Universal TM Surgical Eye Care Products

Transcription

1 Universal TM Surgical Eye Care Products Refractive Instrument B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL USA Phone: Fax: Web Site

2 TABLE OF CONTENTS DESCRIPTION PAGE NO. TABLE OF CONTENTS TERMS AND CONDITIONS MICROKERATOME BLADES 1 SPECULUMS 2 PVA SURGICAL PRODUCTS * SPEARS * DRAINS * DIAMOND KNIFE CLEANING BLOCKS * INSTRUMENT WIPES * MARKING PENS * Duo-Cell Bacteriostatic PVA SCHANZLIN OCULAR LASER SHIELDS * FORCEPS * MANIPULATORS LASIK INSTRUMENTS * COMPRESSORS * CANNULAS * ELEVATORS * MARKERS * HOOKS * FORCEPS * NEEDLE HOLDERS GEMINI "INTACS" / PRESET DIAMOND KNIVES * GEMINI "INTACS" / MICROMETER DIAMOND KNIVES * CALIBRATING MICROSCOPE EYE SHIELDS * BI-LATERAL * CLEAR PLASTIC * FOX ALUMINIUM * LOOPS / SHIELD COVERS * ADHESIVE FOAM STRIPS INSTRUMENT STEAMER * ULTRASONIC CLEANER 1 STERILIZING TRAYS 15 LASIK INSTRUMENT SET 16 INTERSTOMAL RING INSTRUMENTS 17 CLEANING STAINLESS STEEL INSTRUMENTS 18 INDEX 19 SURGICAL INSTRUMENT CLEANER AND LUBRICANT 20 TABLE OF CONTENTS B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com Universal / Surgical Eye Care Products* Web Site: * B. Graczyk, Inc. 2000

3 B. GRACZYK, INC. TERMS AND CONDITIONS B. GRACZYK, INC. feels such a strong loyalty and commitment to its customers and to its manufactured instruments that we offer you this guarantee. LIFTIME WARRANTY: All B. GRACZYK, INC. Stainless steel instruments are unconditionally guaranteed against manufactur- ing defects. Any instrument found to have a manufacturing defect will be repaired or replaced free of charge. REPAIRS B. Graczyk, Inc. provides repair services for all B. Graczyk, Inc. instruments, as well as instruments from other manufactures. Repaired instruments will be sent back to the customer within 1 business days of receipt by B. Graczyk, Inc. When an instrument needs to be repaired please use the following procedure. 1. Clean instruments thoroughly, then sterilize before shipping them to B. Graczyk, Inc. 2. To ship instruments, use a sturdy shipping box with soft packaging material to protect your instrument. 3. Use tip protectors and individually wrap micro and delicate instruments. Return instruments for repair to B. Graczyk, Inc. PRICES B. GRACZYK, INC. will make every effort to maintain its prices; however, all prices are subject to change without notice. ACCEPTANCE All orders are subject to approval and acceptance of home office. QUOTATIONS B. GRACZYK, INC. welcomes the opportunity to submit price quotations on large instrument bids. Price quotations on all B. GRACZYK, INC. products will be valid for a period of 30 days unless otherwise specified in writing. PAYMENT TERMS Our payment terms are net 30 days. PACKAGING AND SHIPMENT All shipments are FOB or US Mail, and charges will be added to your invoice. All visible damage or apparent shortages must be noted on the carrier s delivery document. PACKAGING AND SHIPMENT (Continued) The customer shall inspect all items upon arrival and report any error in shipment or damage at once (within 5 days) by calling B. GRACZYK, INC. Customer Service at RETURN MERCHANDISE POLICY All returns must be accompanied by a Return Material Authorization Number. This number is available by calling our Customer Service Department. Invoice number, order number, and date of shipment must be supplied in order to obtain authorization. Merchandise return for credit will be accepted under the following terms and conditions. 1. Authorized merchandise returned within 30 days after our date of shipment, providing the product is received by us in perfect condition and is in its original package, will receive full credit. 2. Authorized merchandise returned within day after shipment will be subject to a 10% restockin charge. 3. Returns after 90 days are not acceptable.. Any product returned which is not in its original package is subject to a restocking charge of 25% according to its condition. The following items are non-returnable for credit except those resulting from a B. GRACZYK, INC. error. a. Sterile Products. b. Custom made instruments. c. Custom etched instruments. d. Damaged or abused instruments. e. Discontinued products. f. Custom-made products. GENERAL B. GRACZYK, INC. is not responsible for typographical errors made in any of its publications or for clerical or stenographic errors made in sales orders, acknowledgements or preparation of quotations. All such errors are subject to correction. The Terms and Conditions as set forth above shall govern all transactions. Any inconsistent terms wherever set forth and whether written, oral, or implied shall not be binding on B. GRACZYK, INC. unless agreed to in writing by B. GRACZYK, INC. B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com * Web Site: * B. Graczyk, Inc. 2000

4 UNIVERSAL KERATOME BLADES /MOR-200 MORIA LSK-1 Style Keratome Blade. Packaged Sterile (Single-Use) with Blade Edge Protector. Sterile Single-Use, 1 Per Pack, 20 Packs Per Box Sterile Single-Use, 1 Per Pack, 50 Packs Per Box UNIVERSAL KERATOME BLADES 0000/SCMD /ACS-500 SCMD Style Keratome Blade. Packaged Sterile (Single-Use) with Blade Edge Protector. Sterile Single-Use, 1 Per Pack, 20 Packs Per Box Sterile Single-Use, 1 Per Pack, 50 Packs Per Box Chiron ACS Style Keratome Blade. Packaged Sterile (Single-Use) with Blade Edge Protector. Sterile Single-Use, 1 Per Pack, 20 Packs Per Box Sterile Single-Use, 1 Per Pack, 50 Packs Per Box 1 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

