Mercian Micro Instruments

Surgical Instruments of Excellence

INTRODUCTION

Mercian has been established since 1968 as a supplier of high quality surgical instrumentation.

Mercian are proud to present within this brochure the world famous S&T Microsurgery Instruments

S&T were established in the town of Shaffhausen in Switzerland in 1966. S&T’s founders were at the forefront of Microsurgery Instrument design. With a reputation for high Quality and precision workmanship adapting Forceps used the watchmakers industry to fine instruments for use by the pioneers of early reconstructive Micro Surgery.

S&T offer a high level technical capability in combination with innovation, quality, which are corner stones of the S&T philosophy and practiced during the manufacturer of every Instrument. S&T Microsurgery Instruments are now well known to Micro Surgeons throughout the world and are globally recognised as the leaders in the field of Microsurgery Instruments.

Mercian have been their exclusive distribution partners in both the UK and Ireland for over 35 years offering their Instruments to our Hospitals.

STANDARDS

Mercian is certified to meet standard ISO 1348 5: 2016. Recognised as a mark of excellence applicable to our management systems, processes and procedures. We are subject to continual assessment of these procedures to ensure standards are maintained by an independent outside notified body.

Annual surveillance ensures our compliance with ISO 13485: 2016, MDD 93/42/EEC Annex II and MDR 2017/745.

WARRANTY

To ensure our Instruments perform as expected, All Mercian Instruments are covered by a 12 Month warranty covering any manufacturing/material defect. Any Instrument failing these standards will be repaired or replaced without charges.

since1968 established

MICRO VESSEL DILATORS

Vessel Dilator Angled

● 11cm/4¼" length

D- 5a.1 Super fine tips 0.1mm Ø

D- 5a.2 Tips 0.2mm Ø

D- 5a.3

Vessel Dilator

● 13.5cm/53⁄8 " length

JFS- 3d.2

Straight tips 0.2mm Ø

JFL- 3d.3 Straight tips 0.3mm Ø

JFL- 3d.2 Straight tips 0.2mm Ø

JFCL- 3d.2

JFAL- 3d.3 Angled tips 0.3mm Ø

Vessel Dilator Long

● 18cm/7" length

JF -3 -18d.3

Surgical Instruments of Excellence

Mercian Vessel Dilators have polished tips for interluminal vessel dilation. The entire area is opened to the same diameter and the pressure is distributed evenly.

Curved tips 0.2mm Ø Straight Tips 0.3mm Ø

JF -3 -18d.2 Straight Tips 0.2mm Ø

JFCL-3 -18d.2 Tips 0.3mm Ø

Curved Tips 0.2mm Ø

7mm handle width.

9mm handle width.

MICRO VESSEL DILATORS

Round Bodied Vessel Dilator

● 15cm/6" length

● Straight tips

● Balanced forceps

FRS -15 RM- 8d.1 Tips 0.1mm Ø super fine

FRS -15 RM- 8d.3

Tips 0.3mm Ø

Surgical Instruments of Excellence

Weighted distal end perfectly balances forceps in the hand.

Round Bodied Vessel Dilator

● 15cm/6" length

● Curved tips

● Balanced forceps

FRC -15 RM- 8d.2

Tips 0.2mm Ø

Round Bodied Vessel Dilator

● 18cm/7" length

● Straight tips

● Balanced forceps

FRS -18 RM- 8d.1 Tips 0.1mm Ø super fine

FRS -18 RM- 8d.2 Tips 0.2mm Ø

FRS -18 RM- 8d.3 Tips 0.3mm Ø

Round Bodied Vessel Dilator

● 18cm/7" length

● Curved tips

● Balanced forceps

FRC -18 RM- 8d.2

Tips 0.2mm Ø

MICRO FORCEPS

Jewellers Forceps No.5

● 11cm/4¼" length

JF- 5 Tips 0.3mm Ø

JF- 5.1 Tips 0.1mm Ø super fine

Jewellers Forceps Long

● 15cm/6" length

MV2505 -15

Tips 0.3mm Ø

Jewellers Forceps

Surgical Instruments of Excellence

JF- 3 Tips 0.3mm Ø. 12cm/4¾" length

JF- 3.1 Tips 0.1mm Ø super fine. 12cm/4¾" length

JF- 3 -18 Tips 0.3mm Ø. Longer length 18cm/7"

Jewellers Forceps

● 13.5cm/5³⁄8" length

JF L- 3

JF L- 3P Platform tips 0.3mm Ø

JF L- 3.1 Tips 0.1mm Ø super fine

Pierse Forceps

● 12cm/4¾" length

JFP- 3

Tips 0.3mm Ø Tips 0.3mm Ø

Pierse Forceps have a micro hole in the tips which securely grip tissue with minimal trauma.

