SURGICAL INSTRUMENTS AND EQUIPMENT
Randot™ S0-002 A unique vectograph that tests the ability to identify six geometric forms from random dot backgrounds. The lack of visual monocular clues discourages guessing, improving the validity and reliability of the test. Folder includes Randot test with two levels of stereopsis (500 and 250 seconds of arc) Graded Circle test (stereopsis from 400 to 20 seconds of arc) Animal tests for young children (stereopsis from 400 to 100 seconds of arc) Stereo glasses
Surgical Contact
Lens~s
Ocular Instruments, Inc.
Tolentino Vitrectomy Lenses (OTV-15) (OTV-25) 15° and 25° prismatic lenses with irrigating cannula Prisms mounted on gimballed handle Urrets-Zavalia Retinal Surgical Lens This lens, with 70° mirror, provides for scanning the ora serrata to the equator Lens equipped with infusion handle Thorpe Surgical Gonioscope (OTSG) 10-mm diameter lens allows magnified view of chamber angle · Ideal for goniotomy or checking the position of distal feet of angle supported IOL Swan-Jacob Gonioprism (OSJG) 10-mm prism lens provides view of anterior chamber angle for goniotomy-gonioscopy Peyman-Green Fluid Cell Vitreous Lens (OPGVI) Peyman-Green Ill Wide Field Vitrectomy Lens (OPGVI-3) Infusion lenses which provide visualization of the vitreous OPGVI allows 20° field of view with plano surface lens OPGVI-3 features -60-D anterior surface for wide-field view Machemer Magnifying Vitrectomy Lens (OMVI) Infusion contact lens with 9.8-mm diameter, autoclavable Landers Indirect Vitrectomy Lens (OLIV) Provides inverted view of the retina and vitreous structures Particularly useful in fluid gas exchange procedure and endo-photocoagulation in the phakic eye Landers Vitrectomy Lens Ring System Includes suture down stainless steel ring and seven vitrectomy lenses Lenses include Landers Biconcave, Machemer Magnifying, Peyman Wide Field, Machemer Flat, Tolentino Prism lenses, 20° and 30°, Landers 50° prism lens, Woldoff Prismatic Biconcave Ring and lenses all autoclavable Landers, Foulks Temporary Keratoprosthesis (OLFK 6.2, OLFK 7.2, OLFK 8.2) A threaded cylinder with two suture struts extending outward from anterior surface
175
Provides refractive power of -135.6 D in air and -85.4 D in aphakic fluid-filled eye Hoskins-Barkan Goniotomy Lenses (OHBG, OHBG-2) This infant lens is oval and conical with a 10-mm diameter base curve Provides magnified view of anterior chamber and angle Biconcave Vitrectomy Lens (OBVI) -93-D lens, autoclavable Designed to view fundus in air-filled phakic eye
Surgical Instruments and Equipment Accutome, Inc.
The following products have the Accutome label and are distributed in the USA exclusively by Accutome, Inc. Diamond Knives-New Design. Radial Keratotomy knives with thin blades, low reflective tips, and grippable barrel. Micrometer and protective feet to guard the diamond. Standard and vertical. Blade Gauges-Steel block, laser inscribed gauge with low reflective surface. Verification of calibration included with gauges. Operating Room Products Packs Surgical gowns, prep solution, containers, drapes, and sponges for Radial Keratotomy, Keratomileusis, and cataract surgery. Jumpsuits for patient or operating room personnel. Disposable. Shoe covers, masks, surgeon's caps, bouffant caps, sleeves Sponges designed for cornea surgery (not spears) Forceps 180 degree forceps for globe control during surgery. Pronged forceps. Assorted forceps. Corneal light protector, automatic knives, ultrasound instrument cleaning units Marking Trephines-New design. Single, double, triple Single from 3 mm to 5 mm in .25 mm increments plus 7 mm Double 3 and 5 mm for marking two zones at same time for equal distance Triple 3, 5, and 7 mm for marking three zones at same time for equal distance Verification of sizes included with item Cannulas-Radial Keratotomy irrigating, various others. Ocular Dominance Testing Card Tapes-Surgical tapes, consent tapes, information tapes Trays-for diamond knives, surgical trays for Keratomileusis, Radial Keratotomy, Cataract, Astigmatism Calipers-for Astigmatism Sterilization Containers-probes, knives, instruments Probe Holders-for slit lamps Disposable knives for Radial Keratotomy and Cataract Prices on request
176
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
Alcon Surgical Products Division
Microsurgical Instrument Line Alcon offers two lines of quality microsurgical instruments, the first being reusable instruments. These reusable instruments are used in ophthalmic procedures when the physician wants to benefit from the economy of reusing instruments. These instruments are totally autoclavable, and consist of cystitomes, cannulas, vectides, and specialty instruments, such as the Thornton Retrobulbar Needle and the Cyclodialysis Cannula. Alcon also offers a full line of disposable microsurgical instruments which allow the physician the comfort of knowing that each instrument is new, fresh, with no possible chance of contamination. These instruments come in a full range of cannulas. cystitomes, vectides, and the specialty items listed above. With Alcon's full line of single-use and reusable microsurgical instruments, you get Alcon's assurance of quality and consistency that virtually eliminates dull or contaminated instruments. Alcon's microsurgical line includes many specialty items that make the procedure convenient for the physician, as well as economic for the hospital.
Miscellaneous Microsurgical Products Description Positioning Cannula Freeman Position Cannula 27 ga Retrobulbar Needles 23 ga x 11h" 25 ga x 11h" Thornton Retrobulbar Needles 23 ga x 11h" 25 ga x 11h" Curved Cannula 21 ga with 3 mm Side Port "J"-shaped Cannulas 21 ga 21 ga Angled 21 ga Angled Offset Tip 21 ga with .3 mm Side Port Anterior Chamber Cannulas 30 ga 27 ga 25 ga Irrigating Cystitomes A. Straight-Reverse Cutting 30 ga 27 ga 25 ga 23 ga B. Straight-Baffle Cutting 30 ga 27 ga 25 ga 23 ga
Description
Single-Use Number
Reusable Number
c.
Formed-Reverse Cutting 30 ga 8065-4250-01 27 ga 8065-4258-01 25 ga 8065-4251-01 23 ga 8065-4262-01 D. Formed-Baffle Cutting 30 ga 8065-4254-01 27 ga 8065-4260-01 25 ga 8065-4255-01 23 ga 8065-4264-01 E. Reverse Cutting-Deep Set Eyes 27 ga 8065-4266-01 Capsule Polishers 37 deg. bend 21 ga .3 mm Side Port 8056-4280-01 21 ga Straight Flow 8065-4281-01 27 ga Terry Squeegee 8065-4282-01 Irrigating Vectides Curved Loop 23 ga .3 mm Ports 8065-4300-01 Curved Loop 23 ga 1 .3 mm Port 8065-4301-01 Curved Loop 26 ga 3 .2 mm Ports 8065-4302-01
8065-1310-01 8065-1311-01 8065-1312-01 8065-1313-01 8065-1318-01 8065-1319-01 8065-1320-01 8065-1321-01 8065-1326-01 8065-1340-01 8065-1341-01 8065-1342-01 8065-1350-01 8065-1351-01 8065-1352-01
Irrigating and Aspirating Cannulas
Single-Use Number
Reusable Number
8065-4203-01
8065-1303-01
8065-4210-01 8065-4209-01
Miscellaneous Microsurgical Products (continued)
8065-1380-01
8065-4205-01 8065-4204-01 8065-4211-01
8065-1381-01
8065-4212-01 8065-4213-01 8065-4214-01
8065-1382-01 8065-1383-01 8065-1384-01
8065-4215-01
8065-1385-01
8065-4200-01 8065-4201-01 8065-4202-01
8065-1300-01 8065-1301-01 8065-1302-01
8065-4252-01 8065-4259-01 8065-4253-01 8065-4263-01
8065-1314-01 8065-1315-01 8065-1316-01 8065-1317-01
8065-4256-01 8065-4261-01 8065-4257-01 8065-4265-01
8065-1322-01 8065-1323-01 8065-132 4-01 8065-1325-01
Description
Single-Use Number
Reusable Number
8065-1104-01
8065-1360-01
8065-1101-01 8065-1102-01 8065-1103-01
8065-1361-01 8065-1362-01 8065-1163-01
8065-11 05-01
8065-1364-01
8065-1106-01
8065-1365-01
8065-1107-01
8065-1366-01
8065-1108-01
8065-1367-01
8065-1110-01
8065-1369-01
8065-1109-01
8065-1368-01
If A Co Ax Cannulas
18 ga x 21 ga-.3 mm Side Port 1/A Inner Cannula 21 ga-.2 mm Side Port 21 ga-.3 mm Side Port 21 ga-.5 mm Side Port 1/A Double Cannula 21 ga x 21 ga-Open ends 21 ga x 21 ga-.3 mm Aspiration 21 ga x 21 ga with 1 "3" open end 23 ga x 23 ga-Open end angled 25 ga x 25 ga-Open end angled 21 ga X 21 ga-Open end angled
Ophthalmic Surgical Knives The Alcon line of cutting instruments features a broad product range, including two knife groups; the premium Alcon Ophthalmic Knife System (A-OK™) and the I-KNIFE® Family. Both groups of knives are produced especially for the ophthalmic surgeons. Included in the Alcon Ophthalmic Knife System (A-OK) are several unique specialty knives. A-OK™ Full-Handle Knives come in four standard blade angles, 15°, 22.5°, 30°, and 45°. Each A-OK Full Handle Knife features a unique blade design which
SURGICAL INSTRUMENTS AND EQUIPMENT
allows clear corneal sighting upon anterior chamber penetration for the capsulotomy. A-OK™ Screw-In Tip and Blades feature standard blade angles, 15°, 22.5°, 30°, and 45°. Each A-OK Screw-In Tip and Blade features a unique blade design which allow clear corneal sighting upon anterior chamber penetration for the capsulotomy. A-OK™ Phacoemulsification Slit Knife features blade widths from 2.5 mm to 3.5 mm. Most importantly, these phaco slit knives feature a unique manufacturing process assuring equidistant sharpened edges for accurate width incisions. A-OK™ Crescent Knife is rounded for control, yet sharp for precision. This unique design provides for superior tactile sensation due to a microsmooth polished bevel leading into the precision edge. The A-OK Crescent Knife is most used for creating scleral flaps, bevel incisions, or clearing Tenon's capsule. A-OK™ Corneal/Scleral V-LANCE® is designed for smooth penetration of both scleral and corneal tissues with minimal tenting, and a fluid-tight seal. A-OK™ CAPSITOME® features a unique swivelling, sharpened stylus which reduces zonular stress and shear forces during anterior capsulotomies. A-OK™ Posterior Cystitome features an arced shank necessary for a posterior capsular discission with a ridged IOL. A-OK™ BLAOESAVER™ Closed-Cell Blade Protector is unique to the knife industry, and is featured on all AOK products. The BLADESAVER protects the delicate point and edge of each knife and is the same closedcell foam protection as found in the Alcon Closure System. The redesigned I-KNIFE® and all-new I-KNIFE® II comprise the I-KNIFE Family of disposable microsurgical knives available from Alcon. The redesigned I-KNIFE is available in full-handles with four popular blade angles at 5 mm lengths. These angles include 15°, 22.5°, 30°, and 45°. The all-new I-KNIFE II knives are available in screw-in tip and blades in 15° angles with 3 mm and 5 mm lengths. The Alcon I-KNIFE Family features the unique BLADESAVER™ foam blade protector. This closed-cell foam protects the delicate point and edge of each blade. The BLADESAVER foam blade protector is unique to the industry, and is the same closed-cell foam protection featured in the Alcon Ophthalmic Knife System and the Alcon Closure System. Surgical Accessories Alcon Surgical offers a complement of Anterior and Posterior segment accessory instrumentation to support the Series Ten Thousand® product line. New products this year include: Retinal Tamponade System-incorporates retinal tracking capability with silicone oil injection for retinal re-attachment New coaxial metal sleeve 1/ A handpiece-lightweight ergonomic design with choice of tip configurations
177
Alcon Surgical's Series Ten Thousand® Master and Compact represent the state-of-the-art in microprocessor control technology for cataract instrumentation. The Series Ten Thousand offers a broad range of product to meet your specific needs. Some of the available features are: Small, lightweight fourth-generation piezoelectric ultrasound handpiece Programmable/memory Fixed, linear, and pulsed linear phacoemulsification Ultrasonic irrigation aspiration Linear vacuum/aspiration peristaltic fluid coupling system New advanced technology multi-function footpedal Ultrasonic anterior capsulotomy Automated I.V. pole Remote control Irrigation/aspiration Advanced technology disposable ocutome probe Capsule vacuum Audible vacuum tones Bi-polar Diathermy Reflux Alcon Surgical's Series Ten Thousand® Ocutome (STTO) is a fully computerized, multi-purpose surgical system with cataract and vitreoretinal procedure capabilities. The system utilizes microprocessor control and offers the following features: Advanced technology disposable ocutome probe Bi-polar diathermy Fixed, surgeon control, and pulsed phacoemulsification Ultrasonic anterior capsulotomy Fragmentation, and pulsed fragmentation Anterior /posterior reflux Illumination Fluid/gas exchange Scissors drive Remote control/programmable Venturi or diaphragm pump styles
Americal Corporation
America! offers a complete line of Merocel Instrument wipes for removing fluids and tissue debris from micro surgical instruments. All Merocel Instrument wipes are fiber-free, highly absorbent, soft yet strong, and will not get caught on box locks or serrations
American Surgical Instrument Corporation (ASICO)
ASICO Single Use Cannulas ASICO offers a full range of Single Use Cannulas such as anterior chamber cannulas, a wide variety of cystotomes, retrobulbar and periobulbar needles, polishers, Simcoe and Simcoe Reverse and straight Irrigating/ Aspirating cannulas. AS ICO Single Use Cannulas are double sterile packed to minimize setup time and are conveniently packaged in a box of ten. In an effort to serve each surgeon's needs, ASICO also offers custom-made Single Use Cannulas with a minimum order.
