Integra Jarit Laparoscopic Instruments

Transcription

1 Integra Jarit Laparoscopic Instruments

2 Table of Contents Guarantee/Warranty... 2 One-Piece Laparoscopic Instrumentation... 3 Grasping Forceps... 4 Dissecting Forceps...16 Biopsy Forceps Scissors...20 Needle Holders, Receivers, and Ligation Suction/Irrigation Retracting Instruments...26 Electrosurgical Coagulation Specialization...30 Take-Apart Laparoscopic Instruments Take-Apart Laparoscopic Grasping Forceps Take-Apart Laparoscopic Dissecting Forceps Take-Apart Laparoscopic Biopsy Forceps...48 Take-Apart Laparoscopic Scissors...50 Jarit Detach System Trocar/Cannula Systems Storage and Accessories Laparoscopes Laparoscopic Instruments Replacement Parts Listing Tip Comparison Chart...68 Numerical Index Alphabetical Index Table of Contents 1

3 Guarantee/Warranty All Integra Jarit Instruments are unconditionally guaranteed against defects in material and workmanship. Integra Jarit will, at its option and without charge, either repair or replace any instrument which Integra Jarit determines to be defective in material or workmanship when used for its intended surgical purpose. All instruments sold by Integra Jarit are warranted only to the original purchaser and only against defects in workmanship or materials which under the intended use render such instruments inoperable. All Integra Jarit Carb-Bite and Integra Jarit Carb-Edge instruments are further warranted for a period of three (3) years under normal use. Should any adjustment become necessary during this warranty period, CARB-EDGE Scissors will be resharpened, and Carb-Bite Needle Holder jaw inserts will be replaced without charge. All Integra Jarit Supercut Scissors are further warranted for a period of one year under normal use. Should any resharpening become necessary during this warranty period, Integra Jarit will provide this service without charge. A nominal charge will be made for sharpening after expiration of this warranty. Integra Jarit Supercut Scissors will be date-stamped for control. The autoclavable feature of the Autoclavable Laparoscope is covered under a special one (1) year limited warranty. This Guarantee/Warranty shall be void in the event any Integra Jarit instrument is used for purposes other than as originally intended, is not maintained or cleaned properly, is damaged as a result of misuse or accident or is repaired or altered by unauthorized persons. The above is a limited warranty, and it is the only warranty made by Integra Jarit. Integra Jarit makes no other warranty, express or implied, including any warranty of merchantability or fitness for a particular purpose, as well as any express or implied warranty to patients. Integra Jarit shall have no liability for consequential, exemplary or incidental damages even if it is aware of the possibility of such damages. No warranty or guarantee may be created by any act or statement nor may this warranty be modified in any way, except as a result of a writing signed by an officer of Jarit. These limitations on the creation or modification of this warranty may not be waived or modified orally or by any conduct. The stated express warranty is in lieu of all liabilities or obligations of Integra Jarit arising out of, or in connection with, the delivery, use or performance of any Integra Jarit instrument. Integra Jarit neither assumes nor authorizes any representative or other person to assume for it any other liability in connection with Integra Jarit's products. All products are subject to slight changes in dimensions and finishes due to changes in manufacturing standards. Ordering Procedure A written purchase order on customer's form may be requested for purchase of Integra products. Acceptance of Order Orders are accepted upon approval by Integra. Returned Goods Policy Products must be returned in unopened packages with manufacturer s seals intact to be accepted for replacement or credit unless returned due to a complaint of product defect. Determination of a product defect will be made by Integra. Products will not be accepted for replacement if they have been in the possession of the customer for more than 90 days. Repairs and Maintenance Should your instruments require repair or maintenance, contact Integra for return authorization and address. Instruments returned to Integra for repair must have a statement testifying that each instrument has been thoroughly cleaned and sterilized. Failure to supply evidence of cleaning and disinfection will result in a cleaning charge and delayed processing of your instrument repair. Product Information Disclosure Integra and its subsidiaries ("Integra") and manufacturer exclude all warranties, except Integra's applicable standard warranty whether expressed or implied, including but not limited to, any implied warranties of merchantability or fitness for a particular purpose. Neither Integra nor manufacturer shall be liable for any incidental or consequential loss, damage, or expense, directly or indirectly arising from use of these products. Neither Integra nor manufacturer assume nor authorize any person to assume for them any other or additional liability or responsibility in connection with these products Care and Handling/IFU For Care and Handling information and Instructions for use, please visit integralife.com/jarit Integra York PA, Inc. 589 Davies Dr. York, PA USA integralife.com/jarit Miltex GmbH Muehlstrasse Rietheim-Weilheim, Germany INCHES 10 MILLIMETERS Integra, the Integra logo, Jarit, Jarit Detach, and Jarit Stardust are registered trademarks of Integra LifeSciences Corporation or its subsidiaries in the United States and/or other countries. Carb-Bite, Carb-Edge, Jarit Articulator, Jarit Rotator, Jarit Supercut, P.E.E.R., Roto-Cam, and Roto-Lok are trademarks of Integra LifeSciences Corporation or its subsidiaries. Lap-Band is a registered trademark of Allergan, Inc. 2

