Standard Instrument Sets for Hand Surgery by Buck-Gramcko. Instruments

Transcription

1 Standard s for Hand Surgery by Buck-Gramcko Instruments

2 Presented by: WALDEMAR LINK GmbH & Co. KG Barkhausenweg 0. D Hamburg Postfach D-2235 Hamburg Tel +49 (0) Fax +49 (0) info@linkhh.de. Internet

3 Content Tissue Dissection l i n k s ta n d a r d i n s t r u m e n t s e t s f o r h a n d s u r g e ry by buck-gramcko Bone Surgery 2-7 Tissue Dissection 8-7 Bone Surgery 8-2 Tendon Surgery Micro - Surgery Tendon Surgery Skin Grafting 3-32 Numerical - and Alphabetical - Index Micro - Surgery Numerical - and Alphabetical - Index Skin Grafting

4 Tissue Dissection 0-500/0 Tissue Dissection for Hand Surgery in H2 Container consisting of: /03 H2 Semi Container, only 275 x 275 x 30 mm ea /02 Wire-Mesh Tray, only ea /03 Storage Template for 0-500/02 ea /04 Wire-Mesh Tray, only ea /05 Storage Template for 0-500/04 ea. Instruments: Blade Handles 2 ea Tissue Forceps 2 ea Dressing Forceps ea Dissecting Scissors ea Dissecting Scissors ea Suture Scissors ea Square Handle Hook, 2 prong, large, 6 mm Square Handle Hook, 2 prong, small, 3 mm Gillies Retractor, single prong, 3.8 mm 2 ea. 2 ea. 2 ea Square Handle Blade Retractor ea Square Handle Blade Retractor ea Moberg Retractor, 5 x 7 mm 2 ea. Instruments: Retractor, 6 x 25 mm ea Retractor, 2 prong, blunt, 7.5 x 5 mm ea Retractor, 2 prong, blunt, 9 x 5 mm ea Square Handle Hook, medium, 7 mm ea Square Handle Hook, large, 9 mm ea Gillies Hook, 3.8 mm ea Hemostatic and Suture Holding Forceps 6 ea Halsted Mosquito Forceps,.4 mm wide tips 2 ea Halsted Mosquito Forceps,.8 mm wide tips 4 ea Halsey Needle Holder ea

5 Tissue Dissection Tissue Dissection Set /03 H2 Semi Container 275 x 275 x 30 mm, with 0 plastic seals (0 3 /4 x 0 3 /4 x 5 ) long lasting fabric filter in base and lid. Fully autoclavable, in accordance with DIN 58946, section quick-change filter clips disposable plastic seals, autoclavable insulated handles Bone Surgery Paper for H2 Container, 95 x 95 mm. (Not illustrated) 0-500/02 Wire-Mesh Tray 240 x 258 x 50 mm, (9 x 0 /8 x 2 ) made of stainless steel mesh with handles and holding rack. (Without instruments) Tendon Surgery 0-500/03 Storage Template for 0-500/02 (Not illustrated) Micro - Surgery 0-500/04 Wire-Mesh Tray 240 x 258 x 50 mm, (9 x 0 /8 x 2 ) made of stainless steel mesh with handles and holding rack. (Without instruments) 0-500/05 Storage Template for 0-500/04 (Not illustrated) Skin Grafting Numerical - and Alphabetical - Index

6 Tissue Dissection Blade Handle 25 mm (5 ) Tissue Forceps, x 2 teeth,.0 mm wide jaws, 45 mm (5 3 /4 ). / For holding tissue being dissected, as well as for grasping the wound edge during suturing Dressing Forceps, fine jaws with hard carbine inserts, 25 mm (5 ). / Permits atraumatic handling of tissue during dissection. Small tissue fragments may be grasped and held securely Dissecting Scissors, curved, narrow blunt tips, extra delicate, 55 mm (6 /4 ). / These Scissors are designed to dissect tissue by spreading it with the tips of the blades. Small back and forth movements of the blades will gently separate tissue without cutting. The Scissors slender blades are perfectly rounded and lightly curved for maximum visualization of the operative field Dissecting Scissors, curved, flat blunt tips, 45 mm (5 3 /4 ) Though these Scissors have basically the same features as 0 502, the blades are somewhat wider making it best suited for coarse tissue areas and for mobilizing and cutting skin flaps

