instruments for foot and ankle

Transcription

1 instruments for foot and ankle

2 tm tm 2 - table of contents/scalpel handles Table of Contents scalpel handles scissors super-cut scissors tissue forceps dressing forceps splinter forceps needle holders hemostatic forceps hand-held retractors self-retaining retractors excavators/probes/packers elevators bone holding forceps knives nail splitters - single ended chisel osteotomes mallets tamps bone files and rasps bone cutters bone rongeurs cast removal trephines tissue nippers nail splitters nail nippers k-wires pliers wire driver wire and pin cutters instrument care & cleaning quote sheet cross reference KMedic to Miltex to gs gs gs #3K 4" #3KL 5" #3KXL 6" Scalpel Handle #3K Beaver for blades 61 through 67 gs gs #3 standard 5" #3S mm/cm grad. 5" Scalpel Handle #3 for blades 10 through 15

3 tm tm tm scalpel handles/scissors - 3 gs " Scalpel Handle #9 (7K) for blades 10 through 15 gs " Soft Corn Knife slightly curved oval blade gs /2" gs gs " str 7" cvd Spencer Stitch Scissors delicate hooked blade Moleskin Scissors one serrated blade sharp/blunt points

4 4 - super-cut scissors Fine blades for cutting delicate tissue. *Serrated blade pattern helps to prevent tissue slippage and facilitate effortless cutting. Delicate narrow tips for fine tissue dissection. *Serrated blade pattern helps to prevent tissue slippage and facilitate effortless cutting. str cvd 3 1/2" str cvd 4 1/2" cvd serr* 4 1/2" str cvd 4 1/2" cvd serr* 4 1/4" gs gs gs gs gs /2" str 3 1/2" cvd 4 1/2" str 4 1/2" cvd 4 1/2" cvd serr* gs gs gs gs /2" str 4 1/2" cvd 4 1/4" cvd serr* 5 1/4" cvd Super-Cut Iris Scissors sharp/sharp points Super-Cut Stevens Tenotomy Scissors blunt/blunt points b/b = blunt/blunt s/b = sharp/blunt s/s = sharp/sharp str s/b cvd str 5 1/2" gs gs gs gs /2" str 5 1/2" cvd 6 3/4" str 6 3/4" cvd gs gs gs gs gs /2" str s/b 5 1/2" cvd s/b 5 1/2" str s/s 5 1/2" cvd s/s 5 1/2" cvd b/b Super-Cut Mayo Scissors beveled blades, blunt points Super-Cut Operating Scissors blunt/blunt, sharp/blunt and sharp/sharp points

5 super-cut scissors/tissue forceps - 5 Super-Cut Scissors are renowned for their unsurpassed sharpness. The stainless steel used to manufacture our Super-Cuts has been specially heat-treated to achieve a long-lasting razor sharp edge. Our Super-Cuts: Offer superb control. Reduce hand fatigue. Cut through multiple layers with precision and ease. Retain sharp edges longer than ordinary scissors. *Serrated blade pattern helps to prevent tissue slippage and facilitate effortless cutting. gs gs gs gs gs /2" Hi-Level 5 1/2" Lister 5 1/2" Lister serrated* 7 1/4" Lister 8" Lister large ring Super-Cut Bandage Scissors 7x7 9x9 gs gs gs gs /4" 7x7 teeth gs /4" 9x9 teeth Adson Brown Forceps side grasping teeth gs /4" 0.9mm delicate gs /4" 1.3mm gs /4" 1.0mm with fenestrated handles Adson Tissue Forceps 1x2 teeth

6 6 - tissue, dressing and splinter forceps gs gs gs gs gs gs /4" 7x7 teeth 4 3/4" 9x9 teeth gs gs /4" standard 4 3/4" fenestrated handles Adson Brown Tissue Forceps fenestrated handles Adson Dressing Forceps serrated gs gs gs gs gs gs /4" style #1 fine 4 3/4" style #3 very fine 4 1/2" style #3C very fine 4 1/2" style #4 very fine 4 1/2" style #5 very fine 4 3/4" style #7 very fine Swiss Jewelers Forceps smooth #1 #3 #3C #4 #5 #7