4 One-Piece One-Piece

5 One-Piece One-Piece

6 One-Piece Laparoscopic Instrumentation Stringent quality standards are the most important aspect in the development of Integra Jarit instruments. Laparoscopic instruments are designed, manufactured and tested to provide surgeons with superior performance and dependability. High grade surgical stainless steel, used in the manufacture of all Integra Jarit laparoscopic instruments, offers high tensile strength and durability. For effective and efficient processing, instruments are made with internal seals. To confirm electrosurgical safety, electrosurgical instruments are tested per IEC International Electromechanical Commission standards. Integra Jarit offers laparoscopic instruments with a choice of features to meet both the preference of the surgeon and the economic demands of the hospital. Rotation The Rotator design provides comfortable, single-handed, bi-directional rotation of the distal tip. The Rotator Instruments offer exclusive features to meet the technical requirements of blunt dissection, sharp dissection and grasping. Precise German engineering, combined with handcrafted workmanship, has resulted in the features of the Roto-Lok design for grasping forceps and the Roto-Cam design for dissectors and scissors. Roto-Lok: When the traction/countertraction technique is applied during dissection, it is important to maintain an effective grasp on tissue. If the instrument rotates freely, the distal tip could slip, making dissection difficult. With Integra Jarit s unique Roto-Lok feature, rotation locks into place once the tissue is grasped. The result is a secure grasp that will not slip or spin. One-Piece Laparoscopic Instrumentation Roto-Cam: The Roto-Cam design for dissectors and scissors allows the surgeon to easily turn the rotating wheel, yet provides enough tension to prevent unnecessary movement. The design enables rotation in both open and closed positions to facilitate precise dissection. Locking Mechanisms Computer-generated production techniques employed in the precisely calibrated ratchet, hinge and locking mechanisms result in smooth, secure jaw closure. Ratchet: The advanced design of the half-moon ratchet offers fine-teeth and a sturdy leaf-spring that is specially manufactured to maintain a firm hold. Locking Lever: As an alternative to the ratchet, the sophisticated Integra Jarit locking lever engages and releases easily, yet maintains a firm hold. The locking lever offers the surgeon the ability to open and close the jaws freely, locking only when the surgeon chooses to engage the lever. The unique internal design adds built-in strength for a long, useful life. Slide Lock: Featuring an ergonomic handle design, the slide locking mechanism is a different style of ratchet. It allows surgeons to operate the jaws freely until the sliding ratchet mechanism is engaged. 3

7 Grasping Forceps Integra Jarit grasping forceps feature a hinge mechanism to assure strength and durability. Precisely calibrated ratchets provide smooth, gradual closure of jaws. The easy-release locking lever offers the surgeon the ability to open and close the jaws freely, locking only when the lever is engaged. 220 Grasping Forceps Straight, serrated jaws with proximal recess, double action Roto-Lok Slide lock,, 321mm 14mm jaw Ratchet,, jaw Slide lock,, 322mm 14mm jaw ratchet,, 334mm 14mm jaw LL locking lever,, 334mm 14mm jaw Monopolar,, jaw Monopolar,, jaw Roto-Cam, monopolar,, jaw mm TC Grasping Forceps Uniquely designed grasping forceps feature double action Carb-Bite tips ratchet,, 343mm LL locking lever,, 343mm 1 20 INCHES 10 MILLIMETERS 4

8 Grasping Forceps 17 mm Strong TC Grasping Forceps Heavy Carb-Bite inserts, double action ratchet,, 326mm LL locking lever,, 377mm ratchet,, 377mm Grasping Forceps 22 mm Grabber Forceps Long, fenestrated jaws with interlocking wave-like serrations, double action slide lock,, 380mm (Locking Lever Shown) IL In-line, ratchet,, 378mm ratchet,, 382mm LL locking lever,, 382mm LL locking lever,, 462mm 5

9 Grasping Forceps mm Fundus Grasping Forceps Long, beveled-edge jaws slide-lock,, 381mm mm DA Double action, slide lock,, 382mm 170 (Ratchet Shown) (Locking Lever Shown) ratchet,, 383mm LL locking lever,, 383mm DA Double action, locking lever,, 384mm RD Double action, ratchet,, 384mm D5 Double action, locking lever,, 464mm IL Double action, in-line, ratchet,, 380mm mm slide lock,, 326mm (Ratchet Shown) Dual-Cup Grasping Forceps Double cup design increases surface area contact, double action ratchet,, 338mm LL locking lever,, 338mm 30 1 INCHES MILLIMETERS IL In-line, ratchet,, 374mm 6

