Accessories - Oertli OS4

Accessories
Content
1.Phaco
a.Hexadisq® phaco handpiece, reusable
b. easyPhaco® tips, single use
c. easyPhaco® tips, reusable
d. Various phaco accessories, single or reusable
Page
4
5
6
7
8
2. Irrigation / Aspiration
a. I/A handpiece coaxial, reusable
b. I/A Quick tip System coaxial, reusable
c. I/A handpiece bimanual, single use
d. I/A handpiece bimanual, reusable
10
11
12
13
13
3. HF Function / Diathermy
a. Diathermy handpiece, reusable
b.HFDS® glaucoma tip, reusable
c. Diathermy tip, reusable
d. Endo diathermy tips, reusable e. Diathermy forceps, reusable
f. Capsulotomy tip, reusable
14
15
15
15
15
17
17
4.Vitrectomy
a. PMS pars plana micro incision system, single use
b. Infusion terminal, single use
c. Continuous Flow-Cutter, single use
d. Classic pneumatic vitrectomy cutter, single use
e. Light instruments, single use
f. DEX™ forceps, single use
g. Various vitrectomy accessories, single use or reusable
18
19
20
23
23
25
27
28
5.Laser
a. Laser probes, single use
b. Laser accessories, reusable
30
31
32
6. Device Accessories 33
7. Surgery Packs
a. TwinVac cassette, single use
b. Example phaco pack, single use
c. Example vitrectomy pack, single use
34
34
34
34
Phaco
easyPhaco® technology
Thanks to Oertli’s clever needle design, its sophisticated fluidics concept and world class pump systems, easyPhaco® technology
offers visible and tangible benefits:
• Unprecedented chamber stability, perfect emulsification and extremely effective aspiration of fragments
• Gentle and effective aspiration resulting in excellent followability and holdability of fragments
• Concentrated axial ultrasound and highest possible power generation for perfect emulsification
• Elimination of vacuum fluctuations thanks to a capillary aspiration path
Oertli easyPhaco® technology is available in three different tip sizes. All incisions are covered irrespectively of whether you work
with sub 2 mm coaxial micro phaco or with standard incision sizes up to 3.2 mm.
Recommended setting for easyPhaco®
Minimum
Venturi pump
easyTip® CO-MICS for incisions of 1.6 - 1.8 mm
easyTip® 2.2 mm for incisions of 2.2 - 2.4 mm
easyTip® 2.8 mm for incisions of 2.8 - 3.2 mm
Phaco 1 (Grooving)
Phaco 2
Phaco 1 (Grooving)
Phaco 2
Phaco 1 (Grooving)
Phaco 2
Vacuum
(mmHg)
80
250
80
400
80
400
Peristaltic pump/SPEEP® mode
Vacuumeffect (%)
60
60
60
60
60
60
Flow
(ml/min)
18
20
18
40
18
40
Vakuum
(mmHg)
50
250
50
400
50
400
Maximum
Venturi pump
easyTip® CO-MICS for incisions of 1.6 - 1.8 mm
easyTip® 2.2 mm for incisions of 2.2 - 2.4 mm
easyTip® 2.8 mm for incisions of 2.8 - 3.2 mm
Phaco 1 (Grooving)
Phaco 2
Phaco 1 (Grooving)
Phaco 2
Phaco 1 (Grooving)
Phaco 2
Vacuum
(mmHg)
100
350
100
500
100
500
Peristaltic pump/SPEEP® mode
Vacuumeffect (%)
80
100
80
100
80
100
• Recommended height of bottle: 100 cm above patient’s eye.
• Recommended additional settings: Pulse mode, 40 Hz, 60 % cooling for phaco 2.
easyPhaco® is a development by Oertli® R&D in scientific collaboration with Prof. Rupert Menapace, Vienna.
Flow
(ml/min)
18
28
18
50
18
50
Vacuum
(mmHg)
50
350
50
500
50
500
5
a. Hexadisq® phaco handpiece, reusable
Having an outside diameter of 13 mm, an internal in­
fusion tube, being extremely light weight (47 grams)
and completely made of titanium, the Hexadisq® phaco
handpiece has set the standards since 2002. The handpiece, which is equipped with 6 piezo crystals, is ideally
suited for easyPhaco® technology and MICS.
