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2 INTRODUCTIONL a pa roscopic su rgery so lu tionsfrom the fir st to the l a st stepAll from one source – made possible by Teleflex Medical, a globalleader in superior medical products.With famous brands such as Arrow, Rüsch, Taut and Weck under one solid roof,we can offer our customers an unparalleled range of high-end and often uniquesurgical instruments to be applied not only in General Surgery, Gynaecologyand Urology, but also in highly specialised areas, for example Bariatric andPaediatric Surgery. They can even be applied in robotic surgery.With all our products, from design through manufacturing to distribution, it isthe healthcare customer we have on our mind, striving for perfection in everydetail to provide utmost safety coupled with greatest comfort. We are dedicatedto enhancing patients’ quality of life with instruments which are minimally invasive and prevent infections.Yet, we do not stop there. It is our ambition to always be one step ahead oftime.With our state-of-the-art product range for laparoscopic surgery we can meetthe surgeon’s need for safe and easy-to-use instruments as well as the patient’sneed for a painless and quick recovery.We also strive for perfection by devoting our entire energy to superior customerservice. Plus, our worldwide network of highly qualified and dedicated staffassure you the best of advice, training and support.If you are interested in receiving information on other products areas,e.g. Critical Care, Respiratory Care, Anaesthesia, Urology and CardiacAssist, please contact your representative or our customer service.

CONTENTS 3LAPAROSCOPIC ACCESSADAPt Asymmetrical Dilating Access Ports. 04Insufflation Needles. 05LAPAROSCOPIC MANIPULATIONTeleflex Medical Laparoscopic Instruments . 08Memobag. 10Cholangio Catheters. 12LAPAROSCOPIC LIGATION & CLOSUREHem-o-lok Ligation System . 14Horizon Ligation System . . 17Visistat Skin Stapler.18

4THE CONVINCINGLAPAROSCOPIC ACCESSL APAROSCOPIC ACCESSADAPt ADVANTAGEADAPt ports can cutdefect size by 58%when compared with themost common bladed“ARROW ON ARROW” CLIPtrocar of the same size(UCLA study, seewww.taut.com to obtaina copy of this and otherpertinent literature).DUCKBILL VALVEFLAPPER VALVEDUCKBILL VALVENOWB LEAVAIL AUNIVERSAL SEALADAPt ASYMMETRICAL DILATINGACCESS PORTS – A DREAM COME TRUEA TIP AND A SEALWITH A DIFFERENCEADAPt bladeless access ports eliminate the needfor metal or plastic bladed trocars thus minimalising the risks and complications associatedwith laparoscopic surgery. Operating theatretimes are reduced and the patient recovers morequickly.With their revolutionary tip design and uniqueuniversal seal ADAPt trocars can be used forall laparoscopic procedures. The exclusiverotary valve opens 100% with a simple twist,facilitating the insertion or removal of e.g.specimens, hernia mesh or drains during theprocedure.

LAPAROSCOPIC ACCESS 5INSUFFLATION NEEDLESOur insufflation needles are designed for easy penetrationand have a non-slip handle. A red insertion marker appearswhen the needle obturator is depressed, indicating that theblade is exposed. Available in standard and longer sizes.INSUFFLATION NEEDLESRef. No.DescriptionQuantity35120Insufflation Needle 14 ga. x 120 mm10/box35150Insufflation Needle 14 ga. x 150 mm10/boxTRANSPARENT CANNULAATRAUMATIC TIPEnlarged photos of ADAPt tissue defect closing as the port is being removed.

