Specula. Opening the eyes of the world.

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1 Specula Opening the eyes of the world

2 Variations of Specula Single Piece All Duckworth & Kent single piece specula are made from a single piece of titanium. There are no joints or welds which can create weak points in the construction. Computerised machines accurately produce the shape of the specula blades. Rest Blade Size Rest Variations of Specula Adjustable The main body is made from a single piece of titanium with added strength in the arms to give a rigid strong construction. This gives less flex if the patient attempts to close down on the blades. Blades are reduced in thickness to 0.5mm. This give s added comfort to the patient, yet the design and strength is not compromised. Smooth, light action adjustable thumb screw mechanism with large easy to grip knurled thimble Blades Slightly open. When closed they enable easy and comfortable entry Blades can open to 30mm (without closing resistance) Blade Types Closed Blades Open Blades Solid Blades 2

3 Notable Specula Markomanolakis Aspirating open blades Adjustable aspirating port, can be increased in length by 4.0mm To accommodate different optimum positions for the aspirating port the length can be adjusted by rotating the knurled screw. RJ Mackool Femtosecond Laser mm open blades Suitable for femtosecond laser machines Maximum blade exposure allows application of suction ring when using the LenSx Laser. LenSx is registered to Alcon LenSx Inc. 15.5mm Shepard Reversible solid blades or nasal Lightweight, adjustable speculum may be used for both temporal and nasal approach ocular surgery. Lightweight design avoids excessive pressure on globe. One Instrument - Dual Placement Otori Closed Blade Adjustable with Notch closed blades with notch Thin blade thickness Ridged design The Otori Closed Blade Adjustable Speculum with Notch allows you to stabilise the globe. This is carried out by suturing to the globe, the suture is then tied to the speculum blade. The notch secures the suture and the globe is stabilised. Duckworth & Kent - Titanium 3

4 Barraquer Adult, Closed Blades F Closed blades, nasal and straight Spring pressure heavy Barraquer Paediatric, Closed Blades mm Blade width from 6.0mm to 6.0mm mm mm Closed blades, nasal and straight Barraquer Paediatric, Solid Blades 6.0mm mm mm mm Solid Blades, nasal and straight 4

5 Bloomberg, Solid Blades Solid Blades and nasal DK Closed Blades / Open Blades Open Blades Closed blades / Open Blades, nasal and straight Kratz Barraquer Open Blades F Spring pressure heavy F-1, nasal and straight Strong closing pressure F and 9-557F-1 Spring pressure heavy Duckworth & Kent - Titanium 5

6 Kratz Barraquer Paediatric Neo-Natal, Closed Blades mm mm 4.4mm Open Blades Angled to rest straight Closed blades Strong Spring Pressure Bates LASIK Open Blades / Solid Blades 18mm mm Right Eye Left Eye 18mm Key features of the Bates LASIK Speculum: 1) Enables excellent exposure for LASIK or LASEK and allows, in particular, easy placement of the microkeratome. 2) Gives excellent retraction of the lower lid and of redundant lid tissue. 3) Lower lid is protected from any inadvertent cuts from the microkeratome blade., one open one solid Tutton and Williams LASIK Open Blades mm Tutton Williams - Tutton 18mm - Williams 6

7 Thornton Open Blades 15mm 9-580F 15mm 9-581F 15mm Finer, delicate speculum blades provide comfort for patient. Functionally designed with open blades to minimise interference with intraocular instrumentation. 15mm 9-582F, nasal and straight Miyoshi DK DK 11.5mm 11.5mm, open blades, large closed blades, solid blades 11.5mm Duckworth & Kent - Titanium 7

8 Adjustable Specula Paediatric mm 9.5mm 9.5mm mm 9.6mm 10.5mm Glaucoma mm Khaw Standard Glaucoma Khaw Small Glaucoma Khaw Standard Glaucoma Thin Blade Khaw Standard Thin Blade / Arm Khaw Standard Thin Blade Khaw Narrow Central indent and side notch, achieve maximal exposure for glaucoma surgery The Otori Closed Blade Adjustable Speculum with Notch allows you stabilise the globe. This is carried out by suturing to the globe, the suture is then tied to the speculum blade. The notch secures the suture and the globe is stabilised