178
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
SNSC Shaw Needle Holder With Suture Cutter This new Needle Holder Suture Cutter (SNSC) allows the Ophthalmic Surgeon to not only pass a suture but also tie and then cut it. Used with tying forceps, this instrument eliminates the need to change instruments or wait tor an assistant to cut the suture. The Shaw Needle Holder Suture Cutter, a specially designed cutting mechanism (Patented) is available in various round handle needle holders, long or short handle, curved or straight jaws, locking or nonlocking mechanism. AE-5493 Koch Endocapsular Scissors These Scissors feature semi-circular shaped cutting blades 11 mm long. The design of the scissors enables the surgeon to make a circular opening of the anterior capsule for the Endocapsular Technique. The blade of the scissors can cut to the left and to the right. AE-4249 Phaco Folder This unique lens forceps was developed to told soft intraocular lenses tor insertion through a small incision. The smooth bar is designed tor controlled release of the lens within the eye. The forceps is approved by AMO to use with their silicone lenses. AE-4237 Sinskey Lens Holding Forceps This forceps features delicate T-shaped lower jaws ideal for bi-convex, ridged, or plano lenses. AE-4051 SC Eisner Corneal Forceps With Suture Cutter The Eisner Corneal Forceps is a combination of three instruments. Corneal forceps with 12-mm teeth, tying platform to tie the suture, and built-in cutter to cut the suture. Round handle of the instrument provides the surgeon with good maneuverability with the slightest movements. AE-8309 Koch Endocapsular Punch This Punch has two circular and see-thru cutting edges 4.5 mm in diameter to visualize and to create a perfect opening in the anterior capsule with precise repeatability. AE-4394 Kraff-Utrata Capsulorhexis Forceps This Capsulorhexis Forceps allows the surgeon to perform a circular-tear capsulotomy. The forceps has 11-mm long jaws with a recessed space in-between tor inadvertent pickup of iris. The triangular, sandblasted tips of the forceps is set at a 45° angle for picking up the anterior capsule. ASICO's unique round handle facilitates the surgeon in tearing the capsule in a round fashion. ASICO Free Hand Diamond Knife ASICO's Free Hand Diamond Knives feature ergonomically designed titanium handles with easily exchangeable blades in the configurations of 45° blade, double lancet blade, and tritacet blade. The knife is available in 1.0-mm width x 0.2-mm thickness or 1.5-mm width x 0.3-mm thickness, and comes with its own sterilization tray.
UNICAT Diamond Knife The single tootplate, multi-setting, cost saving, all titanium UNICAT Diamond Knife tor the Phaco and ECCE Surgeon eliminates the need tor three different blades tor the scleral or limbal incision, corneoscleral shelf, and entry into the anterior chamber. The 60° cutting edge of the blade allows the surgeon to enlarge the wound for implantation of IOL after emulsification. The knife is available in 3.0- or 3.2-mm wide diamond blade, and comes with its own sterilization tray. ASICO Thermoplastic Sterilization Trays ASICO's New Sterilization Trays are made of a special thermoplastic material which can withstand up to 4,000 autoclaving cycles. The trays can be used tor Ethylene Oxide and Steam Sterilization Procedures. The soft silicone mats protect the instruments during sterilization, transportation, and storage. The cannula bars with luer-lock fittings hold the cannulas firmly during the sterilizing process. The delicate instrument holder protects fine handle instruments. The seethrough lid aids visualization to the contents of the tray. The tray is available in tour different sizes.
ANSUR Technologies, Inc.
Ansur 2001 Phacoemulsifier True linear function starting at toot position zero as well as a preset power setting at a turn of a switch Exclusive straight drive thru the center of the handpiece Autoclaveable piezo electric bondpiece A reusable limited phaco pak One year warranty Prices available on request
DMI
Operating Ensemble A tri-power contour surgery chair;table that provides a complete facility for office or out-patient eye surgery. Full or tapered back allows surgeon and nurse to stand or sit close to patient creating minimum surgeon fatigue for a full range of cosmetic and out-patient surgical procedures. Features include: Power tilt, lift and back; Velcro arm slings; Velcro body strap; auxiliary aspirator switch; clear snap-on scuff cover; supreme grade Uniroyal Naugahyde in full range of colors; electric motors; color-fast bellows and base cover. Choice of headrest included. 70+ x 42+ x 28+ (177.8 em x 106.6 em x 71.1 em). 440 lbs. (166.5 kg). 120 V, 60 Hz, 8A or 230 V, 50 Hz, 4 A. Prices on request #220 #219AIB same as 220, but with quad power knee brake. 495 lbs. #230-25+ wide quad power full knee break table S-3000 Dual power micro-surgery chair;table contoured tor patient comfort. Accessories: BDSLP operating light Mayo tray and arm Post mount i.v. rod and rod holder
SURGICAL INSTRUMENTS AND EQUIPMENT
Patient monitor, 151/e+ em) tray Multi-position arms Wrist support headrest
x 101/e+ (38.4 em x 25.7
Eagle Vision, Inc.
Eagle Vision-Freeman™ Surgical Head and Hand Rest The Eagle Vision-Freeman™ Surgical Head and Hand Rest partially immobilizes the head during surgical procedures, while providing support for the surgeon's arms and hands. An insert is provided for children or smaller patients. The unit is made of medical grade Naugahyde®, custom stitched around foam rubber, and features velcro straps to anchor the headrest to any size operating table. Price on request Eagle Vision-Freeman™ Punctum Plug Kit The original Punctum Plug for use in treatment of keratitis sicca (dry eye) by reversible occlusion. The kit contains two (2) Punctum Plugs made of soft, flexible medical grade silicone rubber similar to that used to make soft silicone contact lenses. Plugs are non-toxic. Kit also includes one (1) Dilator /Inserter combination instrument and physician instructions. The procedure involves inserting the soft silicone plug into the puncta! opening of the patient's eyelid(s), thereby blocking this opening and eliminating tear loss by this route. The purpose is to permit more moisture to remain in the patient's eye(s). The plug can be removed with little or no side effects. The kit and contents are sterile and designed for single use. Now available in 3 sizes: standard size plug kit, medium size plug kit, and small size plug kit. Price on request
Temporary lntracanalicular Collagen Implant The implant procedure is a test which can be used in the diagnosis of a number of ocular disorders. including contact lens wearing problems. The collagen implants also may be used to temporarily enhance the effect of ocular medications. Occlusion of the lacrimal drainage system reduces the loss of topical medications into the outflow pathway, thus increasing the amount of medication available to ocular tissues. The implants are 2 mm in length and available in three diameters: 0.2 mm, 0.3 mm, and 0.4 mm. Six sterile implants are packaged in a lint-free foam holder, allowing implantation in all four canaliculi with two extra implants should they be dropped or mishandled. Each box contains twelve patient packs. The implants, which slow the excretion of tears into the nasal passages, are dissolved in 7-1 0 days. During this time, the collagen implants give the ophthalmologist and patient time to evaluate the benefit of increased tears on the surface of the eyes. Signs of improvement may suggest more permanent occlusion, such as offered by the total, yet reversible Eagle Vision-Freeman™ Punctum Plug. Price on request
179
Collagen Implant Forceps High-quality forceps for handling and inserting Temporary lntracanalicular Collagen Implants. The forceps are custom modified so that the tips are smooth and round, not sharp pointed. Tungsten carbide is impregnated into the inside surface of the tips to provide a secure grip on the implant. Price on request Cilia Forceps Swiss-manufactured epilation forceps with blunt tips and extended mating surfaces. Tungsten carbide has been impregnated into the mating surfaces to ensure a secure grip on the very finest cilia. Price on request EV™ Monocanalicular Stent For repair of single canalicular lacerations. This product combines an Eagle Vision-Freeman™ silicone Punctum Plug secured to medical grade silicone tubing for use as a stent in the repair of single canalicular lacerations. A standard size Punctum Plug is modified by having the end of the conical tip removed to create an open tunnel which converts the former plug to a small tube. This modified Punctum Plug then is attached by silicone glue to a 30-mm length of medical grade silicone tubing. The EV™ Monocanalicular Stent can be used to bridge the lacerated ends of the canaliculus, while providing an unobstructed outflow pathway for the tears during healing. Because the Punctum Plug remains fixed in the punctum, no sutures are needed to fixate the stent to the eyelid, in contrast to other products and techniques. Intubation into the nose and trauma to the uninjured canaliculus also are avoided. It has also been reported that the EV™ Monocanalicular Stent is useful in shortening the medial canthus where the patient suffers from ectropion. Other advantages include ease of insertion, good patient tolerance, and this treatment can be performed as an out-patient procedure in some cases. The EV™ Monocanalicular Stent is available in a sterile kit with one stent per kit. Price on request Medicool® Kit This portable refrigeration protection system keeps heat sensitive medication and eye drops below 70° F for over eight hours. Medicool® is small enough to fit in purse or briefcase and includes two freezable coolers and a sturdy carrying case with belt strap and pocket. Price on request Eagle Vision™ Silicone Lens Positioner With the advent of lens implants with no positioning holes, the surgeon at times encounters difficulty in positioning lenses. A lens positioner using soft silicone as the adhesion to move lenses has been developed. The product consists of a 27 -gauge irrigating cannula with approximately a 10-mm length of silicone tubing placed on the cannula. This cannula fits on any standard irrigating syringe and then is filled with either air or fluid (visco-elastic material). The Eagle Vision™ Silicone Lens Positioner then is placed
180
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
