Chapter 9 - Veterinary Instrumentation
Contents
1. 014097F Foreign Body Retrieval Forceps 400mm 165 00 014097XF Foreign Body Retrieval Forceps 400mm 160 00 014097XXF Foreign Body Retrieval Forceps 220mm 160 00 233 SOFT TISSUE SURGERY Foreign Body Oesophascope memme I The oesophascope allows the surgeon to see the foreign body and is large enough to ease the bone back out through the mouth Without a large tube the bone traumatises the oesophagus as it is withdrawn Two versions are available Basic Simply a long tube with an atraumatic lip at the mouth Using this version either an external light source must be shone down the tube or a fiber optic or LED light source must be passed down to illuminate the foreign body Fibre Optic In this version the lip at the mouth of the oesophascope includes fibre optics to allow direct illumination of the problem The oesophascope may be connected to your existing endoscopic light source by means of a fibre optic cable Storz or Wolf fitting Alternatively an LED light handle may be attached making the oesophascope free of cabling Each version of the Oesophascope is available as a boxed set of three instruments plus a cleaning brush 1 29mm x 450mm long 2 29mm x 300mm long 3 20mm x 300mm long The LED Light Handle is supplied with a Storz fitting and may also be used to illuminate arthroscopes laparoscopes and rhinoscopes Adaptors are available for other light fittings OESOPHAS2. locking key prevents constrictor from slipping from blood vessel Selection of Ameroid Constrictor Once the portosystemic shunt has been identified and exposed it is suggested that a constrictor should be PRE EVACUATED BOTTLE DRAINS selected which initially encloses the vessel but does not constrict it 014080 Bottle Drain 400ml with 10FG Drain 9 50 Tobias 2009 014082 Bottle Drain 400ml with 12FG Drain 9 50 014084 Bottle Drain 400ml with 14FG Drain 9 50 AC35 Ameroid Constrictor 3 5mm Sterile 75 00 014086 Bottle Drain 400ml with 16FG Drain 9 50 AC50 Ameroid Constrictor 5 0mm Sterile 75 00 014064 200ml Evacuated Bottle no Drain 6 00 AC60 Ameroid Constrictor 6 0mm Sterile 80 00 014065 400ml Evacuated Bottle no Drain 7 00 AC70 Ameroid Constrictor 7 0mm Sterile 80 00 242 www vetinst com DOCXS Artificial Urethral Sphincter AUS Port System Artificial Urethral Sphincter AUS for use in dogs affected by refractory urinary incontinence where traditional medical treatment fails 100 medical implant grade silicone rubber cuff amp actuator tubing Biocompatible Titanium Companion Port is secured subcutaneously usually at inner thigh for easy access Device can be adjusted by adding removing sterile saline percutaneously via the silicone septum of the port using aseptic technique and a non coring Huber point needle Two widths and a range of lengths are available Assess the approximate size required pre op
3. 025614 Thora Cath Chest Tubes 4 67mm Inner Diameter 44 50 014062 T Kit 50ml 2 5mm dia tube Complete 8 50 025618 Standard Barbed Connector with Female Luer Lock 4 75 014063 Vacuum Drainage Kit 20ml 2 0mm dia tube Complete ELAk eo Disposable 9 50 Drain Clamps Vacuum Drains Jackson Pratt Type Tube Clamp Gate Clamp For rapid complete occlusion use artery forcep style Where incremental adjustments are required use the Gate Type gt N 1 l Lig 4o A E 1 TAN E uf Tu RA gt A 4 y AN f 4 N E _ af f N wi F i Y iga PR AI i se P ES SSS ge i DRAIN CLAMPS ZS A 101776 Tube Clamp 190mm 7 5 27 50 VACUUM DRAINS JACKSON PRATT TYPE 014066 Gate Clamp EO 014058 Vacuum Drainage Kit 100ml 3 2mm dia tube Complete Sterile Semi disposable 32 50 A il C l 014059 Vacuum Drainage Kit 200ml 4 8mm dia tube Complete merol ONS ric OFS Sterile Semi disposable 32 50 N Pre Evacuated Bottle Drains The 400ml Bottle is supplied pre evacuated complete with perforated drain and introducing needle The Bottle creates a much higher vacuum more appropriate for chest drains Used exclusively in the surgical treatment of hepatic shunts the ameroid constrictor gradually occludes the blood vessel in question allowing the circulation to make adjustments The clay layer expands as it absorbs water constricting the blood vessel within Supplied sterile Insertion of metal