5 SPECULUMS Barraquer Wire Speculum, Solid Blades, Adult Temporal Barraquer Wire Speculum, Closed Wire Blades, Adult Temporal Pannu (Style) Irrigating / Aspirating, 6 Ports 1 Gauge, Barraquer Closed Wire Blades SPECULUMS Universal Adjustable Speculum (Malleable Shafts) V Style Blades Fits Nasal or Temporal Schanzlin "Lash Ladder" LASIK Speculum Long, Medium and Short Lashes are lifted up and away from the operative site for increased visibility while reducing the risk of contact with the Keratome Head Schanzlin "Lash Ladder" Speculum Closed Wire, Nasal Schanzlin "Lash Ladder" Speculum Closed Wire, Temporal Schanzlin "Lash Ladder" Speculum Closed Wire, Adjustable B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com 2

6 PVA SURGICAL PRODUCTS NEW Illustrated EYE SPONGE (PREWASHED) EXPANDED TIP PVA LASIK Surgical Eye Sponge, Non-Linting, Quick Absorption with Squared Corners, Blunt Tip on a Tapered Malleable Handle. (Duo-Cell Bacteriostatic PVA) Sterile Single-Use, 5 Per Pack, 20 Packs Per Box Duo-Cell Sterile Single-Use, 5 Per Pack, 20 Packs Per Box PVA SURGICAL PRODUCTS Illustrated EYE SPEAR PVA Surgical Eye Spear, Non-Linting, Quick Absorption with Rounded Corners. Triangle Shape on a Tapered Malleable Handle. (Duo-Cell Bacteriostatic PVA) CORNEA LASIK LIGHT SHIELD PVA LASIK 8mm Diameter, Cornea Light Shield. The Shield is Designed to Fit Comfortably Under the LASIK Corneal Flap Illustrated Illustrated Sterile Single-Use, 5 Per Pack, 20 Packs Per Box Duo-Cell Single-Use, 5 Per Pack, 20 Packs Per Box Sterile Single-Use, 1 Per Pack, 20 Packs Per Box SCHANZLIN LASIK DRAIN, Universal Design Accommodates Either Superior or Nasal LASIK Flaps. PVA Drain to Wick Excess Fluids. (Duo-Cell Bacteriostatic PVA) Two Styles Available Schanzlin Drain for use in cases where larger diameter LASIK Flaps are created. 11.5mm Aperture Duo-Cell Schanzlin Drain for use in cases where larger diameter LASIK Flaps are created. 11.5mm Aperture Custom Drain created for use with Deep Set Eyes and LASIK Enhancements with smaller diameter Flaps. 9.5mm Aperture Sterile Single-Use, 1 Per Pack, 20 Packs Per Box OPHTHALMIC RING PVA Ophthalmic Ring, Designed to Keep Topically Applied Fluids in Constant Contact with the Surface of the Eye. Sterile Single-Use, 1 Per Pack, 20 Packs Per Box 3 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

7 PVA SURGICAL PRODUCTS EYE DRAIN WITH FLUID COLLECTION BAG PVA Eye Drain with 80cc Attached Fluid Collection Bag. A Self- Wicking / Self-Draining System Which Automatically and Continuously Removes Irrigating and Body Fluids Away from the Surgical Site. Sterile Single-Use, 1 Per Pack, 20 Packs Per Box EYE WICKS PVA Eye Wick Drains, Designed to Remove Excess Fluids Away from the Surgical Site. Sterile Single-Use, 2 Per Pack, 10 Packs Per Box Illustrated Diamond Knife Cleaning Block, Designed for Cleaning and Removing Debris from the Diamond Blade. (Duo-Cell Bacteriostatic PVA) Illiustrated Illiustrated Sterile Single-Use, 1 Per Pack, 10 Packs Per Box Duo-Cell Sterile Single-Use, 1 Per Pack, 10 Packs Per Box Surgical Instrument Wipes, Designed for Lint-Free Cleaning of Delicate Surgical Instruments. Absorbs Body Fluids while Cleaning the Instrument. (Duo-Cell Bacteriostatic PVA) Sterile Single-Use, 3 x 3 x 1mm, 1 per Pack, 20/Box Sterile Single-Use, 3 x 3 x 2mm, 1 per Pack, 20/Box Duo-Cell Sterile Single-Use, 3 x 3 x 2mm, 1 per Pack, 20/Box DUO-CELL Multipurpose PVA Instrument Pad for Mayo Stand, Sterilization Tray, Instrument Assembly or Cleaning Stations. High Density PVA Formulation, Hydrophilic, Collects Fluids and Traps Contaminates. 9" x 9" x 2mm Pad (Duo-Cell Bacteriostatic PVA) PVA SURGICAL PRODUCTS 8"x 8"x 2mmPad PVA Instrument Pad Sterile Single-Use, 1 Per Pack, 10/Box Duo-Cell Instrument Pad Sterile Single-Use, 1 Per Pack, 10/Box DUO-CELL is safe for use in all steam autoclaves. Marking Pen, Gentian Violet, Ideal for Marking the Visual Axis and is Used to Apply Marking Fluid to Corneal Markers Sterile Single-Use, Broad Tip 1 Per Pack, 10 Packs Per Box Sterile Single-Use, Fine Tip 1 Per Pack, 10 Packs Per Box B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