10 Grasping Forceps (Ratchet Shown) 28 mm Retraction Grasping Forceps Long-ridged jaws with 2x3 blunt interdigitating teeth ratchet,, 383mm LL locking lever,, 383mm (Locking Lever Shown) Grasping Forceps 25.5 mm DA Double action, locking lever,, 386mm RD Double action, ratchet,, 386mm IL Double action, in-line, ratchet,, 382mm 12 mm Atrau-Allis Grasping Forceps Unique jaw design offers strong atraumatic grasp, double action ratchet,, 332mm LL locking lever,, 332mm (Ratchet Shown) Ratchet,, 332mm Ratchet,, 452mm 21 mm Atrau-Allis Long Jaw Grasping Forceps Unique jaw design offers strong atraumatic grasp, double action ratchet,, 381mm LL locking lever,, 381mm (Locking Lever Shown) 12 mm Allis Grasping Forceps Interlocking distal teeth with fine-serrated inner jaws, double action Ratchet,, 332mm ratchet,, 332mm 7

11 Grasping Forceps Retrograde Grasping Forceps Retrograde, deep-serrated teeth, double action Ratchet,, jaw ratchet,, 331mm 1 jaw ratchet,, 462mm 1 jaw mm Grasping and Dissecting Forceps Cup-shaped, toothed jaws, double action Monopolar,, 328mm mm Winer Grasping Forceps Cross-serrated, disc-shaped jaws with wide opening between the jaws, in-line ratcheted handle In-line, ratchet,, 344mm mm Grasping and Extracting Forceps Retrograde, deep-serrated teeth Spring-loaded, 10mm, INCHES 10 MILLIMETERS 8

12 Grasping Forceps 25 mm Claw Forceps 2x3 interlocking teeth for penetrating hold and extraction of tissue Spring-loaded, 10mm, 330mm Grasping Forceps Claw Forceps 12 mm 2x3 interlocking teeth for penetrating hold and extracting tissue Spring-loaded,, 32 DJB Grasping Forceps (Locking Lever Shown) 23 mm Wide fenestration and straight fine serrations of single action jaws ratchet,, 379mm LL locking lever,, 379mm DeBakey Forceps 33 mm Fenestrated 40mm long jaws with DeBakey-type teeth, double action slide lock,, 398mm L slide lock,, 474mm Ratchet,, 384mm LL locking lever,, 480mm 48 mm DeBakey Forceps, Curved 48mm long jaws with DeBakey-type teeth, double action ratchet, 10mm, 373mm 9

13 Grasping Forceps mm Strong Hold Babcock Forceps Traditional design, double action slide lock, insulated shaft,, 379mm mm 8 mm Paddle Babcock Forceps, 10mm Flat paddles with fine, straight serrations, double action ratchet, 10mm, 370mm mm 33 mm Paddle Babcock Forceps, Flat paddles with fine, straight serrations, double action ratchet,, 393mm LL locking lever,, 393mm (Ratchet Shown) LL locking lever,, 473mm IL In-line, ratchet,, 389mm mm 3 mm Babcock Forceps Traditional style Babcock jaws designed with six rows of fine serrations, double action ratchet, 10mm, 370mm INCHES 10 MILLIMETERS 10

14 Grasping Forceps 2 mm 30 mm Babcock Forceps, Traditional design, double action slide lock,, 388mm (Ratchet Shown) Grasping Forceps Ratchet,, 350mm ratchet,, 390mm LL locking lever,, 390mm 5 mm 27 mm Babcock Forceps, Round Jaw Rounded jaws with 2x3 rows of DeBakeytype teeth, double action Ratchet, 10mm, 346mm ratchet, 10mm, 330mm Swanström Grasping Forceps 18.5 mm Unique design of 1x2 DeBakey-type teeth with triangular fenestration, double action slide lock,, 376mm (Ratchet Shown) IL In-line, ratchet,, 374mm ratchet,, 378mm LL locking lever,, 378mm 11

15 Grasping Forceps mm Duckbill Grasping Forceps Wide fenestration and straight serrations of jaws Roto-Cam, monopolar,, 350mm mm Duval Grasping Forceps Triangular jaws with deep-serrated surfaces, double action Ratchet, 10mm, 331mm ratchet, 10mm, mm Russian Grasping Forceps 40mm long jaws with heavy serrations, double action Ratchet, 10mm, 331mm mm Anvil Grasping Forceps Jaws specially shaped to grasp and hold the anvil of a circular stapler ratchet, 10mm, 370mm INCHES 10 MILLIMETERS 12

16 Grasping Forceps 45 mm Foerster Sponge Forceps 4 jaws, double action Ratchet, 10mm, 33 Grasping Forceps 12 mm Hunter Clamp Right-angle shaft with Atrau-Allis teeth, double action. 50 mm Ratchet,, 321mm Hunter Bowel Grasper 23 mm Fenestrated jaws with DeBakey-type teeth, double action slide lock,, 330mm slide lock,, 381mm IL In line, non-ratcheted, 379mm (Locking Lever Shown) slide lock,, 457mm non-locking,, 322mm LL locking lever,, 463mm non-locking,, 383mm LL locking lever,, 383mm slide lock,, 403mm, 4 jaw length 13

