VETERINARY INSTRUMENTATION Screw in titanium acetabular shell Titanium nitride coated stainless head
HELICA
Femoral component being screwed into position
Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 Overseas Customers use Tel: +44 114 258 8530 Fax: +44 114 255 4061
E-mail: info@vetinst.com Website: www.vetinst.com
UHMW-PE cup inlay Screw in titanium femoral prosthesis
Welcome Dear Colleague The 2010 catalogue now has 290 pages and many chapters have been significantly changed. Orthopaedics and Joint Surgery see the greatest number of additions but in all there are over 100 new product lines spread throughout the 23 sections. Despite the large numbers of cruciate surgeries performed annually there is still little concensus as to the technique of choice. As always we support all surgeons in which ever technique they choose. While DCPs and screws will continue to be the standard bone repair system for the immediate future, locking plates and screws are becoming more popular. The need for minimal contouring is a major attraction particularly in the various TPLO procedures. The Fixin section of the catalogue has been expanded to reflect the growing interest in this locking system which requires fewer screws and relatively flexible plates.
John Lapish BSc., BVetMed., MRCVS. Chairman
The Helica hip system illustrated on this year’s cover is non cemented and rather than being ‘push fit’ like most other systems it has the additional security of being screwed into position. We are pleased to have been appointed the UK’s Midmark distributor. You may not be familiar with the name but you will recognise their products which include Matrx anaesthesia and Cardell monitors.
In 2003 John was awarded the BSAVA ‘Simon Award’ in recognition of the welfare benefits of the range of instruments he has developed for use in small animal surgery.
Best regards…..
John Lapish. BSc., B.Vet.Med., MRCVS BSAVA Simon Award
Chairman, Veterinary Instrumentation.
Videos of instruments in use Whilst Veterinary Instrumentation strives to include all relevant information regarding each instrument in this catalogue, we know that the best way to understand an instrument is to see it in action. We have therefore upgraded our website www.vetinst.com to allow you to view short sequences (15-30 secs) of many instruments being used. The instruments are highlighted in this catalogue with a We intend to increase the number of instrument sequences available throughout 2010. To view the clips visit www.vetinst.com and click on the large on the front page and select the instrument from the list shown or enter the product code in the search box (top left of screen.)
HELICA
2
PRODUCTS 2010 Sterile CCL Multipacks ..................................................9
Leonardo Mini ESF ......................................................79
LigaFiba .................................................................12-13
Blue Line Battery Surgical Power Tools.......................96
Lateral Suture Tension Device .....................................13
Aesculap Power Lubricants - Sterilit .........................101
Cannulated Drills .........................................................13
Screw Holding Forceps .............................................111
Arthrex Fibrewire / Fibre Tape Tension Device .............15
Hex Drive Shaft .........................................................118
Mini TightRope............................................................16
Screw Salvage Kit .....................................................119
Arthrex Push Lock Suture ...........................................16
Screw Extraction Trephine.........................................119
Suture Screw Set ........................................................16
Locking 2.7 Plates.....................................................129
Universal Insertion Tool for all Suture Screws ............16
Locking Plate and Screw Set in Premium Box...........131
3.5 Locking Screw Sets...............................................19
Locking Pancarpel Arthrodesis Plates .......................132
2.7 Locking Screw Sets...............................................19
Canine Cranial Pantarsal Arthrodesis Plate................136
Fixin Locking Plate System .........................................20
Orthopaedic Wire Kit .................................................138
Improved TTO Osteometer ..........................................23
Fully Threaded Arthrodesis Wires .............................143
TCO Clasper ................................................................23
Helica Hip System .....................................................146
TTO Clamp ..................................................................23
Foreign Body Oesophascope.....................................153
TTO Starter Kits...........................................................23
Flexible LED Camera..................................................153
2.0 & 2.4mm TPLO Plate – Slocum Style....................24
Polyester Mesh Large................................................157
Delta Plate Benders .....................................................25
Fine Flexible Grasping Forceps ..................................161
TPLO Starter Kits ........................................................25
Bennets Cilia Forceps ................................................165
TTA Starter Kits ...........................................................27
Castroviejo Needleholder/Scissor..............................165
TTA Mallet ...................................................................28
Castroviejo Suture Removal Scissors .......................167
15mm TTA Cage..........................................................28
Eye Enucleation Scissors ..........................................167
Meniscus Knives .........................................................30
Loupe Starter Kits .....................................................169
Meniscus Surgery Set - Enhanced ..............................31
Heine HR Loupe Sets .........................................170-171
Extra Articular Stifle Distractor 3.2mm Pins................33
Midmark Vetpro 1000 Dental Unit .............................176
Saw Blades for Scalpel Handles ..................................34
Dental / Surgical Micromotor - Surgic XT .................179
Modular Diamond Rasp ..............................................35
Fibre Optic Handpiece ...............................................180
Mini Hohman Broad Blade Short Tip ...........................36
Piezo Scaler with detachable, Autoclavable Handpiece..184
Hohman Retractor 20mm Wide with Short Kinked Tip....36
Periodontel Hand Instrument Set ..............................186
Stainless Steel Goniometers........................................37
Clear Rabbit Dental Model.........................................191
Arthroscopy Starter Kit................................................40
Temno Evolution Biopsy Needle ................................197
Arthroscopy Hand Instrument Set...............................41
Midmark Matrx Anaesthesia Range ...................229-232
Canine Arthroscopy Set...............................................43
Oxygen Generator .....................................................231
Puddle Vac Floor Suction Device.................................49
Midmark Matrx Anaesthesia Ventilator......................232
Laparoscopy Starter Kit...............................................50
Small Animal Induction Chamber..............................235
Gelpi Very Long Reach................................................65
Veterinary Interpretive ECG .......................................248
Carpo-Flex X & Carpo-Flex Splint ................................69
VETLED Operating Light............................................250
Handy Canis Harness ..................................................71
Warm Air Unit and Blankets ......................................257
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The Company Veterinary Instrumentation was founded by John Lapish BSc., BVetMed., MRCVS. in 1986. Working in Sheffield as a small animal orthopaedic surgeon John was frustrated by the lack of appropriate instrumentation for veterinary surgical procedures. Most of the available instruments at that time were simply the smaller variants of products designed for use in human surgery. Living in Sheffield, centre of the UK Surgical Trades, John was ideally placed to try and develop one or two ideas of his own. So, working with skilled local instrument makers, John began to develop a range of instruments (initially for his own use) designed specifically for veterinary surgery. Requests for these products and suggestions for new items began to trickle in from colleagues and this reinforced the conclusion that a need existed for a specialist instrumentation service to meet the needs of the profession, and small animal orthopaedics in particular. Today the Veterinary Instrumentation range of implants and instruments includes over 4,000 items which are stocked for immediate despatch. Innovation remains a key part of our activity and John works with leading veterinary specialists from all over the world to turn new ideas into practical working instruments. Our products have the professional backup of veterinary and nursing personnel to advise on the selection and use of both instruments and implants. We are always happy to discuss any aspect of instrumentation and can help locate almost any item.
Our Veterinary Team – Here to help you: John Lapish BSC., BVetMed., MRCVS. Over 30 years experience as a veterinary surgeon with an interest in Orthopaedics and trauma. In 2003 John was awarded the BSAVA ‘Simon Award’ in recognition of the welfare benefits of the range of instruments he has developed for use in small animal surgery.
Linda Capewell VN Over 30 years experience
Gill Fletcher VN Over 25 years experience
Natalie Cowley VN Over 20 years experience
Clare Potts VN Over 12 years experience
Jonathan Sherwood BSc (Hons) RVN Over 6 years experience
Our veterinary team undertake continuing professional development to ensure that you receive up to date advice and technical support on all aspects of veterinary surgery.
Our administration and warehouse team are always looking for new ways to improve our service. If you have any suggestions as to how we can improve our service to you please contact Steve on (0114) 2588530 or email info@vetinst.com
4
Quality Veterinary Instrumentation’s strap line is Designed by Vets for Vets and we fully understand how important it is that all instruments and implants are of the highest quality. We work exclusively with a number of manufacturers to ensure that all our products are not only exclusive to us but are of the highest quality, in terms of design, manufacture and materials. For example, there are over 200 different variants of stainless steel, thus a stainless steel screw from one manufacturer may be very different from another. Although quality standards are not mandatory within the veterinary market, we work to British and European human standards whenever they apply. For example, all our screws are manufactured in the UK by a human orthopaedic company to comply with BS 3531 and ISO 5835, so you can have complete confidence that you are buying the best. We have also designed them to work with all other manufacturers’ products, even those where there is not a published specification (e.g. S.O.P™) to allow you the freedom to choose your supplier. If you are interested in seeing plates or screws being manufactured, please contact info@vetinst.com and we will organise a visit.
Life Time Warranty Veterinary Instrumentation has been offering a lifetime warranty against manufacturing defect on its surgical instruments for over 25 years and we are delighted that many of our instruments are still providing good service after decades of use. We seek to minimise problems by offering the highest quality products but if you purchase an instrument that either fails or does not perform, we will gladly repair or replace the instrument free of charge.
Returns Veterinary Instrumentation has always operated a flexible approach to product returns, particularly regarding orthopaedic plates and screws. We fully understand that some procedures may require a range of plate options and screw sizes to be available as it may not be possible for the surgeon to make an informed decision until the operation is underway. To access this service, please mention that you may be returning products when you place the order and return all unwanted products/sizes in or with their original packaging. This is necessary to comply with our “sale or return” policy in our Terms and Conditions. Your order will then be invoiced as normal and a credit raised when the goods are returned. Postage costs for returned products are always the responsibility of the customer. Any returns after more than 30 days may be declined.
Website During 2009 the website has been developed and now has over 3000 pages of useful information. The website has many training materials including procedural instructions, training aids, technical papers and free video downloads. In addition the on-line shop now allows you to purchase any of our products on your account or by credit card. Also during 2009 a new website www.vetinst.eu has been launched for customers based in Germany and Austria . Delivery to Germany and Austria on orders over €125 is free for orders placed through the website. Additional products and information will be added throughout 2010. For further information please visit, www.vetinst.com or www.vetinst.eu
Customer feedback Veterinary Instrumentation is always seeking to improve and values comments from customers. Our customer survey results for 2009 are shown below. 14% of questionnaires returned in 2009 (54 out of 400).
Quality of products Customer support Delivery times After Sales Service Catalogue
Excellent (%) 78 78 80 67 73
Good (%) 22 20 18 31 25
Average (%) 0 2 2 2 2
Thank you for taking the time to complete our questionnaire, a £2 donation was made to VetAid 5
Poor (%) 0 0 0 0 0 for every survey returned.
Free Training Resources and Additional Services Simply ask with your next order
www.vetinst.com
www.vetinst.eu
Over 3000 pages of useful information, on-line ordering for over 4000 products, free video downloads and training materials.
A new website translated into German for our and customers. Free delivery to Germany and Austria on orders over â‚Ź125.
Exhibitions DVDs and Procedural Step by Step Guides
VI will be attending the following exhibitions during 2010 BVOA/BSAVA April NORTHERN VET SHOW May WSAVA June ECVS July ESVOT Sept VOK Sept ACVS Oct LONDON VET SHOW Oct BVOA Nov NAVC Jan 2011
Free DVDs and step by step guides to TTA, TTO, TPLO, Lateral Suture, Arthrex product range and many more.
Plate Profiles We provide profiles of all our plates on acetates to facilitate correct selection. Simply lay the acetate over the X-ray. All acetates are to scale — please compensate for X-Ray magnification.
If you would like to arrange to view specific products at any of the exhibitions please email info@vetinst.com.
Training Courses Training courses (provisional timetable) TTO with Warrick Bruce Helica Hip Course Introduction to Fixin Helica Hip Course Introduction to Fixin Helica Hip Course
Posters A free General Orthopaedic and General Surgical poster are currently available. An Orthopaedic Implants and Instruments poster will be launched during 2010.
Contact linda@vetinst.com for further information.
Showroom and Product demonstrations VI now has a display of many of its products available at its Sheffield office. To organise a visit please email info@vetinst.com.
Instrument Care Guides
Products can also be demonstrated on-line utilising video conferencing and SKYPETM. SKYPETM ID:veterinaryinstrumentation
Guides are currently available for care and maintenance of surgical instruments and sharpening and care of dental instruments.
Training Equipment Loan Equipment Set Up Services Repair services Product Development and Prototyping
April June July Sept Nov Dec
VI has a limited amount of equipment which can be loaned for training courses. VI has a limited amount of equipment which can be loaned in critical situations. VI has extensive experience in setting up new orthopaedic practices. Standard recommended lists are available or call for a free bespoke service. VI offer both an in-house and external repairs service. VI can make your product ideas reality. We offer royalties on successful projects.
Contact 0845 130 9596 or email info@vetinst.com for further information 6
Contents
JOINT SURGERY
Pages 8 - 38
1
ARTHROSCOPY & LAPAROSCOPY
Pages 39 - 52
2
GENERAL ORTHOPAEDICS & REHAB
Pages 53 - 72
3
EXTERNAL FIXATION
Pages 73 - 88
4
POWER TOOLS
Pages 89 - 103
5
SPINAL SURGERY
Pages 104 - 109
6
TRAUMA IMPLANTS & INSTRUMENTS
Pages 110 - 145
7
TOTAL HIP REPLACEMENT
Pages 146 - 151
8
SOFT TISSUE SURGERY
Pages 152 - 158
9
HEAD & NECK
Pages 159 - 162
10
OPHTHALMIC
Pages 163 - 175
11
DENTAL MACHINES
Pages 176 - 185
12
DENTAL HAND INSTRUMENTS
Pages 186 - 191
13
RODENT DENTISTRY
Pages 192 - 195
14
NEEDLES & BIOPSY PRODUCTS
Pages 196 - 201
15
GENERAL INSTRUMENTATION
Pages 202 - 217
16
INSTRUMENT CARE
Pages 218 - 223
17
THEATRE WEAR & DRAPING
Pages 224 - 228
18
ANAESTHESIA & MONITORING
Pages 229 - 242
19
DIAGNOSTICS
Pages 243 - 248
20
CLINICAL FURNITURE
Pages 249 - 258
21
CLIPPERS
Pages 259 - 260
22
TRAINING AIDS
Pages 261-262
23
INDEX
Pages 263 - 275
DELIVERY DETAILS
Page 276
TERMS & CONDITIONS
Pages 276 - 277
BONE PLATE TEMPLATES
Pages 278 - 288
7
1
Chapter 1
JOINT SURGERY
Cruciate Training
Management of Cranial Cruciate Disease
The best training in any of the available techniques is by attending an organised training course ideally followed by hands on training in the company of an experienced surgeon. Veterinary Instrumentation run some labs as do our training partners. Please check our training page on the website www.vetinst.com for available courses. BSAVA, ECVS, ESVOT and other bodies also run cruciate labs.
Rupture of the Canine Cruciate Ligament (CrCL) remains, by a significant margin, the most commonly encountered veterinary orthopaedic condition in both general and referral practice. It is now generally agreed that most ruptures of the Cranial Cruciate Ligament (CrCL) in the dog are part of a degenerative process rather than a purely traumatic condition. Trauma may be involved at the point of rupture but the ligament is largely degenerate at this stage. This is particularly true of young large and giant breeds. This is a very different situation to cruciate ligament rupture in man and how things used to be in veterinary surgery 30 years ago when a cruciate rupture was something which occurred when a dog caught its hind leg in a hole whilst running.
However, we do appreciate that access to courses is not always possible and we do therefore offer a training DVD free of cost to provide guidance. Included on each technique is: Video. A colour pictoral Step by Step Guide. Frequently asked questions on the technique. Instrument and implant check lists.
Early, partial CrCL ruptures may be recognised and if managed appropriately, complete rupture may be avoided.
All are very much a personal view but may be of interest. In addition hard paper copy guides are also available for most techniques. Again see below for availability. Most videos are also available via the web at www.vetinst.com but the quality will be lower than the disc version.
This change in circumstance makes it difficult for us to compare outcomes of the various techniques which have been practiced for the past 50 years. The choice of techniques is huge, suggesting that none are perfect. They may be divided broadly into two groups. Those which attempt to replace the anatomy or function of the original ligament and those which seek to moderate the effects of a cruciate deficient stifle.
It is recommended that cadaver work or further observation is carried prior to performing any new technique on clinical cases. If we have updates they will be posted on www.vetinst.com
Techniques which replace either the physical ligament or its function include: Patsaama Over the Top Technique DeAngelis lateral suture and derivatives TightRope and similar techniques. All of the above attempt to stabilise the stifle by replacing the ligament or its function. Techniques which moderate the effects of the cruciate deficient stifle by altering the dynamics of the forces acting on it include: Tibial Plateau Levelling Osteotomy (TPLO) Radial cut Tibial Plateau Levelling Osteotomy (TPLO) Wedge cut Tibial Tubercle Advancement (TTA) Triple Tibial Osteotomy (TTO) All of the above alter the forces acting on the stifle to make it stable under ‘load’. Normal canine activity creates a huge variety of loads and these techniques do not create stability in all circumstances leaving the meniscus vulnerable. Which is the best? On the basis of published work to date, there are few scientific grounds, in terms of outcome, to choose between any of the available techniques. In the hands of a competant surgeon the likely outcome is ‘good’. It seems that the differences between surgeons is as great as the difference between techniques. However, there are many difference between the various techniques in terms of expertise required, equipment necessary and cost. Without the relevant data many surgeons elect to have ‘faith with the theory’ pending definitive results. There seems to be concensus on certain points. Small dogs appear to respond well to extra-capsular techniques whereas some kind of tibial geometry altering technique is perhaps preferable to a lateral suture in large and working dogs. This appears to be backed up by the experience of physiotherapists working to rehabilitate dogs. Having said that the techniques are not mutually exclusive. A common indication for a tibial plateau technique is a failed lateral suture. The reverse is not true. A failed tibial plateau technique is unlikely to respond to a lateral suture. Currently there are no published techniques which combine a tibial plateau altering procedure with one which stabilises the stifle. Late meniscal injuries are always a risk in an unstable stifle.
CRUCIATE MANAGEMENT TRAINING MATERIAL DVDALL
DVD include information on Over the Top, Lateral Suture System. TPLO by Closing Wedge, FiberWire, TTA, TTO £FOC
Ultimately it will be a decision for the individual surgeon as to which techniques will be offered to the client. The client will make their choice based on their own circumstances.
BRLIGAISO
Step by Step guide to LigaFiba Iso Toggle Suture
£FOC
BRTPLO
Step by Step guide to TPLO by Radial Cut
£FOC
BRTTA
Step by Step guide to TTA
£FOC
We have taken the view that until there is evidence to the contrary we will support all the available techniques by the provision of training materials, instrumentation and implants.
BRTTO
Step by Step guide to TTO
£FOC
BRCCLS
Arthrex Canine Cruciate Ligament Repair Kit Literature
£FOC
BRLSAS
Arthrex Suture Anchor Systems Literature
£FOC
BRTIGHT
Arthrex Tightrope Literature
£FOC
8
1
JOINT SURGERY
www.vetinst.com
Sterile CCL Packs
Cranial Cruciate Ligament Lateral Suture System
Sterile Leader Line & Crimp + Needle Most Surgeons now prefer our sterile procedure packs. Available as a single or discounted multi-pack. This pack contains everything required for a single procedure. STERILE LEADER LINE & CRIMP + NEEDLE
Which Suture? (Approx) STRENGTH 50lb
WEIGHT 10 - 15kg
80lb 100lb 100lb x 2
15 - 20kg 20+kg 40kg
These are guidelines only
091155
50lb nylon line x 500mm on swaged-on v. small fabella needle + 10mm crimp (sterile)
£14.00
091156
80lb nylon line x 800mm on swaged-on small fabella needle + 12mm crimp (sterile)
£15.00
091157
100lb nylon line x 800mm on swaged-on medium fabella needle + 12mm crimp (sterile)
£16.00
091155/5 50lb nylon line x 500mm on swaged-on v. small fabella needle + 10mm crimp (sterile) 5 Pack
£60.00
091156/5 80lb nylon line x 800mm on swaged-on small fabella needle + 12mm crimp (sterile) 5 Pack
£65.00
091157/5 100lb nylon line x 800mm on swaged-on medium fabella needle + 12mm crimp (sterile) 5 Pack
£70.00
5 of each sterile CCL pack (50lb, 80lb and 100lb.) 15 in total
£150.00
091159
The use of monofilament nylon as a lateral suture (De Angelis style) is accepted as a method of repair of the cranial cruciate ligament (CCL). Heavy gauge monofilament nylon (100lb, 80lb and 50lb breaking strain) is difficult to tie without making a large knot, which tends to stretch and irritate the soft tissues causing pain and seromas. In addition it is difficult to sterilise. Autoclaving reduces the strength and increases the elasticity of nylon. Veterinary Instrumentation's Lateral Suture System uses nylon sterilized by Ethylene Oxide together with a crimp tube, a method of joining the nylon already well established in other industries. For procedure details see www.vetinst.com or request our free DVD ‘Surgical Management of Canine Cranial Cruciate Disease’.
Double Leader Line + Needle + Crimps For the application of double lines with the single pass of a needle DOUBLE LEADER LINE + NEEDLE + CRIMPS
Some CCL deficient patients benefit from the use of double sutures. This is particularly true of very large dogs and 100lb line. Passing a second needle behind the fabella risks damaging both the first line and the peri-fabellar structures which ultimately will hold the nylon sutures. Double line, swaged on sutures allows the placement of two lines with one pass of the needle. Available as single sterile pack. The double line is available swaged on as a loop without crimps and will, therefore, be of interest to those surgeons using the self-locking McKee/Miller knot (VCOT 1999;12:78-80).
091165
50lb Double line (500mm x 2 as loop) on v small needle plus 2 x 10mm crimps
£16.50
091166
80lb Double line (800mm x 2 as loop) on sm needle plus 2 x 12mm crimps
£17.50
091167
100lb Double line (800mm x 2 as loop) on medium needle plus 2 x 12mm crimps
£18.50
091165/5 50lb Double line (500mm x 2 as loop) on v small needle plus 2 x 10mm crimps 5 Pack
£72.50
091166/5 80lb Double line (800mm x 2 as loop) on sm needle plus 2 x 12mm crimps 5 Pack
£77.50
091167/5 100lb Double line (800mm x 2 as loop) on medium needle plus 2 x 12mm crimps 5 Pack
£82.50
091169
5 of each sterile Double line CCL pack (50lb, 80lb and 100lb.) 15 in total
£200.00
Correct Crimping Correct. Three evenly spaced crimps
Incorrect. Not enough crimps
CRANIAL CRUCIATE LIGAMENT LATERAL SUTURE SYSTEM DVDALL
Surgical Management of Canine CCL disease - covers OTT, Lateral suture & TPLO, TTA, TTO
Incorrect. Crimps too
£FOC
close to end of tube
9
1
JOINT SURGERY
Sterile Leader Line & Crimp
VI Starter Kits
For use with separate Fabella (cruciate) needles
If you are new to the lateral suture system our kits represent the most economical means. All kits include a procedural DVD.
STERILE LEADER LINE & CRIMP 091142
10mm Tube Crimp + 500mm x 50lb nylon (sterile pack)
£11.00
091137
12mm Tube Crimp + 800mm x 80lb nylon (sterile pack)
£12.00
091147
12mm Tube Crimp + 800mm x 100lb nylon (sterile pack)
£13.00
Sterile Nylon Leader Line Also useful for other ligament replacement procedures, e.g. hip toggle, collateral ligament repair. STERILE NYLON LEADER LINE 091141
500mm x 50lb nylon (sterile pack)
£5.25
091139
800mm x 80lb nylon (sterile pack)
£5.75
091148
800mm x 100lb nylon (sterile pack)
£6.25
CRIMPS
KITS 091154 091151
091152
091140
10mm Tube Crimp for 50lb line (non sterile)
£6.50
091136
12mm Tube Crimp for 80lb + 100lb line (non sterile)
£6.50
091133
14mm Tube Crimp (non sterile) Suitable for nylon over 100lb
£6.50
NON STERILE NYLON CCL Suture System (Swaged on) Basic Kit. Forceps, 2 x each size nylon/needle/crimp sterile packs
£140.00
CCL Suture System (Swaged on) Basic Kit Plus. Forceps, 2 x each size nylon/needle/crimp sterile packs plus H/D needleholders
£150.00
CCL Suture System Starter Kit. Forceps, 2 x each size nylon/crimp sterile packs, pack of S/M/L fabella needles + autoclavable needle box. Needles not swaged on.
£175.00
091143
50lb Mono Filament nylon x 50 metre (non sterile)
£11.50
091138
80lb Mono Filament nylon x 50 metre (non sterile)
£12.50
091134
100lb Mono Filament nylon x 50 metre (non sterile)
£13.50
Double Leader Line Loop on Needle
Implants Fabella (Cruciate) Needles Most surgeons now use our sterile procedure packs which include swaged on needle and appropriate crimps. However, if you wish to sterilise your own nylon we offer appropriate needles. They are shown below approximately actual size. Bear in mind that leader line passed through a regular needle creates more damage as it passes through the femoro-fabella ligament. It is this ligament which is relied on for the holding power of the suture.
McKee/Miller Self Locking Knot
For use with McKee/Miller knot DOUBLE LEADER LINE + NEEDLE 091160
50lb Double line (500mm x 2 as loop) on v small needle
£13.50
091161
80lb Double line (800mm x 2 as loop) on small needle
£14.50
091162
100lb Double line (800mm x 2 as loop) on medium needle
£15.50
fabella (cruciate) needles
Actual Size
Instruments Crimping Forceps
Dedicated crimping forceps are required to avoid over-crimping or under-crimping, both of which will lead to early implant failure.
FABELLA (CRUCIATE) NEEDLES 091144VS
Fabella Needle, Very Small - Pack of 6 Has regular eye
£9.25
091144
Fabella Needle, Small - Pack of 6. Has regular eye
£9.25
091145
Fabella Needle, Medium - Pack of 6. Has regular eye
£9.25
CRIMPING FORCEPS
091146
Fabella Needle, Large - Pack of 6. Has regular eye
£9.25
091135 10
Crimping Forceps
£110.00
1
JOINT SURGERY
www.vetinst.com
Compound Action Crimper
Countersinking Bone Tunnel Borer Bone Tunnel Borer
Bone Tunnel Borer - Close Up
In order to minimise the stress and abrasion of the nylon as it passes through the bone tunnel, countersinking the hole is advisable. To reduce time and instrumentation the self-countersinking instrument incorporates a countersink on the shaft. COUNTERSINKING BONE TUNNEL BORER 001075
Bone Tunnel Borer with Countersink 2.5mm
£47.50
Loop Tension Devices Prior to crimping it is suggested that the loop be tensioned sufficiently to eliminate the anterior draw, but not enough to create an outward rotation. This may be achieved by a number of methods:
The compound action crimper delivers a more powerful and controlled crimp than our simple action device. The angle of the jaws gives the surgeon a better view than straight variants. The handles sit almost parallel to the table surface which is more comfortable. In the relaxed postion the compound action crimper sits more easily in the hand than market alternatives.
a) Partial crimp - see video, does not require additional instrumentation b) Simple tension device requiring a pair of gelpis 091132 c) A dedicated loop tensioner 091132A
CCL Tensioning Device
COMPOUND ACTION CRIMPER 091135C
Compound Action Crimper
£145.00 091132 - Tensioning Device (gelpis not included)
Heavy Duty Needle Driver
CCL LOOP TENSIONER 091132
CCL Tensioning Device (pair - gelpis not included)
£50.00
CCL Loop Tensioning Cruciate needles are large. Most needleholders are designed for use with skin suture needles and will be damaged locking onto the bigger needle. It is cost effective to purchase a dedicated cruciate needle driver for your cruciate kit rather than keep replacing your standard needleholders. The TC inserts ensure maximum lock on giving you control over the trickiest part of the procedure. HEAVY DUTY NEEDLE DRIVER Heavy Duty Needle Driver with Tungsten jaws
£50.00
detail in use
091153
Bone Tunnel Borer
091132A-CCL Loop-Tensioner
Leader line gripped by thumbscrew.
Does not require use of extra crimps. Bone tunnels are required in many procedures, e.g. tension wire banding, hip toggling and embrocation techniques. The bone tunnel borer is a simple hand instrument which causes minimal soft tissue damage and minimal fuss in setting up compared with orthopaedic drills. Can be used to pre-drill for screws and suture screws.
Speed lock type action gives more ‘feel’ than ratchet type. Jaws designed specifically for crimping system. The literature tells us little about the correct tension. We recommend that the anterior draw is eliminated but that an outward rotation of the tibia is not created.
BONE TUNNEL BORER
Remember over tensioning is as big a technical error as under tensioning!
001070
Bone Tunnel Borer 2mm
£37.50
001073
Bone Tunnel Borer 2.5mm
£37.50
001071
Bone Tunnel Borer 2.7mm
£37.50
CCL LOOP TENSIONER
001072
Bone Tunnel Borer 3.5mm
£37.50
091132A
Instructions on use on www.vetinst.com
11
CCL Loop Tensioner
£135.00
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JOINT SURGERY
Mason Hard Leader Line and Crimps
LigaFiba LigaFiba is a new, extremely strong surgical suture material. It is composed entirely of Ultra High Molecular Weight Polyethylene, the same hard wearing material from which we make acetabular cups. Until now it has not been possible to spin it fine enough to produce flexible tieable strands. Weight for weight it is 15 x stronger than steel and 2.5 x stronger than nylon. Importantly it has very good abrasion characteristics which is important when used in hostile environments such as lateral sutures and hip toggles.
Mason ‘Hard Type’ leader line has been the preferred choice of lateral suture material for many surgeons. It is stiffer and thicker than ‘Ande’ line for any given breaking strain. For example Ande 80lb line is 0.9mm in diameter whereas the 80lb Mason line is 1.1mm in diameter.
LigaFiba is available in three breaking strains. 150lb (70kg) 0.6mm in diameter 250lb (113kg) 1.0mm in diameter 500lb (230kg) 1.6mm in diameter
We are pleased to be able to offer Mason line in all the standard line and needle combinations. Crimps are supplied separately.
LigaFiba has a number of applications in veterinary orthopaedics and is available in a range of sterile presentations.
It should be noted that there is no evidence that there is any difference in clinical outcome whether using Ande or Mason line.
Ligament and tendon repairs Cruciate lateral sutures Bone tunnel cruciate procedures Hip toggle procedure
MASON HARD TYPE LEADER LINE LATERAL SUTURES & CRIMPS 091182
Crimp Tube for 40lb Mason Line 7.5mm long
£7.25
091183
Crimp Tube for 80lb Mason Line 7.5mm long
£7.25
091184
Crimp Tube for 100lb Mason Line 9mm long
£7.25
091178
40lb Mason Nylon 30"/750mm + Small Needle
£9.00
LigaFiba Tendon and Ligament Sutures
091176
40lb Mason Nylon 30"/750mm + Medium Needle
£9.50
091179
40lb Double Mason Nylon 30"/750mm + Small Needle
£15.00
091177
40lb Double Mason Nylon 30"/750mm + Medium Needle
£16.00
091181
80lb Mason Nylon 30"/750mm + Small Needle
091173
80lb Mason Nylon 30"/750mm + Medium Needle
£10.00
091174
80lb Mason Nylon 30"/750mm + Large Needle
£10.50
LigaFiba is available in sterile single lengths for use in conjunction with any suitable suture anchor system. A tendon repair suture is also available with a round bodied needle at either end. LigaFiba is so tough it is difficult to cut and will damage standard scissors. Use our special T.C. scissors with a custom cutting edge.
091180
80lb Double Mason Nylon 30"/750mm + Small Needle
£14.50
LIGAFIBA
091172
80lb Double Mason Nylon 30"/750mm + Medium Needle
£16.50
LF150500
150lb LigaFiba x 500mm
£11.00
£17.50
LF250600
250lb LigaFiba x 600mm
£11.50
£12.00
LF500600
500lb LigaFiba x 600mm
£12.00
150lb LigaFiba Tendon Repair Suture
£15.00
LigaFiba Scissors
£75.00
091175 091185
80lb Double Mason Nylon 30"/750mm + Large Needle 100lb Mason Nylon 30"/750mm + Medium Needle
As a braided material LigaFiba should only be used in aseptic conditions.
£9.50
091186
100lb Mason Nylon 30"/750mm + Large Needle
£12.50
LFTRS150
091187
100lb Double Mason Nylon 30"/750mm + Medium Needle
£17.50
LFS140TC
091188
100lb Double Mason Nylon 30"/750mm + Large Needle
£18.50
LigaFiba Lateral Sutures
INSTRUMENTS FOR MASON NYLON 091135SC Compound Action Mason Crimpers 091153
Heavy Duty Needle Driver with Tungsten Jaws
Extreme strength, minimal stretch and good abrasion charcteristics make LigaFiba an ideal material for lateral sutures. The loop may be either tied or crimped at the end of the procedure. LigaFiba for any given diameter is more than twice as strong as monofilament nylon. Lateral sutures are supplied sterile with size appropriate cruciate needle on one end and a straight round bodied needle at the other.
£145.00 £50.00
Compound Action Crimpers for Mason and LigaFiba The new compound action crimper delivers a pre-measured crimp with minimal effort. The jaw cut outs prevent over crimping. These crimpers require the least effort of any crimper available. The compound action crimper is suitable for all crimps apart from the thin walled 50lb Ande crimp which suits the standard simple action crimper.
LIGAFIBA LATERAL SUTURES LFLS150
150lb LigaFiba Lateral Suture (500mm)
£15.00
LFLS250
250lb LigaFiba Lateral Suture (500mm)
£15.00
LFLS500
500lb LigaFiba Lateral Suture (600mm)
£15.00
LigaFiba Crimps LigaFiba ties very well but many surgeons prefer the low profile, security and speed of crimps to complete lateral sutures. Crimps are available for all sizes of LigaFiba. Please note that only the LigaFiba/Mason crimper is powerful enough for LigaFiba Crimps. LIGAFIBA CRIMPS
COMPOUND ACTION CRIMPERS 091135SC Compound Action Mason Crimpers 230mm
£145.00 12
LFCRIMP150
Crimp for 150lb LigaFiba
£6.50
LFCRIMP250
Crimp for 250lb LigaFiba
£6.50
LFCRIMP500
Crimp for 500lb LigaFiba
091135SC
LigaFiba/Mason Crimpers
£6.50 £145.00
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LigaFiba IsoToggle Locking Interference Screw
Instruments
The Iso Toggle suture is an extra-capsular suture placed isometrically through bone tunnels. Placement of the tunnels is illustrated on a free CD. The LigaFiba knots very well but there is now an alternative. The locking interference screw offers a secure, low profile alternative to tying over a button. The screw has a tapered, soft profile thread which jams the LigaFiba into the bone tunnel without damaging the suture. The screw may be partially introduced as a temporary measure to assess joint stability and range of movement. Once the surgeon is satisfied, the screw is driven home to lock the suture.
Lateral Suture Tension Device
LIGAFIBA ISO TOGGLE INTERFERENCE LOCKING SCREWS LFIS253518SS
Interference screw 3.5 Stainless 18mm
£15.00
LFIS253518Ti
Interference screw 3.5 Titanium 18mm
£20.00
LFIS354523SS
Interference screw 4.5 Stainless 23mm
£15.00
LFIS354523Ti
Interference screw 4.5 Titanium 23mm
£20.00
This is the standard lateral suture tension device in the USA. Ratchet based it relies on the jaws pulling against crimps attached to the free ends of the loop. It is simple and effective but does require two extra crimps which are ultimately discarded. Remember over tensioning loops creates as many problems as under tensioning.
LigaFiba Iso Toggle Sutures
LATERAL SUTURE TENSIONER Lateral Suture tensioner
091158
£135.00
Cannulated Drills For maximum control over the alignment of bone tunnels use of cannulated drills is preferred. A fine guide wire is drilled through where the bone tunnel or screw hole is required. Only when the surgeon is satisfied that the guide wire is correctly positioned is the drill driven along the wire to create the hole. The guide wire can be repositioned if necessary without causing undue trauma to the bone. Available for Jacobs chuck or AO Quickfit.
The strength and flexibility of LigaFiba makes it an ideal material for extracapsular sutures. The Iso Toggle suture is placed via bone tunnels across the stifle at isometric points. The use of isometric points maximises the range of movement of the stifle and protects the suture from repeated stretching and abrasion. The suture is anchored over buttons on the medial side. Available in all three sizes of LigaFiba 150lb Dogs up to 15kg 250lb Dogs 15-30kg 500lb Dogs over 30kg Free DVD available showing the placement of the Iso Toggle Suture. The starter kit comprises 2 x 250lb sutures, 2 x 500lb sutures and the required 2.5mm and 3.5mm antiskid drills.
CANNULATED DRILLS
LIGAFIBA ISO TOGGLE SUTURES LFITS150
150lb Iso Toggle Suture Set
£75.00
LFITS250
250lb Iso Toggle Suture Set
£75.00
LFITS500
500lb Iso Toggle Suture Set
£75.00
LFISOKIT
Iso Toggle Starter Kit (250 & 500lb)
DVDALL
Free Procedure DVD
£FOC
BRLIGAISO
Step by Step guide to LigaFiba ISO Toggle Suture
£FOC
£275.00
H090112CAN
2.5mm 130mm long 1.1mm cannulation
£45.00
H090104CAN
2.7mm 130mm long 1.1mm cannulation
£45.00
H090106CAN
3.5mm 130mm long 1.1mm cannulation
£45.00
S090112CAN
2.5mm 130mm long 1.1mm cannulation AO Quickfit £55.00
S090104CAN
2.7mm 130mm long 1.1mm cannulation AO Quickfit £55.00
S090106CAN
3.5mm 130mm long 1.1mm cannulation AO Quickfit £55.00
090021
Guide Wire 1.1mm x 125mm (pack of 10)
£19.75
PushPull Suture Passer
Iso Toggle Consumables ISO TOGGLE CONSUMABLES H090102AS
2.0mm Antiskid Drill (150lb)
£19.75
H090112AS
2.5mm Antiskid Drill (250lb)
£19.75
H090106SAS/L
3.5mm Antiskid Drill (500lb)
£21.75
090166/E
Ormrod Button 6mm Sterile (150lb)
£8.00
090166/F
Ormrod Button Slotted 6mm Sterile (150lb)
£8.00
090166/A
Ormrod Button 9mm Sterile (250lb)
£8.00
090166/B
Ormrod Button Slotted 9mm Sterile (250lb)
£8.00
090166/C
Ormrod Button 11mm Sterile (500lb)
£8.00
090166/D
Ormrod Button Slotted 11mm Sterile (500lb)
£8.00
Passing soft suture materials such as FiberWire™ or LigaFiba through bone tunnels can be a challenge likened to pushing a piece of string. Historically a pulling device was fashioned from suture wire. The PushPull Suture Passer hooks onto the suture material and may then be either pushed through a bone tunnel or pulled back through one. Diameter is 2.0mm therefore minimum bone tunnel size is 2.0 when pulling and 2.0 plus twice the suture diameter when pushing. PUSHPULL SUTURE PASSER 001050PP 13
PushPull Suture Passer
£50.00
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Arthrex FiberWire™ Canine Cruciate Lateral Suture
Arthrex is a highly innovative global surgical company specialising in joint surgery and arthroscopy products. Their veterinary division Arthrex Vet Systems is introducing the most appropriate of the human products to the veterinary market. In addition Arthrex Veterinary Systems is working with leading veterinary surgeons, such as Jimi Cook, to develop innovative solutions to veterinary joint surgery problems. Veterinary Instrumentation is very pleased to have been appointed UK distributor for Arthrex joint surgery products.
FiberWire™ Many Arthrex product are based around FiberWire™, a new composite material consisting of a multi-stranded long chain ultra high molecular weight polyethylene core with a polyester braided jacket. Compared to monofilament nylon, FiberWire™ is stronger, and does not stretch. In addition and very importantly FiberWire™ has much better wear characteristics. Most lateral suture loops fail by abrasion, usually at the fabella. Use of FibreWire™ extends the working life of the lateral suture. FiberWire™ is five times more resistant to abrasion than standard polyester suture. FiberWire™ ties very well with a creep free soft knot which again compares very well with nylon. FiberWire is available in various presentations, as free strands, swaged onto needles or attached to suture anchors. FiberTape is as the name suggests a broader, immensley strong version of FiberWire and forms the basis of the TightRope cruciate technique. FIBERWIRE™ AR-7200
#2 (M5) FiberWire™ with tapered needle (12)
£145.00
AR-7201
#2 (M5) FiberWire™ without needles (12)
£145.00
AR-7202
#2 (M5) FiberWire™ with reverse cut needles (12)
£145.00
AR-7205
#2 (M5) FiberWire™ - with two Tapered needles (12)
£210.00
AR-7210
#5 (M7) FiberWire™ without needles (12)
£235.00
AR-7211
#5 (M7) FiberWire™ with needles (12)
£350.00
AR-7220
2-0 FiberWire™ with tapered needles (12)
£145.00
AR-7237
FiberTape (6)
£500.00
BRFIBER
FiberWire™ Literature
FiberWire ties very well using a number of knots including the standard surgeons knot. It is sometimes useful to intially create a sliding knot which can be used to create tension in the loop. The knot may be locked using 3 further half hitches.
£FOC
Nitinol Suture Passers Nitinol is a highly sprung material used in stents and other intravascular structures. Attached to a needle the loop springs open making threading very easy and when pulled through causes less damage to the soft tissues than regular eyed needles.
Nitinol Looped Needles
A special FiberWire™ lateral suture has been developed by Arthrex in conjunction with James L. Cook, DVM, PhD, at the Comparative Orthopaedic Laboratory, University of Missouri, consisting of a swaged on curved needle for fabella placement and a straight needle at the other end for easy passage through the proximal tibia. The #5 FiberWire™ (7 metric) is for use in dogs 15kg to 50kg. The #2 FiberWire (5 metric) is used for smaller patients. A step by step guide on how to use the new suture can be viewed or downloaded as a pdf by visiting our web site www.vetinst.com. A video of the technique may also be viewed on the web site. Alternatively ask our vet tech team for a free training pack which includes a step by step brochure, video and sample. If your suture tying technique needs revision we can send you a free CD rom on Arthroscopic Suture techniques.
Nitinol Flexible Suture passer Passing soft flexible sutures through bone tunnels can be a challenge. The Arthrex suture passer is 600mm long stiff yet flexible with a nitinol loop at the tip which expands for easy passage of the suture c.f. suture wire loops.
FIBERWIRE™ CANINE CRUCIATE LATERAL SUTURE
NITINOL SUTURE PASSERS VAR-5000
Small Nitinol Looped Needle (5)
£70.00
AR-1255-18
Nitinol Flexible Suture Passer (600mm)
£80.00
VAR-2000
#5 (M7) FiberWire™ Lateral Suture (10)
£290.00
VAR-2002
#2 (M5) FiberWire™ Lateral Suture (10)
£290.00
BRCCLS
FiberWire Lateral Suture Step by Step Guide
DVDARTHREX Arthrex Multi DVD(contains all Arthrex brochures)
14
£FOC £FOC
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JOINT SURGERY
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Arthrex Isometric Lateral Suture Anchor System
Arthrex TightRope Technique
The lateral fabella and the proximal tibial crest are not the ideal isometric points to substitute for the cranial cruciate liagament. They are used because they are the nearest convenient points to pass a suture using a needle. Using Arthrex FiberWire™ and Arthrex suture anchors it is possible to place a lateral suture at the most isometric points. As the stifle flexes and extends the distance between the isometric points does not change.
The TightRope CrCL device seeks to optimise the lateral suture stabilization technique by employing a number of benefits such as bone-to-bone fixation, superior construct strength and stiffness, and a method for consistent isometric implant placement. These benefits have allowed the TightRope CCL to counteract cranial tibial thrust, drawer, and internal rotation, while providing optimal joint range of motion. The components of TightRope CCL consist of a stainless steel toggle button, a round suture button and 4 strands of FiberTape. FiberTape is an ultra-high strength tape utilizing a structure similar to FiberWire suture. The weave of the FiberTape allows for smooth, atraumatic passing through tissue and bone, and desirable tying characteristics. Testing has shown FiberTape to have an ultimate load of 225 lbs. and high stiffness characteristics. The TightRope suture passes between two isometric points. One isometric point is found just cranial to and distal to the lateral fabella, very close to the caudal edge of the femoral condyle. The second isometric point is found on the cranial lip of the LDE sulcus. Bone tunnels are created from these two points running medially using a guide wire followed by a cannulated drill. The femoral bone tunnel exits through cortical bone on the medial femur. The tibial bone tunnel exits the medial tibia. The toggle and FiberTape is drawn through the tibia from the medial tunnel entrance, out of the lip of the LDE sulcus, back through the femoral bone tunnel. As the toggle exits the medial femur it is flipped so that it cannot go back down the tunnel and effectively anchors the FiberTape at the femoral cortex. The loose FiberTape strands are drawn through to the medial tibia and tied over the TightRope button. In a comparison of outcomes for the first 24 consecutive patients receiving TightRope CCL were assessed by James (Jimi) L. Cook, DVM, PhD, Diplomate ACVS. TightRope (TR) patients were prospectively compared to a cohort of patients undergoing TPLO (n=23) performed by the same surgeon in the same time period and with the same postoperative instructions. The study endpoint was six months postoperatively. The TightRope CCL technique was determined to be minimally invasive, relatively easy to perform, and cost-effective in comparison to TPLO. The complication rates (12.5% TR vs 17.4% TPLO), including secondary meniscal tears (8.3% TR vs 8.4% TPLO), were similar between techniques. The data suggest that TightRope can be successfully performed in medium, large, and giant breed dogs with CCL deficiency and result in 6-month outcomes which are as good as or better than TPLO in terms of function and radiographic progression of osteoarthritis. We do not recommend TightRope in dogs which may have compromised connective tissue healing. A detailed surgical technique guide and video has been published and is available from the usual contacts. Hands-on labs have been scheduled to teach the TightRope CCL technique, please check vetinst.com for training details.
F1(lateral fabella) is isometric with T3 (posterior wall of LDE sulcus). F2 (posteroventral femoral condyle) is isometric with T2. In large dogs a suture may be placed at both pairs of positions. A step by step guide is available by post or can be downloaded from www.vetinst.com from the documents download page.
Arthrex Suture Anchors Corkscrew
FASTak Corkscrew suture anchors are designed for cancellous bone and are supplied pre-loaded and sterile on a disposable screwdriver type applicator. Pre-drilling is not required. The Corkscrew anchor is supplied pre-loaded with either a strand of #5 FiberWire or two strands of #2 FiberWire. Additional, non sterile stand alone Corkscrew anchors are also available which may be inserted using the same applicator. Should pre-drilling be necessary use a 2.5mm drill. FASTak ll suture anchors are designed for cortical bone. They are supplied sterile pre-loaded with #2 (Metric 5 FiberWire) and are used in the Isometric procedure. The anchor requires no pre-drilling and is inserted directly using the disposable screwdriver handle applicator. Additional FASTak anchors are available which may be inserted using the same applicator. The applicator of both anchors is laser marked with an insertion line. When inserted to this line the eyelet of the anchor is below the bone surface. ARTHREX SUTURE ANCHORS VAR-2100
Corkscrew Suture Anchor 5x15mm Screwdriver type with one #5 (Metric 7) FiberWire™ (5 pack)
VAR-2100/S
As above - Single Pack
VAR-2102
Corkscrew Suture Anchor 5x15mm £290.00 Screwdriver type with one #2 (Metric 5) FiberWire™ and one #2 (Metric 5) TigerWire™(5 pack)
VAR-2101
Corkscrew Suture Anchor only (5 pack)
£235.00
VAR-2200
Fastak II with # 2 (Metric 5) FiberWires™ in Screwdriver applicator (5 pack)
£290.00
VAR-2200/S
As above - Single Pack
VAR-2201
Fastak II anchor only (5 pack)
VAR-2201/S
As above - Single Pack
£65.00
BRCCLS
Arthrex CCL Literature
£FOC
£290.00 £75.00
£75.00 £235.00
Arthrex FiberWire/FiberTape Tension Device
ARTHREX TIGHTROPE
Tying a loop of FiberWire is straightforward in the lateral suture technique. Where the FiberWire/FiberTape runs through bone tunnels, ‘taking up the slack’ can be more problematic. This is particularly true in the new TightRope where two separate loops must be adjusted to the same tension This calibrated tension device before tying. deals with this problem ARTHREX FIBERWIRE/FIBERTAPE TENSION DEVICE AR-1529
FiberWire/FiberTape Tension Device
VAR-2800
TightRope CCL
VAR-8920DC
Cannulated Drill Bit 3.5mm
VAR-8920P
Guidewire for for TightRope (Single)
VAR-11796
FiberWire™ Scissors
VAR-2800-MULTI
TightRope CCL 5 Pack with Free Cannulated Drill Bit
BRTIGHT
TightRope Training Pack(guide + DVD)
£205.00 £90.00 £17.50 £205.00 £1,025.00 £FOC
Please Note Veterinary Instrumentation cannot supply Arthrex outside of the UK.
£440.00 15
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JOINT SURGERY
MiniTightRope
Suture Screws Suture Screw Set Suture screws are a versatile, economic suture anchor. Used together with LigaFiba, suture screws offer a solution to joint stabilisation. Sizes range from 2.0mm up to 4.0mm to cover the full range of patients. Suture screws are now available as a boxed set including 2 of each suture screw (16) together with the new universal introducer which fits all the screws. Applications include: shearing injuries, isometric lateral sutures, medial collateral replacement. Also included in the kit is one of each LigaFiba sterile suture packs:150lb, 250lb & 500lb.
Arthrex have produced a smaller version of the TightRope for dogs less than 35kg. Set includes #2 (5 Metric) FiberWire TightRope Insertion Guide Pin 2.8mm Cannulated Drill Guide Wire with trochar tip 1.25mm Suture Passing Wire 8” long
SUTURE SCREW SET
Mini TightRope Single Set
Suture screw set (16 screws + introducer)
SSITUN
New Introducer for all suture screws
£375.00 £65.00
Suture Screws
ARTHREX MINI TIGHTROPE AR-8911DS
SSITKIT
Presentation is a self-tapping screw with an eyed head. Use where a suture anchor would seem appropriate. Thread forms are the same as equivalent AO type. Requires dedicated insertion tool (see price table below).
£235.00
Arthrex Push Lock Suture Anchor
SUTURE SCREWS
The Push Lock provides very secure anchorage of sutures without the requirement of a full bone tunnel. A short blind tunnel 2.9mm diameter and 8mm deep is drilled. #2 (Metric 5)FiberWire is threaded through the eye of the lock. The eye is pushed to the bottom of the hole and the suture tensioned. Pressing the plunger on the handle inserts the locking sleeve trapping the suture.
SS2006
2.0mm dia 6mm long 1.0mm hole Cortical
£15.50
SS2010
2.0mm dia 10mm long 1.0mm hole Cortical
£15.50
SS2708
2.7mm dia 8mm long 1.5mm hole Cortical
£15.50
SS2714
2.7mm dia 14mm long 1.5mm hole Cortical
£15.50
SS3512
3.5mm dia 12mm long 2.0mm hole Cortical
£15.50
SS3520
3.5mm dia 20mm long 2.0mm hole Cortical
£15.50
SS4016
4.0mm dia 16mm long 2.0mm hole Cancellous
£15.50
SS4024
4.0mm dia 24mm long 2.0mm hole Cancellous
£15.50
SSITUN
Universal insertion tool for all suture screws
£65.00
Suture Anchor Materials Ideally the material selected should be strong with a high resistance to abrasion. FiberWire™ and braided polyethylene have these qualities but are braided and must, therefore, be used with care. Monofilament materials cause less problems in infected areas (e.g. shearing injuries). Make sure that the material selected fits the anchor you have in mind.
The Push Lock is suitable as an isometric anchor point F2 (see previous page) in the management of cranial cruciate rupture by isometric suture anchors.
SUTURE ANCHOR MATERIALS
ARTHREX PUSH LOCK
091141
500mm x 50lb nylon (Sterile Pack)
091139
800mm x 80lb nylon (Sterile Pack)
£5.25
AR-1923PS
2.9mm Push Lock (5 Pack)
AR-1923PS/S
2.9mm Push Lock Single
AR-1923DL
Pre Drill for Push Lock
AR-7233
#2 (Metric 5) 38”FiberWire Blue (12)
£210.00
LF500600 LigaFiba 500lb (226kg) 1.5mm x 600mm
AR-7203
#2 (Metric 5) 38” TigerWire White (12)
£245.00
AR-7201
FiberWire™ No 2 (12)
£145.00
OATS Osteochondral Autograft Transfer System
AR-7210
FiberWire™ No 5 (12)
£235.00
The OATs system harvests a core of cancellous bone plus associated cartilage from a non articular area which is transfered to an area where normal cartilage has been lost. Available in 6, 8 & 10mm dia.
BRFIBER
FiberWire™ Literature
£FOC
£1,000.00
£5.75
£215.00
LF150500 LigaFiba 150lb (68kg) 0.6mm x 600mm
£11.00
£85.00
LF250600 LigaFiba 250lb (113kg) 1mm x 600mm
£11.50 £12.00
Bone Biter Suture Anchor System Available in two sizes the Bone Biter is small, easy to install, and able to resist forces equivalent to the breaking strength of a size 2 and a size 5 braided suture. Also used with monofilament nylon, 50lb for the no. 2 anchor and 80lb for the no. 5.
Full details on request
BONE BITER SUTURE ANCHOR SYSTEM
ARTHREX OATS AR-8981-06S
6mm OATS set
£425.00
100001-00
Bone Biter Suture Anchor Size 2
AR-8981-08S
8mm OATS set
£425.00
100002-00
Bone Biter Suture Anchor Size 5
AR-8981-10S
10mm OATS set
£425.00
110001-00
Bone Biter Driver Set Size 2 (no anchors)
£325.00
BROATS
OATS Brochure
£FOC
110002-00
Bone Biter Driver Set Size 5 (no anchors)
£325.00
16
£50.00 £50.00
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Suture Anchor Pin
Straight Graft Passer
Designed to pass through a 2.7mm hole, the straight graft passer is useful for pulling graft and nylon through bone tunnels. STRAIGHT GRAFT PASSER
A threaded suture anchor is machined into the tip of a 3mm trochar pin. Immediately proximal to the suture anchor is a narrow break off point. The construct is stable during axial drilling of the pin into bone. Once in position with the hole of the anchor just above the surface of the bone the shaft of the pin is rocked to and fro. The stainless steel undergoes work hardening and becomes very brittle, ultimately breaking off leaving the anchor in postion ready for placement of sutures up to 1.0mm in diameter. The suture anchor pin is extremely easy to postion and place without pre-drilling.
Straight Graft Passer
001050
Bennett Type Graft Passer & Aneurism Needles
close-up detail
SUTURE ANCHOR PIN SAP3
Suture Anchor Pin 3mm dia 1.0mm hole.
£42.50
£17.25
Over The Top (OTT) The sharp tip of the angled graft passer is passed around the fabella by rotating the wrist. The eye is small and accepts all suture materials.
Curved Graft Passer
Photography: Hamish Denny
BENNETT TYPE GRAFT PASSER & ANEURISM NEEDLES 001057AL
Aneurism Needle 3cm Angled Left Small Eye
£44.50
001057AR
Aneurism Needle 3cm Angled Right Small Eye
£44.50
001058AL
Aneurism Needle 4.5cm Angled Left Small Eye
£44.50
001058AR
Aneurism Needle 4.5cm Angled Right Small Eye £44.50
001059
Large Bennett graft Passer/Ligature Needle
£44.50
CCL Staple Introducer The staple introducer holds the staple to facilitate the initial insertion and alignment whilst being struck by a mallet. In case of difficulty starting the staple, pre-drill with 2.0mm pin or drill bit. Accepts all sizes of CCL staple. CCL STAPLE INTRODUCER
The repair of the cranial cruciate ligament (CCL) by the ‘Over the Top' technique requires a curved graft passer to pull the graft through the stifle joint. This design of graft passer has been developed over many years to: 1. minimise damage to intra - articular structures 2. feel right in use. The handle is comfortable 3. for graft insertion anterior to posterior or vice versa
090129
Staple Introducer
£135.00
091130
CCL Kit in stainless box (introducer with 8 staples)
£345.00
CCL Staples The attachment of the facia lata graft to the distal femur is the weakest part of the OTT repair. The small spikes under the head of the staple are designed to engage the graft and firmly fix it to the periosteum. Also useful for re-attaching avulsed ligaments and transfixing the biceps tendon. Made from cobalt chrome.
This design is used by most recognised orthopaedic surgeons. Please see our free DVD ‘Surgical Management of Canine Cranial Cruciate Disease’ (Code: DVDALL) for details and video of the technique. The small eyed graft passers are appropriate for placement of lateral suture wire or monofilament nylon as described by M. L. Olmstead. CURVED GRAFT PASSER 001051
Very Small Curved Graft Passer 2cm
£44.50
001052
Small Curved Graft Passer 3cm
£44.50
001053
Large Curved Graft Passer 4.5cm
£44.50
001054
Very Large Curved Graft Passer 6cm
£44.50
001055
Extra Large Curved Graft Passer 8cm
£44.50
CCL STAPLES
001056
2cm Graft Passer with small eye
£44.50
090125
6mm wide CCL staple
£26.50
001057
3cm Graft Passer with small eye
£44.50
090126
8mm wide CCL staple
£26.50
001058
4.5cm Graft Passer with small eye
£44.50
090127
11mm wide CCL staple
£26.50
001059
Large Bennet Graft Passer/Ligature Needle
£44.50
090128
16mm wide CCL staple
£26.50
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Locking Plates
JOINT SURGERY
TPLO Plates with Locking Screw Holes
fine threads lock head into plate large core to resist bending coarser threads than head but still finer than cortical screw for max bone screw interface
Standard DCP or round hole plates are held into position by being trapped between the head of the screw and the bone. Tightening the screw pulls the bone up to the plate. When the screw is tight the threads of the screw pull against the bone holding the plate in position. The situation with locking screws and plates is very different. Although the threads of the screw shaft engage the bone, the interface between bone and screw is not related to attachment of the plate. In locking plates and screws it is the interface between the screw head and the plate which attaches the plate to the screw. As the screw is tightened the bone maintains its position relative to the plate, it is not drawn up to it. The screw head engages with the plate. This has a number of implications: Contouring of plates With standard DCPs the plate must be contoured exactly. When the screws are tightened the bone fragments will be pulled towards the plate and assume the contour of the plate. If the plate is not contoured correctly the screws will pull the fragments out of alignment. Using a locking plate and screws once the plate is applied the bone fragments will be held in position relative to one another as is the case with external fixation. Indeed locking plates are sometimes referred to as ‘internal, external fixation’. Locking plates do not therefore require contouring in the same way as DCP type plates. This has particular relevance in the TPLO procedure where contouring the plate is very important and very time consuming. If a standard locking TPLO plate fits all TPLO osteotomies there are significant savings in terms of time and morbidity.
= DCP hole
= locking hole Screw Angulation and Numbers In order to fit and lock into the plate the screw must be inserted at a fixed angle relative to the hole in the plate. Drill guides are provided which screw into the locking holes to ensure that this happens. It is not always desirable that the screws are at 90 degrees to the plate, particularly close to joints. The angle of the screw is dictated by the plate not the surgeon. The rigid attachment of the screw to the plate gives any locking construct a high degree of angular rigidity relative to a DCP construct where a spherical screw head in an oval hole results in a relative flexibility. This means in any given situation that to achieve the same rigidity as a DCP construct a locking construct needs less screws. Again this has particular implications in terms of time and morbidity. It also offsets, to a degree, the higher costs of locking screws and plates.
All holes accept regular 3.5 cortical screws
Use of locking screws offers an internal/external fixation construct across the osteotomy site. The plate is attached to the screw and the screw is attached to the bone. Rigidity does not depend on the plate being trapped between screw head and bone as in non-locking plates. Our new plate is osteotomy centered and maximises the interface around the osteotomy circumference. A novel angled DCP hole distally allows for additional compression of the cranial osteotomy if necessary.
Screw Diameter and Strength The increased angular rigidity places greater stresses onto the screw. Because we are not relying on the threads of the screw in the bone to pull the plate to the bone they do not need to be as coarse as standard cortical screws. They need, only, to hold their position in the bone. Thus for the same outside diameter of screw we can increase the core diameter without increasing the likelyhood of bone/screw interface failure. Increasing the diameter of the core hugely affects the AMI (resistance to bending) of the screw. The AMI of standard 3.5 cortical screws as used in SOP™ is 1.6, the AMI of standard locking screw is 2.6. A SOP™ screw is far more likely to fail than is a standard locking screw. Screw failure is the typical mode of failure of SOP™ constructs. Standard cortical screws are not designed for use as locking screws.
Plates are supplied pre-contoured to minimise the risk of screw hole distortion and stress riser marks. A dedicated drill guide is, however, necessary to place the pilot hole exactly at the correct angle to the plate. Holes accept both standard cortical screws and locking screws. TPLO PLATES WITH LOCKING SCREW TECHNOLOGY
Minimally Invasive Plate Osteosynthesis (MIPO) MIPO aims to interfere with the patient’s natural respone to fracture as little as possible while establishing and maintaining stabilisation of the fracture. Locking plates do not need close contouring to the bone, indeed it is not necessary to have contact between the plate and the bone. The periosteum is therefore preserved and the fracture is not disturbed. Additionally the angular stability of locking screws coupled with the need for fewer screws are desirable features in any MIPO procedure. Locking screws were developed for osteoporitic bone where standard DCPs and screws tend to strip out. The bone screw interface is under far less stress using locking technology. This is an important quality in juvenile bone also. Veterinary MIPO candidates tend to be young.
TPLO35LPCL
TPLO Plate locking 3.5 left
£75.00
TPLO35LPCR
TPLO Plate locking 3.5 right
£75.00
TPLO35BLPCL
TPLO Plate broad locking 3.5 left
£80.00
TPLO35BLPCR
TPLO Plate broad locking 3.5 right
£80.00
LSDG35
3.5 locking screw drill guide
£42.00
For plate profiles see page 287.
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Locking Screw 2.7mm with Small (2.4mm) Head
Locking Screws Locking Screw 3.5mm
This screw fits the 2.7mm locking TPLO plate. It has the standard locking screw 2.7 cortical bone thread but the head is based on the 2.4mm locking screw. This screw will not fit the 3.5mm locking TPLO plate.
VI screws are an exact fit for standard locking TPLO plates but utilise the conventional hex drive rather than a star drive.
Use LS2724 2.7mm Locking Drill Guide Use 2.0mm Pilot Drill. Use 1.5 hex screwdriver (same as 1.5 & 2.0 screws)
LOCKING SCREW 3.5mm USE 2.7mm PILOT PLUS DRILL SLEEVE LS3510
Locking 3.5 screw 10mm
£11.50
LS3512
Locking 3.5 screw 12mm
£11.50
LS3514
Locking 3.5 screw 14mm
£12.25
LS3516
Locking 3.5 screw 16mm
£12.25
LS3518
Locking 3.5 screw 18mm
£12.75
LS3520
Locking 3.5 screw 20mm
£12.75
LS3522
Locking 3.5 screw 22mm
£13.50
LS3524
Locking 3.5 screw 24mm
£13.75
LS3526
Locking 3.5 screw 26mm
£14.00
LS3528
Locking 3.5 screw 28mm
£14.25
LS3530
Locking 3.5 screw 30mm
£14.75
LS3532
Locking 3.5 screw 32mm
£15.00
LS3534
Locking 3.5 screw 34mm
£15.25
LS3536
Locking 3.5 screw 36mm
£15.50
LS3538
Locking 3.5 screw 38mm
£15.75
LS3540
Locking 3.5 screw 40mm
£16.00
LS3542
Locking 3.5 screw 42mm
£16.25
LS3544
Locking 3.5 screw 44mm
£16.50
LS3545
Locking 3.5 screw 45mm
£16.50
LS3546
Locking 3.5 screw 46mm
£16.75
LS3548
Locking 3.5 screw 48mm
£17.00
LS3550
Locking 3.5 screw 50mm
£17.50
LS3552
Locking 3.5 screw 52mm
£18.00
LS3554
Locking 3.5 screw 54mm
£18.50
LS3556
Locking 3.5 screw 56mm
£19.00
LS3558
Locking 3.5 screw 58mm
£20.00
LS3560
Locking 3.5 screw 60mm
£21.00
LSDG35
3.5 Locking screw Drill Guide
£42.00
H090104
2.7 Locking screw Pilot Drill
SHLS3S
3.5 Locking screwbox
LOCKING SCREW 2.7MM WITH SMALL (2.4MM) HEAD LS272406
6mm
£11.00
LS272408
8mm
£11.00
LS272410
10mm
£11.50
LS272412
12mm
£11.50
LS272414
14mm
£12.25
LS272416
16mm
£12.25
LS272418
18mm
£12.75
LS272420
20mm
£12.75
LS272422
22mm
£13.50
LS272424
24mm
£13.75
LS272426
26mm
£14.00
LS272428
28mm
£14.25
LS272430
30mm
£14.75
LS272432
32mm
£15.00
LS272434
34mm
£15.25
LS272436
36mm
£15.50
LS272438
38mm
£15.75
LS272440
40mm
£16.00
LSDG2724
2.0 Locking Screw Drill Guide for small 2.7
£42.00
H090102
2.0 Locking Screw Pilot Drill
SHLS27
2.7 Locking screwbox
£17.00 £105.00
Locking Screw Sets Available in both 3.5 and 2.7mm (with 2.4mm head). Supplied in a stainless steel screwbox. Sets discounted by over 5% from component price.
£17.50 £105.00
3.5mm locking screws are also available with a star pattern head. Add STAR following LS35 and then the length, e.g. LS35STAR10, to order. Locking screws are also available in 2.7mm size with a 3.5mm head. Please see page 130 for further information.
Locking Plug Use to protect locking holes during contouring.
3.5 set includes 3 x 12-20mm, 4 x 24-26mm, 5x 28-40mm, 4x 42-50mm, 3x 52-58mm locking screws and 5 locking plugs 2.7 set includes 3 x 6-8mm, 4 x 10-16mm, 5x 18-28mm, 4x 30-32mm, 3x 34-40mm locking screws and 5 locking plugs
LOCKING PLUG 2.7/3.5mm
LOCKING SCREW SETS
LSP35
Locking Plug for LS35** and LS2735** screws
£6.50
LS35KIT
3.5 Locking Screw Set
£1,450.00
LSP24
Locking Plug for LS2724**
£6.50
LS27KIT
2.7 Locking Screw Set
£950.00
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Implants
Locking Plates and Screws Locking mechanism
The Fixin range includes two series of internal fixators. The mini system is designed for patients up to 10kg and uses screws of 1.9 and 2.5mm in diameter. Both screws lock into the silver bushing insert which links the screw head to the support (plate).
Fixin offers the benefits of locking plate system as described on page 129 . In addition the Fixin system subscribes to a more flexible system of fixation utilising relatively thin flexible plates together with relatively few points of fixation.
The medium system uses screws of 3.0 and 3.5mm diameter for dogs up to 60kg+. Both screws lock into the blue bushing insert which links the screw head to the support (plate). The plates (supports) are made from 316LVM stainless steel. The screws and the bushings are made from Titanium.
Instrumentation Each system requires a small number of dedicated instruments. The Instrumentation sets start at £350.00. A dedicated drill guide is required to ensure that the pilot hole is drilled in exactly the right place and at the correct angle relative to the plate. Instrumentation is required to insert and remove the bushing inserts.
The system relies on a novel lock between screw and plate. Rather than using threads to link the screw to the plate, the FIXIN system used the well established ‘morse taper’ effect. A tapering cylinder when pushed into an opening having slightly less taper effectively jams very securely. Engineers have used this effect for decades to attach tools to cutting machines. The same principle locks the heads of modular total hip replacement systems onto the femoral shaft. In addition to providing a very secure lock the morse offers an 360 degree pick up for the locking mechanism. Standard locking screws having a twin start thread may have to wait for 180 degrees of rotation before the threads engage in the plate. More primitive systems with a single start thread may not engage for 360 degrees. The Fixin system will lock regardless of the position of the screw relative to the plate. Usually, placing a screw hole in a plate creates a stress riser which may lead to early failure. The novel screw boss feature of FIXIN plates minimises the stress riser effects which means that relatively thin, lightweight stainless steel plates may be used throughout the system. As is the case with other locking systems accurate contouring is not required which saves both time, morbidity and ultimately money. The Fixin system takes this feature a stage further by offering a large range of pre-contoured plates for special veterinary applications such as TPLO and pancarpal arthrodesis. In most circumstances the plate is applied and fixed with no futher contouring. In cases where plates are required to be ‘handed’, the bushing (screw hubs) may be reversed in the plate to create a plate for the opposite side. Should the screw require removal the bushing and screw combination is unscrewed from the support (plate).
Catalogue For those interested in further information on the Fixin system we are happy to supply a separate brochure which details all the available products together with actual size profiles of all the Fixin plates.
Special Fixin plate applications include: TPLO and TTA Osteotomies TPO and DPO procedures Pantarsal Arthrodesis Partial Carpal Arthrodesis Pancarpal Arthrodesis Partial Tarsal Arthrodesis
Developed in Italy for human use, the FIXIN system is now available to Veterinary Surgeons and is proving very popular in both the USA and Europe. Following extensive veterinary clinical applications Veterinary Instrumentation is pleased to add the FIXIN system to our range.
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JOINT SURGERY
www.vetinst.com
and Minimally Invasive Plate Osteosynthesis (MIPO)
and TPLO Conventionally at least three screws are placed on either side of the osteotomy (or fracture). FIXIN’s locking technology has sufficient screw security that only two are necessary. In a locking plate screw construct the function of the screw thread is only to maintain position in the bone, it is not additionally stressed by having to trap the plate between screw head and bone. Furthermore the AMI (resistance to bending) of the FIXIN screw is greater than the standard cortical screw. Over 1,000 cases of TPLO have been performed with the FIXIN four hole plate.
The lightweight Stainless Steel FIXIN plate has a low profile. All these features are useful in the MIPO approach to fracture management. The FIXIN locking technology means that there is no need for contact betweeen the plate and bone. Contouring is not necessary saving time and morbidity. The periosteum and fracture site is disturbed as little as possible. The requirement for less screws than might seem appropriate is a further useful feature.
MIPO insertion of plate
Drill guide in place
Corrective osteotomy of distal tibia
Case pictures supplied by:
Massimo Petazzoni Ulrich Reif Alessandro Piras
Note only 2 screws in each segment
Brian Beale Aldo Vezzoni
what next ?
and fracture repair
Adjusting to the concepts of the locking method of plate fixation is such that we strongly recommend attendance at one of our FIXIN training courses. Please see www.vetinst.com for details of up and coming courses. Please telephone 0845 130 9596 or e-mail info@vetinst.com for the full FIXIN information pack.
Even where MIPO techniques are not being actively performed, the locking technology, low profile and requirement for fewer screws give FIXIN a place in a wide range of fracture applications. Angle security of screws together with a minimal requirement for contouring are important qualities.
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JOINT SURGERY
Triple Tibial Osteotomy A cruciate management technique combining tibial plateau levelling and tibial tubercle advancement. Based on the work of Slocum, Tepic and Montavon, the Triple Tibial Osteotomy has been developed by Dr Warrick Bruce to overcome some of the problems encountered in the Slocum TPLO technique, the Montavon TTA (Tibial Tubercle Advancement) and the closing wedge TPLO technique.
Case Warrick Bruce Osteometer and Saw guide
90˚
Some of the problems include: Work by Tepic suggests that the tibial plateau should be perpendicular to the patella ligament to minimise shear strain at the CrCL. The Slocum technique does not always address this issue.
Three Osteotomies
TPLO + TTA
Triple Tibial Osteotomy
The bi-radial Slocum blade is inefficient and difficult to resharpen resulting in the generation of significant amounts of heat which leads to delayed healing and other complications.
Some instrumentation is required to make the procedure easier and to minimise errors. Warrck Bruce’s original instrument set comprises a saw guide, measuring/marking gauge (osteometer) and a bone manipulation device (wedgie). The saw guide works with flat oscillating blades with a maximum cut thickness of 1mm (thickness at the teeth). See Chapter 5.
The Montavon TTA technique creates a large defect in the cranial tibia which requires an expensive titanium cage and plate to prevent collapse during the healing phase.
The original set is very reasonably priced and offers the surgeon a very cost effective route to management of CrCL rupture by tibial plateau levelling surgery. Warricks new, more sophisticated designs are shown opposite.
The closing wedge TPLO shortens the tibia and creates a defect in the tibia which has to be protected from the pull of the straight patella ligament by a figure of eight wire. The TTO technique deals with all of these problems: A long osteotomy is made in the tibial crest to allow the tibial tubercle to move forward. The angle correction is made by making a small wedge osteotomy in the caudal tibia which, when closed creates a small tibial tubercle advancement. A free instructional DVD is available which fully describes and explains the procedure through video, stills and text files. The DVD also includes an instrument check list.
Multi Saw One of the advantages of the TTO (and TWO) procedure is that it uses simple flat blades which are easily replaced when they become blunt. The TTO uses a saw guide to direct the saw very accurately ensuring a ‘good fit’ once the osteotomy is complete. Surgical air or battery driven saws are ideal for the procedure but the MultiSaw with a sterile shroud and convertor works very well. Make sure that the blade selected fits through the saw guide (cut thickness less than 1.0mm) See chapter 5 for more details on saws and blades
TTO KIT
22
TTO008
Basic TTO Instruments (3 items) kit price
TTO006
Basic Osteometer
£80.00
TTO004
Saw Cutting Guide (Standard 62mm)
£80.00
TTO002
Wedgie segment manipulator
£80.00
TTO004L
Saw Cutting Guide (Long 76mm)
£80.00
DVDALL
DVD Illustrating the procedure
£FOC
BRTTO
TTO Step by Step Guide
£FOC
£205.00
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JOINT SURGERY
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New TTO Instrumentation
TTO Plates The standard TTO plate is a cloverleaf TPLO plate. Being positioned over the caudal 2/3 of the tibia the plate selected is typically a little smaller than is the case with a wedge TPLO. Use the free plate overlay for the final selection. Thicker plates are harder to contour and a selection of precontoured plates is available. TTO AND TPLO BY WEDGE OSTEOTOMY PLATES TPLO202026
2.0mm DCP 26mm overall length
£26.00
TPLO242434
2.4mm DCP 34mm overall length
£31.00
TPLO272739
2.7mm DCP 39mm overall length
£31.00
TPLO273539
2.7/3.5 DCP 39mm overall length Allows use of 3.5 cancellous screw in head
£31.00
TPLO273545
2.7/3.5 DCP 45mm overall length 2.5mm thick
£35.00
TPLO353555
3.5mm DCP 55mm overall length
£45.00
TPLO353557
3.5mm DCP 57mm overall length Heavy Duty
£45.00
TPLO353562
3.5mm DCP 62mm overall length
£45.00
TPLO353577
3.5mm DCP 77mm overall length xtra shaft hole
£45.00
TPLO353577X
3.5mm DCP 77mm overall length
£45.00
TPLO353579
3.5mm DCP 79mm overall length Heavy Duty
£47.00
TPLO354579
3.5/4.5 DCP 79mm overall length Heavy Duty Allows 4.5 screws in head
£47.00
TPLO 35456579
79mm overall length, Heavy Duty Allows 4.5/6.5 screws in head
£52.00
TPLO 45659030
4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 3.0mm thick
£87.50
TPLO 45659045
4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 4.5mm thick
£87.50
TPLOO
Angle Finder & Plate Overlay
Case Warrick Bruce
Warrick Bruce has designed two new instruments to make the TTO procedure easier and to eliminate some of the practical difficulties encountered using the original instrumenation. The new combined osteometer and saw guide interlock to become a single instrument which is much easier to manage than the original two separate instruments. The thumbscrew locks the osteometer onto the saw guide for secure accurate osteotomies. The osteometer still has holes for fixation to the tibia using 1.6 arthrodesis wires. Alternatively Warrick’s second new instrument ‘the Clasper’ may be used to lock the osteometer onto the tibia prior to cutting. The ‘Clasper’ has an additional role in that it is used to replace the kern bone holders in the original technique. The ‘Clasper’ grasps the tibia crest prior to closure and incorporates location holes for the very large fragment forceps to lock into. The ‘wedgie’, used for manipulating the three osteotomies remains unchanged.
TPLO353555PCR
3.5 mm Plate 55mm overall length Right
£54.00
TPLO353555PCL
3.5 mm Plate 55mm overall length Left
£54.00
TPLO353557PCR
3.5 mm Plate 57mm overall length Right
£54.00
TPLO353557PCL
3.5 mm Plate 57mm overall length. Left
£54.00
TPLO353579PCR
3.5 mm Plate 79mm overall length Right
£56.00
TPLO353579PCL
3.5 mm Plate 79mm overall length Left
£56.00
TTO Starter Kits
TTO Basic Starter Set plus Multisaw Kit TTO Basic Instrument Set Very Large Fragment Forceps
IMPROVED TTO BY WARRICK BRUCE
Tissue Protector 2.0mm
TTO011
Improved Combination Osteometer/Sawguide
£230.00
TTO014
‘Clasper’
£350.00
TTO002
Wedgie segment manipulator
10 TTO plates (common sizes) Arthrodesis wire (1.6 x 10)
£80.00
MultiSaw Surgical Kit
TCO Clamp
2 x Sagittal Saw Blades TTO DVD/Step by Step Guide
An alternative to the Kern bone holding clamp the TCO Clamp is lighter with a smaller lever arm. The effect of this is to reduce the likelyhood of a TCO fracture. The TCO clamp incorporates locating holes for the tips of the very large fragment forceps
Plate Overlay Acetate An enhanced kit with the Improved TTO Osteometer and the new Clasper is also available. Both kits are available with or without the MultiSaw Surgical Kit. All starter kits are discounted by at least 10% compared to the component price. TTO STARTER KITS
TCO CLAMP TTO012
£FOC
PRE CONTOURED TTO PLATES
TCO Clamp
£75.00
For all screws see chapter 7. For suitable saw blades see chapter 5. 23
TTOBKIT
TTO Starter Set Basic
TTOAKIT
TTO Starter Set Enhanced
£1,200.00
TTOBKITPOW
TTO Starter Set Basic plus MultiSaw kit
£1,300.00
TTOAKITPOW
TTO Starter Set Enhanced plus MultiSaw kit
£1,650.00
£825.00
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JOINT SURGERY
Pre-Contoured Slocum Style TPLO plates
Tibial Plateau Levelling by Radial Osteotomy Slocum Slocum Style Plates
TPLOS35L slocum style
TPLO plates manufactured from implant specification stainless steel (ASTM F 138, ISO 5832-1) are extremely difficult to contour appropriately without leaving stress riser marks in vulnerable places. Our pre-contoured plates are pre-bent and polished to leave no stress riser. A final intraoperative ‘tweak’ may be necessary in individual cases. TPLOS27R slocum style
PRE-CONTOURED TPLO PLATES
The cast Slocum plate meets neither the current metallurgical specification nor the manufacturing process requirements for stainless steel implants. While we are allowed to use our judgement regarding implants it would be relatively hard to defend the use of a non-standard implant should anything go wrong.
TPLOS35RPC
3.5 Right Slocum Style Pre-contoured Plate
£75.00
TPLOS35LPC
3.5 Left Slocum Style Pre-contoured Plate
£75.00
For plate profiles see page 287.
In view of the above we have produced a Slocum style plate, machined from 316LVM. The only clear advantage of the cast Slocum plate was its malleability. Our plate has been modified in the head region to make contouring easier, while retaining the stiffness of 316LVM elsewhere for stability and rapid healing. The lower profile makes closure easier.
TPLO Jig
SLOCUM STYLE TPLO PLATES TPLOS35L
TPLO Plate Slocum Style 3.5mm left
£66.00
TPLOS35R
TPLO Plate Slocum Style 3.5mm right
£66.00
TPLOS27L
TPLO Plate Slocum Style 2.7mm left
£47.50
TPLOS27R
TPLO Plate Slocum Style 2.7mm right
£47.50
TPLOS24L
TPLO Plate Slocum Style 2.4mm left
£47.50
TPLOS24R
TPLO Plate Slocum Style 2.4mm right
£47.50
TPLOS20L
TPLO Plate Slocum Style 2.0mm left
£47.50
TPLOS20R
TPLO Plate Slocum Style 2.0mm right
£47.50
BRTPLO
TPLO Radial Cut Step by Step Guide
Once the radial cut is made in the proximal tibia the two parts are essentially unstable. The proximal segment has to be rotated while maintaining alignment. The jig is placed prior to the cut and keeps the two segments under control until the rotation is complete and the two parts fixed internally. Supplied with a 2.5mm Allen Key.
£FOC
Slocum Rotation Gauges
TPLO JIG TPLOJIG
TPLO JIG
£185.00
Standard Slocum Style TPLO Jig The rotation gauges simplify the rotation procedure. The correct measurement, in millimetres, is read from the table and the appropriate gauge selected. The bone is marked using the scribe or an osteotome. No more fiddling around with rulers. SLOCUM TPLO ROTATION GAUGES 5 to 15mm 001492
Slocum rotation gauges
£79.50
TPLO Rotation Gauge Divider Type This jig is a replica of the well known TPLO Jig and includes alignment bars. Available in two sizes 3.5mm plate size and 2.7mm plate size. Supplied with a 2.5mm Allen Key.
This instrument is an alternative to the feeler gauge type measuring system. Spring loaded, adjusting the set screw fixes the points at any predetermined distance from 0-20 degrees as read from the scale.The tibial plateau may then be rotated the distance between the points.
SLOCUM STYLE TPLO JIG
TPLO ROTATION GAUGE DIVIDER TYPE 001499
TPLO Rotation Gauge Divider Type
£55.00 24
TPLOJIG/S
Slocum Style Jig Standard 3.5
£255.00
TPLOJIG/SS
Slocum Style Jig Small 2.7
£255.00
TPLOJIG/ROD35
Replacement alignment bars (set of 2) 3.5mm
£25.00
TPLOJIG/ROD27
Replacement alignment bars (set of 2) 2.7mm
£25.00
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JOINT SURGERY
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TPLO Rotation Chart
TPLO Starter Kit
The Slocum TPLO starter kit The rotation data for blades 18mm, 21mm, 24mm, 27mm & 30mm are displayed on this double sided, laser marked, stainless steel gauge. Incorporates also a drill gauge and a ruler for measuring screws and rotation. TPLO ROTATION CHART TPLOROT
TPLO Rotation Chart
£57.50
Slocum TPLO Guide Pin End threaded negative pin. Drive directly into the tibia for jig attachment. SLOCUM TPLO GUIDE PIN 3.2mm TPLO32
Slocum guide pin 3.2mm, thread 25mm
£4.75
Delta Style TPLO Plates - Contoured
The Delta TPLO Starter Kit
Veterinary Instrumentation is now able to supply the familiar triangular TPLO range in all the standard sizes, 3.5 Broad, 3.5 Standard and 2.7. These plates are not easy to contour so we offer only the pre-contoured options which may need a final clinical ‘tweak’. For 2008 the hole positioning on both the 2.7 and the 3.5 broad plates have been improved after feedback from surgeons. 2 versions of the TPLO Starter Kit are available, with either Slocum style or Delta style plates.
DELTA STYLE TPLO PLATES TPLODEL35BL
3.5 Broad Delta Plate Left
£70.00
TPLODEL35BR
3.5 Broad Delta Plate Right
£70.00
The Delta TPLO Starter Kit includes the following:
TPLODEL35L
3.5 Delta Plate Left
£55.00
TPLO Saw and Hose
TLPODEL35R
3.5 Delta Plate Right
£55.00
18, 24 & 30mm Stainless radial cut blades
TPLODEL27L
2.7 Delta Plate Left
£50.00
Hub for radial cut blades
TPLODEL27R
2.7 Delta Plate Right
£50.00
Collar for 30mm blade
TPLODEL24L
2.4 Delta Plate Left
£50.00
TPLO Basic Jig
TPLODEL24R
2.4 Delta Plate Right
£50.00
TPLO Rotation Chart Slocum Rotation Gauges
For screws see Chapter 7. For power tools and saw blades see Chapter 5.
Bone Scribe 8 Delta Style TPLO plates (2x 2.7, 4x 3.5, 2x 3.5 Broad)
Delta TPLO Plate Benders with Curved Slots
DVD Step by step guide
Plate benders with slots tend to distort the delta plate. The curved slots help grip and support the the plate during the bending process. In addition the plate is much less likely to end up on the floor.
Plate acetates The Slocum TPLO starter kit is the same except 6 TPLO plates are included (2x 2.7 and 4 x3.5) rather than the Delta plates. All Starter Kits are discounted by over 10% compared to the component price. TPLO STARTER KIT
DELTA TPLO PLATE BENDERS WITH CURVED SLOTS TPLODELBEND
Delta TPLO Plate Benders (Pair)
£105.00 25
TPLODKIT
TPLO Starter Kit Delta
£3,750.00
TPLOSKIT
TPLO Starter Kit Slocum
£3,750.00
1
JOINT SURGERY
Cadmus Plates and Templates
Tibial Plateau Levelling Operation by Wedge Osteotomy The tibial plateau levelling osteotomy (TPLO) alters the anatomy of the stifle to moderate the effect of the loss of the cranial cruciate ligament (CCL). The stifle remains unstable to manipulation but is stable as the dog bears weight. It is claimed that following TPLO, degenerative joint disease changes are minimal compared with other CCL procedures. The closing wedge procedure was the technique which Slocum used to prove the science behind TPLO. Particularly useful in large dogs and dogs with tibial plateau deformation. See page 287 for TPLO plate profiles. Our free DVD illustrates and describes the technique. A simple acetate overlay to help you calculate the tibial plateau angle, from which you can easily calculate the size of the wedge to remove. Includes lines to indicate the normal tibial plateau angle and a 5˚ line which is regarded as the most appropriate post-op angle. Also included on the acetate are actual size outlines of our range of TPLO plates to help you select the most appropriate plate. See page 287 for actual size profiles.
Calvin Cadmus from Oakland California, as an early Slocum user, recognised that when the TPLO osteotomy was centred along the long axis of the tibia several advantages were seen over non-centred osteotomies. 1) Increased accuracy in achieving the desired post-op tibial plateau angle. 2) Significantly fewer tibial tubercle fractures. Decrease in screw pull out. 3) Elimination of undesirable angular deformities (genu valgum). 4) Lower long term DJD. Calvin has designed a template to ensure that your osteotomy is centred on the long axis, and a range of plates which stabilise the osteotomy along the long axis of the tibia. Ref. ‘Geometrical analysis evaluating the effect of TPLO position on post-operative tibial plateau slope’ VCOT Jan 2004. M.P. Kowaleski. et al.
Cadmus Plates Cadmus plates are surgeon friendly fitting the contour of the osteotomy and eliminating intra-articular screw placement. Pre-contoured to save time. Compression is created along the arc of the osteotomy. Hole designed improves screw security. CADMUS TPLO TPLOCAD18L
Cadmus 2.7 TPLO Plate 18mm L
£75.00
Set up costs are minimal requiring only an oscillating saw in addition to a basic plating set. See our multi saw on page 90.
TPLOCAD18R
Cadmus 2.7 TPLO Plate 18mm R
£75.00
TPLOCAD24L
Cadmus 3.5 TPLO Plate 24mm L
£75.00
Further details of our TPLO by wedge osteotomy plates are shown on page 23
TPLOCAD24R
Cadmus 3.5 TPLO Plate 24mm R
£75.00
TPLOCAD24LB
Cadmus 3.5 Broad TPLO Plate 24mm L
£85.00
TPLOCAD24RB
Cadmus 3.5 Broad TPLO Plate 24mm R
£85.00
Wedge Osteotomy Gauge Set 9˚ to 23˚
TPLOCAD30L
Cadmus 3.5 TPLO Plate 30mm L
£75.00
The wedge gauges simplify the marking and cutting of the appropriate wedge.
TPLOCAD30R
Cadmus 3.5 TPLO Plate 30mm R
LNDGCAD27
Cadmus load/neutral guide 2.7mm
£145.00
The parallel marks on each gauge allow the surgeon to mark and cut a wedge having equal borders proximally and distally.
LNDGCAD35
Cadmus load/neutral guide 3.5mm
£145.00
DVDTPLOCAD
DVD Illustrating use of Cadmus Plate & Template
£75.00
£FOC .
Accurate placement of the screws in the head is facilitated by use of a dedicated load and neutral guide which places the pilot hole away from the osteotomy. As the screw is tightened into the hole there is a compressing movement of the screw and bone. The spherical head of the screw then locks into the round hole giving secure full circumferential contact unlike a standard DCP hole. It is easy to create a single compressing movement around the arc of the osteotomy using round holes with the added bonus of extra screw security.
With both borders the same length the resulting closure is better, both functionally and cosmetically.
Cadmus Templates
WEDGE OSTEOTOMY GAUGE SET - 9˚to 23˚ 001493
Wedge osteotomy gauge set
£89.50
Bone Scribe A very sharp marking point with an easy to hold handle enables the surgeon to mark bone prior to cutting or rotating (Slocum procedure).
CADMUS TEMPLATES
BONE SCRIBE 001494
Bone scribe
£21.50 26
TPLOTEM18
Cadmus Centering Template - 18mm
£50.00
TPLOTEM24
Cadmus Centering Template - 24mm
£50.00
TPLOTEM30
Cadmus Centering Template - 30mm
£50.00
1
JOINT SURGERY
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Tibial Tuberosity Advancement (TTA)
TTA Starter Kit
The TTA procedure developed by Tepic and Montavon is designed to bring the tibial plateau to sit at 90˚ to the straight patella ligament. This effectively neutralises the shear forces within the stifle, under loading, making the stifle stable. This is achieved by advancing the tibial tubercle and stabilising the created defect using a titanium cage and plate. The cage is selected for both thickness and width. The implants are secured using titanium screws. Titantium is very osteoconductive resulting in rapid healing. The use of stainless steel implants is not recommended.
TTA Procedure The Starter Kit represents a cost effective solution to setting up for TTA.
The TTA procedure is best learnt on a recognised training course. However, where this is not possible careful study of our step by step guide to TTA and the video presentation will prepare the surgeon for a surgery on plastic bones followed by cadaver surgery before finally progressing to a clinical case.
The Starter Kit contains the following: TTA Instrument set TTA Drill guide (4 Hole) TTA Drill Guide (8 hole) TTA Fork Holder TTA Spreader + inserts TTA Plate Bender TTA 2.4 Cross Head Screwdriver TTA Plate and fork overlay TTA Mallet 2.5 Hex Screwdriver and sleeve 1.8mm, 2.0mm, 2.5mm Drills hard
The free DVD includes both video footage, a step by step guide and some frequently asked questions on the TTA procedure. The free Step by Step guide is a photographic sequence of a TTA case beginning with assessment of the radiographs and following the procedure in 28 steps.
TTA Implant set (Titanium) One of each Cage, Fork and Plate (15mm Cage Range not included) TTA Titanium Screw set in a screw box 2.4 self tapping screws 12mm — 38mm 4 of each 2.7 self tapping screws 12mm — 28mm
3 of each
3.5 self tapping screws 16mm — 36mm
3 of each
Each set is over 5% cheaper than buying the components individually, whilst the TTA Starter Kit saves over 10%.
TTA SETS
Call or email for a copy to be sent or download at www.vetinst.com TTA PROCEDURE
TTAINST
TTA Instrument set in a stainless box
TTAIMP
TTA Implant set
£1,025.00
£950.00
DVDALL
TTA Procedural DVD
£FOC
TTASCR
TTA Screw set in a stainless box
£1,300.00
BRTTA
TTA Step by Step Guide
£FOC
TTAALL
TTA Starter Kit
£2,950.00
27
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JOINT SURGERY
TTA Instrumentation
TTA Implants The table below is a general guide to the TTA implant range. Final implant selection should be calculated using the acetates and good quality radiographs. See page 288 for TTA implant profiles
The TTA procedure does require some essential instruments. Positioning of the fork and cage is impossible without the following instruments. The set is less expensive than buying the instruments individually. TTA PLATES AND CAGES TITANIUM
TTA INSTRUMENTATION TTA554 TTA555 TTA666 TTA444 TTA333 TTA777 TTA24 TTAPFO 001323 SDHS35F H090208 H090102 H090112 TTAINST DG242735
TTA Drill Guide (4 Hole) TTA Drill Guide (8 Hole) TTA Fork Holder TTA Spreader and 3, 6, 9, 12 & 15mm Inserts TTA Plate Bender 1.9mm pins (set of two) TTA 2.4 Cross Head Screwdriver TTA Plate and Fork Overlay TTA Mallet (140g) 2.5mm Hex Screwdriver and sleeve 1.8mm Drill Bit Hard 2.0mm Drill Bit Hard 2.5mm Drill Bit Hard TTA Set (Includes all of the above in a box) Depth guage for 2.4, 2.7 & 3.5 Ti Screws
£140.00 £150.00 £105.00 £160.00 £105.00 £20.00 £110.00 £FOC £40.00 £65.00 £16.50 £17.00 £17.50 £950.00 £65.00
TTA Mallet
The TTA fork needs to be gently tapped home for maximum stability. The 140gram mallet is the ideal weight. TTA MALLET 001323
TTA Mallet 140g
£40.00 28
TTAC310
Cage 3 x 10mm titanium
2.4mm screw
£52.50
TTAC313
Cage 3 x 13mm titanium
2.4mm screw
£52.50
TTAC316
Cage 3 x 16mm titanium
2.4mm screw
£52.50
TTAC616
Cage 6 x 16mm titanium
2.4mm screw
£55.00
TTAC619
Cage 6 x 19mm titanium
2.4mm screw
£55.00
TTAC622
Cage 6 x 22mm titanium
2.4mm screw
£55.00
TTAC919
Cage 9 x 19mm titanium
2.4mm screw
£60.00
TTAC922
Cage 9 x 22mm titanium
2.4mm screw
£60.00
TTAC925
Cage 9 x 25mm titanium
2.4mm screw
£60.00
TTAC1222
Cage 12 x 22mm titanium
2.4mm screw
£65.00
TTAC1225
Cage 12 x 25mm titanium
2.4mm screw
£65.00
TTAC1228
Cage 12 x 28mm titanium
2.4mm screw
£65.00
TTAC1525
Cage 15 x 25mm titanium
2.4mm screw
£70.00
TTAC1528
Cage 15 x 28mm titanium
2.4mm screw
£70.00
TTAC1531
Cage 15 x 31mm titanium
2.4mm screw
£70.00
TTAP2
Plate 2 Hole titanium
2.4mm screw
£24.00
TTAP3
Plate 3 hole titanium
2.4 + 2.7mm screw
£24.00
TTAP4
Plate 4 hole titanium
2.4 + 2.7mm screw
£24.00
TTAP5
Plate 5 hole titanium
2.7mm screw
£24.00
TTAP6
Plate 6 hole titanium
2.7 + 3.5mm screw
£29.50
TTAP7
Plate 7 hole titanium
3.5mm screw
£29.50
TTAP8
Plate 8 hole titanium
3.5mm screw
£29.50
TTAF2
Fork 2 Prong titanium
£29.50
TTAF3
Fork 3 prong titanium
£29.50
TTAF4
Fork 4 prong titanium
£29.50
TTAF5
Fork 5 prong titanium
£29.50
TTAF6
Fork 6 prong titanium
£34.50
TTAF7
Fork 7 prong titanium
£34.50
TTAF8
Fork 8 prong titanium
£34.50
TTAIMP
TTA Implant Set (one of each implants) except 15mm Cage Range
£1,025.00
1
JOINT SURGERY
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Titanium Screws
ReproBone Bone Substitutes
Titanium Screws and plates are very commonly used in man particularly for facio maxillary repairs. The most important benefit in this application is that Titanium does not interfere with MRI scans. Compared to stainless steel Titanium is lighter and much more osteo compatible.
The addition of osteoconductive bioceramic hydroxyapatite to an orthopaedic site can significantly decrease healing times. NanoPaste is available as two presentations. NanoPaste. The sterile presentation is an aqueous paste supplied in a syringe (2.5ml or 5.0ml). The paste may be injected directly into a defect where it conforms to fill the space. The paste is readily colonised by bone cells and acts as a scaffold encouraging penetration of host bone. The putty-like consistency means that the paste may be pressed onto bone where it sticks until resorbed. NanoPaste is very similar to Ostim™ which has an established clinical record. Applications include: joint arthrodesis, TTA, non unions, delayed unions and filling spine cages.
The major application in veterinary orthopaedics is in conjunction with the TTA cruciate procedure. TITANIUM SCREWS 2.4MM CRUCIATE HEAD 1.8MM PILOT TICS2410
Titanium 2.4 Self Tapping Cortical Screw 10mm
TICS2412
Titanium 2.4 Self Tapping Cortical Screw 12mm
£9.75
TICS2414
Titanium 2.4 Self Tapping Cortical Screw 14mm
£10.00
TICS2416
Titanium 2.4 Self Tapping Cortical Screw 16mm
£10.00
TICS2418
Titanium 2.4 Self Tapping Cortical Screw 18mm
£10.25
TICS2420
Titanium 2.4 Self Tapping Cortical Screw 20mm
£10.25
TICS2422
Titanium 2.4 Self Tapping Cortical Screw 22mm
£10.50
TICS2424
Titanium 2.4 Self Tapping Cortical Screw 24mm
£10.50
TICS2426
Titanium 2.4 Self Tapping Cortical Screw 26mm
£10.75
TICS2428
Titanium 2.4 Self Tapping Cortical Screw 28mm
£10.75
TICS2430
Titanium 2.4 Self Tapping Cortical Screw 30mm
£11.00
TICS2432
Titanium 2.4 Self Tapping Cortical Screw 32mm
£11.50
TICS2434
Titanium 2.4 Self Tapping Cortical Screw 34mm
£12.00
TICS2436
Titanium 2.4 Self Tapping Cortical Screw 36mm
£12.50
TICS2438
Titanium 2.4 Self Tapping Cortical Screw 38mm
£13.00
TICS2440
Titanium 2.4 Self Tapping Cortical Screw 40mm
£13.50
£9.75
TITANIUM SCREWS 2.7MM HEX HEAD 2.0MM PILOT TICS2706
Titanium 2.7 Self Tapping Cortical Screw 6mm
£9.50
TICS2708
Titanium 2.7 Self Tapping Cortical Screw 8mm
£9.50
TICS2710
Titanium 2.7 Self Tapping Cortical Screw 10mm
£9.75
TICS2712
Titanium 2.7 Self Tapping Cortical Screw 12mm
£9.75
TICS2714
Titanium 2.7 Self Tapping Cortical Screw 14mm
£10.00
TICS2716
Titanium 2.7 Self Tapping Cortical Screw 16mm
£10.00
TICS2718
Titanium 2.7 Self Tapping Cortical Screw 18mm
£10.25
TICS2720
Titanium 2.7 Self Tapping Cortical Screw 20mm
£10.50
TICS2722
Titanium 2.7 Self Tapping Cortical Screw 22mm
£10.75
TICS2724
Titanium 2.7 Self Tapping Cortical Screw 24mm
£11.00
TICS2726
Titanium 2.7 Self Tapping Cortical Screw 26mm
£11.50
TICS2728
Titanium 2.7 Self Tapping Cortical Screw 28mm
£12.00
TITANIUM SCREWS 3.5MM HEX HEAD 2.5MM PILOT TICS3516
Titanium 3.5 Self Tapping Cortical Screw 16mm
£10.00
TICS3518
Titanium 3.5 Self Tapping Cortical Screw 18mm
£10.25
TICS3520
Titanium 3.5 Self Tapping Cortical Screw 20mm
£10.50
TICS3522
Titanium 3.5 Self Tapping Cortical Screw 22mm
£10.75
TICS3524
Titanium 3.5 Self Tapping Cortical Screw 24mm
£11.00
TICS3526
Titanium 3.5 Self Tapping Cortical Screw 26mm
£11.50
TICS3528
Titanium 3.5 Self Tapping Cortical Screw 28mm
£12.00
TICS3530
Titanium 3.5 Self Tapping Cortical Screw 30mm
£12.50
TICS3532
Titanium 3.5 Self Tapping Cortical Screw 32mm
£13.00
TICS3534
Titanium 3.5 Self Tapping Cortical Screw 34mm
£13.50
TICS3536
Titanium 3.5 Self Tapping Cortical Screw 36mm
£14.00
NanoPaste and TTA Use to save time harvesting autograft or when the quality of the autograft is poor. NanoPaste will extend autograft. NanoPaste may be injected directly into the defect where it conforms to the defect shape. Nano HA paste conforms to ENISO 13779-1:200 and ASTM F1185-88 for medical grade HA.
DRILL BITS - Stainless Steel 420 Hard H090208
1.8 (dia mm)
80 (length mm)
£16.50
H090102
2.0
100
£17.00
H090112
2.5
115
£17.50
NanoPaste is also availabe in a granule formulation see page 144 ‘ReproBone’ which may be used alone or as an extender of natural cancellous bone graft.
TTA SCREW SET TTASCR
TTA Screw set in a stainless box
£1,300.00
29
PAS2.5
NanoPaste Syringe 2.5ml
£55.00
PAS5
NanoPaste Syringe 5ml
£85.00
1
JOINT SURGERY
Meniscectomy Instruments
Examination and Surgery of the Meniscus
Ligament Clamp Jaws
Stifle Lever
Damage to the medial meniscus following CCL rupture increases with: 1. time after injury. 2. size of the dog. Removal of severely damaged cartilage is assisted by instruments designed for the purpose. The jaws of the ligament clamp have multiple small teeth for maximum grip in the presence of synovial fluid. MENISCECTOMY INSTRUMENTS 001100
Meniscectomy Instrument Set
£85.00
001107
Meniscectomy Knife
£50.00
001110
Ligament/Cartilage Clamp
£45.00
Toothed Halsteads
103185
TOOTHED HALSTEADS 103185
Halstead mosquito forceps 1/2 teeth Cof
£21.50
103180
Halstead mosquito forceps 1/2 teeth Str
£21.50
Fat Pad Retractor
Photo: H. Denny.
Visualisation of the medial meniscus is maximised by retraction of the fat pad. Previously this has been achieved by use of a Senn ("cats paw") retractor. The fat pad retractor has the same clawed foot but has a much more practical means of holding the instrument. FAT PAD RETRACTOR
Examination and management of meniscal injuries is made extremely difficult by the limited access to the medial meniscus during routine approaches. Exposure of the medial meniscus is typically achieved by either use of a stifle distractor or by a Hohman retractor. Hohman retractors are not designed for levering against articular cartilage in that the blade does not ‘fit’ the trochlea. The stifle lever is designed to substitute for the Hohman.
001114
Fat Pad Retractor
£19.50
833305
Senn cats paw retractor
£19.50
Hook Knife and Push Knife These two hand held knives can deal with most meniscal tears. Their low profile makes them suitable for both open and arthroscopic surgeries.
The caudal surface of the stifle lever is contoured to fit the trochlea of large dogs. The load is dissipated over a large area minimising trauma. The ring style handle is convenient for retraction by the surgeon using the thumb. The tip atraumatically hooks behind the caudal aspect of the tibial plateau. MENISCUS KNIVES
STIFLE LEVER 001115
Stifle Lever
<20kg
£45.00
AR-17-19X
Pull Knife
£65.00
001115S
Stifle Lever Small
>20kg
£45.00
AR-17-11X
Push Knife
£65.00
30
1
JOINT SURGERY
www.vetinst.com
Beaver Type Scalpel Handle
Meniscus Surgery Set
Holds Beaver and Swann Morton fine blades. Ideal for delicate control and maximum visualisation. BEAVER TYPE SCALPEL HANDLE 06054
Beaver type scalpel handle (VI) 130mm
£10.50
06051
Beaver type scalpel handle. 130mm
£15.50
06052
Beaver type scalpel handle. 100mm
£15.50
06053
Beaver type scalpel handle. 80mm
£15.50
Swann Morton Beaver Type Blades No. 64 No. 65
Management of meniscal injuries has three phases all of which will require special instrumentation. • Exposure of the meniscus, particularly the caudal horn of the medial meniscus.
The 64 blade (best for meniscal release) cuts around the tip as well as the ventral surface. The 65 blade (best for trimming flaps) is essentially a scaled down No. 11 blade. The 65A blade is even smaller. Very useful in restricted areas minimising risk to articular cartilage.
• Examination of the meniscus for lesions. A visual examination is not enough. • Lesions discovered must be managed by debridement or meniscal release.
SWANN MORTON FINE BEAVER TYPE BLADES 05904
No 64 blades (25). Beaver type
£22.50
05905
No 65 blades (25). Beaver type
£22.50
05906
No 65(a) blades (25). Beaver type
£22.50
The Meniscus Surgery Set includes all the essential instruments for the examination and management of meniscal injuries in a stainless steel autoclave case. Stifle Distractor Hohman Retractor Meniscus Probe 1mm MicroToothed Halsteads Beaver type Scalpel Handle 25 x No 65 Blade (mini no 11) Stainless Case Silicone protective insert Small Balloon cloth drape
Meniscus Probes
By purchasing as a set there are significant savings (10% +) over the component price. MENISCUS SURGERY SET 001116
Visualisation of the caudal horns of the meniscus can be a challenge. Often the process of exposing the caudal horn can result in distortions. A normal meniscus can look damaged and occasionally a bucket handle tear can sit back and look normal. It is helpful to gently probe the meniscus to establish its true condition. Dimensions refer to length of tip. Use 1mm in dogs < 30k and for dogs >30kg use 2mm.
Meniscus Surgery Set
£295.00
Meniscus Surgery Set - Enhanced Contains Meniscus Surgery Set shown above but with additional instruments. AR-17-11X AR-17-19X 001113
MENISCUS PROBE
Push Knife (Page 30) Pull Knife (Page 30) Small Stifle Joint Distractor (Page 32)
001408
Meniscus Probe 1mm tip
£28.50
001409
Meniscus Probe 2mm tip
£28.50
MENISCUS SURGERY SET - ENHANCED
AR-17-10
Meniscus Probe 2.2mm black shaft for arthroscopy
£57.00
001117 31
Meniscus Surgery Set - Enhanced
£495.00
1
JOINT SURGERY
Small Stifle Joint Distractor
Stifle Distractors
001112
Damage to the medial meniscus is commonly associated with rupture of the Cranial Cruciate Ligament (C.C.L.). It is most frequently found in larger dogs with a longstanding injury. Failure to deal with meniscal damage is a serious omission in C.C.L. repair. Exposure of the medial meniscus for examination and repair is extremely difficult. For further information see our web site or request our free DVD ‘Surgical Management of Canine Cranial Cruciate Disease’.
WHICH DISTRACTOR? 5kg 5-15kg 15-50kg 50kg
001113VS 001113 001112 001112/L
very small small standard large
001113 6mm
The small distractor is also useful as small local muscle and tissue retractors in and around canine joints e.g. elbow exploration.
001112 the original stifle distractor remains the most useful
SMALL JOINT DISTRACTOR/RETRACTOR 6mm wide tips
Stifle Distractor
001113
Small Joint Distractor/Retractor 6mm wide tips
£115.00
Very Small Stifle Joint Distractor The very small distractor is extremely useful as a small joint retractor during the meniscal release procedure. It is used to open a small window, caudal to the medial collateral.
001113VS
001112
The stifle distractor is designed to separate the femoral component of the stifle from the tibia. Ideally the two joint surfaces should move away from each other in a parallel fashion so that the meniscus is exposed in its natural state and minimally distorted by the examination. One tip is placed in the intercondylar notch and the other on the cranial intercondylar area. Neither tip should involve articular cartilage. Test distractions (by squeezing the handles) will allow the surgeon to find the exact point at which a full distraction will expose the medial (usually) meniscus. The spin lock is then engaged to powerfully open up the stifle joint. The distractor is self-retaining leaving the surgeon with two free hands to examine the meniscus and deal with any pathology.
STIFLE DISTRACTOR £155.00
Stifle Distractor min spread 8mm max 30mm.
£155.00
£115.00
The working tips of our spinlock stifle distractors are just the same as the ratchet version. The spin lock offers a more secure distraction as it is impossible for the distractor to slip. In addition the spin lock variant allows the surgeon to ‘crank’ open the joint in the manner of the larger versions of this instrument. Many of our Gelpi self retaining retractors are also available with a spinlock. See page 65.
Money-back guarantee! If this instrument is not an improvement on whatever you are currently using, we will give you a full refund.
Large Stifle Distractor min spread 10mm max 40mm.
V Small Joint Distractor/Retractor 3mm wide tips
Spinlock Stifle Distractor
When closed the tips overlap making the points atraumatic as they enter the joint. Additionally the overlapping feature reduces the profile of the tips as they enter the joint.
001112
3 mm
VERY SMALL JOINT DISTRACTOR/RETRACTOR 3mm wide tips
Stifle Distractor Tips
001112/L
001113vs
SPINLOCK DISTRACTORS
32
001113SL
Spinlock Small Stifle Distractor
£115.00
001113VSSL
Spinlock Very Small Stifle Distractor
£115.00
1
JOINT SURGERY
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Extra Articular Joint Distraction
Triple Pelvic Osteotomy Triple Pelvic Osteotomy Plate
External Stifle Distractor
By rotating of the acetabular segment in immature dogs with severe H.D., this technique is designed to prevent onset and progression of degenerative joint disease and thereby avoid the need for a total hip replacement. The plates are supplied flat to be twisted prior to surgery or pre-bent by ourselves prior to despatch. Please advise angle and side. Thirty degrees rotation is the most widely applied. The plates accept 3.5mm cortical, 3.5mm cancellous, 4mm cancellous and 9/64" Sherman self tapping screws. TRIPLE PELVIC OSTEOTOMY PLATE 090167
Large TPO Plate
£45.00
090179
Small TPO Plate
£40.00
090167L30
Large TPO Plate Prebent 30°. Left
£50.00
090167R30
Large TPO Plate Prebent 30°. Right
£50.00
090179L30
Small TPO Plate Prebent 30°. Left
£45.00
090179R30
Small TPO Plate Prebent 30°. Right
£45.00
HDTPODVD
TPO Technique DVD Hamish Denny
£40.00
Rasenberg TPO Plate This plate is more flexible than the VI or the Slocum plate. Less pelvic narrowing than the VI plate. Less screw pull out than Slocum plate. For a free powerpoint presentation on the technique please phone or email us at info@vetinst.com Cutouts on the plate allow the placement of additional screws should they be necessary.
Osteoarthritic stifles can be very ‘tight’ making examination and treatment of meniscal lesions difficult. Distraction of the articular surfaces using intra-articular instruments clutters the operative field. Originally developed for arthroscopic use the extra articular distractor works very well in open surgery. Pins are placed above and below the stifle approximately along the line of the medial collateral ligament. The standard distractor uses 2.5mm pins. For those TPLO surgeons who wish to use the proximal tibial pin as their proximal jig pin a version is available which takes 3.2mm (1/8”) pins. Turning the thumb screw distracts the joint from the medial side exposing the medial meniscus. For better view of the caudal horn the pins may be twisted relative to one another which brings the tibial plateau forward.
RASENBERG TPO PLATE 090195
Rasenberg 3.5mm TPO Plate 25°. Right
£60.00
Extra Articular Stifle Distractor 2.5mm pins
£135.00
090196
Rasenberg 3.5mm TPO Plate 25°. Left
£60.00
AR-17-01/TPLO Extra Articular Stifle Distractor 3.2mm pins
£135.00
CDRAS
Powerpoint Presentation on CD
EXTRA ARTICULAR STIFLE DISTRACTOR AR-17-01
33
£FOC
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JOINT SURGERY
X-Acto Saw
Adjustable Bone Saw
Useful for many bone procedures, this saw comes complete with five, fine chrome plated blades. Blade length is adjustable from 40mm to 100mm. Procedures include trochleaplasty, tibial crest transplants, amputations, trochanteric osteotomy and excision arthroplasty. Also useful for splitting multi-rooted teeth prior to extraction.
Although not stainless, this hard backed fine saw is ideal for wedge trochleaplasty. Provided the blade is kept absolutely dry, apart from the actual procedure, you will get several procedures from it before it needs replacing. Handle is aluminium. Consider also the Hard Backed Orthopaedic Saw (001004).
ADJUSTABLE BONE SAW 001000
Adjustable Bone Saw c/w 5 fine blades
£52.50
X-ACTO SAW
001001
Spare Fine Blades. Pack of 5 chrome plated
£11.75
XACTOB/H
X-acto Saw Complete
£21.00
XACTOHANDLE
X-acto Saw Handle only
£15.50
XACTOBLADE
X-acto Saw Blade 0.3mm cut
£10.50
XACTOSTERILE
X-acto Saw Blade Sterile 0.3mm cut
£15.50
001000SS
Adjustable Bone Saw Blade Single Sterile
£5.25
Rhinotomy/Plaster Saw Blade Hard Backed Orthopaedic Saw 140mm long 23mm deep 0.4mm cut. In the style of the X-ACTO saw blade but is stiffer and has slightly bigger teeth, more suitable for bone. It is made from stainless steel and can be autoclaved. The stiff back helps to guide the saw compared with hacksaw type blades which often deviate.
This is a curved stainless blade with a radius of 15mm. Useful for rhinotomy, plaster cutting and osteotomies where access is limited, e.g. radius, ulna and ilium during a TPO. RHINOTOMY/PLASTER SAW BLADE 001003
Rhinotomy/Plaster Saw Blade (single)
£11.75
Use for wedge sulcoplasty and osteotomies up to 23mm deep.
Coarse Stainless Blade
HARD BACKED ORTHOPAEDIC SAW (stainless) Very useful for larger patients. The tooth pitch is 15 teeth per inch. This blade does not clog easily. Also useful for trochleaplasty.
001004
Orthopaedic Hard Back Saw 0.4mm cut. Stainless steel
£33.50
COARSE STAINLESS BLADE 001002
Coarse Stainless Blade (single)
Gigli Saw
£11.75
Saw Blades for Scalpel Handles
Essentially a bone cutting wire. More useful in large dogs. Hard to persuade the saw to cut where you want it to. Can be threaded through holes to make inaccessible cuts. e.g. ulna osteotomies.
Four different blades are included in the saw set. All saws fit the No3 scalpel handle. The blades are very thin (0.25mm) making them suitable for a variety of small bone cutting procedures.
GIGLI SAW
SCALPEL FIT SAW BLADES SBLSET
3 Scalpel fit saw blades (pack of 4 various)
£14.50 34
001515
Gigli Saw Handles (pair)
001516
Gigli Saw 30cm
£7.50
001517
Gigli Saw 50cm
£8.50
£33.50
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JOINT SURGERY
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Excision Arthroplasty Rasp
Combination Bone Rasp Set
Designed specifically to remove any bone spurs following excision arthroplasty. Failure to remove bone spurs is the most common cause of problems with this procedure. Teeth cut on the back stroke. The three interchangeable rasp blades offer a range of cutting surfaces, flat, round and ‘putti’ style. The handle has an ergonomic design which is easy to grip even when wet.
EXCISION ARTHROPLASTY RASP 001010
Excision Arthroplasty Rasp
£45.00
COMBINATION BONE RASP SET
Rectangular Sulcoplasty Instruments
001015
Combination bone rasp with 3 interchangeable heads £140.00
Trochlea Rasp
Designed for deepening the trochlea groove, the trochlea rasp has a range of diameters to suit breeds from chihuahuas to bull terriers. For larger breeds perform a wedge trochleaplasty using a hard backed saw. An accurately contoured trochlea is essential for a successful trochleaplasty. Articular cartilage is removed to be replaced by fibrocartilage.
A rectangular sulcoplasty retains the maximum articular cartilage. Creation of the sulcoplasty can be a challenge in that most osteotomes are too thick and the block tends to break up. Our super slim 8mm osteotome minimises breakup. The rectangular rasp is designed to tidy up the corners of the sulcoplasty to maximise ‘fit’. RECTANGULAR SULCOPLASTY INSTRUMENTS 001017
Super Slim Osteotome 8mm
£37.50
001018
Rectangular Bone Rasp
£27.50
Modular Osteotome with ultra-thin interchangeable blades and Diamond Rasp
TROCHLEA RASP 001020
Trochlea Rasp 11mm max 5mm min diameter
£44.50
001022
Trochlea Rasp Small 8mm max 3mm min diameter
£44.50
OCD Curette
The osteotome is supplied as a comfortable handle into which fits a large range of blades. The blades are very thin 1.1mm making them suitable for a variety of procedures including block sulcoplasty. The block including the articular cartilage may be harvested with minimal breakage of the block. Supplied as a handle plus the following blades 4mm, 6mm, 8mm, 10mm, 12mm, 15mm and 20mm. A new diamond-coated 6mm rasp has been added to the range to tidy up the corners of the sulcoplasty.
Actual size
MODULAR OSTEOTOME 001380
Modular Osteotome complete with 7 blades
£160.00
001382
Modular Osteotome replacement Blade 4mm
£18.00
001383
Modular Osteotome replacement Blade 6mm
£18.00
001384
Modular Osteotome replacement Blade 8mm
£18.00
001385
Modular Osteotome replacement Blade 10mm
£18.00
001386
Modular Osteotome replacement Blade 12mm
£18.00
001387
Modular Osteotome replacement Blade 15mm
£18.00
OCD CURETTE
001388
Modular Osteotome replacement Blade 20mm
£18.00
001030
O.C.D. Curette
£40.00
001389
Modular Diamond Rasp 6mm
£36.00
001032
O.C.D. Curette Small
£40.00
Loose flaps of cartilage at the OCD lesion must be removed. The double ended OCD curette is designed to perform this task within the limited space available. Healthy fibrocartilage within the lesion should not be disturbed.
