Equine Arthroscopy - KARL STORZEquine Arthroscopy Rongeurs Specially designed rongeurs with strong...
Transcript of Equine Arthroscopy - KARL STORZEquine Arthroscopy Rongeurs Specially designed rongeurs with strong...
V E T 2 0 1 1 . 1 0 1 / 2 0 1 9 - E
Equine Arthroscopy
Headline SubheadlineQuam et eum volori officid ignatata dolorernate cupti nonsera tecaese quundig nihitaescid eatemo te veria cuptios aut laborera illabo. Acitas et que sum aut parciis dolorum re officae et earcipsunt excepraes eum doluptat ut aut id mo quae nat restore rsperum faccusa dolor sum volores enienest, suscium sit re volupta con nobis inulpa commolu ptatemp orrumque eveniatEd erendam solla cum quia audae volupta aut ut vel moluptistrum as voluptis ex est peruptae pra nim ut ad quiat.
Mentia adia dolupta estibus is dolum excepel ipsae nos reperit doluptatia volori vereper iorument.
Piciate mquat. Dolut aliquis et offic te dignimu sandebis asita aut assimos sitint libus dit eum ium, ipsandae voluptis a consequam veliqua tincitam quia verias re eici tet eic tenistem ea nihil mos alit aut alicil inulparci net dolescitati nobis nonsendunt, sin nit el et accum ipsam facienestis nonsendes am, sectur aut vollique natat et molesecta autest in nos nos rem ute non rest ut a demporese dionsequia dusdae pla quam quis que laboris itatum voluptatio cus, apis et omnihicia core aut rempor alis quiae. Aximus mos acero et verum nisit, consed essequae eatem earum, vento occae ipidell atatur? Saperem. Nam, voluptibus.
Non pos volor am, tem quam, estia voles et et eos magni ullitature et fuga. At aut plis doluptae in explabo ribusciisti sequodit volorit ea sum esed ut etur sus, solo tempore henetus cum quature rehendipsam volorpo remquatis quaeptia dis dollatur molest ulpa sinvent quatium cusapisciam earum ipient mos dolut que venis dolest acium alibus, optatia volor resciis remolor ruptio. Luptae adignatem reptas unt.
Uptaepera quam rernatio. Cume idellabo. Ed magnis aut volupta ssitatur, ute dio. Bis es am, sequati amusandisit peliqua eptasin por sunditi atectumqui dolorit, volum, invenda doloreruptas sum aut quam ut aut omnis sequidunt facculpa am, od quiate quam nobitis dolut et eniet volupta ssunt.
Tur si aut alite sapiduntusam quatem. Epudant emporro tem experum quodit quiscim inihilis etur, eium necte mint esti rectotae dolora verest, qui res nusandipsape voluptas aut eum reperen dempora ex ellacesed est, solla aut ese cusciducia am velit hicit eliquas adic te es nus evenis everci occusam ipsuntis endit eument.
El et la quaepuda suntiun tureium que sus, totatem ipsum essitat lab id mod eturis essi aliquam conserunt facerfe rferrovit quassus et, corro endisti nctatus, sent.
Anime voluptas sa venis ut magnihil et evelluptatem facerro dite nihiciis con cuptatur soluptatio dolorepre ventisquam am aliqui temqui voluptasi apicti re ipidunt, qui consequ aecatur se et repudi ut doluptibus, undae imenit illam, tem et as aut acest et aute porio. Ullaccullest quamus est dolenis a dent idus prates dus aboreritia que con repudae verorest que voloratur, utessen esequiatur? Quia sit quaerferum aut et lissequi consent iurerferum quam et expliti dolore voluptas nis quatiis voluptat et de doluptatus rempore rspelit ibusciam fuga. At volorrumqui sumquamet esedita spiendenim event harum quostias alit id maximai osapis del et evellestin rem aut magnit officil iquibus dandus maionsequi velis dias viditatust, sam expliam, alisimint mint quis velent que ipid ut incte nimpeli bustota menduntium quam eni ratium aut odis ad magnien emquos at.
