9 111 £29.45 C3510122 10 122 £32.52 C3512146 12 146 £40.70 C3514170 14 170 £43.00 C3516194 16 194 £48.00 VETERINARY IF PLATE (KEYHOLE PLATE) Broad 3.5mm Compression Plate IF3507094 This plate is made from the same plate profile as the standard 4.5 narrow compression plate but drilled for 3.5 screws. These plates are usually impossible to contour without a bone plate press or roller type pliers, see p.35. BROAD 3.5mm COMPRESSION PLATES BC 3504050 4 (number of holes) 50 (length in mm) £37.08 BC3505062 5 62 £39.48 BC3506074 6 74 £39.48 BC3507087 7 87 £42.78 BC3508098 8 98 £46.07 BC3509110 9 110 £49.97 BC3510122 10 122 £54.10 BC3511134 11 134 £58.00 BC3512146 12 146 £62.02 BC3513158 13 158 £65.94 BC3514170 14 170 £70.42 BC3515182 15 182 £75.27 BC3516194 16 194 £81.95 96 3.5 narrow IF (Interfragmentary DCP) 7 hole 94mm £77.81 CH07_p83-111_Implants 13/3/07 15:17 Page 97 7 IMPLANTS & INSTRUMENTS www.vetinst.com 4.5mm Screws & Plates Narrow 4.5mm Compression Plate The standard human cortical screw is suitable for very large dogs and equines. Because it is a human product made in large numbers, 4.5mm screws are relatively inexpensive. Use with 4.5mm cortical screws to produce fracture site compression. 4.5mm Cortical Screws NARROW 4.5mm COMPRESSION PLATES 4.5mm CORTICAL SCREWS - HEX HEAD 3.5mm (use 3.2mm pilot) CS4512 12mm £4.38 CS4514 14mm £4.38 CS4516 16mm £4.38 CS4518 18mm £4.38 CS4520 20mm £4.38 CS4522 22mm £4.38 CS4524 24mm £5.08 CS4526 26mm £5.08 CS4528 28mm £5.08 CS4530 30mm £5.08 CS4532 32mm £5.08 CS4534 34mm £5.08 CS4536 36mm £5.08 CS4538 38mm £5.42 CS4540 40mm £5.42 CS4542 42mm £5.42 CS4544 44mm £5.42 CS4546 46mm £5.42 CS4548 48mm £5.42 CS4550 50mm £5.42 CS4552 52mm £5.42 CS4554 54mm £5.42 CS4556 56mm £6.17 CS4558 58mm £6.17 CS4560 60mm £6.17 CS4564 64mm £6.17 CS4566 66mm £6.17 CS4568 68mm £6.17 CS4570 70mm £6.17 CS4575 75mm £7.93 CS4580 80mm £9.43 CS4585 85mm £10.50 C45239 2 (number of holes) 39 (length in mm) £21.69 C45355 3 55 £22.22 C45471 4 71 £22.83 C45587 5 87 £24.04 C456103 6 103 £24.59 C457119 7 19 £25.84 C458135 8 135 £27.11 C459151 9 151 £29.19 C4510167 10 167 £32.04 C4511183 11 183 £34.28 C4512199 12 199 £36.52 C4513211 13 211 £38.32 C4514230 14 230 £40.99 C4515246 15 246 £43.23 C4516265 16 265 £57.36 Broad 4.5mm Compression Plate This is the strongest plate available for veterinary orthopaedics. BROAD 4.5mm COMPRESSION PLATES 97 B4505087 5 (number of holes) 87 (length in mm) £31.33 B4506103 6 103 £32.38 B4507119 7 119 £34.40 B4508135 8 135 £37.95 B4509151 9 151 £40.01 B4510167 10 167 £42.00 B4511183 11 183 £43.75 B4512199 12 199 £46.03 B4513215 13 215 £48.93 B4514231 14 231 £52.09 B4515247 15 247 £54.38 B4516263 16 263 £56.64 B4517279 17 279 £58.68 B4518295 18 295 £60.75 CH07_p83-111_Implants 7 13/3/07 15:17 Page 98 IMPLANTS & INSTRUMENTS Implants & Instruments Locking screws 5.5/6.5mm Screws 5.5mm Cortical Screws This cortical screw is suitable for equines. Nearly twice as strong as 4.5mm cortical screws. Use with 4.5mm plates. Drill data: Pilot 4.0mm, Clear 5.5mm. Compatible with standard locking plates our screws require a standard 2.5 hex screwdriver (the same as cortical screws). The threads are finer than cortical screws as they do not need to grip bone as well as cortical and cancellous screws. Using locking screws and plates, the bone is attached to the screw and the screw is then locked onto the plate. DCPs rely on being trapped between the head of the screw and the bone. The implications of this are that less stress is placed on the interface between screw and bone. In addition the plate does not have to be contoured as accurately. It is rather like an internal external fixation in that the locking plate and screws holds the bone fragments in a fixed position relative to one another. To ensure that the fine thread of the screw aligns exactly with the threads in the plate it is essential to use the dedicated drill guide which screws into the plate prior to the drilling of the pilot hole. 5.5mm CORTICAL SCREWS - HEX HEAD 3.5mm (use 4.0mm pilot) CS5524 24mm £9.04 CS5526 26mm £9.70 CS5528 28mm £10.36 CS5530 30mm £11.02 CS5532 32mm £11.68 CS5534 34mm £12.34 CS5536 36mm £13.00 CS5538 38mm £13.66 CS5540 40mm £14.32 CS5542 42mm £14.98 CS5544 44mm £15.64 CS5546 46mm £16.30 CS5548 48mm £16.96 CS5550 50mm £17.62 CS5552 52mm £18.28 CS5554 54mm £19.28 CS5556 56mm £19.28 CS5560 60mm £20.28 CS5564 64mm £21.28 CS5570 70mm £22.28 CS5580 80mm £23.88 CS5590 90mm £25.48 CS55100 100mm £27.08 LOCKING SCREW 2.7mm USE 2.0 PILOT PLUS DRILL SLEEVE 6.5mm Cancellous Screws This very large screw has an application in the closing wedge TPLO procedure in very large dogs. Bone stock is poor in the proximal tibia. The 6.5mm self-tapping, fully threaded cancellous screw gives maximum pull out resistance. Pilot drill 3.2mm, screwdriver SDH3500 and tap TT00065 or TS00065. Only use the tap for the fibular head screw. Drill data: Pilot 3.2mm, Clear 6.5mm. 25mm £5.01 CNF6530 30mm £5.16 CNF6535 35mm £5.40 CNF6540 40mm £5.66 CNF6545 45mm £6.00 CNF6550 50mm £6.14 CNF6555 55mm £6.30 CNF6560 60mm £6.46 CNF6565 65mm £6.60 CNF6570 70mm £7.00 CNF6575 75mm £7.38 LS2706 Locking 2.7 screw 6mm LS2708 Locking 2.7 screw 8mm £7.72 £7.72 LS2710 Locking 2.7 screw 10mm £8.50 LS2712 Locking 2.7 screw 12mm £8.50 LS2714 Locking 2.7 screw 14mm £9.10 LS2716 Locking 2.7 screw 16mm £9.10 LS2718 Locking 2.7 screw 18mm £10.10 LS2720 Locking 2.7 screw 20mm £10.10 LS2722 Locking 2.7 screw 22mm £10.10 LS2724 Locking 2.7 screw 24mm £10.50 LS2726 Locking 2.7 screw 26mm £10.50 LS2728 Locking 2.7 screw 28mm £10.80 LS2730 Locking 2.7 screw 30mm £10.80 LS2732 Locking 2.7 screw 32mm £10.80 LSDG27 2.7 Locking screw Drill Guide £32.00 H090102 2mm Pilot Drill £12.92 LOCKING SCREW 3.5mm USE 2.7mm PILOT PLUS DRILL SLEEVE 6.5mm CANCELLOUS SCREWS - FULL THREADED - HEX HEAD 3.5mm (use 3.2mm pilot) CNF6525 NEW LS3512 Locking 3.5 screw 12mm £8.72 LS3514 Locking 3.5 screw 14mm £9.32 LS3516 Locking 3.5 screw 16mm £9.32 LS3518 Locking 3.5 screw 18mm £9.62 LS3520 Locking 3.5 screw 20mm £9.92 LS3522 Locking 3.5 screw 22mm £10.22 LS3524 Locking 3.5 screw 24mm £10.52 LS3526 Locking 3.5 screw 26mm £10.82 LS3528 Locking 3.5 screw 28mm £11.10 LS3530 Locking 3.5 screw 30mm £11.40 LS3532 Locking 3.5 screw 32mm £11.70 LS3534 Locking 3.5 screw 34mm £12.00 LS3536 Locking 3.5 screw 36mm £12.32 LS3538 Locking 3.5 screw 38mm £12.60 LS3540 Locking 3.5 screw 40mm £12.90 LS3545 Locking 3.5 screw 45mm £13.70 LS3550 Locking 3.5 screw 50mm £14.20 LSDG35 3.5 Locking screw Drill Guide £32.00 H090104 2.7 Locking screw Pilot Drill £14.44 Locking Plug Use to protect locking holes during contouring. LOCKING PLUG 2.7/3.5mm LSP 98 Locking Plug £5.00 CH07_p83-111_Implants 13/3/07 15:17 Page 99 Locking Plates 7 IMPLANTS & INSTRUMENTS www.vetinst.com Titanium Screws NEW The head of the locking screw locks into the matching threaded hole in the plate. The plate is not attached to the bone by being trapped between screw and bone. Rather the plate and screws form an external fixator construct just above the bone under the soft tissues. Less stress is placed on the screw bone interface making this construct ideal where bone stock is poor. In addition contouring of the plate is much less important. As the screw tightens into the plate the bone fragments are held in reduction rather than being pulled up to the plate and possibly out of alignment. NEW Titanium Screws and plates are very commonly used in man particularly for facio maxillary repairs. The most important benefit in this application is that Titanium does not interfere with MRI scans. Compared to stainless steel Titanium is lighter and much more osteo compatible. Holes will accept either standard screws or locking screws. Relieving grooves facilitate contouring. Use locking plug to minimise hole deformation. The major application in veterinary orthopaedics is in conjunction with the TTA cruciate procedure. The dual hole allows compression to be applied at the fracture side if necessary. TITANIUM SCREWS 2.4MM CRUCIATE HEAD 2.0MM PILOT 2.7 LOCKING PLATES DUAL HOLE TICS2416 Titanium 2.4 Self Tapping Cortical Screw 16mm £9.20 TICS2418 Titanium 2.4 Self Tapping Cortical Screw 18mm £9.40 L2704042 2.7 Locking Plate 4 Hole £30.00 TICS2420 Titanium 2.4 Self Tapping Cortical Screw 20mm £9.59 L2705050 2.7 Locking Plate 5 Hole £31.50 TICS2422 Titanium 2.4 Self Tapping Cortical Screw 22mm £9.79 L2706058 2.7 Locking Plate 6 Hole £33.00 TICS2424 Titanium 2.4 Self Tapping Cortical Screw 24mm £9.98 L2707066 2.7 Locking Plate 7 Hole £34.50 TICS2426 Titanium 2.4 Self Tapping Cortical Screw 26mm £10.18 L2708074 2.7 Locking Plate 8 Hole £36.00 TICS2428 Titanium 2.4 Self Tapping Cortical Screw 28mm £10.38 L2709082 2.7 Locking Plate 9 Hole £37.50 TICS2430 Titanium 2.4 Self Tapping Cortical Screw 30mm £10.57 L2710090 2.7 Locking Plate 10 Hole £39.00 TICS2432 Titanium 2.4 Self Tapping Cortical Screw 32mm £10.87 L2712106 2.7 Locking Plate 12 Hole £44.80 TICS2434 Titanium 2.4 Self Tapping Cortical Screw 34mm £11.10 LS2714122 2.7 Locking Plate 14 Hole £48.00 TICS2436 Titanium 2.4 Self Tapping Cortical Screw 36mm £11.55 TICS2438 Titanium 2.4 Self Tapping Cortical Screw 38mm £11.85 3.5 LOCKING PLATES DUAL HOLE L3504058 3.5 Locking Plate 4 Hole £36.00 L3505070 3.5 Locking Plate 5 Hole £38.00 L3506082 3.5 Locking Plate 6 Hole £40.00 L3507094 3.5 Locking Plate 7 Hole £42.00 L3508106 3.5 Locking Plate 8 Hole £44.00 L3510130 3.5 Locking Plate 9 Hole £46.00 L3512154 3.5 Locking Plate 10 Hole £48.00 L3514178 3.5 Locking Plate 12 Hole £50.00 L3516202 3.5 Locking Plate 14 Hole £52.00 TITANIUM SCREWS 2.7MM HEX HEAD 2.0MM PILOT 3.5 BROAD LOCKING PLATES DUAL HOLE LB3506082 3.5 Broad Locking Plate 6 Holes £52.00 LB3507094 3.5 Broad Locking Plate 7 Holes £54.00 LB3508106 3.5 Broad Locking Plate 8 Holes £58.00 LB3510130 3.5 Broad Locking Plate 9 Holes £60.00 LB3512154 3.5 Broad Locking Plate 10 Holes £62.00 LB3514178 3.5 Broad Locking Plate 12 Holes £66.00 LB3516202 3.5 Broad Locking Plate 14 Holes £70.00 TICS2714 Titanium 2.7 Self Tapping Cortical Screw 14mm £9.44 TICS2716 Titanium 2.7 Self Tapping Cortical Screw 16mm £9.66 TICS2718 Titanium 2.7 Self Tapping Cortical Screw 18mm £9.88 TICS2720 Titanium 2.7 Self Tapping Cortical Screw 20mm £10.11 TICS2722 Titanium 2.7 Self Tapping Cortical Screw 22mm £10.33 TICS2724 Titanium 2.7 Self Tapping Cortical Screw 24mm £10.55 TICS2726 Titanium 2.7 Self Tapping Cortical Screw 26mm £10.77 TICS2728 Titanium 2.7 Self Tapping Cortical Screw 28mm £11.00 TITANIUM SCREWS 3.5MM HEX HEAD 2.5MM PILOT 99 TICS3518 Titanium 3.5 Self tapping Cortical Screw 18mm £9.10 TICS3520 Titanium 3.5 Self tapping Cortical Screw 20mm £9.48 TICS3522 Titanium 3.5 Self tapping Cortical Screw 22mm £9.85 TICS3524 Titanium 3.5 Self tapping Cortical Screw 24mm £10.23 TICS3526 Titanium 3.5 Self tapping Cortical Screw 26mm £10.60 TICS3528 Titanium 3.5 Self tapping Cortical Screw 28mm £10.98 TICS3530 Titanium 3.5 Self tapping Cortical Screw 30mm £11.35 TICS3532 Titanium 3.5 Self tapping Cortical Screw 32mm £11.73 TICS3534 Titanium 3.5 Self tapping Cortical Screw 34mm £12.10 CH07_p83-111_Implants 7 13/3/07 15:17 Page 100 IMPLANTS & INSTRUMENTS Implants & Instruments Reconstruction Plates Washers Reconstruction plates are designed for easy contouring. Notching between holes facilitates multiplanar bending. Useful for reconstruction of non-load bearing bone. Especially useful in the pelvis. The round hole 2.7mm and 2.0mm plates are particularly good value. Use reconstruction plate pliers to bend 2.7 and 3.5mm plates respectively. See page 40. Use to spread load or retain wire or sutures. Use with cortical or selftapping screws. Spikey washers are used to reattach ligaments or secure grafts to the femur in the OTT technique of CrCL repair. Reconstruction Plates WASHERS PW20 Plain washer 2.0mm/1.5 screws Stainless PW273540 Plain Washer 2.7/ 3.5 / 4.0mm Stainless 2.7mm RECONSTRUCTION PLATES £3.96 £3.74 PW45 Plain Washer 4.5mm Screws Stainless £3.74 £30.41 SW20 Spikey Washer 2.0mm Screws Stainless £3.84 48 £37.37 SW27 Spikey Washer 2.7mm Screws Stainless £3.84 64 £44.61 SW3540 Spikey Washer 3.5/4.0mm Screws Stainless £3.96 10 80 £50.68 SW45 Spikey Washer 4.5mm Screws Stainless £3.84 RC271296 12 96 £56.73 CM276150 2.7mm / 7/64” Cuttable malleable plate 24holes £54.78 no. of holes length (mm) RC270540 5 4 RC270648 6 RC270864 8 RC271080 Suture Screws 3.5MM RECONSTRUCTION PLATES RC350558 5 (number of holes) 58 (length in mm) RC350670 6 70 £39.35 £42.68 RC350782 7 82 £47.21 RC350894 8 94 £51.14 RC3510118 10 118 £51.72 RC3512142 12 142 £60.73 150 £68.51 2mm CUTTABLE MALLEABLE PLATE CM205150 30 2.7mm CUTTABLE MALLEABLE PLATE CM276150 24 150 £54.78 Suture screw for hip luxation Presentation is a self-tapping screw with an eyed head. Use where a suture anchor would seem appropriate. Thread forms are the same as equivalent AO type. Requires dedicated insertion tool (see pricelist below). Useful in; • Coxo femoral luxations • Shearing injuries • Co-lateral ligament repairs • Anchor for CCL lateral sutures. SUTURE SCREWS 100 SS2006 2.0mm dia 6mm long 1.0mm hole Cortical £11.09 SS2010 2.0mm dia 10mm long 1.0mm hole Cortical £11.09 SS2708 2.7mm dia 8mm long 1.5mm hole Cortical £11.09 SS2714 2.7mm dia 14mm long 1.5mm hole Cortical £11.09 SS3512 3.5mm dia 12mm long 2.0mm hole Cortical £11.09 SS3520 3.5mm dia 20mm long 2.0mm hole Cortical £11.09 SS4016 4.0mm dia 16mm long 2.0mm hole Cancellous £11.09 SS4024 4.0mm dia 24mm long 2.0mm hole Cancellous £11.09 SSIT20 Insertion tool for 2.0mm suture screws £39.80 SSIT27 Insertion tool for 2.7mm suture screws £39.80 SSIT3540 Insertion tool for 3.5 & 4.0mm suture screws £39.80 CH07_p83-111_Implants 13/3/07 15:17 Page 101 IMPLANTS & INSTRUMENTS www.vetinst.com 7 Hybrid ‘T’ Plates ‘T’ Plates Available for 4.0, 3.5, 2.7 and 2.0mm screws, either cortical or self tapping. ‘T’ plates are used almost exclusively for the repair of fractures of the distal radius. In addition they may also be used in a partial carpal arthrodesis. See page 212 for full range of profiles including TPLO plates which offer three holes in the head. 62mm long Actual Size T273562 T202032 Actual Size 32mm long The problem with many distal radius fractures is that the distal segment is so small that it is difficult to place sufficient screws. T plates help but often the head portion is too bulky. Hybrid ‘T’ plates provide a solution. The screwholes in the head are smaller and closer together than those in the shaft. Two sizes are available 2.7/3.5 and 1.5/2.0 Both plates will accept the same screw in the head as in the shaft but with reduced range of screw angle. The longer plate is useful for complex distal radius fractures and corrective osteotomies. ‘T’ PLATES ROUND HOLE TC204018 2mm T 4 hole 18mm 2 holes distally £10.66 TC205024 2mm T 5 hole 24mm 2 holes distally £10.66 TL204018 2mm T 4 hole angle L 18mm 2 holes distally £10.66 TR204018 2mm T 4 hole angle R 18mm 2 holes distally £10.66 OL204018 2mm T 4 hole 18mm oblique L 2 holes distally £10.66 OR204018 2mm T 4 hole 18mm oblique R 2 holes distally £10.66 TC270532 2.7mm T 5 hole 32mm 2 holes distally £10.66 TL270532 2.7mm T 5 hole angle L 32mm 2 holes distally £10.66 TR270532 2.7mm T 5 hole angle R 32mm 2 holes distally £10.66 OL270532 2.7mm T 5 hole 32mm oblique L 2 holes distally £10.66 OR270532 2.7mm T 5 hole 32mm oblique R 2 holes distally £10.66 TC270639 2.7mm T 6 hole 39mm 2 holes distally £10.66 TC350655 3.5mm T 6 hole 55mm 2 holes distally £23.19 TC350777 3.5mm T 7 hole 77mm 2 holes distally £23.19 TC350877 3.5mm T 8 hole 77mm 2 holes distally £23.19 HYBRID ‘T’ PLATES T273562 Hybrid ‘T’ Plate - 2.7 or 3.5mm head 3.5mm shaft 62mm long £36.00 T273585 Hybrid ‘T’ Plate - 2.7 or 3.5mm head 3.5mm shaft 85mm long £42.00 T202032 Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 32mm long £25.00 Acetabular Plates ‘T’ PLATES COMPRESSION TPLO202026 2.0mm DCP 26mm overall length £18.00 TPLO272739 2.7mm DCP 39mm overall length £25.63 TPLO273539 2.7/3.5 DCP 39mm overall length Allows use of 3.5 cancellous screw in head £25.63 TPLO273545 2.7/3.5 DCP 45mm overall length Allows use of 2.7 and 3.5 screws in head 2.5mm thick TPLO353555 3.5mm DCP 55mm overall length £29.00 £36.90 TPLO353557 3.5mm DCP 57mm overall length Heavy Duty £36.90 TPLO353577 3.5mm DCP 77mm overall length £36.90 Accurate repair of fractures of the acetabulum is essential if full function is to be restored and long term arthritic changes are to be avoided. Six sizes are available, singly or as a set. The plates are pre-contoured three dimensionally to ensure a good fit. Holes are round. TPLO353579 3.5mm DCP 79mm overall length Heavy Duty £38.95 TPLO354579 3.5/4.5 DCP 79mm overall length Heavy Duty Allows 4.5 screws in head £38.95 TPLO 45659030 TPLO 45659045 4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 3.0mm thick 4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 4.5mm thick ACETABULAR PLATES £75.00 £75.00 See page 233 for ‘T’ Plate profiles. AP200400 2.0mm Acetabular plate 4 hole Size 0 £24.34 AP200401 2.0mm Acetabular plate 4 hole Size 1 £24.34 AP270602 2.7mm Acetabular plate 6 hole Size 2 £30.42 AP270603 2.7mm Acetabular plate 6 hole Size 3 £30.42 AP350604 3.5mm Acetabular plate 6 hole Size 4 £36.52 AP350605 3.5mm Acetabular plate 6 hole Size 5 APSET Set of Acetabular plates Size 0 - 5 See page 233 for actual size profiles. 101 £36.52 £141.81 CH07_p83-111_Implants 7 13/3/07 15:17 Page 102 IMPLANTS & INSTRUMENTS Implants & Instruments Biological Healing Plates Supracondylar Plates NEW Supracondylar femoral fractures in mature animals can be very difficult to repair. Small fragment size makes placement of sufficient implants a challenge. In medium and large dogs there are often multiple small fragments in the supracondylar area. The forces acting on the distal femur are complex requiring a special plate to neutralise them. The 2.7 and 3.5mm plates were developed by Mark Glyde using finite element analysis. BHP2008065 These plates are designed to bridge a section of shattered long bone. It effectively acts as a buttress plate. No attempt is made to reconstruct. The fracture site is not disturbed to minimise de-vitalisation and contamination. The plate maintains length and permits weight bearing. Use of these plates avoids leaving empty screw holes over the fracture site which significantly weakens the construct. Plates are available in 7 or 8 hole versions. Each type of plate is available in a range of lengths. Available in a range of sizes and lengths. 2.0, 2.7, 3.5 narrow and 3.5 broad (two lengths). Use bending templates to pre-contour plates. SUPRACONDYLAR PLATES BHP2008065 the cat femur plate is contoured for the average cat femur. Use when proximal and distal sections are intact and the body of the femur is un-reconstructable. If it cannot be reconstructed it is better not to try. 152700 Supracondylar Plate 2.0mm 50mm long. Right £46.00 152710 Supracondylar Plate 2.0mm 50mm long. Left £46.00 152712 Supracondylar Plate 2.7mm Left £65.00 See page 234 for all Biological Healing Plate profiles. 152714 Supracondylar Plate 2.7mm Right £65.00 All holes are round as compression is not required and there is better screw/plate contact with round holes. 152715N Supracondylar Plate 3.5 Narrow Left 135mm £98.00 152717N Supracondylar Plate 3.5 Narrow Right 135mm 152715 Supracondylar Plate 3.5mm Broad Left - 135mm £115.00 152717 Supracondylar Plate 3.5mm Broad Right - 135mm £115.00 152716 Supracondylar Femur 3.5mm Broad Left - 173mm £115.00 152718 Supracondylar Femur 3.5mm Broad Right - 173mm £115.00 BT152700 BT152714 BT152717 Bending template for 2.0 supracondylar plate Bending template for 2.7 supracondylar plate Bending template for 3.5 supracondylar plate BIOLOGICAL HEALING PLATES BHP2007060 2.0mm 7 Hole 60mm long £19.00 BHP2008065 2.0mm 8 hole 65mm long £19.00 BHP2008070 2.0mm 8 hole 70mm long £19.50 BHP2706063 2.7mm 6 hole 63mm long £20.00 BHP2707067 2.7mm 7 hole 67mm long £20.50 BHP2707073 2.7mm 7 hole 73mm long £21.00 BHP2707079 2.7mm 7 hole 79mm long £21.50 BHP2708075 2.7mm 8 hole 75mm long £20.50 BHP2708081 2.7mm 8 hole 81mm long £21.00 BHP2708085 2.7mm 8 hole 85mm long £21.50 BHP3507120 3.5mm 7 hole 120mm long £23.00 BHP3507130 3.5mm 7 hole 130mm long £24.00 BHP3507142 3.5mm 7 hole 142mm long £25.00 BHP3508130 3.5mm 8 hole 130mm long £22.00 BHP3508142 3.5mm 8 hole 142mm long £23.00 BHP3508154 3.5mm 8 hole 154mm long £24.00 BHPB3508130 Broad 3.5mm 8 hole 130mm long £28.00 BHPB3507130 Broad 3.5mm 7 hole 130mm long £32.00 BHPB3508142 Broad 3.5mm 8 hole 142mm long £32.00 BHPB3507142 Broad 3.5mm 7 hole 142mm long £34.00 BHPB3508154 Broad 3.5mm 8 hole 154mm long £35.00 BHP4507138 4.5mm 7 hole 138mm long £32.00 BHP4507151 4.5mm 7 hole 151mm long £32.00 BHP4507164 4.5mm 7 hole 164mm long £28.00 BHP4508150 4.5mm 8 hole 150mm long £29.00 BHP4508163 4.5mm 8 hole 163mm long £30.00 BHP4508176 4.5mm 8 hole 176mm long £32.00 £98.00 £5.00 £5.00 £5.00 Supracondylar Osteotomy Plates (SCOP) NEW Osteotomy of the distal femur is now an accepted technique for correction of patella luxation in medium and large dogs with a limb alignment deformity. The distal femur is a difficult area to appropriately contour and place sufficient screws. Using finite element analysis Mark Glyde designed a preformed plate specifically for this area. Screw hole placement allows for a closing wedge osteotomy. Available in 2.7mm and 3.5mm narrow and 3.5mm broad sizes. Use profiles on page 232 as guide. Many new sizes SUPRACONDYLAR OSTEOTOMY PLATES 102 152600 2.7 Supracondylar Osteotomy Plate Right £65.00 152605 2.7 Supracondylar Osteotomy Plate Left £65.00 152610 3.5 Supracondylar Osteotomy Plate Right £95.00 152615 3.5 Supracondylar Osteotomy Plate Left 152620 3.5 Brd Supracondylar Osteotomy Plate Right £115.00 152625 3.5 Brd Supracondylar Osteotomy Plate Left £115.00 £95.00 CH07_p83-111_Implants 13/3/07 15:17 Page 103 IMPLANTS & INSTRUMENTS www.vetinst.com 7 Pancarpal Arthrodesis Plate (Hybrid Plates) Hybrid Plates Pantarsal Arthrodesis Plate (medial) ‘Off the shelf’ we have a 3.5mm plate bent at 135 degrees tapering to 2.7mm holes distally. This plate applied to the medial aspect of the joint fits in most cases. The plate was developed using our experience of producing custom plates. The plate is especially strengthened at the stress point around the talus screw. If this plate is not suitable please send a radiograph or tracing and we will design and make a plate for you. If you are faxing a drawing please draw a line 100mm long prior to transmission. See page 234 for an actual size profile of the 2.7/3.5mm plate. Use a tibio calcaneous position screw to maximise stability. NEW Pancarpal arthrodesis is a regular procedure in veterinary orthopaedics. Standard plates tend to be either too big for the metacarpal or too small for the radius. Our range of hybrid carpal arthrodesis plates tries to give you the best of both worlds. The taper on the distal part of the plate makes closure easier and automatically produces an angle of around 5 degrees. (See page 233 for plate profiles.) Our 3.5/2.7 Hybrid Pantarsal plate has proved very popular. Based on our database of manufacturing custom plates for small dogs and cats we are now in a position to offer two further plates as standard. Surgeons are encouraged to check the patient’s radiograph against our Pantarsal Arthrodesis profile sheet on page 234 of this catalogue or as a download from www.vetinst.com. Both are designed for medial application. Lateral application is acceptable if circumstances dictate. However, you must order the ‘wrong’ side. Some surgeons prefer greater coverage of the metacarpals than is offered by our standard plates. We now offer an extra long plate which is designed to give over 50% coverage of the metacarpal segment. For partial carpal arthrodesis try our TPLO plates (see page 231). Also useful for pantarsal arthrodesis, intertarsal arthrodesis, distal tibial fracture and distal humerus fractures. Small Dog 135 degrees 2.7/2.0mm. This plate will fit most patients requiring 2.7mm screws in the tibia and 2.0mm screws in the metatarsals. PANCARPAL ARTHRODESIS PLATES DCP STYLE Cat 120 degrees 2.7/2.0(1.5)mm. This plate is designed to perform arthrodesis to the compromised calcanoquartal (hock) joint which is commonly subject to shearing injuries or fracture dislocations. Proximally the plate will accept 2.7mm screws. Distally the plate will accept either 2.0mm and 1.5mm screws. PANTARSAL ARTHRODESIS PLATE £160.00 152911 1.5/2.0mm Compression Arthrodesis plate. £45.00 152912 2.0/2.0mm Compression Arthrodesis plate. £45.00 152905 2.0/2.7mm Compression Arthrodesis plate £46.81 152903 2.7/3.5mm Compression Arthrodesis plate £46.81 152903XL 2.7/3.5mm Compression extended length £51.20 152907 £46.81 3.5/3.5mm Compression Arthrodesis plate SPECIAL Custom plate to your requirements 152914 2.7/3.5mm Pantarsal plate Right. See page 214 for profile £79.00 152913 2.7/3.5mm Pantarsal plate Left. See page 214 for profile £79.00 152920 2.0/2.7mm Intertarsal plate See page 214 for profile £49.60 152906 2.0/2.7mm Arthrodesis plate round holes £34.55 152916 2.0/2.7 Pantarsal Plate Right Dog 135˚ £79.00 152904 2.7/3.5mm Arthrodesis plate round holes £34.55 152915 2.0/2.7 Pantarsal Plate Left Dog 135˚ £79.00 152904XL 2.7/3.5mm Arthrodesis plate round holes extended length £37.84 152918 2.0/2.7 Pantarsal Plate Right Cat 120˚ £79.00 152908 3.5/3.5mm Arthrodesis plate round holes 152917 2.0/2.7 Pantarsal Plate Left Cat 120˚ £79.00 HDCA Carpal arthrodesis technique video. Hamish Denny £35.00 152907XL 3.5/3.5mm Compression extended length 152909 3.5/4.5mm Pancarpal Arthrodesis plate 185mm £52.20 £108.00 PANCARPAL ARTHRODESIS PLATES ROUND HOLES 103 £34.55 CH07_p83-111_Implants 7 13/3/07 15:17 Page 104 IMPLANTS & INSTRUMENTS Orthopaedic Wire Implants & Instruments Ormrod Buttons Use to prevent sutures from ‘cheese wiring’ through bone, e.g. at hip toggle. Made from surgical nylon. ORMROD BUTTONS 090166 Cerclage wire is an extremely useful method of fragment fixation. Use as thick a wire as seems possible. Twist evenly under tension. The best instrument is our wire twister/cutter 001260 see page 33. Minimise wire movement on periosteum. Tension wire banding should be performed where muscular forces must be transferred beyond a fracture or osteotomy, e.g. Tibial crest avulsion or trochanteric osteotomy. 1.0mm wire is the most useful. All are supplied in 10 metre rolls. 0.2 (diameter in mm) OW0310 0.3 The cerclage button occupies a screw hole. The slot retains cerclage wire where screw placement is not possible. Reduces plate weakness due to empty screw holes. Fits 3.5mm DCP holes. £5.10 OW0410 0.4 27 OW0510 0.45 25 £7.58 OW0610 0.56 24 £9.82 OW0710 0.71 22 £10.93 OW0810 0.8 21 £14.45 OW0910 0.9 OW1010 1.0 20 £24.48 OW1012 1.25 18 £26.24 OW1015 1.5 (gauge) £2.50 Cerclage Buttons ORTHOPAEDIC WIRE (in 10m rolls) OW0210 Ormrod Button, Nylon 8mm diameter (sterile) £5.31 £6.58 £14.45 CERCLAGE BUTTON £38.19 090175 Wires with Eyelet Cerclage Button for use with 3.5mm DCP. £15.00 Cortical Nuts 30º The free end of the wire is threaded through the eye. The cerclage is tightened using the special tightener. Requires 001262 wire tightener or for wire twisting instruments see pages 38 and 39. Occasionally tapped threads strip and a larger screw is appropriate. Lag screws are particularly vulnerable as only one cortex is available. A cortical nut manufactured from implant grade nylon gives the screw purchase allowing normal tightening. The thread form is designed to grip the screw to minimise 'backing out'. Available in 2.7mm, 3.5mm and 4.5mm cortical thread forms. Supplied as a single sterile pack. The 4.5 nut is also available in stainless steel. ORTHOPAEDIC WIRE (with eyelet) CWWE22 Orthopaedic Wire with Eyelet. 22g x 12 (6 pack) £16.73 CWWE20 Orthopaedic Wire with Eyelet. 20g x 12" (6 pack) £16.73 CWWE18 Orthopaedic Wire with Eyelet. 18g x 12" (6 pack) £16.73 001262 Wire Loop Tightener for above 200010.00 Twisterz Wire Twisters £68.73 CORTICAL NUTS £98.00 104 CN27 2.7mm Cortical Nut (sterile) £4.36 CN35 3.5mm Cortical Nut (sterile) £4.83 CN45 4.5mm Cortical Nut (sterile) £5.51 N45 4.5mm Cortical Nut S/S £8.86 CH07_p83-111_Implants 13/3/07 15:17 Page 105 7 IMPLANTS & INSTRUMENTS www.vetinst.com Webb Bolt Drill Bits Use where lag screw strips out. Supplied as a threaded rod, two nuts and two washers. Pre-measure and cut to length or crop after procedure. Saw cut or bolt cutting will prevent loosening of the nut on the cut side. Run a fine nylon suture through the nut prior to attachment to create a locking effect. WHICH DRILL DIAMETER 1.5 1.1 1.5 SHERMAN - Pilot TYPE MAN - Clear AO TYPE - Pilot CORTICAL - Clear 2.0 1.6 2.0 1.5 2.0 2.7 2.4 2.7 2.0 2.7 3.5 2.7 3.5 2.5 3.5 info 4.0 2.5 4.0 4.5 3.2 4.5 5.5 4.0 5.5 Drill Bits - Soft Made from DIN 58812 stainless steel (the same as implants). The drill bits are compatible with all current plating systems. Replace drill every ten holes. Blunt drills cause heat necrosis. Cheap but do not last long. DRILL BITS - Stainless Steel 316 Implant Quality - Short Life WEBB BOLTS 090101 (diameter in.) 1.5 (diameter mm) £5.91 090111 1/16 1.6 £5.91 090102 5/64 2.0 £5.91 090103 3/32 2.4 £5.91 092003 Webb bolt 5mm/8cm Drill 5.5mm £21.75 090112 2.5 £5.91 092000 Webb bolt 4mm/8cm Drill 4.5mm £21.75 090104 7/64 2.7 £5.91 092001 Webb bolt 3mm/8cm Drill 3.2mm £21.75 090105 1/8 3.2 £5.91 092002 Webb bolt 2mm/5cm Drill 2.5mm £21.75 090106 9/64 3.5 £5.91 3.6 £5.91 090113 Orthopaedic Ruler Drill gauge 090107 5/32 4.0 £5.91 090108 11/64 4.5 £5.91 090118 3/16 4.8 £5.91 090109 1/4 6.35 £5.91 090115S Drill Box S/Steel Empty (for I/Q drills) £66.00 090116 Drill Box S/S complete with I/Q drills £108.90 Drill Bits - Hard Expensive but last a long time. All Synthes fit drills, and those round shank drills with a diameter of 3.2mm or more, come in short and long lengths. These drills are much stiffer than implant quality ones. Particularly recommended for drills less than 3.2mm diameter. Drill fragments do not cause a problem. G suffix indicates gold titanium nitride coating. DRILL BITS - Stainless Steel 420 Hard - Not Implant Quality - Long Life - Round Shank H090100 Imperial 0.052 (dia in) H090101 H090102 5/64 H090112 H090112G Used to measure pin, wire, drill and screw diameter. Supplied in either metric or imperial sizes. ORTHOPAEDIC RULER £12.52 60 2.0 100 £12.92 2.5 115 £14.04 2.5 115 £17.30 2.7 130 £14.44 H090105S 1/8 3.2 130 £15.33 H090105L 1/8 3.2 180 £16.31 H090106S 9/64 3.5 130 £15.45 H090104 Metric 1.1 (dia mm) 60 (length mm) £11.97 1.5 7/64 H090106L 9/64 3.5 200 £17.13 H090107 4.0 130 £18.58 5/32 001498 Orthopaedic Ruler Imperial £12.22 H090108S 11/64 4.5 130 £17.24 001497 Orthopaedic Ruler Metric £12.22 H090108L 11/64 4.5 180 £21.79 001496 Screw and drill gauge H090109 5.5 130 £9.50 105 £21.79 H090202 1.9mm predrill for 2.0mm shank positive pin. £12.92 H090203 2.3mm predrill for 2.4mm shank positive pin. £12.92 H090205 3.0mm predrill for 3.2mm shank positive pin. £15.33 H090207 3.8mm predrill for 4.0mm shank positive pin. 090117 Drill Box S/S complete with Hard Drills £17.24 £193.25 CH07_p83-111_Implants 7 13/3/07 15:17 Page 106 IMPLANTS & INSTRUMENTS Anti-Skid Drills Implants & Instruments Mini Drill Bits In stainless steel - hard. DRILL BITS - DENTAL FIT D090100 1.1 (dia mm) £36.00 D090101 1.5 £36.00 D090102 2.0 £36.00 0.052 (dia in.) Drill Case Folding box to fit all the standard sizes of drill. Ideal for autoclaves. Case includes 1.1, 1.5, 2.0, 2.5, 2.7, 3.2, 3.5, 4.0, 4.5, and 5.5mm drills. H090104AS Unless a bone drill is driven at 90 degrees to the bone surface there is a tendency for the drill to ‘skid’ over the bone surface placing the hole inappropriately. The anti-skid drill has a special tip to bite into the bone at virtually any useful angle, accurately predetermining the hole position. Made from hard multi use 420 stainless steel. Available in all useful sizes. 1.5, 2.0, 2.5, 2.7, 3.2, 3.5, & 4.5mm ANTI-SKID DRILLS H090101AS Anti-Skid Drill 1.5mm H090102AS Anti-Skid Drill 2.0mm 100mm long £16.00 H090112AS Anti-Skid Drill 2.5mm 115mm long £16.00 H090104AS Anti-Skid Drill 2.7mm 130mm long £16.00 H090105SAS Anti-Skid Drill 3.2mm 130mm long £16.00 H090106SAS Anti-Skid Drill 3.5mm 130mm long £16.00 H090108SAS Anti-Skid Drill 4.5mm 130mm long £16.00 60mm long £16.00 Drill Bits - Synthes Fit Synthes fit drills have a quick release coupling which enables them to be quickly switched using a quick release drill attachment as supplied with the Mini Driver, Maxi Driver, MPX, MPZ systems and most other powered systems. G suffix indicates gold titanium nitride coating. DRILL BITS - SYNTHES FIT S090100S 1.1 (dia mm) 60 (length mm) £19.93 S090101S 1.5 85 £20.19 S090101L 1.5 95 £22.08 2.0 100 £18.25 0.052 (dia in.) S090102S 5/64 S090102L 5/64 2.0 125 £18.81 S090112S 2.5 110 £19.21 S090112SG 2.5 110 £24.93 S090112L 2.5 180 £24.93 £19.34 S090104S 7/64 2.7 100 S090104L 7/64 2.7 125 £19.93 S090105S 1/8 3.2 145 £20.85 S090105L 1/8 3.2 195 £26.41 S090106S 9/64 3.5 110 £21.80 S090106L 9/64 3.5 195 £27.01 S090107 5/32 4.0 145 £18.58 S090108S 11/64 4.5 145 £22.08 S090108L 11/64 S090109 4.5 195 £27.78 5.5 145 £28.20 DRILL CASE 106 090115H Drill box for hard drills empty £66.00 090117 Drill box with hard drills (10) £193.25 090117AS Drill box with anti-skid drills (7) £193.25 CH07_p83-111_Implants 13/3/07 15:17 Page 107 IMPLANTS & INSTRUMENTS www.vetinst.com Steinman Intra-Medullary Pins 7 Bone Pin Storage Bone Pin Roll Bone pin storage and sterilisation is difficult. Pins are long and sharp. The bone pin roll stores at least one of each pin. BONE PIN ROLL 090038 £27.55 Bone Pin Roll Bone Pin Tubes Simple, cheap and often the best technique for the repair of long bones. I/M pinning does not resist compression and rotation very effectively. It may be helpful to add an external fixator for two weeks if in any doubt. Smooth pins are most likely to migrate. The threaded pins are negatively cut and do reduce backing out particularly if the distal fragment is small. Our Trochar tips are designed to cut bone but care must be exercised to avoid heat necrosis during insertion. Can be cut in half to produce cheap ESF pins. Most pins chucks will only take 1/4" pins.* Do not purchase a 5/16” pin unless you have a chuck to insert it. Use 1.0mm wire minimum as a cerclage. BONE PIN TUBES STEINMAN INTRA-MEDULLARY PINS TROCHAR TIPS (12”, 300mm length) 090000 1/16" 1.6mm £2.12 090001 5/64" 2.0mm £2.21 090002 3/3" 2.4mm £2.58 090003 7/64" 2.8mm £2.65 090004 1/8" 3.2mm £2.74 090005 9/64" 3.6mm £3.05 090006 5/32" 4.0mm £3.36 090007 3/16" 4.8mm £4.54 090008 1/4" 6.35mm £5.69 090009* 5/16" 8.0mm £7.49 090153 7/32" 5.6mm £5.69 090039a I/m Pin Storage / Autoclave Tube 320mm £35.00 090039b I/m Pin Storage / Autoclave Tube 150mm £35.00 Arthrodesis Wire STEINMAN INTRA-MEDULLARY PINS SCREW POINT TROCHAR TIPS (12”, 300mm length) Rather like small intra-medullary pins, arthrodesis wires have trochar points at each end. They are used for the fixation of small bone fragments, produced either electively or as a result of trauma, eg distal femoral fractures, tibial crest transplants and femoral neck fractures. (5", 125mm). Supplied in packs of ten. 090010 1/16" 1.6mm £3.10 090011 5/64" 2.0mm £3.17 090012 3/32" 2.4mm £3.45 090013 7/64" 2.8mm £3.55 090014 1/8" 3.2mm £3.64 090015 9/64" 3.6mm £3.97 ARTHRODESIS WIRE TROCHAR Pointed at both ends. PACK OF 10 (5”, 125mm length) 090016 5/32" 4.0mm £4.31 090020 0.035" 0.9mm £15.32 4.8mm £5.50 090021 0.045" 1.1mm £15.32 090017 3/16" 090018 1/4" 6.35mm £6.73 090024 1.4mm £15.32 090019* 5/16" 8.0mm £8.92 090022 0.0625" 1.6mm £15.32 090154 7/32" 5.6mm £6.73 090023 0.08" 2.0mm £15.32 090040 Leighton bone pin introducer £64.47 *Do not fit standard Jacobs. 107 CH07_p83-111_Implants 7 13/3/07 15:17 Page 108 IMPLANTS & INSTRUMENTS Kirschner Wire Implants & Instruments Threaded Small Fragment Pins Use threaded pins where you might use a 2mm fixation screw or ‘K’ wire, e.g. tibial crest transplant. Drive in with slow speed drill. Relatively coarse threads. 0.8mm thread pitch. One tip bayonet, the other blunt, these pins are supplied in packs of ten. (5", 125mm). THREADED SMALL FRAGMENT PINS - 2.0mm diameter KIRSCHNER WIRE - Pack of 10 (5” 125mm) 090030 0.035" 0.9mm £18.39 090031 0.045" 1.1mm £18.39 1.4mm £19.96 090034 090032 0.0625" 1.6mm £19.96 090033 0.08" 2.0mm £19.96 090036 Threaded pins 5mm thread. Single £5.35 090037 Threaded pins 10mm thread. Single £5.35 090027 Threaded pins 15mm thread. Single £5.35 090028 Threaded pins 20mm thread. Single £5.35 Fine Threaded Small Fragment Pins 2.0mm fine threaded pin plus threaded washer Threaded ‘A’ Wires Threaded 'A' wires are useful for the re-attachment of small fragments. Available in 1.6 and 2.0mm diameter. The threads have a fine pitch. Sold singly. THREADED ‘A’ WIRES 090032TR 0.0625 1.6 Threaded one end. Single £4.46 090033TR 0.08 2.0 Threaded one end. Single £5.01 Use singly to re-attach small bone fragments. Use in multiples to re-attach larger fragments e.g. humeral condyles. (4 x 2.0 threaded pins have similar properties to one 3.5 screw while interfering less with the healing process). Use threaded washer to create screw effect. Very easy to insert using an orthopaedic drill. A / K Wire Instruments Thread pitch is 0.4mm for use in cortical bone. Self drilling. Cut off excess pin. For maximum pull out resistance drill through trans cortex and cut off trochar cutting tip. 001360 ‘K’ Wire Punch FINE THREADED FRAGMENT PINS 2.0MM KIRSCHNER WIRE/SMALL PIN PUNCH 001360 001361 Small Pin Punch. 135mm Very Small Pin Punch. 1.6mm tip £30.55 £30.55 001362 ‘K’ Wire Bender 090300 Fine threaded washer 5.0mm dia £2.12 090305 Fine threaded pin 5mm thread length £3.80 090310 Fine threaded pin 10mm thread length £3.98 090315 Fine threaded pin 15mm thread length £4.04 090320 Fine threaded pin 20mm thread length £4.14 090325 Fine threaded pin 25mm thread length £4.34 090330 Fine threaded pin 30mm thread length £4.46 090340 Fine threaded pin 40mm thread length £4.60 0903111 Fine threaded pin set comprising 5 off each pin plus 5 washers in stainless case £140.00 Arthrodesis Wire Box This box will store all diameters of arthrodesis and ‘K’ wire. In addition there is a space for a ‘K’ wire bender and a ‘K’ wire punch. KIRSCHNER WIRE BENDER 001362 ‘K’ Wire Bender. 140mm £30.55 ARTHRODESIS & K WIRE ORGANISER AUTOCLAVABLE 108 001124 Stainless box for arthrodesis & ‘K’ wires 0900200 Arthrodesis & K Wire Organiser plastic £61.99 £5.18 CH07_p83-111_Implants 13/3/07 15:17 Page 109 IMPLANTS & INSTRUMENTS www.vetinst.com 7 Implants & Screws Interlocking Nail System Interlocking nails are a refinement of the original Kuntscher Nail. An interlocking nail is basically an intra-medullary pin secured in position by proximal and distal transfixing screws which engage the bone to the nail to provide axial, bending and torsional stability. In comminuted long bone fractures, the Interlocking Nail System is useful due to the mechanical advantage of medullary implantation (i.e. mechanical axis) and prevention of collapse of the fracture by the interlocking effect. Ancillary cerclage wires reduce periosteal stripping and minimise disturbance to blood supply compared to plating. Veterinary Instrumentation stocks the 4 hole no.11 nails (11mm spacing) in 8.0, 6.0, 4.7 and 4.0mm nail diameters. We also maintain stocks of additional drill bits and taps - please phone for information. IN1168SET Model 11 - 6.0 / 8.0 set IN1147SET Model 11 - 4.0 / 4.7 set MODEL 11 - 6mm / 8mm WITH INTERLOCKING NAILS for 2.7mm and 3.5mm screws MODEL 11 - 4.0/4.7MM WITH INTERLOCKING NAILS for 2.0mm screws Hole spacing is 11.0mm. This kit is for extensive shaft fractures, allowing 2 screws to be used in minimal proximal and distal bone. The instrumentation set includes; Hole spacing is 11.0mm. This option is indicated for fracture cases in smaller animals. The nail diameter is either 4.0mm or 4.7mm and the hole diameter 2.0mm. The instrumentation set contains: • Mdl 11 6/8mm Drill Jig • 4.7mm Jig • Attachment Screw • Attachment Screw • Trochar • Insertion Tool • Trochar • 'T' Handle • Hex Driver • Guide Sleeve • Hex Driver • Guide Sleeve • Depth Gauge • 6mm Femur Extension • Depth Gauge • 4.0mm Femur Extension • 6mm Tibia Extension • 8mm Femur Extension • 4.0mm Tibia Extension • 4.7mm Femur Extension • 8mm Tibia Extension • 2.0mm Drill Guide • 4.7mm Tibia Extension • 1.5mm Drill Guide • 2.5mm Drill Guide • 2.7mm Tap Guide • 2.0mm Tap Guide • 1.5mm Drill Bit • 3.5mm Tap Guide • 2.0mm Drill Bit • 2.0mm Screwdriver • Set of 4-hole Nails • 2.5mm Drill Bit • 2.7mm Screwdriver • Tap Handle • 2.0mm Extra Long tap • 3.5mm Screwdriver • Set of 4-hole Nails • 4.7mm Reamer • 4.0mm Reamer • Stainless Case • Tap Handle • 2.7mm Extra Long Tap • 3.5mm Extra Long Tap • 6mm Reamer INTERLOCKING NAILS - MODEL 11 - 4.0 / 4.7MM • 8mm Reamer • Stainless Case IN1147SET INTERLOCKING NAILS - MODEL 11 - 6mm / 8mm IN1168SET Model 11 - 6mm / 8mm with Interlocking Nails Full Kit. See above for details £2,670.00 If certain components are already owned (e.g. tap handle) kit costs may be reduced. 109 Model 11 - 4.7 / 4.0mm with Interlocking Nails Full Kit. See above for details £2,130.50 CH07_p83-111_Implants 7 13/3/07 15:17 Page 110 IMPLANTS & INSTRUMENTS Nail System Accessories Implants & Instruments The sterilisation trays store components for both instrumentation sets, accessories and all interlocking nails model number length of nail (mm) number of holes distally 11-06-140-01-02-2.7 diameter of nail (mm) number of holes proximally diameter of hole (mm) 4.0MM 4 HOLE NAILS. MODEL 11. 2.0mm SCREWS. IN1140068020220 68mm in length £45.00 IN1140079020220 79mm in length £45.00 IN1140091020220 91mm in length £45.00 IN1140101020220 101mm in length £45.00 IN1140112020220 112mm in length £45.00 4.7MM 4 HOLE NAILS. MODEL 11. 2.0mm SCREWS. IN1147068020220 68mm in length £45.00 IN1147079020220 79mm in length £45.00 IN1147091020220 91mm in length £45.00 IN1147101020220 101mm in length £45.00 IN1147112020220 112mm in length £45.00 6.0MM 4 HOLE NAILS. MODEL 11. 2.7mm SCREWS IN1106140020227 140mm in length £45.00 IN1106160020227 160mm in length £45.00 IN1106185020227 185mm in length £45.00 IN1106205020227 205mm in length £45.00 IN1106230020227 230mm in length £45.00 8.0MM 4 HOLE NAILS. MODEL 11. 3.5mm SCREWS IN1108140020235 140mm in length £45.00 IN1108160020235 160mm in length £45.00 IN1108185020235 185mm in length £45.00 IN1108205020235 205mm in length £45.00 IN1108230020235 230mm in length £45.00 Some three hole nails are available - please ring for details. 