NEUROSURGERY INSTRUMENTS CATALOGUE

Transcription

1 NEUROSURGERY INSTRUMENTS CATALOGUE Neurosurgery Neurochirurgie Neurocirugía Neurochirurgie Neurochirurgia

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3 NEUROSURGERY INSTRUMENTS CATALOGUE Neurosurgery Neurochirurgie Neurocirugía Neurochirurgie Neurochirurgia

4 Thank you for your interest in Surtex thoracic and cardiovascular instruments. We remain committed to providing the highest quality products and customer service. In this special catalogue you will find a comprehensive range of neurology and spine surgery instruments, which have been developed following detailed consultation with leading neuro-spine surgeons. These instruments in conjunction with Surtex General Instruments provides complete solution for neurology and spine related surgeries. We appreciate your patronage and look forward to a successful relationship with you. A member of the ABHI 0005

5 OUR PRODUCT BRANDS A new dimension in cutting and dissecting performance. Our class leading integral self-sharpening technology standard on all Surtex scissors enabling precise cutting with minimum force even after pro-longed use. SUPER These Surtex premium scissors feature finely ground micro serrations along one blade of the scissor preventing tissue slippage. The ultra sharp edge of the other blade cuts through the tissue precisely and atraumatically. Instruments with this symbol benefit from tungsten carbide (TC) inserts expertly bonded on the cutting edge of the instrument. This material is harder then stainless steel and enables the instruments to last up to 6 times longer than standard instruments. xts A true craftsmanship masterpiece and surgeons favourite. These are the best scissors in our range and combine the features of TM TM SuperEdge & UltraCut into a perfect pair of scissors that is precise, durable and reliable. ULTRA The only choice when the perfect grip matters. Utilising Creep Feed technology individual teeth are grinded into hard wear resistant tungsten carbide (TC). The result is super sharp teeth with well-defined point and inserts with impeccable gripping properties and instruments that last up to 6 times longer. Diam-n- These instruments have jaws, which are coated with diamond dust resulting in improved gripping enabling superior manipulation of sutures, needles and tissues. FIBER Our specially designed high strength fibre grip handles resulting in lightweight instruments. These ergonomic handles provide the surgeon with excellent feel, better grip, reduced shock, and less hand fatigue. pollo Surtex ENT diagnostic and anaesthesia instruments featuring direct bulb illumination of xenon grade bulbs. ORONA This range features distal fibre optic to carry light from xenon bulb allowing cold illumination on operating site in our ENT diagnostics and anaesthesia instruments. MAX BRIGHT Premium grade ENT diagnostics and anaesthesia instruments combining features of distal fibre optic technology and ultra bright LED illumination ensuring the best in clear vision of operating site.

6 CURRENT REFERENCE STANDARDS FOR SURTEX PRODUCTS STANDARDS BS EN ISO 9001:2008 BS EN ISO 13485:2003 MDD 93/42/EEC, Annex II, Section 3.2 MDD 93/42/EEC, Annex I BS EN ISO :2001 (BS 5194:Part 1:1991) BS 5194:Part 2:1989 BS 5194:Part 3:1985 BS 5194:Part 4:1985 ISO 7151:1988 ISO 7740:2004 ISO 7741:1986 ISO :2005 (DIN 503-3:1995) BS EN ISO 14971:2012 DIN 58298:20-09 DIN 58299: DIN 58300: HTM 20 AS/NZ Quality Management Systems certification standard. Medical Devices Quality Management Systems certification standard. Medical Device Directive, 'EC Declaration of Conformity' (full quality assurance system). Essential Requirements for Medical Devices. Surgical Instruments Metallic materials part 1 - Stainless Steel Specification for instruments with pivot joints (excluding cutting instruments) Specification for Dissecting Forceps Specification for scissors, shears, and other jointed cutting instruments Surgical instruments non-cutting, articulated instruments general requirements & test methods Scalpels with detachable blades - Fitting dimensions Scissors and shears - General requirements and test methods Specifies the method for Rockwell and Rockwell superficial hardness tests for metallic materials. Medical Devices Application of risk management to medical devices. Medical instruments - Materials, finish and testing. Serrations for surgical instruments; profile angles, groove distances. Joints for surgical instruments. Recommendations for sterilization CONTENTS OF THE STANDARD Cleaning, disinfecting & sterilising of re-usable surgical instruments This information is available on the internet at

7 INSTRUCTIONS FOR REPROCESSING OF REUSABLE SURGICAL INSTRUMENTS The following instructions are for all reusable medical devices supplied by Surtex Instruments Ltd, unless stated otherwise with the packaging of the product. These instructions are intended for use only by persons with the required specialist knowledge and training. Warnings Follow instructions and warnings as issued by the manufacturers of any decontaminants, disinfectants and cleaning agents. Wherever possible avoid use of mineral acids and harsh, abrasive agents. No part of the process shall exceed 140 C. Some sensitive materials (e.g. Aluminium) are damaged by high alkaline solutions (ph>). Devices with long, narrow cannula, hinges and blind holes require particular attention during cleaning. Note: When reprocessing medical devices, always handle with care, wearing protective clothing, gloves and eye-wear in accordance with local health & safety procedures. Limitations on Reprocessing Repeated processing has minimal effect on these instruments. End of life normally determined by wear and damage in use. Any specific limitations on the number of reprocessing cycles shall be made available with instrument. From Point of Use Whenever possible, do not allow blood, debris or bodily fluids to dry on instruments. For best results and to prolong the life of the medical device reprocess immediately after use. If they cannot be reprocessed immediately, use an enzymatic foam spray cleaner to help prevent soil from drying. Preperation for Decontamination Process all the instruments as soon as it is reasonably practical following use. Disassemble only where intended, without the use of tools unless specifically provided by the manufacturer. Instructions for dis assembly are available with the device, where required. Cleaning: Automated Use only either CE marked or validated washer-disinfector machines and low foaming, non-ionizing cleaning agents and detergents following the manufacturer s instructions for use, warnings, concentrations and recommended cycles. Load instruments carefully, with any box joints and hinges open and so that any fenestration in instruments can drain. Place heavy instruments with care in the bottom of containers, taking care not to overload wash baskets. Place instruments with concave surfaces facing down to prevent pooling of water. Where possible, use appropriate attachments to flush inside reamers and devices with lumens or cannula. Ensure that soft, high purity water which is controlled for bacterial endo-toxins is used in the final rinse stage. Note: Automated cleaning may not be suitable for all lumens and cannula in which case clean manually with a water jet gun, if available, and an appropriate brush (and stilette if provided) that reaches the depth of the feature. After manually cleaning, pass all devices through an automatic cleaning cycle to achieve disinfection. Note: These instruments have been validated using a washer-disinfector cycle validated to include two cold rinses at <35 ºC, a detergent cycle and a rinse cycle both at >50ºC, a disinfection cycle operating at a temperature of between 80 ºC and 90 ºC for a minimum holding time of 1 minute (actual holding time in excess of 2 minutes 50 seconds) and a 20 minute drying cycle. The detergent used was low foaming, non-ionizing spray wash detergent cleaner (max 12pH) and the rinse aid a neutral ph low foaming, non-ionic surfactant with isopropyl alcohol. Cleaning: Manual Manual cleaning is not advised if an automatic washer-disinfector is available. If the equipment is not available, use the following process: Use a double sink system (wash/rinse) dedicated for instrument cleaning (not used for hand washing). Ensure that the water temperature does not exceed 35 of the re-processor to ensure that the reprocessing as actually performed using equipment, materials and personnel in the reprocessing facility achieve the desired result. This requires validation and routine monitoring of the process. Likewise any deviation by the re-processor from the instructions provided must be properly evaluated for effectiveness and potential adverse consequences. In the first sink, keeping the instrument submerged, with an autoclavable brush, apply CE marked cleaning solution to all surfaces until all soil has been removed. Pay particular attention to serrations, teeth, ratchets and hinges, always brushing away from the body and avoiding splashing. Ensure rongeurs and hinged instruments are thoroughly cleaned in both open and closed positions. In the second sink, rinse instruments thoroughly with soft, high purity water which is controlled for bacterial endotoxins, so that the water reaches all parts of the instrument, then carefully hand dry or use a drying cabinet. Note: Manual Cleaning is NOT a disinfection process: When manual cleaning is used it may not be possible to disinfect the device prior to further handling. Cleaning Inspection After cleaning visually inspect, visually inspect all surfaces, cannulations, ratchets, joints, holes and lumens for complete removal of soil and fluids. If ANY soil or fluid is still visible, return the instrument for repeat decontamination. Maintenance Apply surgical grade lubricant to hinges, joints and moving parts as per the lubricant manufacturer s instructions. Continued on next page

8 Inspection and Functional Testing Visually inspect and check: - all instruments for damage and wear; cutting edges are free from nicks and present a continuous edge; jaws and teeth align correctly; all articulated instruments have a smooth movement without excess play; locking mechanisms (such as ratchets) fasten securely and close easily; long, slender instruments are not distorted; any component parts fit and assemble correctly with mating components. Remove for repair and replacement any blunt, worn out, flaking, fractured or damaged instruments. Note: If an instrument is returned to the manufacturer / supplier, the instrument must be decontaminated and sterilized and be accompanied with the relevant documented evidence. Packaging All instruments to be packed following local protocol in accordance with ISO or AAMI/CSR technique. Sterilization (USA) Autoclave should comply with the requirements of, and be validated and maintained in accordance with ANSI/AAMI ST79. Pre-Vacuum moist heat sterilization operating at temperature 132 C bar for a minimum holding time of 4 minutes always following the instructions of the machine manufacturer. When sterilizing multiple instruments in one autoclave cycle, ensure that the sterilizer manufacturers stated maximum load is not exceeded. Ensure instruments are dry before sterilization. Sterilization (Outside USA) Autoclave should comply with the requirements of, and be validated and maintained in accordance with EN 285, EN 13060, EN ISO Either CE marked or validated vacuum autoclave operating at C bar for a minimum holding time of 3 minutes always following the instructions of the machine manufacturer. When sterilizing multiple instruments in one autoclave cycle, ensure that the sterilizer manufacturers stated maximum load is not exceeded. Storage Ensure instruments are dry before storage, and stored in dry, clean conditions at an ambient room temperature. Additional Information Other forms of cleaning (i.e. ultrasonic) and sterilization (i.e. Low temperature steam and Formaldehyde, Ethylene Oxide and Gas Plasma) are available. However, always follow the instructions for use as issued by the manufacturer and always consult with them if in any doubt over the suitability of any process used. Cleaning and sterilizing guidelines are available in HTM 2030 and HTM 20. Contact: The NHS Estates Stationers Office Publications Cent for details at For further information contact: NHS Estates Information Center, Department of Health, 1 Trevelyan Square, Boar Lane, Leeds, LS1 6AE, UK or visit Note: It is the responsibility of the re-processor to ensure that the reprocessing as actually performed using equipment, materials and personnel in the reprocessing facility achieve the desired result. This requires validation and routine monitoring of the process. Likewise any deviation by the re-processor from the instructions provided must be properly evaluated for effectiveness and potential adverse consequences.

9 CODE, PAGE & LOGO GUIDE Company Name & Logo Firmenname und Logo Nombre y logotipo de la compañía Nom et logo de l'entreprise Nome e il logo Operating Scissors Chirurgische Scheren Tijeras quirúrgicas Ciseaux chirurgicaux Forbici per chirurgia SS Operating Scissors Straight, Sharp/Blunt SS SC SS SC 13 cm (5 ) 14.5 cm (5 ¾ ) SCISSORS Product Sub Group Produkt-Untergruppe Producto Sub Grupo Produit Sous-groupe Prodotto Sub Gruppo Operating Scissors Curved, Sharp/Blunt Author / Product Information Autor / Produktinformationen Autor / Información de producto Auteur / Information produit Autore / Informazioni sul prodotto SS SS SS SS SS SS Operating Scissors Curved, Sharp/Blunt, SS SC SS SC Operating Scissors Straight, Sharp/Sharp SS SS SS SS SS SS cm (4 ¾ ) 13 cm (5 ) 14.5 cm (5 ¾ ) 16.5 cm (6 ½ ) 18.5 cm (7 ¼ ) 20.5 cm (8 ) 13 cm (5 ) 14.5 cm (5 ¾ ) 12 cm (4 ¾ ) 13 cm (5 ) 14.5 cm (5 ¾ ) 16.5 cm (6 ½ ) 18.5 cm (7 ¼ ) 20.5 cm (8 ) Product Group Produktgruppe Grupo de productos Groupe de produits Gruppo prodotti Product Picture & Profile Produkt Bild und Profil Cuadro del producto y Perfil Image de produit et de profil Immagine del prodotto e il profilo 28 SS Product group of discipline SS Artikelgruppe oder Disziplin SS Grupo de articulos o especialidad SS Consecutive number within the group 006 or discipline 11 /shaped of the product 11 Laufende Nummer innerhalb der Gruppe oder Disziplin Größe/Figur des Instruments Número corrido dentro del grupo o especialidad Tamaño/forma del instrumento SS Groupe d articles ou discipline SS Gruppo di articoli o,disciplina Número courant au sein du groupe ou de la discipline taille/forme de l instrument Numero progressivo all interno del gruppo o della disciplina Diemensioni/forma dello strumento

10 Accessories Adjustable Adult size Angled Arm Articulation Atrauma Ball Type Blade Blunt Bone Bone rongeur Child size Circumflex Counterbalanced Curved Delicate Depth Dissecting Dissector External Fine Fingerplate Flat Forceps Hand retractor Handle Height Hook Infant Jaws Knot pusher Large Left Length Ligature Lung Medium Multipurpose Needle holder Needle pulling Newborn On Flat Opening Pair Prong Rack Raspatory Ratchet Retractor TECHNICAL TERMS TRANSLATION TABLE English German French Italian Spanish Rib contractor Right Ring Handle Ring Tip Rongeur Round Scissors Serrated Shanks Sharp Small Smooth Spatula Straight Suction tube Suture passer Teeth Thermic purge Thin Thread Tip Tissue seizing Twister Tying forceps Vessel Width Wire Cutter With / Without Zubehör Verstellbar Erwachsenergrösse Gewinkelt Arm Gelenkverbindung Atraumatisch Kugelende Blatt, Valve Stumpf Knochen Knochenzange Kindergrösse Zirkumflex Gegengewichtig Gebogen Ampfindlicht Tiefe Sezierung Dissektor Aussen Liegend Dünn, Fein Fingerplatte Flach, Eben Pinzette Handretraktor Griff, Stiel Höhe Haken Kleinkind Kinnbacken Schlingengabel Gross Links Länge Unterbindung Lunge Mittel Mehrzweck Nadelhalter Nadelaufnehmer Neugeboren Flach Ö ffnung Paar Zinke Gestell Schabeisen Sperre Retraktor Rippenschliesser Rechts Ringgriff Ringspitze Knochenzange Rund Schere Gezahnt Schenkel Scharf Klein glatt Spatel Gerade Saugrohr Suture passer Zähne Thermische Dünn Faden, Zwirn Spitze Gewebegrosse Dreher Binden Gefä Breite / Weite Drahtschneider Mit / Ohne Accessoires Réglable Taille adulte Coudé Bras Articulation Atraumatique Embout sphérique Valve Mousse Os Gouge Taille enfant Circonflexe Contre poids Courbe Délicat Profondeur Dissection Dissecteur Externe Fin Contrôle au doigt Plat Pince Valve à main Manche Hauteur Crochet Nourisson Mors Pousse noeud Grand Gauche Longueur Ligature Poumon Moyen Multi-fonctions Porte aiguille À saisir les aiguilles Nouveau né Sur le plat Ouverture Paire Griffe Crémaillère Rugine Crémaillère Ecarteur Rapprocheur de côtes Droite A anneaux Embout en anneau Gouge Rond Ciseaux Strié Branches Acéré Petit Lisse Spatule Droit Canule d aspiration Tire-Fil Dents Purgeur Etroit Torsade Bout Préhension Pince à torsader Dissection Vaisseau Largeur Coupe-Fils Avec / Sans Accessori Adeguabile Misura Adulto Piegato Braccio Articolazione Atraumatico Puntale A Palla Valva Smusso Ossa Sgorbia Misura Pediatrica Circonflesso Contropeso Curvo Delicato Profondità Dissezione Dissettore Esterno Fino Controllo Digitale Piatto Pinza Divaricatore A Mano Manico Altezza Gancio Bambino Morso Stringinodo Grande Sinistro Lunghezza Ligatura Polmone Medio Funzione Multipla Portaghi Pinza Stringi Ago Neonato Piatto En Apertura Paia Denti Cremagliera Raschiatoio Cremagliera Divaricatore Appaltotore Dl Costole Destra Ad Anneli Punta Ad Anneli Sgorbia Ton Do Forbici Striato Ramo Acute Piccolo Liscio Spatula Dritto Canula Dl Aspiraione Passa-fili Denti Purgatore Ristretto Filo Estremità Presa Cerchiatura Dissezione Vaso Larghezza Taglia Cavo Con / Senza Accesorios Ajustable Tamaño adulto Acodado Braso Articulación Atraumático Punta con bola Valva Romo Hueso Gubia Tamaño niño Circunflejo Contra peso Curvo Delicado Profundidad Disección Disector Externo Fino Control digital Plano Pinza Separador a mano Mango Altura Gancho Niño de pecho Boca Empujador de nudo Alto A la Izquierda Longitud Ligatura Pulmón Medio Multi-función Porta agujas Para coger las agujas Recién nacido En el plano Apertura Pár Dientes Cremallera Raspador Cremallera Separador Aproximador costal A la derecha Con anillos Punta con anillo Gubia Redondo Tijeras Estriado Mango Acerado Pequeño Liso Espátula Recto Cánula de aspiración Pasa-hilo Dientes Purgador Estrecho Hilo Punta Prensión Pinza para retorcer Disección Vaso Anchura Alicate para cortar alambre Con / Sin

11 MEASUREMENTS, STANDARDS, AND CONVERSIONS Millimeter Equivalents MM = INCHES MM = INCHES MM = INCHES.1 = = = = = = Needle Tubing Equivalents SIZE GAUGE NO. 26 APPROX. O.D. MM INCHES = = = = = = = = = = = = = = = = = = = = = = = = = = 1.5 in 75.0 = = = = = = = = = 3.0 in 77.0 = = = = = = = = = = = = = = = = =.5 in 46.0 = = = = = = = = Suction Tubing Equivalents SIZE FRENCH GAUGE NO. 3 APPROX. O.D. MM INCHES = = = = = = = 2.0 in 51.0 = = = = = 3.5 in = = = = = = = = = = = = = = = = = = = = = = = = = = = = 1.0 in 26.0 = = = = = 2.5 in 98.0 = = = = = = 4.0 in

12 TABLE OF CONTENTS NS Neurosurgery Neurochirurgie Neurocirugía Neurochirurgie Neurochirurgia Page Seite página page pagina 1-47

13 NS NEUROSURGERY Neurosurgery deals with the diagnosis and treatment of pathological processes, which affect the nervous system. It includes the operative, non-operative, intensive care management and rehabilitation of patients with disorders affecting the brain and skull, spine and nervous system. Perfection is in high demand in this discipline and requires talent, expertise and precision instrument manufacturing. At Surtex we support the skilled hands of the surgeon with high quality instruments for perfect surgical work. Our neurosurgery instruments include but are not limited to the following Special Micro- Neurosurgical Instruments, special microsurgical tube-shaft Instruments, head-cranio instruments and holding systems, pituitary instruments, self-retaining retractors, spine instruments, kerrison punches and laminectomy rongeurs, vessel and bulldog clamps, vessel clips, general surgical instruments, neuro-orthopedic instruments and headrest systems to fix the patient s head and flexible Leyla retractor systems. Neurochirurgie Neurocirugía Neurochirurgie Neurochirurgia

14 Self-Retaining Brain Retractor Selbsthaltender Hirnretraktor Separador cerebral autostatico Retracteur cérébrale autostatique Rettratore celebrale autostatico Yasargil (Leyla) Brain Retractor Single Arm Complete NS-0-01 Standard Yasargil (Leyla) Brain Double Retractor Arm Complete NS-0-02 Standard 140 Yasargil (Leyla) Flexible Arm NS-0- Standard 4 0 Yasargil (Leyla) Flexible Base NS-0-21 NS-0-22 NS-0-30 Standard Standard Standard NS-0-21 NS-0-22 NS Yasargil (Leyla) Support for Round Spatulas NS-0-40 Standard INCHES MILLIMETERS 1

15 Self-Retaining Brain Retractor Selbsthaltender Hirnretraktor Separador cerebral autostatico Retracteur cérébrale autostatique Rettratore celebrale autostatico NS Yasargil (Leyla) Support for Flat Spatulas NS-0-45 Standard NEUROSURGERY Yasargil (Leyla) Ball and Socket Joint NS NS x 32 mm x 25 mm Yasargil (Leyla) Holding Rod NS Standard Yasargil (Leyla) Coupling Head NS NS Standard Standard NS NS Caspar Vertebral Distractor Right NS Standard 2

16 Vertebral Distractor Wirbel distractor Vertebrales distractor Vertébrale distracteur Vertebrale distrattore Caspar Drill Guide Right NS Standard Casper Vertebral Distractor Left NS Standard 140 Caspar Drill Guide Left NS Standard 4 0 Caspar Twist Drill NS cm (5 ½ ) 60 Caspar Distraction Screw Working End NS NS NS mm 16 mm 18 mm INCHES MILLIMETERS 3

17 Discectomy Retractor Muskelspreizer Separadores para Músculos Ecarteurs Musculaire Divaricatori Muscolari NS Casper Screw Driver NS cm (8 ) NEUROSURGERY Meyerding Hemi-Laminectomy Retractor NS NS NS , Blade 20 cm (8 ), 44 x 25 mm 20 cm (8 ), 54 x 25 mm 20 cm (8 ), 60 x 25 mm Markham-Meyerding Hemi-Laminectomy Retractor Right Solid Blade NS NS NS , Blade 19 cm (7 ½ ), 40 x 25 mm 19 cm (7 ½ ), 50 x 25 mm 19 cm (7 ½ ), 60 x 25 mm Markham-Meyerding Hemi-Laminectomy Retractor Left Solid Blade NS NS NS , Blade 19 cm (7 ½ ), 40 x 25 mm 19 cm (7 ½ ), 50 x 25 mm 19 cm (7 ½ ), 60 x 25 mm 4

18 Skull Traction Tongs Schädelhalter Estribos de tracción craneal Pinces de traction crânienne Pinze per trazione craniale Gigli Wire Saw NS NS NS NS NS cm (11 ¾ ) 40 cm (11 ¾ ) 50 cm (11 ¾ ) 60 cm (11 ¾ ) 70 cm (11 ¾ ) Gigli Wire Saw Handle NS Standard De Martel Wire Saw Guide NS cm (13 ) Crutchfield Skull Traction Tongs Small Pattern NS Standard 40 Crutchfield Skull Traction Tongs Medium Pattern INCHES MILLIMETERS NS Standard 5

19 Cranial Rongeurs Schädelzangen Pinzas sacabocados craneales Pinces emporte-pièces crâniennes Pinze per craniectomia NS Wrench NS Standard NEUROSURGERY Crutchfield Drill Point NS NS , Diameter 7 cm (2 ¾ ), Ø 3.5 mm 7 cm (2 ¾ ), Ø 5.0 mm Skull Traction Tongs Large Pattern NS Standard Spare Pin NS Standard Adson Drill Guide & Dura Protector NS cm, (6 ) 6

20 Cranial Rongeurs Schädelzangen Pinzas sacabocados craneales Pinces emporte-pièces crâniennes Pinze per craniectomia Bacon Cranial Rongeur NS cm, (8 ¼ ) Adson Cranial Rongeur Straight NS cm, (8 ) 140 Adson Cranial Rongeur Curved NS cm, (8 ) 4 0 Dahlgren Cranial Rongeur NS cm (8 ) 60 De Vilbiss Cranial Rongeur NS cm (8 ) 20 INCHES MILLIMETERS 7

21 Clips and Applying Forceps Clips und Anlegezangen Grapas y pinzas aplicadoras Clips et pinces pour appliquer Agrafes e pinze per applicare NS Cone Cranial Punch NS cm (8 ¾ ) NEUROSURGERY Raney Scalp Clip NS-0-00 Standard Raney Applying - Removal Forcep NS cm (6 ) McKenzie Clip Applying Forcep NS cm (7 ¼ ) Olivecrona-Toennis Clip Applying Forcep NS , Shaft Length N/A, 140 mm 8

22 Dura Dissectors Duradissektoren Disecadores para duramadre Dissecteurs à dure-mère Dissettori per la dura-madre Silver Brain Clip Pack of NS Standard Yasargil Galea Hook NS NS Standard Standard 140 Davis Dura Dissector NS cm (8 ½ ) 4 0 Davis Dura Dissector NS cm (9 ¾ ) Frazier Dura Dissector NS cm (6 ) 20 INCHES MILLIMETERS 9

23 Dura Dissectors Duradissektoren Disecadores para duramadre Dissecteurs à dure-mère Dissettori per la dura-madre NS Hoen Dura Dissector NS NS cm (6 ) 15 cm (6 ) NS NS NEUROSURGERY Love-Adson Dura Dissector NS cm (6 ½ ) Toennis Dura Dissector NS cm ( ¼ ) Olivecrona Dura Dissector NS cm (9 ½ ) Olivecrona Dura Dissector NS cm (7 )

24 Dura Dissectors Duradissektoren Disecadores para duramadre Dissecteurs à dure-mère Dissettori per la dura-madre Olivecrona Dura Dissector NS cm (9 ½ ) Olivecrona Dura Dissector NS cm (8 ) 140 Sachs Dura Dissector Sharp NS cm (8 ) 4 0 Milligan Dura Dissector NS cm (8 ½ ) 60 Dura Dissector NS cm (8 ¾ ) 20 INCHES MILLIMETERS 11

25 Dura Dissectors Duradissektoren Disecadores para duramadre Dissecteurs à dure-mère Dissettori per la dura-madre NS Penfield Dura Dissector NS , Profile 17.5 cm (7 ), Fig. 1 NEUROSURGERY Penfield Dura Dissector NS , Profile 19.5 cm (7 ¾ ), Fig. 2 Penfield Dura Dissector NS , Profile 19.5 cm (7 ¾ ), Fig. 3 Penfield Dura Dissector NS , Profile 20.5 cm (8 ), Fig. 4 Penfield Dura Dissector NS , Profile 18 cm (7 ), Fig. 5 12

26 Nerve Root Retractors Nervwurzelhaken Separadores para la raíz de nervio Retracteurs pour racines nerveuses Uncini per le radici die nervi Horsley Dura Elevator NS cm (8 ) Sachs Dura Elevator NS cm (8 ¼ ) 140 Love Nerve Root Retractor Straight NS cm (8 ½ ) Love Nerve Root Retractor Angled NS cm (7 ) Love Nerve Root Retractor Angled NS cm (4 ¼ ) 20 INCHES MILLIMETERS 13

27 Nerve Root Retractors Nervwurzelhaken Separadores para la raíz de nervio Retracteurs pour racines nerveuses Uncini per le radici die nervi NS Love Nerve Root Retractor NS cm (8 ¾ ) NEUROSURGERY Hess Nerve Root Retractor NS NS NS , Width 17.5 cm (7 ), 3 mm 17.5 cm (7 ), 5 mm 17.5 cm (7 ), 7 mm Scoville Nerve Root Retractor NS cm (9 ¼ ) Holsher Nerve Root Retractor NS cm (9 ¼ ) Scoville Nerve Root Retractor NS cm (6 ½ ) 14

28 Brain Spatulas Hirnspatel Espátulas cerebrales Spatules cérébrales Spatole cerebrali Cushing Brain Spatulas , Blade NS-2-07 NS-2-11 NS-2-15 NS cm (7 ), mm 18 cm (7 ), mm 18 cm (7 ), mm 18 cm (7 ), mm 170 Olivecrona Brain Spatulas Concave , Blade NS NS NS NS cm (7 ), mm 18 cm (7 ), mm 18 cm (7 ), mm 18 cm (7 ), mm Olivecrona Brain Spatulas Convex , Blade NS NS NS NS cm (7 ), mm 18 cm (7 ), mm 18 cm (7 ), mm 18 cm (7 ), mm INCHES MILLIMETERS 15

29 Brain Spatulas, Nerve Hooks Hirnspatel, Nervhaken Espátulas cerebrales, Ganchos para nervios Spatules cérébrales, Crochets à nerfs Spatole cerebrali, Uncini per nervi NS Heifetz Brain Spatulas NS NS-218- NS NS NS NS , Blade 20 cm (8 ), mm 20 cm (8 ), + 11 mm 20 cm (8 ), mm 20 cm (8 ), mm 20 cm (8 ), mm 20 cm (8 ), mm NEUROSURGERY Heifetz Brain Spatulas Round Handle NS NS NS NS NS , Blade 20 cm (8 ), 8 mm 20 cm (8 ), 11 mm 20 cm (8 ), 14 mm 20 cm (8 ), 17 mm 20 cm (8 ), 20 mm Brain Spatulas Malleable NS NS cm (8 ), 12 mm 20 cm (8 ), 17 mm Smithwick Nerve Hook NS cm (6 ¾ ) 16

30 Nerve Hooks Nervhaken Ganchos para nervios Crochets à nerfs Uncini per nervi Smithwick Nerve Hook NS cm (8 ¼ ) Adson Dura Hook , Profile NS NS cm (8 ), Sharp 20 cm (8 ), Curved Graham Dura Hook Blunt NS cm (6 ½ ) Sachs Dura Hook Sharp NS cm (7 ) Frazier Dura Hook Sharp NS cm (7 ) INCHES MILLIMETERS 17

31 Nerve Hooks, Dura Knives Nervhaken, Duramesser Ganchos para nervios, Bisturís para duramadre Crochets à nerfs, Bistouries pour duremère Uncini per nervi, Bisturi per duramadre NS Hoen Nerve Retractor NS cm (8 ¾ ) NEUROSURGERY Dandy Nerve Retractor NS NS NS NS cm (8 ) 20 cm (8 ) 20 cm (8 ) NS NS Smithwick Nerve Retractor NS cm (11 ½ ) Toennis Nerve Retractor NS cm (6 ) Toennis Brain Knife NS cm (7 ) 18

32 Dura Knives, Laminectomy Punches Duramesser, Laminektomiestanzen Bisturís para duramadre, Pinzas cortantes para laminectomía Bistouries pour duremère, Pinces emporte-pièces à laminectomie Bisturi per duramadre, Pinze taglienti per laminectomia Halle Brain Knife NS cm (8 ) Ferris-Smith Kerrison Rongeur Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm , Bite NS NS NS NS NS cm (6 ), 1 mm 15 cm (6 ), 2 mm 15 cm (6 ), 3 mm 15 cm (6 ), 4 mm 15 cm (6 ), 5 mm Ferris-Smith Kerrison Rongeur Down Cutting 1 mm 2 mm 3 mm 4 mm 5 mm 1 4 0, Bite NS NS NS NS NS cm (6 ), 1 mm 15 cm (6 ), 2 mm 15 cm (6 ), 3 mm 15 cm (6 ), 4 mm 15 cm (6 ), 5 mm Ferris-Smith Kerrison Rongeur 40 Forward Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm , Bite NS NS NS NS NS cm (6 ), 1 mm 15 cm (6 ), 2 mm 15 cm (6 ), 3 mm 15 cm (6 ), 4 mm 15 cm (6 ), 5 mm INCHES MILLIMETERS 19

33 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia NS Ferris-Smith Kerrison Rongeur 40 Forward Down Cutting NS NS NS NS NS , Bite 15 cm (6 ), 1 mm 15 cm (6 ), 2 mm 15 cm (6 ), 3 mm 15 cm (6 ), 4 mm 15 cm (6 ), 5 mm 1 mm 2 mm 3 mm 4 mm 5 mm NEUROSURGERY Ferris-Smith Kerrison Rongeur Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 18 cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm Ferris-Smith Kerrison Rongeur Down Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 18 cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm 20

34 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia Ferris-Smith Kerrison Rongeur 40 Forward Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 18 cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm Ferris-Smith Kerrison Rongeur 40 Forward Down Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 18 cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm Ferris-Smith Kerrison Rongeur Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 20 cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm INCHES MILLIMETERS 21

35 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia NS Ferris-Smith Kerrison Rongeur Down Cutting NS NS NS NS NS , Bite 20 cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm 1 mm 2 mm 3 mm 4 mm 5 mm NEUROSURGERY Ferris-Smith Kerrison Rongeur 40 Forward Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS-3-01 NS-3-02 NS-3-03 NS-3-04 NS-3-05, Bite 20 cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm Ferris-Smith Kerrison Rongeur 40 Forward Down Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 20 cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm 22

36 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia Ferris-Smith Kerrison Rongeur Detachable Model, Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm , Bite NS NS NS NS NS cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm Ferris-Smith Kerrison Rongeur Detachable Model, Down Cutting 1 mm 2 mm 3 mm 4 mm 5 mm , Bite NS NS NS NS NS cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm Ferris-Smith Kerrison Rongeur Detachable Model, 40 Forward Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm 90 80, Bite NS NS NS NS NS cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm INCHES MILLIMETERS 23

37 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia NS Ferris-Smith Kerrison Rongeur Detachable Model, 40 Forward Down Cutting NS NS NS NS NS , Bite 18 cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm 1 mm 2 mm 3 mm 4 mm 5 mm NEUROSURGERY Ferris-Smith Kerrison Rongeur Detachable Model, Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 20 cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm Ferris-Smith Kerrison Rongeur Detachable Model, Down Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 20 cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm 24

38 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia Ferris-Smith Kerrison Rongeur Detachable Model, 40 Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm , Bite NS NS NS NS NS cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm Ferris-Smith Kerrison Rongeur Detachable Model, 40 Down Cutting 1 mm 2 mm 3 mm 4 mm 5 mm , Bite NS NS NS NS NS cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm Ferris-Smith Kerrison Rongeur Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm 90 80, Bite NS NS NS NS NS cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm INCHES MILLIMETERS 25

39 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia NS Ferris-Smith Kerrison Rongeur Down Cutting NS NS NS NS NS , Bite 18 cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm 1 mm 2 mm 3 mm 4 mm 5 mm NEUROSURGERY Ferris-Smith Kerrison Rongeur 40 Forward Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 18 cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm Ferris-Smith Kerrison Rongeur 40 Forward Down Cutting 1 mm 2 mm 3 mm 4 mm 5 mm NS NS NS NS NS , Bite 18 cm (7 ), 1 mm 18 cm (7 ), 2 mm 18 cm (7 ), 3 mm 18 cm (7 ), 4 mm 18 cm (7 ), 5 mm 26

40 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia Ferris-Smith Kerrison Rongeur Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm , Bite NS NS NS NS NS cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm Ferris-Smith Kerrison Rongeur Down Cutting 1 mm 2 mm 3 mm 4 mm 5 mm , Bite NS NS NS NS NS cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm Ferris-Smith Kerrison Rongeur 40 Forward Up Cutting 1 mm 2 mm 3 mm 4 mm 5 mm 90 80, Bite NS NS NS NS NS cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm INCHES MILLIMETERS 27

41 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia NS Ferris-Smith Kerrison Rongeur 40 Forward Down Cutting NS NS NS NS NS , Bite 20 cm (8 ), 1 mm 20 cm (8 ), 2 mm 20 cm (8 ), 3 mm 20 cm (8 ), 4 mm 20 cm (8 ), 5 mm 1 mm 2 mm 3 mm 4 mm 5 mm NEUROSURGERY Cushing Laminectomy Rongeur NS NS NS , Bite, Profile 13 cm (5 ), 2 x mm, Straight 13 cm (5 ), 2 x mm, Up 13 cm (5 ), 2 x mm, Down Cushing Laminectomy Rongeur NS NS NS , Bite, Profile 15 cm (6 ), 2 x mm, Straight 15 cm (6 ), 2 x mm, Up 15 cm (6 ), 2 x mm, Down Cushing Laminectomy Rongeur NS NS NS , Bite, Profile 18 cm (7 ), 2 x mm, Straight 18 cm (7 ), 2 x mm, Up 18 cm (7 ), 2 x mm, Down 28

42 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia Cushing Laminectomy Rongeur , Bite, Profile 190 NS NS NS cm (8 ), 2 x mm, Straight 20 cm (8 ), 2 x mm, Up 20 cm (8 ), 2 x mm, Down Love-Gruenwald Laminectomy Rongeur , Bite, Profile 140 NS NS NS cm (5 ), 3 x mm, Straight 13 cm (5 ), 3 x mm, Up 13 cm (5 ), 3 x mm, Down Love-Gruenwald Laminectomy Rongeur 1 4 0, Bite, Profile 90 NS NS NS cm (6 ), 3 x mm, Straight 15 cm (6 ), 3 x mm, up 15 cm (6 ), 3 x mm, Down Love-Gruenwald Laminectomy Rongeur , Bite, Profile NS NS NS cm (7 ), 3 x mm, Straight 18 cm (7 ), 3 x mm, Up 18 cm (7 ), 3 x mm, Down 1 20 INCHES MILLIMETERS 29

43 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia NS Love-Gruenwald Laminectomy Rongeur NS NS NS , Bite, Profile 20 cm (8 ), 3 x mm, Straight 20 cm (8 ), 3 x mm, Up 20 cm (8 ), 3 x mm, Down NEUROSURGERY Spurling Laminectomy Rongeur NS NS NS , Bite, Profile 13 cm (5 ), 4 x mm, Straight 13 cm (5 ), 4 x mm, Up 13 cm (5 ), 4 x mm, Down Spurling Laminectomy Rongeur NS NS NS , Bite, Profile 15 cm (6 ), 4 x mm, Straight 15 cm (6 ), 4 x mm, Up 15 cm (6 ), 4 x mm, Down Spurling Laminectomy Rongeur NS-4-01 NS-4-02 NS-4-03, Bite, Profile 18 cm (7 ), 4 x mm, Straight 18 cm (7 ), 4 x mm, up 18 cm (7 ), 4 x mm, Down 30

44 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia Spurling Laminectomy Rongeur , Bite, Profile 190 NS NS NS cm (8 ), 4 x mm, Straight 20 cm (8 ), 4 x mm, Up 20 cm (8 ), 4 x mm, Down Ferris-Smith Laminectomy Rongeur Straight , Bite, Profile 140 NS NS NS cm (6 ), 2 mm, Straight 15.5 cm (6 ), 2 mm, Up 15.5 cm (6 ), 2 mm, Down Ferris-Smith Laminectomy Rongeur 1 4 0, Bite, Profile 90 NS NS NS cm (7 ), 3 mm, Straight 18 cm (7 ), 3 mm, Up 18 cm (7 ), 3 mm, Down Ferris-Smith Laminectomy Rongeur , Bite, Profile NS NS NS cm (7 ), 4 mm, Straight 18 cm (7 ), 4 mm, Up 18cm (7 ), 4 mm, Down 1 20 INCHES MILLIMETERS 31

45 Laminectomy Punches Laminektomiestanzen Pinzas cortantes para laminectomía Pinces emporte-pièces à laminectomie Pinze taglienti per laminectomia NS Ferris-Smith Laminectomy Rongeur NS NS NS , Bite, Profile 18 cm (7 ), 5 mm, Straight 18 cm (7 ), 5 mm, Up 18 cm (7 ), 5 mm, Down NEUROSURGERY Laminectomy Rongeur Fenestrated and Serrated Jaws NS NS NS , Bite, Profile 18 cm (7 ), 2 x 12 mm, Straight 18 cm (7 ), 2 x 12 mm, Up 18 cm (7 ), 2 x 12 mm, Down Laminectomy Rongeur Fenestrated and Serrated Jaws NS NS NS , Bite, Profile 18 cm (7 ), 3 x 12 mm, Straight 18 cm (7 ), 3 x 12 mm, Up 18 cm (7 ), 3 x 12 mm, Down Laminectomy Rongeur Straight, Fenestrated and Serrated Jaws NS NS NS , Bite, Profile 18 cm (7 ), 4 x 14 mm, Straight 18 cm (7 ), 4 x 14 mm, Up 18 cm (7 ), 4 x 14 mm, Down 32

46 Laminectomy Punches, Micro Neuro Instruments Laminektomiestanzen, Mikro Neuro Instrumente Pinzas cortantes para laminectomía, Micro Neuro Instrumentos Pinces emporte-pièces à laminectomie, Micro Neuro Instruments Pinze taglienti per laminectomia, Micro Neuro Strumenti Laminectomy Rongeur Fenestrated and Serrated Jaws , Bite, Profile 190 NS NS NS cm (7 ), 5 x 14 mm, Straight 18 cm (7 ), 5 x 14 mm, Up 18 cm (7 ), 5 x 14 mm, Down Laminectomy Rongeur Fenestrated and Serrated Jaws , Bite, Profile 140 NS NS NS cm (7 ), 6 x 14 mm, Straight 18 cm (7 ), 6 x 14 mm, Up 18 cm (7 ), 6 x 14 mm, Down Schlesinger Laminectomy Rongeur Serrated Jaws 1 4 0, Bite 90 NS NS NS cm (5 ), 2 x mm 13 cm (5 ), 3 x mm 13 cm (5 ), 4 x mm Yasargil Tumor Grasping Forcep , Bite 40 NS cm (8 ), Ø 3.5 mm INCHES MILLIMETERS 33

47 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti NS Oldberg Tumor Grasping Forcep NS , Bite 18 cm (7 ), Ø 6.5 mm NEUROSURGERY Jacobson Micro Knife Straight NS cm (7 ¼ ) Koos Micro Knife Bayonet Shaped NS NS NS NS NS NS NS NS , Bite 18.5 cm (7 ¼ ) 18.5 cm (7 ¼ ) 18.5 cm (7 ¼ ) 18.5 cm (7 ¼ ) Koos Micro Knife Bayonet Shaped NS NS NS NS cm (7 ¼ ) 18.5 cm (7 ¼ ) 34

48 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti Yasargil Micro Knife Bayonet Shaped 2 NS NS NS NS cm (7 ¼ ) 18.5 cm (7 ¼ ) Yasargil Micro Respatory Straight 160 NS NS NS NS NS NS NS NS cm (7 ¼ ) 18.5 cm (7 ¼ ) 18.5 cm (7 ¼ ) 18.5 cm (7 ¼ ) 18.5 cm (7 ¼ ) NS NS Yasargil Micro Respatory Bayonet Shaped 4 0 NS NS NS NS NS NS cm (7 ¼ ) 18.5 cm (7 ¼ ) 18.5 cm (7 ¼ ) Yasargil Micro Curette Bayonet Shaped NS cm (7 ¼ ) INCHES MILLIMETERS 35

49 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti NS Micro Nerve & Vessel Hook NS NS , Tip Length 18.5 cm (7 ¼ ), 3.0 mm 18.5 cm (7 ¼ ), 5.0 mm NEUROSURGERY Krayenbuhl Micro Nerve & Vessel Hook NS NS NS NS NS NS NS NS , Profile 18.5 cm (7 ¼ ), Fig cm (7 ¼ ), Fig cm (7 ¼ ), Fig cm (7 ¼ ), Fig. 4 Yasargil Ligature Guide NS NS NS NS NS NS NS NS , Profile 18.5 cm (7 ¼ ), Fig cm (7 ¼ ), Fig cm (7 ¼ ), Fig cm (7 ¼ ), Fig. 4 Micro Vessel Dilator NS NS NS , Diameter, Profile 12.5 cm (5 ), Ø 0.5 mm, Fig cm (5 ), Ø 1.0 mm, Fig cm (5 ), Ø 1.5 mm, Fig. 3 36

50 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti Jacobson Micro Vessel Probe 2 1 Prong 2 Prong 8 200, Profile 190 NS NS cm (7 ¼ ), 1 Prong 18.5 cm (7 ¼ ), 2 Prong Jacobson Micro Suture Pusher NS cm (7 ¼ ) 140 Caspar Exploration Hook NS NS NS NS , Profile 24.5 cm, (9 ½ ), Fig cm, (9 ½ ),Fig cm, (9 ½ ),Fig cm, (9 ½ ),Fig. 4 NS NS NS NS Rhoton Micro Dissector Set of 15 Ref: NS up to NS NS Standard INCHES MILLIMETERS 37

51 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti NS Rhoton Micro Dissector Round Shaped NS NS NS , Diameter 18.5 cm (7 ¼ ), Ø 1.0 mm 18.5 cm (7 ¼ ), Ø 2.0 mm 18.5 cm (7 ¼ ), Ø 3.0 mm NS NS NS NEUROSURGERY Rhoton Micro Dissector Spatula Shaped NS NS NS , Tip 18.5 cm (7 ¼ ), 1.0 mm 18.5 cm (7 ¼ ), 1.5 mm 18.5 cm (7 ¼ ), 2.0 mm NS NS NS Rhoton Micro Elevator NS NS NS NS , Tip 18.5 cm (7 ¼ ), 1.2 mm 18.5 cm (7 ¼ ), 2.8 mm Rhoton Micro Needle Semi, Sharp NS cm (7 ¼ ) 38

52 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti Rhoton Micro Curette Angled , Tip NS cm (7 ¼ ), 1.0 x 2.0 mm Yasargil Micro Elevator Bayonet Shaped NS cm (9 ½ ) 140 Yasargil Micro Elevator Bayonet Shaped NS cm (9 ½ ) 4 0 Rhoton Micro Hook Angled 90, Blunt , Tip 70 NS cm (7 ¼ ), 2 mm Rhoton Micro Hook Angled 90, Semi Sharp NS , Tip 18.5 cm (7 ¼ ), 2 mm 20 INCHES MILLIMETERS 39

53 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti NS Rhoton Micro Hook Angled 45, Semi Sharp NS , Tip 18.5 cm (7 ¼ ), 3 mm NEUROSURGERY Rhoton Micro Hook Angled 90 NS cm (7 ¼ ) Rhoton Micro Curette NS , Tip 18.5 cm (7 ¼ ), 1.0 x 2.0 mm Yasargil Micro Raspatory Bayonet Shaped NS cm (9 ½ ) Yasargil Micro Dissector Bayonet Shaped NS NS cm (9 ½ ) 24 cm (9 ½ ) 40

54 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti Yasargil Micro Needle Bayonet Shaped, Semi Sharp NS cm (9 ½ ) Yasargil Micro Curette Straight NS cm (9 ½ ) 140 Yasargil Micro Curette Angled NS cm (9 ½ ) 4 0 Yasargil Micro Curette Bayonet Shaped NS cm (9 ½ ) Hardy Micro Sickle Dissector Bayonet Shaped, Blunt NS NS cm (9 ½ ) 24 cm (9 ½ ) NS NS INCHES MILLIMETERS 41

55 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti NS Hardy Micro Sickle Dissector Bayonet Shaped, Sharp NS NS cm (9 ½ ) 24 cm (9 ½ ) NS NS NEUROSURGERY Hardy Implant Fork Bayonet Shaped NS cm (9 ½ ) Hardy-Fahlbusch Micro Dissector Bayonet Shaped Sharp NS NS cm (9 ½ ) 24 cm (9 ½ ) NS NS Casper Micro Dissector Set of 6 Ref: NS-671- up to NS-675- NS N/A Casper Micro Dissector Straight, Tip NS-671- NS cm (9 ½ ), 1.0 mm 24 cm (9 ½ ), 4.5 mm NS-671- NS

56 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti Casper Micro Dissector Bayonet Shaped, Curved Down NS-673- NS NS , Tip 24 cm (9 ½ ), 1.0 mm 24 cm (9 ½ ), 2.0 mm 24 cm (9 ½ ), 4.5 mm NS-673- NS NS Casper Micro Dissector Bayonet Shaped, Curved Up NS-675-, Tip 24 cm (9 ½ ), 1.0 mm Micro Dissector Straight NS NS cm (7 ½ ) 21.5 cm (8 ½ ) NS-679- NS Ray Micro Curette Angled 45, Horizontal NS , Diameter 19 cm (7 ½ ), Ø 4.0 mm Ray Micro Curette Angled 45, Vertical 30 1 INCHES 20 MILLIMETERS NS , Diameter 19 cm (7 ½ ), Ø 4.0 mm 43

57 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti NS Hardy Micro Curette Bayonet Shaped NS NS , Diameter 26 cm ( ¼ ), Ø 4.0 mm 26 cm ( ¼ ), Ø 6.0 mm NS NS NEUROSURGERY Nicola Micro Curette Bayonet Shaped, Left, Diameter NS cm (8 ½ ), Ø 6.5 mm Nicola Micro Curette Bayonet Shaped, Right NS , Diameter 21.5 cm (8 ½ ), Ø 6.5 mm Nicola Micro Curette Bayonet Shaped, Angled Up NS , Diameter 21.5 cm (8 ½ ), Ø 6.5 mm Hosobuchi Fork Spatula Bayonet Shaped, Rigid NS cm ( ¼ ) 44

58 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti Landolt Micro Curette Bayonet Shaped, Malleable NS cm ( ¼ ) Landolt Micro Curette Bayonet Shaped, Blunt, Malleable NS cm ( ¼ ) 140 Landolt Micro Raspatory Bayonet Shaped, Malleable NS cm ( ¼ ) Landolt Micro Enucleator Bayonet Shaped NS NS cm ( ¼ ) 26 cm ( ¼ ) NS NS Landolt-Reulen Micro Dissector Bayonet Shaped, Rigid NS , Tip 26 cm ( ¼ ), 2.0 mm INCHES MILLIMETERS 45

59 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti NS Landolt-Reulen Micro Hook Bayonet Shaped, Blunt, Rigid NS , Tip 26 cm ( ¼ ), 1.7 mm NEUROSURGERY Landolt-Reulen Micro Curette Bayonet Shaped, Rigid NS , Diameter 26 cm ( ¼ ), Ø 2.5 mm Landolt-Reulen Micro Raspatory Bayonet Shaped, Rigid, Tip NS NS cm ( ¼ ), 2.2 mm 26 cm ( ¼ ), 2.2 mm NS NS Fahlbusch Micro Curette Bayonet Shaped, Malleable NS , Diameter 26 cm ( ¼ ), Ø 2.5 mm Fahlbusch Micro Scoop Bayonet Shaped, Malleable NS cm ( ¼ ) 46

60 Micro Neuro Instruments Mikro Neuro Instrumente Micro Neuro Instrumentos Micro Neuro Instruments Micro Neuro Strumenti Cushing-Landolt Specula , Blade 190 NS NS NS Standard, 70 x 15 mm Standard, 90 x 15 mm Standard, 1 x 15 mm Landolt Spcula NS cm (8 ½ ) Mirror Diameter NS NS NS-790- NS Ø 6.0 mm Ø 8.0 mm Ø.0 mm Ø 12.0 mm Mirror Handle Bayonet Shaped NS cm (6 ) INCHES MILLIMETERS 47