Micro Adson Fixation Forceps

● 12cm/4¾" length

● 1x 2 micro teeth

FF -1

Tips 0.3mm Ø

Micro Toothed Platform Forceps

● 15cm/6" length

● 1x 2 micro teeth 0.5mm

MV2104 -15T Straight

MICRO FORCEPS

Straight Round Bodied Platform Forceps

● Balanced forceps

Code

FRS -15RM8

FRS -15RM8.1

FRS -18RM8

FRS -18RM8 1 Length 15cm/6" 15cm/6" 18cm/7" 18cm/7" 0.3mm Ø 0.1mm Ø 0.5mm Ø 0.1mm Ø Tip size

Curved Round Bodied Platform Forceps

● Balanced forceps

Code

FRC -15RM8

Weighted distal end perfectly balances forceps in the hand.

Platform tips guarantee parallel

Tip size

FRC -18RM8 Length 15cm/6" 18cm/7" 0.3mm Ø 0.5mm Ø

Sorensen Angled Forceps

● Angled tips

● Balanced forceps Surgical Instruments

Code

FRAS -15RM 8

FRAS -18RM8

15cm/6" 18cm/7"

Platform tips guarantee parallel closure of the tips to allow secure grip on needle.

Tip size

Ø 0.2mm Ø

Angled tips are ideal for use as tying forceps, needle holders and used with the vessel coupler.

DeBakey Atraumatic Round Bodied Forceps

● DeBakey tips 1mm

With balanced end as illustrated* illustrated*

FRS -15RM- 8AT 15cm/6" length

FRS -18RM- 8AT 18cm/7" length

With regular end

FRS -15RB- 8AT 15cm/6" length

FRS -18RB- 8AT 18cm/7" length

MICRO SCISSORS

Straight Scissors Flat Handle

Adventitia scissors with pointed tips

Code

SAS -11

SAS -15

SAS -18

Length 11cm/4¼" 15cm/6" 18cm/7" 19mm 19mm* 20mm

Curved Scissors Flat Handle

Dissecting scissors with rounded tips Surgical

Blade length

SDC -11

SDC -15

SDC -18

Length 11cm/4¼" 15cm/6" 18cm/7" 19mm 19mm* 20mm

Straight Scissors Flat Handle

● 15cm/6" length

● Short blades 15mm long

SAS -15S

Adventitia scissors with pointed tips

Curved Scissors Flat Handle

● 15cm/6" length

● Short blades 15mm long

SDC -15S

Dissecting scissors with rounded tips

MICRO SCISSORS

Straight Nerve Cutting Scissors Flat Handle

Adventitias scissors with pointed tips

Surgical Instruments of Excellence

SAS -15T SAS -18T Length 15cm/6"* 18cm/7" 19mm 20mm

Blade length Code

Micro serrations for nerve & tendon cutting

Curved Nerve Cutting Scissors Flat Handle

Dissecting scissors with rounded tips

SDC -15T SDC -18T Length 15cm/6"* 18cm/7" 19mm 20mm

Blade length Code

Micro serrations for nerve & tendon cutting

Super Fine Straight Scissors Flat Handle

● 15cm/6" length

● Blades 14mm long

SAS -15F14

Adventitia scissors with pointed tips

Super Fine Curved Scissors Flat Handle

● 15cm/6" length

● Blades 12mm long

SDC-15F12

Dissecting scissors with rounded tips

MICRO SCISSORS

Straight Scissors Round Handle

Adventitia scissors with pointed tips

SAS -15 R8

SAS -18 R8 Length 15cm/6" 18cm/7" 12mm* 14mm Blade

Curved Scissors Round Handle

Dissecting scissors with rounded tips

*illustrated

SDC -15 R8

SDC -18 R8 Length 15cm/6"* 18cm/7" 12mm 14mm

Super Fine Straight Scissors Round Handle

Adventitia scissors with pointed tips

SAS -15R - 8F14

SAS -18R - 8F14 Length 15cm/6"* 18cm/7" 14mm 14mm

Super Fine Curved Scissors Round Handle

Dissecting scissors with rounded tips *illustrated

Blade length Code

SDC -15R - 8F12

SDC -18R - 8F12 Length 15cm/6"* 18cm/7" 12mm 12mm

MICRO SCISSORS

Blondeel Scissors Round Handle

● Curved blades

These scissors were designed by professor Phillip Blondeel for use in breast reconstruction utilising a perforator flap. A combination of ring handle design for preparation of fine structures, the round handle micro instrument handle allows the user to perform fine micro surgery.