4. 546466 Hobdays Obstetric Forceps for Dogs 210mm 62 50 014410 Medium Hauptman Retractor 15mm blade 135 00 546468 Obstetric Vectis Double Ended 240mm 47 50 014420 Large Hauptman Retractor 20mm blade 135 00 546455 Bitch Speculum Killian Blade Length 650mm 2 62 50 239 9 SOFT TISSUE SURGERY Large Abdominal Retractors Lone Star Ring Retractor The Lone Star Retractor is widely used by soft tissue surgeons including Alasdair Hotston Moore and Rob White The outer slotted ring is hinged to allow conformation to the body shape and to direct the angle of traction of the bungee type elastic stays The outer ring segments are manufactured from Noryl resin is supplied sterile and many surgeons re autoclave The silicone bungees will tolerate some autoclaving The elastic stays are manufactured from flexible silicone with the stainless steel hook moulded into an ergonomic finger grip The silicone shaft is grasped by the slots in the outer ring in an infinite number of positions The stays may be used to retract different layers of soft tissue with differing tensions and angle of pull The whole system sits neatly on top of the patient without obscuring the operative field Also see GENERAL INSTRUMENTATION Page 301 AHM Balfour Retractor The standard segments creates a square 14cm x 14cm An extended version creates a rectangle 25cm x 14cm which can be reduced to a square 14cm x 14cm The original Balfour has for many years serv
5. Doyen 24cm Cof 9 5 75 00 80 00 Atraumatic Small Bowel Clamp Jaw design gently holds and seals the bowel with a minimum of pressure and trauma The fine ratchet facilitates gentle yet secure application Str Cof ATRAUMATIC SMALL BOWEL CLAMP 222165 Bowel Clamps Small Animal Atraumatic Str 170mm 222170 Bowel Clamps Small Animal Atraumatic Cof 170mm 80 00 85 00 Resano Bowel Clamp RESANO BOWEL CLAMP 201956 Resano Bowel Clamp 250mm 85 00 Lloyd Davis Bowel Clamp Similar to the Resano in style but with a greater angle on the tips LLOYD DAVIS BOWEL CLAMP 201952 Lloyd Davis Bowel Clamp 250mm 85 00 241 9 SOFT TISSUE SURGERY Drains amp Drainage Thora Cath Chest Tubes A soft silicon chest tube for Vacuum Drains Concertina Type pneumothorax or haemothorax 140mm length graduated at 10mm lengths with radiopaque strip for easy placement Universal hub connects to standard barbed connector with female luer lock Also recommended to be used with 3 Way Stopcock 3 diameters available Appropriate drainage will make the difference between success and failure particularly with thoracic surgery The whole system can be strapped to the patient Concertina type action creates suction Each kit includes the drain THORA CATH CHEST TUBES 025612 Thora Cath Chest Tubes 3 2mm Inner Diameter 40 00 025613 Thora Cath Chest Tubes 4mm Inner Diameter 42 50
6. 0 collagen is highly biocompatible and is resorbed fully by the body g Tn Resorbtion times range from 1 8 weeks The more vascular the area is COES CollaWvET Sponge es 2 if cA ack eee the quicker the collagen resorbs CollaVET is available in sponge foam CVS 343 Sin CollaVET Sponge 3 x4 x3mm__ Single 45 00 plug and fibrillar forms CVS 25751 CollaVET Foam 25 x 75 x 1mm 10 Pack 235 00 ae ee CVS 25751 Sin CollaVET Foam 25 x 75 x 1mm Single 25 00 CVF 01 Fibrillar Collagen 15 Pack 295 00 Perineal Hernia CVF 01 Sin Fibrillar Collagen Single 22 50 CollaVET implanted CVP 1020 Collagen Plug 10 Pack 195 00 CVP 1020 Sin Collagen Plug Single 22 50 www vetinst com V A C Therapy Vacuum Assisted Wound Closure is a welcome new addition to our 2013 catalogue V A C Therapy also known as Negative Pressure Wound Therapy has useful indications in the treatment of large open contaminated wounds de gloving injuries surgical dehiscence and chronic non healing wounds among others Use of V A C has also been shown to help speed the healing of wound grafts vacsnpieiy Used in conjunction with V A C GranuFoam Dressings negative pressure applies mechanical forces la to the wound to create an environment which promotes wound healing Microstrain acting at the cellular level promotes granulation tissue by facilitating cell migration amp proliferation and promotes perfusion while macrostrain provid