6 LAPAROSCOPIC ACCESSADAPt Trocars, 5 mmRef. No.cannulaInstrumentLengthValve405075 mm5 mm70 mmDuckbill435075 mm5 mm – 3 mm70 mmDuckbill405105 mm5 mm100 mmFlapper405135 mm5 mm125 mmDuckbill405225 mm5 mm100 mmFlapperDetailsUniversal Seal TrocarADAPt Trocar, 8 mmRef. No.cannulaInstrumentLengthValveDetails408108 mm8 mm – 5 mm100 mmFlapperintegrated reducerDetailsADAPt Trocars, 10 mmRef. No.cannulaInstrumentLengthValve4101010 mm10 mm100 mmFlapper4105110 mm10 mm – 5 mm100 mmDuckbill4102210 mm10 mm100 mmDuckbill40591010 mm10 mm, 5 mm100 mmDuckbillNEW Universal Seal Trocarintegrated reducerADAPt Trocars, 12 mmRef. No.cannulaInstrumentLengthValveDetails4121012 mm12 mm – 10 mm100 mmDuckbillintegrated reducer4122212 mm12 mm – 10 mm100 mmFlapperintegrated reducer40591212 mm12 mm – 10 mm,5 mm100 mmDuckbillNEW Universal Seal Trocar4121312 mm12 mm – 10 mm125 mmDuckbillintegrated reducer4059121312 mm12 mm – 10 mm,5 mm125 mmDuckbillNEW Universal Seal TrocarUnique rotary valve and floating seal.A simple twist, and the ADAPt valve opens100%, allowing for fast and complete desufflation, and facilitating insertion and removal ofsutures, drains, specimens and hernia mesh.No more easily torn diaphragm seals as foundon most other trocars. This unique seal simply“floats” out of the way and thus avoids tearsby clip appliers, staplers and needles.A new approach to the universal seal.Building on the floating seal design, the newADAPt 5-10 mm Universal Seal provides arobust seal that accommodates a wide varietyof instrumentation.

LAPAROSCOPIC ACCESS 7ADAPt Trocar, 15 mmRef. No.cannulaInstrumentLengthValveDetails4151015 mm15 mm, 5 mm100 mmDuckbillsupplied with reducer capDetailsBALLOON ADAPt TrocarsRef. No.cannulaInstrumentLengthValve4104410 mm10 mm70 mmDuckbill4124412 mm12 mm – 10 mm100 mmFlapperintegrated reducerHasson ADAPt TrocarRef. No.cannulaInstrumentLengthValveDetails4123312 mm12 mm – 10 mm100 mmFlapperintegrated reducerInstrumentLengthValveReducer CapRef. No.40005ADAPt ports dilatethrough tissue withoutcutting blades. Theunique asymmetrical tipstretches and divides fascialfibres thus avoiding bladedinjury.cannula5 mmNo blades. No shield.Mimimal insertionforce. Only minimaldownward pressure is necessary to gain peritonealaccess. The tip “seeks” itspath of least resistancethrough each fascial layerand the peritoneum.DetailsReducer CapSmall, non-lineardefects. Unlike conical ormodified-conical tips, theasymmetrical ADAPt portcreates a non-linear paththrough the fascia andleaves only a small, nonlinear defect after removal.Fascial tensions gripthe cannula and holdthe port firmly inplace. Thanks to asymmetrical dilation, fascialtensions are maintained.No threads, no barbs, nosleeves which may causetissue distress.

8LAPAROSCOPIC MANIPULATIONL APAROSCOPIC M a nipu l ationSwivel leg for maximummanoeuvrabilityRatchet for exact andsafe positioningteleflex medical lapArOscopic instruments –for an excellent performanceThese laparoscopic instruments stand for comfort of useand economy. A reusable ergonomic handle in combination with interchangeable single-use scissors and reusableor single-use inserts can guarantee ease and speed ofassembly, and greatly reduce the risk of infection.Our instruments are precision-made from finest surgicalsteel and medical-grade polymers and are extremelyreliable, even during long procedures. They can be usedfor any kind of laparoscopic surgery and are availablein a choice of different scissors and reusable or single-useinserts and a variety of working lengths.

LAPAROSCOPIC MANIPULATION 9Single-Use SCISSORSRef. No.DescriptionQuantity404-7010Single-use Scissor (320mm)10/boxSingle-Use INSERTSRef. No.DescriptionQuantity404-7710320 mm Clinch10/box404-7810320 mm Grasper10/box404-7910320 mm Dissector10/boxREUSABLE insertsRef. No.DescriptionQuantity404-7120Short Fenestrated Grasper1/box404-7121Long Fenestrated                         Curved        Maxi Grasper1/box404-7134Single Action Grasper1/boxRef. No.DescriptionQuantity404-2000Ratchet Handle1/box404-2001Non-ratchet Handle1/boxHANDLES