Blade

Surgical Instruments of Excellence

Micro Coronary Scissors Round Handle

● Blades angled to side

● 10mm blades

18cm/7" length

-18

-18

MV3125 - 20 MV3145 - 20

Micro Coronary Scissors Flat Handle

● Blades angled to side

● 10mm blades

- 20

- 20 MV3112 - 20

18cm/7" length

-18

-18

MV3112 -18A

20cm/8" length 125˚ angled*

MV3112 - 20A Swan- neck V- neck

-18

*illustrated Swan-Neck Scissors 125˚ angled

-18 MV3425 -20 MV3445 - 20

- 20

- 20

- 20 20cm/8" length

MV3412-20A Swan- neck V- neck SDC -15R-8-2R SDC -18R-8-2R

MV3412 -18A

MICRO NEEDLE HOLDERS

Castroviejo Micro Needle Holder

● Flat handled

● 0.4mm jaws suitable for 8/0 or smaller sutures

Curved Without Lock

14cm/5½" 18cm/7" C -14 C -18

Super Fine Castroviejo Micro Needle Holder

● 14cm/5½" length

● Flat handled

● 0.2mm jaws suitable for 10/0 and 11/0 sutures

● Curved

Without Lock

C -14.2

0.2mm jaws

Castroviejo Micro Needle Holder

● Flat handled

● Tungsten Carbide jaws

● Straight 1.2mm jaws suitable for 7/0 and 8/0 sutures

With lock

14cm/5½" 18cm/7"

21cm/8¼" 23cm/9"

Serrated jaws

MV1003 -14

MV1003 -18

MV1003- 21

MV1003- 23

Smooth jaws

MV1003 -14S

MV1003 -18S

MV1003- 21S

MV1003- 23S

Without lock

14cm/5½" 18cm/7" 21cm/8¼" 23cm/9"

Serrated jaws

MV1103 -14

MV1103 -18

MV1103- 21

MV1103- 23

MV1103 -14S

MV1103 -18S

MV1103- 21S

MV1103- 23S Smooth jaws

MICRO NEEDLE HOLDERS

Barraquer Micro Needle Holder

● Round bodied

● 0.4mm jaws suitable for 8/0 or finer sutures

13cm/5" 15cm/6" 18cm/7" Straight

BS -13- 8

BS -15- 8

BS -18- 8 B -13- 8 B -15- 8* B -18- 8

Super Fine Barraquer Micro Needle Holder

● Round bodied

● 0.2mm jaws

● Curved

● Suitable for 10/0 and 11/0 sutures

Without Lock Curved

15cm/6" 18cm/7"

B -15- 8.2 B -18- 8.2

0.2mm jaws

Double Action Micro Needle Holder

● Round bodied

● 0.4mm jaws

● Ideal for confined access

● Suitable for 8/0 and 9/0 sutures

Double action allows a reduced opening of the handle.

Weighted distal end perfectly balances needle holder in the hand.

Without Lock Curved

15cm/6" 18cm/7"

NH -15 RM- 8

NH -18 RM- 8

ACLAND® MICRO CLAMPS

● Light and compact design

● Extremely durable

● A unique gripping surface

● Matt or black finish

● Smooth sliding bar action on all approximator clamps

● Clamp profile with parallel sided jaws

Ordering details:

“A” or “V” Pattern?

The “V” pattern is the all-purpose clamp, used on all veins, and almost all arteries. The “A” pattern, available in all sizes, is designed for exceptionally thick-walled vessels and slippery arteries. The slight incurve of the tips of the “A” pattern jaw provides extra security against slippage.

CLAMPS - packed in pairs

V

A

V

A

V

A

V

A

V

A

V

A

SINGLE

Matt

Black Clamp Vessel Clamping code code size size force

ACLAND® MICRO CLAMPS

Ordering details:

DOUBLE CLAMPS WITH FRAME - frames are used to tie sutures onto during anastomosis

00408 V 00409 A

Matt Black Clamp Vessel Clamping code code size size force 00474 V 00473 A

V 00411 A

V 00413 A

Ordering details:

V 00475 A

V 00477 A

DOUBLE APPROXIMATING CLAMPS - used for end to end anastomosis on small vessels

00414 V 00415 A

Matt Black Clamp Vessel Clamping code code size size force 00480 V 00479 A

V 00417 A

V 00419 A

V 00481 A

-11

- 22

V 00483 A

33

ACLAND® MICRO CLAMPS

Acland Clamp Applicator Forceps

● 14cm/7" length

CAF - 4 Forceps for smaller sizes of the Acland Clamps: B -1 to B- 3

CAF - 5 Forceps for larger sizes of the Acland Clamps: HD- S & RD- S

Acland Clamp Container

MV4400- 00

With individual compartments for all sizes of single and double Acland Clamps.