17 Grasping Forceps 240 Tenaculum Forceps Single-toothed long jaws, double action Slide Lock, 339mm 31mm jaw Ratchet, insulated shaft 10mm, 363mm 37mm jaw Ratchet insulated shaft, 350mm 31mm jaw Strong Forceps Fenestrated, serrated, oval-shaped jaws that converge at distal end, double action Monopolar,, 330mm 12mm jaw Monopolar,, 462mm 12mm jaw , 329mm 13. jaw mm 14 mm Stone Extractor To facilitate stone removal once neck of gallbladder has been externalized (193mm) mm 14 mm Lobe Spleen Extractor Open cupped jaws for extraction of the spleen during laparoscopic splenectomy (221mm) 20 INCHES 10 MILLIMETERS 14

18 Grasping Forceps 30 mm Strong Atraumatic Grasping Forceps Fenestrated, serrated, curved jaws with split-steel construction Spring handle,, 340mm Spring handle,, 480mm Grasping Forceps 30 mm Grasping Forceps, Fallopian Tube Curved jaws with split-steel construction Spring handle,, 340mm Spring handle,, 460mm Bowel Forceps 25 mm Cross-serrated, disc-shaped jaws with split-steel construction Spring handle,, 336mm Spring handle,, 456mm 15

19 Dissecting Forceps Integra Jarit dissecting forceps are specially designed with the varied needs and preferences of the surgeon in mind from fine, precise dissection around delicate tissue to gross dissection of large structures mm Micro Dissecting Forceps Delicate, fenestrated, serrated jaws, double action Monopolar,, 332mm Roto-Cam, monopolar,, 337mm Needle Nose Forceps Slender, tapered and fine-serrated jaws Monopolar,, 330mm 18. jaw Roto-Cam, monopolar,, 34 19mm jaw mm Tapered Dissecting Forceps Tips of serrated, tapered jaws meet at fine point, double action Monopolar,, Roto-Cam, monopolar,, Micro Grasping Forceps mm Slender, tapered jaws for dissection of small structures Monopolar,, 330mm 1 20 INCHES 10 MILLIMETERS 16

20 Dissecting Forceps 11 mm Bullet-Nose Dissecting Forceps Bullet-shaped, tapered, serrated jaws for dissection, double action Roto-Cam, monopolar,, 341mm Dissecting Forceps 15.6 mm Tapered Maryland Dissector Curved, finely-tapered, serrated jaws with wide spread, double action Roto-Cam, monopolar,, mm Maryland Dissector Slender, full-curved, long, serrated jaws with wide spread, double action Roto-Cam, monopolar, 10mm, 339mm 16 mm Maryland Dissectors Curved, tapered, serrated jaws with wide spread, double action Monopolar,, 326mm Monopolar, 10mm, Roto-Cam, monopolar,, 346mm Roto-Cam, monopolar,, 450mm 17

21 Dissecting Forceps mm Mixter Dissecting Forceps Slender, full-curved, long, serrated jaws with wide spread, double action mm, mm Mixter Spreader-Dissectors Jaw design offers a true right-angle for dissection around delicate structures, double action Roto-Cam, monopolar, 10mm, 320mm 26mm jaw mm, 322mm 27mm jaw RH Roto-Cam, monopolar, ring-handle, 10mm, 319mm 26mm jaw mm 25 mm Mixter Spreader- Dissectors Jaw design offers a true right-angle for dissection around delicate structures; double action Roto-Cam, monopolar,, 320mm RH Roto-Cam, monopolar, ring-handle,, 318mm RH Roto-Cam, monopolar, ring-handle,, 463mm mm Right Angle Dissector Cross-serrated jaws with full right angle; double action Roto-Cam, monopolar, 10mm, 360mm Appel Dissecting Hook 56 mm Right-angle tip allows blunt dissection and isolation of structures mm, 406. INCHES 10 MILLIMETERS 18

22 Biopsy Instruments Biopsy Forceps Two sharp teeth, one on each jaw, for biopsy or hold of thick-walled tissue x1 teeth, Spring-loaded,, 330mm 11. jaw x1 teeth, Spring-loaded,, 450mm 10mm jaw Biopsy Instruments Biopsy Punches 12 mm Serrated lower jaw Monopolar,, 330mm Monopolar,, 450mm Hook Biopsy Punches 12 mm Frangenheim-type electrosurgical biopsy punch with hook blade Monopolar,, 320mm Monopolar,, 450mm Biopsy Punches Single tooth in upper jaw Monopolar,, 330mm 9. jaw Monopolar,, 450mm 12mm jaw 10 mm Biopsy Forceps Oval-shaped fenestrated jaws Monopolar,, Monopolar,, 44 6 mm Micro Biopsy Forceps For biopsy of small, delicate tissues Spring-loaded,, 330mm 19

