Insitumed Gesamtkatalog Master 2019 - 20 Englisch

Biopsy forceps large oval cups, fenestrated, covered coil: Prod. No. Biopsy channel ø –mm Working length Sales unit 10 pieces EN10155A 2,8 mm 2,3 mm 1600 mm Sales unit 10 pieces EN10164A 2,8 mm 2,3 mm 1800 mm EN10165A 2,8 mm 2,3 mm 2300 mm large oval cups, fenestrated with spike, covered coil: Prod. No. Biopsy channel ø –mm Working length EN10156A 2,8 mm 2,3 mm 1600 mm EN10166A 2,8 mm 2,3 mm 1800 mm EN10167A 2,8 mm 2,3 mm 2300 mm JUMBO, large oval cups, fenestrated, covered coil: Prod. No. Biopsy channel ø –mm Working length Sales unit 10 pieces EN10266A 3,2 mm 3,0 mm 2300 mm 51

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Endoscopy HOT-Biopsy forceps Experiences, demands, emotions and personal feeling play an essential role at the selection process of biopsy forceps as well as economy. 53

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HOT-Biopsy forceps oval cups, fenestrated, uncoated coil: Prod.No. Biopsy channel ø –mm Working length 10 pieces 2300 mm EN10168 2,8 mm 2,3 mm 55

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Endoscopy Le Clamp™ Ligature for Polypectomy after ESD,EMR, EFR ClearCut ESD Knife Series ClearCap Distal Attachment 57

Ligature System Multiple Applications Ligature of pedunculated Polyps reduced the bleeding of polyps significantly by placing a ligature Ligature of defects after EFTR* Defect Place Fix the after LeClamp LeClamp EFTR Loop with Clips Place close after the loop removal instrument Prod. Code Biopsy channel ø –mm: Length ø Snare(loop) EN10701 2,8 mm 2,6 mm 2300 mm 30 mm EN10702 2,8 mm 2,6 mm 2300 mm 40 mm *EFTR Endoscopic Full Thickness Resection 58

ClearCut ESD Knife Series ClearCut ESD Knifes can be used to cut and dissect tissues within digestive tract through electric current being connected to ESU. It can be used for indications as below in esophagus, stomach, colon, etc.  Esophagus: superficial esophageal cancer, Barrett’s esophageal cancer, early esophageal cancer, submucosal tumor, and other suitable lesions as per physician judgement  Stomach: well differentiated carcinoma less than 2 cm, submucosal tumor, Gastric adenoma and dysplasia more than 3 cm, cases with fibrosis regardless of size, and other suitable lesions as per physician judgement  Colon: early cancer without lymph node metastasis, lateral spreading tumor more than 2 cm, submucosal tumor, tumors with fibrosis, and other suitable lesions as per physician judgement * Hybrid ESD Knife “J type” 59

ClearCut ESD Knife L type •Feature •The tip of L knife is in form of hook. •It is continually usable for all processes of lesion area from , incision, to submucosal dissection. Also, if bleeding is not severe, it can be used for hemostasis. •The tip can rotate a full 360 degree, and it is available to adjust in any direction as desired. •Benefits •Lesion marking, circumferential incision, submucosal dissection, and hemostasis can be performed using only this knife. •It can be used in esophagus which has thin mucosa large intestine, and narrow space. •It is usable in case the above/below space of incision plane is not big enough or submucosal space is eliminaeted due to adhesion or fibrosis. •It facilitates safe and precise incision. •It makes operations easier in case lesions are placed horizontally with a knife such as esophagus case. Type Prod.No Cutting Cutting wire Working Sheath L Type ESD10400 Wire O.D length Length O.D ESD10401 Φ0.4mm 4.0mm 1820mm Φ2.30mm 2300mm 60

ClearCut ESD Knife I type •Feature •It can be used for both incision and coagulation by being connected to an ESU. •It is practicable for lesion area marking and incision/submucosal dissection. It has been developed to make it possible to inject solutions into submucosal layer by using a simple needle knife. •Benefits •By reducing burning effect, it facilitates to maintain stomach clean during the whole processes of operation. •It facilitates incision with the tip of knife. •In case there is adhesion between submucosal layers and muscularis propria, it is suitable for use when dissecting depth should be determined carefully concerning perforation. •It makes dissection successful in lesions with strong fibrosis at submucosal layers. •It makes solution injection practicable in case of submucosal dissection. Type Prod.No Cutting Cutting wire Working Sheath I Type Wire O.D length Length O.D ESD10200 1.0mm 1820mm ESD10201 Φ0.4mm 2300mm Φ2.30mm ESD10202 1.5mm 1820mm ESD10203 2300mm ESD10204 2.0mm 1820mm ESD10205 2300mm ESD10206 3.0mm 1820mm ESD10207 2300mm 61