7. 014043 Medium Large Dogs Pack of 5 5Frx99cm 12 50 014044 Large Dogs Pack of 5 8Fr x 105cm 12 50 The placement of oesophagostomy E feeding tubes is a growing modality in small animal medicine Many E Tubes have been successfully in place Oesophagostomy Tube System for years on some patients The challenge of the E Tube is its care and maintenance The Kitt E Kollar was designed as a sensible solution to the everyday patient management of the E Tube The adjustable collar fits securely around the animal s neck It has a small hole for the E Tube to pass through A velcro strap secures or holds the E Tube flat when not in use Circular cotton pads with a center hole are provided to be placed between the collar and the skin They protect the wound and absorb drainage eliminating the need for owners to learn bandage techniques or repeated clinic visits for rebandaging These small animal feeding tubes are useful in longer term nutritional support Groove for advancing the feeding tube e l I Bulb safely retracts neurovascular Machine washable collars provides cleansing of stoma site structures at the incision site Easy application and removal Protected against accidental removal gt Anatomically shaped y applicator Decreases the risk of wound trauma such as scratching V4 Can leave in place for radiographs chemo MRI and other procedures Works for most brands of
8. 135 00 to remove the antibiotic carrier Haemostasis intact collagen fibres have intrinsic haemostatic properties CollaVET when applied to the bleeding site All forms of CollaVET can be used for haemostasis Veterinary Instrumentation is please to announce that it has been appointed exclusive UK and European distributor for the CollaVET product range from New Generation Devices N Cy NEW GENERATION DEVICES Wound Healing chronic and acute wounds exudating wounds ulcers burns Tendon repair coming soon collagen wrap protects the tendon from the formation of scar tissue and adhesions Suggested use Application Drug Delivery CollaVET Sponge Haemostatic Agent CollaVET Foam Fibrillar Collagen or Collagen Plug Wound Healing CollaVET Foam Tendon Repair CollaVET Suggested Product Tenomend coming soon Partial Hepatectomy CollaVET implanted 246 Tenomend coming soon Case study and further references available to download from www vetinst com CVS 20403 CollaVET Sponge 20 x 40x 3mm___10 Pack 195 00 CollaVET consists of pure type 1 collagen the most common of the CVS 20403 Sin CollaVET Sponge 20 x 40x3mm_ Single 22 50 collagens found in veterbrates As type 1 collagen of different species is CVS 223 CollaVET Sponge 2 x 2 x 3mm 5 Pack 175 00 homologous the body does not recognise it as a foreign material This CVS 223 Sin CollaVET Sponge 2 x2 x3mm __ Single 40 0
9. ABLE CLIP APPLIERS AND TITANIUM CLIPS JJLX105 Ligaclip Applier Reusable 5 75 Small Clips 245 00 JJLX107 Ligaclip Applier Reusable 7 5 Small Clips 265 00 JJLX205 Ligaclip Applier Reusable 5 75 Med Clips 245 00 JJLX207 Ligaclip Applier Reusable 7 5 Med Clips 265 00 JJLX220 Ligaclip Applier Reusable 10 5 Med Clips Right Angle 315 00 JJLX310 Ligaclip Applier Reusable 10 5 Med Large Clips 295 00 JJLC307 Ligaclip Applier Reusable 7 5 Med Large Clips 275 00 JJLC320 Ligaclip Applier Reusable 10 5 Med Large Clips Right Angle 315 00 JJLC407 Ligaclip Applier Reusable 7 5 Large Clips 275 00 JJLC410 Ligaclip Applier Reusable 10 5 Large Clips 295 00 JJLC420 Ligaclip Applier Reusable 10 5 Large Clips Right Angle 305 00 JJLC800 Ligaclip Clip Base Stainless Steel 175 00 JJLT100 Ligaclip Titanium Clips Small 6 x 36 210 00 JJLT200 Ligaclip Titanium Clips Medium 6 x 36 250 00 JJLT300 Ligaclip Titanium Clips Med Large 6 x 18 185 00 JJLT400 Ligaclip Titanium Clips Large 6 x 18 200 00 Other Ethicon Endo surgery products are available to order If what you usually use is not here please contact us These can be ordered in as required and are usually available in 2 3 days subject to Ethicons stock 236 www vetinstcom SOFT TISSUE SURGERY 9 Ethicon Endo surgery In addition to the open stapling and ligation range we are pleased to offer Designed for open procedures this in conjunc