7 splinter forceps/needle holders - 7 str cvd 3 1/2" gs gs /2" str 4 1/2" str Plain Splinter Forceps serrated gs gs /4" str 4 1/4" cvd Carmalt Splinter Forceps serrated TC = Tungsten Carbide smooth serrated TC 5" smooth gs " smooth gs " serr gs " smooth TC gs " serr TC gs " smooth gs /2" smooth extra delicate gs /4" smooth TC extra delicate gs /4" serr TC gs " smooth TC Halsey Needle Holder Webster Needle Holder

8 tm tm 8 - needle holders/hemostatic forceps TC = Tungsten Carbide 5 1/4" 6" 6" TC 5 1/2" TC gs gs gs gs /4" 5 1/4" TC 6" 6" TC gs gs /2" 5 1/2" TC Mayo Hegar Needle Holder serrated Olsen Hegar Needle Holder serrated str cvd 5" str 5" cvd 5" str deli 5" cvd deli gs " str gs " cvd gs " str gs " str delicate gs " cvd gs " cvd delicate gs /2" cvd gs " str gs " cvd gs " str gs " cvd Hartmann Mosquito Forceps serrated Mosquito Forceps (Halsted) serrated

9 tm hemostatic forceps/hand-held retractors - 9 str cvd 5 1/2" str 5 1/2" cvd gs /2" str gs /2" str delicate gs /2" cvd gs /2" cvd delicate Crile Forceps serrated jaws gs gs gs /2" str 5 1/2" str left-handed 5 1/2" cvd Rochester Pean Forceps serrated jaws sharp blunt gs gs Fine cross serrations on inside blades of gs help prevent slippage. gs /4" gs /4" serrated (Linde) Ragnell Retractor 4mm wide x 8mm deep blade 6mm wide x 15mm deep blade gs prongs sharp gs prongs blunt gs blunt prongs 1 sharp middle Senn Retractor 6 1/4"

10 10 - self-retaining retractors sharp str blunt str sharp ang blunt ang sharp blunt gs gs gs gs " sharp str 4" blunt str 4" sharp ang 4" blunt ang gs /4" sharp gs /4" blunt Self Retaining Retractor (Heiss) 4x4 prongs Self Retaining Retractor straight 5x5 prongs sharp blunt gs /4" sharp gs /4" blunt gs " blunt Self Retaining Retractor straight 6x6 prongs Self Retaining Retractor straight 6mm x 12mm blade

11 tm self-retaining retractors - 11 WL = Working Length WL 5 1/2 3 1/4" gs gs " 5 1/2" Johnson Neuroma Retractor gs gs /4" 7.5mm 4" 9.5mm gretractor, Johnson Neuroma 90 angle, 1 1/4" WL Serrated outside blades provide a more secure hold on metatarsals. gs /2" Metatarsal Retractor with serrated blades (Cox) gs /2" Gelpi Retractor sharp points angled, delicate

12 12 - self-retaining retractors sharp blunt 25mm, sharp gs /2" sharp gs /2" blunt gs /2" sharp, 25mm depth gs /2" blunt, 25mm depth gs /2" sharp, 30mm depth gs /2" blunt, 30mm depth Weitlaner Retractor 2x3 prongs gretractor, Weitlaner 2x3 prongs gs " gs /2" gretractor, Rahner 20mm cross serrated outside blade, angled gspreader, Calcaneal 10mm serrated outside blade 1 1/4" opening

13 tm self-retaining retractors - 13 gs /2" gs " Femoral Tibial Retractor 21mm x 13mm cross serrated outside blades gdistractor with guides, calibrated ratchet max cap 2.4mm [3/32"] gs Useful in facilitating a lateral release during bunionectomy procedures. gs Ratchet is calibrated in mm and measures size of opening. Useful in many procedures to accurately assess bone graft needs. gs /2" gs gs /2" 6 1/2" gretractor, Abramsohn cross serrated outside blades calibrated ratchet Saxena-Style Retractor serrated outside blades calibrated ratchet