10MM NAILS & EQUIPTMENT FOR MODEL 22 IN10E Extension 10mm IN10R Reamer 10mm NEW £135.10 £119.70 10MM 4 HOLE NAILS FOR MODEL 22 - 45 SCREWS 110 22-10-140-02-02-4.5 140mm in length £56.00 22-10-160-02-02-4.5 160mm in length £56.00 22-10-185-02-02-4.5 185mm in length £56.00 22-10-205-02-02-4.5 205mm in length £56.00 22-10-230-02-02-4.5 230mm in length £56.00 CH07_p83-111_Implants 13/3/07 15:17 Page 111 Interlocking Nail Bolts Trilam Nails Unicortical and self tapping. Use of these bolts shortens operative time considerably. Bolts come as a standard length and are cut to size (recommended IN Bolt Cutter, 001229). Pilot drill is same as the bolt diameter. Traditional intra-medullary pins and nails have poor resistance to rotational forces. The tri-finned TRILAM NAIL is very effective in dealing with this problem. Available in a range of sizes, requires dedicated instrumentation. There is a set available including nails, drivers and cutters in a box. INTERLOCKING NAIL BOLTS INB2020 2.0mm Interlocking Nail Bolt 20mm long cut to length £9.75 INB2736 2.7mm Interlocking Nail Bolt 36mm long cut to length £9.75 INB3540 3.5mm Interlocking Nail Bolt 40mm long cut to length £9.75 TRILAM NAILS Interlocking Nail Bolt Cutter 4mm Standard 7 IMPLANTS & INSTRUMENTS www.vetinst.com Safety Cutter 001229/A Interlocking Nail Bolt Measuring Rule (for use with Safety Cutter) Hammer £1,691.25 £137.93 TRICUT Cutters for small Nails 3 to 6mm £395.70 TRICHU Jacobs Chuck for Trilam £169.77 TRIEX Extraction Forceps £194.70 TRI3110 3mm 110mm Nail £23.30 TRI4130 4mm 130mm Nail £23.30 TRI5140 5mm 140mm Nail £23.30 TRI6150 6mm 150mm Nail £23.30 TRI7160 7mm 160mm Nail £23.30 TRI8170 8mm 170mm Nail £25.52 TRI9180 9mm 180mm Nail £28.25 TRI10190 10mm 190mm Nail £30.64 TRI11200 11mm 200mm Nail £32.80 We stock Rush pins in 2.4mm (3/32") and 3.2(1/8") diameters. Lengths vary from 25mm(1") to 100mm(4"). RUSH PINS INTERLOCKING NAIL BOLT CUTTER 4mm Safety Cutter to 4mm Starter kit TRIHAM Rush Pins Most types of bolt cutter deform the pin as they cut. In addition the cut end can fly off in a dangerous manner. Veterinary Instrumentation's new safety cutter cuts cleanly, without deformation and prevents fly off. Also very useful for ESF pins to 4mm. 001229 TRIKIT £156.00 £12.00 111 090140 to 152 Rush pins 2.4mm(3/32") £4.50 090201 to 212 Rush pins 3.2mm(1/8") £4.50 CH08_p112-115_Hip Replacement 8 13/3/07 15:18 Page 112 TOTAL HIP REPLACEMENT Total Hip Replacement Veterinary Instrumentation Modular Hip System (Cemented) Femoral Prosthesis Two stems are available which are identical distally. FEMORAL PROSTHESIS HDTHPDVD Hamish Denny Total Hip DVD 150200 Large Stem £168.46 £35.00 150201 Small Stem £168.46 150300 Long Ball £76.69 150301 Short Ball £76.69 Photography: Hamish Denny Acetabular Cups The modular format gives four different femur combinations. Two stem sizes are available. The taper neck is the same on both. Two ball options are available, the ball diameter is 15mm in both cases. The “short neck” ball when fitted to the standard taper neck gives a short necked prosthesis and the “long neck” ball gives a long necked prosthesis. When combined with the two acetabular cups a total of 8 combinations are possible. The most common combination is a small stem and long neck ball together with a small acetabular cup. Two sizes are available. The internal diameter is the same, as all the heads of the femoral components are 15mm in diameter. The only difference between the cups is the wall thickness and therefore the outside diameter. All cups are marked with stainless rings to establish cup position on radiographs. Cups have very deep grooves on the external diameter to provide good cement keying. ACETABULAR CUPS The surgeon most familiar with the system is Hamish Denny, FRCVS, who helped develop the system and has performed over 200 procedures. He also produced the instructional video which is available on free loan. This is not a ‘high tech’ system which requires a mass of dedicated instrumentation and jigs. It is a simple, well proven system which assumes that the surgeon has the knowledge and expertise to complete the procedure. Combination 150402 Medium Acetabular Cup (Sterile) £84.18 150401 Small Acetabular Cup (Sterile) £84.18 Femoral Rasp The aim of the femoral rasp is to produce a hole the same shape as the stem of the femoral prosthesis plus a margin for the bone cement. The femoral rasp can create seating for both stems in that both stems have a similar profile distally and differ only in the proximal area. To create a seating for the large stem simply make a deeper hole. Stem size Neck Acetabular cup 1 Small Stem Short Small 2 Small Stem Long Small 3 Small Stem Short Medium 4 Small Stem Long Medium FEMORAL RASP 5 Large Stem Short Small 150005 6 Large Stem Long Small 7 Large Stem Short Medium 8 Large Stem Long Medium 112 Femoral Rasp £320.00 CH08_p112-115_Hip Replacement 13/3/07 15:18 Page 113 8 TOTAL HIP REPLACEMENT www.vetinst.com Femoral Reamer Acetabular Skid Use in conjunction with the femoral rasp to open up the proximal femur. ‘T’ handle format with an overall length of 270mm. Use 6mm for the distal portion and 8mm proximally. A double-ended instrument useful in the dislocation of the femoral head prior to excision. Also useful in “helping” the head of the femoral prosthesis into the acetabular cup. FEMORAL REAMER 150003 Femoral reamer 6mm 270mm £138.18 ACETABULAR SKID 150004 Femoral reamer 8mm £138.18 6200/05 Acetabular Skid £48.19 Hatt Spoon Femoral Prosthesis Pusher An alternative to the disarticulator in large dogs. The edge of the spoon is sharp. As used by Martin Olmstead. The VI version has a narrower shaft and a fibre handle for ease of use. This instrument fits both small and large femoral prostheses and allows the surgeon to position the stem and apply pressure as the cement sets. HATT SPOON 001092 FEMORAL PROSTHESIS PUSHER Hatt Spoon 230mm Scoop 17mm x 30mm £47.50 161602B Femoral prosthesis positioner £120.00 Acetabular Cup Positioner Photography: Hamish Denny Photography: Hamish Denny Acetabular Reamers This instrument holds the acetabuar cup in position as the cement sets. Each reamer is designed to produce a prepared bed for each cup. The reamer shaft is 1/4” (6.3mm) to fit air or electric rechargeable drills. The multi-bladed style has a much longer life than the cheese grater type. Good soft tissue retraction is essential. The reamer head can be re-sharpened on an exchange basis. ACETABULAR CUP POSITIONER 161602A ACETABULAR REAMERS 150012 Small Acetabular reamer £150.00 150010 Medium Acetabular reamer £150.00 113 Acetabular cup positioner £120.00 CH08_p112-115_Hip Replacement 8 13/3/07 15:18 Page 114 TOTAL HIP REPLACEMENT Meyerding Retractor Total Hip Replacement Total Hip Replacement Kit The kit includes a femoral rasp, 2 femoral reamers, 2 acetabular reamers, Lewin bone holding forceps, 2 Myerding retractors, one of each stem, one of each cup, one of each ball, trial stems and cups, acetabular cup positioner, femoral stem positioner and instructional dvd. All are contained in a stainless steel case. A heavy duty retractor for use around the hip. Much favoured by Martin Olmstead. TOTAL HIP REPLACEMENT KIT 150001 MEYERDING RETRACTOR 150019 Meyerding Retractor 16mm £25.30 Total Hip Replacement Kit £2,135.95 Bone Cement DePuy CMW Bone Cement Heygroves Femur Grasping Forceps Powerful clamps to lock onto the femoral shaft. Used to rotate the femoral head outwards for excision. HEYGROVES FEMUR GRASPING FORCEPS 150017 Heygroves grasping forceps 10" £87.50 Lewin Femur Grasping Forceps The curvature and multiple teeth of these forceps match almost exactly the profile of the large dog femur. Another Marvin Olmstead favourite. Designed for total hip replacement. CMW is the industry standard. Various options are available. Also useful in stabilisation of vertebral fractures/luxations. CMW1 is a medium/high viscosity cement for digital application CMW2 is a rapid set cement suitable for the acetabular cup via digital application. CMW3 is a more fluid cement which is more appropriate for the femoral component. It is usually applied via a 50ml syringe. CMW cement comes impregnated with Gentamycin which minimises post operative infection, the worst complication of the procedure. CMW BONE CEMENT LEWIN FEMUR GRASPING FORCEPS 150018 Lewin femur grasping forceps £46.00 114 160506 CMW1 40g £43.95 160500 CMW1 with Gentamycin 20g £63.20 160501 CMW2 with Gentamycin 20g £55.81 160503 CMW3 with Gentamycin 20g £63.20 160504 CMW3 with Gentamycin 40g £70.60 CH08_p112-115_Hip Replacement 13/3/07 15:18 Page 115 8 TOTAL HIP REPLACEMENT www.vetinst.com Veterinary Instrumentation Bone Cement Veterinary Instrumentation Bone Cement: Designed for hand mixing and supplied with sterile bowl and spatula NEW • Immediately ready to use • Easy to use due to: • ampoule breaker for safe opening of ampoule • beaker with good grip • spatula design for good mixing properties • spout to pour into syringe • Cost effective because all components are supplied and can be thrown away after use • Made of recyclable materials VETERINARY INSTRUMENTATION BONE CEMENT BOWL MIX BC1BM High Viscosity 40g £38.50 BC3BM Low Viscosity (syringe type) 40g £38.50 BC1GBM High Viscosity 40g with Gentamycin £43.80 BC3GBM Low Viscosity (syringe type) 40g w Gentamycin £43.80 SYRINGE 50ml Catheter Mount Syringe. Sterile £1.50 Antibiotic Impregnated Polymethacrylate Beads (AIPMMA) NEW Management of chronic local infections may benefit from the insertion of antibiotic impregnated polymethacrylate(AIPMMA) beads. The beads are manufactured from sterile bone cement with the addition of appropriate antibiotic. Indications include osteomyelitis and abcessation in the rabbit. Veterinary Instrumentation offers two kits for the preparation of AIPMMA beads. Both kits contain sufficient material for approximately 100 sterile beads. Store unused beads in sterile containers for maximum shelf life. Full instructions are included. VETERINARY INSTRUMENTATION BONE CEMENT VACUUM MIX BC1 High Viscosity 40g £35.00 ANTIBIOTIC IMPREGNATED POLYMETHACRYLATE BEADS (AIPMMA) BC3 Low Viscosity (syringe type) 40g £35.00 BC1GKIT AIPMMA Bead Kit with Gentamycin £45.00 BC1G High Viscosity 40g with Gentamycin £38.50 BC1KIT AIPMMA Bead Kit. No Antibiotic £41.00 BC3G Low Viscosity (syringe) 40g with Gentamycin £38.50 CVAC Mixing System (unit) CGUN Application Gun (required) SYRINGE 50ml Catheter Mount Syringe. Sterile £38.50 £480.00 £1.50 115 CH09_p116-120_Soft Tiss_Surgery 9 14/3/07 15:24 Page 116 SOFT TISSUE SURGERY Thoracic Surgery Soft Tissue Surgery Oesophageal Foreign Body Forceps Extra-long forceps (730mm) enable foreign bodies to be manipulated back through the mouth or into the stomach. Backward facing teeth maximise grip and minimise iatrogenic damage to the oesophagus. Very strong and yet small enough to allow simultaneous insertion of an endoscope. As seen on TV (Animal ER at the RVC). A lighter version, 6mm diameter with a 500mm shaft is also available. fine OESOPHAGEAL FOREIGN BODY FORCEPS Oesophageal f.b. Forceps (730mm shaft) £99.00 014097M Oesophageal f.b. Forceps Medium Jaw (500mm shaft) £99.00 014097F Oesophageal f.b. Forceps (fine) (500mm shaft) £99.00 medium Actual Size 014097 Thoracic Surgery Kit - as used by the Cambridge Vet School Standard Right Angled Clamps Working inside the chest of medium and large dogs will require extended instrumentation. The instruments listed below represent a reasonable kit. When purchased as a kit there is a considerable saving. In addition a pair of rib retractors will be required. Other useful instruments include extra long Metzenbaum scissors and right angled forceps (Lahey cholecystectomy clamp and small right angled forceps). Various specialist items are listed. THORACIC SURGERY KIT – as used by the Cambridge Vet School 106205 45 degree curved forceps 245mm £21.30 105415 90 degree curved forceps 245mm £21.30 754060 Metz scissors Str 235mm. T.C. £55.35 754120 Metz scissors Curved 235mm T.C. £55.35 342020 DeBakey thumb forceps 205mm £29.79 347665 Rat tooth thumb forceps 205mm £16.16 602010 Debakey needleholders T.C. 200mm £65.09 347655 Dressing forceps 205mm £16.16 2685/03 Satinsky clamps 160mm long 20mm jaw £36.05 2685/05 Satinsky clamps 200mm long 30mm jaw CAMTHORKIT All the above in a stainless steel case Typically used to dissect around a patent ductus arteriosus and then pull through appropriate ligative material. RIGHT ANGLED CLAMPS 014051 £36.05 £354.00 754095 Metzenbaum Scissors TC 14” 350mm Curved £55.35 704000 Rib Retractor Small (Blades 20x19mm, 95mm gape) £83.43 704005 Rib Retractor Large (Blades 28x32mm,130mm gape) £90.64 106615 8“ Spencer Wells Str. Arty Frcps £21.14 602010 8” De Bakey T.C. N/Holders £65.09 014056 Rib Shears. 220mm COF £93.46 116 Right Angled Lahey Cholecystectomy Clamps 195mm £26.43 014052 Small Right Angle Clamps 160mm £17.50 014052S Small Right Angle Clamps without ratchet £17.50 CH09_p116-120_Soft Tiss_Surgery 14/3/07 15:24 Page 117 9 SOFT TISSUE SURGERY www.vetinst.com Drain Clamps Drains & Drainage Tube Clamp Vacuum Drains Concertina Type Gate Clamp For rapid, complete occlusion use artery forcep style. Where incremental adjustments are required use the gate type. Appropriate drainage will make the difference between success and failure, particularly with thoracic surgery. The whole system can be strapped to the patient. Concertina type action creates suction. Each kit includes the drain. DRAIN CLAMPS VACUUM DRAINS CONCERTINA TYPE 101776 Tube Clamp 190mm 7.5” 014058 Vacuum Drainage Kit 100ml 3.2mm dia tube Complete. Sterile semi-disposable £21.00 014066 Gate Clamp 014059 Vacuum Drainage Kit 200ml 4.8mm dia tube Complete. Sterile semi-disposable £21.00 014062 Vacuum Drainage Kit 50ml 2.5mm dia tube Complete. Disposable £2.89 014063 Vacuum Drainage Kit 20ml 2.0mm dia tube Complete. Disposable £3.75 Pigtail Cavity Drains £15.00 £1.86 NEW Pre Evacuated Bottle Drains Supplied sterile with a passive drainage reservoir the pigtail catheter is stiffened by a sharp insertion stylet. The drain is guided into postion by either direct palpation or by ultrasound. Once the tip of the catheter is in position the stylet is withdrawn allowing the tip to coil into the characteristic ‘pigtail’ shape. The pigtail shape makes the catheter self retaining and minimises obstruction of the drain holes by soft tissues. The drain holes sit on the inside of the coil. Cavities which may be drained using the pigtail catheter include: obstructed bladders, prostatic cysts, abcesses and the chest. The standard luer lock connector connects either to the passive drainage reservoir (supplied) or a pre-evacuated container. The 400ml bottle is supplied pre-evacuated complete with perforated drain and introducing needle. The bottle creates a much higher vacuum more appropriate for chest drains. PRE EVACUATED BOTTLE DRAINS 014080 Bottle Drain 400ml with 10FG drain £5.00 014082 Bottle Drain 400ml with 12FG drain £5.00 014084 Bottle Drain 400ml with 14FG drain £5.00 014086 Bottle Drain 400ml with 16FG drain £5.00 014064 200ml Evacuated Bottle - no drain £2.89 014065 400ml Evacuated Bottle - no drain £3.75 PIGTAIL DRAINAGE CATHETER 014069 117 Pigtail Catheter 6FG (Box 5) £210.00 CH09_p116-120_Soft Tiss_Surgery 9 14/3/07 15:24 Page 118 SOFT TISSUE SURGERY Ameroid Constrictors Soft Tissue Surgery Spay Clamps Angiotribes Used exclusively in the surgical treatment of hepatic shunts the ameroid constrictor gradually occludes the blood vessel in question allowing the circulation to make adjustments. The clay layer expands as it absorbs water constricting the blood vessel within. Supplied sterile. Insertion of metal locking key prevents constrictor from slipping from blood vessel. Angiotribes. The jaws of this instrument are designed for maximum crushing by serrated longitudinal grooves. AMEROID CONSTRICTORS AC35 Ameroid Constrictor 3.5mm Sterile £41.00 AC50 Ameroid Constrictor 5.0mm Sterile £41.00 AC60 Ameroid Constrictor 6.0mm Sterile £45.00 AC70 Ameroid Constrictor 7.0mm Sterile £45.00 ANGIOTRIBES Ovariohysterectomy 014304 Angiotribes 6.5”/ 16cm Straight £41.63 014305 Angiotribes 6.5”/ 16cm Curved £41.63 014301 Angiotribes 8”/20cm Straight £41.63 014302 Angiotribes 8”/20cm Curved £41.63 Hysterectomy Clamps Spay Kits There seems to be as many variations as there are veterinary surgeons. Simply choose six or more instruments from Chapter 16 (General Surgery) or Chapter 9 (Abdominal and Thoracic) and we will give you 15% discount off list price on all of them. Spay Hooks These clamps are curved with longitudinal grooves in the jaws to minimise tissue slippage. More reasonably priced than angiotribes. Use to atraumatically lift uterine horns. HYSTERECTOMY CLAMPS SPAY HOOKS 014320 014325 Spay Hook Small (13cm) Spay Hook Large (17cm) £19.75 £19.75 Spay Forceps ‘Sturdy’ type. Atraumatic spay forcep’s tips have fine toothed DeBakey type form. SPAY FORCEPS 014211 Spay Forceps 5”/12.5cm 014218 Spay Forceps (Atraumatic Grip) 5”/12.5cm £23.39 £11.51 014217 Spay Forceps (DeBakey Type) 5”/12.5cm £17.50 118 014307 Hysterectomy Clamp (Carmault) 20cm £21.50 014309 Hysterectomy Clamp (Carmault) 16cm £21.50 CH09_p116-120_Soft Tiss_Surgery 14/3/07 15:24 Page 119 9 SOFT TISSUE SURGERY www.vetinst.com Miscellaneous Obstetrical Items Spay Retractors Hauptman Retractors Miss Freakes Whelping Forceps Hobdays Obstetric Forceps for cats. 150mm Killian Bitch Speculum Vectis Double Ended MISCELLANEOUS OBSTETRICAL ITEMS 014310 Miss Freakes Whelping Forceps £36.91 546465 Hobdays Obstetric Forceps for Cats. 150mm £36.91 546466 Hobdays Obstetric Forceps for Dogs. £36.91 546468 Obstetric vectis double ended £25.50 546455 Bitch Speculum (Killian). Blade length 6.5cm (2 1/2”) £38.53 Large Abdominal Retractors Also see GENERAL SURGERY - Page 170 LARGE ABDOMINAL RETRACTOR This new retractor designed by Joe Hauptman at Michigan maintains distal retraction of the ovary during ligation of the ovarian pedicle. This is the crucial part of the procedure which can be a challenge for even experienced surgeons. This retractor simplifies the task considerably. For a free CD on the technique phone or e-mail [email protected] HAUPTMAN RETRACTOR 014400 Small Hauptman Retractor 10mm blade 014410 Medium Hauptman Retractor 15mm blade £78.13 £78.13 014420 Large Hauptman Retractor 20mm blade £78.13 119 25-2375 Balfour Retractor (180mm spread) £100.83 25-2376 Balfour Retractor Baby (90mm spread) £100.83 703260 Collins retractor (110mm spread) £90.64 684755 Morris Retractor 50mm £33.00 CH09_p116-120_Soft Tiss_Surgery 9 14/3/07 15:24 Page 120 SOFT TISSUE SURGERY Soft Tissue Surgery Anal Sac Kit Miscellaneous Soft Tissue Products NEW NEW Polyester Mesh Removal of diseased anal sacs can be quite difficult as it can be hard to distinguish the sac from the surrounding tissues. Filling the sac with a light coloured wax makes the dissection much easier. The gel pack is warmed to liquefy the contents which are then injected into the anal gland via the duct using the blunt ended needle provided. Spare gel packs and needles are available, please ask for details. ANAL SAC KIT Use polyester mesh to repair soft tissue defects where alternative autografts are not available. For example perineal hernia (illustrated), umbilical hernia. Mesh loop diameter 1mm. Sheet size 60mm x 80mm. Supplied single pack sterile. POLYESTER MESH PM6080 Polyester Mesh 60mm x 80mm (single) £17.50 120 273570 Anal Sac Kit £57.97 273580 Anal Sac Gel (8) £19.69 273590 Anal Sac Needles (8) £11.99 CH10_p121-122_Head & Neck 13/3/07 10:23 Page 121 10 HEAD & NECK SURGERY www.vetinst.com Tracheostomy Tube Airway Surgery Soft Palate Clamp Where temporary or permanent upper airway obstruction occurs placement of a tracheostomy tube is a life saving procedure. Our tubes are silver plated with a removable lining for easier cleaning. An overlong palate is a common cause of dyspnoea in the brachiocephalic dog. Shortening the soft palate in an atraumatic manner provides almost immediate relief. Metal tubes have a much thinner wall than plastic tubes. This becomes particularly critical in smaller patients. The Soft Palate Clamp was designed by Geoff Lane F.R.C.V.S. TRACHEOSTOMY TUBE The jaws have a special atraumatic grip to hold the very slippery soft palate. 014070 Tracheostomy Set (Silver Plate) (6,8,11) SOFT PALATE CLAMP 014071 Tracheostomy Tubes 6mm (Silver Plate) £77.76 014040 Soft Palate Clamps Large 26 x 12mm £75.00 014072 Tracheostomy Tubes 8mm (Silver Plate) £82.94 014050 Soft Palate Clamps Small 18 x 7mm £75.00 014073 Tracheostomy Tubes 11mm (Silver Plate) £84.66 014074 Tracheostomy Tubes 13mm (Silver Plate) £87.13 Tonsillectomy Clamp £220.82 Tracheostomy Tube Disposable TRACHEOSTOMY TUBE DISPOSABLE Actual size The standard Negus clamp may be used in pairs for soft palate resection. A right angled version designed by Stephen Baines at the RVC is also available. £25.00 Tonsillectomy Clamp (cvd) £25.00 4.0mm external dia £18.50 4.0mm internal dia 6.0mm external dia £18.50 014078 5.5mm internal dia 8.0mm external dia £18.50 014079 7.0mm internal dia 10.0mm external dia £18.50 Actual Size Tonsilleclamp Clamp (right angle) 014039 2.5mm internal dia 014077 Soft Tissue Biopsy Forceps TONSILLECTOMY CLAMP 014038 014076 Satinsky Clamp 8mm x 3.5mm bite 014088 Designed to take samples of soft tissue masses from the ear or via the mouth. Fits down all usual aural speculae. Two sizes for most patients. Useful for intra-thoracic surgery, trimming soft palates and even ears. Atraumatic design maximises haemostasis and minimises trauma. SOFT TISSUE BIOPSY FORCEPS 014087 SATINSKY CLAMP Cup Biopsy forceps 2mm dia. shaft 75 x 3.6mm 2685/03 Satinsky Clamps 160mm long 20mm jaw £36.05 014087A Cup Biopsy forceps 2mm dia. shaft 100 x 3.6mm 2685/05 Satinsky Clamps 200mm long 30mm jaw £36.05 014088 121 £87.00 £96.00 Cup Biopsy forceps 3.5 x 8mm shaft 105 x 5.6mm £96.00 CH10_p121-122_Head & Neck 10 13/3/07 10:23 Page 122 HEAD & NECK SURGERY Head & Neck Surgery Ear Surgery BULLA OSTEOTOMY & TOTAL EAR CANAL ABLATION 684375 Langenbeck Retractor 6mm blade £22.37 Canine Ear Loop 684395 Langenbeck long reach 6mm x 35mm blade £22.37 684380 Langenbeck Retractor 13mm blade £23.13 684385 Langenbeck Retractor 25mm blade £25.36 684390 Langenbeck Retractor 20mm blade £25.36 684395 Langenbeck Retractor 6mm blade (extra long) £25.37 001330 Gelpi self retaining retractor. 180mm (120mm spread) £86.41 605355 Olsen Hegars 6 1/2” T.C. Jaws £61.28 342005 De Bakey Atraumatic Forceps 6 1/2” £24.39 142501 Mini Freidman Rongeurs (3mm bite) £48.34 6730/10 Lempert Rongeurs 190mm £55.60 782205 Volkman Single Ended Scoop 3mm £22.66 782200 Volkman Single Ended Scoop 4mm £22.66 782210 Volkman Single Ended Scoop 5mm £22.66 Bulla Osteotomy Rongeurs Removal of hard wax and other debris from the canine horizontal canal without causing trauma is a common problem in veterinary surgery. It is now accepted that the use of ear loops is more effective than cotton tipped products. Most human ear loops are too large and too short for use with the much longer veterinary speculae. Veterinary Instrumentation's Canine Ear Loop is slimmer and longer to facilitate debris removal without obscuring the visual field. The flexible ear loop is very fine and flexible for added safety. It is not cheap but should last a lifetime. Also illustrated is the Canine Ear Model, a valuable aid when explaining aural problems and procedures. NEW CANINE EAR LOOP 012526 VI Canine Ear loop £17.51 012528 Flexible Ear Loop (cat/small dog size) £25.00 012529 Flexible Ear Loop (medium/large dog size) £25.00 AMJ772 Canine Ear Model (x-section) £48.83 The sclerotic bone around the auditory meatus of the diseased ear is some of the hardest found in the body. Total canal ablation (TCA) requires that the rim of the meatus is nibbled away to ensure that all skin is removed. The bulla rongeurs have a small bite (3mm) but are relatively heavy in construction. The compound action allows the appropriate force to be applied without undue effort on the part of the surgeon. Penrose Drains Latex rubber. Use to maintain drainage from infected wounds. Also useful to retract soft tissues such as blood vessels and nerves. BULLA OSTEOTOMY RONGEURS 142280 PENROSE DRAINS 090168 Penrose Drain 1/4” £0.93 090165 Penrose Drain 1/2” £0.93 £123.00 Crocodile Forceps Fine Tip Regular Tip Not Actual Size Examination of the external ear is an essential part of any investigation of otitis. Heine equipment is unrivalled for quality of manufacture and optics. See chapter 20 Diagnostics. Removal of foreign bodies, particularly grass seeds, is achieved using long crocodile forceps. Available in traditional designs or as a fine tubular shaft design. Bulla Osteotomy & Total Ear Canal Ablation Actual Size Lempert Bulla Osteotomy Rongeurs 20cm 8” CROCODILE FORCEPS Bulla osteotomy is greatly facilitated by specialised instruments. A rongeur is more effective than a curette. In addition a Penrose Drain may be neccessary. Consider 3mm Smith Kerrison spine punch forceps. Access the bulla using I/M pin or trephine. 122 014091 Extra Fine Croc ForcepsTubular Shaft 3” £41.20 014092 Extra Fine Croc ForcepsTubular Shaft 5” £43.40 014093 Extra Fine Croc ForcepsTubular Shaft 7” £45.70 014089 Extra Fine Croc ForcepsTubular Shaft 9” £49.50 014094 Aural Crocodile Forceps Standard Jaw (3” shaft) £32.60 014095 Aural Crocodile Forceps Standard Jaw (5” shaft) £32.60 014096 Aural Crocodile Forceps Standard Jaw (7” shaft) £36.40 CH11_p123-134_Opthalmic 13/3/07 16:08 Page 123 11 OPHTHALMIC www.vetinst.com Ophthalmic Kit Beaver Type Handle (Swann Morton ‘fine’ series) - see page 116 for blades. The kit contains 10 instruments. All are contained in a stainless steel case with a protective silicone lining which minimises damage to the delicate instruments. As recommended by David Williams MA VetMB PhD CertVOphthal Castroviejo Needleholders with catch straight Suitable for the following procedures:- Steven’s Tenotomy Scissors • Hotz-Celsus Entropion Surgery • Stades Procedure for Entropion with trichiasis • Lid Wedge Resection • Khunt-Szymanowski Entropion Surgery • Wyman Lateral Canthoplasty for Diamond Eye • Lateral Canthoplasty • Parotid Duct Transposition • Conjunctival Flaps, Pedicle, Fornix Based • Nictitating Membrane Flap • Replacement of Prolapsed Nictitans Gland Colibri Tissue Forceps • Correction of Scrolled Nictitans Cartilage • Superficial Lamellar Keratectomy • Primary Reconstruction of Corneal Penetrating Wound • Corneoscleral Transposition Flap Choosing ophthalmic instruments is very difficult, every surgeon seems to have their own preference. Follow the advice of a surgeon you respect. We will always exchange items if you make the wrong choice. There are hundreds of different styles to choose from. If you do not see what you want we can get it for you. Phone or fax with item name or description. Graefe Fixation Forceps 3.5mm Basic Ophthalmic Surgery Kit incl 10 instruments in case. As recommended by David Williams MA VetMB PhD CertVOphthal with stainless box 200mm x 100mm with integrated bacterial filter, a silicone fingered insert to prevent instrument damage and balloon cloth drape 18" x 18". Roberts Tying Forceps OPHTHALMIC KIT 014130 When purchased separately cost £500 plus £356.00 Halstead Mosquito Forceps x 2 - ( one curved and one straight) Castroviejo Corneal Scissors straight Barraquer Wire Eyelid Speculum 123 CH11_p123-134_Opthalmic 13/3/07 16:08 11 Page 124 OPHTHALMIC Ophthalmic Eyelid - Speculae Corneal Forceps Demarres Eyelid Retractor St. Martin’s Corneal Forceps DESMARRES EYELID RETRACTOR The best value corneal forceps. Also useful as a fine rat tooth in other delicate procedures. 014215-S Small 12mm wide £40.35 014215-M Med 14mm wide £40.35 ST. MARTIN'S CORNEAL FORCEPS 014215-L Large 16mm wide £40.35 014160 St Martins Corneal forceps £36.86 Castroviejos Corneal Forceps Lister Speculum CASTROVIEJOS CORNEAL FORCEPS 014190 Castroviejo’s corneal forceps £70.27 Colibri (Barraquers) Forceps This speculum is adjustable and has a locking facility. The shape is contoured for minimum interference with sutures and instruments. LISTER SPECULUM 014115 Lister Speculum £72.07 This is the most well known of corneal toothed forceps. There are many variations. This is the most typical. Barraquer Speculum COLIBRI (BARRAQUERS) FORCEPS 014191 Colibri (Barraquer) forceps £70.27 Fixation Forceps Barraquers Fixation Forceps This simple spring loaded speculum is ideal for most procedures which do not require a locking speculum. No protuberances to catch sutures. BARRAQUER SPECULUM 014110 Barraquer Speculum large 30mm gape, 10mm 'blade'£13.07 BARRAQUERS FIXATION FORCEPS 014112 Barraquer Speculum small 25mm gape, 5mm 'blade' £13.07 014201 Jaeger Eyelid Speculum Barraquers fixation forceps £70.27 Graefe Fixation Forceps GRAEFE FIXATION FORCEPS 014162 Useful during wedge resections of eyelids Speculum stretches and retains the eyelid prior to cutting The blade cuts down onto the metal of the speculum which protects the eye. JAEGER EYELID SPECULUM 014120 Jaeger Eyelid Speculum (Stainless) £25.00 014121 Jaeger Eyelid Speculum Insulated £45.00 124 Graefe fixation forceps 3.5mm jaws £61.93 CH11_p123-134_Opthalmic 13/3/07 16:08 Page 125 11 OPHTHALMIC www.vetinst.com Foster Gillies & Miniature Foster Gillies Iris Forceps Graefe Iris Forceps GRAEFE IRIS FORCEPS 014195 Graefe iris forceps Serrated £33.00 014196 Graefe iris forceps str. 1/2 teeth £33.00 Capsule Forceps Arruga Capsule Forceps This needleholder is a scaled-down version of Gillies and may, therefore suit those familiar with this commonly used scissors/needleholder. ARRUGA CAPSULE FORCEPS 014150 Arruga capsule forceps. FOSTER GILLIES & MINIATURE FOSTER GILLIES £73.44 602700 Fosters T.C. (mini Gillies) 5.0" 125mm RH £77.48 602705 Fosters T.C. (mini Gillies) 5.0" 125mm LH £84.71 602710 Miniature Fosters T.C. (mini Gillies) 4.0" 100mm £43.10 Castroviejos Cross Action Forceps Ryder (Micro) Needleholder CASTROVIEJOS CROSS ACTION 014155 Castroviejo’s cross action capsule forceps. £113.25 Epilation Forceps A small scale locking needleholder with tungsten carbide inserts. Ryders offer the occasional ophthalmic surgeon an alternative to Castroviejos. EPILATION FORCEPS 342450 Epilation forceps £18.61 RYDER (MICRO) NEEDLEHOLDER 606340 Needleholders Ryder (Micro) 12.5cm 5” T.C. Jaws £57.20 Derf Needle Holder Castroviejo The standard ophthalmic needleholder. The squeeze through action is awkward at first. All our Castroviejos have tungsten carbide jaws. CASTROVIEJO 014175 Castroviejo’s needlehldrs. with catch T.C. £77.50 014177 Castroviejo’s needlehldrs. without catch T.C. £77.50 The Derf needleholder is a small TC needleholder with slightly heavier jaws than the Ryder. More resistant to surgeon abuse! DERF NEEDLE HOLDER 607010 125 Derf Needleholder 12cm TC Jaws £49.00 CH11_p123-134_Opthalmic 13/3/07 16:08 11 Page 126 OPHTHALMIC Ophthalmic Robert’s Tying Forceps Iris Scissors Lightweight, ‘standard’ action scissor for conjunctiva and, less satisfactorily, the cornea. Very rarely used on the iris in veterinary ophthalmology. Used in conjunction with the needleholders to tie knots in fine materials. ROBERTS TYING FORCEPS 014132 Roberts Tying Forceps £30.00 Scissors IRIS SCISSORS Pooley’s Conjunctival Scissors 744100 Iris Scissors 9cm str. £12.03 744120 Iris Scissors 9cm cof £13.61 744110 Iris Scissors 11cm str. £12.03 744130 Iris Scissors 11cm cof £13.61 744131 Iris Scissors Tungsten Carbide Str £21.96 Steven’s Tenotomy Scissors POOLEY'S CONJUNCTIVAL SCISSORS 746350 Pooley’s Conjuctival Scissors £24.53 Castroviejos Corneal Scissors STEVEN’S TENOTOMY SCISSORS Squeeze action, very delicate scissor used to extend the stab corneal incision. Easily damaged. Castroviejo’s Corneal Scissors cof. £77.50 014210S Castroviejo's Corneal Scissors str £73.20 Steven's Tenotomy Scissors Str £15.59 014108CV Steven's Tenotomy Scissors Cof £25.34 Miscellaneous CASTROVIEJO'S CORNEAL SCISSORS 014210 014108 Snellen’s Vectis Strabismus Scissors Use to apply pressure to globe to extrude lens rather than ‘fishing’ for it within the eye. SNELLEN'S VECTIS 014101 Snellens Vectis £31.77 Kimura Spatula Stronger than corneal and conjunctival scissors, strabismus scissors are suitable for cutting muscles and skin. Use to apply pressure to globe to extrude lens rather than ‘fishing’ for it within the eye. KIMURA SPATULA STRABISMUS SCISSORS 746900 Strabismus Scissors 9cm str. £13.50 747010 Strabismus Scissors 9cm cof. £13.50 746910 Strabismus Scissors 11cm str. £13.50 747020 Strabismus Scissors 11cm cof. £13.50 014103 126 Kimura Platinum Spatula £31.77 CH11_p123-134_Opthalmic 13/3/07 16:08 Page 127 OPHTHALMIC www.vetinst.com Swann Morton Fine Surgical Blades 11 Distichiasis Clamp DISTICHIASIS CLAMP 014113 Distichiasis Clamp £89.74 Halstead Mosquito Forceps Actual Size HALSTEAD MOSQUITO FORCEPS 103225 Halstead’s Mosquito Artry. Forceps 5" Cof. £14.73 103175 Halstead’s Mosquito Artry. Forceps 5" Str. £14.08 Punctum Dilator PUNCTUM DILATOR Beaver type blades fit their own fine blade handle. They offer a range of blade sizes appropriate to eye surgery. Blades are shown actual size. SWANN MORTON FINE SURGICAL BLADES 05901 25 blades individually packed SM61 £18.96 05902 25 blades individually packed SM62 £18.96 05903 25 blades individually packed SM63 £31.67 05904 25 blades individually packed SM64 £18.96 05905 25 blades individually packed SM65 £18.96 05906 25 blades individually packed SM65a £18.96 05909 25 blades individually packed SM69 £31.67 06051 Fine Stainless Handle Beaver type 130mm £8.41 06052 Fine Stainless Handle Beaver type 100mm £8.41 06053 Fine Stainless Handle Beaver type 80mm £8.41 06054 VI Beaver blade handle 130mm £7.30 014116 Nettleship Dilator (single ended) £21.04 014117 Castrovijo's Double ended Punctum Dilator £21.04 Harrison Butler Lachrymal Cannula HARRISON BUTLER LACHRYMAL CANNULA 014221 Harrison Butler Lachrymal Cannula (curved) £14.20 Lachrymal Cannula Straight Chalazion Forceps (Desmarres) LACHRYMAL CANNULA STRAIGHT CHALAZION FORCEPS (DESMARRES) 014216 Desmarres Chalazion Forceps 3.5” £40.14 127 014222 Langs Cannula £14.20 014224 Lachrymal Cannula (straight) S/S £14.20 CH11_p123-134_Opthalmic 13/3/07 11 16:08 Page 128 OPHTHALMIC Ophthalmic Rabbit Nasolachrymal Duct Cannulae HEINE 3S LED HEADLIGHT J-08.31.306 With headband Standard L, plug-in transformer and headband-mounted brightnesss control £538.00 J-08.31.311 With headband Professional L, plug-in transformer and headband-mounted brightness control £559.00 X-04.99.647 Accubox 11-L and E10 transformer X-95.16.310 £192.00 HEINE plug-in transformer for 3S LED Headlight £65.00 C-00.32.519 3S LED Adaptor for HR/HRP Binocular Loupe frame £13.95 J-00.31.321 Detachable yellow filter C-79.03.000 Combi-case £42.60 £139.05 Heine LED Loupelight RABBIT NASOLACHRYMAL DUCT CANNULAE 012523 Nasolacrymal Duct 19 gauge 012524 Nasolacrymal Duct 21 gauge £14.05 £14.05 012525 Nasolacrymal Duct both 21 &19G £22.66 Light Sources & Magnification Heine LED Headlight Compact LED Loupelight ideal for surgical and dental applications • White homogeneous light • Coaxial illumination for shadowless view • Lightweight - only 12grams • Longlife, maintenance free, LED technology • Water-resistant • Very adjustable • Powered by all Heine battery and rechargeable handles 3S LED HEADLIGHT With professional headband L LED LOUPELIGHT C-08.32.235 LED Loupelight for Heine C binocular loupes £180.00 C-08.32.541 LED Loupelight for Heine HR and HRP binocular loupes £180.00 N.B. power supply not included see page 199 for power options. 35 LED HEADLIGHT With standard headband L • 20,000 Lux of bright, white light up to twice as bright as other LED headlights •Compact and lightweight. Unobstructed co-axial illumination weighing only 70g • Flexible. Continuously adjustable spot size and brightness control • 20,000 hours operating life of LEDs • 2.5 hours illumination with portable Accubox II-L battery pack or unlimited if Accubox II-L is plugged into mains. 128 CH11_p123-134_Opthalmic 13/3/07 16:08 Page 129 OPHTHALMIC www.vetinst.com 11 Heine UBL 100 Cliplight LED Head Torch Simply clips onto your own spectacle frame or that of binocular loupes. Produces an 80mm spot of white halogen light at 300mm. Supplied as a kit with transformer. Very bright 3 LED light source powered by 3 AAA bateries (supplied) which last up to 80 hours. In the "forehead" position the LED torch is used as the dual zoom. In the "between the eyes" position the LED torch is particularly useful for deep dark recesses e.g. the horse's mouth during dental procedures. In this position there is almost no shadow. LED HEAD TORCH HEINE UBL 100 CLIPLIGHT J-183.40.100 Heine UBL 100 Cliplight 014203 £129.89 Dual Zoom Head Torch LED Head Torch 3 LED for max light £17.50 Pen Torch Sealed disposable torch which lasts for weeks provided you do not leave it switched on! Pocket clip. PEN TORCH 014213 Pen Torch 014214 Pen Torch (Six Pack) £3.17 £12.00 Magnifying Pen Torch (10 x Magnification) The beam is switchable between Halogen - main beam (up to 3.5 hours) or a brighter Krypton (up to 2.5 hours). Focus adjustable. Supplied with AA battery pack (batteries not included). Good for seeing and treating distichiasis and other periorbital lesions. Takes 2 AA batteries which are not included. MAGNIFYING PEN TORCH (10 X MAGNIFICATION) Also available with a rechargeable power pack which lasts for up to 7 hours. 014209 DUAL ZOOM HEAD TORCH 014202 Dual Zoom Head Torch £19.95 014202XD Dual Zoom Head Torch with Rechargeable Battery Pack £61.30 129 Magnifying Pen Torch £29.46 CH11_p123-134_Opthalmic 13/3/07 11 16:08 Page 130 OPHTHALMIC Ophthalmic Magnifying Loupe 2.5X Binocular Loupes VI Binocular Loupes A simple loupe at a reasonable price. The lack of a complex lens system means that as the magnification gets higher, the focal distance becomes shorter. This can take a little adjustment as a surgeon. This 2.5X loupe is as great a magnification as you can get without becoming too close to the patient. MAGNIFYING LOUPE 2.5X 014200 Magnifying loupes 2.5X £44.34 Visor Light Excellent optics plus a reasonable price makes the 2.5X binocular loupe a sensible purchase for any practice. Visor light is a lightweight battery powered light, which illuminates the magnified viewing area. Mounts directly onto the Magnifying Loupe 2.5X • Lenses quickly adjustable for any user • Lenses flip out the visual field when not required VISOR LIGHT 014200L Visor Light (clip on) • Lightweight pure titanium frames £23.00 • Prescription lenses available if required Voroscope MXL • Supplied in quality aluminium case The Voroscope combines a focal rechargeable light source with a range of magnifying lenses which fit to a spectacle frame. If necessary the light and lenses will fit to your own spectacle frame. The battery lasts for 2 hours on a single charge. The light is powerful (12,000 lux) and cool. Lenses and light are adjustable. Includes 1.5, 1.75, 2.25, 2.75 and 3.5 X lenses. As with the simple loupe the focal distance of the higher magnification lens is very short. VI BINOCULAR LOUPES VOROSCOPE MXL 014204 Voroscope MXL Kit £375.00 130 01425380 2.5X Binocular loupe 380mm focal distance £399.00 01425430 2.5X Binocular loupe 430mm focal distance £399.00 CH11_p123-134_Opthalmic 13/3/07 16:08 Page 131 11 OPHTHALMIC www.vetinst.com 2.5 Loupe with LED light option Heine Binocular Loupes German optics are the best. Being able to see exactly what you are doing is half the battle with micro-surgery. Each eyepiece contains a number of lenses which means that a high magnification of the operating field is possible while maintaining normal position of the head relative to the patient, i.e. a focal distance of between 340 to 420mm. There are a number of variables to think about. • Magnification. 4x is as high as one should go. 2.5 is the most common. • Working Distance. Choose between 340mm and 420mm whatever is normal for you. • Spectacle type frame (you can fit your own prescription lenses) or head band. Operating Lenses - Lightweight. Heine C These top quality 2.5X loupes are mounted on a headband with a unique pivot adjustment for ease of use. The loupes flip up out of the way when not in use. Use prescription glasses as usual behind the lenses. Powerful 28,000 lux LED light attaches to the front of the loupe via a clip-on fixture. Rechargable battery pack lasts 2.5hours at full power. Intensity adjustable via battery pack controls. Loupe/LED set available at a discount. Available in a choice of headbands. The soft headband is elasticated, the comfort headband is more rigid giving a more stable platform. 2.5 LOUPE WITH LED LIGHT OPTION 0142538SH 2.5 Loupes on soft headband £479.00 0142538CH 2.5 Loupes on comfort headband £599.00 0142LED LED Loupelight £399.00 0142538SHLED Loupe/Soft headband/LED Kit £875.00 0142538CHLED Loupe/Comfort Headband/LED kit £998.00 LED Headlight, rechargeable Available mounted on a head strap for spectacle wearers or on a lightweight metal frame. The lightweight lenses have superb optics yet a reasonable price. Choose between 340mm (13”) or 450mm(18”) working distance. OPERATING LENSES - LIGHTWEIGHT. HEINE C Powerful 35,000 lux LED light provides light just where you need it. Reghargeable battery lasts 3.5hrs at full power. Beam sits between the eyes rather than on the forehead. Ideal for eqine dentistry. LED HEADLIGHT, RECHARGEABLE 0142LEDHB LED Headtorch on headband £498.00 131 C-00.32.039 2.3X loupe on frame in case working distance 340mm £242.00 C-00.32.202 2.3X loupe on frame in case working distance 450mm £242.00 C-00.32.230 2.3Xloupe on headband in case working distance 340mm £242.00 C-00.32.231 2.3X loupe on headband in case working distance 450mm £242.00 CH11_p123-134_Opthalmic 13/3/07 11 16:08 Page 132 OPHTHALMIC Ophthalmic Binocular Loupe High Resolution 2.5X. Heine HR Ophthalmic Diagnostic Schiotz Tonometer with Weights • Multi coated lenses • Exceptional depth of field • Dust and water resistant (clean under running water) • Optics swivel up and out of line of vision Used to measure intra-occular pressure. Surprisingly well tolerated by patients. Contains full instructions for use. • Lightweight 42g • Adjustable for any user. SCHIOTZ TONOMETER WITH WEIGHTS 581500 BINOCULAR LOUPE HIGH RESOLUTION 2.5X. HEINE HR C-00.32.614 2.5X loupe on frame in case 340mm working distance £644.32 C-00.32.617 2.5X loupe on frame in case 420mm working distance £644.32 C-00.32.504 2.5X lenses 340mm working distance for head band £510.30 C-00.32.507 2.5Xlenses 420mm working distance for head band £314.43 C-0032.516 Lightweight headband Schiotz Tonometer, inclined scale, in case £101.11 TonoVet TonoVet is based on a new ‘induction impact principle’, where an ultra light probe touches the cornea very gently. As such, no topical anaesthetic is required. Usually the animal does not even notice so sedation is seldom needed. The clear benefit compared to the ‘pen’ type tonometer is TonoVet’s low force on the eye. The probe weight is a mere 26.5mg with a contact time of 0.3 millisecs. The ‘pen’ type probe actually bends the cornea. £62.90 Binocular Loupe High Resolution Prismatic 3.5X, 4X. Heine HRP In practical terms this means that intra-occular pressure can be measured by the Tonovet within an hour of surgery. With ‘pen’ types you have to wait 4 to 5 hours. Uses standard AA batteries. c.f. The custom expensive 'pen' type ones. BINOCULAR LOUPE HIGH RESOLUTION PRISMATIC 3.5X, 4X. HEINE HRP C-00.32.813 3.5X loupe on frame in case 420mm working distance £747.42 C-00.32.815 4.0X loupe on frame in case 340mm working distance £747.42 C-0032.703 3.5X lenses 420mm working distance for headband £541.23 TONOVET C-0032.705 4.0X lenses 340mm working length for headband 581600 Tonovet Kit £541.23 581610 Tonovet Probes (100) £62.90 CDT0N0 Free procedure CD rom C-0032.516 Lightweight headband Placing the sterile tip on the cornea generates a digital pressure reading. Supplied in aluminium carrying case together with 100 probes. Further information, including published papers are available on request. 132 £1499.00 £49.00 FOC CH11_p123-134_Opthalmic 13/3/07 16:08 Page 133 OPHTHALMIC www.vetinst.com Beta 200 Ophthalmoscope Heine 11 Indirect Ophthalmoscopes Heine Monocular Hand Held The separation of the illumination and observation beam avoids both corneal and iris reflex. The BETA 200 allows you to view the whole of the illuminated section of the retina even with a small pupil. You will need a handle or other power source (see page 199) • Built in interference free red filter • Durable metal construction BETA 200 OPHTHALMOSCOPE HEINE C0130100 BETA200 head (no handle) 2.5v £156.18 C0230100 BETA 200 head (no handle) 3.5v £156.18 X0188069 Spare 2.5v bulb £18.00 X0288070 Spare 3.5v bulb £19.43 • Adjustable light beam • +3D lens attachment • Can be updated to binocular version (see below) • Requires power source either 3.5v handle or 6v transformer see page 199 MONOCULAR HAND HELD Finhoff Transilluminator Heine For scleral transillumination. C-02.33.001 Monocular hand held indirect ophthalmoscope 3.5v £333.50 C-04.33.001 Monocular hand held indirect ophthalmoscope 6v £342.26 Binocular Hand Held FINHOFF TRANSILLUMINATOR HEINE C0117080 Finhoff Transilluminator 2.5v £57.52 C0217080 Finhoff Transilluminator 3.5v £58.00 X0188077 Spare 2.5v bulb £18.00 X0288078 Spare bulb 3.5v £19.43 Aspheric Lens Heine • PD selection 54 to 74mm • High quality optics for a perfect distortion free image of the retina • Quick and easy to adjust • Multi coated lenses • Requires power source either 3.5v handle or 6v transformer see page 199 • Advanced triple coating • Lens curvature matches that of the retina BINOCULAR HAND HELD ASPHERIC LENS HEINE C0017228 Aspheric lens 20 Dioptre £211.34 133 C-02.33.002 Binocular hand held ophthalmoscope3.5v £677.83 C-04.33.002 Binocular hand held ophthalmoscope 6.0v £706.95 C-00.33.106 £345.36 Binocular convertor for monocular indirect CH11_p123-134_Opthalmic 13/3/07 16:08 11 Page 134 OPHTHALMIC Ophthalmic Sigma Spectacle Type • 6v 5w halogen bulb • 115g comfortable • Integral red-free and cobalt blue filters • 2D and plain lenses supplied • Optics swivel out of line of vision • Requires power source SIGMA 150 SPECTACLE TYPE C-04.33.304 Sigma 100 with1m and 3m connecting leads £428.86 X-95.17.202 EN20 Table Top Transformer 2.5.3.5/6.0v output £237.11 Heine Portable Slit Lamp HSL 150 • At 70 grams the lightest slit lamp of its kind • 6x magnification with 20D loupe • Slit adjustable from 0.2mm x 10mm to 4mm x 14mm • Blue interference filter (FITC) can be combined • Multicoated optics for maximum light transmission • Use any Heine 2.5v or 3.5v source (not included - see page 199) The specialist's instrument of choice. Turns the eye into a work of art. HEINE PORTABLE SLIT LAMP HSL 150 C-01.14.602 2.5v HSL 100 Slit lamp £345.36 C-02.14.602 3.5V HSL 199 Slit lamp £345.36 134 CH12_p135-145_Dental Machines 13/3/07 12:53 Page 135 12 DENTAL MACHINES www.vetinst.com Piezo Scaler with Detachable, Autoclavable Handpiece Introduction It is possible to scale and polish using only hand instruments. It is, however, extremely time consuming. Teeth must be polished after scaling or plaque and tartar will quickly reform. Simple scaling and polishing can be accomplished using electrically driven systems. A wider range of procedures including tooth sectioning will require an air driven unit capable of delivering compressed air and water to the handpieces. Ultrasonic Scalers Ultrasonic scalers work by delivering high frequency vibrations to a metal tip. The vibration may be generated by a variety of mechanisms: • Sonic. The tip is vibrated using air from the compressor. The action is very gentle but very slow with cost and anaesthesia implications. • Magneto restrictive (cavitron type). The tip is vibrated by multiple layered metal strips and a magnetic field. Typically their type generates a lot of heat which requires a lot of cooling water. 