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JOINT SURGERY
Hohman Retractors with short tip
Hohman Retractor broad with short narrow tip
001041
001045
001046 001042
The 48mm Hohman is very useful in the large dog for elevation of the femoral head and neck for excision or toggle. The 24mm is designed to retract muscles during plating and cerclage procedures.
A deceptively useful instrument, this style of Hohman is useful in: 1. retraction of facia lata during CCL repair 2. elevation of femoral head and neck 3. muscle retraction during many joint and fracture procedures.
HOHMAN RETRACTOR BROAD with short narrow tip
If you intend to buy just one Hohman, the one you need is 001041, 18mm with a short tip. This is usually the one described in texts as ‘Hohman’.
001045
Hohman Retractor 48mm Short Narrow Tip
£44.50
001046
Hohman Retractor 24mm Short Narrow Tip
£44.50
HOHMAN RETRACTORS with short tip 001041
Hohman Retractor 18mm Short Narrow Tip
£44.50
001042
Hohman Retractor 12mm Short Narrow Tip
£44.50
Mini Hohman 6mm & 8mm short tip
Hohman Retractor with long broad tip
001044
Manipulation of small bone fragments during repair requires careful retraction of soft tissues to minimise devascularisation. The blade of the Hohman retracts the soft tissue as the tip effectively elevates and exposes the bone fragment.
Useful in and around the shoulder joint and other retraction situations when a blunt tip is desirable.
Exact anatomical repair of the bones will not result in satisfactory healing without adequate blood supply.
001043
001043
Hohman Retractor 24mm Long Broad Tip
£44.50
Mini Hohmans allow delicate, precise retraction of the vital soft tissues, allowing placement of screws or wires.
001044
Hohman Retractor 18mm Long Broad Tip
£44.50
An assistant to hold these instruments is a distinct advantage.
HOHMAN RETRACTOR with long broad tip
MINI HOHMAN 6mm and 8mm short tip
Mini Hohman Broad Blade Short Tip
001047
Mini Hohman Retractor 6mm Short Tip
£44.50
001048
Mini Hohman Retractor 8mm Short Tip
£44.50
Micro Hohman 4mm short narrow tip One of a range of mini Hohmans designed to manipulate bone fragments and overlying muscles. The blade is 25mm wide and the overall length is 120mm. MINI HOHMAN BROAD BLADE SHORT TIP 001040
Hohman 25mm Broad Blade 120mm long
£52.50
Hohman Retractor 20mm wide with short kinked tip This Hohman is designed for femoral neck retraction for THR after the femoral head has been removed, in order to visualise the acetabulum for acetabular reaming. The idea is that the bent tip of the hohman is engaged caudoventral to the acetabulum with the osteotomised surface of the femoral neck behind it and then the hohman is retracted to pull the femoral neck out of the way for the reamer. This is much easier than having to get a rake retractor or Meyerding on the trochanter to physically pull the femur out of the way which is knackering. The hohman does all the work for you- makes things MUCH easier for reaming!
For some patients and some procedures even our mini 6mm Hohman is too big. The micro 4mm Hohman is scaled down further. Two versions are available, the standard version and a version with a long narrow shaft to work within standard instrument portals. MICRO HOHMAN 4MM SHORT NARROW TIP
HOHMAN RETRACTOR 20MM WIDE WITH SHORT KINKED TIP 001039
Hohman 20mm wide with short kinked tip
£52.50 36
001049
Micro Hohman Retractor 4mm Short Tip
£44.50
001049A
Micro Hohman Retractor 4mm Short Tip with narrow shaft for arthroscopy
£49.50
1
JOINT SURGERY
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Coughlan Soft Tissue Mangeurs
Stainless Steel Goniometers
Developed by Andrew Coughlan of Northwest Surgeons, the mangeur is designed to rapidly remove soft tissues eg. fat pad which can obscure the operative field. Also ideal for the removal of the remnants of the ruptured cranial cruciate ligament.
For intra surgery use or where a more robust instrument is required. The femoral neck goniometer is useful for assessing implant size in hip replacement.
Close-up detail
STAINLESS STEEL GONIOMETERS GONIO3
Stainless Steel Goniometer 340mm
£47.50
HE-GONIO
Femoral Neck (Stainless Steel) Goniometer 120mm
£47.50
COUGHLAN SOFT TISSUE MANGEURS 001108S
Coughlan Soft Tissue Mangeur - very small
001108
Coughlan Soft Tissue Mangeur - small
2mm x 8mm 2.5mm x 10mm
Disarticulator
£115.00
Rupture of the round ligament (Teres) can be extremely difficult. The disarticulator is designed to elevate the femoral head ready for excision. The notch at the tip of the instrument engages and ruptures the round ligament. The disarticulator is also particulary useful in manipulation of the humeral head in OCD lesions, investigation of elbow lesions and as a general tissue retractor. If you cannot see the cut end of the round ligament you probably have not resected it.
£115.00
Coughlan Soft Tissue Mangeur - large
001109
5mm x 12mm
£115.00
Condyle Clamp
DISARTICULATOR Fracture of the lateral humeral condyle is a relatively common fracture in young dogs. Reduction and repair is simple using the condyle clamp and damage to periarticular structures is reduced to a minimum. No need to lag screw with this clamp. Pressure should be applied proximo-laterally not purely laterally. See diagram. Reduction may be checked by radiography prior to fixation with a single screw. Use only within 48 hours of the fracture and if the fractured condyle is still mobile.
001090
Small Disarticulator
£38.50
001091
Large Disarticulator
£42.50
Hatt Spoon
CONDYLE CLAMP Condyle Clamp Stainless Steel
001080
£55.00
An alternative to the disarticulator in large dogs. The edge of the spoon is sharp. As used by Martin Olmstead. Our pattern has a fibre handle and a finer shaft for better balance.
Goniometer The goniometer may be used for the calculation of tibial plateau angles, wedge resections, angles of anteversion etc. Also used to measure pre and post-op range of motion of joints together with the effect of physiotherapy. Clients may use to measure progress. 360˚ measurement.
Actual size
HATT SPOON GONIOMETER
001092
Hatt Spoon 230mm. (17mm x 30mm scoop)
£52.50
GONIO
Goniometer 6”/150mm illustrated
£12.50
001093
Hatt Spoon 230mm. (12mm x 18mm scoop)
£52.50
GONIO2
Goniometer 12”/300mm
£19.50
001094
Hatt Spoon 230mm. (7mm x 12mm scoop)
£52.50
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1
JOINT SURGERY
Hip Toggle Procedure The hip toggle procedure is a well established technique for the management of traumatic and unstable subluxation of the the coxofemoral joint. Although somewaht invasive it does have the advantage that by replacing the round ligament the hip has, postoperatively, a full range of movement. However, the suture is placed into a very hostile abrasive environment and historically had a high failure rate. Newer materials have, to a degree, addressed this problem. LigaFiba is spun Ultra High Molecular Weight Polyethylene. This is the same high wear material used for acetabular cups in Total Hip Replacemt. For any given weight (or diameter) LigaFiba is 2.5 x stronger than the traditional monofilament nylon. In addition the softer more flexible nature of the material allows a relatively larger implant to be passed along bone tunnels. LigaFiba has in addition better wear characteristics than nylon. Veterinary Instrumentation is pleased to offer an updated range of hip toggles based on LigaFiba. The range includes the new 2.0mm toggle for small dogs and cats. Use of a dedicated introducer facilitates the introduction of the toggle through the acetabulum into the pelvis.
Hip Toggle Introducer
The Hip Toggle is 3.0mm in diameter with an ‘eye’ to hold the suture. made from stainless steel 316LVM. Use the adjustable drill guide to accurately place the hole in the femoral neck, (see chapter 7). All sterile packs contain a nylon Ormrod button for secure fixation of the suture. Available with monofilament nylon or braided LigaFiba. LigaFiba is easier to work with, is stronger and ties better. However, it is a braided material with higher infection risks.
Notes on the use the the Hip Toggle system
LigaFiba Hip Toggles
1. Expose femoral head and floor of acetabulum via a cranio-lateral approach. Perform a trochanteric osteotomy if necessary. The text ‘An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat’ by Piermattei is an almost essental part of any veterinary surgeons library. code BK02 see page 261. 2. Clear soft tissues (mostly shredded round ligament) from acetabulum and fovea of femoral head. 3. Drill a hole through the acetabular fossa (effectively the origin of the round ligament). Drill size required 3mm Toggle plus 250lb LigaFiba 4.5mm 3mm Toggle plus 80lb Nylon 4.8mm 2mm Toggle plus 150lb LigaFiba 2.7mm 4. Load the toggle into the insertion tool. The ‘long’ end goes into the inserter tip. The suture is retained onto the inserter shaft by sliding the silicone ring over the toggle and inserter. 5. Push projecting toggle into hole in acetabulum. Braided polyethylene is 2.5 x stronger than monofilament nylon and has the additional benefit of a high resistance to abrasion. These properties are ideal for a hip toggle suture. Additionally the braided material conforms better and will therefore pass through a smaller hole. The new 2mm toggle and 150lb (68kg) will pass through a 2.5mm bone tunnel.
6. Insert plunger and eject toggle into pelvic canal. Toggle should ‘flip’ out preventing pull out. Check toggle security. 7. Drill a bone tunnel (2.5-3.5mm) from fovea exiting from proximal lateral femur. a. Use Adjustable drill guide for best results. b. ‘eyeball’ it c. drill from fovea to femur (requires severe external rotation of femur)
HIP TOGGLE
8. Pass free suture ends down the femoral neck tunnel from fovea to femur. LigaFiba will require a suture puller or alternatively a folded loop of fine cerclage wire may be passed from lateral to medial to exit at the fovea. Pass the LigaFiba through the loop and pull back. Check there are no soft tissues (usually joint capsule) interposed between head and acetabulum.
HIPTOGLF250 Hip Toggle 3.0mm + 250lb LigaFiba, Ormrod Button (Sterile Pack)
£20.00
HIPTOGLF150 Hip Toggle 2.0mm + 150lb LigaFiba, Ormrod Button (Sterile Pack)
£20.00
HIPTOG
Hip Toggle 3.0mm + 80lb nylon, Ormrod Button (Sterile Pack)
HIPINTLF250
250 Hip Toggle Introducer + hip toggle with 250lb LigaFiba + Ormrod Button (sterile pack) £75.00
9. Pass ends of the suture through holes in Ormrod button pull tight and tie temporarily. Check that coxo-femoral joint has a full range of movement. Tie securely over button. Over-tightening is a technical error and will result in premature failure of the suture.
HIPINT
Hip Toggle Introducer + hip toggle with 80lb nylon + Ormrod Button (sterile pack)
NOTE: The implant always breaks within a few weeks of placement regardless of technique and material. The toggle provided temporary stability only. If it becomes necessary to remove the suture, locate the Ormrod button and remove both button and suture. It is not possible to retrieve the toggle which, lying extra-articularly, does not cause a problem.
HIPTOGKIT
Contains introducer, hip toggle with 80lb nylon, drill guide, 3.5 & 4.8mm drills (discounted)
£245.00
ADJDG2035
Adjustable drill guide 2.0, 2.5, 3.5mm drills
£155.00
TOG
Hip Toggle only 3.0mm (non sterile)
£7.50
TOGS
Hip Toggle only 2.0mm (non sterile)
£7.50
£15.00
£75.00
HIPTOGKITLF Contains introducer, hip toggle with 250lb LigaFiba, drill guide, 3.5 & 4.5mm drills (discounted) £245.00
38
Chapter 2
2
ARTHROSCOPY & LAPAROSCOPY
Introduction Using fibre optics the arthroscope is able to deliver light and obtain an image from within the joint thus obviating the need for an extensive surgical approach and keeping surgical trauma to soft tissues at a minimum. However, arthroscopy is not a risk free procedure as it involves placing sharp metal objects into the joint space.
Although arthroscopy may be considered expensive in terms of both the dedicated instrumentation required and the time and money involved in training, it is recommended that sufficient resources are allocated to purchase good quality equipment at the outset. (Equipment failures being very frustrating and ultimately very expensive.)
Arthroscopes An arthroscope is a rigid endoscope consisting of a system of lenses, which collects and transmits an image from the tip of the instrument along the shaft to an eyepiece or camera. A light post close to the eyepiece allows light to be passed into the shaft and down optic fibres surrounding the lens system to illuminate the subject area at the tip. The diameter refers to the outside diameter of the unsheathed shaft of the telescope. Three sizes are commonly used in small animal arthoscopy: 2.7mm, 2.4mm and 1.9mm. Arthroscope technology has improved so much that optically the new 2.4mm arthroscope is as good as the older 2.7mm version. For this reason we now only offer 2.4mm and 1.9mm arthroscopes. Patient size and the joint to be investigated will dictate selection of the arthroscope. The 2.4mm arthroscope is fine for most procedures but can prove a little large in small elbows. As the diameter of the arthroscope becomes smaller, there is less space for optical fibres, which has implications for light transmission and image size. Recent improvements in construction such as the use of rod lens systems as opposed to optic fibres has improved the performance of the smaller arthroscopes. Additionally the smaller arthroscopes are fragile and care must therefore be exercised to avoid damage in use, cleaning and storage.
Standard Arthroscope, 2.4mm with Arthroscopic Sheath
For elbow, shoulder and knee joint. The viewing angle is the angle between the lens face and a line drawn at right angles to the long axis of the arthroscope (see above right). A 0˚ scope views straight ahead from the front of the lens, while a 90˚ scope sees an image at right angles to the long axis of the scope. Most veterinary arthroscopes have a viewing angle of 30˚, which is a compromise between field of view and distortion. The user needs to be aware which way the lens is pointing. The light post is used as a reference point and is positioned opposite the angle of view. Rotating the scope along its long axis will allow the surgeon to view a large area within the joint with minimal repositioning. An oblique viewing angle does offer the surgeon a limited ability to see ‘around corners’.
T141-2430
Wide angle telescope, 30°, OD:2.4mm, WL:14cm, large image technology, standard light cable connectors, autoclavable
S140-2432
Sheath for arthroscopy, OD:3.8mm, WL:12cm compatible with T140-2430 and T141-2430, stopcock, including blunt & sharp trochar - high flow version
£2,100.00
£350.00
Needle Arthroscope, 1.9mm with Arthroscopic Sheath
Each arthroscope will require a dedicated sheath, which protects the arthroscope as well as delivering fluid to the tip. Sheaths offering a high rate of flow are preferable. The sheath reduces the effective working length of the 1.9mm scope to approx 8.0cm. Conversely, the sheath will increase the working diameter of the arthroscope. 1.9mm becomes 2.8mm.
For small dogs and small joints.
All scopes are now available in autoclaveable versions. Autoclaving, especially for fine scopes, will significantly reduce the working life of the instrument. Autoclavable scopes can be soaked & we recommend this method of sterilisation to preserve your scope. If your scope is not marked autoclavable, it can only be soaked.
39
T111-1930
Wide angle telescope, 30˚, OD:1.9mm, WL: 11cm, large image technology, standard light cable connectors - autoclavable
S110-1931
Sheath for arthroscopy, OD:2.8mm, WL:8cm compatible with T110-1930 and T111-1930, stopcock, including blunt & sharp trochar - high flow version
£2,500.00
£350.00
I-17-019
Changing rod for arthoscopy sheaths from 1.9mm up to 2.7mm telescopes with sharp tip
S110-1935
Protection and transportation sheath for 1.9 telescopes, 12cm, autoclavable
£20.00
DE-10-65
Lens polish for telescopes, 5g not illustrated
£15.00
£25.00
2
ARTHROSCOPY & LAPAROSCOPY
Code
Description
T141-2430
Wide angle telescope, 30°, OD:2.4mm WL:14cm, large image technology, autoclavable
S140-2432
Sheath for arthroscopy OD:3.2mm, WL:12cm, compatible with T140-2430 and T141-2430
I-18-518
Egress cannula, sharp trocar, stopcock IØ 3mm, WL 7cm
I-17-755
Working cannula set "shoulder & elbow" Designed by van Bree, D:2.3/2.9/3.5mm;WL:3.5-5cm
S140-2438F
Target instrument designed Dr.Lehmann for canine arthroscopy; comp.with S110-1932
AR-17-09S
Hook probe, 2.2mm, silicon handle comp. autoclavable, colour code:red
AR-17-06S
Currette, small 2.7mm, silicon handle yellow, autoclavable, colour code:red
AR-17-07S
Ring currette, 2.7mm, silicon handle red, autoclavable, colour code:black
AR-17-19S
Hook knife, 2.7mm, Silicon handle orange, autoclavable, colour code:blue
AR-17-11S
Smilie knife, 2.7mm, silicon handle yellow, autoclavable, colour code:red
AR-17-05S
Banana knife, 2.7mm, with silicone handle autoclavable, colour code:green
AR-17-03S
Bayonett knife 2.7mm, silicon handle yellow, autoclavable, colour code:black
AR-17-12S
Micro picking knife, designed by Brian Beale 2.7mm, silicon handle, yellow
AR-17-13
Special elevator, 2.7mm, with handle colour code:metal
I-17-822
Milling drill for arthroscopy
AS-17-561
Mini grasping forceps D:2.0mm WL:11cm, high quality,
AS-17-662
Alligator grasping forceps with ratchet OD:2.7mm; WL:12cm, high
AS-17-762
Univ. rongeur and grasping forceps OD: 3.4mm, WL: 12cm without ratchet
AS-17-531
Mini rongeur and biopsy forceps OD: 2mm, WL: 11cm
AS-17-632
Universal rongeur and grasping forceps fenestrated, OD:2.7mm; WL:12cm
Arthroscopy Starter Kit
AR-08-100
Instrument choice is determined by personal choice and patient selection. However a starter kit is a useful starting point and offers a discounted approach to setting up.
Pressure infusion cuff for 500-1000ml complete with manometer and hand pump
DE-5-17
Cleaning brush, small, 17cm
DE-10-425
Soak basin for chemical solution disinfection
DE-10-25
Camera covers disposable, (30)
Arthroscopic Instrumentation Irrigation and Working Cannulae, Trochar Changing System designed by VAN BREE Cannulae and portals: In order to fully examine the joint under investigation it may be necessary to manipulate some intra articular structures. The instruments used must be small and be introduced either directly through the peri-articular soft tissues or via a dedicated cannula. Where serial insertions and withdrawals or a range of instruments are required, particularly through multiple layers of soft tissue, a cannula is preferable to minimize trauma, (trying to re-find a portal can be frustrating). Sets of cannulae dedicated to the most common joints are now available. Initially a small diameter cannula is inserted using a trochar, the portal may then be enlarged by the use of a ‘switching stick’. The stick is inserted into the joint through the small cannula which is then withdrawn. Larger cannulae may be slid down the changing stick and introduced into the joint. Exchanging a small cannula for a larger one can be surprisingly difficult without such an aid. The system is colour coded for ease of use.
Cannula Sets
I-17-755
Working cannula set "shoulder and elbow" designed by VAN BREE, D:2.3 / 2.9 / 3.5mm; WL:3.5-5cm and 7-8 cm, includes sharp trochar and changing rod £550.00
I-17-500
Working cannula set "elbow" designed by VAN BREE, consist of 3 cannulas D:2.3 / 2.9 / 3.5mm; WL:3.5-5cm. includes 1 sharp trochar and 1 changing rod (2.3mm) £350.00
I-17-700
Working cannula set "elbow" designed by VAN BREE, consist of 2 cannulas D:2.9 / 3.5mm, WL:7-8cm. includes 1 sharp trochar and 1 changing rod (2.8mm)
I-18-518
Egress cannula, with sharp trochar stopcock, ID:3mm, WL:7mm
£230.00
£150.00
The Arthroscopy kit described is discounted by 10% compared to buying the individual components. In addition to arthroscopic hand instrumentation a suitable camera and light source will be required. Several options, including pre-owned units, are available. Please telephone or e-mail to discuss options.
ARTHROSCOPY STARTER KIT ARTHROKIT
40
Arthroscopy starter kit
£8,225.00
2
ARTHROSCOPY & LAPAROSCOPY
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Arthroscopy Hand Instrument Set
Hand Instruments
A useful set of three arthroscopy instruments for examination and intra-articular surgery. The two hand held knives can deal with most meniscal tears, whilst the black shaft of the hook probe minimises reflection.
Hand instruments for investigation are designed to move or retract intra-articular structures and usually take the form of blunt probes or grasping forceps. Where intra-articular surgery or sampling is involved additional cutting instruments will be required.
AR-17-09S
Hook probe 2.2mm, with silicon handle
£175.00
AR-17-13
Elevator, heavy, 2.7mm, with metal handle
£175.00 ARTHROSCOPY HAND INSTRUMENT SET
AR-17-03S
AR-17-05S
Bayonet knife 2.7mm, with silicon handle
Banana knife 2.7mm, with silicon handle
£175.00
AR-17-19X
Pull Knife
£65.00
AR-17-11X
Push Knife
£65.00
AR-17-10
Hook probe 2.2mm, with stainless handle, black shaft
AR-17-SET
Arthroscopy Hand Instrument Set
£57.00 £150.00
£175.00
Gordon Coronoid Osteotome AR-17-06S
AR-17-07S
Curette 2.7mm, curved, with silicon handle
Ring curette 2.7mm, small, with silicon handle
£175.00 Designed and developed by Ian Holsworth, this narrow osteotome is used for arthroscopic sub-total coronoidectomies.
£175.00
GORDON CORONOID OSTEOTOME
Hold tear with clamp and push knife against ‘handle’ to detach from body of meniscus.
AR-17-11S
Meniscus knife, Smillie, 2.7mm, with silicon handle
£175.00
Use to pick area to encourage regeneration.
AR-17-12S
Micro picking knife, acc to Dr Brian Beale 2.7mm, with silicon handle
AR-17-30
Gordon Coronoid Osteotome (4mm)
£52.50
AR-17-29
Gordon Coronoid Osteotome (2mm)
£52.50
Suture Passing Wire
£175.00
Use to hook under meniscal tears and detach handle from body of meniscus.
AR-17-19S
Hook knife 2.7mm, with silicon handle
£175.00 Passing soft suture material through bone tunnels of soft tissues without causing additional trauma can be a challenge to the surgeon. The Arthrex Suture Passing Wire consists of a Nitinol loop attached to a flexible yet stiff wire. The wire may be pushed through bone tunnels of soft tissues and as the tip emerges the nitinol loop naturally springs open to receive the suture which may then be pulled back through.
Inserts for interchangeable hand instrument (AR-17-00) are available. Please call for details.
SUTURE PASSING WIRE AR-1255-18
Suture Passing Wire 600mm
£80.00
Crystal Cannula 001049a
Arthroscopic Hohman 4mm
£49.50
Clear cannula has a lip at the tip to minimise ‘fall out’.
Milling Drill designed by VAN RYSSEN & VAN BREE
This hand driven bur allows curretage of both cartilage and bone through the smallest working cannula. Much cheaper and easier than shaver systems. I-17-822
Milling drill for arthroscopy complete OD:2.2mm, WL:12cm
£350.00
CRYSTAL CANNULA
I-17-821
Replacement bur and shaft
£120.00
AR-6560 41
Crystal Cannula 5.75mm x 7cm (5 Pack)
£90.00
2
ARTHROSCOPY & LAPAROSCOPY
Arthroscopic Punches, Biopsy Forceps, Rongeurs and Grasping Forceps
AS-17-641
Arthroscopic forceps and rongeurs should be selected according to patient and portal size. A very small pair of grasping or cutting forceps will fit any portal but will be easily damaged if used on large fragments. Various designs are available for grasping cutting, or nibbling intra-articular structures.
AS-17-672
2.0mm Instruments
Biopsy and spoon OD:2.7mm with overstraining protection
£650.00
Arthroscopic punch, OD:2.7mm with overstraining protection
£750.00
Arthroscopic hook scissors, OD:2.7mm
£650.00
• made for veterinary use • overstraining protected AS-17-621
2.0mm Instruments, working length 11cm
AS-17-561
Mini grasping forceps, OD:2.0mm
£550.00
AS-17-531
Mini rongeur and biopsy forceps, OD:2.0mm
£550.00
Handle with ratchet, ergonomic and small grip
3.4mm Instruments AS-17-551
Mini punch for arthroscopy, OD:2mm
£550.00
AS-17-521
Mini scissor for arthroscopy, OD:2mm
£550.00
AS-17-762
Universal rongeur and grasping forceps, fenestrated without ratchet, OD:3.4mm working length 12cm with overstraining protection
2.7mm Instruments
• extremely durable • ergonomic design • long life span
2.7mm Instruments, working length 12cm
AS-17-662
AS-17-632
Alligator grasping forceps with rachet, OD:2.7mm with overstraining protection
£725.00
Universal rongeur and grasping forceps fenestrated OD:2.7mm with overstraining protection
£650.00
Thanks to Colin Whiting for the photograph
42
£750.00
2
ARTHROSCOPY & LAPAROSCOPY
www.vetinst.com
Forceps Tray
Arthrex Hand Instruments Canine Arthroscopy Set (VAR-3000S)
VAR-11600SR Grasper, Alligator Hook Tip VAR-11100 Punch, Slender Straight Tip The forceps tray secures a series I grasper and slender punch in an upright position for easy accessibility. The tray has space for two further forceps. Working with leading canine arthroscopic surgeons the Arthrex set comprises a comprehensive range of instruments as three modules within a custom autoclave case. All the instruments are available separately but when bought as the boxed set there is a saving of 10%.
Main Instrument Tray
VAR-3008 Small Cup Curette, 2.5 mm diameter
photo Mark Owen
VAR-3009 Banana Knife, 2.5 mm diameter AR-5021 Graduated Black Probe, 1.5 mm Tip
Grasper-Alligator, Diameter 2.75mm with Hooked Tip, Self Release
AR-5007 Graduated Black Probe, 2.5 mm Tip AR-10020 Probe, Stainless Steel AR-3033 Obturator, Blunt
Canine Cannula Set (VAR-3002S)
Grasping and maintaining a grip on fragments can be very challenging for both surgeon and instrument. Once locked on, the surgeon is understandably reluctant to let go, sometimes taking an instrument beyond its working limits. The VAR-11600SR Alligator forcep is toothed for maximum grip and has a self releasing handle. The Alligator grasper is one of a range of canine arthroscopy instruments available as a set from Arthrex Vet Systems through Veterinary Instrumentation. Call or e-mail for a full brochure.
The Canine Arthroscopy Set combined with an Arthrex camera and light source would comprise a start up set for arthroscopy of the canine stifle, elbow, shoulder and hock. VAR-3002 Cannulas (2.9, 3.7 & 4.3 mm) ARTHREX HAND INSTRUMENTS
VAR-3003 Cannulated Obturator
VAR-3000S
Canine Arthroscopy Set Boxed
VAR-11100
Punch, Slender Tip
VAR-11600SR
Grasper-Alligator, Ø 2.75mm, with Hook Tip
VAR-3002S
Canine Cannula Set
VAR-3006 Stifle Outflow Cannula with stopcock
VAR-3006
Outflow Cannula with stopcock
£275.00
VAR-3007 Stifle Outflow Obturator
VAR-3007
Outflow Cannula Obturator
£135.00
The cannula set is available separately. The stand alone cannula set does not include the Outflow cannula and Obturator.
VAR-3009
Banana Knife
£225.00
BRCANARTH
Canine Arthroscopy Literature
VAR-3004-2.9 Switching Stick, 2.9 mm VAR-3004-3.7 Switching Stick, 3.7 mm VAR-3005 Dilation Needles, qty. 5
43
£4,150.00 £675.00 £695.00 £1,475.00
£FOC
2
ARTHROSCOPY & LAPAROSCOPY
Shoulder Aiming Device
Light Sources & Cables
Developed and tested at the Veterinary Faculty of Vienna, Austria by Dr Lehman.
Halogen light sources are inexpensive but not as good as the xenon based systems, which are, unfortunately, significantly more expensive to purchase and maintain. Xenon light sources have a higher intensity and are essential if the unit is to be used for laparoscopic work. Thus xenon is preferable but halogen can be used successfully in most joint investigations. Both xenon and halogen bulbs have a limited life (xenon typically 500 hours, halogen typically 2000 hours) and bulb failure is at best embarrassing so always carry a spare. The light cable carries light from the source to the arthroscope by fibre optics. Each cable has dedicated connectors to couple with the light source and the arthroscope. Connections on both light source and arthroscope vary from manufacturer to manufacturer. Converters are available for both light source and arthroscope but it is wise, if possible, to purchase the appropriate cable for the system.
Due to the dense muscle mass in shoulder joints, creating a puncture for a working cannula is often quite difficult. If a clean puncture allowing access directly to the joint is not achieved the first time, the risk of a subsynovial oedema increases greatly. The shoulder puncture system has been specifically designed to help eliminate this risk. The system allows you to align your arthroscope accurately in the joint space. Simply attach the puncture system to the arthroscopic sheaths and maintain your arthroscopic vision in a parallel direction to the shoulder joint rim. At this point you will find the working triangulation portal in an ideal position. After a puncture is created with the desired trochar, simply replace the trochar with a working cannula and start working with your instruments. Useful for both cranial and caudal approaches. View at www.vetinst.com/videos
H150-5-2 Halogen Light Source 150W
H150-5-130
Halogen light source 150W
£1,100.00
See VCOT 2004; 17:1-56 for review
Xenon Light Source
S140-2438-F
Aiming device by Dr Lehman for the canine shoulder for 2.4 scope T140-2432 and changing rod I-17-028
£360.00
S140- 1938F
Aiming device by Dr Lehman for the canine shoulder for 1.9 scope T110-1930 and changing puncture rod I-17-028
£370.00
I-17-028
Changing & puncture rod
DVDLEHMAN
DVD on use of aiming device.
£85.00 FOC
LK-FX-100
Xenon light source
KW-48-231
Fibre light cable, 4.8mm, 2.3M, both sides compatible to Wolf, autoclavable
KS-48-231
Fibre light cable, 4.8mm, 2.3M, unit side comp. to Storz, endoscope side comp. to Wolf, autoclavable
£400.00
KS-48-230
Fibre light cable, 4.8mm, 2.3M, Olympus/Wolf
£425.00
KS-48-300
Fibre light cable, 4.8mm, 3.0M, Storz/Storz
£425.00
£3,450.00
Joint Distraction Osteoarthritic stifles can be very ‘tight’ making examination and treatment of intra-articular lesions difficult. Distraction of the articular surfaces using intra-articular instruments is difficult and clutters the operative field. Extra-articular distraction is very effective and leaves potential instrument portals available for more appropriate instrumentation. AR-17-01
Arthroscopic Distractor
AR-17-01/TPLO Arthroscopic Distractor. 1/8” (3.2mm)pins
£135.00
All cable combinations available.
£135.00 44
£450.00
2
ARTHROSCOPY & LAPAROSCOPY
www.vetinst.com
Monitor
Cameras & Monitors Direct viewing of the joint through the eyepiece is possible. However, practicality and the issue of contamination dictate that a camera system is an essential part of the equipment. Arthroscopic cameras work in a very similar fashion to video cameras in common usage. The image at the eyepiece of the arthroscope is focussed on a light responsive electronic chip(s). The signal created is transferred to a camera controller, which processes the image into a signal recognized by the monitor and/or recording system. Most veterinary cameras have a single chip, which is sufficient for most users.
Flat Screeen Professional Monitor
The connection of the camera head to the eyepiece of the arthroscope is also variable. To maximise the choice and longevity of the instrumentation it is advised that a clip on camera head compatible with DIN standard eyepieces be selected. The camera heads are fully immersible.
Pre-owned cathode ray tube type monitor
Professional monitors offer a better image than domestic screens as they have a better resolution. Some pre-owned units are always available. Ring for details.
Image Capture Good practice dictates that a record is made of any arthroscopic procedure. Subsequent investigations can be compared to earlier ones and images can be shared and compared with colleagues or tutors as part of a training programme. Domestic video recorders will create a permanent record of a procedure. However the data is relatively crude and difficult to manipulate . Still video printers capture an image from a video stream which can then be printed onto photographic paper.
Arthrex Eagle Eye Cameras and Light Sources
Digital video and data storage technology now allows the surgeon to record and store very large amounts of data in a digital format. The digital information can subsequently be manipulated by appropriate computer software to create both still and moving images in a variety of formats for storage or display. If clinical presentations are anticipated then a digital system is very desirable. Domestic DVD or combined DVD/Hard drive recorders offer huge storage capacities at reasonable prices. The data is stored as Digital Video (DV) which can be converted into many other formats. The major arthroscopy companies offer sophisticated data storage systems which are able to capture and store still and movie files via sterile touch screens or camera finger controls. Permanent records are maintained on DVD discs or computer hard drives.
Top quality equipment from a major human arthroscopic company but at a discount price. It is important to obtain the best possible image. Arthroscopy is difficult enough without working with poor quality images. Buy the best ‘scope’ and camera you can afford. The Eagle Eye camera is human quality as is the matching light source.
We usually have some pre-owned Sony video printers in stock. Ring for details.
ARTHREX EAGLE EYE CAMAERAS AND LIGHTS AR-5970SP
Eagle Eye Single Chip Camera
£4,250.00
AR-3595SP
Eagle Eye 300watt Xenon light Source
£3,950.00
AR-3041
Light Cable
EAGLE OFFER Eagle Eye Single Chip Camera + Xenon Light Source & Cable Save £3,200.00
USB Based Image Capture System
£500.00 £5,500.00
Camera Covers
DE-10-25
Camera covers, disposable, (30) polyethylene, 13x50cm
£120.00
CAMPT
Camera cover with perforated tip 250cm x 12.5cm (60 sterile)
£120.00
CAMET
Camera cover with elasticised tip 250cm x 12.5cm (60 sterile)
DE-10-25/Single Single camera cover (disposable) 13x50cm DE-10-01
Camera cover, reusable, waterproof, washable, autoclavable, 12x200cm, 1 pc
The latest version the image capture device captures both still images and mpegs directly onto a USB stick ready for transfer to permanent storage. Capture is activated by pressing a button on the front panel or if the surgeon prefers to keep control there is an optional foot control.
£150.00 £5.50 £70.00 45
46-USB-200
USB Image Capture Jpeg and Mpeg
£2,500.00
46-USB-15-1
Footswitch for USB Capture System
£150.00
2
ARTHROSCOPY & LAPAROSCOPY
Hand Pressure Infusion Cuffs
Fluid Infusion and Outflow Infusion of fluids or gas into the joint is essential to create an environment in which the arthroscope can view joint structures. The joint must be expanded and debris removed to maintain a clear field of view. To maintain an appropriate intra-articular pressure (between 40 and 100mm of mercury) (0.053 and 0.133 BAR) fluid inflow and outflow must be carefully regulated. Fluid under pressure may be obtained by either gravity feed systems or a pump. Gravity may be sufficient provided the fluid bags can be lifted high enough but greater, more controllable pressure may be obtained by use of a fluid compression bag. The bag of fluid to be infused is placed into a pressure bag, which is inflated using a hand or machine pump. Without careful monitoring hand inflation systems offer erratic pressure levels and use of a regulated pump offers much better control. A carbon dioxide powered pump may be used to pressurize a compression bag or infuse carbon dioxide directly into the joint. Dedicated roller type pumps are able to maintain a constant line pressure over extended periods but they may require dedicated tubing, are expensive to purchase and are more prone to breakdown. To create fluid flow through the joint, appropriate fluid outflow or egress must be maintained. In the smaller joints (elbow, hock and hip), a large bore hypodermic needle may be sufficient. In the larger joints (shoulder, stifle) where greater volumes of fluid are involved, dedicated multi fenestrated egress cannulae may be necessary, the waste fluid may be collected by either bag systems or suction devices. Use of direct CO2 infusion is indicated in some inflamed joints where inflammatory synovial villae obstruct the visual field, the villae being flattened under gas pressure rather than floating free in infused fluid. In addition, use of CO2 increases the field of view and image clarity of the arthroscope. CO2 is usually used intermittently with fluid to allow for flushing.
AR-08-100
Pressure infusion cuff for 500-1000ml complete with pressure gauge and hand pump, reusable
£275.00
AR-08-300
Pressure infusion cuff for 3000-5000ml complete with pressure gauge and hand pump, reusable
£325.00
AR-08-110
Pressure infusion cuff for 500-1000ml without pressure gauge, Luer Lock (fem), reusable
£175.00
AR-10-948
Silicon tube, 7x2mm, 3m, autoclavable, Luer-Lock (m), needle (f), sterile bags/bottles
£125.00
X-7-20-10
Spare silicon tube, 1 metre, size: 7x2mm, colour: natural £12.50
LLM-1258
Spare Luer-Lock connector, male, comp. to silicon tubes 7x2mm
£15.00
AR-10-9
Spare needle for infusion bottles/bags, ID:5.5mm, comp. to silicon tubes (7x2mm)
£45.00
X-180-26
Silicon tube, ID:5mm, 180cm, LLm both ends, autoclavable £40.00
X-5-15-10
Spare silicon tube, 1m, autoclavable, size: 5x1,5mm, colour: nature
LLM-1250
Spare Luer-Lock connector (m), comp. to silicon tubes (5x1.5mm)
£9.50 £15.00
Pressure Pump Infusor Features: • automatic control • pressure continously adjustable • max. 300mm Hg pressure • easy handling • no mechanical parts • for fluid and CO2 supply
Peristaltic Infusion Arthroscopy Infusion Pump AR-10-100
Pneumatic pressure infusor, for infusion cuffs, for veterinary arthroscopy, complete 4mm tube to central pressure supply, DIN tube connection, front side Luer-Lock (f), universal table fixator, easy pressure setting, automatic regulation (0-300mmHg) £1,250.00 Pressure Infusion Cuff with fluid bag
Provided the surgeon is prepared to commit to the purchase of 100 patient infusion sets per year Arthrex is prepared to offer its Continuous Wave Arthroscopy Pump (AR-6450) (value £3,750) on free loan. This pump has been in use in the human sector for some 15 years and is very reliable. Line pressure and flow rate are user defined. This means that the fluid pressure does not have to be continually monitored and adjusted by nursing staff. In addition, if the tube pressure is correct, any problems with fluid flow can be immediately localised to the arthroscope. This is not the case with inflated cuffs where only the pressure within the bag is known.
Hand pump or Luer-Lock (fem) for infusor Connection to fluid bag Patient
Fluid Supply
Infusor
Three way stopcock
Direct CO2 supply (only in connection with CO2 infusor
If you are performing 3 or more procedures per day it is cheaper to buy the separate Machine (one per day) and Patient Tube Sets.
AR-10-901
CO2 Infusor, for large/small animal arthroscopy, DIN connector tube to pressure reducer (DIN type) pressure setting 0-300mm Hg tube connection Luer-Lock(f) £1,550.00
AR-6450
Arthroscopy Pump
AR-6415
Combination Machine and Patient Tube (10)
£260.00
AR-10-903
Reduction valve for CO2-bottles, UK fitting
£165.00
AR-6410
Machine Tube Set (10)
£290.00
AR-10-922
AR-6325
Patient Only Tube Set (20)
£160.00
Sterile filter system for CO2 infusor, disposable, box with 50 pcs
£195.00
£3,750.00
46
2
ARTHROSCOPY & LAPAROSCOPY
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Shaver Systems
Electrocautery Arthroscopic electrocautery or radiofrequency devices focally create heat within the tissues to create haemostasis, debridement or to shrink the joint capsule in selected cases of instability. Long, fine insulated probes are available which may be powered by standard surgical electrocautery units. The tips are bathed in fluid at all times but essentially the same processes occur at the tissue level as in surgical electrosurgery.
Virtually the only powered instrument in use in Veterinary arthroscopy is the shaver. The shaver is essentially a motorized bur. It may be used to debride cartilage, bone or soft tissues. A range of tips of different designs and sizes are available to manage the different tissues. Tips designed for soft tissues are typically larger and more aggressively toothed. Suction may be applied to the cutting tip via the hand piece to remove debris. The hand piece is driven by a control box operated by finger or foot controls. The speed and direction of cut are selectable. The tips are usually designed to be disposable, however with careful use, cleaning and re-sterilisation they may be re-used. Very expensive to buy new, Veterinary Instrumentation maintains a stock of high quality ex-hospital units for sale.
Radiofrequency devices create heat by inter-molecular friction. Tips are available in both monopolar and bipolar formats and may be used to debride structures such as damaged meniscus or fat pad. Capsular shrinkage by radiofrequency may be used to tighten joint capsules following arthroscopy or injury. Radiofrequency ablation dissolves intra-articular tissues at a relatively low temperature. The resulting debris is removed by suction. The technique is therefore an alternative to the shaver for removing soft tissues. At least one manufacturer supplies combined shaver blades and ablator wands which offer both options on the same intra-articular device.
Phone for details.
Linvatec Shaver
Arthroscopic Procedure Electrosurgical System (OPES)
The Linvatec Shaver System is very interesting from a veterinary arthroscopy point of view as it is able to use 2.0mm micro burs. Other major brands have a minumum blade diameter of 2.8mm which may not seem a very big difference but is almost half as big again.
The Universal Drive Console is a Microprocessor-controlled power unit that drives and controls current Linvatec handpieces. C9820, C9824, C9828, & Micro C9840. The latter is the most useful but most difficult to find. A wide range of current blades are available. CONSOLE FUNCTIONS INCLUDE: Audio response feedback. The unit tells you which direction the bur is moving. Normal (on-off) and variable (accelerator) footswitch speed controls. Footswitch sensitivity controls. Handpiece aspirate mode. Handpiece reverse/forward/oscillate cutting modes. Speed and direction of rotation are displayed. HANDPIECES Balance, sealed and lightweight. Sealed motor assembly. Up to 6000rpm in forward or reverse. Up to 1500rpm in oscillate Suction control valve. Cutting modes are controlled by footswitch or from the drive console. Supplied as kit including console, footcontrol (exact model may vary) and micro C9840 handpiece which take the micro series of blades going down to 2mm with 6 month warranty
Ablation wands
A comprehensive orthopaedic electrosurgical system combining arthroscopic ablation, arthroscopic coagulation, open surgery monopolar and bipolar surgery from one fully digital generator. With 3 in 1 system flexibility, the OPES Electrical Generator is also capable of controlling a host of different instruments, including disposable monopolar arthroscopic electrodes, reusable and disposable monopolar open procedure pencils and tips, and reuseable bipolar forceps. The need for separate and costly systems is eliminated. Provided the surgeon is prepared to agree to an annual purchase commitment Arthrex is prepared to offer its OPES Console (AR-9600) (Value £5,500) on FREE loan. Email info@vetinst.com or phone John to discuss the purchase commitment. AR-9600
OPES Console
AR-9600FB
Bipolar foot pedal
£240.00
AR-9611SFR
Bipolar forceps
£265.00
AR-961CR
Bipolar forceps cable
£120.00
£5,500.00
LINSHAV
Linvatec Shaver System Complete
SBC9960
2mm Linvatec Micro Gator Shaver Blade
£115.00
AR-9610
Monopolar handpiece (disposable) (Box of 5)
£80.00
SBC9950
2mm Linvatec Micro Cuda Shaver Blade
£130.00
VAR-1005-01
Ground pad
£45.00
£125.00
VAR-1005-06
Cable
£70.00
£115.00
Ablation wands and electrodes from
£80.00
BROPES
SBC9911 SBC9961
2mm Linvatec Micro Spherical Shaver Blade 2.9mm Linvatec Micro Gator Shaver Blade
£2,500.00
SBC9962
3.5mm Linvatec Micro Gator Shaver Blade
£115.00
SBC9264
3.5mm Linvatec Gator Shaver Blade
£115.00
SBC9253
3.5mm Linvatec Cuda Shaver Blade
£115.00
SBC9111
4.5mm Linvatec Spherical Shaver Blade
£125.00 47
Opes Literature
£FOC
2
ARTHROSCOPY & LAPAROSCOPY
Vac Pac Vacuum positioning device.
Positioning Aids Manipulation of arthroscopes and instrumentation inside a joint via an image on a monitor screen can be very demanding. Careful positioning of the patient and the surgeon is essential. An operating table, fully adjustable for height and tilt is a prerequisite for good arthroscopy. Once fully draped, orientation around a canine limb can be difficult. Full use should be made of channels, ties and sand bags to fix the overall position of the dog. Sandbags may also be necessary to act as a fulcrum to open a joint maximally for investigation, e.g. elbow. To provide multiple fixed positioning during an investigation a multi arm positioning device is available which when attached between the distal limb and the table may be locked into an infinite range of positions. An optional accessory allows the stifle to be accurately positioned for an investigation.
Thanks to Pat Ridge for the photographs
020062
Simply mould the bead filled bag around or under the patient and hook up to any vacuum source, as the air is removed the bag solidifies in the set position. Especially useful for arthroscopy or any surgery requiring secure accurate positioning. The Vac Pac is: Re-useable Radiolucent
Repairable Warm
VAC-PAC
026000
020065
Multi-arm positioning device with single foot attachment
£225.00
020062
Double limb support for multi-arm
£115.00
020065
Stifle brace attachment for multi-arm (designed by Schulz and Ian Holsworth)
£115.00
026000
VP23
Vac-Pac size 23
45x50cm
£275.00
VP30
Vac-Pac size 30
72x90cm
£395.00
VP31
Vac-Pac size 31
98x90cm
£395.00
VP32
Vac-Pac size 32
118x90cm
£395.00
Clear Adhesive Antibacterial Surgical Drapes with Povidine The majority of human surgeries use clear adhesive drape over the incision site. Benefits include fluid and pathogen resistance, antibacterial, transparent and permeable. 4 sizes available.
020065
CLEAR ADHESIVE SURGICAL DRAPES WITH POVIDINE
Table Top Stand for Limb Suspension
AD1420
14cm x 20cm
20 pieces/box
£30.00
AD2030
20cm x 30cm
20 pieces/box
£40.00
AD3045
30cm x 45cm
20 pieces/box
£60.00
AD4560
45cm x 60cm
10 pieces/box
£60.00
ID6650
Ioban™ Drape 56 x 45cm Single
Redmark Cradles
Suspension of a limb can provide significant benefits in both arthroscopy and other orthopaedic procedures. The shoulder joint is distracted and 360 degree access becomes available. Height 1.2m (48”)
Available individually or as a set of 3 these cradles are the best available. REDMARK CRADLES 026022
Redmark Cradles - set of 3 (S. M, L)
026022L
Redmark Cradle - Large over 32kg
£85.00
026022M
Redmark Cradle - Medium over 13kg - 32kg
£80.00
026022S
Redmark Cradle - Small up to 13kg
£75.00
TABLETOP STAND FOR SUSPENDING LIMB R463
Tabletop stand
£25.00
£115.00
See Chapter 18 for Drapes and Draping. 48
£200.00
2
ARTHROSCOPY & LAPAROSCOPY
www.vetinst.com
Fluid Management
Sterility
Incise drape with fluid collection pouch. Sterile
Arthroscopes Distilled water and an enzymatic cleaner are used to remove gross contamination from arthroscopes, sheaths and trochars. Arthroscopes are available which can be autoclaved. However, repeated autoclaving of even these arthroscopes will significantly reduce their working life. Sterility is more commonly achieved by soaking in an anti-microbial solution. Historically glutaraldehyde based solutions were the norm but health and safety concerns have led to the use of safer chemicals based on oxidation.
Arthroscopy is messy. Collection of fluid run off will minimise what falls to the floor. This opapaque plastic film drape has a 100mm x 100mm incise area and a 200mm x 300mm fluid collection pouch. Free sample on request.
Camera systems Most cameras used for veterinary arthroscopy cannot be autoclaved but the head and cable can usually be soaked in the same solution as the arthroscope. Care should be exercised to avoid contact of the sterilizing fluid with the electrical contacts at the end of the cable. An alternative is the use of a sterile disposable camera sleeve to separate the camera head and cable from the sterile arthroscope eyepiece.
Perasafe Perasafe is a rapid, instrument compatible, user and environmentally friendly, chemical sterilant. Supplied as a safe, space-saving powder, Perasafe is activated by simply dissolving in luke-warm tap water. Provides rapid sterilisation and re-use of endoscopy instruments. Aldehyde-free formulation gives efficacy without harm to instruments, health risks to nursing staff and avoids the need for special fume extraction or waste disposal systems.
INCISE DRAPE WITH FLUID COLLECTION POUCH STERILE DD198961
Incise drape with pouch (Box 40)
£125.00
FCP2527
Fluid Collection Pouch 25cm x 27cm (200 Sterile)
£245.00
Perasafe is a pale blue/white powder which, when in solution, sterilises within 10 minutes. Suitable for all surgical instruments and fibrescopes. Formulated not to damage surgical instruments. Supplied in the following packs.
Puddle Vac Floor Suction Device The Puddle Vac can collect an average of 700ml of fluid per minute. Simply place where required. Connect to standard suction apparatus.
PUDDLE VAC FLOOR SUCTION DEVICE PV9321
Puddle Vac (Pack of 5)
Soak basin for chemical solution disinfection, consisting of basin (perforated) tray & cover for basin, size: 42x16x9,5cm
DE-5-17
Cleaning brush for small cannulae with ID:2-4mm, length 17cm
£105.00 £18.50
• Easy to use measured bottle • 2ml per litre dilution • Removes all organic material • Ideal for endoscopes • Low foam for ultrasonics • Complete rinsibility • Biodegradeable • Tested by The Royal Institute of Public Health RAPIZYME
Supplied in 200cm x 40cm mats, perforated every 25cm for easy tearing. Also available as a 23metre roll.
Bottle 0.5 Litre
£21.50
Books The excellent volume by Beale, Hulse, Schulz and Whitney, the leading authorities in the field of small animal veterinary arthroscopy, covers the subject extremely well and includes a CD Rom showing intra operative views.
Free sample on request SUPER ABSORBENT MATTING Super Absorbent Matting 23 metre roll x 80cm
£55.00
DE-10-425
• Three new enzymes
Super Absorbent Matting is splash resistant and absorbs 6.5litres of water(3.5litres of saline)per mat.
Super Absorbent Mat 200cm x 40cm
£160.00
Perasafe Cold Sterilant 6x81g (5 litres)
Rapizyme
Water, saline, blood or any other fluid on the theatre floor represents a significant slip hazard to personel. In addition free running fluid is much more likely to run and penetrate porous areas creating longer term biosecurity hazard.
ABMATROLL
Perasafe Cold Sterilant 24x81g (5 litres)
100101
£55.00
Super Absorbent Matting
ABMAT40200
100100
£6.75
BK06
£155.00 49
Small Animal Arthroscopy. Beale, Hulse, Schulz and Whitney
£89.00
2
ARTHROSCOPY & LAPAROSCOPY
Laparoscopy Start Up Kit
Laparoscopes for Minimally Invasive Surgery
Instrument choice is determined by personal choice and patient selection. However a starter kit is a useful starting point and offers a discounted approach to setting up.
Standard Laparoscopes
The Arthroscopy kit described is discounted by 10% compared to buying the individual components. In addition to laparoscopic hand instrumentation a suitable camera, light source, CO2 insufflator and electrosurgery generator will be required. Several options, including pre-owned units, are available please telephone or e-mail to discuss options.
T281-5030
Good optics are a pre-requisite for successful laparoscopy. The more you see the easier it becomes. Fritz ’scopes have a patented large image optical system taking in a wide field of vision producing a full screen, very high definition image. All the laparoscopes are autoclavable and have standard eyepiece and light cable connectors.
Code
Description
T281-5030
Wide angle telescope, 0° OD:5mm, WL: 29cm, standard light cable connectors, autoclavable
DE4680-52
Sterilizing & storing tray, 460x80x52mm perforated stainless steel with silicon bars
230-212V
Cannula only with magnetic valve ID:10mm, WL:7cm, inflation stopcock, 55g
230-213V
Cannula only with magnetic valve ID:10 mm WL:7cm, 45g
230-137V
Safety trocar only compatible to cannulas with ID:10mm, WL:7cm, fully dismantable, cork screw handle
231-213V
Cannula only, magnetic valve ID:5.5mm, WL:7cm, inflation stopcock
231-212V
Cannula only, magnetic valve ID:5.5mm, WL:7cm, 30g
231-137V
Safety trocar only compatible to cannulas ID:5,5mm, WL:7cm, fully dismantable, cork screw handle
230-505
Reducer adapter for trocar cannulas with ID:10 to 5.5mm
L-19-120
Veress needle, D:2mm, 12cm, LL(f)
531.23H11V
Atraumatic grasper, curved, 5mm 33cm insulated, rotatable, dismantable, inside ratchet, HF connector
531.02H05V
Mini -Metzenbaum scissors 5mm 33cm insulated, rotatable, dismantable,
531.40H11V
Dissecting forceps, (Maryland) 5mm, 31cm, insulated, dismantable, silicon handle, inside ratchet
X-300-26
Silicon tube, ID:5mm, 3m, LLm both ends
BP-05-321
Bipolar grasping & cutting forceps 5mm, WL:320mm, disposable, universal connector
BP2-533-10
Bipolar grasping forceps with std. handle 5mm, WL:34cm, jaws:13 4,5mm with hook totally dismantable
BP-300-11
Bipolar cable, 3m, comp.to Martin unit to Martin/Berchtold instrument
LAPAROSCOPES - STANDARD T281-5000 T281-5030
Wide angle telescope, 0˚, OD:5mm, WL:29cm, standard light cable connectors, autoclavable
£2,550.00
Wide angle telescope, 30˚, OD:5mm, WL:29cm, standard light cable connectors, autoclavable
£2,550.00
T291-1000
Wide angle telescope, 0˚, OD:10mm, WL:30cm, SIRIUS system, standard light cable connectors, autoclavable £2,250.00
T141-2430
Wide angle telescope, 30˚, OD:2.4mm, WL:14cm, large image technology
S140-2433
Examination Sheath, OD3.2mm, WL: 12cm, Compatible with T140-2430 and T141-2430
T181-4030
Wide angle telescope, 30˚, large image technology, OD:4mm, WL: 18cm, autoclavable £2,250.00
S180-4033
Examination sheath, OD:5.5mm, WL:17cm, compatible to T181-4030, stopcock, inc. blunt trochar £350.00
£2,100.00 £285.00
Laparoscopic view of a Canine Ovary.
LAPAROSCOPY STARTER KIT LAPROKIT 50
Laparoscopy starter kit
£6,450.00
2
ARTHROSCOPY & LAPAROSCOPY
www.vetinst.com
Palpation, Dissection and Puncture Instruments
Trochars and Cannulae Trochar Cannulas with magnetic valving
Laparoscopy First Puncture Needle. Veress 231-213V
LAPAROSCOPY NEEDLE VERESS Veress Needle 2mmx100mm Luer Lock
L-19-120
231-137V
£110.00
Thoracoscopy First Puncture Needle, long version
THORACOSCOPY NEEDLE
230-212V
TR-03-201 230-105V
Thoracoscopy Needle 3mmx200mm includes sharp trochar
£135.00
Palpation Probe and Puncture Cannula
5mm diameter, 330mm long protected interchangeable needle with outer tube. Consists of:
Safety trocar Tissue pressure exposes the sharp tip
L-33 L-33-2 L-210
Trochar cannulas are designed with different types of valves to reduce or to avoid CO2 loss when changing instruments and telescope during laparoscopy and thoracoscopy. Our reusable and patented magnetic valve trocar system has several advantages compared to other valve types. They are lightweight and because of the valve construction, the insertion of instruments and scopes will pass smoothly through without scratching or touching the front lens like in a so called automatic valve system. In addition there is nearly no gas loss even when changing instruments. There are no mechanical parts to clean inside except the magnetic flap itself which is a great help to your staff.
Inside tube Luer lock Connector Outside tube/probe Needle 1x26mm
PALPATION PROBE & PUNCTURE CANNULA L-33-210
Palpation Probe/Cannula
L-210
Injection Cannula 1x26mm compatible to L-33/47
£52.00
L-218
Injection Cannula 1.9x26mm compatible to L-33/47
£52.00
L-218R
Injection Cannula 2x28mm blunt compatible to L-33/47
£52.00
£195.00
Knot tier and cutter
5.5MM INNER DIAMETER CANNULAE FOR 5MM ’SCOPES Cannula only, magnetic valve, ID:5.5mm, WL:7cm, inflation stopcock
£265.00
231-212V
Cannula only, magnetic valve, ID:5.5mm, WL:7cm, 30g
£235.00
231-204V
Cannula only, magnetic valve, ID:5.5mm, WL:7cm, 30g
£340.00
231-137V
Safety trochar only, comp. to cannulas ID:5.5mm, WL:7cm, fully dismantable
£340.00
231-105V
Trochar only, with sharp tip compatible to ID:5.5mm, WL:7cm
£130.00
231-213V
Makes it easy to thread and tighten sutures. Integrated cutting device. 5mm diameter 310mm long. KNOT TIER AND CUTTER L-19-532
Knot Tier Long Version
£225.00
Preparation Safety Sponge Forceps
10MM INNER DIAMETER TROCHARS & CANNULAE FOR 10MM ’SCOPES 230-212V
Cannula only, magnetic valve, ID:10mm, WL:7cm, inflation stopcock, 55g
£315.00
230-213V
Cannula only, magnetic valve, ID:10mm, WL:7cm, 45g
£295.00
230-137V
Safety trochar only, compatible to cannulas with ID:10mm, WL:7cm, fully dismantable, cork screw handles £370.00
230-105V
Trochar only with pyramidal tip for trochars cannulas ID:10mm, WL:7cm
5mm diameter, 3 hooks, 330mm. Matt non reflective surface. Strips fully for cleaning. SAFETY SPONGE FORCEPS
£125.00
GE-10-553 ACCESSORIES
Safety sponge forceps
£295.00
Auto Grasping Forceps
230-505
Reducer adapter for trochar cannulas with ID:10 to 5.5mm
230-525
Snap reducer adapter for trochar cannulas with ID:10 to 5.5mm
£85.00
231-211
Sealing caps, for trochar cannula 5.5mm p. of 10 pcs
£27.00
230-211
Sealing caps for trochars and reducer adapters
£27.00
231-215
Magnetic valve flap 5.5mm, p. of 2 pcs.
£35.00
AUTO GRASPING FORCEPS
230-215
Magnetic valve flap 8/10mm, p. of 2 pcs.
£35.00
L-19-645
£33.00
5mm diameter, Working Length (WL) 320mm. Easily dismantable.
51
Grasping Forceps
£295.00
2
ARTHROSCOPY & LAPAROSCOPY
5mm Instruments Complete
Hand Instruments Fritz hand instruments have a modular construction. The handles, the connecting tubes and the working jaw tips are interchangeable. Easily stripped down for cleaning, compatible to 5mm and 10mm trochar cannulas. All handles have a High Frequency connector.
531.40H11V Dissecting forceps, Maryland), 5mm, 31cm, insulated, dismantable, rotatable, consisting of: jaws insert (53 M 40), sheath (53 R 1) handle (H 01) colour code: black
Handles
531.23H11V Atraumatic grasper,
HA 11/HN 82
curved 5mm,33cm insulated, rotatable, dismantable, inside ratchet, consisting of: jaws insert (53 M 23), sheath (53 R 1) handle (H11, HF-connector), colour code: black
H 01/H 05/H 11 The handles may have plastic coated or stainless handles. They may or may not have a ratchet. The ratchet may be external or enclosed. See individual instruments for exact construction.
531.22H21V Grasping forceps, universal use, 5mm, 33cm, insulated, dismantable, rotatable, outside ratchet, consisting of: jaws insert (53 M 22), sheath (53 R 1) handle (H 21, HF-connector), colour code: black
H 21/H 22
Tubular sheaths 531.27H11V Babcock grasping forceps, 5 mm, 33 cm, insulated, dismantable, rotatable, inside ratchet, consisting of: jaws insert (53 M 27), sheath (53 R 1) handle (H 11, HF-connector), colour code: black
5mm or 10mm diameter options. Different working lengths which may be rotated through 360 degrees. Insulated or stainless steel.
531.35H21V DeBakey grasping forceps, 5mm, 33cm, insulated, dismantable, rotatable, HF-connector consisting of: jaws insert (53 M 35) sheath (53 R 1 handle (H 21, HF-connector) colour code: black
5mm Instruments Complete Scissors Mini-Metzenbaum Scissors 531.02H05V
531.36H21V Bowel grasping forceps, 5mm, 33cm, insulated, dismantable, rotatable, outside ratchet, consisting of: jaws insert (53 M 36), sheath (53 R 1) handle (H 21), colour code: black
Hook Scissors 531.04H05V 536.30H52V Claw grasping forceps, 5mm, 33cm, metal, fixed tube, outside ratchet, consisting of: jaws insert (53 M 36), sheath (53 R 6) handle (H 52), metal *Only available with Axial handles (the frog) Please ask
SCISSORS 531.02H05V
Mini-Metzenbaum Scissors
£450.00
531.0405V
Hook Scissors
£425.00
5MM HAND INSTRUMENTS
Biopsy Forceps Biopsy Forceps 531.60H01V
Biopsy Forceps 531.61H01V
531.40H11V
Dissecting Forceps
£425.00
531.23H11V
Atraumatic Grasper
£425.00
531.22H21V
Grasping forceps
£435.00
531.27H11V
Babcock Grasping Forceps
£435.00
531.35H21V
DeBakey Grasping Forceps
£435.00
531.36H21V
Bowel Grasping Forceps
£435.00
536.30H52V
Claw Grasping Forceps
£435.00
BIPOLAR FORCEPS BP-05-321
Bipolar grasping & cutting forceps 5mm, WL:320mm, disposable, universal connector
BP2-533-10
Bipolar grasping forceps with std. handle 5mm, WL:34cm, jaws:13 4,5mm with hook totally dismantable £695.00
BP-300-11
Bipolar cable, 3 m, comp.to Martin unit to Martin/Berchtold instrument
BIOPSY FORCEPS 531.60H01V
Biopsy Forceps
£425.00
531.61H01V
Biopsy Forceps - Double Action Jaw
£425.00 52
£275.00
£120.00
Chapter 3
3
GENERAL ORTHOPAEDICS & REHAB
Very Large Fragment Forceps
Fragment Forceps Pointed Reduction Forceps Introduction Ideal for fragment reduction, these forceps gently hold fragments in position whilst the permanent fixation is being applied. Particularly useful in the repair of fractures of the distal femur, acetabulum and distal tibia. The smaller sizes are useful in the repair of the long bones of the miniature dog and cat as well as the smaller bones of the distal limbs in large patients.
001200
For use in situations where a very wide ‘gape' is required or where the bulk of the instrument must be well away from the jaw tips. The spin lock version has been recommended for repositioning of the stifle, prior to placement of a lateral suture wire or nylon in CrCL repair.
VERY LARGE FRAGMENT FORCEPS 001201
001202
Very Large Fragment Forceps. 205mm
001203
Very Large Fragment Forceps with Spin lock. 215mm
£70.00 £105.00
Reduction Forceps with hard wire guide
001208
FRAGMENT FORCEPS 001200
Fragment Forceps. 160mm
£60.00
001201
Small Fragment Forceps. 135mm
£60.00
001208
Very Small Fragment Forceps. 100mm
£55.00
Pointed Reduction Forceps with Spin Lock
It is often useful to place a temporary or permanent wire close to the point of forcep reduction. The reduction forceps are a familiar pattern but the addition of a wire guide enables accurate placement of wires up to 1.6mm across the fragment.
Where delicate reduction of fragments is undertaken, ratchet forceps can be frustrating in that they do not give as much ‘feel’ as is desirable. The spinlock version is used initially with the spinlock flipped out giving the surgeon maximum control. Once in place the spinlock is flipped back into position and then gently tightened.
REDUCTION FORCEPS WITH WIRE GUIDE 001201W Reduction Forceps with Wire Guide 140mm long, gape 10-25mm £70.00 001200W Reduction Forceps with Wire Guide 170mm long, gape 15-40mm £70.00
POINTED REDUCTION FORCEPS WITH SPIN LOCK 001201SL
Small Fragment Forceps with Spinlock
001202W Reduction Forceps with Wire Guide 200mm long, gap 25-65mm £80.00
£70.00 53
3
GENERAL ORTHOPAEDICS & REHAB
Twin Point Fragment Forceps
Long Ratchet Schroeder Tenaculum
001205
When lag screwing, it is often the case that the exact point where screw placement should be performed is occupied by the point of the reduction forceps. Twin point fragment forceps are designed to give secure fixation of bone fragments while allowing drilling and screwing between the jaw points. Especially useful in repairs of the fractures of the humeral condyles and the small bones distal to the carpus/hock. TWIN POINT FRAGMENT FORCEPS 001205
Twin Point Fragment Forceps. Straight. 170mm
£60.00
001206
Twin Point Fragment Forceps Curved. 165mm
£60.00
Reduction of a fractured central tarsal bone
A larger springier version of the straight Twin Point Forceps. This forcep is recommended by Jon Dee for reduction of small fragments prior to drilling and screwing. The addition of the longer ratchet increases its range of application over the standard Schroeder.
Ikuta Bone Clamps
SCHROEDER TENACULUM LONG RATCHET 001219
Long Ratchet Schroeder Tenaculum Str 240mm 9.5”
£60.00
Large Twin Point Reduction Forceps with Spinlock
001207B plus 2mm ‘K’ wire plus cat stifle
001207B
001207D 2.1mm slot 4.5mm slot
When using pointed reduction forceps to reduce and compress fractures the position of the jaw tip is exactly where the pilot hole for the screw should be. Use of twin point reduction forceps allows the pilot to be drilled at exactly the correct position. These large forceps are the correct size for most elbows, especially Spaniel elbows, which are most likely to be affected by IOHC.
Ikuta slotted clamps are designed to allow the passage of wires or screws at the point of maximum pressure. The Ikuta clamps are suitable for bones up to 20mm in diameter. The smaller sizes are for wires, the larger for small screws. For even larger screws use 001205 or 001206, Twin Point Fragment Forceps. Alternatively for a springier action try 001219 Long Ratchet Schroeders, a vusellum forcep. See elsewhere in this chapter for further details and pictures.
TWIN POINT REDUCTION FORCEPS WITH SPIN LOCK 001204
IKUTA BONE CLAMPS 001207A
Straight for wires to 2.0mm
£60.00
001207B
Curved for wires to 2.0mm
£60.00
001207C
Straight for screws & wires to 3.0mm
£60.00
001207D
Curved for screws & wires to 3.0mm
£60.00 54
Twin Point Reduction Forceps with Spin Lock 215mm
£125.00
3
GENERAL ORTHOPAEDICS & REHAB
www.vetinst.com
Small Serrated Bone Holding Forceps
Bone Holding Forceps Introduction Sadly there is no such instrument as a universal bone holding forcep. The range of sizes and shapes of bones and bone fragments is immense. Additionally the function required will vary also. Some applications require gentle holding others require aggressive clamping and manipulation. Select appropriate forceps for the procedure.
VI Bone Holding Forceps Manipulation of the long bones of cats and small dogs is difficult without crushing. The serrated jaws of this forcep are contoured to maximise grip and support. The tips are sharp. They may be used as small fragment forceps. SMALL SERRATED BONE HOLDING FORCEPS 001218
Small Serrated Bone Holding Forceps. 140mm
£50.00
Small Curved Serrated Reduction Forceps
001996
A general purpose bone holder for use in maintaining fracture reduction in I/M pinning. Also very useful for lag screwing and bone plating in that drills and screws can be passed through the centre of the jaw at the point of maximum compression. A very popular forcep.
A nice forcep for the manipulation of small bones or small bone fragments. You cannot have too many bone holding forceps!
VI BONE HOLDING FORCEPS 001210
Bone Holding Forceps 155mm
SMALL CURVED SERRATED REDUCTION FORCEPS
£60.00
001996
Small Curved Serrated Reduction Forceps 145mm
£50.00
Reduction Forceps Serrated Jaws Self Centering Bone Holding Forceps Some fracture reductions require that the bone forceps jaws be angled from the handles. Such forceps require: 1. A sophisticated hinge mechanism to allow the jaws to maintain alignment as they open and close. 2. A special locking device which can cope with the laxity at the hinge.
Self Centering Forceps Veterinary Pattern
The spin lock and the special jaw make the instrument very nice to use but very expensive. The veterinary pattern reflects the special requirements of veterinary anatomy i.e. the handles typically have to stand up from the bone compared with the human situation where the limbs are effectively cylinders and the handles can drop away from the bone. SELF CENTERING BONE HOLDING FORCEPS Pancarpal arthrodosis
Photo Alex Li
These reduction forceps have serrated jaws and spin lock which provides secure incremental control. REDUCTION FORCEPS SERRATED JAWS
001209
Self Centering Forceps Very Small - 150mm
£175.00
001211
Self Centering Forceps Small - 190mm
£175.00
001212
Self Centering Forceps Large - 240mm
£175.00
001209V
Self Centering Forceps Very Small - 150mm Vet Pattern
£175.00
Reduction Forceps Serrated Jaws Spin lock 190mm
£65.00
001211V
Self Centering Forceps Small - 190mm Vet Pattern
£175.00
001217/L Reduction Forceps Serrated Jaws Spin Lock 240mm
£75.00
001212V
Self Centering Forceps Large - 240mm Vet Pattern
£175.00
001217
55
3
GENERAL ORTHOPAEDICS & REHAB
Lowman Bone Clamp Veterinary Pattern Cat Size
Kern Bone Holding Forceps
A traditional clamp has been extensively reworked for veterinary patients to include patterns for cats and medium dogs. The human patterns are typically much too big. • Lightweight • Requires minimal exposure • Use to reduce oblique fractures
Kern bone holding forceps give a very firm controllable grip on long bones, facilitating manipulation and reduction of fragments. A quick release ratchet locks the jaws.
• Secures plate to fracture prior to screw placement
Kerns are very useful in general orthopaedics and for surgery around the hip joint, in particular:
LOWMAN BONE CLAMP VETERINARY PATTERN
• femoral shaft fractures
001991
Lowman bone clamp veterinary pattern
• triple pelvic osteotomy
001993
Lowman clamp large <Bone 30mm
£65.00 £105.00
• hip toggle • fractures of the acetabulum. KERN BONE HOLDING FORCEPS
Implant Cutters
001216
Mini Kern Bone Holding Forceps 4.75”. 125mm
£60.00
001213
Kern Bone Holding Forceps 6.75” 170mm (small)
£60.00
001214
Kern Bone Holding Forceps 8.5” 215mm (large)
£60.00
Implant Cutters Surgical Finish Cutting orthopaedic implants with a hack saw is hard work and very time consuming. Stainless steel has the unfortunate property of work hardening i.e. the harder you try to cut it, the harder it becomes.
Dingmans Forceps
The surgical finish cutters are made from stainless steel with tungsten carbide cutting inserts. As with all tungsten carbide instruments avoid cutting at the tips of the inserts as this will fracture the hard-wearing but brittle insert. The close-cut models are designed to cut pins and wires close to the bone surface. It is particularly useful where wires are to be left in situ, e.g. repair of the fracture of the distal femur and tibial crest transplants. Useful for manipulation of bone fragments.
IMPLANT CUTTERS SURGICAL FINISH
DINGMANS FORCEPS (LONG RATCHET) 001470
Dingmans forceps long ratchet. 215mm
£75.00
Plate Holding Forceps
001229
Safety Cutter to 4mm Stainless. 320mm
£195.00
001231
Implant Cutter Stainless to 1/4” 6mm capacity. 490mm
£245.00
001231/A
Implant Cutter Stainless to 1/4” 6mm capacity. Detachable handles to allow autoclaving in Little Sister type autoclaves. Length stripped down 260mm. £290.00
001231VL
Implant Cutter Stainless to 1/4” 6mm capacity. 63cm long
£205.00
001234
Implant Cutter Stainless to 4mm capacity 37cm long
£150.00
001228
Implant Cutter Stainless to 3mm capacity 26cm long
£150.00
001236
Implant Cutter Stainless to 2.5mm capacity. Close Cut
£140.00
001237
Implant Cutter Stainless to 2.2mm capacity. 230mm
£140.00
001238
Implant Cutter Stainless to 1.5mm capacity Close Cut. 150mm
£130.00
001230
Implant Cutter Stainless to 1.5mm capacity. 150mm
£130.00
Side Cutting 2.0 TC Wire Cutter This is a stainless version of our popular industrial wire cutter (001235). TC inserts cut hard wire to a maximum of 2.0mm
These forceps are designed to maintain plate position through a hole in the plate. Without fixation, bone plates tend to slip and slide over the bone surface. The ball, just behind the point of the jaw, locates in the bone plate causing minimal interference elsewhere in the operation site. Also useful as reduction forceps in soft, young bone as the balls prevent over penetration of bone.
001235TC
PLATE HOLDING FORCEPS 001215
Plate Holding Forceps. 160mm
SIDE CUTTING WIRE CUTTER £65.00
001235TC 56
Side Cutting 2.0 TC wire cutter
£105.00
3
GENERAL ORTHOPAEDICS & REHAB
www.vetinst.com Implant Cutters Surgical Finish
Implant Cutter Industrial Finish
001229 001232 & 001233
These items are essentially industrial tools but selected for high quality. The black finish will stain during steam sterilisation but prior spraying with WD40, or similar, will give years of service. When it looks horrible put it in the tool kit and buy another pair. Good value. 001231
001235
IMPLANT CUTTER INDUSTRIAL FINISH 001232 Implant Cutter Industrial Finish to 1/4” 6mm capacity. 460mm £120.00 001233 Implant Cutter Industrial Finish to 4mm capacity. 350mm
£100.00
001235 Implant Cutter Industrial Finish to 2.0mm capacity. 165mm
£50.00
Pin Grip
001234
In situations where pins and wires are inserted for temporary fixation, removal can be performed with a minimum of trauma using pin grips. The jaws are especially designed to be inserted through a small skin incision. A groove in the jaw of the stainless version locates the pin and the device can be locked in position for easy withdrawal - especially useful where threaded pins have been used.
001228
PIN GRIP 001236
Close cut style
001241
Pin Grip Stainless Steel Modified Jaw. 175mm
£60.00
001242
Pin Grip (Ind. Fin.). 165mm
£40.00
Parallel Action Pliers 001237
001238
Close cut style
Useful for bending, holding and cutting small pins and wires, parallel action pliers may also be used in conjunction with bone plate benders for contouring smaller plates. The industrial version will stain and rust with autoclaving. These changes can be minimised by copious lubrication prior to autoclaving together with dry storage. Will cut arthrodesis and ‘K' wires to a maximum of 2.0mm. PARALLEL ACTION PLIERS 001231/A This style of our large pin cutters strips down to fit into small autoclaves.
57
001290
Parallel Action Pliers (Stainless Steel). 170mm
£60.00
001291
Parallel Action Pliers (Industrial finish). 165mm
£40.00
3
GENERAL ORTHOPAEDICS & REHAB
‘K’ Wire / ‘A’ Wire Extraction Forceps
Jacobs Chuck
The standard instrument for insertion of intra-medullary pins, external fixator pins, arthrodesis and "K" wires. The standard chuck has a 1/4" (6mm) capacity. The small chuck has a capacity of 5/32" (4mm) and is particulary useful for placing smaller pins in cats and miniature dogs. The standard chuck can be quite unwieldy in small patients.
Designed to firmly grip wires 0.9mm to 2.0mm. Tungsten Carbide jaws maximise grip, fine nose minimises trauma to surrounding tissue. ‘K' WIRE/‘A' WIRE EXTRACTION FORCEPS 001244
‘K' Wire/‘A' Wire Remover - 140mm
£60.00
JACOBS CHUCK
Wire Contouring Pliers
Actual Size
001220
Small Jacobs Chuck 5/32” Capacity. 260mm
£155.00
001605S
Replacement 5/32” Chuck (& key) only - no handle
£110.00
001606S
Spare key for 5/32” chuck
001221
Standard Jacobs Chuck 1/4” Capacity
£155.00
001605
Replacement 1/4” Chuck (& key) only - no handle
£110.00
001606
Spare key for 1/4” chuck
£20.00
£20.00
Hand Drill
You never know when your air or electric drill might let you down. This high quality hand drill with a genuine Jacobs stainless chuck is useful as a standby or as your main drill. Handle is cranked for better ergonomics (if you hold it in your left hand). Handy for drilling the occasional hole as you do not have to set up the air kit. HAND DRILL 1/4”/6.35MM CHUCK 001680 Hand Drill 1/4”/6.35mm Chuck
£175.00
Wire Passers These devices are used to direct orthopaedic cerclage wire around long bones with minimal trauma. Devascularisation of bone fragments is a serious risk, particularly where cerclage wire is being applied. Devitalised bone can turn into a sequestrum. Try to keep as much soft tissue attachment as possible. Available as a double ended instrument or in single individual sizes.
Use to contour both soft and hard wires. The jaw design has multiple anvil shapes and a pair of soft wire cutters. WIRE CONTOURING PLIERS 001245
Wire Contouring Pliers 150mm
£60.00
Small Pin Vice
001250
WIRE PASSERS This small pin chuck holds wires and instruments up to a diameter of 2.5mm. Particularly useful for finger tip control over insertion of arthrodesis and "K" wires. SMALL PIN VICE 001223
Small Pin Vice. 100mm
£120.00 58
001250
Wire Passer double ended. 145mm
£40.00
001252
20mm dia Wire Passer single ended. 205mm
£23.50
001253
30mm dia Wire Passer single ended. 220mm
£23.50
001254
40mm dia Wire Passer single ended. 250mm
£23.50
001256
Set of 3 single ended wire passers
£55.00
3
GENERAL ORTHOPAEDICS & REHAB
www.vetinst.com ‘Sismey’ Wire Introducer
Cerclage Wire Twisters & Tighteners
A useful kit including wire passing and suture passing needles. The needles may be positioned in a wide variety of different angles.
Introduction Cerclage wire can be a very useful means of fragment fixation. However, inappropriate use can lead to devitalisation and wires are often to be found in the middle of delayed and non-unions. If the fracture reduction is not stable it would be better to take the wire out. Multiple wires may stabilise a situation where a single wire will not. Wires must be tight. Typically one in five wires will break if you are making the loops tight enough. Cerclage wire is tightened by either twisting or tensioning a wire loop.
close up detail
“SISMEY” WIRE INTRODUCER 001255
Sismeys Wire Introducing Set
V1497C
Spare Needles - Large
V1497D
Spare Needles - Small
V1497B
Spare Hollow Tubes (3)
£58.00 £7.00 £7.00 £18.50
Wire Twister / Shear Cutter - STILL THE BEST BY FAR • Jaws lock onto wire to enable easy twisting under tension for kink free cerclage. The wire must be twisted under tension to create an even spiral.
Lesser Wire Passer/Retrieval Forceps
• Improved design long life shear action cutter will cut 18 gauge (1.2mm) wire twisted double. • Serrated jaws grip and turn cut ends. Jaws have fenestration for extra grip • not designed to cut A+K wires and pins • available with tungsten carbide jaws for extra grip
WIRE TWISTER/SHEAR CUTTER 001260
Wire Twister/Shear Cutter. 165mm
£60.00
001261
Wire Twister/Shear Cutter - Tungsten Carbide Jaws. 165mm (not fenestrated)
£75.00
Twisterz - Wire Twister Arnie Lesser is a well known ACVS diplomate who has been working on this design for some time. The serrated tube style tip fixes the position of the drill hole, minimising ‘skate’ and providing soft tissue protection during drilling. The tube guides the cerclage wire or nylon through the hole (no more disappearing holes!). The loop on the other jaw ‘captures’ the implant and pulls it from the blind side. Applications include: • hemi-cerclage • passage of lateral sutures through tibial crest • passage of sutures for hip sling for coxo femoral subluxation • placement of lag screw holes • passage of ischial wires in TPO procedure Features “J” slots for quick capture and release. Textured handle for better grip and control. Bell shaped nut provides better leverage for tightening. Reduced threads require less turning of the nut for locking at wire and handle.
A video illustrating how the Lesser wirepasser/retriever works is available on the web site www.vetinst.com/videos LESSER WIRE PASSER/RETRIEVAL FORCEPS 001268
Lesser Wire Passer/Retrieval Fcps
£70.00
TWISTERZ - WIRE TWISTER
001269
Lesser Wire Passer/Retrieval Fcps Large
£70.00
200010.00 59
Twisterz Wire Twisters. 155mm
£115.00
3
GENERAL ORTHOPAEDICS & REHAB
Wire Tightener for Eyed Wires
Bone Plate Contouring Bone Plate Benders
001286 1.5/2.0mm
Used to tension eyed wires very tightly. The cerclage is finished by kinking the wire back against the eye. See page 138 for wire loops.
001287 2.7/3.5mm
001288 3.5 Broad/4.5mm
Wires with Eyelet Bone plates appropriate for the repair of load bearing long bones are very stiff. Accurate contouring of plates is essential for precise fracture reduction, however, MARKING OF PLATES DURING THE BENDING PROCESS WILL LEAD TO REDUCED FATIGUE STRENGTH. Contoured plates should be placed with adequate support to minimise cyclical loading. Bone plate benders used in pairs are the most economic method of plate contouring.
30°
WIRE TIGHTENER FOR EYED WIRES 001262
Wire Loop Tightener. 125mm
£85.00
BONE PLATE BENDERS
Wire Tightener with Two Cranks for Double Loop Cerclage and Eyed Wire
001286
AO type 1.5/2.0 bending levers (pair) 130mm
£35.00
001285
AO type 2.4 bending levers (pair) 140mm
£40.00
001287
AO type 2.7/3.5 bending levers (pair) 140mm
£45.00
001288
AO type 3.5/4.5 broad bending levers (pair) 200mm
£55.00
Extra long bone levers
Today’s implant stainless steel is much stiffer than 20 years ago yet the design of standard plate contouring equipment remains unchanged. Bending and twisting 3.5mm and 4.5mm plates using standard benders is a challenge. Most TPLO plates require careful contouring and are much stiffer than the original cast Slocum plates.
Use with single crank for eyelet wires. Use both cranks to tighten double loops.
Our longer benders (240mm) with 4mm and 6mm slots are designed with TPLO plates in mind to make bending and twisting much easier.
For a video showing how this product works visit www.vetinst.com/videos
EXTRA LENGTH BONE LEVERS
WIRE TIGHTENER WITH TWO CRANKS 001264
Wire Twister with Two Cranks
001288L
£100.00 60
3.5/4.5/TPLO Bending Levers 240mm
£55.00
3
GENERAL ORTHOPAEDICS & REHAB
www.vetinst.com Reconstruction Plate Pliers
Plate Bending Pliers - Roller Type
001283 Roller Type Plate Bending Pliers
Reconstruction Plate Pliers
PLATE BENDING PLIERS - ROLLER TYPE 001283
Plate Bending Pliers, Roller Type 15”, 380mm. Suitable for 3.5 and 4.5mm plates
£150.00
RECONSTRUCTION PLATE PLIERS 001284A
Reconstruction Plate Pliers for 2.7 plates. 280mm
£130.00
001284
Reconstruction Plate Pliers for 3.5 plates. 290mm
£130.00
AO Type Plate Bending Pliers
Bone Plate Press
001282
These pliers will contour 2.7mm and 3.5mm narrow plates. 3.5 DCPs will require multiple small bends. Also useful for bending guide pins in the Slocum TPLO technique. Available elsewhere for £1000 or more. AO PLATE BENDING PLIERS 001289A
AO Plate Bending Pliers 2.0/2.7mm
£205.00
001289B
AO Plate Bending Pliers 2.7/3.5mm
£245.00
Heavy Duty Bone Plate Pliers to 4.5mm
Bone plates suitable for 3.5mm and 4.5mm screws are extremely difficult to contour in a controlled manner. Most human orthopaedic presses, if large enough to contour the plate, are too large to fit in the typical veterinary surgeon's autoclave. The small bone plate press is designed for all small animal plates and will fit in your autoclave. Will contour 2.7, 3.5, 3.5 broad and 4.5 narrow plates.
The largest bone plate pliers in the range, these will contour all plates other than the 4.5 broad. The bending head has 2 interchangeable anvils and the ‘hammer’ side has 3 different shapes which rotate. This offers the surgeon 6 different contouring options to match different plates and different shapes.
The large press will contour all plates but is 410mm long so check your autoclave before purchase. BONE PLATE PRESS 001281
Bone Plate Press Small 285mm. For plates up to and including 4.5mm narrow
£350.00
001282
Bone Plate Press Large 16” 410mm. For all plates.
£350.00
HEAVY DUTY PLATE BENDING PLIERS 001289C 61
Heavy Duty Plate Bending Pliers
£400.00
3
GENERAL ORTHOPAEDICS & REHAB
Lempert Straight
Actual Size
Bone Gouge Forceps (Rongeurs) Introduction Rongeurs vary with respect to bite size and jaw angle. Where a rongeur has a specific function it is indicated in the description. Punch type forceps and some smaller rongeurs are described in Chapter 6 Spinal Surgery.
Useful for spines and bulla osteotomy.
Simple Action Rongeurs
LEMPERT STRAIGHT
Typically simple action rongeurs offer a wide bite but rely on the physical strength of the surgeon. Most small rongeurs have a simple action.
Lempert Rongeurs Str. 190mm 3mm bite
6730/10
£75.00
VI Small Curved Rongeurs
Compound Action Rongeurs The compound action give a mechanical advantage to the surgeon but reduces the bite width.
Jansen Actual size
A good general purpose rongeur for small bone nibbling procedures, e.g. at excision arthroplasty, arthrodesis, sequestrum removal. SMALL CURVED RONGEURS Small Curved Rongeur. 4mm bite
001300
£60.00 Compound action, powerful but small bite.
Mini-Friedman
Actual size
JANSEN Jansen 19cm 7.5” Curved Rongeur. 4mm bite
142200
£175.00
Ruskin
Actual size
Useful in bulla osteotomy. MINI-FRIEDMAN 142501
Mini-Friedman Rongeur curved. 3mm bite
A heavy duty compound action rongeur.
£60.00
Actual size
RUSKIN 142270
Micro-Friedman A small spine rongeur.
Ruskin (Liston) 23cm 9” Cof Rongeur. 6mm bite
£155.00
Stille-Luer Actual size
MICRO-FRIEDMAN 142502
Micro-Friedman Rongeur curved. 15.5cm. 2.2mm bite
£60.00
A very large rongeur.
Actual size
STILLE-LUER 142305 62
Stille-Luer Heavy Compound Action 8 mm curved
£180.00
3
GENERAL ORTHOPAEDICS & REHAB
www.vetinst.com
Bone Cutters
Compound Action Bone Cutter All three following designs are similar but vary according to size of bite.
Introduction Bone cutters vary with respect to length and angle of cut.
McIndoe
Simple Action Cutters Small Angled Cutters
Compound jointed action gives power but reduces bite size. MCINDOE 141900
McIndoe 17cm 6.75” Aof. 15mm blade
£150.00
Ruskin A very useful small cutter. The jaw is angled to allow cutting where access is restricted, e.g. excision arthroplasty in cats and small dogs and tibial crest transplant. The design allows for transection of the tibial crest while retaining distal periosteal attachments. Also useful for articular cartilage removal in arthrodesis, digit and tail amputations. SMALL ANGLED CUTTERS 001310
Small Angled Cutter. 15mm Blade
£60.00
Liston Similar in design to McIndoe but larger. RUSKIN 141940
Ruskin (Liston) 19cm 7.5” Str. 25mm blade
£150.00
141960
Ruskin (Liston) 19cm 7.5” Aof. 25mm blade
£150.00
Horsley A widely used bone cutter with the following jaw options: straight, angled and curved. LISTON 141700
Liston 15cm 6” Str. 25mm blade
£75.00
141705
Liston 15cm 6” Cof. 25mm blade
£80.00
141710
Liston 15cm 6” Aof. 25mm blade
£85.00
141730
Liston 18cm 7” Str. 25mm blade
£75.00
141735
Liston 18cm 7” Cof. 25mm blade
£80.00
141740
Liston 18cm 7” Aof. 25mm blade
£85.00
HORSLEY
141755
Liston 20cm 8” Str. 30mm blade
£85.00
141660
Horsley 26cm, 10.5" Aof. cutter. 35mm blade
£130.00
141760
Liston 20cm 8” Cof. 30mm blade
£90.00
141660S
Horsley 26cm, 10.5" Str. cutter. 35mm blade
£110.00
141764
Liston 20cm 8” Aof. 30mm blade
£95.00
141660XL
Horsley 45cm, 18" Aof. cutter. 35mm blade
£150.00
141745
Liston 23cm 9” Str. 30mm blade
£115.00
Heavy duty compound action cutters.
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GENERAL ORTHOPAEDICS & REHAB
MIPO Minimally Invasive Plate Osteosynthesis Elevator
Periosteal Elevators Bone Lever/Periosteal Elevator
Hole in tip takes through suture material which is used to pull through the plate
One end of this instrument is bent for use as a hook for retrieving and manipulating bone fragments. The other end is a periosteal elevator useful for clearing soft tissue from bone prior to plating, drilling or burring.
This instrument is not so much a periosteal elevator more a dissecting probe to clear a tunnel under muscle layers for the plate. The periosteum is in fact left intact. Thanks to Andy Moores for the design and photograph.
BONE LEVER/PERIOSTEAL ELEVATOR 001270
Bone Lever/Periosteal Elevator. 195mm. 4mm/7mm
£39.50
Freer Periosteal Elevator
The Freer elevator is a fine instrument which is particularly useful in spinal work.
MIPO ELEVATOR 001276
MIPO Elevator
£47.50
FREER PERIOSTEAL ELEVATOR 7350/05
Freer Periosteal Elevator 5mm. 180mm
Plaster Cutting
£37.50
AO Type Periosteal Elevator
Plaster Shears Bruns/Bohler
The AO type instrument is the archetypal ‘periosteal elevator'. Available in a curved 6mm tip and a square 6mm tip.
Simple action serrated jaw. PLASTER SHEARS BRUNS/BOHLER
AO TYPE PERIOSTEAL ELEVATORS 001271
Curved 6mm Fibre Handle AO type. 180mm
£39.50
001274
Square ended tip AO type. 6mm
£39.50
161405
Plaster Shears Bruns/Bohler. 245mm
£80.00
Plaster Shears Stille
Howarth Dissector (Modified)
001273
Developed by Richard Whitelock specifically to clear soft tissues from the proximal tibia in the TPLO procedure. It is also useful as a general purpose periosteal elevator.
Very powerful compound action. PLASTER SHEARS (STILLE)
HOWARTH DISSECTOR (MODIFIED) 001273
Howarth Dissector (Modified)
161406
Plaster Shears Stille. 245mm
£125.00
£39.50
Engels Plaster Saw Very Fine Periosteal Elevator
VERY FINE PERIOSTEAL ELEVATOR 001272
Very fine 2mm/3mm Periosteal Elevator. 180mm
£37.50
A simple cast saw for removal of plaster casts. Quiet and inexpensive. ENGELS PLASTER SAW 001510 64
Engels Plaster Saw. 145mm
£40.00
3
GENERAL ORTHOPAEDICS & REHAB
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Travers
Self Retaining Retractors Where scrubbed surgical assistance is lacking, self retaining retractors are an invaluable aid. Adequate retraction is essential for good visualisation of the fracture site or lesion. In addition retraction will minimise damage to the soft tissues. Both are key elements of successful orthopaedic surgery.
A blunt multi pronged flat retractor with a relatively wide gape, suitable for skin or large exposures.
Gelpi Self Retaining Retractor
TRAVERS SELF RETAINING RETRACTOR 703050
Travers Self Retaining Retractors 8” 20cm (90mm spread)
£180.00
703051
Travers Self Retaining Retractors 6.5” 16.5cm (70mm spread)
£160.00
703053
Travers Mini 95mm (43mm spread)
£75.00
Wests
The Gelpi is an extremely versatile self retaining retractor useful in almost any orthopaedic procedure. Veterinary Instrumentation Gelpis are different from standard Gelpis in two respects: 1.Short blunt tips give focal retraction for precise exposure of the fracture or lesion. 2. The teeth on the ratchet are smaller than usual giving finer control over the spread of the tips.
A sharp multi pronged curved retractor which can sit quite nicely on our patients without distorting the surgical site.
Gelpis are virtually an extra pair of hands and are invaluable in circumstances where the surgeon is working alone. This is the norm in general practice. The curved shape sits nicely on our patients. Useful in the following procedures and many more: • • • •
Total Head and Neck Excision Meniscal examination Fracture repairs Laminectomies
• • • •
WESTS SELF RETAINING RETRACTOR
CrCL repairs All arthrotomy procedures Wobblers Rib retractors in small patients
703250
Wests Self Retaining Retractor 5.5” 14cm (50mm spread)
703253
Wests Mini 95mm (40mm spread)
£120.00 £75.00
Weislander
Two pairs of Gelpis placed at right angles to one another may be used to create a window into a joint or fracture site. Gelpis are available in a number of lengths. Measurement ‘a’ gives the depth of the tips.
Similar to Wests but flat. Available with sharp or blunt prongs. WEISLANDER SELF RETAINING RETRACTOR 702150
Weislander Self Retaining Retractor 14cm sharp tips (60mm spread)
£130.00
702152
Weislander Self Retaining Retractor 14cm blunt tips (60mm spread)
£130.00
Mini Gelpi and small stifle retractor
GELPI SELF RETAINING RETRACTOR 001330
Gelpi Self Retaining Retractor. 180mm (120mm spread) (a=20mm)
£120.00
001330SL
Gelpi Self Retaining Retractor with spin lock for extra strength (a=20mm)
£120.00
001330S
Gelpi Self Retaining Retractor 180mm sharp tips (a=20mm)
£120.00
001331
Gelpi Long Reach. (a=40mm) 200mm
£120.00
001331L
Gelpi Very Long Reach (a=60mm) 200mm
£120.00
001332
Gelpi Small (50mm sprd)(a=15mm) 135mm
£120.00
0013301
Gelpi Mini Flat(45mm sprd)(a=15mm) 90mm
£70.00
0013302
Gelpi Mini Curved(45mm spread)(a=15mm) 90mm
001333
Odd leg Gelpi (pair). (a=25/40mm)205mm
£250.00
001360
Pin Punch. 135mm
£39.50
001334
Odd leg Gelpi short (pair).(a20/30) 130mm
£250.00
001361
Small Pin Punch. 1.6mm tip 135mm
£39.50
‘K’ Wire / Small Pin Punch
The cut ends of "K" wires, arthrodesis wires and small pins used for fragment fixation e.g. distal femoral fractures, should be buried beneath the bone or articular surface to minimise soft tissue irritation. The tip of the punch is concave to locate onto the pin end. The other end is struck with a mallet. Use 001360 for pins and 001361 for wires. “K” WIRE/SMALL PIN PUNCH
£70.00
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GENERAL ORTHOPAEDICS & REHAB
‘K’ Wire Bender
Osteotomes Light
Swedish Pattern
Use an osteotome to make a precise elective cut, e.g. trochanteric osteotomy, excision arthroplasty. OSTEOTOMES
Small wires are commonly used to re-attach bone fragments which have been produced either by trauma or electively by osteotomy. To minimise ‘backing out', the cut ends of "K" wires and arthrodesis wires should either be buried or bent sharply and cut 5-10mm from the bend. The cut ends are then rotated to the most comfortable position (see photo). Bending with fingers or pliers is difficult to control and is very likely to damage the repair. The "K" wire/small pin bender is designed to slip over the wire concentrating all the bending forces at the pin/bone interface. The instrument is double ended, the small end is for 0.9mm, 1.1mm and 1.4mm wires, the large end is for 1.6mm & 2.0mm wires. "K" WIRE/SMALL PIN BENDER 001362
“K” Wire Bender. 140mm
623880
Osteotome Swedish 30mm x 205mm
£39.50
623870
Osteotome Swedish 25mm x 205mm
£39.50
623860
Osteotome Swedish 20mm x 205mm
£39.50
623850
Osteotome Swedish 15mm x 205mm
£39.50
623840
Osteotome Swedish 12mm x 205mm
£39.50
001341
Osteotome Light 15mm x 140mm
£39.50
001342
Osteotome Light 12mm x 140mm
£39.50
001343
Osteotome Light 10mm x 140mm
£39.50
001344
Osteotome Light 8mm x 140mm
£39.50
001345
Osteotome Light 6mm x 140mm
£39.50
001346
Osteotome Light 4mm x 140mm
£39.50
Chisels £39.50
Modular Osteotome with ultra-thin interchangeable blades and Diamond Rasp
Use a chisel where heavier bone removal is required, e.g. sequestrum removal. CHISELS
The osteotome is supplied as a comfortable handle into which fits a large range of blades. The blades are very thin 1.1mm making them suitable for a variety of procedures including block sulcoplasty. The block including the articular cartilage may be harvested with minimal breakage of the block. Supplied as a handle plus the following blades 4mm, 6mm, 8mm, 10mm, 12mm, 15mm and 20mm. A new diamond-coated 6mm rasp has been added to the range to tidy up the corners of the sulcoplasty.
001350
Chisel 12mm x 205mm
£39.50
001351
Chisel 10mm x 140mm
£39.50
001352
Chisel 8mm x 140mm
£39.50
001353
Chisel 6mm x 140mm
£39.50
001354
Chisel 4mm x 140mm
£39.50
162350
Chisel Swedish 15mm x 205mm
£39.50
162360
Chisel Swedish 20mm x 205mm
£39.50
162370
Chisel Swedish 25mm x 205mm
£39.50
Gouges
MODULAR OSTEOTOME
Use a gouge where bone contouring is essential.
001380
Modular Osteotome complete with 7 blades
£160.00
001382
Modular Osteotome replacement Blade 4mm
£18.00
001383
Modular Osteotome replacement Blade 6mm
£18.00
001384
Modular Osteotome replacement Blade 8mm
£18.00
001385
Modular Osteotome replacement Blade 10mm
£18.00
001386
Modular Osteotome replacement Blade 12mm
£18.00
001387
Modular Osteotome replacement Blade 15mm
£18.00
001388
Modular Osteotome replacement Blade 20mm
£18.00
001389
Modular Diamond Rasp 6mm
£36.00
GOUGES
66
001355S
Gouge 12mm x 140mm
£39.50
001355
Gouge 12mm x 205mm
£39.50
001356
Gouge 10mm x 140mm
£39.50
001357
Gouge 8mm x 140mm
£39.50
001358
Gouge 6mm x 140mm
£39.50
001359
Gouge 4mm x 140mm
£39.50
3
GENERAL ORTHOPAEDICS & REHAB
www.vetinst.com Orthopaedic Mallet
Orthopaedic Distractors VI Pattern
For use with osteotomes, chisels, gouges and staples. Different weights are available according to surgeon preference and patient size. Application:
ORTHOPAEDIC MALLET 001323
Mallet 140g
£40.00
001320
Mallet 300g
£40.00
001321
Heavy Mallet 500g. 240mm
£50.00
001325
Nylon Faced Mallet 500g. 240mm
£50.00
• Overcoming muscle contraction prior to fracture reduction • Accurate alignment of bone fragments prior to plating Features: • Locking wing nuts fix the distractor as a scaffold for the bone fragments to facilitate plating.
Trephine
• Three joints maximise flexibility
Stainless steel and re-usable with a retractable stylet. Extend the stylet to provide secure location at the trephine site until trephine teeth bite. Withdraw the stylet to harvest the bone. Push the bone core out using the stylet. Where a very long core is required the stylet may be removed completely.
• Use with external fixation pins 3.2mm to 4.0mm. VI PATTERN 001500
Orthopaedic Distractor. 330mm
£335.00
AO Pattern (Human)
• Creation of window for bone graft harvest. • Less risk of iatrogenic fractures than with use of bone pins or drills • Cortical bone biopsy • Two joints
• Available in three diameters.
• Heavier • More powerful with tommy bar lever
TREPHINES 001425
Trephine 8mm o/d 6mm core. 170mm
£70.00
AO PATTERN (HUMAN)
001426
Trephine 6mm o/d 4mm core 115mm
£70.00
001502
001427
Trephine 5mm o/d 3mm core. 115mm
£70.00
Orthopaedic Distractor. AO pattern. 410mm
£245.00
Small Distractor with Ratchet
Bone Scoops Volkman/Brun
Useful for heavy curettage and collection of cancellous bone grafts. VOLKMAN 782200
Volkman Single Ended Scoop 4mm x 170mm
£32.50
782205
Volkman Single Ended Scoop 3mm x 170mm
£32.50
782210
Volkman Single Ended Scoop 5mm x 170mm
£32.50
782220
Volkman Single Ended Scoop 6mm x 170mm
£32.50
782600
Volkman Scoop Double Ended Small 4mm/6mm x 200mm
£39.50
782610
Volkman Scoop Double Ended Medium 5mm/6mm x 200mm
£39.50
782620
Volkman Scoop Double Ended Large 6mm/8mm x 200mm £39.50
The small ratcheted distractor uses 1.5 or 1.6 K or A wires as distraction pins. The pins are driven into place through the tubes on the distractor arm. Threaded pins may be used for additional security. Squeezing the arms of the distractor separates the pins and thus the bone fragments and the ratchet hold them in the new position. Range of distraction 12mm - 60mm. SMALL DISTRACTOR WITH RATCHET 001503 67
Small Distractor with Ratchet 185mm
£190.00
3
GENERAL ORTHOPAEDICS & REHAB
Bone Scribe
Drill & Screw Gauge
A very sharp marking point with an easy to hold handle enables the surgeon to mark bone prior to cutting or rotating (Slocum procedure). One end is pointed and the other is sharpened as a blade.
Measures screws up to 60mm and drills from 1.1mm to 3.5mm.
BONE SCRIBE 001494
Bone scribe (double ended) 200mm
£21.50
DRILL AND SCREW GAUGE Screw and drill gauge. 60mm
001496
Stainless Vernier Caliper
£15.00
Esmarch Bandage
Useful for very accurate measurement of screws, drill bits and bone intra-operatively. Supplied with full instructions for use. Accurate to 0.1mm.
Exsanguination of the distal limbs makes visualisation of the small bones and associated structures much easier, eg carpal arthrodesis. Wrap from digits and then unwrap from digits. Made from latex rubber, supplied non-sterile. ESMARCH BANDAGE Esmarch Bandage 75mm
090169
STAINLESS VERNIER CALIPER 001490
Vernier Caliper Stainless Steel
£80.00
001490D
Digital Vernier (Non Autoclavable)
£47.50
£19.50
Splints
Orthopaedic Ruler
Padded Splints Made from green foam lined plastic, splints provide temporary first aid support until surgery is appropriate. Alternatively use for longer term support where other forms of fixation are inappropriate.
imperial
PADDED SPLINTS
metric
Used to measure pins, wires, drills and screw diameter. Supplied in either metric or imperial sizes.
Orthopaedic Ruler Imperial. 175mm
£21.50
001497
Orthopaedic Ruler Metric. 175mm
£21.50
Padded splint. Small. 210mm
£3.50
090121
Padded splint. Medium. 310mm
£4.00
090122
Padded splint. Large. 410mm
£4.50
www.vetinst.com
ORTHOPAEDIC RULER 001498
090120
On-line store for all VI products: Browse or Quick order
Ruler with Radio Opaque 1.0mm scale
Your on-line training resource: Video downloads Step by Step guides - FAQs
X-ray from Alex Li
While digital radiography has huge benefits it can be difficult to scale images. The problem is compounded when prints are made for viewing by a third party. e.g. BVA/KC Elbow Dysplasia Scheme where accurate measurements down to 2mm are very important. The new ruler is 120mm long and graduated in 1.0mm increments. Placed at the level of the bone or joint under investigation at the time of radiography it will enable accurate scaling of lesions. Reduced visibility over 70kV 16mAs Also available in 500mm length. RADIO OPAQUE RULER 001495
Radio Opaque Ruler 120mm
Supra Condylar Wedge Osteotomy plus Trochleaplasty Simon Roch & Toby Gemmill
Designed by Vets for Vets
£29.50 68
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GENERAL ORTHOPAEDICS & REHAB
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Carpo-Flex Range
Dressing & Support
Carpo-Flex are a range of supports designed to stablise and support the carpus, helping reduce carpal deviation and hyperextension.
Medipaws Waterproof/breathable, facilitates compliance, reduces rewraps, saves resources.
Available in 3 support grades. Carpo-flex Sports Wrap - Light Support Carpo-flex X - Moderate Support
Available in 7 colour-coded sizes
Carpo-flex Splint Kit - Strong Support to Complete Immobilisation
A professional waterproof but breathable cover for dressings and casts. Available in 5 colour-coded sizes, they have a durable no-skid bottom, and elasticised straps with Velcro closures as well as an upper cord lock.
Made from neoprene, with elastic straps. Add L for Left or R for Right to code.
MEDIPAWS
More info on www.therapaw.com
200015
Medipaws Boot Extra Small wide
£9.00
200020
Medipaws Boot Extra Small
£9.00
CARPO-FLEX SPORTS WRAP (LIGHT)
200025
Medipaws Boot Small
£9.75
Code
Size
Carpus
Price
200030
Medipaws Boot Medium
£10.50
200011
XS
11.5cm
£29.00
200035
Medipaws Boot Large
£11.25
200012
S
12.5cm
£29.00
200037
Medipaws Boot Large wide
£13.50
200013
M
15cm
£31.00
200040
Medipaws Boot Extra Large
£13.50
200014
L
17.5cm
£31.00
200055
Medipaws Boot (Set of 3 S, M, L)
£27.50
200050
Medipaws Boot (Set of 7)
£62.50
CARPO-FLEX X (MODERATE) Code
Size
Carpus
Price
200070
XS
9.5cm
£50.00
200071
S
10cm
£50.00
200072
M
14.5cm
£55.00
Thera-Paw acts as a reusable bandage with a protective base
200073
L
19.5cm
£55.00
200074
XL
21.5cm
£60.00
• The ultra-cushioned sole alleviates pain, reducing lameness and promoting more even weight distribution.
CARPO-FLEX SPLINT KIT (STRONG)
Thera-Paw
Code
Size
Carpus
Price
• The use of perforated top-sole material and cutout design allow the paw to breathe and keeps the injured site free from moisture build-up.
200060
XS
9.5cm
£60.00
200061
S
10cm
£60.00
200062
M
14.5cm
£65.00
• The rubberized, non-skid base and toe-cap are waterproof, protect the site from further injury, and provide better traction.
200063
L
19.5cm
£65.00
200064
XL
21.5cm
£70.00
• The vertical closure design runs parallel to the carpal/tarsal bones, dispersing pressure over a wide area.
Dorsi-flex
• Thera-Paw is easily cleaned by rinsing it under warm water. Mild detergent may be used. It air dries in under 1 hour, and is ready for immediate reapplication.
Dorsi-flex is a physical aid to normal placement of the hind foot which is aimed to help reduce knuckling, assist with tarsal/hock flexion & digital extension and act as a mobility aid for unstable or weak distal hind limbs. Includes a Thera-Paw boot plus adjustable tension straps & tarsal anchor strap.
• The front opening and closing mechanism makes it easy to slip Thera-Paw into place. • The outer safety strap provides additional security, to ensure that Thera-Paw stays on even the most active dogs. • The dual closing mechanism reduces the risk that a dog can remove the garment.
Easily fitted & cleaned More info on www.therapaw.com
THERA-PAW 200002
Thera-paw Small (T/B)
£13.00
DORSI-FLEX
200003
Thera-paw Small/Medium (T/C)
£13.50
Code
Size
T’paw
Max Tibia
200003#2
Thera-paw Small/Medium#2 (T/D)
£13.50
200021
XS
S/M#2
11.5cm
200004
Thera-paw Medium (T/E)
£14.00
200022
S
M
14cm
£60.00
200005
Thera-paw Medium/Large (T/F)
£14.00
200023
M
M/L
16.5cm
£60.00
200006
Thera-paw Large (T/G)
£15.00
200024
L
L
21.5cm
£62.50
69
Price £57.50
3
GENERAL ORTHOPAEDICS & REHAB
DogLeggs...Adjustable.
Thermo Plastic Splinting
Management of elbow hygroma and decubital ulcers is very difficult without changing the environment or behaviour which is causing the problem. If this is not possible the use of protective dressings may be the only solution. DogLeggs are designed specifically for the purpose. They are made from comfortable machine washable materials and stay where they are needed. DogLeggs provide comfort and protection while allowing complete freedom of movement. Available in five sizes or may be custom made.
Marq-Easy Thermo Plastic Splinting Rectangular Sheets
• Post-surgical use • Easy to Use increasing client compliance. Owners want a solution. • Suitable for use 24/7 in chronic cases The wide variety of shapes and sizes of animal patients makes splinting a challenge. Thermal plastic, widely used in human medicine, is heated in hot water and moulded to a specific custom shape for the patient. The thermal plastic material is available in a variety of rectangular- sized flat sheets. White.
To determine which size is required 1. Measure around the leg at the point of the elbow. 2. Measure around the leg at a point 4” (100mm) below the point of the elbow. 3. Select chest strap. The chest strap holds the DogLeggs in the correct position. Some dogs manage without.
MARQ-EASY THERMO PLASTIC SPLINTING Rectangular Sheets
DOGLEGGS
940A
Thermo Plastic Splinting Sheet - 1/8” thick. 4” x 9” For narrow long legs
£15.00
£80.00
940B
Thermo Plastic Splinting Sheet - 1/8” thick. 6”x 12
£25.00
Medium/Large 10”/8” (250mm/200mm)
£82.50
940C
Thermo Plastic Splinting Sheet - 1/8” thick. 12” x 24”
£80.00
Large 12”/10” (300mm/250mm)
£85.00
Extra Large 14”/12” (350mm/300mm)
£87.50
Velcro Straps Use in areas that do not require dressing to help hold the splint in proper position. Kit includes Velcro 1" x 36" strap and 12" hook patch with one side adhesive. Both can be trimmed to customise the splint.
0746A
Small. 6”/4” (150mm/100mm)
£77.50
0746B
Medium 8”/6” (200mm/150mm)
0746C 0746D 0746E CHEST STRAP 0746AS
16”/400mm
£11.00
0746BS
18”/450mm
£11.50
0746CS
20”/500mm
£12.00
0746DS
22”/550mm
£12.50
0746ES
24”/600mm
£13.00
VELCRO STRAPS Velco Straps
940V
£8.50
Compact Foam Lining
Cushy-Paws
Soft and comfortable with seam-free inner sock & wide elastic fitting strap. Grippy rubber sole to help unstable dogs maintain traction on hard or slippery floors. More info on www.therapaw.com Indoor use only — price per pair Add B for Blue or P for Pink to code This special foam padding with one adhesive side can be placed into the splint for patient comfort. Blue. 16" x 24" x 3/8" thickness.
CUSHY-PAWS Code
Size
200016
XS
£24.00
Price
COMPACT FOAM LINING
200017
S
£24.00
940X
Compact Foam Lining Blue 16" x 24" x 3/8" thickness
200018
M
£24.00
940CD
CD illustrating the use of thermoplastic splinting
200019
L
£24.00
940P
Heat gun for softening thermoplastic
70
£32.50 FREE £29.50
3
GENERAL ORTHOPAEDICS & REHAB
www.vetinst.com
Mobility Carts
Walkin’ Wheels
Trolleys to support dogs' hind limbs in the event of loss of partial or total mobility. Characteristics: - Welded, galvanized metal and aluminium chassis - Height and length adjustable - Adjustable straps - Synthetic protective fur, removable for washing - Soft rubber wheels - Reinforcement hoop to lift the animal and to help it to cross the pavement. This cart is the first totally adjustable dog wheelchair. Available in three sizes. The lightweight construction can be adjusted by simple snap locks in minutes without tools.
Indications: - Paralysis or paresis of dogs’ rear limbs, particularly in German Shepherds, Labradors, Dachshunds, Poodles, Fox Terriers etc. - Functional re-education following a slipped disc - Temporary immobilization of the rear limbs following surgery or injury, fitting a plaster cast, a splint, external fixators, etc...
Also folds flat for carrying, storage and shipping. WALKING WHEELS
On request: Code
- Axle offset to improve the mobility of a handicapped animal, allowing use of the hind feet - Inflatable wheels for the large model - Model for cats - Model made to measure with the following information:
260406
Small
260407
Medium
260408
Large
Length back of foreleg to back of hindleg
Height groin to floor
Width at the widest point
Price
15-23cm
150/130mm
50/130mm
£500.00
23-48cm
130/380mm
130/240mm
£600.00
48-73.5cm
380/580mm
300/400mm
£700.00
1. Thoracic strap, circumference at the level of the forefeet
Handy Canis Harness
2. Space between the front and back feet
A simple harness which provides balance and support whilst helping minimise owner’s back strain.
3. Height under the tail CANIS-MOBILE Code
1 (Circumference mm)
2 min/max
3 min/max
260400
Small Dog
410 max
160/260mm
170/270mm
£335.00
260402 260404
Medium Dog
660 max
250/350mm
240/380mm
£375.00
Large Dog
900 max
350/500mm
410/560mm
£435.00
Price
HANDY CANIS HARNESS 227250
XS
Yorkshire Terrier
227252
S
Dachshound
£23.50
227254
M
Basset Hound
£24.50
227256
L
Retriever, German Shepard
£25.50
227258
XL
St Bernard
£26.50
£22.50
Adjustable Thomas Splints Used for temporary stabilisation of fractures, particularly of the proximal limb pending internal/external fixation. May also be used as sole means of fracture management where severity of fracture or economics preclude a more sophisticated repair. Take care not to allow distal ring to sit at fracture site.
1
Stainless steel manufacture. Splint is adjustable for length. ADJUSTABLE THOMAS SPLINTS (diameter of circle mm)
3
2 71
272100
Hind leg size 1
100
£28.50
272110
Hind leg size 2
120
£29.50
272120
Hind leg size 3
150
£30.50
272130
Hind leg size 4
160
£31.50
272140
Fore leg size 2
100
£30.50
272150
Fore leg size 3
140
£31.50
272160
Fore leg size 4
180
£32.50
3
GENERAL ORTHOPAEDICS & REHAB
Biko Kit includes:
Mobility Assist
Set of two braces, Set of two hindfoot cuffs and Instructions for the programme of use For more information including videos view online at www.biko.co.at/indexenglish.php A DVD illustrating the benefits of the Biko brace and the measurements required is available free of charge. BIKO CANINE PHYSIO BRACE
Degenerative myelopathy (CDRM) is not uncommon, particularly in the German Shepherd, Boxer and Pembroke Corgi. It is a difficult condition to manage either medically or surgically. Whilst the progression of the degeneration can be delayed by dietary supplements, treatment options are very limited. Sooner or later the control over the hind limb deteriorates to the point where walking and particularly turning is difficult. Excoriation of the toes and dorsal surface of the foot typically follows. Affected dogs are well in themselves and owners are often highly motivated. Keeping the dog as active as possible is important to delay progression. The Biko physio brace has been developed to assist the dog in walking and turning for as long as possible. The system is based on elastic straps which run from a chest harness to the hind feet. As the the hind foot reaches the end of the stride and the weight is transferred to the opposite foot the strap helps to bring the trailing foot straight forward ready for the next stride thereby compensating for the loss of muscle tone.
BIKOAABB
Biko Physio Brace (all sizes) suggested client price
BIH1
Harness Small Black
BIH2
Harness Medium Black
BIH3
Harness Large Black
£11.00
BIH4
Harness Very Large Black
£14.00
DVDBIKO
Biko DVD
£94.50 £140.00 £7.50 £8.50
£FOC
K9 Float Coat The use of water treadmills and/or swimming as non weight bearing exercise are becoming increasingly popular in canine rehabilitation. Necessary precautions should include the use of a quality life preserver with the means of rapid removal from the water. The Float Coat has a durable nylon shell with an ergonomic fit. The coat has high buoyancy and a low profile assistance handle. The handle and coat are strong enough to support and lift the dog from the water. Secured by quick release buckles the Float Coat is supplied in green. Also useful for dogs who love the water but are not as strong a swimmer as they used to be.
Dogs suffering from nerological deficits, both temporary and permanent, due to disc pathology will also benefit from the Biko brace. The brace is simple to apply and is tolerated very well. Dogs resume useful levels of activity significantly improving the length and the quality of their lives. The physiotherapy occurs whenever the dog is walking which makes it more effective than sessional hydrotherapy or physiotherapy. Use of the Biko brace delays euthanasia or use of a cart. Feedback from owners is excellent.
K9 FLOAT COAT CODE
SIZE
GIRTH
LENGTH
VET PRICE
02978a
XXS
12”-19”
9”
£50.00
£69.00
RRP
02978b
XS
17”-24”
12”
£50.00
£69.00
For best results the brace should be exactly the correct length. Selection of the appropriate brace requires that the patient is measured as shown.
02978c
S
23”-30”
16”
£50.00
£69.00
02978d
M
27”-32”
21”
£62.00
£85.00
Once fitted the programme supplied should be followed closely for best results. Use of the Biko brace may be combined with other therapies such as physio or hydrotherapy.
02978f
L
31”-40”
25”
£62.00
£85.00
02978g
XL
35”-48”
35”
£62.00
£85.00
Measurements: Girth= measurement around widest part of ribcage.
Should scuffing continue we recommend the use of Therapaws (see page 69)
Length = distance from back of neck to the base of tail.