7 Tissue Dissection Tissue Dissection Set Suture Scissors, curved, delicate pointed tips, 0 mm (4 ). Short and delicate Scissors with precisely shaped sharp points for undermining skin and cutting finest sutures. Bone Surgery Square Handle Hook, 2 prong, sharp, large, 6 mm curve, 75 mm (7 ) Square Handle Hook, 2 prong, sharp, small, 3 mm curve, 75 mm (7 ). Sharp, double prong Skin Hooks may be used for temporarily retracting skin flaps that cannot be separated with traction sutures. Tendon Surgery Gillies Retractor, single, sharp, 3.8 mm curve, 75 mm (7 ). Sharp, single prong Skin Hooks are perfect for holding small skin flaps and are especially useful when preparing a Z plasty. Micro - Surgery Square Handle Blade Retractor, solid 2 x 2 mm blade, square handled, retrograde curved, 75 mm (7 ) Square Handle Blade Retractor, fenestrated 2 x 2 mm blade, square handled, retrograde curved, 75 mm (7 ). Skin Grafting These Retractors feature a retrograde bend for better accomodation of the wound margin and permit deeper viewing of the operating area. Numerical - and Alphabetical - Index

8 Tissue Dissection Moberg Retractor, small, 5 x 7 mm blade, 75 mm (7 ) Buck-Gramcko-Retractor, large, 6 x 25 mm blade, 75 mm (7 ) Retractor, 2 prong, blunt, 7.5 mm wide x 5 mm deep, 75 mm (7 ) Retractor, 2 prong, blunt, 9 mm wide x 5 mm deep, serrated, 75 mm (7 )). Blade Retractors are supplied in several different sizes for deep or shallow wound retraction. Their thin blades and shanks afford the surgeon maximum visualization of the operative area Square Handle Hook, single, blunt, medium, 7 mm curve,75 mm (7 ) Square Handle Hook, single, blunt, large, 9 mm curve,75 mm (7 ) Gillies Hook, single, blunt, delicate, 3.8 mm curve, 75 mm (7 ). Blunt Hooks in various sizes are designed to retract or lift longitudinal structures such as tendons, nerves or vessels within the operative area. The smallest Hook is ideal for digital nerves and vessels

9 Tissue Dissection Tissue Dissection Set Hemostatic and Suture Holding Forceps, fine criss cross serrated jaws to prevent slippage, 20 mm (4 3 /4 ). Rings are black plated for quick identification. These blunt Forceps are recommeded for holding and clamping traction sutures. Fine criss cross serrated jaw surfaces are specifically made to hold firmly without cutting the suture material. They may also be used for hemostasis. / Bone Surgery Halsted Mosquito Forceps, delicate, curved, x 2 teeth and cross serrations..4 mm wide tips,20 mm (4 3 /4 ). / Tendon Surgery Halsted Mosquito Forceps, standard, curved, x 2 teeth and cross serrations..8 mm wide tips, 20 mm (4 3 /4 ). Tissue structures or tendon stumps can be grasped securely with x 2 mouse teeth and horizontal serrations on the inner jaw surfaces. / Micro - Surgery Halsey Needle Holder, extra delicate, with hard carbide inserts for positive grip. Angled thumb ring, gold finish handle, 25 mm (5 ). / Skin Grafting A light, delicate needle holder having small jaws with hard carbide inserts. Shanks are slender and flexible for grasping and releasing suture needles gently. The thumb ring is angled 35 for more comfortable positioning in the surgeon s hand. Numerical - and Alphabetical - Index

