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1. aser KLS Martin Laser Nd YAG MY 60 and Accessories NEW DIMENSIONS IN LASER MEDICINE KUS martin GROUP Tried and tested KLS Martin Laser Nd YAG MY 60 New Dimensions in Laser Medicine The KLS Martin Laser MY60 is a compact microprocessor controlled continuos wave solid state laser Its excellent thought out design provides for highest levels of safety and operating efficiency The advantages at a glance The laser head and supply unit have been separated for the first time Advanced solid state laser technology with solid quartz cavity Top irradiation quality in addition to 600 um and 400 um fibers super thin 300 um fibers are available for superior power density across the entire power range Cross system use due to SMA 905 fiber connection Multiple protection of SMA fiber connector and the focusing lenses by heat sensor integrated protective glass and protective cover Excellent power stability over the whole power range thanks to online power control Integration of optomechanical components into a rugged torsionally rigid hermetically sealed laser block ensures that no user readjustments are necessary permanent availability of the laser A highly sophisticated design shows in utmost user friendliness and easiness of use just a few buttons give the user full control over a powerful and intelligent device Special function display total energy applied stop watch and pulse
2. Focusing handpiece Item no 78 201 00 04 78 201 01 04 78 202 30 09 78 202 31 04 78 202 50 09 78 202 51 04 78 210 30 04 78 2 10 50 04 78 222 00 04 79 300 26 04 79 300 40 04 80 181 90 04 Designation Basic body for threaded sleeves for focusing handpiece Basic body for push on sleeves for focusing handpiece Front sleeve short green threaded for 78 201 00 04 Front sleeve short green push on Front sleeve long lilac threaded for 78 201 00 04 Front sleeve long lilac push on Front lens green f 30 mm for 78 201 00 04 and 78 201 01 04 Front lens lilac f 50 mm for 78 201 00 04 and 78 201 01 04 Adapter for push on front sleeves for retrofitting 78 201 00 04 to 78 201 01 04 already included in 78 201 01 04 Fibers for Laser focusing handpiece Fibers for Laser focusing handpiece Sterile filter for MY Gas 2 Small yet efficient KLS Martin MY GAS 2 Gas Flow Controller KLS martin L O Ordering information 78 231 00 KLS Martin Gas Flow Controller MY GAS 2 incl cable for connection to KLS Martin Laser MY 60 and adapter for gas cylinder equipped with safety valve 83 100 30 Silicone tube MY GAS to fiber Technical Specifications Power supply 100 240 V AC 50 60 Hz Suitable gases CO No Ar pressurized air Permissible pressure max 5 bar Dimensions 150 x 60 x 131 mm WxHxD Weight 1 47 kg Gas cylinder connection G 1 4 thread Output connector Luer Lock connector Op
3. counter High level of operating and functional safety with microprocessor controlled multiple monitoring of all operating functions The electronically controlled coupling in system guarantees troublefree laser transmission through the fiber Minimum space requirements W x D 2 405 x 380 mm n Ill KLS Martin Laser MY 6O Stand alone version Contents Medical Application Areas Technical data and ordering data Laser Focusing Handpiece Gas Flow Controller MY Gas 2 KLS Martin Optical Fibers Laser Cystoscope according to Aeikens KLS Martin Fiber Holder Pages 4 5 Pages 6 7 Pages 8 9 Page 10 Page 11 Pages 12 14 Page 15 Tried and tested Medical Application Areas The excellent beam quality provided by the KLS Martin Laser MY60 allows transmission through thin 260 um fibers This means that lasers application through microendoscopes and guidable catheters 1s possible at a minimum working channel diameter of 500 um The use of 260 um fibers results in very high power densities even to low power levels This allows high precision tissue preparation while thermal damage is kept at a minimum a fact that provides new application opportunities e g in the intraluminal or micro surgical fields The guaranteed power stability lower power range included 1s an essential prerequisite for a controlled application of laser energy Application Areas The following list gives some examp
