Aesculap Neurosurgery YASARGIL Aneurysm Clip System

Transcription

1 Aesculap Neurosurgery YASARGI Aneurysm Clip System From experienced hands......for experienced hands!

2 First generation YASARGI Aneurysm Clip made from implant steel with a half spring coil and no jaw guidance YASARGI Aneurysm Clip with 1.5 spring coil and safety ring to optimize closing force and stability The YASARGI Aneurysm Clip made from Phynox increases MRI safety. A patented box lock improves the characteristics with regard to the scissoring effect. From experienced hands...for experienced hands! How can a surgeon be sure that the instruments he is using for lifesaving aneurysm surgery deserve the trust his patients place in him? The beginning of the success is based on the development of the clip design by the famous Prof. Gazi M. Yasargil. Then decades of intensive cooperation with other leading neurosurgeons all over the world form the foundation for Aesculap s technical and scientific experience. Experience that is reflected as much in the YASARGI Aneurysm Clips themselves as in their accompanying instruments and accessories. It is the guarantee for maximum manufacturing precision, particular care and reliability, with the aim of providing the best possible patient treatment. YASARGI Aneurysm Clips are the world s leading clips for the treatment of cerebral aneurysms. Since their introduction, over 1.5 million clips have been implanted by thousands of neurosurgeons in more than 80 countries. A milestone in the history of neurosurgery. 2

3 The YASARGI Aneurysm Clip with 1.5 spring coil made from titanium improves postoperative control and diagnosis by reducing the number of artifacts in CT and MRI scans The XS Clip Applier meets the demands of keyhole surgery 2006 YASARGI Aneurysm T-Bar Clip acc. to KOPITNIK made from titanium and Phynox aids and expands treatment possibilities 2008 New Double Bayonet Clip Applier combines top priorities regarding the design of a clip applier. The surgical treatment of cerebral aneurysms will continue to represent an important and indispensable therapy option into the future. The product range of Aesculap is the widest one, including more than 340 different clip designs and 38 appliers. Through continuous further development of the YASARGI Aneurysm Clip system, Aesculap is coitted to ensuring that the best implants and instruments are always available for this treatment. 3

4 A simple piece of wire becomes, thanks to advanced high technology and qualified manual work,... Our striving for perfection is your safeguard YASARGI Aneurysm Clips are the most sensitive implants in the Aesculap product spectrum. The tiniest quality deviation or failure can have fatal consequences. For this reason, all the production processes for the YASARGI Aneurysm Clips take place exclusively within Aesculap in Tuttlingen, Germany, under our own control. Precision manual work and the most advanced high technology are intricately and accurately combined in the manufacture of YASARGI Aneurysm Clips. A total of approximately 30 different operations is required to produce one clip, and 70% of these are manual. A quality check is performed after each operation. Despite the high technology and mechanization, it is only possible to achieve the required accuracy within tolerance and the necessary variability manually in the hands of highly qualified production engineers. Decades of experience flow into the continuous improvement of every single manufacturing operation. The goal is to achieve the greatest possible degree of perfection. Our internal quality standards set tolerances that are in some cases as low as hundredths of a millimeter. This is the only way we can approach our goal of the perfect aneurysm clip, with an absolutely smooth, burr-free and therefore atraumatic surface, exact dimensions and a reproducible closing action a clip you can rely on. 4

5 AH929 Meßpunkt Kraft 1.0 1/3... an original YASARGI Aneurysm Clip! Made in Germany Made by Aesculap High performance in production Did you know that % of the production is performed manually under the microscope? REM image atraumatic tip of a YASARGI Clip from Aesculap; smooth surface prevents damage to tissue.... a clip is checked 10 times for dimension, surface and closing force during the production process?... the profile of the blades is stamped evenly with 24 tons?... the manufacturing tolerances of 0.02 are 10 times smaller than a human hair? REM image atraumatic blade profile of a YASARGI Clip from Aesculap; the deep, syetrical, pyramidal stamping of both blades doubles the contact surface area and counteracts the slip effect.... the clip material for the box lock is 0.3 thick?... the welding seam of the metal plate for the box lock is only 1.3 long?... the welding temperature for the metal plate reaches 4532 F (2500 C)? REM image patented box lock of a YASARGI Clip from Aesculap; the flat design with a broad contact surface ensures smooth opening and closing, stability and safety. 5