VG800011
U/S phaco handpiece with cable 3 m
VV803200
Protection cap for phaco handpiece, titan
Phaco
Phaco
b. easyPhaco® tips, single use
Sterile/single use, box of 10 including sleeve,
test chamber, phaco key and emergency key
VV806833A
Titanium easyTip® CO-MICS, 30°
for incisions of 1.6 - 1.8 mm
VV806833
Titanium easyTip® CO-MICS, 53°
for incisions of 1.6 - 1.8 mm
VV806835B
Titanium easyTip® 2.2 mm, 15°
for incisions of 2.2 - 2.4 mm
VV806835A
Titanium easyTip® 2.2 mm, 30°
for incisions of 2.2 - 2.4 mm
VV806835
Titanium easyTip® 2.2 mm, 40°
for incisions of 2.2 - 2.4 mm
VV806840
Titanium easyTip® 2.8 mm, 30°
for incisions of 2.8 - 3.2 mm
7
c. easyPhaco® tips, reusable
VV800831
Titanium easyTip® CO-MICS, 30°
for incisions of 1.6 - 1.8 mm
VV800833
Titanium easyTip® CO-MICS, 53°
for incisions of 1.6 mm - 1.8 mm
VV603231
Irrigation sleeve for easyTip® CO-MICS,
Silicone, grey
VV800735B
Titanium easyTip® 2.2 mm, 15°
for incisions of 2.2 - 2.4 mm
VV800735A
Titanium easyTip® 2.2 mm, 30°
for incisions of 2.2 - 2.4 mm
VV800735
Titanium easyTip® 2.2 mm, 40°
for incisions of 2.2 - 2.4 mm
VV603220
Irrigation sleeve for easyTip® 2.2 mm,
Silicone, transparent
VV800740
Titanium easyTip® 2.8 mm, 30°
for incisions of 2.8 - 3.2 mm
VV603209
Irrigation sleeve for easyTip® 2.8 mm,
Silicone, blue
Phaco
Phaco
d. Various phaco accessories, single or reusable
VE800100
Key for Phaco Tips with titanium insert
VV803100
Test chamber for phaco, silicone
VV632006
Active infusion set
Sterile/single use, box of 6
9
Phaco
Irrigation / Aspiration
Quick Tips with Safety Design
1 Extended leg length for better sub-incisional accessibility
2 Downsizing of aspiration opening for better occludability, safety
during aspiration and a stable anterior chamber
3 Repositioning of the aspiration opening that prevents from
unintentional grasping of the capsular bag
Features and benefits
The Quick Tips with Safety Design, especially in combination with the SPEEP® Mode, provide the highest standard of safety,
control and efficiency in the procedure of I/A. In detail, we provide the following benefits:
• Completely stable anterior chamber
• Improved sub-incisional accessibility
• Better occludability
• High standard of safety during capsule cleaning process
Additionally, the tips are equipped with the sophisticated Quick Tip snap-on lock closing that enables a fast change of the tip
in the sterile field.
The I/A Quick Tips with Safety Design are intended for application with sleeve.
11
a.I/A Handpiece coaxial, reusable
VE655000
I/A Handpiece Quick Tip, titanium
VE603010
Irrigations handpiece «Titano» with Luer connection
VE655020
Luer adaptor Quick Tip female
Irrigation / Aspiration
Irrigation / Aspiration
b.I/A Quick Tip system coaxial, reusable
VE655527
Quick tip for I/A with sleeve, 45°,
aspiration opening 0.25 mm, leg length 1.2 mm,
for incisions from 1.6 - 1.8 mm, SAFETY DESIGN
VE655525
Quick tip for I/A with sleeve, 45°,
aspiration opening 0.25 mm, leg length 1.5 mm,
for incisions from 2.2 - 3.2 mm, SAFETY DESIGN
VE655526
Quick tip for I/A with sleeve, 45°,
aspiration opening 0.25 mm, leg length 2.1 mm,
for incisions from 2.2 -­‐3.2 mm, SAFETY DESIGN
VE655535
Quick tip for I/A with sleeve, 45°,
aspiration opening 0.35 mm, leg length 1.5 mm,
for incisions from 2.2 -­‐3.2 mm
VE655035
Quick tip for I/A with sleeve, straight,
aspiration opening 0.35 mm,
for incisions from 2.2 - 3.2 mm
VV603231
Irrigation sleeve for easyTip® CO-MICS, silicone, grey
(for VE655527)
VV603220
Irrigation sleeve for easyTip® 2.2 mm, silicone, transparent
(for VE655035, VE655525, VE655526, VE655535)
