Joint Surgery 1 - Veterinary Instrumentation

Transcript

103462_COVER 13/2/06 09:42 Page 1 VETERINARY INSTRUMENTATION 2006 VETERINARY INSTRUMENTATION Triple Tibial Osteotomy Oscillating Saw Osteometer Irrigation Cannula Saw Guide 12mm Hohman Retractor Broadfield Road, Sheffield S8 0XL Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: [email protected] Website: www.vetinst.com Overseas Customers use: Tel: +44 114 258 8530 Fax: +44 114 255 4061 www.vetinst.com VETERINARY INSTRUMENTATION Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 TPLO + TTA Three Osteotomies Overseas Customers use Tel: +44 114 258 8530 Fax: +44 114 255 4061 E-mail: [email protected] Website: www.vetinst.com 103462_p3_WELCOME 14/2/06 12:31 Page 3 Welcome ...to the 2006 edition of the Veterinary Instrumentation catalogue. The new colour format seems to have been well received and remains unchanged for 2006. As usual we have added many new products which are listed below for easy reference. The cover illustrates the Triple Tibial Osteotomy procedure for the management of Cranial Cruciate disease. Another year has gone by without us getting any closer to a definitive repair technique. In general practice if you have a technique which works for you then I would advise that you stick with it! This is particularly true in cases of genuine traumatic rupture where outcomes are usually better than cases of degenerative cruciate disease. However in more specialised centres it appears that some form of procedure which alters the geometry of the stifle joint is becoming more popular. We now have Tibial Plateau Levelling (TPLO, by radial osteotomy or wedge osteotomy), Tibial Tubercle Advancement (TTA) and a combination of the two, Triple Tibial Osteotomyy (TTO). The TTO method is worth a look in that it does appear to address some of the failings of other systems and does not require a large investment in machinery. John Lapish BSc., BVetMed., MRCVS. Managing Director 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. Veterinary Instrumentation is happy to support whichever procedure you favour with both instruments and implants. Best regards….. BSAVA Simon Award New items for 2006 CCL Tensioner P Pg 10 316LVM Slocum Places P Pg 14 CCL Loop Tightener . . . . . . . . . . . . . . . . . .Pg 10 Hybrid wedge osteotomy plates . . . . . . . .Pg 12 Triple Tibial Osteotomy . . . . . . . . . . . . . . .Pg 13 Cadmus TPLO Plates . . . . . . . . . . . . . . . . .Pg 14 Slocum Style TPLO Plates . . . . . . . . . . . . .Pg 14 TPLO Centering Template . . . . . . . . . . . . .Pg 14 Meniscus Probes . . . . . . . . . . . . . . . . . . . .Pg 15 Halstead toothed (small meniscus clamp) . . . . . . . . . . . . . . .Pg 15 Arthroscopy USB Image Capture . . . . . .Pg 25 Small Curved Serrated Reduction Forceps . . . . . . . . . . . . . . . . . . .Pg 30 Cat Size Lowman Bone Clamp . . . . . . . . .Pg 31 Side Cutting Wire Cutter T.C. . . . . . . . . .Pg 31 Wire Tightener with two cranks . . . . . . . Pg 34 Howarth TPLO dissector . . . . . . . . . . . . . .Pg 38 T’ Bar Wrench for KE clamps . . . . . . . . . .Pg 52 Cat Size Lowman Clamp P Pg 31 Slocum Saw Flat Blade Adaptor . . . . . . . .Pg 67 2.0mm Spiky Washer . . . . . . . . . . . . . . . . .Pg 91 Hybrid ‘T’ Plates . . . . . . . . . . . . . . . . . . . .Pg 92 3.5/4.5 Pancarpal arthrodesis plate . . . .Pg 93 Cerclage Buttons for 3.5 DCPs . . . . . . . .Pg 94 Anti-Skid Drills . . . . . . . . . . . . . . . . . . . . . .Pg 96 Oesophageal FB grasping forceps medium . . . . . . . . . . . . . . . . . . . .Pg 106 Cup Soft Tissue Biopsy Forceps . . . . . .Pg 111 Jaeger Eyelid Speculum . . . . . . . . . . . . . .Pg 113 Derf T.C. Needleholders 12cm . . . . . . . .Pg 114 Heine LED Headlight . . . . . . . . . . . . . . . .Pg 117 Heine LED Loupe Light . . . . . . . . . . . . . .Pg 117 Binocular Loupes . . . . . . . . . . . . . . . . . . .Pg 119 Piezo Scaler with detachable handpiece . . . . . . . . . . . . . . .Pg 124 Plaque discloser . . . . . . . . . . . . . . . . . . . .Pg 125 3 Hybrid T Plates P Pg 92 Soft Tissue Biopsy Forceps P Pg 111 Cross cut taper fissure long head bur . .Pg 131 Cosmetic Surgeon Scissors with open shanks . . . . . . . . . . . . . . . . . . . . . . .Pg 160 Melag Autoclaves . . . . . . . . . . . . . . . . . . .Pg 167 Pouch Rack . . . . . . . . . . . . . . . . . . . . . . . .Pg 168 Instrument Sharpening System . . . . . . .Pg 169 Scrub Dispenser Stainless Steel Dismountabl . . . . . . . . . .Pg 190 Portable Cordless Electro Cautery . . . .Pg 193 Animal Stretchers . . . . . . . . . . . . . . . . . . .Pg 195 Anti Fatigue Mats . . . . . . . . . . . . . . . . . . .Pg 195 Flotation Assist harness . . . . . . . . . . . . . .Pg 197 Introduction 103462_p4_THE COMPANY 13/2/06 09:47 Page 4 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 3000 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. Today the technology involved in producing our products ranges from the traditional skills of Sheffield craftsman Len Richardson, (an instrument maker with over 55 years experience who helped develop the first items in the range including the excision arthroplasty rasp and the trochlea rasp) to the ultra-modern. Len uses his extensive experience and hand-eye coordination to create runs of 100 identical instruments. He continues to help develop new items and oversees our instrument repair service. By contrast at the other end of the spectrum, all our implants are made by state of the art computer controlled machinery designed to meet the same exacting specifications as their human equivalents. We think we benefit from the best of both worlds, old and new. 4 103462_p5_CONTENTS 13/2/06 09:47 Page 5 Contents JOINT SURGERY Pages 6 - 19 1 ARTHROSCOPY Pages 20 - 27 2 GENERAL ORTHOPAEDICS Pages 28 - 45 3 EXTERNAL FIXATION Pages 46 - 57 4 POWER TOOLS Pages 58 - 67 5 SPINAL SURGERY Pages 68 - 73 6 IMPLANTS & SCREWS Pages 74 - 101 7 TOTAL HIP REPLACEMENT Pages 102 - 105 8 THORACIC & ABDOMINAL SURGERY Pages 106 - 109 9 HEAD & NECK Pages 110 - 111 10 OPHTHALMIC Pages 112 - 123 11 DENTAL MACHINES Pages 124 - 133 12 DENTAL HAND INSTRUMENTS Pages 134 - 139 13 RODENT DENTISTRY Pages 140 - 143 14 NEEDLES Pages 144 - 149 15 GENERAL SURGERY Pages 150- 163 16 INSTRUMENT CARE Pages 164 - 169 17 THEATRE WEAR Pages 170 - 173 18 ANAESTHESIA Pages 174 - 183 19 DIAGNOSTICS Pages 184- 187 20 CLINICAL FURNITURE Pages 188 - 197 21 CLIPPERS Pages 198 - 199 22 TRAINING AIDS Pages 200 - 201 23 INDEX Pages 202 - 207 DELIVERY DETAILS Page 208 TERMS & CONDITIONS Pages 208 - 209 BONE PLATE TEMPLATES Pages 210 - 214 5 103462_CH01_p6-15_Joint Surgery 1 13/2/06 09:11 Page 6 JOINT SURGERY Joint Surgery Adjustable Bone Saw Hard Backed Orthopaedic Saw 140mm long 23mm deep 0.4mm cut. In the style of the XACTO 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 hack saw type blades which often deviate. Useful for many bone procedures, this saw comes complete with five, fine chrome plated blades. Blade length is adjustable from 40 mm to 100 mm. Procedures include trochleaplasty, tibial crest transplants, amputations, trochanteric osteotomy and excision arthroplasty. Also useful for splitting multi-rooted teeth prior to extraction. ADJUSTABLE BONE SAW 001000 Adjustable Bone Saw c/w 5 fine blades 001001 Spare Fine Blades. Pack of 5 chrome plated Use for wedge sulcoplasty and osteotomies up to 23mm deep. £43.56 £8.87 Rhinotomy / Plaster Saw Blade HARD BACKED ORTHOPAEDIC SAW (stainless) 001004 This is a curved stainless blade with a radius of 15mm. Useful for rhinotomy, plaster cutting and osteotomies where access is limited, eg. radius, ulna and ilium during a TPO. Orthopaedic Hard Back Saw 0.4mm cut. Stainless steel £23.60 Gigli Saw RHINOTOMY/PLASTER SAW BLADE 001003 Rhinotomy/Plaster Saw Blade (single) £8.87 Coarse Stainless Blade Very useful for larger patients. The tooth pitch is 15 teeth per inch. This blade does not clog easily. Also useful for trochleaplasty. COARSE STAINLESS BLADE 001002 Coarse Stainless Blades (single) £8.87 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. X-Acto Saw GIGLI SAW 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 the Hard Backed Orthopaedic Saw (001004). 001515 Gigli Saw Handles (pair) 001516 Gigli Saw 30cm £4.83 001517 Gigli Saw 50cm £5.50 £25.60 Excision Arthroplasty Rasp X-ACTO SAW XACTOB/H Xacto Saw Complete XACTOHANDLE Xacto Saw Handle only XACTOBLADE Xacto Saw Blade 0.3mm cut XACTOSTERILE Xacto Saw Blade Sterile 0.3mm cut £15.02 £9.50 £6.52 £10.59 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. EXCISION ARTHROPLASTY RASP 001010 6 Excision Arthroplasty Rasp £36.21 103462_CH01_p6-15_Joint Surgery 13/2/06 09:11 Page 7 1 JOINT SURGERY www.vetinst.com Combination Bone Rasp Set Hohman Retractors with short tip 001041 001042 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. 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. COMBINATION BONE RASP SET If you intend to buy just one Hohman, the one you need is 001041, 18 mm with a short tip. This is usually the one described in texts as ‘Hohman’. 001015 Combination bone rasp with 3 interchangable heads £114.00 HOHMAN RETRACTORS with short tip 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. Trochlea Rasp Hohman Retractor 18mm Short Narrow Tip £33.99 001042 Hohman Retractor 12mm Short Narrow Tip £33.99 Hohman Retractor with long broad tip 001043 001044 TROCHLEA RASP 001020 001041 Useful in and around the shoulder joint and other retraction situations when a blunt tip is desirable. £36.21 HOHMAN RETRACTOR with long broad tip OCD Curette 001043 Hohman Retractor 24mm Long Broad Tip £33.99 001044 Hohman Retractor 18mm Long Broad Tip £33.99 Hohman Retractor broad with short narrow tip 001045 Actual size 001046 The 48 mm Hohman is very useful in the large dog for elevation of the femoral head and neck for excision or toggle. The 24 mm is designed to retract muscles during plating & cerclage procedures 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 HOHMAN RETRACTOR BROAD with short narrow tip OCD CURETTE 001030 001032 O.C.D. Curette O.C.D. Curette Small £29.92 001045 Hohman Retractor 48mm Short Narrow Tip £33.99 £29.92 001046 Hohman Retractor 24mm Short Narrow Tip £33.99 Joint Surgery 7 103462_CH01_p6-15_Joint Surgery 1 13/2/06 09:11 Page 8 JOINT SURGERY Joint Surgery Mini Hohman 6mm & 8mm short tip Curved Graft Passer 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. Exact anatomical repair of the bones will not result in satisfactory healing without adequate blood supply. Mini Hohmans allow delicate, precise retraction of the vital soft tissues, allowing placement of screws or wires. An assistant to hold these instruments is a distinct advantage. MINI HOHMAN 6mm and 8mm short tip 001047 Mini Hohman Retractor 6mm Short Tip £33.99 001048 Mini Hohman Retractor 8mm Short Tip £33.99 Photography: Hamish Denny Straight Graft Passer Designed to pass through a 2.7 mm hole, the straight graft passer is useful for pulling graft and nylon through bone tunnels. 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: STRAIGHT GRAFT PASSER 001050 Straight Graft Passer £33.99 1. minimise damage to intra - articular structures 2. to feel right in use. The handle is comfortable 3. for graft insertion anterior to posterior or vice versa. Bennett Type Graft Passer & Aneurism Needles This design is used by most recognised orthopaedic surgeons. Please see our free CD rom ‘Surgical Management of Canine Cranial Cruciate Disease’ 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. close-up detail CURVED GRAFT PASSER The sharp tip of the angled graft passer is passed around the fabella by rotaing the wrist. The eye is small and accepts all suture materials. 001051 Very Small Curved Graft Passer 2cm £36.66 001052 Small Curved Graft Passer 3cm £36.66 £36.66 001053 Large Curved Graft Passer 4.5cm 001057AL Aneurism Needle 3cm Angled Left Small Eye £36.66 001054 Very Large Curved Graft Passer 6cm £36.66 001057AR Aneurism Needle 3cm Angled Right Small Eye £36.66 001055 Extra Large Curved Graft Passer 8cm £36.66 001058AL Aneurism Needle 4.5cm Angled Left Small Eye £36.66 001056 2cm Graft Passer with small eye £36.66 001058AR Aneurism Needle 4.5cm Angled Right Small Eye £36.66 001057 3cm Graft Passer with small eye £36.66 001059 Large Bennett graft Passer/Ligature Needle 001058 4.5cm Graft Passer with small eye £36.66 BENNETT TYPE GRAFT PASSER & ANEURISM NEEDLES £36.66 8 103462_CH01_p6-15_Joint Surgery 13/2/06 09:11 Page 9 1 JOINT SURGERY www.vetinst.com Cranial Cruciate Ligament Lateral Suture System The use of monofilament nylon as a lateral suture 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.k9ccl.com or request our free CD rom. ‘Surgical Management of Canine Cranial Cruciate Disease’ info 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). WHICH SUTURE? (Approx) STRENGTH 50lb 80lb 100lb 100lb x 2 WEIGHT 10 - 15kg 15 - 20kg 20+kg 40kg CRANIAL CRUCIATE LIGAMENT LATERAL SUTURE SYSTEM CDROM Surgical Management of Canine CCL disease - covers OTT, Lateral suture & TPLO These are guidelines only FOC Kits 091154 - Basic Kit KITS 091154 CCL Suture System (Swaged on) Basic Kit. Forceps, 2 x each size nylon/needle/crimp sterile packs £112.00 091151 CCL Suture System (Swaged on) Basic Kit Plus. Forceps, 2 x each size nylon/needle/crimp sterile packs plus H/D needleholders £132.00 091152 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. £146.57 fabella (cruciate) needles Instruments Actual Size Heavy Duty Needle Driver FABELLA (CRUCIATE) NEEDLES 091144VS Fabella Needle, Very Small - Pack of 6 Has regular eye £8.00 091144 Fabella Needle, Small - Pack of 6. Has regular eye £8.00 091145 Fabella Needle, Medium - Pack of 6. Has regular eye £8.00 HEAVY DUTY NEEDLE DRIVER 091146 Fabella Needle, Large - Pack of 6. Has regular eye 091153 £8.00 9 Heavy Duty Needle Driver with Tungsten jaws £38.50 103462_CH01_p6-15_Joint Surgery 1 13/2/06 09:11 Page 10 JOINT SURGERY Joint Surgery Loop Tension Devices Crimping Forceps 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: 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 091132 - Tensioning Device (gelpis not included) Dedicated crimping forceps are required to avoid over-crimping or under-crimping, both of which will lead to early implant failure. CRIMPING FORCEPS 091135 Crimping Forceps £95.00 Bone Tunnel Borer 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 predrill for screws and suture screws. CCL LOOP TENSIONER 091132 CCL Tensioning Device (pair - gelpis not included) £39.00 CCL Loop Tensioning BONE TUNNEL BORER 001070 Bone Tunnel Borer 2mm £29.53 001073 Bone Tunnel Borer 2.5mm £29.53 001071 Bone Tunnel Borer 2.7mm £29.53 001072 Bone Tunnel Borer 3.5mm £29.53 Countersinking Bone Tunnel Borer 091132A-CCL-Loop-Tensioner Bone Tunnel Borer Bone Tunnel Borer - Close Up detail in use 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. Does not require use of extra crimps Speed lock type action gives more ‘feel’ than ratchet type Jaws designed specifically for crimping system COUNTERSINKING BONE TUNNEL BORER 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 001075 Remember over tensioning is as big a technical error as under tensioning! CCL LOOP TENSIONER 091132A CCL Loop Tensioner NEW £93.00 10 Bone Tunnel Borer with Countersink 2.5mm £38.63 103462_CH01_p6-15_Joint Surgery 13/2/06 09:11 Page 11 1 JOINT SURGERY www.vetinst.com info Implants CRIMPS 091140 10mm Tube Crimp for 50lb line (non sterile) 091136 12mm Tube Crimp for 80lb + 100lb line (non sterile) £4.98 091133 14mm Tube Crimp (non sterile) Suitable for nylon over 100lb £4.98 Correct Crimping Correct. Three evenly spaced crimps £4.98 091136/S 12mm Half Size Tube Crimp £3.00 091140/S 10mm Half Size Tube Crimp £3.00 NON STERILE NYLON 091143 50lb Mono Filament nylon x 50 metre (non sterile) £8.98 091138 80lb Mono Filament nylon x 50 metre (non sterile) £9.98 091134 100lb Mono Filament nylon x 50 metre (non sterile) £9.98 Incorrect. Not enough crimps Sterile CCL Packs Sterile Nylon Leader Line Also useful for other ligament replacement procedures, eg. hip toggle, collateral ligament repair. Incorrect. Crimps too close to end of tube STERILE NYLON LEADER LINE 091141 500mm x 50lb nylon (sterile pack) £3.96 091139 800mm x 80lb nylon (sterile pack) £4.50 091148 800mm x 100lb nylon (sterile pack) £4.50 McKee/Miller Self Locking Knot Sterile Leader Line & Crimp For use with separate Fabella (cruciate) needles STERILE LEADER LINE & CRIMP 091142 10mm Tube Crimp + 500mm x 50lb nylon (sterile pack) £8.54 091137 12mm Tube Crimp + 800mm x 80lb nylon (sterile pack) £9.70 091147 12mm Tube Crimp + 800mm x 100lb nylon (sterile pack) £9.70 Sterile Leader Line & Crimp + Needle This pack contains everything required for a single procedure. STERILE LEADER LINE & CRIMP + NEEDLE 50lb nylon line x 500mm on swaged-on v.small fabella needle + 10mm crimp (sterile) £10.54 091156 80lb nylon line x 800mm on swaged-on small fabella needle + 12mm crimp (sterile) £11.70 091157 100lb nylon line x 800mm on swaged-on medium fabella needle + 12mm crimp (sterile) £11.70 091155 Double Leader Line Loop on Needle For use with McKee/Miller knot STERILE LEADER LINE & CRIMP ON NEEDLE 091160 50lb Double line (500mm x 2 as loop) on v small needle 091161 £10.00 80lb Double line (800mm x 2 as loop) on sm needle £10.00 091162 100lb Double line (800mm x 2 as loop) on med needle £10.00 Double Leader Line + Needle + Crimps For the application of double lines with the single pass of a needle DOUBLE LEADER LINE + NEEDLE + CRIMPS 091165 50lb Double line (500mm x 2 as loop) on v small needle plus 2 x 10mm crimps £13.00 091166 80lb Double line (800mm x 2 as loop) on sm needle plus 2 x 12mm crimps £13.00 091167 100lb Double line (800mm x 2 as loop) on med needle plus 2 x 12mm crimps Joint Surgery £13.00 11 103462_CH01_p6-15_Joint Surgery 1 13/2/06 09:11 Page 12 JOINT SURGERY Joint Surgery Tibial Plateau Levelling Operation by Wedge Osteotomy TPLO Kit Kit includes; multisaw, stainless converter, shroud, blade 70mm x 12mm, blade 70mm x 25mm. 1 x TPLO272739, 1 x TPLO353555, 1 x TPLO353579 and CD rom on the technique. Gives a 10% discount over individual purchases. (You will also need 2.7/3.5mm AO type bone plate benders). TPLO KIT The tibial plateau levelling operation (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. These plates are widely used to repair the tibia following removal of the bone wedge. The shaft holes are compression. The holes in the head are round but large to give a good range of screw angulation. Particularly useful in large dogs and dogs with tibial plateau deformation. See page 212 for TPLO plate profiles. Our free CD rom illustrates and describes the technique. TPLOKIT TPLO (closing wedge) Start up kit 001287 2.7/3.5 AO Type bone plate benders (pair) £470.80 £29.00 Wedge Osteotomy Gauge Set 9 degrees to 23 degrees The wedge gauges simplify the marking and cutting of the appropriate wedge. The parallel marks on each gauge allow the surgeon to mark and cut a wedge having equal borders proximally and distally. WEDGE ANGLE FINDER OVERLAY - FREE 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 degree 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 212 for actual size profiles With both borders the same length the resulting closure is better, both functionally and cosmetically. . See our website www.k9tplo.com for further info & a step by step guide to the procedure. WEDGE OSTEOTOMY GAUGE SET - 9 degrees to 23 degrees 001493 Surgical Management of Canine CCL disease - covers OTT, Lateral suture & TPLO FOC TPLO202026 2.0mm DCP 26mm overall length £18.00 TPLO272739 2.7mm DCP 39mm overall length £25.63 TPLO273539 2.7/3.5 DCP 39mm overall length Allows use of 3.5 cancellous screw in head £25.63 TPLO273545 2.7/3.5 DCP 45mm overall length 2.5mm thick - NEW for 2006 £29.00 TPLO353555 3.5mm DCP 55mm overall length £36.90 A very sharp marking point with an easy to hold handle enables the surgeon to mark bone prior to cutting or rotating (Slocum procedure). BONE SCRIBE 001494 TPLO353557 3.5mm DCP 57mm overall length Heavy Duty £36.90 TPLO353577 3.5mm DCP 77mm overall length £76.50 Bone Scribe TIBIAL PLATEAU LEVELLING OPERATION BY WEDGE OSTEOTOMY CDROM Wedge osteotomy gauge set £36.90 TPLO353579 3.5mm DCP 79mm overall length Heavy Duty £38.95 TPLO354579 3.5/4.5 DCP 79mm overall length Heavy Duty Allows 4.5 screws in head £38.95 TPLO 45659030 4.5m DCP 90mm overall length Will accept 6.5 cancellous screws in head 3.0mm thick £75.00 TPLO 45659045 4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 4.5mm thick £75.00 TPLOO Angle Finder & Plate Overlay F.O.C. 12 Bone scribe £12.50 103462_CH01_p6-15_Joint Surgery 13/2/06 09:11 Page 13 1 JOINT SURGERY www.vetinst.com Triple Tibial Osteotomy Triple Tibial Osteotomy Some instrumentation is required to make the procedure easier and to minimise errors. The 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. A new cruciate management technique combining tibial plateau levelling and tibial tubercle advancement. FREE INSTRUCTIONAL DVD Phone 0845 130 9596 or email [email protected] 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. The technique uses the well established range of closing wedge osteotomy plates. Triple Tibial Osteotomy 90º 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. 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. Osteometer and Saw guide 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 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. Three Osteotomies TPLO + TTA TTO KIT TTO008 TTO Instruments (3 items) kit price DVDTTO DVD Illustrating the procedure FOC TPL00 Angle Finder and Plate Overlay FOC Joint Surgery 13 £190.00 103462_CH01_p6-15_Joint Surgery 1 13/2/06 09:12 Page 14 JOINT SURGERY Joint Surgery Tibial Plateau Levelling by Radial Osteotomy Calvin Cadmus (Cal) 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 Slocum 2) Significantly fewer tibial tubercle fractures Slocum Style Plates 3) Elimination of undesirable angular deformities (genu valgum) 4) Decrease in proximal screw pull out 5) Lower long term DJD TPLOS35 slocum style 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. TPLOS35L slocum style Ref. ‘Geometrical analysis evaluating the effect of TPLO position on post-operative tibial plateau slope’ VCOT Jan 2004. M.P. Kowaleski.et al. 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. Cadmus Plate 1) Surgeon friendly plate fits the contour of the osteotomy. 2) Eliminates intra-articular screw placement 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. 3) Creates compression along the arc of the osteotomy. 4) Hole design provides maximum screw security as well as compression 5) Machined , not cast, from 316LVM conforming to ASTM 138 6) Easy contour particularly in the proximal tibia SLOCUM STYLE TPLO PLATES TPLOS35L TPLO Plate Slocum Style 3.5mm left £60.00 TPLOS35R TPLO Plate Slocum Style 3.5mm right £60.00 TPLOS27L TPLOS27R TPLO Plate Slocum Style 2.7mm left TPLO Plate Slocum Style 2.7mm right CADMUS TPLO £40.00 £40.00 Slocum Rotation Gauges TPLOCAD18L 18mm L TPLOCAD18R 18mm R £60.00 TPLOCAD24L 24mm L £60.00 TPLOCAD24R 24mm R £60.00 TPLOCAD30L 30mm L £60.00 £60.00 TPLOCAD30R 30mm R LNDGCAD27 Cadmus load/neutral guide 2.7mm £103.56 LNDGCAD35 Cadmus load/neutral guide 3.5mm £103.56 DVDTPLOCAD DVD Illustrating use of Cadmus Plate & Template £60.00 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 . 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 Cadmus Templates £65.20 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 £3.50 Cadmus Plates and Templates CADMUS TEMPLATES 14 TPLOTEM18 Centering Template - 18mm £42.00 TPLOTEM24 Centering Template - 24mm £42.00 TPLOTEM30 Centering Template - 30mm £42.00 103462_CH01_p6-15_Joint Surgery 13/2/06 09:12 Page 15 1 JOINT SURGERY www.vetinst.com Beaver Type Scalpel Handle Examination and Surgery of the Meniscus Meniscectomy Instruments Ligament Clamp Jaws 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 £7.30 06052 Beaver type scalpel handle. 100mm £8.41 06053 Beaver type scalpel handle. 80mm £8.41 Swann Morton Beaver Type Blades Damage to the medial meniscus following CCL rupture increases with: 1. time after injury 2. size of the dog. No. 64 No. 65 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 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. . MENISCECTOMY INSTRUMENTS 001100 Meniscectomy Instrument Set £68.24 001107 Meniscectomy Knife £40.42 001110 Ligament/Cartilage Clamp £35.40 SWANN MORTON FINE BEAVER TYPE BLADES Toothed Halsteads 05904 No 64 blades (25). Beaver type £18.96 05905 No 65 blades (25). Beaver type £18.96 05906 No 65(a) blades (25). Beaver type £18.96 Meniscus Probes 103185 TOOTHED HALSTEADS 103185 Halstead mosquito forcepts 1/2 teeth Cof £15.00 Fat Pad Retractor 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 it’s true condition. Dimensions refer to length of tip. Use 1mm in dogs < 30kg and for dogs >30kg use 2mm. 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. MENISCUS PROBE FAT PAD RETRACTOR 001114 Fat Pad Retractor £17.50 833305 Senn cats paw retractor £17.02 001408 Meniscus Probe 1mm tip £23.23 001409 Meniscus Probe 2mm tip £23.23 Joint Surgery 15 103462_CH01_p6-15_Joint Surgery 1 13/2/06 09:12 Page 16 JOINT SURGERY Joint Surgery Stifle Distractors STIFLE DISTRACTOR 001112/L Large Stifle Distractor min spread 10mm max 40mm. £130.06 001112 Stifle Distractor min spread 8mm max 30mm. £130.06 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 long standing 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 CD rom ‘Surgical Management of Canine Cranial Cruciate Disease’. Small Stifle Joint Distractor WHICH DISTRACTOR? 5kg 5-15kg 15-50kg 50kg 001113VS 001113 001112 001112/L very small small standard large 001112 the original stifle distractor remains the most useful 001113 6mm Stifle Distractor Small Stifle Distractor - Actual size The small distractor is also useful as small local muscle and tissue retractors in and around canine joints e.g. elbow exploration. SMALL JOINT DISTRACTOR / RETRACTOR 6mm wide tips 001113 Small Joint Distractor/Retractor 6mm wide tips £90.85 Very Small Stifle Joint Distractor The very small distractor is extremely useful as a small joint retractor during the meniscal release procedure. 001113vs It is used to open a small window, caudal to the medial collateral. Stifle Distractor Tips 3 mm 001112 VERY SMALL JOINT DISTRACTOR / RETRACTOR 3mm wide tips 001113VS V Small Joint Distractor/Retractor 3mm wide tips £90.85 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. 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. Money-back guarantee! If this instrument is not an improvement on whatever you are currently using, we will give you a full refund. 16 103462_CH01_p6-15_Joint Surgery 13/2/06 09:12 Page 17 1 JOINT SURGERY www.vetinst.com Miscellaneous Joint Surgery Products CCL Staples - continued 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. Coughlan Soft Tissue Mangeurs CCL STAPLES 090125 6mm wide CCL staple 090126 8mm wide CCL staple £21.50 090127 11mm wide CCL staple £21.50 090128 16mm wide CCL staple £21.50 £21.50 CCL Staple Introducer Close-up detail 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, predrill with 2.0mm pin or drill bit. Accepts all sizes of CCL staple. 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. CCL STAPLE INTRODUCER 090129 Staple Introducer 091130 COUGHLAN SOFT TISSUE MANGEURS 001108 Coughlan Soft Tissue Mangeur - small £96.00 001109 Coughlan Soft Tissue Mangeur - large £96.00 £100.93 CCL Kit in stainless box (introducer with 8 staples) £288.22 Condyle Clamp Plate Bending Pliers These pliers will contour 2.7mm and 3.5mm narrow plates. 3.5 DCPs are at the absolute limit and will require multiple small bends. Also useful for bending guide pins in the Slocum TPLO technique. Available elsewhere for £1000 or more. PLATE BENDING PLIERS 001289 AO type bending pliers 2.7/3.5mm £163.00 001289A AO type bending pliers 2.0/2.7mm £154.00 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. CCL Staples CONDYLE CLAMP 001080 Condyle Clamp Stainless Steel Joint Surgery 17 £39.12 103462_CH01_p6-15_Joint Surgery 1 13/2/06 09:12 Page 18 JOINT SURGERY Joint Surgery Disarticulator Hip Toggle 3.0mm in diameter with an "eye" to hold the suture. Stainless steel. Use 4.8mm drill to produce the hole through the acetabulum. 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 or braided nylon. The latter ties better. HIP TOGGLE 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. HIPTOG Hip Toggle 3.0mm + 80lb nylon, omrod button (sterile pack) £9.70 HIPTOGB Hip Toggle 3.0mm + Metric 7 braided nylon, omrod button, (sterile pack) £9.70 HIPINT Hip Toggle Introducer + hip toggle with nylon + omrod button (sterile pack) TOG Hip Toggle only 3.0mm (non sterile) ADJDG2035 Adjustable drill guide 2.0, 2.5, 3.5mm drills DISARTICULATOR 001090 Small Disarticulator £33.99 001091 Large Disarticulator £33.99 Actual size 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. HATT SPOON - NEW Hatt Spoon 230mm. (17mm x 30mm scoop) 001093 Hatt Spoon 230mm. (12mm x 18mm scoop) £47.50 001094 Hatt Spoon 230mm. (7mm x 12mm scoop) £47.50 £6.00 £125.00 HIPTOGKIT Contains introducer,hip toggle sterile pack as above, drill guide, 3.5 & 4.8mm drills £170.96 Hatt Spoon 001092 £64.00 £47.50 18 103462_CH01_p6-15_Joint Surgery 13/2/06 09:12 Page 19 1 JOINT SURGERY www.vetinst.com Triple Pelvic Osteotomy 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. Triple Pelvic Osteotomy Plate EPIPHYSEAL STAPLES Leg Length Wire Diameter 090171 12mm wide Width 10mm wide 1.6mm diameter £4.20 090172 15mm wide 12mm wide 2.0mm diameter £4.20 090173 20mm wide 15mm wide 3.0mm diameter £4.20 30mm wide 25mm wide 3.0mm diameter £4.20 090174 Bone Biter Suture Anchor System The flanges compress for insertion. Insertion hole created by anchor tip or pre-drilling. 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. Flanges spring back to “lock” the anchor beneath the cortices. The Bonebiter Suture Anchor System provides a versatile way for veterinary surgeons to utilize suture in the repair of joint instability. This unique method for quickly and easily anchoring sutures on to bone is based on a patented design in human orthopaedics. By drawing upon previous research and development experience, Androcles Inc. was able to develop a suture anchor system with the needs of the veterinary surgeon in mind. Now available in two sizes the Bonebiter 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. 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 £28.36 090179 Small TPO Plate £28.36 090167L30 Large TPO Plate Prebent 30 Deg. Left £29.56 BONE BITER SUTURE ANCHOR SYSTEM 090167R30 Large TPO Plate Prebent 30 Deg. Right £29.56 100001-00 Bone Biter Suture Anchor Size 2 090179L30 Small TPO Plate Prebent 30 Deg. Left £29.56 100002-00 Bone Biter Suture Anchor Size 5 090179R30 Small TPO Plate Prebent 30 Deg. Right £29.56 110001-00 Bone Biter Driver Set Size 2 (no anchors) £275.87 HDTPO TPO Technique Video Hamish Denny £35.00 110002-00 Bone Biter Driver Set Size 5 (no anchors) £275.87 110003-10 Bone Biter Combination Driver Set Size 2 & 5 (Size 2 & 5 driver, no anchors) £351.10 Rasenberg TPO Plate £40.13 110003-20 Bone Biter Full Set. Includes Combination driver set, 5 x no. 2 anchors, 5 x no.5 anchors, 1.5mm and 2.5m hard drill bits, stainless case with silicone insert. £725.00 300075-00 Stainless tray with Silicone fingered mat 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 e-mail us at [email protected] . Cutouts on the plate allow the placement of additional screws should they be necessary. RASENBERG TPO PLATE 090195 Rasenberg 3.5mm TPO Plate 30 degree Right. £49.00 090196 Rasenberg 3.5mm TPO Plate 30 degree Left. £49.00 Powerpoint Presentation on CD F.O.C. CDRAS £40.13 Joint Surgery 19 £61.68 103462_CH02_p16-23_Arthroscopy 2 13/2/06 09:13 Page 20 ARTHROSCOPY Arthroscopy 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.) Dr Fritz, a veterinary surgeon himself, has worked closely with leading authorities in the field of veterinary arthroscopy (e.g. Van Bree, Van Ryssen and Lehman) to develop a range of arthroscopic instruments with our patients in mind. 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. An arthroscope may be defined using four different parameters, 1) diameter, 2) viewing angle, 3) field of view and 4) working length. Arthroscopes for small animal use are available in three diameters. 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. 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. Each sheath has a dedicated trochar which, when inserted in place of the arthroscope prevents blocking of the sheath and is used to create a viewing portal into the joint. Sheaths are supplied with both blunt and sharp trochars. Care should be exercised using the sharp trochar when approaching articular surfaces. Large image technology means the image virtually fills the monitor screen. Exposure control of endoscopic video cameras is much easier, even with a 1.9 mm diameter telescope! All scopes are available in soakable and autoclaveable versions. Autoclaving, especially fine scopes will significantly reduce the working life of the instrument. We advise use of the soakable versions. Standard Arthroscope, 2.4 mm with arthroscopic sheath 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 0º scope views straight ahead from the front of the lens, while a 90º scope sees an image at right angles to the long axis of the scope. Most veterinary arthroscopes have a viewing angle of 30º, 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’. For elbow, shoulder and knee joint. 20 T140-2430 Wide angle telescope, 30˚, OD:2.4mm, WL: 14cm, large image technology, standard light cable connectors. soakable T141-2430 Wide angle telescope, 30˚, OD:2.4mm, WL: 14cm, large image technology, standard light cable connectors. autoclavable £1572.73 S140-2431 Sheath for arthroscopy, OD:3.8mm, WL: 12cm compatible with T140-2430 and T141-2430, stopcock, including blunt & sharp trocar - high flow version £182.86 £1393.67 103462_CH02_p16-23_Arthroscopy 13/2/06 09:13 Page 21 Cannula Sets Needle Arthroscope, 1.9 mm with arthroscopic sheath For small dogs and small joints. T110-1930 Wide angle telescope, 30°, OD:1.9mm, WL:11cm, large image technology, standard light cable connectors Wide angle telescope, 30˚, OD:1.9mm, WL: 11cm, large image technology, standard light cable connectors - autoclavable £1814.38 S110-1931 Sheath for arthroscopy, OD:2.8mm, WL: 8cm compatible with T110-1930 and T111-1930, stopcock, including blunt & sharp trocar - high flow version £182.86 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 DE-10-65 Lens polish for telescopes, 5g not illustrated 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 £282.69 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) £161.15 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) £126.84 I-18-518 Egress cannula, with sharp trocar stopcock, ID:3mm, WL:7mm £1568.77 T111-1930 I-17-019 2 ARTHROSCOPY www.vetinst.com £12.12 £86.99 Intra Articular Hand Instruments £15.68 £7.44 AR-17-00 Arthroscopic Instrumentation AR-17-06 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 periarticular 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. AR-17-00 Handle for interchangeable hand instruments £37.39 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. The AR-17-00 handle is ergonomic and takes a number different inserts. Inserts for AR-17-00 Arthroscopy 21 AR-17-03 Bayonet knife 2.7mm £42.07 AR-17-05 Banana knife 2.7mm £54.67 AR-17-06 Curette 2.7mm, curved £42.38 AR-17-07 Ring curette 2.7mm, small £42.07 103462_CH02_p16-23_Arthroscopy 2 13/2/06 09:13 Page 22 ARTHROSCOPY Arthroscopy 2 mm Instruments, working length 11 cm AR-17-11 Meniscus knife, Smillie, 2.7mm £42.07 AR-17-12 Micro picking knife, acc to Dr. Bealen 2.7mm £42.07 AR-17-19 Hook knife 2.7mm £42.07 AR-17-09 Hook probe 2.2mm, with gold handle £42.38 AR-17-13 Special elevator, 2.7mm, with handle £65.76 AS-17-561 Mini grasping forceps, OD:2.0mm £355.74 AS-17-531 Mini rongeur and biopsy forceps, OD:2.0mm £355.74 AS-17-551 Mini punch for arthroscopy, OD:2mm £403.91 AS-17-521 Mini scissor for arthroscopy, OD:2mm £355.74 Milling Drill designed by VAN RYSSEN & VAN BREE 2.7 mm Instruments • extremely durable • ergonomic design • long life span 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 I-17-821 Replacement bur and shaft £195.13 £40.80 2.7 mm Instruments, working length 12 cm Arthroscopic Punches, Biopsy Forceps, Rongeurs and Grasping Forceps 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-17-662 Alligator grasping forcepswith rachet, OD:2.7mm with overstraining protection £481.72 AS-17-632 Universal rongeur and grasping forceps fenestrated OD:2.7mm with overstraining protection £439.72 AS-17-641 Biopsy and spoon OD:2.7mm with overstraining protection £439.72 Arthroscopic punch, OD:2.7mm with overstraining protection £431.80 Arthroscopic hook scissors, OD:2.7mm £431.80 2 mm Instruments • made for veterinary use • overstraining protected AS-17-672 AS-17-621 22 103462_CH02_p16-23_Arthroscopy 13/2/06 09:13 Page 23 2 ARTHROSCOPY www.vetinst.com During recent years, as arthroscopy in small animals has developed, researchers realized the necessity of a specific puncture system to create an instrument portal in the larger joints. 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, thus decreasing the time frame to complete the surgery with each failed puncture. 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. Handle with ratchet, ergonomic and small grip 3.4 mm Instruments See VCOT 2004; 17:1-56 for review S140-2738 AS-17-762 Universal rongeur and grasping forceps, fenestrated without ratchet, OD:3.4mm working length 12 cm with overstraining protection £481.72 Dr Lehman Aiming Device for the Canine Shoulder Joint Puncture Aiming device by Dr. Lehmann for the canine shoulder joint; for 2.7 scope T140-2730 and changing/puncture rod I-17-028. £199.26 S140-2438-F Aiming device by Dr Lehman for the canine shoulder for 2.4 scope T140-2432 and changing rod I-17-028 £199.26 S140- 1938F Aiming device by Dr Lehman for the canine shoulder for 1.9 scope T110-1930 and changing puncture rod I-17-028 £199.26 I-17-028 Changing & puncture rod £30.62 The aiming device is available for other manufacturers instruments with different working lengths. Developed and tested at the Veterinary Faculty of Vienna, Austria DVDLEHMAN DVD on use of aiming device. FOC Light Sources & Cables 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. H150-5-2 Halogen light source 150W Arthroscopy H150-5-2 23 Halogen light source 150W £648.92 103462_CH02_p16-23_Arthroscopy 2 13/2/06 09:13 Page 24 ARTHROSCOPY Arthroscopy Freeze Frame Camera Xenon light source LK-FX-100 Xenon light source £2684.62 LK-01-FR-A 1/3" CCD Camera Proline with freeze frame £3002.84 Camera Covers OW-35-231 Fibre light cable, 3.5 mm, 2.3m, unit side comp. to Olympus,endoscope side comp. to Wolf, autoclavable £191.18 KW-35-231 Fibre light cable, 3.5 mm, 2.3 m; both sides compatible to Wolf, autoclavable KS-35-231 DE-10-25 Camera covers, disposable, (30) polyethylene, 13x50cm DE-10-25/Single Single camera cover (disposable) 13x50cm £199.50 DE-10-01 Fibre light cable, 3.5mm, 2.3m, unit side comp. to Storz, endoscope side comp. to Wolf, autoclavable £211.23 Camera cover, reusable, waterproof, washable, autoclavable, 12x200cm, 1 pc £97.33 £3.24 £41.50 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. 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. Most veterinary cameras have a single chip, which is sufficient for most users. Recording 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. 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. Eco Camera 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. 761-113V 1/2" CCD Video Camera We usually have some pre-owned Sony video printers in stock. Ring for details. £2375.33 24 103462_CH02_p16-23_Arthroscopy 13/2/06 09:13 Page 25 Image Capture Hand Pressure Infusion Cuffs USB Based Image Capture System 46-USB-15 The USB image capture simply connects between camera and monitor . A foot operated switch takes a full image (more data than video printers) and converts it to a jpeg before storing onto a USB storage stick. The images can then be transferred to your computer quickly and easily without risking the computer in the wet arthroscopy environment. AR-08-100 Pressure infusion cuff for 500-1000 ml complete with pressure gauge and hand pump, reusable. £123.99 AR-08-110 Pressure infusion cuff for 500-1000 ml without pressure gauge, Luer Lock (fem), reusable. £77.40 Silicon tube, 7x2 mm, 3 m, autoclavable, Luer-Lock (m), needle (f). sterile bags/bottles £81.76 AR-10-948 Spare silicon tube, 1 metre, size: 7x2 mm, colour: nature £7.44 LLM-1258 Spare Luer-Lock connector, male, comp. to silicon tubes 7x2 mm £5.46 AR-10-9 Spare needle for infusion bottles/bags, ID: 5.5 mm, comp. to silicon tubes (7x2 mm) £21.55 X-180-26 Silicon tube, ID: 5 mm, 180 cm, LLm both ends, autoclavable £18.14 X-5-15-10 Spare silicon tube, 1 m, autoclavable, size: 5x1,5 mm, colour: nature £3.88 LLM-1250 Spare Luer-Lock connector (m), comp. to silicon tubes (5x1,5mm) £4.99 DE-10-181 Infusion set, disposable, WL: 180 cm, large diameter, box w. 50 pcs X-7-20-10 46-USB-15 USB Image Capture 2 ARTHROSCOPY www.vetinst.com £1,133.00 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. £88.22 Pressure Pump Infusor 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. Features: • automatic control • pressure continously adjustable • max. 300mm Hg pressure • easy handling • no mechanical parts • for fluid and CO2 supply 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-10-100 Pneumatic pressure infusor, for infusion cuffs, for veterinary arthroscopy, complete 4 mm tube to central pressure supply, DIN tube connection, front side Luer-Lock (f), universal table fixator, easy pressure setting, automatic regulation (0-300mmHg) Arthroscopy 25 £711.49 103462_CH02_p16-23_Arthroscopy 2 13/2/06 09:13 Page 26 ARTHROSCOPY Arthroscopy How to use 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. Pressure Infusion Cuff with fluid bag Hand pump or Luer-Lock (fem) for infusor Connection to fluid bag Patient Fluid Supply Infusor 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. Three way stopcock Direct CO2 supply (only in connection with CO2 infusor AR-10-901 CO2 Infusor, for large/small animal arthroscopy, DIN connector tube to pressure reducer (DIN type) pressure setting 0-300mmHg tube connection Luer-Lock(f) £970.26 AR-10-903 Reduction valve for CO2-bottles, UK fitting AR-10-922 Sterile filter system for CO2 infusor, disposable, box with 50 pcs £101.66 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. £109.41 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. Shaver Systems 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. Virtually the only powered instrument in use in Veterinary arthroscopy is the shaver. The shaver is essentially a motorized bur. They 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. Multi arm and Stifle brace attachment 026000 Multiarm positioning device with single foot attachment 020065 Stifle brace attachment for Multi arm (designed by Schulz and Ian Holsworth) NEW Phone for details. Linvatec Shaver Linvatec Shaver System including large & small handpiece. High specification preowned but very good condition. Uses current shaver blades Linshav Linvatec Shaver System £2500.00 020065 26 £172.93 £93.00 103462_CH02_p16-23_Arthroscopy 13/2/06 09:13 Page 27 2 ARTHROSCOPY www.vetinst.com Sterility 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 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, this being particularly true of the smaller sizes. 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 development of safer chemicals based on oxidation. The manufacturer’s instructions should be followed carefully. Ethylene oxide, if available, is another option. 100100 Perasafe Cold Sterilant 24 x 81g (5 litres) £132.00 100101 Perasafe Cold Sterilant 6 x 81g (5 litres) £36.00 DE-10-425 Soak basin for chemical solution disinfection, consisting of basin (perforated) tray & cover for basin, size: 42x16x9,5cm £62.44 DE-5-17 Cleaning brush for small cannulas with ID: 2-4mm, length 17cm £12.44 Rapizyme Instruments. All surgical instruments for intra articular use should be autoclaved. Forceps and rongeurs should be thoroughly cleaned by ultrasonics. Irrigation systems will drive debris up into the spring mechanism. 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. (Some camera leads have sealing caps). An assistant outside the sterile area should plug the camera into the controller prior to use. An alternative is the use of a sterile disposable camera sleeve to separate the camera head and cable from the sterile arthroscope eyepiece. Again should ethylene oxide be available it may be used to sterilise the camera head and cable. • Three new enzymes • Easy to use measured bottle Perasafe • 2ml per litre dilution 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. • Removes all organic material • Ideal for endoscopes • Low foam for ultrasonics • Complete rinsibility • Biodegradeable • Tested by The Royal Institute of Public Health Bottle 0.5 Litre RAPIZYME £15.62 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. BK06 Small Animal Arthroscopy. Beale, Hulse, Schulz and Whitney Arthroscopy 27 £74.16 103462_CH03_p24-41_General Ortho 3 14/2/06 10:02 Page 28 GENERAL ORTHOPAEDICS General Orthopaedics Fragment Forceps - Very Large Fragment Forceps also known as 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. 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 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 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 001202 Very Large Fragment Forceps. 205mm 001200 £48.15 001203 Very Large Fragment Forceps with Spin Lock. 215mm £94.00 Twin Point Fragment Forceps 001205 001201 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. 001208 TWIN POINT FRAGMENT FORCEPS FRAGMENT FORCEPS 001200 Fragment Forceps. 160mm 001201 Small Fragment Forceps. 135mm £48.15 001208 Very Small Fragment Forceps. 100mm £37.60 £48.15 28 001205 Twin Point Fragment Forceps. Straight. 170mm £48.15 001206 Twin Point Fragment Forceps Curved. 165mm £48.15 001207 Lewer Forceps £48.15 103462_CH03_p24-41_General Ortho 14/2/06 10:02 Page 29 3 GENERAL ORTHOPAEDICS www.vetinst.com Long Ratchet Schroeder Tenaculum Small Serrated Bone Holding Forceps Reduction of a fractured central tarsal bone 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. 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. SCHROEDER TENACULUM LONG RATCHET - NEW SMALL SERRATED BONE HOLDING FORCEPS 001219 Long Ratchet Schroeder Tenaculum Str 240mm 9.5” £48.15 001218 Small Serrated Bone Holding Forceps. 140mm £37.60 Reduction Forceps Serrated Jaws 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. 001217 VI Bone Holding Forceps Pancarpal arthrodosis These reduction forceps have serrated jaws and spin lock which provides secure incremental control. REDUCTION FORCEPS SERRATED JAWS 001217 Reduction Forceps serrated jaws spin lock 190mm 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. £48.15 VI BONE HOLDING FORCEPS 001210 Bone Holding Forceps 195mm £48.15 General Orthopaedics 29 103462_CH03_p24-41_General Ortho 3 14/2/06 10:02 Page 30 GENERAL ORTHOPAEDICS General Orthopaedics Small curved serrated reduction forcepts Kern Bone Holding Forceps 001996 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. A nice forcep for the manipulation of small bones or small bone fragments. You cannot have too many bone holding forceps! Kerns are very useful in general orthopaedics and for surgery around the hip joint, in particular: SMALL CURVED SERRATED REDUCTION FORCEPTS 001996 Small Curved Serrated Reduction Forcepts 145mm/6" £33.00 • femoral shaft fractures • triple pelvic osteotomy Self Centering Bone Holding Forceps • hip toggle • fractures of the acetabulum. KERN BONE HOLDING FORCEPS 001216 Mini Kern Bone Holding Forceps 4.75”. 125mm £48.15 001213 Kern Bone Holding Forceps 6.75” 170mm (small) £48.15 001214 Kern Bone Holding Forceps 8.5” 215mm (large) £48.15 Plate Holding Forceps Self Centering Forceps Veterinary Pattern Some fracture reductions require that the bone forceps jaws be angled from the handles (see photo). Such forceps require: 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. 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. 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. PLATE HOLDING FORCEPS 001215 Plate Holding Forceps. 160mm £51.68 Dingmans Forceps SELF CENTERING BONE HOLDING FORCEPS 001209 Self Centering Forceps Very Small - 150mm £150.50 001211 Self Centering Forceps Small - 190mm £150.50 001212 Self Centering Forceps Large - 240mm £150.50 001209V Self Centering Forceps Very Small - 150mm Vet Pattern £150.50 001211V Self Centering Forceps Small - 190mm Vet Pattern £150.50 001212V Self Centering Forceps Large - 240mm Vet Pattern Useful for manipulation of bone fragments. DINGMANS FORCEPS (LONG RATCHET) £150.50 001470 30 Dingmans forceps long ratchet. 215mm £62.23 103462_CH03_p24-41_General Ortho 14/2/06 10:02 Page 31 GENERAL ORTHOPAEDICS www.vetinst.com Implant Cutters Surgical Finish Lowman Bone Clamp Veterinary Pattern Cat Size 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. 001229 •Lightweight •Requires minimal exposure •Use to reduce oblique fractures •Secures plate to fracture prior to screw placement LOWMAN BONE CLAMP VERINARY PATTERN Lowman bone clamp veterinary pattern 001991 £48.15 Implant Cutters 001231 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. 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. 001234 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. IMPLANT CUTTERS SURGICAL FINISH 001229 Safety Cutter to 4mm Stainless. 320mm £156.00 001231 Implant Cutter Stainless to 1/4” 6mm capacity. 490mm £192.27 001236 Close cut style 001231/A Implant Cutter Stainless to 1/4” 6mm capacity. Detachable handles to allow autoclaving in Little Sister type autoclaves. Length stripped down 260mm. £230.00 001231VL Implant Cutter Stainless to 1/4” 6mm capacity. 63cm long 001234 £160.00 Implant Cutter Stainless to 4mm capacity 37cm long £118.45 001237 001234XL Implant Cutter Stainless to 4mm capacity 46cm long £118.45 001236 Implant Cutter Stainless to 2.5mm capacity. Close Cut £107.87 001237 Implant Cutter Stainless to 2.2mm capacity. 230mm £107.87 001238 Implant Cutter Stainless to 1.5mm capacity Close Cut. 150mm £94.06 001230 Implant Cutter Stainless to 1.5mm capacity. 150mm £94.06 001238 Close cut style Side Cutting 2.0TC 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 001231/A This style of our large pin cutters strips down to fit into small autoclaves. 001235TC SIDE CUTTING WIRE CUTTER 001235TC Side Cutting 2.0TC wire cutter NEW £73.00 31 3 103462_CH03_p24-41_General Ortho 3 14/2/06 10:02 Page 32 GENERAL ORTHOPAEDICS General Orthopaedics Implant Cutter Industrial Finish ‘K’ Wire / ‘A’ Wire Extraction Forceps 001232/001233 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 £41.90 001235 Wire Contouring Pliers Actual Size 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. IMPLANT CUTTER INDUSTRIAL FINISH 001232 Implant Cutter Industrial Finish to 1/4” 6mm capacity. 460mm £95.03 001233 Implant Cutter Industrial Finish to 4mm capacity. 350mm £69.01 Implant Cutter Industrial Finish to 2.0mm capacity. 165mm £18.14 001235 Pin Grip 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. 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 - NEW 001245 PIN GRIP 001241 Pin Grip Stainless Steel Modified Jaw. 175mm £41.90 001242 Pin Grip (Ind. Fin.). 