23 Scissors The Integra Jarit scissors line was developed by utilizing advanced metallurgy, as well as innovative methods of grinding and sharpening. The result scissors that cut cleanly and stay sharp. The exclusive Integra Jarit Supercut blade is razor sharp and glides effortlessly through tissue with a clean, precise cut. The finely-serrated lower blade helps prevent tissue slippage. 210 Supercut Scissors Razor-sharp upper blade with finely-serrated lower blade , 330mm , 450mm Roto-Cam, monopolar,, 343mm 160 Supercut Endo Scissors, Straight Electrosurgical instrument with straight, Integra Jarit Supercut blades and precise cutting action offers mechanical cutting, electrosurgical cutting, blunt dissection, electrosurgical coagulation all in one reusable, cost-effective instrument; double action Roto-Cam monopolar,, Supercut Endo Scissors, Curved Electrosurgical instrument with curved, Integra Jarit Supercut blades and precise cutting action offers mechanical cutting, electrosurgical cutting, blunt dissection, electrosurgical coagulation all in one reusable, cost-effective instrument; double action Monopolar,, 330mm Roto-Cam, monopolar,, 344mm Monopolar,, Roto-Cam, monopolar,, 454mm Hook Scissors Blades designed to lift, isolate and transect tissue Monopolar, Monopolar,, 320mm, 450mm Non-insulated, Non-monopolar, INCHES MILLIMETERS Roto-Cam, monopolar,, 330mm 20

24 Scissors Micro Scissors Fine, delicate, 3mm blades for small incision Curved Left,, 333mm Scissors Straight,, 333mm Mayo Operating Scissors Large, sturdy blades for incising heavy tissue mm, 330mm Metzenbaum Scissors Long, curved, tapered blades with wide spread, double action Roto-Cam, monopolar,, 338mm Mini Scissors Curved, tapered, delicate blades, double action Roto-Cam, monopolar,, 33 21

25 Needle Holders, Receivers and Ligation The difficult task of laparoscopic suturing is more manageable with Integra Jarit s Ligation Line of unique instruments for both intracorporeal and extracorporeal suturing. The line features the Appel Needle Holders, which give the surgeon improved control of curved needles. These high quality laparoscopic instruments offer an ergonomically designed handle that places the surgeon s hand in line with the needle, resulting in a natural suturing motion, along with a leaf-spring mechanism that is engaged with speed and ease. The curved, tapered jaws permit fine control of the needle together with improved visibility at the suture site. Integra Jarit s Carb-Bite jaws allow for a firm, secure grip on the needle and long, useful life of the instrument. Alternative needle holder options include the In-line ring-handle Needle Holder and the Self-Righting Romeo Needle Holder. Also featured are the Lyons Needle Forceps and Juliet Receiving Forceps. These unique instruments are specially designed to work in conjunction with the needle holder to achieve an efficient laparoscopic suturing technique. Functioning as a tissue forceps, the tapered jaws grasp and retract tissue for needle placement without obstructing visualization. Functioning as a receiver, the driven needle is grasped at the tip. The design then allows the needle to be easily repositioned within the jaw for re-grasping by the needle holder at the appropriate angle Appel Needle Holders Tapered jaws stabilize the needle while allowing better visibility at the suture site; Carb-Bite jaws are designed for a firm, secure grip on the needle and long life of the instrument. 12 mm mm 14 mm 12 mm 12 mm Left Curve,, 330mm Left Curve,, 450mm Right Curve,, 330mm Up-Angle, 10mm, 330mm Straight,, 330mm Micro, Left Curve,, 330mm In-line Carb-Bite Needle Holders In-line ring handle offers a handle design similar to that used in open surgery with the same superior hold of needles mm 13.5 mm 11.5 mm 40 1 INCHES MILLIMETERS Left Curve,, 330mm Left Curve,, 450mm Right Curve,, 330mm Straight,, 330mm 22

26 Needle Holders, Receivers and Ligation 13 mm 15.7 mm Romeo Self-Righting Needle Holder Up-curved, Jarit Stardust jaws self-right curved needles; needles held very securely at any angle within the jaws. Lyons Needle Forceps Tapered, cross-serrated jaws grasp and retract tissue for needle placement without obstructing visualization; allows the needle to be easily repositioned within the jaw for re-grasping by the needle holder at the appropriate angle; in-line handle places hand in same line as that with needle holder for more efficient suturing process, double action Up-curve,, , 330mm Up-curve,, 450mm Needle Holders, Receivers and Ligation Juliet Receiving Forceps 14 mm Right curved jaws with contained hinges facilitate intracorporeal knot tying; cross-serrated jaws for tissue control during suturing Curved right,, 330mm Curved right,, 450mm Needle Holders Straight serrations on jaws designed to grasp straight needle securely Spring-loaded, 3mm, 330mm 7mm jaw Spring-loaded,, 330mm 9mm jaw 23

