ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION

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1 ELMED = Surgical Cost Reduction: Quality, Reusable, Economically-priced instruments made in the U.S.A. ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION The Elmed Bronchial and Esophageal instruments have been designed to meet the needs that should arise during the endoscopic surgical procedure. Biopsy forceps, grasping forceps, retrieval forceps, aspirating tubes, and other related instruments have been designed specifically in length and diameter to be used with the appropriately sized Pilling scope. Cup Biting Specimen, Foreign Body and Tissue Forceps OPTICAL FORCEPS A full line of quality pediatric, adolescent and adult instrumentation for Airway procedures. These instruments are ideal for: Foreign Body Removal Biopsy Procedures The future of foreign body removal is changing, due to the availability of optical forceps. Visual control is achieved with precision through the use of our double-action peanut, alligator and biopsy forceps. Our exclusive pediatric size optical forceps house a slender 2.0 mm rod-lens telescope, unsurpassed in versatility and usage options. These high quality instruments can be used in many types of airway management procedures where accurate depth perception is imperative for visualization. 3 sizes available. Easy twist-lock mechanism locks telescope into forceps allowing one-handed operation of the instrumentation. Telescope universal eye-piece easily attaches to video systems. Telescope bayonet connection attaches to non -Pilling light cables by use of adapters. Telescope joined with forceps provide close up view of object being grasped. (continued on next page)

2 Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) Alligator Optical Forceps Biopsy Optical Forceps OPTICAL FORCEPS (continued) Pediatric (Exclusive Size) For use with bronchoscopes, esophagoscopes, laryngoscopes and mediastinoscopes, 3.5 mm diameter and larger, up to 30 cm working length Telescope (2.0 mm, Rod Lens System) Alligator Optical Forceps Biopsy Optical Forceps Peanut Optical Forceps Adolescent For use with bronchoscopes and esophagoscopes, 4.7 mm diameter and larger, up to 42 cm working length Telescope (2.7 mm, Rod Lens System) Alligator Optical Forceps Biopsy Optical Forceps Peanut Optical Forceps Peanut Optical Forceps Adult For use with bronchoscopes and esophagoscopes, 6.0 mm diameter and larger, up to 49 cm working length Telescope (4.0 mm, Rod Lens System) Alligator Optical Forceps Biopsy Optical Forceps Peanut Optical Forceps LIGHT CABLE END ADAPTER # INSTRUMENT FITTING Storz Pilling Bayonet ACMI Male Pilling Bayonet ACMI Male Pilling Bayonet

3 Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) PILLING DELICATE CENTER-ACTION BRONCHOSCOPIC FORCEPS The slender stem allows far greater visibility. Center-action handle and double-action jaws eliminate tendency of distal end to pull away from object and rise. Stem does not bend under pressure from handles. Stainless steel construction JAW STYLE FOR USE THRU SCOPE Fenestrated, cupped grasping 38 cm 3.5 mm or larger Fenestrated, cupped grasping 38 cm 4.0 mm or larger Fenestrated, cupped grasping 45 cm 4.0 mm or larger Fenestrated, cupped grasping 50 cm 4.0 mm or larger Alligator grasping 38 cm 4.0 mm or larger Alligator grasping 45 cm 4.0 mm or larger Alligator grasping 50 cm 4.0 mm or larger Rotation, 1 x 2 teeth 38 cm 4.0 mm or larger Rotation, 1 x 2 teeth 45 cm 4.0 mm or larger Rotation, 1 x 2 teeth 50 cm 4.0 mm or larger Kahler grasping 38 cm 4.0 mm or larger Kahler grasping 45 cm 4.0 mm or larger Kahler grasping 50 cm 4.0 mm or larger Universal, biopsy, and grasping 38 cm 4.0 mm or larger Universal, biopsy, and grasping 45 cm 4.0 mm or larger Universal, biopsy, and grasping 50 cm 4.0 mm or larger Patterson, elongated cup biopsy 38 cm 4.0 mm or larger Patterson, elongated cup biopsy 45 cm 4.0 mm or larger Patterson, elongated cup biopsy 50 cm 4.0 mm or larger Circular cup biopsy 38 cm 5.0 mm or larger Circular cup biopsy 45 cm 5.0 mm or larger Circular cup biopsy 50 cm 5.0 mm or larger Oval cup biopsy 38 cm 5.0 mm or larger Oval cup biopsy 45 cm 5.0 mm or larger Oval cup biopsy 50 cm 5.0 mm or larger Right angle cup biopsy 38 cm 6.0 mm or larger Right angle cup biopsy 45 cm 6.0 mm or larger Right angle cup biopsy 50 cm 6.0 mm or larger Retro-angle cup biopsy 38 cm 6.0 mm or larger Retro-angle cup biopsy 45 cm 6.0 mm or larger Retro-angle cup biopsy 50 cm 6.0 mm or larger Square punch biopsy 38 cm 5.0 mm or larger Square punch biopsy 45 cm 5.0 mm or larger Square punch biopsy 50 cm 5.0 mm or larger Oval punch biopsy 38 cm 5.0 mm or larger Oval punch biopsy 45 cm 5.0 mm or larger Oval punch biopsy 50 cm 5.0 mm or larger

