MINILAPAROSCOPY
INTERVENTIONS WITHOUT VISIBLE SCARS
EXCERPT FROM CATALOG 2nd EDITION 1/2010
9-10
© All pictures, photos and product descriptions are the intellectual
property of KARL STORZ GmbH & Co. KG.
Utilisation and copies by third parties have to be authorized.
All rights reserved.
Important Notes:
Endoscopes and accessories contained in this catalog have been designed in part with the cooperation of
physicians and are manufactured by the KARL STORZ group. If subcontractors are hired to manufacture
individual components, these are made according to proprietary KARL STORZ plans or drawings.
Furthermore, these products are subject to strict quality and control guidelines of the KARL STORZ group.
Both contractual and general legal provisions prohibit subcontractors from supplying components
manufactured by order of KARL STORZ to competitors.
Any assumptions that competitors’ endoscopes and accessories are acquired from the same suppliers as the
KARL STORZ products are not correct. Moreover, endoscopes and instruments provided by competitors are
not manufactured according to the design specifications of KARL STORZ. This means it cannot be assumed
that these endoscopes and accessories – even if they look identical on the outside – are constructed in the
same manner and have been tested according to the same criteria.
Standardized Design and Labeling
KARL STORZ participates both in national and international bodies involved in the development of standards
for endoscopes and endoscopic accessories. Standardized design and development therefore have long been
implemented consistently by KARL STORZ. The user can rest assured that all products by the KARL STORZ
group have been designed and constructed not only in compliance with strict internal quality guidelines, but
also with international standards. All data relevant for safe use, such as viewing direction, sizes and
diameters, or notes regarding sterilization of telescopes, are applied to the instruments, have been formulated
according to international standards, and therefore provide reliable information.
As we constantly seek to improve and modify our products, we reserve the right to make changes in design
that vary from catalog descriptions.
Original or Counterfeit
KARL STORZ products are name brand articles renowned around the world and represent the state of the art
in important areas of healthcare. A large number of “copy cat” products are currently being offered in many
markets. These products are designed intentionally to resemble KARL STORZ products and use marketing
strategies that at least point out their compatibility with KARL STORZ products. These products are by no
means genuine products, since genuine KARL STORZ products are sold worldwide exclusively under the
name of KARL STORZ, which appears on the packaging and the product. In the absence of such labeling,
the product is not from KARL STORZ.
KARL STORZ, therefore, is unable to ensure that such products are actually compatible with genuine
KARL STORZ products or can be used with them without injury to the patient.
Overview of KARL STORZ Catalogs
Endoscopes, Instruments, Accessories, Units and Imaging Systems
Neuro-Endoscopy
Oral and Maxillary Surgery
ENT, Esophagoscopy – Bronchoscopy
Plastic Surgery
Anesthesiology and Emergency Medicine
Cardiovascular Surgery
Thorax
Gastroenterology
Laparoscopy
Gynecology
Urology
Proctology
Arthroscopy, Sports Medicine,
Spine Surgery
Microscopy
Pediatric Surgery
NOTES
KARL STORZ OR1™
Telepresence
ENDOPROTECT1
Spare Parts Catalog
Veterinary Medicine –
Large/Small Animals
Industrial Endoscopy
Request per business reply card for all specialties, see final catalog page!
www.karlstorz.de
IM 1
The Foundation
The bronze statue entitled “The Instrument Maker” was commissioned by Dr . h. c.
Karl Storz. The statue symbolizes the commitment of the KARL STORZ company
to the traditions of Tuttlingen, a city long associated with the manufactur e of
instruments. The statue also honors the cr eative spirit and dedication this family
enterprise has demonstrated towards the advancement of medical technology .
The principles on which Dr. h. c. Karl Storz founded the company more than
60 years ago still guide the worldwide operations of today: willingness to learn
and ingenuity.
Two castings of “The Instrument Maker” exist. One stands in front of T uttlingen
Town Hall. The other marks the entrance to the administrative building of
KARL STORZ GmbH & Co. KG.
Karl Storz began producing instruments for ENT
specialists in 1945. His intention was to develop
instruments which would enable the practitioner to
look inside the human body. The technology available
at the end of the Second World War was still very
modest: The area under examination in the interior
of the human body was illuminated with miniature
electric lamps; alternatively, attempts were made to
reflect light from an external source into the body
through the endoscopic tube. Karl Storz pursued a
plan: He set out to introduce very bright, but cold
light into the body cavities through the instrument,
thus providing excellent visibility while at the same
time allowing objective documentation by means of
image transmission.
The Founder, Dr. med. h. c. Karl Storz
IM 2
In realizing this dream, Karl Storz benefited from
two rather contrary character traits: the unerring
meticulousness of the craftsman and the imaginative
power of the artist and inventor. Karl Storz was
both. As a practitioner and an understanding,
cosmopolitan entrepreneur, he succeeded not only
in conveying his plans to his employees, but also in
inspiring them with his enthusiasm.
With more than 400 patents and operative samples
to his name, many of which were to play a major
role in showing the way ahead, Karl Storz played
a crucial role in the development of modern
endoscopy.
Sketches of ideas and workshop drawings
produced by Karl Storz prove today his
creativity.
The Golden Master Craftsman’s Diploma
of the company’s founder, Karl Storz
Four Pillars of Endoscopy
Modern high-technology medical systems consist of
components from the most diverse fields of engineering: Optics, mechanics and electronics as well as
the associated software must work in perfect harmony if the instruments are to function as desired.
As simple as the requirement for a harmonious
interplay of the individual components may sound,
its realization is in fact a highly complex matter.
No matter how much meticulous care is given to
development, the quality of the end product is
decided by day-to-day manufacturing routine. The
perfect instrument can only be created when all
components are ideally matched and coordinated.
Our company attains this high quality by ensuring
that each and every component is developed,
manufactured and subjected to a constant quality
control process at our own company. This concept
guarantees a maximum of functionality and quality
for each individual endoscopic system. The continuity of this quality-consciousness is ensured by the
company’s tenet of training its employees from all
sectors at our own company.
Optics
A modern endoscope must generate as brilliant an
image as possible. Decisive factors in this consideration are light intensity, depth of focus, contrast and
resolution. The basis of an optimal image transmission in endoscopy was the introduction of the
Optical elements are manufactured for
various end products.
rod lens system by Professor Harold H. Hopkins,
allowing a highly realistic image of the surface and
structure of internal organs to be produced - this
lens system has been subjected to continual further
improvement and is setting standards worldwide.
The high optical quality and power of KARL STORZ
endoscopes are a delight to all practitioners. The
key to this success is the precise harmonization of
all parameters for perfectly matched optics. The
company’s laboratories have since produced a
number of further developments, for example video
endoscopes, fiberoptic endoscopes, 3D imaging
systems, high magnification contact endoscopes
and the new DCI® optics series.
Mechanics
Nowadays, industrial manufacture generally means
mechanical series production. In view of the high
demands placed on mechanical quality, however,
the precision that lies in the hand of the master
instrument maker is indispensable. Herein lies the
strength of KARL STORZ products. Discontentment
with even the most perfect performance is the high
maxim behind the development and manufacture of
each and every product from the KARL STORZ
company. Design, too, is not left to chance, but
corresponds perfectly to the function and ergonomics
of the various instruments.
Computer-controlled quality assurance for
the optical systems.
Assembled and tested once more – quality
is a basic tenet at KARL STORZ.
IM 3
Four Pillars of Endoscopy
Electronics
Software
The inherent advantages of endoscopic techniques
lie not only in providing a means of looking inside the
human body for diagnosis, but also in endoscopically
supported therapy that subjects the patient to a minimum of trauma. Therapeutic systems and facilitating
modalities were developed and manufactured by
KARL STORZ from the very outset. Nowadays,
systems such as those used for tissue disintegration,
lithotripsy, high-frequency surgery, insufflation and
irrigation number among the standard range of
products.
Modern electronics only produce satisfying results in
combination with dedicated software. Therefore,
software is playing an increasingly important role in
product development at KARL STORZ. Software is
improving image quality in video systems, reducing
optical defects caused by the system, such as the
Moiré pattern in fiberscopes, is enabling device
control with unsurpassed precision and facilitating
operation thanks to the user-friendly menu control.
In the modern operating room the use of software
Through the innovative application of state-of-the-art
electronics and micro mechanics, the therapeutic
units from KARL STORZ provide a maximum of
safety and operational convenience. The ability of the
appliances to be networked to information systems
makes for an integrative systems solution resulting in
optimal efficiency for the patient, surgeon and operating room personnel.
All therapeutic devices and their delivery systems for
use inside the human body are designed using the
latest computer-supported development and simulation facilities, in accordance with national and international standards and guidelines for medical products. They continue to be subjected to numerous
quality assurance measures throughout the manufacturing process and undergo a 100% final inspection prior to delivery to the customer. This secures
the unsurpassed quality of electronic systems and
system components from KARL STORZ.