27 Needle Holders, Receivers and Ligation Suturing Set The Integra Jarit Suturing Set offers instruments required for endoscopic suturing. The standard set, provided in a wooden case includes: Appel Needle Holder ( ) Lyons Needle Forceps ( ) Knot Pusher ( ) Appel Knot Pushers Unique design facilitates the guiding of extracorporeal knots to suture site; knots can be tied and passed without repositioning the knot pusher; the twisting of suture that is experienced with standard knot pushers is minimized mm, 410mm total length , 410mm total length Knot Pusher 90 Classic design for guiding of extracorporeal knots to suture site mm, 350mm total length Endoloop Applicator Allows placement of endoloop suture intraperitoneally to 3mm, INCHES 10 MILLIMETERS 24

28 Suction/Irrigation Suction/Irrigation Cannulas Dual trumpet valves for suction and irrigation; laser guide (fiber insert) and three additional seals included , 350mm , 280mm Suction/Irrigation Suction/Irrigation Set Set includes handpiece, 10mm cannula for aspiration of hematomas, gallstones, and viscous drainage, and cannula for standard suction/ irrigation; suction connection straight off end minimizes clogging of cannula and sticking of valves and allows for stronger vacuum pressures; 3. cannulas available Suction/irrigation cannula 10mm, 330mm color coded Includes and 10mm cannulas Puncture Needles with Irrigation Large bore needle (19 Gauge to 17 Gauge) with Luer-Lok fitting for irrigation or aspiration , 330mm , 450mm 25

29 Retracting Instruments Integra Jarit Articulators offer unique articulating instruments for retraction and dissection of veins, nerves, esophagus, and other structures. With the open/close action of the handle, the distal arm smoothly angles from 0 to 90 improving the speed and ease of articulation Articulators Articulate rapidly from 0 to 90 ; bi-directional Roto-Lok wheel mm Herron Articulator Bar Retractor Straight arm for dissection and retraction; keyhole for holding suture (e.g., anvil placement) locking lever,, mm Vein/Nerve Retractor U-shaped distal tip for atraumatic retraction of veins, nerves, etc locking lever, 10mm, Articulator Retractor mm S-shaped distal tip for atraumatic retraction of the esophagus; keyhole for maneuvering penrose drain or LAP-BAND System locking lever, 10mm, 410mm 60 Articulator Retractor mm S-shaped distal tip for atraumatic retraction of the esophagus; keyhole for maneuvering penrose drain or LAP-BAND System locking lever, 10mm, 420mm 1 20 INCHES 10 MILLIMETERS 26

30 Retracting Instruments P.E.E.R. Retractors Atraumatic, telescoping blades allow for elevation, retraction and mobilization of organs and tissues, while permitting optimum visualization of surgical field; fully rotatable shaft and locking mechanism combine for versatile instrument placement with stationary positioning; bar ratchet with lock secures jaws in open position; black ring at distal shaft provides identifiable mark to assure jaws have cleared cannula ratchet,, 320mm 48mm retractor jaw length ratchet, 10mm, 320mm 68mm retractor jaw length Retracting Instruments Fan Retractor Working length 380mm Five Finger Liver Elevator with up to 60º spread and 80º Lift Functions, 10mm 58mm fan blade length, in closed position. 27

31 Electrosurgical Coagulation For surgeons who prefer electrosurgical dissection, Integra Jarit has designed electrosurgical instruments to meet their specific needs. On the monopolar electrodes, the distal tip is partially insulated to assure that electricity is delivered to the tissue the surgeon has targeted. The Integra Jarit coagulator handle offers a large, comfortable surface for the surgeon s hand. The channel and trumpet valve allow quick and easy aspiration of smoke. For the surgeon who does not require smoke aspiration, cost-effective, fully insulated electrodes are available. Bipolar instruments are designed with micro tips for effective coagulation of fine, superficial vessels, and with grasping action for electrosurgical coagulation of blood vessels. (Note: The bipolar grasping forceps are not for use with tubal ligation.) Suction Coagulators Spatula Tip Suction Coagulator Smooth, arched, partially insulated spatula tip. L-shaped Hook Suction Coagulator Partially insulated right angle tip. Hook End Suction Coagulator Partially insulated hook tip. Blunt Suction Coagulator Blunt, open-ended distal tip , 330mm , 330mm , 330mm , 330mm Electrodes Spatula Electrodes Smooth, arched, partially insulated spatula tip. L-shaped Hook Electrodes Partially insulated right angle tip. Hook Electrodes Partially insulated hook tip. Ball Electrode Ball tip , 330mm , 330mm , 330mm , 370mm L, 450mm L, 450mm L, 450mm INCHES 10 MILLIMETERS 28

32 Electrosurgical Coagulation Bipolar Forceps 3 mm Micro Bipolar Forceps Fine, pointed distal tip for coagulation of surface blood vessels , 336mm , 446mm 14 mm Large Bipolar Forceps Flat 3mm wide jaws for bipolar coagulation of blood vessels , 347mm , 457mm 18 mm Grasping Bipolar Forceps Wave-like jaw for bipolar coagulation of blood vessels , 343mm , 453mm 14 mm Electrosurgical Coagulation Electrosurgical Accessories IMPORTANT: When disconnecting electrosurgical cables from the generator or instrument, always grasp the cables by the connector only. Never pull the cable by the cord. Do not use instruments or cables if the insulation is not fully intact. Monopolar Cable ' (3m) Monopolar Adapter male to female Bipolar Cable ' (3m) Bipolar Cable, Wolf Generator B 10' (3m) 29