8 B. Graczyk, Inc. Patent Pending Universal / Surgical Eye Care Products Surgical Technique: Indications for use of the Schanzlin Ocular Laser Shields Part Numbers: / / / / David J. Schanzlin, M.D. La Jolla, CA The Schanzlin Ocular (Laser) Shield(s) was designed to protect the anterior surface of the eye during laser refractive surgery. The instrument when used properly provides protection to the corneal epithelium beyond the flap and to the flap hinge in LASIK cases. The instrument is especially useful in cases with small diameter flaps where large diameter treatment zones are necessary, such as with the treatment of consecutive hyperopia after a LASIK for myopia. The instruments consist of large diameter stainless steel domes that have been formed to match the shape of the anterior surface of the eye. The surface of the shield that comes in contact with the eye has been coated and polished to a mirror surface to avoid any abrasion to the cornea or conjunctiva. The interiors of the shields are cut out with diameters of 8.0, 8.5, 9.0, 9.5, and 10.0 mm and along one edge there is a flattened area to protect the flap. There is a small nub at the opposite end to provide a surface for grasping the shield with a forceps. As with all new stainless steel surgical instruments, the Schanzlin Ocular (Laser) Shield(s) should be thoroughly cleaned and sterilized prior to use. In cases of LASIK enhancement or hyperopic lasik the flap is reflected back and the diameter of the corneal flap is measured with a caliper. A shield is selected with an inner diameter to match the flap diameter. The shield is positioned over the reflected flap and aligned to match the outer flap diameter. If the shield is positioned in this manner, then the corneal epithelial surface outside the area of the flap and the flap hinge will be shielded from any laser energy that goes beyond the flap diameter. I have used these shields in cases where I needed to do a hyperopic pattern to treat a consecutive hyperopia after myopic lasik. In these cases the hyperopic pattern had an outer diameter of 9.0 mm and the previous flap diameter was 8.5 mm. By using the corneal shield in the manner described above I was able to deliver the hyperopic pattern without causing any epithelial erosion along the edge of the flap. Similarly, the hinge of the flap was protected. I have also routinely use the shield during cases of hyperopic lasik to protect the hinge of the flap. In these cases generally a larger corneal shield is utilized. Again the shield size is chosen based on the measured diameter of the flap. The corneal shield is easy to use and to date I have not had any problems with movement of the shield during the delivery of the laser pattern. Care should be exercised, however, to insure that the shield is not contacting the upper or lower lid since movement of the eye could cause the shield to make contact resulting in dislodging of the shield. 5 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com Universal / Surgical Eye care Products * * B. Graczyk, Inc. 2000

9 Schanzlin Ocular Laser Shields The Schanzlin Ocular Laser Shields are designed for the maximum protection of the corneal tissue during laser ablations of the eye. The shields provide "Superior Protection" to the Corneal Epithelium beyond the flap and to the flap hinge area. The shields also provide "Added Protection" in cases where small diameter flaps require large diameter treatment zones Patent Pending Schanzlin Ocular Laser Shields, Aperture opening in center of shield to match the Ablation Pattern, Non-Reflective Finish on the Anterior Surface, Mirror Finish on Posterior Surface. Patent Pending x 7.5mm Aperture Opening, Stainless Steel x 8.0mm Aperture Opening, Stainless Steel x 8.5mm Aperture Opening, Stainless Steel x 9.0mm Aperture Opening, Stainless Steel x 9.5mm Aperture Opening, Stainless Steel Sterilization Tray 6" x 10.0" x 0.75" (not illustrated) * 3-600H Series "Clear View Hydrophilic" Shields Not Illustrated Patent Pending Patent Pending Schanzlin "Ocular Laser Shield" Cross-Action Pickup Forceps, with Curved Tips. Calibrated Millimeter Scale on the Anterior Surface of Forceps Blades for taking "Real Time, Intra-Operative" measurements of the LASIK Flap, and the Microkeratome Cut Schanzlin, Cross Action Pickup Forceps, Curved Tips Universal "Vaulted / No-Hole" Laser Eye Shield.. Non-Reflective Anterior Surface, Smooth / Non-Abrasive Posterior Surface. Designed to allow the Patient to keep the No-Operative Eye open during Laser Ablation Universal No-Hole Laser Eye Shield Use with Eye Loop #37-20 and Softabs Adhesive Strips # Additional Support Instruments Schanzlin LASIK Irrigating Cannula / Flap Manipulator, Flattened Tip, Angled 11mm with Calibrating Scale. (Patent Pending) Gauge Gauge Schanzlin Ocular Laser Shields Caro (LASIK) Flap Elevator / Manipulator, Curved Spatula Tip with Calibrating Scale (Patent Pending) Caro LASIK Spatula, Calibrated Patent Pending 6 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com Universal / Surgical Eye Care Products * Web Site: * B. Graczyk, Inc. 2000