Web Master Harness Measurements and coding
The safe use of hydrotherapy should include either a float coat or, for experienced swimmers, a safety harness. Patients should not be swimming with a simple collar. The Web Master Harness is comfortable and cushioned in all the right areas but strong enough to lift the dog from the water.
Before the dog can be measured for the Biko device an appropriate harness must be in position. This may be supplied by the veterinary surgeon or purchased elsewhere. If there is any difficulty we can supply (see pricing section). The caudal ring of the harness should sit just behind the scapulae in the centre of the spine. If the ring is too far back it will limit the effectiveness of the Biko device. Some harnesses drop the ring too far caudally e.g. a large harness on a stocky dog.
Manufactured from heavy duty nylon with quick release buckle. Designed with hydrotherapy in mind but also useful as a mobility assist in any dog unsure of its footing into cars or up steps etc.
Measurement ‘A’ is the distance from the ring to the cranial aspect of the proximal metatarsus. Measure ‘B’ is the circumference around the foot at the level of the proximal metatarsus.
Colour is black and red.
Coding. Using the above measurements the product code becomes BIKOAABB, where AA is measurement A in cms and BB is measurement B in cms.
WEB MASTER HARNESS
72
CODE
SIZE
GIRTH
LENGTH
VET PRICE
02979a
XXS
12”-19”
10”
£44.00
£60.00
RRP
02979b
XS
17”-24”
13”
£44.00
£60.00
02979c
S
18”-30”
16”
£44.00
£60.00
02979d
M
23”-36”
19”
£50.00
£75.00
02979e
L
31”-48”
22”
£50.00
£75.00
Chapter 4
4
EXTERNAL FIXATION
Single KE Plus Clamp
Introduction External fixation can offer major advantages over “conventional methods” in the management of many fractures. 1. Relatively easy to apply. 2. Maintains limb use and joint mobility.
Medium KE Plus with large positive pin
3. Well tolerated by patients. 4. Low cost c.f. plating systems and is largely re-useable. 5. Relatively low risk procedure. 6. Particularly useful in the presence of infection
Medium KE Plus with small positive pin
SINGLE KE PLUS CLAMPS 001525
Large Single KE Plus Clamp
£15.50
001526
Medium Single KE Plus Clamp
£15.00
001527
Small Single KE Plus Clamp
£14.50
Single KE Clamp
This clamp remains the industry standard in veterinary orthopaedics. Most criticisms levelled at KE are usually attributable to pilot error. Used correctly KE is very effective. Used to attach fixation pin to connecting bar, the single clamp is the key element of any external fixation frame. Its size will dictate the size of the fixation pin and the size of the connecting bar. The greater the diameter of the connecting bar and the greater the number of connecting bars, the stronger the apparatus.
Fixator Systems KE Plus ‘The Second Generation'
As a guide, we would suggest small clamps for up to 5kgs, medium clamps for 5 - 30kgs, and large clamps or multiple medium frames for over 30kgs.
KE equipment is a very versatile system which has stood the test of time and remains the industry standard. However, one major limitation is that positive threaded pins cannot be inserted through the standard clamp. Most authorities are recommending the use of at least some positive threaded pins in any construct.
Each clamp will accept a variety of pins. The pin size indicated is the largest possible. Smaller pins will also work although the fixation is not quite as rigid. e.g. the proximal radius may need a slightly smaller pin than the distal radius.
Veterinary Instrumentation has developed KE Plus specifically to increase the range of pins which may be used including positive threaded pins. For any given size of clamp it is now possible to use both larger and smaller diameter pins than standard KE systems. KE Plus is fully compatible with your existing KE set up. KE Plus clamps have a matt finish compared with the polished standard KE clamps.
SINGLE KE CLAMP
Insert sleeves may be used through the KE Plus clamps to act as soft tissue protectors for pilot drills. See table on page 75 for insertion data. 73
001583
Large KE Clamp Single (Max 4mm)
£13.50
001591
Medium KE Clamp Single (Max 3.2mm)
£13.00
001593
Small KE Clamp Single (Max 2.4mm)
£12.50
4
EXTERNAL FIXATION
Double Clamps
Extra Large Clamps and Bars Standard KE clamps made very much larger. Bars are 1/2" 12.5mm in diameter. Clamps will accept up to 5/16" 8mm pins. Suitable for foals and calves. EXTRA LARGE CLAMPS & BARS
Used to attach a connecting bar to another connecting bar. If possible, the fixation pins in the proximal fragment should be linked to the pins in the distal fragment via single clamps and a single connecting bar. This is not always possible because of the shape of the bones or the angle of placement of the pins.
Small Double Clamp
£20.00
Medium Double Clamp
£22.00
001584
Large Double Clamp
£24.00
£37.50
Extra Large Double Clamp
£75.00
EXL09
Extra Large Connecting Bar 100mm
£22.50
EXL05
Extra Large Connecting Bar 150mm
£22.50
EXL06
Extra Large Connecting Bar 200mm
£27.50
EXL07
Extra Large Connecting Bar 300mm
£32.50
EXL08
Extra Large Connecting Bar 400mm
£37.50
Occasionally it is necessary to add a pin to a frame to improve stability. If the pin is required in the middle of a frame it will be necessary to dismantle the whole frame. The split clamp enables the surgeon to introduce additional pins without disassembly. When fully loosened the clamp slides over the connecting bar. Not as secure as a standard single clamp.
DOUBLE CLAMPS 001592
Extra Large Single Clamp
EXL02
Split Clamp
It may be necessary to connect the pins in the proximal fragment to a short connecting bar and the pins in the distal segment to another short connecting bar. Finally the two short connecting bars are joined by a long connecting bar using double clamps. The frame is not as rigid as the single connecting bar frame. Double clamps may be used to connect long bars proximally and distally, as in type III frames.
001594
EXL01
SPLIT CLAMP
Connecting Bars
001547S
Small Split Clamp Single
£18.50
001547M
Medium Split Clamp Single
£19.00
001547L
Large Split Clamp Single
£19.50
ESF Hinge
Connecting bars are available in 5/16" for large clamps, 3/16" for medium clamps and 1/8" for small clamps. The thicker the bar, the stronger the frame. The shorter the bar between bone fragments, the stronger the frame. Rigidity is important early in fracture healing. When significant callus is present, it is often helpful to introduce some slight axial motion by either removing some pins or moving the clamps further away from the bone. This is known as staging down or dynamising. Bars are available in a variety of lengths. CONNECTING BARS 001595
Small Connecting Bar 1/8" x 30mm
£5.00
001559
Small Connecting Bar 1/8" x 50mm
£5.00
001590
Small Connecting Bar 1/8" x 75mm
£5.50
001596
Small Connecting Bar 1/8" x 100mm
£5.50
001560
Small Connecting Bar 1/8" x 150 mm
£6.00
001588
Medium Connecting Bar 3/16" x 75mm
£6.50
001576
Medium Connecting Bar 3/16" x 100mm
£6.50
001587
Medium Connecting Bar 3/16" x 150mm
£7.00
001589
Medium Connecting Bar 3/16" x 200mm
£7.00
001589XL
Medium Connecting Bar 3/16" x 250mm
001586
Large Connecting Bar 5/16" x 100mm
£10.50
001563
Large Connecting Bar 5/16" x 150mm
£10.50
001585
Large Connecting Bar 5/16" x 240mm
£14.00
001549
Large Connecting Bar 5/16 " x 340mm
£20.00
£8.00
Designed specifically to maintain reduction of luxated hips by means of a simple frame on the pelvis, the ESF hinge is also useful in transarticular frames where continued mobility is desirable, e.g. hock and elbow. Attaches to standard KE equipment. Relatively weak in abduction. Supplied with instructions for use. ESF HINGE
74
001597
ESF Hinge Joint
Small
£42.00
001598
ESF Hinge Joint
Medium
£44.00
001599
ESF Hinge Joint
Large
£46.00
4
EXTERNAL FIXATION
www.vetinst.com
Cortical Negative Threaded Pins (Ellis type)
Pin Choice
The drilling tip of this type of pin is the long Trochar. Immediately behind the Trochar is a short fine thread designed to engage the far cortex. The smooth shank engages the near cortex. The thread/shank junction (the weakest part of the pin) is positioned in the medullary cavity and is therefore protected.
There are some rules: 1. Threaded pins have a higher pull out resistance and may be placed at right angles to the bone surface c.f. smooth pins. It is therefore possible to place more pins per bone fragment using threaded pins. 2. Try to place at least 3 pins in each fragment. If only 2 pins are possible use as large a diameter as seems safe. The bone holding power of a pin is proportional to the bone/pin interface it creates. 1/3 fragment diameter is the usual guideline.
Ellis type pins have improved pull out resistance over Trochar pins and the angle of placement is not as critical. Ellis pins should be placed at right angles to the bone if possible. Cortical
3. As far as end thread pins are concerned, do not worry too much about the positive/negative profile. Select your pins based on thread diameter not shaft diameter. Your fixator system (old KE) may impose positive profile pins on you to obtain a given thread diameter.
CORTICAL NEGATIVE THREADED PINS (ELLIS TYPE) 001528
Ellis pin 1.1mm
£4.25
001529
Ellis pin 1.6mm
£4.25
4. Type II frames work much better with mid thread pins but care needs to be exercised not to exceed a safe diameter (e.g. proximal radius).
001550
Ellis pins 2mm
£4.25
001530
Ellis pins 3/32" - (2.4mm)
£4.25
5 The longer your frame needs to stay in situ (based on fracture type and patient factors), the greater the stability and bone/pin interface you will require. If in doubt, go for a modified type II, fully threaded.
001550A
Ellis pins 7/64" - (2.7mm)
£4.25
001551
Ellis pins 3mm
£4.25
001531
Ellis pins 1/8" - (3.2mm)
£4.25
Trochar Pins
001551A
Ellis pins 9/64" - (3.6mm)
£4.25
001552
Ellis pins 4mm
£4.25
Trochar
Our Trochar pins have a special long point designed to cut bone. Use of pins with short trochar tips generates heat which leads to pin loosening.
Bicortical Negative Threaded Pins Negative bicortical pins have had a bad reputation for early failure at the thread pin junction. Where selection of pin and frame are appropriate failure of negative threaded pins is rare.
The smooth shanks of the pins provide minimal pull out resistance. Trochar pins should, therefore, be placed at converging or diverging angles compared to other pins in the same bone fragment.
The important criterion is thread diameter not shaft diameter. For any given thread diameter both positive and negative threaded pins are equally strong. Virtually all human pins are negative threaded!
TROCHAR PINS 001556
Trochar Pin 2mm
£3.50
001557
Trochar Pin 3mm
£3.50
001558
Trochar Pin 4mm
£3.50
EXL10
1/4” Trochar Pin
£10.00
BICORTICAL FINE NEGATIVE THREADED PINS
EXL 11
5/16” Trochar Pin
£12.00
Code
Bicortical
Negative Pins (Ellis Type and Bicortical -VE Threaded) Insertion Data Pin Code Ellis Bicort 001528 BCNET11 001529 BCNET16 001550 BCNET20
Shank Size (mm) 1.1 1.6
KE+ Clamp
S S
Pre Drill Size
1.1
Drill bit code H090100
Shaft Diameter
Thread Diameter
Thread Length
Overall Length
Price
BCNET08
0.8mm
0.8mm
8mm
70mm
£5.00
BCNET10
1.0mm
1.0mm
10mm
70mm
£5.00
BCNET11
1.1mm
1.1mm
15mm
70mm
£5.00
BCNET15
1.5mm
1.5mm
12mm
70mm
£5.00
BCNET16
1.6mm
1.6mm
20mm
70mm
£5.00
BCNET20
2.0mm
2.0mm
24mm
85mm
£5.50
BCNET24
2.4mm
2.4mm
25mm
100mm
£5.50
BCNET30
3.0mm
3.0mm
35mm
130mm
£6.00
BCNET35
3.5mm
3.5mm
40mm
130mm
£6.00
BCNET40
4.0mm
4.0mm
45mm
150mm
£6.50
BCNET50
5.0mm
5.0mm
50mm
150mm
£7.50
2
S
1.5
H090101
001530
2.4
S/M
1.8
H090208
BCNET24 001550A
2.7
S/M
2.0
H090102
Coarse Negative Threaded Pins The thread on this pin is similar to a self-tapping cortical screw. The drilling tip is, again, the long Trochar. In young bone, use without pre-drilling; in older, hardened bone, use smaller pilot hole.
001551 BCNET30
3
S/M/L
2.3
H090203
001531
3.2
M/L
2.4
H090209
01551A BCNET35
3.6
M/L
2.7
H090104
001552 BCNET40
4
M/L
3.0
H090205
BCNET50
5
L
3.5
H090106S H090106L
The much improved pull out resistance means that these pins can be placed parallel within the same bone fragment; useful when fragment is smaller or when aligning proximal and distal fragments. More prone to pin fracture than Ellis pins. Always use three pins on either side of the fracture if possible.
COARSE NEGATIVE THREADED PINS
75
001567
Coarse Threaded Pin 2mm
£5.50
001568
Coarse Threaded Pin 3mm
£5.50
001569
Coarse Threaded Pin 4mm
£5.50
4
EXTERNAL FIXATION
Positive Pins Insertion Data Pin Code
Positive Threaded Pins - Cancellous
Shank Size Thread Size KE+ (MM) (MM) Clamp
Drill bit code
pre drill size
CET/CMT0018
1.6
2.0
S
H090101
1.5
CET/CMT0019
2.0
2.4
S
H090202
1.9
CET0020/CMT0023
2.4
3.2
S/M
H090203
2.3
CET0020A/CMT0023A
2.7
3.5
M
H090112
2.5
POSITIVE THREADED PINS - CANCELLOUS
CET0020B/CMT0023B
3.0
3.6
M/L
H090104
2.7
CANET0026
CET0021/CMT0024
3.2
4.0
M/L
H090205
3.0
2.4mm shank 3.5mm threads 115mm long cancellous end thread
£8.00
CET/CMT0024A
3.5
4.3
M/L
H090105S H090105L
CANET0027
3.2
3.2mm shank 4.8mm threads 150mm long cancellous end thread
£9.00
H090207
3.8
CANMT0029
2.4mm shank 3.5mm threads 150mm long cancellous mid thread
£9.00
CANMT0030
3.2mm shank 4.8mm threads 180mm long cancellous mid thread
£10.00
CET0022/CMT0025
4
4.8
M/L
The coarser threads of these pins are appropriate for use in the proximal tibia and occasionally in the distal radius.
Positive Threaded Pins - Cortical End Thread
ESF Lag Pins with Olive
Mid Thread
The fine threads of these pins are proud of the shank eliminating the weak point where the thread ends in other pins. The major benefit of positive pins is that the additional thread diameter creates a larger bone pin interface for a given shaft diameter. This style of pin is useful where a good pull out resistance is required and where it is anticipated that the frames will be left in situ for long periods - 6 weeks plus. Use KE Plus clamps if available. Place at right angles to the bone.
John Ferguson
The mid threaded pin provides good pull out resistance in frames where the fixation pins are supported on either side of the limb by connecting bars. i.e. Type II frames. POSITIVE THREADED PINS - END THREAD CET0018
1.6mm shank 2.0mm threads 70mm long - end thread
£6.50
CET0019
2.0mm shank 2.4mm threads 85mm long - end thread
£6.50
CET0020
2.4mm shank 3.2mm threads 100mm long - end thread
£6.75
CET0020A
2.7mm shank 3.5mm threads 110mm long - end thread
£6.75
CET0020B
3.0mm shank 3.6mm threads 120mm long - end thread
£7.00
CET0021
3.2mm shank 4.0mm threads 130mm long - end thread
£7.00
CET0024A
3.5mm shank 4.3mm threads 130mm long - end thread
£9.00
CET0022
4.0mm shank 4.8mm threads 150mm long - end thread
£9.00
Used almost exclusively in the management of complex humeral fractures involving a variant on the ‘Y’ or ‘T’ fracture. The olive, positioned at the end of the threaded portion of the pin, acts as the screw head in a lag screw. Bone fragments may be compressed and incorporated into the external fixator frame. The bone fragment involved is usually the lateral condyle. ESF LAG PINS WITH OLIVE
POSITIVE THREADED PINS - MID THREAD CMT0018
1.6mm shank 2.0mm threads 85mm long - mid thread
£9.00
CMT0019
2.0mm shank 2.4mm threads 105mm long - mid thread
£9.00
CMT0023
2.4mm shank 3.2mm threads 105mm long - mid thread
£9.50
CMT0023A 2.7mm shank 3.5mm threads 115mm long - mid thread
£9.50
CMT0023B 3.0mm shank 3.6mm threads 120mm long - mid thread
£10.00
3.2mm shank 4.0mm threads 130mm long - mid thread
£10.00
CMT0024A 3.5mm shank 4.3mm threads 140mm long - mid thread
£11.00
4.0mm shank 4.8mm threads 150mm long - mid thread
£12.00
CMT0024 CMT0025
76
001534
ESF lag pins. Small 2.4mm shank 25mm x 3.2mm thread
£17.50
001535
ESF lag pins. Medium 3.2 shank 40mm x 4.0mm thread
£17.50
001537
ESF lag pins. Large 4mm shank 55mm x 4.8mm thread
£17.50
4
EXTERNAL FIXATION
www.vetinst.com
Pre-Drills
Pin Insertion
For positive threaded pins use a drill slightly smaller than the shaft. For negative threaded pins use the same size drill as the pilot drill for the equivalent screw diameter. PRE-DRILLS H090202
1.9mm pre-drill for 2.0mm shank positive pin.
£17.50
H090203
2.3mm pre-drill for 2.4mm shank positive pin.
£17.50
H090205
3.0mm pre-drill for 3.2mm shank positive pin.
£20.00
H090207
3.8mm pre-drill for 4.0mm shank positive pin.
£22.00
H090101
1.5mm pre-drill for 2.0mm shank negative pin
£15.50
H090102
2.0mm pre-drill for 2.4mm shank negative pin
£17.00
H090104
2.7mm pre-drill for 3.2mm shank negative pin
£17.50
H090106L
3.5mm pre-drill for 4.0mm shank negative pin
£21.00
Pin Cutters Correct pin insertion requires slow axial rotation under pressure. A Jacobs hand chuck can be used particularly where bone is young and soft. There is a tendency when using a hand chuck to produce a hole which is not circular, this will reduce the pin/bone interface resulting in premature pin loosening. The small Jacobs hand chuck gives better control and is big enough for 2, 3 and 4mm pins.
See page 48
Safety Pin Cutter to 4mm
The ideal instrument in my experience, is the Variable Speed Orthopaedic Drill which offers maximum control and minimal wobble. It delivers pure axial rotation. It is a low speed, high torque device and, of course, useful elsewhere in veterinary orthopaedics. For further details about the drill and spare chucks see Chapter 5 - Power Tools.
PIN INSERTION
Standard Cutters
001600
Variable speed orthopaedic drill kit
£330.00
001660
Minidrill Kit
£280.00
001220
Small Jacobs Chuck and handle 5/32" (4mm) capacity
£155.00
001221
Standard Jacobs Chuck and handle 1/4" (6.35mm) capacity
£155.00
Safety Cutter
ESF Tissue Protector
Most types of bolt cutter; • cause the cut end to fly off in a potentially dangerous manner Protection of soft tissue is very important when placing an ESF frame. Tissue protection whilst placing single pins is relatively straight forward. However, once a bar is in position passing a pin through a clamp into bone presents a particular difficulty. Standard tissue protectors cannot be removed. The ESF tissue protector splits along its length to allow removal. The tip has small serrations to encourage grip on the bone surface.
• create a sharp point leading to soft tissue irritation • deform the cut area which may jam in ESF clamps. The enclosed shearing action of this pin cutter addresses all these problems. The cutting range and type of action makes this cutter ideal for trimming ESF pins. The actual cut is 5mm below the surface of the cutter. SAFETY PIN CUTTER to 4mm 001229
Safety Cutter to 4mm Stainless 32cm
ESF TISSUE PROTECTOR £195.00
001548 77
ESF Tissue Protector
£55.00
4
EXTERNAL FIXATION
Standard Kit
ESF Kits ESF & Shearing Injury
Consists of 8 single KE Plus clamps, 2 double clamps, 2 long bars, 2 short bars. Some fractures and some patients require more elaborate frames using either more clamps or more connecting bars. The standard kit will enable you to deal with most situations.
When purchased as kits there is typically a 10% reduction in total cost. All single clamps will be KE Plus.
Type One Kit Contains a long bar and 4 or 6 KE Plus single clamps. Pins and spanners are not included. This is the minimum frame you should try to use. Two pins only in the distal fragment is more acceptable than 2 pins proximally. Pin complications are usually fewer in the distal fragment.
STANDARD KE PLUS KIT 001580
Large Standard Kit 4mm. 8 single + 2 double clamps & bars 2 long + 2 short
£195.00
001581
Medium Standard Kit 3mm. 8 single + 2 double clamps & bars 2 long + 2 short
£165.00
001582
Small Standard Kit 2mm. 8 single + 2 double clamps & bars 2 long + 2 short
£160.00
001578
Stainless Box with partitions
£125.00
NB: No pins or spanners are supplied with these kits.
Boxed ESF Kits (spanners included) TYPE ONE KE PLUS KIT 001570
Unilateral Kit Large 4 Clamps 1 Bar 240mm
£67.50
001571
Unilateral Kit Medium 4 Clamps 1 Bar 150mm
£58.00
001572
Unilateral Kit Small 4 Clamps 1 Bar 100mm
£55.00
001570P
Unilateral Kit Large 6 Clamps 1 Bar 240mm
£95.00
001571P
Unilateral Kit Medium 6 Clamps 1 Bar 200mm
£87.00
001572P
Unilateral Kit Small 6 Clamps 1 Bar 150mm
£82.50
The full kit comprises one of each “standard kit” plus a compartmentalised stainless steel box in which to sterilise it. However typically, double clamps weaken frames and are to be avoided if possible. 001579ND is based on single clamps only. For ideal construction use at least 3 pins in each fragment. Kits save 10% on component costs.
NB: No pins or spanners are supplied with these kits.
Type Two Kit - (modified) Contains two long bars and 6 or 8 KE Plus clamps. Pins and spanners are not included. Use to create a bilateral frame using a long (preferably mid-threaded) pin proximally and distally.
NB: pins are only supplied with kit 001579NDP which includes positive pins of all appropriate sizes. BOXED ESF KITS (SPANNERS INCLUDED)
TYPE TWO KE PLUS KIT (MODIFIED) 001520
Bilateral Kit Large 6 Clamps 2 Bars, 240mm
001579
Boxed Full Kit (including doubles) in Stainless Box. S/M/L Std kits + spanners.
£665.00
001579ND
Boxed Full Kit No Doubles. As above but with no double clamps
£495.00
001579NDP
Full kit in stainless steel box. Includes for each size of the 3 sizes: 8 Single clamps, 2 long bars, spanner, 2 mid thread positive pins, 4 end thread positive pins, the correct predrill and an ESF tissue protector
£725.00
£105.00
001521
Bilateral Kit Medium 6 Clamps 2 Bars, 200mm
£92.50
001522
Bilateral Kit Small 6 Clamps 2 Bars, 100mm
£90.00
001520P
Bilateral Kit Large 8 Clamps 2 Bars, 240mm
£135.00
001521P
Bilateral Kit Medium 8 Clamps 2 Bars, 200mm
£120.00
001522P
Bilateral Kit Small 8 Clamps 2 Bars, 100mm
£114.00
NB: No pins or spanners are supplied with these kits. 78
4
EXTERNAL FIXATION
www.vetinst.com
‘Leonardo’ Mini ESF
Vumex Vumex External Fixation
Designed and developed by Jose Vicente Targa Villalba the Leonardo system takes external fixation as small and as light as it can go. The clamps are made from Titanium and accept pins and bars from 0.8mm to 2mm. Suitable for avians and small furries. Three sizes of clamps, the smallest weighing less than 1g. Available as set comprising 6 of each size clamp and screwdriver in a stainless case. See chapter 7 page for suitable threaded and smooth wires for pins and bars.
Vumex Distraction Unit
‘LEONARDO’ MINI ESF
The Vumex external fixation system is particularly appropriate for small dogs and cats together with rabbits, guinea pigs and exotics. The system is very lightweight. The bars are knurled for maximum grip and are easily contoured. The grub screw pushes the bar against the pin which is locked with a minimum of three point fixation.
LEOKIT
‘Leonardo’ Mini ESF Kit
£425.00
FESSA FESSA External Fixation
The distraction devices are self contained and very effective in small fragment distraction. The fishmouth type does not require that the pin passes through the clamp prior to attaching the distractor. The clamps will ‘grab’ pins from 1.6mm up to 3.2mm.
6mm FESSA plus distal radius/ulna cat 1.1mm pins
VUMEX EXTERNAL FIXATION F0101.2030
Alpha Clamp (upto 2mm wire, 3mm rod)
£13.00
F0101.3040
Beta Clamp (upto 3mm wire, 4mm rod)
£13.00
F0102.3040
Beta Clamp Add on (upto 3mm wire, 2 mm rod)
£16.00
F0101.4040
Beta Clamp (upto 4mm wire/rods)
£18.50
F0202.40
Bi-axial Uniplanar hinge joint
£22.50
F0401.2007
Straight rod knurled 2mm x 75mm
£23.00
F0401.2010
Straight rod knurled 2mm x 100mm
£23.00
F0401.2015
Straight rod knurled 2mm x 150mm
£23.00
F0401.2507
Straight rod knurled 2.5mm x 75mm
£26.00
F0401.2510
Straight rod knurled 2.5mm x 100mm
£26.00
F0401.2515
Straight rod knurled 2.5mm x 150mm
£26.00
F0401.2520
Straight rod knurled 2.5mm x 200mm
£26.00
• 6mm tube accepts pins of shaft diameter 0.9mm to 1.8mm making it extremely useful in the management of fractures in cats and exotics.
F0401.3007
Straight rod knurled 3mm x 75mm
£32.50
• 8mm tube accepts pins of shaft diameter 1.6mm to 3.2mm.
F0401.3010
Straight rod knurled 3mm x 100mm
£32.50
F0401.3015
Straight rod knurled 3mm x 150mm
£32.50
• Design allows placement of multiple parallel pins close together in small fragments.
F0401.3020
Straight rod knurled 3mm x 200mm
£32.50
F0401.3025
Straight rod knurled 3mm x 250mm
£32.50
F0401.3030
Straight rod knurled 3mm x 300mm
£32.50
FESSA EXTERNAL FIXATION
F0401.4010
Straight rod knurled 4mm x 100mm
£35.00
015500
F0401.4015
Straight rod knurled 4mm x 150mm
£35.00
FESSA 6 & 8mm Set. One of each tube, 10 of each screw, includes 10% discount
F0401.4020
Straight rod knurled 4mm x 200mm
£35.00
015502
FESSA Tube 6mm x 30mm
£23.50
F0401.4025
Straight rod knurled 4mm x 250mm
£35.00
015504
FESSA Tube 6mm x 45mm
£25.50
F0402.2502
Large L rod knurled 2.5mm
£50.00
015506
FESSA Tube 6mm x 65mm
£27.50
F0402.3002
Large L rod knurled 3.0mm
£55.00
015507
FESSA Hex Driver Screwdriver Type
£47.50
F0402.4002
Large L rod knurled 4.0mm
£60.00
015508
FESSA Hex Driver Allen Key Type
F0403.4003
Large Z rod knurled 4.0mm
£65.00
015509
FESSA 6mm (1.5 Hex) Locking Screws (10)
£22.00
F0703.01
Bender tube pair
£27.50
015534
FESSA 6mm Hinge
£52.50
F0702.0120
Allen key 2.0mm A/F disposable
£4.50
015510
FESSA Tube 8mm x 100mm
£32.50
F0702.0130
Allen key 3.0mm A/F disposable
£4.50
015512
FESSA Tube 8mm x 150mm
£35.00
F0302.0407
Fishmouth Distractor 100mm 1.6-3.2mm pins
£80.00
015514
FESSA Tube 8mm x 200mm
£37.50
F0302.0415
Fishmouth Distractor 150mm 1.6-3.2mm pins
£80.00
015516
FESSA Hex Driver Screwdriver Type
£47.50
F0302.0615
Distractor M4 Double Hole 150mm
£80.00
015517
FESSA Hex Driver Allen Key Type
F0302.0620
Distractor M4 Double Hole 200mm
£80.00
015520
FESSA 8mm (2.0 Hex) Locking Screws (10)
£22.00
F0304.0620
Distractor M6 Fishmouth 200mm
£80.00
015536
FESSA 8mm Hinge
£52.50
Developed for use in the French army FESSA is a lightweight tubular fixator with a number of interesting features. • The tube incorporates the pin clamping mechanism and is thus very strong and has extremely good angular pin rigidity. • Available in 6 and 8mm diameter tubes.
• Pins can be placed at right angles to tube or angled through adjacent holes. Pins are locked into position by hex driven grub screws.
79
£215.00
£7.50
£7.50
4
EXTERNAL FIXATION
Linear Fixators Large Linear Fixator (LLF) Small Linear Fixator (SLF)
The small linear fixator is designed for use in the stabilisation of fractures requiring pins with thread diameters ranging from 1.5mm to 4mm. The clamps are of two types. The ‘slide on’ type is fed onto the end of the bar. The ‘hook on’ type may be fitted into the middle of an existing frame. Each type of clamp is available as two variants, the 4.0mm variant and the 2.5mm variant. The 4.0mm variant is used to connect bars to each other and for pin thread diameters 4.0mm, 3.5mm and 3.0mm. The 2.5 variant is used for pins with thread diameters 2.5mm, 2.0mm and 1.5mm.
Double Pin clamp
The clamps are of two types. The ‘Slide on’ type is fed onto the end of the bar. The ‘Clip on’ type may be fitted into the middle of an existing frame. The clip on clamp is springloaded and clips onto the bar in a semi-retained fashion pending tightening. Additionally the pin clamp is springloaded, the pins clip in and are retained pending insertion and tightening. The tightening of the clamp to the bar and the clamp to the pins are separate operations. There is minimal slipping and sliding during assembly. The clamp offers multi-point fixation to pins 3.00mm to 6.0mm. A feature of all the clamps is a system of internal locking grooves which interlock when tightened giving very rigid angular fixation (c.f. KE type systems)
The clamps may be used with either Stainless Steel or Carbon Fibre bars of 4.0mm in diameter. This is a beautifully engineered system which costs little more than KE. Available as a set including clamps, wrenches, carbon bars and pins of all sizes saving 10% on component costs. SMALL LINEAR FIXATOR Small Linear Kit. 8 Slide On (4.0), 8 Hook On (4.0), 8 Slide On (2.5), 8 Hook On (2.5), Spanner, 1 of each carbon bar, 6 off each pin. Stainless Box. Kit is discounted 10%
The clamps are used with radiolucent Carbon Fibre bars, 11.0mm in diameter.
£715.00
015300
Small Linear Clamp ‘Slide On’ 4.0mm shaft
£13.50
015310
Small Linear Clamp ‘Hook On’ 4.0mm shaft
£15.50
015305
Small Linear Clamp ‘Slide On’ 2.5mm shaft
£13.50
015315
Small Linear Clamp ‘Hook On’ 2.5mm shaft
£15.50
001566
7mm spanner
001566T
7mm ‘T’ Wrench
015203
Stainless Bar 75mm
£4.50
015205
Stainless Bar 100mm
£4.50
015210
Stainless Bar 150mm
£7.00
015215
Stainless Bar 200mm
£7.00
015200C
Carbon Fibre Bar 75mm
£7.00
015205C
Carbon Fibre Bar 100mm
£7.00
015210C
Carbon Fibre Bar 150mm
£11.00
015215C
Carbon Fibre Bar 200mm
£11.00
Available as a set including both clamp styles, wrenches and carbon bars saving 10% on component costs. Use standard pins between 3.00mm and 6.00mm in diameter. LARGE LF (LINEAR FIXATOR) SYSTEM
£8.50
015590
Large Linear Kit. 8 Slide On, 8 Clip On, 2 Double Pin, 2 Double Bar, Spanner, 1 of each bar (except 350mm). Stainless Box Kit is discounted 10% £525.00
015592
Large Linear Clamp ‘Slide On’
£15.00
015594
Large Linear Clamp ‘Clip On’
£20.00
015595
Large Linear Double Bar Clamp
£24.00
015596
Large Linear Double Pin Clamp
£20.00
015597
Large Linear ‘T’ Double Pin Clamp
£27.50
015550
Carbon Fibre Bar 11.0mm x 150mm
£15.00
015555
Carbon Fibre Bar 11.0mm x 200mm
£20.00
015560
Carbon Fibre Bar 11.0mm x 250mm
£22.50
015565
Carbon Fibre Bar 11.0mm x 300mm
£25.00 £32.50
£16.00
SMALL LINEAR FIXATOR PINS Overall Length
Shaft Dia
Thread Dia
Thread Lgth (mm)
Price
015570
Carbon Fibre Bar 11.0mm x 350mm
015100
80
4.0
4.0
35
£4.75
015580
Spanner 11mm
015105
80
4.0
3.5
30
£4.75
015585
Box Spanner Wrench 11.00mm
015110
80
4.0
3.0
25
£4.75
015115
60
2.5
2.5
20
£4.75
015120
50
2.5
2.0
15
£4.75
Code
015125 50 2.5supplied1.5 12 NB: No pins or spanners are with these kits.
Double Bar clamp
The large linear fixator is designed for use in the stabilisation of fractures requiring pins with thread diameters ranging from 3.0mm to 6.0mm.
A feature of all the clamps is a system of internal locking grooves which interlock when tightened giving very rigid angular fixation (c.f. KE type systems).
015301
‘T’ Double Pin clamp
£4.75 80
£8.50 £20.00
4
EXTERNAL FIXATION
www.vetinst.com
Meynard Fixation Clamps
Spanners & Wrenches
Standard spanners, sockets or combination spanners are available for all clamp sizes. Stainless steel external fixators. Very simple, very inexpensive ESF system widely used with success in France and Spain. The clamps split allowing placement of pins, (both positive threaded and negative threaded) mid frame. Not as strong as KE or KE Plus type so more clamps are needed. Bars are available in all sizes. There are now Meynard clamps available which fit standard KE bars. Very useful for mid frame and positive threaded pins. Clamps which work with KE bars carry a KE suffix.
SPANNERS 001566
Spanner Small
£8.50
001565
Spanner Medium
£8.50
001564
Spanner Large
86012
Socket Drive Handle
86104
Small Socket
£4.00
86105
Medium Socket
£4.00
86107
Large Socket
86685
Angled Wrench Medium
£12.00
86687
Angled Wrench Large
£12.00
£8.50 £13.00
MEYNARD CLAMPS
£4.00
Quick Ratchet Spanner
clamp diameter
fixation pin diameter
bar diameter
260002
12
1.1
2
£3.75
260003
12
1.2
2
£3.75
260004
12
1.6
2
£4.00
260005
14
1.5
3
£4.00
260005KE
14
1.5
3
£4.00
260006
14
2.0
3
£4.00
260007
16
2.0
4
£4.50
260013KE
16
2.4
3.2
£5.25
260013
16
2.4
4
£5.25
260008
16
3.0
4
£5.25
260014KE
16
3.0-3.2
4.8 (3/16")
£6.25
260015KE
24
4.0
6.3
£8.50
260009
24
4.0
6
£8.50
MEYNARD CONNECTING BARS Use of our quick ratchet spanner will save time tightening clamps. Unlike conventional ratchet handles and socket sets the quick ratchet is not thicker than a regular spanner and can be used in very confined spaces. QUICK RATCHET SPANNER
260030
3mm for 14mm clamps. 50mm long.
£7.00
260040
4mm for 16mm clamps. 100mm long
£8.00
260042
4mm for 16mm clamps. 200mm long
£8.00
260043
4mm for 16mm clamps. 250mm long
£9.50
260060
2mm for 12mm clamps. 500mm long; cut to length
£7.00
001565QR
Quick Ratchet Spanner 8mm (Medium)
£35.00
260062
3mm for 14mm clamps. 500mm long; cut to length
£9.00
001564QR
Quick Ratchet Spanner 10mm (Large)
£37.50
260064
4mm for 16mm clamps. 500mm long; cut to length
£10.50
260068
6mm for 24mm clamps. 500mm long; cut to length
£13.50
Table Top Stand for Limb Suspension
‘T’ Bar Wrenches
Suspension of a limb can provide significant benefits in both arthroscopy and other orthopaedic procedures. The shoulder joint is distracted and 360 degree access becomes available. Height 1.2m (48”)
Useful for speedy tightening of clamps in that the wrench can be ‘spun’ using the shaft.
‘T’ BAR WRENCHES 001566T
Small T Wrench - 7mm
£16.00
001565T
Medium T Wrench - 8mm
£18.00
TABLETOP STAND FOR SUSPENDING LIMB
001564T
Large T Wrench - 10mm
£20.00
R463 81
Tabletop stand
£115.00
4
EXTERNAL FIXATION
Acrylic Pin External Fixation System An Acrylic Pin External Fixator (APEF) is created by replacing mechanical connecting clamps and rigid connecting bars with mouldable acrylic columns. APEF is indicated for any fracture or arthrodesis where a comparable sized bar/column fixator would be appropriate. Research has shown the acrylic columns provide equal or greater strength when compared to the traditional K-E designs in all standard configurations. The illustration shows use of frame alignment kit APFAK422. Please bear in mind that, ultimately, the acrylic has to be poured which will have implications for the repair.
APEF Base Kit
Acrylic Tube Packs
These convenient, premeasured, easy mix dispensing packs contain both powder and liquid separated by a temporary divider. These packs contain the appropriate amount of tubing and plugs. ACRYLIC TUBE PACKS
The kit includes: • a carrying case • a sterilisation tray, • 4 x 3mm (1/8") diameter centrally threaded full pins, • 4 x 3mm (1/8") diameter end threaded half pins, • 8 x 3mm (1/8") diameter medium smooth pins, • 8 x 2mm (3/32") diameter small smooth pins • frame alignment kit, • 1 x double acrylic tube pack, • 1 x single acrylic tube pack, • 1 x half acrylic tube pack • and a procedural video.
APEF Base Kit. Includes Carrying Case, (non sterile) Sterilisation Tray
G70025-000
Base Kit Container Only
£55.00
G70029-000
Pin Sterilization Tray Only (Anodised Aluminium)
£80.00
Triple Tube Pack (150ml). 450mm x 21mm tube plus acrylic and plugs.
£55.00
APNSPD100
Double Tube Pack (100ml). 300mm x 21mm tube plus acrylic and plugs.
£50.00
APNSPS50
Single Tube Pack (50ml). 150mm x 21mm tube plus acrylic and plugs.
£45.00
APNSPDM50
Double Mini Tube Pack (50ml). 300mm x 15mm tube plus acrylic and plugs.
£42.50
APNSPH25
Half Tube Pack (25ml). 150mm x 15mm tube plus acrylic and plugs.
£32.50
APNSPQ12
Quarter Tube Pack (12.5ml). 150mm x 10mm tube plus acrylic and plugs.
£27.50
APEF TIPS • Rather than wait a fixed time to pour, wait until the mix starts to thicken. The setting time will vary with ambient temperature. • Once cut, roll up the bag to minimise waste. • Use cotton wool to help clot any seepage. • Remember to orientate the tube so that the acrylic runs down the tube.
APEF BASE KIT APBKUNST
APNSPT150
£545.00
Please note because of the nature of the material we can only ship by surface transport. 82
4
EXTERNAL FIXATION
www.vetinst.com Acrylic Bi-Packs
Epoxy
These convenient, premeasured, easy mix and dispensing packs contain both powder and liquid separated by a temporary divider. You will require tubing; see below.
Epoxy ESF Putty
ACRYLIC BI-PACKS APNSBT150
Triple Acrylic Bi-Pack (150ml)
£47.50
APNSBD100
Double Acrylic Bi-Pack (100ml)
£40.00
APNSBS50
Single Acrylic Bi-Pack (50ml)
£33.50
APNSBH25
Half Acrylic Bi-Pack (25ml)
£24.00
APNSBQ12
Quarter Acrylic Bi-Pack (12.5ml)
£18.50
APEF Tubing APEF TUBING APTK21
21mm (1") Dia.Tube Kit 152cm (60") Tubing 10 Endplugs
£10.00
APTK15
15mm (5/8") Dia.Tube Kit 152cm (60") Tubing 10 Endplugs
£10.00
APTK10
10mm (3/8") Dia.Tube Kit 122cm (48") Tubing 8 Endplugs
£9.00
Epoxy E.S.F. putty is a simple to use, quick and convenient alternative to the standard bar and clamp system. The putty, once mixed, stiffens in 5 minutes and within 1 hour is fully cured. The putty can be applied and then the fracture reduced allowing precise manipulation of the fracture site. The versatility of the system allows the putty to be used in place of clamps, to cover sharp ends of cut pins, and many other applications.
Removing frame alignment clamps
There are two pack sizes in a bar format with the premeasured catalyst in the centre of the bar ready for mixing. The product is clean and has a long shelf life. Only mix the quantity you need, cutting the required amount off the end of the bar. If you find you don't have enough, more can be prepared in a matter of seconds. E.S.F. putty sticks to itself very well and may be used for repairs and corrections. Particularly useful in fractures in small furries where proximal and distal fragments may be attached together with ‘blobs' of putty in place of clamps regardless of fixation pin site. • Easy to use • Economical • Versatile
Typical Applications • ESF applications requiring multiple pins of various sizes placed at various angles. • ESF applications in rabbits and guinea pigs • Fractures of the jaw • Protecting sharp ends of cut pins • Joining non-standard pins and bars • Use to add a pin mid frame
APEF Pins & Frame Alignment Kit APEF pins come in either 3.2mm (1/8") diameter or 2.4mm (3/32") diameter. The threaded pins have a positive profile thread. APEF functions very well with all Vet Instrumentation ESF pins.
EPOXY ESF PUTTY
APEF PINS APPINETH18
End-Threaded Half Pin. 3.2mm shank
APPINCTH18
Centrally Threaded Full Pin. 3.2mm shank
APFAK422
Frame Alignment kit
£16.50 £16.50 £205.00
Accessories The carrying case and the pin sterilisation tray that come with the base kit can be bought separately. The pin sterilisation tray is made from anodised aluminium. 83
EPOXY1
Epoxy ESF Putty 55G
£12.00
EPOXY2
Epoxy ESF Putty 110G
£21.00
4
EXTERNAL FIXATION
Dynamic Fixators External fixation has an increasingly important place in veterinary orthopaedics including the management of fractures, non unions and growth plate abnormalities in adult dogs. In addition to the standard KE and KE Plus systems, Veterinary Instrumentation also offers a range of dynamic external fixators which are of particular use in the management of growth plate injuries in the growing dog.
Linear Distractors Uniplanar Dynamic Distractor Bone lengthening is occasionally required to substitute bone lost through growth plate abnormalities, e.g. short radius or trauma. The bilateral dynamic fixator is more user friendly than the ring fixator. N.B 1.00mm pitch means that one full turn of the adjuster moves the assembly 1.00mm. Sliding clamps are available as either single or doubles. When significant bowing of the bone involved has occurred (usually radius) some singles may be necessary. UNIPLANAR DYNAMIC DISTRACTOR 001910
Sliding Single Clamp 3/32” Pins
£23.50
001911
Sliding Double Clamp 3/32” Pins
£42.00
001912
Sliding Single Clamp 1/8” Pins
£25.00
001913
Sliding Double Clamp 1/8” Pins
£50.00
001914
Sliding Single Clamp 5/32” Pins
£26.50
001915
Sliding Double Clamp 5/32” Pins
£52.50
001918
Wire Insert Guide
£52.50
001920
Threaded Rod - Small 50mm Pitch .75mm
£10.00
001921
Threaded Rod - Small 75mm Pitch .75mm
£13.50
001922
Threaded Rod - Small 100mm Pitch .75mm
£15.50
001923
Threaded Rod - Small 150mm Pitch .75mm
£17.50
001930
Threaded Rod - Medium 75mm Pitch 1.0mm
£14.50
001931
Threaded Rod - Medium 150mm Pitch 1.0mm
£18.50
001932
Threaded Rod - Medium 200mm Pitch 1.0mm
£22.50
001940
Threaded Rod - Large 100mm Pitch 1.00mm
£16.50
001941
Threaded Rod - Large 200mm Pitch 1.00mm
£23.50
001951
Knurled Adjuster - Small
£11.00
001952
Knurled Adjuster - Medium
£12.00
001953
Knurled Adjuster - Large
£13.00
001960
Locking Nut - Small
£2.50
001961
Locking Nut - Medium
£3.00
001962
Locking Nut - Large
£3.50
001900
Radius Assembly - Small 3/32”. Does not include pins.
£210.00
001901
Radius Assembly - Medium 1/8”. Does not include pins.
£240.00
001902
Radius Assembly - Large 5/32”. Does not include pins.
£270.00
Most sliding clamps are now supplied in the KE Plus configuration allowing a wider choice of pin & through clamp placement of positive pins. See also Vumex distractors page 79.
case: John Taylor.
84
4
EXTERNAL FIXATION
www.vetinst.com Ring Fixators
Kit Contents: DESCRIPTION
Ring Fixator Kit 70, 100, 120 &160mm Rings
Veterinary Instrumentation’s full ring fixator set includes all the instrumentation and implants for virtually all appropriate Veterinary procedures. It is closely based on the well proven original Ilizarov model with some modifications for small animal use. For full details check www.vetinst.com The kit is available in two forms: 001800A has 70 and 100mm rings manufactured in high tensile aluminium. 001800C has the 70 and 100mm rings made from ultra lightweight carbon fibre. In both sets the 120 and 160mm rings are made from stainless steel.
QTY
Full Ring 70mm Aluminium or Carbon Fibre
4
5/8 Ring 70mm Aluminium or Carbon Fibre
1
Full Ring 100mm Aluminium or Carbon Fibre
4
5/8 Ring 100mm Aluminium or Carbon Fibre
1
Half Rings - 120 mm Stainless Steel
8
Half Rings - 160 mm Stainless Steel
8
5/8th Ring - 120 mm Stainless Steel
1
5/8th Ring - 160 mm Stainless Steel
1
Multiple-pin fixation clamp/Wrench cube
2
Fixator Pin Bolt
2
Cannulated Bolt
30
Offset Bolt
12
Connection Bolts
10
Telescopic Rod - 100 mm
3
Telescopic Rod - 150 mm
3
Threaded Rod - 100 mm
6
Threaded Rod - 150 mm
6
Threaded Rod - 200 mm Nut - 10 mm
6 100
Square nut
8
Connection plates are used to convert half or 5/8 rings into ellipsoid or ovals.
Non slip nylon bushed nut
6
A range of clamps is included to allow the fixation of wires to the rings in a variety of positions. Half pins (negative or positive profiles) may be added to the frames using the posts and clamps provided.
3 Hole connection plate
4
4 Hole connection plate
4
5 Hole connection plate
2
6 Hole connection plate
2
Several spanners are included to enable the surgeon to access clamps in restricted areas and to allow the surgeon to accurately control wire alignment and to a degree wire tension.
7 Hole connection plate
2
Conical washers allow rings to change angle relative to the threaded rods for small angular adjustments.
Twisted plate
2
Male post 2 holes
2
Hinges are included for dynamic angular deformity correction.
Male post - 3 Holes
2
360 degree universal joints are included.
Male post - 4 holes
2
The incremental motors move 0.25mm per click.
Female post - 2 holes
2
A dedicated mechanical tensioner facilitates application of tension.
Female Post - 3 Holes
Although not critical using smaller rings, tension is very important using thin wires on large rings.
Washer
2 30
Hinge female
6
Hinge male
6
Universal Joints
3
Incremental motors (4 clicks = 1mm)
3
Wrenchocube 3 Hole
2
K. Wire - 1.5 mm
20
K. Wire - 1.8mm
20
Olive Wire - 1.5mm
5
Olive Wire - 1.8mm
5
Angulated Wrench
1
10mm Spanner
2
Mechanical Tensioner
1
Stainless Steel Container
1
Alex Li
RING FIXATOR KIT
85
001800A
Complete Ring Ex. Fix. Set 70/100mm (Aluminium) 120/160 (Stainless Steel)
£2,575.00
001800C
Complete Ring Ex. Fix. Set 70/100mm (Carbon Fibre) 120/160 (Stainless Steel)
£2,875.00
4
EXTERNAL FIXATION
Wire Clamps
Rings
Wires are attached to rings using clamps. The wire either passes through a center cannulation or placed alongside. WIRE CLAMPS 001851
Cannulated Wire Bolt
£5.50
001854
Offset Wire Bolt
£5.50
001855
Standard Nut
£1.25
001854N
Nylon Bushed Nut
£5.50
001828
Connecting Bolt
£1.75
001852
Washer
£1.75
RINGS
001852A
Washer Spacing 2mm
£1.75
001840
70mm Aluminium Ring
£24.50
001852S
Washer Slotted
£1.75
001843
100mm Aluminium Ring
£36.50
001841
5/8 70mm Aluminium Ring
£24.50
001809
50mm Carbon Fibre Ring
£30.00
001810
70mm Carbon Fibre Ring
£33.00
001811
100mm Carbon Fibre Ring
£40.00
001812
5/8 50mm Carbon Fibre Ring
£30.00
001815
5/8 70mm Carbon Fibre Ring
£33.00
FIXATOR CLAMP
001816
5/8 100mm Carbon Fibre Ring
£40.00
001853
001846
120mm Stainless Half Ring
£19.50
001848
160mm Stainless Half Ring
£21.50
001847
5/8 120mm Stainless Ring
£25.00
001849
5/8 160mm Stainless Ring
£27.50
70 and 100mm rings are available in high tensile aluminium, carbon fibre. 120mm and 160mm rings are made from stainless steel and are sold as half rings. 5/8 rings are available in all sizes where anatomy dictates that full rings will interfere with soft tissues.
Fixator Pin Clamp
Fixator Pin Clamp 4mm
£6.50
Stand Off Pin Clamps
CONNECTION PLATES 001820
2 Hole
£5.00
0018933
3 Hole
£5.00
0018934
4 Hole
£5.00
0018935
5 Hole
£5.50
0018936
6 Hole
£6.00
0018937
7 Hole
£6.00
0018938
Twisted Connection Plate
£6.00
Fixator pins may be attached to rings some distance away from the ring using a wrenchocube (left) or a standard KE clamp attached to a medium KE post (right).
Wire Guide
WRENCHOCUBE AND KE POST 001834
Wrenchocube (3 hole)
001837
Medium KE Post
£8.50 £17.50
Combination Wire/Pin Post
Directs and controls the insertion of ring fixator wires. The guide minimises drift of the wire during insertion and keeps the wire close to the ring. The guide is clamped to the ring using a thumb screw.
This post allows the placement of either pins or wires parrallel to the ring but standing off 20mm.
WIRE GUIDE 001819 Ring Fixator Wire Guide
COMBINATION POST £40.00
001857 86
Combination Wire/Pin Post
£20.00
4
EXTERNAL FIXATION
www.vetinst.com Clamp Posts - Male and Female
Incremental Linear Motor
Use to place wires standing off the ring through either cannulated clamps or offset clamps. Female fitting posts can be attached to threaded rods. POSTS 0018942
Male Post 2 Holes
£6.00
0018943
Male Post 3 Holes
£6.00
0018944
Male Post 4 Holes
£6.00
0018952
Female Post 2 Holes
£6.00
0018954
Female Post 4 Holes
£6.00
Limb lengthening requires that rings are distracted relative to one another by 1mm per day preferably in 0.25mm increments. The incremental motor has a locking collar which when pressed allows the collar to be rotated 1/4 of a full turn moving the rings 0.25mm apart. INCREMENTAL LINEAR MOTOR
Threaded Rods
001818
Incremental motor 0.25mm
001855S
Nut Square Adjusting
£37.50 £3.00
THREADED RODS 001823
75mm Threaded Rod
£6.00
001825
100mm Threaded Rod
£7.00
001826
150mm Threaded Rod
£7.00
001827
200mm Threaded Rod
£10.00
Spacer
Hinges and Conical Washers
Use to fix two rings 40mm apart without using threaded rods and nuts. SPACER 001832
Using conical washers it is possible to move a ring relative to another ring by up to 10˚. Where a greater correction is necessary use hinges. The hinge is available as a male or female component. Assemble hinges using connection bolts and nuts. Where multiplanar movement is required use the universal joint.
Spacer 40mm
£11.00
Wrenches and Spanners
CONICAL WASHERS, HINGES AND UNIVERSAL JOINTS 001856
Conical Washers (set of 4 components)
001813
Male Hinge
001814
Female Hinge
001839
Universal Swivel
£10.00 £6.00 £6.00 £42.00
Telescopic Rod
WRENCHES AND SPANNERS
Use to quickly connect rings without the tiresome feeding of threaded rods through rings. TELESCOPIC RODS 001890
Telescopic Rod 100mm
£11.00
001891
Telescopic Rod 150mm
£11.00 87
001817
10mm Open Ended Spanner
001838
Angled Wrench
£30.00
001821
10mm Box Spanner
£19.50
£8.50
4
EXTERNAL FIXATION
Mechanical Tension Device
Hybrid Fixators medium hybrid bar and carbon ring Distraction using a hybrid frame
Wires must be placed under tension in the Ilizarov system. This is particularly true of the larger rings. It is recommended that 60-90Kg of tension is applied. TENSION DEVICE MECHANICAL 001830
Tension Device Mechanical
£95.00
Wires 300mm 12” Long WIRES 001881
1.5mm Wire (pack 5)
£16.00
001882
1.8mm Wire (pack 5)
£16.00
001883
1.5mm Olive Wire (pack 5)
£47.50
001884
1.8mm Olive Wire (pack 5)
£47.50
NEW ESF PIN SIZES We get many requests for “in between” pin sizes. We have now added several new sizes to both Ellis and positive profile pins to enable the surgeon to match pin with the bone fragment.
Full ring fixator assemblies are a challenge to plan and assemble. A single distal ring attached to standard ESF linear bars can be very useful in the management of distal fractures of particularly the radius and tibia where it can be difficult to place sufficient standard pins for stability. Bars are available for use of rings with medium and large KE/KE plus clamps and the large linear fixator. Including crossed wires distally also subjects the healing fracture to micromovement which has been shown to encourage good callus. Rings of 70mm and less do not require wire tensioning. 100mm plus rings demand that the wires are tensioned.
Ellis Pins now available as follows: 1.1mm, 1.6mm, 2.0mm, 2.4mm, 2.7mm *,3.0mm, 3.2mm, 3.5mm *, 4.0mm
Positive Threaded Pins now available in both mid and end thread versions as follows: 1.6mm shaft 2.0mm shaft 2.4mm shaft 2.7mm shaft 3.0mm shaft 3.2mm shaft 3.5mm shaft 4.0mm shaft
HYBRID FIXATOR COMPONENTS
2.0mm threads 2.4mm threads 3.2mm threads 3.5mm threads * 3.5mm threads * 4.0mm threads 4.5mm threads * 4.8mm threads * = new size
88
001837A
Medium KE hybrid bar 100mm
£23.00
001837B
Medium KE hybrid bar 150mm
£27.50
001837C
Medium KE hybrid bar 200mm
£30.00
001837 F
Large KE hybrid bar 150mm
£27.50
001837G
Large KE hybrid bar 200mm
£32.50
001837H
Large KE hybrid bar 250mm
£35.00
001837J
Large Linear hybrid bar 200mm
£33.50
001837K
Large Linear hybrid bar 250mm
£38.50
001809
50mm Internal Dia Carbon Ring
£30.00
001812
50mm 5/8 Carbon Ring
£30.00
001810
70mm Internal Dia Carbon Ring
£33.00
001815
70mm 5/8 Carbon Ring
£33.00
001811
100mm Internal Dia Carbon Ring
£40.00
001816
100mm 5/8 Carbon Ring
£40.00
001851
Ring Fixator Clamp 1.5 to 1.8mm wire
£5.50
Chapter 5
5
POWER TOOLS
Synthes Quick Fit Adaptor - Jacobs
Electrical Power Variable Speed Orthopaedic Drill
Converts both small and large Jacobs chuck to take Synthes fit drills and taps. Adds 40mm length. Fits all chucks. SYNTHES QUICK FIT ADAPTOR 001612
Synthes Quick Fit Adaptor - Jacobs
£115.00
Mini Re-chargeable Drill
Our model has a removeable battery pack. This feature makes charging easier and a spare battery pack can be maintained on charge. The battery charges more quickly than you can discharge the one in the drill. This remains the best drill we have found. All the original features remain. • excellent control over speed 0-600rpm via trigger • stainless steel chuck (6.35mm capacity) and extension • 80mm through chuck cannulation • autoclavable shroud • low speed, high torque • supplied as a complete kit including stainless chuck, key, extension, autoclavable shroud, 2 batteries and a charger. VARIABLE SPEED ORTHOPAEDIC DRILL Variable Speed Orthopaedic Drill (Complete Kit). Drill, chuck, key, shroud, extension, 2 x batteries
£330.00
001605
Spare Chuck (& key) 1/4" 6.35mm
£110.00
001606
Spare Key for standard chuck
£20.00
001607
Drill Extension
£42.50
001620
Spare Drill Shroud
£16.00
001600
Our standard orthopaedic drill can feel quite bulky when used in cats or with fine wires. Our mini drill fits in the palm of your hand and weighs only 865 grams. Speed is variable via the trigger 0-600 rpm appropriate for drills and wires • forward and reverse key above the trigger • stainless steel chuck and key 4mm capacity with extension • 50mm through cannulation • supplied with two lithium ion batteries to ensure you are never left without a charged battery
Spare Battery Pack
• supplied as a complete kit with two batteries, charger, stainless cannulated extension, 4mm chuck and key and waterproof shroud MINI RECHARGEABLE DRILL
For use as standby or replacement. The quick charge unit supplied with the drill charges the spare battery pack faster than you can discharge the battery pack in the drill. With drills having a permanent integral battery, once the battery fails the drill must be replaced, but with this system you simply replace the battery. SPARE BATTERY PACK 001610
Spare Rechargeable Battery
£32.50
89
001660
Mini Rechargeable Drill complete kit
001661a
Waterproof Shroud
001605S
Spare chuck with key
001662
Mini Drill Extension to fit 5/32” (4mm) chuck
£42.50
001666
Mini Drill Extension to fit 1/4” (6.3mm) chuck
£42.50
£280.00 £16.00 £110.00
5
POWER TOOLS
Desoutter Cast Cutter
Removal of casts without a power saw is extremely hard work and very time consuming. This has implications for procedure costs and anaesthetic risk.
Multi Saw in use during a closing wedge TPLO operation
The Desoutter saw is extremely reliable and makes short work of all cast materials. (The harder synthetics require the diamond blade). DESOUTTER CAST CUTTER 001700
Desoutter Cast Cutter CC4
001710
Spare Blade for Gypsum Casts 64cm
£20.00
001720
Diamond Blade for Resin Casts 64mm
£85.00
001721
Diamond Blade for Resin Casts 80mm
£85.00
£595.00
Multi Saw Variable Speed 240volt
Multi Saw Multi Saw battery powered
The well established Multi saw is also available in a mains powered (240v) version. This plug in version has the advantage of reliability of power and significantly the speed of the saw is variable allowing a slow start speed. The disadvantage is that a flex is not convenient and care should be taken to eliminate electrical hazards in theatre. The option of a slow speed is also an advantage when used as a cast saw. The surgical attachment and blades are common to both battery and mains powered saws. MULTISAW, VARIABLE SPEED MAINS POWERED 240V 001711
Multi Saw Kit (Saw, blades, (sagittal, resin) convertor, shroud)
£435.00
001711SA
Saw Body plus Gypsum & Resin blades (2)
£335.00
001703MAINS
Shroud for Corded Multi Saw
£15.00
Slocum Blade Adaptor The Multi Saw is a multi-function oscillating saw which may be used as a cast cutter and a surgical oscillating saw. The standard rechargeable saw is supplied as a kit including charger, battery and gypsum type saw blade. Our stainless attachment converts the multi saw into a surgical saw in a similar fashion to our orthopaedic drill. With the converter and shroud in place, all exposed surfaces are sterile. Excellent for total femoral head and neck excision, TPLO by Tibial Wedge Osteotomy and TTA. A wide range of blades fit the multi saw. We recommend either the Desoutter S82 series or the Halls 5071 series. The latter offers a slimmer cut 0.8mm c.f. 1.2mm. This adaptor converts our standard Multi Saw into a radial/bi-radial blade driver. The mount is in fact the old Stryker triangular mount. Please bear in mind the following, once mounted the saw sits at right angles to the long axis of the saw c.f. standard Slocum type saws. Additionally the cut is less aggressive in that the oscillation is 4˚ rather than the 6˚ of standard saws. The cut will, therefore, be slower. Ideal as a budget alternative or as a back up to your air saw.
MULTI SAW BATTERY POWERED 001701
Multi Saw including Gypsum Blade (rechargeable)
001702
Stainless Converter (c/w spanner)
£95.00
001703
Waterproof shroud for Multi Saw
£15.00
001705
Multi Saw Diamond Blade (Resin)
£42.50
001706
Multi Saw (Gypsum) Blade
£37.50
001708
Multi Saw Surgical Kit incl converter, shroud and S82-103 blade
001701B
Spare Battery for Multisaw
£325.00
£425.00
MULTI SAW SLOCUM BLADE ADAPTOR
£97.50
001707 90
Multi Saw Slocum Blade Adaptor
£95.00
Multi Saw Blades
MULTI SAW BLADES CODE
Cast Blades CAST BLADES 001705
Diamond Multi Saw Blade 63mm for resin casts
£42.50
001706
Standard Multi Saw Blade for gypsum casts
£37.50
Surgical Blades
5
POWER TOOLS
www.vetinst.com
Other patterns available - phone for full list
CUT THICKNESS
LENGTH
WIDTH
PRICE
S82-100
0.9mm
45mm
12mm
£42.50
S82-103
1.2mm
70mm
12mm
£42.50
S82-104
1.2mm
70mm
25mm
£42.50
SB5071-134
0.4mm
41mm
9.0mm
£52.50
SB5071-232
0.4mm
41mm
19.5mm
£52.50
SB5071-135
0.6mm
30mm
5.0mm
£52.50
SB5071-572
0.95mm
71mm
19.5mm
£52.50
SB5071-133
0.4mm
25mm
9.5mm
£42.50
SB073310
0.7mm
33mm
10.0mm
£42.50
All blades with a central hole bigger than 6mm will fit the multi saw.
Actual Size
†
†
Actual Size
†
SB5071-135
Actual Size
SB5071-133
Actual Size
†
SB5071-134
SB073310
Actual Size
*
S82-104
Actual Size
*
S82-103
†
SB5071-232
Actual Size
Actual Size
*†
S82-100
*Also fits desoutter M171/M172 † Suitable for use with TTO Sawguide
Guide to Saw Blades A Veterinary Instrumentation Saw Blade guide is now available. Either download from www.vetinst.com or request a paper copy with your next order. The guide includes blades for all major manufacturers including the VI power tool range, 3MS MiniDriver & MaxiDriver, Synthes, Halls, Linvatec, Zimmer and Desoutter. 91
5
POWER TOOLS
VI MiniDriver
K110 Small (4mm) Jacobs Chuck
The MiniDriver Is Dead!! Long Live the MiniDriver!!
Both Jacobs chuck attachments are through cannulated for driving long pins. 4mm capacity with key.
3Ms Orthopaedic was sold to Linvatec who killed off the MiniDriver and the MaxiDriver as they competed with their own product range. The MiniDriver remains in widespread use and in many ways is the ideal small animal orthopaedic power system particularly when used with the Mark II saw. Veterinary Instrumentation is pleased to announce that we are having the entire MiniDriver range re-manufactured including the K220 which takes a larger blade than the original Mark I saw. In fact we have improved on some of the accessories. New MiniDriver sets are available from £2800. Some say the torque on the MiniDriver is too low. OK then buy the high torque chuck which more than triples the torque!
K110 SMALL (4MM) CHUCK K110VI
K110 4mm Chuck Attachment
£295.00
K109 Large (6.25mm) Jacobs Chuck
MiniDriver Sets
Both Jacobs chuck attachment are through cannulated for driving long pins. 6.25mm capacity with key.
K109 LARGE (6.25MM) CHUCK K109VI
K109 6.25mm Chuck Attachment
£295.00
K210 Hi Torque Large (6.25mm) Jacobs Chuck Using a the standard chucks the MiniDriver has a torque of 0.78 Newton Meters, which makes heavy weather of driving large pins without pre-drilling. By adding a set of gears the chuck speed is reduced but the stall torque is increased to 2.8 Newton Meters ideal for driving pins. Illustrated above is the basic MiniDriver set comprising K200 Handpiece Mark II K110 4mm chuck K111 Wire Driver K114B AO quick release chuck K120 Sagittal Saw Mark I Push button release 3MHOSEVI MiniDriver Hose Also available with the Mark II saw When purchased as a set the savings are considerable.
K210 HI TORQUE LARGE (6.25MM) CHUCK K210VI
MiniDriver Basic Set (inc Mk I saw)
£2,800.00
VIMDB2
MiniDriver Basic Set (inc MkII saw)
£3,400.00
Many drills and taps are available with a quick release fitting, the most common of which is to the Synthes or AO standard. Drills may be changed quickly without the use of a chuck key. The original version was made from relatively soft aluminium. The re-manufactured K114B is made from stainless steel and is easier to use than the original.
K200 MiniDriver Handpiece
K114B AO QUICK RELEASE ATTACHMENT
Fully re-furbished to the new K200 standard, the handpiece is the centre of the modular system. Handpiece has forward and reverse button plus locking trigger. Power output with Medical Air @7bar input is 0.78 Newton Meters. Speed variable 0-1100rpm.
K114BVI
K200 Handpiece
K114B AO Quick Release Attachment
£395.00
K111 Wire Driver Re-attachment of osteotomies or small bone fragments is often best achieved using ‘K’ or arthrodesis (‘A’) wires. Driving a long pin in a chuck often results in bending and kinking making driving difficult. Incrementally advancing the wire through a chuck is fiddly and time consuming. The wire driver allows the easy incremental advancement of the wire through the handpiece via the use of a clutch arrangement.
K200 MiINIDRIVER HANDPIECE K200VI
£675.00
K114B AO Quick Release Attachment
MINIDRIVER SETS VIMDB1
K210 Hi Torque 6.25mm Chuck Attachment
K111 WIRE DRIVER £2,200.00
K111VI 92
Wire Driver 0.7/1.8mm
£595.00
5
POWER TOOLS
www.vetinst.com K211 Pin Driver
K220 Blades
Other patterns available
Actual Size
Similar to the wire driver in operation the pin driver has a larger capacity. 1.6 to 4mm.
K142 K152
Actual Size
K148 K144
K211 PIN DRIVER K211 Pin Driver 1.6 to 4mm
£725.00
Actual Size
K211VI
K120 Mark I Sagittal Saw
K154
Actual Size
The K120 sagittal saw uses a push button mechanism for blade attachment. It is relatively widely available and less expensive than the more robust Mark II K220.
K220 BLADES
K120 MARK I SAGITTAL SAW K120VI
K120 Sagittal Saw Attachment
£575.00
K220 Mark II Sagittal Saw
The Mark II saw is more robust in construction than the K120 saw. Blade attachment is by use of a hex wrench. While this gave a more rigid attachment of the blade to the saw it was also the weak point of the attachment. We have re-engineered the blade holding mechanism to make it stronger and made the whole attachment from stainless steel. The Mark II saw drives a larger ranger of blades including longer ones up to 42mm useful in the TTO and TTA procedures. Much more expensive than the Mark I version.
CUT THICKNESS
LENGTH
WIDTH
PRICE
K141
1.0mm
14.2mm
6.4mm
£47.50
K142
1.0mm
30.0mm
6.4mm
£47.50
K144
1.0mm
30.0mm
10.2mm
£47.50
K146
0.65mm
27.4mm
19.0mm
£47.50
K147
0.65mm
27.4mm
14.0mm
£47.50
K148
0.65mm
27.4mm
9.5mm
£47.50
K149
0.65mm
42.7mm
19.1mm
£47.50
K152
0.65mm
30.0mm
6.4mm
£47.50
K154
0.65mm
42.7mm
9.5mm
£47.50
K155
0.65mm
42.7mm
14.0mm
£47.50
Other patterns available - phone for full list
Actual Size
K123 K133
Actual Size
K220 Mark II Sagittal Saw Attachment
CODE
K120 Blades
K220 MARK II SAGITTAL SAW K220VI
K155
£925.00
MiniDriver Hose
K122 K132
Actual Size
K124 K134
K120 BLADES
The standard hose is a 3 meter long double hose which vents back at the wall gas outlet or the regulator. In the UK the standard drive gas is bottle sterile Medical Air delivered at 7bar (100psi). Elsewhere in the world Nitrogen may be used. The standard hose supplied is fitted with an MA7 gas probe (Medical Air @ 7bar) which prevents connection to other gases e.g. Oxygen. Hoses to fit the air outlets of other European countries are available on request. MINIDRIVER HOSE
CODE
CUT THICKNESS
LENGTH
WIDTH
PRICE
K121
1.0mm
15.1mm
6.4mm
£47.50
K122
1.0mm
31.0mm
6.4mm
£47.50
K123
1.0mm
15.1mm
10.4mm
£47.50
K124
1.0mm
31.0mm
10.4mm
£47.50
K125
1.0mm
15.1mm
16.5mm
£47.50
K131
0.7mm
15.1mm
6.4mm
£47.50
K132
0.7mm
31.0mm
6.4mm
£47.50
K133
0.7mm
15.1mm
10.4mm
£47.50
3MHOSEVI
MiniDriver Hose
£375.00
K134
0.7mm
31.0mm
10.4mm
£47.50
3MHOSEVIUS
MiniDriver Hose US Shreader
£375.00
K135
0.7mm
15.1mm
16.5mm
£47.50
93
5
POWER TOOLS
Maxi Driver Modular System
MaxiDriver3 Modular System
The MaxiDriver remains the workhorse of very many human and veterinary orthopaedic units. It is extremely reliable and almost infinitely repairable. It’s robust construction will tolerate a good deal of abuse. Veterinary Instrumentation is remanufacturing the handpieces and attachments and has taken steps to ensure that all spares are available or can be re-made. The New MaxiDriver has a full 1 MAXL100R year warranty. The handpiece is significantly bigger than the MiniDriver (940g vs 480g). The modular system takes 15 quick release attachments. All attachments also available in new re-manufactured condition. Please phone for details. A huge range of saw blades is available making the MaxiDriver Kit an extremely good value introduction to orthopaedic power. MaxiDriver Kits are particularly good value.
The MaxiDriver Mk 3 was the final version of this industry standard air system before 3Ms were taken over by Linvatec and the MaxiDriver was killed off. The preowned price is only 25% of original list The Maxi 3 is a lovely system to work with, which we support wholeheartedly. The attachments are particularly easy to switch. The system comes with a 12 month warranty as if it was new. Amazing value compared with new equipment. Weight of the handpiece is 1065g . Set includes: Handpiece, Jacobs Chuck, Keyless Chuck, Sagittal Saw, AO Chuck, Reciprocating Saw, Pin/Wire Driver, Hose and Case. Sagittal Saw takes the standard range of MaxiDriver blades. Servicing is not a problem. MAXIDRIVER3 MODULAR SYSTEM PREMAXI3SET
MaxiDriver3 Set (Pre-owned)
£2,900.00
MicroDriver Modular System MAXKITR Basic MaxiDriver Set
MAXL110 Jacobs Chuck
MAXL320 Sagittal Saw
MAXL513 AO Quick Release
The 3Ms MicroDriver modular system is designed for precise control when cutting and drilling small delicate bone. The kit is complete and includes the following: U100 Micro-Driver Motor U200 Drill/Bur: Takes standard spine burs. Runs at 0-28,000rpm
MAXL111 Wire/Pin Driver
U300 Sagittal Saw: Drives a range of small blades MAXI DRIVER MODULAR SYSTEM
U500 Oscillating Saw: Drives a range of small blades
MAXL100R
MaxiDriver Handpiece Refurbished to new
MAXL110
Jacobs Chuck Attachment 6.35mm capacity
£275.00
MAXL111
Wire/Pin Driver 1.6 to 4mm capacity
£400.00
MAXL320
Sagittal Saw Large Attachment
£450.00
MAXL140
Reciprocating Saw Attachment
£350.00
MAXL513
AO Quick Release Attachment
£450.00
MAXIHOSE
3 Metre MA7 Hose to fit MaxiDriver
MAXKITR
MaxiDriver Basic Kit with as new handpiece
£2,200.00
U700 Reciprocating Saw: Drives a range of small blades Hose: MA7 (UK hose) A selection of blades This system is as new and includes the standard 12 month warranty. Was originally £8000.00 plus !!!
£375.00
MICRODRIVER MODULAR SYSTEM
£2,800.00
PREMICROFULL 94
MicroDriver Set (Pre-owned)
£2,200.00
5
POWER TOOLS
www.vetinst.com
MPZ Blades for Sag Saw with Wrench 14210(SZ-450) MPX Blades for Sag Saw with Wrench 12300(MX-600)
Orthopaedic Equipment
Many other blade styles are available phone for all profiles S85-103
Desoutter is a long established U.K. company providing high quality air driven equipment for orthopaedic surgeons. Excellent equipment with high quality, local backup.
S85-100
MPZ Modular System
S85-110
This system is similar in size and feel to the Mini Driver. The range of available attachments is greater than the Mini Driver. The saw can take blades up to 44mm useable length. The pin driver attachment accepts pins up to 3.2mm (1/8”) which is very useful when placing external fixation pins.
S85-117
MPZ/MPX BLADES TO FIT WRENCH FITTING SAG SAW SZ-450/NX-600
Air and corded versions are available.
CODE
A full colour stand alone brochure is available which illustrates all the MPZ options, together with other De Soutter small bone equipment.
Small Jacobs chuck
CUT THICKNESS
LENGTH
WIDTH
PRICE
S85-100
0.7mm
23mm
10.4mm
£45.00
S85-103
0.7mm
11mm
6.4mm
£45.00
S85-107
0.7mm
44mm
19mm
£45.00
S85-109
0.7mm
44mm
17mm
£45.00
S85-110
0.7mm
33mm
10mm
£45.00
S85-117
0.7mm
48mm
17mm
£45.00
Wrench tightening sagittal saw
MPZ Blades for Quick Release Sag Saw 14230(NZ-450) MPX Blades for Quick Release Sag Saw 144400(NX-600) Many other blade styles are available phone for all profiles Quick release sagittal saw
Wire driver
S88-103
S88-100 AO Quick release chuck
S88-110
MPZ MODULAR SYSTEM MPZ226414
Multidrive MPZ Handpiece
MPZ14110
Small Jacobs Chuck attachment max 4.0mm
£475.00
MPZ14240
Large Jacobs Chuck attachment max 6.3mm
£500.00
MPZ14140
AO attachment
£525.00
MPZ14230
Sagittal Saw Attachment (quick release)
£1,750.00
MPZ14210
Sagittal Saw Attachment (wrench fitting)
£1,525.00
MPZ14220
Reciprocating Saw Attachment
£1,525.00
MPZ14260
Wire Driver Attachment 0.6 to 1.8mm Gold Nose £1,450.00
CODE
CUT THICKNESS
LENGTH
WIDTH
PRICE
MPZ14270
Pin Driver Attachment 1.8 to 3.2mm Silver Nose £1,450.00
S88-100
0.6mm
25mm
10.0mm
£45.00
MPZ10900
3 metre hose MA7 fitting
£450.00
S88-103
0.6mm
22mm
6.4mm
£45.00
BRDESOUTSM
Small Bone Surgery Brochure
£FOC
S88-109
0.6mm
46mm
15mm
£45.00
BRDESOUTLB
Large Bone Surgery Brochure
£FOC
S88-110
0.6mm
35mm
10mm
£45.00
£3,250.00 S88-109
MPZ/MPX BLADES TO FIT QUICK RELEASE SMALL SAG SAW NZ-450/NX-600
95
5
POWER TOOLS
MPX 600 Modular System
Blue Line Battery Surgical Power The Blue Line Drill is fully autoclavable at 134 degrees. (not batteries). The batteries are no memory Lithium for long life. Supplied with a quick fit 1/4” (6.3mm) stainless chuck. An AO quick fit attachment may be coupled to the drill’s industry standard hudson drive. Fully cannulated.
Heavier duty than the MPZ system, the MPX will be of particular interest to those surgeons with a high through put of Closing Wedge TPLOs and TTOs. The working blade length goes up to 100mm. High power, high torque coaxial motor.
Supplied complete with battery, battery charger and battery transfer sleeve. Weight 1110g
A massive 27 quick release attachments, including 3 different saws which take all the blades styles illustrated on this page.
The Blue Line Saw accepts a range of blades from 6mm wide. Saw speed is nicely controlled via the trigger.
Air, battery and corded versions available. KX-600 Air hose is the same as the Slocum saw.
The saw has a maximum oscillation of 15000/min. Noise levels are below 90dB.
Full colour stand alone brochure is available which illustrates all the MPX options together with other De Soutter large bone equipment.
NX-600
Supplied complete with battery charger and battery transfer sleeve. Weight 905g
MPX-600 MODULAR SYSTEM MPX226464
MPX Handpiece
MPX11720
Jacobs Chuck 4mm cap
MPX11710
Jacobs Chuck 6.35mm cap
£650.00
Blue Line Drill
MPX11930
Wire Pin Driver 0.6 to 3.2mm
£1,750.00
Blue Line Saw
MPX12380
MPX Sagittal Saw Large Blade Head KX-600
£1,575.00
Jacobs Chuck
MPX14400
Mini Sagittal Saw Quick Release Head NX-600 £1,575.00
AO Quick Release Chuck
MPX12300
Mini Sagittal Saw Wrench Fit MX-600
2 x Battery Chargers
MPX11730
AO Quick Release Attachment
MPX11760
Oscillating Drill
MPX5300
3 Metre MA7 Hose to fit MPX & Slocum Saw
BRRDLBS
Large Bone Surgery Brochure
£3,425.00
Drill/Saw Set
£650.00
£1,750.00 £525.00
3 x Batteries
£1,450.00
2 x Battery Sleeves
£275.00
12 month Warranty
£FOC
Instructions
MPX Blades for Large Quick Release Sag Saw KX-600 Many other blade styles are available phone for all profiles
The system is CE marked and carries a full 12 month warranty. The batteries should not be autoclaved but an autoclaveable transfer system is included.
S87-109
SPECIAL OFFER Buy both Drill/Saw set and save £500.00. Drill/Saw Set £2,700.00 Less than the price of the battery charger of other systems!!!
S87-103
S87-108
BLUE LINE BATTERY POWER
MPX BLADES TO FIT LARGE QUICK RELEASE SAG SAW 12380(KX-600) CODE
BLDKIT
Blue Line Drill Complete Kit
BLAOA
AO quick fit attachment
BLSSKIT
Blue Line Sagittal Saw
£1,500.00
BLDSSET
Blue Line Drill/Saw Full set
£2,700.00
BLBAT
Spare Battery
BL841008
Saw Blade 84mm x 10 x 0.8mm
£30.00
£1,500.00 £105.00
£165.00
CUT THICKNESS
LENGTH
WIDTH
PRICE
BL840808
Saw Blade 84mm x 8 x 0.8mm
£30.00
S87-103
0.8mm
60mm
13mm
£45.00
BL840608
Saw Blade 84mm x 6 x 0.8mm
£30.00
S87-108
0.75mm
52mm
20mm
£45.00
BL540906
Saw Blade 54mm x 9 x 0.6mm
£30.00
S87-109
0.8mm
32mm
12mm
£45.00
BL622912
Saw Blade 62mm x 29 x 1.2mm
£30.00
96
5
POWER TOOLS
www.vetinst.com Synthes
Bur Systems
Jacobs Chuck (4mm) with Synthes Quick Release Attachment
Halls (Linvatec) Spinal Bur System Surgairtome II
The small Jacobs stainless chuck is fitted with the standard Synthes quick release attachment. This chuck will now fit the 511 series of Synthes drill allowing it to drive round shaft drills as well as pins and wires. It will also fit all Sythes tap handles making it a useful hand driver.
This is the current replacement for the Minos A200. Available both new and pre-owned. Similar performance to the Minos but has an air brake, so the bur stops immediately the trigger is released. Not as robust as the Minos as the drive is through gears but preferred by some surgeons e.g. Simon Wheeler.
4MM JACOBS CHUCK WITH SYNTHES QUICK RELEASE ATTACHMENT SYN4MM
4mm Chuck with Synthes quick release fitting
£135.00
Halls (Linvatec) Orthopaedic Power Saws
SURGAIRTOME II
All the following use the same standard Halls hose 5042-35E. A combination of these stand alone units is an alternative to the modular systems. HALLS UK HOSE 5042-35E
Halls UK hose. MA-7
£585.00
HALLHOSEVI
VI hose - Halls fitting
£375.00
505800
Surgairtome II kit. Includes hose, medium bur guard, motor and case
£4,400.00
5058
Surgairtome motor.
£3,500.00
PREHALLSSURG
Pre-owned Surgairtome II kit. Includes hose and bur guard
£1,950.00
5042-35E
Halls UK Hose MA-7
£585.00
HALLHOSEVI
VI Hose – Halls Fitting
£375.00
3M Spinal Bur System
Micro 100 Sagittal Saw
Minos A200
A small sagittal saw for routine osteotomies. Not really big enough for closing wedge TPLOs. MICRO 100 SAGITTAL SAW (Preowned) MICROSAG
Sagittal Saw
A dedicated bur system, the Minos A200 drives a large range of burs at up to 100,000 rpm. This is the top line instrument in use at most universities and referral practices. Relatively robust in that the bur is driven by an air vane. Always use an appropriate length bur guard to protect the bur and operator. Usually available pre-owned. Further details and trials are available on request. A set will include the A200 motor, bur guard and a hose.
£1,525.00
Blades - many patterns available please phone or e-mail for details
Micro 100 Reciprocating Saw
Useful where access is limited. Used by some surgeons e.g. Gary Clayton-Jones and John Ferguson to create a radial osteotomy in a modification of the TPLO technique.
MINOS A200
MICRO 100 RECIPROCATING SAW (Preowned) MICRORS
Reciprocating Saw
£1,475.00
MICROPLATRS
Reciprocating Saw - platinum series
£2,450.00
PRE3MMINOS
Pre-owned Minos A200 kit. Includes hose, bur guard
3MHOSEVI
Hose with 3M fitting.
£1,950.00 £375.00
Bur Guards
Micro 100 Reciprocating Saw Blades 5053-021
Burs and bur guards are common to both the Minos and the Surgairtome II. A bur guard should always be used when driving burs. Spinning at 100,000 rpm the shaft needs support.
S22-059M
BUR GUARDS
MICRO 100 RECIPROCATING SAW BLADES CUT THICKNESS
LENGTH
WIDTH
PRICE
1375-023
Extra Long Bur Guard
£575.00
5053-021
0.6mm
39mm
N/A
£45.00
1375-011
Long Bur Guard
£395.00
S22-059M
0.6mm
60mm
N/A
£45.00
1375-012
Medium Bur Guard
£395.00
CODE
97
5
POWER TOOLS
Electric Flexidrive Bur System
Bur Stands
Bur Block x 6
Bur Block x 10
Bur Block Split Level
Bur Rack Flip Out
For the occasional spinal surgeon, this budget system performs very well. The burs run at 0 - 15,000 rpm controlled via a foot pedal and the flexidrive is easy to use. Now supplied with removable, autoclavable handpiece. Use sterile autoclavable film to shroud the flexible shaft. Supplied as a complete kit including burs and instructions. When you are cutting more than one back per month think about a Minos/Surgairtome. See pages 97. ELECTRIC FLEXIDRIVE BUR SYSTEM 001640A
Mini Drill (Electric Drive) 15,000 rpm Foredom full kit incl burs
D235A
Spare Handpiece
£55.00
D295051/2
Spare Inner Drive Flex
£42.50
D295051/3
Spare Outer Drive Flex
£42.50
001641
Collet for HP burs
£10.00
001785
1.6mm Round Short Carbide Bur
£5.50
HP8
2.3mm Round Short Carbide Bur
£3.50
001787
2.7mm Round Short Carbide Bur
£8.00
001784
6.0mm Round Short Carbide Bur
£16.00
£545.00 Bur Rack Rotate folded flat for autoclaving
Bur Brush Bur Rack Rotate rotated out for use.
When burs stop cutting mid procedure the reason is usually clogging of the cutting flutes. High speeds (100,000 rpm) minimise the problem. Dremel type flexdrive units are particularly prone. Our bur brush is used to clean the bur without damaging it. It may be more convenient to change the bur and clean them up afterwards.
(NB Bur stands do not include burs)
BUR BLOCKS HP BURS (2.36MM SHAFT)
BRUSH A315
Bur Brush
£22.50
98
BUR6
Basic Bur Block for 6 burs
£24.00
BUR10
Bur Block for 10 burs
£32.50
BURSP12
Bur Block Split Level for 12 burs
£47.50
BURRACK
Bur Rack Flip Out for 12 burs
£67.50
BURROT
Bur Rack Rotating for 24 burs
£215.00
5
POWER TOOLS
www.vetinst.com Burs
All surgical burs have a 2.36mm shank (HP fitting) and will fit in all high speed surgical bur machines e.g. 3M's Minos, Halls Surgairtome, Foredom. We have selected Komet burs for their high quality. All are single pack and non sterile. In human surgery burs are regarded as disposable items. In veterinary surgery the cost precludes using burs as disposables. However, use of burs which are less than sharp extends procedure time and creates heat. We do advise that burs are checked and changed on a regular basis. Diamond burs are sharper and create less heat that carbide equivalents. Adequate irrigation is essential. Please see chart for options and prices.
BURS
BUR TYPE
illustrations are actual size
99
HEAD OVERALL SIZE LENGTH
BUR GUARD
ORDER CODE (Carbide)
PRICE £
ORDER CODE (Diamond)
PRICE £
1.8
50mm
Medium
M18R
£27.50
-
-
2.0
50mm
Medium
M20R
£27.50
M20D
£75.00
2.3
50mm
Medium
M23R
£27.50
-
-
3.0
50mm
Medium
M30R
£27.50
M30D
£77.50
4.0
50mm
Medium
M40R
£55.00
M40D
£77.50
5.0
50mm
Medium
M50R
£55.00
-
-
6.0
50mm
Medium
M60R
£55.00
M60D
£77.50
1.8
72mm
Long
L18R
£33.50
-
-
2.0
72mm
Long
L20R
£33.50
L20D
£45.00
3.0
70mm
Long
L30R
£42.50
L30D
£45.00
4.0
69mm
Long
L40R
£42.50
L40D
£48.00
5.0
69mm
Long
L50R
£59.50
L50D
£65.00
6.0
69mm
Long
L60R
£62.50
L60D
£77.50
6.5
69mm
Long
L65R
£65.00
-
-
2.0
95mm
Extra Long
X20R
£47.50
X20D
£55.00
2.3
95mm
Extra Long
X23R
£47.50
X23D
£55.00
3.0
95mm
Extra Long
X30R
£47.50
X30D
£55.00
4.0
95mm
Extra Long
X40R
£65.00
X40D
£80.00
5.0
95mm
Extra Long
X50R
£72.50
X50D
£80.00
5
POWER TOOLS
Aesculap Motor Systems by B Braun
Aesculap TPLO Saw Blades
Acculan Ti Modular System
Aesculap TPLO blades are, as you would expect, engineered to very high standards and have a number of important features.
• Blade is slightly thicker at the cutting edge which reduces friction and heat at the level of the blade body. • Cutouts in the blade body further reduce heat generated by friction, the single biggest problem associated with TPLO. Aesculap is known world wide for its quality and reliability. The Acculan 3Ti is their latest battery driven modular system which meets the highest standards of reliability, durability and ergonomics. The body is machined from Titanium for light weight and durability. All standard attachments are available including: drill, oscillating saw, AO quick fit & wire driver. The wire driver takes all pins up to 4.0mm and the Acculan 3Ti has the power to drive 4.0mm pins.
• The blade is designed to be resharpened by laser up to 3 times • Available in 18, 20, 24, 27 and 30mm • TPLO blade template available printed onto a clear acetate. The blade profile is a useful planning aid for radial cut TPLOs.
AESCULAP ACCULAN MODULAR SYSTEM GA671
Handpiece
GA666
Battery
GA677
Charger
GA638R
Drill Attachment
GA660R
Oscillating Saw Attachment
GA635R
AO Quick Fit Attachment
BRAESPOW
Aesculap Power System Brochure
AESCULAP TPLO SAW BLADES
£4,725.00 £550.00 £3,000.00 £945.00 £1,650.00 £945.00 £FOC
GC544R
Aesculap Radial Saw Blade 18mm
£245.00
GC545R
Aesculap Radial Saw Blade 20mm
£245.00
GC546R
Aesculap Radial Saw Blade 24mm
£250.00
GC547R
Aesculap Radial Saw Blade 27mm
£260.00
GC548R
Aesculap Radial Saw Blade 30mm
£260.00
GCTEM
TPLO Blade Template
£FOC
Aesculap Power Systems Aesculap TPLO Motor System
Aesculap lead the world in the production of quality instruments and power tools. Veterinary Instrumentation is proud to have been appointed UK Veterinary Agent.
The heart of this system is the tried and tested Aesculap air motor. The motor will drive other attachments such as drills and oscillating saws making this TPLO saw part of a truly modular system. Aesculap radial blades are driven by the TPLO saw attachment.
The Aesculap power range includes air, cable drive and battery powered products to suit all applications. The reliability and quality is world famous and the pricing is very competitive.
AESCULAP TPLO MOTOR SYSTEM
Please telephone for the full Aeculap Power Tools brochure
GA200
Air Motor
GB124R
TPLO Saw Attachment
£990.00
AESCULAP POWER TOOLS BROCHURE
GA468
MA7 Aesculap Air Hose
£735.00
BRAESPOW
Aesculap Power System Brochure
£FOC
BRAESPBURBLA
Aesculap Burs and Blades Brochure
£FOC
£1,825.00
100
5
POWER TOOLS
www.vetinst.com Aesculap Sharpening service
Air Regulators and Hose Probes
HAND SHARPENED
LASER SHARPENED
For maximum efficiency saw blades must be sharp, this is particularly true of radial and biradial blades which are inherently inefficient. It is not possible to sharpen a blade by hand to the same degree of sharpness as a computer controlled laser cutter. See above pictures. We are now able to offer professional laser blade sharpening for TPLO saw blades. For Aesculap blades we offer an ‘exchange service’ you send your blunt blade to us and we will send you a laser sharpened blade refurbished to as new condition. Aesculap blades can be sharpened twice.
notch
UK MA7
US Schrader
Slocum blades may also be sharpened to the same standard but not on an exchange basis. Even if you feel hand sharpening is satisfactory, blades will benefit from laser sharpening to level the teeth. Blunt blades are the biggest source of TPLO complication through thermal necrosis. All the air equipment runs on Medical Air at 7 Bar (100PSI) Drills and saws can be run from compressors as their air requirement is intermittent. High speed drills need bottled gas or a big compressor. A twin dial regulator is best to control gas pressure (001756). One dial gives bottle pressure, the other one gives line pressure (7 Bar).
TPLO BLADE SHARPENING SERVICE TPLOSHARPA
Aesculap TPLO Blade sharpening
£95.00
TPLOSHARPS
Slocum TPLO Blade sharpening
£105.00
UK supplied hoses come with an MA7 probe (Medical Air 7 Bar pressure). Schrader fittings on hoses purchased from the USA look similar to UK MA7 probes. Many will however not lock into UK MA7 sockets. The best solution is to change the probe. A cheaper alternative is to use a Schrader/MA7 adaptor (001758).
Aesculap Power Lubricants - Sterilit
AIR REGULATORS AND HOSE PROBES
This is the especially formulated lubricant for all Aesculap power tools.
001756
Medical Air Regulator MA7 outlet *
001758
Schrader / MA7 Convertor (plug in)
001759
Hose conversion US Schrader to UK Probe
£315.00 £62.50 £140.00
Carriage is extra for all items marked *
Air Instrument Care Products Orthopaedic Air instruments are expensive to buy and replace. Regular basic maintenance will ensure continuing excellent performance and minimal repair bills. Many instruments which come to us for repair have simply not been lubricated. Follow manufacturer's recommendations exactly.
AESCULAP STERILIT SPRAY GB600
Aesculap Sterilit Spray (300ml)
£55.00
AIR INSTRUMENT CARE PRODUCTS
101
M105
Blitz Spray Cleaner
£21.00
M317
Lubricant for Minidriver and Minos
£17.50
M316
VI Air Instrument Oil
£9.50
5
POWER TOOLS
TPLO Saws and Blades
TPLO Radial Saw Blades
21, 27, Mandrel
21 Blade
Slocum TPLO blades create a patented biradial cut which means that the tibial plateau segment fits the distal tibia section exactly with maximum bone contact. While this is a good thing the design of the blade does not cut very efficiently and needs regular hand sharpening if excess heat is not to be produced. Veterinary Instrumentation has been looking at TPLO blades for a number of years and is introducing a range of Radial blades which cut better and are cheaper to replace than the Slocum original. They have the same triangular stryker connection.
21, 27, Mandrel
27 Blade
TPLO SAWS AND BLADES TPLOSW HALLHOSEVI
TPLO Saw VI Hose – Halls Fitting
We are now able to supply radial cut blades in the following sizes: 15, 18, 21, 24, 27, & 30mm.
£2,350.00 £375.00
Mandrels are available for the following sizes: 15, 18 & 24, 21 & 27 and 30mm. The theoretical benefits of a bi-radial blade are well known. However, in practice the bi-radial blade is not very efficient at cutting bone even when new. After hand sharpening the efficiency falls still further. An inefficient blade creates heat. The thermal necrosis produced by the bi-radial blade neutralises any benefit derived from the bi-radial cut.
Modular Stainless TPLO Blades
Our titanium blades are light, thin, hard and replaceable. In addition the blades have a ’set’ (the teeth are alternately offset as in all wood cutting saws) which creates a slot slightly wider than the blade. This reduces the friction and heat still further as well as preventing the blade jamming in the osteotomy. When the blade becomes worn simply replace with new sharp blade. RADIAL CUT TPLO BLADES
All the blades fit the standard hub. The 30mm blade requires a collar which is supplied with the hub. The blades have a ‘set’ which makes the teeth slighter wider at the tips which reduces friction and heat as the blade passes through the bone. For those who purchased our stainless steel hub system taking semi disposable radial cut blades we are pleased to inform you that in addition to the 24mm blade, 18 and 30mm blades are now available. The blades are long lasting with a tooth ‘set’ to reduce heat generation. When they get dull simply fit a new one.
Hub for 18, 24 & 30mm blades includes collar
£375.00
TPLOB18
18mm Radial cut stainless blade
£115.00
TPLOB24
24mm Radial cut stainless blade
£115.00
TPLOB30
30mm Radial cut stainless blade
£115.00
TPLOB30COL
Collar for 30mm blade
£115.00
TBHEX32
3.2mm ‘T’ Bar Hex Driver (Whittemore/VI)
Mandrel for 15mm Blades
£275.00
TPMDRL1824
Mandrel for 18 & 24mm Blades
£275.00
TPMDRL2127
Mandrel for 21 & 27mm Blades
£275.00
TPMDRL30
Mandrel for 30mm Blades
£275.00
TPBL15
15mm Blade
£155.00
TPBL18
18mm Blade
£155.00
TPBL21
21mm Blade
£155.00
TPBL24
24mm Blade
£155.00
TPBL27
27mm Blade
£155.00
TPBL30
30mm Blade
£155.00
TPLO Saw Hex Driver ‘T’ Bar type The fitting on most TPLO saw blades is of the triangular Stryker type. The means of attachment to the saw is by hex drive grub screws which are notorious for working loose. Our ‘T’ bar hex drivers allow the surgeon to quicky, easily and firmly attach the blade to the saw.
MODULAR STAINLESS TPLO SAW BLADES TPLOBHUB
TPMDRL15
Available in 2.5mm (Slocum), 3.0mm (Aesculap) and 3.2mm Whittemore.
£32.50
‘T’ BAR HEX DRIVERS
102
TBHEX25
2.5mm ‘T’ Bar Hex Driver (Slocum)
£32.50
TBHEX30
3.0mm ‘T’ Bar Hex Driver (Aesculap)
£32.50
TBHEX32
3.2mm ‘T’ Bar Hex Driver (Whittemore/VI)
£32.50
5
POWER TOOLS
www.vetinst.com TPLO Saw Blade Protractor
Pre-Owned Equipment Quality pre-owned equipment typically costs a fraction of new. Buying second hand is often the only way to justify the purchase of capital equipment for orthopaedics and arthroscopy. Equipment may be purchased from Ebay or other auction houses but carries signficant risk. There is usually a reason why the previous owner is selling. We carefully source quality brands, check for function and service and repair as necessary. Everything comes with a six month warranty. Typically we keep stocks of orthopaedic power tools, xenon lights, cameras and shavers. The stocks change daily but details are to be found on www.vetinst.com in the web shop. Alternatively please telephone or e-mail with your requirements and we will advise and source what you need.
Use to accurately measure the tibial plateau slope. In addition the protractor is marked with blade outline to further assist in the planning of the TPLO procedure.
+44 (0) 114 2588530
TPLO PROTRACTOR TPLOPRO
TPLO Protractor
info@vetinst.com
ÂŁ22.00
Slocum Flat Blade Convertor
001770 Blade not included
DyonicsSingle Chip Camera and Light Source Allows any saw with a Slocum type drive to drive flat blades Huge range of blades available Friction grip allows infinite range of blade angles Use for osteotomies, wedge TPLOs, TTO, TTA. SLOCUM FLAT BLADE CONVERTOR 001770
Slocum Flat Blade Convertor
ÂŁ92.50
Used Air Equipment Linvatec Shaver System
We maintain a large stock of used air equipment which John Lapish has personally selected for condition. Everything carries a 6 month warranty. Loan items are usually available. The stock list varies from day to day so please telephone to ask for our current stock list. All items available on a sale or return basis so that you can trial before you buy. Usually available - Mini Driver, Maxi Driver (Larger version of Mini Driver) Desoutter MPZ and MPX Halls Drills & Saws Surgairtome II Minos
DeSoutter MPX Modular System
Check the pre-owned section of www.vetinst.com for latest offers 103
6
Chapter 6
SPINAL SURGERY
Surgery of the spine
Bur Systems
Introduction
A range of both electric and air driven Bur systems for spinal surgery are shown on page 98 in Chapter 5. The Electric Foredom Bur system is suitable for the occasional spinal surgery, whilst surgeons cutting more than one back per month may find the Minos/Surgairtome of interest. All power tools are available individually or as part of a discounted kit.
Rongeurs & Punches All rongeurs and spine forceps cut with one part of the jaw inserted into the compromised spinal canal. Our spine instruments are designed to minimise the size of the lower jaw. In many cases this will reduce the cutting strength of the instrument which should only be used on appropriate bone thickness. A selection of rongeurs will be required. Surgery of the spine in the cat and the dog can be performed in general practice provided that appropriate skills and instrumentation are available. Diagnostic skills and equipment are of course equally important. Myelography is another procedure which is not particularly difficult and can be very rewarding. However, myelography perhaps should only be performed if the means to correct the problem is available. Spinal surgery is an increasingly common topic at CPD meetings and courses. Equipped with knowledge and some instruments, practice (initially on cadavers) makes perfect.
Duck-billed Daniel Rongeurs
Actual Size
Many procedures can be performed using hand instruments only, eg. fenestration of cervical and thoraco/lumbar discs. Even hemilaminectomies and slotting can be done manually provided that the correct instruments and time are available. Access to high speed drills and burs does, however, make life easier and significantly reduces surgery time. The choice of power tools is very difficult with a wide range of options. Important criteria include drill speed, bur range, ease of sterilising and expense.
Designed by Simon Wheeler BVSc PhD, these rongeurs can remove full thickness laminal bone in small dogs. They are, however, best used to remove the layer of deep cortical bone overlying the spinal cord once the superficial cortex and cancellous bone have been removed using power tools; this is particularly true of the medium and large dog.
Veterinary Instrumentation has assembled a range of hand instruments and surgical power tools which will enable the veterinary surgeon to perform most spinal procedures.
DUCK-BILLED DANIEL RONGEURS 001400 Duck Billed Daniel Rongeurs 177mm long 3mm bite
The range is such that if you do not know exactly what you require ask for a selection on a sale or return basis. Simon Wheeler's book is an excellent guide. The new edition is now available which is even better. BOOK BK05
Small Animal Spinal Disorders
£99.00
£77.50
Daniel Rongeur
Percussion Mallet
Actual Size
Designed for consistent neurological examination. Much better than whatever you are using at the moment!
The jaws of this instrument are straight and the bite is small. Also suitable for bulla osteotomy.
PERCUSSION MALLET 001322
DANIEL RONGEUR Percussion Mallet
£22.00
001402 104
Daniel Rongeurs 130mm long 2mm bite AOF
£77.50
6
SPINAL SURGERY
www.vetinst.com Lempert Rongeur
Laminectomy Rongeurs
Actual Size
These rongeurs have been developed specifically for laminectomy in the dog. Features:
A useful rongeur with a small bite favoured by Simon Wheeler for incremental bone nibbling around the spine. A selection of small rongeurs is desirable when operating on the spine.
• Sigmoid shaped for maximum visualisation of surgical site and ease of grip. • Lower jaw is very slim to minimise trauma to the spinal cord.
LEMPERT RONGEUR
• Available in jaw widths of 2, 3 and 4mm. Length 16cm.
Lempert Rongeurs 3mm bite 190mm Str
6730/10
£75.00
• Stronger than Duck-billed Daniels LAMINECTOMY RONGEURS
Friedman
001432
Laminectomy Rongeurs 2mm
£145.00
001433
Laminectomy Rongeurs 3mm
£145.00
001434
Laminectomy Rongeurs 4mm
£145.00
Compound Action Spinal Rongeurs
Actual Size
Actual Size
142501
142502
Very fine rongeurs for incremental removal of bone overlying the spine.
Actual size
COMPOUND ACTION SPINAL RONGEURS
FRIEDMAN 142501 142502
Much more powerful than the Daniels, this instrument can nibble through full thickness lamina. The jaws are very fine and angled to allow the surgeon to enlarge the inter-verterbral foramen. Available in 2, 3, 4 and 5mm jaw widths. Length 19cm.
Mini Friedman curved 3mm bite. Length 12mm. Micro Friedman curved 2.2mm bite. 155mm/6". Length 15.5cm.
£60.00 £60.00
Micro Spine Rongeur Set
001429
Compound Action Spinal Rongeurs 2mm
£205.00
001430
Compound Action Spinal Rongeurs 3mm
£205.00
001431
Compound Action Spinal Rongeurs 4mm
£205.00
001440
Compound Action Spinal Rongeurs 5mm
£205.00
Stille-Luer Rongeurs
Actual size Actual size
Very fine rongeurs with a 1.75mm bite. Available in three variations. Straight, Curved and Angled. Significant savings when purchased as a set of three.
Length 22.5cm. STILLE-LUER RONGEURS
MICRO SPINE RONGEURS 142600
Micro Spine Rongeurs Set of 3
142305 £115.00
105
Stille-Luer Heavy Compound Action Rongeurs 8 mm curved
£180.00
6
SPINAL SURGERY
Smith Kerrison Punch Forceps
40˚ Bone Punch Forceps (Low Profile)
close up detail
This instrument is designed for use with high speed bur systems. The bur is used to remove the outer cortical layer and the underlying cancellous layer, leaving only the inner cortical bone (appoximately egg shell thickness). Access to the neural canal is achieved using the bur or a small mobiliser (001420). The powerful nibbling action allows the final layer of bone to be removed in a very controlled manner.
This is a traditional design with a 40 degree upward cutting jaw. Robust spine forceps. Good quality and excellent value. SMITH KERRISON PUNCH FORCEPS 001445
Smith-Kerrison Punch Forceps 2mm
£115.00
001446
Smith-Kerrison Punch Forceps 3mm
£115.00
Modular Forceps with Rotating Punch & Rongeur Inserts
From a surgical standpoint the foot should be as small as possible, for strength the foot needs to be as large as possible. This wedge shape is a good compromise. In addition the foot is polished to minimise friction and trauma to the spine. Overall length 21cm. 40˚ BONE PUNCH 001438 Spine Punch Forceps 2mm 40° upward cut
£215.00
001439 Spine Punch Forceps 3mm 40° upward cut
£215.00
001441 Spine Punch Forceps 4mm 40° upward cut
£215.00
Kerrison Self Clearing
Standard Kerrison require that the jaws be cleared of debris after each bite for maximum efficiency. The Self Cleaning Kerrison incorporates a channel along which bone debris moves much in the same way as a paper hole punch. Significant time and frustration is eliminated. Available in 2mm and 3mm The standard handpiece accepts six different inserts which can be changed very quickly and simply even mid-procedure. Each insert will rotate 360˚ in 40˚ increments without impairing cutting efficiency. Full kit with 6 inserts supplied in stainless case for autoclaving. Length 28cm.
SELF CLEARING KERRISON RONGEURS
Full set with six inserts in case: • Rongeur 1.5mm insert
• 40˚ 1.0mm insert
• Rongeur 2.0mm insert
• 40˚ 2.0mm insert
• Rongeur 3.0mm insert
• 40˚ 3.0mm insert
MODULAR FORCEPS WITH PUNCH & RONGEUR INSERTS 001448
Kerrison Modular, Multi-Position Inserts
£395.00
106
001143 Self Clearing Kerrisons 2mm bite
£215.00
001144 Self Clearing Kerrisons 3mm bite
£215.00
6
SPINAL SURGERY
www.vetinst.com Gelpi Odd Leg Retractor
Caspar Modular Self Retaining Retractor
One arm (short) engages the neural spine, the other (long) retracts the longissimus dorsi muscle. Supplied in pairs.
GELPI ODD LEG RETRACTORS 001333
Gelpi Odd Legs (Pair) 20.5cm
£250.00
001334
Gelpi Short Odd Legs (Pair) 13cm
£250.00
Spike & Shield Odd Leg Retractor The Caspar self retaining retractor is a modular retractor which utilises a ratchet rack mechanism to distract a variety of blades and other inserts. Although designed as a spinal retractor the Caspar has many other applications. ‘Not just a one trick pony’ Andrew Wills 2007. Uniquely veterinary inserts include the cervical distraction pins (2.5mm dia). CASPAR MODULAR SELF RETAINING RETRACTOR
Operates in a similar fashion to the odd leg Gelpis but the muscle retaining shield creates a wider field of view. Supplied in pairs left and right.
001485
Caspar Retractor with Standard Blades (6)
001486
Caspar Cervical Distractor Pins (2)
001489
Set Extended Length Blades 8, 10, 12 & 15cm
£255.00 £45.00 £115.00
Small Spine Distractor SPIKE & SHIELD ODD LEG RETRACTOR 001480
Large 25x25mm shield (pair)
£220.00
001482
Small 12x12mm shield (pair)
£220.00
Cone Laminectomy Retractor
Similar in size to a Travers retractor but with articulated arms, the cone retractor allows a very flexible field of retraction, with the additional benefit that it can be folded away from the operation site. Maximum retraction, minimum interference.
The tips of the small distractor are designed to fit into intervertebral spaces. The surfaces pushing against the end plates are serrated for maximum grip. Tips when closed 4mm. Overall length 140mm. Tips are staggered for easy introduction.
CONE LAMINECTOMY RETRACTOR 001335
Cone Laminectomy Retractor
SMALL SPINE DISTRACTOR £220.00
001491 107
Small Spine Distractor
£175.00
6
SPINAL SURGERY
Sheas Curette
Hand Instruments
scoop detail
Freer Periosteal Elevator Fenestration of discs, particularly cervical discs, can be a useful procedure. The Sheas currette is a very small scoop. 2.5mm in diameter. SHEAS CURETTE
Finer than a standard orthopaedic elevator, this instrument is useful in cats and miniature dogs. Particularly good around the spine. 5mm tip
001410
FREER PERIOSTEAL ELEVATOR Freer Periosteal Elevator 5mm
7350/05
Sheas Disc Curette 2.5mm diameter
Younger Good Scaler, Jaquette Scaler
£37.50
£39.50
Younger Scaler detail
Younger Scaler
Very Fine Periosteal Elevator
Jaquette Scaler Jaquette Scaler detail
Even smaller than the Freer this double ended instrument is suitable for very fine work. 2 and 3mm tips. VERY FINE PERIOSTEAL ELEVATOR 001272
Very Fine Periosteal Elevator 2mm/3mm
Both instruments are recommended by Simon Wheeler for the removal of wafer thin bone overlying the spinal cord during laminectomy. The Younger Good scaler is blunt backed and useful for removal of disc material from both disc spaces and neural canal. This is not a standard scaler in that all the sharp surfaces are softened to minimise spinal trauma. The Jaquette scaler is sharp and best suited to hooking out the final lamina.
£37.50
Dandy Nerve Hook hook detail
YOUNGER GOOD SCALER, JAQUETTE SCALER The Dandy Nerve hook is useful for manipulation of nerves and nerve roots. Also useful for manipulation of the medial meniscus during CCL procedures.
001422
Younger Good Scaler
£32.50
001424
Small Jaquette Scaler 34/35
£32.50
DANDY NERVE HOOK 001408
Nerve Hook 1mm
£28.50
001409
Dandy Nerve Hook 2mm
£28.50
FitzExcavator Set
House Curette House Curette detail
House Curette detail
The House Curette is a strong small curette to lift bone from around the spinal cord. Double ended 2.5 and 3.0mm scoops. HOUSE CURETTE 7262/05
House Curette. 2.5 and 3.0mm scoops
Rosens Mobiliser
£39.50
curved tip detail
Designed and developed by Noel Fitzpatrick this excavator set includes all the necessary hand instruments for surgical managment of canine intervertebral disc disease. The set consists of 5 cutting instruments: one left ,one right, plus 3 straight instruments 2.00mm, 1.00mm and 0.5mm. Set also includes 001275 Molt Periosteel Elevator (4mm/6mm). The six instruments are supplied in a stainless autoclavable case.
With care, intraneural canal structures can be manipulated. Removal of disc debris is essential to achieve decompression of the cord. The curved tip of this instrument is very useful. ROSENS MOBILISER 001420
Rosens Mobiliser
£39.50
FITZEXCAVATOR SET 001428
108
FitzExcavator Set
£195.00
6
SPINAL SURGERY
www.vetinst.com Burley Disc Scoop
Bone Wax The Burley Disc Scoop is designed to remove material without repeated insertions into the disc space. As the scoop is moved around, the nuclear material travels along the channel and out.
BURLEY DISC SCOOP 001501
Burley Disc Scoop
It will not help you if you hit a venous sinus but will control the seepage of blood from cut cancellous bone which obscures the visual field. The wax physically blocks the blood vessels.
£52.50
Wobblers
BONE WAX 001460
Bone Wax 12 x 2.5g
£25.50
Bone Cement An alternative is the distraction of the disc space using a small screw and filling the space with Gentamycin BC1G Bone Cement. Bone cement is also used for stabilising spinal fractures. Use screws or pins to provide ‘keying’ points. For full list of available bone cement see page 151. At the present time distraction fusion techniques seem to offer the best chances of success. The rapid improvement following surgery encourages the owners to persevere to long term stabilisation. The Mckee washer has been shown to give a relatively high success rate for this most difficult condition. Each size washer has its own distractor to facilitate insertion. The washer is maintained in situ by a 3.5mm position screw.
BONE CEMENT BC1G
Digital Bone Cement with Gentamycin
£52.50
Lyostypt®
WOBBLERS 090250
6.0 McKee Wobbler Washer No 2
£27.50
090251
7.5 McKee Wobbler Washer No 1
£27.50
090255
6.0 Wobbler Washer Distractor
£42.50
090256
7.5 Wobbler Washer Distractor
£42.50
McKee Distractor with Speedlock
Lyostypt® is a wet-stable collagen haemostat. Collagen leads to thrombocyte adhesion and to activation of coagulation factor XII. Replacement for Gelfoam. Size 30 x 50mm. 12 units per pack. • Achieves haemostatis very swiftly • Is completely absorbable • Can be removed easily The odd legs of this dedicated distractor engage the intravertebral space proximal to and distal to the space involved. The speedlock opens the disc space leaving it uncluttered by instrumentation.
• Can be applied endoscopially • Can be combined with fibrin glue and antibiotics
An alternative to washers is fusion using bone cement with or without screws. See page 151.
LYOSTYPT® 1069128
MCKEE DISTRACTOR WITH SPEEDLOCK 090257
McKee Distractor with Speedlock 24cm
£195.00
109
Lyostypt® (12 units)
£105.00
7
Chapter 7
TRAUM IMPLANTS & INSTRUMENTS
Implant Designs and Specifications
Instruments Sherman Self-Tapping Equipment
For many years, veterinary orthopaedics have been complicated by the use of two incompatible plating systems: AO/ASIF type cortical screws plus compression type plates, and Sherman type screws plus Sherman and Venables type plates. The two systems differed both in their metallurgy and their strength.
Kits Sherman Plating Kits Savings may be made by purchasing pre-assembled kits. The price is typically discounted by 5% less than the component price.
All our implants are now made from stainless steel of the latest human specification, exceeding DIN 17443 and ISO 5832/1 (all are versions of stainless 316LV). This is the same specification material used by other manufacturers. In addition where international standards have been applied to screw threads e.g. 3.5 cortical screws (DIN 58812) our implants meet these standards. It is now safe to use implants from a variety of sources provided they meet the above specifications. All implants made in Europe must be compatible with each other.
Each kit contains all you need including screws and implants. Full details of what the kit includes is available at www.vetinst.com/kits SHERMAN PLATING KITS STAPKIT.2.0
2.0 Sherman Plating Kit
£465.00
STAPKIT2.7/3.5
2.7/3.5 Sherman Plating Kit
£675.00
Sherman Equipment and Screw Boxes
Round hole plates may be used with cortical screws. Only corticocancellous screws with spherical heads can be used to achieve compression using compression plates.
Sherman Equipment & Screw Box
Self-Tapping Cortical Screws After many years of being advised by AO that self-tapping screws were unacceptable, it now seems that they are fine and are supplied as selftapping cortical screws. The pull out resistance is unaffected provided the self-tapping flutes sit outside the bone. In our view long holes in hard bone should be pre-tapped e.g. a trans-condylar screw in the mature humerus or a position screw through the calcaneus. Veterinary Instrumentation's cortical kits are now available with self-tapping cortical screws or regular cortical screws which require a tap.
2.0 Equipment/Screw Box
The Sherman equipment box includes space for the essential equipment and a screw rack.
Implant Codes To minimise confusion regarding ordering, we have given our implants codes which accurately describe the item in question. For example: C2706052 is a compression plate for 2.7 screws which has 6 holes and is 52mm long. To further assist in decision making and ordering, templates are printed on pages 278 to 288 which show the exact shape of all the plates available. Each outline is described by its own code. Acrylic overlays of these templates for use during fracture planning with radiographs are available free of charge from Veterinary Instrumentation.
2.7/3.5 Equipment/ Screw Box
SHERMAN EQUIPMENT/SCREW BOX
Which screw?
Hexagonal
AO type Self Tapping Cortical. All have a CSST prefix followed by the diameter and length of screw, e.g. CSST2718 is an 18mm 2.7 self-tapping cortical screw.
Self-tapping or Needs a tap
Box for 2.0 Sherman Screws and Equipment
£155.00
BX27ST
Box for 2.7 Sherman Screws and Equipment
£155.00
BX35ST
Box for 3.5 Sherman Screws and Equipment
£155.00
BX2735ST
Box for 2.7/3.5 Sherman Screws and Equipment
£155.00
Screw Box 145mm x 105mm x 55mm deep for Sherman Screws
AO type screw, cortical or cancellous Prefix is CS followed by the diameter and length of screw, e.g. CS3520 is a 20mm 3.5 cortical screw.
HEAD TYPE Either 2.0 or 2.7 (7/64”) Sherman type self-tapping screw. All have ST prefix followed by the length of screw, e.g. ST2012 is a 12mm 2.0 self-tapping screw. Slotted
BX20ST
Single slot or Cross head (Philips type) 3.5 (9/64”) Sherman type self-tapping screw. Prefix is ST35 followed by the length of screw, e.g. ST3519 is a 19mm 3.5 self-tapping screw.
110
This screw box has a hinged lid with a stainless perforated insert. The maximum screw length is 55mm but the marking of the holes is indicated. This box is for Sherman type screws. SCREW BOX SH2000ST
Box for 2.0 Sherman screws marked
£105.00
SH2700ST
Box for 2.7 Sherman screws marked
£105.00
SH3500ST
Box for 3.5 Sherman screws marked
£105.00
SH2735ST
Box for 2.7&3.5 Sherman screws marked
£105.00
SH202735ST
Box for 2.0, 2.7&3.5 Sherman screws marked £105.00
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com Screwdrivers & Sleeves for Slotted Screws (Sherman Type)
Sherman Self-Tapping Screws & Plates SHERMAN TYPE SCREW LENGTHS - Measure from top of countersink to tip
Self-tapping screws can be somewhat fiddly to start, particularly the smaller ones. Screwdrivers with screwholding sleeves hold the screw in place until the threads are engaged. Once the self tapping process has started the sleeve is pulled back, releasing the screw. Available for 2.0, 2.7, and 3.5mm slotted screws.