2
Arthroscopic Surgery Set for the Equine PractitionerArthroscopy in the horse – as in humans – has revolutionized joint surgery. Since the 1980s, arthroscopy has been accepted as the standard way of performing joint surgery in the horse. Over the past two decades, the number of indications and surgical procedures developed has steadily grown. Working with top equine surgeons around the world, KARL STORZ has developed a complete range of arthroscopes and instruments for these techniques.
This brochure features a basic set for equine arthroscopy. For a complete listing of products in this range, please refer to our catalog: Veterinary Endoscopy – Large Animals.
List of Indications for Arthroscopic SurgeryDistal interphalangeal (coffin) joint)
Elevation of proximal
dorsal P1 chipRemoval of proximal
dorsal P1 chip
• Extensor process fragments of distal phalanx
• Subchondral cystic lesions opening into coffinjoint
• Small fracture fragments distal second phalanx
Proximal interphalangeal (pastern) joint
Proximal dorsal P1 chip
• Fragments of proximal dorsal aspect of second phalanx
Metacarpal phalangeal and metatarsal phalangeal (fetlock) joints
OCD in fetlock of weanling
• Proximaldorsalfirstphalanxchipfragments
• Osteochondritis dissecans of distal dorsal metacarpus
• Chronic proliferative (villonodular) synovitis removal
• Diagnostic evaluation of traumatic synovitis and osteoarthritis
• Lagscrewfixationofdistalmetacarpalormetatarsal condylar fractures
• Evaluation of proximal aspect of sagittal P1 fractures treated with lag screw fixation
• Palmar/plantar P1 chip fragments
• Fragments of apical, abaxial and basilar sesamoid bone
• Subchondral cystic lesions of distal metacarpus or metatarsus
2
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
3
Elbow joint
• Diagnostic evaluation of elbow articulation (traumatic arthritis and OA)
• Osteochondritis dissecans
Shoulder joint
• Osteochondritis dissecans of humeral head and glenoid
• Evaluation and treatment of traumatic synovitis, occasional osteochondral fragmentation and osteoarthritis
Tibiotarsal (tarsocrural) joint
OCD intermediate ridge
of tibia at elevationRemoval of OCD fragment –
intermediate ridge of tibia
• Osteochondritis dissecans of distal intermediate ridge of tibia, common lateral trochlear ridge of talus, medial trochlear ridge of talus or medial malleolus of tibia
• Intra-articular fracture fragments
• Septic osteomyelitis and septic arthritis in foals
• Evaluation of traumatic and proliferative synovitis
Femoropatellar joint
Small OCD lesion in femoropatellar joint
• Osteochondritis dissecans of lateral and medial trochlear ridges of femur and patella
• Distal fragmentation of patella
• Traumatic osteochondral fractures of patella
• Diagnostic evaluation for traumatic synovitis and osteoarthritis
Femorotibial articulations
• Subchondral cystic lesions of medial condyle of femur and (occasionally) proximal tibia
• Meniscal injury
• Cranial ligament of medial meniscus injury
• Cranial and caudal cruciate ligament injury
• Articular cartilage fragmentation with or without subchondral bone disease
• Diagnostic arthroscopy of femorotibial joints
Hip (Requires long arthroscope)
• Diagnostic evaluation of traumatic disease
• OCD and subchondral cystic lesions
3
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
Endoscopic photographs courtesy of Dr. C. Wayne McIlwraith,
Professor of Surgery Colorado State University, USA
Carpal joints
Small distal radial carpal
bone chipRemoval of distal radial
carpal bone chip fragment
• Chip fragments of carpal bones
• Monitoring and treatment of slab fractures ofcarpalboneswithinternalfixation
• Degenerative subchondral bone disease
• Diagnosis and treatment of tearing of intracarpal ligaments
• Subchondral cystic lesions of carpal bones
• Osteochondritis dissecans of carpal bones
Carpal canal tenoscopy
• Osteochondroma of distal radius
• Superior check desmotomy as prophylaxisforsuperficialdigitalflexortendonitis
• Diagnostic evaluation of carpal canal and retinacular resection for carpal canal syndrome
Digital flexor tendon sheath
• Evaluation for acute and chronic tenosynovitis
• Annular ligament sectioning
• Villonodular synovitis
• Diagnostic evaluation
4