ClearCut ESD Knife Q type •Feature •Q knife is 4 mm length and has diathermic disc in form of star-shaped hook at the end of the knife. •Benefit •It is usable for all of lesion area marking, incision and submucosal dissection. •In case bleeding is not severe, it makes hemostasis feasible by using coagulation frequency. •It makes more elaborate dissection practicable to perform operation while checking directly the dissecting areas. •It has the advantages of both L type and O type, and makes it feasible to perform rapid and elaborate dissection at the same time. Type Prod.No Cutting Cutting wire Working Sheath Q Type Wire O.D length Length O.D ESD10600 ESD10601 Φ0.4mm 4.0mm 1820mm Φ2.30mm 2300mm 62

ClearCut ESD Knife J type •Feature •It is practicable for lesion area marking, incision, and submucosal dissection. It facilitates solution injection, leading to rapid operation. •It is practicable for lesion marking, incision, submucosal dissection, hemostasis, injection in submucosal layer during operation and flushing debris or bleedings without accessory equipment exchange at once. •With its flushing function, it makes it possible to remove debris and tissues remained at tip which can generate during operations, leading to maintain its performance. •By injecting solutions with syringe and pumps, it makes it possible to perform additional lesion lifting during operations. •Benefit •It facilitates lesion lifting during operations without additional accessory equipment exchange by using syringes and pumps, which leads to shorten operation time and reduce physician’s fatigue. •It allows physicians to assume the location of the end part of tips according to color marks in PTFE sheath. •Excellent in clean marking and hemostatic function is splendid during incision. •It is practicable for all lesions in esophagus, stomach, duodenum, and large intestine. Type Prod.No Cutting Cutting wire Working Sheath J Type Wire O.D length Length O.D ESD10300 1.0mm 1820mm ESD10301 Φ0.4mm 2300mm Φ2.35mm ESD10302 1.5mm 1820mm ESD10303 2300mm ESD10304 2.0mm 1820mm ESD10305 2300mm ESD10306 3.0mm 1820mm ESD10307 2300mm 63

ClearCut ESD Knife H type I type O type H-type knife is an ultimate ESD knife H-type knife is a combination of O type and I type No need for two knives in one procedure. Covering all the steps like marking, precutting, incision and dissection with H-type knife. Safety and convenience Two sliders for two types of knives. Safety lock system prevents accidental opening of I type needle when using insulated tip. Length of Length of Cutting Cutting Introducer Working Cutting Tip ElectrodeO.D O.D Length Type Prod.No Cutting Tip ElectrodeO.D (O type) (I type) Φ2.4mm 1820mm (I type) (O type) 2300mm ESD10100 4mm 2mm Φ0.45mm Φ0.35mm 5mm 3mm ESD10101 2mm H Type 3mm ESD10102 ESD10103 64

ClearCap Distal Attachment This product is used for connection of endoscope or other instruments during endoscopic operations, and is an indispensable auxiliary instrument to be attached to the end of the endoscope for securing vision and for stable operation of the surgical instrument. Feature and Benefits Maintaining the Clear View This ClearCap Distal Attachment helps maintain the clear view by keeping a moderate distance from the tissues. Protecting the tissues By adopting the soft raw material, it helps users protect the tissues. Two draining holes These holes make the discharge of foreign materials and saline irrigation more easily. Prod.No Applicable O.D(mm) I.D(mm) Scope distal Quantity of Hole Lesion O.D(mm) for Draining Φ12.60mm FM-Cap1 Lowel GI Φ15.00mm Φ9.40mm 12.6~13.7 2.0 FM-Cap2 Upper GI Φ11.80mm Φ8.90mm 9.5~9.8 FM-Cap3 Upper GI Φ11.35mm Φ10.00mm 8.8~9.4 FM-Cap4 Upper GI Φ12.40mm Φ11.00mm 9.8~10.5 FM-Cap5 Lowel GI Φ13.40mm Φ11.60mm FM-Cap6 Lowel GI Φ14.00mm Φ13.30mm 10.9~11.7 FM-Cap7 Lowel GI Φ15.70mm 12.2~12.2 13.8~13.9 65