VV603209
Irrigation sleeve silicone for easyTip® 2.8 mm, silicone, blue
(for VE655035, VE655525, VE655526, VE655535)
VE655235
Quick tip for I/A, sleeveless, 45°,
aspiration opening 0.35 mm, leg length 1.5 mm,
for incisions from 2.8 - 3.2 mm, diameter 1.80 mm
13
c. I/A handpiece bimanual, single use
Sterile/single use, box of 10
VV650010
I/A bimanual instruments set
d. I/A handpiece bimanual, reusable
VE654100
I/A bimanual instrument kit,
(1 irrigation and 1 aspiration instrument)
VE654101
I/A bimanual instrument kit, roughened tips
VE654103
I/A bimanual instrument kit 23G
Irrigation / Aspiration
HF Function / Diathermy
HFDS® ab interno MIGS technology
High Frequency Deep Sclerotomy (HFDS) glaucoma surgery is
a new ab interno procedure to lower the intraocular pressure
in open-angle glaucoma. Using high frequency energy, six
small pockets are formed in the iridocorneal angle, which significantly reduce the outflow resistance for aqueous humour.
Area of application
Features and benefits
• Ideal for combinations with cataract surgeries
• Very short intervention times
• No bleb formation
• No corneal scars
• No fibroblast movement to the sclera
• Procedure can be repeated
Positioning of abee® tip
Literature
Pallas G, Pajic B. 1999: Die Sklerathalamektomie (STE): Stabile post­
operative Augendruckregulierung beim Offenwinkel- und Kapsel­
häutchenglaukom. Klein Monatsbl Augenheilk 2000; 216:256-260
Forming of sclerotomy bags
Pajic B. Pallas G, Gerding H, Böhnke M.: A novel technique of ab
interno glaucoma surgery: follow-up results after 24 months. Graefes
Arch Clin Exp Opthalmol 2005 Jul; 19:1-6
50
45
Pajic B.: High-Frequency Deep Sclerotomy, Cataract & Refractive Surgery Today, October 2011
40
mmHg
35
30
25
20
15
10
5
1 2 3 4 7 1 3 6 9 1215182124273033363942454851545760636816972
Pre-op | Days
0
| Months
Excellent long-term results (72 months) after conducted HFDS® procedure.
15
a. Diathermy handpiece, reusable
VE201710
Handpiece long, plug-on, diathermy, cable 3 m,
floating connector (black)
VE201712
Handpiece short, plug-on, diathermy, capsulotomy,
cable 3 m, floating connector
b. HFDS® glaucoma tip, reusable
VE201751
abee® glaucoma tip, ab interno,
High Frequency Deep Sclerotomy
c. Diathermy tips, reusable
VE201722
Diathermy plug-on tip «Eraser», 1.1 mm, 25 mm,
50° bevel
d. Endo diathermy tips, reusable
VE201723
Endo diathermy plug-on tip, 20G, 28 mm,
54° pointed
VE201733
Endo diathermy plug-on tip, 23G, 28 mm,
54° pointed
VE201732
Endo diathermy plug-on tip, 25G, 28 mm,
54° pointed
VE201724
Endo diathermy plug-on tip, 20G, 28 mm,
54° pointed, tapered 0.45 mm
HF Function / Diathermy
17
e.Diathermy forceps, reusable
VE203902
Bipolar forceps plug-on curved
f. Capsulotomy tip, reusable
VE201726
Capsulotomy plug-on tip standard
VE201730
Capsulotomy plug-on tip long, 0.5 mm
capsular Fimosis
HF Function / Diathermy
Vitrectomy
Caliburn™ trocar cannula system
«The lancet-pointed needle from Oertli had remarkable low piercing and cutting forces.»
Independent study*
Features and benefits
• Superb post-operative wound tightness
• New surface finish for even smoother incisions
• Less resistance on trocar edge-entry
• Patented snap-on lock infusion line for more flexibility
• Incision template for exact trocar placement
Application
• Patented integrated, double-slotted sealing membrane
• Easy finding and entry with instruments
• Reliably constant IOP during surgery
• Reliable retention of the trocar
• Color coded for each gauge size (23G, 25G) 1. Pull the conjunctiva slightly sideways over the sclera with the Oertli®
incision template.