4 Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) JACKSON EXTRA LIGHT CUP FORCEPS Extra lightweight construction. CUP DIAMETER SHAPE FOR USE THRU SCOPE mm Straight 28 cm 3.5 mm or larger mm Angular 28 cm 3.5 mm or larger STANDARD, MEDIUM-LIGHT CUP FORCEPS CUP DIAMETER SHAPE FOR USE THRU SCOPE mm Straight 28 cm 7 mm or larger mm Angular 28 cm 8 mm or larger SAM ROBERTS BIOPSY FORCEPS Roberts forceps have jaws especially shaped and angled for use through bronchoscopes and esophagoscopes of definite sizes. CUP DIAMETER SHAPE FOR USE THROUGH STD. BRONCH. ESOPH mm Straight 50 cm 4.5 mm 3.5 mm mm Angular 50 cm 4.5 mm 3.5 mm mm Straight 40 cm 7.0 mm 7.0 mm mm Straight 50 cm 7.0 mm 7.0 mm mm Straight 60 cm 7.0 mm 7.0 mm mm Straight 40 cm 9.0 mm 9.0 mm mm Straight 50 cm 9.0 mm 9.0 mm mm Straight 60 cm 9.0 mm 9.0 mm mm Angular 40 cm 8.0 mm 8.0 mm mm Angular 50 cm 8.0 mm 8.0 mm mm Angular 60 cm 8.0 mm 8.0 mm mm Angular 40 cm 10.0 mm 10.0 mm mm Angular 50 cm 10.0 mm 10.0 mm mm Angular 60 cm 10.0 mm 10.0 mm

5 Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) EXTRA LIGHT FORCEPS Very light shafts with small cup biting jaws, straight or slightly angled CUP DIAMETER SHAPE FOR USE THRU SCOPE mm Straight 35 cm 4.0 mm or larger mm Straight 40 cm 4.0 mm or larger mm Angular 35 cm 4.0 mm or larger mm Angular 40 cm 4.0 mm or larger MYERSON BIOPSY FORCEPS Jaws are 90 angled to side. CUP DIAMETER SHAPE FOR USE THRU SCOPE mm Angled to right 47 cm 5.0 mm or larger mm Angled to left 47 cm 5.0 mm or larger PATTERSON ELONGATED CUP FORCEPS Lightweight construction CUP DIAMETER SHAPE FOR USE THRU SCOPE mm Straight 50 cm 6.0 mm or larger mm Straight 40 cm 5.0 mm or larger mm Straight 47 cm 5.0 mm or larger PILLING FLEXIBLE BIOPSY FORCEPS These forceps pass easily down the instrument channel of the Improved Holinger Bronchoscopes and Laser Bronchoscopes. CUP DIAMETER SHAPE FOR USE THRU SCOPE mm Straight 35 cm 3.0 mm or larger JACKSON SQUARE PUNCH SPECIMEN FORCEP S Basket built into lower blade to hold excised tissue CUP DIAMETER SHAPE FOR USE THRU SCOPE mm Straight 45 cm 6.0 mm or larger mm Straight 50 cm 6.0 mm or larger mm Straight 60 cm 6.0 mm or larger

