notes Vitreoretinal Product Catalog synergetics, inc.

Transcription

1 notes Vitreoretinal Product Catalog synergetics, inc.

2 table of contents instruments eyesyntials light & laser Synergetics Instruments...An Introduction Handle Options Forceps Foreign Body/Scleral Markers Scissors Cannulas/Needles Picks Backflush Instruments/Sterilization Trays Tip Protectors, Luers, Plugs Implants, Bands Vit Packs/Bipolar Cautery Tano Scraper (DDMS ) Disposable One-Step Cannulas I-Pack Iris Retractors Knives Lenses Lens Accessories Synergetics Light & Laser...An Introduction Adapters Endoilluminators Laser Probes PHOTON and P2-PHOTON PHOTON Accessories VITRA /SUPRA Laser SUPRA Laser Accessories APPENDIX Standard & Small Handle Apex Handle 60 Lenses ga Products ga Products 66 Disposable Instruments Index 72 Warranty & Policies 73 Repairs synergetics, inc.

3 Synergetics Instruments The name Synergetics on your instruments ensures you of quality. Our goal is to bring you not only the finest, precision-made instruments, but also to furnish you with the most extensive line of products available. By offering you a variety of finishes, tips, handles, and the most innovative products, we hope to become your sole supplier of surgical instruments and equipment. Kryptonite Instruments Kryptonite Kryptonite is a natural, glare-free black material. It is a non-ferrous alloy incapable of rusting and is seven times more resistant to damage than stainless steel. Because the color is not a coating, it cannot flake off! Synergetics offers a limited lifetime warranty against corrosion on all of our Kryptonite forceps. Microserrated Microserrated Through a unique manufacturing process, we are able to offer many of our instruments with microserrations. These microserrations are tiny grabbers cut into the metal itself. Unlike traditional diamond dusted forceps, these microserrations cannot come off. The result is a superior grasping surface with improved durability. Diamond Black Diamond Black Many of our instruments are also available with a Diamond Black finish that offers a nearly diamondhard, glare-free black surface that improves durability and corrosion resistance. 20ga, 23ga, 25ga, and 27ga Sizes 23ga 25ga 27ga 23ga, 25ga and 27ga instruments are indicated by the appropriate symbols throughout the catalog, otherwise the instrument is 20ga. At Synergetics, we do not believe that one size fits all. Because no two situations and no two surgeons are the same, we have increased your choices by offering 20ga, 23ga, 25ga, and 27ga instruments. Syntrifugal Tips Syntrifugal Disposable Synergetics also offers the Syntrifugal Handle with interchangeable disposable and reusable tips. The disposable tips are the finest disposable tips you will find. The same patented process used to make our reusable instruments is also used to make our disposable tips. Any of the products in the catalog with the SD symbol should be used with a Syntrifugal handle only. Any of our reusable instruments can be made into a Syntrifugal reusable tip. Please note, however, that the Syntrifugal reusable tips should be used with the Syntrifugal handle only. When ordering, simply state the catalog number of the tip you would like and indicate that you want the Syntrifugal reusable tip. If ordering by or fax, preceed any of the catalog numbers listed in the catalog with an SR. This will notify the customer service department that you are ordering the Syntrifugal reusable version. PHOTON Compatible Disposables PHOTON Designed specifically for the PHOTON and P2-PHOTON, these disposables have been crafted to furnish you with unparalleled light and performance. synergetics, inc. 1

4 handle options Synergetics offers a number of handle options to suit your needs. Care and personal attention to detail ensures that our handles will offer you a lifetime of use. All of our handles undergo a stringent, 20-point inspection process so you can be assured of a quality product with effortless and smooth actuations. Synerlite Large Squeeze Handle All instruments come on this handle unless specified Maximizes Options One Syntrifugal handle with Any disposable (D) tip Any reusable (SR) tip Synerlite Small Squeeze Handle (S) The Syntrifugal handles combine the features requested most by our customers. The ergonomic design of our squeeze handle has been teamed up with a rotating shaft that accepts our disposable (D) tips as well as our reusable (SR) tips. All of these tips are interchangeable and can be used with either of these handles. Linear Closure Synchronous actuation ensures smooth closures Titanium construction Lighter weight reduces fatigue Resists corrosion Extends instrument life Color Coded Handles and tips are color-coded for quick and easy identification Easy Cleaning Handle and nosecone separate for thorough and easy cleaning Rotating Tip Rotating wheel moves tip into optimum working position Etched Serial Numbers Matching etched serial numbers pair nosecone with correct tip Ergonomic Design Reduces fatigue Smaller diameter is ideally suited for smaller hands Syntrifugal Large Handle (D00.01SL) Syntrifugal Small Handle (D00.01SS) Lever Action Handle (L) Lever Actuation One finger lever operation for smooth, effortless actuations Apex Handle (A) 2 synergetics, inc.

5 forceps Synergetics forceps have been engineered for maximum performance and quality construction. With proper care, these instruments should offer you a lifetime of service. Synergetics forceps are available in many styles, various sizes, and in stainless, Kryptonite, or Diamond Black finishes. Each forceps in the catalog is followed by a series of symbols indicating the options available. All forceps are available in 20ga with other sizes indicated by symbols. The catalog number for the corresponding forceps is listed beside the legend Tano 25ga Asymmetrical Micro Forceps, Diamonized Jaws (25ga tips/20ga shaft) Perfect for peeling ILM and fine ERM Safe tangential grasping from a wide variety of approach angles Precise 25ga tip with durable 20ga shaft Asymmetrical design offers maximum viewing of tip shaft; 25ga,.5mm tips Tano Asymmetrical Low Mass/High Visibility Membrane Peeling Forceps, Diamonized Jaws Larger jaws minimize shredding Tip excellent for fine membranes and more aggressive membranes of diabetic retinopathy Industry standard for peeling of mature PDR and PVR membranes D Low Mass/High Visibility Pick Forceps, Diamonized Jaws Great gripping platform and superior funcationality with integrated pick Initiate, grasp and extract membranes with this tip configuration Unique, unoccluded view from tip to heel Lambert ILM Forceps No platforms at tips allows grasping force to be spread over entire length of jaws Eliminates focalized pressure and membrane shredding Ideal for ILM removal, subfoveal membranectomy for lesions near retinotomy and epiretinal membrane stripping Asymmetrical Low Mass/High Visibility Pincer End Grip Forceps Longest jaw-length pincer forceps Maximum opening and improved visibility at tips Precise grasping while asymmetrical design offers optimum viewing Syntrifugal Disposable synergetics, inc. 3