Installation of the auto-rotation system into
video cameras
IM 4
can unfold even greater potential. Peripheral devices
can be integrated in the endoscopic operating room
via defined interfaces, which means that all relevant
devices can be operated and controlled from one
central point. Even speech control from the sterile
area has become possible. Complex tasks can be
simplified and optimized through the straightforward
use of predefined, stored settings. Additionally, there
are the quick and secure possibilities for image and
video documentation and transfer and not least the
integration of sophisticated multimedia applications
for audio and video communication, such as broadcasting in lecture theaters or obtaining specialist
consultation over distances of thousands of miles.
Documentation and digital post-editing
of findings
Thanks to modern multimedia software,
broadcasts from the operating room can be
viewed anywhere in the world.
Quality and Precision
Award-Winning Design
KARL STORZ won the 1993 IF Award for medical
device design. The IF bestowed its honor based on
design concept, functionality, and focus on hygiene
standards.
The IF made special note of the attention to design
detail, especially the use of international symbol
labeling and the availability of multi-lingual instruction
manuals.
Quality Management System
The KARL STORZ Quality Management System has
been certified according to the requirements of the
ISO 9001/ISO 13485 standard thus confirming the
high quality of KARL STORZ endoscopes and
instruments. As far as our customers are concerned,
the certification means additional safety and the
guarantee that quality will continue to remain consistent in the future.
Endoscopes and instruments from KARL STORZ
prove their worth day by day in worldwide use. This
high standard of quality is made possible by state-ofthe-art microelectronics together with precise longlife mechanics. Service and maintenance are facilitated by the modular design concept.
Instruments undergoing practical tests
at KARL STORZ.
Precise manufacture in highly modern production
facilities and constant quality controls in the course
of and at the end of the manufacturing chain guarantee unsurpassed quality.
The safety of instruments and appliances is of
utmost importance to KARL STORZ. No components are used until their reliability and safety are
unequivocally established. In close cooperation with
official inspection bodies (TÜV, DEKRA, UL) detailed
tests are undertaken and the equipment approved.
The manufacture and testing of the instruments and
appliances is carried out in accordance with the IEC
601-1 international and the MPG national standards.
At the conclusion of each production run, safety
tests are carried out with specially developed automatic measuring systems and the results individually
documented: Each and every device thus leaves its
own unmistakable fingerprint prior to delivery.
KARL STORZ is Quality –
and Quality is not Disposable!
Service goes with the product - faults are
registered
Documentation for product improvements
IM 5
The Global Enterprise
The superb quality of KARL STORZ
instruments and devices, particularly
endoscopes, triggered worldwide demand.
Within a few years, production facilities
and subsidiaries expanded to meet this
challenge. The small workshop in the
house of Karl Storz's parents, where work
began in 1945, grew to become a worldwide leader in endoscopic equipment.
A company then, as now, built on the confidence placed in us by the customer.
● Headquarters:
Tuttlingen, Germany
● Production locations:
Tuttlingen, Germany
Munich, Germany
Charlton (Massachusetts), USA
Goleta (California), USA
Dundee, Scotland
Tallinn, Estonia
Schaffhausen, Switzerland
Widnau, Switzerland
Istanbul, Turkey
Bucharest, Romania
Kiev, Ukraine
Moscow, Russia
Almaty, Kazakhstan
Beirut, Lebanon
Cape Town, South Africa
New Delhi, India
Ho Chi Minh City,
Vietnam
Singapore, Singapore
HongKong/Beijing/
Shanghai/Chengdu/
Guangzhou, China
Tokyo, Japan
Sydney, Australia
● Sales and marketing subsidiaries:
Tuttlingen, Germany
Berlin, Germany
Toronto, Canada
Los Angeles (California), USA
Miami (Florida), USA
Havanna, Cuba
Mexico City, Mexico
Buenos Aires, Argentina
Kjeller, Norway
Stockholm, Sweden
IM 6
Copenhagen, Denmark
London-Slough, Great Britain
Vianen, Netherlands
Brussels, Belgium
Paris, France
Vienna, Austria
Verona, Italy
Madrid, Spain
Zagreb, Croatia
Thessaloniki, Greece
IM 7
Development and Manufacture
Medical instruments and appliances from
KARL STORZ are esteemed throughout the world
as the most advanced and reliable available. The
customer is convinced not only by perfection in
manufacture, but also by the constant flow of new
ideas. The opportunities available in diagnosis and
therapy are becoming increasingly multi-faceted
and effective.
As a result, the production plants must be continually
extended and new facilities established. New sales
organizations are also necessary, in order to provide
the interested customer with the desired information
and products within a very short time. The company’s headquarters are located in Tuttlingen, in
southwestern Germany. This is the center of our
mechanical and optical manufacture. The production
facilities abroad are dedicated to the development
and manufacture of special products. The high-technology video cameras, for example, are produced
exclusively by KARL STORZ Imaging in Goleta,
(California), USA; optical and electronic components
are manufactured at the plants in Tuttlingen and
Schaffhausen (Switzerland); modern 3D systems are
jointly developed by the Tuttlingen and Goleta
plants; the glass fiber for light transmission and the
flexible image bundles are produced in Charlton,
(Massachusetts), USA.
Under the management of Dr. h. c. mult. Sybill Storz,
the enterprise has steadily continued to develop and
has registered over a hundred new patents. The
range of endoscopic equipment for human and
veterinary medicine and for industrial applications
now encompasses over 8,000 products.
Revolutionary new developments such as the OR1TM
fully networked operating room or the AIDA centralized image and data management system supplement
the range and demonstrate that at KARL STORZ, the
future has already become the present.
Production locations
KARL STORZ GmbH & Co. KG
Mittelstraße 8
D-78532 Tuttlingen, Germany
KARL STORZ Endovision, Inc.
91 Carpenter Hill Road
Charlton, MA 01507, USA
KARL STORZ GmbH & Co. KG
Munich Branch Office
Carl-von-Linde-Straße 15
D-85748 Garching, Germany
KARL STORZ Imaging Inc.
175 Cremona Drive
Goleta, CA 93117, USA
KARL STORZ – Development and manufacturing complex, Tuttlingen
IM 8
KARL STORZ – IMAGING, Goleta
(California), USA
KARL STORZ – ENDOVISION, Charlton
(Massachusetts), USA
International Marketing and Logistics
The Tuttlingen headquarters recently received an
impressive new extension: the Entrée – an annex in
the form of an optical lens, in glass and steel, tall,
transparent and spacious. It unites several functions
under one roof which used to be located in various
places in the town. On an area of 14,000 square
meters (150,000 square feet) everything is to be
found that allows the company to react even more
efficiently and rapidly to the wishes of the customer.
an immense storage facility. This abundance of
material is managed by special computer programs
which ensure that all orders are rapidly processed.
Information material and operating instructions are
also stored here. This building also accommodates
a huge number of endoscopic systems, which are
dispatched to almost 2,000 congresses, workshops and seminars each year for demonstration
purposes, then tested here once more and brought
in line with the highest technological standards.
On the basis of precisely determined logistics, the
instruments, appliances and spare parts are kept in
KARL STORZ Endoscopy (UK) Ltd.
Thomas Wise Place
Dundee DD2 1UB, Great Britain
KARL STORZ Video Endoscopy
Estonia OÜ
Akadeemia tee 21 A
12618 Tallinn, Estonia
KARL STORZ – Endoskop-Produktions
GmbH, Schaffhausen branch, Switzerland
STORZ Endoskop Produktions GmbH, Tuttlingen (D)
Schaffhausen Branch Office
Schneckenackerstraße 1
CH-8200 Schaffhausen, Switzerland
STORZ Endoskop Produktions GmbH, Tuttlingen (D)
Schaffhausen Branch Office
Nöllenstrasse 13
CH-9443 Widnau, Switzerland
KARL STORZ – administrative building,
Tuttlingen
KARL STORZ – logistics and training center,
Tuttlingen
IM 9
Sales and marketing subsidiaries
KARL STORZ GmbH & Co. KG
Mittelstraße 8, D-78532 Tuttlingen
Postfach 230, D-78503 Tuttlingen
Germany
Phone: +49 (0)7461 708-0
Fax:
+49 (0)7461 708-105
E-Mail: info@karlstorz.de
Web:
www.karlstorz.com
KARL STORZ Endoscopia
Miramar Trade Center
Edificio Jerusalem, Oficina 108
La Habana, Cuba
Phone: +53 7 2 04 1097
Fax:
+53 7 2 04 1098
KARL STORZ Endoskope Berlin GmbH
Ohlauer Straße 43
D-10999 Berlin, Germany
Phone: +49 (0)30 30 69 09-0
Fax:
+49 (0)30 3 01 94 52
KARL STORZ
Endoscopia México S.A. de C.V
Lago Constanza No 326
Col. Chapultepec Morales,
D.F.C.P. 11520, Mexico, Mexico
Phone: +52 55 525 056 07
Fax:
+52 55 554 501 74
KARL STORZ Endoscopy Canada Ltd.