6 Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) HOLINGER SPECIMEN FORCEPS Cutting jaws with rounded tip and basket designed to prevent crushing of specimen. Cutting edges extend into box of instrument to permit clean, complete removal of specimen. CUP DIAMETER SHAPE FOR USE THRU SCOPE mm Straight 60cm 7.0 mm or larger PEDIATRIC BRONCHOSCOPIC INSTRUMENTS These miniature grasping and biopsy forceps and scissors with 2 mm stems have been designed to pass through the smaller pediatric bronchoscopes. The stems are slightly angled at the handle, affording unobstructed vision. Grasping Forceps Straight forward, 35 cm working length, will pass through a 3 mm or larger scope, 5 bend at handle Biopsy Forceps Straight cup, 35 cm working length, will pass through a 3.5 mm or larger scope, 5 bend at handle Angled-up cup, 35 cm working length, will pass through a 5 mm or larger scope, 5 bend at handle Oval cup, 35 cm working length, will pass through a 3.5 mm or larger scope Scissors Straight, 35 cm working length, will pass through a 3 mm or larger scope

7 Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) PILLING FLEXIBLE ENDOSCOPIC FORCEPS The Pilling Flexible Forceps were designed for use with Pilling laser and standard bronchoscopes. They pass through the instrument/fiber channel for the purpose of biopsy, foreign body retrieval, or the removal of char from laser ablation. These forceps are available in 1 mm and 2 mm sizes. FOR USE DESCRIPTION THRU SCOPES mm Alligator Grasping Fcps. 35 cm 3.0 x 20 or larger mm Oval Cup Biopsy Fcps. 35 cm 3.0 x 20 or larger mm Alligator Grasping Fcps. 40 cm 5.0 x 30 or larger mm Fenestrated Grasping Fcps. 40 cm 5.0 x 30 or larger mm Circular Cup Biopsy Fcps. 40 cm 5.0 x 30 or larger mm Alligator Grasping Fcps. 50 cm 7.0 x 40 or larger mm Fenestrated Grasping Fcps. 50 cm 7.0 x 40 or larger mm Circular Cup Biopsy Fcps. 50 cm 7.0 x 40 or

8 Bronchial/Esophageal Grasping Forceps JACKSON ALLIGATOR GRASPING FORCEPS Standard For use through bronchoscopes or esophagoscopes. JAW WIDTH JAW FOR USE THRUSCOPE mm 22 mm 28 cm 6.0 mm or larger mm 22 mm 35 cm 6.0 mm or larger mm 22 mm 40 cm 6.0 mm or larger mm 22 mm 50 cm 6.0 mm or larger mm 22 mm 60 cm 6.0 mm or larger Double-Action Double articulating jaws are finely serrated and grooved. For use through bronchoscopes or esophagoscopes. JAW JAW WIDTH FOR USE THRU SCOPE mm 10 mm 50 cm 5.0 mm or larger mm 10 mm 60 cm 5.0 mm or larger Light Construction Fine serrated tapered jaws. For use through bronchoscopes or esophagoscopes JAW JAW WIDTH FOR USE THRU SCOPE to 3 mm 13 mm 30 cm 5.0 mm or larger to 3 mm 13 mm 40 cm 5.0 mm or larger Extra Delicate For use through infant laryngoscopes and 3.5 mm bronchoscopes JAW JAW WIDTH mm 10 mm 30 cm mm 10 mm 35 cm JACKSON ROTATION FORCEPS Forceps have serrated jaws that terminate in sharp teeth. Stainless steel. Standard Sturdy construction with large, strong teeth for use through bronchoscopes and esophagoscopes JAW JAW WIDTH FOR USE THRU SCOPE mm 20 mm 50 cm 7.0 mm or larger mm 20 mm 60 cm 7.0 mm or larger Delicate Light construction with small, sharp teeth. JAW JAW WIDTH FOR USE THRU SCOPE mm 10 mm 30 cm 3.5 mm or larger mm 10 mm 35 cm 3.5 mm or larger