4. um with the further advantages that such a fiber is very inex pensive compared to a sidefiring fiber and easily be reprepared This instrument can be easily disassembled into its component parts which facilitates thorough cleaning and proper preparation for Hemorrhage free removal of urethral strictures further use Top quality materials and state of the art manufacturing methods also gua rantee utmost reliability in everyday surgical use Bladder and urethral tumors The tumor bed is laser treated in order to stop bleeding and achieve a thorough deep reaching destruction of the tumor tissue Subsequently classical resection of the tumor tissue by using a HF loop Prostatic adenomas The Laser Cystoscope was specially developed for laser coagulation in connection with the prostate resection method developed by Prof Aeikens By using Nd YAG laser light the hitherto bloody process of adenoma resection is transformed into an operation that can be performed hemorrhage free 13 Ordering Data Laser Cystoscope acc to Aeikens for TUR tabular shaft for stricture shaft Basic unit Laser Cystoscope Basic Set Optional accessories 78 400 00 Laser cystoscope basic set 78 400 01 TUR tubular shaft long oval 24 Charr consisting of 78 400 02 Tubular shaft short oval 24 Charr l piece basic unit 78 400 03 Fiber tube for TUR tubular shaft 1 piece TUR tubul
5. a Varices Teleangiectasis Infos and more Wide range of individual setup and configuration opportunities thanks to the separation of laser head from the supply unit Laser head Supply unit Accessories drawer Smooth running castors Stand alone version Due to its compact design the stand alone version requires only minimum space and is easily transportable especially so since it comes equipped with large smooth running castors Accessories are easily accessible in the roomy integrated drawer element The apparatus has a removable flyer unit to provide a safe place for the laser applicators when not in use The flyer can be autoclaved at 134 C H Separate version KLS Martin Laser MY 60 with separate installation of laser head and supply unit The compact laser head can be used very efficiently when installed on a ceiling mount This ensures constant availability in the course of an operation with minimum space requirements By this separation of the laser head from the supply unit even the strictest hygiene requirements are fulfilled The noise free operation of the laser unit will be highly appreciated by surgical teams Less cleaning needed in operation rooms Technical Data KLS Martin Laser MY 60 Type of laser Nd YAG laser 1064 nm continuous wave cw Protection Class Laser protection class IV Power applied to the tissue 0 5 60 W Modes of operatio
6. ar shaft long oval 78 400 04 Obturator l piece obturator 78 400 10 Knurled nit 1 piece fiber tube 78 400 11 Sealing ring 10 pieces 78 400 12 Spare parts set Accessories 78 400 05 Stricture shaft 78 401 03 Fiber tube for stricture shaft 79 700 40 Bare fiber 400 um 5 items 78 401 04 Optical opturator 9 100 50 Anti laser goggles 79 100 51 Anti laser goggles for users wearing glasses 9 100 80 Laser protective filter for endoscope CE marking conform with 93 42 EEC 9 110 00 Fiber preparation set 83 204 00 Urological lenses 4 mm 0 suitable for autoclaving 9 Lo KLS Martin Fiber Holder The KLS Martin Fiber Holder is modular in design To protect the fiber tip when the instrument is and consists of two elements temporarily out of use in the course of an operation or when the fiber holder is inserted into the tube handpiece the holder has been equipped with a sliding tip attachment mechanism The replaceable tip attachments are available in Thanks to the Luer Lock connector the fiber tip different lengths ranging from 5 to 28 cm This as well as the tissue can be cooled by using either allows ideal customization to specific anatomical a gas or a liquid To facilitate and ensure proper requirements To guarantee optimal positioning of cleaning the fiber holder can be completely dis the laser fiber at the place of application the tip assembled and autoclaved at 134 C attachment tube can be bent adju