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Endoscopy Polypectomy Perfect rotation, exact cutting, different shapes and many special demands influence the decision making process: Describe your demand. 67

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Polypectomy snares hexagonal, stiff multiple wire, HF-connector Olympus: Sales unit: 10 pieces Prod. No. Biopsy channel ø –mm Working length ø Snare EN10300 2,8 mm 2,4 mm 2300 mm 10 mm EN10301 2,8 mm 2,4 mm 2300 mm 15 mm EN10302 2,8 mm 2,4 mm 2300 mm 20 mm EN10303 2,8 mm 2,4 mm 2300 mm 25 mm EN10304 2,8 mm 2,4 mm 2300 mm 30 mm EN10305 2,8 mm 2,4 mm 2300 mm 35 mm oval, stiff multiple wire, HF-connector Olympus: Sales unit: 10 pieces Prod. No. Biopsy channel ø –mm Working length ø Snare EN10306 2,8 mm 2,4 mm 2300 mm 10 mm EN10307 2,8 mm 2,4 mm 2300 mm 15 mm EN10308 2,8 mm 2,4 mm 2300 mm 20 mm EN10309 2,8 mm 2,4 mm 2300 mm 25 mm EN10310 2,8 mm 2,4 mm 2300 mm 30 mm EN10311 2,8 mm 2,4 mm 2300 mm 35 mm NEW 1:1 rotatable, oval, stiff wire 1:1 rotatable, fast capture of polyps, makes complex anatomy targets easy to select HF-connector Olympus: Sales unit: 10 pieces Prod. No. Biopsy channel ø –mm: Working length ø Snare EN10307R 2,8 mm 2,4 mm 2300 mm 15 mm Rotatable EN10308R 2,8 mm 2,4 mm 2300 mm 20 mm EN10309R 2,8 mm 2,4 mm 2300 mm 25 mm 69 EN10310R 2,8 mm 2,4 mm 2300 mm 30 mm EN10311R 2,8 mm 2,4 mm 2300 mm 35 mm

Polypectomy snares crescent, multiple wire, HF-connector Olympus: Sales unit: 10 pieces Prod.No. Biopsy channel ø –mm: Working length ø Snare EN10315 2,8 mm 2,4 mm 2300 mm 10 mm EN10316 2,8 mm 2,4 mm 2300 mm 15 mm EN10317 2,8 mm 2,4 mm 2300 mm 20 mm EN10318 2,8 mm 2,4 mm 2300 mm 25 mm NEW MONOFIL oval, monofilament wire, HF-connector Olympus: Sales unit: 10 pieces Prod.No. Biopsy channel ø –mm Working length ø Snare EN10240 2,8 mm 2,3 mm 2300 mm 10 mm EN10241 2,8 mm 2,3 mm 2300 mm 15 mm EN10242 2,8 mm 2,3 mm 2300 mm 20 mm EN10243 2,8 mm 2,3 mm 2300 mm 25 mm EN10244 2,8 mm 2,3 mm 2300 mm 30 mm 70

Polypectomy snares Special snares HYBRID COLD-/HOT-snare oval, stiff multifilament wire, for cold and hot cutting of small polyps, HF-connector Olympus: Prod. No. Biopsy channel ø –mm Working length ø Snare Sales unit: EN 10330 2,8 mm 10 pieces 2,3 mm 2300 mm 10 mm NEW rotatable HYBRID COLD-/HOT-snare oval, stiff multifilament wire. For cold and hot cutting of small polyps, HF-connector Olympus Rotatable Prod. No. Biopsy channel ø –mm Working length ø Snare Sales unit: EN 10330R 2,8 mm 2,3 mm 2300 mm 10 mm 10 pieces EN 10331R 2,8 mm 2,3 mm 2300 mm 15 mm 10 pieces 71

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Endoscopy Injection needles Spray catheter 5mm or 6mm Needle length, 19G – or 23G – needles are a brilliant choice: Define your demand. 73