9 Bronchial/Esophageal Grasping Forceps (continued) KAHLER GRASPING FORCEPS Jaws contain a series of teeth that provide a very secure g rip on most foreign bodies. JAW JAW WIDTH FOR USE THRU SCOPE mm 13 mm 60 cm 6.0 mm or larger JACKSON GRASPING FORCEPS These cannulated forceps are constructed entirely of stainless steel. The jaws are carefully shaped and set to provide a secure grip on the object to be removed. They are strong, durable and will sustain any degree of traction it is safe to exert JACKSON FORWARD GRASPING FORCEPS (CUPPED JAWS) Serrated, cupped jaws. FOR USE THRUSCOPE Extra Small 35 cm 3.0 mm or larger Small 35 cm 4.0 mm or larger Small 40 cm 4.0 mm or larger Medium 40 cm 4.0 mm or larger Large 50 cm 5.0 mm or larger Large 60 cm 5.0 mm or larger JACKSON FORWARD GRASPING FORCEPS (NON-CUPPED JAWS) Thin, flat serrated jaws (not cupped). FOR USE THRUSCOPE Medium 45 cm 5.0 mm or larger Medium 50 cm 5.0 mm or larger Medium 60 cm 5.0 mm or larger JACKSON SIDE CURVED GRASPING FORCEPS FOR USE THRUSCOPE Extra Small 35 cm 3.0 mm or larger Small 35 cm 4.0 mm or larger Small 45 cm 4.0 mm or larger Medium 40 cm 4.0 mm or larger Large 50 cm 5.0 mm or larger Large 60 cm 5.0 mm or larger

10 Bronchial/Esophageal Grasping Forceps (continued) JESBERG FENESTRATED GRASPING FORCEPS A multi-purpose forceps with fenestrated blades shaped to encircle an odd shaped or globular object. Valuable as a forward grasping forceps for pebbles, beads, peanuts, meat, head presented tacks and nails. FOR USE THRU SCOPE Light 35 cm 4.0 mm or larger Light 40 cm 4.0 mm or larger Light 45 cm 4.0 mm or larger Light 50 cm 4.0 mm or larger JACKSON FENESTRATED PEANUT GRASPING FORCEPS Jaws considerably lighter and smaller than meat grasping forceps. FOR USE THRU SCOPE Extra Small 35 cm 3.5 mm or larger Small 35 cm 4.0 mm or larger Small 40 cm 4.0 mm or larger Small 45 cm 4.0 mm or larger Medium 45 cm 5.0 mm or larger Medium 60 cm 5.0 mm or larger JACKSON FENESTRATED MEAT GRASPING FORCEPS Large, deeply serrated blades. FOR USE THRU SCOPE Large 50 cm 7.0 mm or larger Large 60 cm 7.0 mm or larger JACKSON GLOBULAR OBJECT GRASPING AND SPECIMEN FORCEPS Fenestrated jaws specially shaped and set for removal of globular objects such as marbles, beads, ball bearings and pebbles. FOR USE THRU SCOPE Extra Small 35 cm 3.5 mm or larger Small 35 cm 4.0 mm or larger Small 40 cm 4.0 mm or larger Small 45 cm 4.0 mm or larger