33 Specialization Integra Jarit offers a diversified selection of specialized instrumentation for cholangiography, morcellation, and tissue manipulation. 220 Spoon Forceps mm Wide cup-shaped jaws for tissue or stone removal Spring-loaded, 10mm, mm Cholangiogram Clamp Channel for placement of 5Fr or smaller cholangiogram catheter Ratchet,, 330mm Cholangiogram Guide Curved tip for simple placement of cholangiogram catheter , 320mm total length INCHES 10 MILLIMETERS 30

34 Specialization Dilation Set For dilation of port to 10mm diameter to 10mm Specialization Veress Needles Internal safety shield allows initial puncture and introduction of CO 2 for pneumoperitoneum, 14 gauge needle mm mm Palpation Probes For atraumatic manipulation of tissue , 300mm, 450mm Myoma Screws 27 mm For manipulation and securing of thick-walled myoma , 330mm mm, 330mm 31

35 Laparoscopic Instruments INCHES 10 MILLIMETERS 32

36 Take-Aparts Take-Aparts

37 Take-Aparts Take-Aparts

38 Take-Apart Laparoscopic Instruments Integra Jarit Take-Apart Laparoscopic Instruments were designed with the surgeon s flexibility needs in mind. Handles are available with and without ratchet mechanisms and with and without rotation. The shafts come in 350mm and 42 lengths. Take-Apart instruments may be ordered separately by component as well as in the assembled configuration. These features, along with many grasping, dissecting, cutting, and biopsy tip options allows the surgeon to select the instrument that will meet their needs. Handles Take-Apart Laparoscopic Instruments w/ Rotation, w/ Ratchet w/o Rotation, w/ Ratchet Passive Ratchet Mechanism Precise teeth easily engage and disengage for surgical flexibility. Monopolar Connection All handles have monopolar connection for eletrosurgical flexibility w/ Rotation, w/o Ratchet w/o Rotation, w/o Ratchet Shafts , 350mm , mm, 350mm mm, 42 Cleaning Brush For all shafts 33

39 Take-Apart Laparoscopic Instruments Directions for Disassembly and Re-Assembly Integra Jarit Take-Apart Laparoscopic Instruments are reusable, non-sterile, fully-assembled, monopolar electrosurgical instruments comprised of three individual parts handle, shaft and stainless steel insert. Disassembly is completed in a few short steps; however, inserts must always be disengaged prior to removing the shaft from the handle or damage may result. For re-assembly, the shaft must be connected to the handle for the insert to be seated fully within the handle assembly. A. DISASSEMBLY Step 1: For handles with ratchets: Push gold-plated lever down to detach/disassemble ratchet connection. For handles without ratchets: Go directly to Step Step 2: Note: Insert should be disengaged from the handle prior to unscrewing the shaft or damage to the handle may result. Press and hold rounded button on the top leg of the handle. Open handle by lifting until an audible pop is heard and push button is visibly tucked underneath the handle assembly Step 3: Insert is now disengaged from handle and may be removed by grasping distal end and pulling from shaft Step 4: For handles with rotation: Hold rotating wheel in place, loosen screw connection nut, then separate shaft from handle. For handles without rotation: Hold handle in place, loosen screw connection nut, then separate shaft from handle. INCHES 10 MILLIMETERS 34

40 Take-Apart Laparoscopic Instruments B. RE-ASSEMBLY Step 1: For handles with rotation: Screw shaft with connection nut to handle s rotating wheel while holding rotating wheel in a fixed position. For handles without rotation: Screw shaft with connection nut to handle while holding handle in a fixed position. Take-Apart Laparoscopic Instruments Step 2: For handles with ratchets: Push gold-plated lever down to detach disassemble ratchet connection. For handles without ratchets: Go directly to Step 3. Step 3: Open the handle per Disassembly: Step 2. Handle must remain in the fully open position to properly seat the insert into the handle assembly. Slide insert into shaft with jaws in the closed position. Align the raised pins below the insert tip with the slots on the shaft. Push the raised pins into the slots. When an audible pop is heard, observe the push button on the handle is visible. Closed Most open Step 4: Close handle against resistance until insert engages into shaft and an audible snap is heard. Insert will be seated flush to the shaft and the handle is easily manipulated. 35

41 Take-Apart Laparoscopic Grasping Forceps Fundus Grasping Forceps - Single Action Diameter 33.7mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Fundus Grasping Forceps - Double Action Diameter 24. Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Retraction Grasping Forceps - Single Action Diameter 27mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Retraction Grasping Forceps - Double Action Diameter 25. Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm INCHES 10 MILLIMETERS 36