10 Bone Surgery 0-50/0 Basic Surgery of the Hand in N2 Container consisting of: /03 N2 Standard Container, only 575 x 275 x 30 mm ea /02 Wire-Mesh Tray, only ea /03 Storage Template for 0-502/02 ea /04 Wire-Mesh Tray, only ea /05 Storage Template for 0-502/04 ea. Instruments: Hohmann-style Elevator, small 2 ea Hohmann-style Elevator, medium ea Periosteal Elevator, light curve ea Periosteal Elevator, contra-angled curve ea Periosteal Raspatory, short curve ea Periosteal Raspatory, contra-angled curve ea Mallet ea Osteotome ea Lambotte Osteotomes Set (7) Set Wire Cutter ea Boehler Bone Nibbling Rongeur, light curve ea Bone-Cutting Rongeur ea Wire Twisting Forceps ea Bone Fragment Clamp ea. Instruments: Mini-Ulrich Bone Clamp, self retaining ea Bone Holding Clamp, curved ea /02 Light Langenbeck Bone Clamp ea Reill Wire Cutter ea Wire Bender ea Bone Awl ea Bone Rasp ea Hand Drill ea Round Cutting Drill Bit, round (Set of 4) Set Bone Tamper ea /0 Square Handle Hook, 7 mm reach ea /07 Square Handle Hook, 9 mm reach ea Bone Packer Dissector ea Bone Curette ea

11 Bone Surgery Tissue Dissection /03 N2 Stanard Container 575 x 275 x 30 mm, with 0 plastic seals (22 x 0 3 /4 x 5 ) long lasting fabric filter in base and lid. Fully autoclavable, in accordance with DIN 58946, section quick-change filter clips disposable plastic seals, autoclavable insulated handles Bone Surgery Set Paper Filter for Stackable Container, 500 x 220 mm. (Not illustrated) 0-502/02 Wire-Mesh Tray, 480 x 258 x 50 mm, made of stainless steel mesh with handles and holding rack for straight and ring handled instruments (Without instruments). Tendon Surgery 0-502/03 Storage Template for 0-502/02 (Not illustrated) Micro - Surgery 0-502/04 Wire-Mesh Tray, 480 x 258 x 50 mm, made of stainless steel mesh with handles and storage rack for additional instruments. (Without instruments) 0-502/05 Storage Template for 0-502/04 (Not illustrated) Skin Grafting Numerical - and Alphabetical - Index

12 Bone Surgery Hohmann-style Elevator, small, 6 mm wide,75 mm (7 ). / Hohmann-style Elevator, medium, 0 mm wide, 75 mm (7 ). / 0-50 Periosteal Elevator, light curve, rounded end, 5 mm wide, 75 mm (7 ). / 0-52 Periosteal Elevator, contra angled curve, 4.5 mm wide, 75 mm (7 ). / Elevators with flat ribbed handle of various shapes and sizes make it possible to lift parts of the skeletal structure while protecting surrounding tissue. Thin, anatomically shaped blades are perfectly smooth, minimizing trauma to adjacent nerves, vessels or tendons. 0

13 Bone Surgery Tissue Dissection 0-54 Periosteal Raspatory, short curve, 6 mm wide blade, 75 mm (7 ). / Bone Surgery Set 0-56 Periosteal Raspatory, contra angled curve, 6 mm wide blade, 75 mm (7 ). These delicate, narrow Raspatories with flat ribbed handle are especially designed for carefully separating soft tissue structures from small hand bones, a prerequisite for successful bone intervention. / / Tendon Surgery 0-58 Mallet, with squared and rounded head, 7 mm dia. round and 8 x 8 mm square contact surface. 205 mm (8 ). /3 Micro - Surgery This appropriately weighted Mallet with comfortable plastic handle features a small and large contact surface for use with narrow or wide osteotomes Skin Grafting Osteotome, 5 mm wide, 50 mm (6 ). An Osteotome particularly useful for smoothing osteotomy surfaces without the use of a mallet. Numerical - and Alphabetical - Index

14 Bone Surgery Lambotte Osteotomes, (Set of 7) 25 mm (5 ) / consisting of: Item-No. Width mm 0-522/ / / / / /5 5 / A selection of sharp Osteotomes of various widths is necessary to avoid injuring surrounding soft tissue when performing osteotomies of the finger and other bone structures of the hand Wire Cutter, hard metal blades, straight cut, gold ring handles, 0 mm (4 /4 ). Used primarily for the cutting and shortening of wires with intra ossal wire sutures, as in cases of fractures or athrodeses Boehler Bone Nibbling Rongeur, light curve, 2 x 5 mm jaws, 55 mm (6 ). Careful bone resection without splintering is possible with this delicate rongeur. Its narrow, precisely approximated jaws are angled for maximum visibility during use. Doubled action assures increased strength at the tips. / 2 3