2345 Argentia Road, Suite 100
Mississauga, ON L5N 8K4, Canada
Phone: +1 905 816-81 00
Fax:
+1 905 858-09 33
KARL STORZ Endoscopia Argentina S.A.
Cerviño 4449 Piso 10°
RA-1425 Buenos Aires C. F., Argentina
Phone: +54 11 47 72 45 45
Fax:
+54 11 47 72 44 33
KARL STORZ Endoscopy-America, Inc.
2151 E. Grand Avenue
El Segundo, CA 90245-5017, USA
Phone: +1 424 218-81 00
800 421-08 37***
Fax:
+1 424 218-85 25
800 321-13 04***
KARL STORZ Endoskopi Norge AS
Rolf Olsenvei 28
N-2007 Kjeller, Norway
Phone: +47 6380 5600
Fax:
+47 6380 6501
KARL STORZ Veterinary
Endoscopy America, Inc.
175 Cremona Drive
Goleta, CA 93117, USA
Phone: +1 805 968-7776
Fax:
+1 805 685-2588
KARL STORZ Endoscopia
Latino-America, Inc.
815 N. W. 57th Avenue, Suite 480
Miami, FL 33126-2042, USA
Phone: +1 305 262-89 80
Fax:
+1 305 262-89 86
KARL STORZ Endoskop Sverige AB
Storsätragränd 14, 12739 Skärholmen
Postal address: Po Box 8013,
14108 Kungens Kurva
Sweden
Phone: +46 8 505 648 00
Fax:
+46 8 505 648 48
IM 10
KARL STORZ Endoscopie France S.A.
12, rue Georges Guynemer
Quartier de l’Europe
F-78280 Guyancourt, France
Phone: +33 1 30 48 42 00
Fax:
+33 1 30 48 42 01
KARL STORZ Endoskop Austria GmbH
Landstraßer Hauptstr. 148/1/G1
A-1030 Wien, Austria
Phone: +43 1 71 56 04 70
Fax:
+43 1 71 56 04 79
KARL STORZ Endoscopia Italia S. r. l.
Via dell’Artigianato, 3
I-37135 Verona, Italy
Phone: +39 045 822 2000
Fax:
+39 045 822 2001
KARL STORZ Endoscopia Ibérica S.A.
Parque Empresarial San Fernando
Edificio Munich – Planta Baja
E-28830 Madrid, Spain
Phone: +34 91 6 77 10 51
Fax:
+34 91 6 77 29 81
KARL STORZ Adria Eos d.o.o.
Zadarska 80
HR-10000 Zagreb, Croatia
Phone: +385 1 640 6070
Fax:
+385 1 640 6077
KARL STORZ Endoskopi Danmark A/S
Skovlytoften 33,
DK-2840 Holte, Danmark
Phone: +45 45 16 26 00
Fax:
+45 45 16 26 09
KARL STORZ Endoskope Greece*
Ipsilantou Str. 32
54248 Thessaloniki, Greece
Phone: +30 2310 304868
Fax:
+30 2310 304862
KARL STORZ Endoscopy (UK) Ltd.
392 Edinburgh Avenue, Slough
GB-Berkshire, SL1 4UF
Great Britain
Phone: +44 17 53 50 35 00
Fax:
+44 17 53 57 81 24
KARL STORZ Industrial**
Gedik Is Merkezi B Blok
Kat 5, D 38-39
Bagdat Cad. No: 162
TR-Maltepe Istanbul, Turkey
Phone: +90 216 442 95 00
Fax:
+90 216 442 90 30
KARL STORZ Endoscopie
Nederland B. V.
Phone: +31 651 938 738
+31 135 302 231
Marketing activities include the organization
of international trade fairs.
KARL STORZ Endoscopy Belgium N. V.
Phone: +32 473 810 451
KARL STORZ Endoscopia Romania SRL
Prof. Dr. Anton Colorian Street No. 74
Sector 4, 041392 Bucharest, Romania
Phone: +40 31 425 08 00
Fax:
+40 31 425 08 01
TOV KARL STORZ Ukraine
18b Geroev Stallingrada avenu
UA-04210 Kiev, Ukraine
Phone: +380 44 42668-14
+380 44 42668-15; -19; -20
Fax:
+380 44 42668-14
OOO KARL STORZ
Endoskopy – WOSTOK
Derbenyevskaya nab. 7, building 4
115114 Moscow, Russia
Phone: +7 495 983 02 40
Fax:
+7 495 983 02 41
TOO KARL STORZ Endoscopy
Kasachstan
Khodjanova 17
050060 Almaty, Kazakhstan
Phone/Fax: +7 72 72 49 43 63
Phone/Fax: +7 72 72 49 41 00
KARL STORZ Endoskope
Regional Center for Endoscopy S.A.L.
St. Charles City Center, 5th Floor
Phoenicia Street, Mina Elhosn
2020 0908 Beirut, Lebanon
Phone: +961 1 36 81 81
Fax:
+961 1 36 51 51
KARL STORZ Endoscopy
South Africa (Pty) Ltd.
P O Box 6061, Roggebaai
Cape Town 8012, South Africa
Phone: +27 21 417 2600
Fax:
+27 21 421 5103
KARL STORZ Endoscopy India
Private Ltd.
C-126, Okhla Industrial Area Phase-1,
New Delhi 110 020, India
Phone: +91 11 26 81 54 45-51
Fax:
+91 11 26 81 29 86
KARL STORZ GmbH & Co. KG
Resident Representative Office
80/33 (44/19) Dang Van Ngu
F.10 – Q. Phu Nhuan
Ho Chi Minh City, Vietnam
Phone: +848 991 8442
Fax:
+848 844 0320
KARL STORZ Endoscopy
Singapore Sales Pte Ltd
3791 Jalan Bukit Merah
06-07 e-Centre @ Redhill
Singapore 159471, Singapore
Phone: +65 65 32 55 48
Fax:
+65 65 32 38 32
KARL STORZ Endoscopy
Asia Marketing Pte Ltd
3791 Jalan Bukit Merah
06-11 e-Centre @ Redhill
Singapore 159471, Singapore
Phone: +65 63 76 10 66
Fax:
+65 63 76 10 68
KARL STORZ Endoscopy China Ltd.
Hong Kong Representative Office
Unit 1601,
Chinachem Exchange Square
1 Hoi Wan Street, Quarry Bay
Hong Kong
People’s Republic of China
Phone: +852 28 65 24 11
Fax:
+852 28 65 41 14
KARL STORZ Endoscopy China Ltd.
Beijing Representative Office
Room 610, China Life Tower
No. 6, Chaowai Street
Beijing 100020
People’s Republic of China
Phone: +86 10 8525 3725
Fax:
+86 10 8525 3728
KARL STORZ Endoscopy China Ltd.
Guangzhou Representative Office
Room 1119-20, Dongshan Plaza
69 Xianlie Road Middle
Dongshan District
Guangzhou, Guangdong 510095
People’s Republic of China
Phone: +86 20 8732-1281
Fax:
+86 20 8732-1286
KARL STORZ Endoscopy Japan K.K.
Bois Hongo Building 6FI
3-42-5 Hongo
Bunkyo-ku, Tokyo 113-0033, Japan
Phone: +81 3 58 02-39 66
Fax:
+81 3 58 02-39 88
KARL STORZ Endoscopy
Australia Pty. Ltd.
15 Orion Road
Lane Cove NSW 2066
P O Box 50 Lane Cove NSW 1595
Australia
Phone: +61 2 9490 6700
800 996 562***
Fax:
+61 2 9420 0695
* Repair and Service Subsidiary
** marketing and distribution for Industrial Endoscopy
*** only accessible inside Australia
KARL STORZ Endoscopy China Ltd.
Unit 3901-3904, Tower 1
Grand Gateway, No. 1 Hong Qiao Road
Shanghai 200030
People’s Republic of China
Phone: +86 21 6113-1188
Fax:
+86 21 6113-1199
KARL STORZ Endoscopy China Ltd.
Chengdu Representative Office
F-5, 24/F., Chuanxing Mansion
No. 18 Renming Road South
Chengdu, Sichuan 610016
People’s Republic of China
Phone: +86 28 8620-0175
Fax:
+86 28 8620-0177
At KARL STORZ, customers are provided
with comprehensive information about their
products.
IM 11
Celebrate 60+ Years of Achievement
1953 1960
1945
1956
1970
1965
1980
1971
1985
1982
1989
1987
1999
2001
2003
2005
1996
2000
2002
2004
2007
2006
2009
2008
KARL STORZ Endoscopy History
●
More than 60 years of excellence.
●
Commitment to innovation.
●
Strong service orientation.
●
Commitment to education.
KARL STORZ Endoscopy Future
●
Offer solutions to the health care provider.
