ACKERMANN EUROPCLIP. Clip Appliers & Titanium Atraumatic Haemostatic Clips Europclip Premium Plus.

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ACKERMANN EUROPCLIP Clip Appliers & Titanium Atraumatic Haemostatic Clips Europclip Premium Plus www.ackermanninstrumente.de

Clip Appliers Titanium Atraumatic Haemostatic Clips COMPANY PROFILE From its modest beginnings over 50 years ago, Ackermann has grown into an Instrument company well placed to become a market leader in its product fields. The name of Ackermann Medical is inseparably linked to surgical technology and remains at the forefront of tomorrows technological break throughs. Ackermann has over five decades experience in saving the human community, focused and striving towards a perfect environment of medical science and technology. The medical equipment manufactured by Ackermann results from a close collaboration between practising surgeons and specialists, working together in concert, to establish the most effective directions for the company s continual process of development. Thus, Ackermann is focused on several international markets, and has successfully obtained a range of unique products. In addition to continuous R&D, the company prides itself on an extremely short product to market cycle, which has brought Ackermann a significant market share in the fast changing area of endotechnology. Ackermann Instrumente Quality made in Germany and Switzerland. HISTORY OF LIGATING CLIPS For more than 80 years now, ligating clips have been used in surgeries. The first clip ever was designed and introduced by Dr. H. Cushing, a well-known Boston neurosurgeon. The clips he invented had two basic functions, ligation of vessels and nervs or to mark specific surgical site, which would show up on the X-Ray later on. Ligating clips are permanently implanted into the human body. Usually, the clips were used in difficult surgical cases only. The surgeons trusted more into suturing as into the newly introduced ligation clips. The clips were used only when the use of suture proved to be too difficult or impractical. But since the first ligation clip has been introduced, the habits have changed and the confidence into the precision and security has grown. The benefit of high time savings in comparison with suturing also became an important aspect to surgeons as well as to the hospital management. Nowadays ligation clips are often used instead of suture when ligating vessels in most of the surgical applications. TITANIUM AS THE MATERIAL IN MEDICAL TECHNOLOGY Titanium has been introduced to the market place in the mid 1980s. The highest advantage of titanium is that it is not interfering with CT or MRI scans. Titanium is an extremely tough metal, it wears out production tools at an accelerated rate. In addition to that, Ackermann Medical GmbH is using special strand annealing and batch annealing steps to produce the most reliable and most advanced clips for you. 1954 a marvelous story begins Ackermann Medical was founded as an OEM producer for ophthalmic and microsurgical instruments. The founders have been master craftsmen since that time. 1960 Ackermann Medical moves to its first own premises in Germany: To Weilheim. 1967 Ackermann Medical becomes a leading OEM producer for finest crafted ophthalmic scissors. The production reaches one of the leading positions in the world market. 1972 Ackermann extends its operation to other fields as well. 1978 Ackermann expands the range of products to titanium machined devices. 1983 Ackermann enlarges its production. 1988 Ackermann enters the market of endscopy as OEM producer for the well-known marketing organizations in Tuttlingen, Germany. 1992 Ackermann sets a distributor network in Europe and is still continuing OEM business in the US market. 1995 Ackermann produces the major part of reusable hand instruments for endoscopy of the world market. 2002 Ackermann moves to its new International headquarters in Weilheim, near by Tuttlingen - Germany. 2003 Ackermann continues to grow into the market of REPOSABLE instrumentation and covers almost any speciality in endoscopy. 2005 Ackermann achieves a double digit growth for now the 10th year in row. 2008 Ackermann opens manufacturing facility in Switzerland. Also Ackermann Medical GmbH uses extraordinary pure titanium which does not contain any vanadium, which is part of some surgical implants, due to the lower quality of titanium. Titanium has an extensive surgical implant history. Titanium is THE material of choice for the vessel clips. It is less expensive than tantalum, the material the clips were manufactured of previously, and has none of the disadvantages of stainless steel. EUROPCLIP - 2 www.ackermanninstrumente.de www.ackermanninstrumente.de EUROPCLIP - 3

Clip Appliers Titanium Atraumatic Haemostatic Clips ADVANTAGES FURTHER ADVANTAGES Production Material The Ackermann Medical EUROPCLIP is made out of the highest quality titanium available on the market so far. Therefore, the clips are CT and MRI compatible. New cross serration on EUROPCLIP jaws A highly advanced cross serration is available on each clip, which will make the clip even more secure against slipping away from the vessel after closure. Shape of the ligation clips Ackermann has the most atraumatic shaped clip in the market. Where competitive products only seal once, the EUROPCLIP gives you the double safety. In addition to that, each clip is undergoing a unique surface polishing, which guarantees a perfect contact to the tissue. The EUROPCLIP is U-shaped, so that the clip becomes stronger and gives a better resistance vs. the square shaped clips of competition. The EUROPCLIP cartridge The one way plastic cartridge used for the EUROPCLIP is holding six single EUROPCLIP clips. This is a high advantage against the competitive products, which come with 10 or even more clips, as the waste of clips is lower or even not given. Each EUROPCLIP cartridge is equipped with a sticky tape on the back side, so that it can be easily fixed to any surface. Each cartridge is packed separately into a sterile pack. Closure system of the EUROPCLIP Ackermann is offering you with the EUROPCLIP a preformed clip, which gives a significant advantage to the surgeon. When the applier jaws are squeezed together the tip of the clip is closing first. This is a strongly endorsed feature by the surgeons. The vessel is contained within the clip, so that full control is available before ligation. All loaded cartridges undergo gamma sterilization before individual packing. The EUROPCLIP appliers The EUROPCLIP appliers undergo a quality control procedure one by one. Each applier gets tested before shipping to the customers. These and the unique advantages make the EUROPCLIP applier the best choice for our customers. EUROPCLIP - 4 www.ackermanninstrumente.de www.ackermanninstrumente.de EUROPCLIP - 5