15 Bone Surgery Tissue Dissection Boehler Bone Cutting Rongeur, lightly angled jaws, 22 mm cutting edge, 50 mm (6 ). The delicate blades of this Bone Cutting Rongeur are specially shaped for shortening phalanges. Double action and perfect blade approximation combine to make it a precise bone cutting instrument. / Bone Surgery Set Wire Twisting Forceps, with carbide inserts, gold plated rings, 60 mm (6 /4 ). Used for grasping and wrapping soft bone wires in the case of small bone osteosyntheses. Tendon Surgery / Micro - Surgery Bone Fragment Clamp, guarded tips, sliding ring locks, 5 mm (4 ). A screw type lock makes adjustments quick and easy. Guarded tips prevent splintering of the osseous lamella while providing positive fixation. Sliding ring lock allows precise setting and release with the touch of a finger. Skin Grafting Numerical - and Alphabetical - Index

16 Bone Surgery Mini Ulrich Bone Clamp, self retaining, 2.5 mm wide jaws, 30 mm (5 ). Larger bone fragments in the area of the hand are held together with this Clamp. It is especially designed for the small circumference of phalanges, with delicate, securely-gripping jaws. The self retaining mechanism is completely adjustable to the smallest increments Bone Holding Clamp, with locking device, curved, 40 mm (5 ). These Bone Holding Clamps are designed to brace both ends of a separated bone. / 0-576/02 Light Langenbeck Bone Clamp, curved, light and delicate 2 x 2 jaws, 3 mm wide, serrated, 85 mm (7 /4 ). Small, deeply situated fragments can be securely grasped, and if necessary, repositioned with this fine, curved Bone Grasping Clamp. / Buck Gramcko Wire Bender, lumen diameters: mm and.6 mm, 20 mm (4 3 /4 ). / Kirschner wires are inserted in either end of this cannulated device. Tapered ends around the hole openings enable bending and cutting of the K wires very close to the skin surface. Trauma to adjourning fingers by K wires is thus minimized. 4 5

17 Bone Surgery Tissue Dissection Reill Wire Cutter, carbide jaws, for hard wires to.6 mm diameter, 80 mm (7 ). Constructed for maximum accessibility to the field without sacrificing cutting capability. Carbide jaw inserts and double action design combine to enable relative ease of cutting. Bone Surgery Set Bone Awl, straight, 4 sided, max. width 3.5 mm, autoclaveable handle, 65 mm (6 ). / Tendon Surgery Hard cortical material in the area of the hand is easily penetrated with this awl. It is particularly useful on preparation for drilling and inserting K wires, as well as for penetration into the medullary space Bone Rasp, criss cross serrations, bi directional cutting, lightweight, 6.5 mm wide, autoclaveable handle, 80 mm (7 ). Small hand bones in narrow surroundings can be successfully approached with this thin bladed Rasp. Finely cut sharp teeth permit carefully controlled rasping without tearing. The plastic handle is shaped to be held securely and comfortably Hand Drill, with cannulated Jacobs Chuck and key, 40 mm (5 ). / Micro - Surgery Skin Grafting This stainless steel Hand Drill features a small Jacobs Chuck with rounded jaws to minimize tissue damage. Key snaps conveniently into receptacle of the hollow handle. Numerical - and Alphabetical - Index

18 Bone Surgery Round Cutting Drill Bit, round, (Set of 4). For use with Hand Drill. consisting of: Item.-No. Dia. mm 0-538/ / / /08 8 Dia. 3 mm 4 mm 6 mm 8 mm Round headed Cutting Burrs are used to prepare bones for countersinking screw heads, as in finger joint arthrodesis, protrusion of screw heads is thus minimized. / Bone Tamper, with concave Tip, delicate, 2 mm wide tip, 55 mm (6 ). The narrow taper of this instrument permits access to all areas of the hand, while its concave tip prevents slippage. / 0-350/0 Square Handle Hook, sharp, prong, 7 mm reach, 75 mm (7 ). / 0-350/07 Square Handle Hook, sharp, prong, 9 mm reach, 75 mm (7 ). Frequently used during small bone surgery and osteosyntheses of the hand and finger bones, these Hooks can be used as small or medium bone prongs. / 6 7