Check out our schedule of upcoming hands-on training courses at http://go.karlstorz.com/eventsVET
5
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
64230 BWA HOPKINS® Wide Angle Forward-Oblique Telescope 30°, enlarged view, diameter 4 mm, length 18 cm, autoclavable, fiberopticlighttransmissionincorporated,color code: red
Standard Arthroscope, size 5.5 mm
Snap-In Arthroscope Sheathswith rotating stopcocks
Special features:
• Coupling between the telescope and sheath is possible in absolutely any position; surgeries requiring a changeover between the arthroscope and instrument ports are thus considerably simplified
• Telescope rotation is made easier
• High-flow system ensures improved inflow and outflow
Sheath
Reinforcement
Telescope
Increased inflow and outflow rate without disturbing turbulence
64131 R High Flow Arthroscope Sheath, diameter 5.5 mm, working length 13.5 cm, with snap-in coupling mechanism, with one stopcock, rotating, for use with HOPKINS® Telescope 0°, 30°, 45°, 70°, 90° and Obturators 64130 BC/BT, color code: blue
64131 CR Same, with 2 stopcocks
Obturators for use with sheaths 64131R/CR
64130 BC Obturator, blunt, color code: green-red-yellow
64130 BT Same, semisharp
6
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
64146 T Egress Cannula, LUER-Lock, with stopcock, diameter 3.2 mm, length 7 cm
64146 Z Egress Cannula, diameter 5 mm, length 15 cm
64145 S Hook and Retractor, graduated, diameter 1.5 mm, length of hook 2 mm, working length 8.5 cm
64146 D Hook and Retractor, diameter 2.5 mm, length of hook 3.5 mm, working length 11.5 cm
64601 Curette, size 1, length 21 cm
64611 Same, size 0
64620 Same, size 00
Basic Instruments for Equine Arthroscopy
Hook Probes and RetractorsTo probe articular cartilage and subchondral bone.
28146 QB Obturator, blunt, for use with Egress Cannula 64146 T
Egress CannulasFor efficient, adjustable outflow of distention fluid. Side holes prevent blocking of fluid flow.
CurettesFor debridement of articular cartilage or damaged subchondral bone.
7
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
64906 Elevator, sharp, curved, width 6 mm
64104 Osteotome, flat, cuts both sides, width 4 mm, length 19 cm
Osteotome and ElevatorFor making precise incisions and separating fragments from parent bone.
MalletFor use with osteotome.
174200 COTTLE Metal Mallet, length 18 cm
8
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
Equine Arthroscopy RongeursSpecially designed rongeurs with strong jaws and robust handles are ideal for use in the larger joints of the horse.
64149 RL Ferris-Smith Rongeur, long, jaws 5 x 8 mm, working length14cm
64971 BG Rongeur, with ratchet, for equine arthroscopy, with robust handle and strong jaws, fenestrated, straight, cup 5 x 11 mm, working length 16 cm
64971 GK Grasping Forceps, with ratchet, for equine arthroscopy, with robust handle and strong jaws,straight,with2teeth,jaws5 x 11 mm,working length 16 cm
64148 RK Same, short, working length 10 cm
9
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
Grasping ForcepsRecommended for removal of smaller cartilage fragments.
64165 SN Suction Punch, size 4.8 mm, working length 13 cm
64146 UD Grasping Forceps, with ratchet, working length 13 cm
64728 CC Microfracture Chisel, straight, working length 12 cm
64728 CD Same, angled 30°
64728 CE Same, angled 70°
Microfracture ChiselsFor perforation of subchondral bone, which may stimulate cartilage regrowth.
Suction PunchFor resection of synovium, cartilage, soft bone and other soft tissue masses.
ScissorsFor cutting in tight areas such as carpal canal release and villonodular mass resection.
28571 SP SILCUT® PRO Scissors, straight jaws, sheath diameter 3.5 mm, straight, handle with cleaning connector, working length 14 cm
10
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
ENDOMAT® SELECT VET
ENDOMAT® SELECTVETistheidealchoiceforsafeandprecisearthroscopicfluidirrigationinsmallandlargeanimals.Irrigationandflowrateissetbytheuserusingtheintuitive,colortouch screen.
ENDOMAT®SELECTVETisacross-disciplinerollerpumpdevicesuitableforfluidirrigationand suction during a variety of surgical and diagnostic procedures in large and small animals such as laparoscopy, thoracoscopy and gastrointestinal endoscopy, as well as arthroscopy.