165mm £23.99 32 Wire Contouring Pliers 150mm £41.90 103462_CH03_p24-41_General Ortho 14/2/06 10:02 Page 33 3 GENERAL ORTHOPAEDICS www.vetinst.com Small Pin Vice ‘Sismey’ Wire Introducer A useful kit including wire passing and suture passing needles. The needles may be positioned in a wide variety of different angles. 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. close up detail SMALL PIN VICE Small Pin Vice. 100mm 001223 “SISMEY” WIRE INTRODUCER £102.74 Jacobs Chuck £121.25 £13.42 001221 Standard Jacobs Chuck 1/4” Capacity 001605 Replacement 1/4” Chuck (& key) only - no handle £88.68 001606 Spare key for 1/4” chuck £13.42 £3.90 V1497D Spare Needles - Small £3.90 V1497B Spare Hollow Tubes (3) £48.57 £13.13 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. 001605S Replacement 5/32” Chuck (& key) only- no handle £88.68 001606S Spare key for 5/32” chuck Spare Needles - Large Introduction JACOBS CHUCK Small Jacobs Chuck 5/32” Capacity.260mm Sismeys Wire Introducing Set V1497C Cerclage WireTwisters &Tighteners 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. 001220 001255 £121.25 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. 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. • 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 tungston carbide jaws for extra grip 001250 WIRE PASSERS 001250 Wire Passer double ended. 145mm £29.90 001252 20mm dia wire passer single ended. 205mm £18.00 WIRE TWISTER/SHEAR CUTTER 001253 30mm dia wire passer single ended. 220mm £18.00 001260 Wire Twister/Shear Cutter. 165mm 001254 40mm dia wire passer single ended. 250mm £18.00 001256 Set of 3 single ended wire passers £42.00 001261 Wire Twister/Shear Cutter - Tungsten Carbide Jaws. 165mm (not fenestrated) £58.80 33 £46.25 103462_CH03_p24-41_General Ortho 3 14/2/06 10:02 Page 34 GENERAL ORTHOPAEDICS General Orthopaedics Twisterz - Wire Twister Bone Plate Benders 001286 1.5/2.0mm 001287 2.7/3.5mm 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. TWISTERZ - WIRE TWISTER 200010.00 Twisterz Wire Twisters. 155mm £98.00 001288 3.5 Broad/4.5mm Wire Tightener for Eyed Wires 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. Used to tension eyed wires very tightly. The cerclage is finished by kinking the wire back against the eye. See page 94 for wire loops. BONE PLATE BENDERS Wires with Eyelet 001286 AO type 1.5/2.0 bending levers (pair) 130mm £24.30 001287 AO type 2.7/3.5 bending levers (pair) 140mm £29.00 001288 AO type 3.5/4.5 broad bending levers (pair) 200mm £33.70 001288L 3.5/4.5 TPLO Plate Bending Levers (pair) 240mm £33.70 Reconstruction Plate Pliers 30º WIRE TIGHTENER FOR EYED WIRES 001262 Wire Loop Tightener. 125mm £68.73 Wire Tightener with Two Cranks for Double Loop Cerclage and Eyed Wire Reconstruction Plate Pliers RECONSTUCTION PLATE PLIERS Use with single crank for eyelet wires. Use both cranks to tighten double loops. WIRE TIGHTENER WITH TWO CRANKS 001264 Wire Twister with Two Cranks NEW £85.00 34 001284A Reconstruction Plate Pliers for 2.7 plates. 280mm £98.80 001284 Reconstruction Plate Pliers for 3.5 plates. 290mm £98.80 103462_CH03_p24-41_General Ortho 14/2/06 10:02 Page 35 3 GENERAL ORTHOPAEDICS www.vetinst.com Bone Plate Press Plate Bending Pliers 001282 These pliers will contour 2.7mm and 3.5 plates. *They will work on 3.5mm DCPs but not very well as they are at the very limit of their capacity. Also available for 2.0/2.7mm plates. Also useful for bending guide pins in the Slocum TPLO technique. Similar instruments are available elsewhere for £1000 plus. PLATE BENDING PLIERS 001289 AO type bending pliers 2.7/3.5mm plates* £163.00 001289A AO type bending pliers 2.0/2.7mm. 200mm £154.00 Parallel Action Pliers 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 large press will contour all plates but is 410mm long so check your autoclave before purchase. BONE PLATE PRESS 001281 001282 Bone Plate Press Small 285mm. For plates up to and including 4.5mm narrow £290.00 Bone Plate Press Large 16” 410mm. For all plates. £290.00 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. Plate Bending Pliers - Roller Type PARALLEL ACTION PLIERS 001290 Parallel Action Pliers (Stainless Steel). 170mm £43.00 001291 Parallel Action Pliers (Industrial finish). 165mm £25.32 001283 Roller Type Plate Bending Pliers PLATE BENDING PLIERS - ROLLER TYPE 001283 Plate Bending Pliers, Roller Type 15”, 380mm. Suitable for 3.5 and 4.5mm plates £122.00 General Orthopaedics 35 103462_CH03_p24-41_General Ortho 3 14/2/06 10:02 Page 36 GENERAL ORTHOPAEDICS General Orthopaedics Bone Gouge Forceps (Rongeurs) Lempert Straight Actual Size 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. Simple Action Rongeurs Useful for spines and bulla osteotomy. 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. 6730/10 Lempert Rongeurs Str. 190mm 3mm bite £55.60 VI Small Curved Rongeurs Compound Action Rongeurs The compound action give a mechanical advantage to the surgeon but reduces the bite width. Actual size A good general purpose rongeur for small bone nibbling procedures, e.g. at excision arthroplasty, arthrodesis, sequestrum removal. Jansen SMALL CURVED RONGEURS 001300 Small Curved Rongeur. 4mm bite £48.26 Mini Friedman Actual size Compound action, powerful but small bite. JANSEN 142200 Jansen 19cm 7.5” Curved Rongeur. 4mm bite £142.15 Actual size Ruskin Useful in bulla osteotomy. MINI FRIEDMAN 142501 Mini-Friedman Rongeur curved. 3mm bite £48.34 Micro Friedman A small spine rongeur. Actual size Actual size A heavy duty compound action rongeur. MICRO FRIEDMAN 142502 Micro-Friedman Rongeur curved. 2mm bite £48.34 RUSKIN 142270 36 Ruskin (Liston) 23cm 9” Cof Rongeur. 6mm bite £117.00 103462_CH03_p24-41_General Ortho 14/2/06 10:02 Page 37 3 GENERAL ORTHOPAEDICS www.vetinst.com Liston Stille-Luer A very large rongeur. Actual size STILLE-LUER A widely use bone cutter with the following jaw options: straight, angled and curved. 142305 Stille-Luer Heavy Compound Action 8 mm curved £142.80 LISTON 141700 Liston 15cm 6” Str. 25mm blade £60.67 Bone Cutters 141705 Liston 15cm 6” Cof. 25mm blade £63.23 141710 Liston 15cm 6” Aof. 25mm blade £66.68 Introduction 141730 Liston 18cm 7” Str. 25mm blade £62.58 141735 Liston 18cm 7” Cof. 25mm blade £65.13 141740 Liston 18cm 7” Aof. 25mm blade £66.68 141755 Liston 20cm 8” Str. 30mm blade £71.36 141760 Liston 20cm 8” Cof. 30mm blade £96.03 141765 Liston 20cm 8” Aof. 30mm blade £75.50 141745 Liston 23cm 9” Str. 30mm blade £81.55 Bone cutters vary with respect to length and angle of cut. Simple Action Cutters Small Angled Cutters Compound Action Bone Cutter All three following designs are similar but vary according to size of bite. McIndoe 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 Compound jointed action gives power but reduces bite size. £48.26 MCINDOE 141900 McIndoe 17cm 6.75” Aof. 15mm blade £117.82 General Orthopaedics 37 103462_CH03_p24-41_General Ortho 3 14/2/06 10:02 Page 38 GENERAL ORTHOPAEDICS General Orthopaedics Ruskin AO Type Periosteal Elevator The AO type instrument is the archetypal 'periosteal elevator'. Available in a curved 6mm tip and a square 6mm tip. AO TYPE PERIOSTEAL ELEVATORS Similar in design to McIndoe but larger. 001271 Curved 6mm Fibre Handle AO type. 180mm £27.16 001274 Square ended tip AO type. 6mm NEW £27.16 Howarth Dissector (Modified) RUSKIN 141940 Ruskin (Liston) 19cm 7.5” Str. 25mm blade £117.82 141960 Ruskin (Liston) 19cm 7.5” Aof. 25mm blade £117.82 141970 Ruskin (Liston) 26cm 10.5” Str. 25mm blade £135.05 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. Horsley HOWARTH DISSECTOR (MODIFIED) 001273 Howarth Dissector (Modified) NEW £27.16 Very Fine Periosteal Elevator VERY FINE PERIOSTEAL ELEVATOR 001272 Heavy duty compound action cutters. Plaster Cutting HORSLEY 141660 Horsley 26cm,10.5" AOF cutter. 35mm blade. £98.60 141660S Horsley 26cm,10.5" STR cutter. 35mm blade. £75.00 Very fine 2mm/3mm Periosteal Elevator. 180mm £24.28 Plaster Shears Bruns/Bohler Periosteal Elevators Bone Lever/Periosteal Elevator Simple action serrated jaw. 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. PLASTER SHEARS (BOHLER) 161405 BONE LEVER/PERIOSTEAL ELEVATOR Plaster Shears. 245mm £59.74 Plaster Shears Stille 001270 Bone Lever/Periosteal Elevator. 195mm. 4mm/7mm £27.16 Freer Periosteal Elevator The Freer elevator is a fine instrument which is particularly useful in spinal work. FREER PERIOSTEAL ELEVATOR 7350/05 Freer Periosteal Elevator 5mm. 180mm £24.28 Very powerful compound action. PLASTER SHEARS (STILLE) 161406 38 Plaster Shears Stille. 245mm £93.77 103462_CH03_p24-41_General Ortho 14/2/06 10:02 Page 39 3 GENERAL ORTHOPAEDICS www.vetinst.com Engels Plaster Saw Travers A simple cast saw for removal of plaster casts. Quiet and inexpensive. A blunt multi pronged flat retractor with a relatively wide gape suitable for skin or large exposures. ENGELS PLASTER SAW Engels Plaster Saw. 145mm 001510 TRAVERS £21.44 Self Retaining Retractors 703050 Travers Self Retaining Retractors 8” 20cm (90mm spread) £146.25 703051 Travers Self Retaining Retractors 6.5” 16.5cm (70mm spread) Travers Mini 95cm (43mm spread) £123.20 £37.80 703053 Where scrubbed surgical assistance is lacking, self retaining retractors are an invaluable aid. Wests 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. Gelpi Self Retaining Retractor A sharp multi pronged curved retractor which can sit quite nicely on our patients without distorting the surgical site. WESTS 703250 Wests Self Retaining Retractor 5.5” 14cm (50mm spread) 703253 Wests Mini 95cm (40mm spread) £83.46 £37.80 Weislander The Gelpi is an extremely versatile retractor useful in almost any orthopaedic procedure. Short blunt tips give focal retraction for precise exposure of the fracture or lesion. Virtually an extra pair of hands. Veterinary Instrumentation's retractor has a very fine ratchet for controlled incremental retraction. The curved shape sits nicely on our patients. Useful in the following procedures and many more: • Excision arthroplasty, • OTT repair of CCL, • Meniscal examination, • All OCD arthrotomy procedures, Similar to Wests but flat. Available with sharp or blunt prongs. • Fracture repairs, • Wobblers, • Laminectomies. WEISLANDER GELPI SELF RETAINING RETRACTOR Gelpi Self Retaining Retractor. 180mm (120mm spread) £86.41 001331 Gelpi Long Reach. 200mm £86.41 001332 Gelpi Small (50mm spread). 135mm £86.41 0013301 Gelpi Mini Flat (45mm spread) 90mm £37.80 0013302 Gelpi Mini Curved (45mm spread) 90mm £37.80 001333 Odd leg Gelpi (pair). 205mm £183.69 001334 Odd leg Gelpi short (pair). 130mm £183.69 001330 39 702150 Weislander Self Retaining Retractor 14cm sharp tips (60mm spread) £104.91 702152 Weislander Self Retaining Retractor 14cm blunt tips (60mm spread) £104.91 103462_CH03_p24-41_General Ortho 3 14/2/06 10:02 Page 40 GENERAL ORTHOPAEDICS General Orthopaedics ‘K’ Wire / Small Pin Punch Osteotomes Light 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. Swedish Pattern Use an osteotome to make a precise elective cut, e.g. trochanteric osteotomy, excision arthroplasty. “K” WIRE/SMALL PIN PUNCH 001360 “K” Wire/Small Pin Punch. 135mm OSTEOTOMES £30.55 ‘K’ Wire Bender 623880 Osteotome Swedish 30mm x 205mm £30.55 623870 Osteotome Swedish 25mm x 205mm £30.55 623860 Osteotome Swedish 20mm x 205mm £30.55 623850 Osteotome Swedish15mm x 205mm £30.55 623840 Osteotome Swedish 12mm x 205mm £30.55 001342 Osteotome Light 12mm x 140mm £30.55 001343 Osteotome Light 10mm x 140mm £30.55 001344 Osteotome Light 8mm x 140mm £30.55 001345 Osteotome Light 6mm x 140mm £30.55 001346 Osteotome Light 4mm x 140mm £30.55 Chisels Use a chisel where heavier bone removal is required, e.g. sequestrum removal. 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. CHISELS 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. 001350 Chisel 12mm x 205mm £30.55 001351 Chisel 10mm x 140mm £30.55 001352 Chisel 8mm x 140mm £30.55 001353 Chisel 6mm x 140mm £30.55 001354 Chisel 4mm x 140mm £30.55 162350 Chisel Swedish 15mm x 205mm £30.55 162360 Chisel Swedish 20mm x 205mm £30.55 162370 Chisel Swedish 25mm x 205mm £30.55 "K" WIRE/SMALL PIN BENDER 001362 “K” Wire Bender. 140mm Gouges £30.55 Orthopaedic Mallet Use a gouge where bone contouring is essential. GOUGES For use with osteotomes, chisels, gouges and staples. Different weights are available according to surgeon preference and patient size. ORTHOPAEDIC MALLET 001320 Mallet 300g £29.90 001321 Heavy Mallet 500g. 240mm £32.15 001325 Nylon Faced Mallet 500g. 240mm NEW £32.15 40 001355 Gouge 12mm x 205mm £30.55 001356 Gouge 10mm x 140mm £30.55 001357 Gouge 8mm x 140mm £30.55 001358 Gouge 6mm x 140mm £30.55 001359 Gouge 4mm x 140mm £30.55 103462_CH03_p24-41_General Ortho 14/2/06 10:03 Page 41 3 GENERAL ORTHOPAEDICS www.vetinst.com Orthopaedic Distractors Trephine VI Pattern Application: 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. • 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. • Creation of window for bone graft harvest. • Less risk of iatrogenic fractures than with use of bone pins or drills • Three joints maximise flexibility • Cortical bone biopsy • Use with external fixation pins 3.2mm to 4.0mm. • Available in three diameters. VI PATTERN TREPHINES Orthopaedic Distractor. 330mm 001500 001425 Trephine 8mm o/d 6mm core. 170mm £53.33 001426 Trephine 6mm o/d 4mm core 115mm £53.33 AO Pattern (Human) 001427 Trephine 5mm o/d 3mm core. 115mm £53.33 • Two joints £266.78 • Heavier • More powerful with tommy bar lever Bone Scoops Volkman AO PATTERN (HUMAN) Useful for heavy curettage and collection of cancellous bone grafts. 001502 Orthopaedic Distractor. AO pattern. 410mm £195.00 VOLKMAN 782200 Volkman Single Ended Scoop 4mm x 170mm £22.66 782205 Volkman Single Ended Scoop 3mm x 170mm £22.66 782210 Volkman Single Ended Scoop 5mm x 170mm £22.66 782220 Volkman Single Ended Scoop 6mm x 170mm £22.66 782600 Volkman Scoop Double Ended Small 4mm/6mm x 200mm £29.60 782610 Volkman Scoop Double Ended Medium 5mm/6mm x 200mm £29.60 782620 Volkman Scoop Double Ended Large 6mm/8mm x 200mm £29.60 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). One end is pointed and the other is sharpened as a blade. BONE SCRIBE 001494 Bone scribe(double ended). 200mm £12.50 General Orthopaedics 41 103462_CH03_p24-41_General Ortho 3 14/2/06 10:03 Page 42 GENERAL ORTHOPAEDICS General Orthopaedics Stainless Vernier Gauge Esmarch Bandage 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 £13.70 Useful for very accurate measurement of screws, drill bits and bone intraoperatively. Supplied with full instructions for use. Accurate to 0.1mm. Splints & Support STAINLESS VERNIER GAUGE 001490 Vernier Caliper Stainless Steel £65.20 Padded Splints Orthopaedic Ruler imperial 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. metric PADDED SPLINTS Used to measure pins, wires, drills and screw diameter. Supplied in either metric or imperial sizes. 090120 Padded splint. Small. 210mm £1.85 090121 Padded splint. Medium. 310mm £2.16 090122 Padded splint. Large. 410mm £2.78 ORTHOPAEDIC RULER 001498 Orthopaedic Ruler Imperial. 175mm £12.22 001497 Orthopaedic Ruler Metric. 175mm £12.22 Mason Splints Drill & Screw Gauge These are the original lightweight aluminium splints for lower limb injuries. These splints may be used with an extension if a slightly longer splint is needed. These splints are reusable and designed to last. MASON SPLINTS Measures screws up to 60mm and drills from 1.1mm to 3.5mm. DRILL AND SCREW GAUGE 001496 Screw and drill gauge. 60mm £9.50 42 090651 Mason. All splints without extensions Set of 8 sizes £39.00 090652 Mason. All splints with extensions Set of 8 sizes £71.00 103462_CH03_p24-41_General Ortho 14/2/06 10:03 Page 43 3 GENERAL ORTHOPAEDICS www.vetinst.com Thera-Paw Thermo Plastic Splinting Marq-Easy Thermo Plastic Splinting Rectangular Sheets 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. MARQ-EASY THERMO PLASTIC SPLINTING Rectangular Sheets Thera-Paw acts as a reusable bandage with a protective base • The ultra-cushioned sole alleviates pain, reducing lameness and promoting more even weight distribution. 940A Thermo Plastic Splinting Sheet - 1/8” thick. 4” x 9” For narrow long legs £5.50 940B Thermo Plastic Splinting Sheet - 1/8” thick. 6”x 12” £9.12 940C Thermo Plastic Splinting Sheet - 1/8” thick. 12” x 24” £34.19 Velcro Straps • The use of perforated top-sole material and cut-out design allow the paw to breathe and keeps the injured site free from moisture build-up. 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. • The rubberized, non-skid base and toe-cap are waterproof, protect the site from further injury, and provide better traction. • The vertical closure design runs parallel to the carpal/tarsal bones, dispersing pressure over a wide area. VELCRO STRAPS 940V • 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. Velco Straps £5.70 Compact Foam Lining • Thera-Paw is designed to stay in place and to be worn for extended periods • The inner vertical seams have been removed to reduce rubbing and abrasion. • The material gives with movement and allows proper blood flow. • The wide-based closure accommodates a variety of foot sizes and provides a snug fit. • 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 TheraPaw stays on even the most active dogs. • The dual closing mechanism reduces the risk that a dog can remove the garment. THERA-PAW 200002 Thera-paw Small (T/B) £10.00 200003 Thera-paw Small/Medium (T/C) £10.50 200003#2 Thera-paw Small/Medium#2 (T/D) £10.50 200004 Thera-paw Medium (T/E) £11.00 200005 Thera-paw Medium/Large (T/F) £11.50 200006 Thera-paw Large (T/G) £12.00 200007 Thera-paw Extra Large (T/H) £12.50 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. COMPACT FOAM LINING 940X Compact Foam Lining Blue 16" x 24" x 3/8" thickness £17.10 940CD CD illustrating the use of thermoplastic splinting 940P Heat gun for softening thermoplastic FREE £19.50 General Orthopaedics 43 103462_CH03_p24-41_General Ortho 3 14/2/06 10:03 Page 44 GENERAL ORTHOPAEDICS General Orthopaedics Mobility Carts Adjustable Thomas Splints Canis Mobile 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. Indications: - Paralysis or paresis of dogs rear limbs, particularly in German shepherds, labradors, dachshunds, poodles, Fox Terriers etc. - Functional reeducation following a slipped disc - Temporary immobilization of the rear limbs following surgery or injury, fitting a plaster cast, a splint, external fixators, etc... On request: - Axle offset to improve the mobility of a handicapped animal, allowing him to use its hind feet (A) - Inflatable wheels for the large model - Model for cats - Model made to measure with the following indications : 1. Thoracic strap at the level of the forefeet circumference 2. Space between the front and back feet 3. Height under the tail 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. Stainless steel manufacture. Splint is adjustable for length. ADJUSTABLE THOMAS SPLINTS (diameter of circle mm) CANIS-MOBILE 272100 Hind leg size 1 100 272110 Hind leg size 2 120 £24.15 410 max 160/260mm 170/270mm £231.00 272120 Hind leg size 3 150 £25.72 260402 Medium Dog 660 max 250/350mm 240/270mm £265.00 272130 Hind leg size 4 160 £26.77 260404 Large Dog 272140 Fore leg size 2 100 £25.20 272150 Fore leg size 3 140 £26.77 272160 Fore leg size 4 180 £27.82 1 2 (Circumference mm) min/max 260400 Small Dog 3 mini/max 900 max 350/500mm 410/560mm £295.00 1 Canis-Mobile® 3 2 44 £23.75 103462_CH03_p24-41_General Ortho 14/2/06 10:03 Page 45 3 GENERAL ORTHOPAEDICS www.vetinst.com 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. 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. Coding . Using the above measurements the product code becomes BIKOAABB, where AA is measurement A in cms and BB is measurement B in cms. 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. 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. Biko Kit includes: Set of two braces, Set of two hindfoot cuffs and Instructions for the programme of use For best results the brace should be exactly the correct length. Selection of the appropriate brace requires that the patient is measured as shown. For more information including videos view online at www.biko.co.at/indexenglish.php 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. A DVD illustrating the benefits of the Biko brace and the measurements required is available free of charge. BIKO CANINE PHYSIO BRACE Should scuffing continue we recommend the use of Therapaws ( see page 43) BIKOAABB Biko Physio Brace (all sizes) suggested client price £72.00 £110.00 BIH1 Harness Small Black £5.50 Measurements and coding BIH2 Harness Medium Black £6.50 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 BIH3 Harness Large Black BIH4 Harness Very Large Black DVDBIKO Biko DVD £8.60 £10.30 FOC General Orthopaedics 45 103462_CH04_p42-53_External Fixation 4 13/2/06 09:20 Page 46 EXTERNAL FIXATION External Fixation Introduction Single KE Plus Clamp 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 & 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 £12.50 001526 Medium Single KE Plus Clamp £12.50 001527 Small Single KE Plus Clamp £12.50 Single KE Clamp Clamps 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. KE Plus 'The Second Generation' 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. 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. 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 setup. KE Plus clamps have a matt finish compared with the polished standard KE clamps. 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. SINGLE KE CLAMP info WHICH PINS? LARGE SINGLE MEDIUM SINGLE SMALL SINGLE LARGEST THREAD DIAMETER 6.5mm 4.8mm 3.6mm SMALLEST SHANK DIAMETER 3.0mm 2.4mm 0.9mm Insert sleeves may be used through the KE Plus clamps to act as soft tissue protectors for pilot drills. 46 001583 Large KE Clamp Single £10.00 001591 Medium KE Clamp Single £10.00 001593 Small KE Clamp Single £10.00 103462_CH04_p42-53_External Fixation 13/2/06 09:20 Page 47 4 EXTERNAL FIXATION www.vetinst.com Double Clamps Extra Large Clamps and 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. 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. 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. EXTRA LARGE CLAMPS & BARS DOUBLE CLAMPS EXL01 Extra Large Single Clamp £29.69 EXL02 Extra Large Double Clamp £59.34 EXL09 Extra Large Connecting Bar 100mm £11.15 EXL05 Extra Large Connecting Bar 150mm £11.15 EXL06 Extra Large Connecting Bar 200mm £15.06 £16.50 EXL07 Extra Large Connecting Bar 300mm £20.84 Medium Double Clamp £17.50 EXL08 Extra Large Connecting Bar 400mm £27.86 Large Double Clamp £19.30 001594 Small Double Clamp 001592 001584 Split Clamp Connecting Bars 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 is. The shorter the bar between bone fragments, the stronger the frame is. 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. Specials to order including angled bars. Allow 7 days. CONNECTING BARS 001595 Small Connecting Bar 1/8" x 30mm £3.52 001559 Small Connecting Bar 1/8" x 50mm £3.52 001590 Small Connecting Bar 1/8" x 75mm £3.85 001596 Small Connecting Bar 1/8" x 100mm £3.85 001560 Small Connecting Bar 1/8" x 150 mm £4.20 001588 Medium Connecting Bar 3/16" x 75mm £4.66 001576 Medium Connecting Bar 3/16" x 100mm £4.66 001587 Medium Connecting Bar 3/16" x 150mm £5.04 SPLIT CLAMP 001589 Medium Connecting Bar 3/16" x 200mm £5.04 001547S Small Split Clamp Single £14.30 001589XL Medium Connecting Bar 3/16" x 250mm £6.00 001547M Medium Split Clamp Single £14.30 001586 Large Connecting Bar 5/16" x 100mm £8.10 001547L Large Split Clamp Single £14.30 001563 Large Connecting Bar 5/16" x 150mm £8.10 001585 Large Connecting Bar 5/16" x 240mm £9.89 001549 Large Connecting Bar 5/16 " x 340mm £15.67 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. External Fixation 47 103462_CH04_p42-53_External Fixation 4 13/2/06 09:20 Page 48 EXTERNAL FIXATION External Fixation ESF Hinge Trochar Pins 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. 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. TROCHAR PINS 001556 Trochar Pin 2mm 001557 Trochar Pin 3mm £2.50 001558 Trochar Pin 4mm £2.50 EXL10 1/4” Trochar Pin £7.58 EXL 11 5/16” Trochar Pin £9.14 £2.50 Cortical Negative Threaded Pins(Ellis type) 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. Cortical 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. Attaches to standard KE equipment. Relatively weak in abduction. Supplied with instructions for use. ESF HINGE 001597 ESF Hinge Joint Small £35.67 001598 ESF Hinge Joint Medium £35.67 001599 ESF Hinge Joint Large £35.67 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 NEGATIVE THREADED PINS (ELLIS TYPE) Pin Choice A wide variety of pins are available for the construction of ESF frames. Correct pin selection is essential if the repair is to be successful. In situations where a fracture is likely to heal rapidly (young animal, good fracture reduction) pins do not need to be complicated. The frame will be removed in approximately five weeks. Generally speaking the more complex the pin design the more expensive it is and the more difficult it is to insert. Base your pin selection on anticipated frame duration; less than 5 weeks use Trochar or Ellis type, more than five weeks use at least some positive threaded pins. The holding power of the pin is related to the area of bone/pin interface. £3.00 Ellis pins 1/8" - (3.2mm) £3.00 001528 Ellis pin 1.1mm £3.00 001529 Ellis pin 1.6mm £3.00 001550 Ellis Pins 2mm £3.00 001551 Ellis Pins 3mm £3.00 001552 Ellis Pins 4mm £3.00 Bicortical 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 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! info BICORTICAL FINE NEGATIVE THREADED PINS WHICH PRE-DRILL? NEGATIVE PIN 1.1 1.5 2.0 2.5 2.7 3.0 3.2 4.5 Ellis pins 3/32" - (2.4mm) 001531 Bicortical Negative Threaded Pins Use as large a pin as possible consistent with bone size, approximately one third bone diameter maximum. Positive threaded pins increase the bone/pin interface for any given pin shank diameter. Proximal radius is tricky when applying a type II frame. Consider using a smaller pin proximally than distally or use a type 1b frame (two type one frames on the cranial surface at 90 degrees to each other). SHANK 1.6 2.0 2.4 3.0 3.2 3.5 4.0 5.0 001530 Code Shaft Diameter Thread Diameter Thread Length Overall Length Price BCNET16 1.6mm 1.6mm 20mm 70mm £3.70 BCNET20 2.0mm 2.0mm 24mm 85mm £3.90 BCNET24 2.4mm 2.4mm 25mm 100mm £4.00 3.0 BCNET30 3.0mm 3.0mm 35mm 130mm £4.40 3.8 BCNET35 3.5mm 3.5mm 40mm 130mm £4.70 BCNET40 4.0mm 4.0mm 45mm 150mm £5.20 BCNET50 5.0mm 5.0mm 50mm 150mm £5.70 POSITIVE PIN 1.5 1.9 2.3 48 103462_CH04_p42-53_External Fixation 13/2/06 09:20 Page 49 4 EXTERNAL FIXATION www.vetinst.com Pearson Positive Threaded Pins 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. 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. The benefits of positive threaded pins in long term ESF frames are well known. However, there is evidence that impaction of bone debris causes problems at the bone pin interface. The special fluting of the Pearson Pin addresses these problems. The special tip DOES NOT require predrilling thereby reducing time and soft tissue morbidity. COARSE NEGATIVE THREADED PINS 001567 Coarse Threaded Pin 2mm £3.95 001568 Coarse Threaded Pin 3mm £3.95 001569 Coarse Threaded Pin 4mm £3.95 PEARSON POSITIVE THREADED PINS PP01 Pearson 1/8” Shank end positive thread for medium clamp £7.60 Positive Threaded Pins - Cortical PP02 Pearson 5/32” Shank end positive thread for large clamp £10.67 End Thread PP03 Pearson 1/8” Shank mid positive thread for medium clamp £9.30 PP04 Pearson 5/32” Shank mid positive thread for large clamp £11.60 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. CET0019 2.0mm shank 2.4mm threads 85mm long - end thread £5.20 PRE-DRILLS CET0020 2.4mm shank 3.2mm threads 100mm long - end thread £5.50 CET0021 3.2mm shank 4.0mm threads 130mm long - end thread £5.50 CET0022 4.0mm shank 4.8mm threads 150mm long - end thread £7.00 £15.90 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. POSITIVE THREADED PINS - END THREAD £5.20 £13.80 EXL13 1/4”Pearson Positive Mid Thread Extra Large clamp Pre Drills 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. CET0018 1.6mm shank 2.0mm threads 70mm long - end thread EXL12 1/4”Pearson Positive End Thread Extra Large clamp H090202 1.9mm predrill for 2.0mm shank positive pin. NEW £12.92 H090203 2.3mm predrill for 2.4mm shank positive pin. NEW £12.92 H090205 3.0mm predrill for 3.2mm shank positive pin. NEW £15.33 H090207 3.8mm predrill for 4.0mm shank positive pin. NEW £17.24 H090101 1.5mm predrill for 2.0mm shank negative pin £12.52 H090102 2.0mm predrill for 2.4mm shank negative pin £12.92 H090104 2.7mm predrill for 3.2mm shank negative pin £14.44 H090106L 3.5mm predrill for 4.0mm shank negative pin £17.13 POSITIVE THREADED PINS - MID THREAD CMT0018 1.6mm shank 2.0mm threads 85mm long - mid thread £7.50 CMT0019 2.0mm shank 2.4mm threads 105mm long - mid thread £7.50 CMT0023 2.4mm shank 3.2mm threads 105mm long - mid thread £7.50 CMT0024 3.2mm shank 4.0mm threads 130mm long - mid thread £7.50 CMT0025 4.0mm shank 4.8mm threads 150mm long - mid thread £8.10 ESF Lag Pins with Olive 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. Positive Threaded Pins - Cancellous ESF LAG PINS WITH OLIVE The coarser threads of these pins are appropriate for use in the proximal tibia and occasionally in the distal radius. POSITIVE THREADED PINS - CANCELLOUS CANET0026 2.4mm shank 3.5mm threads 115mm long cancellous end thread £6.50 CANET0027 3.2mm shank 4.8mm threads 150mm long cancellous end thread £7.50 CANMT0029 2.4mm shank 3.5mm threads 150mm long cancellous mid thread £7.50 CANMT0030 3.2mm shank 4.8mm threads 180mm long cancellous mid thread £8.50 001534 ESF lag pins. Small 2.4mm shank 25mm x 3.2mm thread £13.50 001535 ESF lag pins. Medium 3.2 shank 40mm x 4.0mm thread £13.50 External Fixation 49 103462_CH04_p42-53_External Fixation 4 13/2/06 09:20 Page 50 EXTERNAL FIXATION External Fixation Pin Cutters Pin Insertion See page 31 Safety Pin Cutter to 4mm Standard 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. Safety Cutter 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 001600 Variable speed orthopaedic drill kit £294.58 001660 Minidrill Kit £238.00 001220 Small Jacobs Chuck and handle 5/32" (4mm) capacity £121.25 001221 Standard Jacobs Chuck and handle 1/4" (6.35mm) capacity £121.25 ESF Tissue Protector Most types of bolt cutter; • cause the cut end to fly off in a potentially dangerous manner • 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. SAFETY PIN CUTTER to 4mm 001229 Safety Cutter to 4mm Stainless 32cm £156.00 Protection of soft tissue is very important when placing an ESF frame. Tissue protection whilst placing single pins is relatively straight forward. Once a bar is in position, however, 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. ESF TISSUE PROTECTOR 001548 50 ESF Tissue Protector £41.12 103462_CH04_p42-53_External Fixation 13/2/06 09:20 Page 51 4 EXTERNAL FIXATION www.vetinst.com ESF Kits Type Two Kit - (modified) ESF & Shearing Injury When purchased as kits there is typically a 10% reduction in total cost. All single clamps will be KE Plus. Type One Kit 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. TYPE TWO K E PLUS KIT (MODIFIED) 001520 Bilateral Kit Large 6 Clamps 2 Bars £85.30 001521 Bilateral Kit Medium 6 Clamps 2 Bars £76.57 001522 Bilateral Kit Small 6 Clamps 2 Bars £74.43 001520/P Bilateral Kit Large 8 Clamps 2 Bars £107.80 001521/P Bilateral Kit Medium 8 Clamps 2 Bars £99.07 001522/P Bilateral Kit Small 8 Clamps 2 Bars £96.93 NB: No pins or spanners are supplied with these kits. Standard Kit 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. 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. TYPE ONE K E PLUS KIT 001570 Unilateral Kit Large 4 Clamps 1 Bar 240mm £53.90 001571 Unilateral Kit Medium 4 Clamps 1 Bar 150mm £49.54 001572 Unilateral Kit Small 4 Clamps 1 Bar 100mm £48.46 001570P Unilateral Kit Large 6 Clamps 1 Bar 240mm £76.40 001571P Unilateral Kit Medium 6 Clamps 1 Bar 200mm £72.00 STANDARD K E PLUS KIT 001572P Unilateral Kit Small 6 Clamps 1 Bar 150mm £71.28 001580 Large Standard Kit 4mm. 8 single + 2 double clamps & bars 2 long + 2 short £157.12 NB: No pins or spanners are supplied with these kits. 001581 Medium Standard Kit 3mm. 8 single + 2 double clamps & bars 2 long + 2 short £138.96 001582 Small Standard Kit 2mm. 8 single + 2 double clamps & bars 2 long + 2 short £132.97 001578 Stainless Box with partitions £89.23 NB: No pins or spanners are supplied with these kits. External Fixation 51 103462_CH04_p42-53_External Fixation 4 13/2/06 09:20 Page 52 EXTERNAL FIXATION External Fixation Boxed ESF Kits (spanners included) ‘T’ Bar Wrenches Useful for speedy tightening of clamps in that the wrench can be ‘spun’ using the shaft. ‘T’ BAR WRENCHES 001566T Small T Wrench - 7mm £12.00 001565T Medium T Wrench - 8mm £12.00 001564T Large T Wrench - 10mm £15.00 Meynard Fixation Clamps 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. 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. NB: pins are only supplied with kit 001579NDP which includes positive pins of all appropriate sizes. BOXED ESF KITS(SPANNERS INCLUDED) 001579 Boxed Full Kit (including doubles) in Stainless Box. S/M/L Std kits + spanners. £522.32 001579ND Boxed Full Kit No Doubles. As above but with no double clamps £397.70 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 £612.85 MEYNARD CLAMPS Spanners & Wrenches Standard spanners, sockets or combination spanners are available for all clamp sizes. clamp diameter fixation pin diameter bar diameter 260002 12 1.1 2 260003 12 1.2 2 £2.71 260004 12 1.6 2 £3.28 260005 14 1.5 3 £3.28 260005KE 14 1.5 3 £3.28 260006 14 2.0 3 £3.28 £3.79 £2.71 260007 16 2.0 4 2610013KE 16 2.4 3.2 £4.10 260013 16 2.4 4 £4.10 260008 16 3.0 4 £3.79 260014KE 16 3.0-3.2 4.8 (3/16") £5.10 260015KE 24 4.0 6.3 £7.20 260009 24 4.0 6 £6.66 SPANNERS 001566 Spanner Small £4.80 001565 Spanner Medium £4.80 Spanner Large £4.80 260030 3mm for 14mm clamps. 50mm long. £5.41 001564 £6.49 £10.14 260040 4mm for 16mm clamps. 100mm long £6.49 MEYNARD CONNECTING BARS 86012 Socket Drive Handle 86104 Small Socket £2.64 260042 4mm for 16mm clamps. 200mm long £7.59 Medium Socket £2.64 260043 4mm for 16mm clamps. 250mm long £5.23 86107 Large Socket £2.64 260060 2mm for 12mm clamps. 500mm long; cut to length Angled Wrench Medium £8.00 260062 3mm for 14mm clamps. 500mm long; cut to length £6.46 86685 Angled Wrench Large £8.00 260064 4mm for 16mm clamps. 500mm long; cut to length £8.30 86687 86105 260068 6mm for 24mm clamps. 500mm long; cut to length £10.05 52 103462_CH04_p42-53_External Fixation 13/2/06 09:20 Page 53 4 EXTERNAL FIXATION www.vetinst.com 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 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. 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 APNSPT150 Triple Tube Pack (150ml). 450mm x 21mm tube plus acrylic and plugs. £35.35 APNSPD100 Double Tube Pack (100ml). 300mm x 21mm tube plus acrylic and plugs. £32.62 APNSPS50 Single Tube Pack (50ml). 150mm x 21mm tube plus acrylic and plugs. £27.46 APNSPDM50 Double Mini Tube Pack (50ml). 300mm x 15mm tube plus acrylic and plugs. £20.10 Half Tube Pack (25ml). 150mm x 15mm tube plus acrylic and plugs. £24.03 APEF BASE KIT APBKUNST APEF Base Kit. Includes Carrying Case, (non sterile) Sterilisation Tray £341.59 G70025-000 Base Kit Container Only £34.33 G70029-000 Pin Sterilization Tray Only (Anodised Aluminium) £51.00 APNSPH25 External Fixation APNSPQ12 53 Quarter Tube Pack (12.5ml). 150mm x 10mm tube plus acrylic and plugs. £12.86 103462_CH04_p42-53_External Fixation 4 13/2/06 09:20 Page 54 EXTERNAL FIXATION External Fixation Acrylic Bi-Packs APEF Tubing These convenient, premeasured, easy mix and dispensing packs contain both powder and liquid separated by a temporary divider. You will require tubing; see below. ACRYLIC BI-PACKS Triple Acrylic Bi-Pack (150ml) £30.90 APNSBD100 Double Acrylic Bi-Pack (100ml) £22.51 APNSBS50 Single Acrylic Bi-Pack (50ml) £16.00 APNSBH25 Half Acrylic Bi-Pack (25ml) £13.18 APNSBQ12 Quarter Acrylic Bi-Pack (12.5ml) APNSBT150 £9.96 APEF TUBING APTK21 21mm (1") Dia.Tube Kit 152cm (60") Tubing 10 Endplugs £6.03 APTK15 15mm (5/8") Dia.Tube Kit 152cm (60") Tubing 10 Endplugs £6.03 APTK10 10mm (3/8") Dia.Tube Kit 122cm (48") Tubing 8 Endplugs £4.83 APEF Pins & Frame Alignment Kit Mixing the acrylic 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. APEF PINS APPINSM332 2.4mm non-threaded pins APPINSM18 3.2mm non-threaded pins APPINETH18 End-Threaded Half Pin. 3.2mm shank APPINCTH18 Centrally Threaded Full Pin. 3.2mm shank APFAK422 Frame Alignment kit £4.08 £3.96 £10.30 £10.30 £150.00 Accessories Removing frame alignment clamps 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. 54 103462_CH04_p42-53_External Fixation 13/2/06 09:20 Page 55 EXTERNAL FIXATION www.vetinst.com Epoxy ESF Putty Epoxy ESF Putty 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. 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 EPOXY ESF PUTTY EPOXY1 Epoxy ESF Putty 55G EPOXY2 Epoxy ESF Putty 110G £7.49 £15.00 External Fixation 55 4 103462_CH04_p42-53_External Fixation 4 13/2/06 09:20 Page 56 EXTERNAL FIXATION 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. Please call for further details. 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 £17.81 001911 Sliding Double Clamp 3/32” Pins £35.06 001912 Sliding Single Clamp 1/8” Pins £19.26 001913 Sliding Double Clamp 1/8” Pins £38.65 001914 Sliding Single Clamp 5/32” Pins £20.84 001915 Sliding Double Clamp 5/32” Pins £41.88 001918 Wire Insert Guide £44.09 001920 Threaded Rod - Small 50mm Pitch .75mm £6.27 001921 Threaded Rod - Small 75mm Pitch .75mm £9.86 001922 Threaded Rod - Small 100mm Pitch .75mm £11.55 001923 Threaded Rod - Small 150mm Pitch .75mm £13.39 001930 Threaded Rod - Medium 75mm Pitch 1.0mm £8.49 001931 Threaded Rod - Medium 150mm Pitch 1.0mm £12.43 001932 Threaded Rod - Medium 200mm Pitch 1.0mm £15.13 001940 Threaded Rod - Large 100mm Pitch 1.00mm £12.43 001941 Threaded Rod - Large 200mm Pitch 1.00mm £17.25 001951 Knurled Adjuster - Small £8.18 001952 Knurled Adjuster - Medium £9.07 001953 Knurled Adjuster - Large 001960 Locking Nut - Small £1.17 001961 Locking Nut - Medium £1.45 001962 Locking Nut - Large £1.69 001900 Radius Assembly - Small 3/32”. Does not include pins. £185.70 001901 Radius Assembly - Medium 1/8”. Does not include pins. £209.68 001902 Radius Assembly - Large 5/32”. Does not include pins. £236.11 £10.31 Most sliding clamps are now supplied in the KE Plus configuration allowing a wider choice of pin & through clamp placement of positive pins. 56 103462_CH04_p42-53_External Fixation 13/2/06 09:20 Page 57 4 EXTERNAL FIXATION www.vetinst.com Ring Fixator Kit (001800) 70, 100, 120 &160mm Rings Kit Contents: DESCRIPTION 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 2 Single pin fixation bolt 2 Cannulated Bolts 30 Slotted Bolts 12 Connection Bolts 10 Telescopic Rod - 100 mm 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. QTY 6 Telescopic Rod - 150 mm 6 Threaded Rod - 100 mm 6 Threaded Rod - 150 mm 6 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. Threaded Rod - 200 mm 6 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 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. Nut - 10 mm 100 4 Hole connection plate 4 5 Hole connection plate 2 6 Hole connection plate 2 7 Hole connection plate 2 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 The incremental motors move 0.25mm per click. Female post - 2 holes 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 Conical washers allow rings to change angle relative to the threaded rods for small angular adjustments. 2 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 Angulated Wrench - 10mm cannulated 1 Angulated Wrench Slotted 1 10mm Spanner 2 Mechanical Tensioner 1 Stainless Steel Container 1 RING FIXATOR KIT 001800A Complete Ring Ex. Fix. Set 70/100mm (Aluminium) 120/160 (Stainless Steel) £1,950.00 001800C Complete Ring Ex. Fix. Set 70/100mm (Carbon Fibre) 120/160 (Stainless Steel) £2,300.00 57 103462_CH05_p54-63_Power Tools 5 13/2/06 09:21 Page 58 POWER TOOLS Power Tools Electrical Power Synthes Quick Fit Adaptor - Jacobs Variable Speed Orthopaedic Drill Converts both small and large Jacobs chuck to take Synthes fit drills and taps. Adds 40mm length. SYNTHES QUICK FIT ADAPTOR 001612 Synthes Quick Fit Adaptor - Jacobs £95.46 Mini Rechargeable Drill Our latest model now 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 0-600 via trigger • stainless steel chuck (6.35mmcapacity) and extension • 80mm through chuck cannulation 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 730 grams. • speed fixed at 230 rpm appropriate for drills and wires • autoclavable shroud • low speed, high torque • supplied as a complete kit including stainless chuck, key, extension, autoclavable shroud, 2 batteries and a charger. • forward and reverse via rocker switch • stainless steel chuck and key 5mm capacity with extension VARIABLE SPEED ORTHOPAEDIC DRILL 001600 Variable Speed Orthopaedic Drill (Complete Kit). Drill, chuck, key,shroud, extension,2 x batteries £294.58 001605 Spare Chuck (& key) 1/4" 6.35mm £88.68 001606 Spare Key for standard chuck £13.42 001607 Drill Extension £25.41 001620 Spare Drill Shroud £10.51 • 50mm through cannulation • supplied with two NiCad batteries to ensure you are never left without a charged battery • supplied as a complete kit with two batteries, charger, stainless cannulated extension, 5mm chuck and key and waterproof shroud MINI RECHARGEABLE DRILL Spare Battery Pack 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 £25.60 58 001660 Mini Drill Rechargeable Complete Kit 001661 Spare Waterproof Mini Drill Shroud £238.00 £10.51 103462_CH05_p54-63_Power Tools 13/2/06 09:21 Page 59 POWER TOOLS www.vetinst.com 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. 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 £16.50 001720 Diamond Blade for Resin Casts 64mm £69.73 001721 Diamond Blade for Resin Casts 80mm £69.73 £516.27 Blades fit both CC1 & CC4 Multi Saw Multi Saw in use during a closing wedge TPLO operation 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 and TPLO by Tibial Wedge Osteotomy. 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. MULTI SAW 001701 Multi Saw including Gypsum Blade (rechargeable) £307.97 001702 Stainless Converter (c/w spanner) £67.77 001703 Waterproof shroud for Multi Saw £10.51 001705 Multi Saw Diamond Blade (Resin) £35.00 001706 Multi Saw (Gypsum) Blade £30.20 001708 Multi Saw Surgical Kit incl converter, shroud and S82-103 blade 001701B Spare Battery for Multisaw £380.00 £85.32 Power Tools 59 5 103462_CH05_p54-63_Power Tools 5 13/2/06 09:21 Page 60 POWER TOOLS Power Tools Multi Saw Blades Cast Blades CAST BLADES 001705 Diamond Multi Saw Blade 63mm for resin casts £35.00 001706 Standard Multi Saw Blade for gypsum casts £30.20 Surgical Blades Other patterns available - phone for full list Actual Size Actual Size Actual Size SB5071-134 Actual Size MULTI SAW BLADES CUT THICKNESS LENGTH S82-104 SB5071-132 * WIDTH PRICE £36.42 S82-100 0.9mm 45mm 12mm S82-103 1.2mm 70mm 12mm £36.42 S82-104 1.2mm 70mm 25mm £36.42 SB5071-134 0.6mm 41mm 9.0mm £36.42 SB5071-132 0.8mm 41mm 19.5mm £36.42 All blades with a central hole bigger than 6mm will fit the multi saw. 60 † † † *Also fits desoutter M171/M172 Suitable for use with TTO Sawguide CODE * S82-103 Actual Size † *† S82-100 Suitable for use with TTO Sawguide 103462_CH05_p54-63_Power Tools 13/2/06 09:21 Page 61 POWER TOOLS www.vetinst.com Air Power 5 Wire Driver K111 3M’s Orthopaedic Equipment Reattachment of osteotomies or small bone fragments is often best achieved using "K" or arthrodesis wires. 3M's equipment has been for many years the first choice for top referral practices and university departments. The equipment is very reliable and relatively easy to maintain. There is also a place for 3M equipment in general practice for veterinary orthopaedic surgeons who enjoy their surgery and who wish to provide their clients and patients with the best possible care. Driving long wires often results in bending. Driving short wires in a Jacobs chuck requires time consuming and repeated adjustments. Unfortunately 3M equipment is no longer available new. Our experience with 3M is such that we have obtained good quality pre-owned supplies which will provide many years of quality service at a reasonable price. We can service all 3M equipment. Call for details. Mini Driver The 3M Mini Driver is a modular system comprising a handpiece plus a range of quick fit attachments. Where we offer a set for sale it will include: handpiece, drill, wiredriver, saw, AO quick fit attachment, hose and autoclave case. The wire driver is designed to drive "K" and arthrodesis wires 0.9mm to 2.0mm accurately with finger tip advancement of the wires. Sagittal Saw K220 For osteotomies in confined areas, e.g. excision arthroplasty, radial osteotomy, triple pelvic osteotomy. A large range of saws and blades are available. See overleaf for blades. The Mark II K220 saw attachment (illustrated) is stronger and takes longer blades than the earlier K120. AO/Synthes Quick Release Chuck MINI DRIVER A201 Full Air Return Hose 3 Metre. For Minos and Minidriver £586.60 Mini Driver Pre-owned Kits from £3,500 please phone or e-mail for details The AO quick release permits the use of Synthes fitting drills and taps. Without the need for a chuck key, tool changes are very slick. Jacob’s Chuck The standard drill attachment has a 5mm capacity. A 6.35mm (1/4”) attachment is available. Power Tools 61 103462_CH05_p54-63_Power Tools 5 13/2/06 09:21 Page 62 POWER TOOLS Power Tools K120 Blades K220 Blades Other patterns available - phone for full list Other patterns available Actual Size Actual Size K123 K133 K142 K152 Actual Size Actual Size K122 K132 Actual Size K144 Actual Size K124 K148 K134 K154 K120 BLADES CUT THICKNESS LENGTH WIDTH PRICE 6.4mm £36.53 31.0mm 6.4mm £36.53 15.1mm 10.4mm £36.53 1.0mm 31.0mm 10.4mm £36.53 K125 1.0mm 15.1mm 16.5mm £36.53 K220 BLADES K131 0.7mm 15.1mm 6.4mm £36.53 CODE K132 0.7mm 31.0mm 6.4mm £36.53 K141 1.0mm 14.2mm 6.4mm £36.53 K133 0.7mm 15.1mm 10.4mm £36.53 K142 1.0mm 30.0mm 6.4mm £36.53 K134 0.7mm 31.0mm 10.4mm £36.53 K144 1.0mm 30.0mm 10.2mm £36.53 £36.53 K146 0.65mm 27.4mm 19.0mm £36.53 K147 0.65mm 27.4mm 14.0mm £36.53 K148 0.65mm 27.4mm 9.5mm £36.53 K121 1.0mm 15.1mm K122 1.0mm K123 1.0mm K124 K135 0.7mm 15.1mm 16.5mm K155 Actual Size CODE CUT THICKNESS LENGTH WIDTH PRICE K149 0.65mm 42.7mm 19.1mm £36.53 K152 0.65mm 30.0mm 6.4mm £36.53 K154 0.65mm 42.7mm 9.5mm £36.53 K155 0.65mm 42.7mm 14.0mm £36.53 Minos A200 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. MINOS A200 PRE3MMINOS 62 Pre-owned Minos A200 kit. Includes hose, bur guard £1734.00 103462_CH05_p54-63_Power Tools 13/2/06 09:21 Page 63 5 POWER TOOLS www.vetinst.com Desoutter Orthopaedic Equipment MPZ Blades Other patterns available - phone for full list Actual Size Desoutter is a long established U.K. company providing high quality air driven equipment for orthopaedic surgeons. Excellent equipment with high quality, local backup. S85-103 Actual Size MPZ Modular System S85-100 Actual Size S85-110 Actual Size S85-117 MPZ BLADES (WRENCH FITTING) CODE CUT THICKNESS LENGTH PRICE 10.4mm £36.42 0.7mm 11mm 6.4mm £36.42 0.7mm 44mm 19mm £36.42 S85-109 0.7mm 44mm 17mm £36.42 S85-110 0.7mm 33mm 10mm £36.42 S85-117 0.7mm 48mm 17mm £36.42 0.7mm S85-103 S85-107 Actual Size S83-101 Actual Size S83-107 Actual Size 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. WIDTH 23mm S85-100 S83-110 MPZ MODULAR SYSTEM MPZ224884 Multidrive MPZ Handpiece £2,474.00 Small Jacobs Chuck attachment max 4.0mm £363.00 MPZ9610 Large Jacobs Chuck attachment max 6.3mm £384.00 MPZ9520 AO attachment MPZ9580 Sagittal Saw Attachment (quick release) MPZ9550 Sagittal Saw Attachment (wrench fitting) £1,159.00 MPZ9640 Reciprocating Saw Attachment £1,159.00 MPZ9560 Wire Driver Attachment 0.6 to 1.8mm £1,095.00 MPZ9600 Pin Driver Attachment 1.8 to 3.2mm £1,095.00 MPZ10900 3 metre hose MA7 fitting MPZ9510 £395.00 £1,159.00 MPZ MINI SAG SAW MX500 BLADES (QUICK RELEASE) £250.00 CODE CUT THICKNESS LENGTH 63 WIDTH PRICE S83-101 0.7mm 25mm 10mm £36.42 S83-103 0.7mm 25mm 6.4mm £36.42 S83-107 0.7mm 48mm 19mm £36.42 S83-109 0.7mm 48mm 15mm £36.42 S83-110 0.7mm 38mm 10mm £36.42 103462_CH05_p54-63_Power Tools 5 13/2/06 09:21 Page 64 POWER TOOLS Power Tools MPX Modular System MPX MODULAR SYSTEM MPX222554 MPX Handpiece MPX8150 Jacobs Chuck 4mm cap MPX8000 Jacobs Chuck 6.35mm cap MPX8080 Wire Pin Driver 0.6 to 3.2mm £1350.00 MPX8040 MPX Sagittal Saw Large Blade Head £1159.00 MPX9310 Mini Sagittal Saw Large Blade Head £1159.00 MPX8010 AO Quick Release Attachment £427.00 MPX5300 3 Metre MA7 Hose to fit MPX £250.00 £2598.00 £527.00 £527.00 MPX MINI SAG SAW MX500 BLADES (QUICK RELEASE) CODE Heavier duty than the MPZ system the MPX will be of interest to those surgeons with a high through put of Closing Wedge TPLOs. The working blade length goes up to 100mm. MPX Blades PRICE 0.7mm 25mm 10mm £36.42 S83-103 0.7mm 25mm 6.4mm £36.42 S83-107 0.7mm 48mm 19mm £36.42 S83-109 0.7mm 48mm 15mm £36.42 S83-110 0.7mm 38mm 10mm £36.42 Actual Size S80-101 CUT THICKNESS LENGTH Other patterns available - phone for full list MPX BLADES CODE WIDTH S83-101 CUT THICKNESS LENGTH 1.4mm WIDTH PRICE 87mm 25mm £36.42 £36.42 1.0mm 87mm 25mm S80-103 0.8mm 60mm 12mm £36.42 S80-106 1.35mm 87mm 25mm £36.42 S80-109 0.8mm 32mm 12mm £36.42 Actual Size S80-102 S83-101 S83-107 Actual Size Actual Size S80-109 S83-110 Actual Size S80-102 Actual Size S80-106 64 103462_CH05_p54-63_Power Tools 13/2/06 09:21 Page 65 Halls (Linvatec) Orthopaedic Power Micro 100 Sagittal Saw 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. A small sagittal saw for routine osteotomies. Not really big enough for closing wedge TPLOs. HALLS UK HOSE 5042-35E 5 POWER TOOLS www.vetinst.com MICRO 100 SAGITTAL SAW (Preowned) Halls UK hose. MA-7 £443.97 Sagittal Saw MICROSAG £1,250.00 Blades - many patterns available please phone or e-mail for details Micro 100 Reciprocating Saw Wire Driver 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. MICRO 100 RECIPROCATING SAW (Preowned) Reciprocating Saw MICRORS £1,200.00 Micro 100 Reciprocating Saw Blades 5053-021 This is a stand alone unit. 5053-059M MICRO 100 RECIPROCATING SAW BLADES CODE “In my view the Halls wiredriver has a nicer action than the 3Ms version. The trigger has a two stage action. An initial squeeze grips the wire and a full squeeze initiates the drive mechanism. Wires may be inserted incrementally very quickly. At no time is long section of wire exposed which tends to bend. Fits standard Halls hoses (which is the same as the Whittemore saw). This is a stand alone unit unlike the Mini driver and Maxi driver which are modular.” The only disadvantage is that the maximum wire size is 1.8mm. Wire Driver LENGTH WIDTH PRICE 5053-021 0.6mm 39mm N/A £36.42 5053-059M 0.6mm 60mm N/A £36.42 Surgairtome II 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. WIRE DRIVER (Preowned) MICRODRV CUT THICKNESS £1,200.00 SURGAIRTOME II 5058000 Surgairtome II kit. Includes hose, medium bur guard and case £3,800.00 PREHALLSSURG Pre-owned Surgairtome II kit. Includes hose and bur guard 5058 Surgairtome motor. Power Tools 65 from £1,800.00 £3,080.00 103462_CH05_p54-63_Power Tools 5 13/2/06 09:21 Page 66 POWER TOOLS Power Tools Bur Guards Bur Brush 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. When burs stop cutting mid procedure the reason is usually clogging of the cutting flutes. High speeds (100,000 rpm) minimises 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. BUR GUARDS 1375-023 Extra Long Bur Guard £456.46 1375-011 Long Bur Guard £289.55 BRUSH 1375-012 Medium Bur Guard £289.55 A315 Bur Brush £17.20 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 66 HEAD OVERALL BUR SIZE LENGTH GUARD ORDER CODE PRICE (Carbide) £ ORDER CODE PRICE (Diamond) £ 1.8 50mm Medium M18R £24.50 - - 2.0 50mm Medium M20R £24.50 M20D £65.35 2.3 50mm Medium M23R £24.50 - - 3.0 50mm Medium M30R £24.50 M30D £68.33 4.0 50mm Medium M40R £48.50 M40D £68.33 5.0 50mm Medium M50R £48.50 - - 6.0 50mm Medium M60R £48.50 M60D £68.33 1.8 72mm Long L18R £28.50 - - 2.0 72mm Long L20R £28.50 L20D £36.40 3.0 69mm Long L30R £37.40 L30D £38.50 4.0 69mm Long L40R £37.40 L40D £42.20 5.0 69mm Long L50R £52.48 L50D £57.30 6.0 69mm Long L60R £55.51 L60D £68.00 6.5 69mm Long L65R £58.21 - - 2.0 95mm Extra Long X20R £41.20 X20D £47.50 2.3 95mm Extra Long X23R £41.20 X23D £47.50 3.0 95mm Extra Long X30R £41.20 X30D £47.50 4.0 95mm Extra Long X40R £57.50 X40D £69.38 5.0 95mm Extra Long X50R £63.10 X50D £69.38 103462_CH05_p54-63_Power Tools 13/2/06 09:21 Page 67 Air Regulators and Hose Probes notch UK MA7 5 POWER TOOLS www.vetinst.com TPLO Saws and Blades US Schrader 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. 