19 Bone Surgery Tissue Dissection Bone Packer Dissector, angled, double ended, 75 mm (7 ). This instrument is designed to simplify such procedures as filling the scaphoid bone with spongiosa and modeling bone cement. / / Bone Surgery Set Double Ended Bone Curette, contra angled shaft, dual cups (3.5 and 4.5 mm), 75 mm (7 ). Different size cups permit cleaning of bone fragments or curetting of scaphoid bone in degenerative arthritis. / / Tendon Surgery Numerical - and Alphabetical - Index Skin Grafting Micro - Surgery

20 Tendon Surgery 0-520/0 Additional Set for Tendon Surgery of the Hand in N Container consisting of: /03 N Standard Container, only 575 x 275 x 00 mm ea /02 Tray, ea /03 Storage Template for 0-520/02 ea. Instruments: Tendon Stripper, short ea. 5 x 285 mm Tendon Stripper, long ea. 5 x 500 mm Tendon Stripper, short ea. 3 x 285 mm Tendon Retriever, straight ea Tendon Retriever, curved ea. Instruments: Tendon Passing Probe ea Tendon Retriever ea Tendon Braiding Forceps, straight ea Tendon Braiding Forceps, curved ea Tendon Fixation Needles 2 ea Sterilizing Box ea. 8 9

21 Tendon Surgery Tissue Dissection /03 N Standard Container 575 x 275 x 00 mm, with 0 plastic seals (22 x 0 3 /4 x 4 ) long lasting fabric filter in base and lid. Fully autoclavable, in accordance with DIN 58946, section quick-change filter clips disposable plastic seals, autoclavable insulated handles Paper Filter for Stackable Container, 500 x 220 mm. (Not illustrated) 0-520/02 Tray 550 x 265 x 50 mm, (2 x 0 x 2 ) made of stainless steel, with instrument rack. (Without instruments) Bone Surgery Tendon Surgery Set 0-520/03 Storage Template for 0-520/02 (Not illustrated) Micro - Surgery Numerical - and Alphabetical - Index Skin Grafting

22 Tendon Surgery Tendon Stripper, 5 mm diameter, 285 mm ( /4 ). / /3 For the simple removal of short tendons, such as from the M. palmaris longus. The cutting head is shaped to reduce damage to transplants Tendon Stripper, 5 mm diameter, 500 mm (9 3 /4 ) A substantially longer shaft facilitates removal of long palmaris or plantaris tendons. / / / Tendon Stripper, 3 mm diameter, 285 mm ( /4 ). The relatively small diameter cutting head of this instrument makes it suitable for removal of children s tendons. / Tendon Retriever, straight, 2 x 3 teeth, serrated jaws, double action, 205 mm (8 ) / Tendon Retriever, curved, 2 x 3 teeth, serrated jaws, double action, 205 mm (8 ). Opening of the carpal tunnel can often be prevented by using a Tendon Retriever. The double action construction of this instrument is of particular importance. In its closed position, this thin instrument with rounded tips is easily passed through a narrow tunnel. The shanks spread minimally while opening the jaws to engage the tendon. / Tendon Passing Probe, with eye and groove, malleable, 2.8 mm diameter, 200 mm (8 ). In very limited space, or where the canal curves strongly, the use of a Tendon Passing Probe instead of a tendon retrieving forceps may be indicated. A suture is put through the tendon stump, inserted through the eye of the probe and tied. The groove in the probe accommodates the suture and protects it while pulling the tendon through the canal. 20 2