CB -1

Suitable for holding a selection of Acland Micro Vessel Clamps.

Clamp Box

MICRO VESSEL CLAMPS

The Biover ® microvascular clamp is a high precision instrument and has been developed under the guidance of international surgeons.

● Highest quality (Polycarbonate & Stainless Steel)

● Single or double clamps sterile, ready for use

● Four sizes available for veins & three sizes for arterys

● Latex Free and Radiolucent

VEIN CLAMPS

Single Vein Clamps

TKFV -1

Clamping Force 15g/mm²

Double Approximating Clamps

TKFV - 2

Clamping Force 15g/mm²

For vessels between 0.2mm to 1mm Ø

TKSV -1

Clamping Force

20g/mm²

TKMV -1

Clamping Force

30g/mm²

TKSV - 2

Clamping Force 20g/mm²

For vessels less than 1mm Ø

TKMV - 2

Clamping Force 30g/mm²

For vessels between 1mm to 2mm Ø

TKLV -1

Clamping Force 40g/mm²

TKLV - 2

Clamping Force 40g/mm²

For vessels over 2mm Ø

● Exact pressure every use

● Supplied in boxes of 10

● Each box easily identified by a different colour

ARTERIAL CLAMPS

Single Artery Clamps Double Approximating Clamps

TKS -1

Clamping Force 40g/mm²

TKM -1

Clamping Force 60g/mm²

TKS- 2

Clamping Force 40g/mm²

For vessels less than 1mm Ø

TKL- 1

Clamping Force 120g/mm²

TKM- 2

Clamping Force 60g/mm²

For vessels between 1mm to 2mm Ø

TKL- 2

Clamping Force 120g/mm²

For vessels between 2mm to 4mm Ø

10 clamps per box

PRESSURE TESTER GAUGE

ACLAND CLAMP PRESSURE TESTER GAUGE

Ensuring your Acland Micro Vessel Clamps are applying the correct pressure onto delicate vessels is an essential consideration for successful anastomosis.

Each size of vessel clamp has its own validated pressure parameters carefully calibrated to the vessel size the clamp is designed to be used on.

This pressure can often vary depending on the age of the clamp and the amount of use.

Vessels can suffer damage if the clamp is applying too much pressure.

Equally if not sufficient pressure is applied then the vessel is not completely occluded resulting in a difficult anastomosis of the vessel with the vessel leaking blood obscuring the operating field.

An annual audit of Acland Micro clamps is recommended to test the pressures thus preventing incidents with non-conforming clamps considered good practice for Microsurgery sets.

Clamp is applied between two sensors on the Clamp Gauge where the applied pressure/force can then be accurately calculated.

VISIBILITY BACKGROUND MATERIAL

TO ASSIST IN VISUALISING MICRO VESSELS DURING ANASTOMOSIS

Description: Silicon strip with 1mm grid on one side and plain on reverse side, available in blue, green and yellow colours. Packed in boxes of 12 pieces.

Application: For use in micro surgical anastomosis of micro vessels under a microscope to allow the surgeon to better visualise the detail of the vessels, being joined.

The Visibility Material can be used either with the grid side up to give the surgeon a scale of the vessel, alternatively the reverse plain side can also be used.

Th e materia l ha s a non e reflectiv e surfac e eliminating distractions from theatre lighting and has a non-tacky finish to aid mobilisation of the Vessel.

Ordering details:

Supplied sterile in boxes of 12 pieces

1mm grid one side and matt finish on reverse.

Size: 50mm x 25mm

● X- Ray opaque silicon material

● 1mm grid for accurate measurement of vessels

● Latex free material

● Sterile packed in boxes of 12

● Optimal colours to improve visibility of vessel and reduce eye fatigue

NONABSORBABLE SURGICAL SUTURE NYLON MONOFILAMENT

LUX SUTURES

Micro sutures are designed for easy penetration into vessels and nerves.

Robust enough to withstand repeated penetrations without any unnecessary deterioration of the point. The point design will enter tissues with the least amount of disturbance of neighbouring tissues, supporting fast wound healing.

● Available in sizes 8/0, 9/0,10/0 & 11/0

● 3/8 Taper point needle

Ordering details:

● Sterile packed in boxes of 12

● Nylon thread

Taper point needle precision point honed under the microscope.

3/8 Circle.