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Injection needles Injection needle 23G Different lengths Safety coil at the tip Sales unit = 10 pieces Prod. No. Biopsy channel ø –mm Working length Needle diameter Needle length EN10170A 2,8 mm 2,4 mm 2300 mm 0,6 mm 4mm EN10171A 2,8 mm 2,4 mm 2300 mm 0,6 mm 5mm EN10172A 2,8 mm 2,4 mm 2300 mm 0,6 mm 6mm Injection needle 19G Safety coil at the tip Sales unit = 10 pieces Prod. No. Biopsy channel ø –mm Working length Needle diameter Needle length EN10173A 2,8 mm 2,4 mm 2300 mm 1,1 mm 5mm Spray catheter “Spray type” Sales unit = 10 pieces Prod.No. Biopsy channel ø –mm Working length Spray head EN10174 2,8 mm 2,4 mm 2300 mm „Spray“ 75

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Endoscopy Foreign body removal Polyp retriever Retriever net 77

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Foreign body removal Foreign body removal means the endoscopic supported removal of swallowed things such as coins, screws, needles as well as the removal of stents or polyps which doesn‘t fit into the channel for sucking through. Each individual doctor has his own perfect concept to fulfil this. Insitumed offers a wide range of instruments get the demanded result as soon as possible. All instruments are single packed as individually available! Foreign body retriever Type Pelican Prod. No. Biopsy channel ø –mm Working length EN10235A 2,8 mm 2,3 mm 2300 mm Foreign body retriever Type Rat tooth Prod. No. Biopsy channel ø –mm Working length EN10237A 2,8 mm 2,3 mm 2300 mm Foreign body retriever Type Alligator Prod. No. Biopsy channel ø –mm Working length EN10238A 2,8 mm 2,3 mm 2300 mm 79

Foreign body removal Naetz Disposable net for polyps and foreign bodies The spring-elastic snare opens the fine-meshed net reliable. Polyps, small bowls, rounded foreign bodies such as micro batteries get removed safe and fast. Body liquids run off the meshes. Time consuming treatments will get much faster. Prod. No. Description 1,8x 1600mm 20x50 mm Sales unit EN 10178 Spring-elastic snare with net 2,3x 2300mm 30x55 mm 1 piece EN 10179 Spring-elastic snare with net 2,3x 2300mm 40x60 mm 1 piece EN 10180 Spring-elastic snare with net 1 piece for safe removal of polyps, foreign body or food bolus ≫ 1,8mm catheter, from 2,0 mm working channel, Broncho-/ Gastroscope ≫ 2,3mm catheter, from 2,8 mm working channel, 230 cm working length ≫ body fluids such as digestive juice will run through the meshes ≫ fine-meshed ≫ rotatable 80

Foreign body retriever 3-pod with rounded tips 1 piece Prod. No. Biopsy channel ø –mm Working length EN10135A 2,8 mm 2,4 mm 2300 mm 4-pod with rounded tips 1 piece Prod. No. Biopsy channel ø –mm Working length EN10136A 2,8 mm 2,4 mm 2300 mm 5-pod with rounded tips 1 piece Prod. No. Biopsy channel ø –mm Working length EN10137A 2,8 mm 2,4 mm 2300 mm 81

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Endoscopy Haemostasis-Clips Endoscopic liguture loop rotatable, re-adjustable, wide opening span or just cheap with one open/close: We got it all for you. 83

Haemostasis – Clip Clear Vision rotatable clip with mechanical opening Many users have the Clear Vision that this is their ideal clip in terms of price/ quality purely mechanical without spring. rounded for safe insertion 360° steplessly rotatable endlessly often open/close - endlessly often open/close for safe positioning - smooth rotatability left and right - wide opening span of 135° - 11mm / or 16mm opening width - fast applicable - good fixing - optimal sliding through the channel due to PTFE (Teflon) – cover - optimum dispenser packaging to ensure rotatability - MRI-compatible Prod. No. Description ø –mm Working length Clip EN10401.11 „Clear vision“ Haemostasis-Clip 2,6 mm 230 cm 135°/ 11 mm EN10401.16 „Clear vision“ Haemostasis-Clip 2,6 mm 230 cm 135°/ 16 mm Sales unit: 5 Clip-applicators 84