●
Develop programs to promote efficiency
and instrument utilization.
●
Develop products that are both clinically and cost effective.
●
Develop products for all areas of endoscopy to meet
the needs of our most sophisticated customers.
Is KARL STORZ Right for you?
●
The answer is clearly YES if your goals are cost savings
and standardization.
Endoscopes from KARL STORZ - unsurpassed in quality
Mechanical components - perfect right
down to the last detail
Complex solutions - no problem for
KARL STORZ
2011
2010
Table of Contents
MINILAPAROSCOPY, INTERVENTIONS WITHOUT VISIBLE SCARS
Minilaparoscopic Surgery – Interventions without visible scars
Minilaparoscopy in Gynecology – Interventions without visible scars
Minilaparoscopy in Urology – Interventions without visible scars
3-7
8
9
HOPKINS® II Telescopes
10
Trocars
11
Dissecting and Grasping Forceps, Scissors – c – rotating, with connector pin for unipolar coagulation,
double action jaws, insulated outer sheath
12
Dissecting and Grasping Forceps – c – rotating, single and double action jaws, outer sheath not insulated
13
Suction and Irrigation Tube, Electrode, Palpation Probe
14
Coagulating Forceps, Needle Holder
15
Minilaparoscopic Surgery – Recommended Basic Set
16
Minilaparoscopy in Gynecology – Recommended Basic Set
17
Minilaparoscopy in Urology – Recommended Basic Set
18
Videocarts – Recommended Sets
19
I
Index
MINILAPAROSCOPY, INTERVENTIONS WITHOUT VISIBLE SCARS
2
HOPKINS® II Forward-Oblique Telescope 30°
26" KARL STORZ HD Flat Screen
19
HOPKINS II Straight Forward Telescope 0°
®
Adaptor
10, 16, 18
AIDA compact HD Communication-DVI
19
AUTOCON® II 400 SCB
19
IMAGE 1 HUB™ Camera Control Unit SCB, with SDI module
19
IMAGE1™ H3-Z Three-Chip HD Camera Head
19
K
KOH Ultramicro Needle Holder
B
Bipolar High Frequency Cable
16, 17, 18
CADIERE Coagulating and Dissecting Electrode
14, 16, 17
11
Palpation Probe
c Dissecting and Grasping Forceps
17
Plastic Handle
13, 16, 18
12, 16, 17, 18
c MAHNES Dissecting and Grasping Forceps
13
c MANHES Grasping Forceps
17
c Metal Handle
13
12, 16, 17, 18
c Micro Hook Scissors
16
13, 16, 18
Cold Light Fountain XENON 300 SCB
19
Container
16, 17, 18
Rack
Double Pedal Holder
19
Fiber Optic Light Cable
17
17
S
Scissors Insert
Suction and Irrigation Tube
Forceps Insert
12, 15
G
GORDTS and CAMPO Coagulating Suction/Irrigation Tube
11
14, 16, 18
TAKE-APART® Bipolar Coagulating Forceps
15, 16
15
TAKE-APART® MANHES Bipolar Coagulating Forceps 15, 16, 18
Trocar only
Two-Way Stopcock
19
11, 16, 17, 18
11
14, 16, 18
U
17
UNIDRIVE® GYN SCB
Unipolar High Frequency Cable
H
HAMOU® ENDOMAT® SCB
19
V
Handle with Two-Way Stopcock
17
VERESS Pneumoperitoneum Needle
II
12
T
Trocar
16, 17, 18
16, 17, 18
RoBi® KELLY Grasping Forceps
THERMOFLATOR® SCB
F
12
Reduction Sleeve
TAKE-APART® Bipolar Ring Handle
D
14, 16, 17
R
Silicone Leaflet Valve
c REDDICK-OLSEN Dissecting
and Grasping Forceps
13, 15
P
Cannula
c Grasping Forceps
15, 16, 17, 18
O
Outer Sheath
C
c METZENBAUM Scissors
10, 18
I
A
c KELLY Dissecting and Grasping Forceps
10, 16, 17, 18
19
16, 17, 18
16, 17, 18
Numerical Index
MINILAPAROSCOPY, INTERVENTIONS WITHOUT VISIBLE SCARS
20040905U
20133101-1
20535201-115
22200011-102
22220055-3
25775 CL
26005 M
26007 BA
26046 AA
26046 BA
26120 JL
26167 FNL
26167 H
26167 LHL
26167 TL
26176 LE
26184 H
26184 HCL
26184 HM
26184 HTL
26184 HVL
26184 MAL
26331009-1
19
19
19
19
19
14, 16, 17
16, 17, 18
10, 16, 18
10, 18
10, 16, 17
16, 17, 18
15, 16, 17, 18
14, 16, 18
14, 16, 18
14, 16, 17
16, 17, 18
15
15, 16, 18
15
15
15
15, 16
19
26432008-1
26711101-1
29005 HFH
29005 HFS
30114 A
30114 G2
30114 G3
30114 GAL
30114 GKX
30114 GZL
30114 KX
30114 L1
30114 Z
30140 KA
30160 C
30160 G1
30160 GC
30160 L1
30160 MC
30310 MDG
30310 MGG
30310 MLG
30310 MWG
19
19
19
19
11
11
11
11
11
11, 16, 17, 18
11
11
11
17
11
11
11, 16, 17, 18
11
17
12
13
12
12
30310 ONG
30310 RG
30310 ULG
30332 MGG
30332 ONG
30341 MGG
30341 ONG
30341 ULG
30351 EHG
30351 MDG
30351 MLG
30351 MWG
30351 RG
30805
33141
33151
37370 GC
38321 ML
39219 XX
39753 A2
495 NA
533 TVA
9526 NB
13
12
13
17
17
13
13, 16, 18
13, 16, 18
16
12
12, 16, 17, 18
12, 16, 17, 18
12, 16, 18
17
13
12
17
17
16, 17, 18
16, 17, 18
16, 17, 18
10, 16, 18
19
III
MINILAPAROSCOPY
INTERVENTIONS WITHOUT VISIBLE SCARS
Minilaparoscopic Surgery
Interventions without visible scars
Enhanced 3 mm Instrument Set for Minilaparoscopy from KARL STORZ
Nowadays aesthetics play a significant role in the choice
of operative techniques as well as operating surgeons
and clinics. With the rise of NOTES & Associated Procedures, minilaparoscopy has gained renewed importance in the last few years.
Our lightweight and extremely reliable 3.5 mm trocars
with silicone leaflet valve barely leave visible scars. Due
to their length of 15 cm, the trocars can be utilized in
nearly all interventions in laparoscopic surgery, gynecology and urology.
3-10
Besides the convincing cosmetic aspect, the advancement of minimally invasive operative techniques towards
low-risk minilaparoscopy has a decisive advantage:
trauma and stress for the human organism are reduced
to a minimum.
KARL STORZ offers a special instrument set for minilaparoscopy with diameter and length especially adapted for treatment on adults. With a diameter of 3 mm
and a length of 36 cm, these instruments can be used
instead of standard instruments with diameters of 5 mm
and/or 10 mm.
The following excerpt concerning minilaparoscopy is adapted from our catalogs
LAPAROSCOPY, GYNECOLOGY and UROLOGY.
MINILAP 1
3
Minilaparoscopic Surgery
Interventions without visible scars
Minimally invasive operating techniques have had a
tremendous impact on surgery since the 1990s. Many
open laparatomies can now be avoided due to laparoscopic surgery, leading to an improvement in the quality
of life for the patient following surgical interventions.
The typical features of minimal-invasive operating
techniques such as:
●
less pain
●
faster postoperative recovery
●
earlier return to work
●
better cosmetic results
have resulted in minimally invasive techniques now
becoming standard surgical procedures in many
routine operations, i.e. cholecystectomy, appendectomy
and hernia repair.
Minilaparoscopy or needlescopic surgery represents
the consequent evolution of minimally invasive surgery.
By definition, it is based on the use of instruments and
telescopes with a diameter of 2 – 3 mm. The terms minilaparoscopy and/or needlescopic surgery were introduced to differentiate this method from conventional
laparoscopic procedures performed with 5 – 12 mm instruments.
Initial clinical experience with minilaparoscopy was gained in various institutes in Asia and the US in the mid-90s
(1, 2). This was based on the concept that minilaparoscopy could be used to further reduce abdominal wall
trauma and improve the known benefits of minimally
invasive surgery. Significant technical aspects of minilaparoscopy were already described by M. Gagner in
1998 (3):
Surgical procedures suitable for minilaparoscopy
Surgery limited to an abdominal quadrant or region
●
Surgery without major resection of the
gastrointestinal tract
●
Surgery not requiring major intracorporeal suturing
●
Surgery without major gastrointestinal
reconstruction
Surgery for removing small tissue
(appendix, gall bladder, adnexa, cysts)
●
Surgery for patients with normal or slightly
high body mass index
Several studies demonstrated the feasibility of using
minilaparoscopy in routine surgery in the years that
followed (4, 5). Consequently, a randomized study
comparing conventional laparoscopic with minilaparoscopic cholecystectomy could confirm that minilaparoscopic interventions resulted in less postoperative pain
and better cosmetic results than conventional laparoscopic cholecystectomy (4).