42 Take-Apart Laparoscopic Grasping Forceps Allis Grasping Forceps Diameter 12mm Atrau-Allis Grasping Forceps Diameter 12mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Take-Apart Laparoscopic Grasping Forceps Atrau-Allis Long Jaw Grasping Forceps Diameter 21mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Retrograde Grasping Forceps Diameter 1 Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm

43 Take-Apart Laparoscopic Grasping Forceps DJB Grasping Forceps Diameter 31mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm DeBakey Forceps Diameter 170 Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm DeBakey Forceps, Curved Diameter 10mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Babcock Forceps - 2mm Diameter Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm INCHES 10 MILLIMETERS 38

44 Take-Apart Laparoscopic Grasping Forceps Babcock Forceps - 3mm Diameter 10mm 40mm Babcock Forceps, Round Jaw - Diameter 10mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Take-Apart Laparoscopic Grasping Forceps 27mm Paddle Babcock Forceps - 8mm Diameter 10mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm Paddle Babcock Forceps - Diameter Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm 39

45 Take-Apart Laparoscopic Grasping Forceps Claw Forceps Diameter 10mm 33mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Claw Forceps Diameter 170 Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Tenaculum Forceps Diameter Full Instrument Shaft W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet Insert Length W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm Tenaculum Forceps Diameter 10mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm INCHES 10 MILLIMETERS 40

46 Take-Apart Laparoscopic Grasping Forceps Grasping Forceps Diameter 14mm TC Grasping Forceps Diameter Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Take-Apart Laparoscopic Grasping Forceps 23mm Strong TC Grasping Forceps Diameter 17mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Grabber Forceps Diameter Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm 41

47 Take-Apart Laparoscopic Grasping Forceps Foerster Sponge Forceps Diameter 10mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Strong Forceps Diameter 170 Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Duckbill Grasping Forceps Diameter Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm Russian Grasping Forceps Diameter 10mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm INCHES 10 MILLIMETERS 42

48 Take-Apart Laparoscopic Grasping Forceps Dual-Cup Grasping Forceps Diameter 18. Swanstrom Grasping Forceps Diameter Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Take-Apart Laparoscopic Grasping Forceps 18mm Strong Hold Babcock Forceps Diameter 21mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Duval Grasping Forceps Diameter 10mm 36mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm

49 Take-Apart Laparoscopic Grasping Forceps Anvil Grasping Forceps Diameter 10mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Hunter Bowel Grasper Diameter 170 Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm mm Grasping and Dissecting Forceps Diameter 12. Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm Grasping and Extracting Forceps Diameter 10mm 14mm Full Instrument Shaft Length Insert W/ Ratchet W/ Ratchet W/O Ratchet W/O Ratchet W/ Rotation W/O Rotation W/ Rotation W/O Rotation 350mm INCHES 10 MILLIMETERS 44

50 Take-Apart Laparoscopic Dissecting Forceps Tapered Maryland Dissectors Diameter 16mm Maryland Dissectors - 30mm Diameter 10mm Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm Take-Apart Laparoscopic Dissecting Forceps 30mm Maryland Dissectors Diameter Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm Maryland Dissectors Diameter 10mm Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm

51 Take-Apart Laparoscopic Dissecting Forceps 240 Mixter Spreader-Dissectors Diameter 10mm Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm mm Mixter Spreader-Dissectors Diameter 170 Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm Mixter Dissecting Forceps 110 Diameter 10mm Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm mm Right Angle Dissectors 2 50 Diameter 10mm Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm mm INCHES 10 MILLIMETERS 46

52 Take-Apart Laparoscopic Dissecting Forceps Micro Dissecting Forceps Diameter 12mm Needle Nose Forceps Diameter 29. Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm Take-Apart Laparoscopic Dissecting Forceps Tapered Dissecting Forceps Diameter Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm mm Micro Grasping Forceps Diameter Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm Bullet-Nose Dissecting Forceps Diameter Full Instrument (no ratchet) Shaft Length Insert W/ Rotation W/O Rotation 350mm mm 47

53 Take-Apart Laparoscopic Biopsy Forceps Biopsy Punches Diameter Shaft Length Insert W/ Ratchet W/ Rotation W/ Ratchet W/O Rotation Full Instrument W/O Ratchet W/ Rotation W/O Ratchet W/O Rotation 350mm Biopsy Punches, 1 Tooth Diameter 170 Full Instrument 160 Shaft Length Insert W/ Ratchet W/ Rotation W/ Ratchet W/O Rotation W/O Ratchet W/ Rotation W/O Ratchet W/O Rotation mm Biopsy Forceps, 2 Teeth Diameter 110 Full Instrument Shaft Length Insert W/ Ratchet W/ Rotation W/ Ratchet W/O Rotation W/O Ratchet W/ Rotation W/O Ratchet W/O Rotation mm Biopsy Forceps, Oval Fenestrated Diameter Shaft Length Insert W/ Ratchet W/ Rotation W/ Ratchet W/O Rotation Full Instrument W/O Ratchet W/Rotation W/O Ratchet W/O Rotation 350mm INCHES 10 MILLIMETERS 48