6 Titanium Standard Clips TEMPORARY MRI safety, non- ferromagnetic, tested up to 3 Tesla minor artifacts in CT and MRI color coding with blue spring (standard clip) and golden or silver blades (temporary or permanent clip respectively) sterile packaging TITANIUM STANDARD FT240T FT250T FT260T FT280T FT740T FT750T FT760T FT780D 15,0 9,2 1, FT292T FT792D FT290T FT790D FT242T FT742T FT252T FT752T FT262T FT762T FT282T FT782T FT286T FT786T FT244T FT744T FT254T FT754T

7 for identification all clips are marked with serial number and article number TEMPORARY FT264T FT764T FT284T FT784T FT323T FT823T TITANIUM STANDARD FT324T FT824T FT325T FT825T Height of step 2.5 Height of step 2.5 FT270T FT770T Height of step 3.5 Height of step 3.5 FT271T FT771T Height of step 4.5 Height of step 4.5 FT272T FT772T FT248T FT748T FT258T FT758T FT259T FT759T FT103T FT603T FT113T FT613T

8 Titanium Standard Clips TEMPORARY TITANIUM STANDARD FT310T FT810T FT123T FT623T FT263T FT763T FT319T FT819T FT320T FT820T FT322T FT822T FT350T FT850T FT351T FT851T FT330T FT830T FT332T FT832T FT333T FT833T

9 TEMPORARY FT246T FT746T FT273T FT773T TITANIUM STANDARD FT261T FT761T FT247T FT747T

10 Titanium Fenestrated Clips TEMPORARY TITANIUM STANDARD /2 Diameter of fenestration 3.5 Art, Cat. Nr, No. Blade length 1/2 maximal Closing Force force N g FT097T 3/ FT597T 3/ FT098T 4/ Diameter of fenestration 3.5 FT598T 4/ FT099T 5/ FT599T 5/ FT100T 6/ FT600T 6/ FT110T 9/ FT610T 9/ FT120T 12/ FT620T 12/ FT102T 5/ FT602T 5/ FT112T 7.5/ FT612T 7.5/ FT122T 10/ FT622T 10/ FT104T 5/ FT604T 5/ FT114T 7.5/ FT614T 7.5/

11 TEMPORARY 1 2 Diameter of fenestration 5 FT137T 3/ FT138T 4/ FT139T 5/ Art, Cat. Nr, No. 1 2 Blade length Diameter of fenestration 5 maximal Closing Force force N g FT637T 3/ FT638T 4/ FT639T 5/ TITANIUM STANDARD FT140T 6/ FT640T 6/ FT150T 9/ FT650T 9/ FT142T 5/ FT642T 5/ FT152T 7.5/ FT652T 7.5/ FT162T 10/ FT662T 10/ FT144T 5/ FT644T 5/ FT154T 7.5/ FT654T 7.5/

12 Titanium T-Bar Clips acc. to KOPITNIK TITANIUM T-BAR CIP Aneurysm clip with a unique design The blades of the T-Bar Clip are orient - ed in a 90 or 45 angle to the axis of the spring plane resulting in a T-like clip form. The unique shape opens up new options for the treatment of complicated cerebral aneurysms. The spring type is identical to the existing and proven standard YASARGI Aneurysm Clip with a 5 diameter fenestration. Diameter of fenestration 5 Angle FT852T FT853T FT854T FT855T FT856T

13 UTRA SHORT FENESTRATED Aneurysm Clip 1 2 1/2 N Diam. of fenestration FT902T 3.0/ TITANIUM STANDARD FT904T 3.0/ FT942T 3.0/ FT944T 3.0/ Titanium Reinforcing Clip Titanium reinforcing clip to increase the closing force of YASARGI Titanium Standard Aneurysm Clips. FT900T 13