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 SAWS AND BLADES 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). AIR REGULATORS AND HOSE PROBES 001756 Medical Air Regulator MA7 outlet 001758 Schrader / MA7 Convertor (plug in) 001759 Hose conversion US Schrader to UK Probe TPLOSW TPLO Saw TPLOB24A TPLO Radial cut blade and assembly. 24mm £390.00 TPLOB24 TPLO Radial cut blade only. 24mm TPLOH TPLO Saw Hose with UK fitting MA7 £1,900.00 £85.00 £435.66 Slocum Flat Blade Converter £271.86 £52.00 £120.00 001770 Air Instrument Care Products Allows any saw with a Slocum type drive to drive flat blades Huge range of blades available Friction grip allows infinite range of blade angle Use for osteotomies, wedge TPLO’S, TTO, TTA. SLOCUM FLAT BLADE CONVERTER 001770 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. AIR INSTRUMENT CARE PRODUCTS Blitz Spray Cleaner M317 Lubricant for Minidriver and Minos £67.77 Used Air Equipment Orthopaedic 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. M105 Slocum Flat Blade Converter £16.40 All items available on a sale or return basis so that you can trial before you buy. £8.15 Usually available - Maxi Drive (larger version of Mini Drive) Desoutter Stand Alone Drills & Saws. 67 103462_CH06_p64-69_Spinal Surgery 6 13/2/06 09:21 Page 68 SPINAL SURGERY Spinal Surgery Surgery of the spine Electric Flexidrive Bur System Introduction 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. For the occasional spinal surgeon, this budget system performs very well. The burs run at 0 - 18,000 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 62 & 65. ELECTRIC FLEXIDRIVE BUR SYSTEM 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. Veterinary Instrumentation has assembled a range of hand instruments and surgical power tools which will enable the veterinary surgeon to perform most spinal procedures. 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 £84.99 68 001640A Mini Drill (Electric Drive) 18,000 rpm Foredom full kit incl burs D235 Spare Handpiece £47.95 D295051/2 Spare Inner Drive Flex £34.92 D295051/3 Spare Outer Drive Flex £34.92 001641 Collet for HP burs £6.79 001785 1.6mm Round Short Carbide Bur £3.61 HP8 2.3mm Round Short Carbide Bur £2.44 001787 2.7mm Round Short Carbide Bur £6.40 001784 6.0mm Round Short Carbide Bur £13.05 £470.92 103462_CH06_p64-69_Spinal Surgery 13/2/06 09:21 Page 69 6 SPINAL SURGERY www.vetinst.com Percussion Mallet Lempert Rongeur Actual Size Designed for consistent neurological examination. Much better than whatever you are using at the moment! PERCUSSION MALLET Percussion Hammer 001322 £17.31 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. Rongeurs & Punches LEMPERT RONGEUR 6730/10 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. Lempert Rongeurs 3mm bite 190mm Str £55.60 Mini Friedman Actual Size Duck-billed Daniel Rongeurs Actual Size Very fine rongeurs for incremental removal of bone overlying the spine. 3mm bite. MINI FRIEDMAN Mini Friedman curved 3mm bite 142501 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. £48.34 Micro Friedman 001400 Duck Billed Daniels Rongeur165mm long 3mm bite Actual Size DUCK-BILLED DANIEL RONGEURS £62.53 Daniel Rongeur As above but with 2.2mm bite. MICRO FRIEDMAN Actual Size 142502 Micro Friedman curved 2.2mm bite The jaws of this instrument are straight and the bite is small. Also suitable for bulla osteotomy. DANIEL RONGEUR 001402 Daniel Rongeurs 130mm long 2mm bite AOF £62.53 Spinal Surgery 69 £48.34 103462_CH06_p64-69_Spinal Surgery 6 13/2/06 09:21 Page 70 SPINAL SURGERY Spinal Surgery Laminectomy Rongeurs Smith Kerrison Punch Forceps close up detail This is a traditional design with a 40 degree upward cutting jaw. Robust spine forceps. Good quality and excellent value. These rongeurs have been developed specifically for laminectomy in the dog. Features: • Sigmoid shaped for maximum visualisation of surgical site and ease of grip. SMITH KERRISON PUNCH FORCEPS •Lower jaw is very slim to minimise trauma to the spinal cord. • Available in jaw widths of 2, 3 and 4mm. 001445 Smith-Kerrison Punch Forceps 2mm £92.30 001446 Smith-Kerrison Punch Forceps 3mm £92.30 • Stronger than Duck-billed Daniels LAMINECTOMY RONGEURS 001432 Laminectomy Rongeurs 2mm £124.28 001433 Laminectomy Rongeurs 3mm £124.28 001434 Laminectomy Rongeurs 4mm £124.28 Modular Forceps with Rotating Punch & Rongeur Inserts Compound Action Spinal Rongeurs Actual size 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. COMPOUND ACTION SPINAL RONGEURS 001429 Compound Action Spinal Rongeurs 2mm £180.47 001430 Compound Action Spinal Rongeurs 3mm £180.47 001431 Compound Acion Spinal Rongeurs 4mm £180.47 001440 Compound Action Spinal Rongeurs 5mm £180.47 Stille-Luer Rongeurs The standard handpiece accepts six different inserts which can be changed very quickly and simply even mid procedure. Each insert will rotate 360 degrees in 40 degree increments without impairing cutting efficiency. Full kit with 6 inserts supplied in stainless case for autoclaving. Larger inserts available. • Full set with six inserts in case Actual size • Rongeur 1.5mm insert • 40 degree 1.0mm insert • Rongeur 2.0mm insert • 40 degree 2.0mm insert • Rongeur 3.0mm insert • 40 degree 3.0mm insert STILLE-LUER RONGEURS 142305 MODULAR FORCEPS WITH PUNCH & RONGEUR INSERTS Stille-Luer Heavy Compound Action Rongeurs 8 mm curved £142.80 001448 70 Kerrison Modular, Multi-Position Inserts £350.00 103462_CH06_p64-69_Spinal Surgery 13/2/06 09:21 Page 71 6 SPINAL SURGERY www.vetinst.com 40 Degree Bone Punch Forceps (Low Profile) Gelpi Odd Leg Retractor 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. One arm (short) engages the neural spine, the other (long) retracts the longissimus dorsi muscle. Supplied in pairs. GELPI ODD LEG RETRACTORS 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. 001333 Gelpi Odd Legs (Pair) £183.69 001334 Gelpi Short Odd Legs ( Pair ) £183.69 Spike & Shield Odd Leg 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. SPIKE & SHIELD ODD LEG RETRACTOR 40 DEGREE BONE PUNCH 001438 Spine Punch Forceps 2mm 40° upward cut £180.47 001439 Spine Punch Forceps 3mm 40° upward cut £180.47 001441 Spine Punch Forceps 4mm 40° upward cut £180.47 001480 Large 25x25mm shield (pair) £183.69 001482 Small 12x12mm shield (pair) £183.69 Freer Periosteal Elevator Cone Laminectomy Retractor Finer than a standard orthopaedic elevator, this instrument is useful in cats and miniature dogs. Particularly good around the spine. 5mm tip FREER PERIOSTEAL ELEVATOR 7350/05 Freer Periosteal Elevator 5mm £24.28 Very Fine Periosteal Elevator Even smaller than the Freer this double ended instrument is suitable for very fine work. 2 and 3mm tips. 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. VERY FINE PERIOSTEAL ELEVATOR 001272 Spinal Surgery CONE LAMINECTOMY RETRACTOR 001335 Cone Laminectomy Retractor Very Fine Periosteal Elevator 2mm/3mm £180.53 71 £24.28 103462_CH06_p64-69_Spinal Surgery 6 13/2/06 09:21 Page 72 SPINAL SURGERY Spinal Surgery Dandy Nerve Hook Younger Good Scaler, Jaquette Scaler hook detail Younger Scalerr detail Younger 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. Jaquette Scaler detail DANDY NERVE HOOK 001408 Nerve Hook 1mm £23.23 001409 Dandy Nerve Hook 2mm £23.23 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. House Curette House Curette detail House Curette detail YOUNGER GOOD SCALER , JAQUETTE SCALER The House Curette is a strong small curette to lift bone from around the spinal cord. Double ended 2.5 and 3.0mm scoops. 001422 Younger Good Scaler £16.89 001424 Small Jaquette Scaler 34/35 £16.89 Burley Disc Scoop HOUSE CURETTE 7262/05 House Curette. 2.5 and 3.0mm scoops Rosens Mobiliser £25.34 curved tip detail 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. 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. BURLEY DISC SCOOP ROSENS MOBILISER 001420 001501 Rosen’s Mobiliser Sheas Curette £25.34 scoop detail 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 001410 Sheas Disc Curette 2.5mm diameter £25.34 72 Burley Disc Scoop £41.33 103462_CH06_p64-69_Spinal Surgery 13/2/06 09:21 Page 73 6 SPINAL SURGERY www.vetinst.com Wobblers Bone Wax 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. BONE WAX 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. 001460 6.0 McKee Wobbler Washer No 2 090251 7.5 McKee Wobbler Washer No 1 £18.38 090255 6.0 Wobbler Washer Distractor £30.65 090256 7.5 Wobbler Washer Distractor £30.65 Bone Cement Bone cement is also used for stabilising spinal fractures. Use screws or pins to provide ‘keying’ points. £18.38 For full list of available bone cement see page 105. BONE CEMENT BC1G Digital Bone Cement with Gentamycin McKee Distractor with Speedlock 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. An alternative to washers is fusion using bone cement with or without screws. See page 105. MCKEE DISTRACTOR WITH SPEEDLOCK 090257 McKee Distractor with Speedlock £16.34 An alternative is the distraction of the disc space using a small screw and filling the space with Bone cement with Gentamycin BCIG Bone Cement. WOBBLERS 090250 Bone Wax 12 x 2.5g £161.62 Spinal Surgery 73 £29.80 103462_CH07_p70-95 7 13/2/06 09:22 Page 74 IMPLANTS & SCREWS Implants & Screws Instruments Stainless Equipment Boxes BX2735CS Implant Designs and Specifications 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. 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. Round hole plates may be used with cortical screws. Only corticocancellous screws with spherical heads can be used to achieve compression using compression plates. The design of this stainless lidded box is such that steam can circulate freely to ensure complete sterility. The standard size is 250 x 150 x 55mm, which fits all typical veterinary autoclaves. A range of boxes has been developed to house plating equipment and implants for each screw size system. Self-Tapping Cortical Screws Suffix CS is for AO type cortical screw equipment. Suffix ST is for self-tapping (Sherman) type equipment. Equipment not included. 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. Implant Codes BX20CS 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. STAINLESS EQUIPMENT BOX To further assist in decision making and ordering, templates are printed on pages 210 to 214 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. BX25055 Empty 250x150x55mm BX1520CS Fitted for 1.5, & 2.0mm screws BX20ST or CS Fitted for 2mm screws & equipment £102.24 BX27ST or CS Fitted for 2.7mm screws £102.24 BX35ST or CS Fitted for 3.5mm screws £102.24 BX202735ST or CS Fitted for 2.0, 2.7 & 3.5mm screws Which screw? Hexagonal BX2735ST or CS 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 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 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. 74 Fitted for 2.7, & 3.5mm screws £63.90 £102.24 £102.24 £102.24 103462_CH07_p70-95 13/2/06 09:22 Page 75 7 IMPLANTS & SCREWS www.vetinst.com Screw Boxes Instrument Boxes SH3500CS The screw box securely holds a range of screws in clearly marked holes. A screw length measuring scale is also provided. The lid holds the screws in place during autoclaving and storing. 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. Suffix CS is for AO type cortical screws. Suffix ST is for self-tapping (Sherma) type screws. Available in a range of sizes to suit most instrument sets and autoclaves. Fingered silicone inserts are available to minimise contact between instruments. Replace filters annually. SCREW BOX SH2700ST For 2.7mm screws (10-50mm) £51.12 SH3500ST For 3.5mm screws (10-50mm) £51.12 SH2735ST For 2.7 & 3.5mm screws (10-50mm) INSTRUMENT BOX BX201040 200x100x40mm £26.99 BX201040NF 200x100x40mm. Solid no filter £26.99 BX221250 220x120x50mm £35.33 220x120x50mm. Solid no filter £35.33 BX221250NF BX221550 220x150x50mm £36.53 BX281450 280x140x50mm £46.66 BX341650 340x165x50mm £56.65 BX341670 340x165x70mm £61.00 BX402070 400x200x70mm £63.86 SH202735ST For 2.0, 2.7 & 3.5mm screws £51.12 £57.51 SH2735CS Screw box for 2.7 & 3.5mm screws (10-28mm) £51.12 SH2700CS Screw box for 2.7mm screws (6mm to 34mm) £51.12 SH3500CS Screw box for 3.5mm screws (10-28mm) £51.12 SH3540CS Screw box for 3.5, 10-40mm & 4.0 screws (12-60mm) £57.51 SH202735CS Screw box 2mm / 2.7mm / 3.5mm screws £57.51 SH4500CS Screw box for 4.5mm screws (14 to 36mm) £51.12 SH5500 Screw box 5.5mm screws £57.12 FILTERS Filter State Box Size £2.00 Fingered Silicone Insert SCREW BOX SH4565CS Screw box 4.5-6.5 screws (14 to 50mm) (not 5.5 screws) £78.50 Needle Boxes (Autoclavable) Insert shown in use with Castroviejo scissors (not included) Available in polypropylene or stainless steel. See page 146 Autoclavable silicone insert to protect delicate instruments. POLYPROPYLENE NEEDLE BOX 091149 FINGERED SILICONE INSERT Polypropylene Needle Box £1.75 BXSIL100 For 200x100 box £20.00 STAINLESS STEEL NEEDLE BOX BXSIL2540 For 250x150 box £25.00 NDLBOX Stainless Steel Needle Box £12.66 NDLBOXL Needle/Small Parts Box Large £18.66 Implants & Screws 75 103462_CH07_p70-95 7 13/2/06 09:22 Page 76 IMPLANTS & SCREWS Implants & Screws Sherman Self-Tapping Equipment Tissue Protection 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 & Sleeves for Slotted Screws (Sherman Type) TISSUE PROTECTION SLEEVES 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. SCREWDRIVER FLAT END SDF200 For 2mm screws SDF270 For 7/64”/2.7mm screws £39.80 SDF350 For 9/64”/3.5mm screws £39.80 £39.80 SCREWHOLDING SLEEVE SSF201 For 2mm screws £31.17 SSH2740 For 7/64”/2.7mm & 9/64”/3.5mm screws £31.17 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 £39.80 Depth Gauge 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. DEPTH GAUGE DG2027 For 2.0mm & 2.7mm screws £57.51 DG2735 For 2.7mm & 3.5mm screws £57.51 76 TP2020 For drill/taps to 2.0mm £38.30 TP0027 For drill/taps to 2.7mm £38.30 TP0035 For drill/taps to 3.5mm £38.30 TP0045 For drill/taps to 4.5mm £38.30 103462_CH07_p70-95 13/2/06 09:22 Page 77 7 IMPLANTS & SCREWS www.vetinst.com info Sherman Self-Tapping Screws & Plates 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 SHERMAN TYPE SCREW LENGTHS - Measure from top of countersink to tip INCHES 3/8 1/2 5/8 3/4 7/8 1 1 1/8 1 1/4 1 3/8 1 1/2 38 MM 10 13 16 19 22 25 28 31 34 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 41 2.0 1.6 090111 2.0 H090102 090102 S090102S SDF200 7/64” - 2.7mm 2.4 H090112 090103 S090112S N/A 2.7 H090104 090104 S090104S SDF270 9/64” - 3.5mm 2.7 H090104 090104 S090104S 3.5 H090106S 090106 S090106S SDF350 NB: 2mm Sherman Type Self Tapping Screws are measured in 2mm increments from 6mm. 2mm Self Tapping System (Sherman) 2mm Bone Plates (Round holes) 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. 2mm Self Tapping System (Sherman) 2mm ROUND HOLE PLATE 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. PR200213 2 (number of holes) 2mm Self Tapping Kit (Sherman) 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 STAPKIT.2.0 Self Tapping Kit 2mm - ring for full details £348.31 13 (length in mm) £5.28 PR200420 4 20 £7.90 PR200423 4 23 £7.90 PR200525 5 25 £9.60 PR200528 5 28 £9.60 PR200630 6 30 £11.93 PR200633 6 33 £11.93 PR200735 7 35 £13.51 PR200738 7 38 £13.51 PR200840 8 40 £15.20 2mm Self Tapping Screws (Sherman) PR200843 8 43 £15.20 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. CP2051502mm Cuttable plate 30 holes x 150mm £48.69 CM2051502mm Cuttable malleable plate 30 holes x 150mm £68.51 2mm SELF TAPPING SCREWS - single slot head (use 1.6mm pilot) ST2006 6mm £1.66 ST2008 8mm £1.66 ST2010 10mm £1.79 ST2012 12mm £1.79 ST2014 14mm £1.88 ST2016 16mm £1.88 ST2018 18mm £2.01 ST2020 20mm £2.01 Implants & Screws 77 103462_CH07_p70-95 13/2/06 7 09:22 Page 78 IMPLANTS & SCREWS Implants & Screws 2.7mm - 7/64" Self Tapping System (Sherman) 2.7mm Round Hole Plate Continued 2.7mm / 7/64" ROUND HOLE PLATE (6mm wide) 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 PR270215 2 (number of holes) 15 (length in mm) £6.32 PR270424 4 24 £7.90 PR270427 4 27 £7.90 PR270530 5 30 £9.61 PR270533 5 33 £9.61 PR270636 6 36 £11.93 PR270639 6 39 £11.93 PR270742 7 42 £13.49 PR270745 7 45 £13.49 PR270848 8 48 £15.20 PR270851 8 51 £15.20 CP276150 2.7mm / 7/64" Cuttable plate 24 holes x 150mm £43.82 CM276150 2.7mm / 7/64" Cuttable malleable plate 24 holes x 150mm £54.78 2.7mm Heavy Duty Round Hole Plate 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) £1.34 ST2713 1/2" 13mm £1.34 ST2716 5/8" 16mm £1.87 ST2719 3/4" 19mm £1.87 ST2722 7/8" 22mm £1.87 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 ST2725 1" 25mm ST2728 1 1/8" 28mm £1.87 ST2731 1 1/4" 31mm £2.04 ST2734 1 3/8" 34mm £2.04 HEAVY DUTY 2.7mm / 7/64" ROUND HOLE PLATE (8mm wide) ST2738 1 1/2" 38mm £2.04 HPR270744 7 (number of holes) 44 (length in mm) ST2741 1 5/8" 41mm £2.04 HPR270750 7 50 £14.38 ST2744 1 3/4" 44mm £2.04 HPR270850 8 50 £15.66 ST2748 1 7/8" 48mm £2.04 HPR270856 8 56 £15.66 ST2750 2" 50mm £2.04 HPR270956 9 56 £16.41 ST2757 2 1/4" 57mm £2.04 HPR270962 9 62 £16.41 HPR271062 10 62 £18.19 HPR271068 10 68 £18.19 HPR271168 11 68 £19.98 HPR271174 11 74 £19.98 HPR271274 12 74 £21.76 HPR271280 12 80 £21.76 £1.87 2.7mm Round Hole Plate (6mm wide - 2mm thick) 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. 78 £14.38 103462_CH07_p70-95 13/2/06 09:22 Page 79 7 IMPLANTS & SCREWS www.vetinst.com 3.5mm 9 / 64” Self Tapping Screws (Sherman) 3.5mm Standard Round Hole Plates 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 DCP’s to create inter-fragmentary compression. 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. 3.5mm / 9/64" ROUND HOLE PLATE 3.5mm / 9/64" SELF TAPPING SCREWS (cross slot head - use 2.7mm pilot) P3502022 2 (number of holes) 22 (length in mm) £6.14 P3504046 4 46 £7.68 ST3510 3/8” (length in inches) 10 (length in mm) £1.34 P3504052 4 52 £7.68 ST3513 1/2” 13 £1.34 P3505058 5 58 £9.34 ST3516 5/8” 16 £1.87 P3505064 5 64 £9.34 ST3519 3/4” 19 £1.87 P3506070 6 70 £11.58 ST3522 7/8” 22 £1.87 P3506076 6 76 £11.58 ST3525 1” 25 £1.87 P3507082 7 82 £13.11 ST3528 1 1/8” 28 £1.87 P3507088 7 88 £13.11 ST3531 1 1/4” 31 £2.04 P3508094 8 94 £14.76 ST3534 1 3/8” 34 £2.04 P3508100 8 100 £14.76 9 106 £16.07 ST3538 1 1/2” 38 £2.04 P3509106 ST3541 1 5/8 41 £2.04 P3509118 9 118 £16.07 ST3544 1 3/4” 44 £2.04 P3510118 10 118 £18.67 ST3548 1 7/8” 48 £2.04 P3510130 10 130 £18.67 ST3550 2” 50 £2.04 ST3557 2 1/4” 57 £2.04 ST3564 2 1/4” 64 £2.04 Implants & Screws 79 103462_CH07_p70-95 13/2/06 7 09:22 Page 80 IMPLANTS & SCREWS Implants & Screws 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 DCP’s. Typically Sherman and Venables plates are limited in terms of plate strength and hole distribution. 3.5mm Heavy Duty Plate Round Holes (12mm wide 4mm thick) Venables Plates Stronger than the Sherman plate, the Venables range is smaller. Veterinary Instrumentation has added three plates with odd numbers of holes which can be useful where the fracture is in the distal 1/3 of the bone. Compatible with any appropriately sized screw. VENABLES BONE PLATES 090180 8 (number of holes) 5 (length in) 127 (length mm)£10.30 090181 7 4.5 114 £11.13 090182 6 4.5 114 £10.50 090183 6 4.0 102 £10.50 090184 5 4.0 102 £10.50 090185 5 3.5 89 £10.50 090186 4 3.5 89 £10.50 090187 4 3.0 76 £8.50 090188 4 2.5 64 £8.50 £15.20 090189 4 1.75 45 £8.50 £16.55 090190 4 1.5 38 £7.35 £19.23 090191 4 1.25 32 £7.35 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. HEAVY DUTY 3.5mm / 9/64" ROUND HOLE PLATE H3508104 H3509117 8 (number of holes) 9 104 (length in mm) 117 H3510130 10 130 H3511143 11 143 £21.05 H3512156 12 156 £22.88 H3513169 13 169 £24.49 H3514180 14 180 £26.67 H3515195 15 195 £28.60 Sherman Plates Widely used but lack strength when stressed. Use in a non-load bearing situation. Use with any appropriately sized bone screws. SHERMAN BONE PLATES 80 090041 Size 0 6 holes 140mm £15.53 090042 Size 1 6 holes 117mm £15.53 090043 Size 2 6 holes 117mm £15.53 090044 Size 3 6 holes 117mm £15.53 090045 Size 4 6 holes 92mm £15.53 090046 Size 5 4 holes 79mm £15.53 090047 Size 6 4 holes 79mm £15.53 090048 Size 6.5 4 holes 76mm £15.53 090049 Size 7 4 holes 57mm £15.53 090050 Size 8 4 holes 51mm £15.53 090051 Size 10 3 holes 45mm £15.53 090052 Size 11 3 holes 35mm £15.53 090053 Size 12 2 holes 32mm £15.53 103462_CH07_p70-95 13/2/06 09:22 Page 81 7 IMPLANTS & SCREWS www.vetinst.com AO Type Screws & Plate Equipment info 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 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 CANCELLOUS 6.5 PILOT DRILL 1.1 1.5 1.5 1.5 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 H090102 H090102 H090102 H090112 H090102 H090112 H090112 H090105S H090107 H090105S JACOBS SOFT - 090101 090101 090101 090102 090102 090102 090112 090102 090112 090112 090105 090107 090105 SYNTHES FIT S090100S S090101S S090101S S090101S S090102S S090102S S090102S S090112S S090102S S090112S S090112S S090105S S090107 S090105S TAP - QUICK FIT TD0015 TD0020 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 TT0027 N/A N/A TT12535 TT17535 N/A TT17535 TT00045 - TT00065 6.5 CLEARANCE DRILL 1.5 2.0 2.0 2.0 2.7 2.7 3.0 3.5 3.5 3.5 4.0 4.5 5.5 JACOBS HARD H090101 H090102 H090102 H090102 H090104 H090104 H090205 H090106S H090106S H090106S H090107 H090108S H090109 - JACOBS SOFT 090101 090102 090102 090102 090104 090104 - 090106 090106 090106 090107 090108 - - SYNTHES FIT S090101S S090102S S090102S S090102S S090104S S090104S SDD1500 S090106S S090106S S090106S S090107 S090108S S090109 - SCREW DRIVER - TYPE 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 SDH2540 SDH2540 SDH2540 SDH2540 SDH2540 SDH2540 SDH2540 SDH3500 SDH3500 SDH3500 Cortical Kits Taps Placement of a compression plate is a specialist procedure requiring training and dedicated equipment. It is convenient to purchase the range of specialised instruments as a kit in a stainless steel autoclavable case. The kit contains a screw rack and a range of plates and screws to meet typical requirements. The instruments are discounted when purchased as a kit. 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. 2.7, 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. For more details phone 0845 130 9596 or visit www.vetinst.com and follow the links for the chapter 7 page. Compression Plates and Cortical Screws (AO/ASIF type) TAPS QRCS01 Handle for 2.7, 3.5, 4.0, 4.5 taps. Synthes fit £95.46 Quick Release Tap Handle Dental Fit TD0015 Metal Handle 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. Suitable for dental fit 1.5 and 2.0mm taps. Also accepts screwdriver and countersink attachments for the 1.5/2.0 systems. QUICK RELEASE TAP HANDLE DENTAL FIT DC20 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. Handle for 2mm tap (dental fit) £99.00 QUICK RELEASE TAPS TD0015 1.5mm cortical TD0020 2.0mm cortical £32.85 TS00027 2.7mm cortical £23.44 COMPRESSION PLATES & CORTICAL SCREWS (AO/ASIF type) TS12535 3.5mm (1.25 pitch) cortical £23.44 CORTKIT1.5/2 1.5/2.0mm Cortical Kit in Stainless Box £1,257.91 TS17535 3.5mm (1.75 pitch) small cancellous £25.44 £828.97 TS00045 4.5mm £25.44 TS00045/L 4.5mm. Extra long (195mm) £27.98 TS00055 5.5mm £35.44 TS00065 6.5mm £35.44 CORTKIT2 2.0mm Cortical Kit in Stainless Box CORTSTKIT2 2.0mm Cortical Self Tapping Kit in Stainless Box £828.97 CORTKIT2.7/3.5 2.7/3.5mm Cortical Kit in Stainless Box £1,669.61 CORTSTKIT2735 2.7/3.5mm Cortical Self Tapping Kit in Stainless Box £1,545.75 CORTKIT4.5 4.5mm Cortical Kit in Stainless Box £30.42 Implants & Screws £991.08 81 103462_CH07_p70-95 7 13/2/06 09:22 Page 82 IMPLANTS & SCREWS Implants & Screws T Bar Taps Drill Guides and Inserts CEG2735 CEG4565 These taps require no additional handle. 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. T BAR TAPS TT0015 T Bar Tap 1.5mm cortical £23.44 TT0020 T Bar Tap 2.0mm cortical £23.44 TT0027 T Bar Tap 2.7mm cortical £23.44 TT12535 T Bar Tap 3.5 (125pitch) cortical £23.44 TT17535 T Bar Tap 3.5(175pitch) small cancellous £23.44 TT00045 T Bar Tap 4.5mm cortical £23.44 TT00065 T Bar Tap 6.5mm cancellous £35.44 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 (does not include insert sleeves) CEG2735 Small drill guide i/d 3.5mm “C” guide £53.12 LARGE DRILL GUIDE (does not include insert sleeves) Adjustable Drill Guide CEG4565 Large drill guide i/d 6.5mm “C” guide £67.07 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 Triple drill guide/sleeve for 1.1 & 1.5mm drills £80.86 SLG0020 Triple drill guide/sleeve for 2.0mm drills £78.50 SLG0025 Triple drill guide/sleeve for 2.5mm drills £78.50 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. • A scale on the instrument measures hole depth. • Applications include condyle fractures, femoral neck tunnels and screw holes, proximal TPLO screws, ununited anconeal process. COMBINATION DRILL, TAP & INSERT SLEEVE In our view this design has significant advantages over ‘CEG’ and ‘C’ guides. CDTIS27 Combination drill, tap & insert sleeve for 2.7 screws £76.00 CDTIS20 Combination drill, tap & insert sleeve for 2.0 screws £76.00 CDTIS35 Combination drill, tap & insert sleeve for 3.5 screws £76.00 DRILL GUIDES & INSERTS ADJDG2035 Adjustable drill guide for 2.0/2.5/3.5mm drills ADJDG45 Adjustable drill guide 4.5mm drills ADJSL55 Slider to fit 5.5 Cortical (equine) screws fits ADJDG45 CDTIS45 Combination drill, tap & insert sleeve for 4.5 screws £76.00 £125.00 £100.96 £29.00 82 103462_CH07_p70-95 13/2/06 09:22 Page 83 7 IMPLANTS & SCREWS www.vetinst.com Tissue Protection Sleeves Insert 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. Drill sleeves centre smaller drills in the placement of lag screws. INSERT SLEEVES SL2015 Insert sleeve 2.0mm o/d 1.5mm i/d £27.29 SL2720 Insert sleeve 2.7mm o/d 2.0mm i/d £27.29 TISSUE PROTECTION SLEEVES SL3520 Insert sleeve 3.5mm o/d 2.0mm i/d £27.29 TP2020 For drill/taps to 2.0mm £38.30 SL3525 Insert sleeve 3.5mm o/d 2.5mm i/d £27.29 TP0027 For drill/taps to 2.7mm £38.30 SL3527 Insert sleeve 3.5mm o/d 2.7mm i/d £27.29 TP0035 For drill/taps to 3.5mm £38.30 SL4532 Insert sleeve 4.5mm o/d 3.2mm i/d £27.29 TP0045 For drill/taps to 4.5mm £38.30 SL6545 Insert sleeve 6.5mm o/d 4.5mm i/d £27.29 Depth Gauge Hex Screwdrivers & Screwholding Sleeves 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. 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. DEPTH GAUGE Hex Screwdrivers for 2.0 & 1.5 Screws Screwdriver & sleeve for 2mm screws. SDHS20F DG1520 For 1.5mm & 2.0mm screws £57.51 DG2027 For 2.0mm & 2.7mm screws £57.51 DG2735 For 2.7mm & 3.5mm screws £57.51 DG4565 For 4.5mm & 6.5mm screws £137.74 Load Neutral Drill Guides HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 1.5/2.0 Screws SDH1520 1.5mm hex screwdriver- 1.5/2mm screws £40.80 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. SSH2000 Screwholding sleeve for1.5/2.0mm screws to fit SDH1520 £31.17 SDHS20F 1.5mm hex screwdriver + sleeve- with fibre handle £57.79 SDD1500 1.5mm Hex Dental Fit Screwdriver Attachment fits DC20 £22.29 LOAD NEUTRAL DRILL GUIDES Screwdrivers for 2.7, 3.5 & 4.0 Screws LNDG20 For 2.0mm Compression plates £103.56 LNDG27 For 2.7mm Compression plates £103.56 LNDG35 For 3.5mm Compression plates £103.56 LNDG45 For 4.5mm Compression plates £103.56 SDHS35F SDH35S Countersinks HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 2.7/3.5 & 4.0 Screws SDH2540 2.5mm hex screwdriver for 2.7, 3.5, 4mm screws £40.80 SSH2740 Screwholding sleeve for 2.7, 3.5, 4mm screws to fit SDH2540 £31.17 SDHS35F 2.5mm hex screwdriver + sleeve with fibre handle 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. £57.79 SDH35S Screwdriver Attachment Synthes Fit 2.7/3.5/4.0 Screws £22.50 COUNTERSINKS Screwdrivers for 4.5, 5.5 & 6.5mm Screws COU2535 Small countersink £36.94 HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 4.5, 5.5 & 6.5 Screws COU4565 Large countersink £36.94 SDH3500 3.5mm hex screwdriver for 4.5, 5.5 & 6.5mm screws £40.80 COU4565T Large countersink ‘T’ handle £36.94 SSH4500 Screwholding sleeve for 4.5/6.5 mm screws to fit SDH3500 £31.16 COUDEN 83 Mini Countersink Dental fit for 1.5/2.0mm screws £36.94 103462_CH07_p70-95 13/2/06 7 09:22 Page 84 IMPLANTS & SCREWS Implants & Screws Plate Bending 2.0mm Cortical Screws PLATE BENDING 001286 AO type 1.5/2.0 bending levers (pair) 130mm 001287 AO type 2.7/3.5 bending levers (pair) 140mm £29.00 001288 AO type 3.5/4.5 broad bending levers (pair) 200mm £33.70 001283 Plate Bending Pliers, Roller Type 15", 380mm £24.30 £122.00 001284A Reconstruction Plate Pliers 2.7mm plates £98.80 001284 Reconstruction Plate Pliers 3.5mm plates £98.80 001281 Bone Plate Press Small 285mm £290.00 001282 Bone Plate Press Large 16" 410mm £290.00 001289 2.7/3.0mm Bone Plate Contouring Pliers £163.00 001289A 2.0/2.7mm Bone plate Contouring Pliers £154.00 Available 6mm to 34mm length, the spherical head of these screws provides for compression when used in association with 2.0mm compression plates. Bending Templates 2.0mm CORTICAL SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot) 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. BENDING TEMPLATES BT200737 Bending Template 37mm for 2mm DCPs & Round Hole Plates £4.16 BT270760 Bending Template 60mm for 2.7 DCPs & Round Hole Plates £4.16 BT350786 Bending Template 86mm for 3.5 DCPs & Round Hole Plates £5.22 BT4507120 Bending Template 120mm for 4.5 DCPs & Broad 3.5 DCPs & HD & Round Hole Plates £5.22 BT450590 Bending Template 90mm for 4.5 DCPs Broad 3.5 DCPs & HD & Round Hole Plates £5.22 AO Type Screws & Plates CS2006 6mm £3.54 CS2008 8mm £3.54 CS2010 10mm £3.74 CS2012 12mm £3.74 CS2014 14mm £4.47 CS2016 16mm £4.47 CS2018 18mm £4.76 CS2020 20mm £4.76 CS2022 22mm £5.49 CS2024 24mm £5.49 CS2026 26mm £5.49 CS2028 28mm £5.49 CS2030 30mm £5.49 CS2032 32mm £5.49 CS2034 34mm £5.49 2.0mm Cortical Self Tapping Screws - hex head 1.5mm (use 1.5mm pilot) 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. 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. 1.5mm CORTICAL SCREWS - HEX HEAD 1.5mm (use 1.1mm pilot) CS1506 6mm £3.54 CS1507 7mm £3.54 CS1508 8mm £3.54 2.0mm CORTICAL SELF TAPPING SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot) CS1509 9mm £3.54 CSST2006 6mm £3.74 CSST2008 8mm £3.73 10mm £3.94 CS1510 10mm £3.73 CS1511 11mm £3.74 CSST2010 CS1512 12mm £3.74 CSST2012 12mm £3.94 14mm £4.67 CS1514 14mm £4.47 CSST2014 CS1516 16mm £4.47 CSST2016 16mm £4.67 18mm £4.96 CS1518 18mm £4.76 CSST2018 CS1520 20mm £4.76 CSST2020 20mm £4.96 £5.50 CSST2022 22mm £5.70 CS1522 22mm CS1524 24mm £5.50 CS1526 26mm £5.50 CS1528 28mm £5.50 CS1530 30mm £5.50 CS1532 32mm £5.50 CS1534 34mm £5.50 84 103462_CH07_p70-95 13/2/06 09:22 Page 85 7 IMPLANTS & SCREWS www.vetinst.com 2.7mm Cortical Screws 2.2mm Cancellous Screws Use with 2.7mm compression and 2.7mm reconstruction plates to obtain compression at fracture site. 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. 2.2mm CANCELLOUS SELF TAPPING SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot) 2.7mm CORTICAL SCREWS - HEX HEAD 2.5mm (use 2mm pilot) CAN2208 8mm £3.58 CS2706 6mm £2.78 CAN2210 10mm £3.58 CS2708 8mm £2.78 CAN2212 12mm £3.58 CS2710 10mm £2.90 CAN2214 14mm £3.58 CS2712 12mm £2.90 CAN2216 16mm £3.58 CS2714 14mm £3.81 CAN2218 18mm £4.39 CS2716 16mm £3.81 CAN2220 20mm £4.39 CS2718 18mm £3.81 CAN2222 22mm £4.39 CS2720 20mm £4.21 CAN2224 24mm £4.39 CS2722 22mm £4.21 CS2724 24mm £4.21 CS2726 26mm £4.82 CS2728 28mm £4.82 CS2730 30mm £5.29 CS2732 32mm £5.29 CS2734 34mm £5.89 CS2736 36mm £5.89 1.5 / 2.0mm Compression Plates CS2738 38mm £6.52 CS2740 40mm £6.52 Use with 2.0mm cortical screws if compression is required. 2.7mm Cortical Self Tapping Screws 1.5 / 2.0mm COMPRESSION PLATES no. of holes thickness (mm) length (mm) CP20422 4 1.0 22 £19.04 CP20527 5 1.0 27 £21.48 CP20632 6 1.0 32 £23.18 CP20737 7 1.5 37 £31.55 CP20842 8 1.5 42 £34.27 CP201052 10 1.5 52 £45.37 12 1.5 62 £56.37 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) CSST2706 6mm £2.98 CSST2708 8mm £2.98 CSST2710 10mm £3.10 CSST2712 12mm £3.10 CSST2714 14mm £4.01 CSST2716 16mm £4.01 CSST2718 18mm £4.01 CSST2720 20mm £4.01 CSST2722 22mm £4.41 CSST2724 24mm £4.41 CSST2726 26mm £5.02 CSST2728 £5.02 Mini Bone Plates 28mm CSST2730 30mm £5.49 Use with 2mm cortical screws if compression is required. CSST2732 32mm £5.49 CSST2734 34mm £6.10 CP201262 Mini Bone Plates 2 mm MINI BONE PLATES MP20317 3 (number of holes) 17 (length in mm) £16.67 CSST2736 36mm £6.10 MP20423 4 23 £18.25 CSST2738 38mm £6.72 MP20529 5 29 £18.25 CSST2740 40mm £6.72 MP20635 6 35 £21.83 MP207039 7 39 £21.83 85 103462_CH07_p70-95 7 13/2/06 09:22 Page 86 IMPLANTS & SCREWS Implants & Screws 3.5mm Cortical Screws (1.25 pitch) DIN58812 3.0mm Cancellous Screws 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. Use with 3.5mm compression and 3.5 mm reconstruction plates to obtain fracture site compression. 3.0mm CANCELLOUS FULL THREAD SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2mm pilot) CAN3012 12mm £3.58 CAN3014 14mm £3.58 3.5mm (1.25 PITCH) CORTICAL SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) CAN3016 16mm £3.58 CS3510 10mm £3.27 12mm £3.27 CAN3018 18mm £4.39 CS3512 CAN3020 20mm £4.39 CS3514 14mm £3.27 £4.39 CS3516 16mm £4.21 18mm £4.21 22mm CAN3022 CAN3024 24mm £4.39 CS3518 CAN3026 26mm £4.39 CS3520 20mm £4.21 CAN3028 28mm £4.39 CS3522 22mm £4.21 CAN3030 30mm £5.19 CS3524 24mm £4.21 CAN3032 32mm £5.19 CS3526 26mm £4.21 CAN3034 34mm £5.19 CS3528 28mm £4.21 £5.19 CS3530 30mm £5.01 CS3532 32mm £5.01 CS3534 34mm £5.01 CS3536 36mm £5.01 CS3538 38mm £5.01 CS3540 40mm £5.01 CS3545 45mm £5.89 CS3550 50mm £5.89 CS3555 55mm £7.93 CS3560 60mm £9.43 CS3565 65mm £9.43 CS3570 70mm £9.43 CS3575 75mm £10.93 CS3580 80mm £10.93 CS3585 85mm £10.93 CS3590 90mm £10.93 CS3595 95mm £14.49 CS35100 100mm £14.49 CS35105 105mm £14.49 CS35110 110mm £14.49 36mm CAN3036 2.7mm Compression Plates Use with 2.7mm cortical screws to produce fracture site compression. 2.7mm COMPRESSION PLATES no. of holes thickness (mm) length (mm) C2702020 2 2.0 20 £17.34 C2704036 4 2.0 36 £22.30 C2705044 5 2.0 44 £24.72 C2706052 6 2.0 52 £25.75 C2707060 7 2.5 60 £28.65 C2708068 8 2.5 68 £31.44 C2709076 9 2.5 76 £34.28 C2710084 10 2.5 84 £37.03 C2712100 12 2.5 100 £41.06 C2714116 14 2.5 116 £45.05 C2716132 16 2.5 132 NEW £48.00 2.7mm RECONSTRUCTION PLATES no. of holes length (mm) RC270540 5 4 RC270648 6 48 £37.37 RC270864 8 64 £44.61 RC271080 10 80 £50.68 RC271296 12 96 £56.73 CM276150 2.7mm / 7/64” Cuttable malleable plate 24holes £54.78 £30.41 86 103462_CH07_p70-95 13/2/06 09:22 Page 87 7 IMPLANTS & SCREWS www.vetinst.com 2.7mm Quarter Tubular Plate 3.5mm Cancellous Screws (1.75 pitch) 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. The much coarser thread gives a much bigger "bite" to bone. Use on metaphysis or other cancellous bone. The screw needs its own tap. 2.7mm 1/4 TUBULAR COMPRESSION PLATES T2703023 3 (number of holes) 23 (length in mm) £6.80 T2704031 4 31 £7.39 3.5mm (1.75 PITCH) SMALL CANCELLOUS SCREWS - HEX HEAD 2.5mm (use 2.0mm pilot) T2705039 5 39 £7.81 CAN3510 10mm £3.58 T2706047 6 47 £8.53 CAN3512 12mm £3.58 T2707055 7 55 £9.36 CAN3514 14mm £3.58 T2708063 8 63 £10.00 CAN3516 16mm £3.58 CAN3518 18mm £4.39 CAN3520 20mm £4.39 CAN3522 22mm £4.39 CAN3524 24mm £4.39 CAN3526 26mm £4.39 CAN3528 28mm £4.39 CAN3530 30mm £5.20 CAN3532 32mm £5.20 CAN3534 34mm £5.20 CAN3536 36mm £5.20 CAN3538 38mm £5.20 CAN3540 40mm £5.20 CAN3545 45mm £6.15 CAN3550 50mm £6.15 CAN3555 55mm £6.89 CAN3560 60mm £7.25 3.5mm Cortical Self Tapping Screws 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. if pre-tapped cortical screws. 3.5mm (1.25 PITCH) CORTICAL SELF TAPPING SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) CSST3510 10mm £3.57 CSST3512 12mm £3.57 CSST3514 14mm £3.57 CSST3516 16mm £3.57 CSST3518 18mm £4.51 CSST3520 20mm £4.51 CSST3522 22mm £4.51 CSST3524 24mm £4.51 CSST3526 26mm £4.51 CSST3528 28mm £4.51 CSST3530 30mm £5.32 CSST3532 32mm £5.32 CSST3534 34mm £5.32 CSST3536 36mm £5.32 CSST3538 38mm £5.32 CSST3540 40mm £5.32 CSST3545 45mm £6.20 CSST3550 50mm £6.20 CSST3555 55mm £7.59 Implants & Screws 87 103462_CH07_p70-95 13/2/06 7 09:22 Page 88 IMPLANTS & SCREWS Implants & Screws 3.5mm Compression Plate Reconstruction Plates Reconstruction plates are designed for easy contouring. Notching between holes facilitates multiplanar bending. Useful for reconstruction of non-load bearing bone. Especially useful in the pelvis. The round hole 2.7mm and 2.0mm plates are particularly good value. Use reconstruction plate pliers to bend 2.7 and 3.5mm plates respectively. See page 34. Use with 3.5mm cortical or 3.5mm cancellous screws to produce fracture compression. 3.5mm RECONSTRUCTION PLATES - COMPRESSION RC350558 5 (number of holes) 58 (length in mm) £39.35 C3502026 2 (number of holes) 26 (length in mm) £20.65 RC350670 6 70 £42.68 C3503038 3 38 £21.34 RC350782 7 82 £47.21 £22.02 RC350894 8 94 £51.14 10 118 £51.72 12 142 £60.73 3.5mm COMPRESSION PLATES C3504050 4 50 C3505062 5 62 £23.18 RC3510118 C3506074 6 74 £23.84 RC3512142 C3507086 7 86 £25.22 C3508098 8 98 £26.56 C3509111 9 111 £29.45 C3510122 10 122 £32.52 C3512146 12 146 £40.70 C3514170 14 170 £43.00 C3516194 16 194 £48.00 4mm Cancellous Screws Full Threaded Broad 3.5mm Compression Plate Use in cancellous bone where greater screw/bone interface is desirable. 4mm FULLY THREADED CANCELLOUS SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) BC3505062 BC3506074 BC3507087 BC3508098 5 6 7 8 50 (length in mm) 62 74 87 98 £2.90 12mm £2.90 CNF4014 14mm £3.14 CNF4016 16mm £3.14 18mm £3.45 CNF4020 20mm £3.45 CNF4022 22mm £3.58 CNF4024 24mm £3.58 CNF4026 26mm £3.99 CNF4028 28mm £3.99 £37.08 CNF4030 30mm £4.88 £39.48 CNF4035 35mm £4.88 £39.48 CNF4038 38mm £4.88 £42.78 CNF4040 40mm £4.88 £46.07 CNF4045 45mm £5.70 50mm £5.70 BROAD 3.5mm COMPRESSION PLATES 4 (number of holes) 10mm CNF4012 CNF4018 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 p.35. BC 3504050 CNF4010 BC3509110 9 110 £49.97 CNF4050 BC3510122 10 122 £54.10 CNF4055 55mm £6.52 CNF4060 60mm £6.52 BC3511134 11 134 £58.00 BC3512146 12 146 £62.02 BC3513158 13 158 £65.94 BC3514170 14 170 £70.42 BC3515182 15 182 £75.27 BC3516194 16 194 £81.95 88 103462_CH07_p70-95 13/2/06 09:22 Page 89 7 IMPLANTS & SCREWS www.vetinst.com 4mm Cancellous Screws Part Threaded 4.5mm Cortical Screws The near cortex does not need overdrilling with a guide hole which can be useful in small bone fragments. 4mm PART THREADED CANCELLOUS SCREWS - HEX HEAD 2.5mm (use 2.5mm pilot) 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. CNP4010 10mm £2.90 CNP4012 12mm £2.90 CNP4014 14mm £2.90 CNP4016 16mm £2.90 4.5mm CORTICAL SCREWS - HEX HEAD 3.5mm (use 3.2mm pilot) CNP4018 18mm £3.79 CS4512 12mm CNP4020 20mm £3.79 CS4514 14mm £4.38 CNP4022 22mm £3.79 CS4516 16mm £4.38 £4.38 CNP4024 24mm £3.79 CS4518 18mm £4.38 CNP4026 26mm £3.79 CS4520 20mm £4.38 CNP4028 28mm £3.79 CS4522 22mm £4.38 £4.60 CS4524 24mm £5.08 26mm £5.08 CNP4030 30mm CNP4035 35mm £4.60 CS4526 CNP4040 40mm £4.60 CS4528 28mm £5.08 CNP4045 45mm £5.55 CS4530 30mm £5.08 CNP4050 50mm £5.55 CS4532 32mm £5.08 CNP4055 55mm £6.13 CS4534 34mm £5.08 CNP4060 60mm £6.19 CS4536 36mm £5.08 CS4538 38mm £5.42 CS4540 40mm £5.42 CS4542 42mm £5.42 CS4544 44mm £5.42 CS4546 46mm £5.42 CS4548 48mm £5.42 CS4550 50mm £5.42 CS4552 52mm £5.42 CS4554 54mm £5.42 CS4556 56mm £6.17 CS4558 58mm £6.17 CS4560 60mm £6.17 CS4564 64mm £6.17 CS4566 66mm £6.17 CS4568 68mm £6.17 CS4570 70mm £6.17 CS4575 75mm £7.93 CS4580 80mm £9.43 CS4585 85mm £10.50 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) - NEW IF3507094 3.5 narrow IF (Interfragmentary DCP) 7 hole 94mm - NEW £77.81 Implants & Screws 89 103462_CH07_p70-95 13/2/06 7 09:22 Page 90 IMPLANTS & SCREWS Implants & Screws 5.5mm Cortical Screws Narrow 4.5mm Compression Plate 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) CS5524 24mm CS5526 26mm £9.70 CS5528 28mm £10.36 CS5530 30mm £11.02 CS5532 32mm £11.68 CS5534 34mm £12.34 CS5536 36mm £13.00 CS5538 38mm £13.66 CS5540 40mm £14.32 CS5542 42mm £14.98 CS5544 44mm £15.64 £21.69 CS5546 46mm £16.30 £22.22 CS5548 48mm £16.96 £22.83 CS5550 50mm £17.62 52mm £18.28 Use with 4.5mm cortical screws to produce fracture site compression. NARROW 4.5mm COMPRESSION PLATES C45239 C45355 C45471 2 (number of holes) 3 4 39 (length in mm) 55 71 £9.04 C45587 5 87 £24.04 CS5552 C456103 6 103 £24.59 CS5554 54mm £19.28 56mm £19.28 £20.28 C457119 7 19 £25.84 CS5556 C458135 8 135 £27.11 CS5560 60mm £29.19 CS5564 64mm £21.28 70mm £22.28 C459151 9 151 C4510167 10 167 £32.04 CS5570 C4511183 11 183 £34.28 CS5580 80mm £23.88 £36.52 CS5590 90mm £25.48 £38.32 CS55100 100mm £27.08 C4512199 C4513211 12 13 199 211 C4514230 14 230 £40.99 C4515246 15 246 £43.23 C4516265 16 265 £57.36 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 TT00065 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. BROAD 4.5mm COMPRESSION PLATES CNF6525 25mm CNF6530 30mm £5.16 CNF6535 35mm £5.40 40mm £5.66 £6.00 £5.01 B4505087 5 (number of holes) 87 (length in mm) £31.33 CNF6540 B4506103 6 103 £32.38 CNF6545 45mm £34.40 CNF6550 50mm £6.14 55mm £6.30 B4507119 7 119 B4508135 8 135 £37.95 CNF6555 B4509151 9 151 £40.01 CNF6560 60mm £6.46 £42.00 CNF6565 65mm £6.60 £43.75 CNF6570 70mm £7.00 CNF6575 75mm £7.38 B4510167 B4511183 10 11 167 183 B4512199 12 199 £46.03 B4513215 13 215 £48.93 B4514231 14 231 £52.09 B4515247 15 247 £54.38 B4516263 16 263 £56.64 B4517279 17 279 £58.68 B4518295 18 295 £60.75 90 103462_CH07_p70-95 13/2/06 09:22 Page 91 IMPLANTS & SCREWS www.vetinst.com 7 ‘T’ Plates Washers Available for 4.0, 3.5, 2.7 and 2.0mm screws, either cortical or self tapping. ‘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 212 for full range of profiles including TPLO plates which offer three holes in the head. Use to spread load or retain wire or sutures. Use with cortical or selftapping screws. Spikey washers are used to reattach ligaments or secure grafts to the femur in the OTT technique of CrCL repair. WASHERS PW20 Plain washer 2.0mm/1.5 screws Stainless PW273540 Plain Washer 2.7/ 3.5 / 4.0mm Stainless £3.96 £3.74 PW45 Plain Washer 4.5mm Screws Stainless £3.74 SW20 Spikey Washer 2.0mm Screws Stainless £3.84 SW27 Spikey Washer 2.7mm Screws Stainless £3.84 SW3540 Spikey Washer 3.5/4.0mm Screws Stainless £3.96 SW45 Spikey Washer 4.5mm Screws Stainless £3.84 ‘T’ PLATES ROUND HOLE Suture Screws TC204018 2mm T 4 hole 18mm 2 holes distally £10.66 TC205024 2mm T 5 hole 24mm 2 holes distally £10.66 TL204018 2mm T 4 hole angle L 18mm 2 holes distally £10.66 TR204018 2mm T 4 hole angle R 18mm 2 holes distally £10.66 OL204018 2mm T 4 hole 18mm oblique L 2 holes distally £10.66 OR204018 2mm T 4 hole 18mm oblique R 2 holes distally £10.66 TC270532 2.7mm T 5 hole 32mm 2 holes distally £10.66 TL270532 2.7mm T 5 hole angle L 32mm 2 holes distally £10.66 TR270532 2.7mm T 5 hole angle R 32mm 2 holes distally £10.66 OL270532 2.7mm T 5 hole 32mm oblique L 2 holes distally £10.66 OR270532 2.7mm T 5 hole 32mm oblique R 2 holes distally £10.66 TC270639 2.7mm T 6 hole 39mm 2 holes distally £10.66 TC350655 3.5mm T 6 hole 55mm 2 holes distally £23.19 TC350777 3.5mm T 7 hole 77mm 2 holes distally £23.19 TC350877 3.5mm T 8 hole 77mm 2 holes distally £23.19 ‘T’ PLATES COMPRESSION Suture screw for hip luxation 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 pricelist below). Useful in; • Coxo femoral luxations • Shearing injuries • Co-lateral ligament repairs • Anchor for CCL lateral sutures. TPLO202026 2.0mm DCP 26mm overall length £18.00 TPLO272739 2.7mm DCP 39mm overall length £25.63 TPLO273539 2.7/3.5 DCP 39mm overall length - NEW Allows use of 3.5 cancellous screw in head £25.63 TPLO273545 2.7/3.5 DCP 45mm overall length Allows use of 2.7 and 3.5 screws in head 2.5mm thick - NEW TPLO353555 3.5mm DCP 55mm overall length £29.00 £36.90 TPLO353557 3.5mm DCP 57mm overall length Heavy Duty £36.90 TPLO353577 3.5mm DCP 77mm overall length SUTURE SCREWS £36.90 TPLO353579 3.5mm DCP 79mm overall length Heavy Duty £38.95 SS2006 2.0mm dia 6mm long 1.0mm hole Cortical £11.09 SS2010 2.0mm dia 10mm long 1.0mm hole Cortical £11.09 SS2708 2.7mm dia 8mm long 1.5mm hole Cortical £11.09 SS2714 2.7mm dia 14mm long 1.5mm hole Cortical £11.09 SS3512 3.5mm dia 12mm long 2.0mm hole Cortical £11.09 SS3520 3.5mm dia 20mm long 2.0mm hole Cortical £11.09 SS4016 4.0mm dia 16mm long 2.0mm hole Cancellous £11.09 SS4024 4.0mm dia 24mm long 2.0mm hole Cancellous £11.09 SSIT20 Insertion tool for 2.0mm suture screws £39.80 SSIT27 Insertion tool for 2.7mm suture screws £39.80 SSIT3540 Insertion tool for 3.5 & 4.0mm suture screws £39.80 TPLO354579 3.5/4.5 DCP 79mm overall length Heavy Duty Allows 4.5 screws in head £38.95 91 TPLO 45659030 4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 3.0mm thick £75.00 TPLO 45659045 4.5mm DCP 90mm overall length Will accept 6.5 cancellous screws in head 4.5mm thick £75.00 103462_CH07_p70-95 13/2/06 7 09:22 Page 92 IMPLANTS & SCREWS Implants & Screws Biological Healing Plates Hybrid ‘T’ Plates BHP2008065 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. T202032tplates 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. 62mm long Actual Size BIOLOGICAL HEALING PLATES T273562 T202032 Actual Size 32mm long BHP2008065 2.0mm 8 hole 65mm long - Round Hole £17.73 BHP2706068 2.7mm 6 hole 63mm long - Round Hole £19.91 BHP2707067 2.7mm 7 hole 67mm long - Round Hole £19.91 BHP2708075 2.7mm 8 hole 75mm long - Round Hole £19.91 BHP3507120 3.5mm 7 hole 120mm long - Round Hole £19.91 BHP3508130 3.5mm 8 hole 130mm long - Round Hole £19.91 BHP4507138 4.5mm 7 hole 138mm long - Round Hole £22.09 BHP4508150 4.5mm 8 hole 150mm long - Round Hole £22.09 BHPB3508130 3.5mm Broad 8 hole 130mm long - Round Hole NEW £24.91 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. Acetabular Plates The screwholes in the head are smaller and closer together than those in the shaft. Two sizes are available 2.7/3.5 and 1.5/2.0 Both plates will accept the same screw in the head as in the shaft but with reduced range of screw angulation. The longer plate is useful for complex distal radius fractures and corrective osteotomies. HYBRID ‘T’ PLATES T273562 Hybrid ‘T’ Plate - 2.7 or 3.5mm head 3.5mm shaft 62mm long NEW £36.00 T273585 Hybrid ‘T’ Plate - 2.7 or 3.5mm head 3.5mm shaft 85mm long NEW £42.00 T202032 Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 32mm long NEW £25.00 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 precontoured three dimensionally to ensure a good fit. Holes are round. ACETABULAR PLATES 92 AP200400 2.0mm Acetabular plate 4 hole Size 0 £24.34 AP200401 2.0mm Acetabular plate 4 hole Size 1 £24.34 AP270602 2.7mm Acetabular plate 6 hole Size 2 £30.42 AP270603 2.7mm Acetabular plate 6 hole Size 3 £30.42 AP350604 3.5mm Acetabular plate 6 hole Size 4 £36.52 AP350605 3.5mm Acetabular plate 6 hole Size 5 £36.52 APSET Set of Acetabular plates Size 0 - 5 £141.81 103462_CH07_p70-95 13/2/06 09:22 Page 93 7 IMPLANTS & SCREWS www.vetinst.com Supracondylar Plates Pancarpal Arthrodesis Plate (Hybrid Plates) 2.7 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. See page 213 for profiles. SUPRACONDYLAR PLATES 152700 Supracondylar Femur Plate 2.0mm 50mm long. Right £46.00 152710 Supracondylar Femur Plate 2.0mm 50mm long. Left £46.00 152712 Supracondylar Femur Plate 2.7mm Left 152714 Supracondylar Femur Plate 2.7mm Right 152715 Supracondylar Femur Plate 3.5mm Left - 135mm £115.00 152717 Supracondylar Femur Plate 3.5mm Right - 135mm £115.00 152716 Supracondylar Femur Plate 3.5mm Left - 173mm £115.00 152718 Supracondylar Femur Plate 3.5mm Right - 173mm £115.00 £65.00 £65.00 Bending template for 2.0 supracondylar plate £5.00 BT152714 Bending template for 2.7 supracondylar plate £5.00 BT152717 Bending template for 3.5 supracondylar plate £5.00 BT152700 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. Pantarsal Arthrodesis Plate (medial) The taper on the distal part of the plate makes closure easier and automatically produces an angle of around 5 degrees. (See page 214 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. For partial carpal arthrodesis try our TPLO plates (see page 212). Also useful for pantarsal arthrodesis, intertarsal arthrodesis, distal tibial fracture and distal humerus fractures. ‘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 using our experience of producing custom plates. 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 214 for an actual size profile of the 2.7/3.5mm plate. Use a tibio calcaneous position screw to maximise stability. PANCARPAL ARTHRODESIS PLATES 2.0/2.7mm Arthrodesis plate round holes £34.55 152904 2.7/3.5mm Arthrodesis plate round holes £34.55 152904XL 2.7/3.5mm Arthrodesis plate round holes extended length £37.84 152908 3.5/3.5mm Arthrodesis plate round holes £34.55 152905 2.0/2.7mm Compression Arthodesis plate £46.81 152903 2.7/3.5mm Compression Arthodesis plate £46.81 152903XL 2.7/3.5mm Compression extended length PANTARSAL ARTHRODESIS PLATE 152907 SPECIAL Custom plate to your requirements 152914 2.7/3.5mm Pantarsal plate Right. See page 214 for profile 152913 2.7/3.5mm Pantarsal plate Left. See page 214 for profile £79.00 2.0/2.7mm Intertarsal plate See page 214 for profile £49.60 152920 152906 £140.00 3.5/3.5mm Compression Arthrodesis plate 152907XL 3.5/3.5mm Compression extended length £52.20 152909 3.5/4.5mm Pancarpal arthrodesis plate 185mm NEW 152911 1.5/2.0mm Compression arthrodesis plate. NEW £45.00 152912 2.0/2.0mm Compression arthrodesis plate. NEW £45.00 HDCA Carpal arthodesis technique video. Hamish Denny £35.00 £79.00 93 £51.20 £46.81 £108.00 103462_CH07_p70-95 13/2/06 7 09:22 Page 94 IMPLANTS & SCREWS Implants & Screws Orthopaedic Wire Ormrod Buttons Use to prevent sutures from ‘cheese wiring’ through bone, e.g. at hip toggle. Made from surgical nylon. ORMROD BUTTONS 090166 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 33. Minimise wire movement on periosteum. Tension wire banding should be performed where muscular forces must be transferred beyond a fracture or osteotomy, eg Tibial crest avulsion or trochanteric osteotomy. 1.0mm wire is the most useful. All are supplied in 10 metre rolls. 