into the anterior /posterior chamber through the incision. Gentle pressure, using the silicone tip of the positioner, is placed close to the edge of the optic of the lens implant. Then pressure is applied in the direction of desired movement while exerting gentle posterior pressure. Advantages include the fact that the surgeon can irrigate or aspirate while positioning the lens. The soft tubing does not scratch, yet is reasonably adherent. Sold in a non-sterile package. Cleaning by standard technique and sterilization by autoclaving is recommended. Price on request EV™ Lid Cleanser EV™ Lid Cleanser is an effective cleanser for use whenever daily eyelid hygiene is indicated. It is excellent as an adjunct in conditions associated with acute and chronic blepharitis, and also ideal as an eye cosmetic remover, especially for contact lens wearers. EV™ Lid Cleanser is available in a kit containing an 8 fl. oz. bottle of Lid Cleanser and 50 four-ply rayon/ polyester cleansing pads in an easy-out dispenser. The kit also contains clear patient instructions and diagrams for ease of use to promote daily eyelid hygiene. EV™ Lid Cleanser contains no perfumes or dyes often found in shampoos and soaps. Instead, it is specially formulated to be non-irritating to sensitive ocular tissue. The product is pH-adjusted to be compatible with external body tissue. The very gentle sudsing and cleansing action permits gentle, but remarkably thorough removal of accumulated oily debris, crusted matter, and cosmetics from the eyelids and eyelashes. Price on request Eagle-Sal™ Balanced Salt Solution Eagle-Sal™ is a terminally sterilized, physiologic solution that is isotonic to ocular tissue and contains electrolytes required for normal cellular metabolic functions. It minimizes trauma to ocular tissue by reducing corneal swelling and any possible endothelial damage. Used for irrigation of eyes, ears, nose, and/ or throat during a variety of surgical procedures. This solution is preservative-free and intended for single use. Supplied in 500-ml bottles in a case of 12 bottles. Price on request EV™ Rose Bengal 1% Sterile Ophthalmic Solution EV™ Rose Bengal is a vital stain which stains dead or degenerated epithelial cells of the cornea and conjunctiva, including the nuclei and cell walls. It also will stain the mucus of the precorneal tear film. Effective aid for the diagnosis of keratitis, keratoconjunctivitis sicca, corrosions or abrasions, and for the detection of foreign bodies. Available in a 5-ml plastic drop dispenser. Price on request EV™ Anesthetic-Fluorescein Sterile Ophthalmic Solution A disclosing agent with rapid anesthetic action and short duration. Contents: Fluorescein Sodium 0.25% and Proparacaine Hydrochloride 0.5%. For procedures in
which a topical ophthalmic anesthetic agent in conjunction with a disclosing agent are indicated. Available in 5-ml bottle with eye dropper. Price on request Eagle Vision-Freeman™ Modified Forceps The modified forceps feature a unique design which accepts cotton-tip applicators. The forceps can be used in a number of procedures. They are most often used in conjunction with the insertion of Eagle VisionFreeman™ Punctum Plugs. They facilitate the procedure in that the premoistened cotton tips immobilize the lid so that the ophthalmologist can dilate the punctum and insert the punctum plugs. The forceps also have application in a variety of ophthalmic plastic surgery techniques in that they gently cradle sensitive tissue. The modified forceps are useful in cilia transplantation, dissection of eyelashes, trichiasis surgery, and other procedures. Price on request
Ellman International Mfg. Inc.
The Surgitron FFPF Radiosurgical Unit Four therapeutic surgical currents Highest operating frequency Full line of accessories
Eye Garter Company, Inc.
COTTON TIPS cotton applicators are precision-pointed cotton sponges for use in lieu of expensive cellulose sponges. In surgery, they absorb at the source of the blood without obliterating the microscopic field of vision. Available either with dual pointed ends or one blunt endjone pointed end, each can be used twice. Packed non-sterile (sterilization instructions available on request) in 25 sleeves of 20 (500/ box). Pricing, samples, and brochure available on request.
Fortrad Eye Instruments
Fortrad Eye Instruments, offering you highest quality precision hand-held instruments at 15-40% savings, has been supplying to leading hospitals, surgery centers, and private practitioners for six years. Fortrad Instruments are made exclusively in the USA, West Germany, and Switzerland, and are guaranteed for life against defects in materials and workmanship. We also supply instruments for ENT, Plastic & Reconstructive, Dermatology, Ob-Gyn, Neurology, etc. Over 500 items in stock for immediate delivery: Cannulae, Forceps, Hooks/Manipulators, Hemostats, Loops/Spoons, Needle Holders, ring- and springhandle Scissors, Specula, Sterilizing Cases, Tonometer, etc. Phone or write for a quotation, inquiring by Catalog Number & Brief Description of All Companies. Please double-space inquiry lists. Additional savings available. Favorable payment plans. Also inquire by catalog number and brief description of any other company. Fortrad will cross-reference to its catalog numbers ana quote over the telephone, by letter, telex, or fax.
SURGICAL INSTRUMENTS AND EQUIPMENT
Three payment options are available: 5% payment with order discount plus free shipping, VISA, MasterCard, or American Express with free shipping or standard 30 day terms. Fortrad instruments are fully guaranteed for life against defects in materials and workmanship. Price List/Conversion Chart available upon request
Graham-Field, Inc.
O.R. Eye Instruments Amico O.R. quality, German manufactured, surgical eye instruments. The complete line includes specula, retractors, knives, needles, blades, spoons, hooks, curettes, spatula, eye dressing forceps, Iris forceps, Stevens tenotomy scissors, Bowman probes (sterling silver), Williams lacrimal probes (sterling silver). Prices on request Feather Disposable Scalpels Sealed in aluminum foil; blade secured to chemically resistant handle; blade protected by snap-off cover Feather Surgical Blade Handles and Stainless Steel Blades Available in multiple styles/sizes Prices and sizes available on request
Grieshaber & Co.
Sutherland Microforceps and Microscissors Sutherland forceps and scissors have been designed to be introduced through a 20 gauge incision. Nearly 30 instruments in all, these fine instruments offer the surgeon a variety of shapes and angles for anterior and posterior segment procedures. The tip of each instrument may be rotated in the eye without changing hand position. Widely used by posterior segment surgeons, rotatable microscissors and forceps are ideal for the management of vitreal membranes by segmenting or delamination. Ophthalmic Knives The Grieshaber Ultrasharp and Ultrathin lines offer the ophthalmologist a broad selection of sterile "disposable" microsurgical knives. Renowned for their exquisite and consistent sharpness, many ophthalmologists enjoy the economy of multiple use. The newly introduced Ultrathin group of knives offer lower costs and razor thin blade styles Ruby and Diamond knives provide a cutting edge possible only with a gem. A variety of blade styles are available and may be ordered with a retractable handle or as a replacement. Trocar Cannula System The Trocar Cannula System is designed to protect the sclerotomy site during vitreous surgery. Often the integrity of the sclerotomy is compromised by constant changing of the intraocular instruments. With the cannulas from the Trocar System placed in the incision, instruments, fiberoptics and infusion lines can be interchanged easily without stretching or enlarging the incision. The "twist-lock" connector of the cannulas allows for securing infusion and new fiberoptic lines easily, without the need for suturing.
181
Foreign Body Forcep (All-Purpose Diamond Coated) The Foreign Body Forcep was designed to provide the surgeon with one instrument capable of grasping most types of penetrating foreign bodies. The diamond chips lining the jaws make it easy to grip a foreign body of any composition or shape, providing ample gripping power to reduce the chances of a foreign body slipping off the tips, thereby causing additional trauma. Green-Line Bipolar Coagulator The Grieshaber Green-Line Bipolar Coagulator provides the latest development in solid state electronics. By producing a unique, pulsed square wave, enhanced coagulation is achieved utilizing less voltage and yielding even less destruction of surrounding tissue. Coagulant formation at the forcep tips is reduced as is TV and monitor interference. A complete line of ophthalmic forceps is available in addition to coaxial "Probes" for both anterior and posterior segment procedures. The new Grieshaber "ULTRALIGHT" cord reduces drag on the forcep or probe during delicate procedures. Manipulator The Grieshaber Manipulator is a unique three function instrument specifically designed for posterior segment surgery. Providing simultaneous illumination, coagulation and manipulation of tissue through a 1 mm probe, it eliminates the restrictions associated with a bimanual technique thereby creating a "third hand" for added versatility in the management of delicate procedures. The term Manipulator is derived from its ability to hold or manipulate tissue through its suction capability. The Manipulator is used with the Grieshaber Green-Line Bipolar Coagulator and Grieshaber Light Source, or adapts to most conventional systems. Grieshaber Air System The G.A.S. (Grieshaber Air System) is a self contained system that maintains intraocular pressure automatically without the need for syringes, bottles, air tanks, or the help of an assistant. It eliminates the danger of overfilling or collapse of the globe during fluid/gas exchange. The system is designed both for fluid/gas exchange in complex posterior segment surgery and for maintaining the anterior chamber. An audible alarm sounds when pressure varies beyond limits preset by the surgeon. A dual mode footswitch provides the surgeon with complete control. Accessory sterile tubing paks are available from Grieshaber to simplify hook-up for air delivery, or, with the "Global Control" pak, for fluid and air. MPC The Grieshaber MPC (Membrane Peeler Cutter) is an automated scissors which may be introduced through a 20 gauge incision. The shape and angle of the blades in the closed position allows for membrane peeling and delamination. The MPC reduces hand/
182
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
instrument movement and eliminates surgeon distraction that manual activation often requires. Cannulated Extrusion Needle The Cannulated Extrusion Needle is an instrument containing a 24 gauge silicone tube which can be extended for 18 mm beyond the tip of a 20 gauge needle. Although the instrument may be used in conjunction with an automated vacuum system via the standard bored tubing exiting from the end of the handpiece, passive egress of fluid is generally preferred and controlled with the venting hole found within the finger slide. OBF (Ocular Blood Flow Measuring) The OBF System, with its unique pressure sensor and menu-driven computer system, provides immediate graphic reports of pulsatile blood flow, vascular resistance, aqueous humor dynamics, perfusion pressure, and ophthalmic arterial pressure. This ability offers opportunities to modify pharmacological and surgical treatments and to measure their effectiveness. It also can help the physician avoid certain treatments when risk factors are brought to light. Prices on request
Henry Schein, Inc
Featuring Miltex Instruments Including: Eye Specula and retractors Lacrimal dilators and probes Iris and tenotomy scissors Calipers Dressing and tissue forceps Needle holders All instruments are German quality with a mfg. lifetime guarantee
Karl Ilg Instruments, Inc.