10 LASIK INSTUMENTS LASIK INSTRUMENT DETAIL SHEET Caro (LASIK) Flap Smoother Catalog Number: / A topical, noninvasive compression procedure, that helps in eliminating what is believed to be microscopic striae or fluid accumulation that lingers once the flap is replaced following laser in situ keratomileusis. The Caro smoother has a 5mm button, angled 30 degrees from the handle. The button is placed centrally, compressing the cornea, then a squeegee motion outward (toward the flap edges) is used to gently massage irregularities out of the flap immediately after surgery. The flap smoother is also ideal for dealing with irregular astigmatism problems secondary to laser in situ keratomileusis. The flap smoother provides the surgeon with another option other than lifting the flap and re-treating the patient, up to 6 months post-operatively Caro (LASIK) Flap Smoother 3mm Button. Caro (LASIK) 3 Blade Cornea Marker Catalog Number: The low profile 3 blade marker features one radial and two pararadial markers for a three point alignment of the lamellar flap / cap. The physician can easily realign the LASIK flap to its original preoperative position. If an unplanned cornea cap occurs the physician can quickly replace and realign the cap to avoid the upside down placement of the cap. Caro (LASIK) Cannulated Stromal Polisher and Flap Manipulator Catalog Number: & LASIK INSTRUMENTS The flattened 25g # (or 27g #3-8750) cannula has a highly polished anterior surface and is designed to effectively lift and manipulate the corneal flap during laser in situ keratomileusis. The posterior surface of the cannula has a roughened surface to loosen and flush away surface debris while gently polishing the stromal bed. Caro (LASIK) Flap Elevator Catalog Number: (Patent Pending) The broader, semi-sharp tip of the angled elevator is designed to enter beneath the flap and cut a smooth, continuous clean edge through the epithelium and the fibrosis at the flap edge (without tearing) while lifting the flap. "With Calibrated Scale." B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

11 LASIK INSTRUMENTS / Caro (LASIK) Flap Smoother, 5mm Button, Angled Caro (LASIK) Flap Smoother, 3mm Button, Angled Schanzlin LASIK Irrigating Cannula / Flap Manipulator, Flattened Tip, Angled 11mm with Calibrating Scale. (Patent Pending) Patent Pending Gauge Gauge Caro Stromal Polisher, Irrigating / Flap Manipulator, Flattened Tip, Angled 8mm, Roughened Posterior Surface Gauge Gauge Caro (LASIK) Flap Elevator / Manipulator, Curved Spatula Tip with Calibrating Scale (Patent Pending) LASIK INSTRUMENTS Patent Pending Caro (LASIK) Cornea Marker, 3 Offset Blades, One Radial Two Pararadial for a three point alignment of the lamellar flap / Cap. B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com 8

12 LASIK INSTRUMENTS Universal LASIK "Superior Flap" Blade Cornea Marker. Three Radial Blades for Realignment of the LASIK Flap, One Pararadial to Prevent Placing the Flap Upside Down. 5.0 mm Non-Contact Optical Zone Schanzlin LASIK Retreatment Hook, Angled 2mm Long Blunt Tip with Semi-Sharp Inner Edge Which Breaks Through the Healed Epithelial Adhesion to Create a Clean Wound Edge to Avoid Loose Epithelial Tags in Retreatment Cases LASIK INSTRUMENTS Patent Pending Schanzlin "Ocular Laser Shield" Pickup / Utility Forceps, Cross-Action with "Calibrating Scale" (Patent Pending) O'Gawa Tying Forceps, Extra Delicate Smooth Jaws with 6.0mm Long Tying Platforms, Round Handle, Stainless Steel Straight Shafts Curved Shafts Universal Tying Forceps with Flat Serrated Handle, Stainless Steel Straight Shafts with 6.0mm Tying Platforms Curved Shafts with 7.0mm Tying Platforms Barraquer Needle Holder Delicate, Round Handle, Stainless Steel Straight Delicate 9mm Jaws, with Lock, 13mm Overall Length Straight, Delicate 9mm Jaws, without Lock, 13mm Overall Length 3-22 Curved, Delicate 9mm Jaws, with Lock, 133mm Overall Length Curved, Delicate 9mm Jaws, without Lock, 133mm Overall Length 9 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

13 DIAMOND KNIVES AND CALIBRATING MICROSCOPE Pat. Pending Titanium Handle Pat. Pending Titanium Handle Schanzlin "Gemini " Diamond Knife (Patent Pending) utilizes a 1mm Ultra-Thin Triple 90 0 Diamond Blade. The vertical cutting edges are sharpened for a distance of only 250 microns for each tip to prevent the extension of the incision beyond 1mm "Gemini "Intacs "" Diamond Knife, 1mm Triple 90 0 Ultra-Thin Blade Preset at 30 Microns, Russian Footplates on a Titanium Handle "Gemini " Diamond Knife, 1mm Triple 90 0 Ultra-Thin Blade, Preset at 60 Microns, Russian Footplates on a Titanium Handle Schanzlin "Gemini " Diamond Knife (Patent Pending) utilizes a 1.0mm or 1.2mm Ultra-Thin Triple 90 0 Diamond Blade. The vertical cutting edges are sharpened for a distance of only 250 microns for each tip to prevent the extension of the incision beyond the desired length "Gemini " Diamond Knife, 1mm Triple 90 0 Ultra-Thin Blade, Micrometer Handle, Russian Footplates on a Titanium Handle "Gemini " Diamond Knife, 1.2mm Triple 90 0 Ultra-Thin Blade, Micrometer Handle, Russian Footplates on a Titanium Handle WARNING * "Gemini " Diamond Knife - Models & * WARNING To activate the Gemini Diamond Knife press down on the top of the knife handle (by J-Slot) until the footplates are fully exposed beyond the end of the handle then make a 1/ turn to the right to lock the footplates and the diamond blade in place. "The Diamond Blade is Preset and Exposed on Activation." "Never place the Diamond Knife Down with the Footplates and the Diamond Blade Activated." Intacs is a registered trademark of KeraVision Inc., no endorsements are given or implied by KeraVision Inc. Calibrating Microscope with Universal Diamond Knife Holder, Broken Cross - Hair Reticule, 10x Objective Lens, 100x Magnification for Precise Measurements and Three Axis of Movement. Stainless Steel and Aluminum Construction Calibrating Microscope Calibrating Microscope with Sterilizable Accessories Overall Dimensions: Length: 8 1/" Wide: 6" Height: 1 1/2" To Retract the Diamond Blade Reverse above Steps. DIAMOND KNIVES AND CALIBRATING MICROSCOPE Electrical: 120 VAC B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