14 tm tm tm 14 - excavators/probes/packers gs gs gs gs gs Johnson-Tucker Hook and Fork 6 1/2" delicate Probe and Packer 6" #92 Spatula and Packer 5 3/4" #91 Excavator and Packer 5 3/4" #90 Probe and Excavator 6" #89 without hole 5" gs # mm gs # mm gs # mm gs # mm with hole 5" gs # mm gs # mm gs # mm gs # mm #4 McGlamry Bullneck without hole 5" gs mm gs mm tm Podiatry Hand Instruments double ended Curette Excavators single ended 1.5x2.0mm 1.5x2.5mm 3.0x4.0mm Inside cutting edge of blade useful for shaving down and reducing the thickness of nails in order to help relieve pressure. gs /2" 1.5x2.0mm gs /2" 1.5x2.5mm gs /2" 3.0x4.0mm Curette Excavators double ended with holes gs " Ingrown Nail Shaver single ended with fenestrated blade

15 elevators - 15 tm tm gs gs Locke Elevator 4 1/2" narrow blade 5" wide blade with McGlamry Bullneck to resist bending gs /2" Freer Elevator side wings prevent rolling sharp and blunt 5mm ends 1/8" 1/4" 3/8" 1/2" 5/8" Designed to deglove a metatarsal head. 3/4" 1" gs gs gs gs gs mm 11mm 13mm 15mm 17mm gs gs gs gs gs gs gs " 1/8" wide 7" 1/4" wide 7 1/2" 3/8" wide 7 1/2" 1/2" wide 7 1/2" 5/8" wide 8" 3/4" wide 8 1/2" 1" wide Metatarsal Elevator 6 1/2" sharp edge (McGlamry) Key Elevator sharp edge

16 16 - bone holding forceps For positioning k-wires with diameter up to 1.6mm [.062"]. Maximum opening with ratchet engaged: 13mm. gs /4" Bone Reduction Forceps curved with 1.6mm [.062"] guide gs " gforceps, Bone Reduction 2" double ratchet max opening: 30mm Useful for sesamoid removal. For positioning k-wires with diameter up to 1.1mm [.045"]. Maximum opening with ratchet engaged: 18mm. gs /4" Bone Reduction Forceps curved with 1.1mm [.045"] guide gs " Locke Phalangeal Forceps serrated jaws with 1x2 teeth

17 bone holding forceps/knives mm 8mm 10mm 8mm Jaws with 8 pointed teeth help to provide stabilization and guidance for small bone fixation. Space between prongs allows for placement of k-wires or screws. gs gs gs /2" 5mm 5 1/2" 8mm 6 1/4" 10mm gs gs gs /2" 5mm 5 1/2" 8mm 6 1/4" 10mm Ikuta Bone Clamp straight Ikuta Bone Clamp angled straight left right gs /2" Sesamoidectomy Clamp slightly curved jaw gs /4" straight gs /4" curved left gs /4" curved right Smillie Knife with "T" grip handle (meniscus knife)

18 18 - knives/splitters/chisel small large 2mm 3mm 4mm gs mm gs mm gs mm gs #59 small gs #61 large Nucleus Knife 5 1/4" straight, single ended blunt blade Nail Splitter 5", straight, single ended sharp blade small large gs #60 small gs #62 large gs /4" Nail Splitter 5" angled, single ended sharp blade Chisel Spade curved edge single ended

19 tm osteotomes/mallets/tamps mm 4mm 6mm 8mm 10mm 3mm 5mm 7mm 16mm 12mm 14mm 15mm 18mm 22mm 25mm straight gs gs gs gs gs gs gs gs gs gs gs " 19mm 20mm curved 2mm gs mm gs mm gs mm gs mm gs mm gs mm gs mm gs mm gs mm 20mm Mini Lambotte Osteotome straight gs gs gs gs gs gs gs gs gs gs gs gs gs curved gs gs gs gs gs gs gs gs gs gs gs gs Lambotte Osteotome 7" with calibration lines 2mm 3mm 4mm 5mm 6mm 7mm 8mm 10mm 12mm 16mm 19mm 22mm 25mm 2mm 3mm 4mm 5mm 6mm 8mm 10mm Combination mallet with one replaceable nylon capped end and one stainless steel end on an aluminum handle. gs gs /2" mallet nylon cap only gs gs gs gs gs gs gs mm 3mm 4mm 5mm 6mm 8mm 10mm Combination Mallet weight: 8oz [227g] head diameter: 25mm Bone Tamp 6 1/2" cross-serrated end