MICRO DISSECTION NEEDLES

ARROWtip™ Monopolar Microdissection Electrodes

Precision and versatility for your surgical procedures

With their heat resistant, ultra-sharp tip design, the ARROWtip™ monopolar microdissection electrodes provide precision for cutting, tissue dissection and coagulation.

● Ultra-sharp tips for clean and precise dissection of tissue

● Heat-resistant material maintains tip sharpness

● Insulation prevents accidental burns

● Hexagonal shape prevents rotation of the electrode

Sterile packed in boxes of 10

INDICATIONS:

● Skin incisions

● Skin tumors

● Blepharoplasty

Ø 0.3mm tip

● Facelifts

● Tonsillotomy

● Pharyngeal tumors

● Endoscopic ear surgery

● Sinus surgery

● Larynx surgery

36- 44- 20

Sterile packed in boxes of 10

Ø 0.3mm tip

36- 44- 21

Sterile packed in boxes of 10

Ø 0.3mm tip

36- 44- 42

Sterile packed in boxes of 10

MICRO BIPOLAR FORCEPS

Supergliss® Bipolar Forceps Non-Stick Tips

The material specially developed for SuperGliss® non-stick forceps prevents overheating of the tips during coagulation.

12cm/4¾" length Tip size

78- 04- 37SG 0.2mm

78- 02- 37SG 0.4mm

78- 02- 38SG 0.7mm

78- 02- 43SG 1.0mm

Micro tip

Micro tip

Fine tip

Regular tip

18.5cm/7¼" length Tip size

78- 01- 54SG 0.4mm

78- 01- 52SG 0.7mm

78- 01- 51SG 1.0mm

Bipolar Cables

Micro tip

Fine tip

Regular tip

● Fitting Block End Forceps

● Erbe BM780 Machine Fitting

● 4.5 metre length

37- 01- 38L

● Fitting Block End Forceps

● Banana Plug Vallylab Machine Fitting

● 4.5 metre length

37- 01- 35L

Bipolar Coagulation Unit BM780 MK II

A compact Electro Surgery machine

● Offering both Bipolar and Monopolar Coagulation

● Fitting the Mallis 2-Pin Forceps

● Banana Plug Vallylab Machine Fitting

● 4.5 metre length

37- 01- 35S

● Suitable for use in OPD Clinics for Plastic, Maxillofacial and Dermatology Surgery

● 70 Watts

● Footswitch control

36- 00- 80- 01

36- 01- 05 Footswitch

INSTRUMENT CONTAINERS

SINGLE TRAY CONTAINERSc

Internal Dimensions Code

B C

200 x 140 x 50mm

280 x 195 x 50mm

265 x 255 x 50mm

380 x 260 x 50mm

470 x 250 x 50mm

MV4026- 01

MV4026- 04

MV4026- 05

MV4026- 07

MV4026 -10

DOUBLE TRAY CONTAINERS

Internal Dimensions Code

B C

280 x 195 x 65mm

265 x 255 x 65mm

380 x 260 x 65mm

MV4026- 04D

MV4026- 05D

MV4026- 07D

SINGLE TRAY BASKETSc

B C

x 250 x 40mm A9311

DOUBLE TRAY BASKETS

BASIC MICRO INSTRUMENT SET

Mercian offer a Basic Micro Surgery Instrument Set, equiping the surgeon with the basic Instruments for most micro surgery procedures.

Surgical Instruments of Excellence

Mercian Basic Micro Instrument Set

BMS -1

Complete set

Set consisting of the following instruments:

Qty Order code Description

1 MV4026 - 05

Micro Scissors

1 SAS-15R8

Micro Instrument Container

Micro Scissors R/B, 15cm straight

1 SDC -15R8 Micro Scissors R/B, 15cm curved

Micro Needle Holders

1 B -15- 8 Micro Needle Holder R/B, 15cm curved

Micro Forceps & Dilator

1 FRS -15RM8 Suture Tying Forceps R/B, 15cm straight

1 FRC -15RM8 Suture Tying Forceps R/B, 15cm curved

2 JF - 5 Jewellers Forceps No.5, 11cm

1 D5a- 3 Micro Vessel Dilator, 11cm, 0.3mm tips

Acland Vessel Clamps & Forceps

1pr 00398V Single Acland Clamps B- 2V

1pr 00400V Single Acland Clamps B- 3V

1pr 00325V Single Acland Clamps HD- S

1 00416V Double Acland Vessel Clamp 2V

1 00418V Double Acland Vessel Clamp 3V

1 00326 Double Acland Vessel Clamp HD- S

1 CAF - 4 Acland Clamp Applying Forceps

1 CB -1 Acland Clamp Box

MICRO NERVE REPAIR SET

A set suitable for hand surgery procedures, for trimming and repairing nerves and tendens.