Use of minilaparoscopy in routine interventions
in various disciplines:
●
Diagnostic laparoscopy
●
Adhesiolysis
●
Appendectomy
●
Hernia repair (inguinal, ventral)
●
Cholecystectomy
●
Adrenalectomy
●
Thoracoscopic interventions
●
Cystectomy
●
Tubal pregnancy
●
Adnextomy
●
Urological interventions
Despite its many benefits, minilaparoscopy was not as
widely accepted as conventional laparoscopic surgery
as the fine instruments and telescopes required were
considered to be too fragile. Furthermore, the minitelescopes available at the time were inferior to
conventional 10 mm telescopes as regards resolution
and panoramic view. The minilaparoscopic instruments
available ten years ago were still too unstable for
routine use in adult patients. This is why they were only
utilized in pediatric surgery or in slender adults.
Since then, telescopes and instruments have undergone considerable advances. Today, instrument length
3-10
●
●
4
MINILAP 2
Minilaparoscopic Surgery
Interventions without visible scars
and stability are designed to enable smooth surgery on
adult patients. The latest generation of telescopes
delivers clear and sharp visualization of the operative
site.
Patient and surgeon interest in the NOTES technique
has generated a renewed interest in scarless or virtually
scarless surgery.
Minilaparoscopic or needlescopic operations are
ideal for achieving excellent cosmetic results for the
patient. The 2 – 3 mm incisions are no longer visible
only a few weeks after the operation. Minilaparoscopic
procedures achieve enhanced cosmetic outcome,
resulting in greater patient satisfaction. For the operating surgeon, minilaparoscopy offers the advantage
that it eliminates the need to learn a new surgical
technique with new instruments and other surgical
strategies. In principle, minilaparoscopy follows the
same procedure familiar to the operating surgeon from
conventional laparoscopy. This makes it easy for the
laparoscopic operating surgeon to adjust to the use of
3 mm instruments and telescopes.
Consequently, minilaparoscopy combines high patient safety and efficiency for the treatment of the
clinical picture as well as greater patient satisfaction regarding cosmetic results.
Example for surgical techniques in minilaparoscopy
– laparoscopic cholecystectomy via minilaparoscopy
Patient placement and trocar positioning
Patient placement is similar to conventional laparoscopic cholecystectomy; the procedure can be performed
in the so-called American or French position.
Following diagnostic laparoscopy, dissection for cholecystectomy begins. Surgical technique and strategy
does not differ from conventional laparoscopic cholecystectomy.
Exposure of Calot’s triangle and clear identification
of the cystic artery and the cystic duct
The gallbladder can be retracted with the help of a
3 mm grasping forceps with the Calot triangle on
stretch. A 3 mm electrocautery hook or dissector can
be used to expose the structures (Fig. 2).
Following clear identification of the cystic artery and
cystic duct, we usually perform telescope changeover, i.e. a 3 mm telescope is mounted using a telescope exchanger. The telescope is then introduced
through the trocar in the mid-left abdomen (trocar position C, Fig 1).
The 3 mm telescope provides very good visualization of
the exposed Calot triangle. The telescope exchange
enables standard 10 mm clips to be used for the cystic
artery and the cystic duct. Using a clip forceps, these
are then inserted in the abdomen via the 10 mm trocar
in the umbilical port.
After clipping, these structures are transected using a
scissors. Standard, conventional laparoscopic 5 mm
scissors can also be used for this purpose. Retaining
the 3 mm telescope, a 5 mm electrocautery hook is
used to dissect the gallbladder from the liver bed. The
gall bladder is then placed in an endosurgical extraction bag which is also introduced through the abdomen
via the 10 mm trocar. Under visual control with the
3 mm telescope, the gallbladder and extraction bag are
removed through the umbilical port (Figs. 3, 4, 5).
After a final inspection of the surgical site to ensure
hemostasis and correct positioning of clips, the 10 mm
trocar site is closed through fascial suturing. This is
also performed under visualization with the 3 mm
telescope. Subsequently, the CO2-pneumoperitoneum
is deflated and the 3.5 mm trocars are removed. The
10 mm umbilical incision is closed by an intracutaneous
suture. As a rule, the 3 mm incisions do not require
suturing; steri-strips are used for wound closure.
3-10
A 10 mm optical trocar from the standard set is placed
in the abdomen through the umbilical fold. Pneumoperitoneum is then created. Three additional 3.5 mm trocars
are either placed along the right costal arch (American
method) or in the mid-right and mid-left abdomen as
well as the epigastrium in a sub-xiphoid position (French
method) under direct visualization (Fig. 1).
Surgical Procedure
MINILAP 3
5
Minilaparoscopic Surgery
Interventions without visible scars
Alternative technique without telescope exchange
References
Minilaparoscopic cholecystectomy can also be performed without a changeover to a 3 mm telescope. In
this case, the 10 mm telescope from the standard set is
introduced through the umbilical trocar site. This
technique involves transecting the cystic artery and the
cystic duct with a scissors after ligatures have been
placed (Fig. 5). The gallbladder is dissected from the
liver bed with a 3 mm hook and retrieved with an
extraction bag via a 10 mm trocar.
1. Minimally invasive needlescopic cholecystectomy
Tanaka J, Andoh H, Koyama K
Surg Today. 1998; 28 (1): 111-3
The 3-mm minitrocar incision scars are virtually invisible three months after the operation. If the 10 mm
access site is skilfully placed, the umbilical incision is
also virtually invisible (Fig. 6).
Minilaparoscopic cholecystectomy is a safe surgical
procedure for both the patient and the surgeon. The
patient benefits from surgery without visible scars and
the surgeon has the advantage of already being accustomed to the standard laparoscopic surgical technique
and instrument set.
3. Technical Aspects of Minimally Abdominal Surgery
Performed with Needlescopic Instruments
Gagner M, Garcia-Ruiz, A
Surg Laparoscopy & Endoscopy 1998; (3): 171-179
4. Randomized trial of needlescopic versus
laparoscopic cholecystectomy
Cheah WK, Lenze JE, So JB, Kum CK, Goh PM
Br J Surg. 2001 (1): 45-7
5. Needlescopic clipless cholecystectomy as an
efficient, safe and cost-effective alternative with
diminutive scars; the first 1000 cases
Carvalho GL, Silva FW, de Albuquerque PP,
Coelho Rde M, Vilaca TG, Lacerda CM
Surg Laprosc Endosc Percutan Tech. 2009 (5):
368-72
3-10
Prof. Dr. med. Stefan SAAD,
Head of Department,
Klinik für Visceral-, Thorax- und Gefäßchirurgie,
Kreiskrankenhaus Gummersbach GmbH,
Lehrkrankenhaus der Universität Köln, Gummersbach,
Germany
2. Needlescopic retrograde cholecystectomy
Cheah WK, Goh P, Gagner M, So J
Surg Laparosc Endosc. 1998 (3): 237-8
6
MINILAP 4
Minilaparoscopic Surgery
Interventions without visible scars
b
a
c
d
Fig. 1: Trocar positions for mini-cholecystectomy (Fr ench
method), a – c = 3.5 mm working trocars, c = if required, with
3 mm telescope following changeover, d = 10 mm telescope
(alternatively 5 mm telescope) 5 – 10 mm standard instrument set
Fig. 2: Identification of the cystic duct and cystic artery,
visualization with a 10 mm telescope
Fig. 3: Transecting the cystic duct with a 5 mm scissors,
visualization with a 3 mm telescope
Fig. 4: Retrieving the gallbladder, visualization with
a 3 mm telescope
3-10
a
b
Fig. 5: Mini-cholecystectomy variants: a = with telescope
changeover: 10 mm clips, 3 mm telescope, b = without
telescope changeover: without clips, 10 mm telescope
MINILAP 5
Fig. 6: Cosmetic results following mini-cholecystectomy,
2 months after surgery
7
Minilaparoscopy in Gynecology
Interventions without visible scars
Several trials by Prof. F. Ghezzi et al. have provided
evidence that for gynecological indications minilaparoscopy may extend the benefits already encountered for
laparoscopy versus the open approach.
One of the most obvious major advantages of minilaparoscopic instruments is the smaller access incision,
which results in minimal scarring and better cosmesis.
Closure of the minilaparoscopic puncture sites require
no suturing and wounds heal leaving nearly undetectable scars.
It makes intuitive sense that minimizing the port size
reduces the risk of trocar-related injuries to both abdominal wall vessels and intraabdominal organs. The
use of minilaparoscopic instrumentation also has the
potential to reduce the risk for trocar-site herniation and
to decrease the incidence of wound complications
primarily by minimizing the consequences of wound
infection.