For 2mm screws + sleeve
£62.50
SDF270
For 7/64”/2.7mm screws + sleeve
£62.50
SDF350
For 9/64”/3.5mm screws + sleeve
£62.50
For 2mm screws
£35.00
SSH273540
For 7/64”/2.7mm & 9/64”/3.5mm screws
£35.00
1/2
5/8
3/4
7/8
1
1 1/8
1 1/4
1 3/8
1 1/2
10
13
16
19
22
25
28
31
34
38
1 5/8
1 3/4
1 7/8
2
2 1/4
2 3/8
2 1/2
2 5/8
2 3/4
2 7/8
3
44
48
50
57
60
64
66
69
72
75
NB: 2mm Sherman Type Self Tapping Screws are measured in 2mm increments from 6mm.
DRILL SIZES for Self Tapping Sherman Type Screws - Slotted Head ST - PREFIX PILOT DRILL JACOBS HARD JACOBS SOFT SYNTHES FIT TAP CLEARANCE DRILL JACOBS HARD JACOBS SOFT SYNTHES FIT SCREW DRIVER - FLAT
SCREWHOLDING SLEEVE SSH152024
3/8
MM
41
SCREWDRIVER FLAT END SDF200
INCHES
2.0 1.6
7/64” - 2.7mm 2.4 H090112 090103 S090112S N/A 2.7 H090104 090104 S090104S SDF270
090111
2.0 H090102 090102 S090102S SDF200
9/64” - 3.5mm 2.7 H090104 090104 S090104S 3.5 H090106S 090106 S090106S SDF350
2mm Self Tapping System (Sherman)
Cruciate Screwdriver
Designed to fit the 3.5mm cruciate head. And offers a more secure drive however it will not fit the 2.7mm self tapping screw. Screw holding sleeves do not work with the cruciate screwdriver. SCREWDRIVER CRUCIATE TIP SDC350
Screwdriver cruciate tip for 3.5mm screws
2mm Self Tapping System (Sherman)
£47.50
The 2mm self tapping system enables the veterinary surgeon to plate the bones of cats and miniature dogs without involving prohibitive costs. The range includes "T" plates, cuttable plates and reconstruction plates.
Depth Gauge
The 2mm kit includes both equipment and implants to cover the typical range of 2mm patients. All contained in a dedicated stainless box.
SELF TAPPING KIT 2mm
Accurate measurement of hole depth is essential in order to select the appropriate screw size. A range of gauges is available for various screw sizes. Hole depth is read from the instrument. Add extra to allow for over penetration and screw head. Use in self-tapping or cortical systems.
STAPKIT.2.0
DEPTH GAUGE
£465.00
2mm Self Tapping Screws (Sherman)
DG2027
For 2.0mm & 2.7mm screws
£65.00
DG242735
For 2.4, 2.7mm & 3.5mm screws
£65.00
DG2735
For 2.7mm & 3.5mm screws
£65.00
Used in conjunction with our 2mm bone plates, 2mm self tapping screws allow the veterinary surgeon to plate the long bones of small patients or the small bones of larger patients. Until now this has been possible only with sophisticated equipment. The head is a simple slot.
Screw Holding Forceps
2mm SELF TAPPING SCREWS - single slot head (use 1.6mm pilot)
A useful instrument for selecting screws with minimal handling. Can be used with any style of screw.
SCREW HOLDING FORCEPS SF2055
Self Tapping Kit 2mm - ring for full details
Screw Holding Forceps
£18.50 111
ST2006
6mm
£2.10
ST2008
8mm
£2.10
ST2010
10mm
£2.20
ST2012
12mm
£2.20
ST2014
14mm
£2.30
ST2016
16mm
£2.30
ST2018
18mm
£2.40
ST2020
20mm
£2.40
7
TRAUMA IMPLANTS & INSTRUMENTS
2mm Bone Plates (Round holes)
2.7mm Round Hole Plate (6mm wide - 2mm thick)
Available in a wide range of sizes, the 2mm plates used with either 2mm self tapping screws or 2mm AO cortical screws, provides the secure repair of the small bones of the dog and cat. See template for details.
Bone plates for 2.7mm or 7/64" screws usually have too few holes in the wrong places. The 2.7mm round hole plate has holes at 6mm intervals in a range of lengths. These plates are stronger than Sherman plates. See template for details.
2mm ROUND HOLE PLATE
2.7mm Round Hole Plate
PR200213
2 (number of holes)
13 (length in mm)
PR200420
4
20
£12.00
PR270215
2 (number of holes)
15 (length in mm)
£10.50
PR200423
4
23
£12.00
PR270424
4
24
£12.00
PR200525
5
25
£14.50
PR270427
4
27
£12.00
PR200528
5
28
£14.50
PR270530
5
30
£14.00
PR200630
6
30
£18.00
PR270533
5
33
£14.00
PR200633
6
33
£18.00
PR270636
6
36
£16.00
PR200735
7
35
£19.50
PR270639
6
39
£16.00
PR200738
7
38
£19.50
PR270742
7
42
£18.00
PR200840
8
40
£23.00
PR270745
7
45
£18.00
PR200843
8
43
£23.00
PR270848
8
48
£20.00
CP205150
2mm Cuttable plate 30 holes x 150mm
£75.00
PR270851
8
51
CM205150
2mm Cuttable malleable plate 30 holes x 150mm
£95.00
CP276150
2.7mm / 7/64" Cuttable plate 24 holes x 150mm
£65.00
CM276150
2.7mm / 7/64" Cuttable malleable plate 24 holes x 150mm
£85.00
£9.50
2.7mm / 7/64" ROUND HOLE PLATE (6mm wide)
2.7mm - 7/64" Self Tapping System (Sherman) This system of screws and plates utilises the familiar 7/64" self tapping screw. The head has a single slot. Until now the available bone plates for this screw were extremely limited, the plates were too weak with too few holes. A wide range of plates are now available, including "T" plates and reconstruction plates.
£20.00
2.7mm Heavy Duty Round Hole Plate 2.7mm Heavy Duty Round Hole Plate Slightly wider than the standard 2.7 round hole plate and available in longer sections, this plate is suitable for applications where extra strength is required, e.g. neutralisation or buttress fixation of long bones HEAVY DUTY 2.7mm / 7/64" ROUND HOLE PLATE (8mm wide)
2.7mm - 7/64" Self Tapping Screws (Sherman) For use with 2.7mm - 7/64" round hole plates in small to medium patients. Use screwdriver SDF270. 2.7mm SELF TAPPING SCREWS - single slot head (use 2.4mm pilot) ST2710
3/8" (length in inches)
10mm (length in mm)
£1.90
ST2713
1/2"
13mm
£2.05
ST2716
5/8"
16mm
£2.40
ST2719
3/4"
19mm
£2.40
ST2722
7/8"
22mm
£2.40
ST2725
1"
25mm
£2.40
ST2728
1 1/8"
28mm
£2.40
ST2731
1 1/4"
31mm
£2.60
ST2734
1 3/8"
34mm
£2.60
ST2738
1 1/2"
38mm
£2.60
ST2741
1 5/8"
41mm
£2.80
ST2744
1 3/4"
44mm
£2.80
ST2748
1 7/8"
48mm
£2.80
ST2750
2"
50mm
£3.00
ST2757
2 1/4"
57mm
£3.00 112
HPR270744
7 (number of holes)
44 (length in mm)
£20.00
HPR270750
7
50
£20.00
HPR270850
8
50
£22.00
HPR270856
8
56
£22.00
HPR270956
9
56
£24.00
HPR270962
9
62
£24.00
HPR271062
10
62
£26.00
HPR271068
10
68
£26.00
HPR271168
11
68
£28.00
HPR271174
11
74
£28.00
HPR271274
12
74
£30.00
HPR271280
12
80
£30.00
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com 3.5mm 9/64” Self Tapping Screws (Sherman)
3.5mm Heavy Duty Plate Round Holes (12mm wide 4mm thick)
Although looked down upon by some orthopaedic surgeons, the 9/64" Sherman bone screw has a very similar pull out resistance to 3.5mm cortical screws. The main problem with this screw has been the lack of suitable bone plates. Our range of 3.5mm round hole bone plates widens the scope of these self tapping screws considerably. Use flat screwdriver SDF350 or cruciate screwdriver SDC3500. The head of this screw is conical. It cannot be used in DCPs to create inter-fragmentary compression.
The heavy duty plate is stronger than either 3.5mm compression plate or our 3.5mm standard round hole plate. Use of this plate makes 3.5mm cortical or 9/64" Sherman screws appropriate in even the largest canine breed. The plate profile is the same as a 3.5mm broad DCP.
3.5mm/9/64" SELF TAPPING SCREWS (cross slot head - use 2.7mm pilot) ST3510
3/8” (length in inches)
10 (length in mm)
£2.10
ST3513
1/2”
13
£2.10
ST3516
5/8”
16
£2.50
ST3519
3/4”
19
£2.50
ST3522
7/8”
22
£2.50
ST3525
1”
25
£2.50
ST3528
1 1/8”
28
£2.50
ST3531
1 1/4”
31
£2.75
ST3534
1 3/8”
34
£2.75
ST3538
1 1/2”
38
£2.75
ST3541
1 5/8
41
£3.00
ST3544
1 3/4”
44
£3.00
ST3548
1 7/8”
48
£3.00
ST3550
2”
50
£3.50
ST3557
2 1/4”
57
£3.50
ST3564
2 1/2”
64
£3.50
HEAVY DUTY 3.5mm / 9/64" ROUND HOLE PLATE H3508104
8 (number of holes)
104 (length in mm)
£20.00
H3509117
9
117
£22.00
H3510130
10
130
£24.00
H3511143
11
143
£26.00
H3512156
12
156
£28.00
H3513169
13
169
£30.00
H3514180
14
180
£32.50
H3515195
15
195
£35.00
Venables Plates Venables and Sherman plates are included to fulfil our commitment to supply a comprehensive range of implants. Please consider our range of round hole plates and DCPs. Typically Sherman and Venables Plates are limited in terms of plate strength and hole distribution. VENABLES BONE PLATES
3.5mm Standard Round Hole Plates
090180
8 (number of holes)
5 (length in)
127 (length mm)
£25.00
A cheaper alternative to 3.5mm compression plates. The material is compatible with cortical and Sherman screws. If compression is unnecessary or undesirable use a round hole plate. The plate profile is the same as a 3.5mm DCP.
090181
7
4.5
114
£22.50
090182
6
4.5
114
£20.00
090183
6
4.0
102
£20.00
090184
5
4.0
102
£20.00
090185
5
3.5
89
£20.00
090186
4
3.5
89
£20.00
090187
4
3.0
76
£17.50
090188
4
2.5
64
£17.50
090189
4
1.75
45
£17.50
090190
4
1.5
38
£17.50
090191
4
1.25
32
£17.50
3.5mm / 9/64" ROUND HOLE PLATE P3502022
2 (number of holes)
22 (length in mm)
£10.50
P3504046
4
46
£12.00
P3504052
4
52
£12.00
P3505058
5
58
£14.00
SHERMAN BONE PLATES
P3505064
5
64
£14.00
090041
Size 0
35
6 holes
140mm
£40.00
P3506070
6
70
£16.00
090042
Size 1
35
6 holes
117mm
£40.00
P3506076
6
76
£16.00
090043
Size 2
35
6 holes
117mm
£40.00
P3507082
7
82
£18.00
090044
Size 3
30
6 holes
117mm
£35.00
P3507088
7
88
£18.00
090045
Size 4
30
6 holes
92mm
£35.00
P3508094
8
94
£20.00
090046
Size 5
30
4 holes
79mm
£35.00
P3508100
8
100
£20.00
090047
Size 6
25
4 holes
79mm
£30.00
P3509106
9
106
£22.00
090048
Size 6.5
25
4 holes
76mm
£30.00
P3509118
9
118
£22.00
090049
Size 7
25
4 holes
57mm
£30.00
P3510118
10
118
£24.00
090050
Size 8
25
4 holes
51mm
£30.00
P3510130
10
130
£24.00
090051
Size 10
22
3 holes
45mm
£25.00
090052
Size 11
22
3 holes
35mm
£25.00
090053
Size 12
22
2 holes
32mm
£25.00
Sherman Plates
113
7
TRAUMA IMPLANTS & INSTRUMENTS
AO Type Screws, Plates and Equipment DRILL & EQUIPMENT for Cortical and Cancellous Screws CORTICAL = CS CORTICAL SELF TAP = CSST CANCELLOUS = CAN CORTICAL 1.5
CORTICAL 2.0
SELFTAPPING CORTICAL 2.0
SMALL CANCELLOUS 2.2
SELF TAPPING CORTICAL 2.4
CORTICAL 2.7
SELFTAPPING CORTICAL 2.7
SMALL CANCELLOUS 3.0
CORTICAL 3.5
SMALL CANCELLOUS 3.5
SELFTAPPING CORTICAL 3.5
CANCELLOUS 4.0
CORTICAL 4.5
CORTICAL 5.5
PILOT DRILL
1.1
1.5
1.5
1.5
1.8
2.0
2.0
2.0
2.5
2.0
2.5
2.5
3.2
4.0
3.2
JACOBS HARD
H090100
H090101
H090101
H090101
H090208
H090102
H090102
H090102
H090112
H090102
H090112
H090112
H090105S
H090107
H090105S
CANCELLOUS 6.5
JACOBS SOFT
-
090101
090101
090101
N/A
090102
090102
090102
090112
090102
090112
090112
090105
090107
090105
SYNTHES FIT
S090100S
S090101S
S090101S
S090101S
N/A
S090102S
S090102S
S090102S
S090112S
S090102S
S090112S
S090112S
S090105S
S090107
S090105S
TAP - QUICK FIT
TD0015
TD0020
N/A
N/A
N/A
TS0027
N/A
N/A
TS12535
TS17535
N/A
TS17535
TS00045
TS00055
TS00065
TAP - ‘T’ BAR
TT0015
TT0020
N/A
N/A
N/A
TT0027
N/A
N/A
TT12535
TT17535
N/A
TT17535
TT00045
-
TT00065
1.5
2.0
2.0
2.0
2.4
2.7
2.7
3.0
3.5
3.5
3.5
4.0
4.5
5.5
6.5
JACOBS HARD
H090101
H090102
H090102
H090102
H090209
H090104
H090104
H090205
H090106S
H090106S
H090106S
H090107
H090108S
H090109
-
JACOBS SOFT
090101
090102
090102
090102
N/A
090104
090104
-
090106
090106
090106
090107
090108
-
-
SYNTHES FIT
S090101S
S090102S
S090102S
S090102S
N/A
S090104S
S090104S
SDD1500
S090106S
S090106S
S090106S
S090107
S090108S
S090109
-
CLEARANCE DRILL
SCREW DRIVER - TYPE
1.5 HEX
1.5 HEX
1.5 HEX
1.5 HEX
1.5 HEX
2.5 HEX
2.5 HEX
2.5 HEX
2.5 HEX
2.5 HEX
2.5 HEX
2.5 HEX
3.5 HEX
3.5 HEX
3.5 HEX
SDH1520
SDH1520
SDH1520
SDH1520
SDH1520
SDH2540
SDH2540
SDH2540
SDH2540
SDH2540
SDH2540
SDH2540
SDH3500
SDH3500
SDH3500
Larger table available on page 289. By carefully positioning screws within the special holes of compression plates, compression can be exerted at the reduced fracture site as the screw is tightened. As the spherical head of the screw strikes the rear edge of the hole in the plate, the screw, (and the attached bone) are forced away from the edge of the hole and towards the fracture site.
Compression Plates and Cortical Screws (AO/ASIF type)
The object of compression is to provide for primary bone union. A special guide must be used to position accurately the screw hole within the plate. The oval shaped holes in DCP’s allow a greater range of screw angulations than round hole plates. Cortical screws are available in both tapped and self tapping formats.
AO type screws and plates have, for many years, been the human and veterinary standard implants. They were originally designed in the 1950s by the AO study group [Arbeitsgemeinschaft für Osteosynthesefragen (English: Association for the Study of Internal Fixation, AO/ASIF) ] which continues to this day to lead the world in implant design. The design of the spherical screw head and the compression hole are particularly important as, unless made to very exacting specifications, will not work properly together. The composition and design of AO type implants are laid down in very detailed international standards. The specification for plates and screws are detailed below. Provided implants are made to these exacting standards it is safe to mix and match sources. Be very wary about using implants which may not comply. Veterinary Instrumentation implants are made in the U.K. in a factory for human implants where every aspect of manufacture is closely monitored so that every product meets the specification.
Materials BS 7252-1:1997 ISO 5832-1:1997 BS 7252-3:1997 ISO 5832-3:1996 BS 7252-9:1993 ISO 5832-9:1992 BS ISO 5832-2:1999
Metallic materials for surgical implants. Specification for wrought stainless steel Metallic materials for surgical implants. Specification for wrought titanium 6al4v Metallic materials for surgical implants. Specification for high nitrogen stainless steel Implants for surgery. Metallic materials. Unalloyed titanium
Bone Screws BS 3531-5.3:1991, ISO 5835:1991 BS 3531-5.6:1991, ISO 6475:1989 BS 3531-5.4:1993, ISO 9268:1988
Implants for osteosynthesis. Bone screws and auxiliary equipment. Specification for the dimensions of screws having hexagonal drive connection, spherical under-surfaces and asymmetrical thread Implants for osteosynthesis. Bone screws and auxiliary equipment. Specification for the mechanical requirements and test methods for screws having asymmetrical thread and spherical undersurface Implants for osteosynthesis. Bone screws and auxiliary equipment. Specification for screws having symmetrical and asymmetrical thread and conical undersurfaces
Bone Plates BS 3531- 23.1:1991 ISO 9585:1990 Implants for osteosynthesis. Bone plates. Method for determination of bending strength and stiffness BS 3531- 23.2:1993 ISO 9269:1988 Implants for osteosynthesis. Bone plates. Specification for holes and slots for use with screws of 4.5mm 4.2mm 4.0mm 3.9mm 3.5mm and 2.9mm nominal sizes BS 3531- 23.3:1991 ISO 5836:1988 Implants for osteosynthesis. Bone plates. Specification for holes corresponding to screws with asymmetrical thread and spherical under surfaces 114
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com
Examples of the Self Tapping kits are shown below:
SELF-TAPPING
1.5/2.0mm Cortical Self Tapping Kit (CORTSTKIT1.5/2.0)
OR NON SELF TAPPING ? There is a significant trend towards the use of self-tapping screws over the traditional pre-tapped type. This trend is occurring in both veterinary and human orthopaedics. It takes roughly twice as long to drill, tap and insert a traditional screw compared with a self tapper. Any saving in time reduces morbidity and saves money. These saving are most pronounced in long procedures involving long plates and multiple screws.
Hex Screwdriver and sleeve
Load/Neutral drill guide
Double Drill Guide/Sleeve Screw Length and Depth gauge
Insert Sleeve Bending templates
Depth Gauge
Bending levers
Combination Drill, Tap, Insert Sleeve
3 drills
5 x 1.5 CSST screws 6mm — 20mm (40 in total) 5 x 2.0 CSST screws 6mm — 20mm (40 in total) 1x DCP 4 — 8 hole (5 in total) 1x 4 and 5 hole T Plates 1x Cuttable and Cuttable/Malleable Plate Stainless steel equipment/screw box
Self-tapping screws are particularly suited to the proximal tibia where cortices are thin. Most self-tapping screws are therefore used in the TPLO and TTO procedures. Self-tappers are less suitable for use in hard cortical bone or dense bone such as the calcaneous or the distal humerus. This is not surprising in that the short self tapping flutes on the screw are less efficient at cutting threads than a purpose designed tap. Once the short cutting flutes on the screw tip are full of bone debris the tapping becomes inefficient, increasing the risk of splits.
2.0mm Cortical Self Tapping Kit (CORTSTKIT2) Hex Screwdriver and sleeve Load/Neutral drill guide Tissue Protector Double Drill Guide/Sleeve Insert Sleeve Screw Length and Depth gauge Bending templates Depth Gauge Bending Levers 2 drills 2.0 CSST screws 6mm — 16mm (32 in total) 1x DCP 4 — 7 hole (4 in total) 1x 4 Hole T Plates 1x Cuttable and Cuttable/Malleable Plate Stainless steel equipment/screw box 2.4mm Cortical Self Tapping Kit (CORTSTKIT24) Hex Screwdriver and sleeve Load/Neutral drill guide 2 drills Bending Levers & Bending Templates 5 x 2.4 CSST screws 6mm — 30mm (65 in total) 1 x DCP 4 — 14 hole (10 in total) Stainless steel equipment/screwbox
It is suggested that as a new set up, the surgeon opts for a self-tapping kit. However, taps should also be purchased and used in appropriate situations. e.g. calcaneous, distal humerus and distal 1/3 of the tibia. The thread form of both screws is identical and the self-tapping threads will follow a pre-tapped pilot hole.
AO Plating Kits
2.7/3.5mm Cortical Self Tapping Kit (CORTSTKIT2735) Hex Screwdriver and sleeve Small countersink 2.7 & 3.5 Load/Neutral drill guide 2x Tissue Protector 2x Insert Sleeve Bending levers Depth Gauge 2x Triple Drill Guide/Sleeve Screw Length and Depth gauge 2x Bending templates
AO Cortical and Cortical Self Tapping Kits
2.7 CSST 6mm — 30mm (44 in total) 3.5 CSST 10mm — 32mm (51 in total) 1x 2.7 DCP 4 — 10 hole (6 in total) 1x 3.5 DCP 4 — 10 hole (6 in total) 1x 5 Hole T Plate 1x Cuttable/Malleable Plate Stainless steel equipment/screw box
AO CORTICAL & CORTICAL SELF TAPPING PLATING KITS CORTKIT1.5/2
1.5/2.0mm Cortical Kit in Stainless Box
£1,550.00
CORTSTKIT1.5/2 1.5/2.0mm Cortical Self Tapping Kit in Stainless Box £1,375.00 Savings may be made by purchasing pre-assembled kits. The price is typically discounted by 5% less than the component price.
CORTKIT2
2.0mm Cortical Kit in Stainless Box
£1,125.00
CORTSTKIT2
2.0mm Cortical Self Tapping Kit in Stainless Box
£1,050.00
The description cortical means that the pilot hole must be pre-tapped prior to screw placement. Cortical Self Tapping means that the screw itself has a self tapping tip and cuts its own thread. Self tappers work very well in all but the hardest cortical bone. It recommended that surgeons using self tappers keep a tap ‘just in case’.
CORTSTKIT2.4
2.4mm Cortical Self Tapping Kit in Stainless Box
£1,175.00
CORTKIT2.7/3.5
2.7/3.5mm Cortical Kit in Stainless Box
£2,025.00
CORTSTKIT2735
2.7/3.5mm Cort Self Tap Kit in Stainless Box
£1,850.00
CORTKIT4.5
4.5mm Cortical Kit in Stainless Box
£1,175.00
CORTSTKIT4.5
4.5mm Cort Self Tap Kit in Stainless Box
£1,050.00
CORTKIT4.5/5.5
4.5/5.5mm Cort Kit in Stainless Box
£2,350.00
Each kit contains all you need including screws and implants. Full details of what the kit includes is available at www.vetinst.com/kits. 115
7
7
TRAUMA IMPLANTS & INSTRUMENTS
Taps
AO Equipment and Screw Boxes
A tap is essentially a cutting tool designed to pre-cut screw threads into the pilot hole prior to screw placement. The profile is similar to the screw in question but has long flutes to allow bone debris to be cleared. Taps are available as stand alone ‘T’ bar configuration or as a quick release version which require a separate handle. 2.4 2.7, 3.5, 4.0, 4.5 and 6.5mm quick release taps require Synthes type quick release handle. 1.5 and 2.0mm quick release taps require a small dental fit handle. TAP HANDLE Handle for 2.4, 2.7, 3.5, 4.0, 4.5 taps. Synthes fit
QRCS01 AO EQUIPMENT/SCREW BOX
£120.00
Fibre Tap Handle with rotating cap
BX152OCS
Box for 1.5 & 2.0mm Screws and Equipment
£155.00
BX2OCS
Box for 2.0 AO Screws and Equipment
£155.00
BX24CS
Box for 2.4 AO Screws and Equipment
£155.00
BX27CS
Box for 2.7 AO Screws and Equipment
£155.00
BX35CS
Box for 3.5 AO Screws and Equipment
£155.00
BX2735CS
Box for 2.7/3.5 Sherman Screws and Equipment £155.00
The working tip of this instrument is a quick release chuck of the Synthes type which accepts drills, taps and screwdriver attachments. Inclusion of this handle would mean that you would not require separate tap handles and screwdriver. The rotating cap which sits in the palm allows the tip to be spun with the fingers.
Screw Box 145mm x 105mm x 55mm deep for AO Type Screws
QUICK RELEASE TAP HANDLE WITH FIBRE HANDLE
This screw box has a hinged lid with a stainless perforated insert. The maximum screw length is 55mm but the marking of the holes is indicated.
Quick Release with Fibre Handle
QRCS01F
Quick Release Tap Handle Dental Fit TD0015
£120.00
Metal Handle
Suitable for dental fit 1.5 and 2.0mm taps. Also accepts screwdriver and countersink attachments for the 1.5/2.0 systems.
SCREW BOX SH2000CS
Box for 2.0 screws marked
£105.00
SH2700CS
Box for 2.7 screws marked
£105.00
SH3500CS
Box for 3.5 screws marked
£105.00
SH2735CS
Box for 2.7 & 3.5 screws marked
£105.00
QUICK RELEASE TAPS
SH4500CS
Box for 4.5 screws marked
£105.00
TD0015
1.5mm cortical
£47.50
TD0020
2.0mm cortical
£47.50
TS00024
2.4mm cortical
£47.50
TS00027
2.7mm cortical
£47.50
TS12535
3.5mm (1.25 pitch) cortical
£47.50
TS17535
3.5mm (1.75 pitch) small cancellous
£47.50
TS00045
4.5mm
£47.50
TS00045/L
4.5mm. Extra long (195mm)
£47.50
TS00055
5.5mm
£47.50
TS00065
6.5mm
£47.50
QUICK RELEASE TAP HANDLE DENTAL FIT DC20
Screw Box 105mm x 90mm x 80mm Clip on lid style screw box 80mm deep i.e. slightly deeper that the above. Maximum screw length 80mm. Screw holes marked as indicated.
Handle for 1.5mm & 2mm tap (dental fit)
£120.00
T Bar Taps
SCREW BOX SH3540CS
Box for 3.5/4.0 screws Max length 55mm
£105.00
SH354080CS
Overflow box for 3.5/4.0 screws to 80mm
£105.00
SHTTA242735
Box for TTA screws 2.4/2.7/3.5 to 38mm
£105.00
Screw Box 310mm x 140mm x 115mm deep Large multi-size screwbox with a clip on lid. Insert may be lifted out with integral handles the base being used for instrument storage.
These taps require no additional handle. T BAR TAPS
SCREW BOX LARGE
TBT015
T Bar Tap 1.5mm cortical
£29.50
TBT020
T Bar Tap 2.0mm cortical
£29.50
TBT027
T Bar Tap 2.7mm cortical
£29.50
TBT12535
T Bar Tap 3.5 (125pitch) cortical
£29.50
TBT17535
T Bar Tap 3.5 (175pitch) small cancellous
£29.50
SH20273540
Box for 2.0/2.7/3.5/4.0 screws max length 100mm £155.00
TBT045
T Bar Tap 4.5mm cortical
£29.50
SH455565CS
Box for 4.5/5.5/6.5 screws max length 100mm
TBT065
T Bar Tap 6.5mm cancellous
£44.00
£155.00 116
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com Adjustable Drill Guide
Triple Drill Guides
Triple drill guides are used to accurately position drills and K or arthrodesis wires. The three holes in the head allow for the placement of parallel derotation wires. TRIPLE DRILL GUIDE/SLEEVES SLG1115
Double drill guide/sleeve for 1.1 & 1.5mm drills
£95.00
SLG0020
Triple drill guide/sleeve for 2.0mm drills
£90.00
SLG0025
Triple drill guide/sleeve for 2.5mm drills
£90.00
Combination Drill, Tap and Insert Sleeve
Our adjustable Drill Guide allows accurate placement of drill holes by predetermination of drill entry and exit points. Locks onto bone to minimise errors.
The large end has an internal diameter which matches the clearance drill and tap. The small end has an internal diameter the same as the pilot drill and an external diameter which fits the clearance drill hole, ie. the same as an insert sleeve. This single instrument contains all the guides and sleeves you need to place a lag screw.
• The swivelling point allows use of the guide where access is limited. • Supplied with 2.0, 2.5 and 3.5 drill sleeves. Use the appropriate sleeve for the drill in use.
COMBINATION DRILL, TAP & INSERT SLEEVE
• A scale on the instrument measures hole depth. • Applications include condyle fractures, femoral neck tunnels and screw holes, proximal TPLO screws, ununited anconeal process. In our view this design has significant advantages over ‘CEG’ and ‘C’ guides.
CDTIS20
Combination drill, tap & insert sleeve for 2.0 screws
£90.00
CDTIS27
Combination drill, tap & insert sleeve for 2.7 screws
£90.00
CDTIS35
Combination drill, tap & insert sleeve for 3.5 screws
£90.00
CDTIS45
Combination drill, tap & insert sleeve for 4.5 screws
£90.00
DRILL GUIDES & INSERTS ADJDG2035
Adjustable drill guide for 2.0/2.5/3.5mm drills
£155.00
ADJDG45
Adjustable drill guide 4.5mm drills
£145.00
ADJSL55
Slider to fit 5.5 Cortical (equine) screws fits ADJDG45
Insert Sleeves Drill sleeves centre smaller drills in the placement of lag screws.
£40.00
Drill Guides and Inserts INSERT SLEEVES
CEG2735
CEG4565
SMALL DRILL GUIDE (does not include insert sleeves) £64.50
LARGE DRILL GUIDE (does not include insert sleeves) CEG4565
Large drill guide i/d 6.5mm “C” guide
£33.50
Insert sleeve 2.7mm o/d 2.0mm i/d
£33.50
SL3520
Insert sleeve 3.5mm o/d 2.0mm i/d
£33.50
SL3525
Insert sleeve 3.5mm o/d 2.5mm i/d
£33.50
SL3527
Insert sleeve 3.5mm o/d 2.7mm i/d
£33.50
SL4532
Insert sleeve 4.5mm o/d 3.2mm i/d
£33.50
SL5540
Insert sleeve 5.5mm o/d 4.0mm i/d
£33.50
SL6545
Insert sleeve 6.5mm o/d 4.5mm i/d
£33.50
Drilling to a pre-measured depth can be a challenge even with a ‘C’ arm! A more reasonably priced option is to use a drill stop which is tightened onto the drill bit at the required depth. The set includes 4 stops to cover all the standard drill sizes. 2.0, 2.5, 2.7, 3.2, 3.5 & 4.5mm The stop is tightened onto the drill bit using the hex driver provided.
Various insert sleeves are available for each drill size, with an accurate guidance system, and provide exact positioning of holes for lag screwing, (e.g. for a 3.5mm cortical screw, drill 3.5 lag hole in proximal cortex, insert SL3525 and drill through it into the trans cortex. Finally tap and insert screw.)
Small drill guide i/d 3.5mm “C” guide
Insert sleeve 2.0mm o/d 1.5mm i/d
SL2720
Drill Stops
Use of an appropriate sized drill guide enables the surgeon to control exactly the entry and exit points of drills. This ability is extremely important in lag screwing.
CEG2735
SL2015
DRILL STOPS £82.50
DRILLSTOP 117
Drill stop set in stainless case
£95.00
7
TRAUMA IMPLANTS & INSTRUMENTS
Tissue Protection Sleeves
Hex Screwdrivers & Screwholding Sleeves
Rotating pins, drills and taps will "pick up" soft tissues, skin, muscle, nerve and blood vessels, causing serious damage. Use of tissue protection sleeves minimises such damage. The teeth at the top of the guide locate on the bone whilst the stainless tube provides a barrier between soft tissue and implant equipment.
Screwdrivers with screw holding sleeves hold the screw until it has engaged in the threaded hole. The sleeve is slid back up the shaft to release the screw without disengaging it.
Hex Screwdrivers for 2.4, 2.0 & 1.5 Screws
TISSUE PROTECTION SLEEVES
Screwdriver & sleeve for 2mm screws. SDHS20F
TP2020
For drill/taps to 2.0mm
£47.50
TP0024
For drill/taps to 2.4mm
£47.50
TP0027
For drill/taps to 2.7mm
£47.50
TP0035
For drill/taps to 3.5mm
£47.50
TP0045
For drill/taps to 4.5mm
£47.50
HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 1.5/2.0/2.4 Screws SSH2000
Screwholding sleeve for 1.5/2.0.2.4mm screws to fit SDHS20F
Countersinks £35.00
SDHS20F
1.5mm hex screwdriver + sleeve - with fibre handle
£65.00
SDD1500
1.5mm Hex Dental Fit Screwdriver Attachment fits DC20
£40.00
If the screw is destined to screw down onto the surface of the bone without a plate, it is helpful to contour the top of the screw hole to fit the screw head. This procedure is especially important when lag screwing relatively small fragments. Failure to countersink may lead to fracture of the bone fragment.
Screwdrivers for 2.7, 3.5 & 4.0 Screws
COUNTERSINKS
SDHS35F
SDH35S
COU2535
Small countersink AO Quick Fit Coupling
£44.00
COU2535T
Small countersink ‘T’ handle
£44.00
COU4565
Large countersink AO Quick Fit Coupling
£44.00
COU4565T
Large countersink ‘T’ handle
£44.00
COUDEN
Mini Countersink Dental fit for 1.5/2.0mm screws
£60.00
Depth Gauge
HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 2.7/3.5 & 4.0 Screws SSH2740
Screwholding sleeve for 2.7, 3.5, 4mm screws to fit SDH2540
SDHS35F
2.5mm hex screwdriver + sleeve with fibre handle
£65.00
SDH35S
Screwdriver Attachment Quick Fit 2.7/3.5/4.0 Screws
£35.00
£35.00 Accurate measurement of hole depth is essential in order to select the appropriate screw size. A range of gauges is available for various screw sizes. Hole depth is read from the instrument. Add extra to allow for over penetration. Use in self-tapping or cortical systems.
Screwdrivers for 4.5, 5.5 & 6.5mm Screws
DEPTH GAUGE
HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 4.5, 5.5 & 6.5 Screws SDH3500
3.5mm hex screwdriver for 4.5, 5.5 & 6.5mm screws
£47.50
Hex Drive Shaft
DG1520
For 1.5mm & 2.0mm screws
£65.00
DG2027
For 2.0mm & 2.7mm screws
£65.00
DG2735
For 2.7mm & 3.5mm screws
£65.00
DG4565
For 4.5mm & 6.5mm screws
£165.00
DG242735
For 2.4mm, 2.7mm & 3.5mm screws
£65.00
Load Neutral Drill Guides
To exert compression at the fracture site, the cortical screw must be positioned precisely within the slot in the compression plate. The load/neutral drill guide has two tips, one for compression (load) and one where no compression is exerted (neutral). There is one combination for each screw/plate size. Each guide is marked with the drill size to be used.
The battery drills we use as a base for our shrouded orthopaedic drills have adjustable torque settings. While it is advised that the final tightenening of the screw is performed by hand, much time and effort can saved by power driving. Risks are low, particularly in the proximal tibia. To power drive using our drill we have created two hex driver extensions to fit into a standard Jacobs chuck. Use 2.5 hex for 2.7, 3.5 and 4.0mm screws and the 3.5 hex for 4.5 and 5.5 screws.
LOAD NEUTRAL DRILL GUIDES
HEX DRIVE SHAFTS FOR POWER DRIVERS
LNDG20
For 2.0mm Compression plates
£120.00
LNDG24
For 2.4mm Compression plates
£120.00
LNDG27
For 2.7mm Compression plates
£120.00
DS25HEX
2.5 Hex Drive Shaft for 2.7, 3.5 & 4.0 screws
£32.50
LNDG35
For 3.5mm Compression plates
£120.00
DS35HEX
3.5 Hex Drive Shaft for 4.5 & 5.5 screws
£32.50
LNDG45
For 4.5mm Compression plates
£120.00
118
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com
Screw Salvage Kit
Screw Holding Forceps
A useful instrument for selecting screws with minimal handling. Can be used with any style of screw. SCREW HOLDING FORCEPS Screw Holding Forceps
SF2055
£18.50 Removal of embedded screws can be a challenge particularly when fatigue and fracture leaves a headless portion of screw in situ exactly where a replacement is necessary. Ideally the screw should be removed without creating so much damage that a replacement cannot be set. The VI screw salvage set contains all the tools you might need for all sizes of screw. A loan set is also available. The charge is for 7 days rental and includes a return collection by courier. All losses and breakages will be charged accordingly. Mainland UK only.
Plate Bending PLATE BENDING 001286
AO type 1.5/2.0 bending levers (pair) 130mm
001285
AO type 2.4 bending levers (pair) 140mm
£40.00
001287
AO type 2.7/3.5 bending levers (pair) 140mm
£45.00
001288
AO type 3.5/4.5 broad bending levers (pair) 200mm
£55.00
£35.00
001288L
AO type 3.5/4.5 broad bending irons. Long version.
001283
Plate Bending Pliers, Roller Type 15", 380mm
£150.00
001284A
Reconstruction Plate Pliers 2.7mm plates
£130.00
001284
Reconstruction Plate Pliers 3.5mm plates
£130.00
001281
Bone Plate Press Small 285mm
£350.00
001282
Bone Plate Press Large 16" 410mm
£350.00
001289A
2.0/2.7mm Bone plate Contouring Pliers
£205.00
001289B
A0 style 2.7/3.5mm plate Bending Pliers
£245.00
001289C
A0 style Heavy Duty plate Bending Pliers
£400.00
SCREW SALVAGE
£55.00
BENDING TEMPLATES Bending Template 37mm for 2mm DCPs & Round Hole Plates
£6.25
Bending Template 52mm for 2.4mm DCPs & Round Hole Plates
£6.25
BT270760
Bending Template 60mm for 2.7 DCPs & Round Hole Plates
£6.25
BT350786
Bending Template 86mm for 3.5 DCPs & Round Hole Plates
£7.25
BT4507120
Bending Template 120mm for 4.5 DCPs & Broad 3.5 DCPs & HD & Round Hole Plates
£7.25
BT450590
Bending Template 90mm for 4.5 DCPs Broad 3.5 DCPs & HD & Round Hole Plates
£7.25
BT4509150 Bending Template 150mm for 4.5 DCPs Broad 3.5 DCPs & HD & Round Hole Plates
£7.25
Full Screw Salvage Set - Loan
£1,950.00 £125.00
Once the head of a screw has become detached the shaft can be very difficult to extract, particularly when the screw has been in situ for some time. The screw extraction trephine is designed to ‘core out’ the screw shaft either in its entirety or partially to allow the screw to be grasped by extraction forceps. The internal diameter is a little larger than the screw to be extracted. The external diameter is small enough in most cases to allow the replacement of the screw by a larger one.
To avoid repeated entry into the operation site when contouring plates, an ‘aluminium' bending template is contoured to the bone. The steel plate is then bent to match the template using irons or a bone plate press.
BT240752
Full Screw Salvage Set
SCSKITLOAN
Screw Extraction Trephine
Bending Templates
BT200737
SCSKIT
The trephine fits directly into a Jacobs chuck.
SCREW EXTRACTION TREPHINES
119
SCET35
Extraction Trephine for 3.5 screws o/d 4.5mm
£32.50
SCET45
Extraction Trephine for 4.5 screws o/d 5.5mm
£32.50
7
TRAUMA IMPLANTS & INSTRUMENTS
2.0mm Screws & Plates
AO Type Screws & Plates
2.0mm Cortical Screws
1.5mm Screws 1.5mm Cortical Screws Available 6mm to 34mm length. Use 1.1mm pilot drill and 1.5mm hex screwdriver. Use extreme care when tightening as the threads have a very fine pitch. Use in combination with 2.0 plates. The head is slightly smaller than the 2.0 cortical screw. Available 6mm to 34mm length, the spherical head of these screws provides for compression when used in association with 2.0mm compression plates. 1.5mm CORTICAL SCREWS - HEX HEAD 1.5mm (use 1.1mm pilot) CS1506
6mm
£4.00
CS1507
7mm
£4.00
CS1508
8mm
£4.00
CS1509
9mm
£4.00
CS1510
10mm
£4.20
CS1511
11mm
£4.20
CS1512
12mm
£4.20
CS1514
14mm
£4.95
CS1516
16mm
£4.95
CS1518
18mm
£5.25
CS1520
20mm
£5.25
CS1522
22mm
£6.00
CS1524
24mm
£6.00
CS1526
26mm
£6.00
CS1528
28mm
£6.00
CS1530
30mm
£6.00
CS1532
32mm
£6.00
CS1534
34mm
£6.00
2.0mm CORTICAL SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot)
Self tapping screws are less effective in dense cortical bone. e.g. calcaneus. It is advised that an appropriate tap be available should the need arise. Drill data: Pilot drill 1.1mm Clearance drill 1.5mm.
CSST1507
7mm
£4.20
CSST1508
8mm
£4.20
CSST1509
9mm
£4.20
CSST1510
10mm
£4.50
CSST1511
11mm
£4.50
CSST1512
12mm
£4.50
CSST1514
14mm
£5.20
CSST1516
16mm
£5.20
CSST1518
18mm
£5.50
CSST1520
20mm
£5.50
£4.00
CS2010
10mm
£4.20
CS2012
12mm
£4.20
CS2014
14mm
£4.95
CS2016
16mm
£4.95
CS2018
18mm
£5.25
CS2020
20mm
£5.25
CS2022
22mm
£6.00
CS2024
24mm
£6.00
CS2026
26mm
£6.00
CS2028
28mm
£6.00
CS2030
30mm
£6.00
CS2032
32mm
£6.00
CS2034
34mm
£6.00
2.0mm CORTICAL SELF TAPPING SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot)
1.5mm CORTICAL SELF TAPPING SCREWS - HEX HEAD 1.5mm-1.1mm PILOT £4.20
£4.00
8mm
This type of screw is becoming increasingly popular in both human and veterinary orthopaedics. Self tapping flutes at the tip obviate the need for pre-tapping which saves time and reduces time related complications. Pull out strength is not affected provided the self-tapping flutes lie outside the bone cortex. Allow an extra 1mm when assessing screw length. Drill data: pilot drill 1.5mm, clearance drill 2.0mm.
Use of self tapping screws can save considerable time and trauma. Pull out strength is not affected provided the self tapping flutes lie outside of the cortex. Add an extra 1mm when assessing screw length.
6mm
6mm
CS2008
2.0mm Cortical Self Tapping Screws - hex head 1.5mm (use 1.5mm pilot)
1.5mm Cortical Self Tapping Screws.
CSST1506
CS2006
120
CSST2006
6mm
£4.20
CSST2008
8mm
£4.20
CSST2010
10mm
£4.50
CSST2012
12mm
£4.50
CSST2014
14mm
£5.20
CSST2016
16mm
£5.20
CSST2018
18mm
£5.50
CSST2020
20mm
£5.50
CSST2022
22mm
£6.25
CSST2024
24mm
£6.25
CSST2026
26mm
£6.25
CSST2028
28mm
£6.25
CSST2030
30mm
£6.25
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com 2.2mm Cancellous Screws
Cuttable 2.0mm plate
width 5.0mm
thickness 1.4mm
hole spacing 5.0mm
This plate is cuttable and stackable. The holes are round. The plate profile is convex for added strength. Also available in a notched version for easy 3 dimensional contouring. This is the cuttable malleable plate. Plate profile on page 286. Available from 8mm to 24mm length. Self tapping. Do not use in cortical bone unless using as a salvage screw for a stripped 2.0mm cortical screw.
CUTTABLE 2.0MM PLATE
2.2mm CANCELLOUS SELF TAPPING SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot) CAN2208
8mm
£4.20
CAN2210
10mm
£4.50
CAN2212
12mm
£4.50
CAN2214
14mm
£4.50
CAN2216
16mm
£4.50
CAN2218
18mm
£4.95
CAN2220
20mm
£4.95
CAN2222
22mm
£4.95
CAN2224
24mm
£4.95
CP205150
Cuttable plate 2.0 screws 30 holes 150 mm long
CM205150
Cuttable, malleable plate 2.0 screws 30 holes 150mm £95.00
£75.00
Mini Bone Plates
Mini Bone Plates Use with 2mm cortical screws if compression is required. Plate profile on page 278.
1.5 / 2.0mm Compression Plates
2 mm MINI BONE PLATES MP20317
3 (number of holes)
17 (length in mm)
£19.75
MP20423
4
23
£21.75
MP20529
5
29
£23.75
MP20635
6
35
£25.00
MP207039
7
39
£27.50
Use with 2.0mm cortical screws if compression is required. Plate profile page 278. 1.5 / 2.0mm COMPRESSION PLATES no. of holes
thickness (mm)
length (mm)
CP20422
4
1.0
22
£21.50
CP20527
5
1.0
27
£25.00
CP20632
6
1.0
32
£28.50
CP20737
7
1.5
37
£35.00
CP20842
8
1.5
42
£40.00
CP201052
10
1.5
52
£50.00
CP201262
12
1.5
62
£65.00
CP201472
14
1.5
72
£85.00
2.4mm Plates
1. TPLO see page 23.
Cuttable 1.5/2.0mm plate
2. TPLO Delta see page 25. width 4mm
thickness 1.1mm
hole spacing 4mm
Use for fracture stabilisation of very small bones e.g metacarpals and metatarsals. 1.5 mm screws are an exact match but 2.0 will pass through the holes. This plate is cuttable and stackable. The plate profile is convex for added strength. Plate profile on page 286.
3. Hybrid T Plate see page 134.
CUTTABLE 1.5/2.0MM PLATE CP15413030
Cuttable plate 1.5/2.0 screws 30 holes 120 mm long £75.00
4. Hybrid T Plate see page 134. 121
7
TRAUMA IMPLANTS & INSTRUMENTS
2.4mm Compression Plates
2.4mm Screws & Plates 2.4 mm Cortical Self Tapping Screws
2.0 DCPs are often too small and 2.7 DCPs are often too large. The 2.4 DCP falls exactly in between the 2.0 and the 2.7 in terms of weight and hole size and spacing. Plate profile on page 278.
2 Cutting Flutes
2.0mm and 2.7mm cortical screws may be used with the 2.4 mm DCP plate.
When working with cats and other smaller patients it is often the case that 2.0mm screws and plates are too small and 2.7mm screws and plates are too large. The jump from 2.0 DCPs to 2.7 DCPs is huge. 2.4mm screws are used in veterinary surgery but until now have not been available as a full range of cortical screws and DCPs.
2.4 DCPs have a matt finish to distinguish them from 2.0 and 2.7 plates. Use LNDG24 Load Neutral Drill Guide to obtain compression with 2.4 cortical screws. Use BX24CS as an equipment box for 2.4mm screws and plates.
Currently only available in the self tapping format. A quick fit tap is also available.
2.4MM COMPRESSION PLATES Holes
The screwdriver required is the same as 1.5 & 2.0 screws.
4
31
£24.75
C240538
5
38
£27.50
C240645
6
45
£29.00
C240752
7
52
£35.00
£4.20
C240859
8
59
£37.50
£4.20
C240966
9
66
£50.00
£4.50
C241073
10
73
£62.00
11
80
£67.50
Available as a full set comprising 5 of each screw 6mm through 30mm, one of each plate, 1.8 drill, 2.4 drill & load/neutral drill guide. All are contained in a stainless screw box/instrument case. 2.4 CORTICAL SELF TAPPING SCREWS - HEX HEAD 1.5 (USE 1.8MM PILOT) CSST2406 CSST2408 CSST2410
6mm 8mm 10mm
Length mm
C240431
CSST2412
12mm
£4.50
C241180
CSST2414
14mm
£5.20
C241287
12
87
£72.00
CSST2416
16mm
£5.20
C2414101
14
101
£80.00
CSST2418
18mm
£5.50
H090208
1.8 pilot drill for 2.4 system
£5.50
H090209
2.4 clear drill for 2.4 system
LNDG24
Load/Neutral Drill Guide for 2.4 system
CSST2420
20mm
CSST2422
22mm
£6.25
CSST2424
24mm
£6.25
CSST2426
26mm
£6.50
CSST2428
28mm
£6.50
CSST2430
30mm
£7.25
CSST2432
32mm
£7.25
CSST2434
34mm
£7.75
CSST2436
36mm
£7.75
CSST2438
38mm
£8.25
CSST2440
40mm
£8.50
CORTSTKIT24
Kit including case, screws, plates, drills, load/neutral drill guide, bending levers and screwdriver £1,175.00
£16.50 £18.50 £120.00
2.0/2.4/2.7 Veterinary Cuttable Plate
7.1mm wide 1.2mm thick hole spacing 6.0mm This is a familiar plate with a curved 1/4 tubular profile. 300mm long with a hole every 6mm. The following screws 2.0mm, 2.2mm, 2.4mm, 2.7mm, 3.0mm all fit making the plate a very useful implant to have available. For added strength these plates can be stacked. 2.0/2.4/2.7 VETERINARY CUTTABLE PLATE VCP202427
Cuttable Plate 300mm 50 holes
£100.00
Cuttable 2.4mm plate
width 5.5mm
thickness 1.8mm
hole spacing 5.5mm
CUTTABLE 2.4MM PLATE
2.0mm, 2.4mm and 2.7mm screws may be used with all 2.4mm implants. 122
CP2455150
Cuttable plate 2.4 screws 27 holes 150mm long
CM2455150
Cuttable, malleable plate 2.4 screws 27 holes 150mm £95.00
£75.00
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com
3.0mm Cancellous Screws
2.7mm Screws & Plates 2.7mm Cortical Screws
Use with 2.7mm compression and 2.7mm reconstruction plates to obtain compression at fracture site.
Available from 12mm to 36mm length. Self tapping. Do not use in cortical bone unless using as a salvage screw for a stripped 2.7mm cortical screw. 3.0mm CANCELLOUS FULL THREAD SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2mm pilot)
2.7mm CORTICAL SCREWS - HEX HEAD 2.5mm (use 2mm pilot)
CAN3012
12mm
£4.25
CAN3014
14mm
£4.25
CAN3016
16mm
£4.25
CS2706
6mm
£3.20
CAN3018
18mm
£5.00
CS2708
8mm
£3.20
CAN3020
20mm
£5.00
CS2710
10mm
£3.30
CAN3022
22mm
£5.00
CS2712
12mm
£3.30
CAN3024
24mm
£5.00
CS2714
14mm
£4.25
CAN3026
26mm
£5.50
CS2716
16mm
£4.25
CAN3028
28mm
£5.50
CS2718
18mm
£4.25
CAN3030
30mm
£6.00
CS2720
20mm
£4.75
CAN3032
32mm
£6.00
CS2722
22mm
£4.75
CAN3034
34mm
£6.00
CS2724
24mm
£4.75
CAN3036
36mm
£6.00
CS2726
26mm
£5.30
CS2728
28mm
£5.30
CS2730
30mm
£6.00
CS2732
32mm
£6.00
CS2734
34mm
£6.50
CS2736
36mm
£6.50
CS2738
38mm
£7.25
CS2740
40mm
£7.25
2.7mm Compression Plates
Use with 2.7mm cortical screws to produce fracture site compression. Plate profile on page 278.
2.7mm Cortical Self Tapping Screws
2.7mm COMPRESSION PLATES
This type of screw is becoming increasingly popular in both human and veterinary orthopaedics. Self tapping flutes at the tip obviate the need for pre-tapping which saves time and reduces time related complications. Pull out strength is not affected. 2.7mm CORTICAL SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2mm pilot)
no. of holes
thickness (mm)
length (mm)
C2702020
2
2.0
20
£21.50
C2704036
4
2.0
36
£24.75
C2705044
5
2.0
44
£27.50
C2706052
6
2.0
52
£29.00
CSST2706
6mm
£3.35
C2707060
7
2.5
60
£32.50
CSST2708
8mm
£3.35
C2708068
8
2.5
68
£35.00
CSST2710
10mm
£3.50
C2709076
9
2.5
76
£37.50
CSST2712
12mm
£3.50
C2710084
10
2.5
84
£42.50
CSST2714
14mm
£4.50
C2712100
12
2.5
100
£45.00
CSST2716
16mm
£4.50
C2714116
14
2.5
116
£47.50
CSST2718
18mm
£4.50
C2716132
16
2.5
132
£50.00
CSST2720
20mm
£5.00
CSST2722
22mm
£5.00
CSST2724
24mm
£5.00
CSST2726
26mm
£5.50
CSST2728
28mm
£5.50
CSST2730
30mm
£6.25
CSST2732
32mm
£6.25
CSST2734
34mm
£6.75
CSST2736
36mm
£6.75
CUTTABLE 2.7MM PLATE
CSST2738
38mm
£7.50
CP276150
Cuttable plate 2.7 screws 24 holes 150 mm long
CSST2740
40mm
£7.50
CM276150
Cuttable, malleable plate 2.7 screws 24 holes 150mm £85.00
Cuttable 2.7mm plate
width 6.0mm
thickness 2.0mm
hole spacing 6.0mm
This plate is cuttable and stackable. The plate profile is convex for added strength. Also available in a notched style for easy 3 dimensional contouring. This is the cuttable malleable plate. Plate profile on page 286.
123
£65.00
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TRAUMA IMPLANTS & INSTRUMENTS
2.7mm Quarter Tubular Plate
3.5mm Cortical Self Tapping Screws
Thin but strong due to the curved profile. Fits the shape of small femurs quite well. Has a wider hole spacing than 2.7mm DCP. 2.7mm 1/4 TUBULAR COMPRESSION PLATES T2703023
3 (number of holes)
23 (length in mm)
£11.00
T2704031
4
31
£12.00
T2705039
5
39
£13.00
T2706047
6
47
£14.00
T2707055
7
55
£15.00
T2708063
8
63
£16.00
3.5/4.0mm Screws & Plates 3.5mm Cortical Screws (1.25 pitch) DIN58812
Use with 3.5mm compression and 3.5mm reconstruction plates to obtain fracture site compression. This type of screw is becoming increasingly popular in both human and veterinary orthopaedics. Self tapping flutes at the tip obviate the need for pre-tapping which saves time and reduces time related complications. Pull out strength is not affected provided the self tapping flutes are positioned outside the cortex. Add an additional 2mm to screw length c.f. pre-tapped cortical screws.
3.5mm (1.25 PITCH) CORTICAL SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) CS3508
8mm
£3.75
CS3510
10mm
£3.75
CS3512
12mm
£3.75
CS3514
14mm
£3.75
CS3516
16mm
£4.75
CS3518
18mm
£4.75
3.5mm (1.25 PITCH) CORTICAL SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot)
CS3520
20mm
£4.75
CSST3508
8mm
£4.00
CS3522
22mm
£4.75
CSST3510
10mm
£4.00
CS3524
24mm
£5.00
CSST3512
12mm
£4.00
CS3526
26mm
£5.00
CSST3514
14mm
£4.00
CS3528
28mm
£5.00
CSST3516
16mm
£4.00
CS3530
30mm
£5.50
CSST3518
18mm
£5.00
CS3532
32mm
£5.50
CSST3520
20mm
£5.00
CS3534
34mm
£5.50
CSST3522
22mm
£5.00
CS3536
36mm
£5.50
CSST3524
24mm
£5.25
CS3538
38mm
£5.50
CSST3526
26mm
£5.25
CS3540
40mm
£5.50
CSST3528
28mm
£5.25
CS3545
45mm
£6.50
CSST3530
30mm
£6.00
CS3550
50mm
£6.50
CSST3532
32mm
£6.00
CS3555
55mm
£8.50
CSST3534
34mm
£6.00
CS3560
60mm
£10.50
CSST3536
36mm
£6.00
CS3565
65mm
£10.50
CSST3538
38mm
£6.00
CS3570
70mm
£10.50
CSST3540
40mm
£6.50
CS3575
75mm
£12.25
CSST3542
42mm
£6.50
CS3580
80mm
£12.25
CSST3544
44mm
£6.50
CS3585
85mm
£12.25
CSST3545
45mm
£7.00
CS3590
90mm
£12.25
CSST3546
46mm
£7.00
CS3595
95mm
£15.75
CSST3548
48mm
£7.50
CS35100
100mm
£15.75
CSST3550
50mm
£7.50
CS35105
105mm
£15.75
CSST3555
55mm
£8.50
CS35110
110mm
£15.75
CSST3560
60mm
£8.50
124
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com 3.5mm Cancellous Screws (1.75 pitch)
4mm Cancellous Screws Full Threaded Use in cancellous bone where greater screw/bone interface is desirable. Self tapping.
The much coarser thread gives a much bigger "bite" to bone. Use on metaphysis or other cancellous bone. The screw needs its own tap.
4mm CANCELLOUS FULL THREAD SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot)
3.5mm (1.75 PITCH) SMALL CANCELLOUS SCREWS - HEX HEAD 2.5mm (use 2.0mm pilot)
CNF4010
10mm
£4.00
CNF4012
12mm
£4.00
CNF4014
14mm
£4.00
CNF4016
16mm
£5.00
CNF4018
18mm
£5.00
CNF4020
20mm
£5.00
CNF4022
22mm
£5.00
CNF4024
24mm
£5.25
CAN3510
10mm
£4.00
CAN3512
12mm
£4.00
CAN3514
14mm
£4.00
CAN3516
16mm
£5.00
CAN3518
18mm
£5.00
CAN3520
20mm
£5.00
CAN3522
22mm
£5.00
CNF4026
26mm
£5.25
CAN3524
24mm
£5.25
CNF4028
28mm
£5.25
CAN3526
26mm
£5.25
CNF4030
30mm
£6.00
CAN3528
28mm
£5.25
CNF4032
32mm
£6.00
CAN3530
30mm
£6.00
CNF4034
34mm
£6.00
CAN3532
32mm
£6.00
CNF4035
35mm
£6.00
CAN3534
34mm
£6.00
CNF4036
36mm
£6.00
CAN3536
36mm
£6.00
CNF4038
38mm
£6.00
CAN3538
38mm
£6.00
CNF4040
40mm
£6.50
CAN3540
40mm
£6.50
CNF4045
45mm
£7.00
CAN3545
45mm
£7.00
CNF4050
50mm
£7.50
CAN3550
50mm
£7.50
CNF4055
55mm
£8.50
CAN3555
55mm
£8.50
CNF4060
60mm
£8.50
CAN3560
60mm
£8.50
3.5mm Compression Plate
4mm Cancellous Screws Part Threaded
4mm CANCELLOUS PART THREAD SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) CNP4010
10mm
£4.00
CNP4012
12mm
£4.00
CNP4014
14mm
£4.00
CNP4016
16mm
£5.00
CNP4018
18mm
£5.00
CNP4020
20mm
£5.00
CNP4022
22mm
£5.00
CNP4024
24mm
£5.25
CNP4026
26mm
£5.25
CNP4028
28mm
£5.25
CNP4030 CNP4035 CNP4040
30mm 35mm 40mm
Use with 3.5mm cortical or 3.5mm cancellous screws to produce fracture compression. Plate profile page 278. 3.5mm COMPRESSION PLATES C3502026
2 (number of holes)
26 (length in mm)
£22.50
C3503038
3
38
£24.00
C3504050
4
50
£25.00
C3505062
5
62
£26.00
C3506074
6
74
£27.50
£6.00
C3507086
7
86
£28.50
£6.00
C3508098
8
98
£30.00
£6.50
C3509111
9
111
£32.50
10
122
£36.50
CNP4045
45mm
£7.00
C3510122
CNP4050
50mm
£7.50
C3512146
12
146
£40.00
CNP4055
55mm
£8.50
C3514170
14
170
£42.50
CNP4060
60mm
£8.50
C3516194
16
194
£45.00
125
7
TRAUMA IMPLANTS & INSTRUMENTS
Broad 3.5mm Compression Plate
4.5mm Screws & Plates 4.5mm Cortical Screws
This plate is made from the same plate profile as the standard 4.5 narrow compression plate but drilled for 3.5 screws. These plates are usually impossible to contour without a bone plate press or roller type pliers, see page 61. Plate profile on page 279.
The standard human cortical screw is suitable for very large dogs and equines. Because it is a human product made in large numbers, 4.5mm screws are relatively inexpensive.
BROAD 3.5mm COMPRESSION PLATES BC3504050
4 (number of holes)
50 (length in mm)
£42.00
4.5mm CORTICAL SCREWS - HEX HEAD 3.5mm (use 3.2mm pilot)
BC3505062
5
62
£45.00
CS4512
12mm
£4.85
BC3506074
6
74
£45.00
CS4514
14mm
£4.85
BC3507087
7
87
£48.00
CS4516
16mm
£4.85
BC3508098
8
98
£51.00
CS4518
18mm
£4.85
BC3509110
9
110
£55.00
CS4520
20mm
£4.85
BC3510122
10
122
£60.00
CS4522
22mm
£4.85
BC3511134
11
134
£65.00
CS4524
24mm
£5.65
BC3512146
12
146
£70.00
CS4526
26mm
£5.65
BC3513158
13
158
£75.00
CS4528
28mm
£5.65
BC3514170
14
170
£80.00
CS4530
30mm
£5.65
BC3515182
15
182
£85.00
CS4532
32mm
£5.65
BC3516194
16
194
£90.00
CS4534
34mm
£5.65
BC3518218
18
218
£100.00
CS4536
36mm
£5.65
BC3520242
20
242
£110.00
CS4538
38mm
£5.65
CS4540
40mm
£6.25
CS4542
42mm
£6.25
CS4544
44mm
£6.25
CS4546
46mm
£6.25
CS4548
48mm
£6.25
CS4550
50mm
£6.25
CS4552
52mm
£6.25
CS4554
54mm
£6.25
CS4556
56mm
£7.00
CS4558
58mm
£7.00
CS4560
60mm
£7.00
CS4562
62mm
£7.00
CS4564
64mm
£7.00
CS4566
66mm
£7.00
CS4568
68mm
£7.00
CS4570
70mm
£7.00
CS4575
75mm
£9.00
CS4580
80mm
£10.50
CS4585
85mm
£12.00
Veterinary IF Plate (Keyhole plate)
Occasionally a lag screw has to be placed exactly where the neutralisation plate required to protect it should sit. This usually results in a compromise of one or the other being placed in a less than ideal position or a fiddle trying to feed the screw through the plate at the same time as reducing the fracture. Veterinary Instrumentation’s new keyhole plate allows the plate to be placed after the lag screw. Before tightening the screw it is a simple matter to fit the protecting plate over the head of the screw. The screw head tightens into the narrower part of the keyhole. The design of the keyhole allows a greater range of screw angle than is possible in a standard DCP. The strength of the plate is unaffected. Available as a 3.5 7 hole DCP i.e. the keyhole hole and three either side.
VETERINARY IF PLATE (KEYHOLE PLATE) IF3507094
3.5 narrow IF (Interfragmentary DCP) 7 hole 94mm
£87.50 126
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com 4.5mm Cortical Self Tapping Screws
4.5 Shaft Screws and IOHC
Use of self tapping screws can save considerable time and trauma. Reducing surgery time will reduce morbidity. Pull out strength is not affected provided the self tapping flutes lie outside of the cortex. Add an extra 1mm when assessing screw length.
Until such time as we are able to reliably stimulate the humeral condyles to fuse together, it seems that the only practical means of managing the problem is to place a large stabilising screw. In that the incidence of fatigue failure is high it seems sensible to use the strongest screw possible. We have manufactured a small range of 4.5 shaft screws from 32mm to 40mm specifically for this procedure. The threaded portion is 13mm long in all screws.
Self tapping screws are less effective in dense cortical bone. e.g. calcaneus. It is advised that an appropriate tap be available should the need arise.
Andy Moores advises me that the 4.5 shaft screw has an AMI (bending resistance) 5 times greater than a standard 4.5 cortical screw. Placement of the screw is, however a challenge in that the gliding hole has to cross the area of IOHC to penetrate into the far condyle. This may be achieved by imaging or by careful pre-measurement and the use of drill stops.
Drill data: Pilot drill 3.2mm Clearance drill 4.5mm
4.5MM CORTICAL SELF TAPPING SCREWS - HEX HEAD=3.5MM PILOT=3.2MM CSST4512
12mm
£5.25
CSST4514
14mm
£5.25
CSST4516
16mm
£5.25
CSST4518
18mm
£5.25
CSST4520
20mm
£5.25
CSST4522
22mm
£5.25
CSST4524
24mm
£6.00
CSST4526
26mm
£6.00
CSST4528
28mm
£6.00
CSST4530
30mm
£6.00
CSST4532
32mm
£6.00
CSST4534
34mm
£6.00
CSST4536
36mm
£6.00
CSST4538
38mm
£6.00
CSST4540
40mm
£6.50
CSST4542
42mm
£6.50
CSST4544
44mm
£6.50
CSST4546
46mm
£6.50
CSST4548
48mm
£6.50
CSST4550
50mm
£6.50
CSST4552
52mm
£6.50
CSST4554
54mm
£6.50
CSST4556
56mm
£7.25
CSST4558
58mm
£7.25
CSST4560
60mm
£7.25
CSST4562
62mm
£7.25
CSST4564
64mm
£7.25
CSST4566
66mm
£7.25
CSST4568
68mm
£7.25
CSST4570
70mm
£7.25
CSST4575
75mm
£9.50
CSST4580
80mm
£11.00
CSST4585
85mm
£12.50
Thanks to Andy Moores for the picture.
4.5 SHAFT SCREWS SHSC4532
Shaft Screw
32mm
13mm Thread
£15.50
SHSC4534
Shaft Screw
34mm
13mm Thread
£15.50
SHSC4536
Shaft Screw
36mm
13mm Thread
£15.50
SHSC4538
Shaft Screw
38mm
13mm Thread
£15.50
SHSC4540
Shaft Screw
40mm
13mm Thread
£15.50
SHSC4534TI
Shaft Screw
34mm
Titanium
£21.50
SHSC4536TI
Shaft Screw
36mm
Titanium
£21.50
www.vetinst.com 2.4 DCPs
Bone Plate Profiles All our bone plate profiles are printed on the pages inside the back cover. They are also in the document download section of www.vetinst.com A full set of profiles printed on clear acetates as an aid to fracture planning is available free of charge. Remember the profiles are actual size so you will have to compensate (5-10%) for magnification depending on the position of the bone and the head of the x-ray unit.
Designed by Vets for Vets
127
7
TRAUMA IMPLANTS & INSTRUMENTS
Narrow 4.5mm Compression Plate
5.5/6.5mm Screws 5.5mm Cortical Screws This cortical screw is suitable for equines. Nearly twice as strong as 4.5mm cortical screws. Use with 4.5mm plates. Drill data: Pilot 4.0mm, Clear 5.5mm. 5.5mm CORTICAL SCREWS - HEX HEAD 3.5mm (use 4.0mm pilot)
Use with 4.5mm cortical screws to produce fracture site compression. Plate profile on page 280. NARROW 4.5mm COMPRESSION PLATES C45239 C45355 C45471 C45587 C456103 C457119 C458135 C459151 C4510167 C4511183 C4512199 C4513211
2 (number of holes) 3 4 5 6 7 8 9 10 11 12 13
39 (length in mm) 55 71 87 103 119 135 151 167 183 199 211
£24.50 £25.50 £26.50 £27.50 £28.50 £29.50 £31.00 £33.00 £36.00 £38.50 £42.00 £45.00
C4514230
14
230
£47.50
C4515246
15
246
£50.00
C4516265
16
265
£62.50
CS5524
24mm
£10.50
CS5526
26mm
£11.25
CS5528
28mm
£12.00
CS5530
30mm
£12.50
CS5532
32mm
£13.50
CS5534
34mm
£14.50
CS5536
36mm
£15.50
CS5538
38mm
£16.00
CS5540
40mm
£16.50
CS5542
42mm
£17.00
CS5544
44mm
£17.50
CS5546
46mm
£18.00
CS5548
48mm
£19.00
CS5550
50mm
£20.00
CS5552
52mm
£21.00
CS5554
54mm
£22.00
CS5556
56mm
£23.00
CS5560
60mm
£24.00
CS5564
64mm
£25.00
CS5570
70mm
£26.00
CS5580
80mm
£28.00
CS5590
90mm
£30.00
CS55100
100mm
£32.00
6.5mm Cancellous Screws This very large screw has an application in the closing wedge TPLO procedure in very large dogs. Bone stock is poor in the proximal tibia. The 6.5mm self-tapping, fully threaded cancellous screw gives maximum pull out resistance. Pilot drill 3.2mm, screwdriver SDH3500 and tap TBT065 or TS00065. Only use the tap for the fibular head screw. Drill data: Pilot 3.2mm, Clear 6.5mm.
Broad 4.5mm Compression Plate
6.5mm CANCELLOUS SCREWS - FULL THREADED - HEX HEAD 3.5mm (use 3.2mm pilot) This is the strongest plate available for veterinary orthopaedics. Plate profile on page 281. BROAD 4.5mm COMPRESSION PLATES
CNF6525
25mm
£7.00
CNF6530
30mm
£7.25
CNF6535
35mm
£7.50
CNF6540
40mm
£8.00
B4505087
5 (number of holes)
87 (length in mm)
£35.00
CNF6545
45mm
£8.50
B4506103
6
103
£36.50
CNF6550
50mm
£9.00
B4507119
7
119
£39.00
CNF6555
55mm
£9.50
B4508135
8
135
£42.50
CNF6560
60mm
£10.00
B4509151
9
151
£45.00
CNF6565
65mm
£10.50
B4510167
10
167
£47.50
CNF6570
70mm
£11.00
B4511183
11
183
£50.00
CNF6575
75mm
£11.50
B4512199
12
199
£52.50
B4513215
13
215
£55.00
B4514231
14
231
£57.50
B4515247
15
247
£60.00
B4516263
16
263
£65.00
B4517279
17
279
£70.00
B4518295
18
295
£75.00
128
Locking Plates
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com
fine threads lock head into plate
Locking Plates with Stacked Locking Holes
large core to resist bending
Locking plates with dual or combination holes are useful but typically the interval between holes is too large, limiting how many screws are possible in a fragment. The stacked locking hole allows the use of both 3.5 cortical screws with limited angulation (7 degrees) and standard locking screws having full angle security through the same round hole. While the mixing of locking and non locking screws in the same fragment is rarely indicated, it can be useful to place a screw outside the angular limitations of the locking hole.
coarser threads than head but still finer than cortical screw for max bone screw interface
Standard DCP or round hole plates are held into position by being trapped between the head of the screw and the bone. Tightening the screw pulls the bone up to the plate. When the screw is tight the threads of the screw pull against the bone holding the plate in position. The situation with locking screws and plates is very different. Although the threads of the screw shaft engage the bone, the interface between bone and screw is not related to attachment of the plate. In locking plates and screws it is the interface between the screw head and the plate which attaches the plate to the screw. As the screw is tightened the bone maintains its position relative to the plate, it is not drawn up to it. The screw head engages with the plate. This has a number of implications:
The cutaways underneath the plate are designed to offer low contact between plate and bone when using regular cortical screws. In addition they help create an even resistance to bending for easier contouring and reduced stress concentration at the screw holes. Plate profile on page 284.
Contouring of plates With standard DCPs the plate must be contoured exactly. When the screws are tightened the bone fragments will be pulled towards the plate and assume the contour of the plate. If the plate is not contoured correctly the screws will pull the fragments out of alignment. Using a locking plate and screws once the plate is applied the bone fragments will be held in position relative to one another as is the case with external fixation. Indeed locking plates are sometimes referred to as ‘internal, external fixation’. Locking plates do not therefore require contouring in the same way as DCP type plates. This has particular relevance in the TPLO procedure where contouring the plate is very important and very time consuming. If a standard locking TPLO plate fits all TPLO osteotomies there are significant savings in terms of time and morbidity.
3.5mm LOCKING PLATES
Screw Angulation and Numbers In order to fit and lock into the plate the screw must be inserted at a fixed angle relative to the hole in the plate. Drill guides are provided which screw into the locking holes to ensure that this happens. It is not always desirable that the screws are at 90 degrees to the plate, particularly close to joints. The angle of the screw is dictated by the plate not the surgeon. The rigid attachment of the screw to the plate gives any locking construct a high degree of angular rigidity relative to a DCP construct where a spherical screw head in an oval hole results in a relatively flexibility. This means in any given situation that to achieve the same rigidity as a DCP construct a locking construct needs less screws. Again this has particular implications in terms of time and morbidity. It also offsets, to a degree, the higher costs of locking screws and plates.
LPSH3504046 3.5mm Locking Plate 46mm 4 Hole
£37.00
LPSH3505056 3.5mm Locking Plate 56mm 5 Hole
£40.00
LPSH3506066 3.5mm Locking Plate 66mm 6 Hole
£42.50
LPSH3507076 3.5mm Locking Plate 76mm 7 Hole
£44.00
LPSH3508086 3.5mm Locking Plate 86mm 8 Hole
£46.00
LPSH3509096 3.5mm Locking Plate 96mm 9 Hole
£48.00
LPSH3510106 3.5mm Locking Plate 106mm 10 Hole
£50.00
LPSH3511116 3.5mm Locking Plate 116mm 11 Hole
£52.00
LPSH3512126 3.5mm Locking Plate 126mm 12 Hole
£54.00
LPSH3513136 3.5mm Locking Plate 136mm 13 Hole
£56.00
LPSH3514146 3.5mm Locking Plate 146mm 14 Hole LS35PSET
3.5mm Locking Plate Set
£58.00 £500.00
Locking 2.7 plates VI locking plates accept perfectly the standard 2.7mm twin start locking screw. Locking plates with combination holes have the disadvantage that the combination hole occupies a lot of space which results in hole spacing being too large. The consequence is that it may not be possible to place the desired number of screws in any bone fragment.
Screw Diameter and Strength The increased angular rigidity places greater stresses onto the screw. Because we are not relying on the threads of the screw in the bone to pull the plate to the bone they do not need to be as coarse as standard cortical screws. They need, only, to hold their position in the bone. Thus for the same outside diameter of screw we can increase the core diameter without increasing the likelyhood of bone/screw interface failure. Increasing the diameter of the core hugely affects the AMI (resistance to bending) of the screw. The AMI of standard 3.5 cortical screws as used in SOP™ is 1.6, the AMI of standard locking screw is 2.6. A SOP™ screw is far more likely to fail than is a standard locking screw. Screw failure is the typical mode of failure of SOP™ constructs. Standard cortical screws are not designed for use as locking screws.
In that situations which demand locking screws and plates rarely need DCP holes the VI locking plate offers only stacked holes which will take both locking and standard cortical screws but will not offer compression. The hole spacing is the same as that of a standard 2.7mm DCP. Plate profile on page 284. LOCKING 2.7 PLATES
Minimally Invasive Plate Osteosynthesis (MIPO) MIPO aims to interfere with the patient’s natural respone to fracture as little as possible while establishing and maintaining stabilisation of the fracture. Locking plates do not need close contouring to the bone, indeed it is not necessary to have contact between the plate and the bone. The periosteum is therefore preserved and the fracture is not disturbed. Additionally the angular stability of locking screws coupled with the need for fewer screws are desirable features in any MIPO procedure. Locking screws were developed for osteoporitic bone where standard DCPs and screws tend to strip out. The bone screw interface is under far less stress using locking technology. This is an important quality in juvenile bone also. Veterinary MIPO candidates tend to be young.
129
LPSH2704034
2.7mm Locking Plate 4 Hole 34mm Long
£37.00
LPSH2705042
2.7mm Locking Plate 5 Hole 42mm Long
£40.00
LPSH2706050
2.7mm Locking Plate 6 Hole 50mm Long
£42.50
LPSH2707058
2.7mm Locking Plate 7 Hole 58mm Long
£44.00
LPSH2708066
2.7mm Locking Plate 8 Hole 66mm Long
£46.00
LPSH2709074
2.7mm Locking Plate 9 Hole 74mm Long
£48.00
LPSH2710082
2.7mm Locking Plate 10 Hole 82mm Long
£50.00
LPSH2711090
2.7mm Locking Plate 11 Hole 90mm Long
£52.00
LPSH2712098
2.7mm Locking Plate 12 Hole 98mm Long
£54.00
LPSH2713106
2.7mm Locking Plate 13 Hole 106mm Long
£56.00
LPSH2714114
2.7mm Locking Plate 14 Hole 114mm Long
LS27PSET
2.7mm Locking Plate Set
£58.00 £500.00
7
TRAUMA IMPLANTS & INSTRUMENTS
Locking Screw 2.7 with Large 3.5mm head
Locking Screws
This 2.7 locking screw has the same head as the 3.5 locking screw. It will therefore fit 3.5 locking plates and TPLO plates. It will not fit the smaller 2.7 locking plates and TPLO plates. It requires a 2.0mm pilot drill placed with the aid of a dedicated drill guide.
Locking Screw 3.5mm
LOCKING SCREW 2.7MM WITH LARGE (3.5MM) HEAD VI screws are an exact fit for standard locking plates but utilise the conventional hex drive rather than a star drive. LOCKING SCREW 3.5mm USE 2.7mm PILOT PLUS DRILL SLEEVE
LS273508
Locking 2.7 screw 8mm
£11.00
LS273510
Locking 2.7 screw 10mm
£11.50
LS273512
Locking 2.7 screw 12mm
£11.50
LS273514
Locking 2.7 screw 14mm
£12.25
LS273516
Locking 2.7 screw 16mm
£12.25
LS273518
Locking 2.7 screw 18mm
£12.75
LS273520
Locking 2.7 screw 20mm
£12.75
LS273522
Locking 2.7 screw 22mm
£13.50
LS273524
Locking 2.7 screw 24mm
£13.75
LS273526
Locking 2.7 screw 26mm
£14.00
LS273528
Locking 2.7 screw 28mm
£14.25
LS273530
Locking 2.7 screw 30mm
£14.75
LS273532
Locking 2.7 screw 32mm
£15.00
LSDG2735
2.0 Locking Screw Drill Guide for LS2735**
£42.00
H090102
2mm Pilot Drill
£17.00
LS3510
Locking 3.5 screw 10mm
£11.50
LS3512
Locking 3.5 screw 12mm
£11.50
LS3514
Locking 3.5 screw 14mm
£12.25
LS3516
Locking 3.5 screw 16mm
£12.25
LS3518
Locking 3.5 screw 18mm
£12.75
LS3520
Locking 3.5 screw 20mm
£12.75
LS3522
Locking 3.5 screw 22mm
£13.50
LS3524
Locking 3.5 screw 24mm
£13.75
LS3526
Locking 3.5 screw 26mm
£14.00
LS3528
Locking 3.5 screw 28mm
£14.25
LS3530
Locking 3.5 screw 30mm
£14.75
LS3532
Locking 3.5 screw 32mm
£15.00
LS3534
Locking 3.5 screw 34mm
£15.25
LS3536
Locking 3.5 screw 36mm
£15.50
LS3538
Locking 3.5 screw 38mm
£15.75
LS3540
Locking 3.5 screw 40mm
£16.00
LS3542
Locking 3.5 screw 42mm
£16.25
LS3544
Locking 3.5 screw 44mm
£16.50
LS3545
Locking 3.5 screw 45mm
£16.50
LS3546
Locking 3.5 screw 46mm
£16.75
LS3548
Locking 3.5 screw 48mm
£17.00
Use LS2724 2.7mm Locking Drill Guide
LS3550
Locking 3.5 screw 50mm
£17.50
Use 2.0mm Pilot Drill. Use 1.5 hex screwdriver (same as 1.5 & 2.0 screws)
LS3552
Locking 3.5 screw 52mm
£18.00
LOCKING SCREW 2.7MM WITH SMALL (2.4MM) HEAD
LS3554
Locking 3.5 screw 54mm
£18.50
LS272406
6mm
£11.00
LS3556
Locking 3.5 screw 56mm
£19.00
LS272408
8mm
£11.00
LS3558
Locking 3.5 screw 58mm
£20.00
LS272410
10mm
£11.50
LS3560
Locking 3.5 screw 60mm
£21.00
LS272412
12mm
£11.50
LSDG35
3.5 Locking screw Drill Guide
£42.00
LS272414
14mm
£12.25
H090104
2.7 Locking screw Pilot Drill
£17.50
LS272416
16mm
£12.25
SHLS35
3.5 Locking screwbox
£105.00
LS272418
18mm
£12.75
LS272420
20mm
£12.75
LS272422
22mm
£13.50
LS272424
24mm
£13.75
LS272426
26mm
£14.00
LS272428
28mm
£14.25
LS272430
30mm
£14.75
LS272432
32mm
£15.00
LS272434
34mm
£15.25
LS272436
36mm
£15.50
LS272438
38mm
£15.75
LS272440
40mm
£16.00 £42.00
Locking Screw 2.7mm with Small (2.4mm) Head This screw fits the 2.7mm locking TPLO plate. It has the standard locking screw 2.7 cortical bone thread but the head is based on the 2.4mm locking screw. This screw will not fit the 3.5mm locking TPLO plate.
3.5mm Locking screws are also available with star pattern head. Add STAR following LS35 and their length, e.g. LS35STAR10, to order.
Locking Plug Use to protect locking holes during contouring.
LOCKING PLUG 2.7/3.5mm LSP35
Locking Plug for LS35** and LS2735** screws
£6.50
LSDG2724
2.0 Locking Screw Drill Guide for small 2.7
LSP24
Locking Plug for LS2724**
£6.50
H090102
2.0 Locking Screw Pilot Drill
SHLS27
2.7 Locking screwbox
130
£17.00 £105.00
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com
7
Locking Plate and Screw Set in Premium box
Locking Screws The angular security of locking plate systems depends on a rigid interface between screw and plate. This is acheived either by the use of interlocking threads or by using the morse taper phenomenon as seen in the Fixin system. Threaded systems are the most common. The modulus of bone and stainless steel differs greatly and the ideal screw thread for one will not suit the other. Stainless steel demands fine threads whereas bone needs a relatively coarse thread. If we use a fine thread in the plate and a coarse thread in the bone, when the head of screw engages the plate, the screw moving faster through the bone than the plate would have the effect of pulling the plate towards the bone. This is exactly what we do not want. Some systems compromise by using the same thread in both screw head and bone plate. At Veterinary Instrumentation and in the industry standard locking screw the problem is solved by some ingenious engineering. The threads on the head of our screws are fine as required but have a twin start. The threads taper down the head as a double helix. The pitch (the distance between the tips of the threads) of each individual fine thread is the same as the threads on the bone screw but because of the double helix the number of threads per millimeter of locking thread is double that of the bone screw giving the fine threads required for metal on metal. The screw moves through the bone at the same rate as it moves through the plate maintaining the relative positions of both bone fragment and plate.
The locking plate and screw set contains a wide selection of locking plates and screws as well all the essential instruments required. Available in both 2.7 and 3.5mm. The price is discounted by over 5% compared to the component parts.
There is an additional benefit of the double helix. As the screw head approaches the plate a single start thread may have to wait 360 degree rotation before the threads start to engage. In the 3.5 screw this might mean that the plate is pushed around one millimeter before the head of the screw engages. With a twin start thread the screw head will engage within 180 degrees of contact.
The 3.5 set contains the following: 1 of each plate from 4 to 14 hole 3 of each screw from 12mm to 20mm 4 of each screw from 22mm to 26mm
Where angular security is important and where contouring is difficult Veterinary Instrumentation is creating special plates with locking hole technology. We are starting with TPLO, carpal arthrodesis and supracondylar plates.
5 of each screw from 28mm to 38mm 4 of each screw from 40mm to 48mm 3 of each screw from 50mm to 58mm 5 Locking plugs plus box Drill guide 2.7mm Drill - Hard 1x 2.5mm Hex Screwdriver with fibre handle
Locking Screw Sets
1x Screw holding forceps
Available in both 3.5 and 2.7mm (with 2.4mm head). Supplied in a stainless steel screwbox. Sets discounted by over 5% from component price.
All held in a premium box with insert
The 2.7 set contains the following: 1 of each plate from 4 to 14 hole 3 of each screw from 6mm to 10mm 4 of each screw from 4mm to 14mm 5 of each screw from 16mm to 22mm 4 of each screw from 24mm to 32mm 3 of each screw from 34mm to 40mm 5 Locking plugs plus box Drill guide 2mm Drill — Hard 3.5 set includes 3 x 12-20mm, 4 x 24-26mm, 5x 28-40mm, 4x 42-50mm, 3x 52-58mm locking screws and 5 locking plugs
1x 1.5mm Hex Screwdriver with fibre handle
2.7 set includes 3 x 6-8mm, 4 x 10-16mm, 5x 18-28mm, 4x 30-32mm, 3x 34-40mm locking screws and 5 locking plugs
All held in a premium box with insert
1x Screw holding forceps
LOCKING SCREW SETS
LOCKING SCREW SETS
LS35KIT
3.5 Locking Screw Set
£1,450.00
LS35KITALL
3.5 locking screw and plate kit in premium box
£2,125.00
LS27KIT
2.7 Locking Screw Set
£950.00
LS27KITALL
2.7 locking screw and plate kit in premium box
£1,675.00
131
7
TRAUMA IMPLANTS & INSTRUMENTS
Locking Pancarpal Arthrodesis
Cuttable and Cuttable, Malleable (reconstruction) Plates
At the 2009 BVOA scientific meeting there was a lengthy discussion regarding the value of incorporating locking screws into pancarpal constructs. Locking screws add angular security which was generally regarded to be a good thing. The presence of compression holes was also considered to be desirable.
1.5/2.0mm 2.0mm
Aaron Moles (Perth) considers that once the cartilage has been removed the carpus effectively becomes a comminuted fracture and questions whether placing a single screw in a small fragment (the radial carpal bone) is appropriate. All good fun! Veterinary Instrumentation has produced a small number of plates which offer a variety of combinations. Feedback from surgeons is appreciated. All radial carpal bone holes are round.
VCP202427 2.7mm
Veterinary Instrumentation nows offers a comprehensive range of cuttable plates. They are available either as a standard strip of round holes or as a version with notches between the holes for easy contouring. These are described as cuttable malleable or cuttable reconstruction plates. Using standard wire cutters 001236, 001237 or 001228 (page 56) a strip with the desired number of holes can be cut from the length. With care the plate can be cut between holes, although it is easier to cut across a hole.
In this plate all holes are locking and will accept either 3.5 locking (LS35** series) or 2.7 locking with a 3.5 head(LS2735** series).
Cuttable plates may be stacked to double the strength along all or part of the construct. Plates are available in 1.5, 2.0, 2.4 and 2.7mm. Hole spacing is smaller than the equivalent DCP which may be useful where bone fragments are small. The smaller sizes are particularly useful in the repair of metacarpals and metatarsals. Plate profiles on page 286.
This plate is as above but includes two DCP holes above and below the radial carpal bone hole. The above two plates have the same dimensions and hole spacing as 152907XL (see page 285)
The malleable plates may be twisted and bent using parallel action pliers (001290 page 57) and/or wire contouring pliers (001245 page 58) CUTTABLE PLATES
This plate is effectively a double hybrid in tthat includes both locking and DCP hole of two different sizes. Proximal holes are 3.5, distal are 2.7 (2.7 or LS2724** series). LOCKING PANCARPAL ARTHRODESIS 152907XLLS Locking Pancarpal Arthrodesis - All 3.5 locking holes
£105.00
152907XLL
Locking Pancarpal Arthrodesis - All 3.5 locking holes except 2 DCP holes above and below radial carpal bone hole £105.00
152903XLL
Locking Pancarpal Arthrodesis - Double hybrid Proximal, 3.5 Distal 2.7
CP15413030
1.5/2.0mm holes 4mm spacing 30 holes
£75.00
CP205150
2.0mm holes 5mm spacing 30 hole
£75.00
CM205150
2.0mm malleable 5mm spacing 30 holes
£95.00
CP2455150
2.4mm holes 5.5mm spacing 27 holes
£75.00
CM2455150
2.4mm holes malleable 27 holes
£95.00
CP276150
2.7mm holes 6mm spacing 24 holes
£65.00
CM276150
2.7mm holes malleable 24 holes
VCP202427
2.0/2.4/2.7mm holes 6.0mm spacing 50holes
£85.00 £100.00
AO type Reconstruction plates £105.00
Locking System Reconstruction plates are designed for easy contouring. However contouring is not easy without dedicated bending pliers. (page 61) Notching between holes facilitates multiplanar bending. Useful for reconstruction of non-load bearing bone. Especially useful in the pelvis. Plate profile on page 286.
Fixin relies on a novel lock between screw and plate. Rather than using threads to link the screw to the plate, the FIXIN system used the well established ‘morse taper’ effect. A tapering cylinder when pushed into an opening having slightly less taper effectively jams very securely. Engineers have used this effect for decades to attach tools to cutting machines. The same principle locks the heads of modular total hip replacement systems onto the femoral shaft. In addition to providing a very secure lock the “morse” offers a 360 degree pick up for the locking mechanism. Standard locking screws having a twin start thread may have to wait for 180 degrees of rotation before the threads engage in the plate. More primitive systems with a single start thread may not engage for 360 degrees. The Fixin system will lock regardless of the position of the screw relative to the plate. The novel screw boss feature of FIXIN plates minimises the stress riser effects of screw holes which means that relatively thin, lightweight plates may be used throughout the system. The Fixin system requires fewer screws and lighter plates than you would normally expect. This is particularly true of osteotomies including TPLO and TTO.
2.7mm RECONSTRUCTION PLATES no. of holes
length (mm)
RC270540
5
40
£36.50
RC270648
6
48
£42.50
RC270864
8
64
£50.00
RC271080
10
80
£59.50
RC271296
12
96
£67.50
3.5MM RECONSTRUCTION PLATES
For more information on the Fixin locking system see the section in Chapter 1, page 20 132
RC350558
5 (number of holes)
58 (length in mm)
£46.00
RC350670
6
70
£48.00
RC350782
7
82
£60.00
RC350894
8
94
£64.00
RC3510118
10
118
£68.00
RC3512142
12
142
£72.00
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com Titanium Screws
Suture Screw Set Suture screws are a versatile, economic suture anchor. Used together with LigaFiba, suture screws offer a solution to joint stabilisation. Sizes range from 2.0mm up to 4.0mm to cover the full range of patients. Suture screws are now available as a boxed set including 2 of each suture screw (16) together with the new universal introducer which fits all the screws. Applications include: shearing injuries, isometric lateral sutures, medial collateral replacement. Also included in the kit is one of each LigaFiba sterile suture packs:150lb, 250lb & 500lb.
Titanium Screws and plates are very commonly used in man particularly for facio maxillary repairs. The most important benefit in this application is that Titanium does not interfere with MRI scans. Compared to stainless steel Titanium is lighter and much more osteo compatible. The major application in veterinary orthopaedics is in conjunction with the TTA cruciate procedure. TITANIUM SCREWS 2.4MM CRUCIATE HEAD 1.8MM PILOT TICS2410
Titanium 2.4 Self Tapping Cortical Screw 10mm
TICS2412
Titanium 2.4 Self Tapping Cortical Screw 12mm
£9.75
TICS2414
Titanium 2.4 Self Tapping Cortical Screw 14mm
£10.00
TICS2416
Titanium 2.4 Self Tapping Cortical Screw 16mm
£10.00
TICS2418
Titanium 2.4 Self Tapping Cortical Screw 18mm
£10.25
TICS2420
Titanium 2.4 Self Tapping Cortical Screw 20mm
£10.25
TICS2422
Titanium 2.4 Self Tapping Cortical Screw 22mm
£10.50
TICS2424
Titanium 2.4 Self Tapping Cortical Screw 24mm
£10.50
TICS2426
Titanium 2.4 Self Tapping Cortical Screw 26mm
£10.75
TICS2428
Titanium 2.4 Self Tapping Cortical Screw 28mm
£10.75
SUTURE SCREWS
TICS2430
Titanium 2.4 Self Tapping Cortical Screw 30mm
£11.00
SSITKIT
Suture screw kit (16 screws + introducer)
TICS2432
Titanium 2.4 Self Tapping Cortical Screw 32mm
£11.50
SSITUN
New Introducer for all suture screws
TICS2434
Titanium 2.4 Self Tapping Cortical Screw 34mm
£12.00
TICS2436
Titanium 2.4 Self Tapping Cortical Screw 36mm
£12.50
Suture Screws
TICS2438
Titanium 2.4 Self Tapping Cortical Screw 38mm
£13.00
TICS2440
Titanium 2.4 Self Tapping Cortical Screw 40mm
£13.50
Presentation is a self-tapping screw with an eyed head. Use where a suture anchor would seem appropriate. Thread forms are the same as equivalent AO type. Requires dedicated insertion tool (see price table below).
£9.75
TITANIUM SCREWS 2.7MM HEX HEAD 2.0MM PILOT TICS2706
Titanium 2.7 Self Tapping Cortical Screw 6mm
£9.50
TICS2708
Titanium 2.7 Self Tapping Cortical Screw 8mm
£9.50
TICS2710
Titanium 2.7 Self Tapping Cortical Screw 10mm
£9.75
TICS2712
Titanium 2.7 Self Tapping Cortical Screw 12mm
£9.75
TICS2714
Titanium 2.7 Self Tapping Cortical Screw 14mm
£10.00
TICS2716
Titanium 2.7 Self Tapping Cortical Screw 16mm
£10.00
TICS2718
Titanium 2.7 Self Tapping Cortical Screw 18mm
£10.25
TICS2720
Titanium 2.7 Self Tapping Cortical Screw 20mm
£10.50
TICS2722
Titanium 2.7 Self Tapping Cortical Screw 22mm
£10.75
TICS2724
Titanium 2.7 Self Tapping Cortical Screw 24mm
£11.00
TICS2726 TICS2728
Titanium 2.7 Self Tapping Cortical Screw 26mm Titanium 2.7 Self Tapping Cortical Screw 28mm
£375.00 £65.00
SUTURE SCREWS
£11.50 £12.00
TITANIUM SCREWS 3.5MM HEX HEAD 2.5MM PILOT
SS2006
2.0mm dia 6mm long 1.0mm hole Cortical
£15.50
SS2010
2.0mm dia 10mm long 1.0mm hole Cortical
£15.50
SS2708
2.7mm dia 8mm long 1.5mm hole Cortical
£15.50
SS2714
2.7mm dia 14mm long 1.5mm hole Cortical
£15.50
SS3512
3.5mm dia 12mm long 2.0mm hole Cortical
£15.50
SS3520
3.5mm dia 20mm long 2.0mm hole Cortical
£15.50
SS4016
4.0mm dia 16mm long 2.0mm hole Cancellous
£15.50
SS4024
4.0mm dia 24mm long 2.0mm hole Cancellous
£15.50
SSITUN
Universal insertion tool for all suture screws
£65.00
Washers
TICS3516
Titanium 3.5 Self Tapping Cortical Screw 16mm
£10.00
TICS3518
Titanium 3.5 Self Tapping Cortical Screw 18mm
£10.25
TICS3520
Titanium 3.5 Self Tapping Cortical Screw 20mm
£10.50
TICS3522
Titanium 3.5 Self Tapping Cortical Screw 22mm
£10.75
TICS3524
Titanium 3.5 Self Tapping Cortical Screw 24mm
£11.00
TICS3526
Titanium 3.5 Self Tapping Cortical Screw 26mm
£11.50
TICS3528
Titanium 3.5 Self Tapping Cortical Screw 28mm
£12.00
TICS3530
Titanium 3.5 Self Tapping Cortical Screw 30mm
£12.50
TICS3532
Titanium 3.5 Self Tapping Cortical Screw 32mm
£13.00
WASHERS
TICS3534
Titanium 3.5 Self Tapping Cortical Screw 34mm
£13.50
PW20
Plain Washer 2.0mm/1.5 Screws Stainless
£5.00
TICS3536
Titanium 3.5 Self Tapping Cortical Screw 36mm
£14.00
PW273540
Plain Washer 2.7/ 3.5 / 4.0mm Stainless
£5.00
PW45
Plain Washer 4.5mm Screws Stainless
£5.00
SW20
Spikey Washer 2.0mm Screws Stainless
£5.50
SW27
Spikey Washer 2.7mm Screws Stainless
£5.50
SW3540
Spikey Washer 3.5/4.0mm Screws Stainless
£5.50
SW45
Spikey Washer 4.5mm Screws Stainless
£5.50
Use to spread load or retain wire or sutures. Use with cortical or self-tapping screws. Spikey washers are used to reattach ligaments or secure grafts to the femur in the OTT technique of CrCL repair.
SCREWBOX FOR TITANIUM TTA SCREWS SHTTA242735
TTA Screwbox for 2.4, 2.7 & 3.5 Ti Screws
£105.00
133
7
TRAUMA IMPLANTS & INSTRUMENTS
Hybrid ‘T’ Plates
‘T’ Plates Available for 4.0, 3.5, 2.7 and 2.0mm screws, either cortical or self tapping.
85mm long Actual Size
‘T’ plates are used almost exclusively for the repair of fractures of the distal radius. In addition they may also be used in a partial carpal arthrodesis. See page 285 & page 287 for full range of profiles including TPLO plates which offer three holes in the head.
T273585
62mm long Actual Size
T273562
T202032
Actual Size
32mm long
The problem with many distal radius fractures is that the distal segment is so small that it is difficult to place sufficient screws. T plates help but often the head portion is too bulky. Hybrid ‘T’ plates provide a solution.
‘T’ PLATES ROUND HOLE
The screwholes in the head are smaller and closer together than those in the shaft.
TC204018
2mm T 4 hole 18mm 2 holes distally
£16.00
TC205024
2mm T 5 hole 24mm 2 holes distally
£16.00
TL204018
2mm T 4 hole angle L 18mm 2 holes distally
£16.00
TR204018
2mm T 4 hole angle R 18mm 2 holes distally
£16.00
OL204018
2mm T 4 hole 18mm oblique L 2 holes distally
£16.00
Hybrid ‘T’ plates will accept the same screw in the head as in the shaft but with reduced range of screw angle. The longer plate is useful for complex distal radius fractures and corrective osteotomies.
OR204018
2mm T 4 hole 18mm oblique R 2 holes distally
£16.00
Use the smallest size load/neutral drill guide for hole placement.
TC270532
2.7mm T 5 hole 32mm 2 holes distally
£18.00
(See page 285 for T Plate Profiles)
TL270532
2.7mm T 5 hole angle L 32mm 2 holes distally
£18.00
HYBRID ‘T’ PLATES
TR270532
2.7mm T 5 hole angle R 32mm 2 holes distally
£18.00
T273585
OL270532
2.7mm T 5 hole 32mm oblique L 2 holes distally
£18.00
Hybrid ‘T’ Plate - 2.7 or 3.5mm head 3.5mm shaft 85mm long
£48.00
OR270532
2.7mm T 5 hole 32mm oblique R 2 holes distally
£18.00
T273562
TC270639
2.7mm T 6 hole 39mm 2 holes distally
£18.00
Hybrid ‘T’ Plate - 2.7 or 3.5mm head 3.5mm shaft 62mm long
£42.00
T20242771
Hybrid ‘T’ Plate - 2.0, 2.4 or 2.7mm head 2.0, 2.4 or 2.7mm shaft 71mm long
£42.00
T20242752
Hybrid ‘T’ Plate - 2.0, 2.4 or 2.7mm head 2.0, 2.4 or 2.7mm shaft 52mm long
£38.00
T202050
Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 50mm long, 8 hole
£32.00
T2020750
Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 50mm long, 7 hole
£32.00
T202032
Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 32mm long
£30.00
TC350655
3.5mm T 6 hole 55mm 2 holes distally
£32.00
TC350777
3.5mm T 7 hole 77mm 2 holes distally
£32.00
TC350877
3.5mm T 8 hole 77mm 2 holes distally
£32.00
Three sizes are available 2.7/3.5, 2.0/2.4/2.7 and 1.5/2.0
‘T’ PLATES COMPRESSION TPLO202026
2.0mm DCP 26mm overall length
£26.00
TPLO242434
2.4mm DCP 34mm overall length
£31.00
TPLO272739
2.7mm DCP 39mm overall length
£31.00
TPLO273539
2.7/3.5 DCP 39mm overall length Allows use of 3.5 cancellous screw in head
£31.00
Acetabular Plates
TPLO273545
2.7/3.5 DCP 45mm overall length Allows use of 2.7 and 3.5 screws in head 2.5mm thick
£35.00
TPLO353555
3.5mm DCP 55mm overall length
£45.00
TPLO353557
3.5mm DCP 57mm overall length Heavy Duty
£45.00
TPLO353562
3.5mm DCP 62mm overall length
£45.00
TPLO353577
3.5mm DCP 77mm overall length
£45.00
TPLO353579
3.5mm DCP 79mm overall length Heavy Duty
£47.00
TPLO354579
3.5/4.5 DCP 79mm overall length Heavy Duty Allows 4.5 screws in head
£47.00
TPLO 35456579
3.5/4.5 DCP 79mm overall length, Heavy Duty Will accept 6.5 cancellous screws in head 4.5mm thick
£52.00
TPLO 45659030
4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 3.0mm thick
TPLO 45659045
4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 4.5mm thick
Accurate repair of fractures of the acetabulum is essential if full function is to be restored and long term arthritic changes are to be avoided. Six sizes are available, singly or as a set. The plates are pre-contoured three dimensionally to ensure a good fit. Holes are round. ACETABULAR PLATES
£87.50
£87.50
See page 285 and page 287 for ‘T’ Plate profiles.
AP200400
2.0mm Acetabular plate 4 hole Size 0
£32.50
AP200401
2.0mm Acetabular plate 4 hole Size 1
£32.50
AP270602
2.7mm Acetabular plate 6 hole Size 2
£37.50
AP270603
2.7mm Acetabular plate 6 hole Size 3
£37.50
AP350604
3.5mm Acetabular plate 6 hole Size 4
£45.00
AP350605
3.5mm Acetabular plate 6 hole Size 5
APSET
Set of Acetabular plates Size 0 - 5
See page 285 for actual size profiles.
134
£45.00 £195.00
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com Biological Healing Plates
Supracondylar Plates
LOCKING VERSIONS AVAILABLE
DURING 2010
Supracondylar femoral fractures in mature animals can be very difficult to repair. Small fragment size makes placement of sufficient implants a challenge. In medium and large dogs there are often multiple small fragments in the supracondylar area. The forces acting on the distal femur are complex requiring a special plate to neutralise them. The 2.7 and 3.5mm plates were developed by Mark Glyde using finite element analysis.
BHP2008065
Available in a range of sizes and lengths. 2.0, 2.7, 3.5 narrow and 3.5 broad (two lengths). Use bending templates to pre-contour plates.
These plates are designed to bridge a section of shattered long bone. It effectively acts as a buttress plate. No attempt is made to reconstruct. The fracture site is not disturbed to minimise de-vitalisation and contamination. The plate maintains length and permits weight bearing. Use of these plates avoids leaving empty screw holes over the fracture site which significantly weakens the construct. Plates are available in 7 or 8 hole versions. Each type of plate is available in a range of lengths.
SUPRACONDYLAR PLATES
BHP2008065 the cat femur plate is contoured for the average cat femur. Use when proximal and distal sections are intact and the body of the femur is un-reconstructable. If it cannot be reconstructed it is better not to try. See page 283 for all Biological Healing Plate profiles. All holes are round as compression is not required and there is better screw/plate contact with round holes. BIOLOGICAL HEALING PLATES
152700
Supracondylar Plate 2.0mm 50mm long. Right
£52.50
152710
Supracondylar Plate 2.0mm 50mm long. Left
£52.50
152712
Supracondylar Plate 2.7mm Left
£72.50
152714
Supracondylar Plate 2.7mm Right
152715N
Supracondylar Plate 3.5 Narrow Left 135mm
£115.00
152717N
Supracondylar Plate 3.5 Narrow Right 135mm
£115.00
152715
Supracondylar Plate 3.5mm Broad Left - 135mm
£135.00
152717
Supracondylar Plate 3.5mm Broad Right - 135mm
£135.00
152716
Supracondylar Femur 3.5mm Broad Left - 173mm
£135.00
152718
Supracondylar Femur 3.5mm Broad Right - 173mm
£135.00
£72.50
BHP2007060
2.0mm 7 Hole 60mm long
£24.00
BT152700
Bending template for 2.0 supracondylar plate
£7.50
BHP2008065
2.0mm 8 hole 65mm long
£24.50
BT152714
Bending template for 2.7 supracondylar plate
£7.50
BHP2008070
2.0mm 8 hole 70mm long
£25.00
BT152717
Bending template for 3.5 supracondylar plate
£7.50
BHP2706063
2.7mm 6 hole 63mm long
£26.00
BHP2707067
2.7mm 7 hole 67mm long
£26.50
BHP2707073
2.7mm 7 hole 73mm long
£27.00
BHP2707079
2.7mm 7 hole 79mm long
£27.50
BHP2708075
2.7mm 8 hole 75mm long
£28.00
BHP2708081
2.7mm 8 hole 81mm long
£28.50
BHP2708085
2.7mm 8 hole 85mm long
£29.00
BHP3507120
3.5mm 7 hole 120mm long
£29.50
BHP3507130
3.5mm 7 hole 130mm long
£30.00
BHP3507142
3.5mm 7 hole 142mm long
£30.50
BHP3508130
3.5mm 8 hole 130mm long
£31.00
BHP3508142
3.5mm 8 hole 142mm long
£31.50
BHP3508154
3.5mm 8 hole 154mm long
£32.00
BHPB3508130
Broad 3.5mm 8 hole 130mm long
£42.50
BHPB3507130
Broad 3.5mm 7 hole 130mm long
£40.00
BHPB3508142
Broad 3.5mm 8 hole 142mm long
£42.50
BHPB3507142
Broad 3.5mm 7 hole 142mm long
£40.00
BHPB3508154
Broad 3.5mm 8 hole 154mm long
£45.00
BHP4507138
4.5mm 7 hole 138mm long
£40.00
BHP4507151
4.5mm 7 hole 151mm long
£42.00
BHP4507164
4.5mm 7 hole 164mm long
£45.00
BHP4508150
4.5mm 8 hole 150mm long
£45.00
BHP4508163
4.5mm 8 hole 163mm long
£47.50
BHP4508176
4.5mm 8 hole 176mm long
£50.00
Supracondylar Osteotomy Plates (SCOP)
LOCKING VERSIONS AVAILABLE
DURING 2010
Osteotomy of the distal femur is now an accepted technique for correction of patella luxation in medium and large dogs with a limb alignment deformity. The distal femur is a difficult area to appropriately contour and place sufficient screws. Using finite element analysis Mark Glyde designed a preformed plate specifically for this area. Screw hole placement allows for a closing wedge osteotomy. Available in 2.7mm and 3.5mm narrow and 3.5mm broad sizes. Use profiles on page 286 as guide. SUPRACONDYLAR OSTEOTOMY PLATES
Many new sizes See page 283 for actual size profiles.
135
152602
2.0 Supracondylar Osteotomy Plate Right
£75.00
152603
2.0 Supracondylar Osteotomy Plate Left
£75.00
152600
2.7 Supracondylar Osteotomy Plate Right
£75.00
152605
2.7 Supracondylar Osteotomy Plate Left
152610
3.5 Supracondylar Osteotomy Plate Right
£105.00
152615
3.5 Supracondylar Osteotomy Plate Left
£105.00
152620
3.5 Brd Supracondylar Osteotomy Plate Right
£135.00
152625
3.5 Brd Supracondylar Osteotomy Plate Left
£135.00
£75.00
7
TRAUMA IMPLANTS & INSTRUMENTS
Cat Pantarsal Arthrodesis Plate (Cranial)
Hybrid Plates
Although requiring a little more dissection a cranially applied plate offers a very effective arthrodesis. Historically our pancarpal plates were bent to 120˚ but we have now developed in colaboration with Noel Fitzpatrick a dedicated cranial plate with holes placed in exaclty the correct positions and machined to allow appropriate screw angulation to secure the talus. The plate is a hybrid having smaller holes distally in a range of sizes.
Pantarsal Arthrodesis Plate (medial)
‘Off the shelf’ we have a 3.5mm plate bent at 135 degrees tapering to 2.7mm holes distally. This plate applied to the medial aspect of the joint fits in most cases. The plate was developed with Malcolm McKee using our experience of producing custom plates. (Vet Record, Vol 154, Issue 6, 165-170). The plate is especially strengthened at the stress point around the talus screw. If this plate is not suitable please send a radiograph or tracing and we will design and make a plate for you. If you are faxing a drawing please draw a line 100mm long prior to transmission. See page 286 for an actual size profile of the 2.7/3.5mm plate. Use a tibio calcaneous position screw to maximise stability.
Available in the new 2.4mm screw size.
Photo: Noel Fitzpatrick
CAT PANTARSAL PLATE CRANIAL POSITION
Our 3.5/2.7 Hybrid Pantarsal plate has proved very popular. Based on our database of manufacturing custom plates for small dogs and cats we are now in a position to offer two further plates as standard. Surgeons are encouraged to check the patient’s radiograph against our Pantarsal Arthrodesis profile sheet on page 286 of this catalogue or as a download from www.vetinst.com Both are designed for medial application. Lateral application is acceptable if circumstances dictate. However, you must order the ‘wrong’ side.
152940
Cat Pantarsal Plate 2.0/2.0mm
£92.50
152942
Cat Pantarsal Plate 2.0/2.4mm
£92.50
152943
Cat Pantarsal Plate 2.0/2.7mm
£92.50
Canine Cranial Pantarsal Arthrodesis Plate
Small Dog 135 degrees 2.7/2.0mm. This plate will fit most patients requiring 2.7mm screws in the tibia and 2.0mm screws in the metatarsals. Cat 120 degrees 2.7/2.0(1.5)mm. This plate is designed to perform arthrodesis to the compromised calcanoquartal (hock) joint which is commonly subject to shearing injuries or fracture dislocations. Proximally the plate will accept 2.7mm screws. Distally the plate will accept either 2.0mm or 1.5mm screws. PANTARSAL ARTHRODESIS PLATE Although requiring more initial dissection than the medial approach, the cranial plate makes alignment easier and does not involve screwing metatarsals to each other. Stability across the talocrural joint is acheived by a screw which pass through the plate and crosses the joint into the calcaneous.
SPECIAL
Custom plate to your requirements
152914
2.7/3.5mm Pantarsal plate Right. See page 286 for profile
£88.50
152913
2.7/3.5mm Pantarsal plate Left. See page 286 for profile
£88.50
152920
2.0/2.7mm Intertarsal plate See page 286 for profile
£55.00
152916
2.0/2.7 Pantarsal Plate Right Dog 135°
£88.50
152915
2.0/2.7 Pantarsal Plate Left Dog 135°
£88.50
152918
2.0/2.7 Pantarsal Plate Right Cat 120°
£88.50
CANINE CRANIAL PANTARSAL ARTHRODESIS PLATE
152917
2.0/2.7 Pantarsal Plate Left Cat 120°
£88.50
152945
from £220.00
136
Canine Panatarsal Arthrodesis Plate 2.7/3.5mm
£120.00
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com Pancarpal Arthrodesis Plate (Hybrid Plates)
7
Custom Made Implants Veterinary Instrumentation offers a unique service to our customers. Where no suitable plate exists we can make a special to your design. Typically the process involves a discussion with John Lapish regarding design and screw options. Once the design is agreed the manufacture usually takes 2 weeks.
Limb salvage plate following resection of distal radius osteosarcoma. Case and pictures Neil Burton & Alberto Gines.
Custom pantarsal arthrodesis plate incorporating a trabecular tantalum implant. Case and photos Toby Gemmill Pancarpal arthrodesis is a regular procedure in veterinary orthopaedics. Standard plates tend to be either too big for the metacarpal or too small for the radius. Our range of hybrid carpal arthrodesis plates tries to give you the best of both worlds. The taper on the distal part of the plate makes closure easier and automatically produces an angle of around 5 degrees. (See page 287 for plate profiles.) Some surgeons prefer greater coverage of the metacarpals than is offered by our standard plates. We now offer an extra long plate which is designed to give over 50% coverage of the metacarpal segment.
Pantarsal arthrodesis plate created for a kangeroo!
For partial carpal arthrodesis try our TPLO plates (see page 287). Also useful for pantarsal arthrodesis, intertarsal arthrodesis, distal tibial fracture and distal humerus fractures. PANCARPAL ARTHRODESIS PLATES DCP STYLE 152911
1.5/2.0mm Compression Arthrodesis plate.
£52.50
152912
2.0/2.0mm Compression Arthrodesis plate.
£52.50
152905
2.0/2.7mm Compression Arthrodesis plate
£55.00
152903
2.7/3.5mm Compression Arthrodesis plate
£57.50
152903XL
2.7/3.5mm Compression extended length
£57.50
152907
3.5/3.5mm Compression Arthrodesis plate
£55.00
152907XL
3.5/3.5mm Compression extended length
152909
3.5/4.5mm Pancarpal Arthrodesis plate 185mm
A selection of special plates made for customers over the past 12 months.
£57.50 £135.00
If it appears that someone else might need one we make extra and keep them
PANCARPAL ARTHRODESIS PLATES ROUND HOLES 152906
2.0/2.7mm Arthrodesis plate round holes
£40.00
152904
2.7/3.5mm Arthrodesis plate round holes
£40.00
152904XL
2.7/3.5mm Arthrodesis plate round holes extended length
£45.00
152908
3.5/3.5mm Arthrodesis plate round holes
£40.00
HDCADVD
Carpal arthrodesis technique DVD. Hamish Denny
£40.00
. Phone for details and we will fax you the outlines of plates which might be suitable for you.
137
7
TRAUMA IMPLANTS & INSTRUMENTS
Orthopaedic Wire
Wires with Eyelet
Cerclage wire is an extremely useful method of fragment fixation. Use as thick a wire as seems possible. Twist evenly under tension. The best instrument is our wire twister/cutter 001260 see page 59. Minimise wire movement on periosteum. Tension wire banding should be performed where muscular forces must be transferred beyond a fracture or osteotomy, e.g. Tibial crest avulsion or trochanteric osteotomy. 1.0mm wire is the most useful. All are supplied in 10 metre rolls.
30˚
The free end of the wire is threaded through the eye. The cerclage is tightened using the special tightener. Requires 001262 wire tightener or for wire twisting instruments see pages 59 and 60.
ORTHOPAEDIC WIRE (in 10m rolls)
ORTHOPAEDIC WIRE (with eyelet)
OW0210
0.2 (diameter in mm)
£6.50
CWWE22
Orthopaedic Wire with Eyelet. 22g x 12 (6 pack)
£19.50
OW0310
0.3
£7.00
CWWE20
Orthopaedic Wire with Eyelet. 20g x 12" (6 pack)
£19.50
OW0410
0.4
£8.50
CWWE18
Orthopaedic Wire with Eyelet. 18g x 12" (6 pack)
£19.50
OW0510
0.45
£9.75
001262
Wire Loop Tightener for above
OW0610
0.56
£12.00
200010.00
Twisterz Wire Twisters
OW0710
0.71
£13.50
OW0810
0.8
£17.50
OW0910
0.9
£17.50
OW1010
1.0
£30.00
OW1012
1.25
£32.50
OW1015
1.5
£47.50
£85.00 £115.00
Epiphyseal Staples Use to correct angular deformities caused by uneven growth of distal growth plates. Staples will only work if there is growth potential in the plate to be stapled. EPIPHYSEAL STAPLES
Orthopaedic Wire Kit
Width
Leg Length
Wire Diameter
090171
12mm wide
10mm wide
1.6mm diameter
£9.75
090172
15mm wide
12mm wide
2.0mm diameter
£9.75
090173
20mm wide
15mm wide
2.4mm diameter
£9.75
090174
30mm wide
25mm wide
3.0mm diameter
£9.75
TRAINING At Veterinary Instrumentation we understand the importance of training for both traditional techniques and new ones.
Cerclage wire can be a very useful means of fragment fixation. This kit contains our most popular cerclage instruments and a roll of wire. The price is discounted by over 10% compared to the component parts. Kit contains
We are particularly enthusiastic about hands-on sessions which at least attempt to give delegates a feel for how things will be clinically. Cadaver work is particularly important and unfortunately increasingly hard to come by.
1x Wire Twister 1x Set of 3 Single Ended Wire Passers 10m roll of 1.0mm Orthopaedic Wire
Hamish Denny takes a delegate through the examination of the meniscus
The price is discounted by over 10% compared to the component parts. ORTHOPAEDIC WIRE KIT OWKIT
Orthopaedic Wire Kit
£130.00
Please keep checking www.vetinst.com for up and coming training courses. You will find there details of courses run by ourselves but also links to other training partners who run courses using our loan wet lab instrumentation. In addition you will find other training resources such as ‘step by step’ guides and videos designed for home study. 138
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com Ormrod Buttons
Webb Bolt
Use to prevent sutures from ‘cheese wiring’ through bone, e.g. at hip toggle. Made from 1020 Medical Grade UHMWPE.
Use where lag screw strips out. Supplied as a threaded rod, two nuts and two washers. Pre-measure and cut to length or crop after procedure. Saw cut or bolt cutting will prevent loosening of the nut on the cut side. Run a fine nylon suture through the nut prior to attachment to create a locking effect.