Mercian Micro Instrument Set for Nerve Repair Surgery

MNS -1

Set consisting of the following instruments:

Qty Order Code Description

1 MV4026 -01 Micro Instrument Container

1 B -15- 8 Micro Needle Holder R/B, 15cm curved

1 SAS -15T Micro Scissors Flat Handled, 15cm straight serrated blade

2 JF- 5 Jewellers Forceps No.5, 11cm

EXTENDED MICRO INSTRUMENT SET

This suggested set includes a comprehensive set of micro instruments to provide all options for complex micro reconstructive surgery procedures. The set includes variations on lengths and tip sizes and styles. Sorenson Angled Forceps are included for use with the coupler.

The Acland vessel clamps are offered in both aterial and venous sizes, covering the full span of vessel diameters.

Mercian Extended Micro Instrument Set

EMS -1

Complete set

Set consisting of the following instruments:

Qty

Order code Description

1 MV4026 -10

Micro Scissors

1 SAS -15R8

1 SDC -15R8

Surgical Instruments of Excellence

Micro Instrument Container

Micro Scissors R/B, 15cm straight

Micro Scissors R/B, 15cm curved

1 SAS -18R8 Longer Micro Scissors R/Bodied, 18cm straight

1 SDC -18R8 Longer Micro Scissors R/Bodied, 18cm curved

1 SAS -15T

Micro Scissors F/Handled, 15cm straight, micro serrations

1 SDC -15T Micro Scissors F/Handled, 15cm straight, micro serrations

Micro Needle Holders

1 B -15- 8 Micro Needle Holder R/Bodied, 15cm curved

1 B -18 - 8 Micro Needle Holder R/Bodied, 18cm curved

Micro Forceps & Dilators

2 D- 5a.2

1 JFCL- 3d.2

1 FRS -15RM-8d.3

1 FRC-15RM-8d.2

Micro Vessel Dilator, 11cm, 0.2mm tips, angled

Micro Vessel Dilator, 13.5cm, 0.2mm tips, curved

Micro Vessel Dilator, 15cm, 0.3mm tips, straight

Micro Vessel Dilator, 15cm, 0.2mm tips, curved

1 FRS-18RM-8d.2 Longer Micro Vessel Dilator, 18cm, 0.2mm tips, straight

1 FRC-18RM-8d.2 Longer Micro Vessel Dilator, 18cm, 0.2mm tips, curved

2 JF - 5

Micro Jewellers Forceps No.5, 11cm, 0.3mm tips

2 MV2505 -15 Micro Jewellers Forceps No.5, longer 15cm, 0.3mm tips

1 FF-1 Micro Fixation Forceps, 12cm, micro 1x 2 teeth

1 FRS -15RM 8 Micro Platform Forceps, R/Bodied, 15cm, straight

1 FRC -15RM 8 Micro Platform Forceps, R/Bodied, 15cm, curved

1 FRAS -18RM 8 Micro Sorenson Forceps, R/Bodied, 18cm, angled tips

1 FRS -18RM 8 Longer Micro Platform Forceps, R/Bodied, 18cm, straight

1 FRC -18RM 8 Longer Micro Platform Forceps, R/Bodied, 18cm, curved

1 FRS -15RM- 8AT Micro DeBakey Forceps, R/Bodied, 15cm, 1.1mm tips

Acland Vessel Clamps & Forceps

1pr 00396V Single Acland Vessel Clamp 1V

1pr 00397A Single Acland Vessel Clamp 1A

1pr 00398V Single Acland Vessel Clamp 2V

1pr 00399A Single Acland Vessel Clamp 2A

1pr 00400V Single Acland Vessel Clamp 3V

1pr 00401A Single Acland Vessel Clamp 3A

1pr 00325 Single Acland Vessel Clamp HD- S

1pr 00286 Single Acland Vessel Clamp RD- S

1 00414V Double Acland Vessel Clamp 1V

1 00415A Double Acland Vessel Clamp 1A

1 00416V Double Acland Vessel Clamp 2V

1 00417A Double Acland Vessel Clamp 2A

1 00418V Double Acland Vessel Clamp 3V

1 00419A Double Acland Vessel Clamp 3A

1 00326

Double Acland Vessel Clamp HD- S

1 00287 Double Acland Vessel Clamp RD- D

1 CAF - 4 Acland Clamp Applying Forceps

1 CB -1 Acland Clamp Box

LONG MICRO INSTRUMENT SET

This suggested set includes a set of micro instruments in a longer 18cm length, to provide an option for the deeper micro reconstructive surgery procedures.