14 EYE SHIELDS Bi-Lateral (LASIK) Eye Shields, Clear Plastic Clear Plastic Eye Shields, Elastic Strap with an Adjustable Velcro Closure for Patient Comfort. Adult Size, 6 Per Box Adult Size, 25 Per Box * All Bi-Lateral (LASIK) Eye Shields are packaged 6 or 25 per box & Bi-Lateral (LASIK) Eye Shields Blue Polycarbonate Eye Shields, Foam Liners, Elastic Strap with an Adjustable Velcro Closure for Patient Comfort. Packaged 6 or 25/Box EYE SHIELDS Aluminum Eye Shields, Foam Liners, Elastic Strap with an Adjustable Velcro Closure for Patient Comfort. Packaged 6 or 25/Box Clear Plastic Eye Shield Universal Eye Shield, Accommodates Either Eye. Adult Size, 50 Per Box Adult Size, 500 Per Box Use with SOFTABS Hypoallergenic Adhesive Foam Strips Clear Plastic with Attached Adhesive Softabs Foam Strips (37-250) Universal Eye Shield, Accommodates Either Eye. Adult Size, 50 Per Box Adult Size, 500 Per Box SOFTABS Hypoallergenic Adhesive Foam Strips Clear Plastic with Loop Cover Universal Eye Shield, Accommodates Either Eye Adult Size, with Loop Cover (White), 50 Per Box Adult Size, with Loop Cover (Assorted Colors), 50 Per Box Use with SOFTABS Hypoallergenic Adhesive Foam Strips or Easy Shield Hypoallergenic Foam Adhesive Bandage B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

15 EYE SHIELDS Blue Plastic for Reduced Glare Universal Eye Shield, Accommodates Either Eye. Adult Size, 50 Per Box Adult Size, 500 Per Box Use with SOFTABS Hypoallergenic Adhesive Foam Strips Blue Plastic for Reduced Glare with Light Blue Loop Cover Universal Eye Shields, Accommodates Either Eye Adult Size, with Light Blue Loop Cover, 50 Per Box Use with SOFTABS Hypoallergenic Adhesive Foam Strips Or, Easy Shield Hypoallergenic Foam Adhesive Bandage & Aluminum or Blue Polycarbonate (Pinhole) Eye Shields w/foam Liners. Accommodates Either Eye Aluminum, Adult Size w/ Foam Liner, 8 Per Box Blue Polycarbonate, Adult Size w/ Foam Liner, 8 Per Box Use with SOFTABS Hypoallergenic Adhesive Foam Strips or Easy Shield Hypoallergenic Foam Adhesive Bandage EYE SHIELDS Fox Aluminum Eye Shield Universal Eye Shields, Accommodates Either Eye. Adult Size, 50 Per Box Adult Size, 500 Per Box Use with SOFTABS Hypoallergenic Adhesive Foam Strips Fox Aluminum with Loop Cover Universal Eye Shields, Accommodates Either Eye Adult Size, with Loop Cover (White), 50 Per Box Adult Size, with Loop Cover (Assorted Colors), 50 Per Box Use with SOFTABS Hypoallergenic Adhesive Foam Strips or Easy Shield Hypoallergenic Foam Adhesive Bandage B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com 12

16 EYE SHIELDS Fox Aluminum with Easy Shield Universal Eye Shields, Accommodates Either Eye Adult Size, with Loop Covers (Assorted Colors) with Attached Easy Shield, 25 Per Box Easy Shield Hypoallergenic Foam Adhesive Bandage Loops Eye Shield Covers Eye Loops Are Used to Cushion the Eye. Eliminates the Need for Taping the Eye Shield No More Sticky Residue. EYE SHIELDS White Only, 50 Per Box Assorted Colors, 50 Per Box SOFTABS Hypoallergenic Surgical Adhesive Foam Strips. Designed to Comfortably Attach the Post-Op Eye Shields to the Face. SOFTABS Surgical Adhesive Foam Strips, 25 Bags of 1 (350) SOFTABS Surgical Adhesive Foam Strips, 500 Per Box Easy Shields Hypoallergenic Surgical Adhesive Foam Bandage. Apply Eye Shield with Loops Directly to Easy Shields. Eliminates the Need to Tape Eye Shields Down. Easy Shields Surgical Adhesive Foam Bandage, 12 Packs of 5 (60) 13 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