During any given procedure irrigation or suction can be selected, but only one function can be used during a single procedure. If suction is needed, such as with an arthroscopic shaver, a supplementarysuctionunitwillberequired.
ENDOMAT® SELECT VET comes programed with two primary menus, VET SURG and VET ART.VETARTisfurthersubdividedintotwoprogramswiththefollowingpre-programedsettings:
ART SA - Irrigation pressure: 20-150 mmHg; increments: 10 mmHg - Boost function: 10% - 20% - 30% - 40% - Irrigationflowrate:1,500-2,000-2,500ml/min
ART LA - Irrigation pressure: 20-400 mmHg; increments: 10 mmHg - Boost function: 10% - 20% - 30% - 40% - Irrigationflowrate:1,500-2,000-2,500ml/min
ThemostversatileandeconomicalfluidpumpforveterinaryendoscopyfromKARL STORZ.
11
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
Ordering Information:
When ordering an ENDOMAT® SELECT for veterinary use, the UP 210 basic device and the UP609softwaremodulemustbothbespecified,otherwisethedeviceisnotfunctional.
UP 210 ENDOMAT® SELECT, suction or irrigation pump, incl. mains cord, power supply 100-240 VAC, 50/60 Hz
UP 609 VET Software for ENDOMAT® SELECT
Tubing Set for use with ENDOMAT® SELECT VET – ART SA and ART LA:
Single Use
031523-10* Tubing Set, irrigation, PC, sterile, for single use, package of 10
Reusable
UP 008 Tubing Set, irrigation, PC, reusable, sterilizable
For further information regarding the VET SURG programs and tubing sets, see MFL UNITS 2, 96321002
*
12
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
26 3101 38 Pressure Infusion Cuff, 3 l
Accessories:
20 3100 92 Manometer, for use with Pressure Cuffs 26 3100 38 and 26 3101 38
20 3100 90 Rubber Foot Pump, with silicone tubing, length 200cm,withpressurereliefvalve,fitsPressureCuffs26 3100 38 and 26 3101 38
20 3100 41 Silicone Tubing Set, for irrigation, sterilizable, length 250 cm, for use with Pressure Cuffs 26 3100 38 and 26 3101 38 with Foot Pump 20 3100 90
InsufflatorFor gas distention which improves visibility.
62 4325 01 CO2 ENDO-ARTHROFLATOR VET, power supply 100-240 VAC, 50/60 Hz including: Silicone Tubing Set, sterilizable Universal Wrench Gas Filter, sterile, package of 10
The pressure hose and CO2 bottles must be ordered separately, see catalog Veterinary Endoscopy: Large Animals
Pressure Cuff
For fluid joint distention when a fluid pump is not available.
13
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
Shaver SystemUNIDRIVE® S III ARTHRO SCB
28 7230 01-1 UNIDRIVE® S III ARTHRO SCB, with color display, touch screen operation, two motor outputs, with integrated SCB module, 100-120/230-240 VAC, 50/60 Hz including: SCB Connecting Cable, length 100 cm Mains Cord
20 0128 32 Three-Pedal Footswitch, slim design, for use with POWERSHAVER SL
28200 DX DRILLCUT-X® ARTHRO Shaver Handpiece, up to 8000 rpm, for use with UNIDRIVE® S III ARTHRO SCB, as of software status 1.10.
The shaver handpieces should NOT be treated with universal spray!
Multi-function motor system allows for quicker procedure time, reducing patient time under anesthesia
Optional Accessory
Handpiece
Reusable and single use shaver blades are available in a variety of styles and sizes, see catalog Veterinary Endoscopy: Large Animals
14
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
Notes
15
© K
AR
L S
TOR
Z 9
6182
015
VE
T 20
11.
1 01
/201
9/E
W-E
Notes
9618
2015
VE
T 20
11.
1 01
/201
9/E
W-E
KARL STORZSE&Co.KG Dr.-Karl-Storz-Straße 34, 78532 Tuttlingen/Germany Postbox 230, 78503 Tuttlingen/Germany Phone: +49 (0)7461 708-0 Fax: +49 (0)7461 708-105 E-Mail: [email protected]
www.karlstorz.com