The set includes all our most popular instruments, together with the 3 most popular middle sizes of our Acland vessel clamps regularly selected.

Mercian Long Micro Instrument Set

LMS -1

Set consisting of the following instruments: Complete set

Qty

Order code Description

1 MV4026 - 05

Micro Scissors

1 SAS -18R 8

Micro Instrument Container

Surgical

Long Micro Scissors R/Bodied, 18cm straight

1 SDC -18R 8 Long Micro Scissors R/Bodied, 18cm curved

Micro Needle Holders

1 B -18 - 8 Longer Micro Needle Holder R/Bodied, 18cm curved

1 BS -18 - 8 Longer Micro Needle Holder R/Bodied, 18cm straight

Micro Forceps & Dilators

1 D- 5a.2 Micro Vessel Dilator, 11cm, 0.2mm tips, angled

1 FRS -18RM-8d.2 Longer Micro Vessel Dilator, 18cm, 0.2mm tips, straight

1 FRC -18RM-8d.2 Longer Micro Vessel Dilator, 18cm, 0.2mm tips, curved

2 MV2505 -15 Longer Micro Jewellers Forceps No.5, 15cm, 0.3mm tips

1 FRS -18RM 8 Longer Micro Platform Forceps, R/Bodied, 18cm, straight

1 FRC -18RM 8 Longer Micro Platform Forceps, R/Bodied, 18cm, curved

Acland Vessel Clamps & Forceps

1pr 00398V Single Acland Vessel Clamp 2V

1pr 00400V Single Acland Vessel Clamp 3V

1pr 00325 Single Acland Vessel Clamp HD- S

1pr 00286 Single Acland Vessel Clamp RD- S

1 00416V Double Acland Vessel Clamp 2V

1 00418V Double Acland Vessel Clamp 3V 1 00326 Double Acland Vessel Clamp HD- S

1 CAF - 4 Acland Clamp Applying Forceps

1 CB -1 Acland Clamp Box

SUPERFINE MICRO INSTRUMENT SET

This suggested set includes our superfine 0.1mm tip diameter dilators and micro forceps, designed to be used on extremely small vessels during Lymphoedema surgery. The needle holders included, feature very fine 0.2mm jaws to hold the fine 11/0 & 12/0 micro needles, for use on the smallest vessels less than 1mm in diameter.

Mercian Superfine Micro Instrument Set

SFS -1

Complete set

Set consisting of the following instruments:

Qty

Order code Description

1 MV4026 - 05

Micro Scissors

1 SAS -15R - 8F14

1 SDC -15R - 8F12

Micro Needle Holders

1 B -15 - 8.2

Micro Forceps & Dilators

2 D- 5a.1

1 FRS -15RM-8d.1

1 FRC -15RM-8d.2

2 JF - 5.1

2 JFL- 3.1

Micro Instrument Container

Surgical Instruments of Excellence

Superfine Micro Scissors R/Bodied, 15cm straight

Superfine Micro Scissors R/Bodied, 15cm curved

Superfine Micro Needle Holder R/Bodied, 15cm curved 0.2mm

Superfine Micro Vessel Dilator, 11cm, 0.1mm tips, angled

Superfine Micro Vessel Dilator, 15cm, 0.1mm tips, straight

Superfine Micro Vessel Dilator, 15cm, 0.2mm tips, curved

Superfine Micro Jewellers Forceps No.5, 11cm, 0.1mm tips

Superfine Micro Jewellers Forceps 13.5cm, 0.1mm tips

Acland Vessel Clamps & Forceps

1pr 00396V Single Acland Vessel Clamp 1V

1pr 00398V Single Acland Vessel Clamp 2V

1pr 00400V Single Acland Vessel Clamp 3V

1 00414V Double Acland Vessel Clamp 1V

1 00416V Double Acland Vessel Clamp 2V

1 00418V Double Acland Vessel Clamp 3V

1 CAF - 4 Acland Clamp Applying Forceps

1 CB -1 Acland Clamp Box

TENDON HOLDING FORCEPS

Meyer Nerve/Tendon Holding & Trimming Instrument Set NHS -1

Set of Six Forceps with Container and Blade Holders. CBS - 35 Box of Blades to fit Blade Holder. Set

Sterile Blades ● Box of 12 straight blades

35

1 ICN - 913 Sterilization Rack Holding Forceps

This set was developed to allow the surgeon to hold securely and trim the nerve ends with the correct size holding forceps avoiding trauma to the nerve. There is minimal loss of nerve end with this technique.