7. ccessories 79 100 50 79 100 51 79 100 80 79 111 00 79 210 00 79 220 00 79 240 00 79 245 00 79 200 01 79 210 01 79 120 00 79 121 00 79 101 00 Anti laser goggles D Anti laser goggles for users wearing glasses Laser protective filter for all KIs Martin endoscopes 8 Fiber preparation set autoclavable Protective glass for fiber tester Silicon pad for flyer and fiber preparation set Replacement filter mat for fan Deionization cartridge Foot switch two step SMA connector cover Flyer Supporting bracket Umbilical cord 12 m length D 1060 L6 RH DIN CE acc to 89 686 EEC PSA D 1060 L7 RH DIN CE acc to 89 686 EEC PSA Focusing Handpieces Gas Flow Controller MY GAS 2 KLS Martin Optical Fibers Laser Cystoscope acc to Aeikens Fiber holder see pages 8 9 see page 10 see page 11 see pages 12 14 see page 15 Extremely high power density The KL S Martin Laser MY 60 Makes it Possible Effective cutting vaporization coagulation and sealing on a non contact basis and without any need to exchange instruments To make use of different focal distances you simply need to exchange the front lens Thanks to the high transmitting laser fibers and one of the best laser focusing handpieces available on the market The power density is extremely uniform across extremely high power densities can be achieved 1n the the entire beam focus profile 0 6 mm focus of the beam Featu
8. ening pressure 5 bar CE marking conform with 93 42 EEC CE By combining the KLS Martin Gas flow Controller MY GAS 2 with the KLS Martin Laser MY 60 a steady and economical gas consumption for irrigation is achieved during laser application The gas flow can be controlled via a two step foot switch belonging to the laser unit Both active or working gas flow and passive gas flow are adjustable separately The MY GAS 2 device is attached to the laser unit with a magnetic foil A flexible pressure tube 78 215 01 is required for operating the Controller on a central gas supply system max 5 bar When using gas cylinders a pressure reducer is required set 79 060 91 incl connection tubing Optional Gas cylinder holder for O 7 l gas cylinders 79 131 00 KL S Martin Optical Fibers The KLS Martin optical fibers have been specially designed for use with SMA 905 compatible Nd YAG and argon laser units These fibers are suitable for use in the following areas e gastro enterology e gynaecology e laparoscopic surgery Open surgery e urology e ENT e pneumonology KLS Martin Optical Fibers Core Optical diameter material Quartz fibers 300m Quartz 400 um Quartz 600 um Quartz Gas irrigated fiber 400 um Quartz Fibers for focusing handpiece ASO um e Quartz 400 um Quartz Fiber irrigation tubing for quartz fibers disposable product AIl fibers have a length of 3 m T
9. he laser fibers are delivered for single use in a sterile adhesive free and ultrasound sealed packing The plastic tray packing makes it possible for the user to take out the proximal and distal fiber ends separately and under sterile conditions For intra operative preparation of the bare fibers 300 um 400 um and 600 um we can recommend using the KLS Martin Fiber Preparation Set 79 111 00 External Article Order unit pack diameter number 0 45 mm 79 700 30 5 pieces 0 74 mm 79 700 40 5 pieces 105 mm 79 700 60 5 pieces 2000 um 79 345 30 5 pieces 5 3 mm 79 300 26 1 piece 5 3 mm 79 300 40 1 piece 1 7 mm external 79 300 05 10 pieces 1 4 mm internal Fibers for single use suitable for KLS Martin Laser MY 60 KLS Martin Laser MY 40 diomax Reusable fibers non sterile packing Only for KLS Martin Laser MY60 11 Tried and tested Laser Cystoscope according to Aeikens The Laser Cystoscope according to Aeikens is used for tissue coagulation and cutting 1n transurethral urological surgery particularly in treating benign prostatic hyper plasia bladder and urethral tumors and for removing urethral strictures Major fields of application in urology As the Cystoscope is similar in design to a resectoscope the surgeon will soon get familiar with using and handling the instru ment In surgical use the Laser Cystoscope allows utmost precision in controlling and positio ning a bare fiber 400