10. COPE OESSETB Oesophascope Set Basic No Fibre Optic 425 00 OESSETFO Oesophascope Set Basic Fibre Optic Version 1 025 00 E OESLH LED Light Source Handle 775 00 E 4 FO Oesophascope FO Oesophascope with LED Handle with FO cable Handle Flexible LED Camera The flexible probe is taped along the length of the selected foreign body forceps leaving the LED lights and the camera lens just behind the jaws The forceps are then directed using the image in the monitor Once the diagnosis of oesophageal foreign body has been made it is a challenge to see and grasp the bone prior to withdrawal or pushing into the stomach The lining of the oesophagus is usually traumatised and friable Repeated blind attempts are likely to end in tragedy even if the foreign body is retrieved The Flexible Camera with incorporated LED light source enables the surgeon to direct the foreign body forceps into position and grab the bone ready for retrieval The image is viewed on a bright 50mm x 35mm monitor Alternatively the video output may be fed into a standard monitor or computer for viewing or image capture The camera allows you to see exactly what you are doing so that you can lock onto the bone rather than damage the To further minimise trauma to the oesophagus the Flexible LED Camera oesophageal wall should be used in conjunction with the Oesophascope FLEXIBLE LED CAMERA LEDFC Flexible LED Camera 345 00 234 www vetinst c
11. Chapter 9 Thoracic Surgery Foreign Body Retrieval Forceps One day you will need one of these 014097 014097M 014097F 014097XF 014097XXF Our family of Foreign Body Retrieval Forceps has grown We now offer a range of forceps to cover every eventuality from a bone in the oesophagus of a large dog to a grass seed in a cat trachea The Forceps may be guided by rigid or flexible endoscopes or fluoroscopy In exceptional cases retrieval may be achieved by feel It is helpful to inflate the oesophagus prior to withdrawal of spiky objects Video of Alasdair Hotson Moore of Bristol University locating and retrieving a bone body may be viewed at www vetinst com videos The teeth face backwards for maximum grip When closed the jaws are atraumatic for minimal damage to the oesophagus or trachea 014097 The One day you will need these reflects our experience of desperate phone calls which end in us sending a pair of foreign body forceps by same day courier at great expense e Backward facing teeth for maximum grip e Jaws are externally atraumatic 014097M e Shaft diameter as small as possible e Large Forceps jaws are angled when closed so that when open they sit mid oesophagus Photo amp case Alasdair Hotston Moore FOREIGN BODY RETRIEVAL FORCEPS Shaft Length 014097 Foreign Body Retrieval Forceps 640mm 175 00 014097M Foreign Body Retrieval Forceps 500mm 170 00
12. Debakey Needleholders T C 200mm 94 50 347655 Dressing Forceps 205mm 26 00 2685 03 Satinsky Clamps 160mm long 20mm jaw 59 50 2685 05 Satinsky Clamps 200mm long 30mm jaw 59 50 CAMTHORKIT All the above in a stainless steel case 475 00 SOFT TISSUE SURGERY Spencer Wells The standard veterinary artery forceps If the text states artery forceps or haemostat this is probably the one 106600 Spencer Wells 12 5cm 5 Str Art Forceps 22 00 106605 Spencer Wells 15cm 6 Str Art Forceps 24 50 106610 Spencer Wells 18cm 7 Str Art Forceps 27 50 106615 Spencer Wells 20cm 8 Str Art Forceps 35 00 106620 Spencer Wells 23cm 9 Str Art Forceps 47 50 106621 Spencer Wells 30cm 12 Str Art Forceps 59 50 Right Angled Clamps Typically used to dissect around a patent ductus arteriosus and then pull through appropriate ligative material RIGHT ANGLED CLAMPS 014051 Right Angled Lahey Cholecystectomy Clamps 195mm 52 50 014052 Small Right Angle Clamps 160mm 39 50 014052S Small Right Angle Clamps without Ratchet 160mm 39 50 Curved Forceps Long CURVED FORCEPS LONG 106205 45 Degree curved forceps 220mm 105415 90 Degree curved forceps 245mm 42 50 42 50 Rib Retractor Finnochetto is the standard rib retractor available in large and small RIB RETRACTOR 704000 Rib Retractor Finnochetto Small 95mm spread 135 00 704005 Rib Retractor Finnochetto Large 130mm spre