35-38000Hz. • Piezo. The movement at the tip is generated by applying a current across a crystal. Typically uses less water. • Ferrite Rod. The tip movement is generated by an electrical field around a ferrite rod. This system is capable of producing higher frequencies up to 42,000Hz. Veterinary Instrumentation stock Piezo and Ferrite Rod types (iM3 42-12). We think these are most appropriate for veterinary use. Please note that all ultrasonic scalers should be used with care as inappropriate use will result in damage to enamel. Piezo Scaler This top of the range piezo unit has a handpiece which is detachable for cleaning and autoclaving . Separate handpieces may be set up with different tips. The controls are simple with an LED power readout. Supplied with 5 different replaceable, scaling tips. This unit is supplied with its own integrated pressurised water supply system. Alternatively the USD-L may be plumbed into your dental unit. Automatic frequency tracking. PIEZO SCALER WITH DETACHABLE, AUTOCLAVABLE HANDPIECE 1020 Supplied with 5 tips this is a reliable unit at a very reasonable price. If you cannot afford the 42-12 this is the best scaler for you. It will require a water source. Either plug straight into your iM3 unit or purchase our pump up water bottle. CE marked. PIEZO SCALER 1008 Piezo Scaler £320.00 1012 Piezo Scaler as above with detachable handpiece £350.00 1010 Pump up Water Bottle (not necessary with VI Air Driven Units) £38.00 135 Piezo Scaler with Autoclavable Handpiece USD-L £395.00 CH12_p135-145_Dental Machines 12 13/3/07 12:53 Page 136 DENTAL MACHINES iM3 Dentistry Dental Machines CLS • • • • iM3 is an exclusively veterinary dental equipment company. iM3 understands the special requirements of veterinary dentists and has produced a range of products to meet these requirements. Reliability and quality of construction are key features. iM3 units are designed to last and last. Older units can be upgraded to current specification. Most specialist teachers recommend iM3. Freshens mouth Disinfects mouth & machine Improves bur cutting Minimises cross contamination with Felv FIX Used in the water system of dental units CLS freshens and sterilises the mouth. When used as coolant for high speed handpieces cutting efficiency is improved . It prevents transfer of FeLV and it can also be flushed through the air turbines to sterilise and lubricate them using the iM3 CLS flushing system. iM3 42-12 Ultrasonic Scaler The unique composition of CLS allows use of chlorhexidine in all dental equipment. Standard chlorhexidine crystallises out from solution and will damage your equipment. Do not use regular chlorhexidine in dental units as it will crystallise out in the handpieces rendering them inoperative. Purchase of the larger pack sizes gives significant savings. CLS CONCENTRATE CLS1 CLS Solution 250ml CLS6 CLS Solution 250ml - 6 Pack £47.41 £8.78 CLS12 CLS Solution 250ml - 12 Pack £92.93 Plaque Disclosing Solution The 42-12 is unlike any other ultrasonic scaler. All other ultrasonic scalers work on the 'jack hammer' or scraping movement of the scaler tip. They need to remain sharp and scrape the tooth through the movement of the tip. They also generate a lot of heat and in many instances are unsuitable for subgingival scaling because of this. The 42-12 works in a similar fashion to a water bath instrument cleaner, where the high frequency ultrasonic sound lifts the plaque and calculus, the circular motion of the tip moves and dislodges loosened debris, which is washed away by the water. The extremely high frequency, 42,000Hz, and the small tip amplitude (0.02mm) all contribute to safer, quicker, less traumatic and more effective scaling. The shaft of the tip is totally round, made from titanium and has no fixed scaling position; it scales anywhere within 360 degrees. The shaft touches the tooth with as much of its length on the tooth as possible and is wiped back and forth without pressure, as though you are painting the tooth with a paint brush. More pressure does not improve the scaling. The 42-12 represents the cutting edge of ultrasonic scaler technology today, giving less enamel damage and scaling taking half the time. The capsule around virus or bacteria will be shattered by the ultrasonic sound within 1-2 mm of the tip in subgingival pockets. There is no foot switch but a sliding on/off switch on the handpiece. The water supply plugs directly into any IM3 dental unit or pump-up water bottle. Many owners are very aware of the need for scaling and polishing on a regular basis. However, should any convincing be necessary the ‘IC Plaque disclosure’ is ideal for the purpose. Simply swab around the mouth with the convenient dispenser and the plaque shows up as a vivid pink. IM3 42-12 ULTRASONIC SCALER PLAQUE DISCLOSING SOLUTION IM34212 IM3 Ultra Sonic Scaler with unique rotational tip £984.00 ICIM3 136 iCplaque (Box 100) £49.50 CH12_p135-145_Dental Machines 13/3/07 12:53 Page 137 12 DENTAL MACHINES www.vetinst.com Air Driven Dental Units All of the Ultra options are available for the GS, apart from suction and automatic handpieces. An air driven unit at an affordable price. If you don't require suction this unit has all you need. Being less demanding in its air requirements the GS can be run from a mid-priced quiet compressor. To obtain the truly high speeds required for drilling and burring an air driven dental unit is necessary. Veterinary Instrumentation can supply three levels of air driven dental machines. The iM3 Ultra is state of the art, the iM3 GS is a midrange unit built to the same standards as the Ultra. The Veterinary Instrumentation Minicart is a straightforward unit containing all the essentials of an air driven dental machine. All are offered as a complete set up for cutting and polishing but all can be modified by the addition of further handpieces and accessories. Listed below is a typical set up but many other options are possible We would be happy to run through the various possibilities. The main choice is between the non- Fibre Optic version and the Fibre Optic version. Details of both are shown below. The GS is supplied with the following handpieces: Push button Highspeed, low speed motor, 4:1 straight nose cone and a starter pack of oscillating prophy cups. Many other handpiece options are available. iM3 GS Consider also the Rabbit option and the Diamond saw option (see page 140). Any scaler will work with the GS without the requirement for a pump up water bottle. We recommend the iM3 42 12 scaler for best results. Dimensions Footprint 550mm wide, 510mm deep Height adjustable from 750mm to 1060mm. iM3 GS DENTAL UNIT FEATURES: Head Unit, Floor Stand and Quiet mid-capacity compressor Handpiece Holders and Air Lines for: High Speed 1 (HS1) with Water Flow Control Low Speed (LS) 3 Way Air/Water Syringe Switched Handpiece Activators Water Supply, Filter, Regulator, On/Off Switch Corian Top Bacterial Filter for Handpiece Exhaust Lines Quick Reference Maintenance Instructions attached to unit Color Coded Delivery System CLS Chlorhex & Flush System with Bacterial Filter Socket Power Board Pressurized Water Outlet for Ultrasonic Tooth Scalers Handpieces High Speed Handpiece Push Button Low Speed 30,000 rpm Motor for Polishing Straight nose cone 4:1 reduction for oscillating prophy 25 Pack of Oscillating Prophy Heads IM3GS iM3 GS Dental Unit Complete £2,498.70 iM3 GS FIBRE OPTIC DENTAL UNIT DETAILS: GS Dental Unit as above (except H/S Hand Piece Push Button) Fibre optic cabling High Speed Handpiece Push Button with Fibre Optics IM3GSFO iM3 GS 137 iM3 GS Fibre Optic Dental Unit £2,992.42 CH12_p135-145_Dental Machines 12 13/3/07 12:53 Page 138 DENTAL MACHINES Dental Machines iM3 Elite The iM3 Elite unit fits into the iM3 range between the GS and the Ultra. The Elite has most of the features of the Ultra but at a significant saving. As standard, the Elite has suction and fibre optics. As with all iM3 units the machine is plumbed for the addition of a scaler but none is included. Both the iM3 42-12 and our piezo scaler plug straight in. Dimensions: Footprint 550mm wide x 510mm deep Height adjustable from 750mm to 1060mm iM3 ELITE DENTAL UNIT STANDARD FEATURES: Head Unit, Floor Stand and Silent Hurricane compressor Handpiece Holders and Air Lines for: High Speed 1 (HS1) with Water Flow Control Low Speed (LS) 3 Way Air/Water Syringe Switched Handpiece Activators Water Supply, Filter, Regulator, On/Off Switch Corian Top with magnetic bur retainer. 315 x 315mm Bacterial Filter for Handpiece Exhaust Lines Quick Reference Maintenance Instructions attached to unit Color Coded Delivery System CLS Chlorhex & Flush System with Bacterial Filter Socket Power Board Pressurized Water Outlet for Ultrasonic Tooth Scalers Suction Unit - Variable Suction & Bacterial Filter Fibre Optic Light System for High Speed Handpiece NEW Handpieces High Speed Handpiece Push Button Low Speed 5 Blade, 30,000 rpm Motor for Polishing Straight nose cone 4:1 reduction for oscillating prophy IM3Elite iM3 Elite Dental Unit Complete £3,995.00 IM3EliteW iM3 Elite Dental Unit On Wall Arm (No compressor) £3,595.00 iM3 ELITE DENTAL UNIT OPTIONAL FEATURES: 001794 See page 140. NEW iM3 Elite on Wall Arm 138 Rabbit Bur Option comprising Bur kit, 6 burs in block 001792 1:1 Straight nose cone L686 Bur soft tissue protector 001793 £157.72 CH12_p135-145_Dental Machines 13/3/07 12:53 Page 139 12 DENTAL MACHINES www.vetinst.com iM3 Ultra Automatic Handpiece Activators As soon as you remove the Handpiece from the holder it becomes active via the foot control. No need to fiddle with switches. Whichever handpiece you have in your hand will work when you press the foot control. Suction Highspeeds and ultrasonics produce a lot of fluid. Removal of fluid especially from the back of the mouth is desirable to minimise inhalation or ingestion. The integral suction of the Ultra is there when you need it. Strips down for easy cleaning and the tips are autoclavable. CLS High Speed Flush The coolant system on the iM3 Ultra can be switched between distilled water and CLS. CLS is used to freshen and disinfect the mouth and as a cutting aid for high speed burs. In addition the CLS system can be used to flush the high speed turbine thereby killing any FELV which may have been sucked in. Flushing is an alternative to handpiece autoclaving which significantly shortens turbine life. Corian Topped Storage The top of iM3 units is made from white Corian which is good to look at and easy to clean. On the Ultra the top lifts up to reveal a large storage area for handpieces burs etc. A magnetic zone at the front ‘captures’ burs and prevents them from falling onto the floor. Handpieces The iM3 Ultra is supplied complete with the following handpieces. MidWest Lever Lock Fibre Optic high speed, low speed motor. 4:1 straight nose cone and a starter pack of oscillating prophy heads. Consider also the Rabbit option and the Diamond saw option (see page 140). Any scaler will work with the Ultra without the requirement for a pump up water bottle. We recommend the iM3 42-12 scaler for best results. Dimensions Footprint 550mm wide, 510mm deep Height adjustable from 750mm to 1060mm. iM3 ULTRA DENTAL UNIT FEATURES: Head Unit, Floor Stand and Silent Hurricane compressor Handpiece Holders and Air Lines for: High Speed 1 (HS1) with Water Flow Control Low Speed (LS) 3 Way Air/Water Syringe Automatic Handpiece Activators Storage Compartment Water Supply, Filter, Regulator, On/Off Switch Corian Top with "built-in" magnetic Bur Holder Bacterial Filter for Handpiece Exhaust Lines Quick Reference Maintenance Instructions printed on the unit. Colour Coded Delivery System CLS Chlorhex & Flush System with Bacterial Filter Suction Unit - Variable Suction & Bacterial Filter 4 Socket Power Board Pressurized Water Outlet for Ultrasonic Tooth Scalers Fibre Optic Light System for High Speed Handpiece Fibre Optic Light with Dog & Cat Intubation Blades The only dental unit you will ever need to buy. The iM3 Ultra is state of the art and designed to be kept that way. The iM3 Ultra is designed and built to last a lifetime. Recognised by leading veterinary dentists as the best unit available it is designed to meet your growing requirements. All the options can be fitted from the outset or can be added as your expertise or experience demands. Attention to detail is everywhere, even the routine maintenance instructions are printed on the unit for easy reference. Consider leasing, this unit will more than pay for itself. Silent Hurricane A busy dental unit needs a lot of air. The Silent Hurricane is designed to deliver what you need without overheating or you having to wait for ‘compressor catch up’. The large 25 litre reserve means that the compressor is not constantly running. CE certified. Handpieces High Speed Handpiece Fibre Optic Midwest Lever Lock Low Speed 30,000 rpm Motor for Polishing Straight nose cone 4:1 reduction for oscillating prophy 25 Pack of Oscillating Prophy Heads Fibre Optics The inside of the dog or cat’s mouth is relatively dark. It is difficult to set up ancillary lighting to get light to where you need it (c.f. human dentistry). Fibre optics deliver brilliant light exactly where you need it. Fibre optics are standard on the Ultra but an option on the GS. IM3ULTRA 139 iM3 Ultra Complete £5,598.60 CH12_p135-145_Dental Machines 12 13/3/07 12:53 Page 140 DENTAL MACHINES Dental Machines VI Mini Cart Options Rabbit Option Rasping is a very inefficient method of levelling rabbit and rodent molars. The best method is the use of side cutting burs. Our rabbit bur kit includes 2 of each of the most useful handpiece burs which fit the 1:1 straight nose cone. They are housed in a custom made stainless block which also has holes for your favourite friction grip burs for the high speed. To minimise damage to the cheek and tongue, a soft tissue protector is highly recommended. The soft tissue protector and burs were developed by David Crossley. See our rodent dentistry section page 153 for further details. Supplied as a complete package the Veterinary Instrumentation Mini Cart includes all the essential elements for a veterinary air unit. Made in the UK to our specification. The Mini Cart is supplied with the following handpieces: Push button highspeed, low speed motor, polishing attachment and pack of prophy cups. Many other handpiece options are available to fit the standard outlets. Consider also the Rabbit option and the Diamond saw option. Any scaler will work with the Mini Cart without the requirement for a pump up water bottle. HANDPIECE OPTIONS - RABBIT Dimensions Footprint 470mm wide, 550mm deep Height adjustable from 630mm to 860mm. VI MINI DENTAL CART FEATURES: Head Unit, Floor Stand and Quiet Bambi Compressor Handpiece Holders and Air Lines for: High Speed 1 (HS1) with Water Flow Control Low Speed (LS) 3 Way Air/Water Syringe Switched Handpiece Activators Water Supply, Filter, Regulator, On/Off Switch Tray style top Socket Power Board Pressurized Water Outlet for Ultrasonic Tooth Scalers VI Mini Dental Cart complete Rabbit bur kit (6 burs in block) L686 1:1 Straight nose cone 001793 Soft tissue protector 001794 Rabbit Bur Option (includes all of above) HL563D Very long side cut diamond bur (smoother cut and less heat than carbide) £31.93 £104.31 £39.00 £157.72 £3.60 Diamond Disc Option Diamond coated discs make short work of sectioning teeth and shortening rodent incisors. To minimise risk to surgeon and patient always use a disc safety shield. Fits onto 1:1 straight nose cone. If you do not have an airdriven high speed unit this may be your only tooth cutting option. Handpieces High Speed Handpiece Push Button Low Speed 30,000 rpm Motor for Polishing Polishing attachment for low speed Pack of screw-on Prophy cups VIMINI 001792 HANDPIECE OPTIONS - DIAMOND DISC £1,950.00 001789 Diamond (double sided ) Disc £23.79 001791 Diamond disc safety shield £43.00 001790 Diamond disc option (includes both of the above) L686 140 1:1 Straight nose cone £60.11 £104.31 CH12_p135-145_Dental Machines 13/3/07 12:53 Page 141 12 DENTAL MACHINES www.vetinst.com 1:1 Attachment and Contra Angle (Latch) Head Handpieces High Speed Handpiece iM3 Pushbutton The 1:1 attachment pushes directly onto the low speed motor and transmits actual motor speed to the head fitting (it has a blue band). The head may be either a prophy head or a contra angle (right angle) head. Midwest Leverlock The contra angle head offers a higher torque than the high speed. The speed is limited to 24,000rpm. A range of contra burs is available as bur kit D752. Running with high speed and low torque this handpiece is designed to remove tooth or bone as part of extraction or repair techniques. Use of Roto Pro burs (see page 142) allows the high speed to be used as an ultrasonic scaler for tartar removal. Only Friction Grip burs fit the high speed. Fine water jets cool the bur. The fibre optic version illuminates the operative area with a brilliant cold light. Available as push button or leverlock. The leverlock action of Midwest is very reliable and makes bur tightening virtually foolproof in that no judgement is required 1:1 ATTACHMENT AND CONTRA ANGLE (LATCH) HEAD High Speed Push Button £187.50 L6831 High Speed Push Button with Fibre Optics £345.00 L5050 High Speed Midwest Leverlock £357.50 L5010 High Speed Midwest Leverlock with fibre optics £530.45 ISO Fitting 1:1 for Contra Attachment for LS HP £97.26 L689 Contra Angle (Latch) Head £42.82 4:1 Reduction Attachment, Rotating Prophy Heads and Cups HIGH SPEED HANDPIECE L6841 L687 Latch Low Speed Motor Screw On Snap On Running with low speed (24.000 rpm) and high torque, this motor is used to drive several dental accessories e.g. straight nose cone, prophy heads and the latch head. The motor has forward and reverse, controlled by a collar near the motor base. The accessories listed will also fit directly onto electric drive micromotors such as the Nouvag NM300 see page 144. The 4:1 attachment gears down the low speed to around 6000rpm with very high torque which is the best speed for polishing teeth. It has a green band and is used to drive prophy heads. We recommend the screw-on type prophy cups. LOW SPEED MOTOR L698 Lynx Low Speed Motor Only Prophy cups are used in conjunction with abrasive prophy paste to polish teeth following scaling. Failure to polish will result in a rapid build up of new plaque. £301.72 Straight Nose Cone Screw On Prophy Head This accessory pushes directly onto the low speed motor and drives a range of handpiece (HP) burs and the diamond disc. This combination is used to cut rabbit teeth and drill holes in bone. In addition HP burs may be used in the straight nose in spinal procedures. 6,000rpm is the recommended maximum speed for prophy cups. If using an air driven unit we advise the 4:1 reduction straight nose cone (green/green band). If using an electric micromotor the 1:1 may be used but turn the maximum speed down to 6000rpm. Far fewer problems with hair and prophy paste. Snap On Prophy Head Widely used but has some problems in veterinary dentistry. Muzzle hair becomes caught behind the ‘button’ and when combined with prophy paste quickly degrades the head. 4:1 REDUCTION ATTACHMENT, ROTATING PROPHY HEADS & CUPS STRAIGHT NOSE CONE L686 Lynx Straight Nose Cone 1:1 £104.31 L686A Lynx Straight Nose Cone 4:1 reduction for oscillating prophy £110.31 141 L688 ISO Fitting 4:1 polishing attach. for LS HP £103.23 L689 Contra Angle (Latch) Head P465 Contra Angle (Latch) Head Prophy Cup x 36 £17.70 L670 Prophy Head Screw On (ISO) £75.30 P262 Prophy Cups Screw On x 144 £46.82 P261 Prophy Head Snap On (ISO) £75.30 P464 Prophy Cups Snap On x 144 £35.92 £42.82 CH12_p135-145_Dental Machines 12 13/3/07 12:53 Page 142 DENTAL MACHINES Oscillating Prophy Head Dental Machines Roto-Pro Burs Developed for human dentistry to combat the risk of HIV the disposable prophy head is surprisingly cheap and minimises the risk of FeLV and FIV transmission. The oscillating action means there is no heat build-up on the tooth surface and ‘snagging’ on muzzle hair is minimal. Available in packs of 25 or 100. The oscillating disposable prophy fits onto the straight nose cone to achieve the correct running speed. Use 4:1 nose cone with air equipment which takes the speed down to a maximum of 6,000rpm. Electrical micromotors can use the 1:1 nose cone provided the maximum speed is adjusted down to 6,000rpm. Use coarse prophy paste for best results. When run in a high speed handpiece roto-pro burs produce vibrations at 20,000 cycles per second. These burs are very effective for removing calculus. The action is quite aggressive so care must be exercised. OSCILLATING PROPHY HEAD SEMI DISPOSABLE IM3L7465S Oscillating Disp Prophy Angle (for 4:1 reduction) x 25 £18.75 IM3L7465L Oscillating Disp Prophy Angle (for 4:1 reduction) x 100 £62.00 ROTO-PRO BURS R350 Flame (pack of 6) £16.47 R351 Perio (pack of 6) £16.47 R352 Round (pack of 6) £16.47 R353 Straight/Regular (pack of 6) £16.47 Prophy Paste Useful Burs Prophy paste is an abrasive polishing compound used in conjunction with prophy cups and brushes to create a highly polished enamel surface which is resistant to tartar build up. Use regular paste for rotating cups and coarse paste for oscillating prophy heads. Each dental bur has its own unique code which is made up of the shaft type followed by the head number followed by the material it is made of, e.g. FG 702 D is a Friction Grip Bur (for the high speed hand piece), the 702 head is a taper fissure cross cut and is made of Diamond. Diamond burs create less heat and last longer. Shaft Types - (actual size) PROPHY PASTE P466 Prophy Paste 300g P466R/200 Prophy Paste Regular. 200 (2g) individual pots £45.00 P4660DP Coarse Prophy Paste. 200 (2g) individual pots Round and Taper fissure burs are the most commonly used in veterinary dentistry. £5.75 £45.00 Burs & Saws Bur Kits Each bur kit contains a range of useful burs for each application. Each comes with a simple to follow guide for bur usage. The table opposite describes the various burs which have been shown to be useful in veterinary dentistry. When ordering please identify the bur you need and use the unique VI code. BUR KITS D751 Dog, High Speed Bur Kit (F/G) £40.50 D752 Contra (Latch) Right Angle Bur Kit (R/A) £40.50 D753 Cat, High Speed Bur Kit (F/G) £40.50 D754 Low Speed (HP) Bur Kit (for SNC) £40.50 142 CH12_p135-145_Dental Machines 13/3/07 12:53 Page 143 ORDER CODES Carbide iM3 Pattern 12 DENTAL MACHINES www.vetinst.com Description Primary Uses Diamond CAT FG BURS (HIGH SPEED) KIT D753 FG1/4 FG1/4D D791 Plain cut round 0.5mm Drill mechanical retention holes before glass ionomer restorations FG4 FG4D D792 Plain cut round 1.4mm Atomisation of tooth/crestal bone in ORL affected teeth D796 Ex fine grit diamond Smoothing shallow cervical line lesion before treatment D793 Plain cut round 2.1mm Atomising maximillary & mandibular bone in stomatitis cats post extraction FG8 FG8D FG702 FG702D D795 Taper fiss. Cross cut 1.6mm For sectioning bone FG331/2 FG331/2D D794 Inverted cone plain cut 0.6mm Undercut access openings after root canal or before restoration DOG FG BURS (HIGH SPEED) KIT D751 FG4 FG4D C911 Plain cut round 1.4mm Create access openings & remove dentine at pulpotomy sites, atomise roots FG6 FG702L FG6D C914 Plain cut round 1.8mm Crown reduction in teeth with neck lesions FG702LD D781 Long cross cut taper fiss. 1.6m Ideal for sectioning large teeth FG35 FG35D C923 Inverted cone plain cut 1.0mm Undercut access openings for root canals or restorations FG1558 FG1558D D780 Domed fiss. Cross cut 1.2mm A ‘finesse’ bur for bone flaps & sectioning small teeth or odontoplasties HAND PIECE BURS (STRAIGHT NOSE CONE) KIT D754 HP332 D786 Round pear plain cut Beginning holes for IM pins, smoothing bone & crown reduction C445 Taper fiss. Cross cut 2.1mm Cortical buccal bone flaps, cutting IM pins or other sterile surgical bone procedures. Correction of beak abnormalities HP39D D787 Inverted cone 1.8mm Acrylic cutting bur – sectioning acrylic splints HP8D C918 Round plain cut Undercut access openings for surgical endontics HP557LD D611 Flat fiss. Cross cut long 1.0mm Largest, longest bur of it’s type – sectioning very large teeth & bony surgical procedures HP703 HP703D HP39 HP8 HP557L CONTRA ANGLE BURS (LATCH HEAD) KIT D752 RA4 RA4D C910 Round plain cut 1.4mm RA37 RA37D D783 Inverted cone 1.4mm Undercutting for restoration/access openings RA557L RA557LD C929 Flat fiss. long head 1.0mm Sectioning teeth RA170L RA170LD D784 Taper fiss. long head 1.0mm Ordotoplasty of crowded teeth RA8 RA8D D562 Round plain cut 2.3mm Gross reduction of tooth structure, smoothing bony tissue. Also can be used to cut IM pins Access openings for root canal/pulpotomies RABBIT CARBIDE BURS (STRAIGHT NOSE CONE) HL563 HL563D N/A Very long flat fiss. cross cut 2.3mm Removing spurs reducing height of dental arcade. HP704 HP704D N/A Taper fiss. cross cut 2.3mm Reducing individual molars, cutting incisors HP8 HP8D N/A Round 2.3mm Trimming individual molars RABBIT CARBIDE BURS - HIGH SPEED FRICTION GRIP FG702L FG702LD D781 Cross cut taper fissure long 1.6mm Cutting incisors Diamonds create less heat and last longer especially with irrigation. OTHER USEFUL BURS FG701 - N/A Cross cut taper fissure Sectioning teeth similar to but smaller than HP703 FG701L - N/A Cross cut taper fissure long Sectioning teeth similar to but smaller than HP703 HP702 - N/A Cross cut taper fissure 1.6mm Sectioning teeth similar to but smaller than HP703 HP702L - N/A Cross cut taper fissure Simular to HP702 but with a longer head HP563 - N/A Flat cross cut 2.3mm Shorter version of the long rabbit bur DENTAL BUR PRICES BUR PREFIX CARBIDE 143 DIAMOND FG £2.44 £2.95 HP £2.44 £2.95 HL £3.60 £4.20 RA £2.44 £2.95 CH12_p135-145_Dental Machines 12 13/3/07 12:53 Page 144 DENTAL MACHINES Dental Machines Micromotor NM300 This powerful, reliable motor performs all the functions of a low speed handpiece without the requirement for compressed air. • Speed variable between 2,000 and 30,000 rpm • Variable footswitch for speed control within preselected range. The micromotor has the same fitting as the low speed motor and can be used to drive a variety of handpiece combinations including; Optional Attachments for Micromotor L687 1:1 attachment with the L670 Prophy head screw fitting + P262 screw-in prophy cups Polishing Kit Including NM300 Micromotor Polishing kit includes; NM300 Micromotor, L686 1:1 Straight nose cone, 25 oscillating disposable prophy heads and prophy paste. This kit will also drive rabbit burs. NM300 MICROMOTOR This combination is used for post-scaling polishing. Use maximum of 6000rpm. L687 1:1 attachment with the L689 Contra Angle (latch) head This combination will drive a range of right angle burs including the taper fissure burs for cutting teeth. L686 1:1 straight nose cone Handpiece burs (HP) fit this attachment. Our bur kit (001792) includes 6 HP burs appropriate for rabbit dental procedures including unique extra long burs. (for this and micro saw and rasp see page 154). Use this nose cone for the oscillating prophy head max 6000rpm. 144 1007 Micromotor NM300 (motor and foot control) £399.00 1007A Micromotor Polishing Kit £482.20 L687 1:1 Attachment £97.26 L670 Prophy Head Screw Kit £75.30 L689 Contra Angle (latch) Head £102.80 L686 1:1 Straight Nose Cone £104.31 CH12_p135-145_Dental Machines 13/3/07 12:53 Page 145 DENTAL MACHINES www.vetinst.com Cochran Bisecting Angle dental Xray Positioner 12 Features and Benefits Suitable for all teeth but especially: Canine teeth Maxillary premolars and molars Incisors, particularly maxillary NEW No more film taped to tongue depressors or forceps which have to be hand held or propped. Once set the operator can leave the radiation zone. Minimises elongation, shortening, overlapping of teeth on the x-ray. May be used with beam limiting devices (cones) or standard collimators. Accomodates standard film, computed (CR) film and digital (DDR) film. Lightweight aluminium construction. Small animal dental radiography is vital to the successful diagnosis and treatment of dental disease. Obtaining accurate intra-operative films can be a challenge without the correct technique. Bisecting Angle Imaging is a well established technique in both human and veterinary dentistry. With this approach even difficult to reach teeth may be correctly radiographed. The patented Cochran Bisecting Angle Positioner ensures correct postioning of the film every time. What is the Bisecting Angle? In any 90 degree arc there is one angle at which the x-ray beam will accurately shadow the tooth on the film (see illustration below). This is the bisecting angle: the bisection of angle between the long axis of the tooth and the film. The X-ray beam is positioned at 90 degrees to the bisecting angle for an undistorted image. BISECTING ANGLE X-RAY POSTIONER 145 CBADXP Cochran Bisecting Angle Positioner DVDBAP Free DVD Illustrating technique £145.00 FREE CH13_p146-152_Dental Hand 13/3/07 16:09 Page 146 13 DENTAL HAND INSTRUMENTS Dental Hand Instruments Explorer / Measuring Probe Jaquette Supragingival Scaler A detailed examination of the patient's mouth is the starting point of any dental care programme. This double-ended instrument is all you need. The shepherd’s crook explorer is used to test tooth stability and the condition of the gum margins. Tartar and gum disease cause detachment of the gingivae exposing the tooth root. This scaler is used to remove tartar from above the gum margin. The tip and back of the instrument is sharp to scrape between teeth. Do not use below the gum margin. Double-ended with a balanced grip handle for ease of use and comfort. The depth of these sulci are measured using the measuring probe. Details are recorded for subsequent treatment and comparisons. JAQUETTE SUPRAGINGIVAL SCALER EXPLORER / MEASURING PROBE 012100 Shepherd’s Crook Explorer/ Measuring Probe 012120 £16.48 Jaquette Supragingival Scaler £16.48 Double-ended Scraper The tips of this instrument are of familiar design mounted in a comfortable handle. One end is a fine hook to remove tartar from between teeth, the other is a shallow scoop to break tartar from flatter surfaces. A simple general purpose instrument for tartar removal. Subgingival Curette DOUBLE-ENDED SCRAPER 012020 Double Ended Scraper £16.48 Hoe Scaler This scaler is used to remove subgingival tartar and to plane tooth roots. Unless the root is clean the gum will not re-attach. The back surface of the scaler is blunt to minimise damage to the sensitive gingivae. The instrument is double-ended and has a balanced grip for extra comfort in use. SUBGINGIVAL CURETTE 012130 Subgingival Curette (double ended) £16.48 Useful for removal of large areas of tartar and plaque from flat tooth surfaces. Double ended scaler. HOE SCALER 012110 146 Hoe Scaler (double ended) 16 £16.48 CH13_p146-152_Dental Hand 13/3/07 16:09 Page 147 DENTAL HAND INSTRUMENTS 13 www.vetinst.com Diamond Card - Fine Tartar Scrapers - Various This credit card sized, diamond covered plate is ideal for sharpening dental elevators and luxators. To work efficiently these instruments must be sharp. The diamond is virtually indestructable. An additional advantage is that the lubricant used is water rather than the oil used with sharpening stones. Traditional scrapers offering tip design as illustrated. TARTAR SCRAPERS 012021 Single Ended Scraper 11 £19.73 012022 Single Ended Scraper 12 £19.73 DIAMOND CARD - FINE 012023 Single Ended Scraper 15 £19.73 012144 012024 Single Ended Scraper 16 £19.73 Flat Diamond Sharpening Card (Fine) £16.30 Diamond Cone Sharpening Accessories Sub gingival curettes must be kept sharp to work efficiently. They should be checked and sharpened at least weekly. The diamond cone is indestructable compared with stones which break very easily and uses water rather than oil as a lubricant. DIAMOND CONE 012147 Diamond Flat £21.00 012148 Diamond Cone £29.04 Wedge Elevator To work effectively both scalers and elevators need to be sharp. Regular sharpening will keep your instruments working correctly. IM3 White Stone Slip Designed to remove the Upper Premolar IV (the carnassial) without the need to split the tooth. The tooth roots are elevated in the usual manner using carnivore elevators or luxators. The tip of the wedge is drilled through between rostral and posterior roots. The blade of the instrument is then worked under the tooth. As the width of the blade increases the tooth is forced from the alveolus. The triangular cross section of the blade supports the structure of the tooth during extraction. This stone has both flat and rounded surfaces to sharpen elevators and curettes. Use baby oil as lubricant. IM3 WHITE SLIP STONE 012150 WEDGE ELEVATOR IM3 White Slip Stone for curettes and elevators 012010 £19.00 Wedge Elevator £21.63 Dental Hand Instruments 147 CH13_p146-152_Dental Hand 13/3/07 16:09 Page 148 13 DENTAL HAND INSTRUMENTS Carnivore Elevator Dental Hand Instruments Double Ended Elevator The curved tips are designed to follow the concave and convex curvatures of the roots, helping to prevent breaking the roots. DOUBLE ENDED ELEVATOR Removal of the teeth of dogs and cats requires rupture of the periodontal ligament. In relatively healthy roots rupture is very difficult, requiring great force. Rupture (and therefore extraction) is best achieved by forcing an elevator or luxator into the periodontal space. In the dog and cat the space is very narrow, quite different to the human situation. Our carnivore elevators are thin and very sharp. 012036 Double Ended Elevator 2mm £19.57 012038 Double Ended Elevator 4mm £19.57 Luxators CARNIVORE ELEVATOR 012001 Carnivore Elevator No. 1 (2.5mm) £21.63 012002 Carnivore Elevator No. 2 (3.5mm) £21.63 012003 Carnivore Elevator No. 3 (4.0mm) £21.63 012001/4S Set of Carnivore Elevators No’s. 1, 2, 3 (2.5, 3.5 and 4.0mm) and the wedge elevator £82.40 Small Feline Elevator Actual size The 2mm angled tip on a fine handle allows access to lingual surfaces. Also useful in the extraction of rabbit incisors. SMALL FELINE ELEVATOR 012018 Small Feline Elevator £21.63 Superfine Elevator Straight Luxators, which are in essence very slim elevators, are favoured by many veterinary dentists for the rupture of the periodontal ligament. They are, in fact, designed for the human tooth but are very good for veterinary use. A veterinary set is now available containing the most useful luxators for feline and canine teeth: 1mm straight, 2mm straight, 3mm curved, 3mm straight, 3mm contra angle plus a sharpening tool. Swedish made, these Luxators are very thin and very sharp. Actual size 2mm with a comfortable handle. LUXATORS SUPERFINE ELEVATOR STRAIGHT 012177 Luxator 1mm straight £31.15 012004 012190 Luxator 2mm straight £31.15 012191 Luxator 3mm straight £31.15 012192 Luxator 3mm curved £31.15 012194 Luxator 5mm straight £31.15 012195 Luxator 5mm curved £31.15 012192/CA Luxator 3mm contra angle £31.15 012196VET Veterinary Luxator set. (Set of five c/w stone) £120.00 012146 Luxator Sharpening Stone Superfine Elevator 2mm straight £21.63 148 £14.94 CH13_p146-152_Dental Hand 13/3/07 16:09 Page 149 DENTAL HAND INSTRUMENTS 13 www.vetinst.com Winged Elevators Couplands Elevators This is the standard human elevator. Generally considered too thick for veterinary use. COUPLANDS ELEVATORS 012015 Couplands Chisel No. 1 (3.0mm) £21.63 012016 Couplands Chisel No. 2 (4.0mm) £21.63 012017 Couplands Chisel No. 3 (5.0mm) £21.63 Periosteal Elevator A. B. C. D. Veterinary elevators designed by Dr Robert Wiggs. They have short winged blades with lateral edges which curve upwards further than traditional elevators, improving conformation to the root structure as well as instrument control. The narrow neck enhances visibility of the root and the shorter shaft improves handling and control, especially if the operators hands are not large. The design incorporates the best parts of an elevator and a luxator. Aluminium knurled handles are very comfortable in use. Flattened surface prevents rolling off the table. Available as a boxed set. Used to raise gingival flaps. The fine instrument is particularly useful in cats. PERIOSTEAL ELEVATOR 001270 WINGED LUXATORS 012389 Winged elevator 1.0mm (purple) £33.83 012390 Winged elevator 2.0mm (gold) £33.83 012391 Winged elevator 3.0mm (blue) £33.83 012392 Winged elevator 4.0mm (black) £33.83 012393 Winged elevators Set of 4 (includes free stainless steel case) £123.00 012395 Autoclavable Stainless Steel Case for Winged Elevators £30.00 Periosteal Elevator. A (195mm - 4mm/7mm end) £27.16 7350/05 Freer Periosteal Elevator 5mm. B (180mm) £24.28 001271 Curved 6mm Fibre Handle AO type. C (180mm) £27.16 001272 Very fine 2mm/3mm Periosteal Elevator. D (180mm) £24.28 Molt Periosteal Elevator 2/4 (4mm/6mm) Apical Elevator Molt is a double ended periosteal elevator often recommended by dental experts. The two tips are round and dished. 4mm and 6mm diameters. Used to remove tooth root fragments. APICAL ELEVATOR 012006 Heidbrink Apical Elevator £21.63 MOLT PERIOSTEAL ELEVATOR 2/4 (4MM/6MM) 001275 149 Molt Periosteal Elevator £27.16 CH13_p146-152_Dental Hand 13/3/07 16:09 Page 150 13 DENTAL HAND INSTRUMENTS Dental Hand Instruments Tartar Forceps Small Incisor Forceps The tips of these forceps are ideal for the removal of single rooted, usually incisor teeth. Cross-hatched thumb area for extra control. Tips meet. SMALL INCISOR FORCEPS Our spring loaded tartar forceps are designed to sit comfortably in the hand to enable the veterinary dentist to remove quickly bulky deposits from teeth. 012070 Small Incisor Forceps £47.85 TARTAR FORCEPS 012050 Tartar Forceps Spring Loaded £47.85 012051 Tartar Forceps Cat Size Extraction Forceps / Small £47.85 Root Fragment Set Tartar Forceps These tartar forceps are designed specifically for the removal of bulky tartar prior to scaling and polishing. One jaw is cup shaped to locate onto the tooth tip and act as a fulcrum for the other jaw. The other jaw is a sharp hook to engage the tartar at the gum margin. The jaws are designed to remove tartar from both flat surfaces and between teeth. Removal of fragmented roots can be a challenge particularly if the roots themselves are healthy. A combination of elevation and forcep work is usually required. The set of three forceps with differing jaw angles covers all situations. The handles are anatomical and ergonomic. ROOT FRAGMENT SET TARTAR FORCEPS 012052 Tartar Forceps Cupix Point Style £47.85 012053 Tartar Forceps Cat Size £35.00 012075 Hawksbill Forceps The multi-rooted teeth of the dog and cat should be loose before extraction by forceps. The loosening may be due to dental disease or careful elevation. As well as firmly gripping the tooth to be extracted appropriate dental forceps should support the tooth structure. None of the several hundred human forceps available suit the teeth of our patients. The Hawksbill forceps are designed specifically for the extraction of multi-rooted teeth in the dog and cat. HAWKSBILL FORCEPS 012030 Large Hawksbill Forceps £47.85 012040 Small Hawksbill Forceps £47.85 150 Root Fragment Set (3 forceps) £63.00 CH13_p146-152_Dental Hand 13/3/07 16:09 Page 151 DENTAL HAND INSTRUMENTS 13 www.vetinst.com Lip Retractor Canine and Feline skulls The lip retractor solves the problem of retracting the lip for clear access to the teeth. It has a new modified shape to prevent pinching the lip and the tips of the instrument are plastic coated to minimise trauma. It can be adjusted by lightly bending. 6.5" long and autoclavable. Lip Retractor Standard Canine Feline Boxer Rabbit There is nothing like a real skull to reveal how everything should be. Extremely useful in dental procedures and the management of fractures around the head and jaws. LIP RETRACTOR 010147 NEW Available in a variety of breeds which will help you demonstrate to clients and breeders the particular difficulties associated with certain breeds. £12.00 These are beautifully prepared skulls ethically sourced. Other breeds and species not listed also available. Please phone for details. Dental Mirror SKULLS DENTAL MIRROR 957900C Dental Mirror £4.94 Dental Models Demonstrates many typical dental problems to clients with greater ease than in an uncooperative patient. Once the client understands the problem they will be much more likely to accept the necessity of any particular procedure. DENTAL MODELS AMJ770 Dental Model Dog £124.58 AMJ770C Dental Model Cat £124.58 AMJ771 Dental Model Dog with pathology £124.58 AMJ771C Dental Model Cat with pathology £124.58 AMJ770S Set of canine & feline model teeth £235.43 AMJ771S Set of canine & feline model teeth with pathology £235.43 151 SM-130 ‘Standard’ Canine skull large (20cm) £59.00 SM-134 ‘Standard’ Canine skull medium (14cm) £49.00 SM-620RTQ English Bulldog Replica SM-646A Boxer Natural Bone SM-646RTQ Boxer Replica SM-090 ‘Standard’ Feline skull £48.00 SM-375 Rabbit £24.00 SM-617 Guinea Pig £24.00 £68.00 £195.00 £68.00 CH13_p146-152_Dental Hand 13/3/07 16:09 Page 152 13 DENTAL HAND INSTRUMENTS Dental Hand Instruments Grays Mouth Gag Simple action allows spring to gently open the jaws but does not allow the patient to close its mouth. GRAY'S MOUTH GAG 012158 Hamilton Kirk Cat Gag £32.24 012160 Grays Mouth Gag Small £28.21 012170 Grays Mouth Gag Medium £34.47 012180 Grays Mouth Gag Large £39.18 012159 Grays Mouth Gag Set (3) £95.00 Smith Baxter Mouth Gag Spring action maximises access but is less likely to overstretch the TMJ. SMITH BAXTER MOUTH GAGS 012795 Smith Baxter Mouth Gags Spring Bar Type (Set) £55.51 012795ES Smith Baxter Mouth Gags extra small max gape 5.5cm £8.80 012795S Smith Baxter Mouth Gags small max gape 6.5cm £9.85 012795M Smith Baxter Mouth Gags medium max gape 10cm £11.30 012795L Smith Baxter Mouth Gags large max gape 14cm £12.85 012795EL Smith Baxter Mouth Gags extra large max gape 15.5cm £14.60 Dental Chart Stick-On Labels An essential part of any dental programme is accurate recording. These stick-on labels make dental recording a simple process. DENTAL CHART STICK-ON LABELS 012200 Dental Chart Labels - Dog (50) £5.81 012201 Dental Chart Labels - Cat (50) £5.81 012203 Dental Chart Labels Starter Set- Dog & Cat £5.81 152 CH14_p153-156_Rodent Dentistry 13/3/07 11:42 Page 153 RODENT DENTISTRY www.vetinst.com Table Top Rodent Gag 14 Cheek Dilators Allows mouth to be held open in an appropriate position without assistance. The platform tilts allowing best positioning for surgeon and available lighting. It works even if incisors have been removed. Use the highest setting for rabbits. The small dilator is also useful as a small gag for guinea pigs and chinchillas. CHEEK DILATORS TABLE TOP RODENT GAG 012204 Table Top Rodent Mouth Gag £196.00 012188 Rodent Cheek Dilator Small £8.24 012189 Rodent Cheek Dilator Large £8.24 012189A Rodent Cheek Dilator Long Reach use with long burs £8.24 Rodent Mouth Gag Rodent Spatula Use to deflect tongue and cheek to examine and treat molars. RODENT SPATULA 012184 Rodent Spatula £12.36 Rodent Molar Cutter Without this gag examination and treatment of rabbit molars is virtually impossible. RODENT MOUTH GAG 012185 Rodent Mouth Gag £39.14 Lightweight Rodent Mouth Gag Less bulky and less powerful than the standard rodent gag. Cheaper too. LIGHTWEIGHT RODENT MOUTH GAG 012185LW Rodent Mouth Gag Lightweight £29.36 Use to debulk or for trimming spurs and hooks. RODENT MOLAR CUTTER 153 012186 Rodent Molar Cutter 180mm £25.75 012186/S Rodent Molar Cutter 140mm £25.75 CH14_p153-156_Rodent Dentistry 14 13/3/07 11:42 Page 154 RODENT DENTISTRY Rodent Dentistry Rodent Molar Rasp Diamond Disc For trimming incisors. Shown with straight nose cone and diamond disc safety shield (not included). Hand piece fitting. DIAMOND DISC 012181 012181A 012187 012182 001789 Diamond Disc (20mm) £23.79 001791 Diamond Disc safety shield £43.00 Rabbit Bur Kit The diamond coated rasps are designed to smooth off sharp edges without disturbing the delicate tooth roots. The small diamond rasp is contoured in two directions to enable it to sit nicely on top of the molars. Unsuitable for debulking but good for tidying. RODENT MOLAR RASP 012187 Rodent Tooth Rasp. Large £18.54 012181 Rodent Tooth Rasp. Small £18.54 012181A Rodent Molar Rasp, Fine - Diamond. Small £27.81 012182 Rodent Molar Rasp, Fine - Diamond. Large £29.81 Motorised Diamond Rasp & Micro Saw Diamond Blade Three burs have been selected by David Crossley as being suitable for the reduction of rabbit and chinchilla molar teeth. Our rabbit bur kit includes two of each bur in a stainless steel autoclavable block. All are HP fitting to fit into the straight nose cone (not included). When using the long bur (HL563) use the soft tissue protector to shield tongue and cheek. The diamond version of the very long cross cut bur cuts with less trauma and less heat than the carbide equivalent. Tungsten Blade This autoclavable motor attachment fits all micromotors (air or electric drive). The reciprocating action makes it ideal as a motor rasp in rabbits using the diamond blade or as a micro-surgical saw using the small blades. RABBIT BUR KIT MOTORISED DIAMOND RASP 001792 Rabbit Bur Kit in Block (six burs) HP8 Round Carbide Bur 2.3mm £31.93 £2.44 1050 Reciprocating Handpiece to fit micromotor elect/air £650.00 HP704 Taper Side Cut Bur 2.3mm £2.44 1052 Diamond Rasp Blade for reciprocating handpiece £80.00 HL563 Extra Long Cross Cut Bur £3.60 1054 Tungsten Carbide Blade for reciprocating handpiece £32.50 HL563D Extra Long Cross Cut Bur. Diamond £4.20 1041 Micro Reciprocating saw blade 10mmx 3mm (6 pack) £26.50 001793 Soft Tissue Protector for above, fits St nose cone £39.00 1044 Micro Reciprocating saw blade 21mmx 4mm(6 pack) L686 Lynx 1:1 Straight Nose Cone £26.50 154 £104.31 CH14_p153-156_Rodent Dentistry 13/3/07 11:42 Page 155 14 RODENT DENTISTRY www.vetinst.com Crossley Incisor Luxator Molar Extraction Forceps There is very little space inside a rabbit mouth. These forceps are very slim and angled to fit in the mouth without totally obscuring the teeth. MOLAR EXTRACTION FORCEPS 012199 Designed by David Crossley to extract the very large rabbit incisors. Removal avoids the requirement for repeated cutting of overgrown maloccluded incisors. Shape of luxator matches tooth shape. A smaller version is available for guinea pigs and rats. Rabbit/Guinea Pig Molar Forceps £25.75 Root Tip Extraction Forceps CROSSLEY INCISOR LUXATOR 012197CR Crossley Incisor Luxator £19.57 012197R Small Crossley for guinea pigs and rats £19.57 Crossley Molar Luxator Actual Size Most chronic abcesses around the head of a rabbit are related to infected tooth roots. Removal of the offending root is a prerequisite for successful treatment. Designed by Frances Harcourt - Brown these modified needleholders are used to locate and lock onto the root tip via the abcess. ROOT TIP EXTRACTION FORCEPS 012206 Root Tip Extraction Forceps £25.75 Designed to facilitate extraction of molars with a minumum of damage to the alveolus and surrounding soft tissue. One cutting blade is for insertion down buccal or lingual surface. The other end of the instrument is set at right angles to penetrate between molars. CROSSLEY MOLAR LUXATOR 012197M Crossley Molar Luxator £19.57 155 Rodent Dentistry CH14_p153-156_Rodent Dentistry 14 13/3/07 11:42 Page 156 RODENT DENTISTRY Rodent Dentistry Antibiotic Impregnated Polymethacrylate Beads (AIPMMA) Rabbit Dental Kits If you are setting up or have no rabbit / rodent equipment you may wish to purchase a set, which offers considerable savings and is supplied in an autoclaveable case. Basic Kit (ROD1) contains: • Rodent gag • Long Reach Cheek Dilator • Incisor Luxator • Molar Cutter Full Hand Kit (ROD2) contains: • Rodent gag • Small Cheek Dilator Management of chronic local infections may benefit from the insertion of antibiotic impregnated polymethacrylate (AIPMMA) beads. The beads are manufactured from sterile bone cement with the addition of appropriate antibiotic. • Large Cheek Dilator • Long Reach Dilator • Incisor Luxator • Molar Luxator • Molar Extraction Forceps • Diamond Rasp Indications include osteomyelitis and abcessation in the rabbit. Hand & Motor Kit (ROD3) contains: • AS Full Hand Kit PLUS: Veterinary Instrumentation offers two kits for the preparation of AIPMMA beads. One kit uses cement with no antibiotic; choice of antibiotic will depend upon bacteriology and sensitivity. The other kit uses cement containing gentamycin which is the preferred choice of antibiotic for many infections but is toxic when administered parenterally. Both kits contain sufficient material for approximately 100 beads. Full instructions are included. • Rabbit Bur Kit • Soft Tissue Protector • Diamond Disc • Diamond Disc Protector This kit also requires a Straight Nose Cone, plus a Micromotor, Air or Electric Drive. RABBIT DENTAL KITS ANTIBIOTIC IMPREGNATED POLYMETHACRYLATE BEADS (AIPMMA) ROD1 Basic Kit Full Hand Kit £160.00 Hand & Motor Kit £280.00 BC1KIT AIPMMA Bead Kit no antibiotic £34.50 ROD2 BC1GKIT AIPMMA Bead Kit with Gentamycin £34.50 ROD3 Rabbit and Guinea Pig Skulls NEW A genuine rabbit skull allows the dental surgeon to demonstrate the type of problems which arise and the difficulties associated with dealing with them. RABBIT AND GUINEA PIG SKULLS SM-375 Rabbit £24.00 SM-617 Guinea Pig £24.00 • Fine Rasp 156 £97.00 CH15_p157-162_Needles 13/3/07 11:45 Page 157 15 NEEDLES www.vetinst.com Veterinary Instrumentation Range Biopsy Needles - Bone Bone Marrow Biopsy - Jamshidi Type VI Type biopsy needle - BMBJV11 BMBJV18A In the Jamshidi type needle the integral stylet locks into the lumen of the needle preventing obstruction by debris. When the needle tip is in the desired location the stylet is removed and the sample aspirated. Designed as a cost effective version of the Baxter needles (below left), takes both marrow and core samples. Drive into a suitable site (wing of ilium, tuber ischium, proximal femur), pull back a little, withdraw stylet and aspirate. If there is no aspirate, replace stylet, push in further and repeat. Manufactured to our specification, these needles represent excellent value. The 11gauge needle with the stylet removed may be used to take a 1.5mm approx. core of bone from tumours for typing. (see also bone trephines). A very good web page on the harvesting of bone marrow can be found at: VETERINARY INSTRUMENTATION RANGE www.vetmed.wsu.edu/courses_samdx/bm.htm BMBJV18A VI, Jamshidi type disposable 18g x 2”(50mm) 8 gauge £15.45 BMBJV16 VI, Jamshidi type disposable. 