Haemostasis – Clip „Easy“ rotatable standard clip for endoscopic haemostasis This clip meets the character of the version of the market leader in flexible endoscopy; until today offered as re-usable kit with handle and disposable clip. The advantage against the re-chargable clip idea lays for the Easy in the fact that it is pre-loaded and ready to use in a convenient package. Patients with heavy bleeding require a fast an concentrated work with pre- loaded instruments ideally for a outstanding special price. - once inserted and opened just to be closed and fixed - smooth rotatability left and right - angle of 90° for safe positioning - maximal opening 14mm - fast and safe application - great fixing - soft gliding due to over sheath including the Clip! - safe usage - handy soft pack with „Easy Peel“ - MRI-compatible Prod. No. Description ø –mm Working length Clip EN 10400A „Easy“ Haemostasis-Clip ® 2,6 mm 230 cm 90°/ 14 mm opening Sales unit: 5 Clip-applicators 85

Haemostasis – Clip „Easy Advanced“ rotatable standard clip for endoscopic haemostasis placement via re-loadable handle Increasing costs and awareness for environmental protection forcing a reasonable number of users to load the instrument even in emergency cases such as bleedings. Agreed, that the low costs for the instrument is unbeatable, the clip even more attractive. 1. Introduce applicator in the loading aid 2. push to the clip 3. hold loading aid tightly, push finger roll forward to insert the clip 4. pull finger roll backwards 5. pull clip fully into the coil 6. insert the coil into the endoscope 7. once visible, push complete open until plastic 8. slightly pull back until clip fully opens 9. the clip is now fully rotatable and can be placed whilst pushing at the lesion - non-repositional, just open and close - rotatable left / right - 135° - max opening span 11mm - great fixing - safe application, good handling - MRI-compatible Prod. No. Description ø –mm Length Clip EN10403.1 disposable Applicator, 1 piece 2,75mm 2300mm EN10403.3 Haemostasis-Clip „Easy“ ® Advanced 30 pieces per box 135°/ 11 mm 86

Haemostasis – Clip „Reliance RLNZ“ rotatable clip for fast endoscopic haemostasis procedures The most valuable characters of an outstanding Clip-applicator are neither the attractive price not the nor the reliability but surely: opening: 11mm or 16 mm! - repositionable: open/ close more than 30 times - smooth rotatability left and right - wide opening span of 135° - 11mm/ or 16 mm arm length - fast applicable - good fixing - optimal sliding through the channel due to PTFE (Teflon) – cover - safe application - security package with dispenser each clip maintains the rotatability - MRI-compatible rotation knob! Prod. No. Description ø –mm Working length Clip EN10400 Haemostasis-Clip EN10400.16 Haemostasis-Clip 2,6 mm 230 cm 135° 11 mm opening span Sales unit: 5 Clip-applicators 16 mm opening span 2,6 mm 230 cm 135° 87

safe-insert™ Haemostasis – Clip safe-insert™ Rotatable clip with safety – over tube for endoscopic haemostasis This clip tops most of the others in terms of tension and repositionability. Developed for users with a special focus on safety during insertion: Over tube fully covers the clip and fully protects the PTFE-instruments channel of your endoscopes from micro-scratches. After removal of the safety stopper at the handle the over tube can softly be retracted and frees the clip. The clip itself is repositionable and can be opened/ closed up to 30 times. 12mm or 15mm - repositionable: open/ close more than 30 times - smooth rotatability left and right - wide opening span of 135° - 12mm/or 15 mm arm length - fast applicable - good fixing - optimal sliding through the channel due safety over tube covering the clip - safe application - security package with dispenser each clip maintains the rotatability - MRI- compatible Prod. Code Description ø –mm: Length Clip: EN10402.12 Haemostasis-Clip safe-insert™ 2,6 mm 230 cm 135°/ 12 mm opening span EN10402.15 Haemostasis-Clip safe-insert™ 2,6 mm 230 cm 135°/ 15 mm opening span Sales unit: 5 Clip-applicators 88

Endoscopic Ligature Loop Endoscopic rubber band ligature loops are one of the options for the therapy of bleeding oesophagus varices. The rubber rings prevent recidive bleedings. The convenient use offers treatment on out patients. - the release wire is PTFE coated and protects the channel - strong nature rubber rings for safe fit - obvious resistance to release, feeling is good, not easy to cause error release praktische Blisterpackung Prod. Code Description Sales unit EN10407 1 Pack Endoscopic ligature loop with 7 rings, suitable for endoscope diameters >9,8mm 89