0.2 (diameter in mm) OW0310 0.3 (gauge) £2.50 Cerclage Buttons - NEW 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. ORTHOPAEDIC WIRE (in 10m rolls) OW0210 Omrod Button, Nylon 8mm diameter (sterile) £5.10 £5.31 OW0410 0.4 27 OW0510 0.45 25 £7.58 OW0610 0.56 24 £9.82 £6.58 OW0710 0.71 22 £10.93 OW0810 0.8 21 £14.45 OW0910 0.9 OW1010 1.0 20 £24.48 OW1012 1.25 18 £26.24 OW1015 1.5 £14.45 CERCLAGE BUTTON £38.19 090175 Cerclage Button for use with 3.5mm DCP. NEW £15.00 Wires with Eyelet Cortical Nuts 30º 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 33 & 34. Occasionally tapped threads strip and a larger screw is appropriate. Lag screws are particularly vulnerable as only one cortex is available. 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. ORTHOPAEDIC WIRE (with eyelet) CWWE22 Orthopaedic Wire with Eyelet. 22g x 12 (6 pack) £16.73 CWWE20 Orthopaedic Wire with Eyelet. 20g x 12" (6 pack) £16.73 CWWE18 Orthopaedic Wire with Eyelet. 18g x 12" (6 pack) £16.73 001262 Wire Loop Tightener for above 200010.00 Twisterz Wire Twisters £68.73 CORTICAL NUTS £98.00 CN27 2.7mm Cortical Nut (sterile) £4.36 CN35 3.5mm Cortical Nut (sterile) £4.83 CN45 4.5mm Cortical Nut (sterile) £5.51 N45 94 4.5mm Cortical Nut S/S £8.86 103462_CH07_p70-95 13/2/06 09:22 Page 95 7 IMPLANTS & SCREWS www.vetinst.com Drill Bits Webb Bolt info 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. 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 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. DRILL BITS - Stainless Steel 316 Implant Quality - Short Life WEBB BOLTS 090101 (diameter in.) 1.5 (diameter mm) 090111 1/16 1.6 £5.91 090102 5/64 2.0 £5.91 090103 3/32 2.4 £5.91 2.5 £5.91 7/64 2.7 £5.91 1/8 3.2 £5.91 3.5 £5.91 3.6 £5.91 092003 Webb bolt 5mm/8cm Drill 5.5mm £21.75 090112 092000 Webb bolt 4mm/8cm Drill 4.5mm £21.75 090104 092001 Webb bolt 3mm/8cm Drill 3.2mm £21.75 090105 092002 Webb bolt 2mm/5cm Drill 2.5mm £21.75 090106 9/64 090113 Orthopaedic Ruler Drill gauge £5.91 090107 5/32 4.0 £5.91 090108 11/64 4.5 £5.91 090118 3/16 4.8 £5.91 090109 1/4 6.35 £5.91 090115S Drill Box S/Steel Empty (for I/Q drills) £66.00 090116 Drill Box S/S complete with I/Q drills £108.90 Drill Bits - Hard Expensive but last a long time. All Synthes 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 H090100 Imperial 0.052 (dia in) 60 2.0 100 £12.92 2.5 115 £14.04 2.5 115 £17.30 2.7 130 £14.44 H090105S 1/8 3.2 130 £15.33 H090105L 1/8 3.2 180 £16.31 H090106S 9/64 3.5 130 £15.45 H090106L 9/64 3.5 200 £17.13 5/32 4.0 130 £18.58 H090102 5/64 H090112 H090112G H090104 Metric Used to measure pin, wire, drill and screw diameter. Supplied in either metric or imperial sizes. ORTHOPAEDIC RULER 1.1 (dia mm) 60 (length mm) £11.97 1.5 H090101 H090107 7/64 £12.52 001498 Orthopaedic Ruler Imperial £12.22 H090108S 11/64 4.5 130 £17.24 001497 Orthopaedic Ruler Metric £12.22 H090108L 11/64 4.5 180 £21.79 001496 Screw and drill gauge H090109 5.5 130 £21.79 £9.50 H090202 1.9mm predrill for 2.0mm shank positive pin. NEW £12.92 H090203 2.3mm predrill for 2.4mm shank positive pin. NEW £12.92 Implants & Screws H090205 95 3.0mm predrill for 3.2mm shank positive pin. NEW £15.33 H090207 3.8mm predrill for 4.0mm shank positive pin. NEW £17.24 090117 Drill Box S/S complete with Hard Drills £193.25 103462_CH07_p70-95 13/2/06 7 09:22 Page 96 IMPLANTS & SCREWS Implants & Screws Mini Drill Bits Anti Skid Drills In stainless steel - hard. DRILL BITS - DENTAL FIT 1.1 (dia mm) £36.00 D090101 1.5 £36.00 D090102 2.0 £36.00 D090100 0.052 (dia in.) Drill Case 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. 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. 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 H090101AS Anti Skid Drill 1.5mm 60mm long NEW £16.00 H090102AS Anti Skid Drill 2.0mm 100mm long NEW £16.00 H090112AS Anti Skid Drill 2.5mm 115mm long NEW £16.00 H090104AS Anti Skid Drill 2.7mm 130mm long NEW £16.00 H090105SAS Anti Skid Drill 3.2mm 130mm long NEW £16.00 H090106SAS Anti Skid Drill 3.5mm 130mm long NEW £16.00 H090108SAS Anti Skid Drill 4.5mm 130mm long NEW £16.00 Drill Bits - Synthes Fit Synthes 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 - SYNTHES FIT 1.1 (dia mm) 60 (length mm) £19.93 S090101S 1.5 85 £20.19 S090101L 1.5 95 £22.08 DRILL CASE S090100S 0.052 (dia in.) S090102S 5/64 2.0 100 £18.25 090115H Drill box for hard drills empty £66.00 S090102L 5/64 2.0 125 £18.81 090117 Drill box with hard drills (10) £193.25 S090112S 2.5 110 £19.21 090117AS Drill box with antiskid drills (7) £193.25 S090112SG 2.5 110 £24.93 2.5 180 £24.93 S090104S 7/64 2.7 100 £19.34 S090104L 7/64 2.7 125 £19.93 S090105S 1/8 3.2 145 £20.85 S090105L 1/8 3.2 195 £26.41 S090106S 9/64 3.5 110 £21.80 S090106L 9/64 3.5 195 £27.01 S090107 5/32 4.0 145 £18.58 S090108S 11/64 4.5 145 £22.08 S090108L 11/64 4.5 195 £27.78 5.5 145 £28.20 S090112L S090109 96 103462_CH07_p70-95 13/2/06 09:23 Page 97 www.vetinst.com IMPLANTS & SCREWS Steinman Intra-Medullary Pins Bone Pin Storage 7 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 £27.55 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. 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 pins 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. BONE PIN TUBES 090039a I/m Pin Storage / Autoclave Tube 320mm £35.00 090039b I/m Pin Storage / Autoclave Tube 150mm £35.00 STEINMAN INTRA-MEDULLARY PINS TROCHAR TIPS (12”, 300mm length) 090000 1/16" 1.6mm £2.12 090001 5/64" 2.0mm £2.21 090002 3/3" 2.4mm £2.58 090003 7/64" 2.8mm £2.65 090004 1/8" 3.2mm £2.74 090005 9/64" 3.6mm £3.05 090006 5/32" 4.0mm £3.36 090007 3/16" 4.8mm £4.54 090008 1/4" 6.35mm £5.69 090009* 5/16" 8.0mm £7.49 090153 7/32" 5.6mm £5.69 Arthrodesis Wire STEINMAN INTRA-MEDULLARY PINS SCREW POINT TROCHAR TIPS (12”, 300mm length) 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, eg distal femoral fractures, tibial crest transplants and femoral neck fractures. (5", 125mm). Supplied in packs of ten. 090010 1/16" 1.6mm 090011 5/64" 2.0mm £3.17 090012 3/32" 2.4mm £3.45 090013 7/64" 2.8mm £3.55 090014 1/8" 3.2mm £3.64 090015 9/64" 3.6mm £3.97 ARTHRODESIS WIRE TROCHAR Pointed at both ends. PACK OF 10 (5”, 125mm length) 090016 5/32" 4.0mm £4.31 090020 0.035" 0.9mm 090017 3/16" 4.8mm £5.50 090021 0.045" 1.1mm £15.32 090018 1/4" 6.35mm £6.73 090024 1.4mm NEW £15.32 £3.10 £15.32 090019* 5/16" 8.0mm £8.92 090022 0.0625" 1.6mm £15.32 090154 7/32" 5.6mm £6.73 090023 0.08" 2.0mm £15.32 090040 Leighton bone pin introducer £64.47 * DO NOT FIT STANDARD JACOBS CHUCK 97 103462_CH07_p70-95 13/2/06 7 09:23 Page 98 IMPLANTS & SCREWS Implants & Screws Kirschner Wire Threaded Small Fragment Pins 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. One tip bayonet, the other blunt, these pins are supplied in packs of ten. (5", 125mm). THREADED SMALL FRAGMENT PINS - 2.0mm diameter KIRSCHNER WIRE - Pack of 10 (5” 125mm) 090030 0.035" 0.9mm £18.39 090031 0.045" 1.1mm £18.39 1.4mm NEW £19.96 090032 0.0625" 1.6mm £19.96 090033 0.08" 2.0mm £19.96 090034 090036 Threaded pins 5mm thread. Single 090037 Threaded pins 10mm thread. Single £5.35 090027 Threaded pins 15mm thread. Single £5.35 090028 Threaded pins 20mm thread. Single £5.35 £5.35 Fine Threaded Small Fragment Pins 2.0mm fine threaded pin plus threaded washer Threaded ‘A’ Wires - NEW Threaded 'A' wires are useful for the re-attachment of small fragments. Available in 1.6 and 2.0mm diameter. The threads have a fine pitch. Sold singly. THREADED ‘A’ WIRES - NEW 090032TR 0.0625 1.6 Threaded one end. Single £4.46 090033TR 0.08 2.0 Threaded one end. Single £5.01 Use singly to re-attach small bone fragments. Use in multiples to re-attach 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. A / K Wire Instruments 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. 001360 ‘K’ Wire Punch FINE THREADED FRAGMENT PINS 2.0MM KIRSCHNER WIRE/SMALL PIN PUNCH 001360 ‘K’ Wire/Small Pin Punch. 135mm £30.55 001362 ‘K’ Wire Bender 090300 Fine threaded washer 5.0mm dia £ 2.12 090305 Fine threaded pin 5mm thread length £ 3.80 090310 Fine threaded pin 10mm thread length £ 3.98 090315 Fine threaded pin 15mm thread length £ 4.04 090320 Fine threaded pin 20mm thread length £ 4.14 090325 Fine threaded pin 25mm thread length £ 4.34 090330 Fine threaded pin 30mm thread length £ 4.46 090340 Fine threaded pin 40mm thread length £ 4.60 0903111 Fine threaded pin set comprising 5 off each pin plus 5 washers in stainless case £140.00 Arthrodesis Wire Box This box will store all diameters of arthrodesis and ‘K’ wire. In addition there is a space for a ‘K’ wire bender and a ‘K’ wire punch. KIRSCHNER WIRE BENDER 001362 ‘K’ Wire Bender. 140mm £30.55 ARTHRODESIS & K WIRE ORGANISER AUTOCLAVABLE Implants & Screws 98 001124 Stainless box for arthrodesis & ‘K’ wires 0900200 Arthrodesis & K Wire Organiser plastic £61.99 £5.18 103462_CH07_p70-95 13/2/06 09:23 Page 99 7 IMPLANTS & SCREWS www.vetinst.com Implants & Screws 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. 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. Veterinary Instrumentation stocks the 4 hole no.11 nails (11mm spacing) in 8.0, 6.0, 4.7 and 4.0mm nail diameters. We also maintain stocks of additional drill bits and taps - please phone for information. IN1168SET Model 11 - 6.0 / 8.0 set IN1147SET Model 11 - 4.0 / 4.7 set MODEL 11 - 6mm / 8mm WITH INTERLOCKING NAILS for 2.7mm and 3.5mm screws MODEL 11 - 4.0/4.7MM WITH INTERLOCKING NAILS for 2.0mm screws Hole spacing is 11.0mm. This kit is for extensive shaft fractures, allowing 2 screws to be used in minimal proximal and distal bone. The instrumentation set includes; 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: • Mdl 11 6/8mm Drill Jig • Attachment Screw • 4.7mm Jig • Attachment Screw • Trochar • Insertion Tool • Trochar • 'T' Handle • Hex Driver • Guide Sleeve • Hex Driver • Guide Sleeve • Depth Gauge • 6mm Femur Extension • Depth Gauge • 4.0mm Femur Ext • 6mm Tibia Extension • 8mm Femur Extension • 4.0mm Tibia Ext • 4.7mm Femur Ext • 8mm Tibia Extension • 2.0mm Drill Guide • 4.7mm Tibia Ext • 1.5mm Drill Guide • 2.5mm Drill Guide • 2.7mm Tap Guide • 2.0mm Tap Guide • 1.5mm Drill Bit • 3.5mm Tap Guide • 2.0mm Drill Bit • 2.0mm Screwdriver • Set of 4-hole Nails • 2.5mm Drill Bit • 2.7mm Screwdriver • Tap Handle • 2.0mm Extra Long tap • 3.5mm Screwdriver • Set of 4-hole Nails • 4.7mm Reamer • 4.0mm Reamer • Tap Handle • 2.7mm Extra Long Tap • Power Adapter • 3.5mm Extra Long Tap • 6mm Reamer INTERLOCKING NAILS - MODEL 11 - 4.0 / 4.7MM • 8mm Reamer • Power Adapter IN1147SET INTERLOCKING NAILS - MODEL 11 - 6mm / 8mm IN1168SET Model 11 - 4.7 / 4.0mm with Interlocking Nails Full Kit. See above for details £2,040.50 Model 11 - 6mm / 8mm with Interlocking Nails Full Kit. See above for details £2,381.70 If certain components are already owned (e.g. tap handle) kit costs may be reduced. Implants & Screws s 99 103462_CH07_p70-95 7 13/2/06 09:23 Page 100 IMPLANTS & SCREWS Implants & Screws Accessories The sterilisation trays store components for both instrumentation sets, accessories and all interlocking nails model number length of nail (mm) 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 IN1140079020220 79mm in length £32.14 IN1140091020220 91mm in length £32.14 £32.14 IN1140101020220 101mm in length £32.14 IN1140112020220 112mm in length £32.14 4.7MM 4 HOLE NAILS. MODEL 11. 2.0mm SCREWS. IN1147068020220 68mm in length £32.14 IN1147079020220 79mm in length £32.14 IN1147091020220 91mm in length £32.14 IN1147101020220 101mm in length £32.14 IN1147112020220 112mm in length £32.14 6.0MM 4 HOLE NAILS. MODEL 11. 2.7mm SCREWS IN1106140020227 140mm in length IN1106160020227 160mm in length £33.75 IN1106185020227 185mm in length £33.75 IN1106205020227 205mm in length £33.75 IN1106230020227 230mm in length £33.75 £33.75 8.0MM 4 HOLE NAILS. MODEL 11. 3.5mm SCREWS IN1108140020235 140mm in length £35.35 IN1108160020235 160mm in length £35.35 IN1108185020235 185mm in length £35.35 IN1108205020235 205mm in length £35.35 IN1108230020235 230mm in length £35.35 Some three hole nails are available - please ring for details. Implants & Screws 100 103462_CH07_p70-95 13/2/06 09:23 Page 101 Interlocking Nail Bolts Trilam Nails 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. Traditional intra-medullary pins and nails have poor resistance to rotational forces. The tri-finned TRILAM NAIL is very effective in dealing with this problem. Available in a range of sizes, requires dedicated instrumentation. There is a set available including nails, drivers and cutters in a box. INTERLOCKING NAIL BOLTS INB2020 2.0mm Interlocking Nail Bolt 20mm long cut to length £9.75 INB2736 2.7mm Interlocking Nail Bolt 36mm long cut to length £9.75 INB3540 3.5mm Interlocking Nail Bolt 40mm long cut to length £9.75 TRILAM NAILS Interlocking Nail Bolt Cutter 4mm Standard 7 IMPLANTS & SCREWS www.vetinst.com Safety Cutter TRIKIT Starter kit TRIHAM Hammer £137.93 TRICUT Cutters for small Nails 3 to 6mm £395.70 £1,691.25 TRICHU Jacobs Chuck for Trilam £169.77 TRIEX Extraction Forceps £194.70 TRI3110 3mm 110mm Nail £23.30 TRI4130 4mm 130mm Nail £23.30 TRI5140 5mm 140mm Nail £23.30 TRI6150 6mm 150mm Nail £23.30 TRI7160 7mm 160mm Nail £23.30 TRI8170 8mm 170mm Nail £25.52 TRI9180 9mm 180mm Nail £28.25 TRI10190 10mm 190mm Nail £30.64 TRI11200 11mm 200mm Nail £32.80 Rush Pins 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. We stock Rush pins in 2.4mm (3/32") and 3.2(1/8") diameters. Lengths vary from 25mm(1") to 100mm(4"). RUSH PINS INTERLOCKING NAIL BOLT CUTTER 4mm 001229 Safety Cutter to 4mm 001229/A Interlocking Nail Bolt Measuring Rule (for use with Safety Cutter) £156.00 090140 to 152 Rush pins 2.4mm(3/32") £4.50 090201 to 212 Rush pins 3.2mm(1/8") £4.50 £12.00 s Implants & Screws 101 103462_CH08_p96-99_Hip Replacement 8 13/2/06 09:24 Page 102 TOTAL HIP REPLACEMENT Total Hip Replacement Veterinary Instrumentation Modular Hip System (Cemented) Femoral Prosthesis Two stems are available which are identical distally. FEMORAL PROSTHESIS HDTHP Hamish Denny Total Hip Video HDTHPDVD Hamish Denny Total Hip DVD 150200 Large Stem £168.46 150201 Small Stem £168.46 150300 Long Ball £76.69 150301 Short Ball £76.69 £35.00 £35.00 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. 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 video 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) £84.18 150401 Small Acetabular Cup (Sterile) £84.18 Femoral Rasp 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. 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 FEMORAL RASP 5 Large Stem Short Small 150005 6 Large Stem Long Small 7 Large Stem Short Medium 8 Large Stem Long Medium 102 Femoral Rasp £320.00 103462_CH08_p96-99_Hip Replacement 13/2/06 09:24 Page 103 www.vetinst.com 8 TOTAL HIP REPLACEMENT Femoral Reamer Acetabular Skid 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. 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. FEMORAL REAMER 150003 Femoral reamer 6mm 270mm £138.18 ACETABULAR SKID 150004 Femoral reamer 8mm £138.18 6200/05 Acetabular Skid £48.19 Hatt Spoon Femoral Prosthesis Pusher 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. This instrument fits both small and large femoral prosthesis and allows the surgeon to position the stem and apply pressure as the cement sets. HATT SPOON 001092 FEMORAL PROSTHESIS PUSHER Hatt Spoon 230mm Scoop 17mm x 30mm - NEW £47.50 161602B Femoral prosthesis positioner £120.00 Photography: Hamish Denny Acetabular Reamers 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. ACETABULAR REAMERS 150012 Small Acetabular reamer £150.00 150010 Medium Acetabular reamer £150.00 Total Hip Replacement 103 103462_CH08_p96-99_Hip Replacement 8 13/2/06 09:24 Page 104 TOTAL HIP REPLACEMENT Total Hip Replacement Acetabular Cup Positioner Lewin Femur Grasping Forceps Photography: Hamish Denny The curvature and multiple teeth of these forceps match almost exactly the profile of the large dog femur. Another Marvin Olmstead favourite. This instrument holds the acetabuar cup in position as the cement sets. ACETABULAR CUP POSITIONER 161602A Acetabular cup positioner £120.00 LEWIN FEMUR GRASPING FORCEPS 150018 Meyerding Retractor Lewin femur grasping forceps £46.00 Total Hip Replacement Kit A heavy duty retractor for use around the hip. Much favoured by Martin Olmstead. The kit includes a femoral rasp, 2 femoral reamers, 2 acetabular reamers, Lewin bone holding forceps, 2 Myerding retractors, one of each stem, one of each cup, one of each ball, trial stems and cups, acetabular cup positioner, femoral stem positioner and instructional dvd. All are contained in a stainless steel case. MEYERDING RETRACTOR 150019 Meyerding Retractor 16mm TOTAL HIP REPLACEMENT KIT £25.30 150001 Heygroves Femur Grasping Forceps Powerful clamps to lock onto the femoral shaft. Used to rotate the femoral head outwards for excision. HEYGROVES FEMUR GRASPING FORCEPS 150017 Heygroves grasping forceps 10" £87.50 104 Total Hip Replacement Kit £2,022.31 103462_CH08_p96-99_Hip Replacement 13/2/06 09:24 Page 105 www.vetinst.com 8 TOTAL HIP REPLACEMENT Bone Cement Veterinary Instrumentation Bone Cement 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. CMW1 is a medium/high viscosity cement for digital application EC approved bone cement at a reasonable price. CMW2 is a rapid set cement suitable for the acetabular cup via digital application. VETERINARY INSTRUMENTATION BONE CEMENT CMW3 is a more fluid cement which is more appropriate for the femoral component. It is usually applied via a 50ml syringe. BC1 Digital type Viscosity 40g £29.80 BC3 Syringe Viscosity 40g £33.50 CMW cement comes impregnated with Gentamycin which minimises post operative infection, the worst complication of the procedure. BC1G Digital type Viscosity 40g with Gentamycin £29.80 BC3G Syringe Viscosity 40g with Gentamycin £33.50 SYRINGE 50ml Catheter Mount Syringe. Sterile £1.50 CMW BONE CEMENT 160506 CMW1 40g £43.95 160500 CMW1 with Gentamycin 20g £63.20 160501 CMW2 with Gentamycin 20g £55.81 160503 CMW3 with Gentamycin 20g £63.20 160504 CMW3 with Gentamycin 40g £70.60 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. 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) BC1GKIT AIPMMA Bead Kit with Gentamycin £34.50 BC1KIT AIPMMA Bead Kit. No Antibiotic £34.50 Total Hip Replacement 105 103462_CH09_p100-103_Thor&Ab_Surgery 13/2/06 09:31 Page 106 9 THORACIC & ABDOMINAL SURGERY Thoracic & Abdominal Surgery Oesophageal Foreign Body Forceps fine Extra-long forceps (730mm) enable foreign bodies to be manipulated back through the mouth or into the stomach. Backward facing teeth maximise grip and minimise iatrogenic damage to the oesophagus. Very strong and yet small enough to allow simultaneous insertion of an endoscope. As seen on TV (Animal ER at the RVC). A lighter version, 6mm diameter with a 500mm shaft is also available. 014097 Oesophageal f.b. Forceps (730mm shaft) £99.00 014097M Oesophageal f.b. Forceps Medium Jaw (500mm shaft) NEW £99.00 014097F Oesophageal f.b. Forceps (fine) (500mm shaft) £99.00 medium Actual Size OESOPHAGEAL FOREIGN BODY FORCEPS Standard Thoracic Surgery Kit - as used by the Cambridge Vet School 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 considerable saving. 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). Various specialist items are listed. THORACIC SURGERY KIT – as used by the Cambridge Vet School 106205 45 degree curved forceps 245mm 105415 90 degree curved forceps 245mm £21.30 754060 Metz scissors Str 235mm. T.C. £55.35 754120 Metz scissors Curved 235mm T.C. £55.35 342020 DeBakey thumb forceps 205mm £29.79 347665 Rat tooth thumb forceps 205mm £16.16 602010 Debakey needleholders T.C. 200mm £65.09 £21.30 347655 Dressing forceps 205mm £16.16 2685/03 Satinsky clamps 160mm long 20mm jaw £36.05 2685/05 Satinsky clamps 200mm long 30mm jaw CAMTHORKIT All the above in a stainless steel case Right Angled Clamps £36.05 £354.00 754095 Metzenbaum Scissors TC 14” 350mm Curved £55.35 704000 Rib Retractor Small (Blades 20x19mm, 95mm gape) £83.43 Rib Retractor Large (Blades 28x32mm,130mm gape) £90.64 RIGHT ANGLED CLAMPS 704005 Typically used to dissect around a patent ductus arteriosus and then pull through appropriate ligative material. 106615 8“ Spencer Wells Str. Arty Frcps £21.14 014051 602010 8” De Bakey T.C. N/Holders £65.09 014052 Small Right Angle Clamps 160mm £17.50 014056 Rib Shears. 220mm COF £93.46 014052S Small Right Angle Clamps without ratchet £17.50 106 Right Angled Lahey Cholecystectomy Clamps 195mm £26.43 103462_CH09_p100-103_Thor&Ab_Surgery 13/2/06 09:31 Page 107 THORACIC & ABDOMINAL SURGERY 9 www.vetinst.com Vacuum Drains Concertina Type Drain Clamps Tube Clamp Gate Clamp For rapid, complete, occlusion use artery forcep style. Where incremental adjustments are required use the gate 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. VACUUM DRAINS CONCERTINA TYPE 014058 Vacuum Drainage Kit 100ml 3.2mm dia tube Complete. Sterile semi-disposable £21.00 014059 Vacuum Drainage Kit 200ml 4.8mm dia tube Complete. Sterile semi-disposable £21.00 014062 Vacuum Drainage Kit 50ml 2.5mm dia tube Complete. Disposable £2.89 014063 Vacuum Drainage Kit 20ml 2.0mm dia tube Complete. Disposable £3.75 DRAIN CLAMPS 101776 Tube Clamp 190mm 7.5” 014066 Gate Clamp £15.00 £1.86 Ameroid Constrictors Pre Evacuated Bottle 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. AMEROID CONSTRICTORS AC35 Ameroid Constrictor 3.5mm Sterile AC50 Ameroid Constrictor 5.0mm Sterile £41.00 AC60 Ameroid Constrictor 6.0mm Sterile £45.00 AC70 Ameroid Constrictor 7.0mm Sterile £45.00 £41.00 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. PRE EVACUATED BOTTLE DRAINS 014080 Bottle Drain 400ml with 10FG drain 014082 Bottle Drain 400ml with 12FG drain £5.00 014084 Bottle Drain 400ml with 14FG drain £5.00 014086 Bottle Drain 400ml with 16FG drain £5.00 014064 200ml Evacuated Bottle - no drain £2.89 014065 400ml Evacuated Bottle - no drain £3.75 £5.00 Thoracic & Abdominal Surgery 107 103462_CH09_p100-103_Thor&Ab_Surgery 13/2/06 09:31 Page 108 9 THORACIC & ABDOMINAL SURGERY Thoracic & Abdominal Surgery Ovarohysterectomy Spay Clamps Spay Kits Angiotribes There seems to be as many variations as there are veterinary surgeons. Simply choose six or more instruments from Chapter 16 (General Surgery) or Chapter 9 (Abdominal and Thoracic) and we will give you 15% discount off list price on all of them. Spay Hooks Angiotribes. The jaws of this instrument are designed for maximum crushing by serrated longitudinal grooves. Use to atraumatically lift uterine horns. SPAY CLAMPS SPAY HOOKS 014320 Spay Hook Small £19.75 014325 Spay Hook Large £19.75 014304 Angiotribe 6.5”/16cm Str. £41.63 014305 Angiotribe 6.5”/16cm Curved £41.63 Hysterectomy Clamps Spay Forceps ‘Sturdy’ type. Atraumatic spay forcep’s tips have fine toothed DeBakey type form. SPAY FORCEPS 014211 Spay Forceps 5”/12.5cm £11.51 014218 Spay Forceps (Atraumatic Grip) £23.39 014217 Spay Forceps (DeBakey Type) 125mm £17.50 These clamps are curved with longitudinal grooves in the jaws to minimise tissue slippage. More reasonably priced than angiotribes. HYSTERECTOMY CLAMPS 108 014307 Hysterectomy Clamp(Carmault)200mm £21.50 014309 Hysterectomy Clamp(Carmault)160mm £21.50 103462_CH09_p100-103_Thor&Ab_Surgery 13/2/06 09:31 Page 109 THORACIC & ABDOMINAL SURGERY 9 www.vetinst.com Abdominal Retractors Large Abdominal Retractors See GENERAL SURGERY - Page 157 Hauptman Retractors LARGE ABDOMINAL RETRACTOR 25-2375 Balfour Retractor (180mm spread) £100.83 25-2376 Balfour Retractor Baby (90mm spread) £100.83 703260 Collins retractor (110mm spread) £90.64 684755 Morris Retractor 50mm £33.00 Miscellaneous Obstetrical Items Miss Freakes Whelping Forceps Hobdays Obstetric Forceps for cats. 150mm Killian Bitch Speculum MISCELLANEOUS OBSTETRICAL ITEMS 014310 Miss Freakes Whelping Forceps £36.91 546465 Hobdays Obstetric Forceps for Cats. 150mm £36.91 546455 Bitch Speculum (Killian). Blade length 6.5cm (2 1/2”) £38.53 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. For a free CD on the technique phone or e-mail [email protected] HAUPTMAN RETRACTOR 014400 Small Hauptman Retractor 10mm blade 014410 Medium Hauptman Retractor 15mm blade £78.13 014420 Large Hauptman Retractor 20mm blade £78.13 Thoracic & Abdominal Surgery £78.13 109 103462_CH10_p104-105_Head & Neck 10 13/2/06 09:31 Page 110 HEAD & NECK SURGERY Head & Neck Surgery Airway Surgery Soft Palate Clamp Tracheostomy Tube 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. 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. The Soft Palate Clamp was designed by Geoff Lane F.R.C.V.S. The jaws have a special atraumatic grip to hold the very slippery soft palate. Metal tubes have a much thinner wall than plastic tubes. This becomes particularly critical in smaller patients. SOFT PALATE CLAMP 014040 Soft Palate Clamps Large 26 x 12mm £75.00 014050 Soft Palate Clamps Small 18 x 7mm £75.00 TRACHEOSTOMY TUBE Tonsillectomy Clamp 014070 Tracheostomy Set (Silver Plate) (6,8,11) 014071 Tracheostomy Tubes 6mm (Silver Plate) £77.76 014072 Tracheostomy Tubes 8mm (Silver Plate) £82.94 014073 Tracheostomy Tubes 11mm (Silver Plate) £84.66 014074 Tracheostomy Tubes 13mm (Silver Plate) £87.13 £220.82 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. TONSILLECTOMY CLAMP TRACHEOSTOMY TUBE DISPOSABLE 014038 Tonsilleclamp Clamp (right angle) £25.00 014076 2.5mm internal dia 4.0mm external dia £18.50 014039 Tonsillectomy Clamp (cvd) £25.00 014077 4.0mm internal dia 6.0mm external dia £18.50 014078 5.5mm internal dia 8.0mm external dia £18.50 014079 7.0mm internal dia 10.0mm external dia £18.50 Satinsky Clamp Useful for intra thoracic surgery, trimming soft palates and even ears. Atraumatic design maximises haemostasis and minimises trauma. SATINSKY CLAMP 2685/03 Satinsky Clamps 160mm long 20mm jaw £36.05 2685/05 Satinsky Clamps 200mm long 30mm jaw £36.05 110 103462_CH10_p104-105_Head & Neck 13/2/06 09:31 Page 111 10 www.vetinst.com HEAD & NECK SURGERY Ears BULLA OSTEOTOMY & TOTAL EAR CANAL ABLATION 684375 Langenbeck Retractor 6mm blade £22.37 Canine Ear Loop 684395 Langenbeck long reach 6mm x 35mm blade £22.37 684380 Langenbeck Retractor 13mm blade £23.13 684385 Langenbeck Retractor 25mm blade £25.36 684390 Langenbeck Retractor 20mm blade £25.36 684395 Langenbeck Retractor 6mm blade (extra long) £25.37 001330 Gelpi self retaining retractor. 180mm (120mm spread) * £86.41 605355 Olsen Hegars 6 1/2” T.C. Jaws £61.28 342005 De Bakey Atraumatic Forceps 6 1/2” £24.39 142501 Mini Freidman Rongeurs (3mm bite) £48.34 6730/10 Lempert Rongeurs 190mm * £55.60 782205 Volkman Single Ended Scoop 3mm £22.66 782200 Volkman Single Ended Scoop 4mm * £22.66 782210 Volkman Single Ended Scoop 5mm £22.66 *Our personal choice. Crocodile Forceps Removal of hard wax and other debris from the canine horizontal canal without causing trauma is a common problem in veterinary surgery. Fine Tip Actual Size 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. Regular Tip 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. 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. Also illustrated is the Canine Ear Model, a valuable aid when explaining aural problems and procedures. CANINE EAR LOOP 012526 VI Canine Ear loop £17.51 012528 Flexible Ear Loop (cat/small dog size) £25.00 CROCODILE FORCEPS 012529 Flexible Ear Loop (medium/large dog size) £25.00 014091 Extra Fine Croc ForcepsTubular Shaft 3” £41.20 AMJ772 Canine Ear Model (x-section) £48.83 014092 Extra Fine Croc ForcepsTubular Shaft 5” £43.40 014093 Extra Fine Croc ForcepsTubular Shaft 7” £45.70 014089 Extra Fine Croc ForcepsTubular Shaft 9” £49.50 014094 Aural Crocodile Forceps Standard Jaw (3” shaft) £32.60 See Chapter 20, page 184 014095 Aural Crocodile Forceps Standard Jaw (5” shaft) £32.60 Penrose Drains 014096 Aural Crocodile Forceps Standard Jaw (7” shaft) £36.40 Ear Diagnostic Instruments Latex rubber. Use to maintain drainage from infected wounds. Also useful to retract soft tissues such as blood vessels and nerves. Soft Tissue Biopsy Forceps PENROSE DRAINS Penrose Drain 1/4” £0.93 090165 Penrose Drain 1/2” £0.93 Actual Size 090168 Bulla Osteotomy & Total Ear Canal Ablation 8mm x 3.5mm bite 014088 Actual Size Lempert Designed to take samples of soft tissue masses from the ear or via the mouth. Fits down all usual aural speculae Two sizes for most patients SOFT TISSUE BIOPSY FORCEPS 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. 014087 Cup Biopsy forceps 2mm dia. shaft 75 x 3.6mm 014087A Cup Biopsy forceps 2mm dia. shaft 100 x 3.6mm 014088 111 £87.00 £96.00 Cup Biopsy forceps 3.5 x 8mm shaft 105 x 5.6mm £96.00 103462_CH11_p106-115_Opthalmic 13/2/06 11 09:32 Page 112 OPHTHALMIC Ophthalmic Ophthalmic Kit Beaver Type Handle (Swann Morton ‘fine’ series) - see page 116 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 £500 plus £356.00 Halstead Mosquito Forceps x 2 - ( one curved and one straight) Castroviejo Corneal Scissors straight Barraquer Wire Eyelid Speculum 112 103462_CH11_p106-115_Opthalmic 13/2/06 09:32 Page 113 11 OPHTHALMIC www.vetinst.com Eyelid - Speculae Corneal Forceps Demarres Eyelid Retractor St. Martin’s Corneal Forceps The best value corneal forceps. Also useful as a fine rat tooth in other delicate procedures. DESMARRES EYELID RETRACTOR 014215-S Small 12mm wide 014215-M Med 14mm wide £40.35 ST. MARTIN'S CORNEAL FORCEPS 014215-L Large 16mm wide £40.35 014160 £40.35 St Martins Corneal forceps £36.86 Castroviejos Corneal Forceps Lister Speculum CASTROVIEJOS CORNEAL FORCEPS 014190 Castroviejo’s corneal forceps £70.27 Colibri (Barraquers) Forceps This speculum is adjustable and has a locking facility. The shape is contoured for minimum interference with sutures and instruments. LISTER SPECULUM 014115 Lister Speculum £72.07 This is the most well known of corneal toothed forceps. There are many variations. This is the most typical. Barraquer Speculum COLIBRI (BARRAQUERS) FORCEPS 014191 Colibri (Barraquer) forceps £70.27 Fixation Forceps Barraquers Fixation Forceps This simple spring loaded speculum is ideal for most procedures which do not require a locking speculum. No protuberances to catch sutures. BARRAQUER SPECULUM 014110 Barraquer Speculum large 30mm gape, 10mm 'blade'£13.07 BARRAQUERS FIXATION FORCEPS 014112 Barraquer Speculum small 25mm gape, 5mm 'blade' £13.07 014201 Jaeger Eyelid Speculum Barraquers fixation forceps £70.27 Graefe Fixation Forceps GRAEFE FIXATION FORCEPS 014162 Useful during wedge resections of eyelids Graefe fixation forceps 3.5mm jaws Speculum stretches and retains the eyelid prior to cutting The blade cuts down onto the metal of the speculum which protects the eye. JAEGER EYELID SPECULUM 014120 Jaeger Eyelid Speculum (Stainless) £25.00 014121 Jaeger Eyelid Speculum Insulated £45.00 Ophthalmic 113 £61.93 103462_CH11_p106-115_Opthalmic 13/2/06 11 09:32 Page 114 OPHTHALMIC Ophthalmic Iris Forceps Foster Gillies & Miniature Foster Gillies Graefe Iris Forceps GRAEFE IRIS FORCEPS 014195 Graefe iris forceps Serrated £33.00 014196 Graefe iris forceps str. 1/2 teeth £33.00 Capsule Forceps Arruga Capsule Forceps This needleholder is a scaled-down version of Gillies and may, therefore suit those familiar with this commonly used scissors/needleholder. ARRUGA CAPSULE FORCEPS Arruga capsule forceps. 014150 FOSTER GILLIES & MINIATURE FOSTER GILLIES £73.44 602700 Fosters T.C. (mini Gillies) 5.0" 125mm RH £77.48 602705 Fosters T.C. (mini Gillies) 5.0" 125mm LH £84.71 602710 Miniature Fosters T.C. (mini Gillies) 4.0" 100mm £43.10 Castroviejos Cross Action Forceps Ryder (Micro) Needleholder CASTROVIEJOS CROSS ACTION 014155 Castroviejo’s cross action capsule forceps. £113.25 Epilation Forceps A small scale locking needleholder with tungsten carbide inserts. Ryders offer the occasional ophthalmic surgeon an alternative to Castroviejos. EPILATION FORCEPS 342450 Epilation forceps £18.61 RYDER (MICRO) NEEDLEHOLDER 606340 Needleholders Ryder (Micro) 12.5cm 5” T.C. Jaws £57.20 Derf Needle Holder Castroviejo The standard ophthalmic needleholder. The squeeze through action is awkward at first. All our Castroviejos have tungsten carbide jaws. CASTROVIEJO 014175 Castroviejo’s needlehldrs. with catch T.C. £77.50 014177 Castroviejo’s needlehldrs. without catch T.C. £77.50 The Derf needleholder is a small TC needleholder with slightly heavier jaws than the Ryder. More resistant to surgeon abuse! DERF NEEDLE HOLDER 607010 114 Derf Needleholder 12cm TC Jaws £49.00 103462_CH11_p106-115_Opthalmic 13/2/06 09:32 Page 115 11 OPHTHALMIC www.vetinst.com Robert’s Tying Forceps Iris Scissors Lightweight, ‘standard’ action scissor for conjunctiva and, less satisfactorily, the cornea. Very rarely used on the iris in veterinary ophthalmology. Used in conjunction with the needleholders to tie knots in fine materials. ROBERTS TYING FORCEPS Roberts Tying Forceps 014132 £30.00 Scissors IRIS SCISSORS Pooley’s Conjunctival Scissors 744100 Iris Scissors 9cm str. 744120 Iris Scissors 9cm cof £13.61 744110 Iris Scissors 11cm str. £12.03 £12.03 744130 Iris Scissors 11cm cof £13.61 744131 Iris Scissors Tungsten Carbide Str £21.96 Steven’s Tenotomy Scissors POOLEY'S CONJUNCTIVAL SCISSORS 746350 Pooley’s Conjuctival Scissors £24.53 Castroviejos Corneal Scissors STEVEN’S TENOTOMY SCISSORS Squeeze action, very delicate scissor used to extend the stab corneal incision. Easily damaged. Castroviejo’s Corneal Scissors cof. £77.50 014210S Castroviejo's Corneal Scissors str £73.20 Steven's Tenotomy Scissors Str £15.59 014108CV Steven's Tenotomy Scissors Cof £25.34 Miscellaneous CASTROVIEJO'S CORNEAL SCISSORS 014210 014108 Snellen’s Vectis Strabismus Scissors Use to apply pressure to globe to extrude lens rather than ‘fishing’ for it within the eye. SNELLEN'S VECTIS 014101 Snellens Vectis £31.77 Kimura Spatula Stronger than corneal and conjunctival scissors, strabismus scissors are suitable for cutting muscles and skin. Use to apply pressure to globe to extrude lens rather than ‘fishing’ for it within the eye. KIMURA SPATULA STRABISMUS SCISSORS 014103 Strabismus Scissors 9cm str. £13.50 747010 Strabismus Scissors 9cm cof. £13.50 746910 Strabismus Scissors 11cm str. £13.50 747020 Strabismus Scissors 11cm cof. £13.50 746900 Kimura Platinum Spatula Ophthalmic 115 £31.77 103462_CH11_p106-115_Opthalmic 11 13/2/06 09:32 Page 116 OPHTHALMIC Ophthalmic Swann Morton Fine Surgical Blades Distichiasis Clamp DISTICHIASIS CLAMP Distichiasis Clamp 014113 £89.74 Halstead Mosquito Forceps Actual Size HALSTEAD MOSQUITO FORCEPS 103225 Halstead’s Mosquito Artry. Forceps 5" Cof. £14.73 103175 Halstead’s Mosquito Artry. Forceps 5" Str. £14.08 Punctum Dilator PUNCTUM DILATOR 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. 014116 Nettleship Dilator (single ended) £21.04 014117 Castrovijo's Double ended Punctum Dilator £21.04 SWANN MORTON FINE SURGICAL BLADES 05901 25 blades individually packed SM61 £18.96 05902 25 blades individually packed SM62 £18.96 05903 25 blades individually packed SM63 £31.67 05904 25 blades individually packed SM64 £18.96 05905 25 blades individually packed SM65 £18.96 05906 25 blades individually packed SM65a £18.96 05909 25 blades individually packed SM69 £31.67 06051 Fine Stainless Handle Beaver type 130mm £8.41 06052 Fine Stainless Handle Beaver type 100mm £8.41 06053 Fine Stainless Handle Beaver type 80mm £8.41 06054 VI Beaver blade handle 130mm £7.30 Harrison Butler Lachrymal Cannula HARRISON BUTLER LACHRYMAL CANNULA 014221 Harrison Butler Lachrymal Cannula (curved) £14.20 Lachrymal Cannula Straight Chalazion Forceps (Desmarres) LACHRYMAL CANNULA STRAIGHT CHALAZION FORCEPS (DESMARRES) 014216 Desmarres Chalazion Forceps 3.5” £40.14 116 014222 Langs Cannula £14.20 014224 Lachrymal Cannula (straight) S/S £14.20 103462_CH11_p106-115_Opthalmic 13/2/06 09:32 Page 117 www.vetinst.com OPHTHALMIC Rabbit Nasolachrymal Duct Cannulae HEINE 3S LED HEADLIGHT 11 J-08.31.306 With headband Standard L, plug in transformer and headband-mounted brightnesss control £538.00 J-08.31.311 With headband Professional L, plug in transformer and headband-mounted brightness control £558.00 X-04.99.647 Accubox 11-L and E10 transformer X-95.16.310 £192.00 HEINE plug-in transformer for 3S LED Headlight £65.00 C-00.32.519 3S LED Adaptor for HR/HRP Binocular Loupe frame £13.95 J-00.31.321 Detachable yellow filter C-79.03.000 Combi-case £42.60 £135.00 Heine LED Loupelight RABBIT NASOLACHRYMAL DUCT CANNULAE 012523 Nasolacrymal Duct 19 gauge 012524 Nasolacrymal Duct 21 gauge £14.05 012525 Nasolacrymal Duct both 21 &19G £22.66 £14.05 Light Sources & Magnification Heine LED Headlight Compact LED Loupelight ideal for surgical and dental applications • White homogeneous light • Coaxial illumination for shadowless view • Lightweight - only 12grams • Longlife, maintenance free, LED technology • Water-resistant • Very adjustable • Powered by all Heine battery and rechargeable handles 3S LED HEADLIGHT With professional headband L LED LOUPELIGHT C-08.32.235 C-08.32.541 LED Loupelight for Heine C binocular loupes LED Loupelight for Heine HR and HRP binocular loupes £180.00 £180.00 N.B. power supply not included see page 184 for power options. 35 LED HEADLIGHT With standard headband L • 20,000 Lux of bright, white light up to twice as bright as other LED headlights •Compact and lightweight. Unobstructed co-axial illumination weighing only 70g • Flexible. Continuously adjustable spot size and brightness control • 20,000 hours operating life of LEDs Ophthalmic • 2.5 hours illumination with portable Accubox II-L battery pack or unlimited if Accubox II-L is plugged into mains. 117 103462_CH11_p106-115_Opthalmic 11 13/2/06 09:32 Page 118 OPHTHALMIC Ophthalmic Heine UBL 100 Cliplight LED Head Torch Simply clips onto your own spectacle frame or that of binocular loupes. Produces an 80mm spot of white halogen light at 300mm. Supplied as a kit with transformer. Very bright 3 LED light source powered by 3 AAA bateries (supplied) which last up to 80 hours. In the "forehead" position the LED torch is used as the dual zoom. In the "between the eyes" position the LED torch is particularly useful for deep dark recesses e.g. the horse's mouth during dental procedures. In this position there is almost no shadow. LED HEAD TORCH HEINE UBL 100 CLIPLIGHT J-183.40.100 Heine UBL 100 Cliplight 014203 £129.89 Dual Zoom Head Torch LED Head Torch 3 LED for max light £17.50 Pen Torch Sealed disposable torch which lasts for weeks provided you do not leave it switched on! Pocket clip. PEN TORCH 014213 Pen Torch 014214 Pen Torch (Six Pack) £3.17 £12.00 Magnifying Pen Torch (10 x Magnification) The beam is switchable between Halogen - main beam (up to 3.5 hours) or a brighter Krypton (up to 2.5 hours). Focus adjustable. Supplied with AA battery pack (batteries not included). Good for seeing and treating distichiasis and other periorbital lesions. Takes 2 AA batteries which are not included. MAGNIFYING PEN TORCH (10 X MAGNIFICATION) Also available with a rechargeable power pack which lasts for up to 7 hours. 014209 DUAL ZOOM HEAD TORCH 014202 Dual Zoom Head Torch £19.95 014202XD Dual Zoom Head Torch with Rechargeable Battery Pack £61.30 118 Magnifying Pen Torch £29.46 103462_CH11_p106-115_Opthalmic 13/2/06 09:32 Page 119 OPHTHALMIC www.vetinst.com 11 Binocular Loupes Magnifying Loupe 2.5X VI Binocular Loupes 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. MAGNIFYING LOUPE 2.5X 014200 Magnifying loupes 2.5X £44.34 Visor Light Excellent optics plus a reasonable price makes the 2.5x binocular loupe a sensible purchase for any practice. Visor light is a lightweight battery powered light, which illuminates the magnified viewing area. Mounts directly onto the Magnifying Loupe 2.5 X • Lenses quickly adjustable for any user • Lenses flip out the visual field when not required VISOR LIGHT 014200L • Lightweight pure titanium frames Visor Light (clip on) £23.00 • Prescription lenses available if required Voroscope MXL • Supplied in quality aluminium case The Voroscope combines a focal rechargeable light source with a range of magnifying lenses which fit to a spectacle frame. If necessary the light and lenses will fit to your own spectacle frame. The battery lasts for 2 hours on a single charge. The light is powerful (12,000 lux) and cool. Lenses and light are adjustable. Includes 1.5, 1.75, 2.25, 2.75 and 3.5 X lenses. As with the simple loupe the focal distance of the higher magnification lens is very short. VI BINOCULAR LOUPES VOROSCOPE MXL 014204 Voroscope MXL Kit £375.00 119 01425380 2.5x Binocular loupe 380mm focal distance £399.00 01425430 2.5x Binocular loupe 430mm focal distance £399.00 103462_CH11_p106-115_Opthalmic 11 13/2/06 09:32 Page 120 OPHTHALMIC Ophthalmic Heine Binocular Loupes Binocular Loupe High Resolution 2.5X. Heine HR 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. • Magnification. 4x is as high as one should go. 2.5 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. Operating Lenses - Lightweight. Heine C • Multi coated lenses • Exceptional depth of field • Dust and water resistant (clean under running water) • Optics swivel up and out of line of vision • Lightweight 42g • Adjustable for any user. BINOCULAR LOUPE HIGH RESOLUTION 2.5X. HEINE HR Available mounted on a head strap for spectacle wearers or on a lightweight metal frame the lightweight lenses have superb optics yet a reasonable price. Choose between 340mm (13”) or 450mm(18”) working distance. OPERATING LENSES - LIGHTWEIGHT. HEINE C C-00.32.039 2.3X loupe on frame in case working distance 340mm £242.00 C-00.32.202 2.3X loupe on frame in case working distance 450mm £242.00 C-00.32.230 2.3Xloupe on headband in case working distance 340mm £242.00 C-00.32.231 2.3X loupe on headband in case working distance 450mm £242.00 120 C-00.32.614 2.5X loupe on frame in case 340mm working distance £644.32 C-00.32.617 2.5X loupe on frame in case 420mm working distance £644.32 C-00.32.504 2.5X lenses 340mm working distance for head band £510.30 C-00.32.507 2.5Xlenses 420mm working distance for head band £314.43 C-0032.516 Lightweight headband £62.90 103462_CH11_p106-115_Opthalmic 13/2/06 09:32 Page 121 OPHTHALMIC www.vetinst.com Binocular Loupe High Resolution Prismatic 3.5X, 4X. Heine HRP BINOCULAR LOUPE HIGH RESOLUTION PRISMATIC 3.5X, 4X. HEINE HRP C-00.32.813 3.5X loupe on frame in case 420mm working distance £747.42 C-00.32.815 4.0X loupe on frame in case 340mm working distance £747.42 C-0032.703 3.5X lenses 420mm working distance for headband £541.23 C-0032.705 4.0X lenses 340mm working length for headband £541.23 C-0032.516 Lightweight headband £62.90 Ophthalmic 121 11 103462_CH11_p106-115_Opthalmic 13/2/06 11 09:32 Page 122 OPHTHALMIC Ophthalmic Ophthalmic Diagnostic Beta 200 Ophthalmoscope Heine 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 184) Used to measure intra-occular pressure. Surprisingly well tolerated by patients. Contains full instructions for use. BETA 200 OPHTHALMOSCOPE HEINE SCHIOTZ TONOMETER WITH WEIGHTS 581500 Schiotz Tonometer, inclined scale, in case £101.11 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. C0130100 BETA200 head (no handle) 2.5v £156.18 C0230100 BETA 200 head (no handle)3.5v £156.18 X0188069 Spare 2.5v bulb £18.00 X0288070 Spare 3.5v bulb £19.43 Finhoff Transilluminator Heine For scleral transillumination. 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. 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. Uses standard AA batteries. c.f. The custom expensive 'pen' type ones. FINHOFF TRANSILLUMINATOR HEINE C0117080 Finhoff Transilluminator 2.5v £57.52 C0217080 Finhoff Transilluminator 3.5v £58.00 X0188077 Spare 2.5v bulb £18.00 X0288078 Spare bulb 3.5v £19.43 Aspheric Lens Heine • High quality optics for a perfect distortion free image of the retina 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. • Advanced triple coating • Lens curvature matches that of the retina TONOVET 581600 Tonovet Kit 581610 Tonovet Probes (100) CDT0N0 Free procedure CD rom £1499.00 ASPHERIC LENS HEINE £49.00 C0017228 FOC 122 Aspheric lens 20 Dioptre £211.34 103462_CH11_p106-115_Opthalmic 13/2/06 09:32 Page 123 OPHTHALMIC www.vetinst.com 11 Indirect Ophthalmoscopes Heine Sigma Spectacle Type Monocular Hand Held • 6v 5w halogen bulb • 115g comfortable • Integral red-free and cobalt blue filters • 2D and plain lenses supplied • Optics swivel out of line of vision • Requires power source SIGMA 150 SPECTACLE TYPE • Built in interference free red filter C-04.33.304 Sigma 100 with1m and 3m connecting leads £428.86 X-95.17.202 EN20 Table Top Transformer 2.5.3.5/6.0v output £237.11 • Durable metal construction • Adjustable light beam • +3D lens attachment • Can be updated to binocular version (see below) Heine Portable Slit Lamp HSL 150 • Requires power source either 3.5v handle or 6v transformer see page 184 MONOCULAR HAND HELD C-02.33.001 Monocular hand held indirect ophthalmoscope 3.5v £333.50 C-04.33.001 Monocular hand held indirect ophthalmoscope 6v £342.26 Binocular Hand Held • At 70 grams the lightest slit lamp of its kind • 6 x 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 184) • PD selection 54 to 74mm The specialist's instrument of choice. Turns the eye into a work of art. • Quick and easy to adjust • Multi coated lenses HEINE PORTABLE SLIT LAMP HSL 150 • Requires power source either 3.5v handle or 6v transformer see page 184 BINOCULAR HAND HELD C-02.33.002 Binocular hand held ophthalmoscope3.5v £677.83 C-04.33.002 Binocular hand held ophthalmoscope 6.0v £706.95 Binocular convertor for monocular indirect £345.36 C-00.33.106 C-01.14.602 2.5v HSL 100 Slit lamp £345.36 C-02.14.602 3.5V HSL 199 Slit lamp £345.36 Ophthalmic 123 103462_CH12_p116-125_Dental Machines 12 13/2/06 09:33 Page 124 DENTAL MACHINES 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. Simple scaling and polishing can be accomplished using electrically driven systems. A wider range of procedures including tooth sectioning will require an air driven unit capable of delivering compressed air and water to the handpieces. 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. • 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. Veterinary Instrumentation stock Piezo and Ferrite Rod types (iM3 42-12). We think these are most appropriate for veterinary use. Please note that all ultrasonic scalers should be used with care as inappropriate use will result in damage to enamel. Piezo Scaler 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 a selection of tips. Either plumb into your dental unit or use a pump up water bottle (1010) PIEZO SCALER WITH DETACHABLE, AUTOCLAVABLE HANDPIECE 1020 Supplied with three 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 you iM3 unit or purchase our pump up water bottle. CE marked. PIEZO SCALER 1008 Piezo Scaler 1010 Pump up Water Bottle (not necessary with VI Air Driven Units) £320.00 £38.00 124 Piezo Scaler with Autoclavable Handpiece USD-L £395.00 103462_CH12_p116-125_Dental Machines 13/2/06 09:33 Page 125 12 DENTAL MACHINES www.vetinst.com iM3 Dentistry CLS Concentrate Used in the water system 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 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. 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. iM3 42-12 Ultrasonic Scaler Purchase of the larger pack sizes gives significant savings. CLS CONCENTRATE CLS1 CLS Solution 250ml CLS6 CLS Solution 250ml - 6 Pack £47.41 CLS12 CLS Solution 250ml - 12 Pack £94.93 £8.78 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 subginigival 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 iCplaque (Box 100) £49.50 IM3 42-12 ULTRASONIC SCALER IM34212 IM3 Ultra Sonic Scaler with unique rotational tip £984.00 Dental Machines 125 103462_CH12_p116-125_Dental Machines 12 13/2/06 09:33 Page 126 DENTAL MACHINES Dental Machines Air Driven Dental Units All of the Ultra options are available for the GS apart from suction and automatic handpieces. An air driven unit at an affordable price. If you don't require suction this unit has all you need. Being less demanding in its air requirements the GS can be run from a mid-priced quiet compressor. To obtain the truly high speeds required for drilling and burring an air driven dental unit is necessary. Veterinary Instrumentation can supply three levels of air driven dental machines. The iM3 Ultra is state of the art, the iM3 GS is a midrange unit built to the same standards as the Ultra. The Veterinary Instrumentation Minicart is a straightforward unit containing all the essentials of an air driven dental machine. All are offered as a complete set up for cutting and polishing but all can be modified by the addition of further handpieces and accessories. Listed below is a typical set up but many other options are possible We would be happy to run through the various possibilities. The main choice is between the non Fibre Optic version and the Fibre Optic version. Details of both are shown below. The GS is supplied with the following handpieces. Push button Highspeed, low speed motor, 4:1 straight nose cone and a starter pack of oscillating prophy cups. Many other handpiece options are available. iM3 GS Consider also the Rabbit option and the Diamond saw option (see page 128). Any scaler will work with the GS without the requirement for a pump up water bottle. We recommend the iM3 42 12 scaler for best results. Dimensions Footprint 550mm wide, 510mm deep Height adjustable from 750mm to 1060mm. iM3 GS DENTAL UNIT FEATURES: Head Unit, Floor Stand and Quiet mid capacity 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 Corian Top Bacterial Filter for Handpiece Exhaust Lines Quick Reference Maintenance Instructions attached to unit Color Coded Delivery System CLS Chlorhex & Flush System with Bacterial Filter Socket Power Board Pressurized Water Outlet for Ultrasonic Tooth Scalers Handpieces High Speed Handpiece Push Button Low Speed 30,000 rpm Motor for Polishing Straight nose cone 4:1 reduction for oscillating prophy 25 Pack of Oscillating Prophy Heads IM3GS iM3 GS Dental Unit Complete £2498.70 iM3 GS FIBRE OPTIC DENTAL UNIT DETAILS: GS Dental Unit as above (except H/S Hand Piece Push Button) iM3 GS with optional iM3 42-12 scaler Fibre optic cabling High Speed Handpiece Push Button with Fibre Optics IM3GSFO 126 iM3 GS Fibre Optic Dental Unit £2992.42 103462_CH12_p116-125_Dental Machines 13/2/06 09:33 Page 127 12 DENTAL MACHINES www.vetinst.com iM3 Ultra Suction Highspeeds and ultrasonics produce a lot of fluid. Removal of fluid especially from the back of the mouth is desirable to minimise inhalation or ingestion. The integral suction of the Ultra is there when you need it. Strips down for easy cleaning and the tips are autoclavable. CLS High Speed Flush The coolant system on the iM3 Ultra can be switched between distilled water and CLS. CLS is used to freshen and disinfect the mouth and as a cutting aid for high speed burs. In addition the CLS system can be used to flush the high speed turbine thereby killing any FELV which may have been sucked in. Flushing is an alternative to handpiece autoclaving which significantly shortens turbine life. Corian Topped Storage The top of iM3 units is made from white Corian which is good to look at and easy to clean. On the Ultra the top lifts up to reveal a large storage area for handpieces burs etc. A magnetic zone at the front ‘captures’ burs and prevents them from falling onto the floor. Handpieces The iM3 Ultra is supplied complete with the following handpieces. MidWest Lever Lock Fibre Optic high speed, low speed motor. 