Reduced postoperative incisional pain, decreased
request of analgesic medication, and a shorter hospital
stay are additional advantages of minilaparoscopy.
Moreover, 3 mm instruments have a smaller sheath that
makes the introduction smooth and permits a more
controlled entry.
Earlier reserved for diagnostic purposes or minor procedures only, minilaparoscopy has been explored for a
variety of advanced laparoscopic operations as well.
Indications of minilaparoscopy in gynecology:
● Diagnostic laparoscopy
8
●
Cystectomy
●
Ectopic pregnancy
●
Adnexectomy
●
Laparoscopic supracervical hysterectomy
●
Total laparoscopic hysterectomy
Although the clinical relevance of differential scarring
after smaller incisions can be questionable, even a small
cosmetic benefit may be psychologically important, especially to relatively young women undergoing total laparoscopic hysterectomy (TLH). Additionally, the minilaparoscopic total hysterectomy only differs from the
conventional laparoscopic procedure in that 3.5 mm
working ports are used and a 5 or 3 mm laparoscope at
the umbilicus. Otherwise the trocar layout and surgical
technique are identical. Operative time and estimated
blood loss of minilaparoscopic TLH are comparable
with those of standard TLH.
Prof. F. Ghezzi et al. suggests that for properly selected
patients, the minilaparoscopic technique can be applied
to TLH safely and effectively.
Fabio GHEZZI,
Associate Professor of Ob/Gyn,
University of Insubria, Head Gynecologic Oncologic Unit,
Del Ponte Hospital, Piazza Biroldi 1, 21100 V arese, Italy
Minilaparoscopic total hysterectomy
Sources
● “Microlaparoscopy: A further development of
minimally invasive surgery for endometrial cancer
staging – Initial experience”. Fabio Ghezzi,
Antonella Cromi, Gabriele Siesto, Francesca Zefiro,
Massimo Franchi, Pierfrancesco Bolis. Gynecologic
Oncology, 15. January 2009. Elsevier.
● “Minimizing ancillary ports size in gynaecologic
laparoscopy: A randomized trial”. Fabio Ghezzi,
Antonella Cromi, Giacomo Colombo, Stefano
Uccella, Valentino Bergamini, Maurizio Serati,
Pierfrancesco Bolis. The Journal of Minimally
Invasive Gynecology, 2005.
● “Needlescopic hysterectomy: incorporation of 3 mm
instruments in total laparoscopic hysterectomy.”
Fabio Ghezzi, Antonella Cromi, Gabriele Siesto,
Luigi Boni, Stefano Uccella, Valentino Bergamini,
Pierfrancesco Bolis. Surg Endosc (Springer),
12 July 2008.
MINILAP 6 A
9-10
Minilaparoscopy is an emerging field of minimally
invasive surgery that involves the use of instruments
with an external diameter of around 3 mm in contrast to
standard sizes of 5 or 10 mm used in conventional
laparoscopic procedures. Mindful of the excellent
outcomes of laparoscopy compared to open interventions, efforts are aimed at further reducing the
morbidity associated with minimally invasive surgery
while maintaining the same high standard of surgical
cure, by means of decreasing the size of the instruments used.
Minilaparoscopy in Urology
Interventions without visible scars
Nephrectomy using a Retroperitoneal Approach
Usually minilaparoscopic nephrectomy will be performed for the non-functioning small kidney. In selected
cases (e.g. when small renal masses have to be managed surgically and a partial nephrectomy is not indicated), radical nephrectomy can be performed. The
patient positioning is the same as for adrenalectomy.
Similarly, three 3-mm ports and one 12-mm port are
placed in a diamond pattern. If there is a risk of
bleeding, to warrant good suction and to have full
control of the renal pedicle, a 5-mm port can be placed
instead of the 3.5-mm port at the right side, fully
respecting the principles of extirpative mini-laparoscopy. Nephrectomy (simple or radical) is performed
with a standard technique except for when the renal
pedicle has to be managed. If this is the case, the renal
pedicle is dissected, the 12-mm laparoscope is removed, and the 3-mm (or 5)-mm laparoscope is introduced
through the right 3.5-mm (or 5)-mm port. The artery and
vein are then secured with Hem-o-lok® (through the
12-mm port) and divided. The specimen is extracted
through the transverse incision just above the iliac crest.
Minilaparoscopic nephrectomy:
the renal artery is secured with Hem-o-lok ® clips and divided.
9-10
Francesco PORPIGLIA and Cristian FIORI,
Divisione di Urologia, Dipartimento di Scienze
Cliniche e Biologiche, Università di Torino,
Ospedale San Luigi Gonzaga, Orbassano, Turin, Italy
MINILAP 7 A
9
HOPKINS® II Telescopes
Diameter 3.3 mm
26007 BA
26007 BA
HOPKINS® II Forward-Oblique Telescope 30°,
enlarged view, diameter 3.3 mm, length 25 cm,
autoclavable, fiber optic light transmission
incorporated,
color code: red
Diameter 5 mm
26046 AA
26046 AA
HOPKINS® II Straight Forward Telescope 0°,
enlarged view, diameter 5 mm, length 29 cm,
autoclavable, fiber optic light transmission
incorporated,
color code: green
26046 BA
HOPKINS® II Forward-Oblique Telescope 30°,
enlarged view, diameter 5 mm, length 29 cm,
autoclavable, fiber optic light transmission
incorporated,
color code: red
533 TVA
Adaptor, autoclavable,
permits telescope changing
under sterile conditions
3-10
533 TVA
Further telescopes see catalog LAPAROSCOPY
10
MINILAP 8 A
Trocars
Size 3.5 mm
30114 GAL
30114 GZL
Trocar, size 3.5 mm,
color code: green-yellow
consisting of:
30114 Z
Trocar only, with conical tip
30114 G2
Cannula, with LUER-Lock connector
for insufflation, length 10 cm
30114 L1
Silicone Leaflet Valve
30114 GAL
Trocar, size 3.5 mm,
color code: green-yellow
consisting of:
30114 A
Trocar only, with blunt tip
30114 G2
Cannula, with LUER-Lock connector
for insufflation, length 10 cm
30114 L1
Silicone Leaflet Valve
30114 GKX
Trocar, size 3.5 mm,
color code: green-red
consisting of:
30114 KX
Trocar only, with pyramidal tip
30114 G3
Cannula, with LUER-Lock connector
for insufflation, length 15 cm
30114 L1
Silicone Leaflet Valve
Size 6 mm
30160 GC
3-10
30160 GC
Trocar, size 6 mm,
color code: black
consisting of:
30160 C
Trocar only, with conical tip
30160 G1
Cannula, with LUER-Lock connector
for insufflation, length 10.5 cm
30160 L1
Silicone Leaflet Valve
Further trocars see catalog LAPAROSCOPY
MINILAP 9 A
11
Dissecting and Grasping Forceps, Scissors
c – rotating, with connector pin for unipolar coagulation,
double action jaws, insulated outer sheath
Size 3 mm
for use with high frequency surgery units
30351 MLG
30351 MLG
c KELLY Dissecting and Grasping
Forceps, long, double action jaws, size 3 mm,
length 36 cm
consisting of:
33151
Plastic Handle, without ratchet
30310 MLG Forceps Insert, with outer sheath
30351 MDG
c KELLY Dissecting and Grasping
Forceps, long, double action jaws, size 3 mm,
length 36 cm
consisting of:
33151
Plastic Handle, without ratchet
30310 MDG Forceps Insert, with outer sheath
30351 RG
c KELLY Dissecting and Grasping
Forceps, right angled, double action jaws,
size 3 mm, length 36 cm
consisting of:
33151
Plastic Handle, without ratchet
30310 RG
Forceps Insert, with outer sheath
30351 MWG
3-10
30351 MWG c METZENBAUM Scissors,
serrated, curved, conical, with irrigation
connection for cleaning, double action jaws,
size 3 mm, length 36 cm
consisting of:
33151
Plastic Handle, without ratchet
30310 MWG Scissors Insert, with outer sheath
Further dissecting and grasping forceps and scissors see catalog LAPAROSCOPY
12
MINILAP 10 A
Dissecting and Grasping Forceps
c – rotating, single and double action jaws,
outer sheath not insulated
Size 3 mm
30341 ONG
c Grasping Forceps, with especially
fine atraumatic serration, fenestrated, with irrigation