14 Titanium Mini Clips TEMPORARY MRI safety, non- ferromagnetic, tested up to 3 Tesla minor artifacts in CT and MRI color coding with violet spring (mini clip) and golden or silver blades (temporary or permanent clip respectively) sterile packaging TITANIUM MINI FT180T FT190T FT200T FT680T FT690T FT700T FT210T FT710T FT220T FT720T FT182T FT682T FT194T FT694T FT192T FT692T FT211T FT711T FT212T FT712T FT213T FT713T FT226T FT726T FT222T FT722T

15 for distinction the temporary clips are marked with 3 transverse lines on the proximal spring for identification all clips are marked with serial number and article number TEMPORARY FT214T FT224T FT216T FT714T FT724T FT716T TITANIUM MINI FT307T FT807T FT217T FT717T FT227T FT727T FT228T FT728D FT306T FT806T

16 Titanium Clip Applier Standard Mini Vario Clip Applier TITANIUM APPYING FORCEPS FT412T FT402T 90, 3 1 /2" 220, 8 3 4" the swivel ends and adjustable jaw parts provide improved versatility in clip positioning. FT402/800 Adjusting Key adjusting Key for Vario Clip Applier for setting the swivel at an angle 16

17 color coding blue for standard and violet for mini clips S t a n d a r d M i n i YASARGI Clip Applier FT480T FT470T 50, 2" 180, 7" TITANIUM APPYING FORCEPS 220, 8 3 4" 90, 3 1 /2" FT482T FT472T straight FT485T FT475T 15 angled 250, 10" 110, 4 3 8" FT484T FT474T straight FT487T FT477T 15 angled 17

18 Titanium Clip Applier Standard Mini XS Clip Applier TITANIUM APPYING FORCEPS FT495T FT490T 360 rotation suitable for narrow approach 90, 3 1 /2" 220, 8 3 /4" 110, 4 3 /8" 240, 9 1 /2" FT496T FT491T Disassembly The XS Applier is detachable into 2 parts for thorough cleaning. A cleaning brush is provided free of charge with every applier. 18

19 Double Bayonet Clip Applier color coding is realized as a colored button in the handle area Standard Mini Double Bayonet Clip Applier FT501T FT505T FT511T FT515T Total length 225 with latch without latch 90 TITANIUM APPYING FORCEPS Total length FT502T FT512T with latch FT506T FT516T without latch 19

20 Titanium Clip Removing Forceps color coding blue for standard and violet for mini clips S t a n d a r d M i n i YASARGI Removing Forceps TITANIUM APPYING FORCEPS FT082T FT072T with special jaws for safe removal of an applied clip 90, 3 1 /2" 220, 8 5 8" 110, 4 3 /8" 250, FT083T FT073T 20

21 YASARGI Phynox Clips and Appliers PHYNOX CIPS 21

22 Phynox Standard Clips MRI safety, non-ferromagnetic, tested up to 3 Tesla color coding with silver spring and blades (permanent clip) sterile packaging for identification all clips are marked with serial number and article number PHYNOX STANDARD FE740K FE750K FE760K FE754K FE764K FE784K FE780K FE823K FE792K FE824K FE790K FE825K FE840K FE748K FE742K FE758K FE752K FE759K FE762K FE798K FE782K FE770K FE786K FE771K FE744K FE772K

23 Closing Force FE603K FE613K FE623K FE746K PHYNOX STANDARD FE763K FE773K FE810K FE819K FE761K FE820K FE822K FE747K FE850K FE851K FE830K FE832K FE833K

24 Phynox Fenestrated Clips PHYNOX STANDARD /2 Diameter of fenestration 3.5 Art, Cat. Nr, No Blade length 1/2 Diameter of fenestration 3.5 maximal Closing Force force N g FE597K 3/ FE602K 5/ FE598K 4/ FE612K 7.5/ FE599K 5/ FE622K 10/ FE600K 6/ FE604K 5/ FE610K 9/ FE614K 7.5/ FE620K 12/ FE624K 10/

25 1 2 1/2 Diameter of fenestration /2 Diameter of fenestration 5 FE637K 3/ FE644K 5/ FE638K 4/ FE654K 7.5/ PHYNOX STANDARD FE639K 5/ FE664K 10/ FE640K 6/ FE648K 5/ FE650K 9/ FE658K 7.5/ FE660K 12/ FE668K 10/ FE642K 5/ FE774K 5/ FE652K 7.5/ FE775K 7.5/ FE662K 10/ FE776K 10/