17 INSTRUMENT CARE STEAMER AND ULTRASONIC CLEANER Steamer Portable Steamer gently cleans your Surgical Instruments and Diamond Knives Portable Steamer, Stainless Steel Outside Case with Handle, On/Off Switch, Pilot Light and Footswitch. Overall Dimensions: Length: 11 1/2" Wide: 8 1/2" Height: 12 1/2" Electric: 120 VAC, 60Hz, 1 Phase, 15 Amps. Ultrasonic Cleaning System Safe for all your Surgical Instruments, Sharps, Lenses and Diamond Knives Ultrasonic Cleaner, Stainless Steel Cover, Pilot Light, Automatic Timer, Heated Tank, Tank Capacity 11 Quarts, Drain. Optional Auxiliary Basket. Overall Dimensions: Length: 12 5/8" Wide: 10 3/8" Height: 11 1/8" Tank Internal Dimensions: Length: 11 3/" Wide: 9 3/8" Deep: 6" Electrical: 120 VAC, 3KHz, 60Hz, 1.9 Amps 35 Watts For Best Results Use Part # Universal Surgical Instrument Cleaner and Lubricant Page 16. STEAMER AND ULTRASONIC CLEANER 1 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

18 INSTRUMENT CARE STERILIZATION TRAYS STERILIZATION TRAYS Universal Microsurgical Instrument Trays are made from durable, highly resilient "State of the Art" lightweight Plastic Polymers. Hundreds of silicone rubber fingers firmly secure all micro instruments. Protects instruments during sterilization, storage and transportation. Universal Microsurgical Instrument Trays can withstand repeated exposure to steam, "temperatures up to F", ethylene oxide and cold sterilization solutions. Sterilization Tray, "Diamond Knife (1)" 2.0 (5.1) x 6.0 (15.2) x 0.75 ((1.9)...# Single Sterilization Tray, "Diamond Knifes (2)" 2.0 (5.1) x 6.0 (15.2) x 0.75 ((1.9)...# Single Sterilization Tray, 3.0 (7.6) x 6.0 (15.2) x 0.75 ((1.9)...# Single Sterilization Tray, 6.0 (15.2) x 10.0 (25.) x 0.75 (1.9)...# Single Sterilization Tray, "Schanzlin LASIK Set" 6.0 (15.2) x 10.0 (25.) x 0.75 (1.9)...# Single Sterilization Tray, 6.0 (15.2) x 10.0 (25.) x 1.5 (3.8))...#39-00 Double Sterilization Tray, 10.0 (25.) x 15.0 (38.1)) x 0.75 (1.9)...# Single Single Tray Double Tray 15 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com Universal / Surgical Eye Care Products * Web Site: * B. Graczyk, Inc. 2000

19 LASIK Stainless Steel Instrument Set Barraquer Wire Speculum, Closed Wire Blades, Adult Temporal LASIK Stainless Steel Instrument Set Caro (LASIK) Cornea Marker, 3 Offset Blades, One Radial Two Pararadial for a three point alignment of the lamellar flap / Cap Gauge Schanzlin LASIK Irrigating Cannula / Flap Manipulator, Flattened Tip, Angled 11mm with Calibrating Scale. (Patent Pending) Caro (LASIK) Flap Smoother, 5mm Button, Angled Caro (LASIK) Flap Elevator / Manipulator, Curved Spatula Tip with Calibrating Scale. (Patent Pending) Schanzlin LASIK Retreatment Hook, Angled 2mm Long Blunt Tip with Semi-Sharp Inner Edge Which Breaks Through the Healed Epithelial Adhesion to Create a Clean Wound Edge to Avoid Loose Epithelial Tags in Retreatment Cases LASIK Stainless Steel Instrument Set Universal Tying Forceps with Flat Serrated Handle, Curved Shafts with 7.0mm Tying Platforms Sterilization Tray 6.0" (15.2) x 10.0" (25.) x 0.75" (1.9) Single Level Tray with Silicone Finger Matt 16 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com Universal / Surgical Eye Care Products * Web Site: * B. Graczyk, Inc. 2000

20 Interstromal Ring Instruments Schanzlin Interstromal Ring Pocket Initiator. Used after initial pocket incision has been made to begin tissue dissection prior to insertion of the interstromal ring Schanzlin Pocket Initiator, Delicate, Straight Schanzlin-Sinskey Incision Manipulating Hook. Minimizes Tissue Trauma while increasing the available working area during an Intacs procedure Schanzlin-Sinskey Hook, Delicate Interstromal Ring Instruments Verity Intacs Retrieval and Manipulating Pick Reduces Tissue Trauma and increases the working area during Manipulation or Removal of an Intacs Interstromal Ring Patent Pending Titanium Handle Patents Pending Verity Intacs Retrieval and Manipulating Pick, Delicate Schanzlin "Gemini " Diamond Knife (Patent Pending) utilizes a 1mm Ultra-Thin Triple 90 0 Diamond Blade. The vertical cutting edges are sharpened for a distance of only 250 microns for each tip to prevent the extension of the incision beyond 1mm "Gemini "Intacs "" Diamond Knife, 1mm Triple 90 0 Ultra-Thin Blade Preset at 30 Microns, Russian Footplates on a Titanium Handle "Gemini " Intacs Diamond Knife, 1mm Triple 90 0 Ultra-Thin Blade, Preset at 60 Microns, Russian Footplates on a Titanium Handle Schanzlin "Gemini " Diamond Knife (Patent Pending) utilizes a 1.0mm or 1.2mm Ultra-Thin Triple 90 0 Diamond Blade. The vertical cutting edges are sharpened for a distance of only 250 microns for each tip to prevent the extension of the incision beyond the desired length "Gemini " Intacs Diamond Knife, 1mm Triple 90 0 Ultra-Thin Blade, Micrometer Handle, Russian Footplates on a Titanium Handle "Gemini " Intacs Diamond Knife, 1.2mm Triple 90 0 Ultra-Thin Blade, Micrometer Handle, Russian Footplates on a Titanium Handle Titanium Handle Arcuate Intacs Micrometer Diamond Knife, 20 0 UltraThin Blade with "Non-Cutting Vertical Edge,"Titanium Handle with Russian Footplates. "Non-Cutting Vertical Edge" 17 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com Universal / Surgical Eye Care Products * Web Site: * B. Graczyk, Inc. 2000