6 forceps Tano Nail Forceps Closes at absolute end Small, diamonized platforms excellent for grasping cellophane membranes Asymmetrical design enhances visualization Morris/ Witherspoon FullView ILM Forceps (25ga Tips/20ga Shaft) Small cut-out design offers unobstructed view Designed for ILM pinch and peel technique Curved bottom conforms to the epiretinal surface D D End Grip Forceps, Diamonized Jaws Broad, diamonized platforms useful on all types of membranes de Juan/Tano Serrated Pick Forceps, Diamonized Jaws Designed for grasping and peeling large retinal membranes Enhanced ability to lift an edge Serrations offer secure grasping Effective at lifting and peeling ga Micro Forceps, Diamonized Jaws(25ga tips/20ga shaft) Ultra-fine pointed tip forceps Platforms designed for improved visualization Ideal for stripping delicate membranes shaft; 25ga,.5mm tips Pyramid Tip Forceps, Diamonized Jaws Pointed tips for fine grasping and a broad base for course grasping D Side Grip Forceps, Diamonized Jaws Large grasping platforms provide unique flexibility within the eye Large platforms minimize shredding Perfect for grasping dropped IOLs 4 synergetics, inc. Syntrifugal Disposable

7 11.06 forceps Serrated Jaw End Gripping Forceps, Diamonized Jaws Blunt, atraumatic serrations prevents shredding tissue Improved grasping functionality The most effective forceps for anterior capsulotomy Chang 25ga IOL Repositioning Forceps, Negative Action, Diamonized Jaws Negative Action - tips are closed at rest and open upon actuation Effective for grasping and repositioning dislocated IOLs and repairing iridodialysis 25ga,.5mm end to end Pincer End Grip Forceps, Diamonized Jaws Extremely long jaws provide largest tip opening combined with superior end grasping Gaudric Aspirating Pick Forceps Lower jaw fabricated as pick to engage tissue Provides atraumatic ILM peeling by means of active suction Two-Port Vitrectomy (TPV ) Irrigating Forceps Provides simultaneous irrigation and grasping ability Great for ROP 19ga, 1.07mm (For optimal performance, use with Cat #16579 Three-way Infusion Tubing Set) Peyman Pick/Gripper Forceps, Diamonized Jaws Designed for use for holding and delaminating epiretinal membranes Three-pronged membrane rake to free membranes prior to stripping Actuation moves proximal portion toward rake creating forceps shaft; 23ga,.64mm tip Ducournau Serrated Forceps, Diamonized Jaws Unique tip provides pick combined with serrated jaws for superior membrane removal Mated serrations guarantee secure grasping Excellent for use with PFCL liquids D Syntrifugal Disposable synergetics, inc. 5

8 forceps Atraumatic Retinal Forceps First forceps available with soft, solid silicone jaws Ideal for use on giant retinal tears, rhegmatogenous detachments and retinal rotation Only instrument of this kind available Microserrated Tano 25ga Asymmetrical Micro Forceps (25ga tips/20ga shaft) Perfect for peeling ILM and fine ERM Asymmetrical design facilitates safe grasping variety of approach angles Cut-out center provides better visualization Microserrations enhance grasping Asymmetrical design offers maximum viewing of tip shaft; 25ga,.5mm tips D D D Microserrated Tano Asymmetrical Peeling Forceps Asymmetrical shape for maximum viewing area Larger jaws minimize shredding Industry standard for peeling of mature PDR and PVR membranes Microserrations offer enhanced grasping ; Microserrated Eckardt Forceps Nail-like platforms and Microserrations for precise, optimum grasping Excellent for the ILM pinch and peel technique D39.08 D D Fingerprint Forceps Textured ends grasp membranes even when under traction Designed for the ILM pinch and peel technique Offset jaws provide an unobstructed view from a wider variety of approaches - especially on the inferior side of the macula First true end-grasping forceps Microserrated Eckardt Fine Tip Forceps Thinner tip than standard Eckardt for better viewing and positioning Our most precise Eckardt tip profile providing same grasping characteristics with improved view 25ga,.51mm D D synergetics, inc. 27ga Syntrifugal Disposable

9 forceps Apte Corset Forceps Wide platform allows for removal of membranes in a single maneuver Provides ability to grasp membranes without traumatizing the retina Corset shape expands visualization of the retina Permits simultaneous use tips one to elevate, one to clasp Tano Offset Forceps Diamond Black to reduce glare and increase stability Asymmetric offset design and cut out center provides for wider viewing area Subretinal Thomas Horizontal Subretinal Forceps, Diamonized Jaws Long, stainless diamonized jaws provide superior grasping from remote retinotomy site Progressively closes from tips to ramps Long narrow jaws for easy entry into subretinal space Enhanced gripping with horizontal profile to minimize subretinal trauma Lambert Horizontal Subretinal Sweeper Forceps, Diamonized Jaws Single moving jaw Superior design maintains integrity of retinotomy Thomas Vertical Subretinal Forceps, Diamonized Jaws Vertical action with diamonized platforms provide superior performance Effective in subfoveal nets post laser treatment Microserrated Thomas Horizontal Subretinal Forceps Side-to-side grasping ability Microserrations enhance grasping Long narrow jaws for easy entry into subretinal space Enhanced gripping with horizontal profile to minimize subretinal trauma Syntrifugal Disposable synergetics, inc. 7