ORMROD BUTTONS 090166/E
Ormrod Button, 6mm diameter (sterile) 2 Hole
£8.00
090166/F
Ormrod Button, 6mm diameter (sterile) 2 Slots
£8.00
090166
Ormrod Button, 8mm diameter (sterile)
£8.00
WEBB BOLTS
090166/A
Ormrod Button, 9mm diameter (sterile) 2 Hole
£8.00
092003
Webb bolt 5mm/8cm
Drill 5.5mm
£25.00
090166/B
Ormrod Button, 9mm diameter (sterile) 2 Slots
£8.00
092000
Webb bolt 4mm/8cm
Drill 4.5mm
£25.00
090166/C
Ormrod Button, 11mm diameter (sterile) 2 Hole
£8.00
092001
Webb bolt 3mm/8cm
Drill 3.2mm
£25.00
090166/D
Ormrod Button, 11mm diameter (sterile) 2 Slots
£8.00
092002
Webb bolt 2mm/5cm
Drill 2.5mm
£25.00
Orthopaedic Ruler
Cerclage Buttons
Drill gauge
The cerclage button occupies a screw hole. The slot retains cerclage wire where screw placement is not possible. Reduces plate weakness due to empty screw holes. Fits 3.5mm DCP holes.
Imperial
Metric
CERCLAGE BUTTON Cerclage Button for use with 3.5mm DCP.
Used to measure pin, wire, drill and screw diameter. Supplied in either metric or imperial sizes.
£18.50
Cortical Nuts
ORTHOPAEDIC RULER 001498
Orthopaedic Ruler Imperial
£21.50
Occasionally tapped threads strip and a larger screw is appropriate. Lag screws are particularly vulnerable as only one cortex is available.
001497
Orthopaedic Ruler Metric
£21.50
001496
Screw and drill gauge
£15.00
Ruler with Radio Opaque 1.0mm scale
While digital radiography has huge benefits it can be difficult to scale images. The problem is compounded when prints are made for viewing by a third party. e.g. BVA/KC Elbow Dysplasia Scheme where accurate measurements down to 2mm are very important. The new ruler is 120mm long and graduated in 1.0mm increments. Placed at the level of the bone or joint under investigation at the time of radiography it will enable accurate scaling of lesions. Also available in 500mm length. Reduced visibility over 70 kV 16mAs.
A cortical nut manufactured from implant grade nylon gives the screw purchase allowing normal tightening. The thread form is designed to grip the screw to minimise ‘backing out'. Available in 2.7mm, 3.5mm and 4.5mm cortical thread forms. Supplied as a single sterile pack. The 4.5 nut is also available in stainless steel. CORTICAL NUTS CN27
2.7mm Cortical Nut (sterile)
£6.00
CN35
3.5mm Cortical Nut (sterile)
£6.50
CN45
4.5mm Cortical Nut (sterile)
N45
4.5mm Cortical Nut S/S
£7.50
RADIO OPAQUE RULER
£12.00
001495 139
Radio Opaque Ruler 120mm
£29.50
X-ray from Alex Li
090175
7
TRAUMA IMPLANTS & INSTRUMENTS
Anti-Skid Drills
Drill Bits WHICH DRILL DIAMETER 1.5 1.1 1.5
SHERMAN - Pilot TYPE MAN - Clear AO TYPE - Pilot CORTICAL - Clear
2.0 1.6 2.0 1.5 2.0
2.7 2.4 2.7 2.0 2.7
3.5 2.7 3.5 2.5 3.5
4.0 2.5 4.0
4.5 3.2 4.5
5.5 4.0 5.5
H090104AS
Unless a bone drill is driven at 90 degrees to the bone surface there is a tendency for the drill to ‘skid’ over the bone surface placing the hole inappropriately. The anti-skid drill has a special tip to bite into the bone at virtually any useful angle, accurately predetermining the hole position.
Drill Bits - Soft Made from DIN 58812 stainless steel (the same as implants). The drill bits are compatible with all current plating systems. Replace drill every ten holes. Blunt drills cause heat necrosis. Cheap but do not last long.
Made from hard multi use 420 stainless steel. Available in all useful sizes. 1.5, 2.0, 2.5, 2.7, 3.2, 3.5, & 4.5mm ANTI-SKID DRILLS
DRILL BITS - Stainless Steel 316 Implant Quality - Short Life 090101 090111 090102 090103
(diameter in.)
1.5 (diameter mm)
1/16
1.6
5/64
2.0
3/32
2.4 2.5
090112
£8.00
H090101AS
Anti-Skid Drill 1.5mm
60mm long
£19.75
£8.00
H090102AS
Anti-Skid Drill 2.0mm
100mm long
£19.75
£8.00
H090112AS
Anti-Skid Drill 2.5mm
115mm long
£19.75
£8.50
H090104AS
Anti-Skid Drill 2.7mm
130mm long
£20.75
£8.50
H090105SAS
Anti-Skid Drill 3.2mm
130mm long
£20.75
Anti-Skid Drill 3.5mm
130mm long
£20.75 £21.75
090104
7/64
2.7
£8.50
H090106SAS
090105
1/8
3.2
£9.00
H090106SAS/L
Anti-Skid Drill 3.5mm
180mm long
090106
9/64
3.5
£9.00
H090108SAS
Anti-Skid Drill 4.5mm
130mm long
3.6
£9.00
090117AS
Drill Box with Anti-Skid Drills (7)
090113 090107
5/32
4.0
£9.00
090108
11/64
4.5
£10.00
090118
3/16
4.8
£10.00
090109
1/4
6.35
£10.00
090115S
Drill Box S/Steel Empty (for I/Q drills)
£87.50
090116
Drill Box S/S complete with I/Q drills
£155.00
Drill Bits - AO Quick Fit Quick fit drills have a quick release coupling which enables them to be quickly switched using a quick release drill attachment as supplied with the Mini Driver, Maxi Driver, MPX, MPZ systems and most other powered systems. G suffix indicates gold titanium nitride coating. DRILL BITS - AO QUICK FIT
Expensive but last a long time. All quick fit drills, and those round shank drills with a diameter of 3.2mm or more, come in short and long lengths. These drills are much stiffer than implant quality ones. Particularly recommended for drills less than 3.2mm diameter. Drill fragments do not cause a problem. G suffix indicates gold titanium nitride coating. DRILL BITS - Stainless Steel 420 Hard - Not Implant Quality - Long Life - Round Shank 1.1 (dia mm)
60 (length mm)
£15.50
H090101
1.5
60
£15.50
H090208
1.8
80
£16.50
2.0
100
£17.00
H090209
2.4
115
£18.50
H090112
2.5
115
£17.50
H090112G
2.5
115
£25.50
H090102
0.045 (dia in)
5/64
H090104
7/64
2.7
130
£17.50
H090105S
1/8
3.2
130
£18.50
H090105L
1/8
3.2
180
£19.50
H090106S
9/64
3.5
130
£19.50
H090106L
9/64
3.5
180
£21.00
H090107S
5/32
4.0
130
£21.00
H090107L
5/32
4.0
180
£21.00
H090108S
11/64
4.5
130
£21.00
H090108L
11/64
4.5
180
£25.00
5.0
130
£21.00
H090109L
5.0
180
H090202
1.9mm predrill for 2.0mm shank positive pin.
£17.50
H090203
2.3mm predrill for 2.4mm shank positive pin.
£17.50
H090205
3.0mm predrill for 3.2mm shank positive pin.
£20.00
H090207
3.8mm predrill for 4.0mm shank positive pin.
090117
Drill Box S/S complete with Hard Drills
H090109S
1.1 (dia mm)
60 (length mm)
£23.00
S090101S
1.5
60
£23.50
S090101L
1.5
95
£25.50
S090208
1.8
80
£24.50
2.0
100
£21.75
S090100S
Drill Bits - Hard
H090100
£21.75 £215.00
0.045 (dia in.)
S090102S
5/64
S090102L
5/64
2.0
125
£23.75
S090209
2.4
115
£23.75
S090112S
2.5
110
£22.25
S090112SG
2.5
110
£30.00
S090112L
2.5
180
£24.00
S090104S
7/64
2.7
100
£23.50
S090104L
7/64
2.7
125
£25.50
S090105S
1/8
3.2
145
£24.50
S090105L
1/8
3.2
195
£26.50
S090106S
9/64
3.5
110
£25.00
S090106L
9/64
3.5
195
£27.00
S090107
5/32
4.0
145
£24.00
S090108S
11/64
4.5
145
£25.50
S090108L
11/64
4.5
195
£27.50
5.5
145
£31.00
S090109
Drill Stops Drilling to a pre-measured depth can be a challenge even with a ‘C’ arm! A more reasonably priced option is to use a drill stop which is tightened onto the drill bit at the required depth. The set includes 4 stops to cover all the standard drill sizes: 2.0, 2.5, 2.7, 3.2 3.5 & 4.5mm. The stop is tightened onto the drill bit using the hex driver provided.
£25.00
£22.00
DRILL STOPS
£235.00
DRILLSTOP 140
Drill stop set in stainless case
£95.00
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com Cannulated Drills
Size Comparison Tables DIAMETER — MM’S
DIAMETER - FRACTION INCH DIAMETER - DECIMAL INCH
0.9
0.035”
1.1
0.045”
1.4
0.055” 0.06”
1.5 1.6
1/16”
0.0712”
1.8
0.074”
1.9
For maximum control over the alignment of bone tunnels use of cannulated drills is preferred. A fine guide wire is drilled through where the bone tunnel or screw hole is required. Only when the surgeon is satisfied that the guide wire is correctly positioned is the drill driven along the wire to create the hole. The guide wire can be repositioned if necessary without causing undue trauma to the bone. Available for Jacobs chuck or AO Quickfit. CANNULATED DRILLS H090112CAN
2.5mm 130mm long 1.1mm cannulation
£45.00
H090104CAN
2.7mm 130mm long 1.1mm cannulation
£45.00
H090106CAN
3.5mm 130mm long 1.1mm cannulation
£45.00
S090112CAN
2.5mm 130mm long 1.1mm cannulation AO Quickfit £55.00
S090104CAN
2.7mm 130mm long 1.1mm cannulation AO Quickfit £55.00
S090106CAN
3.5mm 130mm long 1.1mm cannulation AO Quickfit £55.00
090021
Guide Wire 1.1mm x 125mm (pack of 10)
£19.75
Mini Drill Bits In stainless steel - hard. DRILL BITS - DENTAL FIT 1.1 (dia mm)
£55.50
D090101
1.5
£57.50
D090102
2.0
£60.00
D090100
0.052 (dia in.)
2.0
5/64”
2.4
3/32”
2.7
7/64”
3.2
1/8”
3.5
9/64”
4.0
5/32”
4.8
3/16”
5.6
7/32”
6.35
1/4”
8
5/16”
Gauge
0.08”
mm (approx.)
34
0.16
32
0.20
30
0.25
28
0.32
26
0.40
24
0.51
22
0.64
20
0.81
18
1.02
16
1.29
14
1.62
12
2.05
Actual Size (mm)
0.0625”
Metric Gauge
Synthetic Suture Materials (USP)
Drill Case
0.02
0.2
10-0
Folding box to fit all the standard sizes of drill. Ideal for autoclaves. Case includes 1.1, 1.5, 2.0, 2.5, 2.7, 3.2, 3.5, 4.0, 4.5, and 5.5mm drills.
0.03
0.3
9-0
0.04
0.4
8-0
0.05
0.5
7-0
0.07
0.7
6-0
0.1
1
5-0
0.15
1.5
4-0
0.2
2
3-0
0.3
3.5
#0
0.4
4
#1
0.5
5
#2
0.6
6
#3,#4
0.7
7
#5
0.8
8
#6
0.9
9
#7
DRILL CASE 090115H
Drill box for hard drills empty
£87.50
090117
Drill box with hard drills (10)
£235.00
090117AS
Drill box with anti-skid drills (7)
£215.00
090115S
Drill Box S/Steel Empty (for I/Q drills)
£87.50
090116
Drill Box S/S complete with I/Q drills
£155.00 141
7
7
TRAUMA IMPLANTS & INSTRUMENTS
Steinman Intra-Medullary Pins
Bone Pin Storage Bone Pin Roll Bone pin storage and sterilisation is difficult. Pins are long and sharp. The bone pin roll stores at least one of each pin.
BONE PIN ROLL Bone Pin Roll
090038
£32.50
Bone Pin Tubes
Simple, cheap and often the best technique for the repair of long bones. I/M pinning does not resist compression and rotation very effectively. It may be helpful to add an external fixator for two weeks if in any doubt. Smooth pins are most likely to migrate. The threaded pins are negatively cut and do reduce backing out particularly if the distal fragment is small.
BONE PIN TUBES
Our Trochar tips are designed to cut bone but care must be exercised to avoid heat necrosis during insertion. Can be cut in half to produce cheap ESF pins. Most pin chucks will only take 1/4" pins.* Do not purchase a 5/16” pin unless you have a chuck to insert it. Use 1.0mm wire minimum as a cerclage.
090039a
I/m Pin Storage / Autoclave Tube 320mm
£42.50
090039b
I/m Pin Storage / Autoclave Tube 150mm
£42.50
Arthrodesis Wire Box This box will store all diameters of arthrodesis and ‘K’ wire in four compartments.
STEINMAN INTRA-MEDULLARY PINS TROCHAR TIPS (12”, 300mm length) 090000
1/16"
1.6mm
£3.25
090001
5/64"
2.0mm
£3.50
090002
3/32"
2.4mm
£3.75
090003
7/64"
2.8mm
£4.00
090004
1/8"
3.2mm
£4.25
090005
9/64"
3.6mm
£4.50
090006
5/32"
4.0mm
£4.75
090007
3/16"
4.8mm
£5.75
ARTHRODESIS & K WIRE ORGANISER AUTOCLAVABLE
090008
1/4"
6.35mm
£7.00
001124
Stainless box for arthrodesis & ‘K’ wires
£87.50
090009*
5/16"
8.0mm
£7.00
0900200
Arthrodesis & K Wire Organiser plastic
£9.50
090153
7/32"
5.6mm
£7.00
In addition there is a space for a ‘K’ wire bender and a ‘K’ wire punch.
K Wire / A Wire Dispenser
STEINMAN INTRA-MEDULLARY PINS SCREW POINT TROCHAR TIPS (12”, 300mm length) 090010
1/16"
1.6mm
£4.25
090011
5/64"
2.0mm
£4.50
090012
3/32"
2.4mm
£4.75
090013
7/64"
2.8mm
£5.00
090014
1/8"
3.2mm
£5.25
090015
9/64"
3.6mm
£5.50
090016
5/32"
4.0mm
£5.75
090017
3/16"
4.8mm
£6.75
090018
1/4"
6.35mm
£8.00
090019*
5/16"
8.0mm
£8.00
090154
7/32"
5.6mm
090040
Leighton bone pin introducer
The tube is sub divided into four sections each of which has a window through which the wires may be viewed. The knurled dispensing tip is rotated until the hole is over the desired wire size and the wire shaken out. Marked with the standard sizes of 0.9, 1.1, 1.6 and 2.0mm.
£8.00 £87.50
K WIRE / ARTHRODESIS WIRE DISPENSER
*Do not fit standard Jacobs.
090039E 142
K Wire/Arthrodesis Wire Dispenser 0.9, 1.1, 1.6 & 2.0
£67.50
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com
Threaded Pins and Wires
Arthrodesis Wire
Threaded wires have a much greater pull out resistance than smooth wires. They are very easy to insert using standard drills fitted with Jacobs chucks or wire drivers. Although having only trochar tips they will self tap in all but the hardest of cortical bone. Driven across fragments threaded wires act as mini position screws which can be cut off flush to the bone surface or buried. It may be possible to place several threaded wires at angles to each other in a relatively small area. Available in coarse or fine thread pitches. Use the coarse in cancellous or metaphyseal bone.
Coarse Threaded Small Fragment Pins
Rather like small intra-medullary pins, arthrodesis wires have trochar points at each end. They are used for the fixation of small bone fragments, produced either electively or as a result of trauma, e.g. distal femoral fractures, tibial crest transplants and femoral neck fractures. (5", 125mm). Supplied in packs of ten. ARTHRODESIS WIRE Trochar Pointed at both ends. PACK OF 10 (5”, 125mm length) 090054 090020
0.035"
0.8mm
£19.75
0.9mm
£19.75
Use threaded pins where you might use a 2mm fixation screw or ‘K’ wire, e.g. tibial crest transplant. Drive in with slow speed drill. Relatively coarse threads. 0.8mm thread pitch.
1.0mm
£19.75
1.1mm
£19.75
COARSE THREADED SMALL FRAGMENT PINS - 2.0mm diameter
090061
1.25mm
£19.75
090036
Threaded pins 5mm thread. Single
£6.50
090024
1.4mm
£19.75
090037
Threaded pins 10mm thread. Single
£6.50
090062
1.5mm
£19.75
090027
Threaded pins 15mm thread. Single
£6.50
090028
Threaded pins 20mm thread. Single
£6.50
090060 090021
0.045"
090022
0.0625"
1.6mm
£19.75
090026
0.0712"
1.8mm
£19.75
090023
0.08"
2.0mm
£19.75
Fine Threaded Small Fragment Pins 2.0mm fine threaded pin plus threaded washer
Use singly to re-attach small bone fragments. Use in multiples to reattach larger fragments e.g. humeral condyles. (4 x 2.0 threaded pins have similar properties to one 3.5 screw while interfering less with the healing process). Use threaded washer to create screw effect. Very easy to insert using an orthopaedic drill.
Kirschner Wire
Thread pitch is 0.4mm for use in cortical bone. Self drilling. Cut off excess pin. For maximum pull out resistance drill through trans cortex and cut off trochar cutting tip. FINE THREADED FRAGMENT PINS 2.0MM
One tip bayonet, the other blunt, these pins are supplied in packs of ten. (5", 125mm). KIRSCHNER WIRE - Pack of 10 (5” 125mm) 090030
0.035"
090070
£22.75
1.0mm
£22.75
Fine threaded washer 5.0mm dia
£3.50
090305
Fine threaded pin 5mm thread length
£5.25
090310
Fine threaded pin 10mm thread length
£5.75
090315
Fine threaded pin 15mm thread length
£6.00
090320
Fine threaded pin 20mm thread length
£6.25
090325
Fine threaded pin 25mm thread length
£6.50
090330
Fine threaded pin 30mm thread length
£6.75
090340
Fine threaded pin 40mm thread length
£7.00
0903111
Fine threaded pin set comprising 5 off each pin plus 5 washers in stainless case
£265.00
1.1mm
£22.75
090071
1.25mm
£25.00
090034
1.4mm
£25.00
FULLY THREADED WIRES
090072
1.5mm
£25.00
090091
Fully threaded wire. Single 0.8
£8.50
1.6mm
£25.00
090092
Fully threaded wire. Single 1.0
£8.50
1.8mm
£25.00
090093
Fully threaded wire. Single 1.5
£8.50
2.0mm
£25.00
090094
Fully threaded wire. Single 2.0
£8.50
090031
090032
0.045"
0.9mm
090300
0.0625"
090073 090033
0.08"
Fully Threaded Arthrodesis Wires
143
7
TRAUMA IMPLANTS & INSTRUMENTS
A / K Wire Instruments 001360 ‘K’ Wire Punch
KIRSCHNER WIRE/SMALL PIN PUNCH 001360
Small Pin Punch. 135mm
£39.50
001361
Very Small Pin Punch. 1.6mm tip
£39.50
Interlocking Nail System Interlocking nails are a refinement of the original Kuntscher Nail. An interlocking nail is basically an intra-medullary pin secured in position by proximal and distal transfixing screws which engage the bone to the nail to provide axial, bending and torsional stability.
001362 ‘K’ Wire Bender
In comminuted long bone fractures, the Interlocking Nail System is useful due to the mechanical advantage of medullary implantation (i.e. mechanical axis) and prevention of collapse of the fracture by the interlocking effect. Ancillary cerclage wires reduce periosteal stripping and minimise disturbance to blood supply compared to plating.
KIRSCHNER WIRE BENDER 001362
‘K’ Wire Bender. 140mm
£39.50
Veterinary Instrumentation stocks the 4 hole no.11 nails (11mm spacing) in 8.0, 6.0, 4.7 and 4.0mm nail diameters.
ReproBone Bone Substitutes
We also maintain stocks of additional drill bits and taps - please phone for information.
The addition of osteoconductive bioceramic hydroxyapatite to an orthopaedic site can significantly decrease healing times. ReproBone is available as two presentations. NanoPaste. The sterile presentation is an aqueous paste supplied in a syringe (2.5ml or 5.0ml). The paste may be injected directly into a defect where it conforms to fill the space. The paste is readily colonised by bone cells and acts as a scaffold encouraging penetration of host bone. The putty-like consistency means that the paste may be pressed onto bone where it sticks until resorbed. NanoPaste is very similar to Ostim which has an established clinical record. Applications include: joint arthrodesis, TTA, non unions, delayed unions and filling spine cages.
IN1168SET
NanoPaste and TTA Use to save time harvesting autograft or when the quality of the autograft is poor. ReproBone will extend autograft. NanoPaste may be injected directly into the defect where it conforms to the defect shape. Nano HA paste conforms to ENISO 13779-1:200 and ASTM F1185-88 for medical grade HA.
PAS2.5
NanoPaste Syringe 2.5ml
£55.00
PAS5
NanoPaste Syringe 5ml
£85.00
MODEL 11 - 6mm / 8mm WITH INTERLOCKING NAILS for 2.7mm and 3.5mm screws Hole spacing is 11.0mm. This kit is for extensive shaft fractures, allowing two screws to be used in minimal proximal and distal bone. The instrumentation set includes;
post-op
p2 month post op
case John Ferguson
ReproBone Granules
pre-op
ReproBone is also availabe in a granule formulation which may be used alone or as an extender of natural cancellous bone graft. The mixture of hydroxyapatite and tricalcium phosphate is formulated as an osteoconductive scaffold which is fully resorbed by the body. The lattice work mimics that of cancellous bone (see photo). Available as granules or blocks of various sizes. 5cc Granules 1.0 to 4.0mm
£70.00
RBG10
10cc Granules 1.0 to 4.0mm
£115.00
RB10D10
Rod 10mm dia 10mm long
• Mdl 11 6/8mm Drill Jig • Trochar • Hex Driver • Depth Gauge • 6mm Tibia Extension • 8mm Tibia Extension • 2.5mm Drill Guide • 3.5mm Tap Guide • 2.5mm Drill Bit • 3.5mm Screwdriver • 3.5mm Extra Long Tap • 8mm Reamer • 6mm Implant Tray
• Attachment Screw • Insertion Tool • Guide Sleeve • 6mm Femur Extension • 8mm Femur Extension • 2.0mm Drill Guide • 2.7mm Tap Guide • 2.0mm Drill Bit • 2.7mm Screwdriver • Set of 4-hole Nails • 6mm Reamer • Instrument Tray • 8mm Implant Tray
INTERLOCKING NAILS - MODEL 11 - 6mm / 8mm
CERAMYSIS REPRO BONE RBG5
Model 11 - 6.0 / 8.0 set
IN1168SETBAS
Model 11 - 6mm / 8mm with Interlocking Nails Full Kit. See above for details £4,175.00
IN1122TAPHAND
Tap Handle
IN112227TAP
2.7mm Extra Long Tap
£165.00 £65.00
Nail System Accessories
£70.00
The sterilisation trays store components for both instrumentation sets, accessories and all interlocking nails.
Other sizes available...please call 0845 1309596 144
IN1147SET
7
TRAUMA IMPLANTS & INSTRUMENTS
www.vetinst.com
Nail System Accessories
Model 11 - 4.0 / 4.7 set
The sterilisation trays store components for both instrumentation sets, accessories and all interlocking nails.
MODEL 11 - 4.0/4.7MM WITH INTERLOCKING NAILS for 2.0mm screws
Interlocking Nail Bolts
Hole spacing is 11.0mm. This option is indicated for fracture cases in smaller animals. The nail diameter is either 4.0mm or 4.7mm and the hole diameter 2.0mm. The instrumentation set contains: • 4.7mm Jig • Trochar • Hex Driver • Depth Gauge • 4.0mm Tibia Extension • 4.7mm Tibia Extension • 2.0mm Tap Guide • 2.0mm Screwdriver • 4.7mm Reamer • Instrument Tray
Unicortical and self tapping. Use of these bolts shortens operative time considerably. Bolts come as a standard length and are cut to size (recommended IN Bolt Cutter, 001229). Pilot drill is same as the bolt diameter.
• Attachment Screw • ‘T' Handle • Guide Sleeve • 4.0mm Femur Extension • 4.7mm Femur Extension • 1.5mm Drill Guide • 1.5mm Drill Bit • Set of 4-hole Nails • 4.0mm Reamer • Implant Tray
INTERLOCKING NAIL BOLTS
INTERLOCKING NAILS - MODEL 11 - 4.0 / 4.7MM IN1147SETBAS
Model 11 - 4.7 / 4.0mm with Interlocking Nails Full Kit. See above for details £3,525.00
IN1122TAPHAND
Tap Handle
IN114720TAP
2.0mm Extra Long Tap
model number
INB2020
2.0mm Interlocking Nail Bolt 20mm long cut to length
£13.50
INB2736
2.7mm Interlocking Nail Bolt 36mm long cut to length
£13.50
INB3540
3.5mm Interlocking Nail Bolt 40mm long cut to length
£13.50
£165.00
length of nail (mm)
£65.00
Interlocking Nail Bolt Cutter 4mm Most types of bolt cutter deform the pin as they cut. In addition the cut end can fly off in a dangerous manner. Veterinary Instrumentation's new safety cutter cuts cleanly, without deformation and prevents fly off. Also very useful for ESF pins to 4mm.
number of holes distally
11-06-140-01-02-2.7 diameter of nail (mm) number of holes proximally
diameter of hole (mm)
4.0MM 4 HOLE NAILS. MODEL 11. 2.0mm SCREWS. IN1140068020220
68mm in length
£67.50
IN1140079020220
79mm in length
£67.50
IN1140091020220
91mm in length
£67.50
IN1140101020220
101mm in length
£67.50
IN1140112020220
112mm in length
£67.50
68mm in length
£67.50
IN1147079020220
79mm in length
£67.50
IN1147091020220
91mm in length
£67.50
IN1147101020220
101mm in length
£67.50
IN1147112020220
112mm in length
£67.50
Safety Cutter
INTERLOCKING NAIL BOLT CUTTER 4mm
4.7MM 4 HOLE NAILS. MODEL 11. 2.0mm SCREWS. IN1147068020220
Standard
001229
Safety Cutter to 4mm
001229/A
Interlocking Nail Bolt Measuring Rule (for use with Safety Cutter)
£195.00 £17.50
6.0MM 4 HOLE NAILS. MODEL 11. 2.7mm SCREWS IN1106140020227
140mm in length
£67.50
IN1106160020227
160mm in length
£67.50
IN1106185020227
185mm in length
£67.50
IN1106205020227
205mm in length
£67.50
IN1106230020227
230mm in length
£67.50
Rush Pins We stock Rush pins in 2.4mm (3/32") and 3.2(1/8") diameters. Lengths vary from 25mm (1") to 100mm (4").
8.0MM 4 HOLE NAILS. MODEL 11. 3.5mm SCREWS IN1108140020235
140mm in length
£67.50
IN1108160020235
160mm in length
£67.50
RUSH PINS
IN1108185020235
185mm in length
£67.50
090140 to 152
Rush pins 2.4mm (3/32")
£13.50
090201 to 212
Rush pins 3.2mm (1/8")
£13.50
IN1108205020235
205mm in length
£67.50
IN1108230020235
230mm in length
£67.50
Some three hole nails are available - please ring for details. 145
8
Chapter 8
TOTAL HIP REPLACEMENT
HELICA
CEMENTLESS HIP SYSTEM The outer surface of the acetabular cup is threaded for rapid screw in insertion. Revision cups for other systems available.
Modular, cementless, screw in total hip replacement
Both femoral and acetabular components screw into position allowing immediate loading. The surface finish of the titanium components encourages rapid osteointegration. Flexibility is achieved by: 6 stem sizes 3 neck lengths 4 acetabular cup sizes Once the implantation sites have been prepared the implants self tap into position.
Only the articular surface of the femoral head is removed, retaining the maximum amount of bone stock to support the femoral prosthesis which screws into place. Although, perhaps, counter intuitive the small stem in the proximal femur loads at least as well as long stemmed prostheses.
The Helica system of Total Hip Replacement is unique in a number of respects. Most cementless systems rely on a â&#x20AC;&#x2DC;press fitâ&#x20AC;&#x2122; for at least one implant component. Creation of the site for the component is critical and technically demanding or the component will not lock into position. In addition press fit components are vulnerable until osseous integration develops or several weeks (if it happens at all). In man this is less of an issue in that the patient can strictly control the stress placed on the new hip. We have much less control over our canine patients during this critical phase.
6 stem sizes
Both Helica compents screw into position giving post operative security during the phase of oseous integration. The cup is not only fixed very rigidly but can be re-positioned intra-operatively should it be required without losing any security. The Helica cup may be used with all other leading brands of stems to create a hybrid system with maximum cup security.
4 cup sizes
The stem is a short prosthesis located entirely in the proximal femur. Only the articular surface is removed during implantation retaining the maximum bone stock.
3 neck lengths
Advantages Short surgery time Minimally invasive Cementless technique Screw in implants Immediately loadable Cost effective
The surface of both acetabular shell and femoral stem are treated to maximise osteointegration of implants.
146
TOTAL HIP REPLACEMENT
www.vetinst.com
8
To maximise the contact between the stem collar and the femoral neck the osteotomy is milled to bring the femoral osteotomy to 90 degrees to the axis of the femoral neck.
HELICA Surgical Technique Pre-operative assessment and planning gives the predicted size of cup, stem and head/neck.
The face milling tool consists of a milling plate and a guide pin which matches the final drill diameter.
The acetabulum is prepared by reaming with progressively larger and larger reamers finishing with the prediucted size.
The self tapping Helica stem is driven into the preprepared axial hole. Back out the stem a quarter turn for each full turn.
Using the insertion T grip and alignment aid the threaded shell for the acetabulum is positioned ready for insertion. The threads on the shell are self tapping and are firmly screwed into position. After assessment the shell may be re-positioned if necessary
Insertion is complete when the collar of the implant sits snugly on the stump of the femoral neck.
The cup inlay is a click fit into the acetabular shell. Insertion is accomplished using an insertion tool. The rim of the inlay should sit flush with the shell margin.
The resection of the femoral head is made just proximal to the bone-cartilage interface. The resection is made perpendicular to the femoral neck. The face of the osteotomy will be milled at a later stage to ensure that the bed for the femoral component is aligned correctly. The osteotomy is facilitated by use of the Helica hohman to lift the femoral head.
After trialling the appropriate femoral head is locked onto the femoral neck. The interface is a very secure morse taper.
Correct positioning of the implants is confirmed by radiography.
The femoral component must be inserted along the axis of the femoral neck. It is important to spend time establishing the correct axis. A CCD angle of 145 to 147 degrees is desireable
This surgical guide is included to give an over view of the technique. Surgeons contemplating use of the Helica system must attend a recognised training course.
The axis is determined in part by eye but aided by a goniometer. The axis is established initially by a K wire which is progressively opened using larger and larger drills. The final drill used is the pilot drill for the predicted femoral component. 147
8
TOTAL HIP REPLACEMENT
Helica Total Hip Instrumentation
HELICA Hybrids The stability of the Helica cup is such that it may be used in conjuction with press fit cups from other systems either as a revision or as a primary procedure. Helica heads are available in various lengths which interface with stems for the Kyon and BFX systems. These heads fit standard Helica cups. The acetabular tray of instruments may be purchased separately after attending an approved training course.
Ancillary Helica Instrumentation
HELICA TOTAL HIP INSTRUMENTATION HE-KIT
Helica Instrument Kit (Complete)
£4,950.00
HE-KIT-STEM
Helica Stem Kit
£2,050.00
HE-KIT-ACE
Helica Acetabular Kit
£3,255.00
Hohman
Helica Total Hip Implants ACETABULAR CUPS Meyerding Three instruments, not included in the standard sets, make osteotomy and alignment of the femoral stem significantly easier and are recommended. The Meyerding is a very powerful hand held retractor. The Helica Hohman has a dished profile and fine teeth along its leading edge to lift the femoral head and neck up from the incision for osteotomy. The goniometer helps the surgeon to establish the correct axis for the femoral stem at an angle of 145 to 147 degrees.
HE-HC1-T26
Helica 26mm Acetabular Cup
£405.00
HE-HC1-T28
Helica 28mm Acetabular Cup
£405.00
HE-HC1-T30
Helica 30mm Acetabular Cup
£405.00
HE-HC1-T32
Helica 32mm Acetabular Cup
£405.00
HE-HS1-T0826
Helica Stem 8mm x 26mm
£315.00
HE-HS1-T0928
Helica Stem 9mm x 28mm
£315.00
HE-HS1-T1028
Helica Stem 10mm x 28mm
£315.00
HE-HS1-T1132
Helica Stem 11mm x 32mm
£315.00
HE-HS1-T1232
Helica Stem 12mm x 32mm
£315.00
STEMS
FEMORAL HEADS
HELICA ANCILLARY INSTRUMENTS 001038
Helica Hohman
£52.50
HE-FH1-18S
Helica 18mm Femoral Head - Short
£95.00
HE-GONIO
Helica Goniometer
£47.50
HE-FH1-18M
Helica 18mm Femoral Head - Medium
£95.00
150019
Meyerding Retractor
£45.00
HE-FH1-18L
Helica 18mm Femoral Head - Long
HE-FH1-18XL
Helica 18mm Femoral Head - Extra Long
£145.00
HE-FH1-18XXL
Helica 18mm Femoral Head - XX Long
£145.00
HELICA Training Training courses for the Helica Hip are held at our Sheffield training facility regularly throughout the year. The structure is lectures followed by dry bone exercises followed by cadaver surgery.
The group size is limited to nine with two experienced presenters to ensure that delegates are able to gain a full understanding of the Helica system.
Check the training section of www.vetinst.com for details of course availability or phone +44(0)114 2588 530.
£95.00
INLAYS HE-AL1-P26
Helica 26mm Inlay
£80.00
HE-AL1-P28
Helica 28mm Inlay
£80.00
HE-AL1-P30
Helica 30mm Inlay
£80.00
HE-AL1-P32
Helica 32mm Inlay
£80.00
HYBRID REVISION IMPLANTS HE-FHB-18-0
Helica Hybrid 18mm Femoral Head Biometric Shank + 0
£145.00
HE-FHB-18-3
Helica Hybrid 18mm Femoral Head Biometric Shank + 3
£145.00
HE-FHB-18-6
Helica Hybrid 18mm Femoral Head Biometric Shank + 6
£145.00
HE-FHK-18XS
Helica Hybrid 18mm Femoral Head Kyon Extra Short
£145.00
HE-FHK-18S
Helica Hybrid 18mm Femoral Head Kyon Short
£145.00
HE-FHK-18M
Helica Hybrid 18mm Femoral Head Kyon Medium
£145.00
HE-FHK-18L
Helica Hybrid 18mm Femoral Head Kyon Long
£145.00
HE-FHK-18XL
Helica Hybrid 18mm Femoral Head Kyon Extra Long
£145.00
148
8
TOTAL HIP REPLACEMENT
www.vetinst.com Veterinary Instrumentation Modular Hip System (Cemented)
Femoral Prosthesis
Two stems are available which are identical distally. Supplied Sterile.
FEMORAL PROSTHESIS 150200
Large Stem (Sterile)
£220.00
150201
Small Stem (Sterile)
£220.00
150300
Long Ball (Sterile)
£110.00
150301
Short Ball (Sterile)
£110.00
HDTHPDVD
Hamish Denny Total Hip DVD
£40.00
Photography: Hamish Denny
Acetabular Cups
The modular format gives four different femur combinations. Two stem sizes are available. The taper neck is the same on both. Two ball options are available, the ball diameter is 15mm in both cases. The “short neck” ball when fitted to the standard taper neck gives a short necked prosthesis and the “long neck” ball gives a long necked prosthesis. When combined with the two acetabular cups a total of 8 combinations are possible. The most common combination is a small stem and long neck ball together with a small acetabular cup.
Two sizes are available. The internal diameter is the same, as all the heads of the femoral components are 15mm in diameter. The only difference between the cups is the wall thickness and therefore the outside diameter. All cups are marked with stainless rings to establish cup position on radiographs. Cups have very deep grooves on the external diameter to provide good cement keying. Supplied Sterile. ACETABULAR CUPS
The surgeon most familiar with the system is Hamish Denny FRCVS, who helped develop the system and has performed over 200 procedures. He also produced the instructional DVD which is available on free loan. This is not a ‘high tech’ system which requires a mass of dedicated instrumentation and jigs. It is a simple, well proven system which assumes that the surgeon has the knowledge and expertise to complete the procedure.
Combination
150402
Medium Acetabular Cup (Sterile)
£115.00
150401
Small Acetabular Cup (Sterile)
£115.00
Hatt Spoon
Stem size
Neck
Acetabular cup
1
Small Stem
Short
Small
2
Small Stem
Long
Small
3
Small Stem
Short
Medium
4
Small Stem
Long
Medium
HATT SPOON
5
Large Stem
Short
Small
001092
6
Large Stem
Long
Small
7
Large Stem
Short
Medium
8
Large Stem
Long
Medium
An alternative to the disarticulator in large dogs. The edge of the spoon is sharp. As used by Martin Olmstead. The VI version has a narrower shaft and a fibre handle for ease of use.
149
Hatt Spoon 230mm Scoop 17mm x 30mm
£52.50
8
TOTAL HIP REPLACEMENT
Femoral Rasp
Acetabular Skid
The aim of the femoral rasp is to produce a hole the same shape as the stem of the femoral prosthesis plus a margin for the bone cement. The femoral rasp can create seating for both stems in that both stems have a similar profile distally and differ only in the proximal area. To create a seating for the large stem simply make a deeper hole.
A double-ended instrument useful in the dislocation of the femoral head prior to excision. Also useful in “helping” the head of the femoral prosthesis into the acetabular cup. ACETABULAR SKID
FEMORAL RASP
Acetabular Skid
6200/05 Femoral Rasp
150005
£70.00
£425.00
Femoral Reamer
Femoral Prosthesis Pusher
Use in conjunction with the femoral rasp to open up the proximal femur. ‘T’ handle format with an overall length of 270mm. Use 6mm for the distal portion and 8mm proximally. FEMORAL REAMER 150003
Femoral reamer 6mm 270mm
£195.00
150004
Femoral reamer 8mm
£195.00
This instrument fits both small and large femoral prostheses and allows the surgeon to position the stem and apply pressure as the cement sets. FEMORAL PROSTHESIS PUSHER 161602B
Cylindrical Rasp
Femoral prosthesis positioner
£155.00
Acetabular Cup Positioner
Use to open up opening in femur. Available in 6mm and 8mm diameter. CYLINDRICAL RASP Cylindrical Rasp 6mm diameter
£195.00
150009
Cylindrical Rasp 8mm diameter
£195.00 Photography: Hamish Denny
150008
Acetabular Reamers
Photography: Hamish Denny
This instrument holds the acetabular cup in position as the cement sets. ACETABULAR CUP POSITIONER 161602A
Acetabular cup positioner
£155.00
Meyerding Retractor
Each reamer is designed to produce a prepared bed for each cup. The reamer shaft is 1/4” (6.3mm) to fit air or electric rechargeable drills. The multi-bladed style has a much longer life than the cheese grater type. Good soft tissue retraction is essential. The reamer head can be re-sharpened on an exchange basis.
A heavy duty retractor for use around the hip. Much favoured by Martin Olmstead.
MEYERDING RETRACTOR ACETABULAR REAMERS
150019
150012
Small Acetabular reamer
£195.00
150010
Medium Acetabular reamer
£195.00 150
Meyerding Retractor 16mm
£45.00
Hohman Retractor 20mm Wide with Short Kinked Tip
Bone Cement
This Hohman is designed for femoral neck retraction for THR. Please see Page 36 for further information
DePuy CMW Bone Cement Designed for total hip replacement. CMW is the industry standard. Various options are available. Also useful in stabilisation of vertebral fractures/luxations.
HOHMAN RETRACTOR 20MM WIDE WITH SHORT KINKED TIP 001039
8
TOTAL HIP REPLACEMENT
www.vetinst.com
Hohman 20mm wide with short kinked tip
CMW1 is a medium/high viscosity cement for digital application
£52.50
Heygroves Femur Grasping Forceps
CMW2 is a rapid set cement suitable for the acetabular cup via digital application. CMW3 is a more fluid cement which is more appropriate for the femoral component. It is usually applied via a 50ml syringe. CMW cement comes impregnated with Gentamycin which minimises post operative infection, the worst complication of the procedure.
Powerful clamps to lock onto the femoral shaft. Used to rotate the femoral head outwards for excision.
CMW BONE CEMENT
HEYGROVES FEMUR GRASPING FORCEPS 150017
Heygroves grasping forceps 10"
£120.00
Lewin Femur Grasping Forceps
160506
CMW1 40g
£65.00
160500
CMW1 with Gentamycin 20g
£80.00
160501
CMW2 with Gentamycin 20g
£80.00
160503
CMW3 with Gentamycin 20g
£80.00
160504
CMW3 with Gentamycin 40g
£105.00
Veterinary Instrumentation Bone Cement
The curvature and multiple teeth of these forceps match almost exactly the profile of the large dog femur. Another Martin Olmstead favourite. VETERINARY INSTRUMENTATION BONE CEMENT VACUUM MIX
LEWIN FEMUR GRASPING FORCEPS
BC1
High Viscosity 40g
£45.00
BC1G
High Viscosity 40g with Gentamycin
£52.50
Total Hip Replacement Kit
BC3G
Low Viscosity (syringe) 40g with Gentamycin
£52.50
The Total Hip Replacement kit is a cost effective solution saving over 10% when compared to the component costs. The set also includes one of each implant.
CVAC
Mixing System (unit)
CGUN
Application Gun (required)
BOWLSET
Set of 3 mixing bowls and spatula
£2.50
SPATDISP
Disposable spatula - non-sterile (100 units)
£4.50
SYRINGE
50ml Catheter Mount Syringe. Sterile
£3.00
150018
Lewin femur grasping forceps
£65.00
Our Total Hip Replacement kit includes the following: INSTRUMENTS Cylindrical Rasp 6mm Cylindrical Rasp 8mm Femoral Rasp Femoral Reamer 8mm Femoral Reamer 6mm Acetabular Reamer Small Acetabular Reamer Medium Stem Positioner Cup Positioner Lewin Bone Holding Forceps Meyerding Retractors x 2 Trial Stem Small Trial Stem Large Trial Cup Small Trial Cup Medium
IMPLANTS Stem Small Stem Large Short Neck Ball Long Neck Ball Cup Small Cup Medium Training DVD Stainless Case
Antibiotic Impregnated Polymethacrylate Beads (AIPMMA) Management of chronic local infections may benefit from the insertion of antibiotic impregnated polymethacrylate(AIPMMA) beads. The beads are manufactured from sterile bone cement with the addition of appropriate antibiotic. Indications include osteomyelitis and abcessation in the rabbit.
Please note that the kit does not include bone cement.
Veterinary Instrumentation offers two kits for the preparation of AIPMMA beads. Both kits contain sufficient material for approximately 100 sterile beads. Store unused beads in sterile containers for maximum shelf life. Full instructions are included. ANTIBIOTIC IMPREGNATED POLYMETHACRYLATE BEADS (AIPMMA)
TOTAL HIP REPLACEMENT KIT 150001
Total Hip Replacement Kit
£55.00 £550.00
£2,950.00 151
BC1GKIT
AIPMMA Bead Kit with Gentamycin
£60.00
BC1KIT
AIPMMA Bead Kit. No Antibiotic
£55.00
9
Chapter 9
TRAUM SOFT TISSUE SURGERY
Thoracic Surgery Foreign Body Retrieval Forceps
“One day you will need one of these” 014097
014097M 014097F
014097XF
014097XXF
Our family of foreign body retrieval forceps has grown! We now offer a range of forceps to cover every eventuality from a bone in the oesophagus of a large dog to a grass seed in a cat trachea. The forceps may be guided by rigid or flexible endoscopes or fluoroscopy. In exceptional cases retrieval may be achieved by ‘feel’. It is helpful to inflate the oesophagus prior to withdrawal of spiky objects. Video of Alasdair Hotson-Moore of Bristol University locating and retrieving a bone body may be viewed at www.vetinst.com/videos The teeth face backwards for maximum grip. When closed the jaws are atraumatic for minimal damage to the oesophagus or trachea. The “One day you will need these” reflects our experience of desperate phone calls which end in us sending a pair of foreign body forceps by same day courier at great expense. • Backward facing teeth for maximum grip • Jaws are externally atraumatic
Dia at Jaws (mm)
Length at Jaws (mm)
Shaft Dia (mm)
Shaft Length (mm)
13.0 x 9.0
34
7.5 x 6.0
640
11.5 x 6.0
31
6.5 x 5.0
500
5.6 x 4.2
15.5
4.0 x 3.0
400
4.5
11.5
3.5
400
3.3
8.0
2.5
220
• Shaft diameter as small as possible • Large forceps jaws are angled when closed so that when open they sit mid oesophagus. Photo & case Alasdair Hotston Moore
FOREIGN BODY RETRIEVAL FORCEPS Shaft Length 014097
640
£135.00
014097M
500
£135.00
014097F
400
£135.00
014097XF
400
£135.00
014097XXF
220
£135.00 152
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SOFT TISSUE SURGERY
www.vetinst.com Foreign body oesophascope
The oesophascope allows the surgeon to see the foreign body and is large enough to ease the bone back out through the mouth. Without a large tube the bone traumatises the oesphagus as it is withdrawn. Two versions are available: Basic. Simply a long tube with an atraumatic lip at the mouth. Using this version either an external light source must be shone down the tube or a fiber optic or LED light source must be passed down to illuminate the foreign body. Fibre Optic. In this version the lip at the mouth of the oesophascope includes fibre optics to allow direct illumination of the problem. The oesophascope may be connected to your existing endoscopic light source by means of a fibre optic cable (Storz or Wolf fitting). Alternatively an LED light handle may be attached making the oesophascope free of cabling. Each version of the Oesophascope is available as a boxed set of three instruments plus a cleaning brush. 1. 29mm x 450mm long 2. 29mm x 300mm long 3. 20mm x 300mm long The LED light handle is supplied with a Storz fitting and may also be used to illuminate arthroscopes, laparoscopes and rhinoscopes. Adaptors are available for other light fittings. OESOPHASCOPE OESSETB
Oesophascope Set Basic No FO
£350.00
OESSETFO
Oesophascope Set Basic Fibre Optic Version
£875.00
OESLH
LED light source handle
£645.00 FO Oesophascope with LED Handle
Flexible LED Camera
FO Oesophascope with FO cable Handle
The flexible probe is taped along the length of the selected foreign body forceps leaving the LED lights and the camera lens just behind the jaws. The forceps are then directed using the image in the monitor.
Once the diagnosis of oesophageal foreign body has been made it is a challenge to see and grasp the bone prior to withdrawal or pushing into the stomach. The lining of the oesophagus is usually traumatised and friable. Repeated ‘blind’ attempts are likely to end in tragedy even if the foreign body is retrieved. The flexible camera with incorporated LED light source enables the surgeon to direct the foreign body forceps into position and grab the bone ready for retrieval. The image is viewed on a bright 50mm x 35mm monitor. Alternatively the video output may be fed into a standard monitor or computer for viewing or image capture.
The camera allows you to see exactly what you are doing so that you can lock onto the bone rather than damage the oesophageal wall.
To further minimise trauma to the oesophagus the Flexible LED Camera should be used in conjunction with the Oesophascope.
FLEXIBLE LED CAMERA LEDFC
Flexible LED Camera
£295.00 153
9
SOFT TISSUE SURGERY
Thoracic Surgery Kit - as used by the Cambridge Vet School
Rib Retractor Finnochetto is the standard rib retractor available in large and small.
RIB RETRACTOR 704000
Rib Retractor Finnochetto - Small (95mm spread)
£110.00
704005
Rib Retractor Finnochetto - Large (130mm spread)
£120.00
Spencer Wells
The standard veterinary artery forceps. If the text states “artery forceps or haemostat” this is probably the one. Working inside the chest of medium and large dogs will require extended instrumentation. The instruments listed below represent a reasonable kit. When purchased as a kit there is a saving of over 10%. In addition a pair of rib retractors will be required. Other useful instruments include extra long Metzenbaum scissors and right angled forceps (Lahey cholecystectomy clamp and small right angled forceps).
SPENCER WELLS
Various specialist items are listed.
THORACIC SURGERY KIT - as used by the Cambridge Vet School 106205
45 degree curved forceps 220mm
£35.00
105415
90 degree curved forceps 245mm
£35.00
754060
Metz scissors Str 235mm. T.C.
£70.00
754120
Metz scissors Curved 235mm T.C.
£70.00
342020
DeBakey thumb forceps 205mm
£42.50
347665
Rat tooth thumb forceps 205mm
£24.00
602010
Debakey needleholders T.C. 200mm
£82.50
347655
Dressing forceps 205mm
£20.00
2685/03
Satinsky clamps 160mm long 20mm jaw
£52.50
2685/05
Satinsky clamps 200mm long 30mm jaw
CAMTHORKIT
All the above in a stainless steel case
106600
Spencer Wells 12.5cm 5” Str Art. Forceps
£18.00
106605
Spencer Wells 15cm 6” Str Art. Forceps
£21.00
106610
Spencer Wells 18cm 7” Str Art. Forceps
£23.00
106615
Spencer Wells 20cm 8” Str Art. Forceps
£30.00
106620
Spencer Wells 23cm 9” Str Art. Forceps
£40.00
106621
Spencer Wells 30cm 12” Str Art. Forceps
£50.00
Curved Forceps - Long
£52.50
CURVED FORCEPS - LONG
£475.00
106205
45 Degree curved forceps 220mm
£35.00
105415
90 Degree curved forceps 245mm
£35.00
Right Angled Clamps Rib Shears
Typically used to dissect around a patent ductus arteriosus and then pull through appropriate ligative material. RIGHT ANGLED CLAMPS
RIB SHEARS 014056
Rib Shears
£105.00 154
014051
Right Angled Lahey Cholecystectomy Clamps 195mm
£45.00
014052
Small Right Angle Clamps 160mm
£32.50
014052S
Small Right Angle Clamps without ratchet
£32.50
9
SOFT TISSUE SURGERY
www.vetinst.com
Thora-Cath Chest Tubes
Drains & Drainage
A soft silicon chest tube for pneumothorax or hemothorax. 14cm length, graduated at 1cm lengths with radiopaque strip for easy placement. Universal hub connects to standard barbed connector with female luer lock. Also recommended to be used with 3 way stopcock. 3 diameters available.
Vacuum Drains Concertina Type Appropriate drainage will make the difference between success and failure, particularly with thoracic surgery. The whole system can be strapped to the patient. Concertina type action creates suction. Each kit includes the drain.
THORA-CATH CHEST TUBES
VACUUM DRAINS CONCERTINA TYPE 014062 014063
Vacuum Drainage Kit 50ml 2.5mm dia tube Complete. Disposable
£7.00
Vacuum Drainage Kit 20ml 2.0mm dia tube Complete. Disposable
£8.00
025612
Thora-Cath Chest Tubes 3.2mm Inner Diameter
£33.50
025613
Thora-Cath Chest Tubes 4mm Inner Diameter
£36.00
025614
Thora-Cath Chest Tubes 4.67mm Inner Diameter
£38.50
025618
Standard Barbed Connector with femal Luer Lock
£3.50
025619
3 way Stopcock
£1.50
Drain Clamps Tube Clamp
Vacuum Drains — Jackson Pratt Type
Gate Clamp
For rapid, complete occlusion use artery forcep style. Where incremental adjustments are required use the gate type. DRAIN CLAMPS
VACUUM DRAINS — JACKSON PRATT TYPE 014058
Vacuum Drainage Kit 100ml 3.2mm dia tube Complete. Sterile semi-disposable
£28.50
014059
Vacuum Drainage Kit 200ml 4.8mm dia tube Complete. Sterile semi-disposable
£28.50
101776
Tube Clamp 190mm 7.5”
014066
Gate Clamp
£23.50 £3.50
Ameroid Constrictors
Pre Evacuated Bottle Drains
Picture Dick White
The 400ml bottle is supplied pre-evacuated complete with perforated drain and introducing needle. The bottle creates a much higher vacuum more appropriate for chest drains.
Used exclusively in the surgical treatment of hepatic shunts the ameroid constrictor gradually occludes the blood vessel in question allowing the circulation to make adjustments. The clay layer expands as it absorbs water constricting the blood vessel within. Supplied sterile. Insertion of metal locking key prevents constrictor from slipping from blood vessel. Selection of Ameroid constrictor. Once the portosystemic shunt has been identified and exposed it s suggested that a constrictor should be selected which initially encloses the vessel but does not constrict it (Tobias 2009)
PRE EVACUATED BOTTLE DRAINS 014080
Bottle Drain 400ml with 10FG drain
£8.00
014082
Bottle Drain 400ml with 12FG drain
£8.00
AMEROID CONSTRICTORS
014084
Bottle Drain 400ml with 14FG drain
£8.00
AC35
Ameroid Constrictor 3.5mm Sterile
£60.00
014086
Bottle Drain 400ml with 16FG drain
£8.00
AC50
Ameroid Constrictor 5.0mm Sterile
£60.00
014064
200ml Evacuated Bottle - no drain
£4.50
AC60
Ameroid Constrictor 6.0mm Sterile
£65.00
014065
400ml Evacuated Bottle - no drain
£5.50
AC70
Ameroid Constrictor 7.0mm Sterile
£65.00
155
9
SOFT TISSUE SURGERY
Ovariohysterectomy
Spay Retractors
Spay Hooks
Hauptman Retractors
Use to atraumatically lift uterine horns. SPAY HOOKS 014320
Spay Hook Small (13cm)
£27.50
014325
Spay Hook Large (17cm)
£27.50
Spay Forceps
‘Sturdy’ type. Atraumatic spay forceps’ tips have fine toothed DeBakey type form. SPAY FORCEPS 014211
Spay Forceps 5”/12.5cm
£19.50
014217
Spay Forceps (DeBakey Type) 5”/12.5cm
£27.50
Spay Clamps Angiotribes
Angiotribes. The jaws of this instrument are designed for maximum crushing by serrated longitudinal grooves. ANGIOTRIBES 014304
Angiotribes 6.5”/ 16cm Straight
£55.00
014305
Angiotribes 6.5”/ 16cm Curved
£55.00
014301
Angiotribes 8”/20cm Straight
£55.00
014302
Angiotribes 8”/20cm Curved
£55.00
Hysterectomy Clamps
This new retractor designed by Joe Hauptman at Michigan maintains distal retraction of the ovary during ligation of the ovarian pedicle. This is the crucial part of the procedure which can be a challenge for even experienced surgeons. This retractor simplifies the task considerably.
These clamps are curved with longitudinal grooves in the jaws to minimise tissue slippage. More reasonably priced than angiotribes.
For a free CD on the technique phone or e-mail info@vetinst.com HAUPTMAN RETRACTOR
HYSTERECTOMY CLAMPS
014400
Small Hauptman Retractor 10mm blade
£110.00
014307
Hysterectomy Clamp (Carmault) 20cm
£32.50
014410
Medium Hauptman Retractor 15mm blade
£110.00
014309
Hysterectomy Clamp (Carmault) 16cm
£32.50
014420
Large Hauptman Retractor 20mm blade
£110.00
156
9
SOFT TISSUE SURGERY
www.vetinst.com
Spay Kits
Large Abdominal Retractors Also see GENERAL SURGERY - Page 209
It is convenient and cheaper to purchase your spay packs as kits. We appreciate that instrument selection is a matter of personal choice so if you wish to adjust the contents to suit your practice that is fine. We will customise the kits to your requirements. Provided the number of instruments stay the same there will be no additional charge assuming that the changes are ‘like for like’. Feline Spay Kit Stainless Autoclave Case Metz Scissor Str 14.5cm Sturdy type spay forceps Adson rat tooth forceps Halstead Mosquito Forceps x 2 Fenestrated drape Crossaction towel clips x 2 Olsen Hegars 15.5cm Spencer Wells COF x 2 Scalpel Handle No. 3
LARGE ABDOMINAL RETRACTOR
Canine Spay Kit Stainless Autoclave Case Curved Hysterectomy Clamps x 2 Mayo Scissors 14cm Straight Rat Toothed Treves 14cm Spencer Wells 14cm Curved x 4 Allis Tissue Forceps x 2 Fenestrated Drape Olsen Hegars 16.5cm Crossaction Towel Clips x 4 Scalpel Handle No. 3
25-2375
Balfour Retractor (180mm spread)
£125.00
25-2376
Balfour Retractor Baby (90mm spread)
£125.00
703260
Collins Retractor (110mm spread)
£115.00
684755
Morris Retractor 50mm
£50.00
Miscellaneous Soft Tissue Products Polyester Mesh
SPAY KITS SPAYFEL
Cased Feline Spay Kit
£245.00
SPAYCAN
Cased Canine Spay
£365.00
Miscellaneous Obstetrical Items Miss Freakes Whelping Forceps
Hobdays Obstetric Forceps for cats. 150mm
Use polyester mesh to repair soft tissue defects where alternative autografts are not available. For example perineal hernia (illustrated), umbilical hernia.
Killian Bitch Speculum
Mesh loop diameter 1mm. Sheet size 60mm x 80mm or 60mm x 120mm Supplied single pack sterile.
Vectis Double Ended
MISCELLANEOUS OBSTETRICAL ITEMS 014310
Miss Freakes Whelping Forceps
£55.00
546465
Hobdays Obstetric Forceps for Cats. 150mm
£55.00
546466
Hobdays Obstetric Forceps for Dogs.
£55.00
POLYESTER MESH
546468
Obstetric vectis double ended
£40.00
PM6080
Polyester Mesh 60mm x 80mm (single)
£27.50
546455
Bitch Speculum (Killian). Blade length 6.5cm (2 1/2”)
£55.00
PM60120
Polyester Mesh 60mm x 120mm (single)
£37.50
157
9
SOFT TISSUE SURGERY
Anal Sac Kit
Oesophagostomy Tube System
Removal of diseased anal sacs can be quite difficult as it can be hard to distinguish the sac from the surrounding tissues. Filling the sac with a light coloured wax makes the dissection much easier. The gel pack is warmed to liquefy the contents which are then injected into the anal gland via the duct using the blunt ended needle provided. ANAL SAC KIT 273570
Anal Sac Kit
£90.00
273580
Anal Sac Gel (8)
£32.50
273590
Anal Sac Needles (8)
£27.50
Placement of an oesophagostomy tube is a regular requirement in veterinary practice. Good indications include head trauma, anorexia through illness or nutrition of trauma patients. It is not performed as often as it should because of perceived difficulties in the surgical procedure. The Aesculap Oesophagostomy Set is supplied as an instrument and instructional pack to simplify the procedure
Small Animal Nasogastric Feeding Tube
Designed and developed by Dr Von Werthern the kit simplifies the placement of an oesophagostomy tube. The probe locates the correct position for the incision. Cutting onto the probe simplifies the oesophagostomy. The channel in the probe directs the oesophagostomy tube down the oesophagus. The tube is marked to indicate depth and has a radio opaque line along its length to enable the surgeon to check positioning. The tube is 50cm long and 4.8mm/CH.15 in diameter and supplied in individual sterile packs. The cap is a two part device allowing administration of food via a cather mount syringe and other medications via a standard luer syringe. Supplied with full instructions and a procedural video. The kit comprises the introducer and 10 osophagostomy tubes. The video may be viewed at www.vetinst.com/videos
These small animal feeding tubes are useful in longer term nasogastric nutritional support. Transparent plasic. Rounded closed tip with two opposing lateral eyes. Luer syringe connector with attached plug. Supplied sterile in packs of 5.
The procedural instruction sheet may be downloaded as a pdf from www.vetinst.com/docs OESOPHAGOSTOMY TUBE SYSTEM VC810
Oesophagostomy kit (inc 10 tubes)
£210.00
014041
Cats and Small Dogs
5Fr x 37cm
£10.00
VC800
Tube Applicator only
£130.00
014042
Small/Medium Dogs
8Fr x 37cm
£10.00
2112409
Oesophagostomy tubes (pack 10)
£110.00
014043
Medium/Large Dogs
5Fr x 99cm
£10.00
CDOES
CD showing procedure
£FOC
014044
Large Dogs
8Fr x 105cm
£10.00
BROES
Detailed brochure of the procedure
£FOC
SMALL ANIMAL NASOGASTRIC FEEDING TUBE
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Chapter 10
10
HEAD & NECK SURGERY
Tracheostomy Tube
Airway Surgery Soft Palate Clamp
Where temporary or permanent upper airway obstruction occurs placement of a tracheostomy tube is a life saving procedure. Our tubes are silver plated with a removable lining for easier cleaning.
An overlong palate is a common cause of dyspnoea in the brachiocephalic dog. Shortening the soft palate in an atraumatic manner provides almost immediate relief.
Metal tubes have a much thinner wall than plastic tubes. This becomes particularly critical in smaller patients.
The Soft Palate Clamp was designed by Geoff Lane FRCVS.
TRACHEOSTOMY TUBE
The jaws have a special atraumatic grip to hold the very slippery soft palate.
014070
Tracheostomy Set (Silver Plate) (6,8,11)
£250.00
014071
Tracheostomy Tubes 6mm (Silver Plate)
£92.50
SOFT PALATE CLAMP 014040
Soft Palate Clamps Large 26 x 12mm
£92.50
014072
Tracheostomy Tubes 8mm (Silver Plate)
£97.50
014050
Soft Palate Clamps Small 18 x 7mm
£92.50
014073
Tracheostomy Tubes 11mm (Silver Plate)
£102.50
014074
Tracheostomy Tubes 13mm (Silver Plate)
£107.50
Tonsillectomy Clamp
Tracheostomy Tube Disposable Although wall thickness does restrict air flow in the smallest size, the disposable tracheostomy tube can be a life saver.
TRACHEOSTOMY TUBE DISPOSABLE
Actual Size
The standard Negus clamp may be used in pairs for soft palate resection. A right angled version designed by Stephen Baines at the RVC is also available.
014076
2.5mm internal dia
4.0mm external dia
£28.50
014077
4.0mm internal dia
6.0mm external dia
£28.50
014078
5.5mm internal dia
8.0mm external dia
£28.50
014079
7.0mm internal dia
10.0mm external dia
TRACHDISPSET Set of 4 Tracheostomy tubes disposable
£28.50 £100.00
Buster Starlight Diagnostic Set
TONSILLECTOMY CLAMP 014038
Tonsillectomy Clamp (right angle)
£42.50
014039
Tonsillectomy Clamp (curved)
£42.50
Satinsky Clamp
A simple torch based set for easy intubation. Useful for intra-thoracic surgery, trimming soft palates and even ears. Atraumatic design maximises haemostasis and minimises trauma.
BUSTER STARLIGHT DIAGNOSTIC SET 270500
SATINSKY CLAMP 2685/03
Satinsky Clamps 160mm long 20mm jaw
£52.50
2685/05
Satinsky Clamps 200mm long 30mm jaw
£52.50 159
Buster Starlight diagnostic torch
£42.50
10
HEAD & NECK SURGERY
Soft Tissue Biopsy Forceps
Ear Surgery BioCam 2.0 USB Video Otoscope Ideal for diagnosis, treatment and display to clients. Compliance is much more likely if the client understands the problem. May be used as:
014088
Otoscope Dentalscope Nasalscope Actual Size
Vaginascope
Features
8mm x 3.5mm bite
Works with any PC 2.0 USB port LED long life light source(10,000 hours)
Designed to take samples of soft tissue masses from the ear or via the mouth.
High resolution image capture Real time video recording to your PC
Fits down all usual aural speculae.
Multiple speculae, with and without working channels
Two sizes for most patients.
Dedicated instrumentation for probing
SOFT TISSUE BIOPSY FORCEPS 014087
Cup Biopsy forceps 2mm dia. shaft 75 x 3.6mm
£110.00
cleaning
014087A
Cup Biopsy forceps 2mm dia. shaft 100 x 3.6mm
£115.00
grasping foreign bodies
014088
Cup Biopsy forceps 3.5 x 8mm shaft 105 x 5.6mm
£115.00
biopsy of suspect tissues
Mini Gelpis
working (operating)
small
medium
large
Flat
FREE TRIAL! malleable biopsy forceps
Curved
Fully flexible instruments are difficult to control. Malleable instruments allow the tips to be positioned exactly where the surgeon needs them. The forceps are available as graspers or as biopsy forceps. The malleable loops are available in two loop diameters 2mm and 4mm. The instruments may be purchased as a set in a stainless steel autoclave case. The case comes free when purchased as a set. BIOCAM
Ideal for retraction in and around small joints or in very small patients. The curved version allows slightly deeper retraction. MINI GELPIS 0013301
Gelpi Mini Flat (45mm spread) 90mm
£70.00
0013302
Gelpi Mini Curved (45mm spread) 90mm
£70.00
160
BIOCAM
BioCam 2.0 inc software plus 4 speculae
£695.00
014098
Malleable grasping forceps 145mm shaft
£95.00
014099
Malleable biopsy forceps 145mm shaft 2mm cup
£95.00
012528
Malleable ear loop curette 2.0mm diameter
£30.00
012529
Malleable ear loop curette 4.0mm diameter
014125
Malleable instrument set in stainless steel case
£30.00 £230.00
10
HEAD & NECK SURGERY
www.vetinst.com Canine Ear Loop
Malleable Instrument Set
Fully flexible instruments are difficult to control. Malleable instruments allow the tips to be positioned exactly where the surgeon needs them. The forceps are available as graspers or as biopsy forceps. The malleable loops are available in two loop diameters 2mm and 4mm. The instruments may be purchased as a set in a stainless steel autoclave case. The case comes free when purchased as a set.
Removal of hard wax and other debris from the canine horizontal canal without causing trauma is a common problem in veterinary surgery.
MALLEABLE INSTRUMENT SET
It is now accepted that the use of ear loops is more effective than cotton tipped products. Most human ear loops are too large and too short for use with the much longer veterinary speculae.
014098
Malleable grasping forceps 145mm shaft
£95.00
014099
Malleable biopsy forceps 145mm shaft 2mm cup
£95.00
012528
Malleable ear loop curette 2.0mm diameter
£30.00
Veterinary Instrumentation's Canine Ear Loop is slimmer and longer to facilitate debris removal without obscuring the visual field. The flexible ear loop is very fine and flexible for added safety. It is not cheap but should last a lifetime.
012529
Malleable ear loop curette 4.0mm diameter
014125
Malleable instrument set in stainless steel case
£30.00 £230.00
Fine Flexible Grasping Forceps
Also illustrated is the Canine Ear Model, a valuable aid when explaining aural problems and procedures. CANINE EAR LOOP 012526
VI Canine Ear loop
£25.00
012528
Flexible Ear Loop (cat/small dog size)
£30.00
012529
Flexible Ear Loop (medium/large dog size)
£30.00
AMJ772
Canine Ear Model (x-section)
£80.00 The fine flexible grasping forceps have a maximum diameter of 1.7mm and are therefore ideal for small working channels and speculae.
AbsorbENT™ Ear Wick Ear wicks have been around for a long time in human medicine. AbsorbENT™ Ear Wick is designed as an aid in the treatment of Otitis Eterna. When liquid medication (antibiotic or corticosteroid) is applied to the sterile, compressed sponge, it gently and evenly expands to fill the ear canal, dispersing the medication and applying gentle pressure to the tissue. Available in 2 lengths, in packs of 10.
FINE FLEXIBLE GRASPING FORCEPS 014067
Fine Flexible Grasping Forceps
£135.00
Crocodile Forceps
CANINE EAR LOOP
Fine Tip
Regular Tip
Not Actual Size
Examination of the external ear is an essential part of any investigation of otitis. Heine equipment is unrivalled for quality of manufacture and optics. See chapter 20 Diagnostics. Removal of foreign bodies, particularly grass seeds, is achieved using long crocodile forceps. Available in traditional designs or as a fine tubular shaft design. CROCODILE FORCEPS
EW915
EarWick 9mm Diameter x 15mm Length
£32.50
014091
Extra Fine Croc Forceps Tubular Shaft 3”
£57.50
EW924
EarWick 9mm Diameter x 24mm Length
£37.50
014092
Extra Fine Croc Forceps Tubular Shaft 5”
£60.00
014093
Extra Fine Croc Forceps Tubular Shaft 7”
£62.50
014089
Extra Fine Croc Forceps Tubular Shaft 9”
£65.00
014094
Aural Crocodile Forceps Standard Jaw (3” shaft)
£42.50
014095
Aural Crocodile Forceps Standard Jaw (5” shaft)
£45.00
014096
Aural Crocodile Forceps Standard Jaw (7” shaft)
£47.50
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HEAD & NECK SURGERY
Bulla Osteotomy & Total Ear Canal Ablation
Actual Size
Lempert
Bulla Osteotomy Rongeurs
Bulla osteotomy is greatly facilitated by specialised instruments. A rongeur is more effective than a curette. In addition a Penrose Drain may be neccessary. Consider 3mm Smith Kerrison spine punch forceps. Access the bulla using I/M pin or trephine. BULLA OSTEOTOMY & TOTAL EAR CANAL ABLATION 684375
Langenbeck Retractor 6mm blade
£35.00
684380
Langenbeck Retractor 13mm blade
£37.50
684385
Langenbeck Retractor 25mm blade
£40.00
684390
Langenbeck Retractor 20mm blade
£40.00
684395
Langenbeck Retractor 6mm blade (extra long)
£40.00
001330
Gelpi self retaining retractor. 180mm (120mm spread)
605355
Olsen Hegars 6 1/2” T.C. Jaws
£75.00
342005
DeBakey Atraumatic Forceps 6 1/2”
£35.00
6730/10
Lempert Rongeurs 190mm
£75.00
782205
Volkman Single Ended Scoop 3mm
£32.50
782200
Volkman Single Ended Scoop 4mm
£32.50
782210
Volkman Single Ended Scoop 5mm
£32.50
£120.00
The sclerotic bone around the auditory meatus of the diseased ear is some of the hardest found in the body. Total canal ablation (TCA) requires that the rim of the meatus is nibbled away to ensure that all skin is removed. The bulla rongeurs have a small bite (3mm) but are relatively heavy in construction. The compound action allows the appropriate force to be applied without undue effort on the part of the surgeon.
Mini-Friedman
BULLA OSTEOTOMY RONGEURS 142280
Bulla Osteotomy Rongeurs 20cm 8”
£155.00
Penrose Drains Actual size
Latex rubber. Use to maintain drainage from infected wounds. Also useful to retract soft tissues such as blood vessels and nerves.
Useful in bulla osteotomy.
PENROSE DRAINS
MINI-FRIEDMAN 142501
Mini-Friedman Rongeur curved. 3mm bite
£60.00
090168
Penrose Drain 1/4”
£2.75
090165
Penrose Drain 1/2”
£2.75
IDEA FOR AN INSTRUMENT??? If we think it is a good one we will: Help you develop it Make prototypes Market it Give you a royalty
Contact John on 0114 258 8530 or john@vetinst.com 162
Chapter 11
11
OPHTHALMIC
Ophthalmic Kit Beaver Type Handle (Swann Morton ‘fine’ series) - see page 151 for blades.
The kit contains 10 instruments. All are contained in a stainless steel case with a protective silicone lining which minimises damage to the delicate instruments. As recommended by David Williams MA VetMB PhD CertVOphthal
Castroviejo Needleholders with catch straight
Suitable for the following procedures:-
Steven’s Tenotomy Scissors
• Hotz-Celsus Entropion Surgery • Stades Procedure for Entropion with trichiasis • Lid Wedge Resection • Khunt-Szymanowski Entropion Surgery • Wyman Lateral Canthoplasty for Diamond Eye • Lateral Canthoplasty • Parotid Duct Transposition • Conjunctival Flaps, Pedicle, Fornix Based • Nictitating Membrane Flap • Replacement of Prolapsed Nictitans Gland Colibri Tissue Forceps
• Correction of Scrolled Nictitans Cartilage • Superficial Lamellar Keratectomy • Primary Reconstruction of Corneal Penetrating Wound • Corneoscleral Transposition Flap Choosing ophthalmic instruments is very difficult, every surgeon seems to have their own preference. Follow the advice of a surgeon you respect. We will always exchange items if you make the wrong choice. There are hundreds of different styles to choose from. If you do not see what you want we can get it for you. Phone or fax with item name or description.
Graefe Fixation Forceps 3.5mm
Basic Ophthalmic Surgery Kit incl 10 instruments in case. As recommended by David Williams MA VetMB PhD CertVOphthal with stainless box 200mm x 100mm with integrated bacterial filter, a silicone fingered insert to prevent instrument damage and balloon cloth drape 18" x 18". Roberts Tying Forceps
OPHTHALMIC KIT 014130
When purchased separately cost £560 plus
£445.00
Halstead Mosquito Forceps x 2 (one curved and one straight)
Castroviejo Corneal Scissors straight
Barraquer Wire Eyelid Speculum
163
11
OPHTHALMIC
Eyelid - Speculae Demarres Eyelid Retractor
Established in 1775 Dixey is one of the oldest companies in the world specialising in the manufacture and servicing of ophthalmic instruments.
DESMARRES EYELID RETRACTOR 014215-S
Small 12mm wide
£55.00
014215-M
Med 14mm wide
£55.00
014215-L
Large 16mm wide
£55.00
Veterinary Instrumentation is pleased to have been appointed Dixey’s UK Veterinary distributor. Our ophthalmic section includes a small selection of instruments selected with the practioner in mind. Those surgeons with a particular interest in opthalmology should request a copy of the Dixey catalogue which illustrates thousands of instruments dedicated to surgery of the eye. All are manufactured in Europe and conform to international standards.
Lister Speculum
Dixey’s craftsmen have accumulated generations of expertise and can repair your worn or damaged instruments. This speculum is adjustable and has a locking facility. The shape is contoured for minimum interference with sutures and instruments.
Corneal Forceps
LISTER SPECULUM Lister Speculum
014115
St. Martin’s Corneal Forceps
£92.50
Barraquer Speculum The best value corneal forceps. Also useful as a fine rat tooth in other delicate procedures. ST. MARTIN'S CORNEAL FORCEPS 014160
St Martin’s Corneal forceps
£45.00
Castroviejo’s Corneal Forceps This simple spring loaded speculum is ideal for most procedures which do not require a locking speculum. No protuberances to catch sutures.
CASTROVIEJO’S CORNEAL FORCEPS
BARRAQUER SPECULUM
014190
014110
Barraquer Speculum large 30mm gape, 10mm ‘blade'
£19.50
014112
Barraquer Speculum small 25mm gape, 5mm ‘blade'
£19.50
Castroviejo’s corneal forceps
£85.00
Colibri (Barraquers) Forceps
Jaeger Eyelid Speculum This is the most well known of corneal toothed forceps. There are many variations. This is the most typical. COLIBRI (BARRAQUERS) FORCEPS 014191
Colibri (Barraquers) forceps
£85.00
Iris Forceps Graefe Iris Forceps
Useful during wedge resections of eyelids Speculum stretches and retains the eyelid prior to cutting The blade cuts down onto the metal of the speculum which protects the eye.
GRAEFE IRIS FORCEPS
JAEGER EYELID SPECULUM 014120
Jaeger Eyelid Speculum (Stainless)
£32.50
014195
Graefe iris forceps Serrated
£45.00
014121
Jaeger Eyelid Speculum Insulated
£57.50
014196
Graefe iris forceps str. 1/2 teeth
£45.00
164
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OPHTHALMIC
www.vetinst.com
Fixation Forceps
Needleholders
Barraquers Fixation Forceps
Castroviejo
BARRAQUERS FIXATION FORCEPS 014201
Barraquers fixation forceps
£85.00 The standard ophthalmic needleholder. The squeeze through action is awkward at first. All our Castroviejos have tungsten carbide jaws.
Graefe Fixation Forceps
CASTROVIEJO 014175
Castroviejo’s needlehldrs. with catch T.C.
£102.50
014177
Castroviejo’s needlehldrs. without catch T.C.
£102.50
Castroviejo Needleholders/Scissor GRAEFE FIXATION FORCEPS 014162
Graefe fixation forceps 3.5mm jaws
£85.00
Capsule Forceps Arruga Capsule Forceps
This instrument functions as a standard Castroviejo needleholder but the jaws incorporate a suture cutting function in the style of Olsen Hegars or Gillies. Jaws are Tungsten Carbide for maximum grip. Available as TC and Supercut TC. CASTROVIEJO NEEDLEHOLDERS/SCISSOR
ARRUGA CAPSULE FORCEPS Arruga capsule forceps.
014150
£87.50
Castroviejo’s Cross Action Forceps
Castroviejo’s cross action capsule forceps.
Castroviejo NH/Scissor 150mm Str TC
£105.00
014182
Castroviejo NH/Scissor 150mm COF TC
£105.00
014183
Castroviejo NH/Scissor 150mm Str S’Cut TC
£110.00
014184
Castroviejo NH/Scissor 150mm COF S’Cut TC
£110.00
Foster Gillies & Miniature Foster Gillies
CASTROVIEJO’S CROSS ACTION 014155
014181
£140.00
Cilia Forceps Bennet’s Cilia Forceps
Favoured by some surgeons the circular tips give good focal grip of individual cilia. BENNET’S CILIA FORCEPS 342460
Bennets Cilia Forceps
This needleholder is a scaled-down version of Gillies and may, therefore, suit those familiar with this commonly used scissors/needleholder.
£55.00
Epilation Forceps
FOSTER GILLIES & MINIATURE FOSTER GILLIES EPILATION FORCEPS 342450
Epilation forceps
£27.50 165
602700
Fosters T.C. (mini Gillies) 5.0" 125mm RH
£95.00
602705
Fosters T.C. (mini Gillies) 5.0" 125mm LH
£110.00
602710
Miniature Fosters T.C. (mini Gillies) 4.0" 100mm
£80.00
11
OPHTHALMIC
Ryder (Micro) Needleholder
Castroviejo’s Corneal Scissors
Squeeze action, very delicate scissor used to extend the stab corneal incision. Easily damaged. A small scale locking needleholder with tungsten carbide inserts. Ryders offer the occasional ophthalmic surgeon an alternative to Castroviejo’s.
CASTROVIEJO'S CORNEAL SCISSORS 014210
Castroviejo’s Corneal Scissors cof.
£97.50
014210S
Castroviejo's Corneal Scissors str
£97.50
Strabismus Scissors RYDER (MICRO) NEEDLEHOLDER 606340
Ryder (Micro) 12.5cm 5” T.C. Jaws
£75.00
Derf Needleholder
Stronger than corneal and conjunctival scissors, strabismus scissors are suitable for cutting muscles and skin. STRABISMUS SCISSORS
The Derf needleholder is a small TC needleholder with slightly heavier jaws than the Ryder. More resistant to surgeon abuse!
Derf Needleholder 12cm TC Jaws
Strabismus Scissors 9cm str.
£18.00
747010
Strabismus Scissors 9cm cof.
£18.00
746910
Strabismus Scissors 11cm str.
£20.00
747020
Strabismus Scissors 11cm cof.
£20.00
Iris Scissors Lightweight, ‘standard’ action scissor for conjunctiva and, less satisfactorily, the cornea. Very rarely used on the iris in veterinary ophthalmology.
DERF NEEDLEHOLDER 607010
746900
£67.50
Robert’s Tying Forceps
Used in conjunction with the needleholders to tie knots in fine materials.
IRIS SCISSORS
ROBERT’S TYING FORCEPS 014132
Robert’s Tying Forceps
£45.00
Scissors
744100
Iris Scissors 9cm str.
£15.00
744120
Iris Scissors 9cm cof
£18.00
744110
Iris Scissors 11cm str.
£15.00
744130
Iris Scissors 11cm cof
£18.00
744131
Iris Scissors Tungsten Carbide Str
£30.00
Steven’s Tenotomy Scissors
Pooley’s Conjunctival Scissors
STEVEN’S TENOTOMY SCISSORS POOLEY'S CONJUNCTIVAL SCISSORS 746350
Pooley’s Conjuctival Scissors
£35.00 166
014108
Steven's Tenotomy Scissors Str
£24.00
014108CV
Steven's Tenotomy Scissors Cof
£34.00
11
OPHTHALMIC
www.vetinst.com Castroviejo Suture Removal Scissors
Snellen’s Vectis
Use to apply pressure to globe to extrude lens rather than ‘fishing’ for it within the eye. SNELLEN'S VECTIS Snellen’s Vectis
014101
Kimura Spatula
Designed for the removal of very fine sutures the Castroviejo action matches that of the Castroviejo needleholders. CASTROVIEJO SUTURE REMOVAL SCISSORS 014185
Castroviejo Suture Removal Scissors 120mm
£44.50
Use to apply pressure to globe to extrude lens rather than ‘fishing’ for it within the eye.
£35.00
KIMURA SPATULA
Eye Enucleation Scissors
014103
Kimura Platinum Spatula
£44.50
Swann Morton Fine Surgical Blades
Standard curved surgical scissors do not match the radius of the eye of dogs and cats. The eye enucleation scissor closely matches required radius and slides easily behind the eyeball to cut the optic nerve and internal opthalmic artery and vein, without the requirement to apply dangerous traction to the globe. Use in conjuction with eye enucleation clamps. EYE ENUCLEATION SCISSORS 014225
Eye Enucleation Scissors
£70.00
Actual Size
Miscellaneous Chalazion Forceps (Desmarres)
CHALAZION FORCEPS (DESMARRES) 014216
Chalazion Forceps (Desmarres) 3.5”
£57.50
Halstead Mosquito Forceps
Beaver type blades fit their own fine blade handle. They offer a range of blade sizes appropriate to eye surgery. Blades are shown actual size. SWANN MORTON FINE SURGICAL BLADES
HALSTEAD MOSQUITO FORCEPS
05901
25 blades individually packed SM61
£22.50
05902
25 blades individually packed SM62
£22.50
05903
25 blades individually packed SM63
£52.50
05904
25 blades individually packed SM64
£22.50
05905
25 blades individually packed SM65
£22.50
05906
25 blades individually packed SM65a
£22.50
05909
25 blades individually packed SM69
£52.50
06051
Fine Stainless Handle Beaver type 130mm
£15.50
06052
Fine Stainless Handle Beaver type 100mm
£15.50
103225
Halstead’s Mosquito Artry. Forceps 5" Cof.
£19.50
06053
Fine Stainless Handle Beaver type 80mm
£15.50
103175
Halstead’s Mosquito Artry. Forceps 5" Str.
£19.50
06054
VI Beaver blade handle 130mm
£10.50
167
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OPHTHALMIC
Distichiasis Clamp
Eye Enucleation Forceps
DISTICHIASIS CLAMP 014113
Distichiasis Clamp
£110.00
Punctum Dilator
PUNCTUM DILATOR 014116
Nettleship Dilator (single ended)
£29.50
014117
Castrovejo's Double ended Punctum Dilator
£31.50
It is very important to clamp and crush the optic nerve and internal opthalmic artery and vein. The curvature on standard artery forceps are not correct and if used the handles stand up in the way. The enucleation forceps are designed to slide around the rear of the globe and capture the blood vessels. The jaws are then levered against the edge of the orbit to elevate the globe for ease of tying. The handles curve out of the way. Use with eye enucleation scissors page 167. The large size is for cattle.
Harrison Butler Lachrymal Cannula
EYE ENUCLEATION FORCEPS HARRISON BUTLER LACHRYMAL CANNULA 014221
Harrison Butler Lachrymal Cannula (curved)
£20.00
014219
Eye Enucleation Forceps 135mm
£52.50
014219L
Eye Enucleation Forceps Large 155mm
£57.50
Dual Light Zoom Head Torch
Lachrymal Cannula Straight
The beam is switchable between between the LEDs and the Xenon Halogen beams. Use the LEDs for broad spread of light. The Xenon offers an ultra bright focusable beam.
LACHRYMAL CANNULA STRAIGHT 014222
Langs Cannula
£20.00
014224
Lachrymal Cannula (straight) S/S
£20.00
Supplied with 4 x AA battery pack.
Rabbit Nasolachrymal Duct Cannulae
Using the 3 x LEDs beam the batteries last 130hrs. Using the xenon beam the batteries will last less time approximately 4hrs DUAL LIGHT HEAD TORCH Dual Light Head Torch
014202
£47.50
LED Head Torch Very bright 3 LED light source powered by three AAA bateries (supplied) which last up to 80 hours. the light is hinged at the headband for beam adjustment.
RABBIT NASOLACHRYMAL DUCT CANNULAE 012523
Nasolacrymal Duct 19 gauge
£20.00
012524
Nasolacrymal Duct 21 gauge
£20.00
LED HEAD TORCH
012525
Nasolacrymal Duct both 21 & 19G
£30.00
014203 168
LED Head Torch 3 LED
£27.50
11
OPHTHALMIC
www.vetinst.com Pen Torch
Binocular Loupes
Sealed disposable torch which lasts for weeks provided you do not leave it switched on! Pocket clip.
VI Binocular Loupes
PEN TORCH 014213
Pen Torch
014214
Pen Torch (Six Pack)
£4.50 £18.00
Magnifying Pen Torch (10 x Magnification) Good for seeing and treating distichiasis and other periorbital lesions. Takes 2 AA batteries which are not included.
Excellent optics plus a reasonable price makes the 2.5X binocular loupe a sensible purchase for any practice.
MAGNIFYING PEN TORCH (10 X MAGNIFICATION) Magnifying Pen Torch
014209
£47.50
Magnifying Loupe 2.5X
• Lenses quickly adjustable for any user
A simple loupe at a reasonable price. The lack of a complex lens system means that as the magnification gets higher, the focal distance becomes shorter. This can take a little adjustment as a surgeon. This 2.5X loupe is as great a magnification as you can get without becoming too close to the patient.
• Lenses flip out the visual field when not required • Lightweight pure titanium frames • Prescription lenses available if required • Supplied in quality aluminium case VI BINOCULAR LOUPES 01425380
2.5X Binocular loupe 380mm focal distance
£525.00
01425430
2.5X Binocular loupe 430mm focal distance
£525.00
Loupe Starter Kits Due to the myriad of different combinations of loupes, lights and power packs available, selection of an ideal loupe starter kit can seem daunting. To simplify the process Veterinary Instrumentation has put together a starter kit. To minimise cost the starter kit is supplied on a spectacle type frame and utilises an LED head torch rather than a bespoke Loupe Light. Supplied with case.
MAGNIFYING LOUPE 2.5X 014200
Magnifying loupe 2.5X
£60.00
014200SET
Magnifying loupe 2.5X + Visor Light (014200L)
£90.00
Many other combinations of loupe, lights and power sources are shown overleaf.
Visor Light
Heine C2.3X loupes plus LED head torch £350.00
Visor light is a lightweight battery powered light, which illuminates the magnified viewing area. Mounts directly onto the Magnifying Loupe 2.5X
LOUPE STARTER KITS
VISOR LIGHT 014200L
Visor Light (clip on)
£40.00 169
LOUPEVAL340
Loupe 2.3X Starter Kit 340mm Working distance
£350.00
LOUPEVAL450
Loupe 2.3X Starter Kit 450mm Working distance
£350.00
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OPHTHALMIC
Heine HR-C 2.5x Binocular Loupes
German optics are the best. Being able to see exactly what you are doing is half the battle with micro-surgery. Each eyepiece contains a number of lenses which means that a high magnification of the operating field is possible while maintaining normal position of the head relative to the patient, i.e. a focal distance of between 340 to 420mm. There are a number of variables to think about.
(1)
• Magnification. 4X is as high as one should go. 2.5X is the most common. • Working Distance. Choose between 340mm and 420mm whatever is normal for you. • Spectacle type frame (you can fit your own prescription lenses) or head band.
Heine C 2.3x (2)
Loupes from £330 Loupes with light from £595 Loupes, light and power from £650
(1)
(3)
(4)
(2)
(1)
The Super compact HR-C offers high quality at good pricing. Available on an S Frame, headband or to be fitted to spectacles.
The entry level loupe from Heine. Cost effective and economical. Available on a frame or lightweight head-band. Cannot be fitted to spectacles. Supplied as shown above in a plastic carry case. The C Series Economy Loupe Light can be fitted to the head band but not frame. If you are looking for a cost effective loupe and light, the head band and light is the solution for you. The C Series economy loupe light can also be powered by all Heine battery and rechargeable handles rather than requiring a specific battery.
Optics can be fitted to most spectacles using a universal clip. Please note when optics are fitted to spectacles, a loupe light cannot also be fitted to the spectacles. A separate headband, either lightweight or professional, to hold the light will be needed. Featues: Modern, Compact Design Super Light Weight (48g including frame) Colour Correction and excellent Depth of Focus. Precise Optical Adjustment. Water- and Dust-Resistant. Working Distance of either 340mm or 420mm Optics can be fitted to most spectacles Set includes 2 sterilisable swivel levers, retaining cord and cleaning fluid
Choose between 340mm and 450mm working distance. Features Crisp, clear images. Flexibility for precise adjustment. Low profile design. Super lightweight and comfortable — only 46 g. The ideal all-purpose loupe.
HEINE HR-C 2.5X BINOCULAR LOUPES C-000.32.290
Loupes on S frame in case WD 340mm (1)
£875.00
C-000.32.039
Loupes on frame with case WD 340mm (1)
£330.00
C-000.32.291
Loupes on S frame in case WD 420mm
£875.00
C-000.32.202
Loupes on frame with case WD 450mm
£330.00
C-000.32.265
Optics only in case WD 340mm (2)
£675.00
C-000.32.230
Headband loupe in case WD 340mm (2)
£375.00
C-000.32.266
Optics only in case WD 420mm
£675.00
C-000.32.231
Headband loupe in case WD 450mm
£375.00
C-000.32.549
Professional Headband (3)
£135.00
£220.00
C-000.32.516
Lightweight Headband (4)
£100.00
£60.00
C-000.32.518
Universal clip for spectacles cannot be used with loupe light
C-008.32.238
LED Loupe Light
C-008.32.376
LED LoupeLight with mPack LL and EN 50, yellow filter
C-008.32.379
LED LoupeLight with mPack LL and plug in transformer, yellow filter
HEINE C2.3 X BINOCULAR LOUPES
C-008.32.235
C Series Economy Loupe Light
X-001.99.118
Standard N Battery Handle
X-002.99.422
NT200 Rechargable Charger c/w one handle
£445.00
LOUPEC1
C Series Starter kit (Loupe on Headband and Loupe Light)
£595.00
LOUPEC2
C Series starter kit with power source (Headband Loupe, Loupe Light, Power Source (Battery Handle)
£650.00
LOUPEC3
C Series starter kit with rechargeable power source (Loupe on Headband, Loupe Light, Power Source and charging unit (Rechargeable handle)
£995.00
170
£47.50 £655.00 £1,225.00 £995.00
Heine HR 2.5x and HRP 3.5x and 4x Binocular Loupes
(Set B)
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OPHTHALMIC
www.vetinst.com
Heine LED LoupeLight
(Set C) (1)
(2)
(Set A) Advanced LED technology
Everything you require in a convenient set. Available as a complete set in 2.5x, 3.5x or 4.5x with working distance of either 340mm or 420mm.
40.000Lux at a working distance of 250mm 50,000 hours operating life
SET A Optics, S-Frame with i-View loupe mount for HR 2.5 x or 3.5x or 4.5 loupes, detachable protective lenses,2 sterilisable swivel levers, retaining cord, cleaning fluid, carrying case.
Compact and lightweight (24g) Full portable with mPackLL Individual adjustment of the angle of view
SET B Optics, Professional L Headband with i-View loupe-carrier for the professional headband, S-Guard splash protection, detachable protective lenses, 2 sterilisable swivel levers, cleaning fluid. Loupelight not included. Options shown at bottom of table
HEINE LED LOUPELIGHT
SET C Optics, S-Frame with i-View loupe-carrier, detachable protective lenses, 2 sterilisable swivel levers, retaining cord, cleaning fluid, carrying case, LED LoupeLight, mPack LL, EN 50. Features: The Crispest Image with Colour Correction. Super-Wide, Super-Deep Field of View. Dust- and Water-Resistant. Flexibility for Precise Adjustment. Working distance of either 340mm or 420mm Super Light. HR optics weigh only 42 grams Optics cannot be fitted to spectacles
C-008.32.236
LED LoupeLight for HR and HRP (1)
C-008.32.238
LED LoupeLight for HR-C (2)
C-008.32.375
LED LoupeLight for HR and HRP with mPack LL and EN 50, yellow filter
C-008.32.378
LED LoupeLight for HR and HRP with mPack LL and plug in transformer, yellow filter
C-008.32.376
LED LoupeLight for HR-C with mPack LL and EN 50, yellow filter
C-008.32.379
LED LoupeLight for HR-C with mPack LL and plug in transformer, yellow filter
£655.00 £655.00 £1,225.00 £995.00 £1,225.00 £995.00
Power Supplies
HEINE HR 2.5X AND HRP 3.5 AND 4X BINOCULAR LOUPES C-000.32.355
2.5x SET A WD 340mm
C-000.32.365
2.5x SET B WD 340mm
£995.00
C-008.32.355
2.5x SET C WD 340mm
£2,150.00
C-000.32.356
2.5x SET A WD 420mm
£995.00
C-000.32.366
2.5x SET B WD 420mm
£995.00
C-008.32.356
2.5x SET C WD 420mm
£2,150.00
C-000.32.430
3.5x SET A WD 420mm
£1,175.00
C-000.32.440
3.5x SET B WD 420mm
£1,175.00
C-008.32.430
3.5x SET C WD 420mm
£2,350.00
C-000.32.431
4.5x SET A WD 340mm
£1,175.00
C-000.32.441
4.5x SET B WD 340mm
£1,175.00
POWER SUPPLIES
C-008.32.431
4.5x SET C WD 340mm
£2,350.00
X-007.99.660
£355.00
C-008.32.236
LED Loupe Light
mPack LL with Lithium battery pack and transformer. (17hr)
C-008.32.375
LED LoupeLight with mPack LL and EN 50, yellow filter
X-007.99.671
mPack LL with Lithium battery pack. without transformer. (17hr) (1)
£295.00
C-008.32.378
LED LoupeLight with mPack LL and plug in transformer, yellow filter
X-095.16.315
Transformer for mPack LL
X-095.17.300
EN50 Base Unit + Charging Station (2)
£995.00
(1)
£655.00 £1,225.00 £995.00
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(2)
£65.00 £295.00
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OPHTHALMIC
Head-worn Loupe LC Loupe clip with binocular loupe component for stereoscopic near vision, for attachment to most prescription glasses. The head-worn Loupe LC is suitable for situations requiring a low magnification. The user's hands remain free to perform whatever task is required. Angled gripping surfaces make it easy for the user to attach the clip without having to remove his/her glasses. Non-slip caps on the peg prevent scratching of spectacle lenses. The height and tilt of the loupe components can be adjusted as required.
The name Carl Zeiss is synonymous with excellent optics. Carl Zeiss produce the best binoculars, camera lenses and medical loupes and magnifiers. Veterinary Instrumentation is very pleased to add Carl Zeiss products to its surgical range. Included in this section is a selection of Carl Zeiss products from simple magnifiers to sophisticated loupes which are acknowledged to be the best in the world. For those using prescription spectacles we offer an in house fitting service.
Although reasonably priced the downside of simple loupes is that as the magnification increases the working distance decreases which can be quite distracting. The head-worn Loupe LC is supplied in a plastic box and is available with the powers 4 D or 6 D. The binocular loupe components are easy to change and can also be used on the head-worn Loupe L.
Head-worn Loupe L
Weight 20g. Available as: 4 Dioptre (1.25X) Working Distance 260mm 6 Dioptre (1.4X) Working Distance 200mm ZEISS HEAD-WORN LOUPE LC Z125LC
LC Loupe 1.25X
£85.00
Z140LC
LC Loupe 1.40X
£85.00
Head-worn Loupe KF Titanium
Head-worn loupe with binocular loupe component for stereoscopic near vision, also suitable for spectacle wearers. The head-worn Loupe L is suitable for situations where low magnifications are sufficient. The user's hands remain free to perform whatever task is required. The vertically adjustable visor with lateral shielding prevents stray light from impairing the wearer's vision and can be easily swung out of the field of view, if required.
The head-worn Loupe KF Titanium is used for binocular, stereoscopic near vision in medicine and technology. The teleloupe system features a Kepler design and is mounted on the system carrier KF Titanium, a frame with straight sides and an elastic headband. The optical system is available in various magnifications and working distances, and the system carrier in various frame sizes. High-eyepoint eyepieces for spectacle wearers allow the system to be worn in front of the frame, which can be glazed with lenses of any prescription.
Although reasonably priced the downside of simple loupes is that as the magnification increases the working distance decreases which can be quite distracting. To enhance wearing comfort, the headband is fitted with an exchangeable textile pad. A spare pad is included with the loupe on delivery. The elastic rear headband can be set to whatever length is needed. The head-worn Loupe L is available with the powers 4 D or 6 D. The binocular loupe components are easy to change and can also be used on the head-worn Loupe LC.
The vertical positioning and inclination of the teleloupe system K relative to the eyes are performed via the connecting component of the system carrier.
Weight 110g. Available as:
The PD is set via the folding bridge of the system. If required, the teleloupe system K can be swung out of the field of view and then returned to the work position. The screw-on lens protection device - a standard component in the delivery package of the teleloupe system K - protects the optical systems from splashes.
4 Dioptre (1.25X) Working Distance 260mm 6 Dioptre (1.4X) Working Distance 200mm ZEISS HEAD-WORN LOUPE L Z125LOUPE
1.25 Loupe
£110.00
Z140LOUPE
1.40 loupe
£110.00
Weight 135g These bespoke loupes are available in a wide range of options 4-8X magnification 190 to 500mm working distance Small, medium and large frames Phone +44 114 258 8530 to discuss your detailed requirements. ZEISS HEAD-WORN LOUPE KF TITANIUM
172
ZKFTI01
Loupe KF Titanium
ZKFIT
KF Fitting charge (visit)
£1,650.00 £100.00
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OPHTHALMIC
www.vetinst.com Head-worn Loupe KS
Teleloupe Spectacles GTX2
The head-worn Loupe KS is used for binocular, stereoscopic near vision in medicine and technology. The teleloupe system features a Kepler design and is mounted on the system carrier S (support). The optical system is available in various magnifications and working distances. Thanks to its individual fitting possibilities, the support offers a high degree of wearing comfort. The high-eyepoint eyepieces for spectacle wearers allow the wearing of prescription eyewear behind the teleloupe system K. The vertical positioning and inclination of the system are performed via the connecting component of the support. The PD is set with the folding bridge of the system. If required, the teleloupe system K can be swung out of the field of view and then into the work position again. Weight 330g These bespoke loupes are available in a wide range of options 4-8X magnification 190 to 500mm working distance
The Teleloupe Spectacles GTX2 are a head-worn loupe which must be fitted for each individual wearer by an eyecare professional. They are used for binocular, stereoscopic near vision in medicine and technology.
Small, medium and large frames Phone +44 114 258 8530 to discuss exact requirements
The teleloupe systems with a Galilean design have a magnification of 2X. They are available with five different working distances. The systems are contained in mounting rings which are cemented onto glass spectacle lenses featuring any prescription.
ZEISS HEAD-WORN LOUPE ZKS ZKSLOUPE
KS Head Worn Loupe
£1,650.00
Saphiro LED Illumination for Loupes
The carrier lenses can be inserted in any sturdy spectacle frame with good fitting properties. The small size of the systems allows good orientation to the surrounding field.
Brilliant white light just where you need it.
For cementing of the mounting rings, the following specifications are required:
Supplied with attachment bracket, please state if your loupes are KF, KS, GTX style.
1. single PD for distance. (The nasal inset for near is calculated on the basis of the different parameters listed from 2 to 4.2) 2. viewing height for near (centre of mounting ring) 3. vertex distance (corneal vertex - front lens vertex) 4. prescription of carrier lenses 4.1 distance correction 4.2 near correction (specification of addition) If you do not have these details one of our specialists will visit you in your practice for a personal fitting. Weight 6g per system Magnification is 2X or 2.5X. Working distance options from 300mm to 500mm. Please phone +44 114 258 8530 to dicuss your requirements in detail. Price includes frames and prescription lenses but not a fitting charge. We strongly recommend that you allow a Zeiss specialist to fit these loupes to ensure that you are completely satisfied. ZEISS TELELOUPE SPECTACLES GTX2
SAPHIRO LED ILLUMINATION FOR LOUPES ZSALED01
Saphiro LED Illumination
£875.00 173
ZGTX2
Teleloupe Spectacles GTX2 2.0X
ZGTX25
Teleloupe Spectales GTX2 2.5X
£1,100.00
ZGTXFIT
Teleloupe Fitting Charge (visit)
£100.00
£975.00
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OPHTHALMIC
Beta 200 Ophthalmoscope Heine
Ophthalmic Diagnostic Schiotz Tonometer with Weights
The separation of the illumination and observation beam avoids both corneal and iris reflex. The BETA 200 allows you to view the whole of the illuminated section of the retina even with a small pupil. You will need a handle or other power source see page 243. BETA 200 OPHTHALMOSCOPE HEINE
Used to measure intra-occular pressure. Surprisingly well tolerated by patients. Contains full instructions for use. SCHIOTZ TONOMETER WITH WEIGHTS 581500
Schiotz Tonometer, inclined scale, in case
£180.00
C-001.30.100
BETA 200 head (no handle) 2.5v
£245.00
C-002.30.100
BETA 200 head (no handle) 3.5v
£245.00
X-001.88.069
Spare 2.5v bulb
£24.00
X-002.88.070
Spare 3.5v bulb
£24.00
Finhoff Transilluminator Heine For scleral transillumination.
TonoVet TonoVet is based on a new ‘induction impact principle’, where an ultra light probe touches the cornea very gently. As such, no topical anaesthetic is required. Usually the animal does not even notice so sedation is seldom needed. The clear benefit compared to the ‘pen’ type tonometer is TonoVet’s low force on the eye. The probe weight is a mere 26.5mg with a contact time of 0.3 millisecs. The ‘pen’ type probe actually bends the cornea.
FINHOFF TRANSILLUMINATOR HEINE
In practical terms this means that intra-occular pressure can be measured by the Tonovet within an hour of surgery. With ‘pen’ types you have to wait 4 to 5 hours.
C-001.17.080
Finhoff Transilluminator 2.5v
£75.00
C-002.17.080
Finhoff Transilluminator 3.5v
£85.00
X-001.88.077
Spare 2.5v bulb
£24.00
X-002.88.078
Spare bulb 3.5v
£24.00
Uses standard AA batteries. c.f. The custom expensive ‘pen' type ones.
Indirect Viewing Lens Aspheric 20 diopter hand held lens. Cost effective method for examining the fundus. Supplied with storage bag.
Placing the sterile tip on the cornea generates a digital pressure reading. Supplied in aluminium carrying case together with 100 probes. Further information, including published papers are available on request.
INDIRECT VIEWING LENS
TONOVET
C0017992
581600
Tonovet Kit
581610
Tonovet Probes (100)
CDT0N0
Free procedure CD rom
£2,195.00 £125.00 £FOC 174
Indirect Viewing Lens
£80.00
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OPHTHALMIC
www.vetinst.com
Sigma Spectacle Type
Indirect Ophthalmoscopes Heine Monocular Hand Held
• 6v 5w halogen bulb • 90g comfortable (without frame) • Integral red-free and cobalt blue filters • 2D and plain lenses supplied • Optics swivel out of line of vision • Requires power source
• Built-in interference free red filter • Durable metal construction • Adjustable light beam
SIGMA 150 SPECTACLE TYPE
• +3D lens attachment
C-004.33.350
Sigma 150 with ‘S’ Frame without power source
£875.00
X-007.99.660
mPack LL with Lithium Battery Pack and Transformer
£355.00
• Can be updated to binocular version (see below) • Requires power source either 3.5v handle or 6v transformer see page 243 MONOCULAR HAND HELD C-002.33.001
Monocular hand held indirect ophthalmoscope 3.5v
£450.00
C-004.33.001
Monocular hand held indirect ophthalmoscope 6v
£485.00
Heine Portable Slit Lamp HSL 150 Binocular Hand Held
• At 70 grams the lightest slit lamp of its kind • 6X magnification with 20D loupe • Slit adjustable from 0.2mm x 10mm to 4mm x 14mm • Blue interference filter (FITC) can be combined • Multicoated optics for maximum light transmission • Use any Heine 2.5v or 3.5v source (not included - see page 243) The specialist's instrument of choice. Turns the eye into a work of art.
• PD selection 54 to 74mm • Quick and easy to adjust • Multi coated lenses • Requires power source either 3.5v handle or 6v transformer see page 243
BINOCULAR HAND HELD C-002.33.002
Binocular hand held ophthalmoscope 3.5v
£975.00
HEINE PORTABLE SLIT LAMP HSL 150
C-004.33.002
Binocular hand held ophthalmoscope 6v
£975.00
C-001.14.602
2.5v HSL 100 Slit lamp
£495.00
C-000.33.106
Binocular convertor for monocular indirect
£495.00
C-002.14.602
3.5V HSL 199 Slit lamp
£495.00
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Chapter 12
DENTAL MACHINES
Air Driven Dental Units
Air Driven Dental Units
To obtain the truly high speeds required for drilling and burring an air driven dental unit is necessary. Veterinary Instrumentation can supply two levels of air driven dental machines. The Midmark VetProTM 1000 is state of the art with exclusive oil-free technology, whilst the Veterinary Instrumentation Minicart is a straightfroward unit containing all the essentials of an air driven dental machine. Both are offered as a complete set up for cutting and polishing but can be modified by the addition of further handpieces and accessories.
Veterinary Instrumentation is very pleased to have been appointed exclusive UK distributor for Midmark. The Midmark family also includes the Matrx range of Anaesthesia machines and Cardell monitors. With over 90 years of healthcare manufacturing and clinical use experience, Midmark are recognised as leaders in veterinary dentistry, anaesthesia and monitoring.
VETERINARY DENTISTRY Veterinary dentistry, in many practices remains an unglamorous cousin to ‘real’ veterinary surgery. In fact good dental health contributes hugely to any pet’s well being. Veterinary dentistry should also be making a significant contribution to the well being of any practice. Dentistry is one of the few areas where there is potential for expansion. A brief examination of the mouth of most pets will reveal teeth which need attention. Owners are very familiar with the concept of routine check ups and dental work.
VetProTM 1000
Dental equipment is not hugely expensive when compared to much other capital equipment and unlike many other practice investments dental equipment quickly pays for itself. As a minimum every practice should have an ultrasonic scaler and polisher. Scaling without polishing is generally regarded as bad practice. There is, however, more to dentistry than scaling and polishing and most practices wishing to offer a full service will want to invest in a more sophisticated machine. Until recently only air driven machines were able to offer speeds high enough to drive the high speed burs necessary for removing fractures roots and cutting teeth. On page 179 we are offering an all electric NSK machine which can do everything an air driven machine can. Within this section of the catalogue you will find a range of dental equipment from a simple piezo ultrasonic scaler to the new fully featured Midmark machine.
Some dental units are supplied with integrated suction driven by the venturi effect using compressed air. In our experience this type of suction is very hungry on air necessitating a large, expensive compressor. In addition the nature of the suction tubes of venturi type are difficult to clean and sterilise. Stand alone suction units are inexpensive and much more efficient plus they can be used elsewhere in the clinic. See chapter 21 page 249.
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DENTAL MACHINES
www.vetinst.com VetProTM 1000
Handpieces
Introducing the VetPro™ 1000 Mobile Dental Delivery System from Midmark. Our exclusive, oil-free technology means there is no oil to contaminate your handpieces, providing a clean, dry, aseptic work environment for you, your staff and your patients. And best of all...no more oil changes. That’s better for your staff and better for the environment. Integrated oil free compressor means no worries because it eliminates potential oil exposure to patients and messy changes! You will also be investing less often in handpiece replacement with no degradation from oil contamination.
A quiet handpiece, weighted and balanced for improved feel. 350,000 RPMs’s at 32 PSI. Autoclavable. Supplied with a 6 month warranty.
Handpieces automatically activate when removed from holders allowing you to focus on the client. You can switch from handpiece to handpiece without touching a button — the unit will automatically adjust as the handpiece is lifted from its cradle
HIGH SPEED HANDPIECES MID002-1155
High Speed Miniature Head
£245.00
MID002-1157
High Speed Fibre Optic
£395.00
High and low speed handpieces included Integrated Piezo Scaler also included which saves valuable space and improves efficiency during the procedure. Standard Midwest 4-Hole connection type Quiet — Compressor has a sound level of 40dB Optional fibre optics enables proper lighting
A highly versatile low speed handpiece. Accepts disposable or metal prophy angles and straight handpiece burs. Range 0-5000 RPM at 40-45 PSI. Nonreversible. Supplied with a two year warranty.
Quickly toggle between the dual 1-liter water bottles with a flick of a switch without de-pressurizing the system. External quick connects for water and air make setup easy.
LOW SPEED HANDPIECES
Medical grade castors and 3m hospital grade power cord allow you to position the cart where you need it.
Durable construction. Its durable construction withstands the rigors often found in clinical settings. The VetProTM 1000 has a completely enclosed system to protect internal mechanics from contaminants and animal hair, made from a sturdy ABS plastic to withstand the strains caused by frequent usage.
MID002-1156
Little Pro Hygiene
MID002-1159
Autoclavable Prophy Angle
£27.50
P464
Prophy Cups (x144)
£46.00
£435.00
Other Handpieces and accessories are shown on Page 180
Dimensions 47cmD x 59cmW x 93cmH
Acteon Satelec Scaling Tips Supplied with High speed Miniature Head Little Pro Hygiene Low Speed Handpiece Autoclavable Prophy Angle VetPro Bur Starter Kit Aceton Satelec Scaler & tips MID016-1203-00, 03, 04 & 01
These corrosion resistant scaling tips are made exclusively by Satelec using patented procedures. Each tip is individually tested and ‘tuned’ enabling more powerful cavitation, better spray control and perfectlycontrolled vibration energy at the end of the instrument.
VETPRO 1000 MID8000-005
VetPro 1000 with integrated Scaler*
£4,350.00
MID8000-006
VetPro 1000 with integrated Scaler and Fibre Optics*
£4,950.00
ACTEON SATELEC SCALING TIPS
*Carriage Extra
177
MID016-120300
Universal, Tip No. 1
£70.00
MID016-120303
Voluminous Calculus, Tip No2
£70.00
MID016-120304
Shallow Pockets, Tip No.10P
£70.00
MID016-120301
Subgingival, Tip No. 10Z
£70.00
MID016-120302
Periodontics, Micro Universal Curette, Tip No.3 H3 £70.00
12
DENTAL MACHINES
VI Mini Cart The MiniCart is plumbed for ultrasonic scalers. Any ultrasonic scaler can be simply plugged into the unit to obtain water under pressure.
The ‘Plus’ versions of the MiniCart include our USD scaler at a small premium.
VI MINI DENTAL CART Head Unit, Floor Stand and Quiet Bambi Compressor Handpiece Holders and Air Lines for: High Speed 1 (HS1) with Water Flow Control Low Speed (LS) 3 Way Air/Water Syringe Switched Handpiece Activators Water Supply, Filter, Regulator, On/Off Switch Tray style top Socket Power Board Pressurized Water Outlet for Ultrasonic Tooth Scalers Dimensions 470mm wide x 550mm deep Height adjustable from 630mm to 860mm Supplied as a complete package the Veterinary Instrumentation Mini Cart includes all the essential elements for a veterinary air unit. Made in the UK to our specification and incorporating Bambi medical standard compressor.
Handpieces High Speed Handpiece Push Button Low Speed 30,000 rpm Motor for Polishing Polishing attachment for low speed (L688 + L670) Pack of screw-on Prophy cups
The standard Mini Cart is supplied with the following handpieces: Push button highspeed, low speed motor, polishing attachment and pack of prophy cups. Both handpieces are controlled via the foot control. Many other handpiece options are available to fit the standard outlets. The inside of the dog or cat’s mouth is relatively dark. It is difficult to set up ancillary lighting to get light to where you need it (c.f. human dentistry). Fibre optics deliver brilliant light exactly where you need it. The fibre optic version of the MiniCart includes fibre optic light to the high speed handpiece.
VIMINI
VI Mini Dental Cart complete *
£2,250.00
VIMINIFO
VI Mini Dental Cart complete with fibre optics*
£2,750.00
VIMINIPLUS
VI Mini Dental Cart complete with ultrasonic scaler* £2,500.00
VIMINIFOPLUSVI Mini Dental Cart complete with fibre optics and Ultrasonic scaler*
£2,950.00
Carriage is extra for all items marked*
VI Mini Cart Options Consider also the Rabbit option and the Diamond saw option. Any scaler will work with the Mini Cart without the requirement for a pump up water bottle.
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DENTAL MACHINES
www.vetinst.com
NSK Dental/Surgical Micromotor
Micromotor NM300
Surgic XT
• Speed variable between 2,000 and 30,000 rpm
This powerful, reliable motor performs all the functions of a low speed handpiece without the requirement for compressed air. • Variable footswitch for speed control within preselected range. The micromotor has the same fitting as the low speed motor and can be used to drive a variety of handpiece combinations.
The Surgic XT offers all the features of an air driven system but is fully electric avoiding all the problems of air compressors. The motor runs up to 40,000 rpm and when used with step up handpieces runs fast enough for High speed burs. The integral irrigation system provides cooling for the burs. 10 programmes can be preset for most situations which are switched via the foot control or the wipe clean console. The foot control also manages hands free bur speed, coolant and forward/reverse.
Polishing Kit
Available in both fibre optic and non fibre optic versions.
Polishing Kit Including NM300 Micromotor Polishing Kit includes NM300 Micromotor, 1:1 Straight Nose Cone. 25 Oscillating disposable prophy heads and prophy paste. This Kit will also drive rabbit burs.
With appropriate shrouding the Surgic XT functions very effectively as a spinal or orthopaedic bur system. Specifications 230v or 120v AC 75ml/min maximum irrigation 10 programmes 268mm x 230mm x 103mm 200-40,000rpm micromotor Variable speed Foot control: speed, coolant, programmes & forward/reverse
IM3L7465S OSCILLATING PROPHY ANGLE SEMI-DISPOSABLE Oscillating prophy angle fits on straight nose cone (shown). Generates less heat than standard types with much less hair wrap.
NB Does not include handpieces. SURGIC XT SYSTEM Y1001204
Surgic XT Fibre Optic
£2,975.00
Y1001207
Surgic XT Non Fibre Optic
£2,575.00
Handpieces for Surgic XT H260001 Non optic 1:1 Straight nose cone for use with rabbit bur option use burs with prefix HP, also for use with oscillating prophy head max 6,000rpm. This reduction is controlled by settings on the micromotor.
SGS-E2S 1:2 str Nosecone
Used in conjunction with the 40,000rpm micromotor this handpiece gears up the speed to a maximum of 80,000rpm fast enough for a spine bur.
MICROMOTOR 1007
Micromotor NM300 (Motor and foot control)
£650.00
1007A
Micromotor Polishing Kit
£825.00
Additional Options X-SG93l 1:3 Push Button High Speed
Geared up x 3 this handpiece is fast enough for high speed burs. Titanium bodied and designed for durability. The fibre optic version has cellular glass optics. The head has a low profile for maximum access. SURGIC XT SPECIFIC HANDPIECES H266
SGS-E2S 1:2 Str Nosecone
£745.00
C641
X-SG93L 1:3 Push Button High Speed FO
£795.00
C642
X-SG93 1:3 Push Button High Speed Non FO
£575.00
Y110148 Non optic 1:1 Contra angle for use with RA burs for cutting teeth and latch prophy cups (P465) for post-scaling polishing. 1:1 ATTACHMENT AND CONTRA ANGLE (LATCH) HEAD
For other micromotor handpieces see page 180 NSK handpieces fit all micromotors.
Y110148 179
1:1 Attchment Contra Angle (Latch Head)
£105.00
12
DENTAL MACHINES
Low Speed Motor
1:1 Attachment and Contra Angle (Latch) Head The 1:1 attachment pushes directly onto the low speed motor and transmits actual motor speed to the head fitting (it has a blue band). The head may be either a prophy head (P465)or a contra angle (right angle) head.
Running with low speed (20,000 rpm) and high torque, this motor is used to drive several dental accessories e.g. straight nose cone, prophy heads and the latch head. The motor has forward and reverse, controlled by a collar near the motor base. The accessories listed will also fit directly onto electric drive micromotors such as the Nouvag NM300 see page 179.
The contra angle head offers a higher torque than the high speed. The speed is limited to 25,000rpm. A range of contra burs is available as bur kit D752. Use RA prefix when ordering packs of burs. See page 183
LOW SPEED MOTOR M195001
Low Speed Motor Only
£235.00
Y160020
Speed Motor Kit inc motor, 1:1 SNC & Contra Angle Latch Head/1:1 Attachment Complete
£425.00
1:1 ATTACHMENT AND CONTRA ANGLE (LATCH) HEAD Y110148
4:1
1:1
If using an air driven unit we advise the 4:1 reduction straight nose cone. If using an electric micromotor the 1:1 may be used but turn the maximum speed down to 6,000rpm.