16g x 2” (50mm) £15.45 BMBJV13 VI, Jamshidi type disposable. 13g x 4” (100mm) £20.60 BMBJV11 VI, Jamshidi type disposable. 11g x 4” (100mm) £25.75 BMBJV8 VI, Jamshidi type disposable. 8g x 4” (100mm) £26.78 012520 15g Jamshidi type (Rocket) £12.30 Re-usable Bone Marrow Biopsy Needles 18 gauge Designed as a throw away item this needle can in fact be used several times provided the autoclave does not excede 124 degrees celcius. Do not use the drying cycle, or use chemical cold sterilants, see page 179. These are the original Baxter Jamshidi needles. Made entirely from stainless steel these needles are fully autoclavable and can be re-sharpened as necessary. BONE MARROW BIOPSY JAMSHIDI (DISP) BAXTER 012504 Bone Marrow Biopsy Jamshidi 18g (Disp) Baxter Illinois RE-USABLE BONE MARROW BIOPSY NEEDLES £37.37 DIN1515X Bone Marrow Biopsy Jamshidi 15g (Disp) Baxter Illinois £37.37 DJ4013 Bone Marrow Biopsy Jamshidi 13g (Disp) Baxter Illinois £37.37 DJ 4011 Bone Marrow Biopsy Jamshidi 11g (Disp) Baxter Illinois £37.37 DJ 4008 Bone Marrow Biopsy Jamshidi 8g (Disp) Baxter Illinois £37.37 012506 Bone Marrow Biopsy Jamshidi 18g (Re-use) £225.00 012505 Bone Marrow Biopsy Jamshidi 13g (Re-use) £225.00 012519 Bone Marrow Biopsy Jamshidi 11g x100mm (Re-use) £225.00 012518 Bone Marrow Biopsy Jamshidi 8g x100mm (Re-use) £270.00 Bone Marrow Biopsy - Klima Type info The Klima is stainless and re-usable representing good value. The stylet is retained in position by hand. Practically, the use of the needle is not as easy as the Jamshidi type. WHICH BIOPSY NEEDLE? BONE MARROW <5kg 18g 5 - 15kg 16g 15 - 30kg 13g 30 - 50kg 11g >50kg 8g CORTICAL BONE <5kg 11g 5 - 15kg 8g >15kg trephine SOFT TISSUE All 14g (TRUCUT) BONE MARROW BIOPSY - KLIMA TYPE 157 012508 Bone Marrow Biopsy Klima 18g x 25mm £30.00 012507 Bone Marrow Biopsy Klima 16g x 25mm £30.00 012503 Bone Marrow Biopsy Klima 16g x 37mm £30.00 012498 Bone Marrow Biopsy Klima 22g x 25mm £30.00 Needles CH15_p157-162_Needles 13/3/07 11:45 Page 158 15 NEEDLES Needles Bone Marrow Biopsy - Rosenthall Flushing Needles Flushing needles have a bead or olive soldered onto the tip to minimse trauma to friable soft tissues. Similar to Klima. Stylet does not lock into position. Ear Flushing Needles BONE MARROW BIOPSY-ROSENTHAL 012509 Bone Marrow Biopsy Rosenthal 16g x 35mm £15.30 Cortical Bone Trephine Often referred to as Spreulls needles these blunt beaded needles are available in 60mm and 100mm lengths with a luer hub. EAR FLUSHING NEEDLES 012510 Spreulls Needle Short 60mm £13.71 012511 Spreulls Needle Long 100mm £13.71 Flushing Needle 21 Gauge Stainless steel and re-usable. Used to take a core of bone for tumour typing. Retractable stylet locates trephine until teeth begin to cut and then is retracted. Stylet is finally used to push out core. Core size 3, 4 and 6mm. Preserve in formol saline for the lab. Take multiple samples if possible. Suitable for tear ducts of large and medium sized dogs. Also suitable for anal gland ducts of small dogs. Ideal for flushing the urethra in the male cat prior to placement of catheter. Start with the 30mm needle and move to the 50mm and 75mm versions as urethra clears. Very difficult to do any other way. CORTICAL BONE TREPHINE 001427 Bone Biopsy Trephine 5mm o/d 3mm core £53.33 001425 Bone Biopsy Trephine 8mm o/d 6mm core £53.33 001426 Bone Biopsy Trephine 6mm o/d 4mm core £53.33 FLUSHING NEEDLE 21 GAUGE 012512 Flushing Needle 21g Bead Tip 30mm £9.01 012512L Flushing Needle 21g Bead Tip 50mm £9.01 012512XL Flushing Needle 21g Bead Tip 75mm £9.01 Rabbit Lachrymal Duct Cannulae Biopsy Needles Soft Tissue Tru-Cut Style Treatment of chronic eye infections in the rabbit can be very unrewarding with topical ophthalmic preparations alone. It is now accepted that flushing the large nasolachrymal duct punctum to remove accumulations of pus is an essential adjunct to the topical therapy. This procedure is usually well tolerated by the rabbit under sedation and local anaesthetic eye drops. The angle and lengths of standard ophthalmic cannula are incorrect for this procedure. Used to sample liver, kidney and other soft tissues with minimal trauma. Takes just a small sliver of tissue. Disposable but will withstand boiling. Needle is”locked” and when released spring loaded cutting needle takes the biopsy. Veterinary Instrumentation’s Rabbit Lachrymal Duct Cannula is designed especially for this procedure and is available in two sizes, 19 gauge and 21 gauge. TRU-CUT STYLE SOFT TISSUE BIOPSY RABBIT LACHRYMAL DUCT CANNULAE STB18 VI, Trucut type, Supercore Biopsy Needle 14g x 150mm £11.50 158 012523 Rabbit Lachrymal Needle 19g 012524 Rabbit Lachrymal Needle 21g £14.05 £14.05 012525 Set Rabbit Lachrymal Needles 19 & 21g £22.66 CH15_p157-162_Needles 13/3/07 11:45 Page 159 15 NEEDLES www.vetinst.com Bladder Catheters Interosseus Infusion Needle 18g Stainless steel bladder catheter for queens and bitches. Blunt tip with two lateral eyes. Luer Lock hubs. BLADDER CATHETERS 307126 Bladder Catheter Straight (queen) 170mm £14.24 307120 Bladder Catheter Curved (bitch) 180mm £14.24 307122 Bladder Catheter Curved (bitch) 250mm £14.24 307124 Bladder Catheter Curved (bitch) 300mm £14.24 Where vascular access is difficult, fluids and most drugs can be administered via this interosseus infusion needle. This process is particularly useful in neonates and birds where blood vessels are very small. The most common site is the proximal femur via the trochanteric fossa. An IV catheter should be placed as soon as practical. Also used as a small bone marrow aspiration needle in the Jamshidi style. Oral Dosing Needles INTEROSSEUS INFUSION NEEDLE BMBJV18 Suitable for oral dosing and feeding of birds and reptiles. Available in a range of gauges from 12 to 23. Care should be taken to ensure the needles cannot be swallowed. Interosseus Infusion Needle 18g £12.30 Needle Boxes (Autoclavable) Available in polypropylene or stainless steel. ORAL DOSING NEEDLES 012513 12g Oral dosing needle 200mm (curved) £18.46 012514 14g Oral dosing needle 125mm (curved) £16.03 012515 16g Oral dosing needle 75mm (straight) £10.69 012515C 16g Oral dosing needle 75mm (curved) £10.69 012515STR 16g Oral dosing needle 100mm (straight) £10.69 012516 18g Oral dosing needle 50mm (straight) £10.69 012516C 18g Oral dosing needle 50mm (curved) £10.69 012517 20g Oral dosing needle 38mm (straight) £10.69 012517C 20g Oral dosing needle 38mm (curved) £10.69 012517CS 20g Oral dosing needle 25mm (curved) £10.69 012517S 20g Oral dosing needle 25mm (straight) £10.69 012527 22g Oral dosing needle 38mm (straight) £10.69 012527C 22g Oral dosing needle 38mm (curved) £10.69 012522 23g Oral dosing needle 25mm (straight) £10.69 1. Polypropylene 2. Stainless Spinal Needles We now strongly recommend the use of disposable needles for spinal procedures. The transluscent hub allows good visualisation of the CSF. SPINAL NEEDLES 405078 25g x 2” Spinal Needles (Disp) (Box 25) £48.94 405171 22g x 3” Spinal Needles (Disp) (Box 25) £48.94 405244 22g x 2.5” Spinal Needles (Disp) (Box 25) £48.94 405172 20g x 3” Spinal Needles (Disp) (Box 25) £48.94 405184 18g x 3.5” Spinal Needles (Disp) (Box 25) £48.94 405252 20g x 3” Spinal Needles (Disp) (Box 25) £48.94 405182 20g x 3.5” Spinal Needles (Disp) (Box 25) £48.94 405162 20g x 1.5” Spinal Needles (Disp) (Box 25) £48.94 405161 22g x 1.5” Spinal Needles (Disp) (Box 25) £48.94 012501 Spinal Needle 21g Short Bevel 40mm (reusable) £6.71 091149 Needle Box- polypropylene 012502 Spinal Needle 21g Short Bevel 25mm (reusable) £6.71 NDLBOX Needle Box- Stainless 012500 Spinal Needle 19g Short Bevel 38mm (reusable) £6.71 NDLBOXL Large Needle Box/Small 3. Needle Box Large NEEDLE BOXES (AUTOCLAVABLE) Parts Container 150x90x12mm 159 £1.75 £12.66 £18.66 CH15_p157-162_Needles 13/3/07 11:45 15 Page 160 NEEDLES Needles Suture Needles The needles are manufactured from high grade stainless steel and undergo a rigorous quality control procedure to ensure a high standard of sharpness, ridgity, durability and presentation. The needles are hand honed for added sharpness to ensure a smooth, less traumatic passage through the tissue. All needles supplied non-sterile in packs of 12. Regular Curved Order code NRC followed by needle size e.g NRC1 is regular curved needle 80mm. Please also specify round or triangular. REGULAR CURVED NRC*** Regular Curved Suture Needle(12) £2.95 Regular Half-Curved Order code is NRHC followed by needle size. Please also specify round or triangular. REGULAR HALF-CURVED NRHC*** 160 Regular Half-Curved Suture Needle(12) £2.95 CH15_p157-162_Needles 13/3/07 11:45 Page 161 15 NEEDLES www.vetinst.com Regular Straight Order code NRS followed by needle size. Please also specify round or triangular. REGULAR STRAIGHT NRS*** Regular Straight Suture Needle(12) £2.95 Regular Half-Circle Order code NRHCi followed by needle size. Please also specify round or triangular. REGULAR HALF-CIRCLE NRHCi*** 161 Regular Half-Circle Suture Needle(12) £2.95 CH15_p157-162_Needles 13/3/07 11:45 Page 162 15 NEEDLES Needles Surgi-Close Skin Staplers Skin Staplers - Autoclavable Surgi-Close Skin Staplers Over 80% of human surgical wounds involve the use of skin staplers. In veterinary surgery less than 10% of surgeries utilise skin staples. The use of skin staplers has been limited in veterinary surgery due to the high cost of disposable human skin staplers. The use of sutures with needle packs has been less expensive to close the skin. The introduction of Surgi-Close stapling system addresses the specific needs of the veterinary surgeon. Features: • Autoclavable stapler-handle that can be re-used • Staple cartridges (20/pack) cost less than a pack of needle sutures • A huge saving over conventional throw away skin staples • Both handle and staples are provided sterile. The benefits of using any skin stapler are widely known and accepted in human surgery: • Better apposition of skin edges with better cosmetic result • Less reactivity of stainless steel staples • Significantly faster wound closure with staples • Ease of learning proper technique The Surgi-Close Stapler in Use: • Staple cartridges are inserted into the handle • After use the handle can be autoclaved for repeated use • Staple cartridges are especially designed to reduce jamming • Staple length is 5.75mm, a better length for the thickness of animal skin versus very thin human skin • The 20 staples provided per cartridge are sufficient for a 10cm to 13cm incision • A closed staple has a square shape that restricts the movement or rolling of a staple. SURGI-CLOSE SKIN STAPLERS 012540 Autoclavable Stapler (Handle Only 6 pack) Sterile 012542 Staple Cartridge with 20 sterile staples (36 pack) £94.55 £35.93 012544 Staple Remover £3.50 Surgi-Close Starter Kit A special introductory starter pack allows you to try the system at minimal cost. Includes: • 6 cartridges of staples • 1 Stapler handle • 1 Staple remover SURGI-CLOSE STARTER KIT 012546 Surgi-Close Starter Kit £34.00 162 CH16_p163-177_General Surgery 13/3/07 16:10 Page 163 GENERAL SURGERY www.vetinst.com 16 Rochester Pean Introduction Veterinary Instrumentation's no quibble lifetime guarantee means that you can purchase instruments in the full confidence that they will not let you down. The instruments will be replaced free of charge in the event of breaking due to faulty workmanship. Wear, e.g. in needleholders, is not covered. Veterinary Instrumentation’s range of general surgical instruments is selected as being the most appropriate for routine surgical procedures. If you do not see what you want we can source it for you. Please phone, fax or email the usual contacts. Terminology Str = Straight Cof = Curved Aof = Angled The long jaw of this forcep makes it useful as a hysterectomy clamp in small and medium breeds. Artery Forceps ROCHESTER PEAN Crile 106225 Rochester Pean 14cm 5.5” Str Art. Forceps £17.59 106230 Rochester Pean 16cm 6.5” Str Art. Forceps £18.68 106235 Rochester Pean 18cm 7” Str Art. Forceps £22.56 106236 Rochester Pean 22cm 8.5” Str Art. Forceps £24.10 106270 Rochester Pean 14cm 5.5” Cof Art. Forceps £18.77 106275 Rochester Pean 16cm 6.5” Cof Art. Forceps £19.71 106280 Rochester Pean18cm 7” Cof Art. Forceps £23.23 106285 Rochester Pean 20cm 8” Cof Art. Forceps £24.54 106290 Rochester Pean 22.5cm 9” Cof Art. Forceps £21.09 Spencer Wells Jaw is somewhat lighter than the more popular Spencer Wells artery forceps. CRILE 101750 Crile 14cm 5.5” Str Artery Forceps £17.63 101755 Crile Atraumatic Jaws 5.5” Str £24.15 101765 Crile 16cm 6.5” Str Artery Forceps £19.33 101770 Crile 1/2th 16cm 6.5” Str. Forceps £19.33 101775 Crile 18cm 7” Str Artery Forceps £25.91 101780 Crile 14cm 5.5” Cof Artery Forceps £18.52 101785 Crile Atraumatic Jaws 5.5” Cof £24.15 101795 Crile 16cm 6.5” Cof Artery Forceps £21.14 101800 Crile 18cm 7” Cof Artery Forceps £27.13 The standard veterinary artery forceps. If the text states “artery forceps or haemostat” this is probably the one. Halstead Mosquito SPENCER WELLS close-up details Very light but adequate for routine haemostasis in all but the largest blood vessels. HALSTEAD MOSQUITO 103175 Halstead Mosquito 12.5cm 5” Str Art. Forceps £14.08 103225 Halstead Mosquito 12.5cm 5” Cof Art. Forceps £14.73 103180 Halstead Mosquito 12.5cm Str 1/2 Teeth £15.00 103185 Halstead Mosquito 12.5cm Cof 1/2 Teeth £15.00 106600 Spencer Wells 12.5cm 5” Str Art. Forceps £13.73 106605 Spencer Wells 15cm 6” Str Art. Forceps £16.36 106610 Spencer Wells 18cm 7” Str Art. Forceps £19.01 106615 Spencer Wells 20cm 8” Str Art. Forceps £21.14 106620 Spencer Wells 23cm 9” Str Art. Forceps £33.36 106621 Spencer Wells 30cm 12” Str Art. Forceps £41.70 106625 Spencer Wells 12.5cm 5” Cof Art. Forceps £13.75 106630 Spencer Wells 15cm 6” Cof Art. Forceps £16.83 106635 Spencer Wells 18cm 7” Cof Art. Forceps £20.07 106640 Spencer Wells 20cm 8” Cof Art. Forceps £22.21 106645 Spencer Wells 23cm 9” Cof Art. Forceps £33.46 Negus Forceps NEGUS 7018/05 163 Negus 18cm 7” Cof Art. Forceps Small £28.79 CH16_p163-177_General Surgery 16 13/3/07 16:10 Page 164 GENERAL SURGERY Mayo Safety Pin General Surgery Bone Holding Forceps See General Orthopaedics, page 33 Use to organise artery forceps and other similar instruments. MAYO SAFETY PIN 106699 Mayo Safety Pin £10.56 Bone Cutting Forceps See GENERAL ORTHOPAEDICS - page 42 Chisels See General Orthopaedics, page 45 Bowel Clamps Bone Gouge Forceps (Rongeurs) Doyen See GENERAL ORTHOPAEDICS - Page 41 and SPINAL – Page 79 Rather large for small animal surgery but cheaper than the small atraumatic bowel clamp (see next page). DOYEN 164 201950 Bowel Clamps Doyen 24cm 9.5” Str £48.44 201955 Bowel Clamps Doyen 24cm 9.5” Cof £51.31 CH16_p163-177_General Surgery 13/3/07 16:10 Page 165 16 GENERAL SURGERY www.vetinst.com Atraumatic Small Bowel Clamp Adson Str Adson Brown Cof Ideal for fine surgical procedures. Available in a range of jaw designs. Jaw design gently holds and seals the bowel with a minimum of pressure and trauma. The fine ratchet facilitates gentle yet secure application. ADSON ATRAUMATIC SMALL BOWEL CLAMP 222165 Bowel Clamps Small Animal Atraumatic 17cm Str £59.04 222170 Bowel Clamps Small Animal Atraumatic Cof 17cm £59.04 341200 Adson, Serr. Diss. Forceps 12.5cm 5” £16.53 341201 Adson, Serr. Extra Fine 12.5cm 5” £21.79 341210 Adson, 1/2 teeth 12.5cm 5” Diss. Forceps £18.00 341212 Adson Brown Dissecting Forceps 5” £23.31 Debakey - Atraumatic Dissecting Forceps Serrated-Block End teeth profile (end view) The forceps in this range grip as firmly as rat tooths but cause minimal damage to delicate tissues. Particularly useful in surgery of the ear, bowel or urogenital system. DEBAKEY - ATRAUMATIC A cheap, general purpose dressing forcep. SERRATED-BLOCK END 341070 Block End Serr. Dissecting Forceps 5” 12.5cm £7.06 341075 Block End Serr. Dissecting Forceps 6” 15cm 341080 Block End Serr. Dissecting Forceps 7” 18cm £11.95 347655 Dressing Forceps 205mm £9.51 £16.16 342005 De Bakey 15cm 6” Diss. Forceps £24.39 342010 De Bakey 18cm 7” Diss. Forceps £26.30 342015 De Bakey 19.5cm 8” Diss. Forceps £29.79 Epilation Dissecting Forceps 1/2 Teeth Actual size EPILATION 342450 DISSECTING FORCEPS 1/2 TEETH 341145 Dissecting Forceps 1/2 teeth 15cm 6” £13.40 341160 Dissecting Forceps 1/2 teeth 18cm 7” £15.84 Epilation Sq. Jaws Plain. 9cm 3.5” Diss. Forceps £18.61 St. Martin Dissecting Forceps A very fine rat tooth for delicate procedures including corneal surgery. ST. MARTIN DISSECTING FORCEPS 014160 165 St. Martin 1/2th 8cm 3.25” Diss. Forceps £36.86 CH16_p163-177_General Surgery 16 13/3/07 16:10 Page 166 GENERAL SURGERY Treves, Rat Tooth Forceps General Surgery Miniature Foster Gillies A cheap general purpose rat tooth dissecting forceps. TREVES, RAT TOOTH FORCEPS 346850 Treves 1/2th 12.5cm 5” Diss. Forceps £11.95 346855 Treves 1/2th 15cm 6” Diss. Forceps £14.08 346860 Treves 1/2th 18cm 7” Diss. Forceps £16.16 347665 Fine Rat Tooth Thumb Forceps 205mm £16.16 349520 Lanes Diss Forceps 2/3 teeth 7” 18cm £16.16 Actual size MINIATURE FOSTER GILLIES 602710 Miniature Foster Gillies T.C. 4.0" 100mm £43.10 Foster Gillies Bitch Speculum Killian Actual size Smaller than the standard Gillies this instrument is ideal for finer surgery or smaller hands. FOSTER GILLIES Essentially a human nasal speculum this 6.5cm bladed instrument is the standard bitch speculum. Adding a focal light source improves visualisation enormously. KILLIAN 546455 Bitch Speculum (Killian). Blade length 6.5cm (2.5") 582650 Foster Gillies RH 12.5cm 5” N/Holders £53.03 582660 Foster Gillies LH 12.5cm 5” N/Holders £53.03 602700 Foster Gillies RH 12.5cm 5” T.C. Jaws £77.48 602705 Foster Gillies LH 12.5cm 5” T.C. Jaws £84.71 £38.53 Gillies Needleholders Tungsten Carbide Most Veterinary Instrumentation needleholders are available with tungsten carbide inserts (T.C. jaws). They grip better and wear better. They are especially useful for holding smaller needles. Combined scissor/needleholder. Their handles are gold plated to make it easier to spot them on a tray of artery forceps. Actual size GILLIES Castroviejo The classic ophthalmic needleholders with a catch. Occasional ophthalmic surgeons should consider Miniature Fosters or Ryders. The squeeze action of the Castroviejos can be awkward at first. CASTROVIEJO 014175 Castroviejo’s needlehldrs. with catch T.C. £77.50 014177 Castroviejo’s needlehldrs. without catch T.C. £77.50 166 582950 Gillies RH 16cm 6.25” N/Holders £35.36 582951 Gillies LH 16cm 6.25” N/Holders £41.62 602950 Gillies RH 16cm 6.25” T.C. Jaws £71.15 602951 Gillies LH 16cm 6.25” T.C. Jaws £79.81 CH16_p163-177_General Surgery 13/3/07 16:10 Page 167 16 GENERAL SURGERY www.vetinst.com McPhails Olsen Hegar Scissor / Needleholder The McPhails needleholder has soft copper jaws for extra needle grip. The catch engages with a moderate squeeze on the handles. Further pressure releases the catch and the needle. McPHAILS 584650 McPhails 15cm 6” N/Holders £47.26 584660 McPhails 18cm 7” N/Holders £47.26 584670 McPhails 20cm 8” N/Holders £47.26 Olsen Hegar's combine the best features of Gillies and needleholders. They cut stitches but also lock. Highly recommended. Combined scissor/needleholder. Looser ‘feel’ will feel more like a scissor than a needleholder in use. Mayo and Mayo Hegar (T.C.) OLSEN HEGAR SCISSOR/NEEDLEHOLDER 585400 Olsen Hegar 14cm 5.5” N/Holders £40.25 585410 Olsen Hegar 16.5cm 6.5” N/Holders £43.84 585420 Olsen Hegar 19cm 7.5” N/Holders £48.55 605340 Olsen Hegar 11.5cm 4.5” T.C. Jaws £53.60 605350 Olsen Hegar 14cm 5.5” T.C. Jaws £57.55 605350S Olsen Hegar 14.5cm 5.5” Super Cut T.C. Jaws £57.55 605355 £61.28 Olsen Hegar 16.5cm 6.5” T.C. Jaws 605355L Olsen Hegar 16.5cm 6.5” T.C. Jaws - Left Handed The veterinary general purpose needleholder, available in a large range of sizes with or without tungsten jaws. Mayo 12.5cm 5” N/Holders 584760 Mayo 14cm 5.5” N/Holders £22.93 584780 Mayo 16.5cm 6.5” N/Holders £24.03 584765 Mayo 18cm 7.0” N/Holders £24.81 584810 Mayo 19cm 7.5” N/Holders £25.42 604700 Mayo Hegar 12.5cm 5” T.C. Jaws £41.80 604705 Mayo Hegar 14cm 5.5” T.C. Jaws £44.56 604712 Mayo Hegar 15cm 6” T.C. Jaws £49.50 604715 Mayo Hegar 16.5cm 6.5” T.C. Jaws £49.50 604715L Mayo Hegar 16.5cm 6.5” T.C. Jaws - Left Handed £49.50 604720 Mayo Hegar 18.5cm 7” T.C. Jaws £52.44 604730 Mayo Hegar 19cm 7.5” T.C. Jaws £52.44 604735 Mayo Hegar 20cm 8” T.C. Jaws £55.08 604740 Mayo Hegar 23cm 9” T.C. Jaws £61.74 Kilner Needleholders Olsen Hegar Razor Cut 14.5cm 5.5 ” £57.55 605362 Olsen Hegar Razor Cut 17cm 6.5” £61.28 Much lighter in construction than the Mayo Hegar. These needleholders are very useful for deep surgical procedures where there is limited space e.g. chest surgery. DEBAKEY NEW KILNER NEEDLEHOLDERS Kilner Needleholders 14cm 5.5” £65.18 605361 £24.09 Kilner needleholders are similar to 14cm Mayos but the arms are cranked, offsetting the jaws from the handles by around 10mm. 60800 Olsen Hegar 19cm 7.5” T.C. Jaws Debakey MAYO AND MAYO HEGAR (T.C.) 584750 £61.28 605360 £49.00 167 602005 De Bakey 18cm 7” T.C. Jaws £61.74 602010 De Bakey 20cm 8” T.C. Jaws £65.09 602015 De Bakey 23cm 9” T.C. Jaws £74.50 602020 De Bakey 25cm 10” T.C. Jaws £85.60 602025 De Bakey 30.5cm 12” T.C. Jaws £92.20 CH16_p163-177_General Surgery 16 13/3/07 16:11 Page 168 GENERAL SURGERY General Surgery Ryder Osteotomes Ideal for small needles. The smaller sizes are an alternative for ophthalmic needleholders. See General Orthopaedics, page 45 Actual Size Retractors Langenbeck 606340 RYDER 606340 Ryder (Micro) 12.5cm 5” T.C. Jaws £57.20 606305 Ryder (Micro) 15cm 6” £55.56 606345 Ryder (Micro) 15cm 6” T.C. Jaws £59.00 606350 Ryder (Micro) 18cm 7” T.C. Jaws £61.00 Good retraction is the key to success in many procedures, especially surgery on deep structures e.g. the pelvis or the larynx. LANGENBECK Derf Needle Holder 684375 Langenbeck Retractor 6mm blade £22.37 684395 Langenbeck long reach 6mm x 35mm blade £22.37 684380 Langenbeck Retractor 13mm blade £23.13 684390 Langenbeck Retractor 20mm blade £25.36 684385 Langenbeck Retractor 25mm blade £25.36 Morris Much wider than the above, good for fat abdomens. MORRIS The Derf needleholder is a small TC needleholder with slightly heavier jaws than the Ryder. More resistant to surgeon abuse! DERF NEEDLE HOLDER 607010 Derf Needleholder 12cm TC Jaws £49.00 684750 Morris Retractor 38mm, 1.5" £33.00 684755 Morris Retractor 50mm, 2" £33.00 684760 Morris Retractor 65mm, 2.5" £33.00 Senn (Cats Paw) Galibans Suture Forceps SENN (CATS PAW) 833305 NEW Visualisation of the medial meniscus is maximised by retraction of the fat pad. Previously this has been acheived by use of a Senn ("cats paw") retractor. The fat pad retractor has the same clawed foot but has a much more practical means of holding the instrument. FAT PAD RETRACTOR GALIBANS SUTURE HOLDING FORCEPS Galibans Suture Holding Forceps £17.02 Fat Pad Retractor Use when placing sutures under tension. A good example is the placement of a lateral stabilising suture in the management of anterior cruciate ligament failure or abdominal sutures in an overweight dog. Galibans used by an assistant are used to atraumatically secure the first throw. The Galibans are removed as the second throw is tightened. 58900 Senn Retractor (cats paw) 001114 £23.00 168 Fat Pad Retractor £17.50 CH16_p163-177_General Surgery 13/3/07 16:11 Page 169 GENERAL SURGERY www.vetinst.com 16 Travers Retractors - Self Retaining Gelpi - Modified Blunt Tips Expensive but very useful for retraction of skin and superficial soft tissue. TRAVERS 703051 Travers Retractor 16.5cm 6.5" (70mm spread) £123.20 703050 Travers Retractor 20cm 8” (90mm spread) £146.25 Weislander This self retaining retractor is extremely versatile as well as being the cheapest of the range. Manufactured to an extremely high standard to perform in a range of procedures. See also Veterinary Instrumentation's range on page 39. Excision arthroplasty Hip toggle O.C.D. of shoulder, elbow and hock Examination of stifle meniscae Arms are flat compared with the Wests. Disc fenestration Thoracotomy WEISLANDER GELPI - MODIFIED BLUNT TIPS 001330 702150 Weislander S/R Retractor 14cm 5.5” Sharp 60mm gape £104.91 Gelpi 180mm 6.5” S/R Retractor (120mm spread) £86.41 001330SL Gelpi 180mm 6.5” Spin Lock version for extra strength NEW 702152 Weislander S/R Retractor 14cm 5.5” Blunt 60mm gape £104.91 £86.41 001331 Gelpi Long Reach. 200mm £86.41 001332 Gelpi Small (50mm spread). 135mm £86.41 001333 Odd leg Gelpi (pair). 205mm £183.69 001334 Odd leg Gelpi Short (pair). 130mm £183.69 West Gosset Widely used but sharp points tend to snag tissues. Curved arms sit quite nicely on small veterinary patients. WEST 703250 West Retractor 14cm 5.5” (50mm spread) £83.46 Aln Skin Retractor ALN SKIN RETRACTOR 252370 Good as a rib retractor, laparotomy retractor and for retraction of ventral cervical structures during cervical fenestration. GOSSET 701550 Gosset Retractor Large (130mm spread) £135.39 710600 Gosset Retractor Small (100mm spread) £135.39 169 Aln Skin Retractor 7.5cm 3” £21.53 CH16_p163-177_General Surgery 16 13/3/07 16:11 Page 170 GENERAL SURGERY General Surgery Balfour Collins The two blades swivel as retraction takes place. They self-centre in the incision. COLLINS 703260 Collins retractor (110mm spread) £90.64 Abdominal retractor. This is a human retractor and the central blade is of limited value in the dog but is detachable . BALFOUR 25-2375 Balfour Retractor (180mm spread) £100.83 25-2376 Balfour Retractor Baby (90mm spread) £100.83 Mini Self Retaining Retractors Mini Multipronged Retractors Mini Gelpis Travers Flat West Curved Ideal for retraction in and around small joints or in very small patients. The curved version allows slightly deeper retraction. These retractors facilitate retraction in and around small joints or in very small patients. MINI GELPIS MINI MULTIPRONGED RETRACTORS 0013301 Gelpi Mini Flat (45mm spread) 90mm £37.80 703253 Mini West Retractor 95mm (40mm spread) £37.80 0013302 Gelpi Mini Curved (45mm spread) 90mm £37.80 703053 Mini Travers Retractor 95mm (43mm spread) £37.80 170 CH16_p163-177_General Surgery 13/3/07 16:11 Page 171 GENERAL SURGERY www.vetinst.com Rib Retractor 16 Dressing - Blunt/Blunt DRESSING - Blunt/Blunt Finnochetto is the standard rib retractor available in large and small. RIB RETRACTOR 704000 Rib Retractor Finnochetto - Small (95mm spread) £83.43 704005 Rib Retractor Finnochetto - Large (130mm spread) £90.64 742610 Dressing Scissors Blunt Str. 5” 12.5cm £10.88 742620 Dressing Scissors Blunt Str. 5.5” 14cm £14.65 742630 Dressing Scissors Blunt Str. 6” 15cm £16.16 742640 Dressing Scissors Blunt Str. 7” 18cm £20.40 742650 Dressing Scissors Blunt Str. 8” 20cm £28.89 742900 Dressing Scissors Blunt Cof. 5” 12.5cm £14.73 742622 Dressing Scissors Serr. B/B Cof. 5” 14cm £13.53 742910 Dressing Scissors Blunt Cof 5.5” 14cm £17.59 742910L Dressing Scissors Blunt Cof 5.5” 14cm Left Handed £17.59 742920 Dressing Scissors Blunt Cof. 6” 15cm £18.68 742930 Dressing Scissors Blunt Cof. 7” 18cm £22.54 742940 Dressing Scissors Blunt Cof. 8” 20cm £31.67 Malleable (Walton) Retractors Dressing - Sharp/Sharp DRESSING - Sharp/Sharp These flat plates of soft stainless steel are bent intra-operatively to retain abdominal structures. MALLEABLE (WALTON) RETRACTORS 742600 Dressing Scissors Sharp Str. 4” 10cm £11.26 742710 Dressing Scissors Sharp Str. 5” 12.5cm £13.03 £14.81 742720 Dressing Scissors Sharp Str. 5.5” 14cm 687613 Malleable Retractor 13mm £10.78 742730 Dressing Scissors Sharp Str. 6” 15cm £16.16 687825 Malleable Retractor 25mm £13.27 742740 Dressing Scissors Sharp Str. 7” 18cm £20.40 687651 Malleable Retractor 50mm £20.94 742750 Dressing Scissors Sharp Str. 8” 20cm £28.89 743010 Dressing Scissors Sharp Cof. 5” 12.5cm £12.37 Dressing - Blunt/Sharp Scissors Heath Stitch DRESSING - Blunt/Sharp General purpose stitch cutter. HEATH STITCH 743800 Heath Stitch Scissors 15cm 6” £31.67 171 742810 Dressing ScissorsBlunt/Sharp 5” Str £14.65 742820 Dressing ScissorsBlunt/Sharp 6” Str £14.65 743100 Dressing ScissorsBlunt/Sharp 5” Cof £14.65 743120 Dressing ScissorsBlunt/Sharp 6” Cof £16.16 CH16_p163-177_General Surgery 16 13/3/07 16:11 Page 172 GENERAL SURGERY General Surgery Iris Lister Bandage A useful general purpose ophthalmic scissor. Lightweight, ‘standard’ action scissor for conjunctiva and, less satisfactorily, the cornea. Very rarely used on the iris in veterinary ophthalmology. LISTER BANDAGE IRIS 744100 Iris Scissors 9cm str. £12.02 744120 Iris Scissors 9cm cof £13.61 744110 Iris Scissors 11cm str. £12.02 744130 Iris Scissors 11cm cof £13.61 744131 Iris Scissors Tungsten Carbide Str. £21.96 744800 Bandage Scissor 5.5’ 14cm £14.46 744810 Bandage Scissor 7” 18cm £17.13 Littauer Stitch Veterinary Bandage Scissors NEW Very nice for removal of small awkward sutures. LITTAUER STITCH The limbs of small animal veterinary patients are typically much smaller than their human counterparts. Most bandage scissors are designed for the human limb. Veterinary bandage scissors should be lower in profile to get between bandage and skin and, for ease of use, need to be slightly straighter than standard human bandage scissors. Veterinary Bandage Scissors 14cmm, 5.5” £15.52 Veterinary Bandage Scissors 19cm, 7.5” £18.30 £18.00 745100 Littauer Stitch Scissors 11cm 4.5” £18.00 745110 Littauer Stitch Scissors 12.5cm 5” Str. £18.00 General purpose surgical scissor. Veterinary Instrumentation's Mayo scissors have finer tips than standard. More appropriate for veterinary surgery. VETERINARY BANDAGE SCISSORS 744830 Littauer Stitch Scissors 8cm 3.5” Mayo Our Veterinary Bandage Scissors meet these requirements and make dressing removal much easier. 744820 745095 General Purpose Dressing Scissors NEW MAYO The comfortable handles and serrated blades make these a useful all round dressing scissor cheap enough for each consulting room. GENERAL PURPOSE DRESSING SCISSORS 744840 General Purpose Dressing Scissors £4.99 172 745300 Mayo Chamf. Blades 14cm 5.5” Str. 745300L Mayo Chamf. Blades 14cm 5.5” Str. - Left Handed £16.17 £16.17 745310 Mayo Chamf. Blades 16.5cm 6.5” Str. £19.33 745320 Mayo Chamf. Blades 19cm 7.5” Str. £23.62 745330 Mayo Chamf. Blades 21.5cm 8.5” Str. £30.98 745400 Mayo Chamf. Blades 14cm 5.5” Cof. £19.71 745410 Mayo Chamf. Blades 16.5cm 6.5” Cof. £22.21 745420 Mayo Chamf. Blades 19cm 7.5” Cof £28.00 745430 Mayo Chamf. Blades 21.5cm 8.5” Cof. £35.22 CH16_p163-177_General Surgery 13/3/07 16:11 Page 173 16 GENERAL SURGERY www.vetinst.com Metzenbaum Hard Edge Scissors More elegant and lighter than Mayos, these scissors are preferred by many surgeons. Veterinary Instrumentation's Metzenbaums have finer tips than standard. Stay sharper, longer. Gold handles to distinguish from general surgical items. The cutting edge is made from 'stellite' a very hard metal. METZENBAUM 746100 Metzenbaum ‘Lahey’ Sciss. 14.5m 5.75” Str. £20.98 746101 Metzenbaum Sciss. 15cm 6” Str. £20.98 HARD EDGE SCISSORS 746110 Metzenbaum Sciss. 18cm 7” Str. £24.65 752250 Mayo Clinical 6” 15cm Str. Hard Edge £50.34 746110L Metzenbaum Sciss. 18cm 7” Str. - Left Handed £24.65 752260 Mayo Clinical 7” 18cm Str. Hard Edge £50.34 746115 Metzenbaum Sciss. 20cm 8” Str £29.48 752280 Mayo Clinical 6” 15cm Cof. Hard Edge £50.34 746120 Metzenbaum Sciss. 21.5cm 8.5” Str £31.67 752290 Mayo Clinical 7” 18cm Cof. Hard Edge £50.34 746130 Metzenbaum Sciss. 24cm 9.5” Str. £35.78 754020 Metzenbaum 14.5cm 5.75” Str. Hard Edge £55.35 746200 Metzenbaum ‘Lahey’ 14.5cm 5.75” Cof. £25.50 754030 Metzenbaum 18cm 7” Str. Hard Edge £55.35 746210 Metzenbaum ‘McIndoe’ 18cm 7” Cof. £28.21 754060 Metzenbaum 23cm 9.5” Str Hard Edge" £55.35 £33.02 754080 Metzenbaum 14.5cm 5.75” Cof. Hard Edge £55.35 £36.26 754090 Metzenbaum 18cm 7” Cof. Hard Edge £55.35 £39.62 754120 Metzenbaum 23cm 9.5” Cof. Hard Edge £55.35 754095 Metzenbaum 35cm 14” Cof. Hard Edge £55.35 746215 746220 746230 Metzenbaum 19.5cm 8” Cof. Metzenbaum 21.5cm 8.5” Cof. Metzenbaum 24cm 9.5” Cof. Strabismus Cosmetic Surgeon Scissors Blunt tips, rather like a miniature Mayo. See page 172. Supercut Scissors close-up detail Favoured by human cosmetic surgeons, these scissors have very fine razor sharp blade with hard inserts for long life. They have a beautiful action and have a place in veterinary surgery where precise cutting is required. Greatly improved cutting characteristics made by blade modifications. COSMETIC SURGEON SCISSORS WITH 'OPEN' SHANKS SUPERCUT SCISSORS 760000 Mayo Str.14cm, 5.5”. Supercut £24.21 760002 Mayo Cof.14cm,5.5”. Supercut £26.90 760008 Metzenbaum 14.5cm, 5.75” Str. Supercut £24.30 760009 Metzenbaum 14.5cm, 5.75” Cof. Supercut" £24.80 760010 Metzenbaum Str.18cm,7”. Supercut £32.28 760012 Metzenbaum Cof.18cm,7”. Supercut £34.31 173 755100 Cosmetic Surgeon Scissors Str. 15cm, 6" £32.00 755110 Cosmetic Surgeon Scissors Cof. 15cm, 6" £32.00 CH16_p163-177_General Surgery 16 13/3/07 16:11 Page 174 GENERAL SURGERY General Surgery Scoops Tissue Forceps Volkman Allis General purpose tissue forceps. Useful for heavy curettage and collection of cancellous bone grafts. VOLKMAN 782205 Volkman Single Ended Scoop 3mm x 170mm £22.66 782200 Volkman Single Ended Scoop 4mm x 170mm £22.66 782210 Volkman Single Ended Scoop 5mm x 170mm £22.66 782220 Volkman Single Ended Scoop 6mm x 170mm £22.66 782600 Volkman Scoop Double Ended Small 4mm/6mm x 205mm £29.60 782610 Volkman Scoop Double Ended Medium 5mm/6mm x 200mm 782620 Volkman Scoop Double Ended Large 6mm/8mm x 200mm ALLIS £29.60 £29.60 Sponge Forceps 801150 Allis 2/3 teeth 15cm 6” £22.21 801155 Allis 3/4 teeth 15cm 6” £22.21 801156 Allis 3/4 teeth 18cm 7” £22.21 801160 Allis 4/5 teeth 15cm 6” £22.21 801165 Allis 4/5 teeth 15cm 6” £22.21 801170 Allis 6/7 teeth 15cm 6” £22.21 801175 Baby Allis 13cm 5” 4/5 teeth £18.00 Babcock Rampleys An alternative to Allis's. Less traumatic but less grip. RAMPLEYS 786505 Rampleys Sponge Forceps 250mm £23.40 Steriliser Forceps Cheatle For manipulation of instruments during setting up. BABCOCK CHEATLE 787655 Cheatle 26.5cm 10.5” Ster. Forceps B/J 801350 Babcock 16.5cm 6.5” £23.76 801354 Babcock 18cm 7” £26.91 801355 Babcock 20cm 8” £31.71 801360 Babcock 23cm 9” £38.51 Youngs Tongue Forceps £29.87 YOUNGS TONGUE FORCEPS 7853/05 174 Youngs tongue forceps 170mm £30.52 CH16_p163-177_General Surgery 13/3/07 16:11 Page 175 GENERAL SURGERY www.vetinst.com Towel Clips Miscellaneous Backhaus Probes and Cutting Guides 16 Use the blunt probe to track fistulae.The butterfly cutting guide has a groove along its length to allows a scalpel to be run down without fear of damaging deeper tissues, the vunerable tisues being protected by the guide. General purpose towel clip. Available in a range of sizes. BACKHAUS 841350 Backhaus 9cm 3.5” £14.29 841355 Backhaus 10cm 4” £17.31 841360 Backhaus 12.5cm 5” £18.96 PROBES Shardel Cross Action CROSS ACTION 846550 Shardel Cross Action 9cm 3.5” £8.11 171566 Jones Cross Action 9cm 3.5” £5.91 841352 Atraumatic Towel Clamp 4.5” £15.29 175 901010 Blunt Dissection probe £7.03 901015 Winged Director £7.03 CH16_p163-177_General Surgery 16 13/3/07 16:11 Page 176 GENERAL SURGERY General Surgery Swann Morton Blades & Handles Swann Morton Scalpel Blades Handles Sterile Swann Morton blades are made in Sheffield from the finest steel. These blades are the result of experience plus modern production methods. Veterinary Instrumentation's No.3 scalpel handle is a standard handle but has a centimetre/millimetre scale along its length. In addition the back and edge are sharp enough to act as a periosteal elevator for stripping periosteum and muscle from bone. PM40 No. 3 No. 4 Actual size SWANN MORTON BLADES - Carbon Steel No. 4L 0201 100 blades individually packed size 10 £9.13 0203 100 blades individually packed size 11 £9.13 0204 100 blades individually packed size 12 £9.13 0205 100 blades individually packed size 15 £9.13 0207 100 blades individually packed size 21 £9.13 0208 100 blades individually packed size 22 £9.13 0210 100 blades individually packed size 23 £9.13 No. 7 No. 9 No. B3 SWANN MORTON SCALPEL BLADE REMOVER 240109 £12.67 Scalpel blade remover SWANN MORTON HANDLES Swann Morton Fine Blades (Beaver Type) Fine blades are designed for fine work, eg. ophthalmic surgery, meniscus surgery. SWANN MORTON FINE BLADES - Beaver type 05901 25 blades individually packed SM61 £18.96 05902 25 blades individually packed SM62 £18.96 05903 25 blades individually packed SM63 £43.00 05904 25 blades individually packed SM64 £18.96 05905 25 blades individually packed SM65 £18.96 05906 25 blades individually packed SM65a £18.96 05907 25 blades individually packed SM67 £18.96 05908 25 blades individually packed SM68 £18.96 05909 25 blades individually packed SM69 £43.00 02551 PM40 standard blade (box 10) 61 62 0803VI No 3 handle with scale and periost elevator back £1.60 0803 No 3 handle £2.50 0923 No B3 handle 0804 No 4 handle £2.50 0814 No 4 Long handle £3.60 0807 No 7 handle £2.50 0909 No 9 handle £2.50 02652 PM40 standard handle £2.50 0805 No 5(b) scalpel handle £7.54 £10.50 SWANN MORTON FINE STAINLESS HANDLE - Beaver type 06051 Fine Stainless Handle Beaver type 130mm £10.50 06052 Fine Stainless Handle Beaver type 100mm £10.50 06053 Fine Stainless Handle Beaver type 80mm £10.50 06054 VI Beaver blade handle 130mm £4.76 63 64 65 65A Swann Morton Fine Blades shown actual size 176 67 68 69 £7.30 CH16_p163-177_General Surgery 13/3/07 16:11 Page 177 GENERAL SURGERY www.vetinst.com Instrument Boxes 16 Fingered Silicone Insert Insert shown in use with castroviejo scissors (not included) Autoclavable silicone insert to protect delicate instruments. FINGERED SILICONE INSERT Stainless steel in construction with a bacterial filter in the base. The filter allows steam to enter and water vapour to leave but excludes bacteria. Available in a range of sizes to suit most instrument sets and autoclaves. Some sizes are available without filter. Replace filters annually. BXSIL100 Silicone Fingered Insert (for instrument protection) fits BX201040 £20.00 BXSIL2540 Silicone Fingered Insert (for instrument protection) fits BOX 250x150mm £25.00 Sterile Surgical Skin Marker INSTRUMENT BOXES BX201040 Box 200mm x 100mm x 40mm £26.99 BX201040NF Box 200mm x 100mm x 40mm No Filter £26.99 BX221250 Box 220mm x 120mm x 50mm £35.33 BX221250NF Box 220mm x 120mm x 50mm No Filter £35.33 BX221550 Box 220mm x 150mm x 50mm £36.53 BX281450 Box 280mm x 140mm x 50mm £46.66 BX281410NF Box 280mm x 140mm x 100mm No Filter £56.65 BX341650 Box 340mm x 165mm x 50mm £56.65 BX341670 Box 340mm x 165mm x 70mm £61.00 BX402070 Box 400mm x 200mm x 70mm £63.86 FILTER Filter (State Size Of Box) Supplied in a sterile peel pouch the surgical marker allows the surgeon to demarcate selected sites prior to or during surgery. The marker is scrub resistant, non toxic and highly visible. Especially useful around the eyes and ears where accurate reconstruction is vital. Also useful for large skin reconstruction procedures. Includes sterile flexible rule £2.00 STERILE SURGICAL SKIN MARKER Holloware HOLLOWARE KID6 6” Kidney Dish KID8 8” Kidney Dish £8.23 £8.38 KID10 10” Kidney Dish £10.94 KID12 12” Kidney Dish £11.90 LOTBWL4 4” Lotion Bowl £8.56 LOTBWL6 6” Lotion Bowl £10.04 LOTBWL8 8” Lotion Bowl £16.20 LOTBWL10 10” Lotion Bowl £19.38 177 001487 Surgical Skin Marker Single £1.70 001488 Surgical Skin Marker Single (6 pack) £8.50 CH17_p178-183_Instrument Care 17 13/3/07 13:25 Page 178 INSTRUMENT CARE Introduction Instrument Care Automatic Instrument Washer NEW Stainless steel instruments are not made from the same material as bone plates and pins. In order to take an edge and be hardened stainless type 420 has a high carbon content. Instruments will rust and stain under adverse conditions. With appropriate care your surgical instruments will last a lifetime. The key elements are cleaning, lubrication and dry storage. Baked on biological residues will cause rusting , breakage and invalidation of warranties. Our recommended programme of surgical instrument care is available at the following website address: www.vetinst.com/instrumentcare.htm Veterinary Instrumentation has a network of specialists who can repair any surgical instrument. Send the damaged item to us and we will advise if it is worth repairing. Routine sharpening and setting of scissors is performed quickly and professionally in our own workshop by Len Richardson, instrument maker with over 55 years of experience. ‘No more manual cleaning.’ Simply load your surgical instruments and press start. • Validated ‘Table Top’ decontamination to HTM2030 and EN ISO 15883. • 6 washing programmes • Biodegradeable detergent • Total cycle 35 mins. 99% decontamination after 15minutes • Integrated water softening allows the use of all types of water • 9 litre water cycle • Dimensions: H(440mm)W(570mm)D(490mm) Instrument Cleaning • One touch start • Dual Temperature Monitoring Ultrasonic Cleaners • Installation requirements require that hot and cold water, a drain and a 240v suppy are nearby. • A separate fully illustrated brochure available UC375 AUTOMATIC INSTRUMENT WASHER DISINFECTOR Used regularly, ultrasonic cleaning will keep your instruments looking good, and more importantly, working well. Ultrasonic action can clean out those nooks and crannies, including wide box joints, which normal cleaning cannot penetrate. Accumulations of blood in instrument joints cause corrosion and stiffening. Available in a range of sizes to suit your circumstances. ULTRASONIC CLEANERS Ultrasonic cleaning machine- 240x135x100 £450.63 UC475 Ultrasonic cleaning machine - 240x135x150 £589.00 UC575 Ultrasonic cleaning machine - 300x150x150 £703.00 UC1000 Ultrasonic cleaning machine - 300x240x150 £967.00 Automatic Instrument Washer Disinfector £2,001.25 MED1000.10 Auto ‘Deconozyme’ Gel Pack (100) MED1162 Stainless instrument basket MED8106 Burr, small component basket Installation All units include timer and heater, both of which are essential. We recommend the use of Rapidex and Rapizyme as ultrasonic cleaning agents. UC375 MED1159 178 £95.75 £302.00 £16.75 £380.00 CH17_p178-183_Instrument Care 13/3/07 13:25 Page 179 17 INSTRUMENT CARE www.vetinst.com Micro 90 Concentrate Instrument Cleaning Agents Liquid general purpose instrument cleaner (dilute 1:100) for ultrasonics. Rapidex Cleaner - (Now supplied in bulk or water soluble sachets) MICRO 90 CONCENTRATE 100300 Micro 90 1Litre dilute 1:100 £10.45 Perasafe Perasafe is a rapid, instrument compatible, user and environmentally friendly chemical sterilant. Supplied as a safe, space-saving powder Perasafe is activated by simply dissolving in luke-warm tap water. Providing rapid sterilisation and re-use of endoscopy instruments, Perasafe gives confidence to users and patients alike. A unique aldehyde-free formulation gives efficacy without harm to instruments, health risks to nursing staff and avoids the need for special fume extraction or waste disposal systems. An effective degreaser and general instrument cleaner. Some users dislike the loose powder format. The new soluble sachets are simply dropped into the ultrasonic bath. No dry powder is released. • Ideal for Ultrasonic cleaners. • Also effective as a pre-soak for long standing or difficult residues • Tested by the Royal Institute of Public Health RAPIDEX CLEANER RAPIDEXSOL Box of 50 soluble sachets £27.99 RAPIDEXBULK 2.25kg bulk powder £43.12 Perasafe is a pale blue/white powder which, when in solution, sterilises within 10 minutes. Suitable for all surgical instruments and fibrescopes. Formulated not to damage surgical instruments. Prepared solution lasts 24 hours. 