Proctology EndoWorld PRO 2-2-E/03-2010

EndoWorld
PRO 2-2-E/03-2010
Proctology
Proctology
Approximately 50% of adults suffer from an anorectal disease and its related symptoms at least one time in their lives. The disease can be identified by
reviewing the patient’s medical history thoroughly, thereby allowing a tentative
diagnosis to be made.
An inspection and rectal digital explo­ration are the obligatory preliminary medical
examinations, which are then followed by instrumental diagnostic procedures.
The correct indication for a method of treatment and operation can only be given
once careful and precise proctological investigation has been carried out.
A wide range of improvements in the techniques for inpatient and outpatient
proctological operations in the last 2 decades, not to mention the innovations in
accompanying diagnostic examinations, have led to much greater acceptance and
satisfaction amongst the patients concerned.
The most significant indications for a proctological examination are:
• anal bleeding
• skin changes in the anal region
• pruritus
• anal pain
Many diagnoses can be reached upon inspection of the anal region. In this case,
the detection of fissures, scar changes or fistula openings indicates a requirement
for further examination using an ARNOLD fistula hook. After a digital examination, rectoscopy and proctoscopy are performed using rigid tubes. Depending on
the findings and symptoms, various tube sizes can be used for proctoscopy and
rectoscopy.
A significant aspect of the day-to-day work in proctology includes diagnosing and
treating hemorrhoidal complaints. Sclerotherapy and rubber band ligation can be
implemented successfully in the treatment of hemorrhoidal diseases which are
still in the early stages. A variety of ligation devices can be used for this purpose.
Many of the instruments used in ligation treatment require the aid of an assistant,
although this is generally not the case when suction ligation instruments with an
integrated suction pump are applied. After use, the suction ligation instrument can
be dismantled easily and the hygienic preparation performed efficiently.
The hand instruments presented here for the diagnosis and treatment of proctological diseases are highly robust and easy to take care of. This guarantees a
long service life. The metal and plastic parts can be prepared hygienically in the
thermal disinfection­ device and sterilized in the autoclave.
Dr. med. H. Meffle / Dr. med. J. Thoss
Colo-proctological Clinic
Sophienstrasse 39
70178 Stuttgart, Germany
2 3
Proctoscopy
24954
MORGAN Proctoscope Tube, outer diameter 24 mm,
working length 6.5 cm, with obturator 24954 O
24960
Fiber Optic Light Carrier, with connector to fiber optic light cable
25195
ARNOLD Fistula Hook, total length 19 cm
24980
25220
25210
24980
MEFFLE/THOSS Ligature Working Attachment
Cone for loading rings
Rubber Ligature Ring, extra heavy, package of 100
Hemorrhoid Grasping Forceps, angled, for use with Ligature Working
Attachment 24980 L
Adaptor
L
KA
RP
F
24980 A
4 5
Rectoscopy
25211 NS
Suction Ligature Instrument, for treatment of hemorrhoids, with integral vacuum-pump, suction opening size 10 mm,
consisting of:
25211 A Ligature Attachment
25210 GA Handle with integral vacuum-pump
25211 KA Cone
25210 RP Ligature Rings, extra strong, package of 100, contents latex
optional:: 25210 RL
24912
Rubber Ligature Ring, package of 100, latexfree
HEINKEL Rectoscope Tube, outer diameter 20 mm, working length
20 cm, with obturator 24912 O
Rectoscopy
24920
Illumination Head Unit, for HEINKEL Rectoscope Tubes, with fiber optic
light transmission, LUER-Lock hub for rubber insufflation bulb, including
glass window plug 24920 FK
Optional:
40924
Rubber Insufflation Bulb, with detachable tube, with LUER-lock
34431 B
c Rotating Biopsy Forceps, size 5 mm, length 43 cm, with medium
spoon-shaped jaws 3.0 mm, single action jaws,
consisting of:
33131
Metal Handle, without ratchet
33400
Outer Tube, insulated
34410 B Insert
6 7
Illumination
KARL STORZ has developed a new cold light source, LED NOVA 100, for use in proctology,
which is based on LED technology and has the following properties:
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Lamp service life > 23 000 hours
White light with 5 600 K color temperature
No operating noise (as no fan is required)
Suitable for all KARL STORZ standard light cables
Compact, lightweight design
20 1610 01 KARL STORZ Cold Light Source LED NOVA 100,
with one LED lamp and one KARL STORZ light outlet
power supply: 230 VAC, 50/60 Hz
consisting of:
20 1610 20 LED NOVA 100
400 A
Power Cord
495 NL
Fiberoptic Light Cable, diameter 3.5 mm, length 180 cm
EndoWorld®
www.karlstorz.com
Gemeinschaftspraxis
Dr. med. H. Meffle
Specialist in internal medicine
Dr. med. J. Thoss
Surgical specialist
Outpatient operations
Beds available in Bethesda Hospital
Karl Storz GmbH & Co. KG
Mittelstraße 8, 78532 Tuttlingen, Germany
Postfach 230, 78503 Tuttlingen, Germany
Phone: +49 (0)74 61 708-0
Fax: +49 (0)7461 708-105
E-Mail: [email protected]
www.karlstorz.com
KARL STORZ Endoscopy-America, Inc.
2151 East Grand Avenue
El Segundo, CA 90245-5017, USA
Phone: +1 424 218-8100, +1 800 421-0837
Fax: +1 424 218-8526
E-Mail: [email protected]
EW PRO 2-2-E/03-2010
Sophienstrasse 39
70178 Stuttgart (city center), Germany
Phone: +49 (0)711 - 62 61 22
Fax:
+49 (0)711 - 6 15 95 15