Running with high speed and low torque this handpiece is designed to remove tooth or bone as part of extraction or repair techniques. Use of Roto Pro burs (see page 182) allows the high speed to be used as an ultrasonic scaler for tartar removal. Only Friction Grip (FG) burs fit the high speed. Fine water jets cool the bur. The fibre optic version illuminates the operative area with a brilliant cold light. The Midmark handpieces have 6 month warranty. Use FG as prefix when ordering burs.
STRAIGHT NOSE CONE H260001
Straight Nose Cone 1:1 (used in rabbit bur option)
£165.00
H262001
Straight Nose Cone 4:1 reduction for oscillating prophy
£195.00
HIGH SPEED HANDPIECE High Speed Push Button
£225.00
MID002-1155 High Speed Miniature Head Push Button Midmark
£245.00
MID002-1157 High Speed Fibre Optics Push Button Midmark
£395.00
Teflon Drops
H262001
P560001
H260001
This accessory pushes directly onto the low speed motor and drives a range of handpiece (HP+HL) burs and the diamond disc. This combination is used to cut rabbit teeth and drill holes in bone. In addition HP burs may be used in the straight nose in spinal procedures. 6,000rpm is the recommended maximum speed for prophy cups.
High Speed Handpiece
100006
£105.00
Straight Nose Cone
Handpieces
P560001
1:1 Attachment and Contra Angle (Latch) Head
4:1 Reduction Attachment, Rotating Prophy Heads and Cups
£16.50 C188001 Snap On
LED Illuminated High Speed Handpieces
C187001 Screw On
The 4:1 attachment gears down the low speed motor by 4 times, this should be set to 6000rpm. It offers very high torque which is the best speed for polishing teeth. It has a green band and is used to drive prophy heads. We recommend the screw-on type prophy cups. Prophy cups are used in conjunction with abrasive prophy paste to polish teeth following scaling. Failure to polish will result in a rapid build up of new plaque.
Daylight colour light 25000lux No wires or transformers Cool light Swivel option
Screw In Prophy Head
Standard connectors to fit all machines
Far fewer problems with hair.
Snap On Prophy Head
12 month warranty
Widely used but has some problems in veterinary dentistry. Muzzle hair becomes caught behind the ‘button’ and when combined with prophy paste quickly degrades the head.
The LED High Speed represents a huge step forward in dental handpiece technology. Up until now illuminated handpieces have been both inefficient & unreliable. In addition they required complex, fragile wiring and power supply. The self generating LED does away with all the wiring and comes with a 12 month warranty. The low voltage power required by the LED is generated by the turbine as it spins.
4:1 REDUCTION ATTACHMENT, ROTATING PROPHY HEADS & CUPS C634001
4:1 Handpiece Body
C187001
Prophy Head Screw On (ISO)
£87.50
P262
Prophy Cups Screw On x 144
£59.50
C188001
Prophy Head Snap On (ISO)
£87.50
£1,295.00
P464
Prophy Cups Snap On x 144
£46.00
£16.00
P465
Contra Angle (Latch) Head Prophy Cup x 36
£23.00
LED ILLUMINATED HIGH SPEED HANDPIECES L5200
LED High Speed Handpiece
L5300
LED High Speed Handpiece with Swivel
MD30
LED Handpiece Oil 30ml
C634001 4:1 Handpiece Body
£835.00
180
£125.00
DENTAL MACHINES
www.vetinst.com Oscillating Prophy Head
12
Options Rabbit Option
Developed for human dentistry to combat the risk of HIV the disposable prophy head is surprisingly cheap and minimises the risk of FeLV and FIV transmission. The oscillating action means there is no heat build-up on the tooth surface and ‘snagging’ on muzzle hair is minimal. Available in packs of 25 or 100. The oscillating disposable prophy fits onto the straight nose cone to achieve the correct running speed. Use 4:1 nose cone with air equipment which takes the speed down to a maximum of 6,000rpm. Electrical micromotors can use the 1:1 nose cone provided the maximum speed is adjusted down to 6,000rpm. Use coarse prophy paste for best results. OSCILLATING PROPHY HEAD SEMI DISPOSABLE IM3L7465S
Oscillating Disp Prophy Angle (for 4:1 reduction) x 25
£25.50
IM3L7465L
Oscillating Disp Prophy Angle (for 4:1 reduction) x 100
£97.50
Prophy Paste Prophy paste is an abrasive polishing compound used in conjunction with prophy cups and brushes to create a highly polished enamel surface which is resistant to tartar build up. Use regular paste for rotating cups and coarse paste for oscillating prophy heads.
Rasping is a very inefficient method of levelling rabbit and rodent molars. The best method is the use of side cutting burs. Our rabbit bur kit includes two of each of the most useful handpiece burs which fit the 1:1 straight nose cone. They are housed in a custom made stainless block which also has holes for your favourite friction grip burs for the high speed. To minimise damage to the cheek and tongue, a soft tissue protector is highly recommended. The soft tissue protector and burs were developed by David Crossley. See our rodent dentistry section page 192 for further details. HANDPIECE OPTIONS - RABBIT
PROPHY PASTE £9.00
001792
Rabbit bur kit (6 burs in block)
Prophy Paste Regular. 200 (2g) individual pots
£55.00
H260001
1:1 Straight nose cone
Coarse Prophy Paste. 200 (2g) individual pots
£55.00
001793
Soft tissue protector
001794
Rabbit Bur Option (includes all of above)
HL563D
Very long side cut diamond bur (smoother cut and less heat than carbide)
P466
Prophy Paste 300g
P466R/200 P4660DP
Cleaning and Lubricating Spray
£42.50 £165.00 £52.50 £230.00 £5.25
Diamond Disc Option
A convenient spray for cleaning and lubricating handpiece
Diamond coated discs make short work of sectioning teeth and shortening rodent incisors. To minimise risk to surgeon and patient always use a disc safety shield. Fits onto 1:1 straight nose cone. If you do not have an airdriven high speed unit this may be your only tooth cutting option. HANDPIECE OPTIONS - DIAMOND DISC 001789
Diamond (double sided) Disc
£25.00
001791
Diamond disc safety shield
£49.50
£24.50
001790
Diamond disc option (includes both of the above)
£9.50
H260001
1:1 Straight nose cone
CLEANING AND LUBRICATING SPRAY Y900-630
Cleaning and lubricating handpiecce spray
Z019090
Applicator nozzle for low speed motor attachments
181
£65.00 £165.00
12
DENTAL MACHINES
Burs
Roto-Pro Burs
Bur Kits
When run in a high speed handpiece roto-pro burs produce vibrations at 20,000 cycles per second. These burs are very effective for removing calculus. The action is quite aggressive so care must be exercised.
Each bur kit contains a range of useful burs for each application. Each comes with a simple to follow guide for bur usage.
ROTO-PRO BURS
BUR KITS D751
Dog, High Speed Bur Kit (F/G)
£49.50
R350
Flame (pack of 6)
£24.00
D752
Contra (Latch) Right Angle Bur Kit (R/A)
£49.50
R351
Perio (pack of 6)
£24.00
D753
Cat, High Speed Bur Kit (F/G)
£49.50
D754
Low Speed (HP) Bur Kit (for SNC)
£49.50
Small Animal Speciality Burs in Block
Dental Burs To aid correct bur selection, see chart opposite and use the following steps
Identify shaft type i.e. FG, RA, HP or HL (top row)
Identify the head shape (green column)
Select the diameter of the head (white column) All the burs you need for routine veterinary dentistry in one autoclaveable block. The set includes 12 slow speed (HP shank) burs and 12 high speed (Friction grip burs). Includes: Side cutting
Round
Pear
Code
Number
FG698
2
FG701
2
FG702
2
HP702
2
HP703
2
HP560
2
FG1/4
2
FG4
2
HP4
2
HP8
2
FG330
2
HP332
2
Choose between Carbide or Diamond head
Application
Please ask a member of our Vet Tech team if the bur you are looking for is not shown.
Section teeth, Reduce molars in rabbits
Atomise roots, Trimming molars in rabbits
BUR PREFIX
PACK SIZE
CARBIDE
DIAMOND
5FG
Five
£13.75
£16.50
5RA
Five
£13.75
£16.50
HP
Single
£3.50
£4.50
5HP
Five
£13.75
£16.50
HL
Single
£4.50
£5.25
5HL
Five
£19.75
£23.75
Smooth bone
SMALL ANIMAL SPECIALITY BURS IN BLOCK BURKIT24
Block Including Burs (24)
£95.00
BURBLCK24
Block Alone
£22.50
See overleaf for full bur chart 182
12
DENTAL MACHINES
www.vetinst.com
Dental Burs - Many New Shapes FG
RA
Head Shape
Diameter
Carbide 5 Pack
Diamond 5 Pack
Small Round
0.5
5FG 1/4
5FG 1/4D
Medium Round
1.4
5FG4
5FG4D
5RA4
5RA4D
HP4
5HP4
HP4D
5HP4D
Large Round
1.8
5FG6
5FG6D
5RA6
5RA6D
HP6
5HP6
HP6D
5HP6D
Extra Large Round
2.1
5FG8
5FG8D
5RA8
5RA8D
HP8*
5HP8
HP8D
5HP8D
Extra Small Taper Fissure
0.8
5FG698
5RA698
HP698
5HP698
Small Taper Fissure
1.2
5FG701
5RA170L
HP701
5HP701
Medium Taper Fissure
1.6
5FG702
5FG702D
HP702
5HP702
Medium Taper Long Head
1.6
5FG702L
5FG702LD
HP702L
5HP702L
Large Taper Fissure
2.1
HP703
5HP703
HP703D
5HP703D
Extra Large Taper Fissure
2.3
HP704*
5HP704
HP704D
5HP704D
Extra Small Flat Fissure
0.9
5FG556
5RA556
HP556
5HP556
1
5FG557
5RA557L
HP557L
5HP557L
HP557D
5HP557LD
Medium Flat Fissure
1.6
5FG5660
5RA560
HP560
5HP560
Large Flat Fissure
2.3
HP563
5HP563
HP563D
5HP563D
Small Inverted Cone
0.6
HP39
5HP39
HP39D
5HP39D
HP332
5HP332
Small Flat Fissure
Medium Inverted Cone
5FG35
Large Inverted Cone
1.4
5FG37
Extra Large Inverted Cone
1.8
Extra Small Pear
0.6
5FG329
Small Pear
0.8
5FG3330
1
5FG331
1.2
5FG332
1
5FG1557
1.2
5FG1558
Large Pear Medium Domed Fissure Large Domed Fissure
5RA702L
Diamond 5 Pack
5RA170LD
5RA702LD
5RA557LD
5RA37
Diamond Singles
Diamond 5 Pack
5RA37D
5FG1558D
Carbide Singles
Carbide 5 Pack
Diamond Singles
Diamond 5 Pack
Extra Large Taper Fissure
HL704
5HL704
HL704D
5HL704D
Large Flat Fissure
HL563*
5HL563
HL537D
5HL537D
Diameter
Carbide 5 Pack
5FG35D
HL
Additional Burs Extra Long
Carbide Singles
5FG331/2
1
Medium Pear
Carbide 5 Pack
HP
* in Rabbit bur Kit
183
12
DENTAL MACHINES
Introduction
Piezo Scaler with detachable, autoclavable handpiece
It is possible to scale and polish using only hand instruments. It is, however, extremely time consuming. Teeth must be polished after scaling or plaque and tartar will quickly reform.
UDS-P
Ultrasonic Scalers Ultrasonic scalers work by delivering high frequency vibrations to a metal tip. The vibration may be generated by a variety of mechanisms: • Sonic. The tip is vibrated using air from the compressor. The action is very gentle but very slow with cost and anaesthesia implications. • Magneto restrictive (cavitron type). The tip is vibrated by multiple layered metal strips and a magnetic field. Typically their type generates a lot of heat which requires a lot of cooling water. 35-38000Hz.
Supplied with G1 x 2, G2, G4 & P1 tips The UDS-P scaler has a detachable autoclavable handpiece. This means that handpieces can be switched between patients or at least regularly sterilised. Alternatively different piezo tips can be fitted to different handpieces.
• Piezo. The movement at the tip is generated by applying a current across a crystal. Typically uses less water. • Ferrite Rod. The tip movement is generated by an electrical field around a ferrite rod. This system is capable of producing higher frequencies up to 42,000Hz.
This scaler also features automatic frequency tracking with an LED output display.
Veterinary Instrumentation stock Piezo and Ferrite Rod types (iM3 42-12). We think these are most appropriate for veterinary use.
PIEZO SCALER WITH DETACHABLE, AUTOCLAVABLE HANDPIECE & IRRIGATION
Piezo Scaler with Autoclavable Handpiece UDS-P
1022
Please note that all ultrasonic scalers should be used with care as inappropriate use will result in damage to enamel.
£395.00
Piezo Scaler with detachable, autoclavable handpiece with inbuilt water supply.
Piezo Scalers Supplied with 5 tips this is a reliable unit at a very reasonable price. If you cannot afford the 42-12 this is the best scaler for you. It will require a water source. Either plug straight into your VI dental unit unit or purchase our pump up water bottle. CE marked.
UDS-L Supplied with G1 x 2, G2, G4 & P1 tips
UDS-J
This top of the range piezo unit has a handpiece which is detachable for cleaning and autoclaving . Separate handpieces may be set up with different tips. The controls are simple with an LED power readout. Supplied with 5 different replaceable, scaling tips. This unit is supplied with its own integrated pressurised water supply system. Alternatively the USD-L may be plumbed into your dental unit. Automatic frequency tracking.
Supplied with G1 x 3, G2, & P1 tips
PIEZO SCALER 1008
Piezo Scaler UDS-J
1010
Pump up Water Bottle (not necessary with VI Air Driven Units)
£45.00
Piezo Scaler Tip
£70.00
T0580
PIEZO SCALER WITH DETACHABLE, AUTOCLAVABLE HANDPIECE & IRRIGATION
£350.00
Piezo Scaler with Autoclavable Handpiece UDS-L
1020
£445.00
Piezo Scaler Accessories PIEZO SCALER ACCESSORIES
Spare handpiece for 1022 and 1020
1021
Spare Autoclavable Handpiece
£85.00
102G1
G1 Scaler Tip
£30.00
102G2
G2 Scaler Tip
£30.00
102G4
G4 Scaler Tip
£30.00
102P1
P1 Scaler Tip
£30.00
Piezo Scaler Tips G1
General purpose scaler for calculus removal
G2
Slightly stronger for heavy calculus
G4
184
A lighter version of G1
P1
Use for subgingival tartar.
DENTAL MACHINES
www.vetinst.com
12
CLS
iM3 Dentistry
• • • •
iM3 is an exclusively veterinary dental equipment company. iM3 understands the special requirements of veterinary dentists and has produced a range of products to meet these requirements. Reliability and quality of construction are key features. iM3 units are designed to last and last. Older units can be upgraded to current specification. Most specialist teachers recommend iM3.
Freshens mouth Disinfects mouth & machine Improves bur cutting Minimises cross contamination with FeLV & FIV
Used in the water system of dental units CLS freshens and sterilises the mouth. When used as coolant for high speed handpieces cutting efficiency is improved. It prevents transfer of FeLV and it can also be flushed through the air turbines to sterilise and lubricate them using the iM3 CLS flushing system.
iM3 42-12 Ultrasonic Scaler
The unique composition of CLS allows use of chlorhexidine in all dental equipment. Standard chlorhexidine crystallises out from solution and will damage your equipment. Do not use regular chlorhexidine in dental units as it will crystallise out in the handpieces rendering them inoperative. Purchase of the larger pack sizes gives significant savings. CLS CONCENTRATE CLS1
CLS Solution 250ml
CLS6
CLS Solution 250ml - 6 Pack
£60.00
CLS12
CLS Solution 250ml - 12 Pack
£100.00
£11.50
Plaque Disclosing Solution
The 42-12 is unlike any other ultrasonic scaler. All other ultrasonic scalers work on the ‘jack hammer' or scraping movement of the scaler tip. They need to remain sharp and scrape the tooth through the movement of the tip. They also generate a lot of heat and in many instances are unsuitable for subgingival scaling because of this. The 42-12 works in a similar fashion to a water bath instrument cleaner, where the high frequency ultrasonic sound lifts the plaque and calculus, the circular motion of the tip moves and dislodges loosened debris, which is washed away by the water. The extremely high frequency, 42,000Hz, and the small tip amplitude (0.02mm) all contribute to safer, quicker, less traumatic and more effective scaling. The shaft of the tip is totally round, made from titanium and has no fixed scaling position; it scales anywhere within 360 degrees. The shaft touches the tooth with as much of its length on the tooth as possible and is wiped back and forth without pressure, as though you are painting the tooth with a paint brush. More pressure does not improve the scaling. The 42-12 represents the cutting edge of ultrasonic scaler technology today, giving less enamel damage and scaling taking half the time. The capsule around virus or bacteria will be shattered by the ultrasonic sound within 1-2 mm of the tip in subgingival pockets. There is no foot switch but a sliding on/off switch on the handpiece. The water supply plugs directly into any iM3 dental unit or pump-up water bottle.
Many owners are very aware of the need for scaling and polishing on a regular basis. However, should any convincing be necessary the ‘iC Plaque disclosure’ is ideal for the purpose. Simply swab around the mouth with the convenient dispenser and the plaque shows up as a vivid pink. PLAQUE DISCLOSING SOLUTION
ICIM3 IM3 42-12 ULTRASONIC SCALER IM34212
iM3 Ultra Sonic Scaler with unique rotational tip
£1,250.00
OSO-208139 Scaler Handpiece
£245.00
OSO-209030 S Perio Tip
£265.00
OSO-209010 Standard Straight Tip
£285.00
OSO-209036 Thin Scaler Tip
£285.00
OSO-209080 Universal Scaler Tip
£245.00
FERRITEROD Ferrite Rod
£32.50 185
iCplaque (Box 72)
£40.00
13
Chapter 13
DENTAL HAND INSTRUMENTS
Explorer / Measuring Probe
Hoe Scaler Useful for removal of large areas of tartar and plaque from flat tooth surfaces. Double ended scaler.
HOE SCALER 012110
Hoe Scaler (double ended) 16
£21.50
Double-ended Scraper A detailed examination of the patient's mouth is the starting point of any dental care programme. This double-ended instrument is all you need.
The tips of this instrument are of familiar design mounted in a comfortable handle. One end is a fine hook to remove tartar from between teeth, the other is a shallow scoop to break tartar from flatter surfaces. A simple general purpose instrument for tartar removal.
The shepherd’s crook explorer is used to test tooth stability and the condition of the gum margins. Tartar and gum disease cause detachment of the gingivae exposing the tooth root. The depth of these sulci are measured using the measuring probe. Details are recorded for subsequent treatment and comparisons.
DOUBLE-ENDED SCRAPER
EXPLORER / MEASURING PROBE 012100
Shepherd’s Crook Explorer/ Measuring Probe
012020
£21.50
Double Ended Scraper
£21.50
Periodontal Hand Instrument Set Boxed
Subgingival Curette This scaler is used to remove subgingival tartar and to plane tooth roots. Unless the root is clean the gum will not re-attach. The back surface of the scaler is blunt to minimise damage to the sensitive gingivae. The instrument is double-ended and has a balanced grip for extra comfort in use.
Seven periodontal instruments in a stainless autoclave case. SUBGINGIVAL CURETTE 012130
Subgingival Curette (double ended)
Instruments include: mirror, shepherd hook explorer/measuring probe, straight curette scaler, angled curette scaler, angled jaquette scaler plus two fine probes. Comfortable silicone handles.
£21.50
PERIODONTAL HAND INSTRUMENT SET
Jaquette Supragingival Scaler
Periodontal Instrument Set in Autoclave Case
012210
This scaler is used to remove tartar from above the gum margin. The tip and back of the instrument is sharp to scrape between teeth. Do not use below the gum margin. Double-ended with a balanced grip handle for ease of use and comfort.
£125.00
Tartar Scrapers - Various
Traditional scrapers offering tip design as illustrated. TARTAR SCRAPERS
JAQUETTE SUPRAGINGIVAL SCALER 012120
Jaquette Supragingival Scaler
£21.50 186
012021
Single Ended Scraper 11
£24.50
012022
Single Ended Scraper 12
£24.50
012023
Single Ended Scraper 15
£24.50
012024
Single Ended Scraper 16
£24.50
13
DENTAL HAND INSTRUMENTS
www.vetinst.com Winged Elevators
Wedge Elevator Designed to remove the Upper Premolar IV (the carnassial) without the need to split the tooth. The tooth roots are elevated in the usual manner using carnivore elevators or luxators. The tip of the wedge is drilled through between rostral and posterior roots. The blade of the instrument is then worked under the tooth. As the width of the blade increases the tooth is forced from the alveolus. The triangular cross section of the blade supports the structure of the tooth during extraction.
Veterinary elevators designed by Dr Robert Wiggs. They have short winged blades with lateral edges which curve upwards further than traditional elevators, improving conformation to the root structure as well as instrument control. The narrow neck enhances visibility of the root and the shorter shaft improves handling and control, especially if the operator’s hands are not large. The design incorporates the best parts of an elevator and a luxator. Aluminium knurled handles are very comfortable in use. Flattened surface prevents rolling off the table. Available as a boxed set.
WEDGE ELEVATOR 012010
Winged elevator 1.0mm (purple)
£39.50
012390
Winged elevator 2.0mm (gold)
£39.50
012391
Winged elevator 3.0mm (blue)
£39.50
012392
Winged elevator 4.0mm (black)
£39.50
012393
Winged elevators Set of 4 (includes free stainless steel case)
£150.00
012395
Autoclavable Stainless Steel Case for Winged Elevators
£40.00
£29.50
Carnivore Elevator Removal of the teeth of dogs and cats requires rupture of the periodontal ligament. In relatively healthy roots rupture is very difficult, requiring great force. Rupture (and therefore extraction) is best achieved by forcing an elevator or luxator into the periodontal space. In the dog and cat the space is very narrow, quite different to the human situation. Our carnivore elevators are thin and very sharp.
WINGED ELEVATORS 012389
Wedge Elevator
CARNIVORE ELEVATOR
Winged Elevators with Short Handles
012001
Carnivore Elevator No. 1 (2.5mm)
£29.50
012002
Carnivore Elevator No. 2 (3.5mm)
£29.50
012003
Carnivore Elevator No. 3 (4.0mm)
£29.50
012001/4S
Set of Carnivore Elevators Nos. 1, 2, 3 (2.5, 3.5 and 4.0mm) and the wedge elevator
£100.00
Small Feline Elevator The 2mm angled tip on a fine handle allows access to lingual surfaces. Also useful in the extraction of rabbit incisors.
Actual size
SMALL FELINE ELEVATOR 012018 Our short handled winged elevators are designed to fit in the hand, particularly small hands. A palmed instrument is more under control as well as being more comfortable. The stainless case is silicone lined to minimise damage to the elevators yet convenient for autoclaving.
Small Feline Elevator
£29.50
Superfine Elevator Straight
WINGED ELEVATORS SHORT 012401
Rainbow 1.0mm
£37.50
012402
Gold 2.0mm
£37.50
012403
Slate 3.0mm
£37.50
012404
Black 4.0mm
012405
Set of four in stainless case
Actual size
£37.50
2mm with a comfortable handle.
SUPERFINE ELEVATOR STRAIGHT
£125.00
012004 187
Superfine Elevator 2mm straight
£29.50
13
DENTAL HAND INSTRUMENTS
Double Ended Elevator
Forte Luxators
The curved tips are designed to follow the concave and convex curvatures of the roots, helping to prevent breaking the roots.
Forte Luxators have been specifically designed to withstand the considerable force sometimes needed for controlled and safe tooth elevation. The extra strong cornered lip has been developed to aid grip. The best all round veterinary luxator. Available in 3 sizes.
DOUBLE ENDED ELEVATOR 012036
Double Ended Elevator 2mm
£27.50
012038
Double Ended Elevator 4mm
£27.50
Apical Elevator FORTE LUXATORS Used to remove tooth root fragments. APICAL ELEVATOR 012006
Heidbrink Apical Elevator
£29.50
012174
Forte Luxator 2.5mm Black/Green
£54.00
012175
Forte Luxator 3.2mm Black/Grey
£54.00
012176
Forte Luxator 4mm Black/Brown
012172
Forte Luxator Set of 3
£54.00 £135.00
Luxator Autoclave Case
Couplands Elevators
This is the standard human elevator. Generally considered too thick for veterinary use. LUXATOR CASE COUPLANDS ELEVATORS
FIXUS1
012015
Couplands Chisel No. 1 (3.0mm)
£29.50
012016
Couplands Chisel No. 2 (4.0mm)
£29.50
012017
Couplands Chisel No. 3 (5.0mm)
£29.50
Luxator Case
£9.00
Molt Periosteal Elevator 2/4 (4mm/6mm)
Molt is a double ended periosteal elevator often recommended by dental experts. The two tips are round and dished. 4mm and 6mm diameters.
Luxators Luxators, which are in essence very slim elevators, are favoured by many veterinary dentists for the rupture of the periodontal ligament. They are, in fact, designed for the human tooth but are very good for veterinary use. A veterinary set is now available containing the most useful luxators for feline and canine teeth: 1mm straight, 2mm straight, 3mm curved, 3mm straight, 3mm contra angle plus a sharpening tool. Swedish made, these Luxators are very thin and very sharp.
MOLT PERIOSTEAL ELEVATOR 2/4 (4MM/6MM) 001275
Molt Periosteal Elevator
Periosteal Elevator
£35.00 A.
B.
C.
LUXATORS 012177
Luxator 1mm straight
£54.00
012190
Luxator 2mm straight
£54.00
012191
Luxator 3mm straight
£54.00
012192
Luxator 3mm curved
£54.00
012194
Luxator 5mm straight
£54.00
PERIOSTEAL ELEVATOR
012195
Luxator 5mm curved
£54.00
001270
Periosteal Elevator. A (195mm - 4mm/7mm end)
£39.50
012192/CA
Luxator 3mm contra angle
£54.00
7350/05
Freer Periosteal Elevator 5mm. B (180mm)
£37.50
012196VET
Veterinary Luxator set. (Set of five c/w stone)
£220.00
001271
Curved 6mm Fibre Handle AO type. C (180mm)
£39.50
012146
Luxator Sharpening Stone
£25.00
001272
Very fine 2mm/3mm Periosteal Elevator. D (180mm)
£37.50
D.
Used to raise gingival flaps. The fine instrument is particularly useful in cats.
188
13
DENTAL HAND INSTRUMENTS
www.vetinst.com Tartar Forceps
Root Fragment Set
Our spring loaded tartar forceps are designed to sit comfortably in the hand to enable the veterinary dentist to remove quickly bulky deposits from teeth. TARTAR FORCEPS 012050
Tartar Forceps Spring Loaded
£55.00
012051
Tartar Forceps Cat Size Extraction Forceps / Small
£55.00
Tartar Forceps These tartar forceps are designed specifically for the removal of bulky tartar prior to scaling and polishing. One jaw is cup shaped to locate onto the tooth tip and act as a fulcrum for the other jaw. The other jaw is a sharp hook to engage the tartar at the gum margin. The jaws are designed to remove tartar from both flat surfaces and between teeth.
Removal of fragmented roots can be a challenge particularly if the roots themselves are healthy. A combination of elevation and forcep work is usually required. The set of three forceps with differing jaw angles covers all situations. The handles are anatomical and ergonomic. ROOT FRAGMENT SET Root Fragment Set (3 forceps)
012075
£85.00
Lip Retractor
TARTAR FORCEPS 012052
Tartar Forceps Cupix Point Style
£55.00
012053
Tartar Forceps Cat Size
£55.00
Hawksbill Forceps
The multi-rooted teeth of the dog and cat should be loose before extraction by forceps. The loosening may be due to dental disease or careful elevation. As well as firmly gripping the tooth to be extracted appropriate dental forceps should support the tooth structure. None of the several hundred human forceps available suit the teeth of our patients. The Hawksbill forceps are designed specifically for the extraction of multi-rooted teeth in the dog and cat. The lip retractor solves the problem of retracting the lip for clear access to the teeth. It has a new modified shape to prevent pinching the lip and the tips of the instrument are plastic coated to minimise trauma. It can be adjusted by lightly bending. 6.5" long and autoclavable.
HAWKSBILL FORCEPS 012030
Large Hawksbill Forceps
£55.00
012040
Small Hawksbill Forceps
£55.00
Small Incisor Forceps
LIP RETRACTOR 010147
SMALL INCISOR FORCEPS Small Incisor Forceps
£18.50
Dental Mirror
The tips of these forceps are ideal for the removal of single rooted, usually incisor teeth. Cross-hatched thumb area for extra control. Tips meet.
012070
Lip Retractor
DENTAL MIRROR £55.00
957900C 189
Dental Mirror
£6.75
13
DENTAL HAND INSTRUMENTS
Grays Mouth Gag
Sharpening Accessories
Simple action allows spring to gently open the jaws but does not allow the patient to close its mouth.
To work effectively both scalers and elevators need to be sharp. Regular sharpening will keep your instruments working correctly.
GRAY'S MOUTH GAG
IM3 White Stone Slip This stone has both flat and rounded surfaces to sharpen elevators and curettes. Use baby oil as lubricant.
012158
Hamilton Kirk Cat Gag
£44.00
012160
Grays Mouth Gag Small
£42.00
012170
Grays Mouth Gag Medium
£44.00
012180
Grays Mouth Gag Large
£48.00
012159
Grays Mouth Gag Set (3)
£110.00
Smith Baxter Mouth Gag Spring action maximises access but is less likely to overstretch the TMJ.
IM3 WHITE SLIP STONE 012150
IM3 White Slip Stone for curettes and elevators
£24.50
Diamond Card - Fine SMITH BAXTER MOUTH GAGS
This credit card sized, diamond covered plate is ideal for sharpening dental elevators and luxators. To work efficiently these instruments must be sharp. The diamond is virtually indestructable. An additional advantage is that the lubricant used is water rather than the oil used with sharpening stones.
012795
Smith Baxter Mouth Gags Spring Bar Type (Set)
£65.00
012795ES
Smith Baxter Mouth Gags extra small max gape 5.5cm
£12.00
012795S
Smith Baxter Mouth Gags Small max gape 6.5cm
£14.00
012795M
Smith Baxter Mouth Gags medium max gape 10cm
£16.00
012795L
Smith Baxter Mouth Gags large max gape 14cm
£18.00
012795EL
Smith Baxter Mouth Gags extra large max gape 15.5cm
£20.00
Dental Chart Stick-On Labels
DIAMOND CARD - FINE 012144
Flat Diamond Sharpening Card (Fine)
£21.50
Diamond Cone
An essential part of any dental programme is accurate recording. These stick-on labels make dental recording a simple process.
Subgingival curettes must be kept sharp to work efficiently. They should be checked and sharpened at least weekly. The diamond cone is indestructable compared with stones which break very easily and uses water rather than oil as a lubricant.
DENTAL CHART STICK-ON LABELS
DIAMOND CONE 012147
Diamond Flat
£29.50
012148
Diamond Cone
£37.50 190
012200
Dental Chart Labels - Dog (50)
£8.75
012201
Dental Chart Labels - Cat (50)
£8.75
012203
Dental Chart Labels Starter Set - Dog & Cat
£8.75
DENTAL HAND INSTRUMENTS
www.vetinst.com Dental Models
13
Dental Models Clear Rabbit (Leporidae)
Demonstrates many typical dental problems to clients with greater ease than in an uncooperative patient. Once the client understands the problem they will be much more likely to accept the necessity of any particular procedure.
Rabbit Model
DENTAL MODELS AMJ770
Dental Model Dog
£135.00
AMJ770C
Dental Model Cat
£135.00
AMJ771
Dental Model Dog with pathology
£180.00
AMJ771C
Dental Model Cat with pathology
£180.00
AMJ770S
Set of canine & feline model teeth
£260.00
AMJ771S
Set of canine & feline model teeth with pathology
£340.00
Dental Models Clear Feline/Canine
Feline Model Canine Model
These new clear dental models take the guesswork out of veterinary dentistry! By allowing you to observe the tooth and root patterns of a typical feline jaw, these hinged models let you demonstrate to your clients why a procedure is necessary and what will be involved.
This new dental model is in the same style as the popular Feline and Canine models released last year. The clear hinged model allows you to observe the tooth and root patterns of a typical Leporida. 2 education cards are also included, one which indicates the location of the Nasolacrimal duct, whilst the second helps you identify which approach to take and the instruments required.
Also included with the jaw is an education card. This valuable card helps you easily identify which approach to take and the instruments needed to precisely section and excise teeth by comparing the patient to the model and card, saving you valuable time under anaesthetic. The models show the roots of all teeth (incisors, canine, premolars, molars) and can be opened for better observation.
A very useful aid for this increasingly popular pet.
DENTAL MODELS CLEAR FELINE/CANINE D1050
Canine Clear Dental Model
£60.00
DENTAL MODELS CLEAR RABBIT
D1055
Feline Clear Dental Model
£60.00
D1057
Rabbit Clear Dental Model
D1060
Set of Feline and Canine Models
£110.00
D1062
Set of Feline, Canine and Rabbit Models
191
£65.00 £160.00
14
Chapter 14
RODENT DENTISTRY
Table Top Rodent Gag
LED Light For Table Top Gag
Illumination of the inside of the rabbit mouth is difficult without the hands of the surgeon getting in the way. The Rabbit gag LED light simply clips into the retaining mount which screws onto the threaded height adjustment control. The flexible neck of the light can be adjusted for best effect. The powerful white LED lasts for approximately 100 hours on a set of AA batteries. Also useful as a focal examination light elsewhere in the clinic.
Allows mouth to be held open in an appropriate position without assistance. The platform tilts allowing best positioning for surgeon and available lighting. It works even if incisors have been removed. Use the highest setting for rabbits.
Fits all table top gags. LED LIGHT FOR TABLE TOP GAG
012204
Table Top Rodent Mouth Gag
LED Light with Flexible Neck (inc clip)
012208
TABLE TOP RODENT GAG £295.00
£75.00
Rodent Mouth Gag
Photo Richard Saunders
Table Top Gag Economy Model
Without this gag examination and treatment of rabbit molars is virtually impossible. RODENT MOUTH GAG 012185
Rodent Mouth Gag
£49.50
Lightweight Rodent Mouth Gag Less bulky and less powerful than the standard rodent gag. Cheaper too. This version of our well known gag has a fibre platform which makes the gag warmer for the anaesthetised small patient and rather cheaper than the original. TABLE TOP RABBIT GAG ECOMOMY VERSION 012207
Table Top Gag Economy Model
£195.00
012209
Table Top Gag Economy Model and LED light
£250.00
DENRODKIT
Table Top Gag Economy Model, LED light and Full Hand Kit (Rod2)
£450.00
LIGHTWEIGHT RODENT MOUTH GAG 012185LW 192
Rodent Mouth Gag Lightweight
£39.50
14
RODENT DENTISTRY
www.vetinst.com Cheek Dilators
Rodent Molar Rasp
The small dilator is also useful as a small gag for guinea pigs and chinchillas.
CHEEK DILATORS 012188
Rodent Cheek Dilator Small
£11.50
012189
Rodent Cheek Dilator Large
£11.50
012189A
Rodent Cheek Dilator Long Reach use with long burs
£11.50
Rodent Spatula RODENT SPATULA Rodent Spatula
012181A
012187
012182
The diamond coated rasps are designed to smooth off sharp edges without disturbing the delicate tooth roots. The small diamond rasp is contoured in two directions to enable it to sit nicely on top of the molars. Unsuitable for debulking but good for tidying.
Use to deflect tongue and cheek to examine and treat molars.
012184
012181
£17.50
RODENT MOLAR RASP
Rodent Molar Cutter
012187
Rodent Tooth Rasp. Large
£24.00
012181
Rodent Tooth Rasp. Small
£24.00
012181A
Rodent Molar Rasp, Fine - Diamond. Small
£34.00
012182
Rodent Molar Rasp, Fine - Diamond. Large
£37.50
Double Ended Diamond Rasp
One end is concave to sit on and around the molars. The other end is flat. Each blade is 25mm long DOUBLE ENDED DIAMOND RASP 012173
Double Ended Diamond Rasp
Dental Model Clear
See Rabbit Model (Clear) on page 191.
Use to debulk or for trimming spurs and hooks. RODENT MOLAR CUTTER 012186
Rodent Molar Cutter 180mm
£32.50
012186/S
Rodent Molar Cutter 140mm
£32.50 193
£52.50
14
RODENT DENTISTRY
Motorised Diamond Rasp & Micro Saw
Rabbit Bur Kit
Diamond Blade
Tungsten Blade
This autoclavable motor attachment fits all micromotors (air or electric drive). The reciprocating action makes it ideal as a motor rasp in rabbits using the diamond blade or as a micro-surgical saw using the small blades.
Three burs have been selected by David Crossley as being suitable for the reduction of rabbit and chinchilla molar teeth. Our rabbit bur kit includes two of each bur in a stainless steel autoclavable block. All are HP fitting to fit into the straight nose cone (not included). When using the long bur (HL563) use the soft tissue protector to shield tongue and cheek. The diamond version of the very long cross cut bur cuts with less trauma and less heat than the carbide equivalent.
MOTORISED DIAMOND RASP 1050
Reciprocating Handpiece to fit micromotor elect/air
£975.00
1054
Tungsten Carbide Blade for reciprocating handpiece
£95.00
1041
Micro Reciprocating saw blade 10mmx 3mm (6 pack)
£70.00
1044
Micro Reciprocating saw blade 21mmx 4mm (6 pack)
£70.00
RABBIT BUR KIT
Diamond Disc
001792
Rabbit Bur Kit in Block (six burs)
HP8
Round Carbide Bur 2.3mm
£3.50
HP704
Taper Side Cut Bur 2.3mm
£3.50
HL563
Extra Long Cross Cut Bur
£4.50
HL563D
Extra Long Cross Cut Bur. Diamond
001793
Soft Tissue Protector for above, fits St nose cone
H260001
1:1 Straight Nose Cone
£42.50
£5.25 £52.50 £165.00
Crossley Incisor Luxator
For trimming incisors. Shown with straight nose cone and diamond disc safety shield (not included). Handpiece fitting. DIAMOND DISC 001789
Diamond Disc (20mm)
£25.00
001791
Diamond Disc safety shield
£49.50
001790
Diamond Disc and safety shield
£65.00
Designed by David Crossley to extract the very large rabbit incisors. Removal avoids the requirement for repeated cutting of overgrown mal-occluded incisors. Shape of luxator matches tooth shape. A smaller version is available for guinea pigs and rats. CROSSLEY INCISOR LUXATOR
194
012197CR
Crossley Incisor Luxator
£27.50
012197R
Small Crossley for guinea pigs and rats
£27.50
14
RODENT DENTISTRY
www.vetinst.com Crossley Molar Luxator
Antibiotic Impregnated Polymethacrylate Beads (AIPMMA) Management of chronic local infections may benefit from the insertion of antibiotic impregnated polymethacrylate (AIPMMA) beads. The beads are manufactured from sterile bone cement with the addition of appropriate antibiotic. Indications include osteomyelitis and abcessation in the rabbit. Veterinary Instrumentation offers two kits for the preparation of AIPMMA beads. One kit uses cement with no antibiotic; choice of antibiotic will depend upon bacteriology and sensitivity. The other kit uses cement containing gentamycin which is the preferred choice of antibiotic for many infections but is toxic when administered parenterally. Both kits contain sufficient material for approximately 100 beads. Full instructions are included.
Designed to facilitate extraction of molars with a minumum of damage to the alveolus and surrounding soft tissue. One cutting blade is for insertion down buccal or lingual surface. The other end of the instrument is set at right angles to penetrate between molars. CROSSLEY MOLAR LUXATOR 012197M
Crossley Molar Luxator
£27.50
ANTIBIOTIC IMPREGNATED POLYMETHACRYLATE BEADS (AIPMMA)
Molar Extraction Forceps
BC1KIT
AIPMMA Bead Kit no antibiotic
£55.00
BC1GKIT
AIPMMA Bead Kit with Gentamycin
£60.00
Rabbit Dental Kits
There is very little space inside a rabbit mouth. These forceps are very slim and angled to fit in the mouth without totally obscuring the teeth. MOLAR EXTRACTION FORCEPS 012199
Rabbit/Guinea Pig Molar Forceps
£35.00
If you are setting up or have no rabbit / rodent equipment you may wish to purchase a set, which offers considerable savings and is supplied in an autoclaveable case.
Root Tip Extraction Forceps
Actual Size
Basic Kit (ROD1) contains: • Rodent gag • Long Reach Cheek Dilator • Incisor Luxator • Molar Cutter • Fine Rasp Full Hand Kit (ROD2) contains: • Rodent gag • Small Cheek Dilator • Large Cheek Dilator • Long Reach Dilator • Incisor Luxator • Molar Luxator • Molar Extraction Forceps • Diamond Rasp • Rodent Spatula • Molar Cutter Hand & Motor Kit (ROD3) contains: • As Full Hand Kit PLUS: • Rabbit Bur Kit • Soft Tissue Protector • Diamond Disc • Diamond Disc Protector This kit also requires a Straight Nose Cone, plus a Micromotor, Air or Electric Drive.
Most chronic abcesses around the head of a rabbit are related to infected tooth roots. Removal of the offending root is a prerequisite for successful treatment. Designed by Frances Harcourt-Brown these modified needleholders are used to locate and lock onto the root tip via the abcess.
RABBIT DENTAL KITS
ROOT TIP EXTRACTION FORCEPS 012206
Root Tip Extraction Forceps
£35.00 195
ROD1
Basic Kit
£150.00
ROD2
Full Hand Kit
£225.00
ROD3
Hand & Motor Kit
£375.00
15
Chapter 15
NEEDLES & BIOPSY PRODUCTS
Veterinary Instrumentation Range
Biopsy Needles - Bone
VI Type biopsy needle - BMBJV11
Bone Marrow Biopsy - Jamshidi Type
BMBJV18A
Designed as a cost effective version of the Baxter needles (below left), takes both marrow and core samples. Drive into a suitable site (wing of ilium, tuber ischium, proximal femur), pull back a little, withdraw stylet and aspirate. If there is no aspirate, replace stylet, push in further and repeat. Manufactured to our specification, these needles represent excellent value.
In the Jamshidi type needle the integral stylet locks into the lumen of the needle preventing obstruction by debris. When the needle tip is in the desired location the stylet is removed and the sample aspirated. The 11 gauge needle with the stylet removed may be used to take a 1.5mm approx. core of bone from tumours for typing (see also bone trephines).
VETERINARY INSTRUMENTATION RANGE
See www.vetinst.com for further information.
8 gauge
BMBJV18A
VI, Jamshidi type disposable 18g x 2”(50mm)
£25.00
BMBJV16
VI, Jamshidi type disposable. 16g x 2” (50mm)
£25.00
BMBJV13
VI, Jamshidi type disposable. 13g x 4” (100mm)
£27.50
BMBJV11
VI, Jamshidi type disposable. 11g x 4” (100mm)
£30.00
BMBJV8
VI, Jamshidi type disposable. 8g x 4” (100mm)
£32.50
012520
15g Jamshidi type (Rocket)
£21.50
Re-usable Bone Marrow Biopsy Needles
Made entirely from stainless steel these needles are fully autoclavable and can be re-sharpened as necessary.
18 gauge
This item may be re-used providing it is re-sterilised by either ETO or cold sterilisation, see page 220. These are the original Baxter Jamshidi needles.
RE-USABLE BONE MARROW BIOPSY NEEDLES
BONE MARROW BIOPSY JAMSHIDI (DISP) BAXTER 012504 DIN1515X
Bone Marrow Biopsy Jamshidi 18g (Disp) Baxter Illinois
£42.50
Bone Marrow Biopsy Jamshidi 15g (Disp) Baxter
012506
Bone Marrow Biopsy Jamshidi 18g (Re-use)
£255.00
012505
Bone Marrow Biopsy Jamshidi 13g (Re-use)
£255.00
012519
Bone Marrow Biopsy Jamshidi 11g x100mm (Re-use)
£255.00
012518
Bone Marrow Biopsy Jamshidi 8g x100mm (Re-use)
£325.00
Bone Marrow Biopsy - Klima Type
Illinois
£42.50
DJ4013
Bone Marrow Biopsy Jamshidi 13g (Disp) Baxter Illinois
£42.50
DJ4011
Bone Marrow Biopsy Jamshidi 11g (Disp) Baxter Illinois
£42.50
DJ4008
Bone Marrow Biopsy Jamshidi 8g (Disp) Baxter Illinois
£42.50
The Klima is stainless and re-usable representing good value. The stylet is retained in position by hand. Practically, the use of the needle is not as easy as the Jamshidi type. BONE MARROW BIOPSY - KLIMA TYPE
WHICH BIOPSY NEEDLE? BONE MARROW
CORTICAL BONE
SOFT TISSUE (TRUCUT)
<5kg 18g 5 - 15kg 15g/16g 15 - 30kg 13g 30 - 50kg 11g >50kg 8g <5kg 11g 5 - 15kg 8g >15kg trephine All 14g
012508
Bone Marrow Biopsy Klima 18g x 25mm
£50.00
012507
Bone Marrow Biopsy Klima 16g x 25mm
£50.00
012503
Bone Marrow Biopsy Klima 16g x 37mm
£50.00
012498
Bone Marrow Biopsy Klima 22g x 25mm
£50.00
Bone Marrow Biopsy - Rosenthall
Similar to Klima. Stylet does not lock into position. BONE MARROW BIOPSY-ROSENTHAL 012509 196
Bone Marrow Biopsy Rosenthal 16g x 35mm
£55.00
15
NEEDLES & BIOPSY PRODUCTS
www.vetinst.com Cortical Bone Trephine
Flushing Needles Flushing needles have a bead or olive soldered onto the tip to minimse trauma to friable soft tissues.
Ear Flushing Needles Stainless steel and re-usable. Used to take a core of bone for tumour typing. Retractable stylet locates trephine until teeth begin to cut and then is retracted. Stylet is finally used to push out core. Core size 3, 4 and 6mm. Preserve in formol saline for the lab. Take multiple samples if possible. CORTICAL BONE TREPHINE 001427
Bone Biopsy Trephine 5mm o/d 3mm core
£70.00
001425
Bone Biopsy Trephine 8mm o/d 6mm core
£70.00
001426
Bone Biopsy Trephine 6mm o/d 4mm core
£70.00
Often referred to as Spreulls needles these blunt beaded needles are available in 60mm and 100mm lengths with a luer hub. EAR FLUSHING NEEDLES
Biopsy Needles - Soft Tissue Tru-Cut Style
012510
Spreulls Needle Short 60mm
£17.50
012511
Spreulls Needle Long 100mm
£19.50
Flushing Needle 21 Gauge
Suitable for tear ducts of large and medium sized dogs. Also suitable for anal gland ducts of small dogs. Ideal for flushing the urethra in the male cat prior to placement of catheter. Start with the 30mm needle and move to the 50mm and 75mm versions as urethra clears. Very difficult to do any other way.
Used to sample liver, kidney and other soft tissues with minimal trauma. Takes just a small sliver of tissue. Disposable but will withstand boiling. Needle is “locked” and when released spring loaded cutting needle takes the biopsy.
FLUSHING NEEDLE 21 GAUGE
TRU-CUT STYLE SOFT TISSUE BIOPSY STB18
VI, Trucut type, Supercore Biopsy Needle 14g x 90mm
£32.50
012512
Flushing Needle 21g Bead Tip 30mm
£14.00
STB18B
VI, Trucut type, Supercore Biopsy Needle 18g x 90mm
£32.50
012512L
Flushing Needle 21g Bead Tip 50mm
£14.00
£22.50
012512XL
Flushing Needle 21g Bead Tip 75mm
£14.00
012521
Trucut soft tissue Biopsy Needle Fully Manual 14g x 115mm
Temno Evolution Biopsy Needle Rabbit Lachrymal Duct Cannulae The standard soft tissue biopsy needle used by the NHS. 2 different sample sizes can be selected when pulling the plunger. One click equals a 10mm notch exposure, two clicks 20mm. Expensive but best in class.
TEMNO EVOLUTION BIOPSY NEEDLE TEM1420/1
Temno Evolution Biopsy Needle 14g x 20cm Single
TEM1420/5
Temno Evolution Biopsy Needle 14g x 20cm 5 Pack £200.00
£45.00
Treatment of chronic eye infections in the rabbit can be very unrewarding with topical ophthalmic preparations alone. It is now accepted that flushing the large nasolachrymal duct punctum to remove accumulations of pus is an essential adjunct to the topical therapy.
Disposable Skin Biopsy Punch
This procedure is usually well tolerated by the rabbit under sedation and local anaesthetic eye drops. The angle and lengths of standard ophthalmic cannula are incorrect for this procedure.
Disposable skin biopsy punch with razor sharp stainless steel blade. Light weight, ribbed plastic handle for control and comfort. 4, 6 and 8mm diameters available. Supplied sterile.
Veterinary Instrumentation’s Rabbit Lachrymal Duct Cannula is designed especially for this procedure and is available in two sizes, 19 gauge and 21 gauge.
DISPOSABLE SKIN BIOPSY PUNCH SBP4
Skin Biopsy Punch 4mm Diameter Head
£3.00
RABBIT LACHRYMAL DUCT CANNULAE
SBP6
Skin Biopsy Punch 6mm Diameter Head
£3.00
012523
Rabbit Lachrymal Needle 19g
£20.00
SBP8
Skin Biopsy Punch 8mm Diameter Head
£3.00
012524
Rabbit Lachrymal Needle 21g
£20.00
SBPSET
Set of 4, 6, 8mm Skin Biopsy Punch
£7.00
012525
Set Rabbit Lachrymal Needles 19 & 21g
£30.00
197
15
NEEDLES & BIOPSY PRODUCTS
Bladder Catheters
Interosseus Infusion Needle 18g
Stainless steel bladder catheter for queens and bitches. Blunt tip with two lateral eyes. Luer Lock hubs. BLADDER CATHETERS 307126
Bladder Catheter Straight (queen) 170mm
£21.00
307120
Bladder Catheter Curved (bitch) 180mm
£22.00
307122
Bladder Catheter Curved (bitch) 250mm
£23.00
307124
Bladder Catheter Curved (bitch) 300mm
£24.00
Where vascular access is difficult, fluids and most drugs can be administered via this interosseus infusion needle. This process is particularly useful in neonates and birds where blood vessels are very small. The most common site is the proximal femur via the trochanteric fossa. An IV catheter should be placed as soon as practical. Also used as a small bone marrow aspiration needle in the Jamshidi style.
Oral Dosing Needles
INTEROSSEUS INFUSION NEEDLE BMBJV18
Suitable for oral dosing and feeding of birds and reptiles. Available in a range of gauges from 12 to 23. Care should be taken to ensure the needles cannot be swallowed.
12g Oral dosing needle 200mm (curved)
£23.00
012514
14g Oral dosing needle 125mm (curved)
£20.50
012515
16g Oral dosing needle 75mm (straight)
£16.50
012515C
16g Oral dosing needle 75mm (curved)
£17.50
012515STR
16g Oral dosing needle 100mm (straight)
£16.50
012516
18g Oral dosing needle 50mm (straight)
£15.50
012516C
18g Oral dosing needle 50mm (curved)
£15.50
012517
20g Oral dosing needle 38mm (straight)
£14.50
012517C
20g Oral dosing needle 38mm (curved)
£14.50
012517CS
20g Oral dosing needle 25mm (curved)
£14.50
012517S
20g Oral dosing needle 25mm (straight)
£14.50
012527
22g Oral dosing needle 38mm (straight)
£14.50
012527C
22g Oral dosing needle 38mm (curved)
£14.50
012522
23g Oral dosing needle 25mm (straight)
£14.50
£18.50
Needle Boxes (Autoclavable) Available in polypropylene or stainless steel.
ORAL DOSING NEEDLES 012513
Interosseus Infusion Needle 18g
1. Polypropylene
2. Stainless
Spinal Needles
We now strongly recommend the use of disposable needles for spinal procedures. The transluscent hub allows good visualisation of the CSF. SPINAL NEEDLES 405255
22g x 3” Spinal Needles (Disp) (Box 25)
£57.50
405254
22g x 1.5” Spinal Needles (Disp) (Box 25)
£57.50
405253
20g x 3.5” Spinal Needles (Disp) (Box 25)
£57.50
405252
20g x 3” Spinal Needles (Disp) (Box 25)
£57.50
405242
20g x 2.5” Spinal Needles (Disp) (Box 25)
£57.50
405251
20g x 1.5” Spinal Needles (Disp) (Box 25)
£57.50
405173
19g x 3” Spinal Needles (Disp) (Box 25)
£57.50
405248
18g x 3.5” Spinal Needles (Disp) (Box 25)
£57.50
405247
18g x 3” Spinal Needles (Disp) (Box 25)
£85.00
012501
Spinal Needle 21g Short Bevel 40mm (reusable)
£9.50
091149
Needle Box- polypropylene 50mm x 40mm x 8mm
012502
Spinal Needle 21g Short Bevel 25mm (reusable)
£9.50
091149L
Needle Box- polypropylene 95mm x 70mm x 17mm
012500
Spinal Needle 19g Short Bevel 38mm (reusable)
£9.50
NDLBOX
Needle Box- Stainless
£27.50
NDLBOXL
Large Needle Box/Small Parts Container 150x90x12mm
£42.50
3. Needle Box Large
NEEDLE BOXES (AUTOCLAVABLE)
198
£2.75 £2.75
NEEDLES & BIOPSY PRODUCTS
www.vetinst.com
Skin Staplers
www.vetinst.com
Aesculap Manipler Disposable Skin Stapler
CRUCIATE TRAINING For each of the techniques shown below there is the following information at www.vetinst.com Video to stream or download Step by Step Guides FAQs Instrument Lists Also available as £FOC DVD
OTT Lightweight Design High Quality Construction Consistent reliable performance Slim Grip Design Unique Angled Head Allows the surgeon to see the incision as well as closing it Flexible Placement Angle Allows choice of staple depth Economical 36 Staples
LATERALSUTURE
MANIPLER SKIN STAPLER 783100
Manipler Skin Stapler
783101
Manipler Skin Stapler, 12 units for the price of 10
£10.50
TWO
£105.00
TPLO Surgi-Close Auto clavable Skin Staplers The surgi-close skin stapler has now been discontinued, however replacement staple cartridges are still available. SURGI-CLOSE SKIN STAPLERS 012543
Staple Cartridge with 20 sterile staples (24 pack)
£120.00
012542
Staple Cartridge with 20 sterile staples (36 pack)
£145.00
TTA
Staple Remover
TTO universal staple remover
Designed by Vets for Vets
STAPLE REMOVER 012544
Staple Remover
£7.50 199
15
15
NEEDLES & BIOPSY PRODUCTS
Suture Needles The needles are manufactured from high grade stainless steel and undergo a rigorous quality control procedure to ensure a high standard of sharpness, ridgity, durability and presentation. The needles are hand honed for added sharpness to ensure a smooth, less traumatic passage through the tissue. All needles supplied non-sterile in packs of 12.
Regular Curved Order code NRC followed by needle size e.g. NRC1 is regular curved needle 80mm. Please also specify round or triangular.
REGULAR CURVED NRC***
Regular Half-Curved
Regular Curved Suture Needle(12)
ÂŁ3.15
Order code is NRHC followed by needle size e.g. NRHC20 is regular half curved needle 23mm. Please also specify round or triangular.
REGULAR HALF-CURVED NRHC***
200
Regular Half-Curved Suture Needle(12)
ÂŁ3.15
15
NEEDLES & BIOPSY PRODUCTS
www.vetinst.com Regular Straight
Order code NRS followed by needle size e.g. NRS8 is regular straight needle 50mm. Please also specify round or triangular.
REGULAR STRAIGHT NRS***
Regular Straight Suture Needle(12)
£3.15
Regular Half-Circle Order code NRHCi followed by needle size e.g. NRHCi10 is regular half circle needle 43mm. Please also specify round or triangular.
REGULAR HALF-CIRCLE NRHCi***
Regular Half-Circle Suture Needle(12)
£3.15
Suture Needle Holder Spring Loaded
SUTURE NEEDLE HOLDER AUTOCLAVABLE NH105R
201
Suture Needle Holder
£20.00
16
Chapter 16
GENERAL INSTRUMENTATION
Introduction
Kocher
Veterinary Instrumentation's no quibble lifetime guarantee means that you can purchase instruments in the full confidence that they will not let you down. The instruments will be replaced free of charge in the event of breaking due to faulty workmanship. Wear, e.g. in needleholders, is not covered. Veterinary Instrumentation’s range of general surgical instruments is selected as being the most appropriate for routine surgical procedures. If you do not see what you want we can source it for you. Please phone, fax or email the usual contacts.
Having a long jaw this forcep is rather like a Rochester Pean but the tips are toothed for added security.
Terminology
KOCHER
Str = Straight Cof = Curved Aof = Angled
Artery Forceps
105521
Kocher 15cm 6” Str Artery Forceps
£27.50
105522
Kocher 15cm 6” COF Artery Forceps
£29.50
Rochester Pean
Crile
The long jaw of this forcep makes it useful as a hysterectomy clamp in small and medium breeds.
Jaw is somewhat lighter than the more popular Spencer Wells artery forceps.
ROCHESTER PEAN
CRILE 101750
Crile 14cm 5.5” Str Artery Forceps
£21.00
106225
Rochester Pean 14cm 5.5” Str Art. Forceps
£22.00
101755
Crile Atraumatic Jaws 5.5” Str
£28.00
106230
Rochester Pean 16cm 6.5” Str Art. Forceps
£23.00
101765
Crile 16cm 6.5” Str Artery Forceps
£23.00
106235
Rochester Pean 18cm 7” Str Art. Forceps
£27.50
£23.00
106236
Rochester Pean 22cm 8.5” Str Art. Forceps
£32.50
£32.50
106270
Rochester Pean 14cm 5.5” Cof Art. Forceps
£23.00
£22.00
106275
Rochester Pean 16cm 6.5” Cof Art. Forceps
£27.50
£28.00
106280
Rochester Pean 18cm 7” Cof Art. Forceps
£29.00
£27.50
106285
Rochester Pean 20cm 8” Cof Art. Forceps
£32.50
£32.50
106290
Rochester Pean 22.5cm 9” Cof Art. Forceps
£34.00
101770 101775 101780 101785 101795 101800
Crile 1/2 teeth 16cm 6.5” Str. Forceps Crile 18cm 7” Str Artery Forceps Crile 14cm 5.5” Cof Artery Forceps Crile Atraumatic Jaws 5.5” Cof Crile 16cm 6.5” Cof Artery Forceps Crile 18cm 7” Cof Artery Forceps
Spencer Wells Halstead Mosquito
The standard veterinary artery forceps. If the text states “artery forceps or haemostat” this is probably the one.
close-up details
SPENCER WELLS
Very light but adequate for routine haemostasis in all but the largest blood vessels. HALSTEAD MOSQUITO
106600
Spencer Wells 12.5cm 5” Str Art. Forceps
£18.00
106605
Spencer Wells 15cm 6” Str Art. Forceps
£21.00
106610
Spencer Wells 18cm 7” Str Art. Forceps
£23.00
106615
Spencer Wells 20cm 8” Str Art. Forceps
£30.00
106620
Spencer Wells 23cm 9” Str Art. Forceps
£40.00
103165
Halstead Mosquito 10cm 4” Str Art. Forceps
£19.50
106621
Spencer Wells 30cm 12” Str Art. Forceps
£50.00
103170
Halstead Mosquito 10cm 4” Cof Art. Forceps
£19.50
106625
Spencer Wells 12.5cm 5” Cof Art. Forceps
£21.00
103175
Halstead Mosquito 12.5cm 5” Str Art. Forceps
£19.50
106630
Spencer Wells 15cm 6” Cof Art. Forceps
£23.00
103225
Halstead Mosquito 12.5cm 5” Cof Art. Forceps
£19.50
106635
Spencer Wells 18cm 7” Cof Art. Forceps
£25.00
103180
Halstead Mosquito 12.5cm Str 1/2 Teeth
£21.50
106640
Spencer Wells 20cm 8” Cof Art. Forceps
£32.00
103185
Halstead Mosquito 12.5cm Cof 1/2 Teeth
£21.50
106645
Spencer Wells 23cm 9” Cof Art. Forceps
£42.00
202
Negus Forceps
Bone Holding Forceps
NEGUS 7018/05
16
GENERAL INSTRUMENTATION
www.vetinst.com
Negus 18cm 7” Cof Art. Forceps Small
£37.50
See General Orthopaedics, page 53 VI Bone Holding Forceps
Diffenbach (Bulldog) Clamps
Small cross action vascular clamps. Most commonly used in soft tissue surgery. DIFFENBACH (BULLDOG) CLAMPS 107708
Differbach Clamp 5cm Str
£17.50
107710
Diffenbach Clamp 5cm Conf
£17.50
Mayo Safety Pin A general purpose bone holder for use in maintaining fracture reduction in I/M pinning. Also very useful for lag screwing and bone plating in that drills and screws can be passed through the centre of the jaw at the point of maximum compression. A very popular forcep. VI BONE HOLDING FORCEPS 001210
Bone Holding Forceps 155mm
£60.00
Use to organise artery forceps and other similar instruments.
Aesculap Hand Instruments
MAYO SAFETY PIN 106699
Mayo Safety Pin
£14.00
Bone Cutting Forceps See GENERAL ORTHOPAEDICS page 63
Aesculap have been making surgical instruments in Tuttlingen, Germany since 1867. Today Aesculap is the largest surgical instrument company in the world. Veterinary Instrumentation is proud to have been appointed UK Veterinary Agent.
Bone Gouge Forceps (Rongeurs)
Aesculap have selected from their enormous range of hand instruments which have been shown to be useful in Veterinary surgery. The instruments carry Aesculap’s reputation for quality and are competitively priced.
See GENERAL ORTHOPAEDICS page 62 and SPINAL page 104
Please telephone or e-mail for the full Aesculap Hand Instrument brochure. AESCULAP HAND INSTRUMENT CATALOGUE BRAESHAND 203
Aesculap Hand Instrument Catalogue
£FOC
16
GENERAL INSTRUMENTATION
Dissecting Forceps 1/2 Teeth
Bowel Clamps Doyen
DISSECTING FORCEPS 1/2 TEETH
Rather large for small animal surgery but cheaper than the small atraumatic bowel clamp.
341145
Dissecting Forceps 1/2 teeth 15cm 6”
£20.00
341160
Dissecting Forceps 1/2 teeth 18cm 7”
£20.00
341170
Lanes Diss Forceps 1/2 teeth 6” 15cm
£20.00
349520
Lanes Diss Forceps 2/3 teeth 7” 18cm
£20.00
Adson
DOYEN 201950
Bowel Clamps Doyen 24cm 9.5” Str
£62.50
201955
Bowel Clamps Doyen 24cm 9.5” Cof
£67.50
Adson 1/2 Teeth
Atraumatic Small Bowel Clamp Adson Brown Tips
Ideal for fine surgical procedures. Available in a range of jaw designs. ADSON
Str
Cof
341200
Adson, Serr. Diss. Forceps 12.5cm 5”
£20.00
341201
Adson, Serr. Extra Fine 12.5cm 5”
£25.00
341210
Adson, 1/2 teeth 12.5cm 5” Diss. Forceps
£27.50
341212
Adson Brown Dissecting Forceps 12.5cm 5”
£30.00
341214
Adson Brown Serr/Croc 15cm 6”
£35.00
341215
Adson Brown 1/2 teeth 15cm 6”
£35.00
DeBakey - Atraumatic
Jaw design gently holds and seals the bowel with a minimum of pressure and trauma. The fine ratchet facilitates gentle yet secure application. ATRAUMATIC SMALL BOWEL CLAMP 222165
Bowel Clamps Small Animal Atraumatic 17cm Str
£67.50
222170
Bowel Clamps Small Animal Atraumatic Cof 17cm
£72.50
teeth profile (end view)
The forceps in this range grip as firmly as rat tooths but cause minimal damage to delicate tissues. Particularly useful in surgery of the ear, bowel or urogenital system.
Chisels
DEBAKEY - ATRAUMATIC
See General Orthopaedics, page 66
342005
DeBakey 15cm 6” Diss. Forceps
£35.00
342010
DeBakey 18cm 7” Diss. Forceps
£35.00
342015
DeBakey 19.5cm 8” Diss. Forceps
£35.00
342020
DeBakey 20.5cm 8.5” Diss. Forceps
£42.50
Epilation
Dissecting Forceps
Actual size
Serrated-Block End
EPILATION 342450
Epilation Sq. Jaws Plain. 9cm 3.5” Diss. Forceps
£27.50
St. Martin Dissecting Forceps A cheap, general purpose dressing forcep. SERRATED-BLOCK END 341070
Block End Serr. Dissecting Forceps 5” 12.5cm
341075
Block End Serr. Dissecting Forceps 6” 15cm
£12.50
341080
Block End Serr. Dissecting Forceps 7” 18cm
£15.00
ST. MARTIN DISSECTING FORCEPS
347655
Dressing Forceps 205mm
£20.00
014160
£9.00 A very fine rat tooth for delicate procedures including corneal surgery.
204
St. Martin 1/2 Teeth 8cm 3.25” Diss. Forceps
£45.00
GENERAL INSTRUMENTATION
www.vetinst.com Treves, Rat Tooth Forceps
16
Miniature Foster Gillies
A cheap general purpose rat tooth dissecting forceps. TREVES, RAT TOOTH FORCEPS Actual size
346850
Treves 1/2 Teeth 12.5cm 5” Diss. Forceps
£15.00
346855
Treves 1/2 Teeth 15cm 6” Diss. Forceps
£17.00
MINIATURE FOSTER GILLIES
346860
Treves 1/2 Teeth 18cm 7” Diss. Forceps
£19.50
602710
347665
Fine Rat Tooth Thumb Forceps 205mm
£24.00
Miniature Foster Gillies T.C. 4.0" 100mm
£80.00
Foster Gillies
Needleholders Tungsten Carbide Most Veterinary Instrumentation needleholders are available with tungsten carbide inserts (T.C. jaws). They grip better and wear better. They are especially useful for holding smaller needles. Actual size
Their handles are gold plated to make it easier to spot them on a tray of artery forceps.
Smaller than the standard Gillies this instrument is ideal for finer surgery or smaller hands.
FOSTER GILLIES
Castroviejo
582650
Foster Gillies RH 12.5cm 5” N/Holders
£65.00
582660
Foster Gillies LH 12.5cm 5” N/Holders
£70.00
602700
Foster Gillies RH 12.5cm 5” T.C. Jaws
£95.00
602705
Foster Gillies LH 12.5cm 5” T.C. Jaws
£110.00
Gillies The classic ophthalmic needleholders with a catch. Occasional ophthalmic surgeons should consider Miniature Fosters or Ryders. The squeeze action of the Castroviejos can be awkward at first. CASTROVIEJO 014175
Castroviejo’s needlehldrs. with catch T.C.
£102.50
014177
Castroviejo’s needlehldrs. without catch T.C.
£102.50 Combined scissor/needleholder.
Castroviejo Needleholders/Scissor
Actual size
GILLIES 582950
Gillies RH 16cm 6.25” N/Holders
£42.00
582951
Gillies LH 16cm 6.25” N/Holders
£46.00
602950
Gillies RH 16cm 6.25” T.C. Jaws
£80.00
602951
Gillies LH 16cm 6.25” T.C. Jaws
£90.00
McPhails This instrument functions as a standard Castroviejo needleholder but the jaws incorporate a suture cutting function in the style of Olsen Hegars or Gillies. Jaws are Tungsten Carbide for maximum grip. CASTROVIEJO NEEDLEHOLDERS/SCISSOR 014181
Castroviejo NH/Scissor 150mm Str TC
£105.00
014182
Castroviejo NH/Scissor 150mm COF TC
£105.00
014183
Castroviejo NH/Scissor 150mm Str S’Cut TC
£110.00
014184
Castroviejo NH/Scissor 150mm COF S’Cut TC
£110.00
The McPhails needleholder has soft copper jaws for extra needle grip. The catch engages with a moderate squeeze on the handles. Further pressure releases the catch and the needle. McPHAILS
205
584650
McPhails 15cm 6” N/Holders
£55.00
584660
McPhails 18cm 7” N/Holders
£60.00
584670
McPhails 20cm 8” N/Holders
£65.00
16
GENERAL INSTRUMENTATION
Mayo and Mayo Hegar (T.C.)
Olsen Hegar Scissor / Needleholder
The veterinary general purpose needleholder, available in a large range of sizes with or without tungsten jaws.
Olsen Hegar's combine the best features of Gillies and needleholders. They cut stitches but also lock. Highly recommended. Combined scissor/needleholder. Looser ‘feel’ will feel more like a scissor than a needleholder in use. OLSEN HEGAR SCISSOR/NEEDLEHOLDER
MAYO AND MAYO HEGAR (T.C.) 584750
Mayo 12.5cm 5” N/Holders
£28.50
585400
Olsen Hegar 14cm 5.5” N/Holders
£50.00
584760
Mayo 14cm 5.5” N/Holders
£29.50
585410
Olsen Hegar 16.5cm 6.5” N/Holders
£55.00
584780
Mayo 16.5cm 6.5” N/Holders
£31.00
585420
Olsen Hegar 19cm 7.5” N/Holders
£60.00
584765
Mayo 18cm 7.0” N/Holders
£33.00
605340
Olsen Hegar 11.5cm 4.5” T.C. Jaws
£67.50
584810
Mayo 19cm 7.5” N/Holders
£35.00
605350
Olsen Hegar 14cm 5.5” T.C. Jaws
£75.00
604700
Mayo Hegar 12.5cm 5” T.C. Jaws
£50.00
605350S
Olsen Hegar 14.5cm 5.5” Super Cut T.C. Jaws
£85.00
604705
Mayo Hegar 14cm 5.5” T.C. Jaws
£52.50
605355
Olsen Hegar 16.5cm 6.5” T.C. Jaws
£75.00
604712
Mayo Hegar 15cm 6” T.C. Jaws
£57.50
605355L
Olsen Hegar 16.5cm 6.5” T.C. Jaws - Left Handed
£77.50
£60.00
605380
Olsen Hegar 17cm Supercut T.C.
£85.00
£62.50
605385
Olsen Hegar 18cm Supercut T.C.
£90.00
£65.00
605390
Olsen Hegar 19cm Supercut T.C.
£95.00
Olsen Hegar 19cm 7.5” T.C. Jaws
£77.50
604715 604715L 604720
Mayo Hegar 16.5cm 6.5” T.C. Jaws Mayo Hegar 16.5cm 6.5” T.C. Jaws - Left Handed Mayo Hegar 18.5cm 7” T.C. Jaws
604730
Mayo Hegar 19cm 7.5” T.C. Jaws
£70.00
605360
604735
Mayo Hegar 20cm 8” T.C. Jaws
£75.00
605361
Olsen Hegar Razor Cut 14.5cm 5.5 ”
£75.00
604740
Mayo Hegar 23cm 9” T.C. Jaws
£80.00
605362
Olsen Hegar Razor Cut 17cm 6.5”
£77.50
Ryder
Kilner Needleholders
Ideal for small needles. The smaller sizes are an alternative for ophthalmic needleholders.
Actual Size
Kilner needleholders are similar to 14cm Mayos but the arms are cranked, offsetting the jaws from the handles by around 10mm. KILNER NEEDLEHOLDERS 608000
Kilner Needleholders 14cm 5.5”
£62.50
606340
RYDER
DeBakey
606340
Ryder (Micro) 12.5cm 5” T.C. Jaws
£75.00
606305
Ryder (Micro) 15cm 6”
£70.00
606345
Ryder (Micro) 15cm 6” T.C. Jaws
£77.50
606350
Ryder (Micro) 18cm 7” T.C. Jaws
£80.00
Derf Needle Holder The Derf needleholder is a small TC needleholder with slightly heavier jaws than the Ryder. More resistant to surgeon abuse!
Much lighter in construction than the Mayo Hegar. These needleholders are very useful for deep surgical procedures where there is limited space e.g. chest surgery. DEBAKEY 602005
DeBakey 18cm 7” T.C. Jaws
£77.50
602010
DeBakey 20cm 8” T.C. Jaws
£82.50
602015
DeBakey 23cm 9” T.C. Jaws
£87.50
602020
DeBakey 25cm 10” T.C. Jaws
£100.00
DERF NEEDLE HOLDER
602025
DeBakey 30.5cm 12” T.C. Jaws
£115.00
607010 206
Derf Needleholder 12cm TC Jaws
£67.50
16
GENERAL INSTRUMENTATION
www.vetinst.com Galibans Suture Forceps
Morris
Much wider than the Langenbeck, good for fat abdomens.
MORRIS Use when placing sutures under tension. A good example is the placement of a lateral stabilising suture in the management of anterior cruciate ligament failure or abdominal sutures in an overweight dog. Galibans used by an assistant are used to atraumatically secure the first throw. The Galibans are removed as the second throw is tightened.
684750
Morris Retractor 38mm, 1.5"
£50.00
684755
Morris Retractor 50mm, 2"
£50.00
684760
Morris Retractor 65mm, 2.5"
£50.00
Senn (Cats Paw)
GALIBANS SUTURE HOLDING FORCEPS Galibans Suture Holding Forceps
58900
£37.50 SENN (CATS PAW)
Osteotomes
Senn Retractor (cats paw)
833305
Osteotomes
£19.50
Fat Pad Retractor Light
Visualisation of the medial meniscus is maximised by retraction of the fat pad. Previously this has been acheived by use of a Senn ("cats paw") retractor. The fat pad retractor has the same clawed foot but has a much more practical means of holding the instrument.
Swedish Pattern
Use an osteotome to make a precise elective cut, e.g. trochanteric osteotomy, excision arthroplasty.
FAT PAD RETRACTOR
OSTEOTOMES 623880
Osteotome Swedish 30mm x 205mm
£39.50
623870
Osteotome Swedish 25mm x 205mm
£39.50
623860
Osteotome Swedish 20mm x 205mm
£39.50
623850
Osteotome Swedish 15mm x 205mm
£39.50
623840
Osteotome Swedish 12mm x 205mm
£39.50
001341
Osteotome Light 15mm x 140mm
£39.50
001342
Osteotome Light 12mm x 140mm
£39.50
001343
Osteotome Light 10mm x 140mm
£39.50
001344
Osteotome Light 8mm x 140mm
£39.50
001345
Osteotome Light 6mm x 140mm
£39.50
001346
Osteotome Light 4mm x 140mm
£39.50
001114
Fat Pad Retractor
£19.50
Malleable (Walton) Retractors
Retractors Langenbeck These flat plates of soft stainless steel are bent intra-operatively to retain abdominal structures.
Good retraction is the key to success in many procedures, especially surgery on deep structures e.g. the pelvis or the larynx.
MALLEABLE (WALTON) RETRACTORS
LANGENBECK 684375
Langenbeck Retractor 6mm blade
£35.00
684395
Langenbeck long reach 6mm x 35mm blade
£40.00
684380
Langenbeck Retractor 13mm blade
£37.50
684390
Langenbeck Retractor 20mm blade
£40.00
684385
Langenbeck Retractor 25mm blade
£40.00 207
687613
Malleable Retractor 13mm
£17.50
687825
Malleable Retractor 25mm
£22.50
687651
Malleable Retractor 50mm
£27.50
16
GENERAL INSTRUMENTATION
Gelpi Self Retaining Retractor
Finsen Self Retaining Retractor
Spring loaded retractor for small incisions. The blade width is 14mm. Very reasonably priced. FINSEN SELF RETRACTOR Finsen Retractor
252374
The Gelpi is an extremely versatile self retaining retractor useful in almost any orthopaedic procedure. Veterinary Instrumentation Gelpis are different from standard Gelpis in two respects:
£42.50
Travers
1.Short blunt tips give focal retraction for precise exposure of the fracture or lesion. 2. The teeth on the ratchet are smaller than usual giving finer control over the spread of the tips. Gelpis are virtually an extra pair of hands and are invaluable in circumstances where the surgeon is working alone. This is the norm in general practice. The curved shape sits nicely on our patients. Useful in the following procedures and many more: • • • •
• • • •
Total Head and Neck Excision Meniscal examination Fracture repairs Laminectomies
Expensive but very useful for retraction of skin and superficial soft tissue. TRAVERS
CrCL repairs All arthrotomy procedures Wobblers Rib retractors in small patients
Two pairs of Gelpis placed at right angles to one another may be used to create a window into a joint or fracture site.
703051
Travers Retractor 16.5cm 6.5" (70mm spread)
£160.00
703050
Travers Retractor 20cm 8” (90mm spread)
£180.00
703053
Travers Mini 95mm (43mm spread)
£75.00
Weislander
Gelpis are available in a number of lengths. Measurement ‘a’ gives the depth of the tips. Mini Gelpi and small stifle retractor
Arms are flat compared with the Wests. GELPI SELF RETAINING RETRACTOR
WEISLANDER
Gelpi Self Retaining Retractor. 180mm (120mm spread) (a=20mm)
£120.00
001330SL Gelpi Self Retaining Retractor with spin lock for extra strength (a=20mm)
£120.00
001330
001330S
Gelpi Self Retaining Retractor 180mm sharp tips (a=20mm) £120.00
001331
Gelpi Long Reach. (a=40mm) 200mm
001331L
Gelpi Very Long Reach (a=60mm) 200mm
£120.00
001332
Gelpi Small (50mm sprd)(a=15mm) 135mm
£120.00
0013301
Gelpi Mini Flat(45mm sprd)(a=15mm) 90mm
£70.00
0013302
Gelpi Mini Curved(45mm spread)(a=15mm) 90mm
001333
Odd leg Gelpi (pair). (a=25/40mm)205mm
£250.00
001334
Odd leg Gelpi short (pair).(a20/30) 130mm
£250.00
702150
Weislander S/R Retractor 14cm 5.5” Sharp 60mm gape
£130.00
702152
Weislander S/R Retractor 14cm 5.5” Blunt 60mm gape
£130.00
West
£120.00
£70.00 Widely used but sharp points tend to snag tissues. Curved arms sit quite nicely on small veterinary patients.
Gosset
WEST
Good as a rib retractor, laparotomy retractor and for retraction of ventral cervical structures during cervical fenestration.
703250
West Retractor 14cm 5.5” (50mm spread)
703250
West Retractor 95mm (40mm spread)
£120.00 £75.00
Aln Skin Retractor
GOSSET 701550
Gosset Retractor Large (130mm spread)
£180.00
ALN SKIN RETRACTOR
710600
Gosset Retractor Small (100mm spread)
£180.00
252370 208
Aln Skin Retractor 7.5cm 3”
£32.50
16
GENERAL INSTRUMENTATION
www.vetinst.com Balfour
Collins
Abdominal retractor. This is a human retractor and the central blade is of limited value in the dog but is detachable. The central blade slides freely on the standard Balfour. The new V.I. Locking Ring allows the surgeon to choose the position of the central blade.
The two blades swivel as retraction takes place. They self-centre in the incision. COLLINS Collins retractor (110mm spread)
703260
£115.00
Rib Retractor Finnochetto is the standard rib retractor available in large and small.
BALFOUR 25-2375
Balfour Retractor (180mm spread)
£125.00
25-2376
Balfour Retractor Baby (90mm spread)
£125.00
RIB RETRACTOR
25-2377
Balfour Retractor Medium (115mm spread)
£125.00
704000
Rib Retractor Finnochetto - Small (95mm spread)
£110.00
25-2375R
Locking Ring for Balfour Retractor
£15.00
704005
Rib Retractor Finnochetto - Large (130mm spread)
£120.00
Mini Self Retaining Retractors Mini Multipronged Retractors Mini Gelpis
Travers Flat
West
Curved
Ideal for retraction in and around small joints or in very small patients. The curved version allows slightly deeper retraction.
These retractors facilitate retraction in and around small joints or in very small patients.
MINI GELPIS
MINI MULTIPRONGED RETRACTORS
0013301
Gelpi Mini Flat (45mm spread) 90mm
£70.00
703253
Mini West Retractor 95mm (40mm spread)
£75.00
0013302
Gelpi Mini Curved (45mm spread) 90mm
£70.00
703053
Mini Travers Retractor 95mm (43mm spread)
£75.00
209
16
GENERAL INSTRUMENTATION
General Purpose Dressing Scissors
Scissors Dressing - Blunt/Blunt
The comfortable handles and serrated blades make these a useful all round dressing scissor cheap enough for each consulting room.
DRESSING - Blunt/Blunt 742610
Dressing Scissors Blunt Str. 5” 12.5cm
£13.50
742620
Dressing Scissors Blunt Str. 5.5” 14cm
£17.00
742630
Dressing Scissors Blunt Str. 6” 15cm
£19.00
742640
Dressing Scissors Blunt Str. 7” 18cm
£23.00
742650
Dressing Scissors Blunt Str. 8” 20cm
£35.00
742900
Dressing Scissors Blunt Cof. 5” 12.5cm
£17.00
742622
Dressing Scissors Serr. B/B Cof. 5” 14cm
£17.00
742910
Dressing Scissors Blunt Cof 5.5” 14cm
£21.00
742910L
Dressing Scissors Blunt Cof 5.5” 14cm Left Handed
£22.00
742920
Dressing Scissors Blunt Cof. 6” 15cm
£25.00
742930
Dressing Scissors Blunt Cof. 7” 18cm
£32.50
742940
Dressing Scissors Blunt Cof. 8” 20cm
£42.50
GENERAL PURPOSE DRESSING SCISSORS 744840
General Purpose Dressing Scissors
£8.25
Lister Bandage
LISTER BANDAGE
Dressing - Sharp/Sharp
744800
Bandage Scissor 5.5’ 14cm
£18.75
744810
Bandage Scissor 7” 18cm
£21.50
Veterinary Bandage Scissors
DRESSING - Sharp/Sharp 742600
Dressing Scissors Sharp Str. 4” 10cm
£14.50
742700
Dressing Scissors Sharp Str. 4.5” 11cm
£15.50
742710
Dressing Scissors Sharp Str. 5” 12.5cm
£17.50
742720
Dressing Scissors Sharp Str. 5.5” 14cm
£18.50
742730
Dressing Scissors Sharp Str. 6” 15cm
£19.50
742740
Dressing Scissors Sharp Str. 7” 18cm
£25.00
742750
Dressing Scissors Sharp Str. 8” 20cm
£37.50
743010
Dressing Scissors Sharp Cof. 5” 12.5cm
£17.50
The limbs of small animal veterinary patients are typically much smaller than their human counterparts. Most bandage scissors are designed for the human limb. Veterinary bandage scissors should be lower in profile to get between bandage and skin and, for ease of use, need to be slightly straighter than standard human bandage scissors. Our Veterinary Bandage Scissors meet these requirements and make dressing removal much easier.
Dressing - Blunt/Sharp
VETERINARY BANDAGE SCISSORS
DRESSING - Blunt/Sharp 742810
Dressing Scissors Blunt/Sharp 5” Str
£18.00
742820
Dressing Scissors Blunt/Sharp 6” Str
£19.00
743100
Dressing Scissors Blunt/Sharp 5” Cof
£19.00
743120
Dressing Scissors Blunt/Sharp 6” Cof
£20.00 210
744820
Veterinary Bandage Scissors 14cmm, 5.5”
£20.00
744830
Veterinary Bandage Scissors 19cm, 7.5”
£23.00
16
GENERAL INSTRUMENTATION
www.vetinst.com Heath Stitch
Iris A useful general purpose ophthalmic scissor. Lightweight, ‘standard’ action scissor for conjunctiva and, less satisfactorily, the cornea. Very rarely used on the iris in veterinary ophthalmology.
General purpose stitch cutter. HEATH STITCH 743800
Heath Stitch Scissors 15cm 6”
£40.00
IRIS
Littauer Stitch
744100
Iris Scissors 9cm str.
£15.00
744120
Iris Scissors 9cm cof
£18.00
744110
Iris Scissors 11cm str.
£15.00
744130
Iris Scissors 11cm cof
£18.00
744131
Iris Scissors Tungsten Carbide Str.
£30.00
Strabismus Scissors
Very nice for removal of small awkward sutures. LITTAUER STITCH 745095
Littauer Stitch Scissors 8cm 3.5”
£18.00 £21.00
745100
Littauer Stitch Scissors 11cm 4.5”
£18.00 £22.00
745110
Littauer Stitch Scissors 12.5cm 5” Str.
£18.00 £23.00
Stronger than corneal and conjunctival scissors, strabismus scissors are suitable for cutting muscles and skin. STRABISMUS SCISSORS
Castroviejo Suture Removal Scissors
746900
Strabismus Scissors 9cm str.
£18.00
747010
Strabismus Scissors 9cm cof.
£18.00
746910
Strabismus Scissors 11cm str.
£20.00
747020
Strabismus Scissors 11cm cof.
£20.00
Eye Enucleation Scissors
Designed for the removal of very fine sutures the Castroviejo action matches that of the Castroviejo needleholders. CASTROVIEJO SUTURE REMOVAL SCISSORS 014185
Castroviejo Suture Removal Scissors 120mm
£35.00
Standard curved surgical scissors do not match the radius of the eye of dogs and cats. The eye enucleation scissor closely matches required radius and slides easily behind the eyeball to cut the optic nerve and internal opthalmic artery and vein, without the requirement to apply dangerous traction to the globe. Use in conjuction with eye enucleation clamps. EYE ENUCLEATION SCISSORS 014225
211
Eye Enucleation Scissors
£70.00
16
GENERAL INSTRUMENTATION
Surgical Scissor - Supercut
Surgical Scissors Surgical scissors are typically either one of two designs. The Mayo is the general purpose surgical scissor in which the blade occupies approximately one third of the length of the scissor. The 14cm straight Mayo is the standard veterinary surgical scissor. The Metzenbaum is a finer lighter scissor in which the blade occupies approximately one quarter of the scissor length. Using a 14.5cm metzenbaum rather than a 14cm Mayo will give you a finer scissor but a similar working distance. Each style of scissor is available in four different qualities which vary according to blade construction and cutting characteristics. They can be identified by handle colour. • Standard
Stainless
• Supercut
Black
• Tunsten Carbide
Gold
• Supercut T.C.
Black & Gold
One blade is sharpened to a tapered edge which greatly enhances the ability of the scissor to slice through tissues. The standard scissor has much more of a crushing action. Identified by having black handles.
Surgical Scissor - Standard
SURGICAL SCISSORS -SUPERCUT 760000
Mayo Str. 14cm, 5.5”. Supercut
£32.50
760002
Mayo Cof. 14cm, 5.5”. Supercut
£32.50
760008
Metzenbaum 14.5cm, 5.75” Str. Supercut
£35.00
760009
Metzenbaum 14.5cm, 5.75” Cof. Supercut"
£35.00
760010
Metzenbaum Str. 18cm, 7”. Supercut
£42.50
760012
Metzenbaum Cof. 18cm, 7”. Supercut
£42.50
Surgical Scissors - Tungsten Carbide
MAYO-STANDARD 745300
Mayo Chamf. Blades 14cm 5.5” Str.
£20.00
745300L
Mayo Chamf. Blades 14cm 5.5” Str. - Left Handed
£21.00
745310
Mayo Chamf. Blades 16.5cm 6.5” Str.
£23.00
745320
Mayo Chamf. Blades 19cm 7.5” Str.
£28.00
745330
Mayo Chamf. Blades 21.5cm 8.5” Str.
£37.50
745400
Mayo Chamf. Blades 14cm 5.5” Cof.
£23.00
745410
Mayo Chamf. Blades 16.5cm 6.5” Cof.
£28.00
745420
Mayo Chamf. Blades 19cm 7.5” Cof
£35.00
745430
Mayo Chamf. Blades 21.5cm 8.5” Cof.
£45.00
METZENBAUM-STANDARD 746100
Metzenbaum ‘Lahey’ Sciss. 14.5m 5.75” Str.
£26.00
746101
Metzenbaum Sciss. 15cm 6” Str.
£26.00
746110
Metzenbaum Sciss. 18cm 7” Str.
£28.50
746110L
Metzenbaum Sciss. 18cm 7” Str. - Left Handed
£29.50
746115
Metzenbaum Sciss. 20cm 8” Str
£35.00
SURGICAL SCISSORS-TUNGSTEN CARBIDE
746120
Metzenbaum Sciss. 21.5cm 8.5” Str
£37.50
752250
Mayo Clinical 6” 15cm Str. Hard Edge
£60.00
746130
Metzenbaum Sciss. 24cm 9.5” Str.
£42.50
752260
Mayo Clinical 7” 18cm Str. Hard Edge
£60.00
746200
Metzenbaum ‘Lahey’ 14.5cm 5.75” Cof.
£32.00
752280
Mayo Clinical 6” 15cm Cof. Hard Edge
£62.50
746210
Metzenbaum ‘McIndoe’ 18cm 7” Cof.
£35.00
752290
Mayo Clinical 7” 18cm Cof. Hard Edge
£62.50
746215
Metzenbaum 19.5cm 8” Cof.
£40.00
754020
Metzenbaum 14.5cm 5.75” Str. Hard Edge
£70.00
746220
Metzenbaum 21.5cm 8.5” Cof.
£45.00
754030
Metzenbaum 18cm 7” Str. Hard Edge
£70.00
746230
Metzenbaum 24cm 9.5” Cof.
£50.00
754060
Metzenbaum 23cm 9.5” Str Hard Edge"
£70.00
754080
Metzenbaum 14.5cm 5.75” Cof. Hard Edge
£70.00
754090
Metzenbaum 18cm 7” Cof. Hard Edge
£70.00
754120
Metzenbaum 23cm 9.5” Cof. Hard Edge
£70.00
754095
Metzenbaum 35cm 14” Cof. Hard Edge
£70.00
Stay sharper, longer. Gold handles to distinguish from general surgical items. The cutting edge is constructed of Tungsten Carbide, a very hard material.
212
16
GENERAL INSTRUMENTATION
www.vetinst.com Surgical Scissor - Supercut TC
Scoops Volkman
Useful for heavy curettage and collection of cancellous bone grafts. VOLKMAN
The Supercut TC is our best scissor having the special cutting characteristic of the Supercut style but with the long lasting Tungsten blades. Identified by one black and one gold handle
782205
Volkman Single Ended Scoop 3mm x 170mm
£32.50
782200
Volkman Single Ended Scoop 4mm x 170mm
£32.50
782210
Volkman Single Ended Scoop 5mm x 170mm
£32.50
782220
Volkman Single Ended Scoop 6mm x 170mm
£32.50
782600
Volkman Scoop Double Ended Small 4mm/6mm x 205mm
£39.50
782610
Volkman Scoop Double Ended Medium 5mm/6mm x 200mm
£39.50
782620
Volkman Scoop Double Ended Large 6mm/8mm x 200mm
£39.50
SURGICAL SCISSORS -SUPERCUT TC 760000TC
Mayo Str. 14cm, 5.5”. Supercut TC
£77.50
760002TC
Mayo Cof. 14cm, 5.5”. Supercut TC
£77.50
760008TC
Metzenbaum 14.5cm, 5.75” Str. Supercut TC
£77.50
760009TC
Metzenbaum 14.5cm, 5.75” Cof. Supercut TC
£77.50
Rampleys
760010TC
Metzenbaum Str. 18cm, 7”. Supercut TC
£85.00
RAMPLEYS
760012TC
Metzenbaum Cof. 18cm, 7”. Supercut TC
£85.00
786505
Sponge Forceps Rampleys Sponge Forceps 250mm
£32.50
Bitch Speculum
Cosmetic Surgeon Scissors
Killian
Essentially a human nasal speculum this 6.5cm bladed instrument is the standard bitch speculum. Adding a focal light source improves visualisation enormously. KILLIAN 546455
close-up detail
Bitch Speculum (Killian). Blade length 6.5cm (2.5")
£55.00
Steriliser Forceps
Favoured by human cosmetic surgeons, these scissors have very fine razor sharp blades with hard inserts for long life. They have a beautiful action and have a place in a veterinary surgery where precise cutting is required. TC Blades.
Cheatle For manipulation of instruments during setting up.
COSMETIC SURGEON SCISSORS WITH ‘OPEN' SHANKS 755100
Cosmetic Surgeon Scissors Str. 15cm, 6"
£75.00
755110
Cosmetic Surgeon Scissors Cof. 15cm, 6"
£75.00 CHEATLE 787655 213
Cheatle 26.5cm 10.5” Ster. Forceps B/J
£38.50
16
GENERAL INSTRUMENTATION
Tissue Forceps
Towel Clips
Allis
Backhaus
General purpose tissue forceps.
General purpose towel clip. Available in a range of sizes.
ALLIS 801150
Allis 2/3 teeth 15cm 6”
£29.50
801155
Allis 3/4 teeth 15cm 6”
£29.50
801156
Allis 3/4 teeth 18cm 7”
£29.50
801160
Allis 4/5 teeth 15cm 6”
£29.50
801165
Allis 5/6 teeth 15cm 6”
£29.50
801170
Allis 6/7 teeth 15cm 6”
£29.50
801175
Baby Allis 13cm 5” 4/5 teeth
£27.50
BACKHAUS
Babcock An alternative to Allis's. Less traumatic but less grip.
841350
Backhaus 9cm 3.5”
£18.00
841355
Backhaus 10cm 4”
£20.00
841360
Backhaus 12.5cm 5”
£24.00
Shardel
Cross Action BABCOCK 801350
Babcock 16.5cm 6.5”
£30.00
801354
Babcock 18cm 7”
£32.50
801355
Babcock 20cm 8”
£39.50
801360
Babcock 23cm 9”
£47.50 CROSS ACTION
Youngs Tongue Forceps
846550
Shardel Cross Action 9cm 3.5”
171566
Jones Cross Action 9cm 3.5”
£9.50
841352
Atraumatic Towel Clamp 4.5”
£19.50
£11.50
Miscellaneous Probes and Cutting Guides
YOUNGS TONGUE FORCEPS 7853/05
Youngs tongue forceps 170mm
£42.50
Use the blunt probe to track fistulae. The butterfly cutting guide has a groove along its length to allow a scalpel to be run down without fear of damaging deeper tissues, the vunerable tissues being protected by the guide. PROBES
214
901010
Blunt Dissection probe
£10.00
901015
Winged Director
£10.00
GENERAL INSTRUMENTATION
www.vetinst.com
16
Swann Morton Blades & Handles Swann Morton Scalpel Blades
Handles Veterinary Instrumentation's No.3 scalpel handle is a standard handle but has a centimetre/millimetre scale along its length. In addition the back and edge are sharp enough to act as a periosteal elevator for stripping periosteum and muscle from bone.
Sterile Swann Morton blades are made in Sheffield from the finest steel. These blades are the result of experience plus modern production methods.
PM40
No. 3 Actual size No. 4
SWANN MORTON BLADES - Carbon Steel 0201
100 blades individually packed size 10
£10.50
0203
100 blades individually packed size 11
£10.50
0204
100 blades individually packed size 12
£10.50
0205
100 blades individually packed size 15
£10.50
0207
100 blades individually packed size 21
£10.50
0208
100 blades individually packed size 22
£10.50
0210
100 blades individually packed size 23
£10.50
0211
100 blades individually packed size 24
£10.50
No. 4L
No. 7
No. 9
No. B3
SWANN MORTON SCALPEL BLADE REMOVER 240109
Scalpel blade remover Forceps
£14.25
5525
Scalpel blade remover Disposable (Box 10)
£10.00
SWANN MORTON HANDLES 0803VI
No 3 handle with scale and periost elevator back
0803
No 3 handle with scale
0923
No B3 handle
£12.50
0804
No 4 handle
£3.50
0814
No 4 Long handle
£5.00
0807
No 7 handle
£3.50
0909
No 9 handle
£3.50
02652
PM40 standard handle
£3.50
£22.00
0805
No 5(b) scalpel handle
£9.50
Swann Morton Fine Blades (Beaver Type) Fine blades are designed for fine work, eg. ophthalmic surgery, meniscus surgery. SWANN MORTON FINE BLADES - Beaver type 05901
25 blades individually packed SM61
£2.75 £3.50
05902
25 blades individually packed SM62
£22.00
SWANN MORTON FINE STAINLESS HANDLE - Beaver type
05903
25 blades individually packed SM63
£52.50
06051
Fine Stainless Handle Beaver type 130mm
£15.50
05904
25 blades individually packed SM64
£22.50
06052
Fine Stainless Handle Beaver type 100mm
£15.50
05905
25 blades individually packed SM65
£22.50
06053
Fine Stainless Handle Beaver type 80mm
£15.50
05906
25 blades individually packed SM65a
£22.50
06054
VI Beaver blade handle 130mm
£10.50
05907
25 blades individually packed SM67
£22.00
05908
25 blades individually packed SM68
£22.00
05909
25 blades individually packed SM69
£52.50
02551
PM40 standard blade (box 10)
61
62
£6.75
63
64
65
65A
Swann Morton Fine Blades shown actual size
215
67
68
69
16
GENERAL INSTRUMENTATION
Instrument Boxes
Fingered Silicone Insert Autoclavable silicone insert fits the base of the stainless box to prevent instruments contacting and damaging each other. There is an insert to fit each of our standard boxes.
Stainless steel in construction with a bacterial filter in the base. The filter allows steam to enter and water vapour to leave but excludes bacteria.
Insert shown in use with castroviejo scissors (not included)
Available in a range of sizes to suit most instrument sets and autoclaves. Some sizes are available without filter. Replace filters annually.
FINGERED SILICONE INSERT
INSTRUMENT BOXES
BXSIL2010
Silicone Insert for Box 200 x 100mm
£23.00
BXSIL2540
Silicone Insert for Box 250x150mm
£28.50
BX201040
Box 200mm x 100mm x 40mm
£47.50
BXSIL2212
Silicone Insert for Box 220 x 120mm
£28.50
BX201040NF
Box 200mm x 100mm x 40mm No Filter
£42.50
BXSIL2215
Silicone Insert for Box 220 x 150mm
£28.50
BX221250
Box 220mm x 120mm x 50mm
£55.00
BXSIL2814
Silicone Insert for Box 280 x 140mm
£28.50
BX221250NF
Box 220mm x 120mm x 50mm No Filter
£52.50
BXSIL3416
Silicone Insert for Box 340 x 160mm
£33.50
BX221550
Box 220mm x 150mm x 50mm
£70.00
BXSIL4020
Silicone Insert for Box 400 x 200mm
£33.50
BX281450
Box 280mm x 140mm x 50mm
£70.00
BX281410NF
Box 280mm x 140mm x 100mm No Filter
£70.00
BX341650
Box 340mm x 165mm x 50mm
£77.50
BX341670
Box 340mm x 165mm x 70mm
£80.00
BX402070
Box 400mm x 200mm x 70mm
£90.00
FILTER
Filter (State Size Of Box)
Other sizes available
POA
Aesculap Sterile Container System
£5.50
Premium Instrument Boxes
Veterinary Instrumentation’s range of premium instrument boxes are made from lightweight anodised aluminium. Both lid and base are perforated but protected by replaceable paper filters which allow steam penetration but not micro-organisms. Clip on lids seals are impervious to micro-organisms. Aesculap has sterile container solutions for every autoclave. The containers are made from lightweight, anodised aluminium and range in sizes from 300mm x 274mm x 57mm to 711mm x 274mm x 187mm. The containers are available in a wide range of colours.
PREMIUM INSTRUMENT BOXES BX301410P
Box External 300mm x 140mm x 100mm Box Internal 280mm x 130mm x 84mm
£115.00
BX301470P
Box External 300mm x 140mm x 70mm Box Internal 280mm x 130mm x 55mm
£110.00
The containers are availble as fully sealed, perforated or filtered options.
BX301440P
Box External 300mm x 140mm x 40mm Box Internal 280mm x 130mm x 27mm
£105.00
Veterinary Instrumentation is proud to have been appointed UK Veterinary agent for Aesculap products.
BXPFILTER
Replacement Paper Filters w Indicators (x100)
£12.00
BXPFIND
Paper Labels w Indicators (x 100)
£12.00
AESCULAP STERILE CONTAINERS BROCHURE
BXREUSE
Reuseable Filters (1,000 cycles)
£25.00
BRAESCON
Please telephone for the full Aesculap Sterile Containers brochure
216
Aesculap Sterile Containers Brochure
FOC
16
GENERAL INSTRUMENTATION
www.vetinst.com Holloware
Left Handed Instruments
HOLLOWARE KID6
6” Kidney Dish
£10.00
KID8
8” Kidney Dish
£11.00
KID10
10” Kidney Dish
£13.50
KID12
12” Kidney Dish
£15.50
LOTBWL4
4” Lotion Bowl
£11.00
LOTBWL6
6” Lotion Bowl
£14.00
LOTBWL8
8” Lotion Bowl
£20.00
LEFT HANDED SCISSORS
LOTBWL10
10” Lotion Bowl
£25.00
745300L
Mayo Scissor 14 cm/ 5.5", Blunt/Blunt, Straight
£21.00
745400L
Mayo Scissor 14 cm/ 5.5", Blunt/Blunt, Curved
£24.00
745310L
Mayo Scissor 16.5 cm/ 6.5", Blunt/Blunt, Straight
£24.00
745410L
Mayo Scissor 16.5 cm/ 6.5", Blunt/Blunt, Curved
£29.00
746100L
Metzenbaum Scissor 14.5 cm, 5.75", Blunt/Blunt, Straight £27.00
746200L
Metzenbaum Scissor 14.5 cm, 5.75", Blunt/Blunt, Curved £33.00
746110L
Metzenbaum Scissor 18 cm / 7", Blunt/ Blunt, Straight
£29.50
746115L
Metzenbaum Scissor 20 cm / 8", Blunt/Blunt, Straight
£36.00
744800L
Lister Bandage Scissor 14 cm / 5-1/2", For Left Hand
£19.75
744810L
Lister Bandage Scissor 18 cm / 7", For Left Hand
£22.50
744110L
Iris Scissor 11 cm / 4-1/4", Round , Straight
£16.00
744130L
Iris Scissor 11cm / 4-1/4", Round, Curved
£19.00
Veterinary Instrumentation offers a wide selection of left handed instruments. A selection of which is shown below. If the instrument you are looking for is not shown, please contact us and we will get it for you.
Autoclave Drum
LEFT HANDED FORCEPS Use to sterilise swabs, drapes etc. Filters on lid and base allow in steam but not micro-organisims. AUTOCLAVE DRUM
103175L
Halsted-Mosquito Artery Forcep 12.5 cm/ 5", Straight
£20.50
103225L
Halsted-Mosquito Artery Forcep 12.5 cm/ 5", Curved
£20.50
101750L
Crile Artery Forcep 14 cm/ 5-1/2", Straight
£22.00
SD3
Sterilising drum 3 litre
£50.00
101780L
Crile Artery Forcep 14 cm/ 5-1/2" , Curved
£23.00
SD6
Sterilising drum 6 litre
£60.00
106230L
Rochester Pean Artery Forcep 16 cm/ 6-1/2", Straight
£24.00
SD9
Sterilising drum 9 litre
£70.00
106275L
Rochester Pean Artery Forcep 16 cm/ 6-1/2", Curved
£28.50
SD12
Sterilising drum 12 litre
£80.00
841350L
Backhaus Towel Forcep 9 cm/ 3-1/2"
£19.00
SD18
Sterilising drum 18 litre
£90.00 LEFT HANDED NEEDLE HOLDERS
Sterile Surgical Skin Marker
Supplied in a sterile peel pouch the surgical marker allows the surgeon to demarcate selected sites prior to or during surgery. The marker is scrub resistant, non toxic and highly visible. Especially useful around the eyes and ears where accurate reconstruction is vital. Also useful for large skin reconstruction procedures. STERILE SURGICAL SKIN MARKER 001487
Surgical Skin Marker Single
001488
Surgical Skin Marker Single (6 pack)
£2.50 £10.00 217
604715L
Mayo-Hegar Needle Holder 16.5 cm
£62.50
604720L
Mayo-Hegar Needle Holder 18.5 cm/ 7"
£67.50
585400L
Olsen-Hegar Needle Holder 14 cm / 5-1/2"
£52.50
605355L
Olsen-Hegar Needle Holder 16.5 cm / 6.5"
£77.50
17
Chapter 17
INSTRUMENT CARE
and implant cutters have a size rating for a reason! Inappropriate use will damage instruments and invalidate warranties.
Introduction The majority of surgical instruments are made of stainless steel. There are many different types of stainless steel alloys (60+), with varying amounts of nickel & chromium to increase resistance to corrosion. All types of stainless steel will corrode under certain conditions — ‘stainless’ is a little misleading. The proportions of the various constituents affect the characteristics of the final steel, along with the degree of hardening applied.
4. Avoid mixing different metals when processing instruments — keep chrome plated, industrial finish & aluminium items separate from stainless, particularly in ultrasonic cleaners. Cleaned lubricated instruments are ready for packaging. Always carry out a visual check at this stage — are the cutting edges of scissors free of damage, do the jaws of artery forceps & needle-holders meet correctly with no signs of twisting for example. Check that all thumbscrews are tight, as in Gelpi & stifle distractor joints
Surgical instruments must be hard enough to take and keep a cutting edge (eg scissors) or have a certain spring (eg artery forceps). The steel possessing these qualities contains less chromium and more carbon than orthopaedic implants, which are made of steel with the primary characteristic of resistance to corrosion, making it too soft for instruments. The penalty is that this type of higher carbon stainless steel (called Martensitic) is much more likely to corrode and stain.
Also look for fine cracks in instruments, for example across the box joints in artery forceps.
The parts of the steel likely to rust are protected by a thin layer of chromium oxide which is produced by the chromium part of the steel. Actions which encourage the production of chromium oxide minimise corrosion. Actions which either physically or chemically destroy this layer of chromium oxide encourage rusting or staining. Maximising the chromium oxide layer is the basis of sound instrument care. This layer thickens with age and increases the resistance of your instruments to corrosion — in new instruments it is relatively thin. This is why you may have marking problems with new instruments but your old ones are fine — new instruments will be more intolerant of inappropriate detergents, inadequate lubrication and the corrosive environment of the autoclave etc.
Needle-holder with damaged jaws Manual cleaning protocol — stainless instruments
Joint showing wear due to inadequate lubrication
Box joint showing cracking & biological debris
1. Open all joints and rinse gross loose debris from instruments in warm water (NOT hot — this will coagulate proteins & make the instruments much harder to clean) immediately after use. They will be much harder to clean if left to dry!
Damaged items should be sent for repair or disposed of. It is good practice to sterilize items being sent for repair. Many repairers require a certificate of decontamination to be sent with instruments, and instruments should never be sent out in a soiled condition.
2. Completely submerge instruments in an enzyme based neutral pH detergent — soak for time specified in detergent instruction
There are many materials for packing instruments for autoclaving. Paper peel-packs are commonly used, along with nylon autoclave film. We do not recommend the use of laundered fabrics as instrument wraps, as residual detergents and bleaches can cause pH & chlorine related damage to your instruments. Disposable autoclavable instrument wrapping fabrics similar to disposable drapes are available.
3. Gently scrub instruments with a soft bristled brush to remove all remaining visible soil, keeping the instrument under the surface of the detergent to reduce spray. Use a pipe-cleaner brush on instruments with a lumen. Pay special attention to joints & ratchets. 4. Remove from the enzyme solution and rinse thoroughly in tap water for at least 3 minutes
Sterilisation The autoclave is a very hostile environment for your instruments. The combination of heat & moisture promotes corrosion and staining, particularly if there are residual detergents etc. in wrapping materials. This is also true where tap water instead of distilled or demineralised water is used in the autoclave. Mineral deposits on instruments are unsightly as well as interfering with normal joint function etc. They are difficult to remove, so prevention is better than cure.
5. Ideally place the instruments in an ultrasonic cleaning bath for 1015 minutes or as per cleaner instruction manual. 6. Remove from bath at completion of cycle, (or after step 4 if no ultrasonic available) then rinse instruments thoroughly with purified (distilled) water. 7. Dry with a clean non-shedding wipe — leaving them to air-dry will result in water spotting.
Rust in the steam pipes of your autoclave will transfer to your instruments, so autoclave maintenance is important. Regular servicing ensures the autoclave is working correctly. Vacuum autoclaves help remove residual steam from packs, and it is important that directions are followed and cycles are completed. Regularly check the door seal is undamaged, and replace if necessary. If applicable to your machine, drain & refill the water tank regularly with distilled water. You may well be surprised what comes out!
8. Lubricate with either spray surgical instrument oil or place in instrument milk bath — follow directions for product used. To keep your instruments in peak condition, there are some basic rules which should be followed. 1. Handle your instruments with care — dropping, scratching etc. will all damage the surface of instruments and reduce their resistance to corrosion.
If your packs are coming out of the autoclave wet through then there is a cycle problem & you need to speak to your autoclave engineer for advice. Wet storage will result in corrosion and damage to your instruments.
2. Store with care. If instruments are stored damp they will corrode. Delicate instruments should be packed with protective tips & silicone storage box inserts to stop them rattling around. Always make sure heavy instruments are not stored on top of lighter equipment.
So — store your instruments clean, dry, lubricated & protected and they will give you many years of service. A good, easy to follow instrument care protocol will extend instrument life, save money and result in happy surgeons!
3. Use them to do what they were designed for! Artery forceps are not needle-holders or wire twisters, bone cutters are not designed to cut wire, 218
17
INSTRUMENT CARE
Automatic Instrument Washer
Repair Service Veterinary Instrumentation has a network of specialists who can repair any surgical instrument. Send the damaged item to us and we will advise if it is worth repairing. For some power tools, it may be necessary to send them back to the original manufacturer for assessment, which may be overseas. All carriage fees will be charged at cost. Routine sharpening and setting of scissors is performed quickly and professionally in our own workshop by Len Richardson, instrument maker with over 55 years of experience.
‘No more manual cleaning.’ Simply load your surgical instruments and press start. • Validated ‘Table Top’ decontamination to HTM2030 and EN ISO 15883. • 6 washing programes
Instrument Cleaning
• Biodegradeable detergent • Total cycle 35 mins. 99% decontamination after 15 minutes
Ultrasonic Cleaners
• Integrated water softening allows the use of all types of water • 9 litre water cycle • Dimensions: H(440mm) W(570mm) D(490mm) • One touch start • Dual Temperature Monitoring • Installation requirements require that hot and cold water, a drain and a 240v suppy are nearby. • A separate fully illustrated brochure available AUTOMATIC INSTRUMENT WASHER DISINFECTOR MED1159
Automatic Instrument Washer Disinfector*
MED1000.10
Auto ‘Deconozyme’ Gel Pack (100)
£120.00
MED1162
Stainless instrument basket
£375.00
MED8106
Burr, small component basket
MEDINST
Installation
£2,425.00
£25.00 £450.00
Carriage is extra for all items marked *
Instrument Cleaning Brush Used regularly, ultrasonic cleaning will keep your instruments looking good, and more importantly, working well. Ultrasonic action can clean out those nooks and crannies, including wide box joints, which normal cleaning cannot penetrate. Accumulations of blood in instrument joints cause corrosion and stiffening. Available in a range of sizes to suit your circumstances. All units include timer and heater, both of which are essential. We recommend the use of Rapidex and Rapizyme as ultrasonic cleaning agents.
Stainless steel instruments are protected from corrosion by a very thin layer of chromium oxide. This should not be damaged by regular wire brushes. This brush has firm nylon bristles on one side and stainless steel bristles on the other. Only use the stainless side to remove debris from grooves in artery forceps etc.
ULTRASONIC CLEANERS Q512
Ultrasonic cleaning machine - 265x215x140 * Digital
£1,350.00
Q518
Ultrasonic cleaning machine - 285x260x140 * Digital
£1,500.00
Q525
Ultrasonic cleaning machine - 470x270x140 * Digital
£1,850.00
INSTRUMENT CLEANING BRUSH 0364D
Carriage is extra for all items marked *
219
Cleaning Brush Nylon/Stainless
£6.25
17
INSTRUMENT CARE
Micro 90 Concentrate
Instrument Cleaning Agents
Liquid general purpose instrument cleaner (dilute 1:100) for ultrasonics.
Rapidex Cleaner - (Now supplied in bulk or water soluble sachets)
MICRO 90 CONCENTRATE 100300
Micro 90 1Litre dilute 1:100
£12.50
Perasafe Perasafe is a rapid, instrument compatible, user and environmentally friendly chemical sterilant. Supplied as a safe, space-saving powder Perasafe is activated by simply dissolving in luke-warm tap water. Providing rapid sterilisation and re-use of endoscopy instruments, Perasafe gives confidence to users and patients alike. A unique aldehyde-free formulation gives efficacy without harm to instruments, health risks to nursing staff and avoids the need for special fume extraction or waste disposal systems.
An effective degreaser and general instrument cleaner. Some users dislike the loose powder format. The new soluble sachets are simply dropped into the ultrasonic bath. No dry powder is released. • Ideal for Ultrasonic cleaners. • Also effective as a pre-soak for long standing or difficult residues • Tested by the Royal Institute of Public Health RAPIDEX CLEANER RAPIDEX
Box of 50 soluble sachets
£33.50
RAPIDEXBULK
2.25kg bulk powder
£49.50
Rapizyme
Perasafe is a pale blue/white powder which, when in solution, sterilises within 10 minutes. Suitable for all surgical instruments and fibrescopes. Formulated not to damage surgical instruments. Prepared solution lasts 24 hours. 81g pack makes 5 litres. May be subdivided to make less. PERASAFE 100100
Perasafe Cold Sterilant 24 x 81g (5 litre size)
£160.00
100101
Perasafe Cold Sterilant 6 x 81g (5 litre size)
£55.00
Instrument Lubrication Instrument Oil - (autoclavable) Regular lubrication will keep your instruments working longer. Failure to lubricate will result in stiff joints and ultimately breakages. Low boiling point oils are quickly lost during the autoclaving process.
• Three new enzymes • Easy to use measured bottle • 2ml per litre dilution • Removes all organic material • Ideal for endoscopes • Low foam for ultrasonics
Oils containing teflon offer significant extra lubrication. Can be autoclaved.
• Completely rinsable • Biodegradeable • Tested by The Royal Institute of Public Health RAPIZYME RAPIZYME
Bottle 0.5 litre
£21.50 INSTRUMENT OIL — AUTOCLAVABLE
220
100003
Instrument Lubricating Oil
£12.50
100006
Teflon Drops
£16.50
17
INSTRUMENT CARE
www.vetinst.com Surgical Instrument Lubricant
Instrument Marking Tape
After washing and drying, a regular spray of instrument lubricant will prolong working life and improve the function of your jointed instruments.
Allows rogue instruments to be returned to their kits. Also useful when going on practical courses. Available as a kit or in individual rolls. Also available in high heat version which can tolerate dry heat sterilisers.
SURGICAL INSTRUMENT LUBRICANT Instrument Lubricating Spray
100009
£10.50
INSTRUMENT MARKING TAPE
Instrument Lube Diluted with water instrument lube becomes an oil emulsion. Instruments are allowed to soak to allow penetration of lube to all working parts. The excess is drained off prior to autoclaving. The water evaporates during autoclaving, leaving a film of oil in the joints
100001
Instrument marking tape (box 8 colours) (120cm)
100001Y
Instrument marking tape single yellow (300cm)
£7.75
100001R
Instrument marking tape single red (300cm)
£7.75
100001BR
Instrument marking tape single brown (300cm)
£7.75
100001OR
Instrument marking tape single orange (300cm)
£7.75
100001BLU
Instrument marking tape single blue (300cm)
£7.75
100001G
Instrument marking tape single green (300cm)
£7.75
100001W
Instrument marking tape single white (300cm)
£7.75
100001BLK
Instrument marking tape single black (300cm)
£7.75
100001DHW
Dry heat Instrument marking tape single white (300cm) £8.75
£18.50
Protective Autoclavable Tips
INSTRUMENT LUBE EZE Lube Instrument Lube 4 Litre
100008
£47.50
Instrument Marking Colour Coded Identity Rings
For Steinman, ESF pins and delicate or sharp instruments. Protect both tips and staff. PROTECTIVE AUTOCLAVABLE TIPS
Strong tear-resistant silicone instrument coding rings.