2. Insert the trocar in the sclera through the incision opening by holding
cannula blade at an angle of maximum 30°.
3. After inserting the blade, lift the blade vertically and gently penetrate the
sclera with the instrument.
4. Insert the trocar completely until its head touches the sclera.
The shaft is now fully inserted.
5. Connect the infusion line with the patent-registered snap mechanism
to the trocar. Insert the remaining trocars in the sclera using the above
mentioned procedure (steps 1 to 4).
*Source: Geometry, penetration force, and cutting profile of different 23-gauge trocars systems for pars plana vitrectomy, C.H. Meyer MD,
H. Kaymak MD, published in the November 2014 issue of the Retina Journal (Volume: 34:2290–2299, 2014).
19
a. PMS Pars Plana micro incision system, single use
Sterile/single use, box of 10
23G VV123311
Caliburn PMS system, one step, self sealing
25G VV125311
Caliburn PMS system, one step, self sealing
Vitrectomy
Vitrectomy
Sterile/single use, box of 10
23G VV123211
Infusion line 6 mm for PMS, self sealing
23G VV123212
23G infusion trocar with infusion line and
mandrel for PMS system
VV125110
PMS incision template
b. Infusion terminal, single use
Sterile/single use, box of 10
20G VV690220
Infusion terminal 4 mm, BSS
20G VV690221
Infusion terminal 4 mm, silicone 6000CS
20G VV690230
Infusion terminal 6 mm, BSS
20G VV690231
Infusion terminal 6 mm, silicone 6000CS
20G VV690320
Infusion terminal «No Stitch» 4.5 mm
20G VV690330
Infusion terminal «No Stitch» 6 mm
21
Vitrectomy
Vitrectomy
Continuous Flow-Cutter – a new level of vitrectomy cutter
«This cutter is very efficient and effective. I have got an
outstanding control for peripheral vitreous removal»
Early user, Italy
Features and benefits
• 100% continuous flow for tear-free high speed cutting
• Perfect portioning of vitreous body removal
• Highest efficiency and safety in core vitrectomy
• Excellent precision for all maneuvers
• Ability to peel and manipulate membranes
• Continuous holding force
• Absolute minimal distance of cutter port from the distal end
• Pneumatic push-pull cutter (no spring)
• Double cut-rate
Vitreous body removal
– Continuous Flow-Cutter: Continuous flow without any notice
able fluctuations. With each cycle, vitreous body is removed
twice
– Standard Cutter: Flow is interrupted with each cycle. With each
cycle, vitreous body is removed once
23
c. Continuous Flow-Cutter, single use
Sterile/single use, box of 10
20G VV104110
Continuous Flow-Cutter, Twinac®
23G VV106110
Continuous Flow-Cutter, Twinac®
25G VV105110
Continuous Flow-Cutter, Twinac®
d. Classic pneumatic vitrectomy cutter, single use
Sterile/single use, box of 10
20G VV104010
SPS Twinac® Vitrectomy Cutter
23G VV106010
SPS Twinac® Vitrectomy Cutter
25G VV105010
SPS Twinac® Vitrectomy Cutter
Vitrectomy
Vitrectomy
Endo illuminator panorama – wide panorama illumination
Features and benefits
• Wide panoramic tip for optimal illumination
• Shielded design to avoid glare during the procedure
•Oertli® micro-connector
• Color coded by gauge size
25
e. Light instruments, single use
Sterile/single use, box of 10
20G VV300101
Endo illuminator 90°, micro connector
23G VV300103
Endo illuminator 90°, micro connector
25G VV300105
Endo illuminator 90°, micro connector
20G VV300191
Endo illuminator Panorama, shielded,
micro connector
23G VV300194
Endo illuminator Panorama, shielded,
micro connector
25G VV300195
Endo illuminator Panorama, shielded,
micro connector
Vitrectomy
Vitrectomy
DEX™ disposable forceps
«The best ILM forceps, I have ever used»
Early user, Germany
Features and benefits
• Perfect ergonomics achieved by 360° actuation
• Short efficient stroke for direct closing of the instrument
• Precise grasping due to the carefully manufactured tips
• Excellent holding force stemming from a superior tip design
• No shredding of the peeled membrane due to tips without sharp edges
27
f. DEX™ forceps, single use
Sterile/single use, box of 10
23G DVF4019-23
DEX Maculorhexis forceps
25G DVF4019-25
DEX Maculorhexis forceps
23G DVF4022-23
DEX End Grasping forceps
25G DVF4022-25
DEX End Grasping forceps
23G DVF4005-23
DEX Nanotapered Awh forceps
25G DVF4005-25
DEX Nanotapered Awh forceps
Vitrectomy
Vitrectomy
g. Various vitrectomy accessories, single use or reusable
VV690101
Sterile/single use, box of 10
Air delivery line with filter and air/BSS connector
VV690310
Sterile/single use, box of 10
Silicone application set 20 cc, visco system
VV800051
Titanium tip, Phaco,
for Pars Plana phacoemulsification, 20G
29
Vitrectomy
Laser
Laser probes – precisely controlled laser application
«Excellent how I can control the bending of the probe with my fingertips. I was able to create spots in different rows
simply be squeezing the laser probe.»