20 tm tm 20 - bone files and rasps tm gs gs gs gs /4" gs gs gs #12 5mm/7mm straight plain serrated (Miller) #12A 5mm/5mm straight plain and cross serrated #12CA 5mm/7mm straight cross serrated Nail Rasp #93 2mm plain serrated delicate angled up and down Bone File #12 7" double ended gs " Maltz Rasp 9mm coarse plain serrated straight downcutting gs /2" Maltz Rasp 8mm serrated, double ended straight upcutting and downcutting

21 bone files and rasps/bone cutters - 21 gs gs gs gs gs gs gs gs #1 5mm/7mm straight, downcutting, serrated, 7" gs #2 7mm/6mm curved up/straight, downcutting, serrated, 7" gs #3 7mm/5mm curved up/straight, downcutting, serrated, 7" gs #4 5mm/5mm straight, downcutting, serrated, 7 1/2" gs #5 6mm/5.5mm straight, downcutting, serrated, 7 1/2" gs #1 5mm/7mm straight, cross serrated, 7" gs #2 5mm/4.5mm curved up/straight, cross serrated, 7 1/2" Miller Colburn Bone File double ended gs /4" Ruskin Liston Forceps straight delicate jaw gs " Ruskin Liston Forceps straight (Kleinert-Kutz)

22 22 - bone rongeurs/cast removal/trephines 1.7 mm straight 2 mm slight curve 3 mm slight curve 4 mm slight curve gs /4" Friedman Rongeur curved 3mm bite gs gs gs gs mm str 2mm slight cvd 3mm slight cvd 4mm slight cvd Friedman Rongeur 5 1/2" 3mm/4mm 4mm/5mm 6mm/7mm Designed for bone biopsy. Can also be used to help remove broken bone screws and buried K-wire. ID = inside diameter OD = outside diameter gs " Walton Cast Spreader serrated outside blades gs small gs medium gs large Michele Trephine 7" ID OD 3mm 4mm 4mm 5mm 6mm 7mm

23 tissue nippers/nail splitters - 23 did you know? Replacement springs are available from stock. gs Replacement Barrel Spring for gs and nail nippers. gs Replacement Barrel Spring for gs and nail nippers. gs Replacement Leaf Springs (pair) fit the following nippers and splitters: gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs Replacement Leaf Springs (pair) for gs gs gs gs gs gs gs gs gs gs gs and gs nail splitters. gs Replacement Leaf Springs (pair) for gs nail nipper. gs Replacement Leaf Springs (pair) for gs nail nipper. gs Replacement Barrel Spring for gs and gs nail nippers. 2mm 9mm gs gs gs gs gs gs mm 11mm Tissue Nipper smooth handles 6mm 14mm 4" 2mm 4" 4mm 4" 6mm 4" 9mm 4 1/2" 11mm 5" 14mm Tapered jaw nail splitters have fine pointed tips for splitting thin nails only. If used as a nail nipper, delicate tips can become damaged. Tips can also be blunted upon request. Please contact Apiary Medical for more information. 4" 4 1/2" 5" 6" gs gs gs gs " 4 1/2" 5" 6" Nail Splitter tapered jaw grooved handles

24 24 - nail splitters 5" 6" gs /2" gnail Splitter tapered jaw smooth handles locking clip gs gs Nail Splitter 5" 6" thin line tapered jaw smooth handles 5" 6" gs /4" Short jaw design for cutting thick nails. gs gs " 6" Short Jaw Nail Splitter delicate grooved handles Short Jaw Nail Splitter grooved handles

25 tm nail splitters - 25 Compact design provides increased cutting power and helps to reduce hand fatigue. tm gs /2" gs " Compact Jaw Nail Splitter fine tip grooved handles Long Jaw Nail Splitter extra fine tip grooved handes Delicate anvil design slides under nail easily. Longer anvil design slides under nail easily. tm gs " gs " Ingrown Nail Splitter (English Anvil) smooth handles Ingrown Nail Splitter (English Anvil) tapered anvil jaw smooth handles