100011-W
Protective Tip White up to 1.6 - 2.0mm dia Pack 20
£8.50
100011-BL
Protective Tip Blue 2.5 - 3mm dia Pack 20
£8.50
100011-G
Protective Tip Green up to 3.2 - 4.0mm dia Pack 20
£8.50
100011-R
Protective Tip Red up to 4.8mm dia Pack 20
£8.50
100011-Y
Protective Tip Yellow up to 6.0 - 6.5mm dia Pack 20
£8.50
100011-O
Protective Tip Flat Orange up to 10mm wide Pack 20
£8.50
100011-BR
Protective Tip Flat Brown up to 16mm dia Pack 20
£8.50
100011-BLK
Protective Tip Flat Black up to 25mm dia Pack 20
100011
Protective Tips Silicone Mixed Pack 80
COLOUR CODED IDENTITY RINGS 100012
Coloured Silicone Instrument I.D. Rings x 120
£14.00 221
£8.50 £28.00
17
INSTRUMENT CARE
MELAG Class B Autoclaves. Vakuklav 23-B Melag Autoclaves After a lot of research and discussions with users we have selected the MELAG Vakuklav 23-B as representing the best combination of specification, ease of use and value. MELAG is a family run concern with decades of experience in designing and producing autoclaves. Melag autoclaves are backed up by a UK wide network of engineers. For extra rapid cycle times consider the Melag Cheeta class autoclave. Little Sister type autoclaves are designed to sterilise non wrapped solid items on open trays. This type of autoclave is classified as type N and in human practice it is not permitted for sterilisation of wrapped instruments (even in autoclave bags) or hollow instruments for fear that the steam will not fully penetrate. To ensure full penetration of steam a vacuum cycle must first remove the air from the chamber. Type B autoclaves are the highest specification machines and are suitable for the sterilisation of all wrapped or nonwrapped, solid, hollow and porous products. In addition the Type B autoclaves produce dry packs and instruments, which minimises staining and corrosion of instruments.
melag type23 B
In human hospitals it is a requirement that printed records are created and kept of each cycle. Now that MRSA infections are also appearing in veterinary practice it would seem reasonable that we should do the same.
Highest specification Class B Bench top vacuum autoclave conforming to prEN13060/1-4 Fractionated Pre-Vacuum, with sub atmospheric pulsing.
Why MELAG?
Simple Choice of Programs
Conformation - International regulation prEN13060/1-4 categorises autoclaves as types N, S and B according to their operational parameters and intended applications. All Melag autoclaves conform. Independent Validation - Melag Type B autoclaves have been independently validated by a leading German University and have exceeded the requirements of prEN13060/1-4 for Class B Autoclaves. Water Purity - Only the best quality demineralised or sterile water should be used to avoid autoclave malfunction and possible long term damage. melag prog 1
Melag type B machines automatically check water quality before each cycle. If the sterilising water contains impurities the autoclave will inform the operator and prevent use of the contaminated water. This feature is unique to Melag and significantly contributes to Melagâ&#x20AC;&#x2122;s enviable reputation for long term reliability and longevity.
Universal Cycle, 134c 2.1 bar, suitable for wrapped and unwrapped instruments and certain hollow items.
Water Cycle - Melag Type B autoclaves allow the user a choice of either one-way or water recirculation. With either system the autoclave will inform the user when refilling or draining is required Simplicity - Simple push button operation. With its large back lit alphanumeric display Melag informs the user of the cycle chosen and stages reached within the cycle.
melag prog 2
Comprehensive cycles - The user has a wide choice of cycles for different load types.
Quick Cycle, 134c 2.1 bar, suitable for unwrapped instruments only which are required for rapid re-use. Rapid sterilization in approx. 15 minutes.
Documentation - For security every Melag Type B machine includes a printer which comprehensively documents every cycle and sterilizing event. Alternatively each Melag B can be supplied with MelaWin software which runs unobtrusively in the background. This programme archives every cycle. These are available for printing and examination. Reliability and Longevity - All Melag autoclaves are manufactured from the highest quality materials available. Pressure chambers and doors are manufactured from stainless steel, pressure lines and pipes from Teflon and all other parts in contact with water from bronze. Door seals are manufactured from long life silicon. Lifetime chamber guarantee. Melag recommended service intervals are 1000 cycles or 2 years whichever is shorter.
melag prog 3
Gentle Cycle, 121c 1.1 bar, suitable for wrapped instruments, textile loads, thermostable plastic and rubber items.
222
17
INSTRUMENT CARE
www.vetinst.com
Melag Cheetah Class Autoclaves The new Cheetah Class Autoclave series from Melag represents the forefront of Bench Top Autoclave technology. With their unique auxiliary wrap around second chamber the Cheetah Class effectively minimizes NCGs (Non Condensable Gasses) to a level only previously seen in hospital based autoclaves. The result in steam quality and cycle times has never before been seen in a Bench Top Autoclave. All units Class B compliant. The Melag Cheetah Type 43-B operates at an incredible cycle time of only 13 minutes for WRAPPED instruments INCLUDING drying time. This is reduced to only 7 minutes for UNWRAPPED instruments INCLUDING drying. Imagine, by the time you have taken to read the autoclave section of this catalogue the Cheetah 43-B will have started its second cycle! Obviously speed is not everything and the Melag Cheetah range also provides user friendly documentation of every cycle and event via the removable Flash Card or by use of its standard Ethernet connection. The Melag Cheetah range is fully compliant with all current legislation and all pending legislation. Extremely simple to use, the Melag Cheetah range must be considered for all practices serious about sterility and the equipment they use.
melag prog 4
Prion Cycle, 134c 2.1 bar for 20 minutes, recommended for use where contamination by pathologically modified proteins is suspected.
melag prog 5
Bowie and Dick Test program. Steam penetration test
melag prog 6
Vacuum Test. Used to check the operational parameters of the autoclave. MELAG VAKUKLAV 23-B
23-B Vakuklav Chamber size 45 x 25cm (18" x 10") dia Volume 22.6 litres DIMENSIONS & WEIGHT Width 66cm Height 43cm Depth 49cm Weight 43kg Footprint 46cm FURNITURE 6 Trays with reversible 6/3 rack and handle MELAG TYPE 23-B MELAG 23-B
Vacuum Class B Steriliser and Printer, 22.6lt chamber
MELAWIN SOFTWARE
Software for PC/Modem connection
melag type 43-B
£4,950.00 MELAG CHEETAH RANGE SPECIFICATIONS £425.00
Chamber Volume Load Capacity Instruments Textiles DIMENSIONS & WEIGHT Width Height (inc. display) Depth Weight Power Supply
Autoclave Accessories Pouch Rack
43-B VacuQuick 45 x 25cm dia 22 litres 7kg 2.5kg 45cm 60cm 66cm 59kg 230v
MELAG CHEETAH melag m22420
TYPE 43-B
MELAG M22420 M22420
Pouch Rack for Melag Type 23-B
£85.00 223
Type 43B VacuQuick
£6,950.00
18
Chapter 18
THEATRE WEAR & DRAPING
The Veterinary Apparel Company
Re-Usable Cotton Theatre Wear
Veterinary Instrumentation is pleased to announce that we have linked up with the Veterinary Apparel Company, one of America’s biggest suppliers of theatre wear, to provide the UK veterinary professional with a huge choice of scrubs, coats and related wear.
Scrubs Increasingly veterinary operating room procedures are coming into line with their human counterparts. Everyday clothing should not enter the clean areas. We offer a wide range of plain and patterned scrubs, a selection of which is illustrated here.
Please call 0845 130 9596 or e-mail sales@vetinst.com for the latest catalogue.
Please phone 0845 130 9596 for a full colour brochure.
Plain Scrubs Patterned Scrub Tunics Available in XS - XL (please state size when ordering) (larger sizes available - please ask for price). UNISEX SIZE CHART BUST/CHEST (inches) WAIST (inches)
XS 31 - 33 24 - 26
S 34 - 37 28 - 30
M 38 - 40 32 - 34
L 41 - 44 36 - 38
XL 45 - 47 40 - 42
Luv Pets
Jade
Adriatic
Plain two pocket scrub tunics ‘V’ neck. 65/35 polycotton.
PLAIN SCRUB TUNICS
LUV PETS
TW0013J
XSmall
Jade
£11.00
TW0013A
XSmall
Adriatic
£11.00
TW0003J
Small
Jade
£11.00
TW0003A
Small
Adriatic
£11.00
TW0005J
Medium
Jade
£11.00
TW0005A
Medium
Adriatic
£11.00
TW0007J
Large
Jade
£11.00
TW0007A
Large
Adriatic
£11.00
TW0009J
X-Large
Jade
£11.00
TW0009A
X-Large
Adriatic
£11.00
TW266
Luv Pets. Two pockets
£28.50
Petite Pets. Two pockets
£25.50
Petite Pets
Plain Scrub Trousers with drawstring waist. 65/35 polycotton. PLAIN SCRUB TROUSERS TW0014J
XSmall
Jade
£10.00
TW0014A
XSmall
Adriatic
£10.00
TW0004J
Small
Jade
£10.00
TW0004A
Small
Adriatic
£10.00
TW0006J
Medium
Jade
£10.00
TW0006A
Medium
Adriatic
£10.00
TW0008J
Large
Jade
£10.00
TW0008A
Large
Adriatic
£10.00
TW0010J
X-Large
Jade
£10.00
PETITE PETS
TW0010A
X-Large
Adriatic
£10.00
TW626 224
18
THEATRE WEAR & DRAPING
www.vetinst.com Paw Prints
Operating Gowns
1.
2.
PAW PRINTS Paw Prints. Two pockets
TW674
£25.50
1. Green cotton with long sleeves and cuffs, the standard operating gown. 2. Waterproof material, with cuffs for minimal strike through. Pale blue.
VAC - Veterinary Apparel Company
OPERATING GOWNS The latest VAC catalogue has a huge range of different scrubs, coats and related wear. Please contact us for their latest catalogue.
TW0001M
Operating gown, cotton + cuffs. Medium
£15.50
TW0001L
Operating gown, cotton + cuffs. Large
£15.50
TW0001XL
Operating gown, cotton + cuffs. Extra Large
£15.50
TW0002
Operating gown. Waterproof with cuffs Blue. Large £42.50
Clogs
Please note we will not accept any returns of non-standard wear.
CODE: BRVAC
Surgical Wellies Our latest catalogue has a huge range of footwear. Please note we will not accept any returns of non-standard wear. CODE: BRCLOG White. Please state size when ordering.
‘Clean’ areas require dedicated clean footwear. Slip on clogs are ideal. Available in a variety of styles and colours. Please state size when ordering. SURGICAL CLOGS
SURGICAL WELLIES SWL100
Surgical Wellies state size
£25.50
0499W
White Clogs
£41.50
0499LB
Light Blue Clogs
£41.50
0800N
Navy Blue Clogs
£41.50
0497BW
White Paws on Black
£41.50
SC052
Clean Clog
£41.50
0497FW
White Paws on Fuschia
£41.50
(Please phone for our full colour brochure 0845 130 9596) 225
18
THEATRE WEAR & DRAPING
Re-useable Cotton Drapes
Client Expectations
Plain Surgical Drapes
In 2009 a survey published in the Journal of Small Animal Practice (JSAP.Vol 50. September 2009) revealed a significant disconnect between client expectations of operating theatre practice and the reality of what happens in first opinion veterinary practice.
Available in green balloon cloth (lightweight with fine weave) single and double thickness, and the tougher calico (heavyweight with coarser weave) available in single thickness only. PLAIN SURGICAL DRAPES - Balloon Cloth - Single ply BDS1818
Plain drape 18” x 18” (45cm x 45cm)
£4.00
BDS2418
Plain drape 24” x 18” (60 x 45cm)
£4.25
BDS2424
Plain drape 24” x 24” (60 x 60cm)
£4.50
BDS3624
Plain drape 36” x 24” (91 x 60cm)
£5.00
BDS3636
Plain drape 36” x 36” (91 x 91cm)
£5.50
BDS4836
Plain drape 48” x 36” (122 x 91cm)
£6.00
Client Expectation %
Practice Reality %
Wearing of gloves
98.2
37.5
Wearing a gown
92.7
14.3
Wearing a hat
80.9
12.5
Wearing a facemask
80.2
10.7
62.2
7.1
42
19.6
BDS4848
Plain drape 48” x 48” (122 x 122cm)
£6.75
Wearing theatre shoes
BDS7248
Plain drape 72” x 48” (182 x 122cm)
£7.50
Using disposable drapes
PLAIN SURGICAL DRAPES - Balloon Cloth - Double ply BDS1818DBL
Double drape 18” x 18” (45cm x 45cm)
£7.00
BDS2418DBL
Double drape 24” x 18” (60 x 45cm)
£7.50
BDS2424DBL
Double drape 24” x 24” (60 x 60cm)
£8.00
BDS3624DBL
Double drape 36” x 24” (91 x 60cm)
£9.00
BDS3636DBL
Double drape 36” x 36” (91 x 91cm)
£10.50
BDS4836DBL
Double drape 48” x 36” (122 x 91cm)
£11.50
BDS4848DBL
Double drape 48” x 48” (122 x 122cm)
£12.75
BDS7248DBL
Double drape 72” x 48” (182 x 122cm)
£14.50
The article also revealed that clients would be unhappy if their expectations were not met. The main driver of theatre practice should be the wellbeing of our patients but how clients expect us to operate is not an insignificant factor. That veterinary practice should, ideally, comform to the standards indicated is not really in doubt. The survey shows that veterinary practice is in many cases not living up to client expectations. By implication if clients expect us to use these materials then they will be willing to pay for them. This section includes a wide selection re-usable and disposable theatre wear and drapes.
PLAIN SURGICAL DRAPES - Calico - Single ply CDS1818
Calico drape 18” x 18” (45cm x 45cm)
£4.00
CDS2418
Calico drape 24” x 18” (60 x 45cm)
£4.25
CDS2424
Calico drape 24” x 24” (60 x 60cm)
£4.50
CDS3624
Calico drape 36” x 24” (91 x 60cm)
£5.00
CDS3636
Calico drape 36” x 36” (91 x 91cm)
£5.50
CDS4836
Calico drape 48” x 36” (122 x 91cm)
£6.00
CDS4848
Calico drape 48” x 48” (122 x 122cm)
£6.75
CDS7248
Calico drape 72” x 48” (182 x 122cm)
£7.50
Disposable Gowns, Drapes & Towels Most veterinary autoclaves sterilise cloth drapes unreliably. Packs containing materials should be autoclaved using a vacuum autoclave. Disposables provide an alternative in that they require no cleaning, laundering, folding, packing and autoclaving. The cost is no longer prohibitive particularly when bought by the case. Below is a useful section of what is available. If you require a specific pack not shown please call 0845 130 9596. Samples are available on request.
Fenestrated Surgical Drapes Available in green balloon cloth single and double thickness.
Or look at website www.vetinst.com
Calico drapes available in single thickness only.
Surgical Gown Disposable - Standard
FENESTRATED SURGICAL DRAPES - Balloon cloth - Single ply BDSF1818
Fenestrated drape 18” x 18”
2” x 1” hole
£5.50
BDSF2424
Fenestrated drape 24” x 24”
4” x 1.5” hole
£7.75
BDSF3636
Fenestrated drape 36” x 36”
5” x 2” hole
£9.75
BDSF4848
Fenestrated drape 48” x 48”
7” x 3” hole
£15.50
FENESTRATED SURGICAL DRAPES - Balloon cloth - Double ply BDSF1818DBL
Fenestrated drape double 18" x 18" 2" x 1" hole
£9.75
BDSF2424DBL
Fenestrated drape double 24" x 24" 4" x 1.5" hole
£11.50
BDSF3636DBL
Fenestrated drape double 36" x 36" 5" x 2" hole
£14.00 SURGICAL GOWNS - Standard
FENESTRATED SURGICAL DRAPES - Calico - Single ply CDSF1818
Fenestrated drape calico 18" x 18"
2" X 1" hole
£5.25
CDSF2424
Fenestrated drape calico 24" x 24"
4" x 1.5" hole
£6.25
CDSF3636
Fenestrated drape calico 36" x 36"
5" x 2" hole
£8.25
226
DG003001
Surgical gown (single). Medium standard plus 2 hand towels
£3.75
DG003001/30
Surgical gown (box of 30). Medium standard plus 2 hand towels
£92.50
DG003002
Surgical gown (single). Large standard plus 2 hand towels
£4.00
DG003002/30
Surgical gown (box of 30). Large standard plus 2 hand towels
£105.00
DG003003/30
Surgical gown (box of 30). XLarge standard plus 2 hand towels
£105.00
18
THEATRE WEAR & DRAPING
www.vetinst.com Surgical Gown Disposable - Reinforced
Non-sterile drapes suitable for steam sterilisation. 134° Practices which prefer not to launder cloth drapes but do not wish to switch to fully pre-sterile disposables have the option on sterilising their own disposable drapes. The drapes are available in two materials one of which is waterproof in that it is 3 ply, one of which is an impervious plastic film. Strike through is not possible with this drape. The second material is water repellent NON-STERILE DRAPES FOR STEAM STERILISATION 134°
SURGICAL GOWNS - Reinforced Surgical gown (single). Medium reinforced plus 2 hand towels
DG113401
Surgical gown (box of 30). Medium reinforced plus 2 hand towels
DG113401/30
£3.75
75 x 90cm 3ply waterproof (Box 250)
£95.00
DDCB03
60 x 90cm water repellent (Box 200)
£95.00
DDCB33
70 x 90cm water repellent (Box 200)
£95.00
DDCB13
90 x 137cm water repellent (Box 100)
£95.00
£92.50
DG113402
Surgical gown (single). Large reinforced plus 2 hand towels
DG113402/30
Surgical gown (box of 30). Large reinforced plus 2 hand towels
£105.00
Surgical gown (box of 30). XLarge reinforced plus 2 hand towels
£105.00
DG113403/30
DD928002
Set-up and Trolley Covers Sterile
£4.00
Plastic, waterproof, sterile. A basic cover for tables, instrument trays, Mayo tables etc. SET-UP AND TROLLEY COVERS STERILE
Masks and Caps
DD205002
Sterile plastic cover 120cm x 160cm (70)
£100.00
DD209001
Sterile plastic cover 95cm x 150cm (70)
£145.00
Incise drape with fluid collection pouch Arthroscopy is messy. Collection of fluid run off will minimise what falls to the floor. This opapaque plastic film drape has a 100mm x 100mm incise area and a 200mm x 300mm fluid collection pouch.
MASKS & CAPS TW0011
Disposable Caps (50). Tie back
£18.00
TW001100
Disposable Caps (100). Tie back
£30.00
TW0012
Disposable Masks (50)
£12.00
TW001110
Disposable Caps beret style (100)
£35.00
TW001111
Disposable Caps beret style (50)
£19.00
Free sample on request.
Surgeon’s Gloves. INCISE DRAPE WITH FLUID COLLECTION POUCH Available in both latex or latex free, Veterinary Instrumentation surgeons gloves have been shown to add significantly to aseptic technique. Absolutely essential for any orthopaedic procedure.
DD198961
Incise drape with pouch (Box 40)
£125.00
FCP2527
Fluid Collection Pouch 25cm x 27cm (200 Sterile)
£245.00
SURGICAL GLOVES 352511
Surgical Gloves Latex (50)
Size 5.5
£38.50
Draping and Theatre Wear Full Catalogue
352512
Surgical Gloves Latex (50)
Size 6
£38.50
352513
Surgical Gloves Latex (50)
Size 6.5
£38.50
352514
Surgical Gloves Latex (50)
Size 7
£38.50
352515
Surgical Gloves Latex (50)
Size 7.5
£38.50
352516
Surgical Gloves Latex (50)
Size 8
£38.50
The drapes and theatre wear shown in this section of the catalogue represents a small fraction of the items available. Sterile drapes are avialble in a variety of materials each having different characteristics and pricing.
352517
Surgical Gloves Latex (50)
Size 8.5
£38.50
352518
Surgical Gloves Latex (50)
Size 9
£38.50
352511LF
Surgical Gloves Latex Free (10)
Size 5.5
£33.50
352512LF
Surgical Gloves Latex Free (10)
Size 6
£33.50
352513LF
Surgical Gloves Latex Free (10)
Size 6.5
£33.50
352514LF
Surgical Gloves Latex Free (10)
Size 7
£33.50
352515LF
Surgical Gloves Latex Free (10)
Size 7.5
£33.50
352516LF
Surgical Gloves Latex Free (10)
Size 8
£33.50
DRAPING AND THEATRE WEAR CATALOGUE
352517LF
Surgical Gloves Latex Free (10)
Size 8.5
£33.50
BRGARD
352518LF
Surgical Gloves Latex Free (10)
Size 9
£33.50
Please request our full illustrated catalogue which includes individual items and a large range of drape sets. Samples available. Provided you are willing to take a full box we can supply anything.
227
Draping and Theatre Wear Catalogue
£FOC
18
THEATRE WEAR & DRAPING
Utility Drape (Disposable) Sterile
Adhesive Aperture Drape (Disposable) Sterile
New Pack sizes ADHESIVE APERTURE DRAPE UTILITY DRAPE DD3939
Utility Drape 98cm x 98cm (Single)
£3.50
DD4458
Utility Drape 112cm x 145cm (Single)
£4.50
DD4472
Utility Drape 112cm x 180cm (Single)
£5.50
DD5777
Utility Drape 145cm x 193cm (Single)
£6.50
DD128810/10
Adhesive Aperture Drape (box of 10) 200 x 300cm with 9 x 22cm aperture
£80.00
DD128810/20
Adhesive Aperture Drape (box of 20) 200 x 300cm with 9 x 22cm aperture
£150.00
Universal Set - Minor (Disposable) Sterile Utility Drape (Disposable) Sterile
New Pack sizes
Universal set of Drapes - Minor. Set comprises: • 2 x Op Towels (75 x 75cm)
UTILITY DRAPE
• 2 x Medium Drapes (160 x 175cm)
DD128805/40
Utility Drape (box of 40) 75 x 75cm
£40.00
DD128805/160
Utility Drape (box of 160) 75 x 75cm
£135.00
DD128814/40
Utility Drape (box of 40) 75 x 90cm
£42.50
DD148803/9
Universal Set - Minor (box of 9)
£100.00
£140.00
DD148803/18
Universal Set - Minor (box of 18)
£180.00
DD128814/160
Utility Drape (box of 160) 75 x 90cm
DD128806/20
Utility Drape (box of 20) 90 x 150cm
£42.50
DD128806/80
Utility Drape (box of 80) 90 x 150cm
£150.00
DD128807/23
Utility Drape (box of 23) 160 x 75cm
£85.00
DD128807/46
Utility Drape (box of 46) 160 x 75cm
£150.00
UNIVERSAL SET - MINOR
Adhesive Antibacterial Impregnated Drapes CLEAR ADHESIVE SURGICAL DRAPES with POVIDINE
Adhesive Operating Drape (Disposable) Sterile
AD1420
14cm x 20cm
20 Pieces/box
£30.00
AD2030
20cm x 30cm
20 Pieces/box
£40.00
AD3045
30cm x 45cm
20 Pieces/box
£60.00
AD4560
45cm x 60cm
10 Pieces/box
£60.00
ID6650
Ioban™ Drape 56 x 45cm
(Single)
£25.00
Buster Operation Cover (Disposable) Sterile BUSTER OPERATION COVER 141840
New Pack sizes ADHESIVE OPERATING DRAPE
Buster Op Cover Sterile Plastic drape. 120cm x 120cm Box 25
£35.00
The Full Range of Disposables
DD128801/40
Adhesive Operating Drape (box of 40) 75 x 75cm
£60.00
DD128801/160
Adhesive Operating Drape (box of 160) 75 x 75cm
£210.00
DD128813/65
Adhesive Operating Drape (box of 65) 75 x 90cm
£120.00
DD128813/160
Adhesive Operating Drape (box of 130) 75 x 90cm
£210.00
We have listed only a small selection of the available range of disposables. If you cannot see what you are looking for please call or e-mail for our full catalogue. Provided you are prepared to buy these by the case we will be very happy to meet your requirements.
228
Chapter 19
19
ANAESTHESIA & MONITORING
Matrx VMSTM The VMS small animal anaesthesia machine is a long-time favorite of veterinary professionals. It is designed for safe, simple, and controllable small animal inhalation anaesthesia. The dual view oxygen flowmeter (0.24 LPM) allows you to quickly switch from standard to magnified view. Midmark is the only company to have a negative pressure safety valve that allows room air into the system if the oxygen flow is cut off to the patient.
Veterinary Instrumentation is very pleased to have been appointed exclusive UK distributor for Midmark. The Midmark family also includes the Matrx range of Anaesthesia machines and Cardell monitors. With over 90 years of healthcare manufacturing and clinical use experience, Midmark are recognised as leaders in veterinary dentistry, anaesthesia and monitoring.
Specifications Dual view oxygen flowmeter - glass tube with a fused scale reading from 0.2 to 4 lpm — quickly switch from standard to magnified view at the touch of a finger Easy-to-view inhalation/exhalation valves allow easy monitoring of respiration for patient safety Automatic air intake valve — opens to provide room air to patient if contents of breathing bag are depleted Oxygen flush 1500cc CO2 absorber with “Quick Release” lever feature for easy absorbent replacement (accepts pre-pack canisters or 1350gm loose absorbent) Dome-type inhalation and exhalation valves — no tools needed to disassemble
TM
Matrx VMS Standard
Scavenging/adjustable pressure limiting valve -60 to +60 cm H2O pressure gauge 15mm and 22mm diameter corrugated breathing circuits One- and two-liter breathing bags Chrome portable stand with 5-leg spider base and casters Accepts VIP 3000 and TEC 3 vaporisers (mounting kit included) Oxygen low-flow flowmeter or nitrous oxide flowmeter add-on capability Optional shelves available.
MATRX VMS MID91800070 Matrx VMS Standard*
£1,850.00
MID91800166 Matrx VMS Wall Mount
£1,850.00
ADDITIONAL OPTIONS MID91800709 Low Flow O2 Kit MID91800138 Quick Release Conversion Kit
£175.00
MID91800167 VMS to VMS Plus Conversion Kit
£465.00 £60.00
MID91805140 Tray Shelf for VMS
£100.00
MID91805141 Ventilator Shelf for VMS
£100.00
MID91805146 Mayo Tray (1)
ACCESSORIES Note: For Vaporisers, turn to page 231. For cylinder mount blocks, turn to page 230. Carriage is extra for all items marked *
229
£80.00
MID93305007 Post Mount Assembly (for adding 2nd vaporiser) MID93805114 Occlusion Valve
Also available in a wall mount configuration
£495.00
£40.00
19
ANAESTHESIA & MONITORING
Matrx VMSTM Plus
Anaesthesia Accessories Cylinder Mounting Blocks
Small E or D Size, cylinder mounting blocks with single-stage regulators are available to complete your portable system. Includes high pressure hoses and cylinder wrench. CYLINDER MOUNTING BLOCKS MID93305384 1 cylinder O2
£325.00
MID94305383 2 Cylinder O2
£425.00
MID94305372 1 O2 & 1 N2O Cylinder
£845.00
MID94305385 2 O2 & 2 N2O Cylinder
£1,125.00
VMS/VMS Plus Maintenance Kit All the parts you need for routine anaesthesia machine maintenance. Saves money against purchasing separately.
VMS/VMS PLUS MAINTENANCE KIT MID91303015 A new twist on a time-proven anaesthesia machine. The Matrx VMS Plus provides more functionality than ever before with two shelves for convenient placement of monitors and equipment. Its dual vapouriser mounting capacity allows you to easily switch from one agent to another.
Maintenance Kit
£75.00
Wall Mount Anaesthetic Unit
Exactly the same specification as the Matrx VMS Standard shown on previous page. MATRX VMS PLUS MID91800075 Matrx VMS Plus*
£1,975.00
ADDITIONAL OPTIONS MID91800709 Low Flow O2 Kit
£495.00
MID93805114 Occlusion Valve
£60.00
MID91800129 IV Holder Kit MID91305187 Mounting Kit for 2nd vapouriser
This compact unit is supplied fixed to a rail for wall mounting. Twin or single gas supplied with or without vapouriser. We can supply rail mountings for the attachment of other items e.g. lights and a circle absorber. The cheapest unit you can buy.
£100.00 £30.00
Carriage is extra for all items marked *
WALL MOUNT ANAESTHETIC UNIT WA2
Wall mount anaesthetic unit, twin gas (no vapouriser) *
Carriage is extra for all items marked *
230
£895.00
19
ANAESTHESIA & MONITORING
www.vetinst.com Conventional ‘Tec’ Vapouriser Systems
Matrx Veterinary Anaesthetic Gas Scavenger
Anaesthetic machines using calibrated "TEC" type vapourisers deliver into the circuit a gas mixture containing a specified percentage of volatile. In nonrebreathing circuits the patient will breathe this exact mixture. In circuits where some rebreathing occurs, the gas mix will not be the same as dialed on the vapouriser.
The Matrx™ Veterinary Anaesthetic Gas Scavenger offers reliable active scavenging of waste anaesthetic gas. It is designed to meet current ASTM and ANSI standards and is available in a post mount or wall mount configuration.
Veterinary Instrumentation's vapourisers are serviced and re-calibrated prior to sale.
Each Wall or Post Mount Scavenger unit will scavenge the waste anaesthetic gas from one anaesthesia machine. Portable — Post Mount Scavenger comes complete with 20 ft. (6m) of 32mm tubing, 5 ft. (1.5m) of 19mm tubing and post mount hardware. Wall Mount Scavenger comes complete with 2 ft. (.6m) of 32mm tubing, 18 ft. (5.5m) of 19mm tubing and wall mount hardware.
CONVENTIONAL ‘TEC’ VAPOURISER SYSTEMS ISO3TEC
Mark III Isoflurane Vapouriser *
£645.00
SEVOTEC
Mark III Sevoflurane Vapouriser *
£645.00
ISOBTEC
Mark III Isoflurane Vapouriser - Recalibrated *
£525.00
ISO4TEC
Mark IV Isoflurane Vapouriser - Recalibrated *
£625.00
ISO5TEC
Mark V Isoflurane Vapouriser - Recalibrated *
£825.00
SERVOTEC
Vapouriser service and calibrate *
£175.00
2012-000
Isoflurane Key Filled Bottle Adaptor
£55.00
2015-000
Sevoflurane Key Filled Bottle Adaptor
£55.00
• Designed to meet current ASTM and ANSI standards • Available in post mount or wall mount confi gurations • Quiet operation • Can be used with a ventilator or oxygenator • Easy to install, compact design with few parts • Standard 19mm inlet connection • Power on/off switch with indicator light • Low voltage (12V DC) operation MATRX VETERINARY ANAESTHETIC GAS SCAVENGER
Carriage is extra for all items marked *
MID91515181
Post Mount Veterinary Scavenger *
£485.00
MID91515182
Wall Mount Veterinary Scavenger *
£485.00
Carriage is extra for all items marked *
Oxygen Generator Very quiet running, floor standing and mobile on 4 removable castors. When connected to a normal 220 volt socket the PV5 will produce up to 5 litres/min of dry oxygen between 90% and 94% purity. Ideal for one anaesthetic machine. A green light indicates that the oxygen concentration is above the set point of 85%. If the oxygen concentration goes below 85% this light changes to red and an audible alarm will sound. The generator is simply plugged into mains electricity and therefore has a very low running cost (400w).
Fluosorber The Fluosorber absorbs all organic volatiles including Halothane and Isoflurane. The absorbed volatile is discarded with the exhausted Fluosorber after an increase in weight of 200g.
How it might benefit you
The Fluosorber is ideal for situations where there is no convenient outside wall.
Have you any idea what you are paying for oxygen in cylinders?
Fluosorbers are cheaper in bulk (6).
Avoids health and safety risks of continuously handling/changing heavy oxygen cylinders.
Oxygen cylinders may be costing your practice several thousand pounds per year. Why not have your own “in practice” oxygen generator.
Reduces infection/contamination by not having dirty old oxygen cylinders in your surgery. Avoids the problem of empty O2 cylinders occuring in mid surgery. Can be used to provide continuous oxygen to sick and convalescent animals. FLUOSORBER
OXYGEN GENERATOR
025510
Fluosorber (Single)
025515
Fluosorber (Six Pack)
£27.00
PV5OXY
£140.00
Oxygen Generator *
Carriage is extra for all items marked *
231
£1,450.00
19
ANAESTHESIA & MONITORING
Matrx Model 3000 Small Animal Anaesthesia Ventilator
Ventilator Accessories All models of the Matrx Model 3000 Anaesthesia Ventilator include Model 3000 controller, bellows base assembly, pressure sensing tube and tee, driving gas tube, power cord, spare fuse and operating manual. BELLOWS MID91806021
0-300 ml Attachment (Includes: Bellows, Adapter and Housing)
£355.00
MID91806026
0-300 ml Bellows
£145.00
MID91806027
0-300 ml Bellows Adapter
£85.00
MID91806028
0-300 ml Bellows Housing
£175.00
MID91806042
300-1600 ml Bellows
£155.00
MID91806044
300-1600 ml Bellows Housing
£175.00
MID91806043
1600-3000 ml Bellows
£195.00
MID91806045
1600-3000 ml Bellows Housing
£275.00
DEMAND WYE MID91806029
DISS O2, White
£45.00
MID91806030
DISS O2 90°, White
£60.00
DISS O2, FxF, 4 ft., White
£55.00
SUPPLY HOSE MID91806032 STANDS MID91806033
5 Leg, 42" w/Casters and Mounting Plate
£235.00
MID91806034
5 Leg, 37" w/Casters and Bushing Mount
£235.00
MOUNTING ARMS/PLATES MID91805152
An electronically controlled, time-cycled, pressure-limited ventilator, the Matrx by Midmark Model 3000 replaces the breathing bag, providing smooth, even delivery of anaesthesia. Designed specifically for veterinary practice, the Model 3000 assures a constant volume for each delivered breath, regardless of patient compliance and airway resistance. Easy-touse controls make operation simple and convenient.
Mounting Arm w/Plate and Extension for VMS
£155.00
Reduction Valves for Anaesthetic Gases
Replaces the breathing bag, freeing technician to assist in other procedures
Bottled gas at high pressure needs to be reduced to a pressure which can be handled by the anaesthetic machine (4 bar). Our single stage reduction valves reduce the pressure automatically to the correct pressure for the gas. Available in either bull nose fitting or pin index.
Precise control of anesthetic state allows lower levels of anaesthesia for more responsive patients, more economical operation, with blood CO2 and pH levels closer to normal Interchangeable bellows adapt to animals from 1 kg to 300 kg — no tools required Maximum working pressure limit (MWPL) adjustable from 10-60 cm H2O Dual airway pressure alarms signal any breath exceeding preset maximum or minimum Optional low supply gas alarm signals supply gas pressure below 35 psi. Respitory rates from 6-40 breaths per minute at inspiratory flow rates from 0-100 lpm Tidal volumes from 20-3,000 cc Built in scavenging point
REDUCTION VALVES
MATRX MODEL 3000 SMALL ANIMAL ANAESTHESIA VENTILATOR MID91806002
MID91806001
Model 3000 with 0-300 ml bellows, ellows housing and adapter (Approx Patient Weight Range Up to 30 kg) * Model 3000 with 300-1600 ml bellows and bellows housing (Approx Patient Weight Range 14-120 kg) *
£2,550.00
£2,500.00
Carriage is extra for all items marked *
232
0XREDF
Oxygen reduction valve bull nose fitting (4 bar)
£165.00
0XREDE
Oxygen reduction valve pin index fitting (4 bar)
£165.00
NITREDF
Nitrous oxide reduction valve bull nose fitting
£165.00
NITREDF
Nitrous oxide reduction valve pin index fitting
£165.00
19
ANAESTHESIA & MONITORING
www.vetinst.com
Circuits
Circuits Modified Ayres ‘T’ Piece
Ayres Non-rebreathing System with Scavenger Adapter The standard circuit for patients weighing less than 10kg
Connects in seconds to any Matrx™ anaesthesia machine. Designed especially for the small animal patient with less than 7kg (15 lbs) body weight, it provides minimal dead space and less resistance to flow as compared to a full-circle system.
• Low resistance • No valves • An open circuit Complete with scavenge connector see 025534. MODIFIED AYRES ‘T' PIECE 025105
AYRES NON-REBREATHING SYSTEM
Modified Ayres ‘T’ Piece Circuit Complete
£110.00
Modified Ayres ‘T’ Piece Semi Disposable
MID94515185
Ayres System Complete
£135.00
MID92305073
FS-2 Outlet Adapter
£135.00
MID61930908
Black Rubber Tubing-each (122 cm x 11mm OD x 6mm ID)
£18.50
MID92315080
“T” Tube Adapter
£39.50
MID92316019
Breathing Tube
£39.50
MID92305098
Bag to Tube Adapter
£19.50
MID91800194
1L Bag with Scavenger Adapter
£49.50
MODIFIED AYRES ‘T' PIECE - SEMI DISPOSABLE
MID91305439
Scavenger Adapter
£29.50
025105SD
MID91815246
Tube Connector x 19mm x 15mm
£10.00
MID92800173
1L Bag w/Hole, No Scav. Adapter
£25.00
As above but lighter in construction.
Semi-disposable ‘T’ circuit
£25.50
‘T’ Piece Scavenge Connector
Breathing Circuits
Pollution is a problem with all open circuits. This connector fits into the tail of the rebreathing bag and connects to standard scavenging systems. Also fits Mini Bain.
Designed to maximize patient safety and user convenience. A 360 degree connector rotation eliminates tubing twists or kinks. Unique Z-wave tubing provides superior flexibility.
‘T' PIECE SCAVENGE CONNECTOR
BREATHING CIRCUITS
025534
“T” piece Scavenge Connector
£14.50
0.5 Litre rebreathing bag
£11.00
MID91316420
22mm Diameter
£15.00
025051
MID91316419
15mm Diameter w/1 Litre Breathing Bag
£20.00
025104
4 Litre rebreathing bag
£18.50
MID20221100
2” (50.8mm) Diameter, 180cm
£72.50
025106
2 Litre rebreathing bag
£13.00
Bain Circuit
Unilimb Rebreathing Circuit
Fresh gas passes down the inner tube. Exhaust gas returns via the outer tube. Good heat and moisture exchange.
Unique tube-within-a-tube design enhances performance and convenience. Aids in heat and moisture retention, speeding patient recovery time Unique design reduces clutter of multiple tubes
Use 2.0 to 2.5 times respiratory minute volume. The adapter is re-usable but the circuits are semi-disposable. Use in patients 10kg plus.
UNILIMB REBREATHING CIRCUIT MID91316417
Unilimb Rebreathing Circuit 100cm
£19.50
MID91316431
Unilimb Rebreathing Circuit 150cm
£19.50
BAIN CIRCUIT
MID91316432
Unilimb Rebreathing Circuit 180cm
£19.50
025080
Bain Circuit Mount (required initially)
MID91316435
Pedi Unilimb Rebreathing Circuit 100cm
£19.50
025081
Bain Circuits tube set only
233
£185.00 £18.50
19
ANAESTHESIA & MONITORING
Bain Circuit Semi-Disposable
Small Furry/Exotic Mask and Non-Rebreathing Circuit
These very small masks were designed specifically for use on small exotics, small furries and birds. The fresh gas supply hooks up to the standard GA machine outlet. The soft conforming mask may be trimmed for maximum fit. The fresh gas feed may be repositioned within the mask. Exhaust gases are fed into the scavenge system. Tape the circuit onto the table.
As above but supplied as a complete circuit which can be reused many times. 1.6 m length. BAIN CIRCUIT SEMI-DISPOSABLE 025083
Bain Circuit Semi-Disposable. Complete
£32.50
LACK Parallel Circuit
SMALL FURRY/EXOTIC MASK SYSTEM This is a safer system than co-axial circuits. Both tubes are visible and can be checked for leaks, damage and security. Use in patients 10kg plus.
025091
Mask 9.0mm opening. 25cm, 10” tubing
£26.00
025092
Mask 12.5mm opening. 25cm, 10” tubing
£26.00
025093
Mask 14.0mm opening. 25cm, 10” tubing
£26.00
025095
Masks. Set of all 3 masks
£65.00
Connectors 30mm is the international diameter for scavenge systems. Use 30/22 adaptors to link sections of 22mm scavenge tubing.
LACK PARALLEL CIRCUIT LACK1
LACK parallel Circuit Complete
LACK4
LACK replacement tubes set
£165.00 £32.50
CONNECTORS
LACK Parallel Circuit Semi-Disposable
025536F
22mm male to 30mm female
£6.50
025536M
22mm male to 30mm male
£6.50
025534
30mm scavenge to 500ml bag tail (for ‘T’ piece or mini bain)
£14.50
PORTEX
Portex Swivel with port
£17.50
Connectors Semi-Disposable As above but supplied complete with head unit and 2 litre bag 1.6m length.
CONNECTORS SEMI-DISPOSABLE
LACK PARALLEL CIRCUIT SEMI-DISPOSABLE LACKSD
LACK Circuit - semi-disposable x 1
£32.50
Circle Circuits Semi-Disposable
025536SDF
22mm male to 30mm Scavenge female
£3.75
025536SDM
22mm male to 30mm Scavenge male
£3.75
025088
15mm Elbow. 15m - 22m/15f + 7.6mm port
£4.25
Anaesthetic Circuit Consumables Use Soda Lime to replenish to and from circle systems. Turns pink to white. CONSUMABLES An economical circuit for 10kg or more.
025052
Soda Lime 5Kg *
£27.50
There is a degree of rebreathing but the CO2 is removed by the in-circuit soda lime.
025104
4 Litre Rebreathing Bag. Antistatic Rubber
£18.50
025106
2 Litre Rebreathing Bag. Antistatic Rubber
£13.00
Minimum flow replenishes patients metabolic oxygen.
025051
0.5 Litre Rebreathing Bag. Antistatic Rubber
£11.00
Rubber bung allows Soda Lime to be replenished.
TUBING
Oxygen feed Tubing (per metre)
025535
Scavenge Tubing 22mm Dia. (per metre)
£2.25
025545
Corrugated plastic hose set with Y mount
£20.00
CIRCLE CIRCUITS SEMI-DISPOSABLE 025085
Circle circuit x 1
£52.50
Carriage is extra for all items marked *
234
£3.25
19
ANAESTHESIA & MONITORING
www.vetinst.com iM3 Masks
Small Animal Induction Chamber
iM3 masks are designed for rapid induction of anaesthesia with a minimum of fuss and minimum pollution. They all have the following features. • Very low dead space, important when masking down using circle systems • Removeable rubber diaphragm which minimises gas leaks and permits cleaning. • Made from virtually indestructable pvc which will not degrade like the latex rubber type. An excellent addition to conventional inhalation anaesthesia procedures, the Small Animal Induction Chambers are available in three sizes to accommodate cats, small dogs, birds, mice and other small patients.
• Clear plastic allows visualisation of patient’s muzzle. • Buy a full set (5) and get a free resuscitation bag, small. IM3 MASKS
Available in 45 litre, 18.5 litre, 5.25 litre and 1.5 litre sizes
025538CBR
Mask Bird/Rodent Clear
£28.00
Constructed of .22" (5.6mm) impact restraint acrylic
025538CVS
Mask Rabbit/Cat Clear
£28.00
Inlet ports accept standard 22mm breathing tube or 15mm connector
025538C
Mask Small (Cat) Clear
£28.00
025539C
Mask Large Clear
£28.00
025547C
Long Nose Mask Clear
£28.00
025552
Set of 5 clear masks (plus FREE resuscitation bag)
Sliding, self-locking top has stops to prevent unintentional removal of lid Scratch-resistant feet Includes a hook-up kit to connect vapouriser to inlet port
£140.00 SMALL ANIMAL INDUCTION CHAMBER
Eldridge Anaesthesia Mask
MID20220601 45 litre chamber (51cm x 31cm x 31cm)
£255.00
New mask designed to minimise roll and slipping. 3 sizes available.
MID93800038 18.5 litre chamber (41cm x 20cm x 27cm)
£160.00
MID93805107 5.25 litre chamber (28cm x 14.5cm x18cm)
£145.00
MID93805106 1.5 litre chamber (19cm x 14cm x 10cm)
£135.00
MID93805139 Set of 4 Chambers
£375.00
Anaesthetic Chamber
ELDRIDGE ANAESTHESIA MASK 025553
Feline/Small Canine
OD 90mm
025554
Canine up to 50lbs
OD 125mm
£37.50
025555
X Large Canine
OD 150mm
£40.00
£35.00
Resuscitation Bag For emergency artificial respiration. The device is ideal for administering either pure oxygen or room air to oxygen deprived patients. A special valve allows lung inflation on compression of the bag and passive exhalation of CO2 whilst fresh air refills the bag. Can be used with a standard endotracheal tube or an airtight mask.
Most very small patients may be induced using a chamber. The kit contains the chromed inlet and outlet fittings. • Relatively stress free • Patient remains visible • Standard 15mm inlet, standard scavenge tube outlet • 300mm x 300mm x 180mm (12” x 12” x 7")
RESUSCITATION BAG
ANAESTHETIC CHAMBER
025557
Small Resuscitator
£33.00
025540
Anaesthetic Chamber
025558
Large Resuscitator
£41.50
025540C
Chamber kit to convert plastic containers
235
£110.00 £85.00
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ANAESTHESIA & MONITORING
Feline Inhalant Delivery System
Intubation Accessories Endotube Light
This small penlight has attached a flexible metal rod with a light at the tip. A 5mm tube easily slides over the light tube. Offers both rigidity and light, especially useful in cats and small dogs. Operates with ‘AA’ batteries which are included. ENDOTUBE LIGHT
Feline asthma is increasingly recognised in small animal practice. Existing treatments include oral corticosteroids and bronchodilators. These regimes are far from ideal due to side effects or poor owner compliance.
025600
Endotube Light
£23.00
025601
Spare Endotube Light Bulb
£11.50
Endotracheal Tube Stylet Intubation is much easier using a malleable stylet. These plastic coated stylets may be bent to the desired shape. Each stylet has an adjustable rubber stopper to ensure that the stylet tip is not exposed at the endo tube tip. The stylets work especially well with silicone tubes which tend to be soft.
Metered Dose Inhalers (MDI) have been the treatment of choice for human asthmatics for many years. Inhaled medication has been shown to be more effective with fewer side effects. It is now possible to use these agents in cats with our unique aerosol chamber designed for cats. The chamber works with standard human MDIs and works well with the small tidal volume of feline patients. Patients quickly accept the system.
ENDOTRACHEAL TUBE STYLET
The kit comes complete with two masks. Chamber is 11cm x 4.5cm, (4.5” x 1.75”)
025605
Stylet. Tube sizes 2.0-3.5mm
£8.25
025606
Stylet. Tube sizes 4.0-6.5mm
£8.25
025607
Stylet. Tube sizes 7.0-10mm
£8.25
• reusable and easy to clean
Endotracheal Tube Cleaning Brush
• designed to be dispensed for client home use. • includes two different sized masks • directions included with suggested treatment regimes
Smaller tubes are difficult to flush out after use. These stainless shafted small brushes ensure patency. Always check tube patency prior to use. A surprisingly large number of small tubes are blocked with potentially disastrous consequences.
FELINE INHALANT DELIVERY SYSTEM 025700
Feline Inhalant Delivery System
£47.50
Laryngoscopes
ENDOTRACHEAL TUBE CLEANING BRUSH 025610
Endo Cleaning Brush 4mm for ≥ 5mm tubes
£5.75
025611
Endo Cleaning Brush 8mm for ≥ 8mm tubes
£5.75
Large Diameter Silicone Endotracheal Tube
025120
Miller Set & Wall Bracket
Intubation of certain breeds of certain species can be very difficult without the appropriate laryngoscope. Deflection of soft tissues and a light source makes life very much easier. In a crisis e.g. a blue brachycephalic, the appropriate laryngoscope will be a life saver. Veterinary Instrumentation recommends Miller blades. Our fibre optic system uses a remote single bulb producing a cold light at the blade tip.
Features: Connector included Lateral Murphy eye at distal tip allows ventilation in the event of obstruction of the main opening at the tip 10 to 14mm diameter Transparent: blood and mucous visible Comfortable c.f. rubber and PVC Durable c.f. rubber and PVC NOT autoclavable (use cold sterilants e.g. perasafe p.202) Sensible pricing
LARYNGOSCOPES 025118FO
Laryngoscope Set with 0, 1, 2, 3 & 4 Blades - Fibre Optic
025118FO BULB
Spare bulb for Fibre Optic laryngoscopes
025127
£205.00
LARGE DIAMETER ENDOTRACHEAL TUBE Inner Diameter (mm)
Length (cm)
025620
10
36
£22.00
025621
11
40
£23.00
£18.50 Wall Bracket for Laryngoscope Sets
£47.50
Laryngoscope for rabbit - Fibre Optic includes Miller No 0 Blade and 00 Blade
£140.00
025622
12
44
£24.00
025125L
Spare bulb non FO laryngoscopes large
£14.00
025623
14
48
£25.00
025125
Spare bulb non FO laryngoscopes small
£14.00
025625
Set of 4 tubes
025120
236
£85.00
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ANAESTHESIA & MONITORING
www.vetinst.com Oesophageal Stethoscope
Monitoring Apalert Respiration Monitor Increasing sophistication of monitors leads nurses to monitor the instruments rather than the patient. Simple respiratory monitoring plus a competent nurse offers the most reliable patient monitoring.
Very simple yet very effective. The anaesthetist can monitor heart and lungs yet still have hands and eyes free for other signs. Supplied complete with headset and three probes. OESOPHAGEAL STETHOSCOPE 025101
Oesophageal Stethoscope including 3 Probes
£60.00
025101/24F
24F Probe for stethescope (8mm O/D)
£19.00
025101/P18F
18F Probe for stethescope (6mm O/D)
£19.00
025101/P12F
12F Probe for stethescope (4mm O/D)
£19.00
Respiratory arrest almost always precedes cardiac arrest in an anaesthetic emergency. Prompt action at the point of respiration failure will usually save the patient. The APALERT is:
Stethoscope Professional
• Reliable. It beeps at each breath and the display shows the interval since the last breath.
4 FOR THE PRICE OF 3
• Rechargeable approx 70hrs use. You can still use it as it recharges. • Adjustable by beep volume and sensitivity • Alarming. The alarm gets louder if you ignore it. The alarm can be reset by the surgeon using magic eye facility without compromising sterility. This unit saves lives with a minimum of fuss. APALERT RESPIRATION MONITOR 025005
Apalert Monitor Complete Kit
025007
Apalert Probe
£21.00
025100
Mains Adaptor
£24.00
£285.00
Breathe-Safe Monitor MKIII
Standard
Paediatric
Diaphragm and bell options for detailed chest examinations. Very good diagnostic quality. Available in 5 colours. No quibble money back guarantee if you are not delighted. Supplied with 4 spare ear ‘nibs’ and a spare diaphragm. This tiny monitor is a simple apnea alert monitor. The microprocessor beeps with every breath.
STETHOSCOPE PROFESSIONAL 025107R
Professional Stethoscope Red
£15.00
• Highly sensitive.
025107BUR
Professional Stethoscope Burgundy
£15.00
025107L
Professional Stethoscope Lavender
£15.00
• Easy to use - just connect between the endotracheal tube and anaesthesia circuit. • No adjustments. A sophisticated alogorithm will recognise and indicate with a beep every breath from a kitten to St Bernard.
STETHOSCOPE PAEDIATRIC 025108R
Paediatric Stethoscope Red
£15.00
025108BUR
Paediatric Stethoscope Burgundy
£15.00
025108B
Paediatric Stethoscope Blue
£15.00
025108G
Paediatric Stethoscope Hunter Green
£15.00
025108L
Paediatric Stethoscope Lavender
£15.00
• Apnea Alert. If your patient fails to breathe for 45 seconds a distinctive apnea alert will sound. • Auto shut off. • High density long-life lithium battery will last for years. A simple life saver. BREATHE-SAFE MONITOR MKIII 025010 237
Breathe-Safe Monitor MKIII
£167.50
19
ANAESTHESIA & MONITORING
Cardell Model 9402 BP/Pulseox Monitor
CARDELL MONITORS Providing reliable data in a compact, affordable unit Cardell monitors are designed and manufactured exclusively for the veterinary sugeon. There are five different monitor options which include some or all of the following features:
Along with the BP advantages of Model 9401, the Model 9402 uses Nellcor’s OxiMax® digital processing for its pulse oximetry. The OxiMax technology offers greater accuracy than conventional oximetry, even for difficult-to-monitor patients with motion or low perfusion. A lingual sensor is included.
• Cardell independently verified non-invasive blood pressure technology. • Nellcor’s OxiMax all-digital pulse oximetry. • Oridian’s CO2 technology. • 3 or 5 lead ECG. • Respiration and temperature monitoring. Simply select a package which meets your requirements and Cardell will do the rest. On request we can supply copies of papers proving Cardell technology and reliability.
Cardell Model 9403 Multiparameter Monitor BP, SpO2, ECG, Respiration, and Temp.
Cardell Model 9401 Blood Pressure Monitor
This multi-parameter monitor offers the Cardell® reliable blood pressure technology, all-digital pulse oximetry from Nellcor, and ECG. Temperature software is built in. Only the reusable temperature probe must be purchased. A 3-lead ECG set is included (or opt for a 5-lead set). Multiple variable lead trace waveform selection is included along with 5 gain size selections and a trace freeze option. A printer and rolling stand are optional.
Provides reliable blood pressure monitoring in a compact and affordable package. The Model 9401 offers systolic, diastolic, mean arterial pressure and heart rate in seconds. It has an automatic mode allowing the user to set measurements from 1-90 minutes. A STAT mode provides continuous readings for five minutes. A manual mode allows the user to take a measurement at any time. There are high and low alarms for all parameters. The Cardell BP technology is known for working reliably in all our patient species. It comes with 13 cuffs in 7 different sizes.
238
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ANAESTHESIA & MONITORING
www.vetinst.com Cardell Model 9404 Multiparameter Monitor BP/ECG/Resp/Temp
ANAESTHESIA SET UP OFFERS Purchase of an an anaesthetic system is expensive. If you purchase an anaesthetic machine and a monitor together you get a 5% discount. Purchase of an anaestheitc machine and a monitor and an oxygen generator will attract a discount of 10%.
+ Any Anaesthesia Machine
Any Monitor
= 5% Discount
For those wanting to check health status in the exam room, or who already have a pulse oximeter, this monitor offers blood pressure measurements using the superior Cardell® technology along with a 3-lead ECG. Cuffs and the leads are included. Only the reusable temperature probe must be purchased.
Cardell Model 9405 Multiparameter Monitor BP/SpO2/ECG/CO2/Respiration and Temp.
Any Anaesthesia Machine
+ Any Monitor
This multi-parameter monitor has the “best in class” for key parameters: Cardell® blood pressure technology, Nellcor pulse oximetry and Oridion capnography. The ECG is 3-lead, but 5-lead is an option. With its compact size and 4-6 hours of operation from a rechargeable battery, this lightweight monitor is an ideal tool for the modern veterinary practice. An esophageal/rectal temperature probe is optional as is a printer and rolling stand. Included are 13 cuffs in 7 sizes, lingual SpO2 probe, 3 CO2 filter lines and a 3-lead ECG wire set.
+
= 10% Discount
CARDELL MONITORS CARD9401
Cardell 9401
£1,885.00
CARD9402
Cardell 9402
£2,500.00
CARD9403
Cardell 9403
£3,275.00
CARD9404
Cardell 9404
£2,500.00
CARD9405
Cardell 9405
£4,850.00
Oxygen Generator
239
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ANAESTHESIA & MONITORING
Technical Specifications Non-Invasive Blood Pressure Measurement Technique: Oscillometric Parameters: Systolic, diastolic, mean arterial pressure Modes: Manual, Auto Cycle, STAT (5 min. consec.) Determination Time: - Small Cuff: 18 seconds typical @160 BPM 120/80 - Large Cuff: 26 seconds typical @75 BPM 120/80 Blood Pressure Range: 20-265 mmHg Pulse Rate Range: 20-300 beats per minute Accuracy: In humans is shown to be +/-5 mmHg with standard deviation no greater than 8 mmHg. Meets AAMI/ANSI SP10, ‘02. Animal types vary. Invasive Pressure - 2 Channels (Optional) Frequency Response: dc to 12 Hz Input Impedance: 500 KW Accuracy: +/-2% Pulse Oximetry - Nellcor Pulse Rate Range: 35 - 250 bpm Pulse Rate Accuracy: +/-3 bpm SpO2 Range: 0 - 100% SpO2 Accuracy: - Large Animal: 70-100% +/-2 digits - Small Animal: 70-95% +/-3 digits Sensors: Nellcor VetSat & MaxFast ECG 3 Lead: I, II, III 5 Lead: I, II, III, aVR, aVL, aVF, V Patient Cable: 6-Pin AAMI Standard Accuracy: +/-1 BPM Heart Rate Average: 8 beats ECG Display: 4 channels Sweep Speed: 12.5/25/50 mm/s Temperature - 2 Channels Range: 9˚C to 50˚C Accuracy: +/-1˚C from 25˚C to 40˚C Respiration Size Adjustment: Manual Update Time: Approx. 2 seconds End Tidal CO2 - Oridion Type: Sidestream Response Time: 2.0 sec. Range: 0-99 mmHg Accuracy: +/-2 mmHg or +/-5% Breath Rate: 0-150 bpm Multi-Gas (Optional) Gas: N20, CO2, Des, Iso, Enf, Ser, Hal. Trends Intervals: 2, 4, 8, 24 Hours Heart Rate: Up to 120 hours averaged trend NIBP: Last 600 readings, tabular SpO2: Up to 120 hour averaged trend Review Trend Mode: Displays 120 hrs of HR, RR, SpO2, and IBP in two windows - 2, 4, 8, 24 hour view Display Type: Active Matrix TFT colour LCD Screen size: 12.1” Diag. View Angle: 120º Horiz. & Vert. Sweep Speed: ECG: 50, 25, 12.5 mm/s Channels: 6-8 Printer Type: Thermal Number of traces: 3 Speeds: 12.5 & 25 mm/s Mode: Waveform & Data Battery Type: Lead Acid Operating Time: up to 3 hours Normal Charge Time: 12 hours Power Requirements Voltage Input Range: 100-230 Vac. 50-60 Hz Communications Analog Outputs (worldwide): 13 Serial Ports: RS232, USB, RJ45 (ethernet port), VGA output port Size: 10.5”H x 11.5”W x 5.25”D Weight: 16 lbs. 7.3Kg Safety Unit meets or exceeds the specification, IEC.60601.1, CE0143, FDA, ISO 9001 & ISO 13485 certified Warranty Two years (parts and labour), except display face and accessories. Stand Options Wall Mount code: 4F Rolling Stand with Accessory Basket Code: Mob.64A
Cardell MAX-12 Multiparameter Monitor
The Cardell MAX-12 HD contains the world leading Cardell veterinary blood pressure technology, Nellcor’s all-digital Oximax® pulse oximetry, and Oridion’s Microstream® CO2 technology. These are complemented by a diagnostic quality ECG, respiration via CO2 and temperature. The MAX-12 HD is flexible in that you can choose the monitor with or without invasive blood pressure and multigas monitoring. Most parameters have custom algorithms developed especially for veterinarians.The 12.1” colour display is high definition and can be viewed from an extremely wide angle. And up to 8 waveforms can be viewed at one time, including 4 ECG waveforms. The monitor stores 120-hours of graphic and tabular trend information including a 12-minute ECG wave-form you can review. An esophageal ECG is also available (free during introduction). A port is available for downloading graphical trends and numerical data to your PC, or for creating a central monitoring system. And there’s a video output connection for displaying the data on a larger monitor. The menu is extra user-friendly with monitor and patient settings easily changed. Full detailed brochure available on request or from the website www.vetinst.com/docs
Kit Includes: Monitor 13 BP cuffs (7 sizes) Nellcor lingual SpO2 probe 3 lead ECG leads 3 x CO2 Filterline sets Temperature probe 1 x Roll paper Manual
CARDELL MAX12 MULTIPARAMETER MONITOR CARDMAX12HD
MAX12HD
£6,775.00
CARDMAX12HDI
MAX12HDI w Invasive BP
£7,450.00
CARDMAX12HDM
MAX12HDm w Multigas monitoring
£8,350.00
CARDMAX12HDIM
MAX12HDim w Invasive BP and Multigas
£9,050.00
CARD4F
Wall Stand for MAX12
£480.00
CARDMOB.64A
Mobile Stand with Basket
£685.00
CARDPAPER4F
Box 4 rolls printer paper
£42.00 240
19
ANAESTHESIA & MONITORING
www.vetinst.com Sharn Veterinary TidalGuard™ Sp CO2+SpO2+Resp.+Pulse rate
Vetron 4 Parameter Monitor
Capnography Pulseoximeter This handheld Pulsooximeter provides quantitative mainstream Et CO2 with the newest SpO2 technology in a portable, lightweight, simple and inexpensive monitor. The monitor allows the veterinarian to view critical information including inspired CO2 and expired CO2 in a waveform and numerical presentation with the respiration and pulse oximetry values displayed on the screen. The user can also set custom alarm limits and view graphic trends.
The Versatile and Compact Veterinary Monitor This advanced monitor offers fast and reliable SpO2, Pulse Rate, ECG, non-invasive blood pressure and temperature with waveforms and trend display. The Vetron features a built-in battery lasts for more than 3 hours. Having dimensions of 250mm x 85mm x 84mm (W x H x D) and a weight of 2.2kg makes this one of the world’s most compact multiparameter patient monitor.
SPECIFICATIONS: DISPLAY
TIDALGUARD™ MONITOR CARDTD
TidalGuard™
Type: Mono Graphic LCD Waveform Type: ECG leads I,II,III Indicator: AC power or battery operated indicators Display data : SpO2, HR, PR, SYS, DIA, MEAN, TEMP, Time, Battery status, alarm status, contrast, beep & alarm sound status, Trend
£2,550.00
All Cardell accessories and spares available
TRENDS
Cardell Accessories
Memory: 15 day at 10 second intervals Display: Tabular
INTERFACE S/W Upgrade: RS-232
PERFORMANCE ECG Leads: 3-lead I, II, III Frequency Response: 0.5-40Hz Sweep Speed: 25mm/sec, 50mm/sec Pacemaker Detection: yes Heart Rate Range: 30-300bpm Heart Rate Accuracy: ± 3% or ± 3bpm whichever is greater Pulse Oximetry(SpO2) Measurement Range: SpO2 0 to 100% ±2% Pulse Rate 25 to 250 bpm ±3bpm
Temperature Measurement Range: 15 to 45˚C (59 to 113F ) Accuracy: ± 0.1˚C (25 to 45˚C ) ± 0.2˚C (15 to 24˚C )
NIBP Technique: Oscillometric Measurement Range : Small Animal SYS 30~135mmHg DIA 10~110mmHg MEAN 20~125mmHg Cuff Pressure Range : 0~280mmHg Pressure Accuracy: ±2% or ±3 mmHg, whichever is greater Static : ±5 mmHg average error Clinical : 8mmHg standard deviation Pulse rate measuring range : 40~240bpm Inflation time for cuff: Less than 40 sec. (standard adult cuff) Total cycle time: 20 to 45 seconds typical (dependent on heart rate and motion artifact) Intervals for AUTO measurement time : 5,10,15, 30, 60, 90, 120 minutes Overpressure Protection: Hardware and software double protections Adult: 315±10 mmHg Pediatric: 265±10 mmHg Neonate: 155±10 mmHg
CARDELL ACCESSORIES CARDPRINT
Cardell Printer for 9400 Series
CARDSENSOR Nello Vetsat Sp02 Sensor
£525.00 £215.00
CARDTEMP
Temperature Probe
CARDC20B
Cardell Cuffs 20mm Box 10
CARDC20BS
Cardell Cuffs 20mm Single
£7.75
CARDC26B
Cardell Cuffs 25mm Box 10
£52.50
CARDC26BS
Cardell Cuffs 25mm Single
£7.75
CARDC39B
Cardell Cuffs 30mm Box 10
£52.50
CARDC39BS
Cardell Cuffs 30mm Single
£7.75
CARDC412
Cardell Cuffs 40mm Box 10
£52.50
CARDC412S
Cardell Cuffs 40mm Single
£7.75
CARDC515
Cardell Cuffs 50mm Box 10
£52.50
CARDC515S
Cardell Cuffs 50mm Single
£7.75
CARDC600
Cardell Cuffs Box 5 Mixed
£27.50
CARDSV8
80mm, Large Animal Reuseable Cuff
£15.50
VETRON 4 PARAMETER MONITOR
CARDSV10
102mm, Large Animal Reuseable Cuff
£18.50
VETRON4
£120.00 £52.50
ELECTRICAL RATINGS AC Power Input Voltage: 100-240VAC, 50/60Hz Output Voltage: 12VDC, 3.5A Battery Type: Li-ion Battery Run Time: 3 hours
PHYSICAL DIMENSIONS Weight: 1,300g Size: 85mm(H) x 245mm(W) x 84mm(D)
ALARMS Audible and visual alarms (SpO2, PR, HR, SYS, DIA, MEAN, TEMP) Low battery, ECG lead off, SpO2 probe off, system error
241
Vetron 4
£1,350.00
19
ANAESTHESIA & MONITORING
i-Warm Infusion Warmer by Cardell
Infusion Pump
Features
• USES VIRTUALLY ANY IV SET
• Portable and lightweight
• SIMPLE TO OPERATE
• Convenient hanging belt to hang on I.V. pole
• RELIABLE
• Current temperature displayed in Fahrenheit or Celsius
• ACCURATE
• Temperature overheating protection
• LIGHTWEIGHT 2.1KG
• Indicators for warming (orange), power (green), and overheating (red) Benefits • Reduces prep time to warm fluid • Can monitor temperature second to second • Reduces patient’s discomfort due to cold fluid • Compatible with standard I.V. sets • Quickly brings the temperature of the fluid up to the patient’s. I-WARM INFUSION WARMER CARDWARM
Cardwarm infusion Warmer
£345.00
Doppler Ultrasonic Blood Flow Monitor
Flowrate Flowrate adjustment Volume infused display Volume limit Purge rate IV set requirement Display Occlusion pressure Drip detection method Power source Battery Pumping type Alarms
Non-invasive blood pressure monitoring. Hypertension is often overlooked during diagnosis, treatment and routine physical examinations in small animals. In addition many hypotensive patients, such as those suffering from shock, benefit greatly from Doppler measurement of blood pressure when knowing the pressure can mean effective and timely treatment.
Diagnostic Alarm
Combining Doppler with an appropriate sized 'cuff' for small animals, provides the veterinarian with the same non-invasive method for testing blood pressure as is available in human medicine. A small probe is placed over a peripheral artery (e.g digital or coccygeal). An ultrasonic crystal in the probe transmits pulse wave sound back to the amplifier. The pressure cuff is inflated until the pulse sound is no longer audible. The cuff is slowly deflated, using the manometer, until pulse sounds are audible once more, at which point the manometer displays a numeric value of the animal's systolic pressure.
KVO (keep vein open) Weight Fluids Size INFUSION PUMP J106
Lightweight hand-held unit; high quality, vet spec sphygmomanometer. Comes complete with 2 cuffs (2.5cm and 5.0cm). Runs on 9 volt battery. Complete with headset and carrying case. All consumables are available. DOPPLER ULTRASONIC BLOOD FLOW MONITOR 025850
Doppler Ultrasonic Blood Flow Monitor Full Kit
1ml/h-999ml/hr 0.1 ml/hr 0-9999ml 0-9999ml 600ml/h Standard 15 or 20 drop or micro 60 drop/ml Not 10 drop Colour LCD with high backlight 40kpa-140pka 8 levels Infrared photo beam 110-240v/50-60hz Ni-Hydride, 5 hours on full charge Peristalic finger pump (detachable) Air in tube, door open, occlusion, pause, infusion complete, abnormal drips, leakage, tube slope Low battery, damaged battery, abnormal drip detector, and abnormal peristaltic finger pump 1ml/h 2.1kg (4.5lbs) Most fluids except BLOOD 5 1/2”(140mm)(w) x 7”(175mm(d) x 9”(225mm(h)
£950.00 242
Infusion pump
£875.00
Chapter 20
20
DIAGNOSTICS
Heine Diagnostic Sets
Heine Diagnostic To create a diagnostic set you will need to combine the diagnostic head of your choice together with a power source.
Top quality equipment boxed as a kit.
Otoscope Kit
Power Sources Standard N Handle
The standard N handle takes regular dry cell batteries. STANDARD N BATTERY HANDLE X-001.99.118
Standard N Battery Handle
£60.00
NT200 Rechargeable Handpiece System The NT200 is a rechargeable system which is supplied with one handle but has a capacity for 2 handles.
The kit includes the slit illumination head, three closed speculae (57mm x 4mm, 65mm x 6mm, 90mm x 7mm) a spare bulb and a hard case. Kit shown is with a standard battery handle but it is also available with a rechargeable handle or a rechargable handle and charging unit. HEINE OTOSCOPE KIT G-112.10.118 Heine Otoscope Kit with Standard Battery Handle
£375.00
G-112.20.376 Heine Otoscope Kit with Rechargeable Handle
£495.00
G-112.20.420 Heine Otoscope Kit with Rechargeable Handle and Charging Unit
£665.00
Otoscope and Ophthalmoscope Kit NT200 RECHARGEABLE HANDPIECE SYSTEM X-002.99.422
NT200 Charger c/w one handle
£445.00
X-002.99.411
Rechargeable handle for NT200
£125.00
EN100 Wall Mount Unit with 2 Handpiece Positions
The kit includes the slit illumination head, the Beta 200 ophthalmoscope head, three closed speculae (57mm x 4mm, 65mm x 6mm, 90mm x 7mm) spare bulbs and a hard case. Kit shown is with a standard battery handle but it is also available with a rechargeable handle or a rechargable handle and charging unit. HEINE OTOSCOPE AND OPHTHALMOSCOPE KIT G-148.10.118
Heine Otoscope and Ophthalmoscope Kit with Standard Battery Handle
£635.00
G-148.20.376
Heine Otoscope and Ophthalmoscope Kit with Rechargeable Handle
£795.00
Heine Otoscope and Ophthalmoscope Kit with Rechargeable Handle and Charging Unit
£925.00
G-148.20.420
The latest version of this popular unit is wall mounted with the handpieces connected by flexible cables. You will never be dependant on batteries or be concerned as to where the otoscope is! EN100 WALL MOUNT UNIT WITH 2 HANDPIECE POSITIONS
243
X-095.12.110 EN100 Modular Unit c/w two handles no heads
£340.00
X-095.12.135 Extra Handpiece Position
£170.00
20
DIAGNOSTICS
Otoscope Heads and Accessories
Ear Surgery BioCam 2.0 USB Video Otoscope Ideal for diagnosis, treatment and display to clients. Compliance is much more likely if the client understands the problem. May be used as: Otoscope
X0288078
Dentalscope Nasalscope Vaginascope Designed to facilitate the examination of the external ear and the removal of foreign bodies the slit head otoscope includes a magnifying loupe which swings out of the way for insertion of crocodile forceps.
Features
OTOSCOPE HEADS & ACCESSORIES
Works with any PC 2.0 USB port
G-002.21.301
Otoscope / Slit head with magnifying swivel
G0021330
Speculum Metal Closed 4mm
£42.00
High resolution image capture
G0021331
Speculum Metal Closed 6mm
£42.00
Real time video recording to your PC
G0021332
Speculum Metal Closed 7mm
£48.00
Multiple speculae, with and without working channels
G0021353
Speculum Metal Closed 10mm x 150mm
£45.00
Dedicated instrumentation for
G-000.21.209
Magnifying Swivel Loupe
£17.50
probing
X-001.88.077
2.5v Bulb for Otoscope
£24.00
cleaning
X-002.88.044
3.5v Bulb for Otoscope - Screw Fit
£24.00
grasping foreign bodies
X-002.88.078
3.5v Bulb for Otoscope - Push Fit
£24.00
biopsy of suspect tissues
£140.00
LED long life light source(10,000 hours)
Direct Opthalmoscope Heads The Beta opthalmoscope head is the standard direct opthalmoscope head. working (operating)
small
medium
large
FREE TRIAL!
X0288070 Beta opthalmoscope head
malleable biopsy forceps
DIRECT OPTHALMOSCOPE HEADS C-002.30.100
Opthalmoscope Head 3.5v
X-001.88.069
2.5v Bulb Beta Ophthalmoscope
£22.00
X-002.88.070
3.5v Bulb Beta Ophthalmoscope
£22.00
£235.00
Buster Starlight Diagnostic Set Fully flexible instruments are difficult to control. Malleable instruments allow the tips to be positioned exactly where the surgeon needs them. The forceps are available as graspers or as biopsy forceps. The malleable loops are available in two loop diameters 2mm and 4mm. The instruments may be purchased as a set in a stainless steel autoclave case. The case comes free when purchased as a set. BIOCAM
A simple torch based set for easy intubation. BUSTER STARLIGHT DIAGNOSTIC SET 270500
Buster Starlight diagnostic torch
£42.50
244
BIOCAM
BioCam 2.0 inc software plus 4 speculae
£695.00
014098
Malleable grasping forceps 145mm shaft
£95.00
014099
Malleable biopsy forceps 145mm shaft 2mm cup
£95.00
012528
Malleable ear loop curette 2.0mm diameter
£30.00
012529
Malleable ear loop curette 4.0mm diameter
014125
Malleable instrument set in stainless steel case
£30.00 £230.00
20
DIAGNOSTICS
www.vetinst.com
Tele-View High Resolution Wireless Otoscope - TV-16
Focus Ring The focus adjusting system moves the sensor head forward and backward. This allows for easy focus adjustment with only one finger and enables the user to focus on the eardrum, external acoustic meatus and fauces.
Operating Button (Main power/Record Button)
High Resolution 1.36 Mega Pixel • On Board Function
On-board memory
• Compact • Lightweight Body
Rechargable Battery (60 min. running)
• 16 Image Storage Capacity
Built-in RF Transmitter (Appox. 100ft)
Review Button Unlike halogen lights, 4 white LED lamps ensure realistic colour reproduction. The LED lamps also eliminate the need for bulb replacement.
Attachments included Your TV
Recharging Stand
Speculum x1
Morse Type S
Wireless
Wireless Microwave Receiver Morse Type S The Morse Type S receiver can be connected to any video device equipped with an RCA input such as a TV, video printer, or PC with a video capture card. If you have multiple exam rooms with video displays in each, you can install a Morse Type S receiver in each room and simply carry the otoscope from one room to another.
Video Input
Specifications • Reception Frequency 2.4GHz range
The Tele-View TV-16 is the world’s first wireless otoscope to display crystal clear images with 1.36 Mega pixel resolution. The TV-16 image can be displayed in real-time on any television or computer.* Now you can easily show all ear pathology to your clients resulting in additional billable procedures. The TV-16 incorporates the latest in image sensors and microprocessors to deliver a high resolution, low noise image with realistic colour. The TV-16 also incorporates four white LED lamps for excellent illumination and 128MB memory to store up to 16 images. The design is lightweight and ergonomic and the instrument is easy to use by all clinic personnel.
• Reception Sensitivity -70dBm • Power Supply 6V approx. 270mA • Weight approx. 40g 1.41oz Power Lamp
* With minimum computer specifications
Specification • 1.36 - Mega pixel colour CCD
• Full digital processing
• 4 white LED imaging
• 2.4GHz transmitter
For TV and PC with video capture card
• Rechargeable battery (60 min battery) • Image memory SDRAM 128MB • Use with any PAL TV monitor (not supplied) Packaged Items
TELE-VIEW HIGH RESOLUTION WIRELESS OTOSCOPE 014900
Tele-View Otoscope Transmitter/receiver
014910
Video Capture Unit for Computer (XP)
£1,800.00 £100.00 245
20
DIAGNOSTICS
Fritz Diagnostics The Veterinary Video Diagnostic System
Otoscope Attachments The Video Diagnostic System is a new generation of endoscopic video camera system. Both video camera and cold light source are combined within one unit. Similarly, both cold light and camera electronics are integrated into one cable. The camera head is fitted with the TWIN Lock connection which allows the use of multiple diagnostic heads, including:
981-VK-17S Silicone Sheathe Short
• Otoscope • Vaginoscope • Gastroscopes and endoscopes • Rigid endoscopes
981-VK-13S Silicone Sheath Long
• Dentalscope
The Veterinary Video Otoscope Set
981-VK-12 Cat Sheath
Examination of the ears of dogs and cats is part of the daily routine in small animal practice. Owner and surgeon can view the same monitor screen, the explanation of clinical findings is made very much easier. At any time it is possible to introduce a biopsy or a grasping forceps through the working channel.
Camera Light head with twin connector
981-VK-48 Sheath with working channel
Mutual, real time observation (with freeze frame option) of the ear canal can demonstrate to the owner a serious problem not normally visible. Poor owner compliance is recognised as a common reason for treatment failure. Viewing the problem together leads to much more committment by the owner.
981-VK-19 Dental Sheath
Cleaning and disinfection is much more convenient and faster, compared with conventional otoscopes. 981-VK-20 Tongue protection Spatula
Includes: Basic Video Diagnostic System Otoscope with 6 specialist sheaths Auto Switch camera head holder Grasping Forceps Stainless steel rack with silicone tips Antifog cleaning brush Inflation pump Cleaning wipes
FREE TRIAL! OTOSCOPE VIDEO SET 981-VK-108S
246
Video Diagnostic System - Otoscope Set. Complete (components as listed opposite)
£7,750.00
20
DIAGNOSTICS
www.vetinst.com
Suction/Irrigation Working Sheath
Optional Accessories for Otoscope Attachment Biopsy and Grasping Forceps
B20-135.
B20-130.
Options include: Suction and irrigation either individually or both at the same time. This system enables the surgeon to simulataneously view and clean the ear canal. SUCTION/IRRIGATION SYSTEM
BIOPSY AND GRASPING FORCEPS B20-135 B20-130
Grasping Forceps, OD: 2mm, WL 11cm Biopsy Forceps OD: 2.0mm, WL 11cm
£285.00
981-VK-69
Suction and Irrigation Working Sheath
£575.00
£285.00
981-VK-SG
Silicone Tip Blue (10 pack) autoclavable
£65.00
LL-1270
Three way stop cock (10 pack)
£35.00
TR-60-1D
Sealing Cap Small (10 pack)
£17.50
Fine Flexible Grasping Forceps
Suction/Irrigation Pump Suction or irrigation or both at the same time. Both independantly controllable. Filters included. Use in conjunction with 981-Vk-69 for the ideal ear flushing system. The fine flexible grasping forceps have a maximum diameter of 1.7mm and are therefore ideal for small working channels and speculae.
SUCTION AND IRRIGATION PUMP
FINE FLEXIBLE GRASPING FORCEPS 014067
Fine Flexible Grasping Forceps
H160-2S
Suction/Irrigation Pump
AR-10-922
Spare filters for H160-2S pump
£1,300.00 £195.00
£135.00
Other Video Diagnostic Attachments Silicone Tips for Otoscope Sheath (Autoclavable) T301-4030W
Silicone tips make the examination more comfortable and therefore more productive. The rack makes switching tips between examinations very straightforward and facilitates autoclaving.
All attachments are connected with a special locking system (TWIN connection) to the camera-light head. • 981-VK-024 Connector to take standard eyepieces of arthroscopes etc standard light cable also required. • T301-4030 Wide angle telescope, 30 degrees, OD: 4mm, 30cm, connector, - for gynaecology or bronchoscopy. See special brochures for all attachments.
SILICONE TIPS & RACK 981-VK-RA27
Rack with 27 Silicone Tips Stainless
981-VK-S
Silicone Tips (Pack 30)
OTHER VIDEO DIAGNOSTIC ATTACHMENTS £195.00
981-VK-024
£65.00
Connector to take standard arthroscope eyepieces
T301-4030W Wide angle telescope, 30°, OD: 4 mm, 30 cm, connector. Use for gynaecology, brochoscopy and laparoscopy.
Pumping air down the otoscope sheath clears condensation and keeps the viewing field clear. 5lit/min
Video Ear Speculum
£1,050.00
£2,650.00
S301-4034
Sheath for above for video vaginoscopy
£350.00
S301-4037
“Blendinger” Sheath with working channel for AI.
£650.00
BROTO
Brochure for video otoscope
£FOC
Accessories, Disinfection, Cleaning • easy to use • quick • safe ACCESSORIES, DISINFECTION, CLEANING
VIDEO EAR SPECULUM 981-VK-72
Video Ear Speculum
£435.00 247
DE-10-60
Disinfection wipes for endoscopes and instruments, box with 120pcs.
£11.00
DE-5-17
Cleaning brush for small cannulas with ID: 2-4mm, length 17cm
£22.50
E-22-71
Antifog fluid for endoscopes and mirrors, bottle with 10ml
£25.00
20
DIAGNOSTICS
ECG Machine
Veterinary Interpretive ECG
Our single channel ECG monitor offers exactly what the veterinary surgeon requires at a reasonable price. The all important lead II rhythm strip may be run for basic screening purposes. If necessary all 6 common leads may be run for more thorough diagnostics. Features and benefits • One touch keypad buttons for easy setup and operation. • Large well lit screen • Single channel displays and prints one lead at a time. • Manual and Automatic mode • 30cm x 22.5cm x 7cm (12” x 9” x 2.5”) • 2.8kg (6.25lb) • AC or long life internal 12v NiMH rechargeable. • Built in paper printer. • 3 year warranty on ECG. 1 year on battery and leads • Supplied with patient cable; liquid gel; limb electrodes x 4 thermal printing paper operation manual
In addition to functioning as a high quality standard ECG, the D120 includes software to assist the surgeon in making a diagnosis. The interpretive software is based on 25 years data on dogs and cats and is continuously updated. Simple Operation User friendly, clearly labelled operating panel Three recording modes
Special Offer
A: 4 seconds of the standard six limb lead ECG recorded
Each ECG 101 is supplied with a free copy of Larry Tilley’s
B: In addition to A, a 30 second II lead ECG together with a 30 second graph of the variation of the R-R interval calculating both variation and standard deviation.
“Electrocardiography Made Easy”
M: Fully manual operation for long term recording Portability
ECG MACHINE ECG101
ECG Machine
ECGROLL
Spare Trace Roll
2.4kg compact A4 size
£895.00
Comments
£18.50
The unit offers estimates of severity of signs, what further examinations might be useful and pitfalls to be avoided.
Cardio Link Oesophageal ECG Probe
Kit Contents Vet ECG Unit Patient lead 5 x small clip electrodes
The Cardio Link is an oesophageal probe with four stainless electrodes incorporated along the distal end. It can be linked to all existing ECG machines. The existing ECG clips are attached to metal posts inside the control box.
5 x large clip electrodes ECG cream Chart paper Instructions
Select lead II and adjust position of the Cardio Link probe to obtain a QRS waveform.
Interpretation Guide
No more leads trailing over the patient.
An invaluable tool for routine screening or serious investigations.
Probes available in three different sizes all of which work with the same control box. CARDIO LINK OESOPHAGEAL ECG PROBE
VET ECG
025060
Cardio Link Control Box
£145.00
VETECG D120 Vet ECG
0250602
4mm (12Fr) x 90cm (36”) cats, exotics,
£145.00
VETECGFOLD
Spare Chart Paper (Fold type) (10 Packs)
£55.00
0250603
6mm (18Fr) x 105cm (42”) medium/large dogs
£145.00
VETECGROLL
Spare Chart Paper (Roll type) (10 Rolls)
£55.00
0250604
6mm (18Fr) x 250cm (100”) Equine
£175.00
VETECGNEE
Needle Elecrodes (10)
£55.00
248
£1,950.00
Chapter 21
21
CLINICAL FURNITURE
Custom Furniture
Tables
Vet Sink
Stainless steel furniture can be fabricated to your design in our Sheffield workshop. Phone or fax a sketch for a quote.
Major vetsink features include -
Folding Wall Mount Examination Table Very rigid and will not tip over. Surface area can therefore be smaller than a free standing table.
• Fully welded internal joints precluding matter ingress and the retention of infectious organisms. • All round accessibility in standing and seated positions
Table flips flat against the wall for cleaning and examination of large dogs.
• Sloping sink base draining all fluids automatically away from the subject • Integral mixer taps and umbilical shower unit • Easily cleaned and maintained, thus popular with veterinary nurses • Radiused corners • Can be combined with the latest air driven dental units and mobile seating • Four button hooks are located on the sides for hanging the taps during cleaning
Standard table is 40" x 20", but all sizes available on request.
• 660mm width VETSINK VETSINK12
Vet sink 1200mm Tub table complete*
POA
VETSINK15
Vet sink 1500mm Tub table complete*
POA
VETSINK20
Vet sink 2000mm Tub table complete*
POA
VETSINKTOP
Solid top converts above into exam table/op table*
POA
Carriage is extra for all items marked *
FOLDING WALL MOUNT EXAMINATION TABLE Folding Table 40" x 20" *
028026
Scrub Dispenser Stainless Steel Demountable
POA
Carriage is extra for all items marked *
Mayo Instrument Table • Stainless steel throughout • Tray 19" (490mm) X 13"(330mm) • 4 castors • Height adjustable 33" (840mm) to 47" (1200mm) • Lifetime guarantee
Dispenser Attachment
025134 Dispenser
• Stainless construction • Unit dismountable from wall bracket (included) for cleaning/autoclaving
MAYO INSTRUMENT TABLE
• Operates standard scrub bottles
028027
SCRUB DISPENSER - DEMOUNTABLE 025134
Scrub Dispenser Stainless Steel
Stainless Mayo Instrument Table 19" x 13"*
Carriage is extra for all items marked *
£37.50 249
POA
21
CLINICAL FURNITURE
Magnifier
Lighting Good lighting is an essential pre-requisite for any examination or procedure. Regardless of the quality and range of your surgical instruments if you cannot adequately see what you are doing, your procedure will be compromised. We have selected a range of quality lights to meet your examination and procedure requirements.
VETLED Operating Light
A superior magnifying light for detailed distortion free examination. •
2.25 x magnification (5 dioptre)
•
127mm diameter
•
3 adjustable joints
•
Fluorescent tube 22w
•
230-240v 50Hz AC
•
10,500 lux light intensity
•
Options: C-Clamp 6.8kg Mobile 10.0kg MAGNIFYING PROCEDURE LIGHT
Long Arm reach 2000mm
RLMCLT
Mobile *
£250.00
RLMCL
Mobile with ‘C’ Clamp *
£195.00
* Carriage extra
drop 178mm to 1070
HF Series Multipurpose Examination Lights
weight 4.25kg
Short Arm reach 1200mm drop 178 to 685mm
12930
weight 4.0kg 12454
12929
The GT LED operating light was developed by veterinary surgeon Mark Treherne specifically for the needs of the typical veterinary operating theatre. The GT LED light produces 1,600 lux of cool light at 1 meter (240,000lux at 10cm). The emitted is at 5500 Kelvin, similar to daylight.
This very compact single light source is an ideal procedure light. The head swivels around to whatever position you require.
With 50,000 hours before bulb changes, low voltage and low power consumption the GT LED light is very economical with a low carbon foorprint. The light can even be used as emergency lighting in the event of power cuts. For the same energy input LED lights output 17.5 X the light.
•
Vented shade
•
stay cool finger tip controller
•
50w halogen light source
The lightweight aluminium LED head makes the light suitable for installation on standard ceilings without re-inforcement. The long arm version is 4.25kg and the short 4.0kg. No heavy counterbalance is necessary. In theatres where room height could be an issue a wall mounted version is available.
•
230-240v 50Hz AC
•
31,000 lux light intensity
•
Options: Articulated Wall Mount Articulated Ceiling Mount Flexible Goose Neck Mobile Flexible Goose neck ‘C’ Clamp
360 degree light positioning and focussing is achieved via an autoclavable handle which is included but also available as an extra. Basic installation is simple requiring connection to a 13amp plug. GT LED OPERATING LIGHT
12455 (clamp) 12456 (wall mount)
HF SERIES PROCEDURE LIGHT
GTCMLA
GT Operating Light Ceiling Mount 2m Radius *
£1,375.00
12456
HF Flexible Goose Neck Wall Mount 50w *
£300.00
GTCMSA
GT Operating Light Ceiling Mount 1.2m Radius *
£1,375.00
12929
HF 3-Part Ceiling Mount 50w *
£325.00
GTWMLA
GT Operating Light Wall Mount 2m Radius *
£1,375.00
12454
HF Flexible Arm Mobile Base 50w *
£475.00
GTWMSA
GT Operating Light Wall Mount 1.2m Radius *
£1,375.00
12455
HF Flexible Arm ‘C’ Clamp 50w *
£300.00
GTHAND
GT Operating Light Handle *
£35.00
12930
HF Articulated Wall Mount Procedure Light *
£300.00
Carriage is extra for all items marked *
Carriage is extra for all items marked *
250
CLINICAL FURNITURE
www.vetinst.com TriStar
21
Celestial Star
Wall mount
Ceiling mount
Mobile CS unit
Compact and counterbalanced, the three light source Celestial light is very easy to move and adjust.
A compact combination of three light sources offers the following features: •
Light pattern is 125mm at 600mm distance
•
3 x 20w long life halogen bulbs (2000hr)
•
230-240v 50Hz AC
•
42,000 lux light intensity
•
Light colour 4,100 Kelvin
•
Wall mount option offers 1400mm reach. 8.2kg
•
Mobile unit raises from 685mm to 2030mm on a non tip base. 11.4kg
•
Drift free balance arm
•
3 x 35w long life halogen bulbs (4000hr)
•
230-240v 50Hz AC
•
64,500 lux light intensity
•
Light colour 4,100 Kelvin
•
Options: Ceiling 23.6kg Dual Ceiling 47.2kg Wall 17.3kg Mobile 24.3kg CELESTIAL STAR LIGHTING
TRISTAR LIGHTING
CS2050C
Ceiling *
£1,375.00
CS2050W
Wall Mount *
£1,375.00
CS2050M
Mobile *
£1,375.00
Autoclaveable handle
£52.50
TS2015W
Wall Mount TriStar *
£875.00
18544
TS2015M
Mobile TriStar *
£875.00
13078
Bulb
£15.00
18464
Bulb 20w
£13.00
18676
Corrective Filter
£20.00
Carriage is extra for all items marked *
Carriage is extra for all items marked *
251
21
CLINICAL FURNITURE
I/V Accessories
Scales
Drip Stand, Cage Door Mount
Small Platform Scales
• Clips onto all mesh or bar fronted cages
Dosage calculation for very small patients is critical. Guesswork can result in serious overdosage or underdosage. Our small scales weigh in gram increments to 4kg. There is also a tare facility so that you can weigh things in boxes and bags. Stainless platform 250mm x 200mm.
• Stainless steel • Adjustable for height • Occupies no floor space • Moves with cage door causing no obstruction when examining patient
SMALL PLATFORM SCALES Mini Scale
025131
£75.00
Medium Platform Scales
DRIP STAND, CAGE DOOR MOUNT 028035
Drip Stand (Cage Door Mounting) (single)
£35.00
028036
Drip Stand (Cage Door Mounting) 3 Pack
£80.00
I / V Splints
For patients weighing between 1Kg and 20Kg this medium table scale is ideal. Mains and battery power 520mm x 200mm.
MEDIUM PLATFORM SCALES 025135
Medium Scale
£155.00
Walk-On Large Platform Scales •
Maintains foreleg in extension for long term IV therapy
•
Different sizes to suit all patients
•
Stainless steel, will autoclave
•
Well tolerated, even by cats
•
Supplied with full instructions I / V SPLINTS 028037
IV Splints Small - cat size
£42.50
028038
IV Splints Medium - up to 20lb dog
£42.50
028039
IV Splints Large - 20 to 40lb dog
£47.50
028040
IV Splints Ex Large - 40 to 80lb dog
028040S
Set IV Splints
£52.50 £160.00
0 to 100kg digital display. 1 year warranty. Free Delivery WALK-ON LARGE PLATFORM SCALES
252
025132
Walk-on Scales 900x500mm
025133
Rubber mat for above
£325.00 £20.00
21
CLINICAL FURNITURE
www.vetinst.com
Adson 4mm
Suction Suction Machine
Focal suction tip removes fluid from specific locations e.g.in spinal procedures. Very controllable at the handpiece by single finger over air bypass hole. ADSON SUCTION TIP Adson Suction Tip 4.0mm
1852121
£29.50
Frazier 2.6mm As the Adson but finer still.
This simple suction unit is sensibly priced to make it suitable for general practice as well as more specialised centres. The suction tube will fit all standard tips. The bottle capacity is 1 litre which is adequate for virtually all small animal procedures. The in-line filtration system minimises biohazards. Most veterinary dentists now regard suction as being essential. Suction is controllable and there is a vacuum indicator. CE marked for peace of mind and quality.
FRAZIER SUCTION TIP
The suction machine is ready for the attachment of tubes and tips.
Frazier Suction Tip 2.6mm
1854328
£29.50
SUCTION DEVICE 185000
ASKIR 30 Suction Device
185003
Filter Only
185004
Spare Suction Bottle & Lid
£23.50
185005
Spare Lid from Suction Bottle
£17.50
£249.00
Disposable Suction Tips and Autoclavable Tip Holder
£6.00
185DISPH
Suction Tips
185DISPW Wide
The autoclavable suction tip holder fits onto standard silicone suction tubing. There are a wide range of tips which fit the standard 11mm tapered opening. We offer a choice of two, narrow and wide. The autoclaveable nature means any standard suction unit may be used for both dentistry and sterile sugery.
We stock the four most useful style of tip. Each tip comes complete with a length of autoclavable silicone tube to connect to the suction unit.
Yankauer
185DISP Narrow
General purpose suction tip for removal of large volumes e.g. from abdomen.
DISPOSABLE SUCTION TIP
YANKAUER SUCTION TIP 1854327
Yankauer Suction Tip
£29.50
185DISP
Disposable tips Narrow Mouth (pack of 3)
185DISPW
Disposable Tips Wide Mouth (pack of 100)
185DISPH
Disposable tip handpiece (Autoclavable) to fit onto standard suction tubing
£15.00 £6.25 £47.50
Suction Tubing
Poole
SUCTION TUBING 185001
Autoclavable Suction Tubing per Metre
£3.75
Suction Tubing Connector As Yankauer but more holes for greater volume uptake. With perforated outer sheath removed the Poole functions as a small bore straight suction tip. POOLE SUCTION TIP 1854330
Poole Suction Tip
£29.50 SUCTION TUBING CONNECTOR 185006 253
Suction Tubing Connector
£2.50
21
CLINICAL FURNITURE
Cautery Units
Electrosurgery GIMA BiPolar Electrosurgery Unit
Portable Cordless Cautery Kit
HF 122 is a complete innovation in the electrosurgery field. It is a high frequency-electronic scalpel suitable for microcoagulation, small and medium MonoPolar surgery and BiPolar coagulation. The following MonoPolar modes of operation are available via the control panel: pure cutting (CUT), coagulated cutting (COAG), MonoPolar coagulation and microcoagulation (BLEND). Additionally with BiPolar forceps, bipolar coagulation and microcoagulation are available.
This handy set comprises a handpiece using two AA batteries (included) and four interchangeable and replaceable cautery tips 1/2”(12mm) Fine general purpose electrode for haemostasis 1/2”(12mm) Loop electrode for small skin tumours
Safety Alarm
4”(130mm) Fine electrode for deep areas
02313
Portable Cordless Cautery Kit
£55.00
Open Circuit (OC) Alarm warns the user that connection into the neutral plate has not been made or that the cable is disconnected. The alarm is signalled with an intermittent beep together with a flashing red light on the front panel. In this condition HF emission for cut and coagulation operation is switched off. Meets all EC standards for this type of equipment
02313w
Replacement cautery tip 1/2” fine
£10.00
Overheat Alarm
02313x
Replacement cautery tip 1/2” loop
£10.00
02313y
Replacement cautery tip 4” fine
£10.00
02313z
Replacement cautery tip 4” loop
£10.00
Should the final module in the HF generator overheat, the unit incorporates an internal circuit protection which cuts off operation. In this condition the red OVH warning light illuminates and the user must wait until the generator cools down, about 20 sec, before recommencing. The module will not go into protection mode as long as the instruction for operation as described in the manual are followed.
4”(130mm) Loop electrode Tip temperature 2200F/1200C PORTABLE CORDLESS CAUTERY KIT
Thermocautery Unit
Kit includes: • Two button MonoPolar handle (Autoclavable) • BiPolar cable and forceps • Two button MonoPolar handle (disposable) • Foot control • Flat neutral plate
• 6 short MonoPolar electrodes
6 x MonoPolar tips included in the kit.
integral illumination
Spare tips available.
This mains (240v) thermocautery device is very robust and reliable with a wide selection of tips. As the trigger is pressed the are a to be cauterised is illuminated by an integral light. Suitable for a wide range of minor procedures where thermocautery is appropriate.
BiPolar forceps are included in the set.
A
B
C
D
Other style forceps are available. EU Forceps have a square fitting into the cable.
THERMOCAUTERY UNIT
GIMA BIPOLAR ELECTROCAUTERY UNIT
SP33
Thermocautery Unit 240v
£95.00
HF122
120watt MonoPolar/BiPolar Electrosurgery Unit
SP36
Thermocautery Tip A Knife
£28.50
HF125
Spare Autoclavable MonoPolar handpiece for HF122
£70.00
SP34
Thermocautery Tip B Pin
£28.50
HF123
Spare Standard Bipolar Forceps for HF122
£90.00
SP35
Thermocautery Tip C Loop
£28.50
HF124
Spare Bipolar Cable for HF122 (A Type)
SP37
Thermocautery Tip D Ball
£28.50
HF127
Waterproof Foot Pedal for HF122
254
£945.00
£95.00 £195.00
CLINICAL FURNITURE
www.vetinst.com
21
GIMA MonoPolar Electrosurgery Unit
This new HF 106 electrosurgery unit is particularly suitable for small procedures. The 50 watt unit offers precision of cut with immediate coagulation. There is a choice of 10 electrodes. The three modes of operation, CUT, COAG and BLEND, can be easily selected through a switch on the front panel. Meets all EC standards for this type of equipment. The package includes HF 106 with all accessories including electrode handle, flat neutral plate, foot switch and a kit of 6 electrodes 5 cm long.
BiPolar Dissecting Forceps
6 x MonoPolar tips included in the kit. Spare tips available. MONOPOLAR ELECTROSURGERY UNIT
BiPolar Cable Generator Terminations
A
C
B
GIMA HF122
Storz
D
4mm Banana Plugs Valleylab Valley Lab (autobipolar) Eschman Arthrex OPES
HF106
50watt MonoPolar Electrosurgery Unit
HF107
Spare Autoclavable MonoPolar Handle for HF106
£625.00 £57.50
MonoPolar Spares and Accessories
These are the most common types of termination for the generator or machine end of the cable. We can supply cables to fit all machines. If you do not see the right connector here please check the brand and model number of your electrosurgery unit and call or e-mail us. We will find the right cable for your machine.
The termination on our bipolar cables is a universal type fitting both the EU (square end) and the US (twin pin) forceps. MONOPOLAR ACCESSORIES
BIPOLAR ACCESSORIES
HF1
Electrode
£5.75
HF2
Electrode
£5.75
HF3
Electrode
£5.75
HF190-100 Bipolar Forceps. Adson 1mm tip
£80.00
HF4
Electrode
£5.75
HF120-100 Bipolar Forceps. Straight 1mm tip 150mm long
£80.00
HF5
Electrode
£5.75
HF130-100 Bipolar Forceps. Straight 1mm tip 180mm long
£80.00
HF6
Electrode
£5.75
HF122-100 Bipolar Forceps. Straight/Angled 1mm tip 150mm long
£80.00
HF7
Electrode
£5.75
HF132-100 Bipolar Forceps. Straight/Angled 1mm tip 180mm long
£80.00
HF8
Electrode
£5.75
HF124
Spare Bipolar Cable A type Universal forcep connector
£95.00
HF9
Electrode
£5.75
HFU-30
Spare Bipolar Cable B type Universal forcep connector
£55.00
HF10
Electrode
HFY-30
Spare Bipolar Cable C type Universal forcep connector
£55.00
HF1-10
Set of 10 Electrodes (mixed)
£45.00
Spare Bipolar Cable D type Universal forcep connector
£55.00
HF30563
Spare MonoPolar Cable for HF122 & HF106
£57.50
HF126
Spare Metal Plate for HF122 & HF106
£80.00
HFS-30
Other Bipolar Cable types available. Phone for details 255
£5.75
21
CLINICAL FURNITURE
Animal Stretcher
Patient Warming and Positioning Safe and warm foam patient mats
Can be used by either two people with one at each end or by a single person utilising the wheels at one end. The frame is lightweight coated steel. The stretcher is made from heavy duty re-inforced nylon. Three 2” (50mm) straps are provided for patient security. 24” (600mm) x 48” (1200mm) ANIMAL STRETCHER 02742
Animal Stretcher
£85.00
1” (25mm) impermeable foam mats minimise patient heat loss during surgery and recovery. The mats are hugely more comfortable for the patient than stainless steel.
Soft Carry Stretcher
Wipe clean using all standard disinfectant solutions. Available for cages, and operating tables. SAFE AND WARM FOAM PATIENT MATS 02767
Operating table mat 15” (375mm) x 40” (1000mm) x 1” (25mm)
02767A
£150.00
Operating table mat 15”(375mm) x 44” (1100mm) x 1” (25mm)
£190.00
Safe and warm Standing anti-fatigue mat
Without rigid poles the soft carry stretcher can go into tight corners e.g. kennelling and cars. Six padded handles for comfort. Made from heavy duty washable nylon. Easily stored when not in use. Max weight for stretchers is 150lb (67.5kg). SOFT CARRY STRETCHER 02742A
Soft Stretcher 30” (750mm) x 50” (1250mm)
£32.50
02742B
Soft Stretcher 21” (525mm) x 34” (850mm)
£29.50
Long hours standing on hard floors is very tiring causing leg and back aches. This easy clean impermeable mat really does work. We have it on the show stand (very long hours on hard floors) and our staff fight over it!!! Edges are tapered to stop tripping. SAFE AND WARM STANDING ANTI-FATIGUE MAT 02769
Anti-fatigue mat 19” (475mm) x 38” (950mm)
02769A
Anti-fatigue mat 29” (725mm) x 38” (950mm)
x 2” (50mm) x 2” (50mm) 256
£225.00 £265.00
21
CLINICAL FURNITURE
www.vetinst.com Patient Warming Maintaining body temperature during anaesthesia and recovery is extremely important. Hypothermia will result in prolonged and poorer quality recovery. Electric pads carry a risk of overheating and circulating water blankets are easily damaged. Our new air warming system is a safe economical answer to the problem.
147cm x 101cm suitable for medium dogs or wrap around cats. 233cm x 152cm suitable for large dogs or wrap around. Over or under.
The unit has three temperature range settings and filtration down to 0.2 microns to minimise bacterial contamination.
Over or under
109cm x 101cm suitable for small dogs and cats. Over or under.
The blankets may be used as under blankets (typically during surgery) or as over blankets (during recovery). They are available as disposable or as a washable version in a range of sizes to suit all patients. WARM AIR BLANKETS HBWARM
Warm Air Unit
HB109101/1
Warm Air Blanket 109cm x 101cm Viewing Window Single
£10.50
HB109101/10
Warm Air Blanket 109cm x 101cm Viewing window (10 units) equates to £9.50 each
£95.00
HB109101/40
Warm Air Blanket 109cm x 101cm Viewing window (40 units) equates to £8.50 each
£340.00
HB109101/80
Warm Air Blanket 109cm x 101cm Viewing window (80 units) equates to £7.50 each
£600.00
HB147101/1
Warm Air Blanket 147cm x 101cm Single
HB147101/10
Warm Air Blanket 147cm x 101cm (10 units)
£95.00
HB147101/40
Warm Air Blanket 147cm x 101cm (40 units)
£340.00
HB147101/80
Warm Air Blanket 147cm x 101cm (80 units)
£600.00
HB233152/1
Warm Air Blanket 233cm x 152cm Single
HB233152/10
Warm Air Blanket 233cm x 152cm (10 units)
£95.00
HB233152/40
Warm Air Blanket 233cm x 152cm (40 units)
£340.00
HB233152/80
Warm Air Blanket 233cm x 152cm (80 units)
£600.00
£1,150.00
£10.50
£10.50
Washable Warm Air Blanket The blankets are reusable being made of a silky polyester fabric with an inlay of nylon waterproof material to keep the airflow circulating upwards towards the patient. The blankets are machine washable (hang to dry, do not tumble dry). The opening is 5” (12.5cm) with a cord tie making these blankets suitable for all brands of warm air convection units.
Warm Air Specifications Filtration 0.2 Microns Weight 6.1kg Temperature settings 32.2C +4.0/-2.0C 37.8C +4.0/-2.0C
WASHABLE WARM AIR BLANKET
43.3C +4.0/-2.0C
C9B7550
Washable Warm Air Blanket (75cm x 70cm)
£55.00
C9B9060
Washable Warm Air Blanket (90cm x 60cm)
£60.00
C9B12060
Washable Warm Air Blanket (120cm x 60cm)
C9SET
Set of 3 Blankets
Maximum contact temp 47C
257
£65.00 £160.00
21
CLINICAL FURNITURE
Multi Arm
Positioning Devices
Multiarm With Limb Brace Attachment In Use
Redmark Cradles Available individually or as a set of 3 these cradles are the best available. REDMARK CRADLES 026022
Redmark Cradles - set of 3 (S. M, L)
026022L
Redmark Cradle - Large over 32kg
£85.00
026022M
Redmark Cradle - Medium over 13kg - 32kg
£80.00
026022S
Redmark Cradle - Small up to 13kg
£75.00
£200.00
Vac Pac Vacuum positioning device. Simply mould the bead filled bag around or under the patient and hook up to any vacuum source, as the air is removed the bag solidifies in the set position. Especially useful for arthroscopy or any surgery requiring secure accurate positioning. The Vac Pac is: Re-useable Repairable Radiolucent Warm
Double Limb Support
020062
026000
020065
With Single Limb Support
Limb Brace Attachment
Safety need not be compromised to obtain accurately positioned radiographs. The multi arm can replace the human hand in the positioning and holding of limbs for both radiography, surgery and arthroscopy. Also useful for hands free positioning of bronchoscopes & gastroscopes. • Use cohesive bandage to attach limb • Three joints allow positioning at any angle. • A single knob locks all three joints rigid. • Clamp fixes device to virtually any operating or X-ray table • Double limb support (for hip radiographs) available as an option.
Thanks to Pat Ridge for the photographs
• As described by Kurt Schulz in Veterinary Surgery VAC-PAC
MULTI ARM Multi Arm - NEW ‘Improved' version includes single limb support
VP23
Vac-Pac size 23
45x50cm
£275.00
£225.00
VP30
Vac-Pac size 30
72x90cm
£395.00
020062
Double limb support
£115.00
VP31
Vac-Pac size 31
98x90cm
£395.00
020065
Limb Brace Attachment for Multi Arm
£115.00
VP32
Vac-Pac size 32
118x90cm
£395.00
026000
258
Chapter 22
22
CLIPPERS
Cardinal Wet n Dry
Surgical Clippers Andis Super AGR+ Cordless with corded back up
This clipper is designed to work in a wet environment. Other than the blade regular veterinary clippers are rarely cleaned effectively allowing a build up of potential pathogens in the prep or consulting area. The wet n dry clippers will tolerate washing and disinfecting. They may even be soaked for long enough for chemical sterilisation thereby minimising cross contamination. Sterilisable clippers are now commonplace in human theatres.
* Powerful clipper designed for all day heavy use.
In addition they are quiet giving a close surgical clip.
* Sensa-Charge charger recharges battery is less than an hour.
CARDINAL WET N DRY CLIPPER
* High speed motor 3800 strokes per minute * Includes No 10 Ceramic edge blade * Cord adaptor converts clipper to mains power in emergencies. ANDIS SUPER AGR+ CORDLESS 0285604
Andis AGR+ Clipper
0285142
AGRC Power Groom Cord adaptor
£230.00
4410
Cardinal Kit (Clipper, Charger, 1 blade)
£55.00
4413
Cardinal Clipper Unit
£35.00
4414
Cardinal Charger Unit
£27.50
4412-4
Cardinal Blades x 4
£28.00
Pocket Pro Trimmer (purple)
£42.50
Light duty trimmer, easily concealed in palm of hand. Handy for i/v clips or blood tests
Oster Clippers A5
Runs off single AA battery (supplied). Cheap enough to have one in every room. POCKET PRO TRIMMER (PURPLE) The latest version of the industry standard clipper with a blade locking device to prevent the blade unclipping in use. (blade not included).
Pocket Pro trimmer
9861/5
Pocket Pro trimmer (5 pack Includes 1 FREE) £38.00
£9.50
Laube 505 Cordless Clipper
OSTER CLIPPERS A5 028080
9861
Oster A5 “Golden” body only (no blades)
£125.00
Oster Blades OSTER BLADES 028081
Oster Clipper Blade Size 40
£32.50
028081/E
Oster Clipper Blade Size 40 ELITE
£37.50
028082
Oster Clipper Blade Size 15
£32.50
028083
Oster Clipper Blade Size 50
£32.50
028084
Oster Clipper Blade Size 30
£32.50
028082/10
Oster Clipper Blade Size 10
£32.50
• Up to 3 hours clip time
• Ultra quiet
• 2 speeds 4,000 and 10,000 spm
• Motor has limited 5 year warranty
• Fits all snap on blades
• Pretty well vet and nurse proof!!!
The combination of reliability, solid construction and vastly superior blades make the Laube (pronounced ‘Lobby’) our first choice for a heavy duty cordless clipper. LAUBE 505 CORDLESS CLIPPER
Wahl Clippers
028100
Laube 505 Clipper
£335.00
Moser Max 45 - 2 Speed Mains Clipper
Laube Blades
Extremely robust with 45 Watt motor
To function with the powerful Laube range of clippers Laube have corrected all the faults of all the other blades. Laube blades fit all clippers sold by Veterinary Instrumentation, except Pocket pro trimmer and Cardinal wet n dry.
Two speed Takes standard clip on blades
Highly recommended and very competitively priced. LAUBE BLADES
WAHL MOSER MAX 45 CLIPPERS KM6245-800
Moser Max 45 incl. surgical blade
£95.00 259
028111
Laube No. 15 blade
£29.50
028112
Laube No. 30 blade
£29.50
028110
Laube No. 40 blade
£29.50
028113
Laube No. 50 blade
£29.50
22
CLIPPERS
Bird Ring Cutter
Nail Clippers Heavy Duty with Plastic Handles
HEAVY DUTY WITH PLASTIC HANDLES 028088
Nail Clipper Heavy Duty Plastic Handle
Aluminium and plastic rings frequently prevent venous return from the distal limb of small birds. Oedema and necrosis quickly follow unless the ring is removed. Removal of the ring without fracturing the leg is not easy without this special cutting tool.
£10.50
Compound Action Nail Clippers
BIRD RING CUTTER 028090
Bird ring cutter
£29.50
Rabbit Ring Cutters COMPOUND ACTION NAIL CLIPPERS 028086
Nail Clipper Compound Action
£67.50
Nail Clippers Standard
Large
Identification rings placed on show rabbits can occlude the venous return from the distal hind limb with disastrous results. Removal of the ring without causing additional damage and pain to the limb is very difficult without these purpose designed cutters. Once the notched jaws are engaged on the ring, firm pressure may be applied to cut the ring without fear of the ring "flipping over". Also functions as a general purpose canine nail cutter. Small
RABBIT RING CUTTERS 028091
Rabbit ring cutters
£26.50
NAIL CLIPPERS STANDARD 028085
Nail Clippers (large) 14cm
£30.00
028085S
Nail Clippers (small) 12cm
£30.00
Parrot Ring Cutters
Resco Guillotine Type
This device is used by jewellers to remove rings from people’s fingers. The ring is cut by turning a hardened saw blade. Parrot rings are very tough and cannot be removed by nail cutters. This cutter will also remove rabbit rings but bear in mind that the lower blade has to go between skin and ring. PARROT RING CUTTERS
A lightweight clipper suitable for cats and small furries. RESCO GUILOTINE TYPE 028087
Resco Clippers Guillotine
£9.75 260
028093
Parrot ring cutter
£49.50
028094
Spare Blade for above
£15.00
Chapter 23
23
EDUCATION & TRAINING AIDS
Anatomical Models
Books
FELINE
ORTHOPEDICS Harry W Scott • Ron McLaughlin
Stifle AMJ776
Canine & feline models AMJ770S
MANSON PUBLISHING
Lumbar AMJ779
A combination of BK02 and BK01 or BK03 will cover nearly all the situations you are likely to face in practice.
Hock AMJ781
When clients better understand their pet's condition they are more likely to accept the treatment you suggest. Models illustrating the common problems are an invaluable aid. ANATOMICAL MODELS
BOOKS
D1050
Canine model clear
£60.00
D1055
Feline model clear
£60.00
D1057
Leporidae model clear
D1062
Set of canine, feline & leporidae models
AMJ772
Cross section of canine Ear
£80.00
AMJ779
Canine lumbar vertebrae with pathology
£85.00
AMJ776
Canine stifle
£90.00
AMJ775
Canine hip + lower vertebrae
AMJ780
Canine elbow
£85.00
AMJ781
Canine hock
£85.00
£65.00 £160.00
£165.00
Plastic Training Bones The limited availability of cadaver training programmes means that basic orthopaedic techniques must be practiced on plastic bones. Our plastic bones simulate the real thing as closely as possible in that they have cortices and medullary cavities.
BK01
A Guide to Canine and Feline Orthopaedic Surgery by Hamish Denny & Steve Butterworth
£75.00
BK02
An Atlas of Surgical Approaches the Bones & Joints of the Dog and Cat. 3rd Edition by Donald L. Piermattei
£67.50
BK03
Handbook of Small Animal Orthopaedics and Fracture Repair. 4th Edition by Donald L. Piermattei & Gretchen L.Flo £69.00
BK05
Small Animal Spinal Disorders - Diagnosis and Surgery by Simon J. Wheeler & Nicholas J H Sharp
BK06
Small Animal Arthroscopy (Book and CD ROM) by Beale, Hulse, Shulz and Whitney.
£85.00
BK07
Feline Orthopaedics by Scott & McLaughlin
£98.00
BK08
Electrocardiography made easy by Larry Tilley
£45.00
BK09
Feline Orthopaedic Surgery and Musculorskeletal Disease by P M Montavon
£75.00
£99.00
DVD/CD Rom These DVD/CD Roms show in detail the following procedures: • Fracture fixation including surgical approaches, plate, lag screw and tension band fixation. • Triple pelvic osteotomy using a VI plate
PLASTIC TRAINING BONES
• Total hip replacement
2121-20
Femur, Right with block
£32.50
2117-20
Tibia, Right with block
£32.50
2117-21
Tibia/fibula Right no block
£54.00
2003-20
Humerus Right with block
£32.50
DVD/CD ROM
2002-20
Radius Right solid foam with canal
£25.00
HDFFDVD
DVD Denny Fracture Fixation DVD Version
£40.00
2002-25
Radius and Ulna Right
£49.50
HDTPODVD
2002-22
Radius, Solid with Canal - Transverse Fracture
£25.00
Hamish Denny Triple Pelvic Ostotomy DVD Version
£40.00
2003-21
Humerus, Foam Cortex with Oblique Fracture
£37.50
CDRAS
2003-22
Humerus, Foam Cortex - Distal Condylar Fracture
£37.50
Powerpoint presentation on Rasenberg TPO plate (CD Rom)
2003-23
Humerus, Oblique Condylar Fracture
£37.50
HDTHPDVD
2003-24
Humerus, growth plate
DVD Hamish Denny Total Hip Replacement DVD Version
£37.50
£40.00
2003-25
Humerus - High Y Fracture, Head Fracture
£44.00
HDCADVD
DVD Hamish Denny Carpal Arthrodesis DVD Version
£40.00
2003-26
Humerus, Spiral Fracture
£40.00
DVDALL
2117
Tibia Left Foam Cortex
£32.50
Surgical Management of Canine CRCL disease covers TTO, TTA, TPLO plus Lateral Suture
• Carpal arthrodesis • Surgical management of canine CrCL disease
261
FOC
FOC
23
TRAINING AIDS
Free Training aids and Brochures
ADDITIONAL CATALOGUES AND BROCHURES
Posters
BRFIXIN
Fixin Brochure
£FOC
BR SUTURE
Shoulder Repair Technique Brochure
£FOC
BR TIGHT
Tightrope CCL Technical Brochure
£FOC
BRAWSPOW
Aesculap Power System Brochure
£FOC
PRAESPOWBURBLA Aesculap Power System Burs and Blades Brochure £FOC Arthrex instruments technical Brochure
BRARTHAND
BRARTHREXEAGLE Arthrex Eagle Eye Camera Brochure
INSTRUMENT POSTERS POSTER1 POSTER2
Orthopaedic poster
£FOC
General Surgical Instrument poster
£FOC
Plate Acetates We provide profiles of all our plates on acetate to facilitate correct selection. Simply lay the acetate over the X-Ray. All acetates are to scale — please compensate for X-Ray magnification.