26 Phynox Fenestrated Clips PHYNOX STANDARD 1 2 1/2 Diameter of fenestration 5 FE777K 5/ /2 Diameter of fenestration 5 FE886K 5/ FE778K 7.5/ FE887K 7.5/ FE779K 10/ FE888K 5/ FE881K 5/ FE889K 7.5/ FE882K 7.5/ FE891K 5/ FE883K 10/ FE892K 7.5/ FE893K 5/ FE894K 7.5/

27 Phynox T-Bar Clips acc. KOPITNIK Diameter of fenestration 5 Aneurysm clip with a unique design The blades of the T-Bar Clip are orient - ed in a 90 or 45 angle to the axis of the spring plane resulting in a T-like clip form. The unique shape opens up new options for the treatment of complicated cerebral aneurysms. The spring type is identical to the existing and proven standard YASARGI Aneurysm Clip with a 5 diameter fenestration. Angle FE852K FE853K FE854K PHYNOX T-BAR CIP FE855K FE856K

28 Ultra Short Fenestrated Aneurysm Clip PHYNOX STANDARD 1 2 1/2 N Diam. of fenestration FE942K 3.0/ FE944K 3.0/ Phynox Reinforcing Clip Phynox reinforcing clip to increase the closing force of YASARGI Phynox Standard Aneurysm Clips. FE900K 28

29 Phynox ong Clips and Applier FE861K FE862K clip with extra long blades for the treatment of giant aneurysms. PHYNOX ONG CIP FE863K ong Clip Applier 90, 3 1 /2" 200, 8" FE560K with "active" locking mechanism; the applier can be used with or without the lock being activated, as the surgeon desires. 29

30 Phynox Standard and Mini Clips MRI safety, non-ferromagnetic, tested up to 3 Tesla color coding with gold spring and blades (temporary clip) for identification all clips are marked with serial number and article number TEMPORARY (STANDARD) TEMPORARY (MINI) PHYNOX STANDARD AND MINI FE751K FE753K FE755K FE781K FE783K FE681K FE691K FE683K FE693K FE721K FE723K FE785K FE725K FE756K FE791K FE793K FE795K FE801K

31 MRI safety, non-ferromagnetic, tested up to 3 Tesla color coding with silver spring and blades (permanent clip) for identification all clips are marked with serial number and article number (MINI) (MINI) FE680K FE690K FE700K FE710K FE720K FE716K FE807K FE717K PHYNOX STANDARD AND MINI FE682K FE727K FE692K FE694K FE728K FE711K FE806K FE712K FE713K FE726K FE722K FE714K FE724K

32 Phynox Applier STANDARD MINI Vario Clip Applier PHYNOX APPYING FORCEPS FE512T FE502T 90, 3 1 /2" 215, 8 1 /2" the swivel ends and adjustable jaw parts provide improved versatility in clip positioning. FT402/800 Adjusting Key adjusting Key for Vario Clip Applier for setting the swivel at an angle Clip Applier acc. to CASPAR 145, 5 3 /4" 360 rotation suitable for narrow approach FE530K FE520K straight FE532K FE522K 15 angled 32

33 S T A N D A R D M I N I YASARGI Clip Applier FE558K FE548K 50, 2" 175, 7" 175, 7" PHYNOX APPYING FORCEPS FE580K FE570K 90, 3 1 /2" 215, 8 1 /2" FE582K FE572K straight FE585K FE575K 15 angled 110, 4 3 /8" 235, 9 1 /4" FE584K FE574K straight FE587K FE577K 15 angled 33

34 Phynox Applier STANDARD MINI XS Clip Applier PHYNOX APPYING FORCEPS FE495K FE490K 360 rotation suitable for narrow approach 90, 3 1 /2" 220, 8 3 /4" 110, 4 3 /8" 240, 9 1 /2" FE496K FE491K Disassembly The XS Applier is detachable into 2 parts for thorough cleaning. A cleaning brush is provided free of charge with every applier. 34