Karl and Paul llg have over 40 years of experience producing surgical eye instruments. They are ophthalmic surgical designers and are prepared to give their personal attention to any concept you may have concerning the design of new instruments or modifications of existing instruments. Some of our newest designs for this year are: Shepard Irrigating Capsule Polisher has a 2-mm I.D. cup with 23 G irrigation directly out of the distal end. The polisher has a gradual 40° curve upward. Back side of polisher is thinned out to reduce height and highly polished to minimize damage to the endothelium. Simcoe (Modified Shepard) Large Aperture Cannula 20 G TW aspiration with 0.5- or 0.7-mm hole on top side thru tubing attachment to a syringe. 20 G TW irrigation thru luer-lok hub, which can be attached to hanging I.V. bottle or thru a handle. This large hole is designed for aspiration of the fractured nucleus or soft immature nucleus. Simcoe (Modified Shepard) Large Aperture Cannula is also available with 0.5- or 0.7-mm hole on the side, instead of the top side.
Lieberman Non-ridged Lens Implant Forceps This is used to hold securely 6- or 7-mm biconvex and planoconvex no-hole lenses. The instrument has a 5" long round handle to hold comfortably in the surgeons hand. The bottom blade has a rounded offset tip to hold lenses firmly so there is no side-to-side motion. The upper blade is concaved so it conforms to the lens. The instrument has a stop in the back to prevent the forceps from being bent out of shape. It is available with round handle, flat handle, or crossaction. The Kendrick-Mims Nucleus Manipulator This is used in extracapsular surgery to loosen the nucleus before expression or loop removal of the nucleus of the crystalline cataractous lens. It can be used to deliver the nuclei into the anterior chamber. It is also an excellent iris repositor, and useful for other intraocular manipulations. Kietzman Lens Haptic Loop Designed for more assured in-the-bag placement of C-loop intraocular lenses. The loop is threaded over the superior haptic after the inferior haptic is in place in the bag inferiorly. The loop is held in place with the left hand where the superior haptic is to enter the bag while the lens is dialed into a horizontally oriented position with a modified Lester hook held in the right hand. In addition, we offer these popular sellers: Lieberman-Tennant Tying Forceps with smooth fine jaws, burnished tips (straight or curved) 4W' or 5" long round handle Lieberman Capsule Polisher, 1-mm cup, with iris retractor and irrigation through center of cup. The Karickhoff Dobule 1/A Cannula has a gradual 45° curve upward, 21-G irrigation out front and 23-G aspiration on top, near the tip, with a 0.3-mm hole. Putterman Clamps for the treatment of ptosis by the MUller Muscle conjunctival resection operation of Putterman and Urist. Putterman Levator Resection Clamps designed to facilitate the resection of the levator muscle, by the external or internal-external approaches. The Lieberman Phaco Crusher with Offset Tip and the Lieberman Ph aco Crusher with Y-Shaped Tip. These two modified spatulas/manipulators, improve the effectiveness of your phaco technique by dividing the lens nucleus with small segments and then crushes each segment at the U/S tip. The Clamp for Cicatricial Entropion Surgery. This clamp has been designed to simplify the performance of the Wies and Ballen transmarginal rotation entropion procedures. The clamp maintains hemostasis throughout the initial portions of the procedure. The clamp is shaped for use in a partially obliterated fornix. The Judson Smith Manipulator This is a modified Graether collar button, with a positioning stud. It is used to dial peripheral "tab" type intraocular lenses with peripheral
SURGICAL INSTRUMENTS AND EQUIPMENT
positioning holes. It may also be used to dial conventional IOL's with two or four positioning holes. The advantage of this instrument is that you can not only manipulate the position of the peripheral iris, but you can also move the lens. Prices available on request
International Ophthalmic Industries Corporation
Micro-Keratron(R) power trephine system An electronically controlled, power trephine system with completely variable rotation of trephine from 0 to 800 RPM. Handpieces in three different types accommodate extremely broad range of "see-through" trephines from 5.0 mm rJ> to 11.0 mm rJ> in increments of 0.1 mm rJ>. Design permits surgeon to establish desired speed before incision and see through the trephine directly onto the cornea while operating with standard microscope set-up. Insert pistons available for all size trephines for presetting desired depth of incision. System components re-usable and autoclavable. Manufactured by Hans Geuder GmbH of West Germany Imported and Marketed in the United States Exclusively by International Ophthalmic Industries Corporation Price-Basic system with one handle and selection of any 3 trephines starts at $9,700 Standard 90 day warranty on all parts and system Surgical instruments Broad range of standard hand surgical instruments including special instruments developed for the intraocular lens implantation procedures. Unique forceps that hold haptic and lens during insertion, diamond knives and special specula are included. Instruments individually priced. Catalog and price list available. Standard 90 day warranty on all instruments. Manufactured by Hans Geuder GmbH of West Germany Imported and Marketed in the United States Exclusively by International Ophthalmic Industries Corporation ASPITRON(R) Irrigation; Aspiration System A peristaltic pump unit electronically regulated providing safe and continuously controllable irrigation and aspiration in extracapsular cataract extractions. Handpieces are light, durable and autoclavable for economical procedures. Connecting tubing autoclavable with stainless steel fittings. Irrigation/aspiration handpieces available straight or angled, of 3 different lengths and aspiration inlet sizes of 0.3 mm r/>, 0.4 mm rJ> and 0.5 mm rJ>. Manufactured by Hans Geuder GmbH, West Germany Imported and marketed in the United States Exclusively by International Ophthalmic Industries Corporation Price-Basic system complete with two standard handles, less than $18,500 Standard 90 day warranty on all parts and system
183
Magnetron/ Aspitron(R) 1/A System Control unit with magnetic and motor driven instruments used in Capsulotomy, Phaco-emulsification, Cataract Surgery, Keratoplasty, and Vitreous Body Surgery. Multi-function footswitch permits Surgeon control of all procedures. It couples with ASPITRON(R) 1/A System, and Phaco system. Price-Basic systems start at $13,000 Jeweler's forceps for ophthalmology A broad range of sizes and styles, straight, angled and curved. Very precise, with fine points, superbly finished in stainless steel. Imported from DuMont, Switzerland. Modestly priced.
JEDMED Instrument Company
Hessburg-Barron Vacuum Trephine The Hessburg-Barron Vacuum Trephine uses an attached spring-loaded syringe that when released, will draw a vacuum and seat the trephine on to the cornea. This holds the cornea in its natural state while the built-in blade makes a perfect parallel cut. This blade is % the thickness of a razor blade and is extremely sharp. The entire unit is sterile packed and disposable. Literature and pricing available on request
Ophthalmic Instrument Ultrasonic Cleaners #99-3000 Ultrasonic Cleaner Single unit, stainless steel construction with 8 foot attached line cord. Tank size: length-9%"; widthS%"; height-25/16"· #99-3006 Ultrasonic Cleaner Single unit, stainless steel construction with 8 foot attached line cord and drain hose. Tank size: length113/.t" width-9Vz"; height-6". #99-301 0 Ultrasonic Cleaner Single unit, stainless steel construction with 8 foot detachable line cord, stainless steel cleaning basket, and hose. Tank size: length-19Vz"; width-11 Vz"; height-6". Literature and pricing available on request. Single Use Ophthalmic Products A complete line of sterile, single use ophthalmic surgical instruments, including cannulas, needles, knives, and IOL manipulators, hooks and dialers. Growing concerns over intraocular contamination via surgical instrumentation have prompted JEDMED to make available this line of single use products to replace those instruments that are difficult to clean and maintain. The utilization of these finely crafted instruments is the first step in eliminating concerns of particulate and patient cross-contamination. In addition, special cost containment procedures permit offering these items at extremely low prices. Additional literature and pricing available on request. Fisch Drill Irrigation Pump (catalog #39-1 020) This pump facilitates the use of the JEDMED Fisch Bone Drill System. The irrigation jet provided by the pump efficiently removes bone chips and other debris from
184
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
the handpiece's burr tip, affording a clean cutting surface at all times. The irrigation pump features variable irrigation pressure and a fast-load pump head which expedites tube removal for sterilization. The pump system incorporates an I.V. pole and a 5 caster, mobile floorstand and utilizes standard I.V. bags and tubing. The pump will interface with all Fisch Drill Systems currently in use. Additional literature and pricing available on request. The Fisch Drill Has found its way to the most popular otologic drill position, and now is widely accepted as a necessary plus for dacryo and occuplastic procedures. 0-40,000 RPM with computorque allows for any speed or accuracy of drilling. Computorque allows for maximum torque at even less than full speed. Literature and pricing on request. Wee Bag O'Mercury JEDMED introduces the Wee Bag O'Mercury for ophthalmic surgeons using about 30 mm of pressure to reduce the intraocular pressure. The 30 mm of mercury oculopression is commonly used for some 30 to 45 minutes prior to most intraocular surgeries. The Wee Bag O'Mercury is a simple yet refined device that is easy to use and easy to wear. The bag is made entirely of silicone and is remarkably durable. Each Wee Bag comes complete with a bag of mercury, headband, and instructions. The Crawford Intubation Sets Sterile packed, stainless steel probes with olive tips, wedged together by silicone tubing. This allows easy intubation through upper and lower punctum and into the nasal passage. A special hook is also available which is used to reach into the nasal passage and engage the probe tip and easily draw the probe out. Literature and pricing on request. JEDMED/OPHTEC Disposable Nucleus Expeller A special irrigating cannula designed for hydro-dynamic nucleus expression in extracapsular cataract extraction. The absence of corneal deformation guarantees optimal endothelial protection. Additional literature and pricing available on request. JEDMED/OPHTEC Micro Needle Forceps for Anterior or Posterior Capsulectomy /Capsulotomy A micro needle-forceps protruding from the tip of a 24gauge needle offers a new concept in intraocular grasping of anterior or posterior capsules, secondary membranes, certain types of vitreous strands, or for intravitreal cutting in combination with a second instrument. The thin 24-gauge needle is introduced through its own stab wound without loss of the anterior chamber. No sutures are required because the wound is sufficiently small to seal itself upon removal of the forceps. Additional literature and pricing available on request. JEDMED/OPHTEC Disposable Surgical Drain Provides some three times the absorption capacity and
twice the speed of drop formation against other sponge materials. Allows for a well-drained operation and reduces the need to use suction devices. Eliminates fluids on the floor when used with JEDMED's cataract drape. Additional literature and pricing available on request. JEDMED/OPHTEC Disposable Surgical Sponge/Retractor Combination The handle is completely malleable with the hook being used as a handy retractor. Additional literature and pricing available on request. New Crawford Intubation Set with Suture The original Crawford Intubation Set, designed by J. S. Crawford, MD, was developed to facilitate the insertion of lacrimal intubation tubing while reducing trauma and tearing of the nasal floor. This was achieved through use of two flexible, stainless steel wires (.016" diameter), silastic tubing (.025" diameter), and a specially designed hook. Now, a newly developed Crawford Intubation Set is available which incorporates a suture running through the center of the silastic tubing, allowing a small surgical knot to hold the tubing in place. This feature is beneficial when removing the tubing from either the canaliculi or from the nasal passage since the suture is discreet and can be removed in the office without anesthesia. Additional literature and pricing available on request. Keratoscopes Two models of surgical keratoscopes provide a costeffective alternative to expensive surgical kertometers. Preoperatively, the keratoscopes may be utilized to confirm previously recorded K readings. Intraoperatively, the keratoscopes facilitate the rapid measurement of astigmatism, affording accurate suture adjustment. In addition, the keratoscopes yield an immediate qualitative estimate of the effects of astigmatic keratotomy. Available in a sterile, disposable model, packed six (6) to a box, (Cat. No. 28-4415), and a fully autoclavable, stainless steel model (Cat. No. 28-4425). Additional literature and pricing available on request.