Blade Holder

BHS -12 Blade Holder

ARTERIOTOMY CLAMP

The Acland-Banis Arteriotomy Clamp was developed to ovecome the difficulties of creating a hole in the side of a vessel, in an end - to - side anastomosis. The device enables the surgeon to make an arteriotomy with an instrument that cuts the vessel the best -- a knife. The arteriotomy clamp picks up and holds the piece of the vessel wall that is to be excised. Then, with a single curving sweep of a straight blade that is held close against the clamp tip, the ellipse is excised. The result is a perfect arteriotomy, every time.

The clamp is a precision- made, cross - action forceps with a heavy closing pressure and a tapered, rounded, fenestrated tip. The hole in the tip is important because the tissue that is picked up can squeeze into it and be held firmly. There are three sizes of clamps, with tips 1.2, 1.8 and 2.4mm in diameter. Each clamp can cut a different size hole, depending on the depth of the tissue being picked up. Using the set of three clamps, holes can be cut with mean diameter ranging from 1 to 5mm.

USING THE CLAMP

1. Mobilise the vessel so that it can be rotated freely.

2. Apply occluding clamps, keeping the vessel at its natural state of resting tension.

3. Empty the occluded segment by finger pressure while momentarily releasing one clamp.

4. Remove adventitia thoroughly and widely around the planned arteriotomy site.

5. Rotate the vessel so that the site of arteriotomy is seen in clear profile.

6. Have the small vessel in view, with its end prepared and dilated, in order to judge its size.

7. With an arteriotomy clamp of appropriate size, carefully pick up a piece of vessel wall which is half as long and just as wide as the desired arteriotomy.

Arteriotomy Clamp

● Hole size in the tip 1.2mm Ø

ART -12

Arteriotomy Clamp

● Hole size in the tip 1.8mm Ø

ART -18

Arteriotomy Clamp

● Hole size in the tip 2.4mm Ø i iii

ART - 24

Note that because of the pressure which the tip of the clamp exerts, this step is irreversible.

8. With a CBS-35 blade held in metal - to- metal contact with the clamp tip, cut around the tip with a steady sweeping action.

Important!

With practiced use, the size of arteriotomy results is highly predictable. However, we strongly recommend a brief initial practice period on animal or fresh cadaver vessels. These vessels should be stretched out to their natural length and tension to simulate real conditions. Remember that the arteriotomy will be twice as long and just as wide as the piece which is picked up and excised.

SURGEONS OPERATING STOOLS

Backrest

The Severn Operating Stool with Backrest

● Comfortable Surgeon’s seat

● 5 anti-static castors

● Height adjustment with foot plate, height range 55cm to 78cm

GS3221- 67

The Avon Operating Stool without Backrest

GS3221- 65

Adjustable Armrest

Trent Gas Operated Stool with Armrests

Suitable for all micro surgery including: Neuro, Ophthalmic & ENT Surgery.

● Armrests

● Hydraulic height adjustment with foot pump

● Adjustable backrest

● Foot brake

● Comfortable Surgeon’s seat

● 5 anti-static castors

● Height range 61cm to 76cm

GS3030- 00

Brake

Foot Pump

Foot plate for height adjustment

Foot plate for height adjustment

SURGEONS OPERATING STOOLS

Adjustable Armrest

Coburg Micro Surgery Stool

Suitable for all micro surgery including: Neuro, Ophthalmic & ENT Surgery.

● Armrests with swivel ball joints, detachable and autoclavable

● Hydraulic height adjustment with foot pump

● Adjustable backrest

● Foot brake

● Comfortable Surgeon’s seat, either round or saddle shaped

● 5 anti-static castors

● Height range 61cm to 76cm

Coburg Stool

Suitable for all disciplines of surgery including: Neuro, Ophthalmic & ENT Surgery.

● Hydraulic height adjustment with foot pump

● Adjustable backrest

● Foot brake

● Comfortable Surgeon’s seat, either round or saddle shaped

● 5 anti-static castors

● Height range 61cm to 76cm

Surgical Instruments of Excellence

GS3016- 00S with Armrests + Saddle Seat

GS3016- 00R with Armrests + Round Seat

GS3014- 00S Saddle Seat without Armrest

GS3014- 00R

Round Seat without Armrest

Brake

Foot Pump

Foot Pump

Brake

MC/004/2024

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Surgical Instruments of Excellence since1968 established

Mercian Surgical Supply Co. Limited

10 Topaz Business Park, Topaz Way, Bromsgrove, Worcestershire B61 0GD. UK. Tel: +44 (0) 844 879 1133 Email: info@merciansurgical.com www.merciansurgical.com