81g pack makes 5 litres. May be subdivided to make less. Rapizyme PERASAFE 100100 Perasafe Cold Sterilant 24 x 81g (5 litre size) £132.00 100101 Perasafe Cold Sterilant 6 x 81g (5 litre size) £36.00 Instrument Lubrication Instrument Oil - (autoclavable) Regular lubrication will keep your instruments working longer. Failure to lubricate will result in stiff joints and ultimately breakages. Low boiling point oils are quickly lost during the autoclaving process. • Three new enzymes • Easy to use measured bottle • 2ml per litre dilution • Removes all organic material • Ideal for endoscopes Oils containing teflon offer significant extra lubrication. Can be autoclaved. • Low foam for ultrasonics • Completely rinsable • Biodegradeable • Tested by The Royal Institute of Public Health RAPIZYME RAPIZYME Bottle 0.5 litre £15.62 INSTRUMENT OIL – AUTOCLAVABLE 179 100003 Instrument Lubricating Oil 100006 Teflon Drops £8.50 £10.43 CH17_p178-183_Instrument Care 17 13/3/07 13:25 Page 180 INSTRUMENT CARE Instrument Care Surgical Instrument Lubricant Instrument Marking Tape After washing and drying, a regular spray of instrument lubricant will prolong working life and improve the function of your jointed instruments. Allows rogue instruments to be returned to their kits. Also useful when going on practical courses. Available as a kit or in indivdual rolls. Also available in high heat version which can tolerate dry heat sterilisers. INSTRUMENT MARKING TAPE SURGICAL INSTRUMENT LUBRICANT 100009 Instrument Lubricating Spray £8.20 Instrument Lube Diluted with water instrument lube becomes an oil emulsion. Instruments are allowed to soak to allow penetration of lube to all working parts. The excess is drained off prior to autoclaving. The water evaporates during autoclaving, leaving a film of oil in the joints 100001 Instrument marking tape (box 8 colours) 100001Y Instrument marking tape single yellow £5.69 100001R Instrument marking tape single red £5.69 100001BR Instrument marking tape single brown £5.69 100001OR Instrument marking tape single orange £5.69 100001BLU Instrument marking tape single blue £5.69 100001G Instrument marking tape single green £5.69 100001W Instrument marking tape single white £5.69 100001BLK Instrument marking tape single black £5.69 100001DHY Dry heat Instrument marking tape single yellow £6.59 100001DHW Dry heat Instrument marking tape single white £14.28 £6.59 Protective Autoclavable Tips INSTRUMENT LUBE 100008 EZE Lube Instrument Lube 4 Litre £39.09 Instrument Marking For Steinman, ESF pins and delicate or sharp instruments. Protect both tips and staff. Colour Coded Identity Rings PROTECTIVE AUTOCLAVABLE TIPS Strong tear-resistant silicone instrument coding rings. Coloured Silicone Instrument I.D. Rings x 120 Protective Tip White up to 1.6 - 2.0mm dia Pack 20 £6.80 100011-BL Protective Tip Blue 2.5 - 3mm dia Pack 20 £6.80 100011-G Protective Tip Green up to 3.2 - 4.0mm dia Pack 20 £6.80 100011-R Protective Tip Red up to 4.8mm dia Pack 20 £6.80 100011-Y Protective Tip Yellow up to 6.0 - 6.5mm dia Pack 20 £6.80 100011-O Protective Tip Flat Orange up to 10mm wide Pack 20 £6.80 100011-BR Protective Tip Flat Brown up to 16mm dia Pack 20 £6.80 100011-BLK Protective Tip Flat Black up to 25mm dia Pack 20 COLOUR CODED IDENTITY RINGS 100012 100011-W 100011 £12.05 180 Protective Tips Silicone Mixed Pack 80 £6.80 £22.50 CH17_p178-183_Instrument Care 13/3/07 13:25 Page 181 17 INSTRUMENT CARE www.vetinst.com MELAG Class B Autoclaves. Vakuklav 23-B Melag Autoclaves After a lot of research and discussions with users we have selected the MELAG Vakuklav 23-B as representing the best combination of specification, ease of use and value. MELAG is a family run concern with decades of experience in designing and producing autoclaves. Melag autoclaves are backed up by a UK wide network of engineers. For extra rapid cycle times consider the Melag Cheeta class autoclave. Little Sister type autoclaves are designed to sterilise non wrapped solid items on open trays. This type of autoclave is classified as type N and in human practice it is not permitted for sterilisation of wrapped instruments (even in autoclave bags) or hollow instruments for fear that the steam will not fully penetrate. To ensure full penetration of steam a vacuum cycle must first remove the air from the chamber. Type B autoclaves are the highest specification machines and are suitable for the sterilisation of all wrapped or non wrapped, solid, hollow and porous products. In addition the Type B autoclaves produce dry packs and instruments, which minimises staining and corrosion of instruments. melag type23 B In human hospitals it is a requirement that printed records are created and kept of each cycle. Now that MRSA infections are also appearing in veterinary practice it would seem reasonable that we should do the same. Highest specification Class B Bench top vacuum autoclave conforming to prEN13060/1-4 Fractionated Pre-Vacuum, with sub atmospheric pulsing. Why MELAG? Simple Choice of Programs Conformation - International regulation prEN13060/1-4 categorises autoclaves as types N, S and B according to their operational parameters and intended applications. All Melag autoclaves conform. Independent Validation - Melag Type B autoclaves have been independently validated by a leading German University and have exceeded the requirements of prEN13060/1-4 for Class B Autoclaves. Water Purity - Only the best quality demineralised or sterile water should be used to avoid autoclave malfunction and possible long term damage. Melag type B machines automatically check water quality before each cycle. If the sterilising water contains impurities the autoclave will inform the operator and prevent use of the contaminated water. This feature is unique to Melag and significantly contributes to Melag’s enviable reputation for long term reliability and longevity. melag prog 1 Universal Cycle, 134c 2.1 bar, suitable for wrapped and unwrapped instruments and certain hollow items. Water Cycle - Melag type B autoclaves allow the user a choice of either one-way or water recirculation. With either system the autoclave will inform the user when refilling or draining is required Simplicity - Simple push button operation. With its large back lit alphanumeric display Melag informs the user of the cycle chosen and stages reached within the cycle. melag prog 2 Comprehensive cycles - The user has a wide choice of cycles for different load types. Quick Cycle, 134c 2.1 bar, suitable for unwrapped instruments only which are required for rapid re-use. Rapid sterilization in approx. 15 minutes. Documentation - For security every Melag Type B machine includes a printer which comprehensively documents every cycle and sterilizing event. Alternatively each Melag B can be supplied with MelaWin software which runs unobtrusively in the background. This programme archives every cycle. These are available for printing and examination. Reliability and longevity - All Melag autoclaves are manufactured from the highest quality materials available. Pressure chambers and doors are manufactured from stainless steel, pressure lines and pipes from Teflon and all other parts in contact with water from bronze. Door seals are manufactured from long life silicon. Lifetime chamber guarantee. Melag recommended service intervals are 1000 cycles or 2 years whichever is shorter. melag prog 3 Gentle Cycle, 121c 1.1 bar, suitable for wrapped instruments, textile loads, thermostabile plastic and rubber items. 181 CH17_p178-183_Instrument Care 17 13/3/07 13:25 Page 182 INSTRUMENT CARE Instrument Care Melag Cheetah Class Autoclaves The new Cheetah Class Autoclave series from Melag represents the forefront of Bench Top Autoclave technology. With their unique auxiliary wrap around second chamber the Cheetah Class effectively minimizes melag prog 4 NCG’s (Non Condensable Gasses) to a level only Prion Cycle, 134c 2.1 bar for 20 minutes, recommended for use where contamination by pathologically modified proteins is suspected. previously seen in hospital based autoclaves. The result in steam quality and cycle times has never before been seen in a Bench Top Autoclave. All units Class B compliant. The Melag Cheetah Type 43-B operates at an incredible cycle time of only 13 minutes for WRAPPED instruments INCLUDING drying time. This is reduced to only 7 minutes for UNWRAPPED instruments INCLUDING drying. Imagine, by the time you have taken to read the autoclave melag prog 5 section of this catalogue the Cheetah 43-B will have Bowie and Dick Test program. Steam penetration test started its second cycle! Obviously speed is not everything and the Melag Cheetah range also provides user friendly documentation of every cycle and event via the removable Flash Card or by use of its standard Ethernet connection. The Melag Cheetah range is fully compliant with all melag prog 6 current legislation and all pending legislation. Vacuum Test. Used to check the operational parameters of the autoclave. Extremely simple to use, the Melag Cheetah range must MELAG VAKUKLAV 23-B be considered for all practices serious about sterility and the equipment they use. 23-B Vakuklav 45 x 25cm (18" x 10") dia 22.6 litres Chamber size Volume DIMENSIONS & WEIGHT Width Height Depth Weight Footprint FURNITURE 6 Trays with reversible 6/3 rack and handle 66cm 43cm 49cm 43kg 46cm MELAG TYPE 23-B MELAG 23-B Vacuum Class B Steriliser and Printer, 22.6lt chamber MELAWIN SOFTWARE Software for PC/Modem connection £3,990.00 melag type 43-B £350.00 Autoclave Accessories MELAG CHEETAH RANGE SPECIFICATIONS Pouch Rack Chamber Volume Load Capacity Instruments Textiles DIMENSIONS & WEIGHT Width Height (inc. display) Depth Weight Power Supply melag m22420 Pouch Rack for Melag Type 23-B 7kg 2.5kg 45cm 60cm 66cm 59kg 230v MELAG CHEETAH MELAG M22420 M22420 43-B VacuQuick 45 x 25cm dia 22 litres TYPE 43-B £59.50 182 Type 43B VacuQuick £5,800.00 CH17_p178-183_Instrument Care 13/3/07 13:25 Page 183 17 INSTRUMENT CARE www.vetinst.com Polishing With Leather Sharpening Instrument Sharpening System Leather disks bring a high polish to your instruments while restoring a razor sharp edge. Compact and quiet, the Rx System II Machine, only 10 x 12.5 x 17.5 cm can operate in almost any place. The manual and video included are excellent pictorial guides for instruction in sharpening a general assortment of instruments. Join over 45,000 satisfied customers of the Rx System II around the world. Also available is a workstation including flexible shafted magnifying glass and light. SHARPENING Honing operation restores the edge of an instrument in seconds. 100500 Instrument Sharpening System £395.00 100510 Instrument Sharpening Workstation £195.00 Osteotome Sharpening All sharpening may be performed using the two basic operations of honing and disc. The hone-drive is a reciprocating motion that sharpens in the same manner as hand honing. The disk-drive uses a selection flat disks for high speed sharpening. A Diamond Plated Disk is supplied for very dull or misshapen instruments, rubberized Silicon Carbide Disk for an ultra-fine honing finish and a Leather for polishing and razor edges. Osteotomes should be sharpened at the angle indicated. A greater angle does not make a clean cut and a reduced angle is too delicate and will distort. The diamond card illustrated uses water as a lubricant. Sharpening Curette OSTEOTOME SHARPENING 012144 Disk Perio and Scissor Guide guarantees precision sharpening of curettes and scalers. Saves time and money. Just a few seconds per instrument eliminates the need for sharpening services. Instrument life increases since only minimal metal is removed. Any heat generated will not affect temper of metal. Easy to use with specially designed hones for fast sharpening and guides for accuracy. Foot pedal leaves both hands free. 183 Flat Diamond Sharpening Card (fine) £16.30 CH18_p184-187_Theatre Wear 13/3/07 18 12:11 Page 184 THEATRE WEAR Theatre Wear Re-Usable Cotton Theatre Wear The Veterinary Apparel Company Scrubs Veterinary Instrumentation is pleased to announce that we have linked up with the Veterinary Apparel Company, one of America’s biggest suppliers of theatre wear, to provide the UK veterinary professional with a huge choice of scrubs, coats and related wear. Increasingly veterinary operating room procedures are coming into line with their human counterparts. Everyday clothing should not enter the clean areas. We offer a wide range of plain and patterned scrubs, a selection of which is illustrated here. Please call 0845 130 9596 or e-mail [email protected] for the latest catalogue. Please phone 0845 130 9596 for a full colour brochure. Plain Scrubs Patterned Scrub Tunics Available in XS - XL (please state size when ordering) (larger sizes available - please ask for price). UNISEX SIZE CHART BUST/CHEST (inches) WAIST (inches) XS 31 - 33 24 - 26 S 34 - 37 28 - 30 M 38 - 40 32 - 34 info L 41 - 44 36 - 38 XL 45 - 47 40 - 42 Pet Tracks Jade Adriatic PET TRACKS Plain two pocket scrub tunics ‘V’ neck. 65/35 polycotton. TW151 Pet Tracks. One pocket £17.50 Luv Pets. Three pockets £24.00 PLAIN SCRUB TUNICS TW003J Small Jade £9.33 TW003A Small Adriatic £9.33 TW005J Medium Jade £9.33 TW005A Medium Adriatic £9.33 TW007J Large Jade £9.33 TW007A Large Adriatic £9.33 TW009J X-Large Jade £9.33 TW009A X-Large Adriatic £9.33 Luv Pets Plain Scrub Trousers with drawstring waist. 65/35 polycotton. PLAIN SCRUB TROUSERS TW0004J Small Jade £8.09 TW0004A Small Adriatic £8.09 TW0006J Medium Jade £8.09 TW0006A Medium Adriatic £8.09 TW0008J Large Jade £8.09 TW0008A Large Adriatic £8.09 TW0010J X-Large Jade £8.09 LUV PETS TW0010A X-Large Adriatic £8.09 TW266 184 CH18_p184-187_Theatre Wear 13/3/07 12:11 Page 185 18 THEATRE WEAR www.vetinst.com Petite Pets Operating Gowns 1. 2. PETITE PETS TW626 Petite Pets. Two pockets £17.50 Paw Prints 1. Green cotton with long sleeves and cuffs, the standard operating gown. 2. Waterproof material, with cuffs for minimal strike through. Pale blue. OPERATING GOWNS TW0001M Operating gown, cotton + cuffs. Medium £13.11 TW0001L Operating gown, cotton + cuffs. Large £13.11 TW0001XL Operating gown, cotton + cuffs. Extra Large £13.11 TW0002 Operating gown. Waterproof with cuffs Blue. Large £35.17 Clogs PAW PRINTS TW674 Paw Prints. Two pockets £17.50 White slip on. Please state size when ordering Please phone for our full colour brochure 0845 130 9596. CLOGS SC100 Surgical Clogs - size 2 - 6 GB £22.80 SC100L Surgical Clogs - size 7 - 13 GB £24.92 SC052 Clean Clogs (plastic) - sizes 2 - 6 GB £31.60 SC052L Clean Clogs (plastic) - sizes 7 - 13 GB £31.60 Surgical Wellies White. Please state size when ordering. SURGICAL WELLIES SWL100 185 Surgical Wellies state size £21.80 CH18_p184-187_Theatre Wear 18 13/3/07 12:11 Page 186 THEATRE WEAR Theatre Wear Re-useable Cotton Drapes Disposable Gowns, Plain Surgical Drapes Drapes & Towels Available in green balloon cloth (lightweight with fine weave) single and double thickness, and the tougher calico (heavyweight with coarser weave) available in single thickness only. Most veterinary autoclaves sterilise cloth drapes unreliably. Packs containing materials should be autoclaved using a vacuum autoclave. Disposables provide an alternative in that they require no cleaning, laundering, folding, packing and autoclaving. PLAIN SURGICAL DRAPES - Balloon Cloth - Single ply BDS1818 Plain drape 18” x 18” (45cm x 45cm) £3.07 BDS2418 Plain drape 24” x 18” (60 x 45cm) £3.30 BDS2424 Plain drape 24” x 24” (60 x 60cm) £3.61 BDS3624 Plain drape 36” x 24” (91 x 60cm) £4.12 BDS3636 Plain drape 36” x 36” (91 x 91cm) £4.64 BDS4836 Plain drape 48” x 36” (122 x 91cm) £5.15 BDS4848 Plain drape 48” x 48” (122 x 122cm) £5.77 BDS7248 Plain drape 72” x 48” (182 x 122cm) £6.70 The cost is no longer prohibitive particularly when bought by the case. Below is a useful section of what is available. If you require a specific pack not shown please call 0845 130 9596. Or look at web site www.vetinst.com Surgical Gown Disposable - Standard PLAIN SURGICAL DRAPES - Balloon Cloth - Double ply BDS1818DBL Double drape 18” x 18” (45cm x 45cm) £6.14 BDS2418DBL Double drape 24” x 18” (60 x 45cm) £6.59 BDS2424DBL Double drape 24” x 24” (60 x 60cm) £7.21 BDS3624DBL Double drape 36” x 24” (91 x 60cm) £8.24 BDS3636DBL Double drape 36” x 36” (91 x 91cm) £9.27 BDS4836DBL Double drape 48” x 36” (122 x 91cm) £10.30 BDS4848DBL Double drape 48” x 48” (122 x 122cm) £11.54 BDS7248DBL Double drape 72” x 48” (182 x 122cm) £13.39 SURGICAL GOWNS - Standard PLAIN SURGICAL DRAPES - Calico - Single ply CDS1818 Calico drape 18” x 18” (45cm x 45cm) £3.07 CDS2418 Calico drape 24” x 18” (60 x 45cm) £3.30 CDS2424 Calico drape 24” x 24” (60 x 60cm) £3.61 CDS3624 Calico drape 36” x 24” (91 x 60cm) £4.12 CDS3636 Calico drape 36” x 36” (91 x 91cm) £4.64 CDS4836 Calico drape 48” x 36” (122 x 91cm) £5.15 CDS4848 Calico drape 48” x 48” (122 x 122cm) £5.77 CDS7248 Calico drape 72” x 48” (182 x 122cm) £6.70 DG003001 Surgical gown (single). Medium standard plus 2 hand towels DG003001/30 Surgical gown (box of 30). Medium standard plus 2 hand towels £71.79 DG003002 Surgical gown (single). Large standard plus 2 hand towels DG003002/30 Surgical gown (box of 30). Large standard plus 2 hand towels £2.82 £2.90 £73.49 Surgical Gown Disposable - Reinforced Fenestrated Surgical Drapes Available in green balloon cloth single and double thickness. Calico drapes available in single thickness only. FENESTRATED SURGICAL DRAPES - Balloon cloth - Single ply BDSF1818 Fenestrated drape 18” x 18” 2” x 1” hole £4.03 BDSF2424 Fenestrated drape 24” x 24” 4” x 1.5” hole £4.93 BDSF3636 Fenestrated drape 36” x 36” 5” x 2” hole £6.23 BDSF4848 Fenestrated drape 48” x 48” 7” x 3” hole £14.05 FENESTRATED SURGICAL DRAPES - Balloon cloth - Double ply BDSF1818DBL Fenestrated drape double 18" x 18" 2" x 1" hole BDSF2424DBL Fenestrated drape double 24" x 24" 4" x 1.5" hole BDSF3636DBL Fenestrated drape double 36" x 36" 5" x 2" hole SURGICAL GOWNS - Reinforced £8.08 £9.87 £12.46 FENESTRATED SURGICAL DRAPES - Calico - Single ply CDSF1818 £4.03 Fenestrated drape calico 18" x 18" 2" X 1" hole CDSF2424 Fenestrated drape calico 24" x 24" 4" x 1.5" hole £4.93 CDSF3636 Fenestrated drape calico 36" x 36" 5" x 2" hole £6.23 186 DG113401 Surgical gown (single). Medium reinforced plus 2 hand towels DG113401/30 Surgical gown (box of 30). Medium reinforced plus 2 hand towels £75.75 DG113402 Surgical gown (single). Large reinforced plus 2 hand towels DG113402/30 Surgical gown (box of 30). Large reinforced plus 2 hand towels £78.01 £2.98 £3.06 CH18_p184-187_Theatre Wear 13/3/07 12:11 Page 187 THEATRE WEAR www.vetinst.com Masks and Caps 18 Adhesive Aperture Drape (Disposable) Sterile ADHESIVE APERTURE DRAPE MASKS & CAPS TW0011 Disposable Caps (50). Tie back £14.50 TW001100 Disposable Caps (100). Tie back £26.50 TW0012 Disposable Masks (50) TW001110 Disposable Caps beret style (100) £27.00 TW001111 Disposable Caps beret style (50) £14.00 DD128810 Adhesive Aperture Drape (single) 200 x 300cm with 9 x 22cm aperture £7.70 DD128810/20 Adhesive Aperture Drape (box of 20) 200 x 300cm with 9 x 22cm aperture £130.59 Universal Set - Minor (Disposable) Sterile £9.20 Utility Drape (Disposable) Sterile Universal set of Drapes - Minor. Set comprises: • 2 x Op Towels (75 x 75cm) • 2 x Medium Drapes (160 x 175cm) UNIVERSAL SET - MINOR UTILITY DRAPE DD128805 £0.90 Utility Drape (single) 75 x 75cm DD128805/160 Utility Drape (box of 160) 75 x 75cm DD128814 Utility Drape (single) 75 x 90cm DD128814/160 Utility Drape (box of 160) 75 x 90cm DD128806 Utility Drape (single) 90 x 150cm DD128806/80 Utility Drape (box of 80) 90 x 150cm DD128807 Utility Drape (single) 160 x 75cm DD128807/46 Utility Drape (box of 46) 160 x 75cm £120.09 £0.94 DD148803 Universal Set - Minor (single) DD148803/18 Universal Set - Minor (box of 18) £10.56 £161.50 Extremity Drape (Disposable) Sterile £128.64 £2.04 £137.39 £3.52 £137.41 Adhesive Operating Drape (Disposable) Sterile EXTREMITY DRAPE DD138801 Extremity Drape (single) 220 x 320cm with 6.5cm elasticated aperture £10.30 DD138801/20 Extremity Drape (box of 20) 220 x 320cm with 6.5cm elasticated aperture £175.10 Buster Operation Cover (Disposable) Sterile BUSTER OPERATION COVER 141840 ADHESIVE OPERATING DRAPE DD128801 Adhesive Operating Drape (single) 75 x 75cm DD128801/160 Adhesive Operating Drape (box of 160) 75 x 75cm DD128813 £23.40 The Full Range of Disposables £195.13 Adhesive Operating Drape (single) 75 x 90cm DD128813/160 Adhesive Operating Drape (box of 160) 75 x 90cm £1.44 Buster Op Cover Sterile Plastic drape. 120cm x 120cm Box 25 We have listed only a small selection of the available range of disposables. If you cannot see what you are looking for please call or e-mail for our full catalogue. Provided you are prepared to buy these by the case we will be very happy to meet your requirements. £1.26 £168.83 187 CH19_p188-198_Anaesthesia 19 13/3/07 16:12 Page 188 ANAESTHESIA & MONITORING Anaesthesia & Monitoring Stephens Anaesthetic Machine Fluosorber The Fluosorber absorbs all organic volatiles including Halothane and Isoflurane. The absorbed volatile is discarded with the exhausted Fluosorber after an increase in weight of 200g. The Fluosorber is ideal for situations where there is no convenient outside wall. The STEPHENS wastes so little volatile agent that the combination is ideal. The Stephens is still available new and we usually have fully refurbished units in stock at a sensible price. The low consumption of volatile and oxygen make the Stephens particularly economical. Existing users swear by the Stephens. Fluosorbers are cheaper in bulk (6). FLUOSORBER The Stephens is a closed circuit anaesthetic machine with the advantages of simplicity of operation and very low running costs. Relatively expensive new anaesthetic agents such as SEVOFLURANE may be used economically with this system. The Stephens is supplied, as illustrated, as a complete self-contained unit requiring only a supply of oxygen. We are confident you will be impressed by the simplicity and versatility of the system. 025510 Fluosorber (Single) 025515 Fluosorber (Six Pack) £24.21 £123.47 Conventional ‘Tec’ Vapouriser Systems Although based on a circle system, the internal resistance to breathing of this circuit is very low. This is due to the extremely lightweight valves used in the uni-directional assembly. These valves are not spring loaded as is the case with many circle systems. Any animal which can be intubated may be safely anaesthetised using the Stephens system. Miniature dogs and cats do particularly well. Circuit dead space is also very low. Fresh gas is available at the "Y" mount. Rebreathing is minimal. The anaesthetic circuit is of the circle type, with the vapouriser placed within the circuit on the inspiratory side. Most anaesthetic systems in use in the UK today have the vapouriser out of circuit. A video illustrating the use of the Stephens with various species and Isoflurane is available on free loan. In an apparatus of this type the animal inhales gas from the reservoir bag. Some or all of the inhaled gas can be caused to flow over the volatile liquid anaesthetic agent contained within the vapouriser. After leaving the vapouriser, the gas mixture passes along the inspiratory side of the circle to a mask or endotracheal tube and then to the animal's lungs. On exhalation the gas is directed along the expiratory side of the circle, through the two soda lime canisters and then into the reservoir bag by means of a set of unidirectional valves. Anaesthetic machines using calibrated "TEC" type vapourisers deliver into the circuit a gas mixture containing a specified percentage of volatile. In non-rebreathing circuits the patient will breathe this exact mixture. In circuits where some rebreathing occurs, the gas mix will not be the same as dialed on the vapouriser. Veterinary Instrumentation's vapourisers are serviced and re-calibrated prior to sale. CONVENTIONAL ‘TEC’ VAPORISER SYSTEMS We are able to maintain any Stephens. HALTEC Mark III Halothane ‘tec’ Vapouriser recalibrated £400.00 ISOTEC Mk III Isoflurane ‘tec’ Vapouriser recalibrated SERVOTEC Vapouriser service and calibrate REFURBISHED STEPHENS 025400 Stephens Aneasthetic Machine 025400A Refurbished Stephens £999.00 025410 Floor Stand Wall Arm £276.46 NEW £2,500.00 188 £400.00 £120.00 CH19_p188-198_Anaesthesia 13/3/07 16:12 Page 189 Twin Gas/Twin Vapouriser Anaesthetic Machines iM3 Masks Changes in the way the NHS funds hospitals has led to a large number of very good anaesthetic units becoming available at bargain prices. We have selected the best, some new, some used. All the machines are thoroughly checked by trained technicians and have brand new gas lines fitted. All will work with piped gas or bottled gas. All will take up to two vapourisers via a quick release Selectetec fitting. Some have ventilators and circle absorbers already fitted. All are much better than new so called veterinary units. NEW 19 ANAESTHESIA & MONITORING www.vetinst.com iM3 masks are designed for rapid induction of anaesthesia with a minimum of fuss and minimum pollution. They all have the following features. • Very low dead space, important when masking down using circle systems • Removeable rubber diaphragm which minimises gas leaks and permits cleaning. • Made from virtually indestructable pvc which will not degrade like the latex rubber type. View our website www.vetinst.com for pre-owned bargains and specifications of machines currently available or phone 0845 130 9596 and speak to John Lapish. • Clear plastic allows visualisation of patient’s muzzle. • Buy a full set (5) and get a free resuscitation bag, small - see page 194. ANAESTHETIC MACHINES MOBILE IM3 MASKS 2GAS1VAP Twin gas Single Vapouriser Anaesthetic Machine phone 025538CBR Mask Bird/Rodent Clear £18.60 2GAS2VAP Twin gas Twin Vapouriser Anaesthetic Machine phone 025538CVS Mask Rabbit/Cat Clear £16.60 025538C Mask Small (Cat) Clear £17.80 025539C Mask Large Clear £19.50 025547C Long Nose Mask Clear £18.50 025552 Set of 5 clear masks (plus FREE resuscitation bag) £80.00 Wall Mount Anaesthetic Unit Ventilators This compact unit is supplied fixed to a rail for wall mounting. Twin or single gas supplied with or without vapouriser. We can supply rail mountings for the attachment of other items e.g. lights and a circle absorber. The cheapest unit you can buy. WALL MOUNT ANAESTHETIC UNIT WA1 Wall mount anaesthetic unit, single gas (no vapouriser) £620.00 WA2 Wall mount anaesthetic unit, twin gas (no vapouriser) £700.00 A trained nurse and a re-breathing bag is perhaps the ideal ventilator for most veterinary practice. However, hospital standards are now demanding mechanical ventilators. We try to keep at least one ex-hospital ventilator in stock which offers a very high specification at a reasonable price. Exact models and specifications vary so please phone for details. 189 CH19_p188-198_Anaesthesia 19 13/3/07 16:12 Page 190 ANAESTHESIA & MONITORING Anaesthesia & Monitoring Modified Ayres ‘T’ Piece Semi Disposable Reduction Valves for Anaesthetic Gases As above but lighter in construction. MODIFIED AYRES 'T' PIECE - SEMI DISPOSABLE 025105SD Semi-disposable ‘T’ circuit £16.00 ‘T’ Piece Scavenge Connector Pollution is a problem with all open circuits. This connector fits into the tail of the rebreathing bag and connects to standard scavenging systems. Also fits Mini Bain. 'T' PIECE SCAVENGE CONNECTOR Bottled gas at high pressure needs to be reduced to a pressure which can be handled by the anaesthetic machine (4 bar). Our single stage reduction valves reduce the pressure automatically to the correct pressure for the gas. Available in either bull nose fitting or pin index 025534 “T” piece Scavenge Connector 025051 0.5 Litre rebreathing bag 025104 4 Litre rebreathing bag £14.50 025106 2 Litre rebreathing bag £8.97 Oxygen reduction valve bull nose fitting (4 bar) £123.27 0XREDE Oxygen reduction valve pin index fitting (4 bar) £123.27 NITREDF Nitrous oxide reduction valve bull nose fitting £123.27 NITREDF Nitrous oxide reduction valve pin index fitting £123.27 Fresh gas passes down the inner tube. Exhaust gas returns via the outer tube. Good heat and moisture exchange. Use 2.0 to 2.5 times respiratory minute volume. The adapter is re-usable but the circuits are semi-disposable. Circuits Use in patients 10kg plus. Modified Ayres ‘T’ Piece BAIN CIRCUIT The standard circuit for patients weighing less than 10kg • Low resistance • No valves • An open circuit Complete with scavenge connector see 025534. MODIFIED AYRES 'T' PIECE 025105 £6.48 Bain Circuit REDUCTION VALVES 0XREDF £10.56 Modified Ayres ‘T’ Piece Circuit Complete £84.00 190 025080 Bain Circuit Mount (required initially) 025081 Bain circuits tube set only £155.00 £9.80 CH19_p188-198_Anaesthesia 13/3/07 16:12 Page 191 19 ANAESTHESIA & MONITORING www.vetinst.com Bain Circuit Semi-Disposable Circle Circuits Semi-Disposable An economical circuit for 10kg or more. There is a degree of rebreathing but the CO2 is removed by the in circuit soda lime. Minimum flow replenishes patients metabolic oxygen. As above but supplied as a complete circuit which can be reused many times. 1.6 m length. Rubber bung allows Soda Lime to be replenished. CIRCLE CIRCUITS SEMI-DISPOSABLE BAIN CIRCUIT SEMI-DISPOSABLE 025083 Bain Circuit Semi-Disposable. Complete 025085 £22.00 LACK Parallel Circuit Circle circuit x 1 £45.00 Small Furry/Exotic Mask and Non-Rebreathing Circuit This is a safer system than co-axial circuits. Both tubes are visible and can be checked for leaks, damage and security. Use in patients 10kg plus. LACK PARALLEL CIRCUIT LACK1 LACK parallel Circuit Complete LACK4 LACK replacement tubes set £143.00 £20.00 These very small masks were designed specifically for use on small exotics, small furries and birds. The fresh gas supply hooks up to the standard GA machine outlet. The soft conforming mask may be trimmed for maximum fit. The fresh gas feed may be re-positioned within the mask. Exhaust gases are fed into the scavenge system. Tape the circuit onto the table. LACK Parallel Circuit Semi-Disposable SMALL FURRY/EXOTIC MASK SYSTEM 025091 Mask 9.0mm opening. 25cm, 10” tubing Anaesthesia £20.00 025092 Mask 12.5mm opening. 25cm, 10” tubing £20.00 025093 Mask 14.0mm opening. 25cm, 10” tubing £20.00 025095 Masks. Set of all 3 masks £55.00 As above but supplied complete with head unit and 2 litre bag 1.6m length. Anaesthetic Circuit Consumables Use Soda Lime to replenish to and fro circle systems. Turns pink to white. CONSUMABLES LACK PARALLEL CIRCUIT SEMI-DISPOSABLE LACKSD LACK Circuit - semi-disposable x 1 £22.00 191 025052 Soda Lime 5Kg £20.00 025104 4 Litre Rebreathing Bag. Antistatic Rubber £14.50 025106 2 Litre Rebreathing Bag. Antistatic Rubber £8.97 025051 0.5 Litre Rebreathing Bag. Antistatic Rubber £6.48 TUBING Oxygen feed Tubing (per metre) £1.65 025535 Scavenge Tubing 22mm Dia. (per metre) £0.80 NEW CH19_p188-198_Anaesthesia 19 13/3/07 16:12 Page 192 ANAESTHESIA & MONITORING Anaesthesia & Monitoring Anaesthetic Chamber Connectors Semi-Disposable CONNECTORS SEMI-DISPOSABLE 0255365SDF Most very small patients may be induced using a chamber. The kit contains the chromed inlet and outlet fittings. 22mm male to 30mm Scavenge female £2.60 0255365SDM 22mm male to 30mm Scavenge male £2.60 025088 £3.00 15mm Elbow. 15m - 22m/15f + 7.6mm port • Relatively stress free • Patient remains visible Stethoscope Basic • Standard 15mm inlet, standard scavenge tube outlet • 300mm x 300mm x 180mm (12” x 12” x 7") ANAESTHETIC CHAMBER 025540 Anaesthetic Chamber £76.50 025540C Chamber kit to convert plastic containers £61.46 Connectors Simple cheap well made stethoscope. Cheap enough to have one in every room. STETHOSCOPE BASIC 025102B Stethoscope Blue £7.61 025102G Stethoscope Green £7.61 025102R Stethoscope Red £7.61 Oesophageal Stethoscope 30mm is the international diameter for scavenge systems. Use 30/22 adaptors to link sections of 22mm scavenge tubing. CONNECTORS 025536F 22mm male to 30mm female £5.00 025536M 22mm male to 30mm male £5.00 025534 30mm scavenge to 500ml bag tail (for ‘T’ piece or mini bain) £10.56 PORTEX Portex Swivel with port £13.98 Very simple yet very effective. The anaesthetist can monitor heart and lungs yet still have hands and eyes free for other signs. Supplied complete with headset and three probes. OESOPHAGEAL STETHOSCOPE 192 025101 Oesophageal Stethoscope including 3 Probes £35.00 025101/24F 24F Probe for stethescope (8mm O/D) £5.85 025101/P18F 18F Probe for stethescope (6mm O/D) £5.85 025101/P12F 12F Probe for stethescope (4mm O/D) £5.85 CH19_p188-198_Anaesthesia 13/3/07 16:12 Page 193 Stethoscope Professional Intubation Accessories Endotube Light Standard 19 ANAESTHESIA & MONITORING www.vetinst.com NEW This small penlight has attached a flexible metal rod with a light at the tip. A 5mm tube easily slides over the light tube. Offers both rigidity and light, especially useful in cats and small dogs. Paediatric Operates with ‘AA’ batteries which are included. ENDOTUBE LIGHT Diaphragm and bell options for detailed chest examinations. Very good diagnostic quality. Available in 6 colours. 025600 Endotube Light 025601 Spare Endotube Light Bulb Endotracheal Tube Stylet £15.00 £7.00 NEW No quibble money back guarantee if you are not delighted. Supplied with 4 spare ear ‘nibs’ and a spare diaphragm. STETHOSCOPE PROFESSIONAL 025107R Professional Stethoscope Red £15.00 025107BUR Professional Stethoscope Burgundy £15.00 025107B Professional Stethoscope Blue £15.00 025107G Professional Stethoscope Hunter Green £15.00 025107BG Professional Stethoscope Bright Green £15.00 025107L Professional Stethoscope Lavender £15.00 Intubation is much easier using a malleable stylet. These plastic coated stylets may be bent to the desired shape. Each stylet has an adjustable rubber stopper to ensure that the stylet tip is not exposed at the endo tube tip. The stylets work especially well with silicone tubes which tend to be soft. STETHOSCOPE PAEDIATRIC ENDOTRACHEAL TUBE STYLET 025108R Paediatric Stethoscope Red £15.00 025605 Stylet. Tube sizes 2.0-3.5mm £5.20 025108BUR Paediatric Stethoscope Burgundy £15.00 025606 Stylet. Tube sizes 4.0-6.5mm £5.20 025108B Paediatric Stethoscope Blue £15.00 025607 Stylet. Tube sizes 7.0-10mm £5.20 025108G Paediatric Stethoscope Hunter Green £15.00 025108BG Paediatric Stethoscope Bright Green £15.00 025108L Paediatric Stethoscope Lavender £15.00 Endotracheal Tube Cleaning Brush NEW Smaller tubes are difficult to flush out after use. These stainless shafted small brushes ensure patency. Always check tube patency prior to use. A surprisingly large number of small tubes are blocked with potentially disastrous consequences. ENDOTRACHEAL TUBE CLEANING BRUSH 193 025610 Endo Cleaning Brush 4mm for ≥ 5mm tubes £3.50 025611 Endo Cleaning Brush 8mm for ≥ 8mm tubes £3.50 CH19_p188-198_Anaesthesia 19 13/3/07 16:12 Page 194 ANAESTHESIA & MONITORING Anaesthesia & Monitoring Laryngoscopes Resuscitation Bag Intubation of certain breeds of certain species can be very difficult without the appropriate laryngoscope. Deflection of soft tissues and a light source makes life very much easier. In a crisis e.g. a blue brachycephalic, the appropriate laryngoscope will be a life saver. Veterinary Instrumentation recommends Miller blades. Our fibre optic system uses a remote single bulb producing a cold light at the blade tip. For emergency artificial respiration. The device is ideal for administering either pure oxygen or room air to oxygen deprived patients. A special valve allows lung inflation on compression of the bag and passive exhalation of CO2 whilst fresh air refills the bag. Can be used with a standard endotracheal tube or an airtight mask. RESUSCITATION BAG Miller Set & Wall Bracket LARYNGOSCOPES 025118FO Laryngoscope Set with 0, 1, 2, 3 & 4 Blades - Fibre Optic 025118FO BULB Spare bulb for Fibre Optic laryngoscopes 025127 Wall Bracket for Laryngoscope Sets £32.00 025115 Laryngoscope Handle Non Fibre Optic £74.16 025118 Laryngoscope Set - Non Fibre Optic Includes 0, 1, 2, 3 & 4 blades £130.00 025120 Laryngoscope for rabbit - Fibre Optic includes Miller No 0 Blade £109.60 025125 Spare bulb non FO laryngoscopes state whether large or small required £11.38 £175.10 £11.38 194 025557 Small Resuscitator £18.00 025558 Large Resuscitator £24.00 CH19_p188-198_Anaesthesia 13/3/07 16:12 Page 195 19 ANAESTHESIA & MONITORING www.vetinst.com Feline Breathe Easy-Inhalant Delivery Monitoring Increasing sophistication of monitors leads nurses to monitor the instruments rather than the patient. Simple respiratory monitoring plus a competent nurse offers the most reliable patient monitoring. Veterinary Instrumentation offers two simple monitors to fulfill this role. NEW Apalert Respiration Monitor Respiratory arrest almost always precedes cardiac arrest in an anaesthetic emergency. Prompt action at the point of respiration failure will usually save the patient. The APALERT is: • Reliable. It beeps at each breath and the display shows the interval since the last breath. • Rechargeable approx 70hrs use. You can still use it as it recharges. • Adjustable by beep volume and sensitivity • Alarming. The alarm gets louder if you ignore it. The alarm can be reset by the surgeon using magic eye facility without compromising sterility. This unit saves lives with a minimum of fuss. Feline asthma is increasingly recognised in small animal practice. Existing treatments include oral corticosteroids and bronchodilators. These regimes are far from ideal due to side effects or poor owner compliance. Metered Dose Inhalers (MDI) have been the treatment of choice for human asthmatics for many years. Inhaled medication has been shown to be more effective with fewer side effects. It is now possible to use these agents in cats with our unique aerosol chamber designed for cats. The chamber works with standard human MDIs and works well with the small tidal volume of feline patients. Patients quickly accept the system. The kit comes complete with two masks. Chamber is 11cm x 4.5cm, (4.5” x 1.75”) • • • • APALERT RESPIRATION MONITOR 025005 Apalert Monitor Complete Kit 025007 Apalert Probe £230.00 £12.44 025100 Mains Adaptor £19.40 Breathe-Safe Monitor MKIII reusable and easy to clean designed to be dispensed for client home use. includes two different sized masks directions included with suggested treatment regimes FELINE BREATHE EASY 025700 Feline Breathe Easy Kit £20.00 This tiny monitor is a simple apnea alert monitor. The microprocessor beeps with every breath. • Highly sensitive. • Easy to use - just connect between the endotracheal tube and anaesthesia circuit. • No adjustments. A sophisticated alogorithm will recognise and indicate with a beep every breath from a kitten to St Bernard. • Apnea Alert. If your patient fails to breathe for 45 seconds a distinctive apnea alert will sound. • Auto shut off. • High density long-life lithium battery will last for years. A simple life saver. BREATHE-SAFE MONITOR MKIII 025010 195 Breathe-Safe Monitor MKIII £140.00 CH19_p188-198_Anaesthesia 19 13/3/07 16:12 Page 196 ANAESTHESIA & MONITORING Anaesthesia & Monitoring CARDELL MONITORS Providing reliable data in a compact, affordable unit Cardell Model 9402 BP/Pulseox Monitor Cardell monitors are designed and manufactured exclusively for the veterinary sugeon. There are five different monitor options which include some or all of the following features: • Cardell independently verified non-invasive blood pressure technology. • Nellcor’s OxiMax all-digital pulse oximetry. • Oridian’s CO2 technology. • 3 or 5 lead ECG, • Respiration and temperature monitoring. Simply select a package which meets your requirements and Cardell will do the rest. On request we can supply copies of papers proving Cardell technology and reliability. Cardell Model 9401 Blood Pressure Monitor Along with the BP advantages of Model 9401, the Model 9402 uses Nellcor’s OxiMax® digital processing for its pulse oximetry. The OxiMax technology offers greater accuracy than conventional oximetry, even for difficult-to-monitor patients with motion or low perfusion. A lingual sensor in included. Cardell Model 9403 Multiparameter Monitor BP, SpO2, ECG, Respiration, and Temp. Provides reliable blood pressure monitoring in a compact and affordable package. The Model 9401 offers systolic, diastolic, mean arterial pressure and heart rate in seconds. It has an automatic mode allowing the user to set measurements from 1 - 90 minutes. A STAT mode provides continuous readings for five minutes. A manual mode allows the user to take a measurement at any time. There are high and low alarms for all parameters. The Cardell BP technology is known for working reliably in all our patient species. It comes with 13 cuffs in 7 different sizes. Cardell Accessories This multi-parameter monitor offers the Cardell® reliable blood pressure technology, all-digital pulse oximetry from Nellcor, and ECG. Temperature software is built in. Only the reusable temperature probe must be purchased. A 3-lead ECG set is included (or opt for a 5-lead set). Multiple variable lead trace waveform selection is included along with 5 gain size selections and a trace freeze option. A printer and rolling stand are optional. 196 CH19_p188-198_Anaesthesia 13/3/07 16:12 Page 197 ANAESTHESIA & MONITORING www.vetinst.com Cardell Model 9404 Multiparameter Monitor BP/ECG/Resp/Temp Cardell MAX-1 Multiparameter Monitor 19 NEW NEW New! High performance, multiparameter monitor with “World Class” parameter componentry, full color 10.4” screen, and a built-in printer. The MAX-1 contains the world leading Cardell® veterinary blood pressure technology, Nellcor’s all-digital Oximax® pulse oximetry, and Oridion’s Microstream® CO2 technology. These are complimented by a diagnostic quality ECG, respiration via CO2, two temperature outputs and two invasive BP channels. Most parameters have custom algorithms developed especially for veterinarians. The high contrast color display has an extremely wide viewing angle. Up to four waveforms can be displayed at one time, or three waveforms and the last five tabular trends. The menu is extra user-friendly with monitor and patient settings easily changed using the soft keys. The MAX-1 can also output an anesthesia report record to a user's PC that meets AAHA standards, and is compatible with most popular practice management software. (All accessories are included.) For those wanting to check health status in the exam room, or who already have a pulse oximeter, this monitor offers blood pressure measurements using the superior Cardell® technology along with a 3-lead ECG. Cuffs and the leads are included. Only the reusable temperature probe must be purchased. Cardell Model 9405 Multiparameter Monitor BP/SpO2/ECG/CO2/Respiration and Temp. NEW CARDELL MULTIPARAMETER MONITOR CARDMAXI Cardell Maxi Sharn Veterinary TidalGuard™ Sp CO2+SpO2+Resp.+Pulse rate This multi-parameter monitor has the “best in class” for key parameters: Cardell® blood pressure technology, Nellcor pulse oximetry and Oridion capnography. The ECG is 3-lead, but 5-lead is an option. With its compact size and 4-6 hours of operation from a rechargeable battery, this lightweight monitor is an ideal tool for the modern veterinary practice. An esophageal/rectal temperature probe is optional as is a printer and rolling stand. Included are 13 cuffs in 7 sizes, lingual SpO2 probe, 3 CO2 filter lines and a 3-lead ECG wire set. £1,395.00 CARD9402 Cardell 9402 £1,999.00 CARD9403 Cardell 9403 £2,364.47 CARD9404 Cardell 9404 £1,999.00 CARD9405 Cardell 9405 £3,560.00 NEW This handheld monitor provides quantitative mainstream EtCO2 with the newest SpO2 technology in a portable, lightweight, simple and inexpensive monitor. The monitor allows the veterinarian to view critical information including inspired CO2 and expired CO2 in a waveform and numerical presentation with the respiration and pulse oximetry values displayed on the screen. The user can also set custom alarm limits and view graphic trends. CARDELL MONITORS CARD9401 Cardell 9401 £4,900.00 TIDALGUARD™ MONITOR CARDTD TidalGuard™ All Cardell accessories and spares available 197 £1,900.00 CH19_p188-198_Anaesthesia 19 13/3/07 16:12 Page 198 ANAESTHESIA & MONITORING Anaesthesia & Monitoring Doppler Ultrasonic Blood Flow Monitor Medifusion MP-1000 Non-invasive blood pressure monitoring. Hypertension is often overlooked during diagnosis, treatment and routine physical examinations in small animals. In addition many hypotensive patients, such as those suffering from shock, benefit greatly from Doppler measurement of blood pressure when knowing the pressure can mean effective and timely treatment. Combining Doppler with an appropriate sized 'cuff' for small animals, provides the veterinarian with the same non-invasive method for testing blood pressure as is available in human medicine. A small probe is placed over a peripheral artery (e.g digital or coccygeal). An ultrasonic crystal in the probe transmits pulse wave sound back to the amplifier. The pressure cuff is inflated until the pulse sound is no longer audible. The cuff is slowly deflated, using the manometer, until pulse sounds are audible once more, at which point the manometer displays a numeric value of the animal's systolic pressure. The Medifusion MP-1000 is a high performance easy-to-use infusion pump. • Compatible with the majority of IV sets (programmable) • Flow rate 0.1 to 999ml • Volume 0.1 to 9999ml • Purge flow rate 700ml/hr (or selectable) Lightweight hand-held unit; high quality, vet spec sphygmomanometer. Comes complete with 2 cuffs (2.5cm and 5.0cm). Runs on 9 volt battery. Complete with headset and carrying case. All consumables are available. • Alarms • Mains and battery backup • Keep vein open facility DOPPLER ULTRASONIC BLOOD FLOW MONITOR 025850 Doppler Ultrasonic Blood Flow Monitor Full Kit • One year warranty £699.00 INFUSION PUMP MP1000 198 Medifusion MP-1000 Infusion Pump £720.00 CH20_p199-205_Diagnostics 13/3/07 13:29 Page 199 DIAGNOSTICS www.vetinst.com 20 Buster Starlight Diagnostic Set Gowllands Range These units represent very good value for money. The sets are self contained and require batteries, either standard dry cells or re-chargeable equivalents. Otoscope Set A simple torch based set for easy intubation. BUSTER STARLIGHT DIAGNOSTIC SET 270500 Buster Starlight diagnostic torch £28.40 Heine Diagnostic To create a diagnostic set you will need to combine the diagnostic head of your choice together with a power source. Power Sources Standard N Handle Otoscope with 4, 5 and 7mm speculae. OTOSCOPE SET 014000 Otoscope with 4, 5, & 7mm speculae £79.00 The standard N handle takes regular dry cell batteries. STANDARD N BATTERY HANDLE X0199118 Otoscope and Opthalmic Set Standard N Battery Handle £44.63 NT200 Rechargeable Handpiece System Diagnostic set with ophthalmoscope and otoscope as above. OTOSCOPE & OPTHALMIC SET The NT200 is a rechargeable system which is supplied with one handle but has a capacity for 2 handles. 