Katena Products, Inc.
Ophthalmic Surgical Instruments Speculums, retractors, knives, spuds, blade breakers, trephines, curettes, spatulas, loops, spoons, iris retractors, hooks, calipers, scissors, forceps, needle holders, dilators, probes, cannulas, eye spheres, eye shields, sterilizing cases, micrometer knives, XTAL blades, sapphire knives, diamond knives, etc. Many models of each Catalog and price list available on request
KDANS Surgical Inc.
KDANS manufactures a variety of microsurgical instruments: blades for cataract surgery, precise incisions, scleral procedures, vitrectomy procedures,
SURGICAL INSTRUMENTS AND EQUIPMENT
needle blades, keratome blades, blade holders, blade breakers, and microsurgical knives.
Keeler Instruments, Inc.
Keeler Thornton Titanium Instrument Series Designed specifically for the extracapsular surgery with in-the-bag lens implantation. The Thornton Titanium Instruments feature round handles with a textured surface which guards against slippage and gives excellent control. Titanium does not corrode or rust. Cutting edges and teeth are longlasting. Strong and lightweight, yet delicate for easy feel and use, Titanium is also . nonmagnetic and anti-reflective, virtually eliminating annoying glare and clinging suture needles. Designed and developed under the direction of Spencer Thornton, M.D., Nashville, TN. Thornton Titanium Instruments-Round Handle 2756B2002 Thornton Scleral Fixation Forceps $ 339 2756B201 0 Thornton Micro Fixation Forceps 339 2756B2029 Thornton Micro Suture Forceps 339 2756B2037 Thornton-Kelman-McPherson Suture Forceps 316 2756B2045 Thornton X-Action Lens Introducing Forceps 339 2756B2053 Thornton Micro Needleholder wjo Catch 357 2756B2061 Thornton Micro Needleholder wjCatch 368 2756B2133 Thornton Standard Needleholder wjo Catch 357 2756B2125 Thornton Standard Needleholder w/Catch 368 2756B2088 Thornton Hook Right Angled (IOL) 138 2756B2096 Thornton Hook Left Angled (IOL) 138 2756B21 09 Thornton Speculum 52 2756B2117 Thornton Silver Spatula 75 275682141 Thornton Scissors 37 4 2736K8058 Thornton Troutman Corneal Scissors (Left/Right) 325 Titanium Flat Handle Instruments 275781 052 Titanium Straight Suture Forceps 288 275781 044 Titanium Straight Grooved Forceps 288 2757B 1036 Titanium Toothed Forceps w/Platform 288 2757B1087 Titanium Colilbri Forceps 316 2757B1079 Titanium Grooved Colibri Forceps 316 2757B1060 Titanium Toothed Colibri Forceps w/Platform 316 Keeler Ruby Knife Blades Keeler ceramic Ruby blades produce controlled incisions for 50 or more cases. Available in 10 different configurations. 1 mm and 2 mm 30° Tip 2 mm 45° Tip 2 mm Round Tip 2 mm Round Tip for Elevating 1 mm Razor Tip 1 mm Puncture Tip 1 mm Triple Facet Tip
185
3.0 mm Lancet Tip Extended Round Tip Prices start at $175 Meyer Swiss Diamond Knives Diamond Knives reduce pressure required to incise tissue by 2.5 to 3 times compared to razor blades. Perfect incisions allow perfect wound closures. Thin and small, Meyer Swiss Diamond Knives are cut from pure, natural diamonds for precision performance and retract into the handle for added protection. Now available for Radial Keratotomy surgery. Autoclavable. Available in 0.5 and 0.2 mm thicknesses. Prices-Diamond Knives start at $1,350. Measuring Gauge for checking the depth of incision setting. $395. Keeler Headlamp Video The Keeler Headlamp provides bright shadowless illumination of the surgical field. The headband conforms comfortably to the wearer's head and is lined with soft cushioned leather pads. Keeler's headband is designed to wear either between the wearer's eyes for true coaxial vision or above the eyes obliquely. Keeler Loupes will flip up and around the light pod. The headlamp is supplied with a fiberoptic cable fitted with an ACMI connector. Document surgical cases with this new state of the art miniature C.C.D. camera which weighs less than 25 grams fitted to the headlamp. The complete kit includes one headlamp complete with C.C.D. camera, one control unit, one ten-inch monitor /V.C.R. unit and cables. Complete system guaranteed for 12 months on all parts and service. 2003P2045 Video with Headlamp $9,950
Kirwan Surgical Products, Inc.
Kirwan Surgical Products, Inc., is pleased to offer a full line of ophthalmic electrosurgical bipolar forceps, both disposable and reusable (stainless steel and titanium). In addition to dipolar forceps, Kirwan manufactures and sells disposable and reusable bipolar pencils in sizes of 18 and 20 gauge and styles of straight or curved tip. A solid-state bipolar generator, suited especially for ophthalmology is available, as well as silicone and disposable bipolar cables. Below are listed some of the more popular instruments and accessories for ophthalmology: Disposables # 10-4000 Disposable 12-ft bipolar electrosurgical cable # 14-3000 Disposable bipolar forceps-straight without cord #14-3001 Disposable bipolar forceps-straight with cord # 14-1080 Disposable bipolar forceps-curved without cord #14-1 081 Disposable bipolar forceps-curved with cord #14-1 090 Disposable bipolar forceps-coaptation without cord # 14-1 091 Disposable bipolar forceps-coaptation with cord
186
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
#14-5000
Disposable bipolar pencil-18 gauge without cord # 14-5001 Disposable bipolar pencil-18 gauge with cord # 14-5002 Disposable bipolar pencil-18 gauge curved without cord #14-5003 Disposable bipolar pencil-18 gauge curved with cord #14-5004 Disposable bipolar pencil-20 gauge without cord #14-5005 Disposable bipolar pencil-20 gauge with cord Reusable Bipolar Forceps-Stainless Steel #10-3000 4" (10.2-cm) jewelers straight, 0.4-mm tip #10-3001 4" (10.2-cm) jewelers curved, 0.4-mm tip #12-1 075 33fs" (8.6-cm) straight iris, 0.5-mm tip #12-1 080 33fs" (8.6-cm) curved iris, 0.5-mm tip #12-1 090 4W' (1 0.8-cm) coaptation, 0.5-mm tip #12-1092 Nadler-style coaptation · #12-1095 41/4'' (10.8-cm) coaptation, extra fine 0.4-mm tips Reusable Bipolar Forceps-Titanium #15-21 03 3W' (8.9-cm) jewelers-30° angle, 0.4-mm tip #15-21 04 3W' (8.9-cm) jewelers curved, 0.4-mm tip #15-21 05 3W' (8.9-cm) jewelers straight, 0.4-mm tip #15-2107 3%" (9.5-cm) curved iris, 0.5-mm tip #15-2108 3%" (9.5-cm) eye forceps, 0.4-mm tip #15-2109 4" (10.2-cm) coaptation, 0.5-mm tip #15-31 01 4%" (12.1-cm) straight with wide serrations, 0.4-mm tip #15-3103 41/4'' (10.8-cm) jewelers with goo angled 0.4mm tip #15-3104 4W' (10.8-cm) jewelers straight, 0.4-mm tip #15-31 05 4%" (12.1-cm) straight with fine serrations, 0.4-mm tip #15-31 09 4W' (11.4-cm) reverse angle, 0.4-mm tip #15-3110 4W' (11.4-cm) straight tip, 0.4-mm tip Bipolar Generator #25-1 000 Solid-state bipolar generator
The Lebanon Corporation
Honan Intraocular Pressure Reducer For Eye Surgery The Honan Intraocular Pressure Reducer removes uncertainties. Available with disposable or reusable bellows and headbands. The bellows is easily affixed over the eye with the adjustable head-band. The pressure is gently raised to the safe limit determined by the surgeon and remains constant for a predetermined period of time thus assuring excellent preconditioning. A highly sensitive precision finished relief valve will limit to approximately 60 mm Hg, the pressure that can be applied to the Honan Intraocular Pressure Reducer. It will hold 20-40 mm Hg pressure as desired for as long as the surgeon deems necessary. It is easily added to any Pressure Reducer now in service. Literature available Price $235 complete unit
$295 complete unit with valve Above with 1 Box 12 Disposable or Reusable bellows and headband. $88.70 1 Box 12 Disposable bellows and headbands, (discounts on quantities) $65 valve only One-year warranty
Look, Inc.
Full range of disposable ophthalmic cannulas/instruments Complete size and configuration of retrobulbars, periobulbars, cystotomes, irrigating cannulas, vectis, capsule polishers, and more Unique flexible 1/A coaxial cannula and PAO valve User-friendly double tray protector packaging Bonded hubs Particle and burr free Single use, sterile ready to use Standard luer lock fitting Price list and brochure available on request Full range of micro and support Ophthalmic Sutures Three 10/0 and 9/0 monofilament materials-Nylon 66, Surgamid™ (Nylon 6) and Polyviolene™ (Polyester; Dacron) Most popular side cutting needle sizes and configurations in single and double armed availability Absorbable and nonabsorbable support range with taper point and reverse cutting needles 53 years of medical manufacturing experience Prices available on request
Medical Sterile Products Inc.
Disposable Ophthalmic Specialty Blades Guarded blades with precise depths 0.50, 0.75, 1.5, 3.0, 4.0, 5 mm Phacoemulsification blades with precise widths 1.5-4.0 mm Spoon blades for scleral flaps and pockets Needle blades, cataract blades Miniature edged blades, M.I.S. blades All blades are available on disposable plastic handles as well as individual blades which can be used on a selection of reusable handles Reusable stainless steel handles range in size from 7.515.5 em Prices and dealer information available on request
Mentor 0. & 0., Inc.
Mentor Hemostatic Eraser™-18-ga for scleral hemostasis22-1250 straight, 22-1251 curved The Mentor Hemostatic Eraser bipolar instruments have set new standards for efficiency and economy in extraocular hemostasis. These are sterile, disposable instruments with coaxial bipolar tips in the shape of a pencil point. The benefits include better visualization, precise control of hemostasis resulting in reduced tissue trauma and shrinkage, and optimal consistency. Hemostatic Erasers can be used with the Mentor WETField® coagulators and most other bipolar power sources.