23 Tendon Surgery Tissue Dissection Tendon Retriever, with fine 2 x 2 pins, 3 mm wide jaws, 50 mm (6 ). For the simple removal of short tendons, such as from the M. palmaris longus. The cutting head is shaped to reduce damage to transplants. / Bone Surgery Tendon Braiding Forceps, straight, delicate sharp point, 50 mm (6 ). Tendon Surgery Set / Tendon Braiding Forceps, curved, delicate sharp point, 45 mm (6 ). This instrument, either straight or curved, is of immeasurable help when braiding tendons. Its conically shaped fine point separates tendon strands without causing long splits. The jaws are constructed to grasp and hold a small tendon stump securely Tendon Fixation Needle, by Dietrich, 45 mm (2 ). A tendon may be temporarily immobilized with this needle thus restricting muscular action during the braiding process Sterilizing Box, perforated, 70 x 48 x 8 mm (2 3 /4 x 2 x /4 ). This small box will accommodate Tendon Fixation Needles. For storage and sterilization. / / Micro - Surgery Skin Grafting Numerical - and Alphabetical - Index

24 Micro - Surgery 0-540/0 Basic, in H2 Container consisting of: /03 H2 Container, only 275 x 275 x 30 mm ea /04 Upper Tray, only ea /05 Storage Template for 0-540/04 ea /06 Lower Tray, only ea /07 Storage Template for 0-540/06 ea. Instruments: Instruments: Sterilizing Box 4 ea Micro Scissors, curved, ea. blade 7 mm Micro Scissors, straight, ea. blade 4 mm Micro Scissors, curved, ea. blade 4 mm Micro Tissue Forceps, sharp tips ea Micro Tissue Forceps, blunt tips ea Micro Coagulating Forceps ea. angled, sharp tips Micro Coagulating Forceps ea. curved, slightly blunt Micro Needle Holder ea Counter Loop ea Micro Vessel Clip, 4 mm 2 ea Vessel Approximator ea Key for ea Micro Suture and Vessel Clip, 3 mm 6 ea Micro Suture and Vessel Clip, 4 mm 2 ea Micro Suture and Vessel Clip, 6 mm 2 ea Micro Suture and Vessel Clip, 8 mm 2 ea Clip Applying Forceps ea Irrigating Cannula ea Silicone Irrigator ea

25 Micro - Surgery Tissue Dissection /03 H2 Container 275 x 275 x 30 mm, with 0 plastic seals (0 3 /4 x 0 3 /4 x 4 ) long lasting fabric filter in base and lid. Fully autoclavable, in accordance with DIN 58946, section quick-change filter clips disposable plastic seals, autoclavable insulated handles Bone Surgery Long Lasting Fabric Filter for H2 Container, 95 x 95 mm. (Not illustrated) 0-540/04 Upper Tray 240 x 258 x 50 mm, (9 x 0 x 2 ) made of stainless steel mesh with handles and holding rack. (Without instruments) Tendon Surgery 0-540/05 Storage Template for 0-540/04 (Not illustrated) Micro - - Surgery 0-540/06 Lower Tray 240 x 258 x 50 mm, (9 x 0 x 2 ) made of stainless steel mesh with handles and holding rack. (Without instruments) 0-540/07 Storage Template for 0-540/06 (Not illustrated) Skin Grafting Numerical - and Alphabetical - Index

26 Micro - Surgery Micro Scissors, curved, delicate short blades 7 mm long, 45 mm (5,7 ). / Especially designed to prepare, open and cut small blood vessels. 3 / Micro Scissors, straight, serrated blades 4 mm long, 45 mm (5,7 ). / 3 /4 Serrated blades assure a smooth cut without danger of tearing Micro Scissors, curved, blade 4 mm long, 45 mm (6 ). Especially designed to prepare the nerve roots and to loosen the fascicle of scar tissue. / 3 / Micro Tissue Forceps, sharp points, Asepto Grip Handles, 32 mm offset mouth, sharp tips, 0 mm (4 /4 ). Nerves or blood vessels can be gently gripped with the delicate shanks of these forceps, adjustments in pressure on object to be grasped are simplified. / / Micro Tissue Forceps, blunt tips, 00 mm (4 ). Similar to model 0 544, but with blunt tips to minimize tissue damage to larger vessels. Not offset. / / 24 25