21 Cleaning Stainless Steel Instruments Cleaning Stainless steel instruments should be thoroughly washed so that they are free of mucus, sebaceous deposits, protein or other debris on its surface. 1. Never allow blood, tissue, and cellular debris to dry on an instrument. 2. Flush / rinse the instrument in distilled or de-ionized water and hand wash the instruments using Universal / Surgical Instrument Cleaner and Lubricant. 3. Inspect the instrument under magnification for cleanliness and damage.. Use a soft toothbrush to clean the exterior (top) surface of the instrument and nothing rougher than facial quality materials should be used on the underside (bottom) surface of the instrument. 5. Flush away any remaining debris. 6. Reinspect the instrument under magnification for damage and cleanliness. 7. Dry the instrument with a lint free disposable instrument wipe. 8. Store the instrument in a protective tray. Ultrasonic Cleaning 1. Ultrasonic cleaning may also be used. 2. If ultrasonic cleaning is used follow the manufactures recommended cleaning times. Caution Use only low-powered ultrasonic cleaners. High-powered ultrasonic cleaners may cause damage to the delicate microsurgical instrument. 1. Ultrasonically clean the instruments using the Universal / Surgical Instrument Cleaner and Lubricant. Cleaning Stainless Steel Instruments 2. Reinspect the instrument under magnification for damage and cleanliness. 3. Dry the instrument with a lint free disposable instrument wipe.. Store the instrument in a protective tray. A comprehensive Guide to the Care and Handling of Microsurgical Instruments is available from B. Graczyk, Inc. Please contact our customer service department to request a copy. 18 B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com

22 INDEX INDEX -B- Barraquer Speculums. Barraquer Needle Holders. Blades Keratome Universal Chiron ACS... Blades Keratome Universal Moria LSK. Blades Keratome Universal SCMD. -C- Cannulas LASIK Irrig Manip Calibrated Schanzlin. Cannulas LASIK Stromal Polishers Caro.. Caro LASIK Cornea Marker 3 Blade Caro LASIK Flap Elevator Calibrated. Caro LASIK Flap Smoother Chiron ACS Keratome Blade Universal. Chiron ACS Filter Only Universal. Chiron ACS Filter w/tubing Universal Chiron ACS Tubing Only Universal. Cornea LASIK Light Shield PVA... Cleaner Surgical Instruments - Universal. Cleaning Block Diamond Knives. -D- Diamond Knife Arcuate.. Diamond Knife Cleaning Block. Diamond Knife Gemini Intacs Preset.. Diamond Knife Gemini Intacs Micrometer. Duo-Cell Diamond Knife Cleaning Block Duo-Cell Drain Schanzlin Duo-Cell Instrument Pad PVA Multipurpose. Duo-Cell Spears Surgical Duo-Cell Wipe Surgical Instrument.. -E- Eye Shield Aluminum Fox... Eye Shield Aluminum Fox w/loop Cover Assort. Eye Shield Aluminum Fox w/loop Cover White Eye Shield Aluminum Fox Loop Cover Assort ES Eye Shield Aluminum Pinhole w/foam Liner.... Eye Shield Bi-Lateral Aluminum Fox... Eye Shield Bi-Lateral Blue Polycarbonate Eye Shield Bi-Lateral Clear Plastic. Eye Shield Blue Plastic Eye Shield Blue Plastic Blue w/loop Cover.. Eye Shield Blue Plastic Blue Loop Cover ES Eye Shield Blue Poly Pinhole w/foam Liner. Eye Shield Clear Plastic. Eye Shield Clear Plastic Loop Cover Assort Eye Shield Clear Plastic Loop Cover White.. Eye Shield EASY SHIELD Bandage. Eye Shield Loop Covers Assorted Colors. Eye Shield Loop Covers White.. Eye Shield SOFTABS Strips.. -F- Filter Only Chiron ASC Keratome Filter w/tubing Chiron ASC Keratome... Filter Only SCMD Keratome.. Filter w/tubing SCMD Keratome. Forceps Flat Handle CVD and STR Universal.. Forceps Round Handle CVD and STR Universal. -H- Hook LASIK Retreatment Schanzlin... -I- Inspection Microscope Diamond Knives... Instrument Pad PVA Multipurpose.. Instruments Wipes Surgical.. -K- Keratome Blades Universal Chiron ACS... Keratome Blades Universal Moria LSK1 Keratome Blades Universal SCMD.. -L- Light Shield LASIK Cornea PVA , , M- Marker 3 Blades LASIK Temporal Caro. Marker Blade LASIK Superior Flap Universal.. Marking Pen Gentian Violet... Microscope Inspection Diamond Knives... Moria LSK1 Style Keratome Blade.. -N- Needle Holder Barraquer.. -O- Ophthalmic Drainage Ring Schanzlin PVA... Ophthalmic Ring PVA.. -P- Pad Instrument PVA Multipurpose.. Pannu (Style) Speculum I/A 6 Port 1g Solid Blds.. Pick and Manipulator Intacs Verity. Pocket Initiator Intacs Schanzlin.. -Q- -R- -S- Schanzlin Drain. Schanzlin Forceps X-Action (Shields) Calibrated.. Schanzlin LASIK Cannulas Calibrated.. Schanzlin Hook LASIK Retreatment.. Schanzlin Intacs Pocket Initiator.. Schanzlin Ocular Laser Shield 8.0 x 7.5mm. Schanzlin Ocular Laser Shield 8.5 x 8.0mm. Schanzlin Ocular Laser Shield 9.0 x 8.5mm. Schanzlin Ocular Laser Shield 9.5 x 9.0mm. Schanzlin Ocular Laser Shield 10.0 x 9.5mm.. Schanzlin Ocular Shield Sterilization Tray (). SCMD Style Microkeratome Blade.. SCMD Filter Only (Not Illustrated) SCMD Suction Tubing Only (Not Illustrated)... Spatula LASIK Calibrated Caro Speculum Barraquer Adult Solid Blds Nasal Speculum Barraquer Adult Solid Blds Temporal Speculum Pannu (Style) I/A Solid Blades.. Speculum Universal Adjustable Nasal / Temporal. Speculum Universal LASIK Closed Wire Nasal... Speculum Universal LASIK Closed Wire Temp... Sponge Cornea Light Shield PVA.... Sponge Eye Wick Drain.. Sponge Eye Wick Drain w/collection Bag 80cc.. Sponge Ophthalmic Ring PVA.. Sponge Schanzlin LASIK Ring PVA. Sponge Schanzlin Spear LASIK PVA.. Suction Tubing Chiron ASC Keratome.. Suction Tubing w/filter Chiron ASC Suction Tubing SCMD Keratome. Suction Tubing w/filter SCMD Keratome.. Surgical Instrument Wipe.. Steamer Portable Instruments Diamond Knives. Sterilization Tray Schanzlin Ocular Shield ().. Sterilization Trays. -T- Tubing Only Chiron ASC Keratome (Not Illus). Tubing w/filter Chiron ASC Keratome (Not Illus) Tubing Only SCMD Keratome (Not Illustrated) Tubing w/filter SCMD Keratome Not Illustrated. -U- Ultrasonic Cleaner Portable. Universal Cleaner Solution Surg Instruments. Universal Filter Only Chiron ASC Unit Universal Filter w/tubing Chiron ASC Unit.. Universal Filter Only SCMD Unit.. Universal Filter w/tubing SCMD Unit. Universal Forceps Flat Handle CVD and STR.. Universal Forceps Round Handle CVD and STR. Universal Speculum Adjustable Nasal / Temp. Universal Speculum LASIK Closed Wire Nasal... Universal Speculum LASIK Closed Wire Tem.. -V- Verity Intacs Pick and Manipulator.. -W- Wipe Surgical Instrument , B. Graczyk, Inc. 61 Brookside Drive Glendale Heights, IL Phone: Fax: GraczykInc@aol.com Web Site: * Universal / Surgical Eye Care Products * B. Graczyk, Inc. 2000