SURGICAL INSTRUMENTS AND EQUIPMENT
Mentor Hemostatic Eraser™-Retinal Speciality Products Four innovative disposable instruments have been introduced for the specialized demands of the retinal surgeon. 22-1260-20 ga straight for control of intraocular bleeders 22-1265-23 ga tapered to a fine point-for precise perforation and hemostasis during controlled drainage retinotomies and deep anterior segment bleeders 22-1261-20-ga with passive aspiration includes a hollow coaxial drainage tube for passive aspiration of intraocular fluid for better visualization plus hemostasis 22-1262-20 ga with active aspiration and reflux; same as above except for the addition of a silicone chamber and connecting tube; this feature allows for connection to vacuum systems for active aspiration and fingercontrolled reflux for intraocular tissue manipulation Mentanium Vitreoretinal Dissection lnstruments-223350 Designed in cooperation with Ronald G. Michels, MD, Johns Hopkins Hospital, Baltimore, Maryland Handles of each instrument are made of Mentanium, an alloy of titanium. It is corrosion resistant, lightweight, and low glare. Three different tip configurations available. Price on request
MIRA, INC.
Diathermy Equipment 13.56MHz oscillating electromagnetic surgical devices for hemostasis in chorioretinal adhesions, scleral marking, vitreous surgery and anterior surgery Cryosurgical Equipment Nonelectric cryosurgical system with tip only freeze for use in all ophthalmic procedures Open Sky Vitrectomy Instruments Schepens-Pomerantzeff Binocular Indirect Ophthalmoscope For use in Indirect Ophthalmoscopy during surgery. Available with battery operated OR stand. DORC Microsurgical Systems for posterior and anterior segment surgery DORC system for Viscous Fluid Injection/Extraction Automated Fluid-gas Exchange System Complete Vitrectomy System Intraocular Magnet 4 Port System Xenon Light Source Complete line of scissors, forceps, pies, spatulas and peelers.
Myocure Inc.
Full line of disposable, microsurgical scalpels including: Accublade™ GuardianTM Phaco-blade Accupoint™
187
Z Blade Needle Blades Accublade Conduct your ophthalmic surgical procedures efficiently. And completely cost-effective with sharp, precise instruments that start you off on a solid note. Tapered handle on both sides of blade provides improved visualization and eliminates potential edge interference when placing corneal incisions. Myocure blade technology provides exceptional cutting edge and tip. Quality uncoated surgical stainless steel blade. Indexing boss allows for easy blade orientation while working under surgical microscope. Completely sterile and disposable. Double sterile packaging provides extra blade protection during shipping; extra protection in maintaining a sterile field. Sure-grip surface ensures better handling. Coarse knurl provides exceptional tactile feel through surgical gloves. Blade angle marked in handle for quick and easy identification. Guardian Cataract Scalpel Guardian, with the exclusive Myoguard Depth Restrictor, is the first and only cataract scalpel that can execute all necessary surgical incisions-the initial (or peritomy) incision, the limbal or scleral groove incision, and even the intraocular incision. Sterile and disposable, Guardian is available in three blade depth settings: 200-300 microns (incisions generally on the sclera), 300-400 microns (incisions generally at or near the limbus), and 400-500 microns (for procedures such as trabeculectomies) where additional controlled depth is desired. The blade depth setting is indicated on the end of the scalpel package. Accupoint Handle and blade in perfect synchronization, that's Accupoint. Superior versatility means a top performance in every microsurgical procedure. Available in same sizes as the Accublade Surgical scalpel Phaco Blade Myocure has combined experience in manufacturing one of the sharpest disposable Keratome blades in the industry with pinpoint accuracy. The phaco blades come in angled or straight versions and are the sharpest stainless steel disposable blade available. The superior edge provides superior woundsize accuracy, thereby creating less trauma to the eye and a quicker post-operative healing. Needle Blades Surgical instruments are judged on the precision and accuracy of their performance-day in and day out. Levels of performance which demand that ophthalmic surgical instruments be as sharp as they can be. These full handle, disposable blades come in 19 and 20 gauge for the posterior-segment surgeon Full line of ophthalmic surgical instruments including Forceps Iris hooks
188
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
Lens manipulators Cyclodialysis spatulas
Ophthalmic Technologies, Inc.
Evans Arm Rest and Instrument Platform A device which is placed on the operating table with two platforms along each side of the head. The platform may be used for surgeon's support, assistant's support, and an area for placing down of surgical instruments. Brochure and 3,4" tape to view, set up and use Price $1 ,234 One-year warranty
Rhein Medical, Inc.
Surgical Instrument and Equipment Surgical instruments consisting of tissue forceps, lens insertion forceps, tying forceps, needle holders, iris hooks, lens manipulation hooks, and scissors Cataract diamond knives with blade configurations of 45°, 30°, tri-facet, 3- and 1.5-mm lance blades Disposable surgical instruments consisting of retrobulbar and peribulbar needles, cystotomes, air injection cannulas. I & A cannulas and various manipulation hooks Single-use blades with and without handles
Rx Honing Machine Corporation
Honing/Sharpening Machine for Surgical Instruments Rx Honing Machine Corp. introduces its new Model 2 Rx System II instrument sharpener. The Model 2 machine has been specifically designed for high performance. It utilizes proven technology developed from Rx Honing's 21 years of hands-on research and development. Honing processes developed by the company allow for easy maintenance of instrument cutting edges without danger of harming temper or hardness. The alternative to Rx System II is the grinding machine which is likely to destroy temper. The Rx System II honing processes enable the sharpening of the complete line of surgical instruments, even the finest micro surgical instruments. The machine includes multiple drives for its honing stones: reciprocating, oscillating, disk, and now a new flex shaft. The flex shaft drive simplifies the sharpening of cupped edges such as bone rongeurs, basket forceps, bone curettes, and kerrison punches. The Rx System II is simple to use. Instructions for the Sharpening Set are contained in the operators manual, and in an easy-to-follow video casette program. An optional one-day training course is also available through Rx Honing at a nominal fee, Rx customers all over the world have achieved substantial reduction in instrument replacement and maintenance costs, and have gained optimum instrument quality.
Scanlan Surgical Instruments, Inc
Surgical Instruments Complete variety of scissors, forceps, hooks, probes, spatulas, needle holders, cannulas, and retractors
Prices available on request Complete in-house repair department and modifications Including needle holder jaw replacements
Steinway Instrument Company, Inc.
Barraquer Cryolathe and Microkeratome Set, Series I This system is fully equipped to perform all the refractive keratoplasty techniques. This system can also produce epikeratophakia lenticles. Price $75,000 One-year unlimited warranty Steinway /Barraquer Microkeratome Set This device is used to perform precise lamellar corneal sections, with any combination of thicknesses and diameters Price $20,000 One-year unlimited warranty Steinway In-situ Microkeratome Set An expanded version of the microkeratome set to perform the in-situ keratomileusis procedures, as well as all lamellar techniques. Price $24,000 One-year unlimited warranty
Stephens Instruments
A complete line of microsurgical instruments consisting of the following: Blades, blade breakers and holders Cannulas Cystotomes Forceps Hooks Iris retractors Micro surgery instruments Needle holders Punches Retractors Spatulas Spuds Trial case Disposable blades for all procedures Caliphers Curettes Detachable knife handle, chuck handle and eye shield Gauges Instrument cases Knives Needles Probes Radial keratotomy instruments Scissors Speculums Suture needles Disposable cannulas Disposable knives Stephens Instruments provides a customised line of instruments. Contact us for prototypes and development of new instruments at no extra charge.
SURGICAL INSTRUMENTS AND EQUIPMENT
Stephens provides a repair service with a short turn around time. Prices on request
Storz Instrument Company
Ophthalmic Microsurgical Instruments Storz offers a comprehensive microsurgical instrument product line including: Forceps Scissors Needle Holders Knives/Cystotomes Cannulas Polishers Radial Keratotomy Instruments Hooks/Spatulas Retractors/Speculum Trephines/Punches Lens Loops/Vecture Epikeratophakia Instruments Retinal Instruments Handcrafted Custom Made Special Instruments Storz recognizes surgeons have individual preferences in their instrument needs. We are eager to apply our quality instrument manufacturing skills to your ideas. Instrument repair and reconditioning services are available. . For more information contact your sales representative or write Storz Instrument Company. Ophthalmic Sterile Disposables E0921-L Sure-Temp Eye Cautery 10/bx Low (900° F.) Loop Tip Super Sorb Eye Sponge E0976 250/bx Fluid Filter .2 Micron E4429-22 50/bx Fluid Filter .45 Micron E4429-45 50/bx Crouch Corneal Protector 10/bx E5699 Prices on request
3M Phakosystems, Inc.
3M Phakosystems, Inc. manufactures a wide range of electrically powered ophthalmic microsurgical equipment for phacoemulsification, vitrectomy, irrigation/aspiration and cauterization. CES 4000™ Cataract Extraction System-features advanced ultrasonics that are safe, yet powerful enough to emulsify the hardest nuclei; automatic tuning in the phaco mode, integrated power display, linear ultrasonic power control, guillotine and oscillating vitrectomy modes and many other safety and economy features.