connection for cleaning, single action jaws,
size 3 mm, length 36 cm
consisting of:
33141
Metal Handle, with disengageable
ratchet
30310 ONG Outer Sheath, with forceps insert
30341 ULG
c REDDICK-OLSEN Dissecting and
Grasping Forceps, robust, with irrigation
connection for cleaning, double action jaws,
size 3 mm, length 36 cm
consisting of:
33141
Metal Handle, with disengageable
ratchet
30310 ULG Outer Sheath, with forceps insert
30341 MGG
c MAHNES Dissecting and
Grasping Forceps, “tiger-jaws”, 2x 4 teeth,
single action jaws, size 3 mm, length 36 cm
consisting of:
33141
Metal Handle, with disengageable
ratchet
30310 MGG Outer Sheath, with forceps insert
3-10
30341 ONG
Further grasping forceps see catalog LAPAROSCOPY
MINILAP 11 A
13
Suction and Irrigation Tube,
Electrode, Palpation Probe
Size 3 mm
26167 LHL
26167 LHL
Suction and Irrigation Tube, size 3 mm,
length 36 cm, for use with Two-Way
Stopcock 26167 H or modular handles
for irrigation and suction
26167 H
Two-Way Stopcock, for use with Suction
and Irrigation Tubes 26167 LH/LHS/LHL
25775 CL
25775 CL
CADIERE Coagulating and Dissecting Electrode,
L-shaped, tapered distal tip, with cm-marking,
with connector pin for unipolar coagulation,
size 3 mm, length 36 cm
26167 TL
Palpation Probe, with cm-marking,
size 3 mm, length 36 cm
3-10
26167 TL
Further suction and irrigation tubes, electrodes and palpation probes see catalog LAPAROSCOPY
14
MINILAP 12 A
Coagulating Forceps, Needle Holder
Size 3 mm
26184 HCL
26184 HCL
TAKE-APART® MANHES Bipolar Coagulating Forceps,
width of jaws 1 mm, size 3 mm, length 36 cm
consisting of:
26184 HM
Ring Handle
26184 H
Outer Sheath
26184 HVL
Forceps Insert
26184 MAL
TAKE-APART® Bipolar Coagulating Forceps,
size 3 mm, length 36 cm
consisting of:
26184 HM
Ring Handle
26184 H
Outer Sheath
26184 HTL
Forceps Insert
26167 FNL
KOH Ultramicro Needle Holder,
with tungsten carbide inserts,
straight handle, with ratchet,
size 3 mm, length 36 cm
3-10
26167 FNL
Further coagulating forceps and needleholder see catalog LAPAROSCOPY
MINILAP 13 A
15
Minilaparoscopic Surgery
Recommended Basic Set
Size 3 mm, length 36 cm
26046 BA
26007 BA
HOPKINS® II Forward-Oblique Telescope 30°, enlarged view, diameter 5 mm,
length 29 cm, autoclavable, fiber optic light transmission incorporated,
color code: red
HOPKINS® II Forward-Oblique Telescope 30°, enlarged view, diameter 3.3 mm,
length 25 cm, autoclavable, fiber optic light transmission incorporated,
color code: red
26120 JL
VERESS Pneumoperitoneum Needle, with spring-action blunt inner cannula, LUER-Lock,
autoclavable, diameter 2.1 mm, length 13 cm
533 TVA
Adaptor, autoclavable, permits telescope changing under sterile conditions
3x 30114 GZL
Trocar, with conical tip, with silicone leaflet valve, size 3.5 mm, length 10 cm,
color code: green-yellow
30160 GC
Trocar, with conical tip, with silicone leaflet valve, size 6 mm, length 10.5 cm,
color code: black
30351 MLG
c KELLY Dissecting and Grasping Forceps, long, double action jaws, size 3 mm,
length 36 cm
30351 RG
c KELLY Dissecting and Grasping Forceps, right angled, double action jaws,
size 3 mm, length 36 cm
2x 30341 ONG
30341 ULG
c Grasping Forceps, with especially fine atraumatic serration, fenestrated,
with irrigation connection for cleaning, single action jaws, size 3 mm, length 36 cm
c REDDICK-OLSEN Dissecting and Grasping Forceps, robust, with
irrigation connection for cleaning, double action jaws, size 3 mm, length 36 cm
30351 MWG c METZENBAUM Scissors, serrated, curved, conical, with irrigation connection
for cleaning, double action jaws, size 3 mm, length 36 cm
c Micro Hook Scissors, size 3 mm, length 36 cm
26167 TL
Palpation Probe, with cm-marking, size 3 mm, length 36 cm
25775 CL
CADIERE Coagulating and Dissecting Electrode, L-shaped, tapered distal tip,
with cm-marking, with connector pin for unipolar coagulation, size 3 mm, length 36 cm
26167 LHL
Suction and Irrigation Tube, size 3 mm, length 36 cm, for use with Two-Way Stopcock
26167 H or modular handles for irrigation and suction
26167 H
Two-Way Stopcock, for use with Suction and Irrigation Tubes 26167 LH/LHS/LHL
26184 HCL
TAKE-APART® MANHES Bipolar Coagulating Forceps, width of jaws 1 mm, size 3 mm,
length 36 cm
26184 MAL
TAKE-APART® Bipolar Coagulating Forceps, size 3 mm, length 36 cm
26167 FNL
KOH Ultramicro Needle Holder, with tungsten carbide inserts, straight handle, with ratchet,
size 3 mm, length 36 cm
495 NA
Fiber Optic Light Cable, with straight connector, diameter 3.5 mm, length 230 cm
26005 M
Unipolar High Frequency Cable, wit 5 mm plug for KARL STORZ AUTOCON® system
(50, 200, 350), AUTOCON® II 400 SCB system (111, 115) and Erbe type ICC, length 300 cm
26176 LE
Bipolar High Frequency Cable, to KARL STORZ Coagulator 26021 B/C/D, 860021 B/C/D,
27810 B/C/D, 28810 B/C/D, AUTOCON® system (50, 200, 350), AUTOCON® II 400 SCB
system (111, 113, 115) and Erbe coagulator, T- and ICC series, length 300 cm
39219 XX
Instrument Rack, with Tray 39502 V, for drawer and Wire Tray 39502 X, for storage of
12 instruments with diameter from 2.5 to 10 mm, incl. bars with silicone holders, external
dimensions (w x d x h): 463 x 238 x 125 mm
39753 A2
Container, with microstop, for sterilization and storage, external dimensions (w x d x h):
600 x 300 x 210 mm, internal dimensions (w x d x h): 548 x 267 x 186 mm
Additional Instrument Sets see catalog LAPAROSCOPY
16
MINILAP 14 A
3-10
30351 EHG
Minilaparoscopy in Gynecology
Recommended Basic Set
Size 3 mm, length 36 cm
26046 BA
26120 JL
30160 MC
2x 30114 GZL
HOPKINS® II Forward-Oblique Telescope 30°, enlarged view, diameter 5 mm,
length 29 cm, autoclavable, fiber optic light transmission incorporated,
color code: red
VERESS Pneumoperitoneum Needle, with spring-action blunt inner cannula, LUER-Lock,
autoclavable, diameter 2.1 mm, length 13 cm
Trocar, with conical tip, with multifunctional valve, size 6 mm, length 10.5 cm,
color code: black
Trocar, with conical tip, with silicone leaflet valve, size 3.5 mm, length 10 cm,
color code: green-yellow
30160 GC
Trocar, with conical tip, with silicone leaflet valve, size 6 mm, length 10.5 cm,
color code: black
30140 KA
Reduction Sleeve, reusable, instrument diameter 3 mm, cannula outer diameter 6 mm,
color code: black
30351 MLG
c KELLY Dissecting and Grasping Forceps, long, double action jaws, size 3 mm,
length 36 cm
30351 MWG c METZENBAUM Scissors, serrated, curved, conical, with irrigation connection
for cleaning, double action jaws, size 3 mm, length 36 cm
c Dissecting and Grasping Forceps, with especially fine atraumatic serration,
single action jaws, with irrigation connection for cleaning, size 3 mm, length 36 cm
30332 MGG
c MANHES Grasping Forceps, “tiger-jaws”, 2x 4 teeth, single action jaws,
size 3 mm, length 36 cm
25775 CL
CADIERE Coagulating and Dissecting Electrode, L-shaped, tapered distal tip,
with cm-marking, with connector pin for unipolar coagulation, size 3 mm, length 36 cm
26167 TL
Palpation Probe, with cm-marking, size 3 mm, length 36 cm
38321 ML
RoBi® KELLY Grasping Forceps, CLERMONT-FERRAND model, rotating, dismantling,
with connector pin for bipolar coagulation, double action jaws, especially suitable
for dissection, size 5 mm, length 36 cm
37370 GC
GORDTS and CAMPO Coagulating Suction Tube, bipolar, diameter 5 mm, length 36 cm,
for use with suction and irrigation handles
30805
Handle with Two-Way Stopcock, for suction and irrigation, autoclavable,
for use with suction and irrigation tubes size 5 mm
26167 FNL
KOH Ultramicro Needle Holder, with tungsten carbide inserts, straight handle, with ratchet,
size 3 mm, length 36 cm