23 S U R G I C A L I N S T R U M E N T C L E A N E R CONCENTRATED SURGICAL INSTRUMENT CLEANER AND LUBRICANT The original multi-purpose, concentrated INSTRUMENT CLEANER and LUBRICANT in one. Finally - a multi-purpose, concentrated INSTRUMENT CLEANER and LUBRICANT that is both easy and economical to use. MULTIPLE CLEANING APPLICATIONS: The instrument cleaning solution allows you total flexibility while processing your Instruments. Soaking Manual Cleaning Ultrasonic Cleaning Washer / Sterilizers PENETRATING LUBRICANTS: The instrument cleaner has a special penetrating lubricant that bonds with the Chromium Oxide surface of the stainless steel instruments. Continued use of the Instrument Cleaner and Lubricant will have your instruments working freely without the need for additional lubrication. FEATURED BENEFITS INCLUDE: Multiple cleaning applications Economical to use Eliminates additional lubricants Reduces inventory SPECIAL BENEFITS INCLUDE: Enzyme-like action Attacks blood, protein and stains Dissolves instantly in water Low sudsing Rinses residue free Saves time Biodegradable Calibrated Measure and Pour Bottle For Precise Dilutuon Ratios A proven product since 1978 FDA Approved and CE Marked No Animal Bi-Products ml Bottle ml Bottle ml Bottle U N I V E R S A L S U R G I C A L I N S T R U M E N T C L E A N E R The specially formulated INSTRUMENT CLEANER and LUBRICANT, attacks blood and protein in even the smallest crevices. It contains specially formulated emulsifiers to soften dried on protein and make it easier to remove. The enzyme-like action works to remove blood and protein from box locks and other hard to reach areas. It is low sudsing and rinses residue free, leaving the instruments clean, smooth and shinny. A chemically balanced rust inhibitor reduces the opportunity for rust, tarnishing or corrosion to develop on your surgical instruments. 20 B. Gr a c z y k, Inc. 6 1 B r o o ksi de Dr i ve Gl e nda l e He i g hts, IL P ho ne : F a x: E -ma i l : Gr a c z y o l. c o m Uni versal / S urg i cal Ey e Care P roducts * Web S i te: w w w. ke r a t o me bla de s. c o m * B. Graczy k, Inc

24 Serving the World of Refractive Surgery Refractive Surgical Instruments For a Complete Product Catalog and Ordering Information, Please Contact: B. Graczyk Inc. 61 Brookside Drive * Glendale Heights, IL * Phone: Fax: GraczykInc@aol.com Universal is a registered trademark of B. Graczyk, Inc. Web Site: