2011 product catalog.

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1 2011 product catalog

2 us endoscopy Celebrating 20 years... This year US Endoscopy celebrates 20 years as an organization. From the early years through today, one thing remains the same our passion. We work with customers to identify urgent needs and develop the most practical solutions. This is what we do best and how we make a difference in our customers and patients lives. focusing on unmet needs Our story... Founded in 1991 and headquartered in Mentor, Ohio, USA, US Endoscopy is a true entrepreneurial success story derived from the simple concept of delivering solutions. Founder, Marlin Younker, built US Endoscopy upon a foundation of hard work, collaboration, and keeping it simple. Proudly, this legacy has remained true throughout the past two decades; reflected in our product solutions and representation worldwide. What s new... US Endoscopy is quickly becoming known as the what s new company in endoscopy. Why? Simply put, we listen to clinicians and quickly deliver product solutions. listening... and delivering solutions

3 table of contents bleed management and irrigation 1-6 AquaShield water bottle system 3 BioShield biopsy valves and irrigation accessories 3 BioVac direct suction device 4 Bipolar hemostasis probe 4 Injection needles 5 Velocity irrigation system 6 endoscope care and accessories 7-14 AquaShield water bottle system 9 BioShield biopsy valves and irrigation accessories 9, 10 Bite blocks 11, 12 Cleaning brushes 13, 14 Endo-Boot endoscope tip protectors 14 enteroscopy and capsule delivery AdvanCE capsule endoscope delivery device 17 Enteroscopy devices ercp Boost head positioner 23 Carr-Locke injection needle 23 Mio medical device organizer 23 feeding Initial placement safety PEG 27 Initial placement PEGs Initial placement PEGs - non-pharmaceutical Non-balloon replacement PEG 34

4 foreign body management Guardus overtube 37 Rotatable retrieval basket 38 Rotator rotatable snare 38 Roth Net retrievers Talon grasping device 40 laparoscopy Laparoscopic aspiration needle 43 Ponsky Laparoscopic cholangiography systems 43 Ponsky Endo-Sock retrieval pouch 43 polypectomy and tissue acquisition Cytology brushes 47 Entrada colonic overtube 48 etrap polyp trap 48 Forceps isnare system 51 Polypectomy snares Exacto cold snare 51 Traxtion hexagonal snare 52 Roth Net retrievers 53 Roth Net retrieval devices 55-59

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6 bleed management & irrigation bleed management & irrigation

7 bleed management & irrigation US Endoscopy has set a new standard for injection therapy, bleed management and irrigation devices. From our BioVac direct suction device, specializing in evacuation and lavage of the GI tract, to the world-renowned Carr-Locke needle, we offer solutions to address nearly all of your bleed management needs. AquaShield water bottle system The disposable AquaShield system offers a safe and convenient alternative to reprocessing reusable water bottle systems. product number description tubing length (cm) units/box Olympus 140/160/ series only BioShield biopsy valves & irrigation accessories BioShield irrigator Featuring an irrigation line for remote access irrigation and easy connection to a syringe or a water pump when used in conjunction with our optional universal water pump extension tubing. product number description irrigation line length (cm) units/box Olympus/Fujinon (G5 series and newer) BioShield irrigator Featuring an irrigation line for remote access irrigation and easy connection to a syringe or a water pump when used in conjunction with our optional universal water pump extension tubing. product number description irrigation line length (cm) units/box Pentax Universal water pump extension tubing Extension tubing to complement the or (BioShield irrigator) and the BioVac direct suction device for hands-free foot pedal control. product number length (cm) units/box

8 BioVac direct suction device Specializing in evacuation and lavage of the GI tract, the BioVac device is designed to suction hard-to-remove, viscous materials, like gelatinous blood and stringy clots*, which may otherwise clog the control head of the endoscope. The BioVac device is unique in that it allows for direct visualization during cleansing and evacuation by empowering the endoscope s own suction capabilities. product number description suction tubing (cm) irrigation line (cm) y-port units/box Pentax no 5 product number description suction tubing (cm) irrigation line (cm) y-port units/box Olympus/Fujinon no 5 (G5 series and newer) Olympus/Fujinon yes 5 (G5 series and newer) Bipolar hemostasis probe With a unique, Hydromer tip to help prevent tissue from sticking to the probe, its universal length can be used for EGD, enteroscopy, and colonoscopy. product number size (FR) length (cm) active cord style units/box dual plug single plug single plug 1 The size of particles and volume of liquid suctioned is limited to the endoscope s channel size 4

9 injection needles Articulator injection needle A choice needle for injection therapy, the Articulator injection needle features a stainless steel sheath and spring-loaded, luer lock handle designed to ensure needle projection in articulated positions. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box * Carr-Locke injection needle World renowned for its reliability and consistency, the Carr-Locke injection needle is ideal for your everyday procedures as well as your most tortuous, difficult injection therapy maneuvers. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box (Pentax) Vari-Safe injection needle Traditionally designed, 23-gauge, plastic-sheathed injection needle with a spring-loaded, luer lock handle for injection of more viscous media. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box * does not feature a spring-loaded handle. Not currently for sale in the U.S. 5

10 Velocity irrigation system The Velocity system offers exceptional volume and pressure allowing for improved outcomes when clearing the mucosa proves challenging. Velocity irrigation pump product number units/box Velocity biopsy valve product number description units/box Olympus/Fujinon 25 (G5 series and newer) Velocity biopsy valve product number description units/box Pentax 25 Not currently for sale in the U.S. 6

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12 endoscope care & accessories endoscope care & accessories

13 endoscope care and accessories With cross-contamination a primary concern in any GI unit, US Endoscopy s extensive endoscope care and accessories feature an array of single-use cleaning brushes, bite blocks, and BioShield biopsy valves and irrigation accessories to address these concerns. Our new AquaShield water bottle system is disposable and supports patient safety by reducing the risk of bacterial contamination. Contact Hour Opportunity Endoscope Care and Cleaning: from start to finish Provider approved by the California Board of Registered Nursing. Provider #15248, for 1.0 Contact Hours. According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), 1.0 hours earned in this activity are considered GI specific for the purpose of re-certification by contact hours through ABCGN. ABCGN tracking number GI Please contact US Endoscopy to schedule a contact hour presentation. Currently available in the U.S. only. AquaShield water bottle system The disposable AquaShield system offers a safe and convenient alternative to reprocessing reusable water bottle systems. product number description irrigation line length (cm) units/box Olympus 140/160/ series only BioShield biopsy valves & irrigation accessories Olympus & Fujinon (G5 series & newer) compatible BioShield biopsy valve - economy product number description units/box Olympus/Fujinon 200 (20 per pack, 10 packs total) (G5 series and newer) Olympus/Fujinon Olympus/Fujinon 100 (G5 series and newer) BioShield irrigator The BioShield irrigator features an irrigation line for remote access irrigation and easy connection to a syringe, or water pump when used in conjunction with our optional universal water pump extension tubing. product number description irrigation line length (cm) units/box Olympus/Fujinon (G5 series and newer) 9

14 Pentax compatible BioShield biopsy valve - economy product number description units/box Pentax 100 BioShield irrigator The BioShield irrigation features an irrigation line for remote access irrigation and easy connection to a syringe or a water pump when used in conjunction with our optional universal water pump extension tubing. product number description irrigation line length (cm) units/box Pentax universal irrigation accessories Universal irrigating adaptor For use with all biopsy valves, this universal adaptor maximizes direct, intraprocedural irrigation. product number adaptor gauge adaptor length (cm) units/box Universal water pump extension tubing Extension tubing to complement the or (BioShield irrigator) and the BioVac direct suction device for hands-free foot pedal control. product number length (cm) units/box

15 bite blocks US Endoscopy s family of bite blocks is ideal for individualized patient care. Our single-use bite blocks and coordinating straps are latex-free, addressing the ever-growing incidence of latex sensitivity and risk of severe allergic reaction. This extensive line includes a variety of sizes, designs and models to ensure the best fit for the patient and clinician. An impressive selection latex-free and worry free. bite blocks with dental retention rim Sturdy, yet forgiving material protects delicate instruments and provides comfort for patients. Standard bite block latex-free strap* product number opening size side port units/box mm / 48 FR No 100 Standard bite block no strap product number opening size side port units/box mm / 48 FR No 100 Standard bite block Velcro strap product number opening size side port units/box mm / 48 FR No 100 Maxi bite block latex-free strap* product number opening size side port units/box mm / 60 FR Yes 100 synthetic elastomer strap 11

16 Maxi bite block no strap product number opening size side port units/box mm / 60 FR Yes 100 Maxi bite block Velcro strap product number opening size side port units/box mm / 60 FR Yes bite blocks without dental retention rim With a smooth insertion rim and a flexible frame to mold gently to your patient s face, these latex-free bite blocks are especially suited for limitations of the mouth or jaw. Pediatric bite block latex-free strap* product number opening size side port units/box mm / 38 FR Yes 25 Intermediate bite block latex-free strap* product number opening size side port units/box mm / 48 FR Yes 100 synthetic elastomer strap 12

17 cleaning brushes Standard channel cleaning brush A textured, non-slip catheter with specially designed nylon bristles to maximize cleaning efforts. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box taper Jumbo channel cleaning brush Larger bristle diameter sized specifically to scrub biopsy channels 2.8mm -6.0mm. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box taper taper Gemini Brush double ended channel cleaning brush Featuring a standard sized channel brush on both ends of our signature non-slip catheter, the Gemini Brush double ended brush scrubs twice as well with half the effort. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box taper Double-Header combination channel and valve/control head cleaning brush The master of versatility an all-in-one cleaning device for endoscope channels, valves, and the control head featuring a brush design to maximize cleaning effort and efficiency. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box taper The Double-Header brush features a standard channel brush on one end (bristle diameter 5-7mm taper) combined with a valve/control head cleaning brush (bristle diamer 10mm) on the other end of a non-slip 230cm catheter. 13

18 4cm bristle head length! Valve/control head cleaning brush A full head of soft bristles to aid in removal of gross material, the ridged barbell handle is designed with grooves for a comfortable, non-slip grip. product number bristle head length (cm) length (cm) bristle diameter (mm) channel diameter (mm) units/box N/A 10 N/A N/A 10 N/A 100 Wooly Brush channel cleaning brush Incorporating a bright orange color with 4 full centimeters of our specially designed nylon bristles, the Wooly Brush channel cleaning brush maximizes cleaning effectiveness by boosting the number of bristles that scrub throughout the channel. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box taper Small Wonder channel cleaning brush A specialized, miniature cleaning brush suited for the tiny channels of select bronchoscopes and the balloon channel of Olympus EUS scopes. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box Endo-Boot endoscope tip protectors A disposable tip protector that cushions your endoscope and its delicate components during transport and storage. Large product number I.D. (mm) O.D. (cm) length (cm) units/box For all scopes and delicate instruments over 5mm in diameter Small product number I.D. (mm) O.D. (cm) length (cm) units/box For all scopes and delicate instruments up to 5mm in diameter 14

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20 enteroscopy & capsule endoscopy enteroscopy & capsule endoscopy

21 enteroscopy & capsule endoscopy US Endoscopy has once again addressed an unmet need in the market with our full line of single-use products for enteroscopy procedures and enteroscope care and accessories. single balloon & double balloon enteroscopy For more devices available for single balloon and double balloon enteroscopes (230cm length), please view the individual product sections. AdvanCE capsule endoscope delivery device The AdvanCE capsule endoscope delivery device allows for direct placement of video capsules into the stomach or small intestine of patients with oropharyngeal or mechanical dysphagia, gastroparesis, and known or suspected anatomical abnormalities. product number sheath diameter (mm) length (cm) units/box enteroscopy devices Articulator injection needle The Articulator injection needle is designed to work in the tortuous conditions of the small bowel. The stainless steel sheath helps to eliminate patient and channel damage risks associated with plastic sheathed needles. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box * Biopsy forceps State-of-the-art manufacturing processes ensure that all US Endoscopy forceps are sharp and well aligned, allowing for precise tissue samples every time. product number sheath diameter (mm) length (cm) cup style units/box oval with spike 5 For use with the PillCam SB video capsule. Certain patient conditions such as surgically altered or atypical anatomy may hinder or prevent the endoscopic placement of the video capsule. * does not feature a spring-loaded handle. 17

22 Hot biopsy forceps With all of the features of our standard biopsy forceps, the hot biopsy forceps have insulated sheaths designed for maximum flexibility and protection. product number sheath diameter (mm) length (cm) cup style active cord connection units/box oval Olympus style 5 BioShield biopsy valves & irrigation accessories It is nearly impossible to manually clean, disinfect, flush and dry biopsy valves. Reused biopsy valves can become leaky and potentially harbor dangerous pathogens. BioShield biopsy valves are single-use offering unsurpassed protection for patients and healthcare workers. Note: Please refer to page 9-10 for the complete line of BioShield biopsy valves & irrigation accessories. Bipolar hemostasis probes With a unique, Hydromer tip to help prevent tissue from sticking to the probe, its universal length can be used for EGD, enteroscopy and colonoscopy. product number size (FR) length (cm) style units/box dual plug single plug single plug 1 Cytology brush Designed to collect cell samples from the small bowel, the unique bristle configuration of US Endoscopy s enteroscopy length cytology brush provides an abundant cell sample. product number sheath diameter (mm) length (cm) bristle diameter (mm) units/box Endo-Boot endoscope tip protector An indispensable aid in protecting your enteroscope and its delicate distal tip components during transport and storage. product number I.D. (mm) O.D. (cm) length (cm) units/box For all scopes and delicate instruments over 5mm in diameter 18

23 enteroscopy - continued Jumbo channel cleaning brush Designed with a textured, non-slip catheter and soft, specially designed nylon bristles for maximum cleaning effort in scopes that range from 2.8mm-6.0mm. product number sheath diameter (mm) length (cm) bristle diameter (mm) units/box taper 20 Valve/control head cleaning brush A full head of soft bristles to aid in removal of gross material, the ridged handle is designed with grooves for a comfortable, non-slip grip. product number bristle head length (cm) length (cm) bristle diameter (mm) channel diameter (mm) units/box N/A 10 N/A N/A 10 N/A 100 Roth Net retriever Designed for removal of excised polyps and foreign bodies within the convolutions of the small bowel. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x 6 5 Short Throw polypectomy snare The Short Throw snare is designed to work in tortuous conditions, an important feature when performing enteroscopy procedures. product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box x 5.4 Olympus style 5 19

24 listening...and delivering solutions 20

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26 ercp ercp

27 ercp From a convenient medical device organizer to a specifically designed head positioner, US Endoscopy offers unique products to address the challenges encountered during an ERCP procedure. Boost head positioner The Boost head positioner is designed to help stabilize a patient s head during ERCP, cradling it to enable access to the mouth and airway. product number height (cm) width (cm) length (cm) units/box Carr-Locke injection needle Originally designed for use in ERCP procedures, the Carr-Locke injection needle provides outstanding performance in your everyday procedures, as well as your most tortuous conditions including use in side-viewing duodenoscopes. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box (Pentax) Mio medical device organizer Easily adheres where it is convenient, the Mio organizer offers three clear pouches to house a variety of accessories such as guidewires, papillotomes, cannulas, snares, etc. product number description units/box ~86cm x ~76cm 20 23

28 listening...and delivering solutions 24

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30 feeding feeding

31 feeding From initial easily accessible placement PEG kits to non-balloon replacement tubes, US Endoscopy s feeding systems address the needs of patients and clinicians. All PEG kits provide support components, while the Safety PEG system reduces the risk of injuries from needles and other sharps. initial placement Safety PEG Constructed with the clinician s protection in mind, this kit reduces the risk of accidental sharps injuries, while offering all procedural and support components in a convenient manner. Safety pull PEG product number description size (FR) units/box cm silicone tube with insertion depth 20 2 markings Each kit contains: (1) nylon coated pull wire (1) 20FR silicone dual port feeding adaptor (1) silicone external bolster, one piece (1) 10cc plastic 1% Xylocaine ampule (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 safety scalpel (1) 5cc safety syringe (1) 18 gauge introducer safety catheter (1) 25 gauge x 5/8 needle (1) stainless steel hemostat (1) stainless steel scissors (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) lubricating jelly (1) triple pack povidone-iodine swabs (2) ointment (10% povidone-iodine swabs) (1) patient care manual (1) triple patient label 27

32 initial placement Pull PEG Specifically designed with the help of clinicians, this kit combines a procedure tray and support items, as well as a deluxe grasping snare. Pull PEG system product number description size (FR) units/box cm silicone tube with insertion depth 20 2 markings Each kit contains: (1) nylon coated pull wire (1) 20FR silicone dual port feeding adaptor (1) silicone external bolster, one piece (1) silicone external bolster, two piece (1) 5cc ampule Xylocaine (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 14 gauge cannula (1) 25 gauge x 5/8 needle (1) 19 gauge x 1 ½ needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (2) lubricating jelly (1) triple pack povidone-iodine swabs (2) ointment (10% povidone-iodine swabs) (1) patient care manual (1) triple patient label 28

33 initial placement Pull PEG Pull PEG system product number description size (FR) units/box cm silicone tube with insertion depth 24 2 markings and 71cm guidewire dilating tube with a dilating tip Each kit contains: (1) nylon coated pullwire (1) 24FR silicone dual port feeding adaptor (1) silicone round external bolster, one piece (1) 5cc ampule Xylocaine (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 14 gauge cannula (1) 25 gauge x 5/8 needle (1) 19 gauge x 1 ½ needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (2) lubricating jelly (1) triple pack povidone-iodine swabs (2) ointment (10% povidone-iodine swabs) (1) patient care manual (1) triple patient label 29

34 initial placement Guidewire PEG Guidewire PEG system product number description size (FR) units/box cm silicone tube with insertion depth 20 2 markings, 76cm guidewire dilating tip Each kit contains: (1) 260cm Teflon coated guidewire (1) 20FR silicone dual port feeding adaptor (1) silicone external bolster, one piece (1) silicone external bolster, two piece (1) 5cc ampule Xylocaine (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 18 gauge cannula (1) 25 gauge x 5/8 needle (1) 19 gauge x 1 ½ needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (2) lubricating jelly (1) triple pack povidone-iodine swabs (2) ointment (10% povidone-iodine swabs) (1) patient care manual (1) triple patient label 30

35 initial placement PEGs Pull PEG (non-pharmaceutical) These kits are a cost-effective alternative to our traditional PEG kits. Bearing the CE Mark, all pharmaceuticals have been omitted from these kits. Pull PEG system product number description size (FR) units/box * cm silicone tube with insertion depth 20 2 markings Each kit contains: (1) nylon coated pull wire (1) 20FR silicone dual port feeding adaptor (1) silicone round external bolster, one piece (1) silicone rectangular external bolster, two piece (1) pinch clamp (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 14 gauge cannula (1) 19 gauge x 1 ½ needle (1) 25 gauge x 5/8 needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (1) patient care manual (1) triple patient label *Bears CE mark Not currently for sale in the U.S. 31

36 initial placement PEGs Pull PEG (non-pharmaceutical) Pull PEG system product number description size (FR) units/box * cm silicone tube with insertion depth 24 2 markings and pullwire dilating tip Each kit contains: (1) nylon coated pull wire (1) 24FR silicone dual port feeding adaptor (1) silicone round external bolster, one piece (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 14 gauge cannula (1) 19 gauge x 1 ½ needle (1) 25 gauge x 5/8 needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (1) patient care manual (1) triple patient label *Bears CE mark Not currently for sale in the U.S. 32

37 initial placement PEGs Pull PEG (non-pharmaceutical) Pull PEG system product number description size (FR) units/box * cm silicone tube with insertion depth 20 2 markings, without snare Each kit contains: (1) nylon coated pull wire (1) 20FR silicone dual feeding port adaptor (1) silicone rectangular external bolster, one piece (1) pinch clamp (1) No. 11 scalpel (1) 14 gauge cannula (1) curved hemostat (1) triple patient label *Bears CE mark Not currently for sale in the U.S. 33

38 non-balloon replacement PEG A replacement tube designed like an initial placement feeding tube to better withstand the acidic conditions of the gastric cavity. product number description size (FR) units/box * cm silicone tube with insertion depth 20 2 markings and external bolster Each kit contains: (1) obturator (1) lubricating jelly (2) 4 x 4 gauze pads (1) 20FR silicone dual port feeding adaptor (1) triple patient label *Bears CE mark 34

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40 foreign body management foreign body management

41 foreign body management US Endoscopy has redefined the standard of care in foreign body management with innovative and practical devices. From the revolutionary Guardus overtube to the new Talon grasping device, you can rely on US Endoscopy s essential selection of foreign body management devices for unsurpassed security and peace of mind. Contact Hour Opportunity GI Foreign Body and Food Bolus; Overview and Retrieval Management Provider approved by the California Board of Registered Nursing. Provider #15248, for 1.1 Contact Hours According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), 1.1 hours earned in this activity are considered GI specific for the purpose of re-certification by contact hours through ABCGN. ABCGN tracking number GI Please contact US Endoscopy to schedule a contact hour presentation. Currently available in the U.S. only. Guardus overtube The revolutionary Guardus overtube was developed to address the inadequacies of traditional overtubes by enhancing the efficiency and safety of your procedures. An exclusive tapered tip design hugs the endoscope to help protect the patient s esophagus from mucosal shearing or tearing, while its unique insufflation cap helps maintain desired insufflation and guards medical personnel against leakage of body fluids. Esophageal length product number scope OD (mm) length (cm) overtube OD (mm) overtube ID (mm) units/box Gastric length product number scope OD (mm) length (cm) overtube OD (mm) overtube ID (mm) units/box Guardus overtube standard handle / Guardus overtube therapeutic handle /

42 rotatable retrieval basket This rotatable retrieval device is a great utility tool to have on hand for removal of sharps and other foreign bodies not suitable for the Roth Net retriever. product number sheath diameter (mm) length (cm) basket size (cm) units/box wide x 6.0 long 5 Rotator rotatable snare Standard oval snare easily rotates with one-handed manipulation for individualized orientation, addressing a variety of findings. Standard oval product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box x 5.4 Olympus style 10 Mini oval product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box x 3.0 Olympus style 10 38

43 foreign body management - continued Roth Net Platinum retrieval devices Featuring larger capacity, ergonomic design, and superior performance, the spring-like action of the Roth Net Platinum retriever series offers a retrieval net with a sturdy form and shape. Roth Net Platinum retriever food bolus Designed specifically for the challenges encountered in food bolus removal, its octagonal net is designed to open to maximum capacity while maintaining its form within the esophagus. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x Roth Net Platinum retriever universal Capable of addressing a variety of retrieval needs, this robust retriever is an all encompassing solution for foreign bodies and food impactions. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x * x Roth Net retrieval devices Roth Net foreign body retrievers are engineered with a strong, reinforced net material for extra security when extracting past the cricopharyngeus. Roth Net foreign body retriever standard Ideal for the removal of round, blunt, or otherwise hard to grasp foreign bodies. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x x x (enteroscopic) x * x 6 10 *sterile Not currently for sale in the U.S. 39

44 Roth Net foreign body retriever - pediatric A favorite in children s hospitals and GI travel carts, the Roth Net pediatric foreign body retriever is extremely effective for removing coins, watch batteries, and a variety of other foreign bodies children tend to swallow. (For use in 2.0mm pediatric gastroscopes) product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x Roth Net foreign body retriever - maxi Ideal for large foreign body removal, such as batteries and EMR specimens, too large for any other sized retriever. (For use in gastroscopes and colonoscopes with 3.2mm accessory channel or larger.) product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x * x Talon grasping device Designed to provide the firm hold required for challenging food bolus and foreign body retrieval cases. product number sheath diameter (mm) sheath length (cm) units/box *sterile Not currently for sale in the U.S. 40

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46 laparoscopy laparoscopy

47 laparoscopy In 1991, US Endoscopy pioneered devices for use in surgical endoscopy, including our exclusive Ponsky Endo-Sock specimen pouch - the first commercially available lap-chole retrieval pouch. This premium specimen retrieval pouch, along with our aspiration needle and cholangiography system, was developed with leading gastrointestinal endoscopic surgeons for maximum efficiency and value. Laparoscopic aspiration needle A 14 gauge aspiration needle that can be used with a syringe or wall suction, featuring a needle introducer to protect the needle tip as it passes through the trocar cannula. This single use needle is always sharp and ready to use. product number instrument diameter (mm) needle (cm) working length (cm) units/box gauge x Ponsky laparoscopic cholangiography systems Flexible cholangiocatheters are 5FR catheters with bold markings on their distal tips for easy insertion depth identification. Available with a round tip and.025 coated guidewire for simple cystic duct cannulation, or with a taper tip catheter design for selection that best fits the anatomical findings. product catheter catheter distal tip distal tip units/ number length (cm) diameter (FR) configuration diameter (FR) box round w/guidewire taper 4 5 Ponsky Endo-Sock retrieval pouch As the first disposable laparoscopic retrieval pouch introduced to the market in 1991, the Ponsky Endo-Sock specimen pouch is designed with a preloaded, ready to use, urethane pouch that automatically opens by advancing the handle. The Ponsky Endo-Sock is ideal for containing specimens, as it will not rupture or spill upon closure. product introducer working pouch opening units/ number diameter (mm) length (cm) dimensions (cm) dimensions (cm) box x 15 5 x

48 listening...and delivering solutions 44

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50 polypectomy & tissue acquisition polypectomy & tissue acquisition

51 polypectomy and tissue acquisition US Endoscopy offers an extensive and unique line of polypectomy and tissue acquisition devices. The isnare system takes advanced polypectomy to a new level with an efficient system that allows for immediate excision after injection, saving time and eliminating frustration. Our Roth Net Platinum retriever and etrap polyp trap have redefined polyp retrieval, while the new Entrada colonic overtube helps facilitate difficult colonoscopy and prevent the reformation of sigmoid loops, enabling advancement of the endoscope with improved control. Contact Hour Opportunity Surveying the Colon; Polyps and Advances in Polypectomy Provider approved by the California Board of Registered Nursing. Provider #15248, for 1.0 Contact Hours. According to the criteria of the American Board of Certification for Gastroenterology Nurses (ABCGN), 1.4 hours earned in this activity are considered GI specific for the purpose of re-certification by contact hours through ABCGN. ABCGN tracking number GI Please contact US Endoscopy to schedule a contact hour presentation. Currently available in the U.S. only. cytology brushes Designed to collect cell samples in the bronchus as well as the upper and lower GI tract, the unique bristle configuration is enhanced with a rotatable handle - facilitating an abundant cell sample. product number description sheath diameter (mm) length (cm) bristle diameter (mm) units/box bronchoscope gastroscope colonoscope enteroscope

52 Entrada colonic overtube Designed to prevent a sigmoid loop from reforming, the new Entrada colonic overtube facilitates colonoscopy in patients with difficult anatomy, specifically tortuous sigmoid looping. A unique hydrophilic coating allows for smooth insertion and scope movement. product number scope OD (mm) length (cm) overtube OD (mm) overtube ID (mm) units/box etrap polyp trap Forget sifting through waste to locate your specimen. The etrap polyp trap helps protect from unnecessary biomaterial exposure with an easy-grip, removable specimen strainer to effortlessly capture the entire resected polyp. Each unit is packaged with two specimen strainer trays for uninterrupted suction and procedural continuation. product number specimen strainer trays units/box (2 per unit) 25 48

53 tissue acquisition US Endoscopy offers premium biopsy forceps built with stainless steel cups and state-of-the-art technology. reusable biopsy forceps Teflon coated and equipped with a flushing port for thorough cleansing of the inner lumen. product number sheath diameter (mm) length (cm) cup style units/box oval with spike 1 hot reusable biopsy forceps product number sheath diameter (mm) length (cm) cup style active cord connection units/box oval Olympus style 1 49

54 disposable biopsy forceps Produced with sharpened cutting edges, our disposable stainless steel forceps are available in an oval cup style and features a Teflon sheath for ease of insertion. product number sheath diameter (mm) length (cm) cup style units/box oval with spike oval oval with spike oval oval with spike oval oval with spike 5 disposable biopsy forceps - with sheath product number sheath diameter (mm) length (cm) cup style units/box oval with spike 5 hot disposable biopsy forceps product number sheath diameter (mm) length (cm) cup style active cord connection units/box oval Olympus style oval Olympus style 5 50

55 isnare system A unique, multi-functional device ideal for endoscopic mucosal resection and saline assisted polypectomy. isnare system - oval snare product number snare style sheath diameter (mm) length (cm) approximate active cord needle (mm) units/box snare size (cm) connection oval x 4.0 Olympus style 23 gauge x oval x 4.0 Olympus style 25 gauge x 5 5 isnare system - hexagonal snare product number snare style sheath diameter (mm) length (cm) approximate active cord needle (mm) units/box snare size (cm) connection hexagonal x 4.0 Olympus style 25 gauge x hexagonal x 4.0 Olympus style 23 gauge x 5 5 polypectomy snares Exacto cold snare The first purpose-built non-diathermic snare, the Exacto cold snare offers more control for placement around diminutive polyps and a precise, clean cut. product number sheath diameter (mm) length (cm) approx. snare size (mm) units/box Polyp-Pak (includes Rotator polypectomy snare * and Roth Net polyp retriever ) An unbeatable team of premium devices for polyp excision and removal, packaged together for maximum efficiency and value. product number units/box Note: Please refer to pages 52 and 53 for detailed product information. *sterile 51

56 Rotator rotatable polypectomy snare - standard oval Forget thumbwheels and antiquated designs. This standard oval polypectomy snare easily rotates with one-handed manipulation for individualized orientation, addressing a variety of anatomical findings. product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box x 5.4 Olympus style 10 Rotator rotatable polypectomy snare - mini oval product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box x 3.0 Olympus style 10 Short Throw polypectomy snare - standard oval Featuring a handle with 25% stroke travel reduction, this snare offers superior loop memory and the comfort of one-handed deployment. product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box x 5.4 Olympus style x 5.4 Olympus style 5 Short Throw polypectomy snare - mini oval product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box x 3.0 Olympus style 10 Traxtion hexagonal snare Arguably one of the stiffest snares on the market today, the Traxtion snare is ideal for the resection of flat or sessile lesions. product number sheath diameter (mm) length (cm) approx. snare size (cm) units/box x

57 polypectomy and tissue acquisition - continued Roth Net retrievers Used to efficiently capture large polyps, multiple polyps and piecemeal polyp fragments, Roth Net polyp retrievers also prevent red outs and hold specimens securely while going around colonic folds or through the anal sphincter. Designed with a finer, more transparent net, the Roth Net polyp retrievers improve visibility and preserve precious specimens for histopathological analysis. Roth Net retriever polyp Designed with a finer, more transparent net, the Roth Net polyp retriever easily encapsulates excised polyps in as little as one to three minutes and preserves specimens for accurate histopathological review. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x x 6 10 Roth Net Platinum retriever polyp This polyp-specific retriever is designed to spring open to capacity to fully utilize the oversized retrieval pouch for large and piecemeal resected polyps, as well as multiple polyp collection. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x * x Miller K, Waye J. Polyp retrieval after colonoscopic polypectomy: use of the Roth Retrieval Net, Gastrointest Endosc, 2001Oct.;54: *sterile Not currently for sale in the U.S. 53

58 listening...and delivering solutions 54

59

60 Roth Net retrieval devices Roth Net retrieval devices

61 Roth Net retrieval devices Co-developed by US Endoscopy and Bennett Roth, MD of UCLA Medical Center, our complete line of Roth Net and Roth Net Platinum endoscopic retrievers are indispensable for polyp retrieval and foreign body management. The patented net delivers a flexible, durable pouch for even the most difficult retrieval procedures. Food bolus, foreign body, or polyp retrieval, the Roth Net and Roth Net Platinum retrievers have been utilized worldwide as the #1 trusted choice in endoscopic retrieval. Roth Net Platinum retrievers Roth Net Platinum retriever food bolus Designed specifically for the challenges encountered in food bolus removal, its octagonal net is designed to open to maximum capacity while maintaining its form within the esophagus. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x Roth Net Platinum retriever polyp This polyp-specific retriever is designed to spring open to capacity to fully utilize the retrieval pouch for large and piecemeal resected polyps, as well as multiple polyp collection. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x * x Roth Net Platinum retriever universal Capable of addressing a variety of retrieval needs, this robust retriever is an all encompassing solution for foreign bodies, polyps, and food impactions. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x * x *sterile Not currently for sale in the U.S. 57

62 Roth Net retrievers Roth Net retriever polyp Designed with a finer, more transparent net, the Roth Net polyp retriever easily encapsulates excised polyps in as little as one to three minutes and preserves specimens for accurate histopathological review. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x x 6 10 Roth Net foreign body retrievers standard Recommended by the ASGE for the removal of round, blunt or otherwise hard to grasp foreign bodies. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x x x x * x Roth Net foreign body retriever pediatric A favorite in children s hospitals and GI travel carts, the Roth Net pediatric retriever is extremely effective for removing coins, watch batteries, and a variety of other foreign bodies children tend to swallow. (For use in 2.0mm pediatric gastroscopes) product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x Roth Net foreign body retriever maxi Ideal for large foreign body removal, such as batteries and EMR specimens, too large for any other sized retriever. (For use in gastroscopes or colonoscopes with 3.2mm accessory channel or larger) product number sheath diameter (mm) length (cm) approximate net size (cm) units/box x * x 8 5 Miller K, Waye J. Polyp retrieval after colonoscopic polypectomy: use of the Roth Retrieval Net, Gastrointest Endosc, 2001Oct.;54: ASGE, Guideline for the management of ingested foreign bodies, Gastrointest Endosc, 2002 Jun.; 55(7): *sterile Not currently for sale in the U.S. 58

63 Roth Net retriever product information chart part number description sheath diameter (mm) foreign body retrieval length (cm) net size (cm) qty/box standard foreign body x standard foreign body x standard foreign body x Roth Net Platinum - food bolus x standard foreign body (sterile) x Roth Net Platinum - universal x Roth Net Platinum - universal (sterile) x tissue retrieval standard - polyp x standard - polyp x Roth Net Platinum - polyp x * Roth Net Platinum - polyp (sterile) x specialty retrieval pediatric x maxi x enteroscopic x maxi (sterile) x 8 5 Not currently for sale in the U.S. 59

64 product index product number page product number page product number page , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 58 symbol index latex-free single-use sterile Not currently for sale in the U.S. Currently for sale in the U.S. only less than 24 hour use 60

65 Listening and delivering solutions, the US Endoscopy listening and delivering solutions design, and all marks denoted with or are registered with the U.S. Patent and Trademark Office, or trademarks owned by US Endoscopy, unless otherwise indicated. Ponsky Endo-Sock Retrieval Device, U.S. Patent Number 5,643,283. Carr-Locke Injection Needle, U.S. Patent Number 6,666,847 and patents pending. Roth Net retrieval device and Roth Net Platinum retrieval device, U.S. Patent Numbers 6,814,739 and 5,643,283 and patents pending. Entrada colonic overtube, U.S. Patent Numbers 5,941,815 and 5,779,624. isnare system, U.S. Patent Number 7,691,110 AdvanCE capsule endoscope delivery device, BioShield biopsy valve, BioVac direct suction device, etrap polyp trap, Guardus overtube, and Velocity irrigation system, patents pending. Fujinon is a registered trademark of Fuji Film Co., Ltd. Hydromer is a registered trademark of Hydromer, Inc. Microvasive is a registered trademark of Boston Scientific Company, Inc. Olympus is a registered trademark of Olympus Optical, Inc. PENTAX is a registered trademark of Asahi Kogaku Kogyo Kabushiki Kaisha PillCam is a registered trademark of Given Imaging Ltd. Teflon is a registered trademark of DuPont and/or its affiliates Velcro is a registered trademark of Velcro Industries B.V. Copyright 2011 US Endoscopy All rights reserved Rev. E

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