10 Illuminated Forceps Illuminated Micro Forceps, Diamonized Jaws Provides added illumination at surgical site Pointed, fine platform tips for ultimate visibiity Effective on macular puckers with cellophane maculopathy Eliminates passive egress Facilitates bimanual membrane peeling without compromise shaft; 25ga,.5mm tips (This product requires the use of illumination fibers Cat #56.05 or #56.10 and appropriate light adapter) Illuminated End Grip Forceps, Diamonized Jaws 25ga tips/20ga shaft Provides added illumination at surgical site Features large diamonized grasping platforms to prevent shredding of tissue Ideal for complex bi-manual delamination in diabetic retinopathy and PVR Eliminates passive egress shaft 25ga,.5mm tips (This product requires the use of illumination fibers Cat #56.05 or #56.10 and appropriate light adapter.) Illuminated BRVO Sheathotomy Forceps Ideal for atraumatically surrounding the artery and creating counter traction while cutting sheath during a sheathotomy Tip ideal for grasping delicate arteries Unique forceps profile with excellent illumination provide utmost in safety and performance shaft; 25ga,.5mm tips (This product requires the use of illumination fibers Cat #56.05 or #56.10 and appropriate light adapter.) Microserrated Illuminated End Grip Forceps 25ga Tips/20ga Shaft Provides added illumination at surgical site Microserrated to ensure maximum grasping Excellent for complex bi-manual delamination No passive egress 20ga.89mm shaft; 25ga,.51mm tip Conversion Sleeves D25-23 D Conversion Sleeve (converts 25ga disposable tips to 23ga) Autoclavable Screws on to nosecone of 25ga Syntrifugal disposable tip and Conversion Sleeve FOR USE WITH SYNTRIFUGAL 25ga DISPOSABLE TIPS transforms it into 23ga instrument Reduces stocking problems--one size tip with sleeve offers two size instruments D25-20 D Conversion Sleeve (converts 25ga disposable tips to 20ga) Autoclavable Screws on to nosecone of 25ga Syntrifugal disposable tip and transforms it into 20ga instrument Conversion Sleeve FOR USE WITH SYNTRIFUGAL 25ga DISPOSABLE TIPS Reduces stocking problems--one size tip with sleeve offers two size instruments 8 synergetics, inc. Syntrifugal Disposable

11 foreign body Foreign Body Forceps Corrosion proof and lightweight titanium handle Diamonized jaws for grasping large foreign bodies with irregular shapes 19ga, 1.07mm with a 5mm tip opening Joseph/Meredith BB Removal Forceps Specifically designed for grasping all standardized BBs without slippage up to 4.5mm 8ga Foreign Body Magnet Designed for removal of iron or steel foreign bodies Seven times stronger than traditional competitive magnetic instruments Will pick up a steel ball up to 16mm in diameter Releases foreign body by releasing handle 18ga, 89mm Illuminated Foreign Body Magnet Same powerful magnet material as Illumination allows transfer of foreign body from magnet to mechanical forceps while foreign body is in the eye Full sized, wide field illumination fiber is easily loaded at rear of instrument 18ga, 1.07mm (Requires use of illumination fiber cat #56.13 and appropriate light adapter.) scleral markers Synergetics markers take the guesswork out of making your sclerotomy. Each of our markers has etched lines in place guiding you to the perfect location for your entry. Additionally, the ribbed bottoms on these markers eliminate slippage on the conjunctiva. The lightweight, titanium handle with its ergonomic diameter guarantees easy manipulation and reduced fatigue Chow Scleral Marker Side curve positions perfectly against the limbus Etched markings at 3.5mm and 4mm assures precise measurements Cutouts accommodate cannula insertion Ribbed bottom prevents slippage Lightweight titanium handle Note: Also included in set 58.23R Awh Scleral Marker Curved tip aligns with limbus with scribe lines at 3mm and 4mm Simplifies sclerotomy and assures precise measurements Lightweight titanium handle Awh Horseshoe Scleral Marker Curved back aligns with limbus with markings at 3mm and 4mm Lightweight titanium handle Great for displacing the conjunctiva and locating sclerotomy site Assists with chandelier insertion Awh Sutureless Sclerotomy Marker Allows simultaneous scleral flattening and conjunctival displacement Marked at 3mm and 4mm Textured base for atraumatic conjunctival displacement Notched to engage and stabilize cannula and eliminates need for separate forceps Lightweight titanium handle with 90 degree shaft for optimal ergonomics Syntrifugal Disposable synergetics, 9

12 scissors Synergetics scissors are manufactured with the finest materials by expert craftsmen. Our scissors are available in a variety of styles and materials including our standard stainless. We offer both reusable and disposable scissors; as well as illuminated models. All scissors are available in 20ga. Other sizes and other offerings are indicated by the symbols shown below Vertical Scissors Classic vertical scissors for segmentation of PDR and PVR membranes Stationary distal jaw Morris Vertical Scissors Curved heel minimizes inadvertent contact with retina and conforms to eye Longer thinner blades Distal stationary jaw Distal tip can be used as a pick ga Micro Vertical Scissors (25ga tips/20ga shaft) Tiny blades will fit into the tightest star folds Single moving jaw shaft; 25ga,.5mm tips Witherspoon Vertical Scissors Longer, thinner blades Curved heel to minimize inadvertent contact with retina Unique blade configuration allows membrane to remain on lower blade when cutting, eliminating repeat capturing of membrane Tano Vertical Scissors Improved profile allows for better segmentation performance Stationary distal jaw Microserrated Morris Horizontal Scissors Curve conforms to interior eye wall Microserrations enhance grasping ability and eliminate tissue ejection while cutting synergetics, inc. Syntrifugal Disposable

13 scissors Horizontal Scissors, Large Curved Optimal curve for epiretinal membrane delamination One of our largest curved scissors Horizontal Scissors, 2.5mm Blades, Angled 55 Optimal 55 angle for membrane stripping and delamination Dual moving blades minimize the expulsion of tissue Thomas Horizontal Subretinal Scissors, Angled 135º Excellent for excising the submacular membrane stalk in AMD and patients with previous laser 135 angle Both blades move toward center for better control with minimal tissue expulsion Horizontal Scissors, 1.3mm Blades, Angled 55 Optimal 55 angle Two moving blades to minimize tissue expulsion Angular design is optimized for precise delamination Horizontal Scissors, Medium Curved Medium Curve Curved back to minimize heeling in safe on surface of retina Two moving blades to minimize tissue expulsion Horizontal Scissors, Small Curved Smaller curve size makes it excellent for the anterior periphery during PVR Two moving blades to minimize tissue expulsion Lambert Horizontal Subretinal Sweeper Scissors One moving blade allowing single blade sweep minimizes retinotomy enlargement Sweeper Scissors, 55, 1.7mm Single moving, sweeping blade Optimum angle for epiretinal membrane stripping Syntrifugal Disposable synergetics, inc. 11

14 scissors Straight Scissors, Medium Size Straight tips for greater control Ideally suited for releasing traction on severe retinal folds from the opposite side Both blades move towards center to minimize possibility of tissue expulsion Horizontal Microserrated Scissors, Medium Curved Curved heel allows safe epiretinal membrane delamination Microserrations secure membrane during cutting to reduce explusions D D Disposable Horizontal Scissors, Medium Curve, Fine Tip Curved back to minimize heeling in safe on surface of retina Two moving blades to minimize tissue expulsion D D Illuminated Scissors Thomas Vertical Subretinal Scissors Very thin vertical scissors excellent for segmenting submacular membranes Minimizes retinotomy site Distal blade never moves in relation to handle Illuminated Horizontal Scissors Provides added illumination at surgical site 55 angle optimum for membrane stripping and delamination Top mounted illumination tube allows coaxial illumination Dual moving blades minimize expulsion of tissue Facilitates bimanual membrane delamination without compromise (This product requires the use of illumination fibers Cat #56.05 or #56.10 and appropriate light adapter.) Zenoni Illuminated Horizontal Scissors Provides added illumination at surgical site Full sized angled 20ga tip Blunt tips facilitate dissection and cutting Facilitates bimanual membrane delamination without compromise (This product requires the use of illumination fibers Cat #56.05 or #56.10 and appropriate light adapter.) Illuminated Small Curved Horizontal Scissors Provides added illumination at surgical site Curved back minimizes heeling in allowing safe epiretinal membrane delamination Two moving blades to minimize unwanted tissue expulsion Top mounted illumination tube allows coaxial illumination without passive fluid egress Facilitates bimanual membrane delamination without compromise (This product requires the use of illumination fibers Cat #56.05 or #56.10 and appropriate light adapter.) synergetics, inc. Syntrifugal Disposable

15 disposable cannulas & needles Cannulas featured on these pages are constructed with the highest-quality materials and inspected thoroughly before leaving our production facility. Both reusable and disposable cannulas are offered. Many of these products operate with the Reflux handpiece and are noted accordingly. This handpiece allows both active and passive suction and features a removable rear plug that prevents suction elasticity when using the handpiece in active mode. The unique flush-through design allows for easy cleaning. Several of the products are disposable and are manufactured with a molded handpiece and rear plug that furnishes active suction. Autoclavable, one-piece products are manufactured with the white, molded autoclavable handpiece ga Rigid Micro Injection Cannula, Straight shaft; 39ga.10mm tip (Black, disposable handle.) ga Rigid Micro Injection Cannula, Straight shaft; 42ga.10mm tip (Black, disposable handle.) /21ga Rigid Micro Injection Cannula, Straight, 21ga shaft 21ga,.81mm shaft; 39ga.10mm tip (Black, disposable handle.) /21ga Rigid Micro Injection Cannula, Straight, 21ga shaft 21ga,.81mm shaft; 42ga.10mm tip (Black, disposable handle.) ga Rigid Micro Injection Cannula, Angled shaft; 39ga.10mm tip (Black, disposable handle.) ga Rigid Micro Injection Cannula, Angled shaft; 42ga.10mm tip (Black, disposable handle.) ga de Juan/Awh Subretinal Injection Micro-infusion of non-viscous liquids into subretinal space 25ga,.51mm; 41ga,.10mm tip ga Soft Tip Cannula mm mm ga Infusion Cannula (4.0mm tip, disposable) All purpose length ga Infusion Cannula (6.0mm tip, disposable) Ideal Aphakic length Stainless steel tips for verification reflectivity Ideal for 23ga and 25ga insertion method Awh Directional Suction Cannula Custom curvable soft tip Adjustable length Excellent around periphery ga Infusion Cannula (4.0mm tip, high pressure) All purpose length Silicone oil tested to withstand 100psi injection pressure Stainless steel tips for verification reflectivity synergetics, inc. 13

16 disposables Fluid Cannula (Grizzard Cannula) Aspirates fluid from subretinal space Soft flexible tip for atraumatic entry 6mm flexible tip extension 35mm tubing length (For use with handle ) Fluid Cannula Curved (Curved Grizzard Cannula) Aspirates fluid from subretinal space Soft flexible tip for atraumatic entry 35mm tubing length (For use with handle ) Vitreoretinal Cannula Disposable version of Aspirates blood and debris from posterior segment 35mm tubing length (For use with handle ) Vitreoretinal Brush Disposable version of Soft, flexible brush tip for atraumatic brushing of retina 35mm tubing length (For use with handle ) Vitreoretinal Soft Tip Disposable version of Flexible tip for atraumatic contact with retina 3mm flexible silicone 31mm tubing length (For use with handle ) Silicone Oil Cannula High viscosity injector ga Transconjunctival Chow Silicone Oil Injection Cannula Cannula comes preloaded onto an obturator for easy insertion Luer lock compatibility Allows 1000 centistoke silicone oil to be injected in 40 seconds or less at 80psi Beveled and longer cannula length gives you option of 25ga or 23ga insertion method 25ga,.50mm Retinal Vacuum Manipulator Unique multiport design allows for atraumatic retinal manipulation Soft silicone tip Three holes in tip to prevent incarceration of retina (For use with handle ) 14 synergetics, inc.

17 reusable cannulas & needles Thomas Subretinal 30ga Needle Rigid, tapered 30ga needle for superior contro Perfect for subretinal fluid removal shaft; 30ga,.30mm tip (White, autoclavable handle.) Chang Perfluorocarbon Cannula Injects PFCL while extracting BSS and maintaining safe intraocular pressure Ability to regulate process by placing finger over proximal end of outflow tube shaft; 25ga,.50mm tip Thomas Subretinal 33ga Sharp Bent Cannula Creates subfoveal space by infusion of BSS Beveled tip for ease of insertion 33ga fluid path reduces possibility of over inflation of subretinal space shaft; 33ga,.20mm tip (White, autoclavable handle.) Thomas Subretinal 33ga Cannula Designed to maintain retinotomy site integrity in subretinal drainage Slip-fit female luer connection at back shaft; 33ga,.20mm tip (White, autoclavable handle.) Lewis Subretinal 33ga TPA Cannula (135 ) Fits into retinotomy created by Subretinal Pick 135 (pg 21) Delivers TPA to surgical site in retinal periphery 135 curve with small internal bore to reduce volume required for TPA injection shaft; 33ga,.20mm tip (White, autoclavable handle.) Lewis Subretinal 33ga TPA Cannula (90 ) Fits into retinotomy created by Subretinal Pick 90 (pg 20) 90 curve with small internal bore to reduce volume required for TPA injection Slip-fit female luer connection at back shaft; 33ga, 20mm tip (White, autoclavable handle.) synergetics, inc. 15

18 reusable cannulas & needles Universal Soft Tip Needle Beveled for easy insertion and tubing direction Excellent for subretinal fluid drainage Extendable 23ga (.6mm) silicone tubing Offers active or passive suction (Autoclavable handpiece with slide.) ga,.40mm silicone tubing Fenestrated Universal Soft Tip Needle Beveled for easy insertion and tubing direction Ideal for subretinal fluid drainage Unique fenestration design helps prevent accidental incarcerations Extendable 23ga (.6mm) silicone tubing (Autoclavable handpiece with slide.) ga Infusion Cannula (2.5mm tip, reusable) Ideal Phakic length Stainless steel tips Silicone tubing ga Infusion Cannula (4.0mm tip, reusable) All purpose length Stainless steel tips Silicone tubing ga Infusion Cannula (6.0mm tip, reusable) Ideal Aphakic length Stainless steel tips Silicone tubing Ideal for 23ga and 25ga insertion method Set of 20ga Reusable Infusion Cannulas Contains 1 Each: 2.5mm (30.20) 4.0mm (30.21) 6.0mm (30.22) 16 synergetics, inc.

19 reusable cannulas & needles Reflux Handpiece Use these needles with ga Blunt Extrusion Needle Great for suction when peeling epiretinal membranes ga Tapered Blunt Extrusion Needle Tapered tip allows for precise extrusion from subretinal spaces or other confined areas Designed for subretinal fluid drainage shaft; 27ga,.40mm tip ga Tapered Spherical Side Port Cannula Designed for subretinal fluid drainage Ideal when directional suction is required Unique side port prevents incarceration at the distal tip shaft; 25ga,.50mm tip ga Tapered Right Angled End Port Cannula For subretinal fluid drainage 90 angle provides extrusion when suction from the bottom is beneficial Port located 3mm from bend shaft; 25ga,.50mm tip ga Tapered Right Angled Spherical Tip Bottom Port Cannula For subretinal fluid drainage 90 angle provides extrusion when suction from the bottom is beneficial Spherical, closed tip shaft; 25ga,.50mm tip Brush Cannula Tip, Straight The industry standard for atraumatic retinal surface extrusion Small, 1mm silicone brush removes debris atraumatically from retinal surface Brush Cannula Tip, Curved The industry standard for atraumatic retinal surface extrusion Curved design excellent for removing debris from ocular periphery 1mm silicone brush removes debris atraumatically from retina surface synergetics, inc. 17

20 reusable cannulas & needles Metal Locking Luer-Hub Needle (with products ) Soft Tip Cannula The industry standard for atraumatic retinal surface extrusion Great for suction when peeling epiretinal membranes Resnick 25ga Subretinal Fluid Drainage Needle Ideal for transcleral aspiration of subretinal fluid during scleral buckling procedures Length ideal for transcleral approach Beveled, sharp tip for easy insertion 25ga, 2.5mm long with 1mm bevel Irrigation/Aspiration Handpiece Irrigation Aspiration Lewis Subretinal Irrigating/Aspirating Handpiece (90 ) Delivers simultaneous aspiration and irrigation 90 dual bore cannula designed for controlled subretinal usage Narrows at tip for insertion into retinotomy shaft; 22ga,.71mm tip (Irrigation/Aspiration molded handpiece.) Lewis Subretinal Irrigating/Aspirating Handpiece (135 ) Delivers simultaneous aspiration and irrigation 135 dual bore cannula designed for controlled subretinal usage Narrows at tip for insertion into retinotomy 19ga, 1.07mm shaft; tip (Irrigation/Aspiration molded handpiece.) 18 synergetics, inc.

21 reusable cannula set 58.23R 58.23R - Reusable Cannula Trocar Set Includes the following: 4 cannulas including one for infusion line 4 reusable dull obturators One autoclavable Chow X Marker One forceps Reusable infusion line 3 scleral plugs ( required to make the sclerotomy) Accessories and Replacements Accessories/Replacements: ga Disposable Angled Blade For perfect 23ga sclerotomy Replacement Infusion Cannula Replacement Instrument Cannula Replacement Forceps Replacement Cannula Plugs Replacement Infusion Tubing Replacement Chow X Marker synergetics, inc. 19