Canine Arthroscopy Set Brochure
BRCCLS
Arthrex Canine Cruciate Ligament Repair Brochure £FOC
BRCERAM
Ceramysis Reprobone Brochure
£FOC
BRDESOUTLB
Desoutter Power Tools Large Bone Brochure
£FOC
BRDESOUTSM
Desoutter Power Tools Small Bone Brochure
£FOC
BRFIBER
Fiberwire Brochure
£FOC
BRFRVID
Dr Fritz Video Compact System
£FOC
BRLSAS
Step By Step Brochure Arthrex Suture Anchor System £FOC
BROATS
Arthrex Oats System Brochure
£FOC
BROES
Oesophagostomy Procedure Brochure
£FOC
BROPES
OPES Consol Brochure (electro surgical)
£FOC
BRSHAV
Arthrex Shaver System
£FOC
BRVAC
Veterinary Apparel Catalogue
£FOC
BRHELICA
Helica Brochure
£FOC
BRHELSURGMAN
Helica Surgical Manual
£FOC
BRDIXEY
Dixey Catalogue
£FOC
£FOC
DVDS AND CDROM DVDALL
PLATE ACETATES Acetate Overlay of bone Plates
£FOC
BRCANARTH
DVD Containing: OTT, Lat Suture, TPLO Closing Wedge and Radial Cut, TTA, TTO, Tight Rope and Meniscus Surgery and Full Catalogue
DVDARTHREX Arthrex Multi Brochure DVD
ACETATES
£FOC
£FOC
DVDLIGAISO
Liga Fiba Iso Toggle Suture Step by Step Guide
£FOC
DVDLEHMAN
Lehman – Arthroscopy
£FOC
DVDI/N
DVD – Interlocking Nail
£FOC
DVDBAP
Cochran Bisecting Angle Positioner Illustrated CD
£FOC
DVDTPLOCAD DVD Illustrating Use of Cadmus Plate and Template
Set by Step Guides
£FOC £FOC
£FOC
CDRAS
CD PowerPoint Presentation on Rasenberg Plate (CD ROM) £FOC
CDHAU
Illustrating Use of Hauptman Retractor
£FOC
CDTONO
Tonovet Procedure
£FOC
Websites
SET BY STEP GUIDES BRTTO
Step by step guide to TTO
£FOC
BRTTA
Step by step guide to TTA
£FOC
BRTPLO
Step by step guide to TPLO (Radial Cut)
£FOC
BRLATSUT
Step by step guide to Lateral Suture
£FOC
BRLIGAISO
Step by step guide to LigaFiba ISO Toggle Sutures
£FOC
BRTTOVCOT
TTO VCOT Paper
£FOC
BRHELVCOT
HELICA VCOT Paper
£FOC 262
www.vetinst.com
www.vetinst.eu
Over 3000 pages of useful information, on-line ordering for over 4000 products, free video downloads and training materials.
A new website translated into German for our and customers. Free delivery to Germany and Austria on orders over €125.
Index A
Anal Sac Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158
1.5mm Cortical Self Tapping Screws . . . . . . . . . . . .120
A / K Wire Instruments . . . . . . . . . . . . . . . . . . . . . . . .142
Anaesthestia Mask — Eldridge . . . . . . . . . . . . . . . . . .235
1.5mm Cuttable Plate . . . . . . . . . . . . . . . . . . . . . . . . .121
A / K Wire Dispenser . . . . . . . . . . . . . . . . . . . . . . . . .142
Anchor, Suture . . . . . . . . . . . . . . . . . . . . . . . . . . .16, 133
1:1 Attachment for Dental Units . . . . . . . . . . . . . . . . .180
Abdominal Retractors . . . . . . . . . . . . . . . . .157, 208-209
Andis Clipper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .259
2.0/2.4/2.7 Veterinary Cuttable Plate . . . . . . . . .122, 132
Acetabular Cups VI . . . . . . . . . . . . . . . . . . . . . . . . . .149
Angiotribes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156
2.0mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . .120
Acetabular Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . .134
Angled Cutter, Small . . . . . . . . . . . . . . . . . . . . . . . . . .63
2.0mm Cortical Self Tapping Screws . . . . . . . . . . . .120
Acetabular Positioner VI . . . . . . . . . . . . . . . . . . . . . . .150
Animal Stretchers . . . . . . . . . . . . . . . . . . . . . . . . . . . .256
2.0mm Round hole Plate . . . . . . . . . . . . . . . . . . . . . .112
Acetabular Reamers VI . . . . . . . . . . . . . . . . . . . . . . .150
Antibiotic Impregnated Beads . . . . . . . . . . . . . .151, 195
2.2mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . .121
Acetabular Skid VI . . . . . . . . . . . . . . . . . . . . . . . . . . .150
Anti-Fatigue Mats . . . . . . . . . . . . . . . . . . . . . . . . . . . .256
2.4, 2.7, 3.5mm Screws, Titanium . . . . . . . . . . . .29, 133
Acrylic Bi-Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
Anti-Skid Drills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140
2.4mm Compression Plates . . . . . . . . . . . . . . . . . . . .122
Acrylic Pin External Fixation System . . . . . . . . . . . . . .82
AO Type Periosteal Elevator . . . . . . . . . . . . . . . . . . . .64
Acrylic Tube Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
AO Type Plate Bending Pliers . . . . . . . . . . . . . . . . . . .60
Adhesive Drapes (Disposable) Sterile . . . . . . . . .48, 228
AO Type Screws & Plate Equipment . . . . . . . . . . . . .114
Adjustable Bone Saw . . . . . . . . . . . . . . . . . . . . . . . . . .34
AO/Synthes Quick Release Chuck . . . . . . . . . . . . . .116
Adjustable Drill Guide . . . . . . . . . . . . . . . . . . . . . . . . .117
Apalert Respiration Monitor . . . . . . . . . . . . . . . . . . . .237
Adjustable Thomas Splints . . . . . . . . . . . . . . . . . . . . . .71
APEF Base Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
Adson 4mm Suction Tip . . . . . . . . . . . . . . . . . . . . . . .253
APEF Pins & Frame Alignment Kit . . . . . . . . . . . . . . . .83
Adson Dissecting Forceps . . . . . . . . . . . . . . . . . . . . .204
APEF Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
1.5/2.0mm Compression Plates . . . . . . . . . . . . . . . . .121 1.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . .120
2.4mm Cortical Self Tapping Screws . . . . . . . . . . . . .122 2.4mm TPLO, TPLO Delta & Hybrid T Plates .33, 25, 134 2.7mm - 7/64 Self Tapping Screws (Sherman) . . . . .112 2.7mm Compression Plates . . . . . . . . . . . . . . . . . . . .123 2.7mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . .123
Anatomical Models . . . . . . . . . . . . . . . . . . . . . . . . . . .261
2.7mm Cortical Self Tapping Screws . . . . . . . . . . . . .123 2.7mm Heavy Duty Round Hole Plate . . . . . . . . . . . .112 Aesculap TPLO Saw Blades . . . . . . . . . . . . . . . . . . .100
Apical Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188
2.7mm 3.5mm Hybrid Locking DCP Carpal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . . . .132
Aesculap Acculan TI . . . . . . . . . . . . . . . . . . . . . . . . .100
Arruga Capsule Forceps . . . . . . . . . . . . . . . . . . . . . .165
2.7mm Locking Plates . . . . . . . . . . . . . . . . . . . . . . . .129
Aesculap Manipler Disposable Skin Stapler . . . . . . .199
Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .202-203
2.7mm Locking Screw Sets . . . . . . . . . . . . . . . . . . . . .19
Aesculap Motor Systems . . . . . . . . . . . . . . . . . . . . . .100
Arthrex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14-16
2.7mm Quarter Tubular Plate . . . . . . . . . . . . . . . . . . .124
Aesculap Oesophagostomy Tube System . . . . . . . . .158
Arthrex Corkscrew — single . . . . . . . . . . . . . . . . . . . . .15
Aesculap Power Lubricants . . . . . . . . . . . . . . . . . . . .101
Arthrex Fastak II — single . . . . . . . . . . . . . . . . . . . . . . .15
Aesculap Sharpening Service . . . . . . . . . . . . . . . . . .100
Arthrex - Instruments, Hand . . . . . . . . . . . . . . . . . . . . .43
Aesculap TPLO Motor System . . . . . . . . . . . . . . . . . .100
Arthrex Lateral Suture Anchors . . . . . . . . . . . . . . . . . .15
Aiming Device, Dr Lehman . . . . . . . . . . . . . . . . . . . . .44
Arthrex Mini Tightrope . . . . . . . . . . . . . . . . . . . . . . . . .16
Aiming Device, Drill . . . . . . . . . . . . . . . . . . . . . . . . . .117
Arthrex Suture Passing Wire . . . . . . . . . . . . . . . . . . . .14
AIPMMA (for antibiotic beads) . . . . . . . . . . . . . .151, 195
Arthrex Tension Device . . . . . . . . . . . . . . . . . . . . . . . .15
Air Driven Dental Units . . . . . . . . . . . . . . . . . . . .176-178
Arthrex Tightrope CCL System . . . . . . . . . . . . . . . . . .15
Air Driven Dental Units — Midmark . . . . . . . . . . . . . . .176
Arthrex Tightrope Guidewire — single . . . . . . . . . . . . . .15
Air Equipment , Pre-owned . . . . . . . . . . . . . . .92-94, 103
Arthrodesis, Pan Carpal . . . . . . . . . . . . . . . . . . . . . . .137
Air Instrument Care Products . . . . . . . . . . . . . . . . . . .101
Arthrodesis, Pantarsal . . . . . . . . . . . . . . . . . . . . . . . .136
Air Regulators and Hose Probes . . . . . . . . . . . . . . . .101
Arthrodesis Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143
Airway Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159
Arthrodesis Wire Box . . . . . . . . . . . . . . . . . . . . . . . . .142
Alligator Forceps - Arthrex Arthroscopy . . . . . . . . . . . .43
Arthrodesis Wires — Fully Threaded . . . . . . . . . . . . . .143
Allis Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .214
Arthroscope, Standard 2.4mm with Arthroscopic Sheath . . . . . . . . . . . . . . . . . . . . . . .39
2.7mm Round Hole Plate . . . . . . . . . . . . . . . . . . . . . .112 3.0mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . .123 3.5mm 9/64 Self Tapping Screws (Sherman) . . . . . .113 3.5mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . .125 3.5mm Compression Plate . . . . . . . . . . . . . . . . . . . . .125 3.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . .124 3.5mm Cortical Self Tapping Screws . . . . . . . . . . . . .124 3.5mm Heavy Duty Plate Round Holes . . . . . . . . . . .113 3.5mm Locking Screw Sets . . . . . . . . . . . . . . . . . . . . .19 3.5mm Standard Round Hole Plates . . . . . . . . . . . . .113 3M’s Orthopaedic Equipment . . . . . . . . . . . . . . . . . . . .92 4.5mm Broad Compression Plate . . . . . . . . . . . . . . .128 4.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . .126 4.5mm Cortical Self Tapping Screws . . . . . . . . . . . . .127
Aln Skin Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . .208 Arthroscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39-40
4.5mm Narrow Compression Plate . . . . . . . . . . . . . .128
Ameroid Constrictor . . . . . . . . . . . . . . . . . . . . . . . . . .155
4:1 Reduction Attachment for Dental Units . . . . . . . .180
Anaesthetic Chamber . . . . . . . . . . . . . . . . . . . . . . . . .235
4mm Cancellous Screws Full Threaded . . . . . . . . . .125
Anaesthetic Circuit Consumables . . . . . . . . . . . .233-234
4mm Cancellous Screws Part Threaded . . . . . . . . . .125
Anaesthetic Circuits . . . . . . . . . . . . . . . . . . . . . .233-234
5.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . .128
Anaesthetic Machines . . . . . . . . . . . . . . . . . . . . .229-230
Arthroscopic Punches, Biopsy Forceps, Rongeurs, Grasping Forceps . . . . . . . . . . . . . . . . .41-43
6.5mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . .128
Anaesthetic Masks - Eldridge . . . . . . . . . . . . . . . . . . .235
Arthroscopy — Crystal Cannula . . . . . . . . . . . . . . . . . .41
Arthroscopic Distractor . . . . . . . . . . . . . . . . . . . . .33, 44 Arthroscopic Electrocautery - Arthrex OPES . . . . . . . .16 Arthroscopic Instrumentation . . . . . . . . . . . . . . . . .39-43
263
Arthroscopy Hand Instrument Set . . . . . . . . . . . . . . . .41
Biological Healing Plates . . . . . . . . . . . . . . . . . . . . . .135
Bone Tunnel Borers . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Arthroscopy - Infusion Pump Arthrex . . . . . . . . . . . . . .46
Biopsy and Grasping Forceps . . . . . . . . . . . . . . . . . . .24
Bone Wax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109
Arthroscopy — Meniscus Probe 2.2mm . . . . . . . . .31, 41
Biopsy Needle, Bone & Soft Tissue . . . . . . . . . .196, 197
Bore Plate Pliers — Heavy Duty to 4.5mm . . . . . . . . . .61
Arthroscopy — Micro Hohman Retractor . . . . . . . .36, 41
Biopsy Needle — Temno Evolution . . . . . . . . . . . . . . .197
Bones Plastic Training . . . . . . . . . . . . . . . . . . . . . . .261
Arthroscopy Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . .40
Biopsy Punch — Disposable . . . . . . . . . . . . . . . . . . .197
Book - Spinal Surgery . . . . . . . . . . . . . . . . . . . .104, 261
Arthroscopy Sterility . . . . . . . . . . . . . . . . . . . . . . . . . . .49
Biopsy, Soft Tissue Forceps . . . . . . . . . . . . . . . . . . .160
Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .261
Arthroscopy USB Image Capture . . . . . . . . . . . . . . . . .45
Bipolar Electrocautery . . . . . . . . . . . . . . . . . . . . .254-255
Books - Arthroscopy . . . . . . . . . . . . . . . . . . . . . . .48, 261
ASIF/AO Type Screws, Plates and Equipment . . . . .114
Bird Ring Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260
Bowel Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204
Atraumatic Dissecting Forceps, DeBakey . . . . . . . . .204
Bitch Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213
Boxes, Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . .216
Atraumatic Small Bowel Clamp . . . . . . . . . . . . . . . . .204
Bladder Catheters . . . . . . . . . . . . . . . . . . . . . . . . . . .198
Boxes, Needle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198
Auto Grasping Forceps . . . . . . . . . . . . . . . . . . . . . . . .51
Blades, Desoutter MPX Saw . . . . . . . . . . . . . . . . .95, 96
Boxes, Screw . . . . . . . . . . . . . . . . . . . . . . . . . . .110, 116
Autoclavable Tip Holder . . . . . . . . . . . . . . . . . . . . . . .253
Blades, Desoutter MPZ Saw . . . . . . . . . . . . . . . . . . . .95
Braided Polyethylene suture material . . . . . . . . . .12, 16
Autoclave Accessories . . . . . . . . . . . . . . . . . . . . . . . .223
Blades, Hand Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Breathe Safe Monitor . . . . . . . . . . . . . . . . . . . . . . . . .237
Autoclave Drum . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217
Blades, Mini DriverSaw . . . . . . . . . . . . . . . . . . . . . . . .93
Broad 3.5mm Compression Plate . . . . . . . . . . . . . . .126
Autoclaves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223
Blades, MultiSaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90
Broad 4.5mm Compression Plate . . . . . . . . . . . . . . .128
Automatic Instrument Washer . . . . . . . . . . . . . . . . . .219
Blades, Power Saw, Halls . . . . . . . . . . . . . . . . . . . . . .97
Brun Scoop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Ayres ‘T’ Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .233
Blades, Scalpel . . . . . . . . . . . . . . . . . . . . . .31, 167, 215
Brush, Instrument Cleaning . . . . . . . . . . . . . . . . . . . .219
Blades, Swann Morton . . . . . . . . . . . . . . . . .31, 167, 215
Bulla Osteotomy/Rongeurs . . . . . . . . . . . . . . . . . . . .162
Blankets — Heating . . . . . . . . . . . . . . . . . . . . . . . . . . .257
Bulla Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162
Blitz Spray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101
Bulldog (Diffenbach) Clamp . . . . . . . . . . . . . . . . . . . .203
Blood Pressure Monitor . . . . . . . . . . . . . . . . . . .238-241
Bur Brush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98
B
Blue Lite Battery Surgical Power Tools . . . . . . . . . . . .96
Bur Guards, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . .97
Babcock Tissue Forceps . . . . . . . . . . . . . . . . . . . . . .214
Bolt, Webb/Condylar . . . . . . . . . . . . . . . . . . . . . . . . .139
Bur Kit, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . .181, 194
Backhaus Towel Clamps . . . . . . . . . . . . . . . . . . . . . .214
Bone Biter Suture Anchor System . . . . . . . . . . . . . . . .16
Bur Rack and Autoclave Case . . . . . . . . . . . . . . . . . . .98
Bain Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .233
Bone Cement . . . . . . . . . . . . . . . . . . . . . . . . . . .109, 151
Bur Stands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98
Bain Circuit Semi Disposable . . . . . . . . . . . . . . . . . . .234
Bone Clamp Ikuta . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
Burley Disc Scoop . . . . . . . . . . . . . . . . . . . . . . . . . . .108
Balfour Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . .209
Bone Cutting Forceps . . . . . . . . . . . . . . . . . . . . . . . . .63
Burs, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . .182-183
Bandage Scissors, Veterinary . . . . . . . . . . . . . . . . . .210
Bone Gouge Forceps (Rongeurs) . . . . . . . . . . . . . . . .62
Burs, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . . . .183, 194
Bandage, Esmarch . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Bone Holding Forceps . . . . . . . . . . . . . . . . . . . . . .55-56
Burs, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99
Barraquer Fixation Forceps . . . . . . . . . . . . . . . . . . . .165
Bone Lever /Periosteal Elevator . . . . . . . . . . . . . . . . . .64
Buster Operation Cover (Disposable) Sterile . . . . . . .228
Barraquer Speculum . . . . . . . . . . . . . . . . . . . . . . . . .164
Bone Marrow Biopsy - Jamshidi Type . . . . . . . . . . . .196
Buster Starlite Diagnostic Set . . . . . . . . . . . . . .159, 244
Bars, Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Bone Marrow Biopsy - Klima Type . . . . . . . . . . . . . . .196
Button Orthopaedic . . . . . . . . . . . . . . . . . . . . . . .13, 139
Battery Pack, Orthopaedic Drill . . . . . . . . . . . . . . . . . .89
Bone Marrow Biopsy - Rosenthall . . . . . . . . . . . . . . .196
Beaver Blades . . . . . . . . . . . . . . . . . . . . . . .31, 167, 215
Bone Marrow Biopsy Needles . . . . . . . . . . . . . . .196-197
Beaver Type Scalpel Handle . . . . . . . . . . . .31, 167, 215
Bone Pin Roll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142
Benders, K Wire . . . . . . . . . . . . . . . . . . . . . . . . . .66, 144
Bone Pin Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . .142
Bending Templates . . . . . . . . . . . . . . . . . . . . . . . . . .119
Bone Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142-143
C
Bennets Cilia Forceps . . . . . . . . . . . . . . . . . . . . . . . .165
Bone Plate Benders . . . . . . . . . . . . . . . . . . . . . . .60, 119
Cadmus Centering Templates . . . . . . . . . . . . . . . . . . .26
Bennett Type Graft Passer & Aneurism Needles . . . . .17
Bone Plate Press . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61
Cadmus Load Neutral Guide . . . . . . . . . . . . . . . . . . . .26
Beta 200 Ophthalmoscope Heine . . . . . . . . . . . . . . .174
Bone Plates, DCP Type . . . . . . . . . . . . . . . . . . .121-128
Cadmus TPLO Plates/Templates . . . . . . . . . . . . . . . . .26
Bicortical Negative Threaded Pins . . . . . . . . . . . . . . . .75
Bone Plates, Round Hole . . . . . . . . . . . . . . . . . .112-113
Cages, TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Biko Canine Physio Brace . . . . . . . . . . . . . . . . . . . . . .72
Bone Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Calico Drapes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .228
Binocular Hand Held Indirect Ophthalmoscope . . . . .175
Bone Scoops . . . . . . . . . . . . . . . . . . . . . . . . . . . .67, 213
Caliper, Vernier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Binocular Loupes . . . . . . . . . . . . . . . . . . . . . . . .169-173
Bone Scribe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26, 68
Camera Covers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Biocam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160-244
Bone Trephine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .197
Camera — Eagle Eye . . . . . . . . . . . . . . . . . . . . . . . . . .45
264
Camera / Flexible . . . . . . . . . . . . . . . . . . . . . . . . . . . .153
CD ROM - TPLO . . . . . . . . . . . . . . . . . . . . . . . . . .8, 262
Combination Bone Rasp Set . . . . . . . . . . . . . . . . . . . .35
Camera Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Cement, Bone . . . . . . . . . . . . . . . . . . . . . . . . . .109, 151
Combination Drill, Tap and Insert Sleeve . . . . . . . . . .117
Cameras & Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Cementless Hip System — Helica . . . . . . . . . . . .146-148
Compound Action Crimper . . . . . . . . . . . . . . . . . . . . . .11
Canine Arthroscopy Set . . . . . . . . . . . . . . . . . . . . . . . .43
Cerclage Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . .139
Compound Action Mason Crimpers . . . . . . . . . . . . . .12
Canine Clear Dental Model . . . . . . . . . . . . . . . .191, 261
Cerclage Wire Tighteners . . . . . . . . . . . . . . . . . . .59, 60
Compound Action Nail Clippers . . . . . . . . . . . . . . . . .260
Canine Cranial Pantarsel Arthrodesis Plate . . . . . . . .136
Chalazion Forceps (Desmarres) . . . . . . . . . . . . . . . .167
Compound Action Spinal Rongeurs . . . . . . . . . . . . . .105
Canine Ear Loop . . . . . . . . . . . . . . . . . . . . . . . . . . . .160
Chart, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190
Compression Plates and Cortical Screws . . . . .120-128
Cannula Set, van Bree, Arthroscopy . . . . . . . . . . . . . .40
Cheatle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213
Condyle Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Cannula, Lachrymal Duct . . . . . . . . . . . . . . . . . .168, 197
Cheek Dilators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193
Cone Laminectomy Retractor . . . . . . . . . . . . . . . . . .107
Cannulated Drills . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Chest Strap Dog Leggs . . . . . . . . . . . . . . . . . . . . . . . .70
Connecting Bars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Caps, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227
Chest Tubes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155
Connectors Semi Disposable, Anaesthetic . . . . .233-234
Capsule Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .165
Chisels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
Connectors, Anaesthetic . . . . . . . . . . . . . . . . . . .233-234
Cardell Infusion Warmer . . . . . . . . . . . . . . . . . . . . . .242
Chuck, Jacobs . . . . . . . . . . . . . . . . . . . . . . . . . . . .58, 77
Contra Angle (Latch) Head . . . . . . . . . . . . . . . . . . . .180
Cardell MAX-12 Multi Parameter Monitor . . . . . . . . .240
Circle Circuits Semi Disposable . . . . . . . . . . . . .233-234
Contra Angle Dental Handpiece . . . . . . . . . . . . . . . . .180
Cardell Multi-Parameter Monitors . . . . . . . . . . . .238-241
Circuit Non-Rebreathing . . . . . . . . . . . . . . . . . . .233-234
Corded Multi Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90
Cardinal Wet n Dry Clipper . . . . . . . . . . . . . . . . . . . .259
Circuit, Ayres T Piece . . . . . . . . . . . . . . . . . . . . . . . . .233
Cordless Clipper, Andis . . . . . . . . . . . . . . . . . . . . . . .259
Cardio Link ECG Probe . . . . . . . . . . . . . . . . . . . . . . .248
Circuit, Bain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .233
Corkscrew Suture Anchor . . . . . . . . . . . . . . . . . . . . . .15
Carnivore Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . .187
Circuit, Lack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234
Corneal Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164
Carpal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . . . .137
Circuit, T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .233
Coronoid Osteotome, Gordon . . . . . . . . . . . . . . . . . . .41
Carpal Arthrodesis Plate — Hybrid Locking DCP . . . .132
Circuits — Matrx by Midmark . . . . . . . . . . . . . . . . . . . .233
Cortical Bone Trephine . . . . . . . . . . . . . . . . . . . . . . .197
Carpo-flex wrap support . . . . . . . . . . . . . . . . . . . . . . .69
Clamp, Condyle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Cortical Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115
Cart, Mobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
Clamp, Double . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Cortical Negative Threaded Pins (Ellis type) . . . . . . . .75
Caspar Modular Self Retaining Retractor . . . . . . . . .107
Clamp, Split . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Cortical Nuts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139
Cast Blades . . . . . . . . . . . . . . . . . . . . . . . . .91, 93, 95-96
Clamps KE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Cortical Screwboxes . . . . . . . . . . . . . . . . . . . . . . . . .116
Cast Cutter Desoutter . . . . . . . . . . . . . . . . . . . . . . . . .90
Clamps, Bowel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204
Cosmetic Surgeon Scissors . . . . . . . . . . . . . . . . . . . .213
Castroviejo’s Corneal Forceps . . . . . . . . . . . . . . . . . .164
Clamps, External Fixation . . . . . . . . . . . . . . . . .73-74, 78
Coughlan Soft Tissue Mangeur . . . . . . . . . . . . . . . . . .37
Castroviejo’s Corneal Scissors . . . . . . . . . . . . . . . . .166
Cleaners, Ultrasonic . . . . . . . . . . . . . . . . . . . . . . . . . .219
Countersinking Bone Tunnel Borer . . . . . . . . . . . . . . .11
Castroviejo’s Cross Action Capsule Forceps . . . . . . .165
Cleaning Brush Nylon/Stainless . . . . . . . . . . . . . . . . .219
Countersinks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118
Castroviejo’s Needleholders . . . . . . . . . . . . . . .165, 205
Clear Adhesive Surgical Drapes with Povidine . .48, 228
Couplands Elevators . . . . . . . . . . . . . . . . . . . . . . . . .187
Castroviejo Needleholder/Scissor . . . . . . . . . . .165, 205
Clear Dental Model — Rabbit . . . . . . . . . . . . . . . . . . .191
Cradles, Redmark Positioning . . . . . . . . . . . . . . .48, 258
Castroviejo Suture Removal Scissors . . . . . . . .167, 211
Clipper Wet n Dry . . . . . . . . . . . . . . . . . . . . . . . . . . . .259
Cranial Cruciate Ligament Lateral Suture System . .8-10
Cat Pantarsal Arthrodesis Plate (Cranial) . . . . . . . . .136
Clippers, Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . .259
Crile Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .202
Catheters, Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . .198
Clippers, Laube . . . . . . . . . . . . . . . . . . . . . . . . . . . . .259
Crimper, Compound Action . . . . . . . . . . . . . . . . . . . . .11
Cautery Kit, Portable . . . . . . . . . . . . . . . . . . . . . . . . .254
Clippers, Nail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260
Crimpers Compound Action - Mason . . . . . . . . . . . . .12
CCL Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Clippers, Oster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .259
Crimper, Simple Action . . . . . . . . . . . . . . . . . . . . . . . . .11
CCL Loop Tightener . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Clippers, Pocket Pro Trimmer . . . . . . . . . . . . . . . . . .259
Crimps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
CCL Management Training Materials . . . . . . . . . . . . . .8
Clippers, Wahl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .259
Crimps — LigaFiba . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
CCL Repair System . . . . . . . . . . . . . . . . . . . . . . . . .8-13
Clogs Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225
Crocodile Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .161
CCL Staple Introducer . . . . . . . . . . . . . . . . . . . . . . . . .17
CLS Concentrate . . . . . . . . . . . . . . . . . . . . . . . . . . . .185
Cross Action Towel Clips . . . . . . . . . . . . . . . . . . . . . .214
CCL Staples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
CMW Bone Cement DePuy . . . . . . . . . . . . . . . . . . . .151
Cross Cut Taper Fissure Long Head Bur . . . . . . . . .183
CCL Suture Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Coarse Negative Threaded Pins . . . . . . . . . . . . . . . . .76
Crossley Incisor Luxator . . . . . . . . . . . . . . . . . . . . . . .194
CD ROM - CCL . . . . . . . . . . . . . . . . . . . . . . . . . . .8, 262
Coarse Stainless Blade . . . . . . . . . . . . . . . . . . . . . . . .34
Crossley Molar Luxator . . . . . . . . . . . . . . . . . . . . . . .195
CD ROM - Hauptman . . . . . . . . . . . . . . . . . . . . . . . . .156
Colibri (Barraquers) Forceps . . . . . . . . . . . . . . . . . . .164
Cruciate Management Training Material . . . . . . . . . . .8-9
CD ROM - Rasenberg TPO . . . . . . . . . . . . . . . . .13, 262
Collins Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209
Cruciate Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
CD ROM - Thermoplastic Splinting . . . . . . . . . . . . . . .70
Colour Coded Identity Rings . . . . . . . . . . . . . . . . . . .221
Cruciate Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-11
265
Cruciate Screwdriver . . . . . . . . . . . . . . . . . . . . . . . . .111
Desmarres Eyelid Retractor . . . . . . . . . . . . . . . . . . . .164
Drill Bits, antiskid . . . . . . . . . . . . . . . . . . . . . . . . . . . .140
Crystal Cannula (Arthroscopy) . . . . . . . . . . . . . . . . . .41
Desoutter Cast Cutter . . . . . . . . . . . . . . . . . . . . . . . . . .90
Drill Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141
Curette, House . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108
Desoutter Orthopaedic Equipment . . . . . . . . . . . . .95-96
Drill Guides and Inserts . . . . . . . . . . . . . . . . . . . .117-118
Curette, OCD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Diamond Card - Fine Sharpener . . . . . . . . . . . . . . . .190
Drill Hand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Curette, Sheas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108
Diamond Cone Sharpener . . . . . . . . . . . . . . . . . . . . .190
Drill, Mini Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . . .89
Curette, Subgingival . . . . . . . . . . . . . . . . . . . . . . . . . .186
Diamond Disc & Shield . . . . . . . . . . . . . . . . . . .181, 194
Drill, Orthopaedic Battery Driven . . . . . . . . . . . . . . . . .89
Curette, Volkman . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
Diamond Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . .194
Drill Stops . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114, 140
Curved Graft Passer . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Diamond Rasp — Modular . . . . . . . . . . . . . . . . . . . . . .35
Drills — Cannulated . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Cushy Paws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
Diffenbach Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . .203
Drip Stand, Cage Door Mount . . . . . . . . . . . . . . . . . .252
Custom Made Furniture . . . . . . . . . . . . . . . . . . . . . . .249
Digital Vernier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Drum, Autoclave . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217
Cuttable Plates . . . . . . . . . . . . . . . . . . . . . .121-123, 132
Dilator, Punctum . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168
Dual Zoom Head Torch . . . . . . . . . . . . . . . . . . . . . . .168
Cuttable Plate — 1.5mm . . . . . . . . . . . . . . . . . . . . . . .121
Dingmans Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
DVD / CD's . . . . . . . . . . . . . . . . . . . . . . . . . . . . .261-262
Cutters, Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . .56-57, 77
Direct Opthalmoscope Heads . . . . . . . . . . . . . . . . . .244
DVD, TTA Procedure . . . . . . . . . . . . . . . . . . . . . .28, 262
Cutting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214
Disarticulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Dynamic Fixators . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
Cylindrical Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . .150
Disposable Gowns, Drapes & Towels . . . . . . . . .226-228 Disposable Skin Biopsy Punch . . . . . . . . . . . . . . . . .197 Disposable Skin Stapler . . . . . . . . . . . . . . . . . . . . . . .199 Disposable Suction Tips . . . . . . . . . . . . . . . . . . . . . . .253
D
Dissecting Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .204 Dissection Probe (Blunt) . . . . . . . . . . . . . . . . . . . . . .214
E Eagle Eye Camera & Light Sources . . . . . . . . . . . . . .45 Ear Diagnostic Instruments . . . . . . . . . . . . . . . . . . . .161
Dandy Nerve Hook . . . . . . . . . . . . . . . . . . . . . . . . . .108
Distichiasis Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . .168
Daniel Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104
Distractor — Arthroscopic . . . . . . . . . . . . . . . . . . . .33, 44
DeBakey - Atraumatic Dissecting Forceps . . . . . . . . .204
Distractor — Orthopaedic . . . . . . . . . . . . . . . . . . . . . . .67
DeBakey Needleholder . . . . . . . . . . . . . . . . . . . . . . .206
Distractor — Small Spine . . . . . . . . . . . . . . . . . . .67, 107
Delta Style TPLO Plates . . . . . . . . . . . . . . . . . . . . . . .25
Distractor — Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . .109
Delta TPLO Plate Benders . . . . . . . . . . . . . . . . . . . . . .25
Distractor — Stifle . . . . . . . . . . . . . . . . . . . . . . . . . . .32-33
Demarres Eyelid Retractor . . . . . . . . . . . . . . . . . . . . .164
Distractor small with ratchet . . . . . . . . . . . . . . . . . . . .67
Dental Burs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182-183
Dog Leggs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
Dental Bur Block - New . . . . . . . . . . . . . . . . . . . . . . .182
Doppler Ultrasonic Blood Flow Monitor . . . . . . . . . . .242
Dental Chart Stick-On Labels . . . . . . . . . . . . . . . . . . .190
Dorsi-flex support . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
Dental Elevators . . . . . . . . . . . . . . . . . . . . . . . . .187-188
Double Ended Diamond Rasp . . . . . . . . . . . . . . . . . .193
Dental Examination Sheath Video Diagnostic . . . . . .246
Double Ended Elevator . . . . . . . . . . . . . . . . . . . . . . .188
Dental Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Double Ended Scraper . . . . . . . . . . . . . . . . . . . . . . . .186
Dental Handpieces . . . . . . . . . . . . . . . . . . . . . . .177, 180
Doyen Bowel Clamp . . . . . . . . . . . . . . . . . . . . . . . . . .204
Dental Kit, Rodent . . . . . . . . . . . . . . . . . . . . . . . . . . .195
Dr Lehman Aiming Device . . . . . . . . . . . . . . . . . . . . . .44
Dental Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188
Dr. Fritz Diagnostics . . . . . . . . . . . . . . . . . . . . . .246-247
Dental Machines . . . . . . . . . . . . . . . . . . . . . . . . .176-178
Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155
Dental Mirror . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Drapes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .228
Dental Models . . . . . . . . . . . . . . . . . . . . . . . . . .191, 261
Dressing Cover, Medipaw . . . . . . . . . . . . . . . . . . . . . .69
EN100 Wall Mount Unit with 2 Handpiece Positions . . . . . . . . . . . . . . . . . . . .243
Dental Models Clear . . . . . . . . . . . . . . . . . . . . . .191, 261
Dressing Scissors . . . . . . . . . . . . . . . . . . . . . . . .210-211
Endo Tube Brush . . . . . . . . . . . . . . . . . . . . . . . . . . . .236
Dental Scraper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186
Drill & Screw Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Endo Tube Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . .236
Dental, Straight Nose Cone . . . . . . . . . . . . . . . . . . . .180
Drill Bits - External Fixator Pre-drills . . . . . . . . . . . . . .77
Endo Tube Stylet . . . . . . . . . . . . . . . . . . . . . . . . . . . .236
Depth Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . .111, 118
Drill Bits - Hard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140
Endotrachael Tubes - Large Silicone . . . . . . . . . . . .236
DePuy CMW Bone Cement . . . . . . . . . . . . . . . . . . . .151
Drill Bits - Soft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140
Engels Plaster Saw . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Derf T.C. Needleholders 12cm . . . . . . . . . . . . . .166, 206
Drill Bits - Synthes Fit . . . . . . . . . . . . . . . . . . . . . . . . .140
Epilation Forceps . . . . . . . . . . . . . . . . . . . . . . . .165, 204
Ear Flushing Needles . . . . . . . . . . . . . . . . . . . . . . . . .197 Ear Loops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 EarWicks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248 ECG Machine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248 ECG Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248 ECG — Veterinary Interpretive . . . . . . . . . . . . . . . . . .248 Eldridge Anaesthesia Mask . . . . . . . . . . . . . . . . . . . .235 Electric Flexidrive Bur System . . . . . . . . . . . . . . . . . . .98 Electrocautery, Arthroscopy, Arthrex Vet Systems . . .47 Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .254-255 Electrosurgery BiPolar . . . . . . . . . . . . . . . . . . . .254-255 Electrosurgery Electrodes . . . . . . . . . . . . . . . . . .254-255 Electrosurgery MonoPolar . . . . . . . . . . . . . . . . . . . . .255 Elevators, Dental . . . . . . . . . . . . . . . . . . . . . . . . .187-188 Elevators, Winged . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Ellis Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
266
Epiphyseal Staples . . . . . . . . . . . . . . . . . . . . . . . . . . .138
Femoral Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150
Forceps, Reduction . . . . . . . . . . . . . . . . . . . . . . . . .53-54
Epoxy ESF Putty . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
Femoral Reamer . . . . . . . . . . . . . . . . . . . . . . . . . . . .150
Forceps, Schroeder Tenaculum . . . . . . . . . . . . . . . . . .54
Equipment Boxes - Stainless Steel . . . . . . . . . .110, 116
Femur Grasping Forceps . . . . . . . . . . . . . . . . . . . . . .151
Forceps, Sponge . . . . . . . . . . . . . . . . . . . . . . . . . . . .213
Equipment Boxes AO . . . . . . . . . . . . . . . . . . . . . . . . .116
Fenestrated Surgical Drapes . . . . . . . . . . . . . . . . . . .228
Forceps, Steriliser . . . . . . . . . . . . . . . . . . . . . . . . . . .213
Equipment Boxes Sherman . . . . . . . . . . . . . . . . . . . .110
FESSA External Fixation . . . . . . . . . . . . . . . . . . . . . . .79
Forceps, Tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214
ESF Hinge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
FiberWire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Forceps, Tongue . . . . . . . . . . . . . . . . . . . . . . . . . . . .214
ESF Lag Pins with Olive . . . . . . . . . . . . . . . . . . . . . . . .76
Fibre Tap Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . .116
Forceps, Tying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166
ESF — Leonardo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79
FibreWire (Arthrex Vet Systems) . . . . . . . . . . . . . . . . .14
Forceps, Whelping . . . . . . . . . . . . . . . . . . . . . . . . . . .157
ESF Tissue Protector . . . . . . . . . . . . . . . . . . . . . . . . . .77
FibreWire Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Foreign Body Forceps . . . . . . . . . . . . . . . . . . . . . . . .152
Esmarch Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Fine Negative Threaded Pins . . . . . . . . . . . . . . . . . . . .75
Foreign Body Oesophascope . . . . . . . . . . . . . . . . . . .153
Examination Table, Wall Mounted . . . . . . . . . . . . . . .249
Finnochetto Rib Retractors . . . . . . . . . . . . . . . . . . . .209
Forks, TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Excision Arthroplasty Rasp . . . . . . . . . . . . . . . . . . . . .35
Finsen Self Retaining Retractor . . . . . . . . . . . . . . . . .208
Forte Luxators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188
Explorer/Measuring Probe . . . . . . . . . . . . . . . . . . . . .186
Fitz excavator set . . . . . . . . . . . . . . . . . . . . . . . . . . .108
Foster Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . .165, 205
External Fixation Equipment . . . . . . . . . . . . . . . . . . . .73
Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165
Foster Gillies, Miniature . . . . . . . . . . . . . . . . . .165, 205
External Fixation, FESSA . . . . . . . . . . . . . . . . . . . . . . .79
Fixator, Dynamic, Linear . . . . . . . . . . . . . . . . . . . . . . .84
Fragment Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .53-54
External Fixation, Linear . . . . . . . . . . . . . . . . . . . . . . .80
Fixator, External . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Frazier 2.6mm Suction Tip . . . . . . . . . . . . . . . . . . . .253
External Fixation, Vumex . . . . . . . . . . . . . . . . . . . . . . .79
Fixator, Ring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
Freer Periosteal Elevator . . . . . . . . . . . . . . . . . . .64, 108
External Fixator Kits . . . . . . . . . . . . . . . . . . . . . . . . . . .78
Fixators, Linear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Freeze Frame Camera . . . . . . . . . . . . . . . . . . . . . . . . .45
External Fixator Pins . . . . . . . . . . . . . . . . . . . . . . . .75-76
Fixin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Fritz Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246
Extra Articular Stifle Distractor . . . . . . . . . . . . . . . . . . .33
Fixin Locking Plate System . . . . . . . . . . . . . .20-21, 132
Fully Threaded Arthrodesis Wires . . . . . . . . . . . . . . .143
Extra Large Clamps and Bars . . . . . . . . . . . . . . . . . . .74
Flexible Grasping Forceps — Fine . . . . . . . . . . .161, 247
Extra Large Horsley Bone Cutter . . . . . . . . . . . . . . . .63
Flexible LED Camera . . . . . . . . . . . . . . . . . . . . . . . . .153
Extraction Forceps, Root Tip . . . . . . . . . . . . . . . . . . .195
Float Coat, Harness . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Extremity Drape (Disposable) Sterile . . . . . . . . . . . . .228
Fluid Infusion and Outflow, Arthroscopy . . . . . . . . . . .46
Eye Enucleation Forceps . . . . . . . . . . . . . . . . . . . . . .168
Fluosorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .231
G
Eye Enucleation Scissors . . . . . . . . . . . . . . . . . .167, 211
Flushing Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . .197
Gags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190
Eye Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163
Foam Lining, Compact . . . . . . . . . . . . . . . . . . . . . . . . .70
Galibans Suture Holding Forceps . . . . . . . . . . . . . . .207
Eyelet Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138
Folding Wall Mount Examination Table . . . . . . . . . . .249
Gas Scavenger — Matrx by Midmark . . . . . . . . . . . . .231
Eyelid Retraction - Speculae . . . . . . . . . . . . . . . . . . .164
Forceps — Kocher . . . . . . . . . . . . . . . . . . . . . . . . . . . .202
Gelpi Odd Leg Retractor . . . . . . . . . . . . . . . . . . . . . .107
Ezelube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221
Forceps - Modular Spine . . . . . . . . . . . . . . . . . . . . . .107
Gelpi Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208
Forceps — Screw Holding . . . . . . . . . . . . . . . . . . . . . .111
Gelpi Retractor with sharpened tips . . . . . . . . . . . . .208
Forceps Capsule . . . . . . . . . . . . . . . . . . . . . . . . . . . .165
Gelpi, mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208
Forceps Eye Enucleation . . . . . . . . . . . . . . . . . . . . . .168
Gigli Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
F
Forceps Reduction . . . . . . . . . . . . . . . . . . . . . . . . .53-54
Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .205
Forceps, Artery . . . . . . . . . . . . . . . . . . . . . . . . . .202-203
Goniometer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Fabella Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Forceps, Bone Cutting . . . . . . . . . . . . . . . . . . . . . . . . .63
Goniometer — Stainless Steel . . . . . . . . . . . . . . . . . . . .37
Forceps, Bone Gouge (Rongeurs) . . . . . . . . . . . . . . . .62
Gordon Coronoid Osteotome 2mm . . . . . . . . . . . . . . .41
Fastak II Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . .15
Forceps, Bone Holding . . . . . . . . . . . . . . . . . . . . . .55-56
Gosset Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . .208
Fastak Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . . .15
Forceps, Cheatle . . . . . . . . . . . . . . . . . . . . . . . . . . . .213
Gouges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
Fat Pad Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Forceps, Corneal . . . . . . . . . . . . . . . . . . . . . . . . . . . .164
Gowns, Disposable . . . . . . . . . . . . . . . . . . . . . . . . . .226
Feline Clear Dental Model . . . . . . . . . . . . . . . . .191, 261
Forceps, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Gowns, Operating . . . . . . . . . . . . . . . . . . . . . . . . . . .225
Feline Inhalant Delivery System . . . . . . . . . . . . . . . . .236
Forceps, Dissecting . . . . . . . . . . . . . . . . . . . . . . . . . .204
Graefe Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . .165
Feline Orthopaedics . . . . . . . . . . . . . . . . . . . . . . . . . .261
Forceps, Fragment . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
Graefe Iris Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .164
Femoral Prosthesis . . . . . . . . . . . . . . . . . . . . . . . . . .149
Forceps, Iris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164
Graft Passer, Bennett . . . . . . . . . . . . . . . . . . . . . . . . . .17
Femoral Prosthesis Pusher . . . . . . . . . . . . . . . . . . . .150
Forceps, Plate Holding . . . . . . . . . . . . . . . . . . . . . . . . .56
Graft Passer, Curved . . . . . . . . . . . . . . . . . . . . . . . . . .17
267
Graft Passer, Straight . . . . . . . . . . . . . . . . . . . . . . . . . .17
Hip Replacement Kit VI . . . . . . . . . . . . . . . . . . . . . . .151
Instrument Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . .216
Grasping Forceps, Auto . . . . . . . . . . . . . . . . . . . . . . . .51
Hip System - Helica . . . . . . . . . . . . . . . . . . . . . .146-148
Instrument Cleaning . . . . . . . . . . . . . . . . . . . . . .218-220
Grasping Forceps — Fine Flexible . . . . . . . . . . .161, 247
Hip System, Modular (Cemented) . . . . . . . . . . . .149-151
Instrument Cleaning Agents . . . . . . . . . . . . . . . . . . . .220
Grays Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . .190
Hip Toggle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Instrument Cleaning Brush . . . . . . . . . . . . . . . . . . . . .219
Guide Pin, Slocum TPLO . . . . . . . . . . . . . . . . . . . . . . .25
Hip toggle with braided polyethylene suture anchor material . . . . . . . . . . . . . . . . . . . . . . . . .38
Instrument Lube . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Instrument Lubrication . . . . . . . . . . . . . . . . . . . .220-221
Hobday Forceps, Vectis . . . . . . . . . . . . . . . . . . . . . . .157 Instrument Marking . . . . . . . . . . . . . . . . . . . . . . . . . . .221 Hoe Scaler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Instrument Oil - (autoclavable) . . . . . . . . . . . . . . . . . .220
H Halls (Linvatec) Orthopaedic Power Equipment . . . . .97 Halstead Mosquito Forceps . . . . . . . . . . . . . . . . .30, 202 Halstead Toothed (small meniscus clamp) . . . . .30, 202 Hand Drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Hand Instruments, Laparoscopy . . . . . . . . . . . . . . . . .52 Handpieces, Dental . . . . . . . . . . . . . . . . . . . . . .177, 180 Handpiece Lubricating Spray . . . . . . . . . . . . . . . . . . .181 Handy Canis Harness . . . . . . . . . . . . . . . . . . . . . . . . .71 Hard Backed Orthopaedic Saw . . . . . . . . . . . . . . . . . .34 Hard Edge Scissors . . . . . . . . . . . . . . . . . . . . . . . . . .112
Hohman Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Instrument Table . . . . . . . . . . . . . . . . . . . . . . . . . . . .249 Hohman Retractor - Mini . . . . . . . . . . . . . . . . . . . . . . .36 Instrument Washer, Automatic . . . . . . . . . . . . . . . . . .219 Holder Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Holloware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217 Horsley Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . .63 House Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Howarth Dissector (Modified) . . . . . . . . . . . . . . . . . . . .64 Hybrid ‘T’ Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Hybrid Arthrodesis Plates . . . . . . . . . . . . . . . . . . . . . .136 Hybrid Fixators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 Hybrid Wedge Osteotomy Plates . . . . . . . . . . . . . . . . .23 Hysterectomy Clamps . . . . . . . . . . . . . . . . . . . . . . . .156
Interlocking Nail Bolt Cutter 4mm . . . . . . . . . . . . . . . .145 Interlocking Nail Bolts . . . . . . . . . . . . . . . . . . . . . . . . .145 Interlocking Nail System . . . . . . . . . . . . . . . . . . .144-145 Interosseus Infusion Needle . . . . . . . . . . . . . . . . . . . .198 Intra Articular Hand Instruments . . . . . . . . . . . . . . .41-43 Intramedullary Pins . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Intravenous Splints . . . . . . . . . . . . . . . . . . . . . . . . . . .252 Intubation Accessories . . . . . . . . . . . . . . . . . . . . . . . .236 Iris Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164 Iris Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . .166, 211
Hard Type (Mason) Leader Line Sutures and Crimps .12
ISO Toggle Suture - LigaFiba . . . . . . . . . . . . . . . . . . .13
Harness — Handy Canis . . . . . . . . . . . . . . . . . . . . . . . .71
Isometric Lateral Suture Anchor System . . . . . . . .13, 15
Harrison Butler Lachrymal Cannula . . . . . . . . . . . . . .168 Hatt Spoon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37, 149 Hauptman Retractors . . . . . . . . . . . . . . . . . . . . . . . . .156
I
I-Warm Infusion Warmer, Cardell . . . . . . . . . . . . . . . .242
I / V Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .252
Hawksbill Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Ikuta Bone Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
Head Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168
iM3 42-12 Ultrasonic Scaler . . . . . . . . . . . . . . . . . . . .185
Heated Blanket — Cloud 9 . . . . . . . . . . . . . . . . . . . . .257
iM3 Dental Models . . . . . . . . . . . . . . . . . . . . . . . . . . .191
Heating Balnkets . . . . . . . . . . . . . . . . . . . . . . . . . . . .257
iM3 Masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .235
Heath Stitch Scissors . . . . . . . . . . . . . . . . . . . . . . . . .211
iM3 White Stone Slip . . . . . . . . . . . . . . . . . . . . . . . . .190
Jacob’s Chuck with Synthes Quick Release Attachment . . . . . . . . . . . . . . . . . . . . . .97
Heavy Duty Bone Plate Pliers to 4.5mm . . . . . . . . . . .61
Implant Cutter Industrial Finish, Surgical Finish . . .56-57
Jaeger Eyelid Speculum . . . . . . . . . . . . . . . . . . . . . .164
Heavy Duty Nail Cutters . . . . . . . . . . . . . . . . . . . . . . .260
Implant Designs and Specifications . . . . . . . . . . . . . .114
Jamshidi Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . .196
Heine Binocular Loupes . . . . . . . . . . . . . . . . . . .170-171
Implants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120-137
Jansen Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Heine Diagnostics . . . . . . . . . . . . . . . . . . . . . . . .243-244
Implant Cutter to 3mm . . . . . . . . . . . . . . . . . . . . . . . . .56
Jaquette Supragingival Scaler . . . . . . . . . . . . . . . . . .186
Heine LED Loupelight . . . . . . . . . . . . . . . . . . . . . . . .171
Incisor Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Jig, Standard TPLO Slocum Type . . . . . . . . . . . . . . . .24
Heine Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . .170-171
Incisor Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194
Heine Portable Slit Lamp HSL 150 . . . . . . . . . . . . . .175
Indirect Ophthalmoscope, Binocular . . . . . . . . . . . . .175
Helica Cementless Hip System . . . . . . . . . . . . .146-148
Indirect Ophthalmoscope, Monocular . . . . . . . . . . . .175
Helica Total Hip System . . . . . . . . . . . . . . . . . . . . . . .146
Indirect Ophthalmoscope, Spectacle Type . . . . . . . .175
Hex Drive Shaft . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118
Indirect Viewing Lens . . . . . . . . . . . . . . . . . . . . . . . .174
Hex Screwdrivers & Screwholding Sleeves . . . . . . . .118
Infusion Cuff, Arthroscopy . . . . . . . . . . . . . . . . . . . . . .46
Heygroves Femur Grasping Forceps . . . . . . . . . . . . .151
Infusion Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .242
K
High Speed Handpiece . . . . . . . . . . . . . . . . . . . . . . .180
Inhalant Delivery System, Feline . . . . . . . . . . . . . . . .236
‘K' Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143
Hinge, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74
Injection Cannula . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
‘K' Wire / ‘A’ Wire Dispenser . . . . . . . . . . . . . . . . . . .142
Hinges & Conical Washers . . . . . . . . . . . . . . . . . . . . .87
Insert Sleeves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117
‘K' Wire / ‘A’ Wire Extraction Forceps . . . . . . . . . . . . .58
268
J Jacob’s Chuck . . . . . . . . . . . . . . . . . . . . . . . . . . . .58, 77
Jig, TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Jones Cross Action Towel Clips . . . . . . . . . . . . . . . . .214
‘K' Wire Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
Laparoscopy Needle Veress . . . . . . . . . . . . . . . . . . . .51
Littauer Stitch Scissors . . . . . . . . . . . . . . . . . . . . . . . .211
K9 Float Coat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72
Laparoscopy Starter Ki . . . . . . . . . . . . . . . . . . . . . . . . .50
Load Neutral Drill Guides . . . . . . . . . . . . . . . . . . . . . .118
KE Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Large Silicone Endotracheal Tubes . . . . . . . . . . . . .230
Locking 2.7 Plates . . . . . . . . . . . . . . . . . . . . . . . . . . .129
KE Plus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Large twin point reduction forceps with Spinlock . . . .46
Locking Pancarpel Arthrodesis Plate . . . . . . . . . . . . .132
Kern Bone Holding Forceps . . . . . . . . . . . . . . . . . . . . .56
Laryngoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .236
Locking Plates . . . . . . . . . . . . . . . . . .18, 20-21, 129, 132
Kerrison Punch Forceps . . . . . . . . . . . . . . . . . . . . . . .106
Lateral Suture — LigaFiba . . . . . . . . . . . . . . . . . . . . . . .12
Locking Plate and Screw Set in Premium Box . . . . . .131
Kerrison Self Clearing Punch Forceps . . . . . . . . . . . .106
Lateral Suture Anchor System, Isometric . . . . . . . .13, 15
Locking Plate System — Fixin . . . . . . . . . . . . . . . . .20-21
Keyhole Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126
Lateral Suture and Crimps Nylon . . . . . . . . . . . . . . . . .10
Locking Plates with Stacked locking holes . . . . . . . .129
Kidney Dishes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217
Lateral Suture and Crimps, Securos-type . . . . . . . . . .12
Locking Plug 2.7/3.5mm . . . . . . . . . . . . . . . . . . . . . . .129
Killian Speculum . . . . . . . . . . . . . . . . . . . . . . . . .157, 213
Lateral Suture Tension Device . . . . . . . . . . . . . . . . . . .13
Locking Screws . . . . . . . . . . . . . . . . . . . . . . .19, 130-131
Kilner Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . .206
Laube 505 Cordless Clipper . . . . . . . . . . . . . . . . . . . .259
Locking Screw Set . . . . . . . . . . . . . . . . . . . . . . . . . . .131
Kimura Spatula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167
Laube Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .259
Locking TPLO Plate broad . . . . . . . . . . . . . . . . . . . . .18
Kirschner Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143
Leader Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Loop, Ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161
Kit, AO (Cortical) Type Screws . . . . . . . . . . . . . . . . .115
Leader Line/Needles/Crimps . . . . . . . . . . . . . . . . . . . . .9
Lotion Bowls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217
Kit, CCL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
LED Camera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153
Loupe Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . .169
Kit, Dental Bur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182
LED Light for Table Top Gag . . . . . . . . . . . . . . . . . . .192
Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169-173
Kit, External Fixation . . . . . . . . . . . . . . . . . . . . . . . . . .78
LED Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168
Loupes — Heine . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170
Kit, Hip Replacement VI . . . . . . . . . . . . . . . . . . . . . . .151
LED Operating Light . . . . . . . . . . . . . . . . . . . . . . . . . .250
Loupes - Zeiss . . . . . . . . . . . . . . . . . . . . . . . . . .172-173
Kit, Multisaw Surgical . . . . . . . . . . . . . . . . . . . . . . . . . .90
LED Option, 2.5 Loupe . . . . . . . . . . . . . . . . . . . . . . . .171
Low Speed Motor . . . . . . . . . . . . . . . . . . . . . . . . . . . .180
Kit, Ophthalmic Surgery . . . . . . . . . . . . . . . . . . . . . .163
Left Handed Instruments . . . . . . . . . . . . . . . . . . . . . .217
Lowman Bone Clamp . . . . . . . . . . . . . . . . . . . . . . . . . .56
Kit, Rabbit Bur . . . . . . . . . . . . . . . . . . . . . . . . . .181, 194
Lempert Rongeur . . . . . . . . . . . . . . . . . . . . . . . . .62, 105
Lube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221
Kit, Rodent Dental . . . . . . . . . . . . . . . . . . . . . . . . . . .195
Lengthening Plates . . . . . . . . . . . . . . . . . . . . . . . . . .135
Lubrication, Air Instruments . . . . . . . . . . . . . . . . . . . . .92
Kit, Sherman Type Screws . . . . . . . . . . . . . . . . . . . . .110
Leonardo Mini ESF . . . . . . . . . . . . . . . . . . . . . . . . . . .79
Kit, Thoracic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154
Lesser Wire Passer . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Kit, TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Lesser Wire Passer/ Retreival Forceps Large . . . . . .59
Klima Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196
Lewin Femur Grasping Forceps . . . . . . . . . . . . . . . . .151
Kocher Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .202
LigaFiba — ISO Toggle Sutures . . . . . . . . . . . . . . . . . .13
Knot Tier and Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . .51
LigaFiba — Tendon Sutures . . . . . . . . . . . . . . . . . . . . .12
Lubrication, Surgical Instruments . . . . . . . . . . . .220-221 Lubricants — Sterilit . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Luxator Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Luxator, Rabbit Incisor . . . . . . . . . . . . . . . . . . . . . . . .194 Luxators, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Lyostypt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109
LigaFiba Hip Toggle . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Ligament/Cartilage Clamp . . . . . . . . . . . . . . . . . . . . . .30 Light Source, Halogen . . . . . . . . . . . . . . . . . . . . . . . . .45
L
Light Source, Xenon . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Light Sources & Cables . . . . . . . . . . . . . . . . . . . . . . . .45
M
Labels, Dental Chart . . . . . . . . . . . . . . . . . . . . . . . . .190
Light Sources & Magnification . . . . . . . . . . . . . .168-169
Malleable Instrument Set . . . . . . . . . . . . . . . . . . . . .161
Lachrymal Cannula . . . . . . . . . . . . . . . . . . . . . . . . . .168
Lighting, Theatre . . . . . . . . . . . . . . . . . . . . . . . . .250-251
Malleable Retractor . . . . . . . . . . . . . . . . . . . . . . . . . .207
Lachrymal Duct Cannula . . . . . . . . . . . . . . . . . . . . . .197
Lights LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168, 171
Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67
LACK Parallel Circuits . . . . . . . . . . . . . . . . . . . . . . . .234
Limb Lengthening - Linear Motor . . . . . . . . . . . . . . . . .87
Mallet — TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Lag Pin, External Fixator . . . . . . . . . . . . . . . . . . . . . . .76
Limb Suspension Stand, Tabletop . . . . . . . . . . . . .48, 81
Mangeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
Laminectomy Rongeurs . . . . . . . . . . . . . . . . . . . . . . .105
Linear Distractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
Mangeurs, Coughlan Soft Tissue . . . . . . . . . . . . . . . . .37
Langenbeck Retractors . . . . . . . . . . . . . . . . . . . . . . .207
Linear Fixator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
Manipler Skin Stapler . . . . . . . . . . . . . . . . . . . . . . . . .199
Laparoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50
Linvatec Shaver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Marker, Surgical Skin . . . . . . . . . . . . . . . . . . . . . . . . .217
Laparoscopes for Minimally Invasive Surgery . . . . . . .50
Lip Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Marking Tape, Instruments . . . . . . . . . . . . . . . . . . . .221
Laparoscopes Standard . . . . . . . . . . . . . . . . . . . . . . . .50
Lister Bandage Scissors . . . . . . . . . . . . . . . . . . . . . .210
Mask, Cat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .235
Laparoscopy 5mm Instruments . . . . . . . . . . . . . . . . . .50
Lister Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164
Mask, Small Exotic . . . . . . . . . . . . . . . . . . . . . . . . . . .234
Laparoscopy Hand Instruments . . . . . . . . . . . . . . . . . .52
Liston Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . .63
Masks, Anaesthetic . . . . . . . . . . . . . . . . . . . . . . . . . .235
269
Masks, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227
Mini Multipronged Retractors . . . . . . . . . . . . . . . . . . .209
Naso Gastric Feeding Tubes small animal . . . . . . . .158
Mason Hard Type Leader Line Sutures and Crimps . .12
Mini Rechargeable Drill . . . . . . . . . . . . . . . . . . . . . . . .89
Needle Arthroscope, 1.9 mm with Arthroscopic Sheath . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Matrx by Midmark Anaesthesia Range . . . . . . . .229-232
Mini Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .252
Mats, Patient & Antifatigue . . . . . . . . . . . . . . . . . . . . .256
Mini Self Retaining Retractors . . . . . . . . . . . . . . . . . .209
MaxiDriver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94
Miniature Foster Gillies . . . . . . . . . . . . . . . . . . . . . . .205
Maxi Driver 3 Modular System . . . . . . . . . . . . . . . . . . .94
Minos A200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97
Mayo and Mayo Hegar (T.C.) Needle Holders . . . . . .206
MIPO Periosteal Elevator . . . . . . . . . . . . . . . . . . . . . .64
Mayo Instrument Table . . . . . . . . . . . . . . . . . . . . . . .249
Mobiliser, Rosens . . . . . . . . . . . . . . . . . . . . . . . . . . . .108
Mayo Safety Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . .203
Mobility Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71-72
Mayo Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212
Mobility Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
McIndoe Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . .63
Models Anatomical . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
McKee Distractor with Speedlock . . . . . . . . . . . . . . .109
Modified Ayres ‘T’ Piece . . . . . . . . . . . . . . . . . . . . . . .236
McPhails Needleholders . . . . . . . . . . . . . . . . . . . . . .205
Modular Diamond Rasp . . . . . . . . . . . . . . . . . . . . . . . .35
Medipaws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
Modular Forceps with Rotating Punch (spine) . . . . .106
Needle Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Needle Driver Heavy Duty . . . . . . . . . . . . . . . . . . . . . .11 Needle, Fabella/Cruciate . . . . . . . . . . . . . . . . . . . . . . .10
Medium Platform Scales . . . . . . . . . . . . . . . . . . . . . .252 Melag Autoclaves . . . . . . . . . . . . . . . . . . . . . . . .222-223 Meniscus Knife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Meniscus Probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Meniscus Probe 2.2mm very fine handle for arthroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . .31, 41
Modular Osteotome . . . . . . . . . . . . . . . . . . . . . . . .35, 66 Molar Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Molar Extraction Forceps . . . . . . . . . . . . . . . . . . . . . .195 Molar Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Molt Periosteal Elevator 2/4 (4mm/6mm) . . . . . . . . . .188
Needle, Flushing . . . . . . . . . . . . . . . . . . . . . . . . . . . .197 Needle, Interosseus Infusion . . . . . . . . . . . . . . . . . . .198 Needle, Oral Dosing . . . . . . . . . . . . . . . . . . . . . . . . . .198 Needle, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Needle, Spruells . . . . . . . . . . . . . . . . . . . . . . . . . . . . .197 Needle, Suture . . . . . . . . . . . . . . . . . . . . . . . . . .200-201 Needleholders . . . . . . . . . . . . . . . . . . . . . . . . . . .205-206 Needleholders, Ophthalmic . . . . . . . . . . . . . . . . .165-166 Needleholder/Scissor — Castroviejo . . . . . . . . . .165, 205 Needles, Biopsy . . . . . . . . . . . . . . . . . . . . . . . . .196-197 Needles, Nitinol Looped . . . . . . . . . . . . . . . . . . . . . . . .14 Negative Thread Pins Bicortical . . . . . . . . . . . . . . . . . .75 Negative Thread Pins Uni Cortical (Ellis Type) . . . . . .75 Negative Thread Pins, Coarse Thread . . . . . . . . . . . . .76 Negative Thread Pins, Fine Thread . . . . . . . . . . . . . . .75
Meniscus Surgery Set . . . . . . . . . . . . . . . . . . . . . . . . .31
Monitor, Apalert . . . . . . . . . . . . . . . . . . . . . . . . . . . . .237
Menisectomy Instruments . . . . . . . . . . . . . . . . . . . . . .30
Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238-241
Negus Forceps, Tonsil . . . . . . . . . . . . . . . . . . . . . . . .203
Mesh, Polyester . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157
Monocular Hand Held Indirect Ophthalmoscope . . . .175
Nerve Hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108
Metzenbaum Scissors . . . . . . . . . . . . . . . . . . . . . . . .212
Monopolar Electrosurgery . . . . . . . . . . . . . . . . . . . . .255
Nitinol Looped Needles . . . . . . . . . . . . . . . . . . . . . . . .14
Meyerding Retractor . . . . . . . . . . . . . . . . . . . . . .148, 150
Morris Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .207
Nose Cone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180
Meynard Fixation Clamps . . . . . . . . . . . . . . . . . . . . . .81
Mosquito Forceps Halstead . . . . . . . . . . . . . . . . . . . .202
NSK Dental / Surgical Micromotor . . . . . . . . . . . . . . .179
Micro 100 Reciprocating Saw & Blades . . . . . . . . . . . .97
Motorised Diamond Rasp & Micro Saw . . . . . . . . . . .194
Nut, Cortical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139
Micro 100 Sagittal Saw . . . . . . . . . . . . . . . . . . . . . . . .97
Mouth Gag, Grays, Smith Baxter . . . . . . . . . . . . . . . .192
Micro 90 Concentrate . . . . . . . . . . . . . . . . . . . . . . . . .220
Mouth Gag, Rodent . . . . . . . . . . . . . . . . . . . . . . . . . .192
Micro Driver Modular System . . . . . . . . . . . . . . . . . . . .94
Mouthwash/Disinfectant . . . . . . . . . . . . . . . . . . . . . . .185
Micro Friedman Rongeurs . . . . . . . . . . . . . . . . . .62, 105
MPX Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95-96
Micro Hohman Retractor 4mm Short Tip . . . . . . . . . . .36
MPX Modular System . . . . . . . . . . . . . . . . . . . . . . . . . .96
Micro Hohman Retractor 4mm Short Tip with narrow shaft for arthroscopy . . . . . . . . . . . . .36, 41
MPZ Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95-96
Micromotor — Dental / Surgical . . . . . . . . . . . . . . . . . .179 Micromotor, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Midmark Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176 Milling Drill designed by van Ryssen & van Bree . . . .41 Mini Bone Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . .121
MPZ Modular System . . . . . . . . . . . . . . . . . . . . . . . . . .95 Multi Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48, 258 Multi Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Multi Saw Variable Speed 240v . . . . . . . . . . . . . . . . . .90 Multipack — Sterile CCL Pack . . . . . . . . . . . . . . . . . . . . .9 Multisaw Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
O Obstetrical Items, Misc. . . . . . . . . . . . . . . . . . . . . . . .157 OCD Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Oesophageal FB Grasping Forceps Medium . . . . . . .152 Oesophageal Foreign Body Forceps . . . . . . . . . . . . .152 Oesophageal Stethoscope . . . . . . . . . . . . . . . . . . . . .237 Oesophagostomy Tube System . . . . . . . . . . . . . . . . .158 Oesophascope — Foreign Body . . . . . . . . . . . . . . . . .153
Mini Hohman Broad Blade Short Tip . . . . . . . . . . . . . .36
Oil, Air Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . .101
Mini Tightrope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Oil, Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220
MiniDriver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92
Olsen Hegar Scissor / Needleholder . . . . . . . . . . . . .206
Mini Friedman Rongeurs . . . . . . . . . . . . . . .62, 105, 162
N
Operating Gowns . . . . . . . . . . . . . . . . . . . . . . . .225-226
Mini Gelpi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160, 209
Nail Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260
Ophthalmic Capsule Forceps . . . . . . . . . . . . . . . . . . .165
Mini Hohman 6mm & 8mm short tip . . . . . . . . . . . . . . .36
Nanopaste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29, 144
Ophthalmic Diagnostic Instruments . . . . . . . . . . . . . .163
Mini Driver & Attachments . . . . . . . . . . . . . . . . . . .92-93
Operating Light - LED . . . . . . . . . . . . . . . . . . . . . . . .250
270
Ophthalmic Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163
Periosteal Elevator, MIPO . . . . . . . . . . . . . . . . . . . . .64
Pliers, Parallel Action . . . . . . . . . . . . . . . . . . . . . . . . . .57
Ophthalmic Needleholders . . . . . . . . . . . . . . . . .165-166
Periosteal Elevators, Orthopaedic . . . . . . . . . . . . . . . .64
Pliers, Wire Contouring . . . . . . . . . . . . . . . . . . . . . . . .58
Ophthalmic Scissors . . . . . . . . . . . . . . . . . . . . . .166-167
Periosteal Elevators, Spine . . . . . . . . . . . . . . . . . . . .108
Polishing Kit Including NM300 Micromotor . . . . . . . .179
Ophthalmoscope Kits . . . . . . . . . . . . . . . . . . . . .243-244
Piezo Scaler . . . . . . . . . . . . . . . . . . . . . . . . . . . .184-185
Polymethacylate Beads . . . . . . . . . . . . . . . . . . . . . . .195
Ophthalmoscopes . . . . . . . . . . . . . . . . . . . .175, 243-244
Piezo Scaler with Detachable Handpiece . . . . . . . . .184
Poole Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . .253
Oral Dosing Needles . . . . . . . . . . . . . . . . . . . . . . . . .198
Piezo Scaler With Detachable, Autoclavable Handpiece . . . . . . . . . . . . . . . . . . . . . .184
Pooley’s Conjunctival Scissors . . . . . . . . . . . . . . . . .166
Ormrod Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Pin Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66, 144 Orthopaedic Distractors . . . . . . . . . . . . . . . . . . . . . . . .67 Pin Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . .56-57, 77 Orthopaedic Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Pin Grip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 Orthopaedic Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Pin Punch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65, 144 Orthopaedic, Ruler . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Pin Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Orthopaedics, Feline (Book) . . . . . . . . . . . . . . . . . . .261 Pin Vice, Small . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Oscillating Prophy Head . . . . . . . . . . . . . . . . . . . . . . .181
Osteotome - modular . . . . . . . . . . . . . . . . . . . . . . .35, 66 Oster Clipper Blades . . . . . . . . . . . . . . . . . . . . . . . . .259 Oster Clippers A5 . . . . . . . . . . . . . . . . . . . . . . . . . . . .259 Otoscope Attachment . . . . . . . . . . . . . . . . . . . . . . . . .244 Otoscope Biocam . . . . . . . . . . . . . . . . . . . . . . . . . . .244 Otoscope Heads and Accessories . . . . . . . . . . . . . . .244 Otoscope Video . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245 Otoscope, Wireless . . . . . . . . . . . . . . . . . . . . . . . . . .245 Ovariohysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . .156 Oxygen Generator . . . . . . . . . . . . . . . . . . . . . . . . . . .231 Oxygen Reduction Valve . . . . . . . . . . . . . . . . . . . . . .232
Positive Threaded Pins . . . . . . . . . . . . . . . . . . . . . . . .76 Power Sources, Heine . . . . . . . . . . . . . . . . . . . . . . . .243 Power Tools — Blue Lite . . . . . . . . . . . . . . . . . . . . . . . .96 Pre-contoured TTO plates . . . . . . . . . . . . . . . . . . . . . .23 Pre Drills, ESF Pins . . . . . . . . . . . . . . . . . . . . . . . . . . .77 Premium Instrument Boxes . . . . . . . . . . . . . . . . . . . .216
Pins, Fragment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143
Pressure Infusion Cuff, Hand . . . . . . . . . . . . . . . . . . . .46
Pins, Intramedullary . . . . . . . . . . . . . . . . . . . . . . . . . .142
Pressure Pump Infusor . . . . . . . . . . . . . . . . . . . . . . . . .46
Pins, Magic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143
Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214
Pins, Steinman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142
Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181
Plaque Discloser . . . . . . . . . . . . . . . . . . . . . . . . . . . .185
Prophy Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181
Plaster Cutting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Prophy Paste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181
Plaster Saw, Engels . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Protective Autoclaveable Tips . . . . . . . . . . . . . . . . . .221
Plaster Shears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Protractor TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103
Plastic Training Bones . . . . . . . . . . . . . . . . . . . . . . . .261
Puddle Vac Floor Suction Device . . . . . . . . . . . . . . . . .49
Plate Bending Equipment . . . . . . . . . . . . . . . .60-61, 119
Pull Knife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Plate Bending Pliers AO Type . . . . . . . . . . . . . . . . . . .61
Pump Infusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .242
Plate Holding Forceps . . . . . . . . . . . . . . . . . . . . . . . . .56
Pump, Arthroscopic . . . . . . . . . . . . . . . . . . . . . . . . . . .46
Plates and Screws, Sherman and Round Hole . .111-113
Punch, K wire/Pin . . . . . . . . . . . . . . . . . . . . . . . . .65, 144
Plates, Acetabular . . . . . . . . . . . . . . . . . . . . . . . . . . .134
Push Knife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Plate Benders — Delta TPLO . . . . . . . . . . . . . . . . . . . .25
Push Lock Suture Anchor . . . . . . . . . . . . . . . . . . . . . .16
Plates, Bending, Templates . . . . . . . . . . . . . . . . . . . .119
PushPull Suture Passer . . . . . . . . . . . . . . . . . . . . . . .13
Osteoscope, Wireless . . . . . . . . . . . . . . . . . . . . . . . .245
Osteotomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66
Positioning Aids . . . . . . . . . . . . . . . . . . . . . . . . . .48, 258
Pins, External Fixation . . . . . . . . . . . . . . . . . . . . . .75-76 Osteoscope Kit . . . . . . . . . . . . . . . . . . . . . . . . . .244-245
Osteotome, Gordon Coronoid . . . . . . . . . . . . . . . . . . .41
Portable Cordless Cautery Kit . . . . . . . . . . . . . . . . . .254
Plates, Biological Healing . . . . . . . . . . . . . . . . . . . . . .135
P
Plates, Carpal Arthrodesis . . . . . . . . . . . . . . . . . . . . .137
Padded Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68
Plates, Compression . . . . . . . . . . . . . . . . . . . . . .121-128
Palpation Probe and Puncture Cannula . . . . . . . . . . . .51
Plates, Hybrid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134
Pantarsel Arthrodesis Plate — Canine Cranial . . . . . .136
Plates, Lengthening . . . . . . . . . . . . . . . . . . . . . . . . . .135
Parallel Action Pliers . . . . . . . . . . . . . . . . . . . . . . . . . .57
Plates, Locking . . . . . . . . . . . . . . . . .18, 20-21, 129-132
Parameter Monitors . . . . . . . . . . . . . . . . . . . . . .238-241
Plates, Pantarsal Arthrodesis . . . . . . . . . . . . . . . . . . .136
Parrot Ring Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . .260
Plates, Reconstruction . . . . . . . . . . . . . . . . . . . . . . . .135
Patterned Scrub Tunics . . . . . . . . . . . . . . . . . . .224-225
Plates, Supracondylar . . . . . . . . . . . . . . . . . . . . . . . .135
Pen Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169
Plates, T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134
R
Penrose Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162
Plates, TPLO . . . . . . . . . . . . . . . . . . . . . . . . .23-25, 134
Rabbit Bur Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194
Perasafe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49, 220
Plates, TPO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Rabbit Dental Kits . . . . . . . . . . . . . . . . . . . . . . . . . . .195
Percussion Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . .104
Plates, TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27-29
Rabbit Dental Model . . . . . . . . . . . . . . . . . . . . . . . . . .191
Periodontal Hand Instrument Set . . . . . . . . . . . . . . . .186
Platform Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . .252
Rabbit Lachrymal Duct Cannulae . . . . . . . . . . . . . . .197
Plates, Cat Pantarsal Cranial Position . . . . . . . . . . . .136
Q Quick Release Tap Handle AO/Synthes Fit . . . . . . . .116 Quick Release Tap Handle Dental Fit . . . . . . . . . . . .116
271
Rabbit Nasolachrymal Duct Cannulae . . . . . . . . . . . .168
Right Angled Clamps . . . . . . . . . . . . . . . . . . . . . . . . .154
Saw, Adjustable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Rabbit Ring Cutters . . . . . . . . . . . . . . . . . . . . . . . . . .260
Ring Cutters, Bird . . . . . . . . . . . . . . . . . . . . . . . . . . . .260
Saw, Air Driven, Desoutter MPX . . . . . . . . . . . . . . . . .96
Rack Bur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98
Ring Cutters, Parrot . . . . . . . . . . . . . . . . . . . . . . . . . .260
Saw, Air Driven, Desoutter MPZ . . . . . . . . . . . . . . . . .95
Radial Cut TPLO Blades . . . . . . . . . . . . . . . . . .100, 102
Ring Cutters, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . .260
Saw, Air Driven, Halls . . . . . . . . . . . . . . . . . . . . . . . . . .97
Radio opaque ruler . . . . . . . . . . . . . . . . . . . . . . .68, 139
Ring Fixator Components . . . . . . . . . . . . . . . . . . . .86-88
Saw, Battery Powered, Orthopaedic . . . . . . . . . . . . . .90
Rampleys Sponge Forceps . . . . . . . . . . . . . . . . . . . .213
Ring Fixator Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
Saw, Blades, Adjustable Bone Saw . . . . . . . . . . . . . . .34
Rapidex Cleaner . . . . . . . . . . . . . . . . . . . . . . . . . . . .220
Ring Fixator wire guide . . . . . . . . . . . . . . . . . . . . . . . .86
Saw Blades for Scalpel Handles . . . . . . . . . . . . . . . . .34
Rapizyme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49, 220
Robert’s Tying Forceps . . . . . . . . . . . . . . . . . . . . . . .166
Saw, Blades, Halls . . . . . . . . . . . . . . . . . . . . . . . . . . . .97
Rasenberg TPO Plate . . . . . . . . . . . . . . . . . . . . . . . . .33
Rochester Pean Artery Forceps . . . . . . . . . . . . . . . . .202
Saw, Blades, MPX . . . . . . . . . . . . . . . . . . . . . . . . .95-96
Rasp, Block Resection . . . . . . . . . . . . . . . . . . . . . . . . .35
Rodent Cheek Dilators . . . . . . . . . . . . . . . . . . . . . . . .193
Saw, Blades, MPZ . . . . . . . . . . . . . . . . . . . . . . . . . . . .95
Rasp, Combination Set . . . . . . . . . . . . . . . . . . . . . . . .35
Rodent Dental kits . . . . . . . . . . . . . . . . . . . . . . . . . . .195
Saw, Blades, Multi Saw . . . . . . . . . . . . . . . . . . . . . . . .91
Rasp, Diamond Rodent Molar . . . . . . . . . . . . . . . . . .193
Rodent Molar Cutter . . . . . . . . . . . . . . . . . . . . . . . . . .193
Saw, Gigli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Rasp, Excision Arthroplasty . . . . . . . . . . . . . . . . . . . . .35
Rodent Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . . .193
Saw, Hard Backed . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Rasp, Femoral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150
Rodent Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . .192
Saw, Plaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
Rasp, Rodent Molar . . . . . . . . . . . . . . . . . . . . . . . . . .193
Rodent Spatula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193
Saw, X-acto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Rasp, Trochlea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Rongeur - Friedman . . . . . . . . . . . . . . . . . . . . . . . . . .105
Scaler, Hoe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186
Rat Tooth Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .205
Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Scaler, Ultrasonic . . . . . . . . . . . . . . . . . . . . . . . .184-185
Ratchet Spanner . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Rongeurs & Punches (spine) . . . . . . . . . . . . . . .104-105
Scales, Large Platform . . . . . . . . . . . . . . . . . . . . . . . .252
Reamer Femoral . . . . . . . . . . . . . . . . . . . . . . . . . . . .150
Rongeurs, Bulla . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162
Scales, Medium . . . . . . . . . . . . . . . . . . . . . . . . . . . . .252
Rebreathing Bags . . . . . . . . . . . . . . . . . . . . . . . . . . .235
Rongeurs, Micro Spine . . . . . . . . . . . . . . . . . . . . . . . .105
Scales, Mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .252
Reconstruction Plate Pliers . . . . . . . . . . . . . . . . . . . . .61
Rongeurs, Spine . . . . . . . . . . . . . . . . . . . . . . . . .104-105
Scalpel Blade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215
Reconstruction Plates/Cuttable Malleable . . . . . . . . .132
Root Fragment Set . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Scalpel Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215
Redmark Cradles . . . . . . . . . . . . . . . . . . . . . . . . .48, 258
Root Tip Extraction Forceps . . . . . . . . . . . . . . . . . . . .195
Scalpel Handle — Saw Blades . . . . . . . . . . . . . . . . . . .34
Reduction Forceps . . . . . . . . . . . . . . . . . . . . . . . . .53-54
Rosens Mobiliser . . . . . . . . . . . . . . . . . . . . . . . . . . . .108
Scalpel Handle & Blades, Beaver Type . . . . . . . .31, 215
Reduction Forceps Large with Spinlock . . . . . . . . . . .53
Rosenthal Needle . . . . . . . . . . . . . . . . . . . . . . . . . . . .196
Schiotz Tonometer with Weights . . . . . . . . . . . . . . . .174
Reduction Forceps with Hard Wire Guide . . . . . . . . . .53
Rotation Chart, TPLO . . . . . . . . . . . . . . . . . . . . . . . . .25
Schroeder Tenaculum Forceps . . . . . . . . . . . . . . . . . .54
Reduction Valves For Anaesthetic Gases . . . . . . . . .232
Rotation Gauge, TPLO Divider Type . . . . . . . . . . . . . .24
Scissors — Eye Enucleation . . . . . . . . . . . . . . . .167, 211
Regulator, Medical Air . . . . . . . . . . . . . . . . . . . . . . . .101
Roto-Pro Burs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182
Scissors, Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . .210
Regulator, Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . .101
Ruler, Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . .68, 139
Scissors, Dressing . . . . . . . . . . . . . . . . . . . . . . .210-211
Remover, Staple . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199
Ruler with Radio Opaque 1.0mm Scale . . . . . . .68, 139
Scissors, Fibrewire . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Resco Guillotine Type Nail Cutter . . . . . . . . . . . . . . .260
Rush Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145
Scissors, Hard Edge . . . . . . . . . . . . . . . . . . . . . .212-213
Resuscitation Bag . . . . . . . . . . . . . . . . . . . . . . . . . . .235
Ruskin Bone Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Scissors, Iris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211
Retractor Self Retaining Caspar . . . . . . . . . . . . . . . .107
Ruskin Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62
Scissors, Mayo . . . . . . . . . . . . . . . . . . . . . . . . . .212-213
Retractor, Hand Held . . . . . . . . . . . . . . . . . . . . . . . . .207 Retractor, Hohman . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Ryder (Micro) Needleholder . . . . . . . . . . . . . . . . . . . .166 Ryder Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . .206
Scissors, Metzenbaum . . . . . . . . . . . . . . . . . . . .212-213 Scissors, Ophthalmic . . . . . . . . . . . . . . . . . . . . .166-167
Retractor, Lip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
Scissors, Stitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211
Retractor, Malleable . . . . . . . . . . . . . . . . . . . . . . . . . .207
Scissors, Supercut . . . . . . . . . . . . . . . . . . . . . . .212-213
Retractor, Meyerding . . . . . . . . . . . . . . . . . . . . . . . . .150
Scissors, Surgical . . . . . . . . . . . . . . . . . . . . . . . .212-213
Retractor, Self Retaining . . . . . . . . . . . . . . . . . . .208-209
S
Scoops, Volkman . . . . . . . . . . . . . . . . . . . . . . . . .67, 213
Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .207-208
Safety Pin Cutter to 4mm . . . . . . . . . . . . . . . . . . . . . . .77
Screw Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . .110, 116
Retrieval Forceps Lesser . . . . . . . . . . . . . . . . . . . . . . .59
Safety Pin, Mayo . . . . . . . . . . . . . . . . . . . . . . . . . . . .203
Screw Extraction Trephine . . . . . . . . . . . . . . . . . . . . .119
Rhinotomy / Plaster Saw Blade . . . . . . . . . . . . . . . . . .34
Safety Sponge Forceps . . . . . . . . . . . . . . . . . . . . . . . .51
Screw Holding Forceps . . . . . . . . . . . . . . . . . . . . . . .111
Rib Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . .154, 209
Salvage Kit — Screw . . . . . . . . . . . . . . . . . . . . . . . . . .119
Screw On Prophy Cups . . . . . . . . . . . . . . . . . . . . . . .180
Rib Sheers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154
Satinsky Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159
Screw, Locking . . . . . . . . . . . . . . . . . . . . . . .19, 130-131
Retractor, Rib . . . . . . . . . . . . . . . . . . . . . . . . . . .154, 209
SCOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135
272
Screw Salvage Kit . . . . . . . . . . . . . . . . . . . . . . . . . . .119
Slit Head (Otoscope) . . . . . . . . . . . . . . . . . . . . . .243-244
Spoon, Hatt . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37, 149
Screwbox for Titanium TTA Screws . . . . . . . . . . . . . . .29
Slit Lamp, Portable . . . . . . . . . . . . . . . . . . . . . . . . . . .175
Spring Loaded Suture Needle Holder . . . . . . . . . . . .201
Screwdriver, Cruciate . . . . . . . . . . . . . . . . . . . . . . . . .111
Slocum Blade Adaptor . . . . . . . . . . . . . . . . . . . . . . . . .90
Spruell Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . .197
Screwdriver, Flat End . . . . . . . . . . . . . . . . . . . . . . . . .111
Slocum Flat Blade Converter . . . . . . . . . . . . . . . . . . .103
St. Martin Dissecting Forceps . . . . . . . . . . . . . .164, 204
Screwdriver, Hexagonal Head . . . . . . . . . . . . . . . . . .118
Slocum Pre-Contoured TPLO Plates . . . . . . . . . . . . . .24
Starter Kit - Arthroscopy . . . . . . . . . . . . . . . . . . . . . . . .40
Screws AO/ASIF type (Hex Head) . . . . . . . . . . .120-128
Slocum Rotation Gauges . . . . . . . . . . . . . . . . . . . . . . .24
Starter Kit — Laparoscopy . . . . . . . . . . . . . . . . . . . . . . .50
Screws, Self-tapping, Sherman . . . . . . . . . . . . .111-113
Slocum Saw Flat Blade Adaptor . . . . . . . . . . . . . . . .103
Starter Kit — Loupe . . . . . . . . . . . . . . . . . . . . . . . . . . .169
Screws, Suture . . . . . . . . . . . . . . . . . . . . . . . . . . .16, 133
Slocum Style TPLO Plates . . . . . . . . . . . . . . . . . . . . . .24
Starter Kit — TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Screws, Titanium . . . . . . . . . . . . . . . . . . . . . . . . .29, 133
Slocum TPLO Guide Pin . . . . . . . . . . . . . . . . . . . . . . .25
Starter Kit — TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Scribe, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26, 68
Small Angled Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . .63
Starter Kit — TTO . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Scrub Dispenser, Stainless Steel . . . . . . . . . . . . . . .249
Small Animal Induction Chamber . . . . . . . . . . . . . . . .235
Scrubs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224-225
Small Distractor with Ratchet . . . . . . . . . . . . . . . . . . .67
Standard Arthroscope, 2.4 mm with Arthroscopic Sheath . . . . . . . . . . . . . . . . . . . . . . .39
Securos-type, Lateral Suture and Crimps . . . . . . . . . .12
Small Pin Vice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Self Centering Bone Holding Forceps . . . . . . . . . . . . .55
Small Spine Distractor . . . . . . . . . . . . . . . . . . . . . . . .107
Self Retaining Retractor, Finsen . . . . . . . . . . . . . . . .208
Smith Baxter Mouth Gag . . . . . . . . . . . . . . . . . . . . . .190
Self Retaining Retractor, Gelpi, Travers, Wests, Weislander . . . . . . . . . . . . . . . . . . . .65, 208-209
Smith Kerrison Punch Forceps . . . . . . . . . . . . . . . . .106 Snap On Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . .180
Self-tapping Screws AO/ASIF (Hex head) . . . . .120-128 Snap On Prophy Head . . . . . . . . . . . . . . . . . . . . . . . .181 Self-tapping Screws Sherman (Slot head) . . . . .111-113 Snellen’s Vectis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167 Senn (Cats Paw) Retractor . . . . . . . . . . . . . . . . .30, 207 Soft Carry Stretcher . . . . . . . . . . . . . . . . . . . . . . . . . .256 Serrated Block End Dissecting Forceps . . . . . . . . . . .204 Soft Palate Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Set — Locking Screws . . . . . . . . . . . . . . . . . . . . . . . . .131 Soft Tissue Products, Misc . . . . . . . . . . . . . . . . .157-158 Shaft screws 4.5mm for IOHC stainless . . . . . . . . . .127 Spacers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87 Shaft screws 4.5mm for IOHC titanium . . . . . . . . . . .127 Spanner Ratchet . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Shardell Towel Clips . . . . . . . . . . . . . . . . . . . . . . . . .214
Standard Laparoscopes . . . . . . . . . . . . . . . . . . . . . . . .50 Standard Slocum Style TPLO Jig . . . . . . . . . . . . . . . . .24 Staple, Epiphyseal . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Staple, Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Stapler Remover . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Steinman Intra-Medullary Pins . . . . . . . . . . . . . . . . . .142 Sterile CCL Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Sterile Surgical Skin Marker . . . . . . . . . . . . . . . . . . . .217 Sterilit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Steriliser Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .213 Stethoscope Oesophageal . . . . . . . . . . . . . . . . . . . .237 Stethoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .237
Spanners, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Steven’s Tenotomy Scissors . . . . . . . . . . . . . . . . . . .166
Spay Instruments . . . . . . . . . . . . . . . . . . . . . . . .156-157
Stifle Brace Attachment . . . . . . . . . . . . . . . . . . . . . . . .48
Spay Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157
Stifle Distractors & Spinlock versions . . . . . . . . . . . . . .32
Speculae, Ophthalmic . . . . . . . . . . . . . . . . . . . . . . . .164
Stifle Lever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Speculum, Bitch . . . . . . . . . . . . . . . . . . . . . . . . .157, 213
Stifle Lever — Small . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Speculum, Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164
Stille - Luer Rongeur . . . . . . . . . . . . . . . . . . . . . .62, 105
Spencer Wells Artery Forceps . . . . . . . . . . . . . . . . . .202
Strabismus Scissors . . . . . . . . . . . . . . . . . . . . . .166, 211
Spike & Shield Odd Leg Retractor . . . . . . . . . . . . . . .107
Straight Nose Cone . . . . . . . . . . . . . . . . . . . . . . . . . .180
Spikey Washers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133
Stretchers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .256
Spin Lock Stifle Distractor . . . . . . . . . . . . . . . . . . . . . .32
Subgingival Curette . . . . . . . . . . . . . . . . . . . . . . . . . .186
Spinal Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198
Suction Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .253
Spinal Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . .104-105
Suction Tip Holder, Autoclavable . . . . . . . . . . . . . . . .253
Sharpening Accessories for Dental Instruments . . . .190 Sharpening Service Aesculap . . . . . . . . . . . . . . . . . .100 Shaver Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Sheas Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Sherman Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Sherman Screw Boxes . . . . . . . . . . . . . . . . . . . . . . . .110 Sherman Self-tapping Equipment . . . . . . . . . . . . . . .110 Shroud - Drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Shroud - Multisaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Side Cutting Wire Cutter . . . . . . . . . . . . . . . . . . . . . . .56 Silicone Insert for Boxes . . . . . . . . . . . . . . . . . . . . . .216 Silicone Tips for Otoscope Sheath . . . . . . . . . . . . . . .247 Spine Hand Probes & Curettes . . . . . . . . . . . . . . . . .108
Suction Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .253
Single packs of Arthrex corkscrew and Fastak II suture anchors & Tightrope Guidewires . . . . . . . . . . .15
Splinting Rectangular Sheets . . . . . . . . . . . . . . . . . . . .70
Suction Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .253
Sismey Wire Introducer . . . . . . . . . . . . . . . . . . . . . . . .59
Splints & Support . . . . . . . . . . . . . . . . . . . . . . . . . .68-70
Suction/Irrigation Pump . . . . . . . . . . . . . . . . . . . . . . .247
Skid, Acetabular . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150
Splints, Intravenous . . . . . . . . . . . . . . . . . . . . . . .98, 252
Suction/Irrigation System . . . . . . . . . . . . . . . . . . . . . .247
Skin Marker Sterile Surgical . . . . . . . . . . . . . . . . . . .217
Splints, Thermoplastic . . . . . . . . . . . . . . . . . . . . . . . . .70
Sulcoplasty instruments . . . . . . . . . . . . . . . . . . . . . . . .35
Skin Retractor, Aln . . . . . . . . . . . . . . . . . . . . . . . . . . .208
Splints, Thomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
Supercut Scissors . . . . . . . . . . . . . . . . . . . . . . . .212-213
Skin Stapler Aesculap . . . . . . . . . . . . . . . . . . . . . . . .199
Split Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Superfine Elevator Straight . . . . . . . . . . . . . . . . . . . .187
Skin Staplers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199
Sponge Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213
Supracondylar Osteotomy Plate . . . . . . . . . . . . . . . .135
Sleeves, Insert, Soft Tissue . . . . . . . . . . . . . . . . . . . .118
Sponge Forceps, Safety . . . . . . . . . . . . . . . . . . . . . . . .51
Supracondylar Plates . . . . . . . . . . . . . . . . . . . . . . . . .135
273
Surgairtome II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97
Tap Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116
TPLO Plates — Slocum Style . . . . . . . . . . . . . . . . . . . .24
Surgic XT Micromotor . . . . . . . . . . . . . . . . . . . . . . . . .179
Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116
TPLO Plate broad 3.5 locking . . . . . . . . . . . . . . . . . . .18
Surgical Blades - Power Equipment . . . . . . . . . . . .91-96
Tartar Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
TPLO Plates Delta Style . . . . . . . . . . . . . . . . . . . . . . .25
Surgical Caps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227
Tartar Scrapers - Various . . . . . . . . . . . . . . . . . . . . . .186
TPLO Plates Slocum Style . . . . . . . . . . . . . . . . . . . . . .24
Surgical Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . .259
TCO Clasper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
TPLO Plates with Locking Screw . . . . . . . . . . . . . . . . .18
Surgical Clogs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225
Teflon Drops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220
TTO Plates pre Contoured . . . . . . . . . . . . . . . . . . . . .23
Surgical Gown . . . . . . . . . . . . . . . . . . . . . . . . . . .225-226
Telescopic Rod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87
TPLO Rotation Chart . . . . . . . . . . . . . . . . . . . . . . . . . .25
Surgical Gown Disposable . . . . . . . . . . . . . . . . . . . . .226
Temno Evolution Biopsy Needle . . . . . . . . . . . . . . . .197
TPLO Rotation Gauge Divider Type . . . . . . . . . . . . . .24
Surgical Instrument Lubricant . . . . . . . . . . . . . . .220-221
Tenaculum Bone Forceps . . . . . . . . . . . . . . . . . . . . . .54
TPLO Saw Blade Protractor . . . . . . . . . . . . . . . . . . . .103
Surgical masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .227
Tenotomy Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . .166
TPLO Saw Blades Aesculap . . . . . . . . . . . . . . . . . . .100
Surgical Wellies . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225
Tension Device — Arthrex . . . . . . . . . . . . . . . . . . . . . . .15
TPLO Saw Hex Driver . . . . . . . . . . . . . . . . . . . . . . . .102
Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . . . . . .15, 17
Tension Device — Lateral Suture . . . . . . . . . . . . . . . . .13
TPLO Saws and Blades (radial type) . . . . . . . . .100-102
Suture Anchor Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Tension Device, Mechanical . . . . . . . . . . . . . . . . . . . .88
TPLO Sharpening Service . . . . . . . . . . . . . . . . . . . . .101
Suture Anchor Push Lock . . . . . . . . . . . . . . . . . . . . . .16
Tension devices, CCL . . . . . . . . . . . . . . . . . . . . . . . . .11
TPLO Starter Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Suture Anchor, Fastak II . . . . . . . . . . . . . . . . . . . . . . .15
Theatre Lighting . . . . . . . . . . . . . . . . . . . . . . . . .250-251
TPLO Wedge Template . . . . . . . . . . . . . . . . . . . . . . . .26
Suture Anchors, Arthrex . . . . . . . . . . . . . . . . . . . . . . . .15
Theatre Wear . . . . . . . . . . . . . . . . . . . . . . . . . . .224-226
TPO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Suture Holding Forceps, Galibans . . . . . . . . . . . . . . .207
Thera-Paw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69
Tracheostomy Tube . . . . . . . . . . . . . . . . . . . . . . . . . .159
Suture Material — Braided Polyethene . . . . . . . . . .12-13
Thermocautery Unit . . . . . . . . . . . . . . . . . . . . . .254-255
Tracheostomy Tube Disposable . . . . . . . . . . . . . . . .159
Suture Needle Holder, Spring Loaded . . . . . . . . . . . .201
Thermo Plastic Splinting . . . . . . . . . . . . . . . . . . . . . . .70
Training Bones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .261
Suture Needles . . . . . . . . . . . . . . . . . . . . . . . . . .200-201
Thomas Splint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
Travers Retractors . . . . . . . . . . . . . . . . . . . . . . . .65, 208
Suture Passing Wire . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Thora-Cath Chest Tubes . . . . . . . . . . . . . . . . . . . . . .155
Trephine — Screw Extraction . . . . . . . . . . . . . . . . . . .119
Suture Removal Scissors — Castroviejo . . . . . . .167, 211
Thoracic Surgery Kit . . . . . . . . . . . . . . . . . . . . . . . . .154
Trephine, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . .67, 197
Suture Screws . . . . . . . . . . . . . . . . . . . . . . . . . . .16, 133
Thoracoscopy Needle . . . . . . . . . . . . . . . . . . . . . . . . .51
Treves, Rat Tooth Forceps . . . . . . . . . . . . . . . . . . . .205
Suture Screw Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Threaded ‘A’ Wires . . . . . . . . . . . . . . . . . . . . . . . . . . .143
Triple Drill Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . .117
Suture Screws — Universal Insertion Tool . . . . . .16, 133
Threaded Small Fragment Pins . . . . . . . . . . . . . . . . .143
Triple Pelvic Osteotomy . . . . . . . . . . . . . . . . . . . . . . . .33
Swann Morton Blades & Handles . . . . . . . . . . . . . . . .31
Tibial Tuberosity Advancement . . . . . . . . . . . . . . . .27-29
Triple Tibial Osteotomy . . . . . . . . . . . . . . . . . . . . . .22-23
Synthes Quick Fit Adaptor - Jacobs . . . . . . . . . . . . . . .89
Tidal Guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .241
Trochar Cannulas with Magnetic Valving . . . . . . . . . . .51
Synthes, Quick Fit Taps . . . . . . . . . . . . . . . . . . . . . . .116
Tips, Protective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221
Trochar Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214
Trochlea Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
Tissue Protector, External Fixation . . . . . . . . . . . . . . .77
Tru-Cut Style Soft Tissue Biopsy Needle . . . . . . . . . .197
Tissue Protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . .118
TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27-29
T
Titanium Screws . . . . . . . . . . . . . . . . . . . . . . . . . .29, 133
TTA Instrumentation . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Toggle, Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
TTA Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
T Bar Hex Driver . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102
Tonometer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174
TTA Plates and Cages . . . . . . . . . . . . . . . . . . . . . . . . .28
T Bar Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116
Tonovet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174
TTA Procedural DVD . . . . . . . . . . . . . . . . . . . . . . . . . .27
T Bar Wrench for KE clamps . . . . . . . . . . . . . . . . . . . .81
Tonsillectomy Clamp . . . . . . . . . . . . . . . . . . . . . . . . .159
TTA Screwbox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .233
Torch, Pen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169
TTA Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
T Piece Scavenge Connector . . . . . . . . . . . . . . . . . .233
Total Hip Replacement Kit VI . . . . . . . . . . . . . . . . . . .151
TTA Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
T Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134
Towel Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214
TTO Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Table Top Rabbit Gag Economy Model . . . . . . . . . . .192
TTO — Improved Osteometer / Sawguide . . . . . . . . . .23
TTO DVD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Table Top Rabbit Gag LED Light . . . . . . . . . . . . . . . .192
TPLO Jig . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
TTO - Improved Osteometer & Sawguide . . . . . . . . . .23
Table Top Rodent Gag . . . . . . . . . . . . . . . . . . . . . . . .192
TPLO Jig Standard Slocum Style . . . . . . . . . . . . . . . . .24
TTO Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Table, Mayo Instrument . . . . . . . . . . . . . . . . . . . . . . .249
TPLO Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
TTO Osteometer / Sawguide . . . . . . . . . . . . . . . . . . . .23
Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249
TPLO Motor System Aesculap . . . . . . . . . . . . . . . . .100
TTO Plates - Pre Contoured . . . . . . . . . . . . . . . . . . . .23
Tabletop Stand for Limb Suspension . . . . . . . . . . .48, 81
TPLO Plates . . . . . . . . . . . . . . . . . . . . . . . . . .23-25, 134
TTO Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
274
Tub Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249
W
Y
Tungsten Carbide Needleholders . . . . . . . . . . . .205-206
Wahl Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .259
Yankauer Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . .253
Twin Point Fragment Forceps . . . . . . . . . . . . . . . . . . .54
Walk-On Large Platform Scales . . . . . . . . . . . . . . . . .252
Younger Good Scaler, Jaquette Scaler . . . . . . . . . . .108
Twisterz - Wire Twister . . . . . . . . . . . . . . . . . . . . . . . . .59
Walkin Wheels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71
Youngs Tongue Forceps . . . . . . . . . . . . . . . . . . . . . .214
Tubing, Suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . .253
Wall Mount Anaesthetic Unit . . . . . . . . . . . . . . . . . . .230
Walton, Copper Malleable Retractor . . . . . . . . . . . . .207
Z
Warm Air Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .257
Zeiss Head-worn Loupe L . . . . . . . . . . . . . . . . . . . . .172
Washer/Disinfector . . . . . . . . . . . . . . . . . . . . . . . . . . .219
Zeiss Opthalmic Range . . . . . . . . . . . . . . . . . . . .172-173
Wall Mounted Exam Table . . . . . . . . . . . . . . . . . . . . .249
U Ultrasonic Dental Scaler . . . . . . . . . . . . . . . . . . .184-185
Washers, Plain Orthopaedic & Spikey . . . . . . . . . . . .133 Ultrasonic Instrument Cleaner . . . . . . . . . . . . . . . . . .219 Web Master Harness . . . . . . . . . . . . . . . . . . . . . . . . . .72 Uniplanar Dynamic Distractor . . . . . . . . . . . . . . . . . . .84 Webb Bolt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Universal Insertion Tool — Suture Screw . . . . . . . . . . .16 Wedge Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Universal Insertion Tool for Suture Screws . . . . .16, 133 Wedge Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Utilty Drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .228 Weislander Retractors . . . . . . . . . . . . . . . . . . . . . . . .208 Wellies, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225 West Retractors . . . . . . . . . . . . . . . . . . . . . . . . . .65, 208
V Vac Pac . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48, 258 Vacuum Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Vacuum Positioning System . . . . . . . . . . . . . . . .48, 258 Variable Speed Orthopaedic Drill . . . . . . . . . . . . . . . . .90 Vectis, Snellens . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167 Velcro Straps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 Venables Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Ventilator — Matrx by Midmark . . . . . . . . . . . . . . . . . .232 Veress Laparoscopy Needle . . . . . . . . . . . . . . . . . . . .51 Vernier Caliper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68 Vet Sink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249 Veterinary Cuttable Plate . . . . . . . . . . . . . . . . . .122, 132 Veterinary IF Plate (Keyhole Plate) . . . . . . . . . . . . . .126 Vetron 4 Parameter Monitor . . . . . . . . . . . . . . . . . . . .241 VI Bone Cement . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 VI Bone Cement Bowl Mix . . . . . . . . . . . . . . . . . . . . .151 VI Mini Cart (Dental) . . . . . . . . . . . . . . . . . . . . . . . . . .178 Video Diagnostic Attachments . . . . . . . . . . . . . .246-247
Whelping Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .157 Winged Director . . . . . . . . . . . . . . . . . . . . . . . . . . . . .214 Winged Elevators . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Winged Elevators with Short Handles . . . . . . . . . . . .187 Wire Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66, 144 Wire Contouring Pliers . . . . . . . . . . . . . . . . . . . . . . . . .58 Wire Driver, Mini Driver Attachment . . . . . . . . . . . . . . .92 Wire passer Lesser . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Wire Passers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Wire Tightener for Eyed Wires . . . . . . . . . . . . . . . . . . .60 Wire Tightener with Two Cranks . . . . . . . . . . . . . . . . .60 Wire Twister / Shear Cutter . . . . . . . . . . . . . . . . . . . . .59 Wire, Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . .143 Wire, Cerclage, Orthopaedic . . . . . . . . . . . . . . . . . . .138 Wire, ‘K' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143 Wires with Eyelet . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Wobblers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Working Cannulae, Arthroscopy . . . . . . . . . . . . . . . . .40 Wrenches & Spanners - Ring Fixator . . . . . . . . . . . . . .87 Wrenches, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
Video Diagnostic System . . . . . . . . . . . . . . . . . .246-247 Video Ear Speculum . . . . . . . . . . . . . . . . . . . . . . . . .247 Video Otoscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246 Visor Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169
X
VMS Anaesthesia Machine . . . . . . . . . . . . . . . . . . . .230 X-Acto Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Volkman Scoops . . . . . . . . . . . . . . . . . . . . . . . . .67, 213 Xenon Light Source . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Vumex External Fixation . . . . . . . . . . . . . . . . . . . . . . .79
275
Deliveries
Terms & Conditions
TIMED DELIVERIES In stock items will be despatched as soon as practicable. NB: Urgent items may be despatched on the day of ordering, provided we receive the order BEFORE 3.30PM (and the stock is available). Please state clearly that the order is urgent and advise your preferred method of delivery.
VETERINARY INSTRUMENTATION LTD TERMS AND CONDITlONS OF TRADE 1. Definitions
Please note that the only certain way to obtain the goods when you want them is to collect them yourself! All delivery systems can fail. All we can do is to despatch according to your instructions. Veterinary Instrumentation staff are happy to help trace wayward deliveries but please do not give them a hard time when the problem is outside their control.
1.1 ‘Company’ means Veterinary Instrumentation Ltd. 1.2 ‘Customer’ means the veterinary practice or any person to whom the Company has agreed to supply goods. 1.3 ‘Goods’ means the products which the Company is to supply to the customer in accordance with these conditions.
STANDARD DELIVERY Prices include first class mail postage and packing to UK addresses (unless otherwise stated).
1.4 ‘Writing’ includes telex, cable, facsimile transmission, e-mail or similar means of communication. 2.Breakages and Shortages In the case of obvious shortages or suspected damage to deliveries of goods, the driver’s delivery note must be signed accordingly by the person accepting the delivery on behalf of the customer. All claims for broken or missing goods should be reported to the Company no later than three days from the date of delivery. Where independent transport is used failure to sign or indicate on delivery notes any shortage and/or damage will invalidate the Company’s claim against the carrier involved and therefore the customer’s claim against the Company.
SPECIAL DELIVERY — POST OFFICE SERVICE Delivery next day by 1.00 pm (NB: NOT AVAILABLE FOR SATURDAY DELIVERIES) to England & Lowland Scotland Cost: from £5.50 + VAT.
COURIER DELIVERIES Delivery next day (up to 6pm weekdays) to England & Lowland Scotland — price depends on weight and destination
3.Returned Goods Policy
Cost: from £5.50 + VAT.
3.1 Under normal circumstances, goods will not be accepted for return for credit other than for the following reasons: a) To correct a Company delivery or order error. b) In response to a recall instigated by a manufacturer. c) Where the products or packages are alleged to have been faulty, damaged or tampered with prior to delivery. d) Where the products have been offered on a pre-arranged ‘sale or return’ basis. e) Where the Company agrees, in advance of their return, to accept goods not covered by any of the above criteria.
TIMED DELIVERIES Delivery next day (weekdays only) to England & Lowland Scotland — price depends on weight and area Cost: from £9.00 + VAT.
SATURDAY DELIVERIES AND OTHER AREAS Cost and availability upon application.
3.2 Goods Returned to Correct a Company Error: a) The goods must be returned within 7 working days of receipt. Goods requiring temperature-controlled storage must be notified to the Company no later than the next working day and must have been stored in accordance with the manufacturer’s recommendations whilst on the customer’s premises. Goods must be adequately packaged to ensure that no damage is caused during their return to the Company. b) All returned goods must be in perfect original condition; not marked in any way; should not show any evidence of being tampered with. c) To be considered for return for credit, the goods must be accompanied by a copy of the original invoice or delivery note, or the number of the specific invoice on which the goods were supplied, together with a reason for their return. If this information is missing, there will be a delay in issuing a credit.
RETURNS POLICY Any returns should be within 7 days of delivery and should be in perfect original condition. Details of the invoice or delivery note should be included with any return. Abuse of our sale or return policy may result in a restocking charge. The restocking charge may also be levied for late returns. Non stock items or specials made to customer specifications may not be returned.
PAYMENT TERMS Payment is due strictly on or before the last day of the month following the date of the company's invoice. Accounts with more than 60 days debt may be stopped. All payments to be made in sterling (£).
3.3 Returns where the products or packages are alleged to have been faulty, damaged or tampered with prior to delivery: a) Details of the fault or damage should be notified to the Company as soon as possible in order that the manufacturer can be alerted if appropriate. b) Goods must be packed separately and accompanied by a copy of the invoice or delivery note (as in 3.2(c)).
VAT All prices are shown without VAT. VAT will be added to the invoice where appropriate.
276
3.4 Where the Company agrees to accept the return of goods not covered by any of the criteria recited in clauses 3.2 - 3.4.Goods will only be accepted by prior agreement with the Company and must be accompanied all the information detailed in 3.2(c) in addition to the name of the person who has authorised the return. Please note: Goods returned under this category may be subject to a handling charge.
b) Strikes, lock-outs or other industrial actions or trade disputes (whether involving employees of the Company or third parties); c) War or threat of war, sabotage, insurrection, civil disturbance or requisition; d) Import or export regulations or embargos; e) Difficulties in obtaining raw materials, labour, fuel, parts or machinery; f) Power failure or breakdown in machinery.
3.5 Goods Returned to Stock Goods returned by customers for any of the above reasons will only be considered for credit if: a) It is known that they have been stored in accordance with the manufacturers recommendations. b) They have been assessed and accepted by a person authorised by the Company so to do. The assessment will take into account the nature of the product, any special storage conditions required and the time elapsed since the goods were supplied.
8. Liability Goods are sold on the understanding that the customer is solely responsible for determining the suitability of the goods for the purposes for which the customer intends to use them. Accordingly the Company’s liability for any loss or damage suffered by the customer and arising by defects in the goods, shall be limited to the invoice price of the goods in respect of or in relation to which loss or damages is claimed. The Company will not accept under any circumstances liability for consequential loss, damage or loss of profits arising from the use of the goods, service, information and advice.
3.6 Special Orders These products will not be accepted for return or credit unless supplied as a result of a Company error. In such cases, the product must be returned within 7 working days of receipt.
9. Title and Risk Unless otherwise agreed in writing between the parties prior to delivery, the title to the goods shall not be transferred to the customer until the full purchase price has been paid to the Company. The risk of loss or damage to the goods shall pass to the customer on the date that the goods are received and accepted by the customer.
3.7 Packaging All returned goods must be securely packaged to prevent damage during the return journey.
10. Insolvency 3.8 Date Expired Goods Date Expired Goods will only be accepted for credit in accordance with the terms laid down by the manufacturer concerned.
10.1 This clause applies if: a) The customer makes any voluntary arrangement with its creditors or becomes subject to an administration order or (being an individual or firm) becomes bankrupt or (being a company) goes into liquidation (otherwise than for the purpose of a solvent amalgamation or reconstruction); b) An encumbrancer takes possession, or a receiver is appointed, over any of the property or assets of the customer; c) The customer ceases, or threatens to cease, to carry on business; d) The Company reasonably apprehends that any of the events mentioned above is about to occur in relation to the customer and notifies the customer accordingly.
4. Price of Goods Goods will be invoiced at the prevailing price at the date of despatch to the customer. The price of goods shall be subject to alteration by the Company without prior notice to the customer. The price is exclusive of any Value Added Tax for which the customer shall be additionally liable to pay the Company. 5. Terms of Payment 5.1 The customer shall pay the amount of the invoice on or before the last day of the month following the date of the Company’s invoice unless otherwise agreed in writing by the Company. If the customer fails to pay on the due date, the Company reserves the right to: a) Suspend any further deliveries to the customer. b) Appropriate any payment raised by the customer to such of any other invoices raised by the Company for goods supplied to the customer as the Company may think fit, notwithstanding any purported appropriation by the customer and: c) Charge the customer interest (both before and after any judgement) on amounts unpaid at the rate of 2.5% per month until payment is made in full. Notice of interest charges will be served in writing on the customer.
10.2 If this clause applies then, without prejudice to any other right or remedy available to the Company, the Company shall be entitled to cancel the Contract or suspend any further deliveries under the Contract without liability to the customer. If the Goods have been delivered but not paid for, the price shall become immediately due and payable notwithstanding any previous agreement or arrangement to the contrary. 11. Indemnity The customer agrees to indemnify the Company against all loss, damage, costs, legal costs and professional and other expenses of any nature whatsoever incurred or suffered by the Company or by a third party as a result of the use of the Goods, the breach of any legislation relating to the use of the Goods or as a result of any breach of the Contract by the customer.
6. Delivery Any dates/times quoted for delivery of the goods are to be treated as estimates only and the Company shall not be liable for any loss, injury, damage or expense arising from delay in delivery of the goods howsoever caused.
12. Jurisdiction These conditions shall be construed in accordance with and governed by English Law. Each of the parties irrevocably submits for all purposes in connection with the Conditions to the exclusive jurisdiction of the Courts of England.
7. Force Majeure The Company shall not be liable to the customer or be deemed to be in breach of the Contract by reason of any delay in performing, or any failure to perform, any of the Company’s obligations in relation to the Goods, if the delay or failure was due to any cause beyond the Company’s reasonable control. Without prejudice to the generality of the foregoing, the following shall be regarded as causes beyond the Company’s reasonable control: a) Act of God, explosion, flood, tempest, fire or accident;
277
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VETERINARY INSTRUMENTATION
VETERINARY INSTRUMENTATION
0
CP20422 CP20527
VETERINARY INSTRUMENTATION Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: info@vetinst.com Website: www.vetinst.com
CP20632 CP20737 CP20842 CP201052 CP201262 CP201472
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BC3512146
BC3511134
BC3506074
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VETERINARY INSTRUMENTATION
Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: info@vetinst.com Website: www.vetinst.com
100
BC3513158
BC3514170
BC3515182
BC3516194
BC3518218
BC3520242
VETERINARY INSTRUMENTATION
90
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BC3510122
40
BC3509110
30
BC3508098
20
BC3507087
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C4516265
C4515246
C4514230
C4513211
C4512199
VETERINARY INSTRUMENTATION
VETERINARY INSTRUMENTATION
Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: info@vetinst.com Website: www.vetinst.com
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B4510167
B4511183
B4512199
B4513215
B4514231
B4515247
B4516263
VETERINARY INSTRUMENTATION
VETERINARY INSTRUMENTATION
20
B4508135
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B4509151
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VETERINARY INSTRUMENTATION
Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: info@vetinst.com Website: www.vetinst.com
PLEASE NOTE THAT PLATE PROFILES ARE ACTUAL SIZE YOU WILL NEED TO COMPENSATE FOR X-RAY MAGNIFICATION 282
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BHP4507151
BHP4507164
BHP4508150
BHP4508163
BHP4508176
80
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150
VETERINARY INSTRUMENTATION
BHP4507138
70
BHP2706063
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BHP200870
10
VETERINARY INSTRUMENTATION
0
0
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LPSH3514146
LPSH3512126
LPSH3511116
LPSH3510106
LPSH3509096
LPSH3508086
LPSH3507076
LPSH3506066
LPSH3505056
LPSH3504046
3.5mm
VETERINARY INSTRUMENTATION
VETERINARY INSTRUMENTATION
LOCKING PLATES WITH STACKED LOCKING HOLES
2.7mm
LPSH2704034
LPSH2705042
LPSH2706050
LPSH2707058
LPSH2708066
LPSH2709074
LPSH2710082
LPSH2711090
LPSH2712098
LPSH2713106
LPSH2714114
VETERINARY INSTRUMENTATION
Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: info@vetinst.com Website: www.vetinst.com
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Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: info@vetinst.com Website: www.vetinst.com
70
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TTAP5
VETERINARY INSTRUMENTATION
TTAP4
50
70
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90
TTAP6
TTAF2
TTAF3
TTAF4
TTAF5
TTAF6
TTAF7
TTAF8
VETERINARY INSTRUMENTATION
Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: info@vetinst.com Website: www.vetinst.com
100
110
TTAP7
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TTAP8
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TTAP2 TTAP3
30
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289
AO Type Screws, Drills, Taps & Screwdrivers
VETERINARY INSTRUMENTATION
Broadfield Road, Sheffield, UK. S8 0XL T: 0845 130 9596 F: 0845 130 8687 info@vetinst.com www.vetinst.com
Plates and Screws Fax Order Form Postcode and Practice Name......................................................................................................................... Name.................................... Telephone No............................................................... Order Ref................. Cortical Screws 1.5mm Cortical
1.5mm Cortical Self Tap
6mm 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 n/a 38 n/a 40 n/a n/a â&#x20AC;&#x201C; not available
2.0mm Cortical
n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a
n/a n/a n/a
2.0mm Cortical Self Tap
1.5/2.0
2.4mm
n/a n/a
n/a n/a
n/a
n/a
2.7mm Cortical Self Tap
3.5mm Cortical
3.5mm Cortical Self Tap
10mm 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 45 50 55 60
Additional Items
2.7mm
3.5mm
Please state Product Code, Description and Quantity
n/a
Standard terms and conditions apply (see catalogue for details)
2 3 4 5 6 7 8 9 10 12 14 16
2.7mm Cortical
n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a
Compression Plates (DCP) Hole
2.4mm Cortical Self Tap
Please cut and photocopy for future use.
Distributors Worldwide
For further information about becoming a distributor please contact:
VETERINARY INSTRUMENTATION Broadfield Road, Sheffield S8 0XL Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: info@vetinst.com
Website: www.vetinst.com
Overseas Customers use: Tel: +44 114 258 8530 Fax: +44 114 255 4061
Catalogue Production All the paper used in this catalogue is certified by FSC. If you would prefer not to receive a catalogue (as you use the website etc.) Please email info@vetinst.com and we will remove your name from our mailing list.
VETERINARY INSTRUMENTATION Broadfield Road, Sheffield S8 0XL Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: info@vetinst.com
Website: www.vetinst.com
Overseas Customers use: Tel: +44 114 258 8530 Fax: +44 114 255 4061