Visitec Company
Specially designed single use products for ophthalmic surgical procedures and patient care. Sterile-surgical ready microsurgical instruments including disposable blades. Offering a complete range of microsurgical products for planned ECCE. Visitec also distributes the
189
Labtician range of retinal implants/explants and the Huco range of ophthalmic gem knives. Anterior Chamber 27 g #1273A For maintaining the anterior chamber with air or fluid and for keeping the cornea moist during surgery Excellent for filling anterior chamber with a viscous type material 30 gauge, 25 gauge, 23 gauge, and 21 gauge also available Price $15 prepack of five Coaxial Irrigating & Aspirating Cannula #1624 Facility for irrigating and aspirating through one coaxial cannula Irrigating and anterior chamber maintenance carried out by outer cannula from fluid through side luer fitting Aspiration carried out through horizontal luer fitting attached to syringe. Through outer cannula, inner aspirating cannula is fed This has 0.3 mm side port which may be rotated to the requirements of the surgeon. 0.2 mm and 0.6 mm side port cannulas are also available Price $175 prepack of five Irrigating Vectis (Pearce) #1619 For lifting out the lens nucleus after it has been dislocated into the anterior chamber and for looping out large cortical debris Price $60 prepack of five Extracapsular Cataract Extraction Kit VISIKIT ECCE-4000 Contains one each: 1020-Special 5 ml Syringe 101 0-Double Fluid Distribution Set 1015-Spring Assisted Aspirating Syringe 161 0-lrrigating Cystotome 25 g 1624-Coaxial I and A Cannula Price $44.35 each Extracapsular Cataract Extraction Kit VISIKIT ECCE-5000 Contains one each: 1020-Special 5 ml Syringe 1014-Single Ophthalmic Fluid Distribution Set 1015-Spring Assisted Aspirating Syringe 1284-Angled I and A Cannula 161 0-lrrigating Cystotome 25 g Price $23.60 each Spring Assisted Aspirating Syringe (Pall in) # 1015 Pre-assembled 3 cc syringe with special spring. Provides increased ease and one hand aspiration Aspiration is carried out when plunger is compressed against spring and gradually released Price $15 prepack of ten Irrigating Vectis (Anis®) #1283 Heart shaped iris-retracting vectis facilitates smooth insertion under iris Two ports at tips of heart Price $85 prepack of five Angled I and A Cannula (Peczon) #1284 Aspirating cannula is angled to facilitate removal of cortical debris from all meridians of the eye. Shorter
190
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
irrigating cannula is beveled allowing easier entry into anterior chamber. Price $75 prepack of five VICO Micro Knife #5200 A unique micro knife for performing capsulotomies and other small surgical eye procedures Price $69 prepack of three Canaliculus Intubation Set #501 0 Sterile single use double stainless steel probes 17.7 em long, 0.076 em in diameter attached to 30-cm silicone tubing Useful in reconstructions of the lacrimal outflow system, DCRs, and other outflow system reconstruction Price $125 prepack of three Straight DCA Nasal Lacrimal Duct Canalicular Set #5011 Stainless steel probes 4.5 em long attached to a 40-cm silicone rod Price $79.50 prepack of three Angled OCR Nasal Lacrimal Duct Canalicular Set #5012 Stainless steel probes 4.5 em long attached to a 49-cm silicone rod Price $79.50 prepack of three Irrigating Vectis (two-hole), # 1619A Same specifications as 1619, but with two openings. Designed for gravity fluid source Price $75 prepack of five Irrigating Knife Cannula, #5052 Used for cutting the posterior or anterior capsule and for cutting stitches Prices $88.45 prepack of three Subpalpebral Lavage System (Hessburg), #5050 Developed for subpalpebral intubation and lavage in the management of cortical infections such as pseudomonas keratitis Literature available Price $73.50 each Vitreoretinal Membrane Infusion Cutter (Tolentino), #5051 Has a sharp cutting edge at tip. Used to cut vitreous bands already separated from the retina. Attached to infusion source, rigid bands are cut by compressing them against the sharp blade and a blunt second instrument Price $148.45 prepack of three Irrigating Sharp Cystotome 24 g, #5053 Excellent capsule cutting with a sharp knife type tip. Especially useful with 1/A units (Kelman style) Price $92.40 prepack of three Capsule Polisher (Kratz) #1604 21 g Cannula has roughed sandblasted end for polishing the posterior and anterior capsule Price $55 prepack of five # 1604A 23 g also available J shaped irrigating and aspirating cannula #1288 23 g/25 g For removal of cortical debris from under the iris adjacent to corneal wound Price $58 prepack of five
Irrigating Dialler 30 g # 1286 30 g For insertion in a hole of intraocular lens and manipulating lens into posterior chamber Price $24 prepack of five Irrigating Cystotome 25 g (Formed) #1610 May be attached to syringe filled with air or balanced salt solution in order to maintain anterior chamber during capsulotomy or for opening a hole in condensed vitreous face. Useful in dislocating nucleus into anterior chamber Cystotomes are bent to conform with the convexity of the crystalline lens May be used with 1/A machines 21 gauge, 23 gauge, 30 gauge, and 27 gauge also available Price $13.50 prepack of five Aspirating Cannula # 1625 0.3 mm top port opening and is shaped to facilitate aspirating cortical fragments in the area between 2 and 10 o'clock Price $20 prepack of five Retrobulbar Needle (Atkinson) #1638 23 g X 17M' Price $20 prepack of five Visitec Ophthalmic Fluid Distribution Set # 1010 Connects two (2) micro-surgical cannulas to irrigating fluid for extracapsular cataract extraction Price $24.95 prepack of five Visikit ECCE-1 000 The ready to use microsurgical kit for manual planned extracapsular cataract extraction Contains one each: 1014 Single Ophthalmic Fluid Distribution Set; 1015 Spring-Assisted Aspirating Syringe; 1020 5 ml Aspirating Syringe; 1273 Anterior Chamber 30 g; 1604 Capsule Polisher; 1610 Irrigating Cystotome 25 g; 1619 Irrigating Vectis; 1624 Coaxial I and A Cannula; 1625 Aspirating Cannula $73.60 each Visikit ECCE-2000 Ready to use microsurgical kit for manual planned extracapsular cataract extraction Contains one each: 1010 Double Ophthalmic Fluid Distribution Set; 1015 Spring-Assisted Aspirating Syringe; 1020 5 ml Aspirating Syringe; 1273 Anterior Chamber 30 g; 1604 Capsule Polisher; 1610 Irrigating Cystotome 25 g; 1619 Irrigating Vectis; 1624 Coaxial I and A Cannula; 1625 Aspirating Cannula $74.34 each Visikit ECCE-3000 Ready to use microsurgical kit for manual planned extracapsular cataract extraction. Larger gauge cannulas provide increased irrigation. Contains one each: 101 0 Double Ophthalmic Fluid Distribution Set; 1015 Spring-Assisted Aspirating Syringe; 1020 5 ml Aspirating Syringe; 1599 Irrigating Cystotome 23 g; 1604 Capsule Polisher; 1619A Irrigating Vectis (2 holes); 1624 Coaxial I and A
SURGICAL INSTRUMENTS AND EQUIPMENT
Cannula; 1625 Aspirating Cannula; 1639 Anterior Chamber 25 g $77.35 each Capsule Polisher Curette (Kraft) #5060 25 gauge For polishing and scraping cells from the posterior capsule $124 prepack of three Barraquer Eye Speculum #5058 Large and small sizes available $43 prepack of three Irrigating Lens Manipulator (Kuglen) #5059 25 gauge Designed to aid in placing flexible loop intraocular lenses in the posterior chamber while irrigating $124 prepack of three Irrigating Vectis (Micro) # 1595 27 gauge, 3 mm width, one 0.3 mm port For lifting out the lens nucleus. Anterior chamber deptti is maintained by irrigation through the port attached to a syringe or 1/A machine. $75 prepack of five Retrobulbar Needle #1275 25 g X 1W' Sterile, ready tor use $11 prepack of.. five Single Ophthalmic Fluid Distribution Set #1 014 Provides specially designed connection between irrigating fluid and ophthalmic surgical instruments. Easy to use and offers micro control with special roller valve. $20.95 prepack of 5 3 ml Aspirating Syringe # 1016 Provides smoother operation and control of aspiration $9.25 prepack of 25 5 ml Aspirating Syringe #1020 Provides smoother operation and control of aspiration $9.50 prepack of 25 Angled Lens Manipulating Hook (Sinskey) #5063 0.2 mm diameter blunt tip Angled 45° 12 mm from bend to tip Overall length 105 mm A unique new concept developed by Visitec. Hand-held microsurgical instruments clean and sterile at a fraction of comparable instrument costs. Used with care-may be reused. Wide range of iris hooks and IOL manipulators available $36 prepack of three Lacrimal Intubation Set with Retrieval Device #5013 Probes 0.07 X 11.0 em (23 g X 4W') Stainless steel malleable wire Silicone tubing 36 em (14") A unique new method tor lacrimal intubation that allows easier insertion and retrieval of probe. Probe end has a special notch for retrieval instrument to catch. Silicone coated to reduce drag while inserting. Packed
191
sterile complete with probe and retrieval instrument. $150 prepack of three VISIKIT® Patient Post-Op Eye Care Kit #1 050 The complete kit for post cataract surgery patient eye care packaged neatly in convenient unbreakable box for hospital or outpatient surgery use. Contains: 5 special sterile eye wipes; 5 Pro-Ophta Eye Dressing; 1 pair +3.00 reading glasses. Snellen eye chart also included. Box is sturdy and easy to carry. $90.60 for five Visitec® Eye Shield #1 019 A patient designed eye shield fitted to each eye and packaged sterile and clean. White high density polyethylene with holes allow breathing. Specially designed right and lett eye shape to accommodate and protect each eye more effectively. $32 Dispenser Box of 50 (25 right & 25 left) Double Ophthalmic Fluid Distribution Set with 0.22 micron Filter #1022 Especially designed for planned ECCE. Easy to use and offers micro control with special roller valve. Set is completely sterile and designed for O.R. use. The unique 0.22 micron filter unit is designed tor surgical procedures-protects against harmful particulate and biological contamination for matter larger than 0.22 micron in size . $39.15 prepack of 5 #1 021 Single Ophthalmic Fluid Distribution Set with 0.22 micron filter also available. $33.35 prepack of 5 Lens Pusher (Aker) #5078 Designed tor manipulating P.C. IOL. Smooth rounded jaw type end allows easy removal from eye. $94.50 prepack of three Nucleus Delivery Loop-Right (Simcoe) #5076R Serrated loops 5 mm wide Loops are serrated for holding nucleus during removal. $113.40 prepack of three Nucleus Delivery Loop-Left (Simcoe) #5076L Serrated loops 5 mm wide Loops are serrated for holding nucleus during removal. $113.40 prepack of three Angled Double Cutting Sharp Cystotome #5072 Angled 45° 12 mm from bend to tip For push-pull cutting technique $104.75 prepack of three Angled RK Optical Center Marker (Feldman) #5073 0.1 mm blunt tip Angled 45° 12 mm from bend to tip 0.1 mm tip for marking optical center prior to RK procedures $49 prepack of three Nucleus Rotator (Jaffe-Bechert) #5077 Blunt forked tip
192
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
Angled 45° 8 mm from bend to tip For rotating nucleus during phacoemulsification $63 prepack of three I and A Cannula (Gills) #5074 23 g/25 g thinwall Angled 30° 8 mm from bend to tip Aspirating cannula 0.5 mm longer than irrigating cannula. For manual procedure. $86.65 prepack of three I and A Cannula (Simcoe) #5086 23 g/23 g thinwall Curved cannula with 0.3 mm aspirating port Silastic tubing 0.30" x 0.65" $138.60 prepack of three Self Retaining Chamber Maintainer (Lewicky) #5061 Patent 4,340,037 20 em silicone tubing attached to 0.9 mm diameter cannula. . Threaded 2 mm from end for self retaining, remains firmly in place without sutures. $56.25 prepack of three Retrobulbar Needle (Atkinson) #1637 0.5 x 40 mm (25 g x 1112'') Shortened single bevel decreases possibility of retrobulbar hemorrhage $20 prepack of five Ocular Pressure Kit (McCannel) #1 025 A new simpler way to soften the eye and reduce intraocular pressure before eye surgery. Contents: I inflator bulb system, 1 headband, 12 soft latex balloons $65.45 per kit Fluid Filter 0.2 Micron #1030 Male/female luer lock fittings Place between syringe and needle Filters out harmful particulate and biological contamination for matter 0.2 micron in size and larger $80 prepack of 50 Iris Hook and Lens Manipulator (Kuglen) #5079 Cloverleaf Blunt hook for iris retraction and lens manipulation $126 prepack of three Formed Cystotome (Lewicky) #5081 For capsulotomy where irrigation is supplied from another source or where viscous material is used to maintain anterior chamber during procedure. $65 prepack of three Angled Manipulating Hook (Fenzl) #5084 0.2 mm tip For positioning flexible loop posterior chamber IOLs which have hole in end of loop $126 prepack of three Nucleus Delivery Cannula-Left (Simcoe) #5085L Nucleus Delivery Cannula-Right (Simcoe) #5085R 25 g thinwall-two 0.3 mm ports serrated loop 4 mm wide