22 picks Thomas Subretinal Perforator/Spatula 36ga - 131º Long and narrow 36ga design Sharp tip and curved top for creating and working through retinotomy Long, sharp design to provide superior submacular dissection shaft; 36ga,.10mm at distal tip Rice ILM Elevator - 127º Unique tip design allows easy ILM removal Flat bottom for parallel orientation with contour top that elevates membrane without shredding shaft; 42ga,.10mm ga,.64mm shaft; 42ga,.10mm at tip ga,.51mm shaft; 42ga,.10mm at tip Thomas Hyaloid Lifter-115º Long, flat design allows for large dissection area of posterior hyaloid Very sharp tip Flat top and contoured bottom for easy lifting and reduced shredding shaft; 42ga,.10mm at tip Iezzi Ski Pick Slim profile for getting under membranes Smooth undersurface that protects retina Microserrated surface to engage membranes and delaminate shaft; 27ga,.41mm at tip Thomas Blunt 36ga Subretinal Perforator/Spatula - 131º Dull tip and curved top for more atraumatic method of subretinal dissection Excellent for manipulating and dissecting submacular tissues shaft; 36ga,.20mm at tip Shiraga Pick - 110º Excellent for ILM delamination and removal Unique tip designed for penetration and lifting of ILM shaft; 33ga,.20mm at tip Awh Serrated Pick - 135º Designed to lift and grasp Serrated top prevents membrane from slipping off during elevation and removal shaft; 30ga,.30mm at tip ga,.64mm shaft; 36ga,.20mm at tip ga,.64mm shaft; 36ga,.20mm at tip Morris Pick Finest tip available Curve that replicates curve of eye shaft; 33ga,.20mm at tip Lewis 33ga Subretinal Perforator - 90 Ideally sharp for creating retinotomy in peripheral retina for TPA Reduce chances of snagging RPE and Nerve Fiber Layer Useful for membrane stripping shaft; 36ga,.20mm at tip 20 synergetics, inc.

23 picks Developed in response to feedback from you, our customers, we are pleased to offer our Featherlite handle on our picks. Made of titanium for durability with a hollow center to reduce weight, this handle is easy to maneuver and virtually eliminates fatigue. The diameter is ergonomically designed to be comfortable for small and large hands Lewis 33ga Subretinal Perforator-135 Ideally sharp for creating retinotomy in peripheral retina for TPA delivery utilizing Reduce chances of accidentally snagging RPE and Nerve Fiber Layer Useful for membrane stripping shaft; 36ga,.20mm at tip Membrane Pick , º, º Excellent for epiretinal membrane peeling Blunt on back side to prevent snagging shaft; 27ga,.41mm at tip Membrane Peeler, Spherical Tip - 110º Tiny pick with spherical rear Ideal for atraumatic work around retina shaft; 30ga,.30mm tip Membrane Rake, Flat Tip - 140º Useful for cleaning residual ERM or ILM from retinal surface Great for lifting large membrane edges without shredding Membrane Rake, Curved Tip - 140º Ideal for cleaning residual ERM or ILM from retinal surface Lifts large membrane edges without shredding Rounded Tip Spatula - 140º Lifts large membrane edges without shredding Michels Hook - 90º The only true Michels pick available shaft; 36ga,.20mm at tip Michels Spatula - 90º Rounded profiles to provide atraumatic membrane peeling Reduces tearing Enhances the tissue plane atraumatically shaft; 22ga,.71mm at tip Two-Port Vitrectomy (TPV ) Irrigating Spatula - 120º Ideal for membrane manipulation during two-port vitrectomy procedures Provides simultaneous high-flow irrigation path shaft; 24ga.55mm at tip (For optimal performance, use with Catalog #16579 Three-way Infusion Tubing Set ) synergetics, inc. 21

24 backflush instruments Disposable Backflush Handpiece Active and passive suction Removable rear plug prevents suction elasticity D Disposable Backflush Handpiece, Blunt Tip Both active and passive suction Removable rear plug prevents suction elasticity D Disposable Backflush Handpiece, Brush Tip Silicone brush tip assists in freeing matter to aid in aspiration Both active and passive suction Removable rear plug prevents suction elasticity D Disposable Backflush Handpiece, Soft Tip Soft silicone tip assists in freeing matter to aid in aspiration Both active and passive suction Removable rear plug prevents suction elasticity D D Replacement Reflux Reservoir, 2/box Fits Reflux handpiece Replacement Reflux Reservoir, 10/box Fits Reflux handpiece sterilization trays Sterilization Tray - Small L-6, W-2, D-.75 L-15.2cm, W-5.1cm, D-1.9cm Holds 2 picks or 1 instrument Sterilization Tray - Large L-15, W-10, D-.75 L-38.1cm, W-25.4cm, D-1.9cm Holds 25 instruments Sterilization Tray - Medium L-10, W-6, D-.75 L-25.4cm, W-15.2cm, D-1.9cm Holds 5-6 instruments or 10 picks Sterilization Tray - MPC L-10, W-3, D-1.5 L-25.4cm, W-7.6cm, D-3.8cm Holds 1 MPC set Sterilization Tray - Diamond Knife L-7.5, W-2.625, D-.75 L-1.9cm, W-3.8cm, D-1.9cm Holds 1 diamond knife 22 synergetics, inc.

25 tip protectors, luers, plugs Tip Protector, Handled Cannula - Fits Synergetics reusable handled cannulas Tip Protector, Handled Picks - Fits Synergetics handled picks Tip Protector, Modified, For Picks, Rakes, & Spatulas (shorter) - Fits Synergetics handled picks Tip Protector, Split, Universal - Fits Synergetics Large and Small Squeeze handles Tip Protector, MPC - Larger design to fit and protect MPC Tip Protector, DORC - Replacement tip protector for your DORC instruments Tip Protector, Grieshaber - Replacement tip protector for your Grieshaber instruments Tip Protector, Apex - Doubles as cleaning luer and tip protector for the Apex handle All Synergetics tip protectors are autoclavable and will protect your instrument while stored and during sterilization Cleaning Luers Disposable Scleral Plugs Cleaning Luer Double duty as tip protector and cleaning luer for Apex Attaches to tip for easy and thorough cleaning Cleaning Luer Fits Synergetics instruments Attaches to tip and syringe to flush debris from tip Scleral Plug 20ga Scleral Plug 19 ga Replacement Scleral Plug Replacement for scleral plugs in set 58.23R 23ga synergetics, inc. 23