495 NA
Fiber Optic Light Cable, with straight connector, diameter 3.5 mm, length 230 cm
26176 LE
Bipolar High Frequency Cable, to KARL STORZ Coagulator 26021 B/C/D, 860021 B/C/D,
27810 B/C/D, 28810 B/C/D, AUTOCON® system (50, 200, 350), AUTOCON® II 400 SCB
system (111, 113, 115) and Erbe coagulator, T and ICC series, length 300 cm
26005 M
Unipolar High Frequency Cable, with 5 mm plug for KARL STORZ AUTOCON® system
(50, 200, 350), AUTOCON® II 400 SCB system (111, 115) and Erbe type ICC, length 300 cm
39219 XX
Instrument Rack, with Tray 39502 V, for drawer and Wire Tray 39502 X, for storage of
12 instruments with diameter from 2.5 to 10 mm, incl. bars with silicone holders, external
dimensions (w x d x h): 463 x 238 x 125 mm
39753 A2
Container, with microstop, for sterilization and storage, external dimensions (w x d x h):
600 x 300 x 210 mm, inner dimensions (w x d x h): 548 x 267 x 186 mm
3-10
30332 ONG
Additional Instrument Sets see catalog GYNECOLOGY
MINILAP 15 A
17
Minilaparoscopy in Urology
Recommended Basic Set
Size 3 mm, length 36 cm
26046 AA
26007 BA
HOPKINS® II Straight Forward Telescope 0°, enlarged view, diameter 5 mm, length 29 cm,
autoclavable, fiber optic light transmission incorporated,
color code: green
HOPKINS® II Forward-Oblique Telescope 30°, enlarged view, diameter 3.3 mm,
length 25 cm, autoclavable, fiber optic light transmission incorporated,
color code: red
26120 JL
VERESS Pneumoperitoneum Needle, with spring-action blunt inner cannula, LUER-Lock,
autoclavable, diameter 2.1 mm, length 13 cm
533 TVA
Adaptor, autoclavable, permits telescope changing under sterile conditions
4x 30114 GZL
Trocar, with conical tip, with silicone leaflet valve, size 3.5 mm, length 10 cm,
color code: green-yellow
30160 GC
Trocar, with conical tip, with silicone leaflet valve, size 6 mm, length 10.5 cm,
color code: black
30351 MLG
c KELLY Dissecting and Grasping Forceps, long, double action jaws, size 3 mm,
length 36 cm
30351 RG
c KELLY Dissecting and Grasping Forceps, right angled, double action jaws,
size 3 mm, length 36 cm
30341 ONG
c Grasping Forceps, with especially fine atraumatic serration, fenestrated,
with irrigation connection for cleaning, single action jaws, size 3 mm, length 36 cm
30341 ULG
c REDDICK-OLSEN Dissecting and Grasping Forceps, robust, with irrigation
connection for cleaning, double action jaws, size 3 mm, length 36 cm
30351 MWG c METZENBAUM Scissors, serrated, curved, conical, with irrigation connection for
cleaning, double action jaws, size 3 mm, length 36 cm
Suction and Irrigation Tube, size 3 mm, length 36 cm, for use with Two-Way Stopcock
26167 H or modular handles for irrigation and suction
26167 H
Two-Way Stopcock, for use with Suction and Irrigation Tubes 26167 LH/LHS/LHL
26184 HCL
TAKE-APART® MANHES Bipolar Coagulating Forceps, width of jaws 1 mm, size 3 mm,
length 36 cm
26167 FNL
KOH Ultramicro Needle Holder, with tungsten carbide inserts, straight handle, with ratchet,
size 3 mm, length 36 cm
495 NA
Fiber Optic Light Cable, with straight connector, diameter 3.5 mm, length 230 cm
26005 M
Unipolar High Frequency Cable, with 5 mm plug for KARL STORZ AUTOCON® system
(50, 200, 350), AUTOCON® II 400 SCB system (111, 115) and Erbe ICC units, length 300 cm
26176 LE
Bipolar High Frequency Cable, to KARL STORZ Coagulator 26021 B/C/D, 860021 B/C/D,
27810 B/C/D, 28810 B/C/D, AUTOCON® system (50, 200, 350), AUTOCON® II 400 SCB
system (111, 113, 115) and Erbe coagulator, T and ICC series, length 300 cm
39219 XX
Instrument Rack, with Tray 39502 V, for drawer and Wire Tray 39502 X, for storage of 12
instruments with diameter from 2.5 to 10 mm, incl. bars with silicone holders, external
dimensions (w x d x h): 463 x 238 x 125 mm
39753 A2
Container, with microstop, for sterilization and storage, external dimensions (w x d x h):
600 x 300 x 210 mm, internal dimensions (w x d x h): 548 x 267 x 186 mm
3-10
26167 LHL
Additional Instrument Sets see catalog UROLOGY
18
MINILAP 16
Videocarts
Recommended Sets
Videocart for laparoscopic surgery, gynecology and urology
9526 NB
20 1331 01-1
26" HD Flat Screen, wall mounted
Cold Light Fountain XENON 300 SCB
22 2000 11-102 IMAGE 1 HUB™ Camera Control Unit SCB,
with SDI module
22 2200 55-3
IMAGE 1™ H3-Z Three-Chip HD Camera Head
26 4320 08-1
Thermoflator® SCB
26 3310 09-1
HAMOU® ENDOMAT® SCB
20 0409 05U
AIDA compact HD Communication-DVI
20 5352 01-115 AUTOCON® II 400 SCB
29005 HFS
Double Pedal Holder
29005 HFH
Double Pedal Holder
Special gynecology equipment
UNIDRIVE® GYN SCB
3-10
26 7111 01-1
MINILAP 17
19
Request per Business Reply Card
– provide address on back of card – send –
S-PORTAL – A New KARL STORZ Brand
One Access – All Possibilities
✂
I am interested in the single-portal technique.
Please send me the current brochure.
Please send me the current brochure “Minilaparoscopy in Urology”.
S-PORTAL – A New KARL STORZ Brand
One Access – All Possibilities
✂
My colleague is interested in the single-portal technique.
Please send him/her the current brochure.
Please send him/her the current brochure “Minilaparoscopy in Urology”.
Tear along perforation!
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D-78503 Tuttlingen/Germany
Address:
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Contact
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REPLY
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KARL STORZ GmbH & Co. KG
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D-78503 Tuttlingen/Germany
Request per Business Reply Card
or per FAX
+49 (0)7461 708 404 or one of KARL STORZ distribution companies
– checkmark – provide address on back of card – send –
Catalogs
(please checkmark):
Print
Version
CD
Version
Catalogs
(please checkmark):
Neuro-Endoscopy
KARL STORZ OR1™, Telepresence
Oral and Maxillofacial Surgery
ENDOPROTECT1,
Spare Parts Catalog (all specialties)
ENT – Esophagoscopy –
Bronchoscopy
Print
Version
CD
Version
Plastic Surgery
Anesthesiology and Emergency Medicine
Catalog excerpts
(please checkmark):
Print Version
with CD
✂
Cardiovascular Surgery
Thorax
Gastroenterology
Laparoscopy
Gynecology
Urology
Proctology
Arthroscopy, Sports Medicine,
Spine Surgery
Standard Instruments
Fetoscopy
Laryngology
Otology – Ear
Rhinology and Rhinoplasty
Sinoscopy, Rhinoscopy, Postrhinoscopy
Pediatric Laparoscopy
Microscopy
Pediatric Surgery
KARL STORZ OR1™
NOTES
Telepresence
Address:
Postage
paid
Hospital/ Office
Contact
✂
Street
Postal Code
REPLY
Town/City
Tel.
KARL STORZ GmbH & Co. KG
E-mail
Postfach 230
D-78503 Tuttlingen/Germany
Request per Business Reply Card
or per FAX
+49 (0)7461 708 404 or one of KARL STORZ distribution companies
– checkmark – provide address on back of card – send –
Address:
Postage
paid
Hospital/ Office
Contact
✂
Street
Postal Code
REPLY
Town/City
Tel.
KARL STORZ GmbH & Co. KG
E-mail
Postfach 230
D-78503 Tuttlingen/Germany
Catalogs
(please checkmark):
Print
Version
CD
Version
Catalogs
(please checkmark):
Neuro-Endoscopy
KARL STORZ OR1™, Telepresence
Oral and Maxillofacial Surgery
ENDOPROTECT1,
Spare Parts Catalog (all specialties)
ENT – Esophagoscopy –
Bronchoscopy
Print
Version
CD
Version
Plastic Surgery
Anesthesiology and Emergency Medicine
Catalog excerpts
(please checkmark):
Print Version
with CD
Thorax
Gastroenterology
Laparoscopy
Gynecology
Urology
Proctology
Arthroscopy, Sports Medicine,
Spine Surgery
Standard Instruments
Fetoscopy
Laryngology
Otology – Ear
Rhinology and Rhinoplasty
Sinoscopy, Rhinoscopy, Postrhinoscopy
Pediatric Laparoscopy
Microscopy
Pediatric Surgery
KARL STORZ OR1™
NOTES
Telepresence
✂
Cardiovascular Surgery