27 Micro - Surgery Tissue Dissection Micro Coagulating Forceps, angled, sharp points, Asepto-Grip Handles, 25 mm offset mouth, 30 mm (5.2 ). / / Bone Surgery Micro Coagulating Forceps, curved, slightly blunt, 32 mm offset mouth, 30 mm (5.2 ). The delicate tips ensure a dot shaped bipolar coagulation of the tissue is suited for the smallest of vessels. / / Tendon Surgery Micro Needle Holder, curved, 50 mm (6 ). Asepto Grip Handles, very fine pattern for atraumatic needles 0.8 mm wide tips. / Micro - - Surgery 3 /4 The smallest needles and sutures may be grasped and held securely with this delicate Needle Holder. All edges of the jaw surfaces and shanks have been carefully rounded to prevent gouging of the needles and avoid catching and breaking micro sutures tying Counter Loop, 05 mm (4 /4 ), in retractable handle. The tip of the Loop is inserted into the end of a small vessel / and supports the wall while it is being penetrated with the suture needle. Small vessels need not be handled with forceps and unnecessary trauma is avoided. Skin Grafting Numerical - and Alphabetical - Index

28 Micro - Surgery Approximator, for medium size vessels, self retaining, adjustable pressure 4 mm long jaws, 40 mm overall length ( ). / Key for , 83 mm. / Pressure exerted by the bayonet shaped self retaining tips may be adjusted to the finest degree. To minimize size and weight, the parallel adjustment mechanism has been placed in the middle of the device, close to its center of gravity. The instrument is uniquely provided with adjustable legs to stabilize it in the deep hollow of the hand. The legs may be retracted if the approximator is used in a more shallow area Micro Suture and Vessel Clip, total length 3 mm, jaws 4 mm x 0.75 mm, pressure approximately 25 grams. / Micro Suture and Vessel Clip, total length 4 mm, jaws 6 mm x mm, pressure approximately 95 grams. / Micro Suture and Vessel Clip, total length 6 mm, jaws 8 mm x 2 mm, pressure approximately 85 grams. / Micro Suture and Vessel Clip, total length 8 mm, jaws 0 mm x 2 mm, pressure approximately 60 grams. / 26 27

29 Micro - Surgery Tissue Dissection Clip Applying Forceps for Clips to With lock,50 mm (6 ). Grooved jaws provide greater stability of the Clip during insertion while the smooth jaws allow access to the clamping sight from an oblique angle. When locked, the Clips applier will present the Clip with open jaws. / Bone Surgery Irrigating Cannula, with olive tip, mm diameter, 43 mm ( 3 /4 ) Silicone Irrigating Bulb, for use with / 3 / Tendon Surgery The flat base allows the irrigator to be placed upright on the surgical tray when not in use to avoid spillage and loss of fluid. With Luer adapter. Micro - - Surgery Sterilizing Box for Micro Clips, perforated, 7 0 x 4 8 x 8 m m ( 2 3 / 4 x 2 x / 4 ). This small box will accommodate Micro Clips to 30, to 46 or Vessel Approximators to 36. For storage and sterilization. Skin Grafting Numerical - and Alphabetical - Index

30 Skin Grafting 0-550/0 Skin Grafting in H Container consisting of: 0-550/02 Wire-Mesh Tray, only ea /03 Storage Template for 0-550/02 ea. Instruments: Ruler ea Humby Skin Graft Knife ea. (incl. 0 blades) 0-93 Silver Dermatome ea /02 Skin Traction Plate, synthetic 2 ea Micro Forceps 2 ea

31 Skin Grafting Tissue Dissection 05-00/03 H Container 275 x 275 x 00 mm, with 0 plastic seals (0 3 /4 x 0 3 /4 x 4 ) long lasting fabric filter in base and lid. Fully autoclavable, in accordance with DIN 58946, section quick-change filter clips disposable plastic seals, autoclavable insulated handles Bone Surgery Long Lasting Fabric Filter for H Container, 95 x 95 mm. (Not illustrated) 0-550/02 Tray 240 x 258 x 50 mm, (9 x 0 x 2 ) made of stainless steel mesh with handles and holding rack. (Without instruments) Tendon Surgery 0-550/03 Storage Template for 0-550/02 (Not illustrated) Micro - Surgery Numerical - and Skin Grafting Alphabetical - Index Skin Grafting