10. intended for use with sterile drapes The well thought out service concept with a quick action connector linking the fiber to the handpiece and easily exchangeable front lenses increases the instrument s readiness for use in routine clinical practice especially so because any such adjustments can be easily carried out by the user him herself Focusing handpiece power densities Front sleeve Power density kW cm2 Laser fiber um focal length mm Focus um Laser power at 60 W 260 30 380 52 9 260 50 600 21 2 400 30 590 DON 400 50 900 7 4 Fields of application Dermatology and open surgical applications across all medical specializations Application field examples e oral cavity e abdominal cavity thoracic cavity e external genital e tumor surgery e skin and cutaneous appendages Application examples e treatment of warts acuminate condylomas leucoplakias e coagulation of vascular malfor mations and hemangiomas removal of tongue tumors e endometriosis therapy e cutting and coagulation of liver spleen kidney and pancreatic parenchyma Focusing handpiece with threaded sleeve Depending on the lens sleeve combination used note the color coding different working distances are obtained as specified in the table Sleeve short green long lilac short green Focusing handpiece with push on sleeve Front focusing lens Working distance 30 mm green 50 mm lilac 50 mm lilac
11. les of application fields where the KLS Martin Laser MY 60 can be used for softtissue coagulation vaporization or cutting either on an endoscopic or open surgery basis using a contact or non contact technique Respiratory tract Gastrointestinal tract e Nasal polyps e Oesophageal stenoses and strictures e Tonsils e Oesophagotracheal fistulas e Tracheal and bronchial stenoses e Hemorrhages e Tracheal and bronchial fistulas e Polyps e Fistulas e Sinuses e Epistaxis e Nasal turbinates Abdominal cavity laparoscopy e Cholecystectomy e Appendectomy e Adhesiolysis Oral cavity e Abscess cavities e Tumors of the tongue e Loop abscesses e Partial Velumremoval e Retroperitoneal lymphadenectomy e Lymph nodes resection e Vagotomy Urogenital tract e Condylomata acuminata e Stenosis of urethra e Bladder tumors e Prostate adenoma e Penile carcinoma e Tumor nephrectomy Gynecology Endometriosis Benign endometrial polyps Submucous febroids Uterine septum Polycystic ovary desease PCOD Tubes Refertilization Hysterectomy Proctology Anal stenoses Marisques Fistulas Hemorrhoids Anal fissures Condylomata acuminata Polyps Colorectal carcinoma Oncology Recanalization Tumor resection Dermal and integumentary systems Verrucae e Benign tumors of the skin e Cutaneous subcutaneous secondaries of malignancies noperable basal cell carcinoma e Recurrencies Vascular system Vascular malformations Haemangiom
12. n Continuous wave cw Pulse mode Single pulse Pulse repetition Time increments 0 1 s between 0 1 and 1 0 s 1 s between 1 and 10s Pulse repetition ON OFF time options 1 1 1 2 1 3 Pilot laser 1 mW cw red 5 mW cw red Wavelength 670 10 nm Control Microprocessor Values displayed Operating mode laser power pulse duration pilot laser stage special values total energy applied pulse rate irradiation time Cooling Air cooled system with closed water circulation system Optical fiber connector Numerical aperture of coupler NA 0 2 SMA 905 connector suitable for fibers with 260 400 600 um core diameter and NA 0 2 Integrated automatic fiber tester Dimensions W x D x H and weights Laser head 405 x 380 x 135 mm Weight 12 kg excl supply line Supply unit with drawer 405 x 380 x 775 mm Weight 61 kg Electrical connection 208 240 V AC 50 60 Hz 16 A CE marking conform with 93 42 EEC Ordering Data 9 060 10 KLS Martin Laser Nd YAG MY 60 Stand alone version Laser head Supply unit Ordering Data Scope of Delivery KL S Martin Laser MY 60 Stand alone Version Separate unit 4 4 4 4 Foot switch two step 4 J Umbilical cord Drawer element Flyer and support bracket Deionization cartridge Cover Fiber test adapter Rollers Potential equalization lead Two laser warning signs User manual to be ordered separately EX Ba kd SN AS ES ki kd S A
13. res of the KL S Martin Focusing Handpiece for KL S Martin Laser MY 60 Using high quality materials we have developed a top notch optical system for opti mal application of the Nd YAG laser light The result is an extremely high power density in the focal spot when using KLS Martin Nd YAG lasers in conjunction with 400 um fibers In physiological terms this translates into excellent cutting vapo rization and coagulation properties with the laser beam applied to the target tissue on a non contact basis An optimized gas flow via the fiber and the handle ensures a gas irrigation efficiency previously unknown in this product area The gas flow clears the optical path from light absorbing particles plume and tissue debris that may be present between the laser focusing handpiece and the target tissue This reliably prevents focusing lens soiling Two different focal lengths 30 mm and 50 mm are available which together with a whole range of different front sleeves provide for optimal adjustment of the laser light to specific surgical tasks The modular design of the handle ensures that the front lens can be easily exchanged for focal length variation The exchangeable front sleeves in turn provide flexibility in terms of working distance The beam spot profile exhibits an extremely uniform power density across the entire spot surface The front sleeves are available in a threaded version and in a push on design The latter is specifically
14. sted with the help of the bending mandrel supplied Ordering Data 8 300 10 Handpiece 8 310 05 Tip attachment with bending mandrel 15 cm 78 310 08 Tip attachment with bending mandrel 18 cm 8 310 13 Tip attachment with bending mandrel 13 cm 8 310 18 Tip attachment with bending mandrel 18 cm 8 310 23 Tip attachment with bending mandrel 23 cm 8 310 28 Tip attachment with bending mandrel 28 cm 78 310 01 Tip attachment Luer Lock connector 8 300 01 Spare parts set for handpiece 8 300 10 CE marking conform with 93 42 EEC KLS Martin Group Karl Leibinger GmbH amp Co KG 78570 M hlheim Germany Tel 49 7463 838 0 infoGklsmartin com Rudolf Buck GmbH 78570 M hlheim Germany Tel 49 7463 99 516 30 info klsmartin com Martin Nederland Marned B V 1270 AG Huizen The Netherlands Tel 31 3955234538 nederlandOkismartin com KLS Martin L P Jacksonville FI 32246 USA Office phone 41 904 641 7746 usaQklsmartin com Stuckenbrock Medizintechnik GmbH 78532 Tuttlingen Germany Tel 449 7461 165880 verwaltung stuckenbrock de KLS Martin France SARL 68000 Colmar France Tel 33 3 89216601 france klsmartin com Nippon Martin K K Osaka 541 0046 Japan Tel 81 6 62 289075 nipponQklsmartin com Orthosurgical Implants Inc Miami FI 33186 USA Office phone 41 877 9694545 salesQorthosurgical com KLS Martin GmbH Co KG 79224 Umkirch Germanv Tel 49 7665 98 02 0 info klsmartin com Mar
15. tin Italia S r l 20059 Vimercate MB Italy Tel 39 039 6056731 italia klsmartin com Gebriider Martin GmbH amp Co KG Representative Office 121471 Moscow Russia Tel 7 499 792 76 19 russia klsmartin com Gebr der Martin GmbH amp Co KG A company of the KLS Martin Group KLS Martin Platz 1 D 78532 Tuttlingen Postfach 60 D 78501 Tuttlingen Tel 49 7461 706 0 Fax 49 7461 706 193 info klsmartin com www klsmartin com CC 01 10 90 144 02 07 Printed in Germany Copyright by Gebr der Martin GmbH amp Co KG Alle Rechte vorbehalten Technische nderungen vorbehalten We reserve the right to make alterations Cambios t cnicos reservados Sous r serve de modifications techniques Ci riserviamo il diritto di modifiche tecniche
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