Early user, Switzerland
Features and benefits
• 0 to 90° bending angle of the tip – outstanding reach to the peripheral retina
• Ergonomic handle with 360° actuation
• Control of the bending at the surgeon’s fingertips – allowing to position different rows of laser with gentle surgeon control
• Naturally straight – therefore safe to remove without having to retract the curved fiber
31
a. Laser probes, single use
Sterile/single use, box of 10
20G VK400101
Laser probe, straight
23G VK400103
Laser probe, straight
25G VK400105
Laser probe, straight
20G VK400111
Laser probe, curved
23G VK400113
Laser probe, flexible curved 23G
25G VK400115
Laser probe, flexible curved 23G
23G VK400123
Laser probe, steerable
25G VK400125
Laser probe, steerable
Laser
Laser
b. Laser accessories, reusable
F18.P1E01.1001MED
Filter impact OD6+, blocked wavelength 532 nm
340833
User Protection Filter Zeiss / HS Moeller Microscope
340846
User Protection Filter Leica Microscope
340990
User Protection Filter Topcon Microscope
33
Device Accessories
VE860010
Programmable wireless pedal, dual linear
VE860030
Cover
VE860001
Instrument tray
Device Accessories
OP Packs
a.Cassette TwinVac
Sterile/single use, box of 10 VV660010
I/A cassette TwinVac
including giving set and display cover bag
b.Example phaco pack
Sterile/single use, box of 10
VV660011D
Phaco pack OS4, cassette, easyTip® 2.2 mm, 40°,
sleeve, test chamber, phaco key, emergeny key,
giving set, display cover bag
c. Example vitrectomy pack
Sterile/single use, box of 6 VV660113BP
Vitrectomy pack OS4, 23G, cassette,
Caliburn cannula system autoseal One Step, SPS,
panorama light shielded, air with connector Air/BSS,
giving set, display cover bag
Further phaco and vitrectomy packs are available
on request.
35
Reprocessing and sterilization
Norms and quality control
All disposable products labelled with this symbol
are delivered in a sterile state and are intended for single use. They
must not be reused.
Oertli® attaches utmost importance to quality and continuous
improvement of its products and quality management systems. All products listed in this catalogue correspond to the
high Swiss quality standard and bear the CE marking.
Reusable products, which are not labelled with this symbol
, are suited for multiple use. Reprocessing of these products must be carried out according to Oertli® instructions for
use TN999042 “Instructions for Processing (Cleaning, Disinfection and Sterilization) of Instruments”. The procedures
described in TN999042 have been validated according to ISO
17665-1.
Oertli® uses the following standard dimensions (outer dia­
meter)
20G 0.89 mm
23G 0.64 mm
25G 0.51 mm
Packaging recommended for sterilization:
Possible packaging that can be used for reprocessing the various reusable products are described in Oertli® instructions for
use TN999042.
Disclaimer
All details in this catalogue were correct at the time of publication. There may be changes without notice as a result of enhancements to the
design or safety of products. The details specified in the relevant quotation or delivery documentation shall apply.
Oertli Instrumente AG
CH-9442 Berneck
Fax +41 (0)71 747 42 90
Switzerland
Phone +41 (0)71 747 42 00
www.oertli-instruments.com
[email protected]
Ecknauer+Schoch ASW. BD1040.E 2015.11
www.oertli-os4.com