32 Skin Grafting Ruler, 300 mm ( 3 /4 ), metric only Humby Skin Graft Knife, Blade 6 cm (6 /4 ), adjustable settings, overall length 35 mm (2 ). (incl.0 blades) / Humby Knife Blade, 0 per pack. (Not included in Container/Case System) 0-93 Silver Dermatome, blade 40 mm ( ), overall length 200 mm (7 3 /4 ). Adjustable settings, uses Double Edge Razor Blades Double Edge Razor Blade, 0 per pack (Not included in Container/Case system) 0-934/02 Skin Traction Plate, plastic, 20 x 80 x 0 mm (4 3 /4 x 3 x /3 ) Micro Forceps, straight, 0 mm (4 /4 ). Asepto Grip Handles, x 2 forward ~ angled fine teeth stop prevents full closure. / / 30 3

33 Numerical Index Tissue Dissection Item-No. Page Item-No. Page 05-00/ / , / / / / / / / / / / / to to to to to / / / / / to to to /02 to 0 522/ /03 to 0 538/ / / to to to / / / / / , to to to to / / / Bone Surgery Tendon Surgery Micro - Surgery Skin Grafting Numerical Numerical - and - and Alphabetical Alphabetical - Index - Index

34 Alphabetical Index Page A Approximator Additional Set... 8 B Basic H Blade Handle... 4 Boehler Bone-Nibbling Rongeur... 5, 8, 2 Bone Awl... 5 Bone Curette... 7 Bone Packer-Dissector... 7 Bone Rasp... 5 Bone Surgery... 8 Bone Tamper... 6 Bone-Cutting Rongeur... 3 Braiding Forceps... 2 Buck-Gramcko-Retractor... 6 C Clip Applying Forceps Container H2 Semi... 3 Counter Loop D Dissection Scissors... 4 Double Edge Razor Blade Double Ended Bone Curette... 7 Dressing Forceps... 4 Drill... 5 E Elevators... 0 F Fixation Needle... 2 Forceps... 24, 25 G Gillies Hook... 2, 5 Grasping Forceps... 2 H H Container H 2 Semi Container... 3, 23 Halsted Mosquito Forceps... 7 Halsey Needle Holder... 7 Hand Drill... 5 Homann-style Elevator... 0 Hooks... 5, 6 Humby Knife Blade Humby Skin Graft Knife I Irrigating Cannula K Key L Lambotte Osteotomes... 2 M Mallet... Micro Coagulating Forceps Micro Forceps Micro Needle Holder Micro Scissors Micro Suture and Vessel Clips Micro Tissue Forceps Micro Vessel Clips... 22, 27 Mini-Ulrich Bone Clamp... 8, 4 N N Standard Container... 9 N2 Standard Container... 9 O Osteotomes..., 2 P Paper Filter, 95 x 95 mm... 3 Paper Filter, 500 x 220 mm... 9, 9 Passing Probe Page Periosteal Elevators... 0 Periosteal Raspatories... R Rasp... 5 Raspatories... Reill Wire Cutter... 2, 5 Retractors... 5, 6 Retriever Rongeurs... 2, 3 Round Cutting Drill Bit... 6 Ruler S Scissors Sharp Hook... 2 Silicone Irrigator Silver Dermatome Skin Grafting Skin Traction Plate Square Handle Blade Retractor... 5, 6 Square Handle Hook... 5, 6, 6 Standard Container N... 9 Standard Container N Sterilizing Box... 2, 27 Storage Templates... 3,9,9 Strippers Suture and Vessel Clips Suture Scissors... 5 T Tendon Braiding Forceps... 2 Tendon Fixation Needle... 2 Tendon Passing Probe Tendon Retriever... 8, 20, 2 Tendon Strippers Tendon Surgery... 8 Tissue Dissection... 2 Tissue Forceps... 4 Tray only... 9 W Wire Bender... 4 Wire Twisting Forceps... 3 Wire-Mesh Tray... 3,9,23,29

35 Information All instruments, unless otherwise noted, are made of stainless steel.

36 W. LINK en/04.07 WALDEMAR LINK GmbH & Co. KG Barkhausenweg 0. D Hamburg Postfach D-2235 Hamburg Tel +49 (0) Fax +49 (0) info@linkhh.de. Internet