26 EYEsyntials At Synergetics, we work hard to differentiate ourselves from the competition. We never stop with a good product, but push ourselves to make a great product. And because your work involves more than the use of standard, surgical instruments, our R&D Department develops the tools that can make your work more effortless and more efficient. Our EYEsyntials catalog includes essential ancillary products that are sure to become favorities in your O.R Type 20 Strip Band Sterile, disposable, 5/box Type 219 Strip Sterile, disposable, 5/box 31 - Type 31 Silicone Strip Sterile, disposable, 5/box Type 220 Band Sterile, disposable, 5/box 32 - Type 32 Silicone Strip Sterile, disposable, 5/box Type 240 Band Sterile, disposable, 5/box 40 - Type 40 Band Sterile, disposable, 5/box Type 276 Band - Asymmetrical Tire 9 Sterile, disposable, 5/box 41 - Type 41 Band Sterile, disposable, 5/box Type Tire 9 Sterile, disposable, 5/box 42 - Type 42 Band Sterile, disposable, 5/box Type Tire 11 Sterile, disposable, 5/box Bands are available for sale in the U.S. only. 24 synergetics, inc.

27 bands Type Asymmetrical Tire 12 Sterile, disposable, 5/box Type 503 3mm Sponge Sterile, disposable, 5/box Type Biconvex Tire 9 Sterile, disposable, 5/box Type 504 4mm Sponge Sterile, disposable, 5/box Type 505 5mm Sponge Sterile, disposable, 5/box Type Biconvex Tire 12 Sterile, disposable, 5/box Type 506 3x5 Sponge Sterile, disposable, 5/box 70 - Type 70 Fixation Sleeve For S Sterile, disposable, 5/box Type x 7.5 Sponge Sterile, disposable, 5/box Type 270 Fixation Sleeve For S Sterile, disposable, 5/box Type x 5 Half-Sponge Sterile, disposable, 5/box Type 511 Half Oval Silicone Sponge Sterile, disposable, 5/box Bands are available for sale in the U.S. only. synergetics, inc. 25

28 vitrectomy packs Vitrectomy Packs ga Vitrectomy Pack, Alcon Accurus Pack Includes: Light Pipe, 23ga Vitrectomy Cutter, 23ga Angled MVR Blade 17061P - 23ga Vitrectomy Pack, Alcon Accurus - PHOTON Pack Includes: P Light Pipe, 23ga Vitrectomy Cutter, 23ga Angled MVR Blade ga Vitrectomy Pack, Alcon Accurus Pack Includes: Light Pipe, 25ga Vitrectomy Cutter 17071P - 25ga Vitrectomy Pack, Alcon Accurus Pack Includes: P Light Pipe, 25ga Vitrectomy Cutter ga Vitrectomy Pack, B&L Millennium Pack Includes: Light Pipe, 23ga Vitrectomy Cutter, 23ga Angled MVR Blade 17062P - 23ga Vitrectomy Pack, B&L Millennium - PHOTON Pack Includes: P Light Pipe, 23ga Vitrectomy Cutter, 23ga Angled MVR Blade ga Cannula/Vitrectomy Pack, B&L Millennium Pack Includes: 23ga Vitrectomy Cutter, 23ga Cannula System (58.23) ga Vitrectomy Pack, B&L Millennium Pack Includes: Light Pipe, 25ga Vitrectomy Cutter 17072P - 25ga Vitrectomy Pack, B&L Millennium Pack Includes: P Light Pipe, 25ga Vitrectomy Cutter ga Cannula/Vitrectomy Pack, B&L Millennium Pack Includes: 25ga Vitrectomy Cutter, 25ga Cannula System (58.25) bi- polar cautery ga Bi-polar Cautery ga Bi-polar Cautery ga Curve Bi-polar Cautery Flexible Tapered Bi-polar Cautery (23ga - 25ga) Flexible Tapered Bi-polar Cautery (25ga - 27ga) P - 25ga Illuminated Bi-polar Cautery Heating occurs only at tip Provides bloodless cutting in large diabetic cases Compatible with most bi-polar cautery units 26 synergetics, inc. PHOTON

29 DDMS Tano Diamond Dusted Membrane Scrapers (DDMS ) offer an atraumatic alternative to find the edge of a membrane. The diamond dusted, soft silicone tip finds and grasps the edge of the membrane quickly and easily and presents it for your forceps. Available in several styles, including a retractable version, the patented DDMS has become a staple in O.R.s around the world Tano Diamond Dusted Membrane Scraper (DDMS ) Unique diamond dusting for easy ILM and ERM removal Soft silicone tip assures atraumatic contact with retina U.S. Patent #5,921, S Stiff Tano Diamond Dusted Membrane Scraper Stiff (DDMS ) Unique diamond dusting for easy ILM and ERM removal Developed for use on stubborn membranes Excellent for PVR or diabetic cases Soft silicone tip assures atraumatic contact with retina Patent pending Retractable Tano Diamond Dusted Membrane Scraper (DDMS ) Unique diamond dusting for easy ILM and ERM removal Moveable 20ga sheath for easy insertion and extraction Soft silicone tip assures atraumatic contact with retina U.S. Patent #D483, Adjustable Tano Diamond Dusted Membrane Scraper w/pick ( DDMS Pick ) Unique diamond dusting for easy ILM and ERM removal Adjustable stiffness Pick that can be exposed for peeling epiretinal membranes Soft silicone tip assures atraumatic contact with retina Patent pending. synergetics, inc. 27

30 disposable cannulas These unique cannula systems are pre loaded on a trocar and self retaining once inserted into the eye. It has a slightly larger ID which allows for easy entry for most instruments. Wound architecture is considerably improved when using this product due to the incorporation of Razor Technology on the blade. The blade is specially beveled and offers a slight step providing the surgeon a much easier time inserting it into the scleral resulting in ONE-STEP sutureless surgery. This reduces leaking and delivers faster recovery times. The blade is also slightly larger than normal because it is flat. It makes a longer incision at first, but ovalizes once instruments are introduced ga ONE STEP Sutureless Cannula System ga ONE STEP Sutureless Cannula System ONE-STEP Sutureless Cannula System 58.23V 23ga Valved ONE-STEP Sutureless Cannula System 58.20V Valved ONE-STEP Sutureless Cannula System ga ONE-STEP Sutureless Cannula System Single Pack ga ONE-STEP Sutureless Cannula System Single Pack ONE-STEP Sutureless Cannula System Single Pack Improved wound architecture Easiest, one-step insertion on the market Self sealing Available in 20ga, 23ga, 25ga R a z or-te c hnology About the Blade This unique blade design incorporates Razor-Technology providing surgeons a much easier time inserting into the sclera. This innovative design gives the cannula a tight fit which prevents leaking. 28 synergetics, inc.