9 DK Closed Blade Adjustable 1.0 mm thick blades mm thick blades mm thick blades Closed blades 20mm VSL Ring Holding Adjustable Closed blades Silicone Band Grooves in the speculum blades are designed to hold two silicone bands that in turn support the VSL ring 17mm 15mm (bands and VSL ring not supplied) DK Open Blade Adjustable mm thick blades mm thick blades Thin Blade mm thick blades and nasal Thin Blade Greater angle (55 ) than standard (30 ) Duckworth & Kent - Titanium 9

10 DK Open Blade Adjustable mm Jakobsen Open Blade Buratto Adjustable and nasal Lightweight, compact and strong. Maximum exposure allows application of suction ring and microkeratome run. 15.5mm 15.5mm Mackool Adjustable RJ Mackool Femtosecond Laser Speculum Maximum blade exposure allows application of suction ring when using the LenSx Laser. LenSx is registered to Alcon LenSx Inc Open and Solid blades Suitable for femtosecond laser machines 15.5mm Cionni Thumb plates are pressed together to open and capture lids. Crossing arms lock at four positions to accommodate various size palpebral fissures. Pressing thumb plates further releases locking mechanism, allowing surgeon easy removal of speculum. Releasable without opening to fullest extension, providing comfortable removal even in patients with small palpebral fissures mm 13.8mm Cionni Ideal for surgeon performing anterior segment procedures from a temporal approach placement frees temporal aspect to provide total access to temporal limbus Self-locking mechanism ideal for topical anaesthesia since it prevents speculum from closing during procedure when patient blinks or squeezes, blades 15.5mm wide Open piece design, without telescoping or sliding arms, prevents speculum from "sticking or hanging up" after repeated use Cionni Femto Self-locking mechanism prevents speculum from closing during procedure when patient blinks or squeezes, blades wide Single piece design with adjustment gives continual efficient and reliable operation with repeated uses Additional length to upper part of blade is angled up in order to retain or hold back the cheek and upper lid skin without pinching into the tissue Designed by Dr Cionni specifically for the LenSx Laser LenSx is registered to Alcon LenSx Inc Suitable for femto second laser machines 10

11 Williams Adjustable LASIK and nasal Designed to achieve maximum comfortable exposure of eye for suction ring placement to allow microkeratome to be easily positioned on the pivot post without obstruction during LASIK surgery. Lengthened speculum blades accommodate microkeratome. Simplicity and elegance of design allows speculum to be used in other types of ocular surgery. Horn Adjustable Femtosecond Laser Speculum ly Suitable for Femtosecond Laser machine Can be used for manual cataract surgery and LASIK 18mm 18mm The Horn Adjustable Femtosecond Laser Speculum has been designed with curved blades to allow clearance for docking devices, allowing exposure centrally without stretching the lids laterally, providing optimal exposure as well as patient comfort. Lieberman Adjustable Specula DK LASIK Closed Blade Adjustable nasal temporal or nasal Blades when closed 17mm DK Adjustable / Koch Cionni Open Blade Adjustable Koch Cionni Angled to rest nasal Shepard Reversible Lightweight, adjustable speculum may be used for both temporal and nasal approach ocular surgery. Lightweight design avoids excessive pressure on globe Solid and closed blades and nasal Duckworth & Kent - Titanium 11

12 Little Reversible Truly reversible; can be inserted temporal or nasal. Small, shallow blades provide combined advantage;- allows easy insertion and minimal instrument snagging. Speculum arms can be pressed, closed together during insertion, beneficial for/with tight eyelids Solid blades and nasal Can be used for paediatric surgery 6mm DK Adjustable mm thick blades Solid and open blades Barrett Adjustable and nasal Profile is similar to a wire type Speculum; locking mechanism allows Speculum to resist eyelid squeezing etc., especially during procedures with topical anaesthesia. Construction of Speculum allows maximum exposure, resists eyelid compression and avoids any compression of globe. Markomanolakis Aspirating To accommodate different optimum positions for the aspirating port the length can be adjusted by rotating the knurled screw open blades Adjustable aspirating port, can be increased in length by 4.0mm 7 Marquis Business Centre Royston Road, Baldock Herts SG7 6XL England Tel: +44 (0) Fax: +44 (0) January 2013 Duckworth & Kent Revised D&K is a registered trademark. All other brand names are trademarks or registered trademarks of their respective owners. All schematic line drawings, photographs and copy in this leaflet are fully protected by copyright. No part of this leaflet may be reproduced in any form without prior written permission. We reserve the right to make changes at any time, without notice, in product specifications and availability. Descriptive, typographic, or photographic errors are subject to correction. Name(s) of instruments are often comprised of surgeon's name, combination of surgeons' names or by the category of the instrument.

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