4:1 straight nose cone and a starter pack of oscillating prophy heads. Consider also the Rabbit option and the Diamond saw option (see page 128). Any scaler will work with the Ultra without the requirement for a pump up water bottle. We recommend the iM3 42-12 scaler for best results. Dimensions Footprint 550mm wide, 510mm deep Height adjustable from 750mm to 1060mm. iM3 ULTRA DENTAL UNIT FEATURES: Head Unit, Floor Stand and Silent Hurricane compressor Handpiece Holders and Air Lines for: High Speed 1 (HS1) with Water Flow Control The only dental unit you will ever need to buy. The iM3 Ultra is state of the art and designed to be kept that way. The iM3 Ultra is designed and built to last a lifetime. Recognised by leading veterinary dentists as the best unit available it is designed to meet your growing requirements. All the options can be fitted from the outset or can be added as your expertise or experience demands. Low Speed (LS) Attention to detail is everywhere, even the routine maintenance instructions are printed on the unit for easy reference. Consider leasing, this unit will more than pay for itself. Our own service department performs everything from routine maintenance to full upgrades. We can upgrade older machines to current specifications. Bacterial Filter for Handpiece Exhaust Lines 3 Way Air/Water Syringe Automatic Handpiece Activators Storage Compartment Water Supply, Filter, Regulator, On/Off Switch Corian Top with "built-in" magnetic Bur Holder Quick Reference Maintenance Instructions printed on the unit. Colour Coded Delivery System CLS Chlorhex & Flush System with Bacterial Filter Suction Unit - Variable Suction & Bacterial Filter Silent Hurricane 4 Socket Power Board A busy dental unit needs a lot of air. The Silent Hurricane is designed to deliver what you need without overheating or you having to wait for ‘compressor catch up’. The large 25 litre reserve means that the compressor is not constantly running. CE certified. Pressurized Water Outlet for Ultrasonic Tooth Scalers Fibre Optic Light System for High Speed Handpiece Fibre Optic Light with Dog & Cat Intubation Blades Handpieces Fibre Optics High Speed Handpiece Fibre Optic Midwest Lever Lock 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. Fibre optics are standard on the Ultra but an option on the GS. Low Speed 30,000 rpm Motor for Polishing Straight nose cone 4:1 reduction for oscillating prophy 25 Pack of Oscillating Prophy Heads IM3ULTRA Automatic Handpiece Activators As soon as you remove the Handpiece from the holder it becomes active via the foot control. No need to fiddle with switches. Whichever handpiece you have in your hand will work when you press the foot control. 127 iM3 Ultra Complete £5598.60 103462_CH12_p116-125_Dental Machines 12 13/2/06 09:33 Page 128 DENTAL MACHINES Dental Machines Options VI Mini Cart Rabbit Option 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 2 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 sped. 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 140 for further details. 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. The Mini Cart is supplied with the following handpieces: Push button highspeed, low speed motor, polishing attachment and pack of prophy cups. Many other handpiece options are available to fit the standard outlets. 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. HANDPIECE OPTIONS - RABBIT Dimensions Footprint 470mm wide, 550mm deep Height adjustable from 630mm to 860mm. 001792 Rabbit bur kit (6 burs in block) L686 1:1 Straight nose cone 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) VI MINI DENTAL CART FEATURES: Head Unit, Floor Stand and Quiet Bambi Compressor £31.93 £104.31 £39.00 £157.72 £3.60 Diamond Disc Option 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 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. Tray style top Socket Power Board Pressurized Water Outlet for Ultrasonic Tooth Scalers Handpieces High Speed Handpiece Push Button HANDPIECE OPTIONS - DIAMOND DISC Low Speed 30,000 rpm Motor for Polishing 001789 Diamond (double sided ) Disc £23.79 Polishing attachment for low speed 001791 Diamond disc safety shield £43.00 Pack of screw on Prophy cups 001790 Diamond disc option (includes both of the above) £60.11 VIMINI VI Mini Dental Cart complete L686 £1950.00 128 1:1 Straight nose cone £104.31 103462_CH12_p116-125_Dental Machines 13/2/06 09:33 Page 129 12 DENTAL MACHINES www.vetinst.com Handpieces 1:1 Attachment and Contra Angle (Latch) Head High Speed Handpiece iM3 Pushbutton 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 or a contra angle (right angle) head. Midcrest Leverlock The contra angle head offers a higher torque than the high speed. The speed is limited to 24,000rpm. A range of contra burs is available as bur kit D752. 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 130) allows the high speed to be used as an ultrasonic scaler for tartar removal. Only Friction Grip burs fit the high speed. Fine water jets cool the bur. The fibre optic version illuminates the operative area with a brilliant cold light. Available as push button or leverlock. The leverlock action of Midwest is very reliable and makes bur tightening virtually fool proof in that no judgement is required 1:1 ATTACHMENT AND CONTRA ANGLE (LATCH) HEAD L687 ISO Fitting 1:1 for Contra Attachment for LS HP £97.26 L689 Contra Angle (Latch) Head £42.82 4:1 Reduction Attachment, Rotating Prophy Heads and Cups HIGH SPEED HANDPIECE L6841 High Speed Push Button £187.50 L6831 High Speed Push Button with Fibre Optics £345.00 L5050 High Speed Midwest Leverlock £357.50 L5010 High Speed Midwest Leverlock with fibre optics £530.45 Latch Low Speed Motor Screw On Snap On Running with low speed (24.000 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 132. The 4:1 attachment gears down the low speed to around 6000rpm with 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. LOW SPEED MOTOR L698 Lynx Low Speed Motor Only 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. £301.72 Straight Nose Cone Screw On Prophy Head This accessory pushes directly onto the low speed motor and drives a range of handpiece (HP) 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. If using an air driven unit we advise the 4:1 reduction straight nose cone (green/green band). If using an electric micromotor the 1:1 may be used but turn the maximum speed down to 6000rpm. Far fewer problems with hair and prophy paste. Snap On Prophy Head Widely used but has some problems in veterinary dentisty. Muzzle hair becomes caught behind the ‘button’ and when combined with prophy paste quickly degrades the head. 4:1 REDUCTION ATTACHMENT, ROTATING PROPHY HEADS & CUPS L688 ISO Fitting 4:1 polishing attach. for LS HP L689 Contra Angle (Latch) Head P465 Contra Angle (Latch) Head Prophy Cup x 36 £17.70 L670 Prophy Head Screw On (ISO) £75.30 P262 Prophy Cups Screw On x 144 £46.82 P261 Prophy Head Snap On (ISO) £75.30 P464 Prophy Cups Snap On x 144 £35.92 £103.23 £42.82 STRAIGHT NOSE CONE L686 Lynx Straight Nose Cone 1:1 £104.31 L686A Lynx Straight Nose Cone 4:1 reduction for oscillating prophy £110.31 Dental Machines 129 103462_CH12_p116-125_Dental Machines 12 13/2/06 09:33 Page 130 DENTAL MACHINES Dental Machines Oscillating Prophy Head Roto-Pro Burs 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. 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. OSCILLATING PROPHY HEAD SEMI DISPOSABLE IM3L7465S IM3L7465L Oscillating Disp Prophy Angle (for 4:1 reduction) x 25 £18.75 Oscillating Disp Prophy Angle (for 4:1 reduction) x 100 £62.00 ROTO-PRO BURS R350 Flame (pack of 6) £16.47 R351 Perio (pack of 6) £16.47 R352 Round (pack of 6) £16.47 R353 Straight/Regular (pack of 6) £16.47 Prophy Paste Useful Burs 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. Each dental bur has its own unique code which is made up of the shaft type followed by the head number followed by the material it is made of, e.g. FG 702 D is a Friction Grip Bur(for the high speed hand piece), the 702 head is a taper fissure cross cut and is made of Diamond. Diamond burs create less heat and last longer. Shaft Types - (actual size) PROPHY PASTE P466 Prophy Paste 300g P466R/200 Prophy Paste Regular. 200 (2g) individual pots £45.00 P4660DP Coarse Prophy Paste. 200 (2g) individual pots Round and Taper fissure burs are the most commonly used in veterinary dentistry. £5.75 £45.00 Burs & Saws Bur Kits Each bur kit contains a range of useful burs for each application. Each comes with a simple to follow guide for bur usage. The table opposite describes the various burs which have been shown to be useful in veterinary dentistry. When ordering please identify the bur you need and use the unique VI code. BUR KITS D751 Dog, High Speed Bur Kit (F/G) £40.50 D752 Contra (Latch) Right Angle Bur Kit (R/A) £40.50 D753 Cat, High Speed Bur Kit (F/G) £40.50 D754 Low Speed (HP) Bur Kit (for SNC) £40.50 130 103462_CH12_p116-125_Dental Machines 13/2/06 09:33 Page 131 ORDER CODES Carbide iM3 Pattern 12 DENTAL MACHINES www.vetinst.com Description Primary Uses Diamond CAT FG BURS (HIGH SPEED) KIT D753 FG1/4 FG1/4D D791 Plain cut round 0.5mm Drill mechanical retention holes before glass ionomer restorations FG4 FG4D D792 Plain cut round 1.4mm Atomisation of tooth/crestal bone in ORL affected teeth D796 Ex fine grit diamond Smoothing shallow cervical line lesion before treatment FG8 FG8D D793 Plain cut round 2.1mm Atomising maximillary & mandibular bone in stomatitis cats post extraction FG702 FG702D D795 Taper fiss. Cross cut 1.6mm For sectioning bone FG331/2 FG331/2D D794 Inverted cone plain cut 0.6mm Undercut access openings after root canal or before restoration DOG FG BURS (HIGH SPEED) KIT D751 FG4 FG4D C911 Plain cut round 1.4mm Create access openings & remove dentin at pulpotomy sites, atomise roots FG6 FG6D C914 Plain cut round 1.8mm Crown reduction in teeth with neck lesions FG702L FG702LD D781 Long cross cut taper fiss. 1.6m Ideal for sectioning large teeth FG35 FG35D C923 Inverted cone plain cut 1.0mm Undercut access openings for root canals or restorations FG1558 FG1558D D780 Domed fiss. Cross cut 1.2mm A ‘finesse’ bur for bone flaps & sectioning small teeth or odontoplasties HAND PIECE BURS (STRAIGHT NOSE CONE) KIT D754 HP332 HP332D D786 Round pear plain cut Beginning holes for IM pins, smoothing bone & crown reduction HP703 HP703D C445 Taper fiss. Cross cut 2.1mm Cortical buccal bone flaps, cutting IM pins or other sterile surgical bone procedures. Correction of beak abnormalities HP39 HP39D D787 Inverted cone 1.8mm Acrylic cutting bur – sectioning acrylic splints HP8 HP8D C918 Round plain cut Undercut access openings for surgical endontics HP557L HP557LD D611 Flat fiss. Cross cut long 1.0mm Largest, longest bur of it’s type – sectioning very large teeth & boney surgical procedures CONTRA ANGLE BURS (LATCH HEAD) KIT D752 RA4 RA4D C910 Round plain cut 1.4mm Access openings for root canal/pulpotomies RA37 RA37D D783 Inverted cone 1.4mm Undercutting for restoration/access openings RA557L RA557LD C929 Flat fiss. long head 1.0mm Sectioning teeth RA170L RA170LD D784 Taper fiss. long head 1.0mm Ordotoplasty of crowded teeth RA8 RA8D D562 Round plain cut 2.3mm Gross reduction of tooth structure, smoothing bony tissue. Also can be used to cut IM pins RABBIT CARBIDE BURS (STRAIGHT NOSE CONE) Very long flat fiss. cross cut 2.3mm Removing spurs reducing height of dental arcade. HL563 HL563D N/A HP704 HP704D N/A Taper fiss. cross cut 2.3mm Reducing individual molars, cutting incisors HP8 HP8D N/A Round 2.3mm Trimming individual molars RABBIT CARBIDE BURS - HIGH SPEED FRICTION GRIP FG702L FG702LD D781 Cross cut taper fissure long 1.6mm Cutting incisors Diamonds create less heat and last longer especially with irrigation. OTHER USEFUL BURS FG701 - N/A Cross cut taper fissure FG701L - N/A Cross cut taper fissure long Sectioning teeth similar to but smaller than HP703 Sectioning teeth similar to but smaller than HP703 HP702 - N/A Cross cut taper fissure 1.6mm Sectioning teeth similar to but smaller than HP703 HP702L - N/A Cross cut taper fissure Simular to HP702 but with a longer head HP563 - N/A Flat cross cut 2.3mm Shorter version of the long rabbit bur DENTAL BUR PRICES BUR PREFIX CARBIDE DIAMOND FG £2.44 £2.95 HP £2.44 £2.95 HL £3.60 £4.20 RA £2.44 £2.95 Dental Machines 131 103462_CH12_p116-125_Dental Machines 12 13/2/06 09:33 Page 132 DENTAL MACHINES Dental Machines Micromotor NM300 This powerful, reliable motor performs all the functions of a low speed handpiece without the requirement for compressed air. • Speed variable between 2,000 and 30,000 rpm • 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 including; Optional Attachments for Micromotor L687 1:1 attachment with the L670 Prophy head screw fitting + P262 screw-in prophy cups Polishing Kit Including NM300 Micromotor Polishing kit includes; NM300 Micromotor, L686 1:1 Straight nose cone, 25 oscillating disposable prophy heads and prophy paste. This kit will also drive rabbit burs. NM300 MICROMOTOR This combination is used for post-scaling polishing. Use maximum of 6000rpm. L687 1:1 attachment with the L689 Contra Angle (latch) head This combination will drive a range of right angle burs including the taper fissure burs for cutting teeth. L686 1:1 straight nose cone Handpiece burs (HP) fit this attachment. Our bur kit (001792) includes 6 HP burs appropriate for rabbit dental procedures including unique extra long burs. (for this and micro saw and rasp see page 141). Use this nose cone for the oscillating prophy head max 6000rpm. 132 1007 Micromotor NM300 (motor and foot control) £399.00 1007A Micromotor Polishing Kit £482.20 L687 1:1 Attachment £97.26 L670 Prophy Head Screw Kit £75.30 L689 Contra Angle (latch) Head £102.80 L686 1:1 Straight Nose Cone £104.31 103462_CH12_p116-125_Dental Machines 13/2/06 09:33 Page 133 DENTAL MACHINES www.vetinst.com Dental Machines 133 12 103462_CH13_p126-131_Dental Hand 13/2/06 09:33 Page 134 13 DENTAL HAND INSTRUMENTS Dental Hand Instruments Explorer / Measuring Probe Jaquette Supragingival Scaler 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 shepherds 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. 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. The depth of these sulci are measured using the measuring probe. Details are recorded for subsequent treatment and comparisons. JAQUETTE SUPRAGINGIVAL SCALER EXPLORER / MEASURING PROBE 012100 Shepherd’s Crook Explorer/ Measuring Probe 012120 Jaquette Supragingival Scaler £16.48 £16.48 Double-ended Scraper 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. Subgingival Curette DOUBLE-ENDED SCRAPER 012020 Double Ended Scraper £16.48 Hoe Scaler 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. SUBGINGIVAL CURETTE 012130 Subgingival Curette (double ended) £16.48 Useful for removal of large areas of tartar and plaque from flat tooth surfaces. Double ended scaler. HOE SCALER 012110 134 Hoe Scaler (double ended) 16 £16.48 103462_CH13_p126-131_Dental Hand 13/2/06 09:33 Page 135 DENTAL HAND INSTRUMENTS 13 www.vetinst.com Tartar Scrapers - Various Diamond Card - Fine 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. Traditional scrapers offering tip design as illustrated. TARTAR SCRAPERS 012021 Single Ended Scraper 11 012022 Single Ended Scraper 12 £19.73 DIAMOND CARD - FINE 012023 Single Ended Scraper 15 £19.73 012144 012024 Single Ended Scraper 16 £19.73 £19.73 Flat Diamond Sharpening Card (Fine) £16.30 Diamond Cone Sharpening Accessories Sub gingival 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. DIAMOND CONE 012147 Diamond Flat £21.00 012148 Diamond Cone £29.04 Wedge Elevator To work effectively both scalers and elevators need to be sharp. Regular sharpening will keep your instruments working correctly. IM3 White Stone Slip 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. This stone has both flat and rounded surfaces to sharpen elevators and curettes. Use baby oil as lubricant. WEDGE ELEVATOR IM3 WHITE SLIP STONE 012150 IM3 White Slip Stone for curettes and elevators 012010 £19.00 Wedge Elevator £21.63 Dental Hand Instruments 135 103462_CH13_p126-131_Dental Hand 13/2/06 09:33 Page 136 13 DENTAL HAND INSTRUMENTS Dental Hand Instruments Carnivore Elevator Double Ended Elevator The curved tips are designed to follow the concave and convex curvatures of the roots, helping to prevent breaking the roots. DOUBLE ENDED 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. 012036 Double Ended Elevator 2mm £19.57 012038 Double Ended Elevator 4mm £19.57 Luxators CARNIVORE ELEVATOR 012001 Carnivore Elevator No. 1 (2.5mm) £21.63 012002 Carnivore Elevator No. 2 (3.5mm) £21.63 012003 Carnivore Elevator No. 3 (4.0mm) £21.63 012001/4S Set of Carnivore Elevators No’s. 1, 2, 3 (2.5, 3.5 and 4.0mm) and the wedge elevator £82.40 Small Feline Elevator Actual size The 2mm angled tip on a fine handle allows access to lingual surfaces. Also useful in the extraction of rabbit incisors. SMALL FELINE ELEVATOR 012018 Small Feline Elevator £21.63 Superfine Elevator Straight 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. Actual size 2mm with a comfortable handle. LUXATORS SUPERFINE ELEVATOR STRAIGHT 012004 Superfine Elevator 2mm straight - NEW £21.63 136 012177 Luxator 1mm straight 012190 Luxator 2mm straight £31.15 012191 Luxator 3mm straight £31.15 012192 Luxator 3mm curved £31.15 012194 Luxator 5mm straight £31.15 012195 Luxator 5mm curved £31.15 012192/CA Luxator 3mm contra angle £31.15 012196VET Veterinary Luxator set. (Set of five c/w stone) £120.00 012146 Luxator Sharpening Stone £31.15 £14.94 103462_CH13_p126-131_Dental Hand 13/2/06 09:33 Page 137 DENTAL HAND INSTRUMENTS 13 www.vetinst.com Winged Elevators Couplands Elevators This is the standard human elevator. Generally considered too thick for veterinary use. COUPLANDS ELEVATORS 012015 Couplands Chisel No. 1 (3.0mm) £21.63 012016 Couplands Chisel No. 2 (4.0mm) £21.63 012017 Couplands Chisel No. 3 (5.0mm) £21.63 Periosteal Elevator A. B. C. D. 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 operators 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. Used to raise gingival flaps. The fine instrument is particularly useful in cats. PERIOSTEAL ELEVATOR 001270 Periosteal Elevator. A (195mm - 4mm/7mm end) 7350/05 Freer Periosteal Elevator 5mm. B (180mm) £27.16 £24.28 001271 Curved 6mm Fibre Handle AO type. C (180mm) 001272 Very fine 2mm/3mm Periosteal Elevator. D (180mm) £24.28 £27.16 WINGED LUXATORS 012389 Winged elevator 1.0mm (purple) £33.83 012390 Winged elevator 2.0mm (gold) £33.83 012391 Winged elevator 3.0mm (blue) £33.83 012392 Winged elevator 4.0mm (black) £33.83 012393 Winged elevators Set of 4 (includes free stainless steel case) £123.00 012395 Autoclavable Stainless Steel Case for Winged Elevators £30.00 Molt Periosteal Elevator 2/4 (4mm/6mm) Apical Elevator Molt is a double ended periosteal elevator often recommended by dental experts. The two tips are round and dished. 4mm and 6mm diameters. Used to remove tooth root fragments. APICAL ELEVATOR 012006 Heidbrink Apical Elevator £21.63 MOLT PERIOSTEAL ELEVATOR 2/4 (4MM/6MM) 001275 Molt Periosteal Elevator £27.16 Dental Hand Instruments 137 103462_CH13_p126-131_Dental Hand 13/2/06 09:33 Page 138 13 DENTAL HAND INSTRUMENTS Dental Hand Instruments Tartar Forceps Small Incisor Forceps 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. SMALL INCISOR FORCEPS 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. 012070 Small Incisor Forceps £47.85 TARTAR FORCEPS 012050 Tartar Forceps Spring Loaded £47.85 012051 Tartar Forceps Cat Size Extraction Forceps / Small £47.85 Root Fragment Set 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 TARTAR FORCEPS 012075 012052 Tartar Forceps Cupix Point Style 012053 Tartar Forceps Cat Size £47.85 £xx.xx 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. HAWKSBILL FORCEPS 012030 Large Hawksbill Forceps £47.85 012040 Small Hawksbill Forceps £47.85 138 Root Fragment Set (3 forceps) £63.00 103462_CH13_p126-131_Dental Hand 13/2/06 09:33 Page 139 DENTAL HAND INSTRUMENTS 13 www.vetinst.com Lip Retractor Grays Mouth Gag Simple action allows spring to gently open the jaws but does not allow the patient to close its' mouth. GRAY'S MOUTH GAG 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. 012158 Hamilton Kirk Cat Gag £32.24 012160 Grays Mouth Gag Small £28.21 012170 Grays Mouth Gag Medium £34.47 012180 Grays Mouth Gag Large £39.18 012159 Grays Mouth Gag Set (3) £95.00 Smith Baxter Mouth Gag Spring action maximises access but is less likely to overstretch the TMJ. LIP RETRACTOR Lip Retractor 010147 £12.00 Dental Mirror SMITH BAXTER MOUTH GAGS DENTAL MIRROR 012795 Dental Mirror 957900C £4.94 Smith Baxter Mouth Gags Spring Bar Type (Set) £55.51 012795ES Smith Baxter Mouth Gags extra small max gape 5.5cm £8.80 012795S Smith Baxter Mouth Gags small max gape 6.5cm £9.85 012795M Smith Baxter Mouth Gags medium max gape 10cm £11.30 Dental Models 012795L Smith Baxter Mouth Gags large max gape 14cm 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. 012795EL Smith Baxter Mouth Gags extra large max gape 15.5cm £14.60 £12.85 Dental Chart Stick-On Labels DENTAL MODELS AMJ770 Dental Model Dog £124.58 AMJ770C Dental Model Cat £124.58 AMJ771 Dental Model Dog with pathology £124.58 AMJ771C Dental Model Cat with pathology £124.58 AMJ770S Set of canine & feline model teeth £235.43 AMJ771S Set of canine & feline model teeth with pathology £235.43 An essential part of any dental programme is accurate recording. These stick-on labels make dental recording a simple process. DENTAL CHART STICK-ON LABELS 012200 Dental Chart Labels - Dog (50) £5.81 012201 Dental Chart Labels - Cat (50) £5.81 012203 Dental Chart Labels Starter Set- Dog & Cat £5.81 Dental Hand Instruments 139 103462_CH14_p132-135_Rodent Dentistry 14 13/2/06 09:34 Page 140 RODENT DENTISTRY Rodent Dentistry Table Top Rodent Gag Cheek Dilators 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. The small dilator is also useful as a small gag for guinea pigs and chinchillas. CHEEK DILATORS TABLE TOP RODENT GAG 012204 Table Top Rodent Mouth Gag £196.00 012188 Rodent Cheek Dilator Small £8.24 012189 Rodent Cheek Dilator Large £8.24 012189A Rodent Cheek Dilator Long Reach use with long burs £8.24 Rodent Mouth Gag Rodent Spatula Use to deflect tongue and cheek to examine and treat molars. RODENT SPATULA 012184 Rodent Spatula £12.36 Rodent Molar Cutter Without this gag examination and treatment of rabbit molars is virtually impossible. RODENT MOUTH GAG 012185 Rodent Mouth Gag £39.14 Lightweight Rodent Mouth Gag Less bulky and less powerful than the standard rodent gag. Cheaper too. LIGHTWEIGHT RODENT MOUTH GAG 012185LW Rodent Mouth Gag Lightweight £29.36 Use to debulk or for trimming spurs and hooks. RODENT MOLAR CUTTER 140 012186 Rodent Molar Cutter 180mm £25.75 012186/S Rodent Molar Cutter 140mm £25.75 103462_CH14_p132-135_Rodent Dentistry 13/2/06 09:34 Page 141 RODENT DENTISTRY www.vetinst.com Rodent Molar Rasp 14 Diamond Disc For trimming incisors. Shown with straight nose cone and diamond disc safety shield (not included). Hand piece fitting. DIAMOND DISC 012181 012181A 012187 012182 001789 Diamond Disc (20mm) £23.79 001791 Diamond Disc safety shield £43.00 Rabbit Bur Kit 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. RODENT MOLAR RASP 012187 Rodent Tooth Rasp. Large £18.54 012181 Rodent Tooth Rasp. Small £18.54 012181A Rodent Molar Rasp, Fine - Diamond. Small £27.81 012182 Rodent Molar Rasp, Fine - Diamond. Large £29.81 Motorised Diamond Rasp & Micro Saw Diamond Blade 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. 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. RABBIT BUR KIT 001792 Rabbit Bur Kit in Block (six burs) HP8 Round Carbide Bur 2.3mm £2.44 £650.00 HP704 Taper Side Cut Bur 2.3mm £2.44 £3.60 MOTORISED DIAMOND RASP 1050 Reciprocating Handpiece to fit micromotor elect/air 1052 Diamond Rasp Blade for reciprocating handpiece £80.00 HL563 Extra Long Cross Cut Bur 1054 Tungsten Carbide Blade for reciprocating handpiece £32.50 HL563D Extra Long Cross Cut Bur. Diamond 1041 Micro Reciprocating saw blade 10mmx 3mm (6 pack) £26.50 001793 Soft Tissue Protector for above fits St nose cone 1044 Micro Reciprocating saw blade 21mmx 4mm(6 pack) L686 Lynx 1:1 Straight Nose Cone £26.50 141 £31.93 £4.20 £39.00 £104.31 103462_CH14_p132-135_Rodent Dentistry 14 13/2/06 09:34 Page 142 RODENT DENTISTRY Rodent Dentistry Crossley Incisor Luxator Molar Extraction Forceps 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 Designed by David Crossley to extract the very large rabbit incisors. Removal avoids the requirement for repeated cutting of overgrown maloccluded incisors. Shape of luxator matches tooth shape. A smaller version is available for guinea pigs and rats. Rabbit/Guinea Pig Molar Forceps £25.75 Root Tip Extraction Forceps CROSSLEY INCISOR LUXATOR 012197CR Crossley Incisor Luxator £19.57 012197R Small Crossley for guinea pigs and rats £19.57 Crossley Molar Luxator Actual Size 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. ROOT TIP EXTRACTION FORCEPS 012206 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 £19.57 142 Root Tip Extraction Forceps £25.75 103462_CH14_p132-135_Rodent Dentistry 13/2/06 09:34 Page 143 14 RODENT DENTISTRY www.vetinst.com Antibiotic Impregnated Polymethacrylate Beads (AIPMMA) Rabbit Dental Kits 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. 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 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. • Large Cheek Dilator • Long Reach Dilator • Incisor Luxator • Molar Luxator • Molar Extraction Forceps • Diamond Rasp Indications include osteomyelitis and abcessation in the rabbit. Hand & Motor Kit (ROD3) contains: • AS Full Hand Kit PLUS: 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. • 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. RABBIT DENTAL KITS ANTIBIOTIC IMPREGNATED POLYMETHACRYLATE BEADS (AIPMMA) ROD1 Basic Kit BC1KIT AIPMMA Bead Kit no antibiotic £34.50 ROD2 Full Hand Kit £160.00 BC1GKIT AIPMMA Bead Kit with Gentamycin £34.50 ROD3 Hand & Motor Kit £280.00 £97.00 Rodent Dentistry 143 103462_CH15_p136-141_Needles 13/2/06 09:34 15 Page 144 NEEDLES Needles Biopsy Needles - Bone Veterinary Instrumentation Range VI Type biopsy needle - BMBJV11 Bone Marrow Biopsy - Jamshidi Type BMBJV18A 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. 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. The 11gauge 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). A very good web page on the harvesting of bone marrow can be found at: VETERINARY INSTRUMENTATION RANGE www.vetmed.wsu.edu/courses_samdx/bm.htm BMBJV18A VI, Jamshidi type disposable 18g x 2”(50mm) 8 gauge £15.45 BMBJV16 VI, Jamshidi type disposable. 16g x 2” (50mm) £15.45 BMBJV13 VI, Jamshidi type disposable. 13g x 4” (100mm) £20.60 BMBJV11 VI, Jamshidi type disposable. 11g x 4” (100mm) £25.75 BMBJV8 VI, Jamshidi type disposable. 8g x 4” (100mm) £26.78 012520 15g Jamshidi type (Rocket) £12.30 Re-usable Bone Marrow Biopsy Needles 18 gauge Designed as a throw away item this needle can in fact be used several times provided the autoclave does not excede 124 degrees celcius. Do not use the drying cycle, or use chemical cold sterilants, see page 157. These are the original Baxter Jamshidi needles. Made entirely from stainless steel these needles are fully autoclavable and can be re-sharpened as necessary. BONE MARROW BIOPSY JAMSHIDI (DISP) BAXTER 012504 Bone Marrow Biopsy Jamshidi 18g (Disp) Baxter Illinois RE-USABLE BONE MARROW BIOPSY NEEDLES £37.37 DIN1515X Bone Marrow Biopsy Jamshidi 15g (Disp) Baxter Illinois £37.37 Bone Marrow Biopsy Jamshidi 13g (Disp) Baxter Illinois £37.37 DJ 4011 Bone Marrow Biopsy Jamshidi 11g (Disp) Baxter Illinois £37.37 DJ 4008 Bone Marrow Biopsy Jamshidi 8g (Disp) Baxter Illinois £37.37 DJ4013 012506 Bone Marrow Biopsy Jamshidi 18g (Re-use) £225.00 012505 Bone Marrow Biopsy Jamshidi 13g (Re-use) £225.00 012519 Bone Marrow Biopsy Jamshidi 11g x100mm (Re-use) £225.00 012518 Bone Marrow Biopsy Jamshidi 8g x100mm (Re-use) £270.00 Bone Marrow Biopsy - Klima Type info 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. WHICH BIOPSY NEEDLE? BONE MARROW <5kg 18g 5 - 15kg 16g 15 - 30kg 13g 30 - 50kg 11g >50kg 8g CORTICAL BONE <5kg 11g 5 - 15kg 8g >15kg trephine SOFT TISSUE All 14g (TRUCUT) BONE MARROW BIOPSY - KLIMA TYPE 144 012508 Bone Marrow Biopsy Klima 18g x 25mm £30.00 012507 Bone Marrow Biopsy Klima 16g x 25mm £30.00 012503 Bone Marrow Biopsy Klima 16g x 37mm £30.00 012498 Bone Marrow Biopsy Klima 22g x 25mm £30.00 103462_CH15_p136-141_Needles 13/2/06 09:34 Page 145 15 NEEDLES www.vetinst.com Flushing Needles Bone Marrow Biopsy - Rosenthall Flushing needles have a bead or olive soldered onto the tip to minimse trauma to friable soft tissues. Similar to Klima. Stylet does not lock into position. Ear Flushing Needles BONE MARROW BIOPSY-ROSENTHAL 012509 Bone Marrow Biopsy Rosenthal 16g x 35mm £15.30 Cortical Bone Trephine Often referred to as Spreulls needles these blunt beaded needles are available in 60mm and 100mm lengths with a luer hub. EAR FLUSHING NEEDLES 012510 Spreulls Needle Short 60mm £13.71 012511 Spreulls Needle Long 100mm £13.71 Flushing Needle 21 Gauge 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. 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. CORTICAL BONE TREPHINE FLUSHING NEEDLE 21 GAUGE 001427 Bone Biopsy Trephine 5mm o/d 3mm core £53.33 012512 Flushing Needle 21g Bead Tip 30mm £9.01 001425 Bone Biopsy Trephine 8mm o/d 6mm core £53.33 012512L Flushing Needle 21g Bead Tip 50mm £9.01 001426 Bone Biopsy Trephine 6mm o/d 4mm core £53.33 012512XL Flushing Needle 21g Bead Tip 75mm £9.01 Rabbit Lachrymal Duct Cannulae Biopsy Needles Soft Tissue Tru-Cut Style 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. 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. Used to sample liver, kidney and other soft tissues with minimal trauma. Takes just a small sliver of tissue. Disposable but will withstand boiling. Veterinary Instrumentation’s Rabbit Lachrymal Duct Cannula is designed especially for this procedure and is available in two sizes, 19 gauge and 21 gauge. TRU-CUT STYLE SOFT TISSUE BIOPSY 012521 Trucut Soft Tissue Biopsy Baxter 14g £19.23 STB18 VI, Trucut type, Supercore Biopsy Needle 14g x 150mm £11.50 RABBIT LACHRYMAL DUCT CANNULAE 012523 Rabbit Lachrymal Needle 19g 012524 Rabbit Lachrymal Needle 21g £14.05 012525 Set Rabbit Lachrymal Needles 19 & 21g £22.66 Needles 145 £14.05 103462_CH15_p136-141_Needles 15 13/2/06 09:34 Page 146 NEEDLES Needles 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 £14.24 307120 Bladder Catheter Curved (bitch) 180mm £14.24 307122 Bladder Catheter Curved (bitch) 250mm £14.24 307124 Bladder Catheter Curved (bitch) 300mm £14.24 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. Interosseus Infusion Needle 18g £12.30 Needle Boxes (Autoclavable) Available in polypropylene or stainless steel. ORAL DOSING NEEDLES 012513 12g Oral dosing needle 200mm (curved) £18.46 012514 14g Oral dosing needle 125mm (curved) £16.03 012515 16g Oral dosing needle 75mm (straight) £10.69 012515C 16g Oral dosing needle 75mm (curved) £10.69 012515STR 16g Oral dosing needle 100mm (straight) £10.69 012516 18g Oral dosing needle 50mm (straight) £10.69 012516C 18g Oral dosing needle 50mm (curved) £10.69 012517 20g Oral dosing needle 38mm (straight) £10.69 012517C 20g Oral dosing needle 38mm (curved) £10.69 012517CS 20g Oral dosing needle 25mm (curved) £10.69 012517S 20g Oral dosing needle 25mm (straight) £10.69 012527 22g Oral dosing needle 38mm (straight) £10.69 012527C 22g Oral dosing needle 38mm (curved) £10.69 012522 23g Oral dosing needle 25mm (straight) £10.69 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 405078 25g x 2” Spinal Needles (Disp) (Box 25) 405171 22g x 3” Spinal Needles (Disp) (Box 25) £48.94 405244 22g x 2.5” Spinal Needles (Disp) (Box 25) £48.94 405172 20g x 3” Spinal Needles (Disp) (Box 25) £48.94 405184 18g x 3.5” Spinal Needles (Disp) (Box 25) £48.94 405242 20g x 2.5” Spinal Needles (Disp) (Box 25) £48.94 405182 20g x 3.5” Spinal Needles (Disp) (Box 25) £48.94 405162 20g x 1.5” Spinal Needles (Disp) (Box 25) £48.94 405161 22g x 1.5” Spinal Needles (Disp) (Box 25) £48.94 012501 Spinal Needle 21g Short Bevel 40mm (reusable) £6.71 091149 Needle Box- polypropylene 012502 Spinal Needle 21g Short Bevel 25mm (reusable) £6.71 NDLBOX Needle Box- Stainless 012500 Spinal Needle 19g Short Bevel 38mm (reusable) £6.71 NDLBOXL £48.94 3. Needle Box Large NEEDLE BOXES (AUTOCLAVABLE) Large Needle Box/Small Parts Container 150x90x12mm 146 £1.75 £12.66 £18.66 103462_CH15_p136-141_Needles 13/2/06 09:34 Page 147 15 NEEDLES www.vetinst.com 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 Curved Suture Needle(12) £2.95 Regular Half Curved Order code is NRHC followed by needle size. Please also specify round or triangular. REGULAR HALF CURVED NRHC*** Regular Half Curved Suture Needle(12) Needles 147 £2.95 103462_CH15_p136-141_Needles 15 13/2/06 09:34 Page 148 NEEDLES Needles Regular Straight Order code NRS followed by needle size. Please also specify round or triangular. REGULAR STRAIGHT NRS*** Regular Straight Suture Needle(12) £2.95 Regular Half Circle Order code NRHCi followed by needle size. Please also specify round or triangular. REGULAR HALF CIRCLE NRHCi*** 148 Regular Half Circle Suture Needle(12) £2.95 103462_CH15_p136-141_Needles 13/2/06 09:34 Page 149 NEEDLES www.vetinst.com Skin Staplers - Autoclavable Surgiclose Skin Staplers Surgiclose Skin Staplers Over 80% of human surgical wounds involve the use of skin staplers. In veterinary surgery less than 10% of surgeries utilise skin staples. The use of skin staplers has been limited in veterinary surgery due to the high cost of disposable human skin staplers. The use of sutures with needle packs has been less expensive to close the skin. The introduction of SurgiClose stapling system addresses the specific needs of the veterinary surgeon. Features: • Autoclavable stapler-handle that can be re-used • Staple cartridges (20/pack) cost less than a pack of needle sutures • A huge saving over conventional throw away skin staples • Both handle and staples are provided sterile. The benefits of using any skin stapler are widely known and accepted in human surgery: • Better apposition of skin edges with better cosmetic result • Less reactivity of stainless steel staples • Significantly faster wound closure with staples • Ease of learning proper technique The SurgiClose Stapler in Use: • Staple cartridges are inserted into the handle • After use the handle can be autoclaved for repeated use • Staple cartridges are especially designed to reduce jamming • Staple length is 5.75mm, a better length for the thickness of animal skin versus very thin human skin • The 20 staples provided per cartridge are sufficient for a 10cm to 13cm incision • A closed staple has a square shape that restricts the movement or rolling of a staple. SURGICLOSE SKIN STAPLERS 012540 Autoclavable Stapler (Handle Only 6 pack) Sterile 012542 Staple Cartridge with 20 sterile staples (36 pack) £94.55 012544 Staple Remover £35.93 £2.50 Surgiclose Starter Kit A special introductory starter pack allows you to try the system at minimal cost. Includes: • 6 cartridges of staples • 1 Stapler handle • 1 Staple remover Needles SURGICLOSE STARTER KIT 012546 Surgiclose Starter Kit £34.00 149 15 103462_CH16_p142-155_General Surgery 16 13/2/06 09:35 Page 150 GENERAL SURGERY General Surgery Rochester Pean Introduction 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. Terminology Str = Straight Cof = Curved Aof = Angled The long jaw of this forcep makes it useful as a hysterectomy clamp in small and medium breeds. Artery Forceps ROCHESTER PEAN Crile 106225 Rochester Pean 14cm 5.5” Str Art. Forceps £17.59 106230 Rochester Pean 16cm 6.5” Str Art. Forceps £18.68 106235 Rochester Pean 18cm 7” Str Art. Forceps £22.56 106236 Rochester Pean 22cm 8.5” Str Art. Forceps £24.10 106270 Rochester Pean 14cm 5.5” Cof Art. Forceps £18.77 106275 Rochester Pean 16cm 6.5” Cof Art. Forceps £19.71 106280 Rochester Pean18cm 7” Cof Art. Forceps £23.23 106285 Rochester Pean 20cm 8” Cof Art. Forceps £24.54 106290 Rochester Pean 22.5cm 9” Cof Art. Forceps £21.09 Spencer Wells Jaw is somewhat lighter than the more popular Spencer Wells artery forceps. CRILE 101750 Crile 14cm 5.5” Str Artery Forceps £17.63 101755 Crile Atraumatic Jaws 5.5” Str £24.15 101765 Crile 16cm 6.5” Str Artery Forceps £19.33 101770 Crile 1/2th 16cm 6.5” Str. Forceps £19.33 101775 Crile 18cm 7” Str Artery Forceps £25.91 101780 Crile 14cm 5.5” Cof Artery Forceps £18.52 101785 Crile Atraumatic Jaws 5.5” Cof £24.15 101795 Crile 16cm 6.5” Cof Artery Forceps £21.14 101800 Crile 18cm 7” Cof Artery Forceps £27.13 The standard veterinary artery forceps. If the text states “artery forceps or haemostat” this is probably the one. Halstead Mosquito SPENCER WELLS 106600 Spencer Wells 12.5cm 5” Str Art. Forceps £13.73 106605 Spencer Wells 15cm 6” Str Art. Forceps £16.36 106610 Spencer Wells 18cm 7” Str Art. Forceps £19.01 106615 Spencer Wells 20cm 8” Str Art. Forceps £21.14 106620 Spencer Wells 23cm 9” Str Art. Forceps £33.36 106621 Spencer Wells 30cm 12” Str Art. Forceps £41.70 106625 Spencer Wells 12.5cm 5” Cof Art. Forceps £13.75 106630 Spencer Wells 15cm 6” Cof Art. Forceps £16.83 106635 Spencer Wells 18cm 7” Cof Art. Forceps £20.07 106640 Spencer Wells 20cm 8” Cof Art. Forceps £22.21 106645 Spencer Wells 23cm 9” Cof Art. Forceps £33.46 close-up details Very light but adequate for routine haemostasis in all but the largest blood vessels. HALSTEAD MOSQUITO Negus Forceps 103175 Halstead Mosquito 12.5cm 5” Str Art. Forceps £14.08 103225 Halstead Mosquito 12.5cm 5” Cof Art. Forceps £14.73 103180 Halstead Mosquito 12.5cm Str 1/2 Teeth £15.00 103185 Halstead Mosquito 12.5cm Cof 1/2 Teeth £15.00 NEGUS 7018/05 150 Negus 18cm 7” Cof Art. Forceps Small £28.79 103462_CH16_p142-155_General Surgery 13/2/06 09:35 Page 151 16 GENERAL SURGERY www.vetinst.com Bone Holding Forceps Mayo Safety Pin See General Orthopaedics, page 29 Use to organise artery forceps and other similar instruments. MAYO SAFETY PIN 106699 Mayo Safety Pin £10.56 Bone Cutting Forceps See GENERAL ORTHOPAEDICS - page 37 Chisels See General Orthopaedics, page 40 Bowel Clamps Bone Gouge Forceps (Rongeurs) Doyen See GENERAL ORTHOPAEDICS - Page 36 and SPINAL – Page 69 Rather large for small animal surgery but cheaper than the small atraumatic bowel clamp (see next page). DOYEN 201950 Bowel Clamps Doyen 24cm 9.5” Str £48.44 201955 Bowel Clamps Doyen 24cm 9.5” Cof £51.31 General Surgery 151 103462_CH16_p142-155_General Surgery 16 13/2/06 09:35 Page 152 GENERAL SURGERY General Surgery Atraumatic Small Bowel Clamp Adson Str Adson Brown Cof Ideal for fine surgical procedures. Available in a range of jaw designs. Jaw design gently holds and seals the bowel with a minimum of pressure and trauma. The fine ratchet facilitates gentle yet secure application. ADSON 341200 Adson, Serr. Diss. Forceps 12.5cm 5” 341201 Adson, Serr. Extra Fine 12.5cm 5” £21.79 341210 Adson, 1/2 teeth 12.5cm 5” Diss. Forceps £18.00 341212 Adson Brown Dissecting Forceps 5” £23.31 ATRAUMATIC SMALL BOWEL CLAMP 222165 222170 Bowel Clamps Small Animal Atraumatic 17cm Str £59.04 Bowel Clamps Small Animal Atraumatic Cof 17cm £59.04 £16.53 Debakey - Atraumatic Dissecting Forceps Serrated-Block End 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. A cheap, general purpose dressing forcep. DEBAKEY - ATRAUMATIC 342005 De Bakey 15cm 6” Diss. Forceps £24.39 Block End Serr. Dissecting Forceps 5” 12.5cm £7.06 342010 De Bakey 18cm 7” Diss. Forceps £26.30 341075 Block End Serr. Dissecting Forceps 6” 15cm 342015 De Bakey 19.5cm 8” Diss. Forceps £29.79 341080 Block End Serr. Dissecting Forceps 7” 18cm £11.95 347655 Dressing Forceps 205mm SERRATED-BLOCK END 341070 £9.51 £16.16 Epilation Dissecting Forceps 1/2 Teeth Actual size EPILATION 342450 DISSECTING FORCEPS 1/2 TEETH 341145 Dissecting Forceps 1/2 teeth 15cm 6” £13.40 341160 Dissecting Forceps 1/2 teeth 18cm 7” £15.84 Epilation Sq. Jaws Plain. 9cm 3.5” Diss. Forceps £18.61 St. Martin Dissecting Forceps A very fine rat tooth for delicate procedures including corneal surgery. ST. MARTIN DISSECTING FORCEPS 014160 152 St. Martin 1/2th 8cm 3.25” Diss. Forceps £36.86 103462_CH16_p142-155_General Surgery 13/2/06 09:35 Page 153 16 GENERAL SURGERY www.vetinst.com Treves, Rat Tooth Forceps Miniature Foster Gillies A cheap general purpose rat tooth dissecting forcep. TREVES, RAT TOOTH FORCEPS 346850 Treves 1/2th 12.5cm 5” Diss. Forceps £11.95 346855 Treves 1/2th 15cm 6” Diss. Forceps £14.08 346860 Treves 1/2th 18cm 7” Diss. Forceps £16.16 MINIATURE FOSTER GILLIES 347665 Fine Rat Tooth Thumb Forceps 205mm £16.16 602710 349520 Lanes Diss Forceps 2/3 teeth £16.16 Actual size Miniature Foster Gillies T.C. 4.0" 100mm £43.10 Foster Gillies Bitch Speculum Killian Actual size Smaller than the standard Gillies this instrument is ideal for finer surgery or smaller hands. FOSTER GILLIES 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 Bitch Speculum (Killian). Blade length 6.5cm (2.5") 582650 Foster Gillies RH 12.5cm 5” N/Holders £53.03 582660 Foster Gillies LH 12.5cm 5” N/Holders £53.03 602700 Foster Gillies RH 12.5cm 5” T.C. Jaws £77.48 602705 Foster Gillies LH 12.5cm 5” T.C. Jaws £84.71 £38.53 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. Combined scissor/needleholder. Their handles are gold plated to make it easier to spot them on a tray of artery forceps. Actual size GILLIES Castroviejo 582950 Gillies RH 16cm 6.25” N/Holders £35.36 582951 Gillies LH 16cm 6.25” N/Holders £41.62 602950 Gillies RH 16cm 6.25” T.C. Jaws £71.15 602951 Gillies LH 16cm 6.25” T.C. Jaws £79.81 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. £77.50 014177 Castroviejo’s needlehldrs. without catch T.C. £77.50 General Surgery 153 103462_CH16_p142-155_General Surgery 16 13/2/06 09:35 Page 154 GENERAL SURGERY General Surgery McPhails Olsen Hegar Scissor / Needleholder 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. 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. McPHAILS 584650 McPhails 15cm 6” N/Holders £47.26 584660 McPhails 18cm 7” N/Holders £47.26 584670 McPhails 20cm 8” N/Holders £47.26 OLSEN HEGAR SCISSOR/NEEDLEHOLDER Mayo and Mayo Hegar (T.C.) 585400 Olsen Hegar 14cm 5.5” N/Holders £40.25 585410 Olsen Hegar 16.5cm 6.5” N/Holders £43.84 585420 Olsen Hegar 19cm 7.5” N/Holders £48.55 605340 Olsen Hegar 11.5cm 4.5” T.C. Jaws £53.60 605350 Olsen Hegar 14cm 5.5” T.C. Jaws £57.55 605350S Olsen Hegar 14.5cm 5.5” Super Cut T.C. Jaws £57.55 Olsen Hegar 16.5cm 6.5” T.C. Jaws £61.28 605355 605355L Olsen Hegar 16.5cm 6.5” T.C. Jaws - Left Handed £61.28 605360 Olsen Hegar 19cm 7.5” T.C. Jaws £65.18 605361 Olsen Hegar Razor Cut 14.5cm 5.5 ” £57.55 605362 Olsen Hegar Razor Cut 17cm 6.5” £61.28 Debakey The veterinary general purpose needleholder available in a large range of sizes with or without tungsten jaws. MAYO AND MAYO HEGAR (T.C.) 584750 Mayo 12.5cm 5” N/Holders 584760 Mayo 14cm 5.5” N/Holders £22.93 584780 Mayo 16.5cm 6.5” N/Holders £24.03 584765 Mayo 18cm 7.0” N/Holders £24.81 584810 Mayo 19cm 7.5” N/Holders £25.42 604700 Mayo Hegar 12.5cm 5” T.C. Jaws £41.80 604705 Mayo Hegar 14cm 5.5” T.C. Jaws £44.56 604712 Mayo Hegar 15cm 6” T.C. Jaws £49.50 604715 Mayo Hegar 16.5cm 6.5” T.C. Jaws £49.50 604715L Mayo Hegar 16.5cm 6.5” T.C. Jaws - Left Handed £49.50 604720 Mayo Hegar 18.5cm 7” T.C. Jaws £52.44 DEBAKEY 604730 Mayo Hegar 19cm 7.5” T.C. Jaws £52.44 602005 De Bakey 18cm 7” T.C. Jaws £61.74 604735 Mayo Hegar 20cm 8” T.C. Jaws £55.08 602010 De Bakey 20cm 8” T.C. Jaws £65.09 604740 Mayo Hegar 23cm 9” T.C. Jaws £61.74 602015 De Bakey 23cm 9” T.C. Jaws £74.50 602020 De Bakey 25cm 10” T.C. Jaws £85.60 602025 De Bakey 30.5cm 12” T.C. Jaws £92.20 £24.09 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. 154 103462_CH16_p142-155_General Surgery 13/2/06 09:35 Page 155 16 GENERAL SURGERY www.vetinst.com Ryder Morris Ideal for small needles. The smaller sizes are an alternative for ophthalmic needleholders. Actual Size Much wider than the above, good for fat abdomens. MORRIS 606340 RYDER 606340 Ryder (Micro) 12.5cm 5” T.C. Jaws £57.20 606305 Ryder (Micro) 15cm 6” £55.56 606345 Ryder (Micro) 15cm 6” T.C. Jaws £59.00 606350 Ryder (Micro) 18cm 7” T.C. Jaws £61.00 684750 Morris Retractor 40mm x 1.5" £33.00 684755 Morris Retractor 50mm x 2" £33.00 684760 Morris Retractor 65mm x 2.5" £33.00 Walton, Copper Malleable These soft plates of copper can be moulded to contain particularly mobile soft tissue e.g. lungs and bowel. WALTON, COPPER MALLEABLE Derf Needle Holder 687613 Walton Malleable Copper 13mm 687825 Walton Malleable Copper 25mm £13.27 687651 Walton Malleable Copper 50mm £20.94 £10.78 Senn (Cats Paw) The Derf needleholder is a small TC needleholder with slightly heavier jaws than the Ryder. More resistant to surgeon abuse! SENN (CATS PAW) 833305 DERF NEEDLE HOLDER Derf Needleholder 12cm TC Jaws 607010 Senn Retractor (cats paw) £17.02 £49.00 Fat Pad Retractor Osteotomes See General Orthopaedics, page 40 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. Retractors FAT PAD RETRACTOR 001114 Fat Pad Retractor £17.50 Langenbeck Good retraction is the key to success in many procedures, especially surgery on deep structures e.g. the pelvis or the larynx. LANGENBECK 684375 Langenbeck Retractor 6mm blade £22.37 684395 Langenbeck long reach 6mm x 35mm blade £22.37 684380 Langenbeck Retractor 13mm blade £23.13 684390 Langenbeck Retractor 20mm blade £25.36 684385 Langenbeck Retractor 25mm blade £25.36 General Surgery 155 103462_CH16_p142-155_General Surgery 16 13/2/06 09:35 Page 156 GENERAL SURGERY General Surgery Retractors - Self Retaining Travers Gelpi - Modified Blunt Tips Expensive but very useful for retraction of skin and superficial soft tissue. TRAVERS 703051 Travers Retractor 16.5cm 6.5" (70mm spread) £123.20 703050 Travers Retractor 20cm 8” (90mm spread) £146.25 Weislander This self retaining retractor is extremely versatile as well as being the cheapest of the range. Manufactured to an extremely high standard to perform in a range of procedures. See also Veterinary Instrumentation's range on page 35. Excision arthroplasty Hip toggle O.C.D. of shoulder, elbow and hock Examination of stifle meniscae Arms are flat compared with the Wests. Disc fenestration WEISLANDER Thoracotomy 702150 Weislander S/R Retractor 14cm 5.5” Sharp 60mm gape £104.91 GELPI - MODIFIED BLUNT TIPS 001330 Gelpi 180mm 6.5” S/R Retractor (120mm spread) £86.41 001331 Gelpi Long Reach. 200mm £86.41 001332 Gelpi Small (50mm spread). 135mm £86.41 001333 Odd leg Gelpi (pair). 205mm £183.69 001334 Odd leg Gelpi Short (pair). 130mm £183.69 702152 Weislander S/R Retractor 14cm 5.5” Blunt 60mm gape £104.91 West Gosset Widely used but sharp points tend to snag tissues. Curved arms sit quite nicely on small veterinary patients. WEST 703250 West Retractor 14cm 5.5” (50mm spread) £83.46 Aln Skin Retractor ALN SKIN RETRACTOR 252370 Good as a rib retractor, laparotomy retractor and for retraction of ventral cervical structures during cervical fenestration. GOSSET 701550 Gosset Retractor Large (130mm spread) £135.39 710600 Gosset Retractor Small (100mm spread) £135.39 156 Aln Skin Retractor 7.5cm 3” £21.53 103462_CH16_p142-155_General Surgery 13/2/06 09:35 Page 157 16 GENERAL SURGERY www.vetinst.com Balfour Collins The two blades swivel as retraction takes place. They self-centre in the incision. COLLINS 703260 Collins retractor (110mm spread) £90.64 Abdominal retractor. This is a human retractor and the central blade is of limited value in the dog but is detachable . BALFOUR 25-2375 Balfour Retractor (180mm spread) £100.83 25-2376 Balfour Retractor Baby (90mm spread) £100.83 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 allow 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 £37.80 703253 Mini West Retractor 95mm (40mm spread) £37.80 0013302 Gelpi Mini Curved (45mm spread) 90mm £37.80 703053 Mini Travers Retractor 95mm (43mm spread) £37.80 General Surgery 157 103462_CH16_p142-155_General Surgery 16 13/2/06 09:35 Page 158 GENERAL SURGERY General Surgery Rib Retractor Dressing - Blunt/Blunt DRESSING - Blunt/Blunt Finnochetto is the standard rib retractor available in large and small. 742610 Dressing Scissors Blunt Str. 5” 12.5cm £10.88 742620 Dressing Scissors Blunt Str. 5.5” 14cm £14.65 742630 Dressing Scissors Blunt Str. 6” 15cm £16.16 742640 Dressing Scissors Blunt Str. 7” 18cm £20.40 742650 Dressing Scissors Blunt Str. 8” 20cm £28.89 742900 Dressing Scissors Blunt Cof. 5” 12.5cm £14.73 742622 Dressing Scissors Serr. B/B Cof. 5” 14cm £13.53 742910 Dressing Scissors Blunt Cof 5.5” 14cm £17.59 742910L Dressing Scissors Blunt Cof 5.5” 14cm Left Handed £17.59 RIB RETRACTOR 704000 Rib Retractor Finnochetto - Small (95mm spread) £83.43 742920 Dressing Scissors Blunt Cof. 6” 15cm £18.68 704005 Rib Retractor Finnochetto - Large (130mm spread) £90.64 742930 Dressing Scissors Blunt Cof. 7” 18cm £22.54 742940 Dressing Scissors Blunt Cof. 8” 20cm £31.67 Scissors Dressing - Sharp/Sharp Heath Stitch DRESSING - Sharp/Sharp General purpose stitch cutter. HEATH STITCH 743800 Heath Stitch Scissors 15cm 6” £31.67 742600 Dressing Scissors Sharp Str. 4” 10cm £11.26 742710 Dressing Scissors Sharp Str. 5” 12.5cm £13.03 742720 Dressing Scissors Sharp Str. 5.5” 14cm £14.81 742730 Dressing Scissors Sharp Str. 6” 15cm £16.16 742740 Dressing Scissors Sharp Str. 7” 18cm £20.40 742750 Dressing Scissors Sharp Str. 8” 20cm £28.89 743010 Dressing Scissors Sharp Cof. 5” 12.5cm £12.37 Dressing - Blunt / Sharp DRESSING - Blunt / Sharp 158 742810 Dressing ScissorsBlunt/Sharp 5” Str £14.65 742820 Dressing ScissorsBlunt/Sharp 6” Str £14.65 743100 Dressing ScissorsBlunt/Sharp 5” Cof £14.65 743120 Dressing ScissorsBlunt/Sharp 6” Cof £16.16 103462_CH16_p142-155_General Surgery 13/2/06 09:35 Page 159 GENERAL SURGERY www.vetinst.com Iris 16 Mayo 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 surgical scissor. Veterinary Instrumentation's Mayo scissors have finer tips than standard. More appropriate for veterinary surgery. IRIS 744100 Iris Scissors 9cm str. £12.02 744120 Iris Scissors 9cm cof £13.61 744110 Iris Scissors 11cm str. £12.02 744130 Iris Scissors 11cm cof £13.61 744131 Iris Scissors Tungsten Carbide Str. £21.96 MAYO Lister Bandage 745300 Mayo Chamf. Blades 14cm 5.5” Str. 745300L Mayo Chamf. Blades 14cm 5.5” Str. - Left Handed £16.17 745310 Mayo Chamf. Blades 16.5cm 6.5” Str. £19.33 745320 Mayo Chamf. Blades 19cm 7.5” Str. £23.62 745330 Mayo Chamf. Blades 21.5cm 8.5” Str. £30.98 745400 Mayo Chamf. Blades 14cm 5.5” Cof. £19.71 745410 Mayo Chamf. Blades 16.5cm 6.5” Cof. £22.21 745420 Mayo Chamf. Blades 19cm 7.5” Cof £28.00 745430 Mayo Chamf. Blades 21.5cm 8.5” Cof. £35.22 £16.17 Metzenbaum LISTER BANDAGE 744800 Bandage Scissor 5.5’ 14cm £14.46 744810 Bandage Scissor 7” 18cm £17.13 Littauer Stitch More elegant and lighter than Mayos, these scissors are preferred by many surgeons. Veterinary Instrumentation's Metzenbaums have finer tips than standard. METZENBAUM Very nice for removal of small awkward sutures. LITTAUER STITCH 745095 745100 745110 Littauer Stitch Scissors 8cm 3.5” Littauer Stitch Scissors 11cm 4.5” Littauer Stitch Scissors 12.5cm 5” Str. £18.00 £18.00 £18.00 General Surgery 159 746100 Metzenbaum ‘Lahey’ Sciss. 14.5m 5.75” Str. 746101 Metzenbaum Sciss. 15cm 6” Str. £20.98 746110 Metzenbaum Sciss. 18cm 7” Str. £24.65 746110L Metzenbaum Sciss. 18cm 7” Str. - Left Handed £24.65 746115 Metzenbaum Sciss. 20cm 8” Str £29.48 746120 Metzenbaum Sciss. 21.5cm 8.5” Str £31.67 746130 Metzenbaum Sciss. 24cm 9.5” Str. £35.78 746200 Metzenbaum ‘Lahey’ 14.5cm 5.75” Cof. £25.50 746210 Metzenbaum ‘McIndoe’ 18cm 7” Cof. £28.21 746215 Metzenbaum 19.5cm 8” Cof. £33.02 746220 Metzenbaum 21.5cm 8.5” Cof. £36.26 746230 Metzenbaum 24cm 9.5” Cof. £39.62 £20.98 103462_CH16_p142-155_General Surgery 16 13/2/06 09:36 Page 160 GENERAL SURGERY General Surgery Cosmetic Surgeon Scissors Strabismus Blunt tips, rather like a miniature Mayo. See page 115. Supercut Scissors Greatly improved cutting characteristics made by blade modifications. SUPERCUT SCISSORS 760000 Mayo Str.14cm, 5.5”. Supercut £24.21 760002 Mayo Cof.14cm,5.5”. Supercut £26.90 760008 Metzenbaum 14.5cm, 5.75” Str. Supercut £24.30 760009 Metzenbaum 14.5cm, 5.75” Cof. Supercut" £24.80 760010 Metzenbaum Str.18cm,7”. Supercut £32.28 760012 Metzenbaum Cof.18cm,7”. Supercut £34.31 close-up detail Favoured by human cosmetic surgeons, these scissors have very fine razor sharp blade with hard inserts for long life. They have a beautiful action and have a place in veterinary surgery where precise cutting is required. COSMETIC SURGEON SCISSORS WITH 'OPEN' SHANKS 755100 Cosmetic Surgeon Scissors Str. 15cm, 6" £32.00 755110 Cosmetic Surgeon Scissors Cof. 15cm, 6" £32.00 Hard Edge Scissors Scoops Volkman Useful for heavy curettage and collection of cancellous bone grafts. VOLKMAN Stay sharper, longer. Gold handles to distinguish from general surgical items. The cutting edge is made from 'stellite' a very hard metal. HARD EDGE SCISSORS 752250 Mayo Clinical 6” 15cm Str. Hard Edge £50.34 752260 Mayo Clinical 7” 18cm Str. Hard Edge £50.34 752280 Mayo Clinical 6” 15cm Cof. Hard Edge £50.34 752290 Mayo Clinical 7” 18cm Cof. Hard Edge £50.34 754020 Metzenbaum 14.5cm 5.75” Str. Hard Edge £55.35 754030 Metzenbaum 18cm 7” Str. Hard Edge £55.35 754060 Metzenbaum 23cm 9.5” Str Hard Edge" £55.35 754080 Metzenbaum 14.5cm 5.75” Cof. Hard Edge £55.35 754090 Metzenbaum 18cm 7” Cof. Hard Edge £55.35 754120 Metzenbaum 23cm 9.5” Cof. Hard Edge £55.35 754095 Metzenbaum 35cm 14” Cof. Hard Edge £55.35 782205 Volkman Single Ended Scoop 3mm x 170mm £22.66 782200 Volkman Single Ended Scoop 4mm x 170mm £22.66 782210 Volkman Single Ended Scoop 5mm x 170mm £22.66 782220 Volkman Single Ended Scoop 6mm x 170mm £22.66 782600 Volkman Scoop Double Ended Small 4mm/6mm x 205mm £29.60 782610 Volkman Scoop Double Ended Medium 5mm/6mm x 200mm £29.60 Volkman Scoop Double Ended Large 6mm/8mm x 200mm £29.60 782620 160 103462_CH16_p142-155_General Surgery 13/2/06 09:36 Page 161 GENERAL SURGERY www.vetinst.com Sponge Forceps 16 Youngs Tongue Forceps Rampleys RAMPLEYS 786505 Rampleys Sponge Forceps 250mm £23.40 Steriliser Forceps Cheatle YOUNGS TONGUE FORCEPS For manipulation of instruments during setting up. 7853/05 Youngs tongue forceps 170mm £30.52 Towel Clips Backhaus CHEATLE 787655 Cheatle 26.5cm 10.5” Ster. Forceps B/J £29.87 Tissue Forceps Allis General purpose tissue forceps. General purpose towel clip. Available in a range of sizes. BACKHAUS ALLIS 801150 Allis 2/3 teeth 15cm 6” £22.21 801155 Allis 3/4 teeth 15cm 6” £22.21 801156 Allis 3/4 teeth 18cm 7” £22.21 801160 Allis 4/5 teeth 15cm 6” £22.21 801165 Allis 4/5 teeth 15cm 6” £22.21 801170 Allis 6/7 teeth 15cm 6” £22.21 801175 Baby Allis 13cm 5” 4/5 teeth £18.00 841350 Backhaus 9cm 3.5” £14.29 841355 Backhaus 10cm 4” £17.31 841360 Backhaus 12.5cm 5” £18.96 Shardel Babcock Cross Action An alternative to Allis's. Less traumatic but less grip. CROSS ACTION BABCOCK 801350 Babcock 16.5cm 6.5” £23.76 801354 Babcock 18cm 7” £26.91 801355 Babcock 20cm 8” £31.71 801360 Babcock 23cm 9” £38.51 846550 Shardel Cross Action 9cm 3.5” £8.11 171566 Jones Cross Action 9cm 3.5” £5.91 841352 Atraumatic Towel Clamp 4.5” £15.29 General Surgery 161 103462_CH16_p142-155_General Surgery 16 13/2/06 09:36 Page 162 GENERAL SURGERY General Surgery Swann Morton Blades & Handles Swann Morton Scalpel Blades Handles Sterile Swann Morton blades are made in Sheffield from the finest steel. These blades are the result of experience plus modern production methods. 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. PM40 No. 3 No. 4 Actual size SWANN MORTON BLADES - Carbon Steel 0201 No. 4L 100 blades individually packed size 10 £9.13 0203 100 blades individually packed size 11 £9.13 0204 100 blades individually packed size 12 £9.13 No. 7 0205 100 blades individually packed size 15 £9.13 0207 100 blades individually packed size 21 £9.13 0208 100 blades individually packed size 22 £9.13 0210 100 blades individually packed size 23 £9.13 No. 9 No. B3 SWANN MORTON SCALPEL BLADE REMOVER 240109 Scalpel blade remover £12.67 SWANN MORTON HANDLES 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 05902 25 blades individually packed SM61 £18.96 25 blades individually packed SM62 £18.96 05903 25 blades individually packed SM63 £31.67 05904 25 blades individually packed SM64 £18.96 05905 25 blades individually packed SM65 £18.96 05906 25 blades individually packed SM65a £18.96 05906 25 blades individually packed SM65a £18.96 05907 25 blades individually packed SM67 £18.96 05908 25 blades individually packed SM68 £18.96 05909 25 blades individually packed SM69 £31.67 02551 PM40 standard blade (box 10) 61 62 0803VI No 3 handle with scale and periost elevator back £1.60 0803 No 3 handle £2.50 0923 No B3 handle £8.49 0804 No 4 handle £2.50 0814 No 4 Long handle £2.50 0807 No 7 handle £2.50 0909 No 9 handle £2.50 02652 PM40 standard handle £2.50 0805 No 5(b) scalpel handle £7.54 SWANN MORTON FINE STAINLESS HANDLE - Beaver type 06051 Fine Stainless Handle Beaver type 130mm £8.41 06052 Fine Stainless Handle Beaver type 100mm £8.41 06053 Fine Stainless Handle Beaver type 80mm £8.41 06054 VI Beaver blade handle 130mm £7.30 £4.76 63 64 65 65A Swann Morton Fine Blades shown actual size 162 67 68 69 103462_CH16_p142-155_General Surgery 13/2/06 09:36 Page 163 16 GENERAL SURGERY www.vetinst.com Fingered Silicone Insert Instrument Boxes Insert shown in use with castroviejo scissors (not included) Autoclavable silicone insert to protect delicate instruments. FINGERED SILICONE INSERT 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. Available in a range of sizes to suit most instrument sets and autoclaves. Some sizes are available without filter. Replace filters annually. BXSIL100 Silicone Fingered Insert (for instrument protection) fits BX201040 £20.00 BXSIL2540 Silicone Fingered Insert (for instrument protection) fits BOX 250x150mm £25.00 Sterile Surgical Skin Marker INSTRUMENT BOXES BX201040 Box 200mm x 100mm x 40mm £26.99 BX201040NF Box 200mm x 100mm x 40mm No Filter £26.99 BX221250 Box 220mm x 120mm x 50mm £35.33 BX221250NF Box 220mm x 120mm x 50mm No Filter £35.33 BX221550 Box 220mm x 150mm x 50mm £36.53 BX281450 Box 280mm x 140mm x 50mm £46.66 BX281410NF Box 280mm x 140mm x 100mm No Filter £56.65 BX341650 Box 340mm x 165mm x 50mm £56.65 BX341670 Box 340mm x 165mm x 70mm £61.00 BX402070 Box 400mm x 200mm x 70mm £63.86 FILTER Filter (State Size Of Box) 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. Includes sterile flexible rule £2.00 STERILE SURGICAL SKIN MARKER Holloware 001487 Surgical Skin Marker Single £1.70 001488 Surgical Skin Marker Single (6 pack) £8.50 HOLLOWARE KID6 6” Kidney Dish KID8 8” Kidney Dish £8.38 KID10 10” Kidney Dish £10.94 KID12 12” Kidney Dish £11.90 LOTBWL4 4” Lotion Bowl £8.56 LOTBWL6 6” Lotion Bowl £10.04 £8.23 LOTBWL8 8” Lotion Bowl £16.20 LOTBWL10 10” Lotion Bowl £19.38 General Surgery 163 103462_CH17_p156-159_Instrument Care 17 13/2/06 09:38 Page 164 INSTRUMENT CARE Instrument Care Automatic Instrument Washer Introduction Stainless steel instruments are not made from the same material as bone plates and pins. In order to take an edge and be hardened stainless type 420 has a high carbon content. Instruments will rust and stain under adverse conditions. With appropriate care your surgical instruments will last a lifetime. The key elements are cleaning, lubrication and dry storage. Baked on biological residues will cause rusting , breakage and invalidation of warranties. Our recommended programme of surgical instrument care is available at the following website address: www.vetinst.com/instrumentcare.htm 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. 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 the soiled instruments into the stackable stainless steel baskets, add the especially formulated detergent and switch on the cleaning cycle. A full heavily contaminated load takes around 45 minutes. Alternatively kits may be added incrementally and rinsed (5 minutes) pending a full wash at the end of the session. Instruments emerge after the final rinse ready for lubrication and autoclaving. Requirements: • Mains electricity • Cold water supply Instrument Cleaning • A drain close by Washer supplied complete with: Ultrasonic Cleaners • Detergent • Large stainless basket - 340mm x 250mm x 70mm • Small stainless basket - 250mm x 170mm x 70mm • Baskets for small components e.g screws are also available. If you are in a hard water area use water softening salts. UC375 Please note that regular dishwasher powder is the wrong pH and will cause rusting of surgical instruments. Dimensions: W560mm(22”) x D450mm(18”) x H450mm (18”) This unit will sit neatly on the top of your work surface. 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. AUTOMATIC INSTRUMENT WASHER All units include timer and heater, both of which are essential. We recommend the use of Rapidex and Rapizyme as ultrasonic cleaning agents. ULTRASONIC CLEANERS UC375 Ultrasonic cleaning machine- 240x135x100 UC475 Ultrasonic cleaning machine - 240x135x150 £589.00 UC575 Ultrasonic cleaning machine - 300x150x150 £703.00 UC1000 Ultrasonic cleaning machine - 300x240x150 £967.00 £450.63 164 100200 Automatic Instrument Cleaner - NEW 100210 Auto instrument detergent 1kg £10.50 100220 Large basket £84.00 100230 Small basket £56.00 £630.00 103462_CH17_p156-159_Instrument Care 13/2/06 09:38 Page 165 17 INSTRUMENT CARE www.vetinst.com Instrument Cleaning Agents Micro 90 Concentrate 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 £10.45 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 be 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 RAPIDEXSOL Box of 50 soluble sachets £27.99 RAPIDEXBULK 2.25kg bulk powder £43.12 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. Rapizyme PERASAFE 100100 Perasafe Cold Sterilant 24 x 81g (5 litre size) £132.00 100101 Perasafe Cold Sterilant 6 x 81g (5 litre size) £36.00 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 Oils containing teflon offer significant extra lubrication. Can be autoclaved. • Low foam for ultrasonics • Complete rinsibility • Biodegradeable • Tested by The Royal Institute of Public Health RAPIZYME RAPIZYME Bottle 0.5 litre £15.62 INSTRUMENT OIL – AUTOCLAVABLE 100003 Instrument Lubricating Oil 100006 Teflon Drops £8.50 £10.43 Instrument Care 165 103462_CH17_p156-159_Instrument Care 17 13/2/06 09:38 Page 166 INSTRUMENT CARE Instrument Care 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 indivdual rolls. Also available in high heat version which can tolerate dry heat sterilisers. INSTRUMENT MARKING TAPE SURGICAL INSTRUMENT LUBRICANT Instrument Lubricating Spray 100009 £8.20 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) 100001Y Instrument marking tape single yellow £5.69 100001R Instrument marking tape single red £5.69 100001BR Instrument marking tape single brown £5.69 100001OR Instrument marking tape single orange £5.69 100001BLU Instrument marking tape single blue £5.69 100001G Instrument marking tape single green £5.69 100001W Instrument marking tape single white £5.69 100001BLK Instrument marking tape single black £5.69 100001DHY Dry heat Instrument marking tape single yellow £6.59 100001DHW Dry heat Instrument marking tape single white £14.28 £6.59 Protective Autoclavable Tips INSTRUMENT LUBE EZE Lube Instrument Lube 4 Litre 100008 £39.09 Instrument Marking For Steinman, ESF pins and delicate or sharp instruments. Protect both tips and staff. Colour Coded Identity Rings PROTECTIVE AUTOCLAVABLE TIPS Strong tear-resistant silicone instrument coding rings. 100011-W Protective Tip White up to 1.6 - 2.0mm dia Pack 20 £6.80 100011-BL Protective Tip Blue 2.5 - 3mm dia Pack 20 £6.80 100011-G Protective Tip Green up to 3.2 - 4.0mm dia Pack 20 £6.80 100011-R Protective Tip Red up to 4.8mm dia Pack 20 £6.80 100011-Y Protective Tip Yellow up to 6.0 - 6.5mm dia Pack 20 £6.80 100011-O Protective Tip Flat Orange up to 10mm wide Pack 20 £6.80 100011-BR Protective Tip Flat Brown up to 16mm dia Pack 20 £6.80 100011-BLK Protective Tip Flat Black up to 25mm dia Pack 20 COLOUR CODED IDENTITY RINGS 100012 Coloured Silicone Instrument I.D. Rings x 120 100011 £12.05 166 Protective Tips Silicone Mixed Pack 80 £6.80 £22.50 103462_CH17_p156-159_Instrument Care 13/2/06 09:38 Page 167 17 INSTRUMENT CARE www.vetinst.com MELAG Class B Autoclaves. Vakuklav 23-B Melag Autoclaves 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 non wrapped, solid, hollow and porous products. In addition the Type B autoclaves produce dry packs and instruments which minimises staining and corrosion of instruments. 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. For the first time Veterinary Instrumentation is including an autoclave in our catalogue. 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. melag type23 B 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 Melag’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 1 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 Quick Cycle, 134c 2.1 bar, suitable for unwrapped instruments only which are required for rapid re-use. Rapid sterilization in approx. 15 minutes. Comprehensive cycles - The user has a wide choice of cycles for different load types 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, thermostabile plastic and rubber items. Instrument Care 167 103462_CH17_p156-159_Instrument Care 17 13/2/06 09:38 Page 168 INSTRUMENT CARE Instrument Care 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 melag prog 4 NCG’s (Non condensable Gasses) to a level only Prion Cycle, 134c 2.1 bar for 20 minutes, recommended for use where contamination by pathologically modified proteins is suspected. previously seen in hospital based autoclaves. The result in steam quality and cycle times never before 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 reduced to only 7 minutes for UNWRAPPED instruments INCLUDING drying. Imagine, by the time you have taken to read the autoclave melag prog 5 section of this catalogue the Cheetah 43-B will have Bowie and Dick Test program. Steam penetration test 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 melag prog 6 current legislation and all pending legislation. Vacuum Test. Used to check the operational parameters of the autoclave. Extremely simple to use the Melag Cheetah range must MELAG VAKUKLAV 23-B be considered for all practices serious about sterility and the equipment they use. 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 £3990.00 Software for PC/Modem connection melag type 43-B £350.00 Autoclave Accessories MELAG CHEETAH RANGE SPECIFICATIONS Pouch Rack Chamber Volume Load Capacity Instruments Textiles DIMENSIONS & WEIGHT Width Height (inc. display) Depth Weight Power Supply melag m22420 Pouch Rack for Melag Type 23-B 7kg 2.5kg 45cm 60cm 66cm 59kg 230v MELAG CHEETAH MELAG M22420 M22420 43-B VacuQuick 45 x 25cm dia 22 litres TYPE 43-B £59.50 168 Type 43B VacuQuick £5800.00 103462_CH17_p156-159_Instrument Care 13/2/06 09:39 Page 169 17 INSTRUMENT CARE www.vetinst.com Sharpening Polishing With Leather Instrument Sharpening System Leather disks bring a high polish to your instruments while restoring a razor sharp edge. Compact and quiet, the Rx System II Machine, only 10 x 12.5 x 17.5 cm can operate in almost any place. The manual and video included are excellent pictorial guides for instruction in sharpening a general assortment of instruments. Join over 45,000 satisfied customers of the Rx System II around the world. Also available a workstation including flexible shafted magnifying glass and light. SHARPENING Honing operation restores the edge of an instrument in seconds. 100500 Instrument Sharpening System £395.00 100510 Instrument Sharpening Workstation £195.00 Osteotome Sharpening The two basic operations of Honing and Disk do it all. The hone-drive is a reciprocating motion that sharpens in the same manner as hand honing. The disk-drive uses a selection flat disks for high speed sharpening. A Diamond Plated Disk for very dull or misshapen instruments. A Rubberized Silicon Carbide Disk for an ultra-fine honing finish and a Leather for polishing and razor edges. Osteotomes should be sharpened at the angle indicated. A greater angle does not make a clean cut and a reduced angle is too delicate and will distort. The diamond card illustrated uses water as a lubricant. Sharpening Curette OSTEOTOME SHARPENING 012144 Flat Diamond Sharpening Card (fine) £16.30 Disk Perio and Scissor Guide guarantees precision sharpening of curettes and scalers. Saves time and money. Just a few seconds per instrument eliminates the need for sharpening services. Instrument life increases since only minimal metal is removed. Any heat generated will not affect temper of metal. Easy to use with specially designed hones for fast sharpening and guides for accuracy. Foot pedal leaves both hands free. Instrument Care 169 103462_CH18_p160-165_Theatre Wear 18 13/2/06 09:39 Page 170 THEATRE WEAR Theatre Wear Re-Usable Cotton Theatre Wear The Veterinary Apparel Company 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 wide range of plain and patterned scrubs, a selection of which is illustrated here. Please call 0845 130 9596 or e-mail [email protected] 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). info 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 Pet Tracks Jade Adriatic PET TRACKS Plain two pocket scrub tunics ‘V’ neck. 65/35 polycotton. TW151 Pet Tracks. One pocket £17.50 Luv Pets. Three pockets £24.00 PLAIN SCRUB TUNICS TW003J Small Jade £9.33 TW003A Small Adriatic £9.33 TW005J Medium Jade £9.33 TW005A Medium Adriatic £9.33 TW007J Large Jade £9.33 TW007A Large Adriatic £9.33 TW009J X-Large Jade £9.33 TW009A X-Large Adriatic £9.33 Luv Pets Plain Scrub Trousers with drawstring waist. 65/35 polycotton. PLAIN SCRUB TROUSERS TW0004J Small Jade £8.09 TW0004A Small Adriatic £8.09 TW0006J Medium Jade £8.09 TW0006A Medium Adriatic £8.09 TW0008J Large Jade £8.09 TW0008A Large Adriatic £8.09 TW0010J X-Large Jade £8.09 LUV PETS TW0010A X-Large Adriatic £8.09 TW266 170 103462_CH18_p160-165_Theatre Wear 13/2/06 09:39 Page 171 18 THEATRE WEAR www.vetinst.com Petite Pets Operating Gowns 1. 2. PETITE PETS TW626 Petite Pets. Two pockets £17.50 Paw Prints 1. Green cotton with long sleeves and cuffs, the standard operating gown. 2. Waterproof material, with cuffs for minimal strike through. Pale blue. OPERATING GOWNS TW0001M Operating gown, cotton + cuffs. Medium £13.11 TW0001L Operating gown, cotton + cuffs. Large £13.11 TW0001XL Operating gown, cotton + cuffs. Extra Large £13.11 TW0002 Operating gown. Waterproof with cuffs Blue. Large £35.17 Clogs PAW PRINTS TW674 Paw Prints. Two pockets £17.50 White slip on. Please state size when ordering Please phone for our full colour brochure 0845 130 9596. CLOGS SC100 Surgical Clogs - size 2 - 6 GB £22.80 SC100L Surgical Clogs - size 7 - 13 GB £24.92 SC052 Clean Clogs (plastic) - sizes 2 - 6 GB £31.60 SC052L Clean Clogs (plastic) - sizes 7 - 13 GB £31.60 Surgical Wellies White. Please state size when ordering. SURGICAL WELLIES SWL100 171 Surgical Wellies state size £21.80 103462_CH18_p160-165_Theatre Wear 18 13/2/06 09:39 Page 172 THEATRE WEAR Theatre Wear Re-useable Cotton Drapes Disposable Gowns, Plain Surgical Drapes Drapes & Towels 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. 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. PLAIN SURGICAL DRAPES - Balloon Cloth - Single ply BDS1818 Plain drape 18” x 18” (45cm x 45cm) £3.07 BDS2418 Plain drape 24” x 18” (60 x 45cm) £3.30 BDS2424 Plain drape 24” x 24” (60 x 60cm) £3.61 BDS3624 Plain drape 36” x 24” (91 x 60cm) £4.12 BDS3636 Plain drape 36” x 36” (91 x 91cm) £4.64 BDS4836 Plain drape 48” x 36” (122 x 91cm) £5.15 BDS4848 Plain drape 48” x 48” (122 x 122cm) £5.77 BDS7248 Plain drape 72” x 48” (182 x 122cm) £6.70 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. Or look at web site www.vetinst.com Surgical Gown Disposable - Standard PLAIN SURGICAL DRAPES - Balloon Cloth - Double ply BDS1818DBL Double drape 18” x 18” (45cm x 45cm) £6.14 BDS2418DBL Double drape 24” x 18” (60 x 45cm) £6.59 BDS2424DBL Double drape 24” x 24” (60 x 60cm) £7.21 BDS3624DBL Double drape 36” x 24” (91 x 60cm) £8.24 BDS3636DBL Double drape 36” x 36” (91 x 91cm) £9.27 BDS4836DBL Double drape 48” x 36” (122 x 91cm) £10.30 BDS4848DBL Double drape 48” x 48” (122 x 122cm) £11.54 BDS7248DBL Double drape 72” x 48” (182 x 122cm) £13.39 SURGICAL GOWNS - Standard PLAIN SURGICAL DRAPES - Calico - Single ply CDS1818 Calico drape 18” x 18” (45cm x 45cm) £3.07 CDS2418 Calico drape 24” x 18” (60 x 45cm) £3.30 CDS2424 Calico drape 24” x 24” (60 x 60cm) £3.61 CDS3624 Calico drape 36” x 24” (91 x 60cm) £4.12 CDS3636 Calico drape 36” x 36” (91 x 91cm) £4.64 CDS4836 Calico drape 48” x 36” (122 x 91cm) £5.15 CDS4848 Calico drape 48” x 48” (122 x 122cm) £5.77 CDS7248 Calico drape 72” x 48” (182 x 122cm) £6.70 DG003001 Surgical gown (single). Medium standard plus 2 hand towels DG003001/30 Surgical gown (box of 30). Medium standard plus 2 hand towels £71.79 DG003002 Surgical gown (single). Large standard plus 2 hand towels DG003002/30 Surgical gown (box of 30). Large standard plus 2 hand towels £2.82 £2.90 £73.49 Surgical Gown Disposable - Reinforced Fenestrated Surgical Drapes Available in green balloon cloth single and double thickness. Calico drapes available in single thickness only. FENESTRATED SURGICAL DRAPES - Balloon cloth - Single ply BDSF1818 Fenestrated drape 18” x 18” 2” x 1” hole £4.03 BDSF2424 Fenestrated drape 24” x 24” 4” x 1.5” hole £4.93 BDSF3636 Fenestrated drape 36” x 36” 5” x 2” hole £6.23 BDSF4848 Fenestrated drape 48” x 48” 7” x 3” hole £14.05 FENESTRATED SURGICAL DRAPES - Balloon cloth - Double ply BDSF1818DBL BDSF2424DBL BDSF3636DBL Fenestrated drape double 18" x 18" 2" x 1" hole £8.08 Fenestrated drape double 24" x 24" 4" x 1.5" hole £9.87 Fenestrated drape double 36" x 36" 5" x 2" hole £12.46 SURGICAL GOWNS - Reinforced DG113401 Fenestrated drape calico 18" x 18" 2" X 1" hole CDSF2424 Fenestrated drape calico 24" x 24" 4" x 1.5" hole £4.93 CDSF3636 Fenestrated drape calico 36" x 36" 5" x 2" hole £4.03 £6.23 172 £2.98 DG113401/30 Surgical gown (box of 30). Medium reinforced plus 2 hand towels £75.75 DG113402 Surgical gown (single). Large reinforced plus 2 hand towels DG113402/30 Surgical gown (box of 30). Large reinforced plus 2 hand towels £78.01 FENESTRATED SURGICAL DRAPES - Calico - Single ply CDSF1818 Surgical gown (single). Medium reinforced plus 2 hand towels £3.06 103462_CH18_p160-165_Theatre Wear 13/2/06 09:39 Page 173 THEATRE WEAR www.vetinst.com Masks and Caps 18 Adhesive Aperture Drape (Disposable) Sterile ADHESIVE APERTURE DRAPE MASKS & CAPS TW0011 Disposable Caps (50). Tie back £14.50 TW001100 Disposable Caps (100). Tie back £26.50 TW0012 Disposable Masks (50) TW001110 Disposable Caps beret style (100) £27.00 TW001111 Disposable Caps beret style (50) £14.00 DD128810 Adhesive Aperture Drape (single) 200 x 300cm with 9 x 22cm aperture £7.70 DD128810/20 Adhesive Aperture Drape (box of 20) 200 x 300cm with 9 x 22cm aperture £130.59 Universal Set - Minor (Disposable) Sterile £9.20 Utility Drape (Disposable) Sterile Universal set of Drapes - Minor. Set comprises: • 2 x Op Towels (75 x 75cm) • 2 x Medium Drapes (160 x 175cm) UNIVERSAL SET - MINOR UTILITY DRAPE DD128805 Utility Drape (single) 75 x 75cm DD128805/160 Utility Drape (box of 160) 75 x 75cm DD128814 Utility Drape (single) 75 x 90cm DD128814/160 Utility Drape (box of 160) 75 x 90cm DD128806 Utility Drape (single) 90 x 150cm DD128806/80 Utility Drape (box of 80) 90 x 150cm DD128807 Utility Drape (single) 160 x 75cm DD128807/46 Utility Drape (box of 46) 160 x 75cm £0.90 £120.09 DD148803 Universal Set - Minor (single) DD148803/18 Universal Set - Minor (box of 18) £10.56 £161.50 £0.94 Extremity Drape (Disposable) Sterile £128.64 £2.04 £137.39 £3.52 £137.41 Adhesive Operating Drape (Disposable) Sterile EXTREMITY DRAPE DD138801 Extremity Drape (single) 220 x 320cm with 6.5cm elasticated aperture £10.30 DD138801/20 Extremity Drape (box of 20) 220 x 320cm with 6.5cm elasticated aperture £175.10 Buster Operation Cover (Disposable) Sterile BUSTER OPERATION COVER 141840 ADHESIVE OPERATING DRAPE DD128801 Adhesive Operating Drape (single) 75 x 75cm DD128801/160 Adhesive Operating Drape (box of 160) 75 x 75cm DD128813 £23.40 The Full Range of Disposables £195.13 Adhesive Operating Drape (single) 75 x 90cm DD128813/160 Adhesive Operating Drape (box of 160) 75 x 90cm £1.44 Buster Op Cover Sterile Plastic drape. 120cm x 120cm Box 25 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. £1.26 £168.83 173 103462_CH19_p166-175_Anaesthesia 19 13/2/06 09:40 Page 174 ANAESTHESIA Anaesthesia The Stephens Anaesthetic Machine The Stephens is a closed circuit anaesthetic machine with the advantages of simplicity of operation and very low running costs. Relatively expensive, new anaesthetic agents such as SEVOFLURANE may be used economically with this system. The Stephens is supplied as illustrated as a complete self contained unit requiring only a supply of oxygen. We are confident you will be impressed by the simplicity and versatility of the system. Although based on a circle system, the internal resistance to breathing of this circuit is very low. This is due to the extremely lightweight valves used in the uni-directional assembly. These valves are not spring loaded as is the case with many circle systems. Any animal which can be intubated may be safely anaesthetised using the Stephens system. Circuit dead space is also very low. Fresh gas is available at the "Y" mount. Rebreathing is minimal. The anaesthetic circuit is of the circle type, with the vapouriser placed within the circuit on the inspiratory side. Most anaesthetic systems in use in the UK today have the vapouriser out of circuit. A video illustrating the use of the Stephens with various species and Isoflurane is available on free loan. In an apparatus of this type the animal inhales gas from the reservoir bag. Some or all of the inhaled gas can be caused to flow over the volatile liquid anaesthetic agent contained within the vapouriser. After leaving the vapouriser, the gas mixture passes along the inspiratory side of the circle to a mask or endotracheal tube and then to the animal's lungs. On exhalation the gas is directed along the expiratory side of the circle, through the two soda lime canisters and then into the reservoir bag by means of a set of unidirectional valves. STEPHENS ANAESTHETIC MACHINE 025400 Stephens Anaesthetic Machine £1,999.00 Stephens Universal Vapouriser Designed to be versatile, the Stephens vapouriser is readily used with any volatile anaesthetic agent eg Halothane, Isoflurane and Sevoflurane. partially self regulating. Once the animal is stable at a surgical plane of anaesthesia it is very rare for any further adjustments to be necessary. The system is very simple to use. The main control on the vapouriser provides a smooth increase in concentration between "Off" and "On". In contrast to most vapourisers, a wide and constant bore is maintained throughout the mechanism, regardless of the setting on the main control. This unique property is achieved by the use of special port design in the vapouriser head. The bore is always equivalent to 22mm (7/8") the same diameter as standard circuit tubing. Back pressure and turbulence are reduced to an absolute minimum. KEY FEATURES: • Oxygen consumption is very low. In a closed circuit system the only oxygen fed into the circuit is to replace that metabolised by the patient (approximately 5ml/kg/minute). As the anaesthetic vapouriser is located within the circuit, the mass of anaesthetic agent delivered to the animal at a particular setting of the vapouriser changes with the variations in the minute volume of the respiration. If the depth of anaesthesia increases, the decrease in minute volume which results is followed by a decrease in the rate of vapourisation of the anaesthetic. Conversely, the rate of vapourisation of the anaesthetic increases as the depth of anaesthesia decreases. Because the changes in the depth of anaesthesia are automatically followed by compensating changes in the mass of anaesthetic delivered to the animal, the system is • The Stephens has the lowest running costs of any gaseous anaesthetic system. • Volatile consumption is very low. In normal use there is no loss of volatile to the scavenge circuit. • Pollution is very low which is good for staff and very easy to deal with. Passive systems or absorbers are sufficient. • All patients which can be intubated, including those less than 1 kg may be safely anaesthetised using the Stephens. VERY SIMPLE, VERY SAFE, VERY ECONOMICAL STEPHENS ANAESTHETIC MACHINE (Refurbished) 025400A 174 Refurbished Stephens £999.00 103462_CH19_p166-175_Anaesthesia 13/2/06 09:40 Page 175 19 ANAESTHESIA www.vetinst.com Stephens Vapouriser Stephens Wall Stand Where floor space is at a premium the STEPHENS may be mounted on a folding wall stand. When not in use the machine may be stored against the wall. In use the arm will extend up to 24" (600mm). STEPHENS WALL STAND 025420 Wall Stand £70.49 Stephens Portable Anaesthetic Machine Integral oxygen bottle carries enough oxygen for several hours surgery. Fully portable, uniquely so. Supplied with top up system to refill integral bottle from your regular O2 bottle. The STEPHENS Vapouriser may be added to your existing circle thereby increasing the versatility and economy of your equipment. In particular it gives you the option of using SEVOFLURANE for appropriate cases keeping ISOFLURANE or HALOTHANE for routine procedures. With the STEPHENS in use the 'Tec' vapouriser is switched off and the oxygen flow adjusted to the metabolic requirements of the patient (roughly 5ml/kg/minute). The STEPHENS vapouriser is used as described in the previous section. STEPHENS PORTABLE ANAESTHETIC MACHINE STEPHENS VAPOURISER Vapouriser 025500 025400P Stephens Portable - NEW 025501 Stephens Video £2,400.00 FREE LOAN £670.89 Stephens Servicing and Spare Parts Stephens Floor Stand Fitted with 4 wheels and provision for a single oxygen cylinder. Coupled with a FLUOSORBER 025510 the STEPHENS becomes a mobile, pollution free anaesthetic system. Although the STEPHENS requires very little in the way of service, some maintenance is essential to keep it in perfect working order. We supply a gasket kit which contains all seals for canisters and vaporiser, and an 'O' ring kit which contains 4 ‘O’ rings for the canisters and scavenge valve assembly. Servicing and Upgrades Should your machine need more than routine maintenance our workshop can undertake any repair or a full refurbishment including any recent upgrades. We will supply a service unit until your unit is ready. Phone for details. STEPHENS SERVICING & SPARE PARTS Floor Stand 4 Litre Bag Rebreathing for Stephens £10.98 025544 Corrugated hose (rubber tube, single) £26.42 025545 Corrugated plastic hose set (2 hoses) £17.29 025546 Hose Adaptor for 22mm to 20mm £9.63 025549 ‘O’ Ring Set (4) £4.50 SAMSERV Service Anaesthetic Machine typical price Anaesthesia STEPHENS FLOOR STAND 025410 025104 £276.46 175 025541 Anaesthetic Jar 025543 Canister gasket / Jar gasket (set of 3) £316.20 £18.23 £8.34 103462_CH19_p166-175_Anaesthesia 19 13/2/06 09:40 Page 176 ANAESTHESIA Anaesthesia Fluosorber Twin Gas / Twin Vapouriser Anaesthetic Machines Changes in the way the NHS funds hospitals has led to a large number of very good anaesthetic units becoming available at bargain prices. We have selected the best, some new, some used. All the machines are thoroughly checked by trained technicians and have brand new gas lines fitted. All will work with piped gas or bottled gas. All will take up to two vapourisers via a quick release Selectetec fitting. Some have ventilators and circle absorbers already fitted. All are much better than new so called Veterinary units. 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. The Fluosorber is ideal for situations where there is no convenient outside wall. The STEPHENS wastes so little volatile agent that the combination is ideal. Fluosorbers are cheaper in bulk (6). FLUOSORBER 025510 Fluosorber (Single) 025515 Fluosorber (Six Pack) £24.21 £123.47 View our website www.vetinst.com/preowned.htm for photos and specifications of machines currently available or phone 0845 130 9596 and speak to John. Conventional ‘Tec’ Vapouriser Systems ANAESTHETIC MACHINES MOBILE 1GAS1VAP Single gas Single Vapouriser Anaesthetic Machine phone 2GAS1VAP Twin gas Single Vapouriser Anaesthetic Machine phone 2GAS2VAP Twin gas Twin Vapouriser Anaesthetic Machine phone Wall Mount Anaesthetic Unit Anaesthetic machines using calibrated "TEC" type vapourisers deliver into the circuit a gas mixture containing a specified percentage of volatile. In non-rebreathing 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. 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. Veterinary Instrumentation's vapourisers are serviced and re-calibrated prior to sale. CONVENTIONAL ‘TEC’ VAPORISER SYSTEMS WALL MOUNT ANAESTHETIC UNIT HALTEC Mark III Halothane ‘tec’ Vapouriser recalibrated £400.00 ISOTEC Mk III Isoflurane ‘tec’ Vapouriser recalibrated SERVOTEC Vapouriser service and calibrate WA1 Wall mount anaesthetic unit, single gas (no vapouriser) £620.00 £400.00 WA2 Wall mount anaesthetic unit, twin gas (no vapouriser) £700.00 £120.00 176 103462_CH19_p166-175_Anaesthesia 13/2/06 09:40 Page 177 ANAESTHESIA www.vetinst.com 19 Reduction Valves for Anaesthetic Gases iM3 Masks 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. • Clear plastic allows visualisation of patient’s muzzle. • Buy a full set (5) and get a free resuscitation bag, small - see page 181. IM3 MASKS 025538CBR Mask Bird/Rodent Clear £18.60 025538CVS Mask Rabbit/Cat Clear £16.60 025538C Mask Small (Cat) Clear £17.80 025539C Mask Large Clear £19.50 025547C Long Nose Mask Clear £18.50 025552 Set of 5 clear masks (plus FREE resuscitation bag) £80.00 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 REDUCTION VALVES Ventilators A trained nurse and a re-breathing bag is perhaps the ideal ventilator for most veterinary practice. However, hospital standards are now demanding mechanical ventilators. We try to keep at least one ex hospital ventilator in stock which offers a very high specification at a reasonable price. Exact models and specifications vary so please phone for details. 0XREDF Oxygen reduction valve bull nose fitting (4 bar) £123.27 0XREDE Oxygen reduction valve pin index fitting (4 bar) £123.27 NITREDF Nitrous oxide reduction valve bull nose fitting £123.27 NITREDF Nitrous oxide reduction valve pin index fitting £123.27 Anaesthesia 177 103462_CH19_p166-175_Anaesthesia 13/2/06 19 09:40 Page 178 ANAESTHESIA Anaesthesia Circuits Mini Bain Circuit Modified Ayres ‘T’ Piece The standard circuit for patients weighing less than 10kg The mini Bain is a very low dead space (less than standard 'T' piece), low resistance circuit designed for patients weighing from 200g to 10kg. • Low resistance • No valves • Very low dead space. • An open circuit • The fresh gas is introduced actually inside the endotracheal connector. Complete with scavenge connector see 025534. • No valves • Use as an open circuit MINI BAIN CIRCUIT MODIFIED AYRES 'T' PIECE 025105 Mini Bain Circuit Complete 025050 Modified Ayres ‘T’ Piece Circuit Complete £92.20 £84.00 Modified Ayres ‘T’ Piece Semi Disposable Bain Circuit Fresh gas passes down the inner tube. Exhaust gas returns via the outer tube. Good heat and moisture exchange. Use 2.0 to 2.5 times respiratory minute volume. The adapter is reusable but the circuits are semi disposable. As above but lighter in construction. MODIFIED AYRES 'T' PIECE - SEMI DISPOSABLE 025105SD Semi-disposable ‘T’ circuit Use in patients 10kg plus. £16.00 BAIN CIRCUIT ‘T’ Piece Scavenge Connector 025080 Bain Circuit Mount (required initially) 025081 Bain circuits tube set only £155.00 £9.80 Bain Circuit Semi Disposable 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. 'T' PIECE SCAVENGE CONNECTOR 025534 “T” piece Scavenge Connector 025051 0.5 Litre rebreathing bag 025104 4 Litre rebreathing bag £14.50 025106 2 Litre rebreathing bag £8.97 £10.56 £6.48 As above but supplied as a complete circuit which can be reused many times. 1.6 m length. BAIN CIRCUIT SEMI DISPOSABLE 025083 178 Bain Circuit Semi Disposable. Complete £22.00 103462_CH19_p166-175_Anaesthesia 13/2/06 09:40 Page 179 19 ANAESTHESIA www.vetinst.com Anaesthetic Circuit Consumables LACK Parallel Circuit Use Soda Lime to replenish to and fro circle systems. Turns pink to white. This is a safer system than co-axial circuits. CONSUMABLES Both tubes are visible and can be checked for leaks, damage and security. Use in patients 10kg plus. 025052 Soda Lime 5Kg £20.00 025104 4 Litre Rebreathing Bag. Antistatic Rubber £14.50 025106 2 Litre Rebreathing Bag. Antistatic Rubber £8.97 025051 0.5 Litre Rebreathing Bag. Antistatic Rubber £6.48 TUBING Oxygen feed Tubing (per metre) £1.65 025535 Scavenge Tubing 22mm Dia. (per metre) £0.80 Anaesthetic Chamber LACK PARALLEL CIRCUIT LACK1 LACK parallel Circuit Complete LACK4 LACK replacement tubes set £143.00 £20.00 LACK Parallel Circuit Semi Disposable As above but supplied complete with head unit and 2 litre bag 1.6m length. 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") LACK PARALLEL CIRCUIT SEMI DISPOSABLE LACKSD LACK Circuit - semi disposable x 1 £22.00 ANAESTHETIC CHAMBER 025540 Anaesthetic Chamber £56.65 025540C Chamber kit to convert plastic containers £41.46 Circle Circuits Semi Disposable Connectors An economical circuit for 10kg or more. There is a degree of rebreathing but the CO2 is removed by the in circuit soda lime. Minimum flow replenishes patients metabolic oxygen. CIRCLE CIRCUITS SEMI DISPOSABLE 025085 Circle circuit x 1 £45.00 30mm is the international diameter for scavenge systems. Use 30/22 adaptors to link sections of 22mm scavenge tubing. CONNECTORS Anaesthesia 025536F 22mm male to 30mm female £5.00 025536M 22mm male to 30mm male £5.00 025534 30mm scavenge to 500ml bag tail (for ‘T’ piece or mini bain) £10.56 Portex Swivel with port £13.98 PORTEX 179 103462_CH19_p166-175_Anaesthesia 13/2/06 19 09:40 Page 180 ANAESTHESIA Anaesthesia Connectors Semi Disposable Stethoscope Professional Standard Paediatric CONNECTORS SEMI DISPOSABLE 0255365SDF 22mm male to 30mm Scavenge female 0255365SDM 22mm male to 30mm Scavenge male 025088 15mm Elbow. 15m - 22m/15f + 7.6mm port £2.60 £2.60 £3.00 Diaphragm and bell options for detailed chest examinations. Very good diagnostic quality. Available in 6 colours. Stethoscope Basic No quibble money back guarantee if you are not delighted. Supplied with 4 spare ear ‘nibs’ and a spare diaphragm. STETHOSCOPE PROFESSIONAL Simple cheap well made stethoscope. Cheap enough to have one in every room. 025107R Professional Stethoscope Red £15.00 025107BUR Professional Stethoscope Burgundy £15.00 025107B Professional Stethoscope Blue £15.00 025107G Professional Stethoscope Hunter Green £15.00 025107BG Professional Stethoscope Bright Green £15.00 025107L Professional Stethoscope Lavender £15.00 STETHOSCOPE PAEDIATRIC STETHOSCOPE BASIC 025108R Paediatric Stethoscope Red 025108BUR Paediatric Stethoscope Burgundy £15.00 £15.00 £15.00 025102B Stethoscope Blue £7.61 025108B Paediatric Stethoscope Blue 025102G Stethoscope Green £7.61 025108G Paediatric Stethoscope Hunter Green £15.00 025102R Stethoscope Red £7.61 025108BG Paediatric Stethoscope Bright Green £15.00 025108L Paediatric Stethoscope Lavender £15.00 Oesophageal Stethoscope 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 £35.00 025101/24F 24F Probe for stethescope (8mm O/D) £5.85 025101/P18F 18F Probe for stethescope (6mm O/D) £5.85 025101/P12F 12F Probe for stethescope (4mm O/D) £5.85 180 103462_CH19_p166-175_Anaesthesia 13/2/06 09:40 Page 181 ANAESTHESIA www.vetinst.com Laryngoscopes 19 Resuscitation Bag 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. 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. RESUSCITATION BAG 025557 Small Resuscitator £18.00 025558 Large Resuscitator £24.00 Miller Set & Wall Bracket LARYNGOSCOPES 025118FO Laryngoscope Set with 0, 1, 2, 3 & 4 Blades - Fibre Optic £175.10 025118FO BULB Spare bulb for Fibre Optic laryngoscopes 025127 Wall Bracket for Laryngoscope Sets £18.00 025115 Laryngoscope Handle Non Fibre Optic £74.16 025118 Laryngoscope Set - Non Fibre Optic Includes 0, 1, 2, 3 & 4 blades £130.00 025120 Laryngoscope for rabbit - Fibre Optic includes Miller No 0 Blade £109.60 025125 Spare bulb non FO laryngoscopes state whether large or small required £11.38 £11.38 Anaesthesia 181 103462_CH19_p166-175_Anaesthesia 13/2/06 19 09:40 Page 182 ANAESTHESIA Anaesthesia Monitoring Cardell Multi-Parameter Monitors 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. Veterinary Instrumentation offers two simple monitors to fulfill this role. Blood Pressure Cardell® Model 9401 Apalert Respiration Monitor Blood pressure monitoring gives important information re. patient status compared with ECG based systems. All leading authorities recommend blood pressure monitoring. BP MONITOR SPECIFICATIONS: • provide systolic, diastolic, mean arterial pressure and heart rate in seconds 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: • STAT mode provides continuous readings for 5 minutes with 10 second pause in between • Reliable. It beeps at each breath and the display shows the interval since the last breath. • pulse rate range from 20 to 300 beats/min • Rechargeable approx 70hrs use. You can still use it as it recharges. • Set auto measurement from 1 -90 minutes • Adjustable by beep volume and sensitivity • AC or rechargeable battery (4 hours). Works on 100 volts to 240 volts. • Alarming. The alarm gets louder if you ignore it. The alarm can be reset by the surgeon using magic eye facility without compromising sterility. • Stores 99 minutes of readings or the last 5 hours • Manual and automatic mode for readings • High and low alarm settings for all parameters This unit saves lives with a minimum of fuss. • Message window displays system alarms and trouble shooting messages APALERT RESPIRATION MONITOR • 2 cuffs in 6 different sizes included 025005 Apalert Monitor Complete Kit 025007 Apalert Probe £12.44 • 9402 uses Nonin technology for SpO2 025100 Mains Adaptor £19.40 • 2 year warranty; 1 year on battery pack £230.00 • 9402 comes with lingual sensor Cardell® Model 9402 Breathe Safe Monitor Blood Pressure Pulseoximeter This tiny monitor is a simple apnea alert monitor. The microprocessor beeps with every breath. • Highly sensitive. PULSE OXIMETER SPECIFICATIONS : • Oxygen saturation range; 0 - 100% • Easy to use - just connect between the endotracheal tube and anaesthesia circuit. • SpO2 accuracy: 70 - 100%+2% • No adjustments. A sophisticated alogorithm will recognise and indicate with a beep every breath from a kitten to St Bernard. • Pulse rate range: 20 - 450 beats per minute • Apnea Alert. If your patient fails to breathe for 45 seconds a distinctive apnea alert will sound. • Selectable pulse beep volume/variable pulse tone • Pulse rate accuracy: +3% +1 digit • Auto shut off. CARDELL MULTI-PARAMETER MONITORS • High density long-life lithium battery will last for years. CARD9401 Cardell Blood Pressure Monitor - NEW £1,475.00 A simple life saver. CARD9402 Cardell Blood Pressure Monitor with Pulseoximetry - NEW £1,999.00 CARD9403 Cardell Blood Pressure, Pulseoximetry, ECG, Respiration and Temperature - NEW £2,895.00 BREATHE SAFE MONITOR 025010 Breathe Safe Monitor £140.00 182 103462_CH19_p166-175_Anaesthesia 13/2/06 09:40 Page 183 ANAESTHESIA www.vetinst.com Doppler Ultrasonic Blood Flow Monitor 19 Medifusion MP-1000 The Medifusion MP-1000 is a high performance easy-to-use infusion pump. • Compatible with the majority of IV sets (programmable) 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. • Flow rate 0.1 to 999ml • Volume 0.1 to 9999ml • Purge flow rate 700ml/hr (or selectable) • Alarms • Mains and battery backup Combining Doppler with an approriate 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. • Keep vein open facility • One year warranty INFUSION PUMP MP1000 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 £796.00 Anaesthesia 183 Medifusion MP-1000 Infusion Pump £860.00 103462_CH20_p176-179_Diagnostics 20 13/2/06 09:40 Page 184 DIAGNOSTICS Diagnostics Gowllands Range Buster Starlight Diagnostic Set These units represent very good value for money. The sets are self contained and require batteries, either standard dry cells or re-chargeable equivalents. Otoscope Set A simple torch based set for easy intubation. BUSTER STARLIGHT DIAGNOSTIC SET 270500 Buster Starlight diagnostic torch £28.40 Heine Diagnostic To create a diagnostic set you will need to combine the diagnostic head of your choice together with a power source. Power Sources Standard N Handle Otoscope with 4, 5 and 7mm speculae. OTOSCOPE SET 014000 Otoscope with 4, 5, & 7mm speculae The standard N handle takes regular dry cell batteries. £79.00 STANDARD N BATTERY HANDLE X0199118 Otoscope and Opthalmic Set Standard N Battery Handle £44.63 NT200 Rechargeable Handpiece System Diagnostic set with ophthalmoscope and otoscope as above. OTOSCOPE & OPTHALMIC SET The NT200 is a rechargeable system which is supplied with one handle but has a capacity for 2 handles. 014002 Diagnostic Set with otoscope and ophthalmoscope £128.00 NT200 RECHARGEABLE HANDPIECE SYSTEM 184 X0299422 NT200 Charger c/w one handle £316.70 X0299411 Rechargeable handle for NT200 £83.18 103462_CH20_p176-179_Diagnostics 13/2/06 09:40 Page 185 20 DIAGNOSTICS www.vetinst.com Heine Diagnostic Sets EN100 Wall Mount Unit with 2 Handpiece Positions Top quality equipment boxed as a kit. Otoscope Kit 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 ostoscope is! EN100 WALL MOUNT UNIT WITH 2 HANDPIECE POSITIONS X9512110 EN100 Modular Unit c/w two handles no heads £231.95 X9512135 Extra Handpiece Position £159.79 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. Otoscope Heads and Accessories HEINE OTOSCOPE KIT 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. G112.10118 Heine Otoscope Kit with Standard Battery Handle £276.03 G11220376 Heine Otoscope Kit with Rechargeable Handle £353.96 G11220420 Heine Otoscope Kit with Rechargeable Handle and Charging Unit £454.63 Otoscope and Ophthalmoscope Kit OTOSCOPE HEADS & ACCESSORIES G0221301 Otoscope / Slit head with magnifying swivel G0021330 Speculum Metal Closed 4mm £28.92 G0021331 Speculum Metal Closed 6mm £28.92 G0021332 Speculum Metal Closed 7mm £28.92 G0021209 Magnifying Swivel Loupe X0188077 2.5v Bulb FO Otoscope £18.00 X0288044 3.5v Bulb FO Otoscope £18.00 £107.80 £9.00 Direct Opthalmoscope Heads The Beta opthalmoscope head is the standard direct opthalmoscope head. 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 Beta opthalmoscope head G148.10118 Heine Otoscope and Ophthalmoscope Kit with Standard Battery Handle £449.22 Heine Otoscope and Ophthalmoscope Kit with Rechargeable Handle £530.41 G14820376 G14820420 Heine Otoscope and Ophthalmoscope Kit with Rechargeable Handle and Charging Unit £633.24 DIRECT OPTHALMOSCOPE HEADS C0230100 Opthalmoscope Head 3.5v £187.03 X0188069 2.5v Bulb Beta Ophthalmoscope £19.43 X0288070 3.5v Bulb Beta Ophthalmoscope £19.43 Diagnostics 185 103462_CH20_p176-179_Diagnostics 20 13/2/06 09:40 Page 186 DIAGNOSTICS Diagnostics Fritz Diagnostics Otoscope Attachment 90˚ Otoscope attachment The Veterinary Video Diagnostic System 981-VK-48 Working sheath with channel 981-VK-18 Examination sheath Camera Light Head (Turn Connector) 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. 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. 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: Cleaning and disinfection is much more convenient and faster, compared with conventional otoscopes. 981-VK-108 Video Diagnostic System - Otoscope Set • Otoscope Comprises: • Vaginoscope • 981-VK-100 Video Diagnostic System Basic Set • Unit, 1/3"CCD camera, 150W light source camera head with integrated cold light cable, 2 m, TWIN connector, second light outlet for rigid endoscopes and flexible gastro/colonoscopes. • Gastroscopes and endoscopes • Rigid endoscopes. • Dentalscope • camera head holder FRITZ DIAGNOSTICS 981-VK-100 Video Diagnostic System Basic Set • automatic exposure control, £2431.62 • resolution 752(H)x582(V) pixel, (see across for details) • colour system: PAL • video outlet: FBas VHS; Y/C, S-VHS • light outlet: comp. to R. Wolf • 230 VAC, 50/60 Hz, • 981-VK-008 90° Otoscope attachment, 0°, 3,5/4 mm • 981-VK-18 Otoscope examination sheath • 981-VK-48 Otoscope working sheath, with channel. OTOSCOPE VIDEO SET 186 981-VK-108 Video Diagnostic System - Otoscope Set. Complete (components as listed above) £4460.00 981-VK-100 Video Diagnostic System Basic Set £2431.62 981-VK-008 90° Otoscope attachment, 0°, 3,5/4 mm £1418.23 981-VK-18 Otoscope examination sheath £77.69 981-VK-48 Otoscope working sheath, with channel £83.23 103462_CH20_p176-179_Diagnostics 13/2/06 09:40 Page 187 20 DIAGNOSTICS www.vetinst.com Other Video Diagnostic Attachments Optional Accessories for Otoscope Attachment T301-4030 Biopsy and Grasping Forceps All attachments are connected with a special locking system (TWIN connection) to the camera-light head. • 981-VK-024 DIN ocular lens, 22mm, for video compact system, comp. to rigid & flex. telescopes B20-135. • 981-VK-2 C-mount-adaptor for video compact system • T301-4030 Wide angle telescope, 30°, OD: 4 mm, 30 cm, TWIN connector, – for gynaecology or bronchoscopy. See special brochures for all attachments. OTHER VIDEO DIAGNOSTIC ATTACHMENTS BIOPSY AND GRASPING FORCEPS B20-135 Biopsy and grasping forceps, small, high performance, OD: 2 mm, WL 11 cm 981-VK-024 £191.54 DIN ocular lens, 22mm, for video compact system, comp. to rigid & flex. telescopes £611.54 981-VK-2 C-mount-adaptor for video compact system T301-4030 Wide angle telescope, 30°, OD: 4 mm, 30 cm, TWIN connector £1753.08 £149.77 Dental Examination Sheath Accessories, Disinfection, Cleaning • easy to use • quick • safe 981-VK-19 ACCESSORIES, DISINFECTION, CLEANING DENTAL EXAMINATION SHEATH 981-VK-19 Dental examination sheath, pointed, LL(f) bayonet lock, for dental work £77.69 Recommended Otoscope Setup DE-10-60 Disinfection wipes for endoscopes and instruments, box with 120 pcs. £6.46 DE-5-17 Cleaning brush for small cannulas with ID: 2-4 mm, length 17cm £12.08 E-22-71 Antifog fluid for endoscopes and mirrors, bottle with 10 ml £8.30 • 981-VK-108 Video Compact System, Otoscope Set (as described on page 178) • B20-135 Biopsy and grasping forceps, small, high performance, OD: 2mm, WL 11 cm Integration with your IT System In addition you will require a monitor, we suggest either: • M-70-1310 Monitor and TV unit, incl. VHS recorder PAL, 36 cm screen, 230 VAC, 50/60Hz or • 45-DK-900 TFT-monitor/screen, 15", high definition, FBas, S-VHS in/out, 12 DC/2A transformer RECOMMENDED OTOSCOPE SETUP 981-VK-108 Video Compact System, Otoscope Set B20-135 Biopsy and grasping forceps, small, high performance, OD: 2mm, WL 11 cm £191.54 M-70-1310 Monitor and TV unit, incl. VHS recorder PAL, 36 cm screen, 230 VAC, 50/60Hz £306.15 45-DK-900 TFT-monitor/screen, 15", high definition, FBas, S-VHS in/out, 12 DC/2A transformer £850.00 £4460.00 The outputs from the video diagnostic unit can be fed into your computer system as well as a variety of recording and printing devices. Diagnostics 187 103462_CH21_p180-189_ClinicalFurniture 21 13/2/06 09:41 Page 188 CLINICAL FURNITURE Clinical Furniture ‘Prep’ Room Table X-RayTable • Dentistry, wound flushing, abcess drainage, ears etc • Patient trolley • Lead lined • Drainage area for wet or dirty procedures • 4 locking wheels enables easy movement of big dogs • Removable stainless drainage tray • 2 shelves for storage of cradles, sandbags and gloves etc. • 2 trays for swabs, instruments etc. • Meets Health and Safety regulations • 4 locking wheels • Doubles as a consulting table or patient trolley • Very versatile • Made from 316 not the cheaper 304 stainless • Made from 316 stainless not the cheaper 304 which rusts X-RAY TABLE • Instrument tray and bowl an option (not included) 028024 X-Ray Table* £717.00 Carriage is extra for all items marked * 'PREP' ROOM TABLE 028010 ‘Prep’ Room Table* £717.00 028009 Tray & Bowl Accessories £179.48 Tilting X-RayTable Carriage is extra for all items marked * Stainless Steel Examination Table • Lifetime guarantee • Easy to clean and disinfect between patients • Noise dampened to maximise patient confidence • 24" x 48" standard, different sizes are available at no extra cost. Please 'phone for details • Excellent value • Standard 34" high, other heights to order • Tilts both ways • Made from 316 stainless not the cheaper 304 which rusts if left in contact with body fluids and disinfectants • Single locking lever • Lead lined TILTING X-RAY TABLE STAINLESS EXAMINATION TABLE 023020 028022 Stainless Exam. Table 316 stainless* Rubber Mat 48" x 24" £460.00 £24.19 Carriage is extra for all items marked * 028025 Xray Table (Tilting)* £923.00 028025M Xray Table (Tilting). Mobile* £951.84 Carriage is extra for all items marked * 188 103462_CH21_p180-189_ClinicalFurniture 13/2/06 09:41 Page 189 21 CLINICAL FURNITURE www.vetinst.com Pre-Owned Operating Tables Vet Sink Major vetsink features include • Fully welded internal joints precluding matter ingress and the retention of infectious organisms. • All round accessibility in standing and seated positions • 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 Ex-hospital operating tables are extremely well constructed and carry a number of features including multi-plane tilt and rotation which are only found on very expensive veterinary tables. • Radiused corners • Can be combined with the latest air driven dental units and mobile seating All the tables are similar having a minimum of the following features. • Four button hooks are located on the sides for hanging the taps during cleaning • Height adjustable from 720mm(29”) to 1070mm(42”). • Table tilt in the longitudinal plane. • Table tilt in lateral plane. VETSINK • Table rotate (lockable) on base. VETSINK12 Vet sink 1200mm Tub table complete* £1,353.00 • Castors, all lockable with single foot control. VETSINK15 Vet sink 1500mm Tub table complete* £1,460.00 • Fully extended top 1800mm(72”) x 500mm(19.5”) VETSINK20 Vet sink 2000mm Tub table complete* £1,554.00 • Minimum top 840mm(33”) x 500mm(19.5”) VETSINKTOP Solid top converts above into exam table /op table* • Other options 1400mm(56”) x 500mm(19.5”) 1240mm(50”) x 500mm(19.5”) £167.00 Carriage is extra for all items marked * The top is anodised aluminium which in hospital use is fitted with 4 cushions. For veterinary use we supply a full length 6mm rubber mat. Custom Furniture The tables vary with regard to options and finish and are priced from £700.00 plus VAT and delivery for the basic unit described above to £1500.00 for a stainless steel clad base with a radiolucent work surface suitable for use with radiography or a ‘C’ arm. Phone for availability. Stainless steel furniture can be fabricated to your design in our Sheffield workshop. Phone or fax a sketch for a quote. PRE-OWNED OPERATING TABLES PRETABLE1 Preowned Operating Table. Enamel Base* £700.00 PRETABLE2 Preowned Operating Table. Satinless Steel Base* £1,000.00 PRETABLE3 Preowned Operating Table. Radiolucent * £1,500.00 Clinical Furniture Carriage is extra for all items marked * 189 103462_CH21_p180-189_ClinicalFurniture 21 13/2/06 09:41 Page 190 CLINICAL FURNITURE Clinical Furniture Scrub Dispenser Stainless Steel Demountable Electrolift Surgical Examination Table • Electrically operated • Thin flexible cable hand control • Top size 120cm x 60cm • Lift range 47cm • Safe working load 150kgs static ELECTROLIFT SURGICAL/EXAMINATION TABLE 028031 Electric Operating Table Static* £871.00 028032 Electric Operating Table Mobile* £923.79 028032T Additional options - Tilting £109.80 028032M Mat 028032TB Tie Bar 028032BAT Battery Pack 025134 Dispenser £30.74 £41.17 POA - RING Carriage is extra for all items marked * Folding Wall Mount Examination Table Very rigid and will not tip over. Surface area can therefore be smaller than a free standing table. Table flips flat against the wall for cleaning and examination of large dogs. Dispenser Attachment Standard table is 40" x 20", but all sizes available on request. • Stainless construction • Unit dismountable from wall bracket (included) for cleaning/autoclaving • Operates standard scrub bottles SCRUB DISPENSER - DEMOUNTABLE 025134 FOLDING WALL MOUNT EXAMINATION TABLE 028026 Folding Table 40" x 20" - NEW * £595.40 Carriage is extra for all items marked * 190 Scrub Dispenser Stainless Steel £28.00 103462_CH21_p180-189_ClinicalFurniture 13/2/06 09:41 Page 191 CLINICAL FURNITURE www.vetinst.com Mayo Instrument Table 21 Walk-On Large Platform Scales • Stainless steel throughout • Tray 19" (490mm) X 13"(330mm) • 4 castors • Height adjustable 33" (840mm) to 47" (1200mm) • Lifetime guarantee 0 to 100kg digital display. WALK-ON LARGE PLATFORM SCALES 025132 Walk-on Scales* 900 x 500mm 025133 Rubber mat for above £440.19 £24.19 Carriage is extra for all items marked * MAYO INSTRUMENT TABLE 028027 Stainless Mayo Instrument Table 19" x 13"* £231.60 Carriage is extra for all items marked * Drip Stand, Cage Door Mount • Clips onto all mesh or bar fronted cages Small Platform Scales • Stainless steel • Adjustable for height • Occupies no floor space • Moves with cage door causing no obstruction when examining patient 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. SMALL PLATFORM SCALES Mini Scale 025131 £65.31 DRIP STAND, CAGE DOOR MOUNT 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 026022M Redmark Cradle - Medium over 13kg - 32kg £41.20 026022S Redmark Cradle - Small up to 13kg £30.90 £115.00 £55.50 Clinical Furniture 191 028035 Drip Stand (Cage Door Mounting) (single) £27.85 028036 Drip Stand (Cage Door Mounting) 3 Pack £71.12 103462_CH21_p180-189_ClinicalFurniture 21 13/2/06 09:41 Page 192 CLINICAL FURNITURE Clinical Furniture Multi Arm - MULTI ARM 026000 Multi Arm - NEW 'Improved' version includes single limb support 020062 Double limb support £59.00 020065 Limb Brace Attachment for Multi Arm £93.00 With Single Limb Support £172.93 I / V Splints Double Limb Support • 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 Multiarm With Limb Brace Attachment In Use I / V SPLINTS Limb Brace Attachment 028037 IV Splints Small - cat size 028038 IV Splints Medium - up to 20lb dog £35.12 028039 IV Splints Large - 20 to 40lb dog £39.90 028040 IV Splints Ex Large - 40 to 80lb dog 0028040S Set IV Splints £35.12 £44.70 £134.88 Suction Device 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 & gaslroscopes. • 'Velcro' straps will securely hold the limbs of patients of various sizes from cats to Great Danes. • 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. • As described by Kurt Schulz in Veterinary Surgery 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. The suction machine is ready for the attachment of tubes and tips. SUCTION DEVICE 185000 192 ASKIR 30 Suction Device £235.75 103462_CH21_p180-189_ClinicalFurniture 13/2/06 09:41 Page 193 21 CLINICAL FURNITURE www.vetinst.com Suction Tips Disposable 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 Pack of ten, especially useful for dentistry. DISPOSABLE SUCTION TIP 185DISP SUCTION TUBING YANKAUER SUCTION TIP Yankauer Suction Tip £20.06 Suction Tubing General purpose suction tip for removal of large volumes e.g. from abdomen. 1854327 Autoclavable Disposable tips (pack of 10) Autoclavable Suction Tubing per Metre 185001 £2.05 £17.38 Portable Cordless Cautery Kit Poole As Yankauer but more holes for greater volume uptake. With perforated outer sheeth removed the Poole functions as a small bore straight suction tip. POOLE SUCTION TIP Poole Suction Tip 1854330 £17.38 Adson 4mm 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 4”(130mm) Fine electrode for deep areas 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. 4”(130mm) Loop electrode Tip temperature 2200F/1200C DISPOSABLE SUCTION TIP ADSON SUCTION TIP 02313 Portable Cordless Cautery Kit 02313w Replacement cautery tip 1/2” fine £7.00 02313x Replacement cautery tip 1/2” loop £7.00 Frazier 2.6mm 02313y Replacement cautery tip 4” fine £7.00 As the Adson but finer still. 02313z Replacement cautery tip 4” loop £7.00 1852121 Adson Suction Tip 4.0mm £17.38 Clinical Furniture FRAZIER SUCTION TIP 1854328 Frazier Suction Tip 2.6mm £43.00 £17.38 193 103462_CH21_p180-189_ClinicalFurniture 21 13/2/06 09:41 Page 194 CLINICAL FURNITURE Clinical Furniture Electrosurgery BiPolar Electrosurgery MonoPolar 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 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. Safety Alarm 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 ELECTROSURGERY MONOPOLAR HF106 50watt MonoPolar Electrosurgery Unit HF1 Electrode £4.50 HF2 Electrode £4.50 HF3 Electrode £4.50 HF4 Electrode £4.50 HF5 Electrode £4.50 HF6 Electrode £4.50 HF7 Electrode £4.50 HF8 Electrode £4.50 Kit includes: HF9 Electrode £4.50 • Two button monopolar handle HF10 Electrode £4.50 • Foot control HF1-10 Set of 10 Electrodes (mixed) £33.44 • Flat neutral plate HF107 Spare MonoPolar Handle for HF106 £45.00 Overheat Alarm 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. • 6 short monopolar electrodes • Bipolar cable and forceps BIPOLAR ELECTROCAUTERY UNIT HF122 120watt Monopolar/Bipolar Electrosurgery Kit HF125 Spare Monopolar handpiece for HF122 £937.00 £52.00 BiPolar Accessories BIPOLAR ACCESSORIES HF123 Spare Bipolar Forceps for HF122 £72.00 HF124 Spare Bipolar Cable for HF122 £80.00 194 £498.00 103462_CH21_p180-189_ClinicalFurniture 13/2/06 09:41 Page 195 21 CLINICAL FURNITURE www.vetinst.com Safe and warm foam patient mats Animal Stretcher 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 £65.00 Soft Carry Stretcher 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. 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 £105.00 Operating table mat 15”(375mm) x 44” (1100mm) x 1”(25mm) £145.00 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. SOFT CARRY STRETCHER 02742a Soft Stretcher 30”(750mm) x50”(1250mm) £26.00 02742b Soft Stretcher 21”(525mm) x 34”(850mm) £22.00 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) x 2”(50mm) 02769a £175.00 Clinical Furniture Anti-fatigue mat 29”(725mm) x 38”(950mm) x 2”(50mm) £225.00 195 103462_CH21_p180-189_ClinicalFurniture 21 13/2/06 09:41 Page 196 CLINICAL FURNITURE Clinical Furniture Multifunction Hydrotherapy Due to the recent awakening to the many benefits of hydrotherapy, many leading Orthopods now routinely use and recommend swimming and water walking in post-operative rehabilitation, particularly for joint and spinal cases. Hydrotherapy unit used in Dry Walking Mode In response to this, GDE now offer this unique design* of flexible, multifunction, low maintenance hydrotherapy units - ideal for all sizes of veterinary and animal care practice. Why choose Gregson's Hydrotherapy Units? • Multi-function The Gregson unit incorporates four therapeutic functions in one facility, allowing for comprehensive treatment without excessive expenditure. Unit in Hydra-Spa mode • Compact With only one tank required and integral controls, the Gregson system is both simple and compact, allowing for a space efficient installation. • Safe All Gregson units are powered by a powerful pneumatic motor, allowing for safe and controllable operation. All electrical systems are operated via air switches - allowing for total electrical isolation from the operator. • Efficient Due to the various heating functions, off-peak heating is available, with intermittent top-up heating between treatments. • Reliability Gregson Hydrotherapy units are constructed from the finest materials and are designed to withstand extensive operation and rigorous use. • Cost Effective By combining four therapy functions into one facility: Dry Walking, Water Walking, Swimming & Jacuzzi-Spa, Gregson's Hydrotherapy units give great benefits to both cost and space. Unit supporting both animal and veterinary staff *Patent Pending 196 103462_CH21_p180-189_ClinicalFurniture 13/2/06 09:41 Page 197 21 CLINICAL FURNITURE www.vetinst.com Design Specification: K9 Float Coat Compact Unit The Gregson Unit comprises of one main tank with integral control and water treatment facility. With a main tank length of up to 2.4m, the unit has a max. footprint of 0.75m x 2.4m Multi - Function Dry Treadmill & Water-Walker, 0 to 4 mph, Hydro-Spa, Heated air and water jets, Swim-Race water jets encourage swimming Adjustable Depth Variable depth from 0 to 0.9m Heating Functions Thermostatic heating raises and maintains desired water temperature and allows for off-peak heating. 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. Pneumatic Motor These robust units, designed for military and naval applications, power the unit's treadmill. They allow for clean, safe and controllable operation with very low maintenance. 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 yellow and black. Also useful for dogs who love the water but are not as strong a swimmer as they used to be. Pneumatic Control Within the Hydrotherapy unit, all electrical functions are switched via pneumatic links - allowing for total electrical isolation between the unit and the operator. Water Filtration Water cleanliness is maintained through two-stage filtration. The first filter removes large particulate matter, such as hair, while the second, finer filter maintains water cleanliness by removing the much smaller contaminants. Both elements can be easily removed, cleaned and replaced without schedule disruption. Water chlorination is also achieved through the use of the water treatment kit. K9 FLOAT COAT CODE Visibility Visibility is a key aspect of this design. Allowing the animal to see out reduces distress and encourages movement. The large glass sides also allow for you to study the movements of the animal while exercising. GIRTH LENGTH VET PRICE 02978a XXS SIZE 12”-19” 9” £32.00 £49.00 RRP 02978b XS 17”-24” 12” £32.00 £49.00 02978c S 23”-30” 16” £32.00 £49.00 02978d M 27”-32” 21” £41.50 £64.00 02978f L 31”-40” 25” £41.50 £64.00 HF5 XL 35”-48” 35” £41.50 £64.00 Measurements: Girth= measurement around widest part of ribcage. Length = distance from back of neck to the base of tail. Construction All units use 316 grade Stainless Steel throughout the construction, to provide corrosion free longevity. Web Master Harness GREGSON MULTIFUNCTION HYDROTHERAPY UNIT Air compressor. Water cleanliness kit. Delivery within the UK. Installation & commissioning. Training for you & your staff. £17,750.00 Please call to discuss your specific application 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. Manufactured from heavy duty nylon with quick release buckle. Designed with hydro therapy in mind but also useful as a mobility assist in any dog unsure of its footing into cars or up steps etc. Colour is black and red. WEB MASTER HARNESS CODE GIRTH LENGTH VET PRICE 02979a XXS SIZE 12”-19” 10” £22.00 RRP 02979b XS 17”-24” 13” £22.00 £32.00 02979c S 18”-30” 16” £22.00 £32.00 £32.00 Clinical Furniture 197 02979d M 23”-36” 19” £24.00 £36.00 02979e L 31”-48” 22” £24.00 £36.00 103462_CH22_p190-191_Clippers 13/2/06 09:41 22 Page 198 CLIPPERS Clippers Surgical Clippers Edition Precison Trimmer Oster ‘Power Pro’ Cordless • Uses standard A5 blades. (not included) • Equal power to A5 • 30 minute run time • 20 minute charge time • Optional battery pack offers continuous use facility. Quiet, lightweight & compact. Ideal for i/v clips • No more trip hazards, no more clippers dragged onto floor. 60 minutes trimming time with full charge OSTER CLIPPERS 028092 Oster Clippers Cordless (no blades) £250.00 EDITION PRECISION TRIMMER 028099 Spare Battery for Oster Cordless Clippers £101.97 KM8556 The latest version of the industry standard clipper with a blade locking device to prevent the blade unclipping in use. (blade not included). Light duty trimmer, easily concealed in palm of hand. Handy for i/v clips or blood tests Runs off single AA battery (supplied). Cheap enough to have one in every room. OSTER CLIPPERS A5 Oster A5 “Golden” body only (no blades) £39.16 Pocket Pro Trimmer (purple) Oster Clippers A5 028080 Edition rechargable trimmer £110.38 POCKET PRO TRIMMER (PURPLE) Oster Blades 9861 OSTER BLADES 028081 Oster Clipper Blade Size 40 028081/E Oster Clipper Blade Size 40 ELITE £31.15 028082 Oster Clipper Blade Size 15 £27.93 028083 Oster Clipper Blade Size 50 £27.93 028084 Oster Clipper Blade Size 30 £27.93 028082/10 Oster Clipper Blade Size 10 £27.93 Pocket Pro trimmer £8.50 £27.93 Laube 505 Cordless Clipper Wahl Clippers • 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!!! LAUBE 505 CORDLESS CLIPPER 028100 Laube 505 Clipper £279.00 Laube Blades 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. Moser Max 45 - 2 Speed Mains Clipper Highly recommended and very competitively priced. Extremely robust with 45 Watt motor LAUBE BLADES Two speed Takes standard clip on blades WAHL MOSER MAX 45 CLIPPERS KM6245-800 Moser Max 45 incl. surgical blade £82.00 198 028111 Laube No. 15 blade £17.80 028112 Laube No. 30 blade £17.80 028110 Laube No. 40 blade £17.80 028113 Laube No. 50 blade £17.80 103462_CH22_p190-191_Clippers 13/2/06 09:41 Page 199 22 CLIPPERS www.vetinst.com Nail Clippers Heavy Duty with Plastic Handles Bird Ring Cutter HEAVY DUTY WITH PLASTIC HANDLES 028088 Nail Clipper Heavy Duty Plastic Handle £8.32 Compound Action Nail Clippers 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. BIRD RING CUTTER 028090 COMPOUND ACTION NAIL CLIPPERS 028086 Nail Clipper Compound Action Bird ring scissors £25.41 £109.76 Rabbit Ring Cutters 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 NAIL CLIPPERS STANDARD 028091 028085 Nail Clippers (large) 14cm £25.99 028085S Nail Clippers (small) 12cm £25.99 Rabbit ring cutters £22.73 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 Resco Clippers Guillotine Parrot ring cutter £44.34 028094 Spare Blade for above £11.61 Clippers RESCO GUILOTINE TYPE 028087 028093 £8.32 199 103462_CH23_p192-193_Training Aids 23 13/2/06 09:41 Page 200 TRAINING AIDS Training Aids Skeletons and Mounted Limbs Anatomical Models Stifle AMJ776 Lumbar AMJ779 Hock AMJ781 Canine teeth with pathology AMJ771 A full skeleton is a very useful aid to explain a procedure to a client and as a model for orthopaedic reconstructions. A normal bone model is very useful when trying to put together a complex fracture Our skeletons and mounted limbs are professionally prepared real bones mounted on a wooden base. Also available with a perspex cover - phone for details. SKELETONS AND MOUNTED LIMBS Dog Skeleton Complete disarticulated £346.87 090124 Dog Skeleton Complete mounted on base £498.00 090130 Dog Hind limb mounted on base 090131 Dog Fore limb mounted on base 090132 Cat Skeleton complete mounted on base £380.63 090132D Cat Skeleton complete disarticulated £228.13 090123 £98.00 £98.00 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. Cat Skeleton ANATOMICAL MODELS 200 AMJ770 Canine teeth AMJ770C Feline teeth £124.58 AMJ770S Set of both canine & feline teeth £235.43 £124.58 AMJ771 Canine teeth plus pathology £124.58 AMJ771C Feline teeth plus pathology £124.58 AMJ771S Set of both canine & feline teeth & pathology £235.43 AMJ772 Cross section of canine Ear £48.83 AMJ779 Canine lumbar vertebrae with pathology £54.90 AMJ776 Canine stifle AMJ775 Canine hip + lower vertebrae AMJ780 Canine elbow £57.40 AMJ781 Canine hock £57.40 £64.40 £117.88 103462_CH23_p192-193_Training Aids 13/2/06 09:42 Page 201 TRAINING AIDS www.vetinst.com Plastic Training Bones 23 Books The limited availability of cadaver training programs 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. PLASTIC TRAINING BONES 2121-20 Femur, Right with block £27.00 2117-20 Tibia, Right with block £27.00 2117-21 Tibia/fibula Right no block £40.00 2003-20 Humerus Right with block £27.00 2002-20 Radius Right solid foam with canal £18.00 2002-25 Radius and Ulna Right £40.00 2002-22 Radius, Solid with Canal - Transverse Fracture £18.00 2003-21 Humerus, Foam Cortex with Oblique Fracture £29.00 2003-22 Humerus, Foam Cortex - Distal Condylar Fracture £29.00 2003-23 Humerus, Oblique Condylar Fracture £29.00 2003-24 Humerus, growth plate £30.00 2003-25 Humerus - High Y Fracture, Head Fracture £36.00 2003-26 Humerus, Spiral Fracture £30.00 2117 Tibia Left Foam Cortex £27.00 A combination of BK02 and BK01 or BK03 just about covers all the options you are likely to face in practice orthopaedic situations. Videos / CD Rom These videos show in detail the following procedures: • Fracture fixation including surgical approaches, plate, lag screw and tension band fixation. BOOKS • Triple pelvic osteotomy using a VI plate BK01 A Guide to Canine and Feline Orthopaedic Surgery by Hamish Denny & Steve Butterworth • Total hip replacement • Carpal arthrodesis • Surgical management of canine CrCL disease BK03 Handbook of Small Animal Orthopaedics and Fracture Repair. 3rd Edition by Donald L. Piermattei & Gretchen L.Flo £55.00 VIDEOS / CD ROM HDFF Hamish Denny video Fracture Fixation £35.00 HDFFDVD DVD Denny Fracture Fixation DVD Version £40.00 HDTPO Hamish Denny video Triple Pelvic Osteotomy £35.00 BK05 Small Animal Spinal Disorders - Diagnosis and Surgery by Simon J. Wheeler & Nicholas J H Sharp £84.99 BK06 Small Animal Arthroscopy (Book and CD ROM) by Beale, Hulse, Shulz and Whitney. HDTPODVD Hamish Denny Triple Pelvic Ostotomy DVD Version CDRAS £35.00 Powerpoint presentation on Rasenberg TPO plate (CD Rom) HDTHP Hamish Denny video Total Hip Replacement FOC £35.00 HDTHPDVD DVD Hamish Denny Total Hip Replacement HDCA HDCADVD DVD Version £35.00 Hamish Denny video Carpal Arthrodesis £35.00 DVD Hamish Denny Carpal Arthrodesis DVD Version CDROM Surgical Management of Canine CCL disease covers OTT, Lateral suture & TPLO (CD Rom) £62.50 BK02 An Atlas of Surgical Approaches the Bones & Joints of the Dog and Cat. 3rd Edition by Donald L. Piermattei £55.00 £35.00 Training Aids FOC 201 £74.16 103462_p194_203 6ppindex 14/2/06 12:42 Index Page 202 Anatomical Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200 1.5 / 2.0mm Compression Plates . . . . . . . . . . . . . . . . . . . . . . .85 1.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84 1:1 Attachment for dental units . . . . . . . . . . . . . . . . . . . . . . . .129 2.0mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84 2.0mm Cortical Self Tapping Screws . . . . . . . . . . . . . . . . . . . .84 2.0mm Round hole Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77 2.0mm Self Tapping System (Sherman) . . . . . . . . . . . . . . . . . .77 2.2mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 2.7mm - 7/64” Self Tapping Screws (Sherman) . . . . . . . . . .78 2.7mm Compression Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 2.7mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 2.7mm Cortical Self Tapping Screws . . . . . . . . . . . . . . . . . . . .85 2.7mm Heavy Duty Round Hole Plate . . . . . . . . . . . . . . . . . . .78 2.7mm Quarter Tubular Plate . . . . . . . . . . . . . . . . . . . . . . . . . .87 2.7mm Round Hole Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78 3.0mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 3.5mm 9 / 64” Self Tapping Screws (Sherman) . . . . . . . . . . .79 3.5mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87 3.5mm Compression Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88 3.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86 3.5mm Cortical Self Tapping Screws . . . . . . . . . . . . . . . . . . . .87 3.5mm Heavy Duty Plate Round Holes . . . . . . . . . . . . . . . . . .80 3.5mm Standard Round Hole Plates . . . . . . . . . . . . . . . . . . . .79 3M’s Orthopaedic Equipment . . . . . . . . . . . . . . . . . . . . . . . . . .61 4.5mm Compression Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 4.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 4:1 Reduction Attachment for dental units . . . . . . . . . . . . . .129 4mm Cancellous Screws Full Threaded . . . . . . . . . . . . . . . . . .88 4mm Cancellous Screws Part Threaded . . . . . . . . . . . . . . . . .89 5.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 Blades, Fine Beaver . . . . . . . . . . . . . . . . . . . . . . . . . .13, 116, 162 Animal Stretchers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Blades, Hand Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Anti Fatigue Mats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Blades, Mini DriverSaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 Antibiotic Impregnated Polymethacrylate Beads (AIPMMA) . . . . . . . . . . . . . . .104, 143 Blades, MultiSaw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Anti-Skid Drills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Blades, Scalpel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 AO Type Periosteal Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Blood Pressure Monitor . . . . . . . . . . . . . . . . . . . . . . . . . .182, 183 A / K Wire Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 Abdominal Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Acetabular Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Acetabular Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Acetabular Positioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Acetabular Reamers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Acetabular Skid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Acrylic Bi-Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Acrylic Pin External Fixation System . . . . . . . . . . . . . . . . . . . . .53 Acrylic Tube Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 Adhesive Aperture Drape (Disposable) Sterile . . . . . . . . . . .173 Adhesive Operating Drape (Disposable) Sterile . . . . . . . . . .173 Adjustable Bone Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Adjustable Drill Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Adjustable Thomas Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Adson 4mm Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Adson Dissecting Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 Aiming Device, Dr Lehman . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Aiming Device, drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 AIPMMA (for antibiotic beads) . . . . . . . . . . . . . . . . . . . . . . . .143 Air Driven Dental Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Air equipment , Pre-owned . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Air Instrument Care Products . . . . . . . . . . . . . . . . . . . . . . . . . .67 Air Regulators and Hose Probes . . . . . . . . . . . . . . . . . . . . . . . .67 Airway Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110 Allis Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 Aln Skin Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156 Ameroid Constrictors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Anaesthetic Chamber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Anaesthetic Circuit Consumables . . . . . . . . . . . . . . . . . . . . . .179 Anaesthetic Circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178, 179 Anaesthetic Machines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176 Blades, Power Saw, Halls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 AO Type Screws & Plate Equipment . . . . . . . . . . . . . . . . . . . . .81 Bone Biter Suture Anchor System . . . . . . . . . . . . . . . . . . . . . . .19 AO Type Screws & Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84 Bone Cement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73, 105 AO/Synthes Quick Release Chuck . . . . . . . . . . . . . . . . . . . . . .61 Bone Cutting Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37, 151 Apalert Respiration Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . .182 Bone Gouge Forceps (Rongeurs) . . . . . . . . . . . . . . . . . . .36, 151 APEF Base Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 Bone Holding Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .29, 151 APEF Pins & Frame Alignment Kit . . . . . . . . . . . . . . . . . . . . . .54 Bone Marrow Biopsy - Jamshidi Type . . . . . . . . . . . . . . . . . . .144 APEF Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54 Bone Marrow Biopsy - Klima Type . . . . . . . . . . . . . . . . . . . . .144 Apical Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Bone Marrow Biopsy - Rosenthall . . . . . . . . . . . . . . . . . . . . . .145 Arruga Capsule Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Bone Marrow Biopsy Needles . . . . . . . . . . . . . . . . . . . . . . . . .144 Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 Bone Pin Roll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Arthrodesis Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Bone Pin Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Arthrodesis Wire Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 Bone Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Arthrodesis Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Bone Plate Benders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Arthrodesis, Pan Carpal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Bone Plate Press . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Arthrodesis, Pantarsal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Bone Plates, DCP Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Arthroscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Bone Plates, Round Hole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77 Arthroscopic Instrumentation . . . . . . . . . . . . . . . . . . . . . . .21, 22 Bone Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36, 69 Arthroscopic Punches, Biopsy Forceps, . . . . . . . . . . . . . . . . .22 Bone Scoops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Arthroscopy USB Image Capture . . . . . . . . . . . . . . . . . . . . . . .25 Bone Scribe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Aspheric Lens Heine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Bone Tunnel Borers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Atraumatic Dissecting Forceps, Debakey . . . . . . . . . . . . . . .152 Bone Wax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Atraumatic Small Bowel Clamp . . . . . . . . . . . . . . . . . . . . . . . .152 Bones Plastic Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Autoclave Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168 Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 Autoclaves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167, 168 Bowel Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151, 152 Automatic Instrument Washer . . . . . . . . . . . . . . . . . . . . . . . . .164 Boxes, Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . .74, 175, 163 Ayres ‘T’ Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Boxes, Screw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 B 6.5mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90 A Blades, Desoutter MPZ Saw . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Angiotribes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Babcock Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 Backhaus Towel Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 Bags, Rebreathing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Bain Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Bain Circuit - Mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Bain Circuit Semi Disposable . . . . . . . . . . . . . . . . . . . . . . . . . .178 Balfour Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157 Barraquer Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Barraquers Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Bars, Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Battery Pack, Orthopaedic Drill . . . . . . . . . . . . . . . . . . . . . . . . .58 Beaver Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13, 116, 162 Beaver Type Scalpel Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Benders, K Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Breathe Safe Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182 Broad 3.5mm Compression Plate . . . . . . . . . . . . . . . . . . . . . . .88 Broad 4.5mm Compression Plate . . . . . . . . . . . . . . . . . . . . . . .90 Bulla Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Bur Brush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66 Bur Guards, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66 Bur Kit, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Bur Kits, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Burley Disc Scoop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Burs, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Burs, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Burs, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66 Buster Operation Cover (Disposable) Sterile . . . . . . . . . . . .174 Buster Starlight Diagnostic Set . . . . . . . . . . . . . . . . . . . . . . . .184 C Bending Templates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84 Cadmus Centering Templates . . . . . . . . . . . . . . . . . . . . . . . . . .14 Bennett Type Graft Passer & Aneurism Needles . . . . . . . . . . .8 Cadmus TPLO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Beta 200 Ophthalmoscope Heine . . . . . . . . . . . . . . . . . . . . . .122 Camera Covers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Bicortical Negative Threaded Pins . . . . . . . . . . . . . . . . . . . . . .48 Camera Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Biko Canine Physio Brace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Cameras & Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Binocular Hand Held Indirect Ophthalmoscope . . . . . . . . .123 Cancellous Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85-90 Binocular Loupe High Resolution 2.5X . . . . . . . . . . . . . . . . . .119 Canine Ear Loop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Binocular Loupe High Resolution Prismatic 3.5X, 4X . . . . .121 Cannula Set, van Bree, Arthroscopy . . . . . . . . . . . . . . . . . . . . .21 Binocular Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 Cannula, Lachrymal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 Biological Healing Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 Caps, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174 Biopsy and Grasping Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .187 Capsule Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Biopsy Needles - Cortical Bone . . . . . . . . . . . . . . . . . . . . . . . .145 Cardell Multi-Parameter Monitors . . . . . . . . . . . . . . . . . . . . .182 Biopsy Needles - Soft Tissue . . . . . . . . . . . . . . . . . . . . . . . . . .145 Carnivore Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Biopsy, Bone Marrow Aspiration . . . . . . . . . . . . . . . . . . . . . . .144 Carpal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Biopsy, soft tissue forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Cart, Mobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Bipolar Electrocautery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194 Cast Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Bird Ring Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Cast Cutter Desoutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Bitch Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Castroviejo Needleholders . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Bladder Catheters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Castroviejos Corneal Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .113 Blades, Desoutter MPX Saw . . . . . . . . . . . . . . . . . . . . . . . . . . .64 202 103462_p194_203 6ppindex 14/2/06 12:42 Page 203 Castroviejos Corneal Scissors . . . . . . . . . . . . . . . . . . . . . . . . .115 Cranial Cruciate Ligament Lateral Suture System . . . . . . .9-11 Castroviejos Cross Action Capsule Forceps . . . . . . . . . . . . .114 Crile Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 Drain, Concertina Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 Cautery, Portable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Crimpers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Drain, Pre-evacuated Type . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 CCL Loop Tightener . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Crocodile Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Drapes, Balloon Cloth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172 CCL Repair System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8, 9 Cross Action Towel Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 Drapes, Calico . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172 CCL Staple Introducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Cross cut taper fissure long head bur . . . . . . . . . . . . . . . . . .131 Drapes, Disposable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 CCL Staples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Crossley Incisor Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Drapes, Fenestrated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172 CCL Suture Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Crossley Molar Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Dressing Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 CD ROM - CCL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Cruciate Ligament Lateral Suture System . . . . . . . . . . . . . .9-11 Drill & Screw Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 CD ROM - Hauptman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Cruciate Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Drill Bits - Dental fit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 CD ROM - Rasenberg TPO . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Cruciate Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-17 Drill Bits - Hard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95 CD ROM - Thermoplastic Splinting . . . . . . . . . . . . . . . . . . . . .43 Cruciate Screwdriver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 Drill Bits - Soft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95 CD ROM - TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Curette, Arthroscopic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Drill Bits - Synthes Fit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Cerclage Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Curette, House . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Drill Bits -Titanium Nitride Coated . . . . . . . . . . . . . . . . . . . . . .96 Cerclage Buttons for 3.5 DCPs . . . . . . . . . . . . . . . . . . . . . . . . .94 Curette, OCD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Drill Bits, antiskid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Cerclage Wire Tighteners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Curette, Sheas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Drill Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Chalazion Forceps (Desmarres) . . . . . . . . . . . . . . . . . . . . . . .116 Curette, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Drill Guides and Inserts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Chart, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Curette, Subgingival . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Drill, Air Driven . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61, 62, 63, 64 Cheatle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160 Curette, Volkman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Drill, Mini Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Cheek Dilators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Curved Graft Passer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Drill, Orthopaedic Battery Driven . . . . . . . . . . . . . . . . . . . . . . .58 Chisels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Custom Made Furniture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Drip Stand, Cage Door Mount . . . . . . . . . . . . . . . . . . . . . . . . .191 Chuck, Jacobs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Custom Made Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 Dual Zoom Head Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Circle Circuits Semi Disposable . . . . . . . . . . . . . . . . . . . . . . .179 Cuttable Malleable Plate . . . . . . . . . . . . . . . . . . . . . . . . . . .77, 78 Dynamic Fixators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Circuit, Ayres T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Cuttable Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77, 78 Circuit, Bain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Cutters, Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 D Circuit, Bain Mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Circuit, Lack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Circuit, T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Clamp, Split . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Clamps ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Clamps KE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Clamps, Bowel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151, 152 Clamps, External Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Clippers, Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Clippers, Laube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Clippers, Nail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198, 199 Clippers, Oster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Clippers, Wahl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Clogs Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 CLS Concentrate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 CLS High Speed Flush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 CMW Bone Cement DePuy . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Coarse Negative Threaded Pins . . . . . . . . . . . . . . . . . . . . . . . .49 Coarse Stainless Blade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Colibri (Barraquers) Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .113 Collins Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157 Colour Coded Identity Rings . . . . . . . . . . . . . . . . . . . . . . . . . .166 Combination Bone Rasp Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Combination Drill, Tap and Insert Sleeve . . . . . . . . . . . . . . . .82 Compound Action Nail Clippers . . . . . . . . . . . . . . . . . . . . . . .199 Compound Action Spinal Rongeurs . . . . . . . . . . . . . . . . . . . . .70 Compression Plates and Cortical Screws . . . . . . . . . . . . . . . .81 Condyle Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Cone Laminectomy Retractor . . . . . . . . . . . . . . . . . . . . . . . . . .71 Connecting Bars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Connectors Semi Disposable, Anaesthetic . . . . . . . . . . . . . .180 Connectors, Anaesthetic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179 Contra Angle (Latch) Head . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Contra Angle Dental Handpiece . . . . . . . . . . . . . . . . . . . . . . .129 Cortical Bone Trephine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145 Cortical Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Cortical Negative Threaded Pins(Ellis type) . . . . . . . . . . . . . .48 Cortical Nuts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Cortical Screwboxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Cosmetic Surgeon Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . .160 Cosmetic Surgeon Scissors with open shanks . . . . . . . . . . .160 Countersinking Bone Tunnel Borer . . . . . . . . . . . . . . . . . . . . . .10 Countersinks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Couplands Elevators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Cradles, Redmark Positioning . . . . . . . . . . . . . . . . . . . . . . . . .191 Dandy Nerve Hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Daniel Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69 Debakey - Atraumatic Dissecting Forceps . . . . . . . . . . . . . . .152 Debakey Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154 Demarres Eyelid Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Dental Burs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130,131 Dental Chart Stick-On Labels . . . . . . . . . . . . . . . . . . . . . . . . .139 Dental Elevators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Dental Examination Sheath Video Diagnostic . . . . . . . . . . .187 Dental Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Dental Handpieces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Dental Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Dental Machines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126-128 Dental Mirror . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Dental Models . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Dental Scraper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134, 135 Depth Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76, 83 DePuy CMW Bone Cement . . . . . . . . . . . . . . . . . . . . . . . . . . .105 Derf Needle Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114, 155 Derf T.C. Needleholders 12cm . . . . . . . . . . . . . . . . . . . . . . . .114 Desoutter Cast Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Desoutter Orthopaedic Equipment . . . . . . . . . . . . . . . . . . . . . .63 Diamond Card - Fine Sharpener . . . . . . . . . . . . . . . . . . . . . . .135 Diamond Cone Sharpener . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Diamond Disc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128, 141 Diamond Disc Safety Shield . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Diamond Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Dingmans Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Direct Opthalmoscope Heads . . . . . . . . . . . . . . . . . . . . . . . . .185 Disarticulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Disposable Gowns, Drapes & Towels . . . . . . . . . . . . . . . . . . .172 Disposable Suction Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Dissecting Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 Distichiasis Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116 Distractor, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Drain Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107 E Ear Diagnostic Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Ear Flushing Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145 Ear Loops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Electric Flexidrive Bur System . . . . . . . . . . . . . . . . . . . . . . . . . .68 Electrocautery, Arthroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194 Electrolift Surgical Examination Table . . . . . . . . . . . . . . . . . .190 Electrosurgery BiPolar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194 Electrosurgery Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194 Electrosurgery MonoPolar . . . . . . . . . . . . . . . . . . . . . . . . . . . .194 Elevators, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Elevators, Periosteal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38, 137 Ellis Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 EN100 Wall Mount Unit with 2 Handpiece Positions . . . . .185 Engels Plaster Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Epilation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Epiphyseal Staples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Epoxy ESF Putty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55 ESF Equipment and Pins . . . . . . . . . . . . . . . . . . . . . . . .46, 51, 52 ESF Hinge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 ESF Lag Pins with Olive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 ESF Tissue Protector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50 Esmarch Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Examination Table, Electrolift . . . . . . . . . . . . . . . . . . . . . . . . .190 Examination Table, Standard Stainless Steel . . . . . . . . . . . .188 Examination Table, Wall Mounted . . . . . . . . . . . . . . . . . . . . .190 Excision Arthroplasty Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Explorer / Measuring Probe . . . . . . . . . . . . . . . . . . . . . . . . . . .134 External Fixation Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . .46 External Fixator Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51 Extra Large Clamps and Bars . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Extremity Drape (Disposable) Sterile . . . . . . . . . . . . . . . . . . .174 Eyelet Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Eyelid Retraction - Speculae . . . . . . . . . . . . . . . . . . . . . . . . . . .113 F Distractor, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Fabella Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Distractor, Stifle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Fat Pad Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15, 155 Doppler Ultrasonic Blood Flow Monitor . . . . . . . . . . . . . . . .183 Femoral Prosthesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Double Clamps ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Femoral Prosthesis Pusher . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Double Ended Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Femoral Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Double Ended Scraper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Femoral Reamer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103 Dr Lehman Aiming Device for Canine . . . . . . . . . . . . . . . . . . .23 Femur Grasping Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 203 103462_p194_203 6ppindex 14/2/06 12:42 Page 204 J Fenestrated Surgical Drapes . . . . . . . . . . . . . . . . . . . . . . . . . .172 Head Torch, Heine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Fine Beaver Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13, 162 Head Torch, LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Fingered Silicone Insert . . . . . . . . . . . . . . . . . . . . . . . . . . .75, 163 Headlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117, 118, 119 Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Heath Stitch Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Fixator, Dynamic, Linear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56 Heavy Duty Nail Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Jaeger Eyelid Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Fixator, External . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Heine Binocular Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 Jansen Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Fixator, Ring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 Heine Diagnostic Equipment . . . . . . . . . . . . . . . . . . . . .184, 185 Jaquette Supragingival Scaler . . . . . . . . . . . . . . . . . . . . . . . . . .134 Flotation Assist harness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .197 Heine LED Headlight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117 Jacob’s Chuck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33, 61 K Fluid Infusion and Outflow, Arthroscopy . . . . . . . . . . . . . . . . .25 Heine LED Loupe Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117 Fluosorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176 Heine Portable Slit Lamp HSL 150 . . . . . . . . . . . . . . . . . . . . .123 Flushing Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145 Heine UBL 100 Cliplight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Foam Lining, Compact . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Hex Screwdrivers & Screwholding Sleeves . . . . . . . . . . . . . . .83 K Wire / Small Pin Punch . . . . . . . . . . . . . . . . . . . . . . . . . .40, 98 Folding Wall Mount Examination Table . . . . . . . . . . . . . . . . .190 Heygroves Femur Grasping Forceps . . . . . . . . . . . . . . . . . . . .104 K Wire Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40, 98 Forceps, Artery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 High Speed Handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 K Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 Forceps, Bone Cutting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Hinge, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 K9 Float Coat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .197 Forceps, Bone Gouge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Hip Replacement Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 KE Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Forceps, Bone Holding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Hip Toggle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 KE Plus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46 Forceps, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Hoe Scaler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Kern Bone Holding Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Forceps, Dissecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152 Hohman Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Kerrison Punch Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 Forceps, Fragment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Holloware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163 Keyhole Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89 Forceps, Reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Horsley Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Killian Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Forceps, Sponge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160 House Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Kimura Spatula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Forceps, Steriliser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160 Howarth Dissector (Modified) . . . . . . . . . . . . . . . . . . . . . . . . . .38 Kirschner Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 Forceps, Tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 Howarth TPLO dissector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Kit, AO (Cortical) Type Screws . . . . . . . . . . . . . . . . . . . . . . . . .81 Forceps, Tongue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 Hybrid ‘T’ Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 Kit, CCL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Forceps, Whelping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Hybrid wedge osteotomy plates . . . . . . . . . . . . . . . . . . . . . . . . .12 Kit, Dental Bur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Foreign Body Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Hydrotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196 Kit, External Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Foster Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Hysterectomy Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Kit, Hip Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Foster Gillies, Miniature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 I Kit, Multisaw Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Fragment Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Frazier 2.6mm Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Freer Periosteal Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . .38, 71 Freeze Frame Camera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Friedman rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36, 69 Fritz Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 G Gaft Passer, Small Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Gags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139, 140 Gelpi Odd Leg Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71 Gelpi Self Retaining Retractor . . . . . . . . . . . . . . . . . . . . . .39, 156 Gigli Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Gosset Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .156 Gouges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Gowllands Range . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .184 Gowns, Disposable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172 Gowns, Operating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Graefe Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Graefe Iris Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Graft Passer, Bennett . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Graft Passer, Curved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Graft Passer, Straight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Grays Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 H Halls (Linvatec) Orthopaedic Power Equipment . . . . . . . . . .65 Halstead Mosquito Forceps . . . . . . . . . . . . . . . . . . . . . . .116, 150 Halstead toothed (small meniscus clamp) . . . . . . . . . . . . . . . .15 Handpieces, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127-128 Hard Backed Orthopaedic Saw . . . . . . . . . . . . . . . . . . . . . . . . . .6 Hard Edge Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160 Harrison Butler Lachrymal Cannula . . . . . . . . . . . . . . . . . . . .116 Hatt Spoon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18, 103 Hauptman Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Hawksbill Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Head Torch Dual Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 I / V Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192 Ilizarov . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 iM3 42-12 Ultrasonic Scaler . . . . . . . . . . . . . . . . . . . . . . . . . .125 iM3 Dentistry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 iM3 GS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 iM3 Masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .177 iM3 Ultra . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127 IM3 White Stone Slip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Implant Cutter Industrial Finish . . . . . . . . . . . . . . . . . . . . . . . . .32 Implant Cutters Surgical Finish . . . . . . . . . . . . . . . . . . . . . .31, 50 Implant Designs and Specifications . . . . . . . . . . . . . . . . . . . . .74 Incisor Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Indirect Ophthalmoscope, Binocular . . . . . . . . . . . . . . . . . . .123 Indirect Ophthalmoscope, Monocular . . . . . . . . . . . . . . . . . .123 Indirect Ophthalmoscope, Spectacle Type . . . . . . . . . . . . . .123 Infusion Cuff, arthroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Infusion Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .183 Insert Sleeves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Instrument Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75, 163 Instrument Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .164 Instrument Cleaning Agents . . . . . . . . . . . . . . . . . . . . . . . . . . .165 Instrument Lube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 Instrument Lubrication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165 Instrument Marking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 Instrument Oil - (autoclavable) . . . . . . . . . . . . . . . . . . . . . . . .165 Instrument Sharpening System . . . . . . . . . . . . . . . . . . . . . . . .169 Instrument Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Instrument Washer, Automatic . . . . . . . . . . . . . . . . . . . . . . . .164 Interlocking Nail Bolt Cutter 4mm . . . . . . . . . . . . . . . . . . . . .101 Interlocking Nail Bolts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Interlocking Nail System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99 Interosseus Infusion Needle . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Intertarsal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . . . . . . . . .214 Intra Articular Hand Instruments . . . . . . . . . . . . . . . . . . . . . . .21 Intramedullary pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Intravenous Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Iris Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Iris Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115, 159 Head Torch, Halogen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 K Wire / ‘A’ Wire Extraction Forceps . . . . . . . . . . . . . . . . . . . .32 Kit, Opthalmic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112 Kit, Rabbit Bur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Kit, Rodent Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143 Kit, Sherman Type Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77 Kit, Thoracic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Kit, TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 L Lachrymal Cannula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .116, 117 LACK Parallel Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179 LACK Parallel Circuit Semi Disposable . . . . . . . . . . . . . . . . .179 Laminectomy Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70 Langenbeck Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Laryngoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181 Latch Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129, 132 Laube 505 Cordless Clipper . . . . . . . . . . . . . . . . . . . . . . . . . .198 Laube Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Leader Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 LED Head Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Lempert Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36, 69 Lewin Femur Grasping Forceps . . . . . . . . . . . . . . . . . . . . . . . .104 Light Source, Halogen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Light Source, Xenon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Light Sources & Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Light Sources & Magnification . . . . . . . . . . . . . . . . . . . . . . . . .117 Lip Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Lister Bandage Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Lister Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Liston Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Littauer Stitch Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Load Neutral Drill Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83 Loupe, operating . . . . . . . . . . . . . . . . . . . . . . . . . . . .119, 120, 121 Loupe, Swivel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 Low Speed Motor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Lowman Bone Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Lowman Bone Clamp Vetinary Pattern . . . . . . . . . . . . . . . . . . .31 Lubrication, Air Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Lubrication, Surgical Instruments . . . . . . . . . . . . . . . . . . . . . .165 Luxator, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136, 137 Luxator, Rabbit Incisor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 204 103462_p194_203 6ppindex 14/2/06 12:42 M Page 205 MPZ Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Pearson Positive Threaded Pins . . . . . . . . . . . . . . . . . . . . . . . .49 MPZ Modular System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Pen Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118 Multi Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192 Penrose Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Magnifying Loupe 2.5X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 Multi Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Perasafe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27, 165 Magnifying Pen Torch (10 x Magnification) . . . . . . . . . . . . . .118 Multisaw Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Percussion Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69 Malleable Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 N Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Mangeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Periosteal Elevators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38, 137 Piezo Scaler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124 Piezo Scaler with detachable handpiece . . . . . . . . . . . . . . . .124 Marker, Surgical Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .163 Nail Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198, 199 Piezo Scaler With Detatchable, Autoclavable Handpiece . .124 Marking Tape, Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . .166 Needle Arthroscope, 1.9 mm with Arthroscopic Sheath . . . .21 Pin Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31, 32, 50 Marq-Easy Thermo Plastic Splinting Rectangular Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Needle Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 75, 146 Pin Grip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 Masks, Anaesthetic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .177 Masks, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173 Mason Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Mats, Patient & Antifatigue . . . . . . . . . . . . . . . . . . . . . . . . . . . .195 Mayo and Mayo Hegar (T.C.) Needle Holders . . . . . . . . . . .154 Mayo Instrument Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Mayo Safety Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151 Mayo, Surgical Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 McIndoe Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 McKee Distractor with Speedlock . . . . . . . . . . . . . . . . . . . . . .73 Needle, Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .144, 145 Pin Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Needle, Fabella/Cruciate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Pin, Steinman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Needle, Flushing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .145 Pins, External Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48, 51 Needle, Interosseus Infusion . . . . . . . . . . . . . . . . . . . . . . . . . .146 Pins, Intramedullary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97 Needle, Oral Dosing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Plaque discloser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125 Needle, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Plaster Cutting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Needle, Suture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .147 Plaster Saw, Engels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Needleholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Plaster Shears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Needleholders, Ophthalmic . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Plastic Training Bones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Negus Forceps, Tonsil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150 Plate Bending Irons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Nerve hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Plate Bending Pliers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17, 35 McPhails Needleholders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .154 O Medifusion MP-1000 Infusion Pump . . . . . . . . . . . . . . . . . . .183 Melag Autoclaves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167 Plate Bending Pliers, Reconstruction Plates . . . . . . . . . . . . . .34 Plate Bending Pliers, Roller Type . . . . . . . . . . . . . . . . . . . . . . . .35 Plate Bending Press . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Meniscus Probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Obstetrical Items, Misc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Plate Holding Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Menisectomy Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 OCD Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Plates and Screws, AO DCP type . . . . . . . . . . . . . . . . . . . . . . .84 Metzenbaum Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Oesophageal FB grasping forceps medium . . . . . . . . . . . . . .106 Plates and Screws, Sherman and Round Hole . . . . . . . . . . . .77 Meyerding Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Oesophageal Foreign Body Forceps . . . . . . . . . . . . . . . . . . . .106 Plates, Carpal Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Meynard Fixation Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Oesophageal Stethoscope . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Plates, Custom Made . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92 Micro 100 Reciprocating Saw & Blades . . . . . . . . . . . . . . . . . .65 Oil, Air Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Plates, Pantarsal Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Micro 100 Sagittal Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 Oil, Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165 Plates, Reconstruction / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Micro 90 Concentrate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165 Olsen Hegar Scissor / Needleholder . . . . . . . . . . . . . . . . . . .154 Plates, Supracondylar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Micro Friedman Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . .36, 69 Operating Gowns . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Plates, T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Micromotor, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132 Operating Lenses - Heine Lightweight . . . . . . . . . . . . . . . . . .120 Plates, TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Milling Drill designed by van Ryssen & van Bree . . . . . . . . . .22 Operating Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Plates, TPO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Mini Bain Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Ophthalmic Capsule Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .114 Platform Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Mini Bone Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85 Ophthalmic Diagnostic Instruments . . . . . . . . . . . . . . . . . . . .122 Pliers, Parallel Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Mini Drill Bits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96 Ophthalmic Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .112 Pliers, Plate Bending . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17, 35 Mini Driver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61 Ophthalmic Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112 Pliers, Wire Contouring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 Mini Friedman Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . .36, 69 Ophthalmic Needleholders . . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Polishing Kit Including NM300 Micromotor . . . . . . . . . . . . .132 Mini Gelpis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .157 Ophthalmic Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Poole Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Mini Hohman 6mm & 8mm short tip . . . . . . . . . . . . . . . . . . . . .8 Ophthalmoscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Pooley’s Conjunctival Scissors . . . . . . . . . . . . . . . . . . . . . . . . .115 Mini Multipronged Retractors . . . . . . . . . . . . . . . . . . . . . . . . .157 Ophthalmoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122, 123 Portable Cordless Cautery Kit . . . . . . . . . . . . . . . . . . . . . . . . .193 Mini Rechargeable Drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58 Oral Dosing Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Portable Cordless Electro Cautery . . . . . . . . . . . . . . . . . . . . .193 Mini Self Retaining Retractors . . . . . . . . . . . . . . . . . . . . . . . . .157 Ormrod Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Positioning Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Miniature Foster Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Orthopaedic Distractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Positive Threaded Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 Minos A200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62 Orthopaedic Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Pouch Rack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168 Mobility Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Orthopaedic Ruler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46, 95 Power Sources, Heine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .184 Models Anatomical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200 Orthopaedic Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Pre Drills, ESF Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 Modified Ayres ‘T’ Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Oscillating Prophy Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Pre-Owned Operating Tables . . . . . . . . . . . . . . . . . . . . . . . . .189 Modular Forceps with Rotating Punch (spine) . . . . . . . . . . .70 Osteotome Sharpening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169 Prep Room Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Molar Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Osteotomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Pressure Pump Infusor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Molar Extraction Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Oster ‘Power Pro’ Cordless Clippers . . . . . . . . . . . . . . . . . . .198 Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Molar Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Oster Clipper Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Prophy Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Molt Periosteal Elevator 2/4 (4mm/6mm) . . . . . . . . . . . . . .137 Oster Clippers A5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Prophy Paste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Monitor, Anaesthetic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182 Otoscope and Ophthalmoscope Kits . . . . . . . . . . . . . . .184, 185 Protective Autoclaveable Tips . . . . . . . . . . . . . . . . . . . . . . . . .166 Monitor, Apalert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182 Otoscope Attachment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 Pulse Oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182 Monitor, Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . .18, 183 Otoscope Heads and Accessories . . . . . . . . . . . . . . . . . . . . . .185 Punch Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70, 71 Monitor, Multi-Parameter . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182 Otoscope Video . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Punch, K wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40 Monitor, Respiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182 Ovarohysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Punctum Dilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1160 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182 P Monocular Hand Held Indirect Ophthalmoscope . . . . . . . .123 Monopolar Electrosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . .194 Q Morris Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Padded Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Quick Release Tap Handle AO/Synthes Fit . . . . . . . . . . . . . . .81 Mosquito Forceps Halstead . . . . . . . . . . . . . . . . . . . . . . .116, 150 Pancarpal Arthrodesis Plates . . . . . . . . . . . . . . . . . . . . . . .93, 214 Quick Release Tap Handle Dental Fit . . . . . . . . . . . . . . . . . . . .81 Motorised Diamond Rasp & Micro Saw . . . . . . . . . . . . . . . .141 Pantarsal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . . . . . .93, 214 Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Parallel Action Pliers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 MPX Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64 Parrot Ring Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 MPX Modular System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64 Patterned Scrub Tunics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170 205 R Rabbit Bur Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128 103462_p194_203 6ppindex 14/2/06 12:42 Page 206 Rabbit Dental Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .143 Saw, Battery powered, orthopaedic . . . . . . . . . . . . . . . . . . . . .59 Rabbit Lachrymal Duct Cannulae . . . . . . . . . . . . . . . . . . . . . .145 Saw, Blades, Adjustable Bone Saw . . . . . . . . . . . . . . . . . . . . . . .6 Small Serrated Bone Holding Forceps . . . . . . . . . . . . . . . . . . .29 Rabbit Nasolachrymal Duct Cannulae . . . . . . . . . . . . . . . . . .117 Saw, Blades, Halls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 Small Stifle Joint Distractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Rabbit Ring Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Saw, Blades, Mini Driver . . . . . . . . . . . . . . . . . . . . . . . . . . . .61, 62 Smith Baxter Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139 Rampleys Sponge Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .160 Saw, Blades, MPX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64 Smith Kerrison Punch Forceps . . . . . . . . . . . . . . . . . . . . . . . . .70 Rapidex Cleaner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165 Saw, Blades, MPZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63 Snap On Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Small Platform Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Rapizyme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27, 165 Saw, Blades, Multi Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Snap On Prophy Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Rasenberg TPO Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Saw, Gigli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Snellen’s Vectis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Rasp, Combination Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Saw, Hard Backed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Soft Palate Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110 Rasp, Diamond Rodent Molar . . . . . . . . . . . . . . . . . . . . . . . .141 Saw, Plaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59 Soft Tissue Biopsy Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .111 Rasp, Excision Arthroplasty . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Saw, X-acto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Spanners, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Rasp, Femoral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .102 Scaler, Hoe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Spay Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Rasp, Rodent Molar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Scaler, Ultrasonic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124, 125 Spay Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Rasp, Trochlea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Scales, Platform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Spay Hooks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Rebreathing Bags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 Scalpel Blade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 Spay Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108 Reconstruction Plate Pliers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Scalpel Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162 Speculum, Bitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Reconstruction Plates/Cuttable Malleable . . . . . . . . . . . .77, 88 Schiotz Tonometer with Weights . . . . . . . . . . . . . . . . . . . . . . .122 Speculum, Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113 Redmark Cradles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Schroeder Tenaculum Forceps . . . . . . . . . . . . . . . . . . . . . . . . .29 Spencer Wells Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . .150 Reduction Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Scissors, Hard Edge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160 Spike & Shield Odd Leg Retractor . . . . . . . . . . . . . . . . . . . . . .71 Reduction Valves For Anaestetic Gases . . . . . . . . . . . . . . . . .177 Scissors, Ophthalmic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Spikey Washers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Regulator, Medical Air . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Scissors, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Spinal Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146 Regulator, Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Scoops, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41, 160 Spinal Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69 Resco Guillotine Type Nail Cutter . . . . . . . . . . . . . . . . . . . . . .199 Screw Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Spine hand probes & curettes . . . . . . . . . . . . . . . . . . . . . . . . . .72 Resuscitation Bag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181 Screw On Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Splints & Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Retractor, Hand Held . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Screw On Prophy Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129 Splints, Intravenous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Retractor, Hohman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Screw, AO (Cortical) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84-90 Splints, Thermoplastic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Retractor, Malleable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Screw, Cancellous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85-90 Splints, Thomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Retractor, Rib . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Screw, Cortical Self Tapping . . . . . . . . . . . . . . . . . . . . . . . .84-87 Split Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47 Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Screw, Sherman Self Tapping Type . . . . . . . . . . . . . . . . . . .77-78 Sponge Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160 Retractors - Self Retaining . . . . . . . . . . . . . . . . . . . . . . . .156, 157 Screwdriver, Cruciate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 St. Martin Dissecting Forceps . . . . . . . . . . . . . . . . . . . . . . . . .152 Rhinotomy / Plaster Saw Blade . . . . . . . . . . . . . . . . . . . . . . . . . .6 Screwdriver, Flat End . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76 St. Martin’s Corneal Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .113 Rib Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .158 Screwdriver, Hexagonal Head . . . . . . . . . . . . . . . . . . . . . . . . . .83 Staple, CCL Spikey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Right Angled Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Scribe, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Staple, Epiphyseal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Ring Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Scrub Dispenser, Stainless Steel . . . . . . . . . . . . . . . . . . . . . .190 Staple, Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149 Ring Cutters, Bird . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Scrubs, Patterned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170, 171 Steinman Intra-Medullary Pins . . . . . . . . . . . . . . . . . . . . . . . . .97 Ring Cutters, Parrot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Scrubs, Plain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170 Stephens Anaesthetic Machine . . . . . . . . . . . . . . . . . . . . . . .175 Ring Cutters, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199 Self Centering Bone Holding Forceps . . . . . . . . . . . . . . . . . . . .30 Stephens Floor Stand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 Ring Fixator Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57 Self Retaining Retractors . . . . . . . . . . . . . . . . . . . . . .39, 156, 157 Stephens Portable Anaesthetic Machine . . . . . . . . . . . . . . . .175 Robert’s Tying Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Self-Tapping Cortical Screws . . . . . . . . . . . . . . . . . . . . . . . .84-87 Stephens Servicing and Spare Parts . . . . . . . . . . . . . . . . . . . .175 Rochester Pean Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . .150 Self-Tapping Sherman Screws . . . . . . . . . . . . . . . . . . . . . . .77-78 Stephens Universal Vapouriser . . . . . . . . . . . . . . . . . . . . . . . .175 Rodent Molar Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Senn (Cats Paw) Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Stephens Vapouriser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 Rodent Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141 Serrated Block End Dissecting Forceps . . . . . . . . . . . . . . . . .152 Stephens Wall Stand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175 Rodent Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Sharpening Accessories for Dental Instruments . . . . . . . . . .135 Sterile Surgical Skin Marker . . . . . . . . . . . . . . . . . . . . . . . . . . .163 Rodent Spatula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Sharpening Stone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Steriliser Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Sharpening System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169 Stethoscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Rongeurs & Punches (spine) . . . . . . . . . . . . . . . . . . . . . . . . . . .69 Shaver Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Stethoscope Oesophageal . . . . . . . . . . . . . . . . . . . . . . . . . . . .180 Rongeurs and Grasping Forceps (arthroscopy) . . . . . . . . . . .22 Sheas Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Steven’s Tenotomy Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Rongeurs, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69 Sherman Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 Stifle Distractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Root Fragment Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Sherman Self-Tapping Equipment Screws & Plates . . . .76, 77 Stille-Luer Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37, 70 Root Tip Extraction Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .142 Sherman Type Screw Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . .71 Stitch Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .159 Rosens Mobiliser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72 Side Cutting Wire Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Strabismus Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115, 160 Roto-Pro Burs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130 Silent Hurricane Compressor . . . . . . . . . . . . . . . . . . . . . . . . . .127 Straight Nose Cone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129, 132 Ruler, Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42, 95 Silicone Insert, Fingered . . . . . . . . . . . . . . . . . . . . . . . . . . .75, 163 Subgingival Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134 Rush Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 Sismey Wire Introducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Suction Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192 Ruskin Bone Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Skeletons and Mounted Limbs . . . . . . . . . . . . . . . . . . . . . . . .200 Suction Tips Disposable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Ruskin Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Skin Marker Sterile Surgical . . . . . . . . . . . . . . . . . . . . . . . . . .163 Suction Tips, Adson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Ryder (Micro) Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . . .114 Skin Staplers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149 Suction Tips, Frazier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Ryder Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .155 Slit Lamp, Portable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123 Suction Tips, Poole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Slocum Flat Blade Converter . . . . . . . . . . . . . . . . . . . . . . . . . . .67 Suction Tips, Yankauer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Slocum Rotation Gauges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Suction Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 S Slocum Saw Flat Blade Adaptor . . . . . . . . . . . . . . . . . . . . . . . .67 Sugarairtome II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 Safety Pin Cutter to 4mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50 Slocum Style TPLO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Supercut Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160 Satinsky Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110 Slocum TPLO Guide Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Superfine Elevator Straight . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Saw, Adjustable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Small Angled Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37 Supracondylar Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93 Saw, Air Driven, 3M’s Mini Driver . . . . . . . . . . . . . . . . . . .61, 62 Small Curved Serrated Reduction Forceps . . . . . . . . . . . . . . .30 Surgical Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60 Saw, Air Driven, Desoutter MPX . . . . . . . . . . . . . . . . . . . . . . . .64 Small Feline Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Surgical Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Saw, Air Driven, Desoutter MPZ . . . . . . . . . . . . . . . . . . . . . . . .63 Small Incisor Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138 Surgical Clogs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Saw, Air Driven, Halls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 Small Pin Vice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Surgical Gown Disposable - Reinforced . . . . . . . . . . . . . . . . .172 206 103462_p194_203 6ppindex 14/2/06 12:42 Surgical Gown Disposable - Standard . . . . . . . . . . . . . . . . . .172 Page 207 Triple Drill Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 X Surgical Instrument Lubricant . . . . . . . . . . . . . . . . . . . . . . . . .166 Triple Pelvic Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Surgical Wellies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Triple Tibial Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Surgiclose Skin Staplers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149 Trochar Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Surgiclose Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149 Trochlea Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 X-Acto Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Tru-Cut Style Soft Tissue Biopsy Needle . . . . . . . . . . . . . . . .145 Xenon Light Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Suture Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .147 TTO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 X-RayTables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Suture Screws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 Tub Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190 Swann Morton Blades & Handles . . . . . . . . . . . . . . . . . . . . . .162 Tungsten Carbide Needleholders . . . . . . . . . . . . . . . . . . . . . .153 Swann Morton Fine Blades (Beaver Type) . . . . . . . . . . . . . . . . . . Twin Gas / Twin Vapouriser Anaesthetic Machines . . . . . . .176 Swivel Loupe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185 Twin Point Fragment Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Synthes Quick Fit Adaptor - Jacobs . . . . . . . . . . . . . . . . . . . . . .58 Twisterz - Wire Twister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 U Synthes, Quick Fit Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 T Ultrasonic Dental Scaler . . . . . . . . . . . . . . . . . . . . . . . . .124, 125 T Bar Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82 Ultrasonic Instrument Cleaner . . . . . . . . . . . . . . . . . . . . . . . .164 T Bar Wrenches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Uniplanar Dynamic Distractor . . . . . . . . . . . . . . . . . . . . . . . . . .56 V T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .178 T Piece Scavenge Connector . . . . . . . . . . . . . . . . . . . . . . . . . .178 T Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91 T’ Bar Wrench for KE clamps . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Table Top Rodent Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140 Table, Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188, 190 Table, Mayo Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .191 Table, Operating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189, 190 Table, X-ray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Tap Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81 Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81, 82 Tartar Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137,138 Tartar Scrapers - Various . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Tenaculum Bone Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Tenotomy Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115 Tension devices, CCL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Theatre Wear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170 Thera-Paw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Thermo Plastic Splinting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Vacuum Drains Concertina Type . . . . . . . . . . . . . . . . . . . . . . .107 Vacuum Drains Pre-Evacuated . . . . . . . . . . . . . . . . . . . . . . . .107 Vapouriser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175, 176 Variable Speed Orthopaedic Drill . . . . . . . . . . . . . . . . . . . . . . .58 Velcro Straps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Venables Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 Ventilators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .177 Vet Sink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189 Veterinary IF Plate (Keyhole plate) . . . . . . . . . . . . . . . . . . . . . .89 VI Mini Cart (Dental) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128 Video Diagnostic System . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186 Video Otoscope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187 Videos / CD Rom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Visor Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 Volkman Scoop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44, 160 Voroscope MXL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119 W Thomas Splint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Thoracic Surgery Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106 Threaded ‘A’ Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98 Threaded Small Fragment Pins . . . . . . . . . . . . . . . . . . . . . . . . .98 Tibial Plateau Levelling Operation . . . . . . . . . . . . . . . . . . .12-14 Tilting X-RayTable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188 Tips, Protective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166 Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 Tissue Protection Sleeves . . . . . . . . . . . . . . . . . . . . . . . . . .76, 83 Tissue Protector, External Fixation . . . . . . . . . . . . . . . . . . . . . .50 Tissue Protector, Taps and Drills . . . . . . . . . . . . . . . . . . . .82, 83 Toggle, Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Tonometer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Tonovet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Tonsillectomy Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110 Total Hip Replacement Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . .104 Towel Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-14 TPLO Centering Template . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 TPLO Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 TPLO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 TPLO Saws and Blades (radial type) . . . . . . . . . . . . . . . . . . . . .67 TPO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Tracheostomy Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110 Tracheostomy Tube Disposable . . . . . . . . . . . . . . . . . . . . . . . .110 Training Bones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201 Travers Self Retaining Retractors . . . . . . . . . . . . . . . . . . .39, 156 Treadmill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196 Trephine, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41 Wahl Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .198 Walk-On Large Platform Scales . . . . . . . . . . . . . . . . . . . . . . . .191 Wall Mount Anaesthetic Unit . . . . . . . . . . . . . . . . . . . . . . . . . .176 Walton, Copper Malleable Retractor . . . . . . . . . . . . . . . . . . .155 Washers, Plain Orthopaedic & Spikey . . . . . . . . . . . . . . . . . . .91 Water Walker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196 Web Master Harness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .197 Webb Bolt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95 Wedge Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135 Wedge Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Weislander Self Retaining Retractor . . . . . . . . . . . . . . . .39, 156 Wellies, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171 Wests Self Retaining Retractor . . . . . . . . . . . . . . . . . . . . .39, 156 Whelping Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109 Winged Elevators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Wire Contouring Pliers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 98 Wire Driver, Halls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65 Wire Driver, Mini Driver Attachment . . . . . . . . . . . . . . . . . . . .61 Wire Passers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Wire Tightener for Eyed Wires . . . . . . . . . . . . . . . . . . . . . . . . .34 Wire Tightener with two cranks . . . . . . . . . . . . . . . . . . . . . . . .34 Wire Twister / Shear Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . .33 Wire, Cerclage, Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Wires with Eyelet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94 Wobblers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73 Wrenches, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52 Treves, Rat Tooth Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .153 Trilam Nails . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101 207 Y Yankauer Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193 Younger Good Scaler, Jaquette Scaler . . . . . . . . . . . . . . . . . . .72 Youngs Tongue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161 index 103462_p194_203 6ppindex 14/2/06 12:42 Page 208 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. 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. VETERINARY INSTRUMENTATION LTD TERMS AND CONDITlONS OF TRADE 1. Definitions 1.1 ‘Company’ means Veterinary Instrumentation Ltd STANDARD DELIVERY Prices include first class mail postage and packing to UK addresses (unless otherwise stated). 1.2 ‘Customer’ means the veterinary practice or any person to whom the Company has agreed to supply goods. SPECIAL DELIVERY – POST OFFICE SERVICE Delivery next day by 1.00 pm (NB: NOT AVAILABLE FOR SATURDAY DELIVERIES) to England & Lowland Scotland Cost: from £4.50 + VAT 1.3 ‘Goods’ means the products which the Company is to supply to the customer in accordance with these conditions. 1.4 ‘Writing’ includes telex, cable, facsimile transmission, e-mail or similar means of communication. COURIER DELIVERIES Delivery next day (up to 6pm weekdays) to England & Lowland Scotland – price depends on weight and destination Cost: from £4.50 + VAT 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. TIMED DELIVERIES Delivery next day (weekdays only) to England & Lowland Scotland – price depends on weight and area Cost: from £20.00 + VAT SATURDAY DELIVERIES AND OTHER AREAS Cost and availability upon application 3.Returned Goods Policy 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. 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. 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 (£). 3.2 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. VAT All prices are shown without VAT. VAT will be added to the invoice where appropriate. 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. 208 103462_p194_203 6ppindex 14/2/06 12:42 Page 209 b) Goods must be packed separately and accompanied by a copy of the invoice or delivery note (as in 3.2(c)) 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; 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. 3.4 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. 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. 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. Insolvency 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 209 103462_p194_203 6ppindex 14/2/06 12:42 Page 210 210 103462_p194_203 6ppindex 14/2/06 12:42 Page 211 211 103462_p194_203 6ppindex 14/2/06 12:42 Page 212 212 103462_p194_203 6ppindex 14/2/06 12:43 Page 213 213 103462_p194_203 6ppindex 14/2/06 12:43 Page 214 214 103462_COVER 13/2/06 09:42 Page 1 VETERINARY INSTRUMENTATION 2006 VETERINARY INSTRUMENTATION Triple Tibial Osteotomy Oscillating Saw Osteometer Irrigation Cannula Saw Guide 12mm Hohman Retractor Broadfield Road, Sheffield S8 0XL Tel: 0845 130 9596 Fax: 0845 130 8687 E-mail: [email protected] Website: www.vetinst.com Overseas Customers use: Tel: +44 114 258 8530 Fax: +44 114 255 4061 www.vetinst.com VETERINARY INSTRUMENTATION Broadfield Road, Sheffield S8 0XL U.K. Tel: 0845 130 9596 Fax: 0845 130 8687 TPLO + TTA Three Osteotomies Overseas Customers use Tel: +44 114 258 8530 Fax: +44 114 255 4061 E-mail: [email protected] Website: www.vetinst.com