10 LAPAROSCOPIC MANIPULATIONMEMOBAG – A BAG WITH A MEMORYThe intelligent extraction bag for simple and safe minimallyinvasive resection of specimens, offers safety for surgeon andpatient alike.Immediately after introduction of the rolled-up MemoBag througha 10 mm trocar, a nitinol wire with memory effect at the extractionbag’s upper rim springs back into its original round shape andholds the bag open, leaving the trocar free for use with other instruments. Large specimens can be cut into smaller pieces inside thetransparent and impermeable bag without any risk of contaminationor spreading of malignant cells. The MemoBag is then simply closedand removed.INTRODUCTIONThe MemoBag isintroduced throughthe trocar into theoperating field.OPENINGAfter release thebag opens automatically and can beeasily grasped witha forceps at the endof the nitinol wire.RESECTIONThanks to the MemoBags large openingthe specimen can beeasily placed insidethe bag.REMOVALThe tissue can be cutinto smaller pieces ifnecessary and thensafely removed.

LAPAROSCOPIC MANIPULATIONThe extraction set is introducedthrough the trocar.11ENDOSCOPICSURGICAL INDICATIONS· Colon Surgery· Cystectomy· Appendectomy· Cholecystectomy· Myomectomy· Ovarian cystectomy· Lymphadenectomy· Tubal pregnancy· Thorax surgery· Nephrectomy· Hysterectomy· Myomectomy· Prostatectomy· SplenectomyThe MemoBag is rolled up inthe introducer tube.By using the pusher the bag is releasedand opens automatically.Memo BagRef. No.DescriptionQuantity332800-000010Memo Bag Extraction Bag 200 ml (white) for 10 mm trocars5/box332801-000020Memo Bag Extraction Bag 800 ml (green) for 10 mm trocars5/box332800-000030Memo Bag Extraction Bag 1200 ml for 10 mm trocars5/boxKEY FEATURES· Markedly reduced risk of contamination· Easy to introduce, to hold and to close· No need for additional trocars· Safety and comfort due to transparent,impermeable and tearproof bag· Can be reliably opened and closed several times· Colour code for size differentiation

12 LAPAROSCOPIC MANIPULATIONCHOLANGIO CATHETERS – EFFICIENT AND PRECISEIntraoperative cholangiography, a time-consuming trial ofpatience? Not any more. Use one of our guided precisioninstruments and reach your destination much faster!TAUT INTRODUCERSfor the most advantageous placement of the catheterTAUT INTRODUCERSKEY FEATURES TAUTCHOLANGIO CATHETERMemory:to customize and curve thecatheter near the tip and tosteer it more parallel to thecystic ductPatented metal support tube:to maximize clip pressure without occluding the catheter andto facilitate introduction intothe cystic ductRef. No.DescriptionQuantityPI-1283.3 mm introducer10/boxPI-932.4 mm introducer10/boxPI-631.6 mm introducer10/boxTAUT CHOLANGIO CATHETERSTaut is the pioneer who invented the original cholangiocatheter which has become any surgeon’s first choice forintraoperative cholangiography. Ref. 18305 and 18400 canbe used with Hem-o-lok thus saving time and costs.TAUT ChOLANGIO CATHETERSRef. No.DescriptionQuantityTA18305Taut compatible with Hemolok ML10/boxTA18400Taut compatible with Hemolok ML10/box20018-M554,5 Fr, length 46 cm10/box20018-M565,5 Fr, length 46 cm10/box20018-M576,5 Fr, length 46 cm10/box20018-0107,5 Fr, length 46 cm10/box

LAPAROSCOPIC MANIPULATION 13ARROW CHOLANGIO CATHETERSThe Arrow balloon cholangiographycatheter sets are designed to providereliable catheter placement andsave time when performing cholangiograms.Choose from either the IntroducerVersion, designed to be used withan existing abdominal port, orthe Percutaneous Version which canbe inserted directly through theabdomen.ARROW CHolangio CATHETERSRef. No.DescriptionQuantityCS-01700Arrow-Karlan introducer laparoscopiccholangiography set with Karlan ballooncatheter5/boxARROW Cholangio CATHETERSRef. No.DescriptionQuantityCS-01701Arrow percutaneous laparoscopiccholangiography set with Karlan ballooncatheter5/box