Clip Appliers Titanium Atraumatic Haemostatic Clips easy and convenient soft loading system sticky tape at the back of the cartridge easy and convenient soft loading system sticky tape at the back of the cartridge safe and up-to-date the chevron shape facilitates the save tip-first closing action serrated inner surface and heart shaped cross-section of the clips allow secure closing solid titanium gives a scatter-free CT image and an MRI compatibility safe and up-to-date the chevron shape facilitates the save tip-first closing action serrated inner surface and heart shaped cross-section of the clips allow secure closing solid titanium gives a scatter-free CT image and an MRI compatibility sterile clips sterile packed clips in a peel pack sterile clips sterile packed clips in a peel pack AI74CL6 6 20 120 AI74CL6/24 24 24 576 AI74CML6 6 20 120 AI74CML6/24 24 24 576 AI74CM6 6 20 120 AI74CM6/24 24 24 576 AI74CS6 6 20 120 AI74CS6/24 24 24 576 EUROPCLIP - 6 www.ackermanninstrumente.de www.ackermanninstrumente.de EUROPCLIP - 7

Premium Plus Clip Appliers Clip Appliers PREMIUM PLUS APPLIERS Advantages No slipping or tilting of the clip in the clip applier by incorrect leading in the magazine Resilient support also by usage with defect clip appliers Loading without resistance New ergonomic design Precise clip taking Usable with normal Ackermann clip appliers and clip applicators Exact guidance of the clip during clip applier closing AI-321550DD AI-321552DD AI-321554DD AI-321556DD precise loading of the clips firm grip of the clips safe closing color code full range of sizes Clip Appliers, straight, 280 mm Clip Appliers, right angled, 280 mm sterile clips sterile packed clips in a peel pack AI-321540DD AI-321544DD AI74CL6-H 6 20 120 AI-321542DD AI-321546DD Clip Appliers, straight, 280 mm Clip Appliers, right angled, 280 mm AI74CML6-H 6 20 120 AI74CM6-H 6 20 120 AI74CS6-H 6 20 120 AI-321524DD AI-321526DD AI-321520DD AI-321522DD AI-321528DD AI-321530DD AI-321532DD AI-321534DD Clip Appliers, straight, 150 mm Clip Appliers, straight, 280 mm Clip Appliers, right angled, 280 mm Clip Appliers, straight, 150 mm EUROPCLIP - 8 www.ackermanninstrumente.de www.ackermanninstrumente.de EUROPCLIP - 9

Titanium Atraumatic Haemostatic Clips APPLICATORS FOR ENDO SURGERY NOTIZEN NOTES 13-1613-105 Clip Applikator für kleine Ackermann Europclips, drehbar, für 5,5 mm Trokar Clip applicator for small Ackermann Europclips, rotatable, for 5,5 mm trocar Clip Applikator AS 13-1610A Clip Applikator für mittlere Ackermann Europclips, drehbar Clip applicator for medium Ackermann Europclips, rotatable 13-1610C Clip Applikator für mittlere Ackermann Europclips, nicht drehbar Clip applicator for medium Ackermann Europclips, not rotatable 13-1610AS Clip Applikator für mittlere Ackermann Europclips, drehbar, doppelbeweglich Clip applicator for medium Ackermann Europclips, rotatable, double action Clip Applikator AS 13-1615A Clip Applikator für mittelgroße Ackermann Europclips, drehbar Clip applicator for medium large Ackermann Europclips, rotatable 13-1615C Clip Applikator für mittelgroße Ackermann Europclips, nicht drehbar Clip applicator for medium large Ackermann Europclips, not rotatable 13-1615AS Clip Applikator für mittelgroße Ackermann Europclips, drehbar, doppelbeweglich Clip applicator for medium large Ackermann Europclips, rotatable, double action Clip Applikator A 13-1613-106A Clip Applikator für große Ackermann Europclips, drehbar Clip applicator for large Ackermann Europclips, rotatable 13-1613-106 Clip Applikator für große Ackermann Europclips, drehbar, zerlegbar Clip applicator for large Ackermann Europclips, rotatable, dismountable EUROPCLIP - 10 www.ackermanninstrumente.de www.ackermanninstrumente.de EUROPCLIP - 11

Ackermann ACKERMANN Medical GmbH & Co. KG Schlossstrasse 67 CH-8200 Schaffhausen Phone: +41 (0) 52 5 33 09 15 Fax: +41 (0) 52 5 33 09 48 sales@ackermannmedical.de www.ackermannmedical.de Revision 2013-05