11 Bronchial/Esophageal Grasping Forceps (continued) JACKSON RINGJAW GLOBULAR OBJECT FORCEPS Grasping jaws are in form of opposing rings instead of perforated cups. FOR USE THRUSCOPE Small 40 cm 4.0 mm or larger Large 60 cm 9.0 mm or larger GORDON BEAD GRASPING FORCEPS The four-bladed grasping unit is designed to completely surround a slippery, hard-surfaced, smooth object such as an oval bead or ball-bearing. FOR USE THRUSCOPE Small 45 cm 5.0 mm or larger Large 50 cm 6.0 mm or larger TUCKER BEAD GRASPING FORCEPS Forceps have stiff, expanding springs and jaws designed to grasp over and beyond the greatest circumference of the bead. Blades are concave and back-serrated at the tip for secure grasp. FOR USE THRUSCOPE Small 40 cm 4.0 mm or larger Medium 50 cm 5.0 mm or larger Large 50 cm 6.0 mm or larger JACKSON SHARP-POINTED, RIGHT ANGLE ROTATION FORCEPS FOR USE THRUSCOPE Extra Small 35 cm 3.5 mm or larger Medium 45 cm 4.0 mm or larger Large 50 cm 5.0 mm or larger Large 60 cm 5.0 mm or larger JACKSON DULL-POINTED RING ROTATION FORCEPS FOR USE THRUSCOPE Extra Small 35 cm 3.5 mm or larger Medium 40 cm 4.0 mm or larger Medium 45 cm 4.0 mm or larger Large 50 cm 5.0 mm or larger Large 60 cm 5.0 mm or larger

12 Bronchial/Esophageal Grasping Forceps (continued) JACKSON DOUBLE PRONG GRASPING FORCEPS Powerful, fenestrated, deeply serrated blades with distal points are especially valuable in grasping teeth and similar difficult objects. FOR USE THRU SCOPE Medium 45 cm 5.0 mm or larger Medium 50 cm 5.0 mm or larger TUCKER TACK AND PIN FORCEPS These forceps are generally regarded as preferable to the side curved forceps for execution of the inward rotation method of removing tacks, pins and needles, and for the point sheathed method of removing safety pins. FORUSE THRUSCOPE Small 35 cm 4.0 mm or larger Small 40 cm 4.0 mm or larger Medium-Light 40 cm 5.0 mm or larger Medium-Light 50 cm 5.0 mm or larger Medium 45 cm 5.0 mm or larger Medium 50 cm 5.0 mm or larger Large-Heavy 45 cm 6.0 mm or larger Large-Heavy 60 cm 6.0 mm or larger C.L. JACKSON SCREW AND NAIL FORCEPS Designed to be equally useful for removal of screws, nails or tacks where either the head or point is presented. May also be used for swiveling a nail or similar object from an angular to a straight position. FORUSE THRUSCOPE Small 45 cm 5.0 mm or larger Large 50 cm 7.0 mm or larger Large 60 cm 7.0 mm or larger TUCKER STAPLE FORCEPS Specially shaped blades are angled to permit withdrawal of both points into beveled distal end of the bronchoscope. FOR USE THRU SCOPE large 50 cm 6.0 mm or larger

13 Bronchial/Esophageal Grasping Forceps (continued) CLERF-ARROWSMITH SAFETY PIN CLOSER A notched brace pushes the loop of the pin away from the jaws which simultaneously grasps the limbs of the pin. This action results in approximation of the point and keeper. FOR USE THRU SCOPE /8" 1 1/2" 45 cm 5.0 mm or larger /8" 1 1/2" 50 cm 5.0 mm or larger /8" or larger 50 cm 7.0 mm or larger /8" or larger 60 cm 7.0 mm or larger JACKSON FLEXIBLE UPPER LOBE BRONCHUS FORCEPS For reaching 180. FOR USE THRU SCOPE Child 36 cm to spiral ferrule 5.0 mm or larger Adult 42 cm to spiral ferrule 6.0 mm or larger JACKSON HEAVY SIDE-ANGLED GRASPING FORCEPS Specially designed and constructed for removal of items such as metallic bougies. Used through an open laryngoscope. FOR USE THRU SCOPE Large 45 cm adult laryngoscope JACKSON CYLINDRICAL OBJECT GRASPING FORCEPS, SERRATED Jaws are concave and the inner surfaces deeply serrated for grasping cylindrical bodies of various dimensions. FOR USE THRU SCOPE Medium 50 cm 7.0 mm or larger Large 60 cm 9.0 mm or larger JACKSON CYLINDRICAL OBJECT GRASPING FORCEPS, WITH TEETH Concave jaws contain points for secure grasp on such objects as rubber tubes and bougies. FOR USE THRU SCOPE Large 60 cm 7.0 mm or larger