35 Double Bayonet Clip Applier color coding is realized as a colored button in the handle area STANDARD MINI Double Bayonet Clip Applier FE301K FE305K FE311K F315K Total length 225 without latch with latch 90 PHYNOX APPYING FORCEPS Total length FE302K FE312K without latch FE306K FE316K with latch 35

36 Storage STORAGE + ACCESSORIES FT007P FT006P Clip Tray 1/1 for storage, transport and sterilization of Aesculap YASARGI Aneurysm Clips. autoclavable plastic fits 1/1 standard container 34 storage compartments for Standard and Mini Clips 4 storage compartments for ong Clips with special identification tags for individual tray configuration Clip Tray 1/2 for storage, transport and sterilization of Aesculap YASARGI Aneurysm Clips. autoclavable plastic fits 1/2 standard container 18 storage compartments for Standard and Mini Clips 3 storage compartments for ong Clips with special identification tags for individual tray configuration Identification tags for the Clip Trays allow quick and easy recording of the necessary clip data; helpful for classifying and reordering the clips that have been removed. spring size actual size illustration blade length clip material article number -TAG For each clip variant there is a matching identification tag. The catalog numbers of the tags are as follows: of clip + "-TAG" e.g.: FT740T-TAG is the identification tag for the clip FT740T The identification tags for temporary clips are yellow and for permanent clips grey in line with the color coding of the YASARGI Aneurysm Clips. 36

37 FM665R Storage of applying forceps perforated basket with lid, for storage of clip applying forceps STORAGE + ACCESSORIES Address: Patient identification card for YASARGI Clip implants provides safety for physician and patient safety for follow-ups information about 3 Tesla safety of Aesculap YASARGI Aneurysm Clips printed version available in German and English download from the Extranet possible: C07801 ID in German C07802 ID in English C07803 ID in French C07804 ID in Italian C07805 ID in Spanish C07892 ID in Japanese Patient Identification Card MRI-safety: Yasargil Aneurysm Clips made of titanium or phynox (tested up to 3 Tesla) and Kopitnik AVM Clips made of phynox (tested up to 1,5 Tesla) are safe to be used in a MRI. The bearer of this card has undergone a surgical procedure where the following Aesculap Yasargil Aneurysm Clip/Kopitnik AVM Clip has been implanted: Pre-printed label: Aesculap reference number Aesculap Identification number/ot-nr. Pre-printed label: Aesculap reference number Aesculap identification number/lot-no. Pre-printed label: Aesculap reference number Aesculap Identification number/ot-nr. Pre-printed label: Aesculap reference number Aesculap identification number/lot-no. Yasargil-Clip Hospital (address and phone no.) Kopitnik AVM-Clip Patient s name Surgeon s name Date of birth m/f Date of surgery Patient medical record number (MR # ) 37

38 Aesculap Neurosurgery AESCUAP. EXPERTISE IN SURGERY. CranioFix 2... for fast, easy and stable bone flap fixation and skull fracture repair. Fast, easy and very stable. CranioFix absorbable for fixation of bone flaps usable without instruments and especially for children and recurring tumor patients. Cranio Plate blade and screw system for fixation of bone flaps with modular storage concept For more information see Brochure C08802 For more information see Brochure C09802 For more information see Brochure C

39 ScalpFix Scalp clip system for reliable haemostasis; easy handling and fast application are time and cost saving. KOPITNIK AVM Microclip System for the temporary or permanent occlusion of arteriovenous malform - ations (AVM`s). Fukushima suction cannulas the classic suction cannulas for neurosurgery procedures! AESCUAP. EXPERTISE IN SURGERY. For more information see Brochure C79002 For more information see Brochure C07702 For more information see Brochure C

40 All rights reserved. Technical alterations are possible. This leaflet may be used for no other purposes than offering, buying and selling of our products. No part may be copied or reproduced in any form. In the case of misuse we retain the rights to recall our catalogues and pricelists and to take legal actions. Aesculap AG Am Aesculap-Platz Tuttlingen Germany Phone Fax Brochure No. C /1.0/15