014002 Diagnostic Set with otoscope and ophthalmoscope £128.00 NT200 RECHARGEABLE HANDPIECE SYSTEM 199 X0299422 NT200 Charger c/w one handle £316.70 X0299411 Rechargeable handle for NT200 £83.18 CH20_p199-205_Diagnostics 13/3/07 20 13:29 Page 200 DIAGNOSTICS Diagnostics EN100 Wall Mount Unit with 2 Handpiece Positions Heine Diagnostic Sets Top quality equipment boxed as a kit. Otoscope Kit The latest version of this popular unit is wall mounted with the handpieces connected by flexible cables. You will never be dependant on batteries or be concerned as to where the ostoscope is! EN100 WALL MOUNT UNIT WITH 2 HANDPIECE POSITIONS X9512110 EN100 Modular Unit c/w two handles no heads £231.95 X9512135 Extra Handpiece Position £159.79 The kit includes the slit illumination head, three closed speculae (57mm x 4mm, 65mm x 6mm, 90mm x 7mm) a spare bulb and a hard case. Kit shown is with a standard battery handle but it is also available with a rechargeable handle or a rechargable handle and charging unit. Otoscope Heads and Accessories HEINE OTOSCOPE KIT Designed to facilitate the examination of the external ear and the removal of foreign bodies the slit head otoscope includes a magnifying loupe which swings out of the way for insertion of crocodile forceps. G112.10118 Heine Otoscope Kit with Standard Battery Handle £276.03 G11220376 Heine Otoscope Kit with Rechargeable Handle £353.96 G11220420 Heine Otoscope Kit with Rechargeable Handle and Charging Unit £454.63 Otoscope and Ophthalmoscope Kit OTOSCOPE HEADS & ACCESSORIES G0221301 Otoscope / Slit head with magnifying swivel G0021330 Speculum Metal Closed 4mm £107.80 £28.92 G0021331 Speculum Metal Closed 6mm £28.92 G0021332 Speculum Metal Closed 7mm £28.92 G0021333 Speculum Metal Closed 10mm x 150mm £28.92 G0021209 Magnifying Swivel Loupe X0188077 2.5v Bulb FO Otoscope £18.00 X0288044 3.5v Bulb FO Otoscope £18.00 £9.00 Direct Opthalmoscope Heads The Beta opthalmoscope head is the standard direct opthalmoscope head. The kit includes the slit illumination head, the Beta 200 ophthalmoscope head, three closed speculae (57mm x 4mm, 65mm x 6mm, 90mm x 7mm) spare bulbs and a hard case. Kit shown is with a standard battery handle but it is also available with a rechargeable handle or a rechargable handle and charging unit. HEINE OTOSCOPE AND OPHTHALMOSCOPE KIT G148.10118 Heine Otoscope and Ophthalmoscope Kit with Standard Battery Handle Beta opthalmoscope head G14820376 DIRECT OPTHALMOSCOPE HEADS C0230100 Opthalmoscope Head 3.5v £187.03 X0188069 2.5v Bulb Beta Ophthalmoscope £19.43 X0288070 3.5v Bulb Beta Ophthalmoscope £19.43 Heine Otoscope and Ophthalmoscope Kit with Rechargeable Handle £449.22 £530.41 G14820420 Heine Otoscope and Ophthalmoscope Kit with Rechargeable Handle and Charging Unit £633.24 200 CH20_p199-205_Diagnostics 13/3/07 13:29 Page 201 20 DIAGNOSTICS www.vetinst.com Tele-View High Resolution Wireless Otoscope - TV-16 NEW Focus Ring The focus adjusting system moves the sensor head forward and backward. This allows for easyfocus adjustment with only one finger and enables the user to focus on the eardrum, external acoustic meatus and fauces. Operating Button (Main power/Record Button) High Resolution 1.36 Mega Pixel On-board memory • On Board Function • Compact Rechargable Battery (60 min. running) • Lightweight Body • 16 Image Storage Capacity Built-in RF Transmitter (Appox. 100ft) Review Button Unlike halogen lights, 4 white LED lamps ensure realistic colour reproduction. The LED lamps also eliminate the need for bulb replacement. Attachments included Your TV Recharging Stand Wireless Speculum x1 Morse Type S Wireless Microwave Receiver Morse Type S The Morse Type S receiver can be connected to any video device equipped with an RCA input such as a TV, video printer, or PC with a video capture card. If you have multiple exam rooms with video displays in each, you can install a Morse Type S receiver in each room and simply carry the otoscope from one room to another. Video Input The Tele-View TV-16 is the world’s first wireless otoscope to display crystal clear images with 1.36 Mega pixel resolution. The TV-16 image can be displayed in real-time on any television or computer.* Now you can easily show all ear pathology to your clients resulting in additional billable procedures. The TV-16 incorporates the latest in image sensors and microprocessors to deliver a high resolution, low noise image with realistic colour. The TV-16 also incorporates four white LED lamps for excellent illumination and 128MB memory to store up to 16 images. The design is lightweight and ergonomic and the instrument is easy to use by all clinic personnel. Specifications Channel Switch • Reception Frequency 2.4GHz range • Reception Sensitivity -70dBm • Power Supply 6V approx. 270mA • Weight approx. 40g 1.41oz DC IN Jack Power Lamp * With minimum computer specifications Specification • 1.36 - Mega pixel colour CCD • Full digital processing • 4 white LED imaging • 2.4GHz transmitter For TV and PC with video capture card • Rechargeable battery (60 min battery) • Image memory SDRAM 128MB • Use with any PAL TV monitor (not supplied) TELE-VIEW HIGH RESOLUTION WIRELESS OTOSCOPE 014900 Tele-View Otoscope Transmitter/receiver 014910 Video Capture Unit for Computer (XP) Packaged Items £1,800.00 £99.00 201 Video Out CH20_p199-205_Diagnostics 13/3/07 20 13:29 Page 202 DIAGNOSTICS Diagnostics Otoscope Attachment Fritz Diagnostics 90˚ Otoscope attachment The Veterinary Video Diagnostic System 981-VK-48 Working sheath with channel 981-VK-18 Examination sheath Camera Light Head (Turn Connector) Examination of the ears of dogs and cats is part of the daily routine in small animal practice. Owner and surgeon can view the same monitor screen, the explanation of clinical findings is made very much easier. At any time it is possible to introduce a biopsy or a grasping forceps through the working channel. Mutual, real time observation (with freeze frame option) of the ear canal can demonstrate to the owner a serious problem not normally visible . Poor owner compliance is recognised as a common reason for treatment failure. Viewing the problem together leads to much more committment by the owner. The Video Diagnostic System is a new generation of endoscopic video camera system. Both video camera and cold light source are combined within one unit. Similarly, both cold light and camera electronics are integrated into one cable. The camera head is fitted with the TWIN Lock connection which allows the use of multiple diagnostic heads, including: Cleaning and disinfection is much more convenient and faster, compared with conventional otoscopes. 981-VK-108 Video Diagnostic System - Otoscope Set • Otoscope Comprises: • Vaginoscope • 981-VK-100 Video Diagnostic System Basic Set • Unit, 1/3"CCD camera, 150W light source camera head with integrated cold light cable, 2 m, TWIN connector, second light outlet for rigid endoscopes and flexible gastro/colonoscopes. • Gastroscopes and endoscopes • Rigid endoscopes • Dentalscope • camera head holder • automatic exposure control • resolution 752(H)x582(V) pixel • colour system: PAL • video outlet: FBas VHS; Y/C, S-VHS • light outlet: comp. to R. Wolf • 230 VAC, 50/60 Hz • 981-VK-008 90° Otoscope attachment, 0°, 3,5/4 mm • 981-VK-18 Otoscope examination sheath • 981-VK-48 Otoscope working sheath, with channel • 4 Otoscope sheaths • camera head holder • anti fog cleaning brush • cleaning wipes • biopsy forceps OTOSCOPE VIDEO SET 981-VK-108 Video Diagnostic System - Otoscope Set. Complete (components as listed above) 202 £4,600.00 CH20_p199-205_Diagnostics 13/3/07 13:29 Page 203 20 DIAGNOSTICS www.vetinst.com Other Video Diagnostic Attachments Optional Accessories for Otoscope Attachment T301-4030W Biopsy and Grasping Forceps All attachments are connected with a special locking system (TWIN connection) to the camera-light head. • 981-VK-024 DIN ocular lens, 22mm, for video compact system, comp. to rigid & flex. telescopes B20-135. • 981-VK-2 C-mount-adaptor for video compact system • T301-4030 Wide angle telescope, 30°, OD: 4mm, 30cm, TWIN connector, – for gynaecology or bronchoscopy. See special brochures for all attachments. OTHER VIDEO DIAGNOSTIC ATTACHMENTS BIOPSY AND GRASPING FORCEPS B20-135 Biopsy and grasping forceps, small, high performance, OD: 2mm, WL 11cm £191.54 981-VK-024 DIN ocular lens, 22mm, for video compact system, comp. to rigid & flex. telescopes £611.54 981-VK-2 C-mount-adaptor for video compact system £149.77 T301-4030W Wide angle telescope, 30°, OD: 4 mm, 30 cm, TWIN connector £1,999.00 Dental Examination Sheath Accessories, Disinfection, Cleaning • easy to use • quick • safe 981-VK-19 ACCESSORIES, DISINFECTION, CLEANING DENTAL EXAMINATION SHEATH 981-VK-19 Dental examination sheath, pointed, LL(f) bayonet lock, for dental work £98.00 Recommended Otoscope Setup DE-10-60 Disinfection wipes for endoscopes and instruments, box with 120pcs. £6.46 DE-5-17 Cleaning brush for small cannulas with ID: 2-4mm, length 17cm £12.08 E-22-71 Antifog fluid for endoscopes and mirrors, bottle with 10ml £8.30 • 981-VK-108 Video Compact System, Otoscope Set (as described on page 178) • B20-135 Biopsy and grasping forceps, small, high performance, OD: 2mm, WL 11cm Integration with your IT System In addition you will require a monitor, we suggest either: • M-70-1310 Monitor and TV unit, incl. VHS recorder PAL, 36cm screen, 230 VAC, 50/60Hz or • 45-DK-900 TFT-monitor/screen, 15", high definition, FBas, S-VHS in/out, 12 DC/2A transformer RECOMMENDED OTOSCOPE SETUP 981-VK-108 Video Compact System, Otoscope Set B20-135 Biopsy and grasping forceps, small, high performance, OD: 2mm, WL 11 cm £191.54 £4,460.00 M-70-1310 Monitor and TV unit, incl. VHS recorder PAL, 36 cm screen, 230 VAC, 50/60Hz £306.15 45-DK-900 TFT-monitor/screen, 15", high definition, FBas, S-VHS in/out, 12 DC/2A transformer £850.00 The outputs from the video diagnostic unit can be fed into your computer system as well as a variety of recording and printing devices. 203 CH20_p199-205_Diagnostics 13/3/07 20 13:29 Page 204 DIAGNOSTICS ThermoFlash No Contact Thermometer Diagnostics ECG Machine NEW NEW N0 CONTACT N0 CONTAMINATION INSTANT TEMPERATURE Our single channel ECG and monitor offers exactly what the veterinary surgeon requires at a reasonable price. The all important lead II rhythm strip may be run for basic screening purposes. If necessary all 6 common leads may be run for more thorough diagnostics. Every body, whether solid, liquid or gas releases energy by radiation which may be measured. Features and benefits • One touch keypad buttons for easy setup and operation. • Large well lit screen • Single channel displays and prints one lead at a time. • Manual and Automatic mode • 30cm x 22.5cm x 7cm (12” x 9” x 2.5”) • 2.8kg (6.25lb) • AC or long life internal 12v NiMH rechargeable. • Built in paper printer. • 3 year warranty on ECG. 1 year on battery and leads • Supplied with patient cable; liquid gel; chest electrodes x 6 limb electrodes x 4 thermal printing paper operation manual The Thermoflash is able to measure the temperature of the animal based on the energy it releases without interference from surrounding energy sources. Fast • Instant reading • No contact • No contamination Practical and Efficient • Painless • No stress • Last 32 temperatures recall Precise • Infrared technology. Heimmann detection system • Alarms when pre-set temperature exceeded Special Offer Technical Specifications Each ECG 101 is supplied with a free copy of Larry Tilley’s “Electrocardiography Made Easy” Resolution 0.1C Range 30ºC to 50ºC Reading Distance 5cm(2”) to 20cm(8”) Automatic Stop 5 sec Warranty 2years Output C or F Normal operating environment 10C (50F) to 40C (104F) less than 85% humidity Weight 350g ECG MACHINE ECG101 It is necessary to reset the Thermoflash when changing species so consider the cheaper twin pack and have one for dogs and one for cats. THERMOFLASH NO CONTACT THERMOMETER THF1 Thermoflash £49.89 THF2 Thermoflash Twin Pack £89.00 204 ECG Machine £650.00 CH20_p199-205_Diagnostics 13/3/07 13:29 Page 205 DIAGNOSTICS www.vetinst.com Cardio Link Oesophageal ECG Probe NEW The Cardio Link is an oesophageal probe with four stainless electrodes incorporated along the distal end. It can be linked to all existing ECG machines. The existing ECG clips are attached to metal posts inside the control box. Select lead II and adjust position of the Cardio Link probe to obtain a QRS waveform. No more leads trailing over the patient. Probes available in three different sizes all of which work with the same control box. CARDIO LINK OESOPHAGEAL ECG PROBE 025060 Cardio Link Control Box £83.00 0250602 4mm (12Fr) x 90cm (36”) cats , exotics, £83.00 0250603 6mm (18Fr) x 105cm (42”) medium/large dogs £83.00 0250604 6mm (18Fr) x 250cm (100”) Equine £120.00 205 20 CH21_p206-214_ClinicalFurniture 21 13/3/07 16:13 Page 206 CLINICAL FURNITURE Clinical Furniture Magnifier Lighting NEW Good lighting is an essential pre-requisite for any examination or procedure. Regardless of the quality and range of your surgical instruments if you cannot adequately see what you are doing, your procedure will be compromised. We have selected a range of quality lights to meet your examination and procedure requirements. HF Series Multipurpose Examination Lights NEW A superior magnifying light for detailed distortion free examination. • • • • • • • This very compact single light source is an ideal procedure light. The head swivels around to whatever position you require. • Vented shade • stay cool finger tip controller • 50w halogen light source • 230-240v 50Hz AC • 31,000 lux light intensity • Options: Articulated Wall Mount Articulated Ceiling Mount Flexible Goose Neck Mobile Flexible Goose neck ‘C’ Clamp MAGNIFYING PROCEDURE LIGHT HF SERIES PROCEDURE LIGHT 12456 HF Articulated Wall Mount £239.00 12929 HF Articulated Ceiling Mount £269.00 12454 HF Flexible Goose Neck Mobile £379.00 12455 HF Flexible Goose Neck ‘C’ Clamp £239.00 2.25 x magnification (5 dioptre) 127mm diameter 3 adjustable joints Fluorescent tube 22w 230-240v 50Hz AC 10,500 lux light intensity Options: C-Clamp 6.8kg Mobile 10.0kg 206 RLMCLT Mobile £199.00 RLMCL Mobile with ‘C’ Clamp £149.00 CH21_p206-214_ClinicalFurniture 13/3/07 16:13 Page 207 CLINICAL FURNITURE www.vetinst.com TriStar NEW Celestial Star 21 NEW Compact and counterbalanced, the three light source Celestial light is very easy to move and adjust. • Drift free balance arm • 3 x 35w long life halogen bulbs (4000hr) • 230-240v 50Hz AC • 64,500 lux light intensity • Light colour 4,100 Kelvin • Options: Ceiling 23.6kg Dual Ceiling 47.2kg Wall 17.3kg Mobile 24.3kg A compact combination of three light sources offers the following features: • Light pattern is 125mm at 600mm distance • 3 x 20w long life halogen bulbs (2000hr) • 230-240v 50Hz AC • 42,000 lux light intensity • Light colour 4,100 Kelvin • Wall mount option offers 1400mm reach. 8.2kg • Mobile unit raises from 685mm to 2030mm on a non tip base. 11.4kg CELESTIAL STAR LIGHTING TRISTAR LIGHTING CS2050C Ceiling £1,099.00 £1,099.00 TS2015M Wall Mount TriStar £699.00 CS2050W Wall Mount TS2015M Mobile TriStar £699.00 18544 Autoclaveable handle £39.00 18464 Bulb 20w £8.95 13078 Bulb £11.95 207 CH21_p206-214_ClinicalFurniture 21 13/3/07 16:13 Page 208 CLINICAL FURNITURE Clinical Furniture Tables Custom Furniture Vet Sink Stainless steel furniture can be fabricated to your design in our Sheffield workshop. Phone or fax a sketch for a quote. Folding Wall Mount Examination Table Very rigid and will not tip over. Surface area can therefore be smaller than a free standing table. Table flips flat against the wall for cleaning and examination of large dogs. Standard table is 40" x 20", but all sizes available on request. Major vetsink features include - FOLDING WALL MOUNT EXAMINATION TABLE • Fully welded internal joints precluding matter ingress and the retention of infectious organisms. 028026 Folding Table 40" x 20" * £595.40 Carriage is extra for all items marked * • All round accessibility in standing and seated positions • Sloping sink base draining all fluids automatically away from the subject Mayo Instrument Table • Integral mixer taps and umbilical shower unit • Stainless steel throughout • Easily cleaned and maintained, thus popular with veterinary nurses • Tray 19" (490mm) X 13"(330mm) • Radiused corners • Can be combined with the latest air driven dental units and mobile seating • 4 castors • Height adjustable 33" (840mm) to 47" (1200mm) • Four button hooks are located on the sides for hanging the taps during cleaning • Lifetime guarantee VETSINK VETSINK12 Vet sink 1200mm Tub table complete* £1,524.00 VETSINK15 Vet sink 1500mm Tub table complete* £1,730.00 VETSINK20 Vet sink 2000mm Tub table complete* £1,925.00 VETSINKTOP Solid top converts above into exam table /op table* £220.00 Carriage is extra for all items marked * MAYO INSTRUMENT TABLE 028027 Stainless Mayo Instrument Table 19" x 13"* Carriage is extra for all items marked * 208 £231.60 CH21_p206-214_ClinicalFurniture 13/3/07 16:13 Page 209 21 CLINICAL FURNITURE www.vetinst.com Scrub Dispenser Stainless Steel Demountable Scales Small Platform Scales Dosage calculation for very small patients is critical. Guesswork can result in serious overdosage or underdosage. Our small scales weigh in gram increments to 4kg. There is also a tare facility so that you can weigh things in boxes and bags. Stainless platform 250mm x 200mm. SMALL PLATFORM SCALES 025131 Mini Scale £65.31 Redmark Cradles 025134 Dispenser Available individually or as a set of 3 these cradles are the best available. REDMARK CRADLES 026022 Redmark Cradles - set of 3 (S. M, L) 026022L Redmark Cradle - Large over 32kg £115.00 026022M Redmark Cradle - Medium over 13kg - 32kg £41.20 026022S Redmark Cradle - Small up to 13kg £30.90 £55.50 Walk-On Large Platform Scales Dispenser Attachment • Stainless construction • Unit dismountable from wall bracket (included) for cleaning/autoclaving 0 to 100kg digital display. • Operates standard scrub bottles WALK-ON LARGE PLATFORM SCALES SCRUB DISPENSER - DEMOUNTABLE 025134 Scrub Dispenser Stainless Steel £28.00 025132 Walk-on Scales* 900 x 500mm 025133 Rubber mat for above Carriage is extra for all items marked * 209 £440.19 £24.19 CH21_p206-214_ClinicalFurniture 21 13/3/07 16:13 Page 210 CLINICAL FURNITURE Drip Stand Clinical Furniture Multiarm With Limb Brace Attachment In Use Limb Brace Attachment Drip Stand, Cage Door Mount • Clips onto all mesh or bar fronted cages • Stainless steel • Adjustable for height • Occupies no floor space • Moves with cage door causing no obstruction when examining patient Safety need not be compromised to obtain accurately positioned radiographs. The multi arm can replace the human hand in the positioning and holding of limbs for both radiography, surgery and arthroscopy. Also useful for hands free positioning of bronchoscopes & gastroscopes. • 'Velcro' straps will securely hold the limbs of patients of various sizes from cats to Great Danes. • Three joints allow positioning at any angle. • A single knob locks all three joints rigid. • Clamp fixes device to virtually any operating or X-ray table • Double limb support (for hip radiographs) available as an option. • As described by Kurt Schulz in Veterinary Surgery DRIP STAND, CAGE DOOR MOUNT 028035 Drip Stand (Cage Door Mounting) (single) £27.85 MULTI ARM 028036 Drip Stand (Cage Door Mounting) 3 Pack £71.12 026000 Multi Arm - NEW 'Improved' version includes single limb support 020062 Double limb support £59.00 020065 Limb Brace Attachment for Multi Arm £93.00 Multi Arm - With Single Limb Support I / V Splints Double Limb Support • Maintains foreleg in extension for long term IV therapy £172.93 • Different sizes to suit all patients • Stainless steel, will autoclave • Well tolerated, even by cats • Supplied with full instructions I / V SPLINTS 210 028037 IV Splints Small - cat size 028038 IV Splints Medium - up to 20lb dog £35.12 £35.12 028039 IV Splints Large - 20 to 40lb dog £39.90 028040 IV Splints Ex Large - 40 to 80lb dog £44.70 0028040S Set IV Splints £134.88 CH21_p206-214_ClinicalFurniture 13/3/07 16:13 Page 211 21 CLINICAL FURNITURE www.vetinst.com Adson 4mm Suction Suction Machine Focal suction tip removes fluid from specific locations e.g.in spinal procedures. Very controllable at the handpiece by single finger over air bypass hole. ADSON SUCTION TIP 1852121 Adson Suction Tip 4.0mm £17.38 Frazier 2.6mm As the Adson but finer still. This simple suction unit is sensibly priced to make it suitable for general practice as well as more specialised centres. The suction tube will fit all standard tips. The bottle capacity is 1 litre which is adequate for virtually all small animal procedures. The in-line filtration system minimises biohazards. Most veterinary dentists now regard suction as being essential. Suction is controllable and there is a vacuum indicator. CE marked for peace of mind and quality. The suction machine is ready for the attachment of tubes and tips. SUCTION DEVICE 185000 ASKIR 30 Suction Device £235.75 Suction Tips FRAZIER SUCTION TIP We stock the four most useful style of tip. Each tip comes complete with a length of autoclavable silicone tube to connect to the suction unit. 1854328 £17.38 Disposable Yankauer Pack of ten, especially useful for dentistry. General purpose suction tip for removal of large volumes e.g. from abdomen. DISPOSABLE SUCTION TIP YANKAUER SUCTION TIP 1854327 Frazier Suction Tip 2.6mm Yankauer Suction Tip £17.38 185DISP Disposable tips (pack of 10) £20.06 185DISPH Disposable tip handpiece (Autoclavable) to fit onto standard suction tubing £00.00 Suction Tubing Poole SUCTION TUBING 185001 As Yankauer but more holes for greater volume uptake. With perforated outer sheeth removed the Poole functions as a small bore straight suction tip. POOLE SUCTION TIP 1854330 Poole Suction Tip £17.38 211 Autoclavable Suction Tubing per Metre £2.05 CH21_p206-214_ClinicalFurniture 21 13/3/07 16:13 Page 212 CLINICAL FURNITURE Electrosurgery Electrosurgery BiPolar Clinical Furniture HF 122 is a complete innovation in the electrosurgery field. It is a high frequency-electronic scalpel suitable for microcoagulation, small and medium MonoPolar surgery and BiPolar coagulation. The following MonoPolar modes of operation are available via the control panel: pure cutting (CUT), coagulated cutting (COAG), MonoPolar coagulation and microcoagulation (BLEND). Additionally with BiPolar forceps, bipolar coagulation and microcoagulation are available. Electrosurgery MonoPolar Safety Alarm Open Circuit (OC) Alarm warns the user that connection into the neutral plate has not been made or that the cable is disconnected. The alarm is signalled with an intermittent beep together with a flashing red light on the front panel. In this condition HF emission for cut and coagulation operation is switched off. Meets all EC standards for this type of equipment Overheat Alarm Should the final module in the HF generator overheat, the unit incorporates an internal circuit protection which cuts off operation. In this condition the red OVH warning light illuminates and the user must wait until the generator cools down, about 20 sec, before recommencing. The module will not go into protection mode as long as the instruction for operation as described in the manual are followed. Kit includes: • Two button MonoPolar handle • Foot control • Flat neutral plate • 6 short MonoPolar electrodes This new HF 106 electrosurgery unit is particularly suitable for small procedures. The 50 watt unit offers precision of cut with immediate coagulation. There is a choice of 10 electrodes. The three modes of operation, CUT, COAG and BLEND, can be easily selected through a switch on the front panel. Meets all EC standards for this type of equipment. The package includes HF 106 with all accessories including electrode handle, flat neutral plate, foot switch and a kit of 6 electrodes 5 cm long. • BiPolar cable and forceps BIPOLAR ELECTROCAUTERY UNIT HF122 120watt MonoPolar/BiPolar Electrosurgery Kit HF125 Spare MonoPolar handpiece for HF122 £937.00 £52.00 BiPolar Accessories ELECTROSURGERY MONOPOLAR BIPOLAR ACCESSORIES HF106 50watt MonoPolar Electrosurgery Unit HF1 Electrode £498.00 £4.50 HF2 Electrode £4.50 HF3 Electrode £4.50 HF4 Electrode £4.50 HF5 Electrode £4.50 HF6 Electrode £4.50 HF7 Electrode £4.50 HF8 Electrode £4.50 HF9 Electrode £4.50 HF10 Electrode £4.50 HF123 Spare Bipolar Forceps for HF122 £72.00 HF1-10 Set of 10 Electrodes (mixed) £33.44 HF124 Spare Bipolar Cable for HF122 £80.00 HF107 Spare MonoPolar Handle for HF106 £45.00 212 CH21_p206-214_ClinicalFurniture 13/3/07 16:13 Page 213 21 CLINICAL FURNITURE www.vetinst.com Portable Cordless Cautery Kit Safe and warm foam patient mats This handy set comprises a handpiece using two AA batteries (included) and four interchangeable and replaceable cautery tips 1” (25mm) impermeable foam mats minimise patient heat loss during surgery and recovery. The mats are hugely more comfortable for the patient than stainless steel. 1/2”(12mm) Fine general purpose electrode for haemostasis 1/2”(12mm) Loop electrode for small skin tumours Wipe clean using all standard disinfectant solutions. Available for cages, and operating tables. 4”(130mm) Fine electrode for deep areas 4”(130mm) Loop electrode SAFE AND WARM FOAM PATIENT MATS Tip temperature 2200F/1200C DISPOSABLE SUCTION TIP 02313 Portable Cordless Cautery Kit 02313w Replacement cautery tip 1/2” fine £7.00 02313x Replacement cautery tip 1/2” loop £7.00 02313y Replacement cautery tip 4” fine £7.00 02313z Replacement cautery tip 4” loop £7.00 02767 Operating table mat 15”(375mm) x 40” 02767a Operating table mat 15”(375mm) x 44” (1000mm) x 1”(25mm) £43.00 (1100mm) x 1”(25mm) £105.00 £145.00 Safe and warm Standing anti-fatigue mat Long hours standing on hard floors is very tiring causing leg and back aches. This easy clean impermeable mat really does work. We have it on the show stand (very long hours on hard floors) and our staff fight over it!!! Edges are tapered to stop tripping. SAFE AND WARM STANDING ANTI-FATIGUE MAT 02769 Anti-fatigue mat 19”(475mm) x 38”(950mm) 02769a Anti-fatigue mat 29”(725mm) x 38”(950mm) x 2”(50mm) x 2”(50mm) 213 £175.00 £225.00 CH21_p206-214_ClinicalFurniture 21 13/3/07 16:13 Page 214 CLINICAL FURNITURE Animal Stretcher Clinical Furniture K9 Float Coat The use of water treadmills and/or swimming as non weight bearing exercise are becoming increasingly popular in canine rehabilitation. Necessary precautions should include the use of a quality life preserver with the means of rapid removal from the water. Can be used by either two people with one at each end or by a single person utilising the wheels at one end. The Float Coat has a durable nylon shell with an ergonomic fit. The coat has high buoyancy and a low profile assistance handle. The handle and coat are strong enough to support and lift the dog from the water. Secured by quick release buckles the Float Coat is supplied in yellow and black. Also useful for dogs who love the water but are not as strong a swimmer as they used to be. The frame is lightweight coated steel. The stretcher is made from heavy duty re-inforced nylon. Three 2” (50mm) straps are provided for patient security. 24”(600mm) x 48”(1200mm) ANIMAL STRETCHER 02742 Animal Stretcher K9 FLOAT COAT £65.00 CODE Soft Carry Stretcher SIZE GIRTH LENGTH VET PRICE 12”-19” 9” £32.00 £49.00 02978b XS 17”-24” 12” £32.00 £49.00 02978c S 23”-30” 16” £32.00 £49.00 02978d M 27”-32” 21” £41.50 £64.00 02978f L 31”-40” 25” £41.50 £64.00 HF5 XL 35”-48” 35” £41.50 £64.00 02978a XXS RRP Measurements: Girth= measurement around widest part of ribcage. Length = distance from back of neck to the base of tail. Web Master Harness Without rigid poles the soft carry stretcher can go into tight corners e.g. kennelling and cars. Six padded handles for comfort. Made from heavy duty washable nylon. Easily stored when not in use. Max weight for stretchers is 150lb (67.5kg). SOFT CARRY STRETCHER 02742a Soft Stretcher 30”(750mm) x 50”(1250mm) £26.00 02742b Soft Stretcher 21”(525mm) x 34”(850mm) £22.00 The safe use of hydrotherapy should include either a float coat or, for experienced swimmers, a safety harness. Patients should not be swimming with a simple collar. The Web Master Harness is comfortable and cushioned in all the right areas but strong enough to lift the dog from the water. Manufactured from heavy duty nylon with quick release buckle. Designed with hydrotherapy in mind but also useful as a mobility assist in any dog unsure of its footing into cars or up steps etc. Colour is black and red. WEB MASTER HARNESS CODE 214 SIZE GIRTH LENGTH VET PRICE RRP 02979a XXS 12”-19” 10” £22.00 £32.00 02979b XS 17”-24” 13” £22.00 £32.00 02979c S 18”-30” 16” £22.00 £32.00 02979d M 23”-36” 19” £24.00 £36.00 02979e L 31”-48” 22” £24.00 £36.00 CH22_p215-216_Clippers 13/3/07 12:41 Page 215 22 CLIPPERS www.vetinst.com Edition Precison Trimmer Surgical Clippers Oster ‘Power Pro’ Cordless • Uses standard A5 blades. (not included) • Equal power to A5 • 30 minute run time • 20 minute charge time • Optional battery pack offers continuous use facility. • No more trip hazards, no more clippers dragged onto floor. Quiet, lightweight and compact. Ideal for i/v clips 60 minutes trimming time with full charge OSTER CLIPPERS 028092 Oster Clippers Cordless (no blades) £250.00 EDITION PRECISION TRIMMER 028099 Spare Battery for Oster Cordless Clippers £101.97 KM8556 The latest version of the industry standard clipper with a blade locking device to prevent the blade unclipping in use. (blade not included). Light duty trimmer, easily concealed in palm of hand. Handy for i/v clips or blood tests OSTER CLIPPERS A5 Oster A5 “Golden” body only (no blades) £39.16 Pocket Pro Trimmer (purple) Oster Clippers A5 028080 Edition rechargable trimmer Runs off single AA battery (supplied). Cheap enough to have one in every room. £110.38 POCKET PRO TRIMMER (PURPLE) Oster Blades 9861 OSTER BLADES 028081 Oster Clipper Blade Size 40 £27.93 028081/E Oster Clipper Blade Size 40 ELITE £31.15 028082 Oster Clipper Blade Size 15 £27.93 028083 Oster Clipper Blade Size 50 £27.93 028084 Oster Clipper Blade Size 30 £27.93 028082/10 Oster Clipper Blade Size 10 £27.93 Pocket Pro trimmer £9.50 Laube 505 Cordless Clipper Wahl Clippers • Up to 3 hours clip time • Ultra quiet • 2 speeds 4,000 and 10,000 spm • Motor has limited 5 year warranty • Fits all snap on blades • Pretty well vet and nurse proof!!! LAUBE 505 CORDLESS CLIPPER 028100 Laube 505 Clipper £279.00 Laube Blades To function with the powerful Laube range of clippers Laube have corrected all the faults of all the other blades . Laube blades fit all clippers sold by Veterinary Instrumentation. Moser Max 45 - 2 Speed Mains Clipper Highly recommended and very competitively priced. Extremely robust with 45 Watt motor LAUBE BLADES Two speed Takes standard clip on blades WAHL MOSER MAX 45 CLIPPERS KM6245-800 Moser Max 45 incl. surgical blade £82.00 215 028111 Laube No. 15 blade £17.80 028112 Laube No. 30 blade £17.80 028110 Laube No. 40 blade £17.80 028113 Laube No. 50 blade £17.80 CH22_p215-216_Clippers 13/3/07 12:41 Page 216 22 CLIPPERS Clippers Nail Clippers Heavy Duty with Plastic Handles Bird Ring Cutter HEAVY DUTY WITH PLASTIC HANDLES 028088 Nail Clipper Heavy Duty Plastic Handle £8.32 Compound Action Nail Clippers Aluminium and plastic rings frequently prevent venous return from the distal limb of small birds. Oedema and necrosis quickly follow unless the ring is removed. Removal of the ring without fracturing the leg is not easy without this special cutting tool. BIRD RING CUTTER 028090 COMPOUND ACTION NAIL CLIPPERS 028086 £109.76 Nail Clipper Compound Action Bird ring scissors £25.41 Rabbit Ring Cutters Nail Clippers Standard Large Identification rings placed on show rabbits can occlude the venous return from the distal hind limb with disastrous results. Removal of the ring without causing additional damage and pain to the limb is very difficult without these purpose designed cutters. Once the notched jaws are engaged on the ring, firm pressure may be applied to cut the ring without fear of the ring "flipping over". Also functions as a general purpose canine nail cutter. Small RABBIT RING CUTTERS NAIL CLIPPERS STANDARD 028085 Nail Clippers (large) 14cm £25.99 028085S Nail Clippers (small) 12cm £25.99 028091 Rabbit ring cutters £22.73 Parrot Ring Cutters Resco Guillotine Type This device is used by jewellers to remove rings from people’s fingers. The ring is cut by turning a hardened saw blade. Parrot rings are very tough and cannot be removed by nail cutters. This cutter will also remove rabbit rings but bear in mind that the lower blade has to go between skin and ring. PARROT RING CUTTERS RESCO GUILOTINE TYPE 028087 Resco Clippers Guillotine £8.32 216 028093 Parrot ring cutter £44.34 028094 Spare Blade for above £11.61 CH23_p217-218_Training Aids 13/3/07 16:16 Page 217 23 TRAINING AIDS www.vetinst.com Skeletons and Mounted Limbs Anatomical Models Stifle AMJ776 Lumbar AMJ779 Hock AMJ781 Canine teeth with pathology AMJ771 A full skeleton is a very useful aid to explain a procedure to a client and as a model for orthopaedic reconstructions. A normal bone model is very useful when trying to put together a complex fracture Our skeletons and mounted limbs are professionally prepared real bones mounted on a wooden base. Also available with a perspex cover - phone for details. SKELETONS AND MOUNTED LIMBS 090123 Dog Skeleton Complete disarticulated £346.87 090124 Dog Skeleton Complete mounted on base £498.00 090130 Dog Hind limb mounted on base 090131 Dog Fore limb mounted on base 090132 Cat Skeleton complete mounted on base £380.63 090132D Cat Skeleton complete disarticulated £228.13 £98.00 £98.00 When clients better understand their pet's condition they are more likely to accept the treatment you suggest. Models illustrating the common problems are an invaluable aid. Cat Skeleton ANATOMICAL MODELS SKULLS SM-130 ‘Standard’ Canine skull large (20cm) £59.00 SM-134 ‘Standard’ Canine skull medium (14cm) £49.00 SM-620RTQ English Bulldog Replica SM-646A Boxer Natural Bone SM-646RTQ Boxer Replica SM-090 ‘Standard’ Feline skull £48.00 SM-375 Rabbit £24.00 SM-617 Guinea Pig £24.00 £68.00 £195.00 £68.00 217 AMJ770 Canine teeth £124.58 AMJ770C Feline teeth £124.58 AMJ770S Set of both canine & feline teeth £235.43 AMJ771 Canine teeth plus pathology £124.58 AMJ771C Feline teeth plus pathology £124.58 AMJ771S Set of both canine & feline teeth & pathology £235.43 AMJ772 Cross section of canine Ear £48.83 AMJ779 Canine lumbar vertebrae with pathology £54.90 AMJ776 Canine stifle AMJ775 Canine hip + lower vertebrae AMJ780 Canine elbow £57.40 AMJ781 Canine hock £57.40 £64.40 £117.88 CH23_p217-218_Training Aids 13/3/07 23 16:16 Page 218 TRAINING AIDS Training Aids Plastic Training Bones Books The limited availability of cadaver training programs means that basic orthopaedic techniques must be practiced on plastic bones. Our plastic bones simulate the real thing as closely as possible in that they have cortices and medullary cavities. PLASTIC TRAINING BONES 2121-20 Femur, Right with block 2117-20 Tibia, Right with block £27.00 £27.00 2117-21 Tibia/fibula Right no block £40.00 2003-20 Humerus Right with block £27.00 2002-20 Radius Right solid foam with canal £18.00 2002-25 Radius and Ulna Right £40.00 2002-22 Radius, Solid with Canal - Transverse Fracture £18.00 2003-21 Humerus, Foam Cortex with Oblique Fracture £29.00 2003-22 Humerus, Foam Cortex - Distal Condylar Fracture £29.00 2003-23 Humerus, Oblique Condylar Fracture £29.00 2003-24 Humerus, growth plate £30.00 2003-25 Humerus - High Y Fracture, Head Fracture £36.00 2003-26 Humerus, Spiral Fracture £30.00 2117 Tibia Left Foam Cortex £27.00 FELINE ORTHOPEDICS Harry W Scott • Ron McLaughlin DVD/CD Rom These DVD/CD Rom’s show in detail the following procedures: • Fracture fixation including surgical approaches, plate, lag screw and tension band fixation. • Triple pelvic osteotomy using a VI plate MANSON • Total hip replacement PUBLISHING • Carpal arthrodesis • Surgical management of canine CrCL disease A combination of BK02 and BK01 or BK03 will cover nearly all the situations you are likely to face in practice. DVD/CD ROM HDFFDVD DVD Denny Fracture Fixation DVD Version HDTPODVD Hamish Denny Triple Pelvic Ostotomy DVD Version CDRAS Powerpoint presentation on Rasenberg TPO plate (CD Rom) HDTHPDVD DVD Hamish Denny Total Hip Replacement DVD Version £40.00 BOOKS £35.00 BK01 A Guide to Canine and Feline Orthopaedic Surgery by Hamish Denny & Steve Butterworth FOC BK02 An Atlas of Surgical Approaches the Bones & Joints of the Dog and Cat. 3rd Edition by Donald L. Piermattei £55.00 £35.00 HDCADVD DVD Hamish Denny Carpal Arthrodesis DVD Version CDROM Surgical Management of Canine CRCL disease covers OTT, Lateral suture & TPLO (CD Rom) FOC DVDTTO Surgical Management of Canine CRCL disease by Triple Tubial Osteotomy (TTO) FOC £62.50 BK03 Handbook of Small Animal Orthopaedics and Fracture Repair. 4th Edition by Donald L. Piermattei & Gretchen L.Flo £35.00 £55.00 BK05 Small Animal Spinal Disorders - Diagnosis and Surgery by Simon J. Wheeler & Nicholas J H Sharp £84.99 218 BK06 Small Animal Arthroscopy (Book and CD ROM) by Beale, Hulse, Shulz and Whitney. £74.16 BK07 Feline Orthopaedics by Scott & McLaughlin £95.00 CH24_p219_234_index 19/3/07 12:30 Page 219 Index Air Instrument Care Products . . . . . . . . . . . . . . . . . . . . . . . . . .76 Air Regulators and Hose Probes . . . . . . . . . . . . . . . . . . . . . . . .76 1.5/2.0mm Compression Plates . . . . . . . . . . . . . . . . . . . . . . . .92 1.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 1:1 Attachment for dental units . . . . . . . . . . . . . . . . . . . . . . . .141 2.0mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 2.0mm Cortical Self Tapping Screws . . . . . . . . . . . . . . . . . . . .92 2.0mm Round hole Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 2.2mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 2.4, 2.7, 3.5mm Screws, Titanium . . . . . . . . . . . . . . . . . . . . . . .99 2.7mm - 7/64” Self Tapping Screws (Sherman) . . . . . . . . . .86 2.7mm Compression Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 2.7mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 2.7mm Cortical Self Tapping Screws . . . . . . . . . . . . . . . . . . . .93 2.7mm Heavy Duty Round Hole Plate . . . . . . . . . . . . . . . . . . .87 2.7mm Quarter Tubular Plate . . . . . . . . . . . . . . . . . . . . . . . . . .94 2.7mm Round Hole Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 3.0mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 3.5mm 9/64” Self Tapping Screws (Sherman) . . . . . . . . . . . .87 3.5mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95 3.5mm Compression Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 3.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 3.5mm Cortical Self Tapping Screws . . . . . . . . . . . . . . . . . . . .94 3.5mm Heavy Duty Plate Round Holes . . . . . . . . . . . . . . . . . .87 3.5mm Standard Round Hole Plates . . . . . . . . . . . . . . . . . . . .87 3M’s Orthopaedic Equipment . . . . . . . . . . . . . . . . . . . . . . . . . .70 4:1 Reduction Attachment for dental units . . . . . . . . . . . . . .141 4mm Cancellous Screws Full Threaded . . . . . . . . . . . . . . . . . .95 4mm Cancellous Screws Part Threaded . . . . . . . . . . . . . . . . .95 5.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 6.5mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 A A / K Wire Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Abdominal Retractors . . . . . . . . . . . . . . . . . . . . . . . .119, 168-170 Acetabular Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112 Acetabular Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Acetabular Positioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Acetabular Reamers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Acetabular Skid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Acrylic Bi-Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 Acrylic Pin External Fixation System . . . . . . . . . . . . . . . . . . . . .60 Acrylic Tube Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Adhesive Drapes (Disposable) Sterile . . . . . . . . . . . . . . . . . .187 Adjustable Bone Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Adjustable Drill Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Adjustable Thomas Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 Adson 4mm Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211 Adson Dissecting Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .165 Aiming Device, Dr Lehman . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Aiming Device, drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 AIPMMA (for antibiotic beads) . . . . . . . . . . . . . . . . . . . .115, 156 B Airway Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 Babcock Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Alligator Forceps - Arthrex arthroscopy . . . . . . . . . . . . . . . . . .32 Backhaus Towel Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 Allis Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Bain Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Aln Skin Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169 Bain Circuit Semi Disposable . . . . . . . . . . . . . . . . . . . . . . . . . .191 Ameroid Constrictor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Balfour Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170 Anaesthetic Chamber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192 Bandage Scissors, Veterinary . . . . . . . . . . . . . . . . . . . . . . . . . .172 Anaesthetic Circuit Consumables . . . . . . . . . . . . . . . . . . . . . .191 Bandage, Esmarch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Anaesthetic Circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190, 191 Barraquer Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Anaesthetic Machines . . . . . . . . . . . . . . . . . . . . . . . . . . .188, 189 Barraquer Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Anaesthetic Masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Bars, Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Anal Sac Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120 Battery Pack, Orthopaedic Drill . . . . . . . . . . . . . . . . . . . . . . . . .67 Anatomical Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217 Beaver Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18, 176 Anchor, Suture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23, 100 Beaver Type Scalpel Handle . . . . . . . . . . . . . . . . . . .18, 127, 176 Angiotribes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Benders, K Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45, 108 Angled Cutter, Small . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Bending Templates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Animal Stretchers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214 Bennett Type Graft Passer & Aneurism Needles . . . . . . . . . . .8 Antibiotic Impregnated Beads . . . . . . . . . . . . . . . . . . . .115, 156 Beta 200 Ophthalmoscope Heine . . . . . . . . . . . . . . . . . . . . . .133 Anti-Fatigue Mats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213 Bicortical Negative Threaded Pins . . . . . . . . . . . . . . . . . . . . . .55 Anti-Skid Drills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Biko Canine Physio Brace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50 AO Type Periosteal Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Binocular Hand Held Indirect Ophthalmoscope . . . . . . . . .133 AO Type Screws & Plate Equipment . . . . . . . . . . . . . . . . . . . . .88 Binocular Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 AO/Synthes Quick Release Chuck . . . . . . . . . . . . . . . . . . . . . .89 Biological Healing Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Apalert Respiration Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Biopsy and Grasping Forceps . . . . . . . . . . . . . . . . . . . . . . . . .203 APEF Base Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Biopsy Needle, Bone & Soft Tissue . . . . . . . . . . . . . . . . . . . .157 APEF Pins & Frame Alignment Kit . . . . . . . . . . . . . . . . . . . . . .61 Biopsy, soft tissue forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 APEF Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 Bipolar Electrocautery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212 Apical Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149 Bird Ring Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Arruga Capsule Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Bitch Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163 Bladder Catheters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Arthrex . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10, 11, 23, 29, 30, 32 Blades, Desoutter MPX Saw . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Arthrex - Instruments, Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 Blades, Desoutter MPZ Saw . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Arthrodesis Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Blades, Hand Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Arthrodesis Wire Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Blades, Mini DriverSaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71 Arthrodesis, Pan Carpal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Blades, MultiSaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69 Arthrodesis, Pantarsal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Blades, Power Saw, Halls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 Arthroscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24, 25 Blades, Scalpel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176 Arthroscopic Electrocautery - Arthrex OPES . . . . . . . . . . . . .30 Blades, Swann Morton . . . . . . . . . . . . . . . . . . . . . . . .18, 127, 176 Arthroscopic Instrumentation . . . . . . . . . . . . . . . . . . . . . . . . . .25 Blitz spray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Arthroscopic Punches, Biopsy Forceps, Rongeurs, Grasping Blood Pressure Monitor . . . . . . . . . . . . . . . . . . . . . . . . . .182, 183 Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Bolt, Webb/Condylar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Arthroscopy - Infusion Pump Arthrex . . . . . . . . . . . . . . . . . . . .29 Bone Biter Suture Anchor System . . . . . . . . . . . . . . . . . . . . . . .23 Arthroscopy Sterility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31, 32 Bone Cement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82, 114, 115 Arthroscopy USB Image Capture . . . . . . . . . . . . . . . . . . . . . . .28 Bone Cutting Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 ASIF/AO type screws, Plates and Equipment . . . . . . . . . . . . .88 Bone Gouge Forceps (Rongeurs) . . . . . . . . . . . . . . . . . . . .41, 79 Aspheric Lens Heine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133 Bone Holding Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 35 Atraumatic Dissecting Forceps, Debakey . . . . . . . . . . . . . . .165 Bone Lever /Periosteal Elevator . . . . . . . . . . . . . . . . . . . . . . . . .43 Atraumatic Small Bowel Clamp . . . . . . . . . . . . . . . . . . . . . . . .165 Bone Marrow Biopsy - Jamshidi Type . . . . . . . . . . . . . . . . . . .157 Autoclave Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182 Bone Marrow Biopsy - Klima Type . . . . . . . . . . . . . . . . . . . . .157 Autoclaves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181 Bone Marrow Biopsy - Rosenthall . . . . . . . . . . . . . . . . . . . . . .158 Automatic Instrument Washer . . . . . . . . . . . . . . . . . . . . . . . . .178 Bone Marrow Biopsy Needles . . . . . . . . . . . . . . . . . . . . .157, 158 Ayres ‘T’ Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Bone Pin Roll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Bone Pin Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Air Driven Dental Units . . . . . . . . . . . . . . . . . . . . . . . . . .135, 137 Bone Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Air equipment , Pre-owned . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77 219 CH24_p219_234_index 19/3/07 12:30 Page 220 Bone Plate Benders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Cart, Mobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 Colibri (Barraquers) Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .124 Bone Plate Press . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Cast Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68, 69 Collins Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170 Bone Plates, DCP Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 Cast Cutter Desoutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 Colour Coded Identity Rings . . . . . . . . . . . . . . . . . . . . . . . . . .180 Bone Plates, Round Hole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 Castroviejo Needleholders . . . . . . . . . . . . . . . . . . . . . . .125, 166 Combination Bone Rasp Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Bone Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Castroviejos Corneal Forceps . . . . . . . . . . . . . . . . . . . . . . . . .124 Combination Drill, Tap and Insert Sleeve . . . . . . . . . . . . . . . .90 Bone Scoops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46, 174 Castroviejos Corneal Scissors . . . . . . . . . . . . . . . . . . . . . . . . .126 Compound Action Crimper . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Bone Scribe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13, 46 Castroviejos Cross Action Capsule Forceps . . . . . . . . . . . . .125 Compound Action Nail Clippers . . . . . . . . . . . . . . . . . . . . . . .216 Bone Scribe/Scribe Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Catheters, Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Compound Action Spinal Rongeurs . . . . . . . . . . . . . . . . . . . . .80 Bone Trephine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Cautery Kit, Portable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213 Compression Plates and Cortical Screws . . . . . . . . . . . . . . . .88 Bone Tunnel Borers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 CCL Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Condyle Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Bone Wax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 CCL Loop Tightener . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Cone Laminectomy Retractor . . . . . . . . . . . . . . . . . . . . . . . . . .81 Bones Plastic Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218 CCL Repair System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-12 Connecting Bars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Book - Spinal Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78, 218 CCL Staple Introducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Connectors Semi Disposable, Anaesthetic . . . . . . . . . . . . . .192 Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218 CCL Staples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20, 21 Connectors, Anaesthetic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192 Books - Arthroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 218 CCL Suture Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Contra Angle (Latch) Head . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Bowel Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164, 165 CD ROM - CCL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 218 Contra Angle Dental Handpiece . . . . . . . . . . . . . . . . . . . . . . .141 Boxes, Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84, 177 CD ROM - Hauptman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 Corkscrew Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Boxes, Needle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84, 159 CD ROM - Rasenberg TPO . . . . . . . . . . . . . . . . . . . . . . . .22, 218 Corneal Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Boxes, Screw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 CD ROM - Thermoplastic Splinting . . . . . . . . . . . . . . . . . . . . .48 Coronoid Osteotome, Gordon . . . . . . . . . . . . . . . . . . . . . . . . . .26 Breathe Easy Kit, Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 CD ROM - TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 218 Cortical Bone Trephine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Breathe Safe Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Cement, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114, 115 Cortical Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Broad 3.5mm Compression Plate . . . . . . . . . . . . . . . . . . . . . . .96 Cement, Vacuum Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Cortical Negative Threaded Pins (Ellis type) . . . . . . . . . . . . . .55 Broad 4.5mm Compression Plate . . . . . . . . . . . . . . . . . . . . . . .96 Cerclage Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Cortical Nuts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Brun Scoop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Cerclage Wire Tighteners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Cortical Screwboxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Bulla Osteotomy/Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Chalazion Forceps (Desmarres) . . . . . . . . . . . . . . . . . . . . . . .127 Cosmetic Surgeon Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Bulla Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Chart, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 Coughlan Soft Tissue Mangeur . . . . . . . . . . . . . . . . . . . . . . . . .20 Bur Brush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Cheatle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Countersinking Bone Tunnel Borer . . . . . . . . . . . . . . . . . . . . . .12 Bur Guards, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Cheek Dilators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Countersinks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Bur Kit, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140, 154 Chisels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Couplands Elevators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149 Burley Disc Scoop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Chuck, Jacobs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38, 57 Cradles, Redmark Positioning . . . . . . . . . . . . . . . . . . . . . . . . .209 Burs, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Circle Circuits Semi Disposable . . . . . . . . . . . . . . . . . . . . . . .192 Cranial Cruciate Ligament Lateral Suture System . . . . . . . . . .9 Burs, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154 Circuit Non-Rebreathing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Crile Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163 Burs, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Circuit, Ayres T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Crimper, Compound Action . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Buster Operation Cover (Disposable) Sterile . . . . . . . . . . . .187 Circuit, Bain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Crimper, Simple Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Buster Starlite Diagnostic Set . . . . . . . . . . . . . . . . . . . . . . . . .199 Circuit, Lack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Crimps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Button Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Circuit, T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Crocodile Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Clamp, Condyle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Cross Action Towel Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 Clamp, Double . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Cross cut taper fissure long head bur . . . . . . . . . . . . . . . . . .143 Cadmus Centering Templates . . . . . . . . . . . . . . . . . . . . . . . . . .17 Clamp, Split . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Crossley Incisor Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Cadmus Load Neutral Guide . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Clamps KE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51 Crossley Molar Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Cadmus TPLO Plates/Templates . . . . . . . . . . . . . . . . . . . . . . . .16 Clamps, Bowel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164, 165 Cruciate Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Calico Drapes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 Clamps, External Fixation . . . . . . . . . . . . . . . . . . . . . . .51, 52, 59 Cruciate Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Caliper, Vernier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Cleaners, Ultrasonic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Cruciate Screwdriver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Camera Covers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Clippers, Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Curette, Arthroscopic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Camera Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Clippers, Laube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Curette, House . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Cameras & Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Clippers, Nail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Curette, OCD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Canine Ear Loop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Clippers, Oster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Curette, Sheas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Cannula Set, van Bree, Arthroscopy . . . . . . . . . . . . . . . . . . . . .25 Clippers, Pocket Pro Trimmer . . . . . . . . . . . . . . . . . . . . . . . . .215 Curette, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81, 82 Cannula, Lachrymal Duct . . . . . . . . . . . . . . . . . . . . . . . . .127, 158 Clippers, Wahl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Curette, Subgingival . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Caps, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Clogs Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 Curette, Volkman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Capsule Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 CLS Concentrate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Curved Graft Passer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Cardell Multi-Parameter Monitors . . . . . . . . . . . . . . . . .196, 197 CMW Bone Cement DePuy . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Custom Made Furniture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208 Cardio Link ECG Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .205 Coarse Negative Threaded Pins . . . . . . . . . . . . . . . . . . . . . . . .56 Custom Made Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Carnivore Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148 Coarse Stainless Blade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Cutters, Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36, 37, 57 Carpal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Cochran Bisecting Angle Xray Positioner . . . . . . . . . . . . . . . .145 Cutting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 C 220 CH24_p219_234_index 19/3/07 12:30 Page 221 D Drill Bits - Hard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Eyelet Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Drill Bits - Soft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Eyelid Retraction - Speculae . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Dandy Nerve Hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Drill Bits - Synthes Fit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Ezelube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Daniel Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Drill Bits, antiskid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Debakey - Atraumatic Dissecting Forceps . . . . . . . . . . . . . . .165 Drill Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Debakey Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167 Drill Guides and Inserts . . . . . . . . . . . . . . . . . . . . . . . . . . . .89, 90 Fabella Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Delta Style TPLO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Drill, Mini Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Fastak Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Demarres Eyelid Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Drill, Orthopaedic Battery Driven . . . . . . . . . . . . . . . . . . . . . . .67 Fat Pad Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18, 168 Dental Burs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Drip Stand, Cage Door Mount . . . . . . . . . . . . . . . . . . . . . . . . .210 Feline Breathe Easy Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Dental Chart Stick-On Labels . . . . . . . . . . . . . . . . . . . . . . . . .152 Dual Zoom Head Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Feline Orthopaedics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218 Dental Elevators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148 DVD / CD's . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201, 218 Femoral Prosthesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112 Dental Examination Sheath Video Diagnostic . . . . . . . . . . .203 Dynamic Fixators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Femoral Prosthesis Pusher . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 E Dental Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 Dental Handpieces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 F Femoral Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112 Femoral Reamer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Dental Kit, Rodent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156 Ear Diagnostic Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Femur Grasping Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Dental Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148 Ear Flushing Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Fenestrated Surgical Drapes . . . . . . . . . . . . . . . . . . . . . .186, 187 Dental Machines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137-140 Ear Loops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 FESSA external fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 Dental Mirror . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204 FiberWire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10, 11 Dental Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 ECG Machine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204 Fibre Tap Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Dental Scraper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146, 147 ECG Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .205 FibreWire (Arthrex Vet Systems) . . . . . . . . . . . . . . . . . . . . .10, 11 Dental, Straight Nose Cone . . . . . . . . . . . . . . . . . . . . . . .141, 144 Electric Flexidrive Bur System . . . . . . . . . . . . . . . . . . . . . . . . . .78 Fine Negative Threaded Pins . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Depth Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85, 91 Electrocautery, Arthroscopy, Arthrex Vet Systems . . . . . . . . .30 Finnochetto Rib Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 DePuy CMW Bone Cement . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212 Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Derf T.C. Needleholders 12cm . . . . . . . . . . . . . . . . . . . .125, 168 Electrosurgery BiPolar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212 Fixator, Dynamic, Linear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Desmarres Eyelid Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Electrosurgery Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212 Fixator, External . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51 Desoutter Cast Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 Electrosurgery MonoPolar . . . . . . . . . . . . . . . . . . . . . . . . . . . .212 Fixator, Ring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64 Desoutter Orthopaedic Equipment . . . . . . . . . . . . . . . . . . . . . .72 Elevators, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148 Fixators, Linear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Diamond Card - Fine Sharpener . . . . . . . . . . . . . . . . . . . . . . .147 Elevators, Winged . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149 Flat Pad Retractor/Retractor Flat Pad . . . . . . . . . . . . . . . . . . . .18 Diamond Cone Sharpener . . . . . . . . . . . . . . . . . . . . . . . . . . . .147 Ellis Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Float Coat, Harness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214 Diamond Disc & Sheild . . . . . . . . . . . . . . . . . . . . . . . . . . .140,154 EN100 Wall Mount Unit with 2 Handpiece Positions . . . . .200 Fluid Infusion and Outflow, Arthroscopy . . . . . . . . . . . . . . . . .29 Diamond Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154 Endo Tube Brush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Fluosorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Dilator, Punctum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 Endo Tube Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Flushing Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Dingmans Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Endo Tube Stylet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Foam Lining, Compact . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Direct Opthalmoscope Heads . . . . . . . . . . . . . . . . . . . . . . . . .200 Engels Plaster Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Folding Wall Mount Examination Table . . . . . . . . . . . . . . . . .208 Disarticulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Epilation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125, 165 Forceps - Modular Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 Disposable Gowns, Drapes & Towels . . . . . . . . . . . . . .186, 187 Epiphyseal Staples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Forceps Capsule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Disposable Suction Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211 Epoxy ESF Putty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 Forceps, Artery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163 Dissecting Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165, 166 Equipment Boxes - Stainless Steel . . . . . . . . . . . . . . . . . . . . . .83 Forceps, Bone Cutting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Dissection Probe (Blunt) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 ESF Hinge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Forceps, Bone Gouge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Distichiasis Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 ESF Lag Pins with Olive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Forceps, Bone Holding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Distractor, orthopaedic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 ESF Tissue Protector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 Forceps, Cheatle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Distractor, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Esmarch Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Forceps, Corneal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Distractor, Stifle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Examination Table, Wall Mounted . . . . . . . . . . . . . . . . . . . . .208 Forceps, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 Doppler Ultrasonic Blood Flow Monitor . . . . . . . . . . . . . . . .198 Excision Arthroplasty Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Forceps, Dissecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165, 166 Double Ended Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148 Explorer/Measuring Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Forceps, Fragment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Double Ended Scraper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 External Fixation Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . .51 Forceps, Iris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Doyen Bowel Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164 External Fixation, FESSA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 Forceps, Plate Holding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Dr Lehman Aiming Device for Canine . . . . . . . . . . . . . . . . . . .27 External Fixation, Linear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Forceps, Reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . .33, 34, 35 Dr. Fritz Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .202, 203 External Fixation, Vumex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 Forceps, Schroeder Tenaculum . . . . . . . . . . . . . . . . . . . . . . . . .34 Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117, 122 External Fixator Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58, 59 Forceps, Sponge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Drapes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 External Fixator Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55, 56 Forceps, Steriliser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Dressing Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Extra Large Clamps and Bars . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Forceps, Tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Dressing Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171, 172 Extraction Forceps, Root Tip . . . . . . . . . . . . . . . . . . . . . . . . . .155 Forceps, Tongue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Drill & Screw Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Extremity Drape (Disposable) Sterile . . . . . . . . . . . . . . . . . . .187 Forceps, Tying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Drill Bits - External Fixator Pre-drills . . . . . . . . . . . . . . . . . . . . .56 Eye Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123 Forceps, Whelping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 221 CH24_p219_234_index 19/3/07 12:30 Page 222 Foreign Body Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 Heygroves Femur Grasping Forceps . . . . . . . . . . . . . . . . . . . .114 Intramedullary pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Foster Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125, 166 High Speed Handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Intravenous Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210 Foster Gillies, Miniature . . . . . . . . . . . . . . . . . . . . . . . . .125, 166 Hinge, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Intubation Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Fragment Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Hinges & Conical Washers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66 Iris Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Frazier 2.6mm Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . .211 Hip Replacement Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Iris Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126, 172 Freer Periosteal Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . .43, 81 Hip System, Modular (Cemented) . . . . . . . . . . . . . . . . . . . . .112 Freeze Frame Camera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Hip Toggle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Fritz Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .202 Hobday Forceps, Vectis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 Jacob’s Chuck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38, 57 Hoe Scaler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Jaeger Eyelid Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 G J Hohman Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Jamshidi Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157 Gags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139, 140, 153, 152 Hohman Retractor - Mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Jansen Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Galibans Suture Holding Forceps . . . . . . . . . . . . . . . . . . . . . .168 Holloware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .177 Jaquette Supragingival Scaler . . . . . . . . . . . . . . . . . . . . . . . . . .146 Gelfoam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Horsley Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Jig, TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Gelpi Odd Leg Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 House Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Jones Cross Action Towel Clips . . . . . . . . . . . . . . . . . . . . . . . .175 Gelpi Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44, 169, 170 Howarth Dissector (Modified) . . . . . . . . . . . . . . . . . . . . . . . . . .43 Gelpis, mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44, 170 Hybrid ‘T’ Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Gigli Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Hybrid Arthrodesis Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 K' Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 Hybrid wedge osteotomy plates . . . . . . . . . . . . . . . . . . . . . . . . .13 K Wire / ‘A’ Wire Extraction Forceps . . . . . . . . . . . . . . . . . . . .37 Goniometer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Hysterectomy Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 K Wire Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 I Gosset Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169 Gouges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 K K9 Float Coat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214 KE Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51 Gowllands Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 I / V Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210 KE Plus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51 Gowns, Disposable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 iM3 42-12 Ultrasonic Scaler . . . . . . . . . . . . . . . . . . . . . . . . . .136 Kern Bone Holding Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Gowns, Operating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 iM3 Dentistry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136-139 Kerrison Punch Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 Graefe Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 iM3 Masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Keyhole Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Graefe Iris Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 iM3 White Stone Slip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .147 Kidney Dishes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .177 Graft Passer, Bennett . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Implant Cutter Industrial Finish, Surgical Finish . . . . . . .36, 37 Killian Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119, 166 Graft Passer, Curved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Implant Designs and Specifications . . . . . . . . . . . . . . . . . . . . .83 Kilner Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167 Graft Passer, Straight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Implants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Kimura Spatula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 Grays Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 Incisor Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 Kirschner Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Guide Pin, Slocum TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Incisor Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Kit, AO (Cortical) Type Screws . . . . . . . . . . . . . . . . . . . . . . . . .88 Guinea Pig Skull . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156, 217 Indirect Ophthalmoscope, Binocular . . . . . . . . . . . . . . . . . . .133 Kit, CCL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Indirect Ophthalmoscope, Monocular . . . . . . . . . . . . . . . . . .133 Kit, Dental Bur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 H Indirect Ophthalmoscope, Spectacle Type . . . . . . . . . . . . . .134 Kit, External Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58, 59 Halls (Linvatec) Orthopaedic Power Equipment . . . . . . . . . . .74 Infusion Cuff, arthroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Kit, Hip Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Halstead Mosquito Forceps . . . . . . . . . . . . . . . . . . . . . . .127, 163 Infusion Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Kit, Multisaw Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 Halstead toothed (small meniscus clamp) . . . . . . . . . . .18, 163 Inhalant Delivery System . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Kit, Opthalmic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123 Handpieces, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Inhalant Delivery, Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Kit, Rabbit Bur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140, 154 Hard Backed Orthopaedic Saw . . . . . . . . . . . . . . . . . . . . . . . . . .6 Insert Sleeves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Kit, Rodent Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156 Hard Edge Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Instrument Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .177 Kit, Sherman Type Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Harrison Butler Lachrymal Cannula . . . . . . . . . . . . . . . . . . . .127 Instrument Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178, 179 Kit, Thoracic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 Hatt Spoon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21, 113 Instrument Cleaning Agents . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Kit, TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Hauptman Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 Instrument Lube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Klima Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157 Hawksbill Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 Instrument Lubrication . . . . . . . . . . . . . . . . . . . . . . . . . . .179, 180 Head Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Instrument Marking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Heath Stitch Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Instrument Oil - (autoclavable) . . . . . . . . . . . . . . . . . . . . . . . .179 Labels, Dental Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 Heavy Duty Nail Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Instrument Sharpening System . . . . . . . . . . . . . . . . . . . . . . . .183 Lachrymal Cannula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 Heine Binocular Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131 Instrument Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208 Lachrymal Duct Cannula . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Heine Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199, 200 Instrument Washer, Automatic . . . . . . . . . . . . . . . . . . . . . . . .178 LACK Parallel Circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Heine LED Headlight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128 Interlocking Nail Bolt Cutter 4mm . . . . . . . . . . . . . . . . . . . . . .111 Lag Pin, External Fixator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Heine LED Loupelight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128 Interlocking Nail Bolts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Laminectomy Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Heine Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131 Interlocking Nail System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Laminectomy Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Heine Portable Slit Lamp HSL 150 . . . . . . . . . . . . . . . . . . . . .134 Interosseus Infusion Needle . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Langenbeck Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168 Heine UBL 100 Cliplight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Intertarsal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . . . . . . . . .214 Laryngoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194 Hex Screwdrivers & Screwholding Sleeves . . . . . . . . . . . . . . .90 Intra Articular Hand Instruments/AR Inserts . . . . . . . . . . . . .25 Latch Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129, 132 222 L CH24_p219_234_index 19/3/07 12:30 Page 223 Laube 505 Cordless Clipper . . . . . . . . . . . . . . . . . . . . . . . . . .215 Mayo Instrument Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208 MPZ Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Laube Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Mayo Safety Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164 MPZ Modular System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Leader Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Mayo Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172, 173 Multi Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210 Leader Line/Needles/Crimps . . . . . . . . . . . . . . . . . . . . . . . . . . .10 McIndoe Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Multi Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 LED Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128-131 McKee Distractor with Speedlock . . . . . . . . . . . . . . . . . . . . . .82 Multisaw Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69 LED Option, 2.5 Loupe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131 McPhails Needleholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167 Myerding Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Lempert Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36, 69 Medifusion MP-1000 Infusion Pump . . . . . . . . . . . . . . . . . . .198 N Lengthening Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Medipaws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Lewin Femur Grasping Forceps . . . . . . . . . . . . . . . . . . . . . . . .114 Melag Autoclaves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181 Nail Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Ligament/Cartilage Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Meniscus Probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Needle Arthroscope, 1.9 mm with Arthroscopic Sheath . . .25 Light Source, Halogen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Menisectomy Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Needle Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84,159 Light Source, Xenon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Mesh, Polyester . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120 Needle Driver Heavy Duty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Light Sources & Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Metzenbaum Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Needle, Fabella/Cruciate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Light Sources & Magnification . . . . . . . . . . . . . . . . . . . . . . . . .128 Meyerding Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Needle, Flushing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Lighting, Theatre . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .206, 207 Meynard Fixation Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Needle, Interosseus Infusion . . . . . . . . . . . . . . . . . . . . . . . . . .159 Lights LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128 Micro 100 Reciprocating Saw & Blades . . . . . . . . . . . . . . . . . .74 Needle, Oral Dosing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Limb Lengthening - Linear Motor . . . . . . . . . . . . . . . . . . . . . . .66 Micro 100 Sagittal Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 Needle, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Linear Distractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Micro 90 Concentrate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Needle, Spruells . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Linear Fixator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Micro Friedman Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . .36, 69 Needle, Suture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160, 161 Linvatec Shaver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Micromotor, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .144 Needleholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 - 168 Lip Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 Milling Drill designed by van Ryssen & van Bree . . . . . . . . . .26 Needleholders, Ophthalmic . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Lister Bandage Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172 Mini Bone Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 Needles, Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157, 158 Lister Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Mini Driver & attachments . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 Negus Forceps, Tonsil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163 Liston Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Mini Friedman Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . .36, 69 Nerve hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Littauer Stitch Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172 Mini Gelpis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170 Nose Cone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Load Neutral Drill Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Mini Hohman 6mm & 8mm short tip . . . . . . . . . . . . . . . . . . . . .8 Nut, Cortical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Locking Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Mini Multipronged Retractors . . . . . . . . . . . . . . . . . . . . . . . . .170 Locking Plug 2.7/3.5mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 Mini Rechargeable Drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Locking Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 Mini Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209 OATS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Loop, Ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Mini Self Retaining Retractors . . . . . . . . . . . . . . . . . . . . . . . . .170 Obstetrical Items, Misc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 Lotion Bowls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .177 Miniature Foster Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 OCD Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Loupe, Swivel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200 Minos A200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71 Oesophageal FB grasping forceps medium . . . . . . . . . . . . . .116 Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Mobiliser, Rosens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Oesophageal Foreign Body Forceps . . . . . . . . . . . . . . . . . . . .116 Low Speed Motor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Mobility Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50 Oesophageal Stethoscope . . . . . . . . . . . . . . . . . . . . . . . . . . . .192 Lowman Bone Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Mobility Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 Oil, Air Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 Lowman Bone Clamp Veterinary Pattern . . . . . . . . . . . . . . . . .36 Models Anatomical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217 Oil, Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Lube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Modified Ayres ‘T’ Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Olsen Hegar Scissor / Needleholder . . . . . . . . . . . . . . . . . . .167 Lubrication, Air Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 Modular Forceps with Rotating Punch (spine) . . . . . . . . . . .80 Operating Gowns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185, 186 Lubrication, Surgical Instruments . . . . . . . . . . . . . . . . . .179, 180 Molar Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Operating Lenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Luxator, Rabbit Incisor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Molar Extraction Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Ophthalmic Capsule Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .125 Luxators, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148 Molar Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Ophthalmic Diagnostic Instruments . . . . . . . . . . .122, 199, 200 Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154 Ophthalmic Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .112 M O Molt Periosteal Elevator 2/4 (4mm/6mm) . . . . . . . . . . . . . .149 Ophthalmic Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123 Malleable Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Monitor, Apalert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Ophthalmic Needleholders . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195-197 Ophthalmic Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 Mangeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Monocular Hand Held Indirect Ophthalmoscope . . . . . . . .133 Ophthalmoscope Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . .199, 200 Mangeurs, Coughlan Soft Tissue . . . . . . . . . . . . . . . . . . . . . . .20 Monopolar Electrosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . .212 Ophthalmoscopes . . . . . . . . . . . . . . . . . . . . . . . . . .133, 199, 200 Marker, Surgical Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .177 Morris Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168 Oral Dosing Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Marking Tape, Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Mosquito Forceps Halstead . . . . . . . . . . . . . . . . . .116, 150 ,163 Ormrod Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Mask, Cat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Motorised Diamond Rasp & Micro Saw . . . . . . . . . . . . . . . .154 Orthopaedic Distractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Mask, Small Exotic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Mouth Gag, Grays, Smith Baxter . . . . . . . . . . . . . . . . . . . . . . .152 Orthopaedic Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Masks, Anaesthetic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Mouth Gag, Rodent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Orthopaedic Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Masks, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Mouthwash/Disinfectant . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Orthopaedic, Ruler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47, 105 Mats, Patient & Antifatigue . . . . . . . . . . . . . . . . . . . . . . . . . . . .213 MPX Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Orthopaedics, Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218 Mayo and Mayo Hegar (T.C.) Needle Holders . . . . . . . . . . .167 MPX Modular System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Oscillating Prophy Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 223 CH24_p219_234_index 19/3/07 12:30 Page 224 Osteochondral Autograft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Plates, Custom Made . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Rasp, Rodent Molar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154 Osteoscope Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200 Plates, Hybrid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Rasp, Trochlea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Osteoscope, Wireless . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Plates, Lengthening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Rat Tooth Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 Osteotome, Gordon Coronoid . . . . . . . . . . . . . . . . . . . . . . . . . .26 Plates, Locking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Reamer Femoral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Osteotome, Sharpening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .183 Plates, Pantarsal Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . .103 Reamer, interlocking Nail . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Osteotomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Plates, Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100 Rebreathing Bags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Oster ‘Power Pro’ Cordless Clippers . . . . . . . . . . . . . . . . . . .215 Plates, Supracondylar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Reconstruction Plate Pliers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Oster Clipper Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Plates, T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Reconstruction Plates/Cuttable Malleable . . . . . . . . . . . . . .100 Oster Clippers A5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Plates, TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13, 15, 16 Redmark Cradles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209 Otoscope Attachment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Plates, TPO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Reduction Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33, 34, 35 Otoscope Heads and Accessories . . . . . . . . . . . . . . . . . . . . .200 Platform Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209 Reduction Valves For Anaesthetic Gases . . . . . . . . . . . . . . . .190 Otoscope Video . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Pliers, Parallel Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Regulator, Medical Air . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 Otoscope, Wireless . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Pliers, Wire Contouring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Regulator, Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 Ovariohysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Pliers/Plate Bending Pliers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Resco Guillotine Type Nail Cutter . . . . . . . . . . . . . . . . . . . . . .216 Oxygen Reduction Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Polishing Kit Including NM300 Micromotor . . . . . . . . . . . . .144 Resuscitation Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194 Polymethacylate Beads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156 Retractor, Hand Held . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168 Poole Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211 Retractor, Hohman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Padded Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Pooley’s Conjunctival Scissors . . . . . . . . . . . . . . . . . . . . . . . . .126 Retractor, Lip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 Parallel Action Pliers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Portable Cordless Cautery Kit . . . . . . . . . . . . . . . . . . . . . . . . .213 Retractor, Malleable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Parrot Ring Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Positioning Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31, 209 , 210 Retractor, Myerding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Patterned Scrub Tunics . . . . . . . . . . . . . . . . . . . . . . . . . .184, 185 Positive Threaded Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Retractor, Rib . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Pearson Positive Threaded Pins . . . . . . . . . . . . . . . . . . . . . . . .56 Power Sources, Heine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Retractor, Self retaining . . . . . . . . . . . . . . . . . . . . . . . . . .169, 170 Pen Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Pre Drills, ESF Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168 - 171 Penrose Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Pressure Infusion Cuff, Hand . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Rhinotomy / Plaster Saw Blade . . . . . . . . . . . . . . . . . . . . . . . . . .6 Perasafe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 179 Pressure Pump Infusor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Rib Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Percussion Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 Right Angled Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 Periosteal Elevators, Orthopaedic . . . . . . . . . . . . . . . . . . . . . . .43 Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Ring Cutters, Bird . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Periosteal Elevators, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Prophy Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Ring Cutters, Parrot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Piezo Scaler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Prophy Paste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Ring Cutters, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Piezo Scaler with detachable handpiece . . . . . . . . . . . . . . . .135 Protective Autoclaveable Tips . . . . . . . . . . . . . . . . . . . . . . . . .180 Ring Fixator Components . . . . . . . . . . . . . . . . . . . . . . . . . .65, 66 Piezo Scaler With Detachable, Autoclavable Handpiece . .135 Pump, Arthroscopic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Ring Fixator Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64 Pigtail Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117 Punch, K wire/Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45, 108 Robert’s Tying Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 Pin Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45,108 Punctum Dilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 Rochester Pean Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . .163 P Q Pin Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36, 37, 57 Pin Grip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Rodent Cheek Dilators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Rodent Dental kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156 Pin Punch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45,108 Quick Release Tap Handle AO/Synthes Fit . . . . . . . . . . . . . . .89 Rodent Molar Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Pin Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Quick Release Tap Handle Dental Fit . . . . . . . . . . . . . . . . . . . .89 Rodent Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154 R Pin Vice, Small . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Pins, External Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55, 56 Rodent Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Rodent Spatula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Pins, Fragment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Rabbit Bur Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Rongeur - Friedman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Pins, Intramedullary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Rabbit Dental Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156 Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Pins, Magic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Rabbit Lachrymal Duct Cannulae . . . . . . . . . . . . . . . . . . . . . .158 Rongeurs & Punches (spine) . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Pins, Steinman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Rabbit Nasolachrymal Duct Cannulae . . . . . . . . . . . . . . . . . .128 Rongeurs, Bulla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Plaque discloser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Rabbit Ring Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216 Rongeurs, Micro Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Plaster Cutting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Rabbit Skull . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156, 217 Rongeurs, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Plaster Saw, Engels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Radial Cut TPLO Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . .76, 77 Root Fragment Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 Plaster Shears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Rampleys Sponge Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Root Tip Extraction Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Plastic Training Bones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218 Rapidex Cleaner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Rosens Mobiliser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Plate Bending Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . .40, 91 Rapizyme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 Rosenthal Needle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Plate Holding Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Rasenberg TPO Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Roto-Pro Burs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Plates and Screws, Sherman and Round Hole . . . . . . . . . . . .85 Rasp, Block Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Rougeur - Micro Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Plates, Acetabular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Rasp, Combination Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Ruler, Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47, 105 Plates, Bending, Templates . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Rasp, Diamond Rodent Molar . . . . . . . . . . . . . . . . . . . . . . . .154 Rush Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Plates, Biological Healing . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Rasp, Excision Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Ruskin Bone Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Plates, Carpal Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Rasp, Femoral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112 Ruskin Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 224 CH24_p219_234_index 19/3/07 12:30 Page 225 Ryder (Micro) Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . .125 Self Centering Bone Holding Forceps . . . . . . . . . . . . . . . . . . . .35 Spikey Washers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100 Ryder Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168 Self Retaining Retractor, Gelpi, Travers, Wests, Weislander 44 Spin Lock Stifle Distractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Self-tapping screws AO/ASIF (Hex head) . . . . . . . . . . . . . . . .92 Spinal Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 S Self-tapping Screws Sherman (Slot head) . . . . . . . . . . . . . . . .85 Spinal Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79 Safety Pin Cutter to 4mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 Senn (Cats Paw) Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . .168 Spine hand probes & curettes . . . . . . . . . . . . . . . . . . . . . . . . . .81 Safety Pin, Mayo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164 Serrated Block End Dissecting Forceps . . . . . . . . . . . . . . . . .165 Splinting Rectangular Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Satinsky Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 Shardell Towel Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 Splints & Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Saw, Adjustable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Sharpening Accessories for Dental Instruments . . . . .147, 183 Splints, Intravenous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210 Saw, Air Driven, Desoutter MPX . . . . . . . . . . . . . . . . . . . . . . . .73 Sharpening System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .183 Splints, Thermoplastic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Saw, Air Driven, Desoutter MPZ . . . . . . . . . . . . . . . . . . . . . . . .72 Shaver Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Splints, Thomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 Saw, Air Driven, Halls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 Sheas Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Split Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Saw, Battery powered, orthopaedic . . . . . . . . . . . . . . . . . . . . .68 Sherman Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Sponge Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Saw, Blades, Adjustable Bone Saw . . . . . . . . . . . . . . . . . . . . . . .6 Sherman Self-tapping Equipment . . . . . . . . . . . . . . . . . . . . . . .85 Spoon, Hat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21, 113 Saw, Blades, Halls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 Shroud - drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Spruell Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Saw, Blades, MPX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Shroud - Multisaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 St. Martin Dissecting Forceps . . . . . . . . . . . . . . . . . . . . .124, 165 Saw, Blades, MPZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Side Cutting Wire Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Staple, Epiphyseal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Saw, Blades, Multi Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69 Silicone Insert for boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .177 Staple, Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 Saw, Gigli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Sismey Wire Introducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Steinman Intra-Medullary Pins . . . . . . . . . . . . . . . . . . . . . . . .107 Saw, Hard Backed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Skeletons and Mounted Limbs . . . . . . . . . . . . . . . . . . . . . . . .217 Stephens Anaesthetic Machine . . . . . . . . . . . . . . . . . . . . . . .188 Saw, Plaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Skid, Acetabular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Stephens Servicing and Spare Parts . . . . . . . . . . . . . . . . . . . .188 Saw, X-acto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Skin Marker Sterile Surgical . . . . . . . . . . . . . . . . . . . . . . . . . .177 Stephens Vapouriser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Scaler, Hoe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Skin Retractor, Aln . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169 Sterile CCL Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Scaler, Ultrasonic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Skin Staplers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 Sterile Surgical Skin Marker . . . . . . . . . . . . . . . . . . . . . . . . . . .177 Scales, Large Platform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209 Skulls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217 Steriliser Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Scales, Mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209 Skulls, Canine/Feline . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151, 217 Stethoscope Oesophageal . . . . . . . . . . . . . . . . . . . . . . . . . . . .192 Scalpel Blade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176 Skulls, Rabbit/Guinea Pig . . . . . . . . . . . . . . . . . . . . . . . .156, 217 Stethoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192, 193 Scalpel Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176 Sleeves, Insert, Soft Tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Steven’s Tenotomy Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . .126 Scalpel Handle & Blades, Beaver Type . . . . . . . . . . . . . .18, 176 Slit Head (Otoscope) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200 Stifle Brace attachment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Schiotz Tonometer with Weights . . . . . . . . . . . . . . . . . . . . . . .132 Slit Lamp, Portable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Stifle Distractors & Spinlock versions . . . . . . . . . . . . . . . . . . . .19 Schroeder Tenaculum Forceps . . . . . . . . . . . . . . . . . . . . . . . . .34 Slocum Blade Adaptor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77 Stifle Lever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Scissors, Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172 Slocum Flat Blade Converter . . . . . . . . . . . . . . . . . . . . . . . . . . .77 Stille - Luer Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42, 80 Scissors, Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Slocum Pre-Contoured TPLO Plates . . . . . . . . . . . . . . . . . . . .15 Strabismus Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126, 173 Scissors, Hard Edge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Slocum Rotation Gauges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Straight Nose Cone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Scissors, Iris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126, 172 Slocum Saw Flat Blade Adaptor . . . . . . . . . . . . . . . . . . . . . . . .77 Stretchers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214 Scissors, Mayo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172, 173 Slocum Style TPLO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Subgingival Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Scissors, Metzenbaum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Slocum TPLO Guide Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Suction Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211 Scissors, Ophthalmic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 Slocum, Blade Adaptor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 Suction Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211 Scissors, Stitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171, 172 Small Angled Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Suction Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211 Scissors, Supercut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Small Pin Vice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Sulcoplasty instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Scissors, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 - 173 Smith Baxter Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 Supercut Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Scoops, Volkman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46, 174 Smith Kerrison Punch Forceps . . . . . . . . . . . . . . . . . . . . . . . . .80 Superfine Elevator Straight . . . . . . . . . . . . . . . . . . . . . . . . . . . .148 SCOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Snap On Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Supracondylar Osteotomy Plate . . . . . . . . . . . . . . . . . . . . . . .102 Screw Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83, 84 Snap On Prophy Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Supracondylar Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Screw On Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Snellen’s Vectis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 Surgairtome II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 Screw, Locking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 Soft Carry Stretcher . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214 Surgical Blades - power equipment . . . . . . . .69, 71, 72, 73, 74 Screwdriver, Cruciate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Soft Palate Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 Surgical caps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Screwdriver, Flat End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Spacers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66 Surgical Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Screwdriver, Hexagonal Head . . . . . . . . . . . . . . . . . . . . . . . . . .90 Spanners, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Surgical Clogs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 Screws AO/ASIF type (Hex Head) . . . . . . . . . . . . . . . . . . .91-98 Spay Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Surgical Gown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 Screws, Self-tapping, Sherman . . . . . . . . . . . . . . . . . . . . . . . . .85 Speculae, Ophthalmic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Surgical Gown Disposable . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 Screws, Suture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23, 100 Speculum, Bitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119, 166 Surgical Instrument Lubricant . . . . . . . . . . . . . . . . . . . . . . . . .180 Screws, Titanium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Speculum, Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Surgical masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Scribe, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Spencer Wells Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . .163 Surgical Wellies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 Scrub Dispenser, Stainless Steel . . . . . . . . . . . . . . . . . . . . . .209 Spey Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Surgiclose Skin Staplers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 Scrubs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .184, 185 Spike & Shield Odd Leg Retractor . . . . . . . . . . . . . . . . . . . . . .81 Surgiclose Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 225 CH24_p219_234_index 19/3/07 12:30 Page 226 Vumex External Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23, 100 TPLO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13, 15, 16 Suture Holding Forceps, Galibans . . . . . . . . . . . . . . . . . . . . . .168 TPLO Plates Delta Style . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Suture Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160, 161 TPLO Plates Slocum Style . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Suture Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100 TPLO Plates with Locking Screw . . . . . . . . . . . . . . . . . . . . . . . .16 Wahl Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215 Swann Morton Blades & Handles . . . . . . . . . . . . . . . . . . . . . .176 TPLO Saws and Blades (radial type) . . . . . . . . . . . . . . . . .76, 77 Walk-On Large Platform Scales . . . . . . . . . . . . . . . . . . . . . . . .209 Swivel Loupe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200 TPLO Wedge Template . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Wall Mount Anaesthetic Unit . . . . . . . . . . . . . . . . . . . . . . . . . .188 Synthes Quick Fit Adaptor - Jacobs . . . . . . . . . . . . . . . . . . . . . .67 TPO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Wall Mounted Exam table . . . . . . . . . . . . . . . . . . . . . . . . . . . .208 Synthes, Quick Fit Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Tracheostomy Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 Walton, Copper Malleable Retractor . . . . . . . . . . . . . . . . . . .171 Tracheostomy Tube Disposable . . . . . . . . . . . . . . . . . . . . . . . .121 Washer/Disinfector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 T W Training Bones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218 Washers, Plain Orthopaedic & Spikey . . . . . . . . . . . . . . . . . .100 T Bar Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Travers Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44, 169 Web Master Harness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214 T Bar Wrench for KE clamps . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Trephine, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46, 158 Webb Bolt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105 T Bar Wrenches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Treves, Rat Tooth Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 Wedge Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .147 T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Trilam Nails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Wedge Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 T Piece Scavenge Connector . . . . . . . . . . . . . . . . . . . . . . . . . .190 Triple Drill Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Weislander Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . .169, 170 T Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Triple Pelvic Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Wellies, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 Table Top Rodent Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Triple Tibial Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 West Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44, 169, 170 Table, Mayo Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208 Trochar Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 Whelping Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119, 121 Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208 Trochlea Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Winged Director . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 Tap Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Tru-Cut Style Soft Tissue Biopsy Needle . . . . . . . . . . . . . . . .158 Winged Elevators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149 Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Wire Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45,108 Tartar Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 TTO DVD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Wire Contouring Pliers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Tartar Scrapers - Various . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .147 TTO Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Wire Driver, Halls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74 Teflon Drops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Tub Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208 Wire Driver, Mini Driver Attachment . . . . . . . . . . . . . . . . . . . .70 Telescopic Rod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66 Tubing, suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211 Wire Passers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Tenaculum Bone Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Tungsten Carbide Needleholders . . . . . . . . . . . . . . . . . . . . . .166 Wire Tightener for Eyed Wires . . . . . . . . . . . . . . . . . . . . . . . . .39 Tenotomy Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 Twin Gas/Twin Vapouriser Anaesthetic Machines . . . . . . . .189 Wire Tightener with two cranks . . . . . . . . . . . . . . . . . . . . . . . .39 Tension Device, Mechanical . . . . . . . . . . . . . . . . . . . . . . . . . . . .66 Twin Point Fragment Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Wire Twister / Shear Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Tension devices, CCL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Twisterz - Wire Twister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Wire, Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 U Theatre Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .206 Theatre Wear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .184 - 187 Wire, Cerclage, Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . . . .104 Wire, 'K' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Thera-Paw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Ultrasonic Dental Scaler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Wires with Eyelet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Thermo Plastic Splinting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Ultrasonic Instrument Cleaner . . . . . . . . . . . . . . . . . . . . . . . . .178 Wobblers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Thermometer, No Contact . . . . . . . . . . . . . . . . . . . . . . . . . . . .204 Uniplanar Dynamic Distractor . . . . . . . . . . . . . . . . . . . . . . . . . .63 Working Cannulae, arthroscopy . . . . . . . . . . . . . . . . . . . . . . . .25 Thermometers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204 Utilty Drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Wrenches & Spanners - Ring Fixator . . . . . . . . . . . . . . . . . . . .66 V Thomas Splint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 Thoracic Surgery Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 Wrenches, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 X Threaded ‘A’ Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Vacuum Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117 Threaded Small Fragment Pins . . . . . . . . . . . . . . . . . . . . . . . .108 Vaporisers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188, 189 X-Acto Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Tibial Tuberosity Advancement . . . . . . . . . . . . . . . . . . . . . . . . .17 Variable Speed Orthopaedic Drill . . . . . . . . . . . . . . . . . . . .57, 67 Xenon Light Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Tidal Guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .197 Vectis, Snellens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 X-Ray Positioner, Cochran Bisecting . . . . . . . . . . . . . . . . . . . .145 Tips, Protective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Velcro Straps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Venables Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Tissue Protector, External Fixation . . . . . . . . . . . . . . . . . . . . . .57 Ventilators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Yankauer Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211 Tissue Protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Vernier Caliper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Younger Good Scaler, Jaquette Scaler . . . . . . . . . . . . . . . . . . .82 Titanium Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Vet Sink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208 Youngs Tongue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Toggle, Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Veterinary IF Plate (Keyhole plate) . . . . . . . . . . . . . . . . . . . . . .96 Tonometer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 VI Bone Cement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Tonovet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 VI Bone Cement Bowl Mix . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Tonsillectomy Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 VI Mini Cart (Dental) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Torch, Pen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Video Diagnostic System . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Total Hip Replacement Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . .112 Video Otoscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Towel Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 Visor Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 TPLO Jig . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Volkman Scoops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46, 174 TPLO Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Voroscope MXL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 226 Y index CH24_p219_234_index 19/3/07 12:30 Page 227 Deliveries Terms & Conditions TIMED DELIVERIES In stock items will be despatched as soon as practicable. NB: Urgent items may be despatched on the day of ordering, provided we receive the order BEFORE 3.30PM (and the stock is available). Please state clearly that the order is urgent and advise your preferred method of delivery. Please note that the only certain way to obtain the goods when you want them is to collect them yourself! All delivery systems can fail. All we can do is to despatch according to your instructions. Veterinary Instrumentation staff are happy to help trace wayward deliveries but please do not give them a hard time when the problem is outside their control. VETERINARY INSTRUMENTATION LTD TERMS AND CONDITlONS OF TRADE 1. Definitions STANDARD DELIVERY Prices include first class mail postage and packing to UK addresses (unless otherwise stated). 1.1 ‘Company’ means Veterinary Instrumentation Ltd 1.2 ‘Customer’ means the veterinary practice or any person to whom the Company has agreed to supply goods. SPECIAL DELIVERY – POST OFFICE SERVICE Delivery next day by 1.00 pm (NB: NOT AVAILABLE FOR SATURDAY DELIVERIES) to England & Lowland Scotland Cost: from £4.50 + VAT 1.3 ‘Goods’ means the products which the Company is to supply to the customer in accordance with these conditions. 1.4 ‘Writing’ includes telex, cable, facsimile transmission, e-mail or similar means of communication. COURIER DELIVERIES Delivery next day (up to 6pm weekdays) to England & Lowland Scotland – price depends on weight and destination Cost: from £16.00 + VAT 2.Breakages and Shortages In the case of obvious shortages or suspected damage to deliveries of goods, the driver’s delivery note must be signed accordingly by the person accepting the delivery on behalf of the customer. All claims for broken or missing goods should be reported to the Company no later than three days from the date of delivery. Where independent transport is used failure to sign or indicate on delivery notes any shortage and/or damage will invalidate the Company’s claim against the carrier involved and therefore the customer’s claim against the Company. TIMED DELIVERIES Delivery next day (weekdays only) to England & Lowland Scotland – price depends on weight and area Cost: from £21.00 + VAT SATURDAY DELIVERIES AND OTHER AREAS Cost and availability upon application 3.Returned Goods Policy RETURNS POLICY Any returns should be within 7 days of delivery and should be in perfect original condition. Details of the invoice or delivery note should be included with any return. Abuse of our sale or return policy may result in a restocking charge. The restocking charge may also be levied for late returns. Non Stock items or specials made to customer specifications may not be returned. 3.1 Under normal circumstances, goods will not be accepted for return for credit other than for the following reasons: a) To correct a Company delivery or order error. b) In response to a recall instigated by a manufacturer. c) Where the products or packages are alleged to have been faulty, damaged or tampered with prior to delivery. d) Where the products have been offered on a pre-arranged ‘sale or return’ basis. e) Where the Company agrees, in advance of their return, to accept goods not covered by any of the above criteria. PAYMENT TERMS Payment is due strictly on or before the last day of the month following the date of the company's invoice. Accounts with more than 60 days debt may be stopped. All payments to be made in sterling (£). 3.2 Goods Returned to Correct a Company Error a) The goods must be returned within 7 working days of receipt. Goods requiring temperature-controlled storage must be notified to the Company no later than the next working day and must have been stored in accordance with the manufacturer’s recommendations whilst on the customer’s premises. Goods must be adequately packaged to ensure that no damage is caused during their return to the Company. b) All returned goods must be in perfect original condition; not marked in any way; should not show any evidence of being tampered with. c) To be considered for return for credit, the goods must be accompanied by a copy of the original invoice or delivery note, or the number of the specific invoice on which the goods were supplied, together with a reason for their return. If this information is missing, there will be a delay in issuing a credit. VAT All prices are shown without VAT. VAT will be added to the invoice where appropriate. 3.3 Returns where the products or packages are alleged to have been faulty, damaged or tampered with prior to delivery: a) Details of the fault or damage should be notified to the Company as soon as possible in order that the manufacturer can be alerted if appropriate. 227 CH24_p219_234_index 19/3/07 12:30 Page 228 b) Goods must be packed separately and accompanied by a copy of the invoice or delivery note (as in 3.2(c)) delay or failure was due to any cause beyond the Company’s reasonable control. Without prejudice to the generality of the foregoing, the following shall be regarded as causes beyond the Company’s reasonable control: a) Act of God, explosion, flood, tempest, fire or accident; b) Strikes, lock-outs or other industrial actions or trade disputes (whether involving employees of the Company or third parties); c) War or threat of war, sabotage, insurrection, civil disturbance or requisition; d) Import or export regulations or embargos; e) Difficulties in obtaining raw materials, labour, fuel, parts or machinery; f) Power failure or breakdown in machinery. 3.4 Where the Company agrees to accept the return of goods not covered by any of the criteria recited in clauses 3.2 - 3.4.Goods will only be accepted by prior agreement with the Company and must be accompanied all the information detailed in 3.2(c) in addition to the name of the person who has authorised the return. Please note: Goods returned under this category may be subject -to a handling charge. 3.5 Goods returned to stock Goods returned by customers for any of the above reasons will only be considered for credit if; a) It is known that they have been stored in accordance with the manufacturers recommendations. b) They have been assessed and accepted by a person authorised by the Company so to do. The assessment will take into account the nature of the product, any special storage conditions required and the time elapsed since the goods were supplied. 8. Liability Goods are sold on the understanding that the customer is solely responsible for determining the suitability of the goods for the purposes for which the customer intends to use them. Accordingly the Company’s liability for any loss or damage suffered by the customer and arising by defects in the goods, shall be limited to the invoice price of the goods in respect of or in relation to which loss or damages is claimed. The Company will not accept under any circumstances liability for consequential loss, damage or loss of profits arising from the use of the goods, service, information and advice. 3.6 Special Orders These products will not be accepted for return or credit unless supplied as a result of a Company error. In such cases, the product must be returned within 7 working days of receipt. 9. Title and Risk Unless otherwise agreed in writing between the parties prior to delivery, the title to the goods shall not be transferred to the customer until the full purchase price has been paid to the Company. The risk of loss or damage to the goods shall pass to the customer on the date that the goods are received and accepted by the customer 3.7 Packaging All returned goods must be securely packaged to prevent damage during the return journey. 3.8 Date Expired Goods Date Expired Goods will only be accepted for credit in accordance with the terms laid down by the manufacturer concerned. 10. Insolvency 10.1 This clause applies if: a) The customer makes any voluntary arrangement with its creditors or becomes subject to an administration order or (being an individual or firm) becomes bankrupt or (being a company) goes into liquidation (otherwise than for the purpose of a solvent amalgamation or reconstruction); b) An encumbrancer takes possession, or a receiver is appointed, over any of the property or assets of the customer; c) The customer ceases, or threatens to cease, to carry on business; d) The Company reasonably apprehends that any of the events mentioned above is about to occur in relation to the customer and notifies the customer accordingly. 4. Price of Goods Goods will be invoiced at the prevailing price at the date of despatch to the customer. The price of goods shall be subject to alteration by the Company without prior notice to the customer. The price is exclusive of any Value Added Tax for which the customer shall be additionally liable to pay the Company. 5. Terms of Payment 5.1 The customer shall pay the amount of the invoice on or before the last day of the month following the date of the Company’s invoice unless otherwise agreed in writing by the Company. If the customer fails to pay on the due date, the Company reserves the right to: a) Suspend any further deliveries to the customer b) Appropriate any payment raised by the customer to such of any other invoices raised by the Company for goods supplied to the customer as the Company may think fit, notwithstanding any purported appropriation by the customer and: c) Charge the customer interest (both before and after any judgement) on amounts unpaid at the rate of 2.5% per month until payment is made in full. Notice of interest charges will be served in writing on the customer. 10.2 If this clause applies then, without prejudice to any other right or remedy available to the Company, the Company shall be entitled to cancel the Contract or suspend any further deliveries under the Contract without liability to the customer. If the Goods have been delivered but not paid for, the price shall become immediately due and payable notwithstanding any previous agreement or arrangement to the contrary. 11. Indemnity The customer agrees to indemnify the Company against all loss, damage, costs, legal costs and professional and other expenses of any nature whatsoever incurred or suffered by the Company or by a third party as a result of the use of the Goods, the breach of any legislation relating to the use of the Goods or as a result of any breach of the Contract by the customer. 6. Delivery Any dates/times quoted for delivery of the goods are to be treated as estimates only and the Company shall not be liable for any loss, injury, damage or expense arising from delay in delivery of the goods howsoever caused. 12. Jurisdiction These conditions shall be construed in accordance with and governed by English Law. Each of the parties irrevocably submits for all purposes in connection with the Conditions to the exclusive jurisdiction of the Courts of England. 7. Force Majeure The Company shall not be liable to the customer or be deemed to be in breach of the Contract by reason of any delay in performing, or any failure to perform, any of the Company’s obligations in relation to the Goods, if the 228 CH24_p219_234_index 19/3/07 12:30 Page 229 229 CH24_p219_234_index 19/3/07 12:30 Page 230 230 CH24_p219_234_index 19/3/07 12:30 Page 231 231 CH24_p219_234_index 19/3/07 12:30 Page 232 232 CH24_p219_234_index 19/3/07 12:30 Page 233 233 CH24_p219_234_index 19/3/07 12:30 Page 234 234 OUTER COVER 15/3/07 14:04 Page 1 VETERINARY INSTRUMENTATION 2007 VETERINARY INSTRUMENTATION Custom-Made Hybrid Limb Salvage Plate Irish Wolfhound Radius Osteosarcoma 4.5 Screw Holes Serrated Bone Holding Forceps Bone Graft 3.5 Screw Holes Broadfield Road, Sheffield S8 0XL Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: [email protected] Website: www.vetinst.com Overseas Customers use: Tel: +44 114 258 8530 Fax: +44 114 255 4061 www.vetinst.com VETERINARY INSTRUMENTATION Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 Case: Martin Owen & Andy Moores Overseas Customers use Tel: +44 114 258 8530 Fax: +44 114 255 4061 E-mail: [email protected] Website: www.vetinst.com