14 Bronchial/Esophageal Grasping Forceps (continued) JACKSON HOLLOW OBJECT FORCEPS These instruments are designed to be introduced into a hollow, cylindrical or cannulated object that is grasped from the inside by the dilating type blades. Forceps for removal of items such as intubation tubes and beads. FORUSE THRUSCOPE Medium 50 cm 5.0 mm or larger Dilation blades form a canal which may be pushed down over the presenting points of objects such as tacks. FORUSE THRUSCOPE Medium 50 cm 5.0 mm or larger Forceps for hollow objects and cartridge removal FORUSE THRUSCOPE Medium 50 cm 6.0 mm or larger JACKSON DILATING, FORWARD GRASPING FORCEPS Large, heavy, stiff springs with deeply serrated, cupped jaws Intended to dilate and grasp. FOR USE THRU SCOPE Medium 50 cm 5.0 mm or larger Large 60 cm 5.0 mm or larger JACKSON PARTS KIT Contains various sizes of screws for Jackson cannulated style forceps HOLINGER ENDOSCOPIC MAGNETS For removal of magnetizable foreign bodies through a bron - choscope or esophagoscope. May be guided into the esopha - gus after exposure of the laryngopharynx with the laryngo - scope. For use in the stomach under fl uoroscopic control. DIAMETER FOR USE THRU SCOPE Small 3.0 mm 55 cm 4.0 mm or larger Medium 5.5 mm 55 cm 7.0 mm or larger Large 6.5 mm 55 cm 8.0 mm or larger

15 ELMED FRAZIER MONOPOLAR SUCTION COAGULATOR Frazier Type Suction Tube W/ Thumb Control Suction Reusable & Autoclavable ORDERING INFORMATION: 5½ (140MM) LIST NO. DIAMETER LIST NO. DIAMETER ANGULAR, FRENCH Ø FRENCH Ø INSULATED, W/ MONOPOLAR FR. Ø FR. Ø RF-CONNECTOR, FR. Ø FR. Ø REUSABLE FR. Ø FR. Ø FR. Ø 7 (178MM) LIST NO. DIAMETER LIST NO. DIAMETER ANGULAR, FR. Ø FR. Ø INSULATED, W/ MONOPOLAR FR. Ø FR. Ø RF-CONNECTOR, FR. Ø FR. Ø REUSABLE FR. Ø FR. Ø FR. Ø 9 (228MM) LIST NO. DIAMETER LIST NO. DIAMETER ANGULAR, FR. Ø FR. Ø INSULATED, W/ MONOPOLAR FR. Ø FR. Ø RF-CONNECTOR, FR. Ø FR. Ø REUSABLE FR. Ø FR. Ø FR. Ø 20 (500MM) LIST NO. DIAMETER LIST NO. DIAMETER ANGULAR, INSULATED, W/ MONOPOLAR RF-CONNECTOR, REUSABLE FR. Ø FR. Ø Note: Custom tube length and angle available, per your specifications. MONOPOLAR RF-CABLE ORDERING INFORMATION: LIST NO LIST NO MONOPOLAR RF-CONNECTION CABLE WITH SCREW-TYPE INSTRUMENT PLUG AND MALE BANANA PLUG. MONOPOLAR RF-CONNECTION CABLE WITH SCREW-TYPE INSTRUMENT PLUG AND MALE BOVIE PLUG. ELMED has been at the forefront of surgical instrumentation for over forty years and has innovated many of today s conventional instruments, such as handswitching forceps, bipolar instruments, automatic output compensation, just to mention a few. For comprehensive information, request our booklet Introduction to Electrosurgery. WE DESIGN, MANUFACTURE & SELL THE TOOLS THE SURGEONS USE ELMED specializes in the design and manufacture of new and innovative instruments, the repair of all competitive products and a one day turnaround time on repairs. MADE IN USA ELMED INCORPORATED, 60 West Fay Avenue, Addison, IL 60101, USA PH: (630) WEB: FX: (630) medical@elmed.com We subscribe to cost containment and protection of the environment. Therefore, we manufacture reusable products. Prices and specifications subject to change without notice a-BIPOLAR COAGULATION SPECIALTIES 1209

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