Loops are serrated for holding nucleus during removal $104.50 prepack of three RK Irrigating Cannula 30 g #1592 Flattened tip allows more effective cleaning of blood or cellular debris from incisions $20 prepack of five IOL Glide (Sheets) #1033 6 ml thickness, 35 mm length x 5 mm width, 2.5 mm radius on ends. Used to aid in the implantation of posterior chamber IOLs Sterile-Double packaged $43.50 prepack of 50 IOL Glide (Hessburg) #1034 6 ml thickness, 18 mm length x 7 mm width gradually tapered to 6 mm Used to aid in the implantation of anterior chamber IOLs Sterile-Double packaged $43.50 prepack of 50 Corneal Shield (Hessburg) #1037 Opaque blue silicone 0.5 mm thickness, 8.0 mm diameter Designed to be placed on the cornea to reduce possible damage to the retina from operating microscope and to protect cornea during surgical procedures when it is not necessary to observe lens. Small ridge around edge provides easy placement and removal. No nipple to interfere with surgical procedures. $27.30 prepack of 10 High Flow Coaxial #5080HF 25 g inner cannula with 0.3 mm side aspirating port 27 g outer cannula with two (2) 0.5 mm irrigating ports New design maximizes flow for maintaining deep chamber and reduces size of overall cannula to allow better manipulation during microsurgery. Irrigation and anterior chamber maintenance is provided by the outer cannula from a gravity fluid source through the side luer fitting. Oversized outer cannula provides increased flow and enables use with automated aspiration. Aspiration is carried out through the horizontal luer fitting attached to a syringe or machine. $125 prepack of 5 Peribulbar Needle #5001 23 g X 1W' (.64 X 32 mm) Shortened single bevel for periocular injections $20 prepack of five VISCOFLOW Anterior Chamber Cannula (Formed) #5007 27 g X ¥s" (.40 X 22 mm) Specially designed for use with viscous material. Formed design allows easier placement of viscous material to all areas of anterior chamber. Irrigating Cystotome #5004 (Formed) 25 g (.50 mm)
SURGICAL INSTRUMENTS AND EQUIPMENT
Shortened curve. Specially designed for surgery on deep set eyes and for small pupils. Silicone Capsule Polisher (Terry) #5005 27g (.40 mm) Cannulas with silicone sleeve for polishing posterior capsule. 3/a" (7 mm) from bend to tip 3fa" (7 mm) silicone sleeve. Overall length 11/ 16" (17 mm). U-Shaped Cannula #5003 25 g X 13/ 16" (.50 X 20 mm) For retracting iris and removing cortical debris between 10 and 2 o'clock. Silicone Oil Cannula (Peyman) #5002 16gx 1%2 (1.6x9mm) To inject high viscosity silicone oil in the repair of retinal detachments. May also be used for safe aspiration of silicone oil if necessary. Laser Sclersotomy Needle (March) #5018 30 g x 5/1 6" (.30 x 10 mm) Specially designed for injecting viscous material and fluorescein at the exact intended point of exit of laser sclerostomy. Short blunted tip allows easy penetration beneath conjunctiva and injection at the limbus. Cyclodialysis Cannula (Randolph) #5014 21 g (0.8 mm) end opening. Thin spatula blade, 11 mm long. .,
Universal Eye Shield #1040 31A'' x 2112'' (83 x 64 mm) Clear acrylic Holes to allow breathing Smooth edges eliminate need for taping or garter Individually packed sterile in dispenser box of 50 Small Pupil IOL Glide (Pearce) #1 001 30 mm long x 7 mm wide tapered to 3 mm Designed to aid in placing posterior chamber IOLs into the capsular bag in cases where pupil is difficult to dilate. Smooth edges and tapered configuration facilitates atraumatic mechanical dilation of pupil. Price $45 prepack of 50 Fluid Collection Bag #1005 6" x 6112'' (15.2 x 16.45 em), 250-ml capacity Adhesive backing for secure adhesion to drape at desired convenient position. Malleable metal strip for shaping of bag for easier drainage of fluids. Ideal for use in any ophthalmic procedure where collection of fluids is desired. Price $25.50 prepack of 10 Subretinal Fluid Cannula-Straight (Grizzard) #5021 20g x "Va" (0.90 x 22 mm) cannula, tapered to 25g x 1/.t'' (0.50 x 6 mm) straight terminal segment with 112'' (12mm) silicone tubing overmount. Overall length with silicone Ha" (34 mm). Facilitates drainage of subretinal fluid from behind a detached retina. Soft silicone tip allows atraumatic entry through
193
a retinal tear or hole and enables aspiration of subretinal fluid. Price $50 prepack of 5 This cannulas is also available curved #5035 Price $55 prepack of 5 Irrigating Sharp Point Tip Cystotome #5020 22g x Va" (0.70 x 27 mm) Specially designed pointed tip facilitates easier capsule penetration. For pull-cutting capsulotomy technique. Price $110 prepack of 5 Manipulating Hook (Jaffe-Maltzman) (Angled) #5022 0.20-mm diameter blunt tip. Angled 45 o -15-mm from bend to tip. Fits 0.20-mm diameter holes and larger. Price $120 prepack of 5 VISCOFLOW Cannula (Angled) #5026 27g x W' (0.40 x 22 mm) Angled 9 mm from end Longer design from bend to tip allows easier placement of viscoelastic substances in the difficult-to-reach 6o'clock position Price $15 prepack of 5 Peribulbar Needle (Atkinson) #5027 25g X W' (0.40 X 22 mm) Cortex Extractor (Angled) #5028 23-g (0.64-mm) 0.30-mm top port Price $20 prepack of 5 Lacrimal Trephine (Sisler) #5031 0.8-mm diameter x 26-mm length Ultrasharp micro trephine for trephinating lacrimal cannaliculus or obtaining biopsy sample. Long enough to span length of normal lacrimal canaliculus. Rounded, blunt-tipped stylet minimizes trauma to the surrounding tissue through which it must pass before reaching the area of pathology for trephination. Price $105 prepack of 3 Small Incision Irrigating Vectis (Pearce) #5032 27-g (0.40-mm), 3-mm width tapered to 2.5-mm For removing nucleus fragments through a small incision May be utilized in conjunction with any nucleus bisecting or fragmentation device Lacrimal Cannula (Shahinian) #5033 23-g x 112'' (0.64 x 12-mm), 0.3-mm side irrigating port Used for punctal dilation and irrigation of the nasolacrimal system. Smooth bullet shaped end facilitates punctal dilation eliminating need for additional punctum dilator. May also be used as a punctal dilator on its own when irrigation is not required. Capsule Polisher (Knolle) #5036 30 g X W' (0.30 X 22 mm) Angled 2 mm from end. Slightly roughened end for gently polishing capsule. Micro size cannula for minimal trauma during entry and capsule polishing. Price $17.50 prepack of 5 Nucleus Hydrodissector (Pearce) #5037 27 g x W' (0.50 x 22 mm) Angled 8 mm from end Special flattened tip designed for more effective
194
OPHTHALMOLOGY
•
INSTRUMENT AND BOOK ISSUE 1989
hydrodissection and smooth insertion under anterior capsule Price $20 prepack of 5.
Western Medical Products, Inc.
Titanium ophthalmic microsurgical instruments Diamond knives for cataract surgery Eye shields Fox aluminum with or without cloth guards Universal clear plastic eye shields Disposable cannulas Complete repair service Ophthalmic instruments both titanium and stainless Diamond knives both cataract and RK knives Ophthalmic VAG laser All products and services are unconditionally guaranteed Literature and prices available on request
Sutures Alcon Surgical Products Division
The Alcon Closure System, ACS®, is a line of needles and sutures produced especially for the ophthalmic surgeon. The sutures presented are either nylon, silk or dacron. Included in the line are several unique specialty needles. A description follows. Mcintyre Fishhook Needle-Designed by David Mcintyre, M.D., and the first bi-curve ophthalmic needle. The needle produces a short deep bite helpful in controlling post surgical astigmatism. Tennant goo Needle-Designed and patent applied for by Jerald Tennant, M.D., this needle incorporates a goo bend 1 mm from the tip. The resulting suture track is square thus reducing vector forces and also helping to reduce postoperative astigmatism. CU-8 is a bi-curve needle with a less radical first curve than the Fishhook needle and also producing a deep narrow bite. The needle was suggested by R. G. Martin, M.D., and has become a very popular needle for corneal closure. It is easy to use and does not require a change in surgical technique. CUM-15 is a miniature CU-15 needle whose design was suggested by R. Torchia, M.D., and J. Hunkeler, M.D. The needle has a 3 mm chord and produces a very short bite. It has a 0.004" thick wire which produces the smallest of needle tracks. "A" Series is a new series of ophthalmic needles which has been introduced to ophthalmology. This series, for corneal/scleral closure, employs a new tip design and a trapezoid body for increased sharpness and added strength. "R" series of retina needles are flat, side cutting needles in goo and 180° curves for use in a buckling procedure and the encircling band procedure. The needle cuts between
lamella and not down toward the retina. An ideal series for the retina/vitreous surgeon. PAIR-PAK™ is a unique product employing two entirely different needles on one suture. The product is used as a bridle suture and as a safety;temporary suture, giving the surgeon convenience and economy. All Alcon needles are produced to exacting specifications and are known for their lasting sharpness pass after pass. Needle selection is a personal preference based on technique and skill. Therefore, a wide variety of products is available. Prices on request
S. Jackson, Inc.
Supramid Extra® sutures for ophthalmic surgery are available with premium spatulated needles, microneedles, as well as reverse-cutting and taper point needles. Supramid Extra sutures are made of Nylon 6 which is more elastic and stronger than common Nylon 6.6 and which is available exclusively from S. Jackson, Inc. Supramid Extra sutures are available in all sizes from 10-0 to #8. Sizes 10-0 through 2-0 are available as monofilaments. Sizes 4-0 and larger are also available in the unique cable-type construction which eliminates "memory" and gives unsurpassed knot holding ability. All needle/suture combinations are sold in sterile tamperresistant packages Nylamid™ Foil (smooth surface) Nylamid Foil for reconstructive plastic surgery in orbital fractures can be cut to desired size and sterilized in steam autoclave or by approved gas sterilizer (preferably wrapped in wet gauze to maintain flexibility) Available in individual sheet (15 x 20 em) in varying thicknesses and packaging combinations. Nylamid™ Pre-Punched Squares Sterile pre-punched smooth surface nylon foil in 3.5 x 3.5-cm squares Available in various thicknesses 0.1-0.6 mm Nylamid™ Orange-Peel Surface Pre-cut squares (3 x 3-cm) textured surface nylon foil in sterile, peelable envelopes (6 envelopes per individual box) Supplied in 0.4- and 0.3-mm thickness Nylamid™ Eye Muscle Sleeves For preventing adhesions in eye muscle surgery Supplied nonsterile in individual envelopes. Each envelope contains four sleeves with three envelopes per package. They can be sterilized by steam autoclave or approved gas method. Sizes 4, 5, and 7 mm I.D. Nylamid™ Quarter Globe Caps For use in surgical treatment of persistent squint Can be cut to required size and sterilized in steam autoclave or by approved gas method Supplied in nonsterile envelopes with six envelopes per package