31 Synergetics has packaged everything you need for office injections into one, complete sterilized I-PACK. The I-PACK will reduce the risk of endophthalmitis, save you hours of ordering time, reduce and organize your inventory, and save preparation time, since everything you need is conveniently packaged together. The handy plastic tray also serves as a reservoir that you can use for your povidone-iodine solution. Simply pour the solution into the compartment with the speculum where it can be used for both the speculum and for dipping the cotton swabs. The two other compartments can be used for discarded vials, used swabs, and needles, making clean-up quick and easy I-PACK Includes: 2 10mL Tuberculin Syringes 1 Pr Synthetic Latex Free Gloves 1 30ga 1/2 Needle 1 27ga 1/2 Needle 2 18ga 1 Needles 6 Cotton Swabs 6 1 Barraquer Eyelid Speculum mm Scleral Gauge 18060B - I-PACK Includes everything in standard pack plus a three Betadine Swabs I-PACK With Drape Includes: 2 10mL Tuberculin Syringes 1 Pr Synthetic Latex Free Gloves 1 30ga 1/2 Needle 1 27ga 1/2 Needle 2 18ga 1 Needles 6 Cotton Swabs 6 1 Barraquer Eyelid Speculum mm Scleral Gauge plus Eye drape (16 x 16 ) 18061B - I-PACK With Drape Includes everything in standard pack plus a patient drape and three Betadine Swabs I-PACK Includes: 2 10mL Tuberculin Syringes 1 Pr Synthetic Latex Free Gloves 1 30ga 1/2 Needle 1 27ga 1/2 Needle 2 filtered 19ga 1-1/2 Needles 6 Cotton Swabs 6 1 Barraquer Eyelid Speculum mm Scleral Gauge I-PACK The I-PACK may even reduce your malpractice insurance. Check with your insurance carrier Custom Pack Includes everything in standard pack plus: 4 4x4 gauze pads 1 Disposable forceps Pack is also placed in tyvek pouch creating an additional level of sterility Custom Pack Includes everything in standard pack plus: 4 4x4 gauze pads 1 Disposable forceps 1 Eye drape (16 x 16 ) Pack is also placed in tyvek pouch creating an additional level of sterility Custom Pack Includes: 1 Barraquer Eyelid Speculum 1 30ga, 1/2 inch needle 10 Cotton Swabs 6 1 Eye drape (16 x 16 ) Custom Pack Includes everything in standard pack except gloves are diamond edge high grip Custom Pack Includes: 1 Barraquer Eyelid Speculum mm Scleral Marker 1 30ga 1/2 needle Custom Pack Includes: 1 Barraquer Eyelid Speculum 1 Pair of Exam Gloves 18069W - Custom Pack Includes: 1 Wire Barraquer Eyelid Speculum 1 Pair of Exam Gloves 1 Scleral Marker 6 Cotton Swabs 6 Cotton Swabs 1 Scleral Marker synergetics, inc. 29

32 iris retractors Synergetics offers iris retractors in both reusable and disposable versions. The flexible nylon hook on both products retracts easily. The flat bottom on the cases keep it in place allowing easy extraction of the retractors. Reusable Autoclavable Flexible Translimbal Iris Retractors 5 per set/2 sets included Can be autoclaved up to 3 times Case has a bead chain attached. By removing one bead each time the retractors are autoclaved, you can keep count of the number of autoclaves Case reforms hook to original shape in the autoclave after each use Each set contains one spare retractor Case designed for easy removal of retractor and to minimize chance of dropping Also available in 5 retractors per set/6 sets per package g Case pulls openg Disposable Disposable Flexible Translimbal Iris Retractors 5 per set/2 sets included 1 mm longer than competitive models to facilitate hooking very small irises Each set contains one spare retractor No sterilization hassles Case designed for easy removal of retractor and to minimize chance of dropping Also available in 5 retractors per set/6 sets per package Rotate sleeve to open 30 synergetics, inc.

33 knives For effortless membrane stripping, diabetic retinopathy, ROP, neurotomy, and sheathotomy, Synergetics furnishes you with this selection of high quality knives designed and manufactured for sharpness and precision Meredith Epiretinal Delamination Diamond Knife The original diamond knife Produced from gem-quality diamonds for hardness Laser fashioned and irradiated with yellow tip for better visibility Titanium handle with retractable tip to protect blade Multi-faceted half-circle sharp cutting tip with dull sides for protection Excellent for membrane stripping, for use in diabetic retinopathy and ROP Illuminated Meredith Epiretinal Delamination Diamond Knife First illuminated diamond knife Top-mounted illumination channel accepts fiberoptic illumination fiber Produced from gem-quality diamonds for hardness Laser fashioned and irradiated with yellow tip for better visibility Titanium handle with retractable tip to protect blade Multi-faceted half-circle sharp cutting tip with dull sides for protection Excellent for membrane stripping, for use in diabetic retinopathy and ROP (This product requires the use of illumination fibers Cat #56.05 or #56.10 and appropriate light adapter.) ga MVR Blade Sloped for easy insertion Extremely sharp, angled blade for perfect sclerotomies 19ga shaft, 1.07mm Opremcak BRVO Knife Super-thin knife perfect for sheathotomy Double edged for easy manipulation Flat bottom and rounded heel for use as tamponade U.S. Patent # 6,772,765; U.S. Patent #D Diamond Black synergetics, inc. 31