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Endoscopy Oesophagus Dilatation Guide wire insertion, x-ray-marking and brilliant flexibility! What do you want more? 91

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Disposable Oesophagus Dilators Reprocessing of dilators is that complex that most of the users are not able to perform this. Therefore we designed the products as disposable version for you. Dilators in sizes of 5,6,7,8,9,10,11,12,13,14,15,16,17,18,19 and 20mm. Working length 85cm. X-ray markers at the tip and after 10,5cm ensure a perfect orientation under x-ray-control. Length markers in cm for a good insertion. Compatible to all standard guide wires! Prod. No. Diameter Prod.No. Diameter in mm in mm EN10851 EN10855 EN10859 5 EN10863 13 EN10852 6 EN10856 14 EN10860 7 EN10864 15 EN10853 8 EN10857 16 EN10861 9 EN10865 17 EN10854 10 EN10858 18 EN10862 11 EN10866 19 12 20 93

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Endoscopy Guide wires Easy to insert and x-ray visible! What do you want more? 95

Hydrophile Guide Wires (colour marked) - Innovative 3-ply Security-System at the tip for safe position of the hydrophile section - Special Nitinol-core offers excellent rotatability and pushing - Super smooth PTFE Panda - coloured coating easy slides through instruments and biopsy channel - Strong contrast between orange and blue, optimal x-ray-visibility - Unique tapered tip for “easy insertion” Guide wire, 0,025“ „Panda“-coated Straight tip, 5 cm Prod. No. Diameter ø Working length Sales unit EN10454 0,025‘‘ 2600 mm 5 pieces EN10455 0,025‘‘ 4500 mm 5 pieces 96

Hydrophile Guide Wires (colour marked) - Innovative 3-ply Security-System at the tip for safe position of the hydrophile section - Special Nitinol-core offers excellent rotatability and pushing - Super smooth PTFE Panda-coloured coating easy slides through instruments and biopsy channel - Strong contrast between orange and blue, optimal x-ray-visibility - Unique tapered tip for “easy insertion” Guide wire, 0,035“ „Panda“-coated Straight tip, 5 cm Prod. No. Diameter ø Working length Sales unit EN10450 0,035‘‘ 4500 mm 5 pieces EN10452 0,035‘‘ 2600 mm 5 pieces Guide wire, 0,035“ „Panda“-coated pre-shaped tip in „J“-form, 5 cm Prod. No. Diameter ø Working length Sales unit EN10451 0,035‘‘ 4500 mm 5 pieces EN10453 0,035‘‘ 2600 mm 5 pieces 97

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Endoscopy Sphincterotomes Standard or with „fast change“ system for short guide wires Selected guide wire sphincterotomes offer beside the standard access for guide wires at the tip (or at the handle) a fast exchange system about 15cm from the distal end. This offers the opportunity for a fast insertion of guide wires and additional to this the usage of short guide-wires!! Swinging sphincterotomes are rotatable! Optional with half insulated cutting wire! What do you want more? 99

Swinging Sphincterotome™ (rotatable) 3-lumen guidewire sphincterotome with fast exchange system rotate in both directions cutting wire channel contrast media channel 0,035‘‘ guide wire channel Portfolio tip wire Safety handle Prod.No. EN 10480 mm mm EN 10481 EN 10482 5 20 EN 10483 EN 10484 15 20 Safety wire half insulated to the center! EN 10485 5 25 All sphincterotomes offer a half insulated 15 25 cutting wire as a standard. 5 30 2 mm diameter Do you demand it uninsulated? 15 30 2000 mm working length In case the whole cutting wire should be Sales unit 5 pieces uninsulated just add an „U“ behind the code: EN10480U Needle – sphincterotome (Pre-Cut knife) 3-lumen guide wire Needle-sphincterotome with fast exchange system Needle channel Contrast 0,035‘‘ Guide wire channel Prod. No. Biopsy channel ø –mm Working length 5mm needle EN10488 2,4 mm 2,0 mm 2000 mm Sales unit: 5 pieces 100