26 tm 26 - nail splitters/nail nippers smooth handles gs " narrow grooved handles gs " gs /2" gs /2" delicate gs " heavy gs " 4" 4 1/2" 4 1/2" deli 5" heavy 5" narrow 6" Nail Splitter regular jaw 4 1/2" 5" 6" gs gs gs /2" 5" 6" Nail Nipper concave, narrow jaw grooved handles gs /2" Nail Nipper beveled, heavy jaw grooved handles locking clip

27 nail nippers - 27 concave straight concave super size smooth handles gs /2" concave grooved handles gs /2" concave gs /2" straight gs /2" concave, super size Nail Nipper heavy jaw locking clip 4 1/2" 5 1/4" gs gs /2" 5 1/4" Nail Nipper concave, barrel spring grooved handles locking clip gs gs /2" 5 1/4" Nail Nipper concave, leaf spring grooved handles locking clip

28 tm 28- nail nippers Useful for Mycotic and Onychauxis nails. Double action design helps prevent hand fatigue. gs /2" Nail Nipper angled concave jaw knurled handles locking clip gs " Mycotic Nail Nipper concave, leaf spring double action jaw knurled handles, locking clip Useful for Mycotic and Onychauxis nails. Double action design helps prevent hand fatigue. 4 3/4" 6" gs gs gs gs /4" concave 4 3/4" straight 6" concave 6" straight concave straight concave straight Mycotic Nail Nipper barrel spring double action jaw grooved handles, locking clip 4 3/4" 6"

29 k-wires/pliers - 29 double trocar Precision ground from certified implant stainless steel. Smooth tapered points expertly machined for easier penetration. narrow wide Sold in units of 6 wires per package. Intended for single use only. diameter 4" 6" 9" Alligator teeth on jaws provide a secure grip for nail removal. 0.7mm [.028"] 0.9mm [.035"] 1.1mm [.045"] 1.4mm [.054"] 1.6mm [.062"] gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs gs /2" narrow 5 1/2" wide K-Wire double trocar ends non-sterile Platypus Nail Pulling Forceps narrow wide Alligator teeth on jaws provide a secure grip for nail removal. Delicate needle nose pliers for cerclage wire. gs gs /2" narrow 5 1/2" wide Platypus Nail Pulling Forceps leaf spring gs /4" Needle Nose Pliers delicate with wire groove tapers to 2mm tip

30 30 - wire driver/wire and pin cutters Drive, bend and pull k-wire with one cleverly designed instrument. one-handed operation depth gauge keyless operation for wires 0.7mm [.028"] to 1.6mm [.062"] gs /2" Vickers Manual K-Wire Driver gs " Wire Cutter tungsten carbide inserts max cap 1.6mm [.062"] 4" serrated smooth gs " str gs /4" str gs " cvd Front and side cutting jaws modified to cut closer to the bone than regular cutters. one serrated blade gs " str gs /4" str gs " cvd Wire Cutting Scissors (crown and collar) for cerclage wire gs " Flush Wire Cutter DA tungsten carbide inserts max cap 1.6mm [.062"]

31 instrument care & cleaning - 31 Proper care and maintenance will greatly prolong the life of your instruments. Newly purchased instruments must be cleaned, lubricated and autoclaved before use. Proper use Instruments are designed for a particular purpose and should be used only for that purpose. Even the strongest instrument can be damaged when used inappropriately, such as when scissors are used to cut wire. Water and Stainless Steel Regular tap water contains minerals that can cause discoloration and staining. We recommend using distilled water for cleaning, disinfecting, sterilizing and rinsing. To avoid staining, use a cleaning solution with a ph near neutral (7). Instruments should be placed in distilled water immediately after use. They should never be placed in saline solution, as it may cause corrosion and eventually irreversible damage to the instrument. Manual Cleaning When handling instruments, be careful not to damage fine tips and mechanisms. If instruments have been exposed to blood, tissue, saline or other foreign matter, they must be rinsed in warm water before these substances are allowed to dry. Failure to do so may cause rusting. After rinsing, immerse them in a cleaning and disinfecting solution. Because many compounds, including certain chemicals, are highly corrosive to stainless steel, rinse and dry instruments immediately if they come into contact with any potentially harmful substances. If no ultrasonic cleaner is available, clean the instrument very carefully. Pay particular attention when cleaning box locks, serrations, hinges and other hard-to-reach areas. Use nylon (not steel) brushes and warm (not hot) cleaning solutions. Follow the manufacturer's instructions for the preparation of the cleaning solutions. Change these solutions daily. Ultrasonic Cleaning Ultrasonic cleaning is the most effective and efficient way to clean instruments. To maximize its effectiveness, instruments should be cleaned of all visible debris before they are placed in an ultrasonic cleaner. When using ultrasonic cleaners: Do not mix dissimilar metals, e.g., chrome and stainless, in the same cycle. Use only designated cleaners. Open all instruments so ratchets and box locks are accessible. Whenever possible, disassemble instruments for optimal cleaning. Avoid piling instruments on top of each other. Remove and rinse off instruments immediately after the cycle is finished. Allow instruments to air-dry. Lubricate all moving parts after cleaning and before sterilization. Use only lubricants specifically designed for surgical instruments. Change the ultrasonic cleaning solution daily. Instrument Checkup The best time to review the condition of instruments is after they have been cleaned, lubricated and before sterilization. Check for: Function "Sharps" must cut cleanly (resharpen if needed) and close properly. Check for burrs along the cutting edges. Needle holders and clamps must engage properly and meet correctly at the tips. Surface Inspect surfaces for any sign of staining, cracking or other irregularities. Common sources of staining are: Inadequate cleaning. Mixing dissimilar metals. Impurities in the water. Unsuitable or improper preparation and usage of cleaning and disinfecting agents. Noncompliance with operating procedures of cleaning and sterilizing equipment. Lubrication and Autoclaving All instruments must be properly cleaned before autoclaving. Moving parts, such as box locks and hinges, should be well lubricated. Be sure to use surgical lubricants and not industrial oils. Always sterilize instruments in the open, unlocked position. We recommend that instruments be wrapped in cloth and then placed in the container, or that a cloth be put on the bottom of the pan to absorb moisture. The cloth should be ph(7) neutral and free of detergent residues. Finally, avoid sudden cooling. Instruments should be allowed to air-dry.

32 32 - instrument care & cleaning Cold Sterilizing or Disinfecting Prolonged immersion in disinfecting or sterilizing solution can damage surgical instruments. Do not soak instruments for longer than 20 minutes. To render the instruments sterile and ready for use, we recommend using an autoclave. Avoid BAC Instruments with tungsten carbide inserts, such as wire cutters, needle holders and TC scissors, should never be immersed in sterilizing solutions containing benzyl ammonium chloride (BAC). BAC will soften and dissolve the tungsten carbide. Never use bleach as it will cause severe pitting. Storage Once instruments are thoroughly dry, store them in a clean, dry environment. Never put them in areas where chemicals may emit corrosive vapors or where temperature and moisture variations could cause condensation on the instruments. Instrument Care Checklist 1. Rinse and soak soiled instruments immediately after use. Thoroughly clean before autoclaving. 2. Clean, autoclave and sterilize instruments in an open position. 3. Do not stack or entangle instruments. 4. Follow the manufacturer s recommendations when using equipment and cleaning solutions. 5. Keep instruments properly lubricated. 6. Inspect instruments regularly. Guarantee All standard instruments are guaranteed for life against manufacturing defects of material and workmanship. Any instrument proving to be defective will be replaced or the purchase price refunded. 1. Tungsten carbide inserts are guaranteed for three years. Replaceable parts, other than springs, are guaranteed for one year. Replaceable springs are guaranteed for life against manufacturing defects of material and workmanship. 2. This guarantee is void if instruments are altered or not maintained or repaired properly or if they are not used for their intended surgical purpose. 3. Any unused instrument may be returned for full credit within 90 days of invoice date. Returns Be sure to package instruments securely to protect against damage during transit. We will accept standard instrument returns covered by the guarantee, however we cannot accept the following for credit or refund: 1. Instruments not in their original condition. 2. Instruments which have been used in surgery, unless defective. Used instruments must be sterilized prior to return and be accompanied by a Certificate of Sterilization. 3. Instruments with an invoice date of more than 90 days. 4. Custom-made, custom-marked, special order or altered instruments. 5. K-Wires, Steinmann Pins, Cerclage Wire, Distraction Screws. If you need to return instruments, please contact Apiary Medical at or by at cserv@apiarymedical.com for instructions. Please be sure to package instruments tightly and securely. They should not touch each other inside the box. This will prevent damage during transit. Thank you!

33 quote sheet - 33 gs Part # Description USD For a price quote on instruments, write the gs part numbers of interest on this quote sheet and give to an Apiary Medical representative. Or, contact Apiary Medical directly for a quote. Your name: P address: F phone: E cserv@apiarymedical.com

34 34 - cross reference KMedic to KMedic KMedic KMedic KMedic KMedic

35 Miltex SC SC SC SC SC SC SC SC XL XL XL XL TC A-TC TC TC TC TC D D D D D cross reference Miltex to - 35 Miltex Miltex Miltex SS SS SS C SC SC A B TC SS A SS SS A PT PT SS A SS SS

36 is committed to putting the finest instruments into the hands of surgeons and their teams. Not all instruments are created equal. Adequate for the job is, in reality, inadequate. A better instrument reduces distractions and facilitates operations. A better instrument helps a surgeon perform at his/her best. A better instrument leads to better results. provides better instruments. Orthopedic Focus We are more than a source for quality instrumentation. is an advocate for the orthopedic community. We can be relied upon to provide superior instrumentation for spinal and orthopedic procedures, and do so in a time critical fashion. Instrument Attributes Whether crafted from German surgical stainless steel, or machined from U.S. surgical stainless steel, our instruments are recognized by their finely finished surface. They are designed to perform with precise surgical function and are also conceived to be affordable. It is this combination that distinguishes the brand. Verified Quality Every instrument must pass detailed Quality Assurance tests before it can be sold. Instruments are tested for quality of material, workmanship, function, pattern consistency and critical dimensions. Instrument resource The catalog contains 3,500 instruments primarily used in orthopedic and spinal procedures. To view our catalog or for a quick answer on availability of other patterns, contact Apiary Medical, Inc. Please inquire about the availability of any instrument not shown in the catalog. Custom Instrumentation We will create entirely new instruments in a timely and economical manner. For an accurate quotation and delivery schedule, send us a drawing, sketch or sample. Ordering Instruments For more information, please contact: Apiary Medical, Inc Big Bend Way Valley Center, CA P F E cserv@apiarymedical.com VA/FSS Contract #: V797P-4050b Contract Period: Nov. 1, 2012 through Oct. 31, 2017 DUNS #: Tax ID #: Printed in U.S.A AM Foot and Ankle AM.indd Doc creation: 05/21/15/zo Rev. PD Doc Effective: 06/30/2015 Service First Your inquiries will be answered quickly and accurately by knowledgeable professionals. Trusted Supplier to World Leaders Many world leaders and innovators in orthopedics and spine have found in a trusted and reliable partner. We provide superior instrumentation in a time-critical fashion and at realistic prices. Guarantee All standard instruments are guaranteed for life against manufacturing defects of material and workmanship. Any instrument proving to be defective will be replaced or the purchase price refunded. 1. Tungsten carbide inserts are guaranteed for three years. Replaceable parts, other than springs, are guaranteed for one year. Replaceable springs are guaranteed for life against manufacturing defects of material and workmanship. 2. This guarantee is void if instruments are altered or not maintained or repaired properly or if they are not used for their intended surgical purpose. 3. Any unused instrument may be returned for full credit within 90 days of invoice date. Advantages On-time delivery Realistic price Verified quality German craftsmanship Precise U.S. machining Orthopedic and spinal focus Product development support CAD support Custom labeling, packaging and marking Large selection and inventory Adaptability/flexibility Superior customer service Full satisfaction guarantee ISO 13485: 2003 Certified FS FDA Registered, LLC Founded 1999