13. E Tubes Includes six protector pads and laminated instruction card KITT E TUBE KOLLAR KTK PF Petite Feline Kitt E Tube Kollar 18 50 KTK F Stamdard Feline Kitt E Tube Kollar 18 50 Stomach Tube Speculum Feline Canine ee Placement of an oesophagostomy tube is a regular requirement in veterinary practice Good indications include head trauma anorexia through illness or nutrition of trauma patients Designed and developed by Dr Von Werthern the kit simplifies the placement of an oesophagostomy tube The probe locates the correct position for the incision Cutting onto the probe simplifies the oesophagostomy The channel in the probe directs the oesophagostomy tube down the oesophagus The tube is marked to indicate depth and has a radio opaque line along its length to enable the surgeon to check positioning The tube is 50cm long and 4 8mm CH 15 in Speculum is useful for passing stomach tube in the conscious patient The diameter and supplied in individual sterile packs The cap is a two part speculum is held in check by the canine teeth going through the two holes device allowing administration of food via a cather mount syringe and other Made of hardened Nylon Can be cold sterilised for re use Available in3 medications via a standard luer syringe sizes or as a discounted set Supplied with full instructions and a procedural video The Kit comprises the Introducer and 10 Oesophagostomy Tubes The video ma
14. ad 140 00 Rib Shears RIB SHEARS 014056 Rib Shears 220mm 125 00 235 9 SOFT TISSUE SURGERY Ethicon Endo Surgery Pant or me folnuonsiohnron ramy OF companies PROXIMATE TX Reloadable Linear Stapler PROXIMATE LINEAR STAPLER Useful in Gastrointestinal and Thoracic Surgery Ease of use This Stapler has 2 levers one used during placement to position and close the jaws then a separate lever for firing A well sited button can be used to release the jaws if repositioning of the Stapler is required The Stapler can be operated completely single handedly Thin anvil wide jaw opening and medium closing position of the parallel jaws of the PROXIMATE TX Staplers are designed to facilitate positioning of the tissues in the jaws The long thin axis of the PROXIMATE TX 30mm Staplers aid access to more difficult surgical sites Sizing Suitable for stapling tissue 1 2mm thick Available in 30 amp 60mm width and 3 staple heights White vascular 1mm closed height Blue standard 1 5mm closed height Green thick tissue 2mm closed height Vascular loads are dedicated to the 30mm Vascular stapler otherwise blue and green loads are interchangeable in the same width PROXIMATE TX Staplers may be reloaded up to 7 times during the same procedure allowing up to 8 stapling operations Supplied sterile including 1 load PROXIMATE TX AND ECHELON RELOADABLE LINEAR STAPLER JJTX30V TX Linear Stapler 30mm Va
15. ealing and transection They have a balanced ergonomic grip 2 hand controlled power settings and an integrated audible tactile mechanism for indicating full closure Minimal lateral thermal spread allows dissection near vital structures Shaft diameter 5nm All handpieces available as singles or packs of 6 A range is shown Other Other Harmonic handpieces available on request handpieces powered by the GEN11 are available on request Enseal Handpieces G2 Tissue Sealers The ENSEAL range are advanced bipolar tissue sealers sealing vessels up to Available direct from Ethicon is the Gen 11 console supplied with HP054 Grey Harmonic handpiece footpedal and cart as a bundle deal at a 7mm These units are gentle on tissues due to the offset electrode special price of 9 400 exc VAT Price subject to change configuration which is designed to minimise thermal spread There is less Please contact us on 0845 130 9596 or e mail info vetinst com about the sticking over multiple activations and even pressure along the whole jaw GEN11 offer direct from Ethicon in use Available in a range of lengths Shaft diameter 5mm fully rotatable The ergonomic handle is designed for one handed operation 237 9 SOFT TISSUE SURGERY Ovariohysterectomy Because ovariohysterectomy is the prodcedure most commonly performed in practice there is an expectation that all qualified veterinary surgeons have high level of competency in the technique Ovarioh
16. ed as the standard large abdominal retractor for canine surgery However the standard midline canine approach is very different from the standard human approach Alasdair Hotston Moore has re visited the original design and has made some significant changes which improve the instrument both in use and sterilisation Exploratory surgery of the cranial abdomen in larger dogs presents difficulties of access for all surgeons but especially when a scrubbed assistant is unavailable The traditional Balfour Retractor is an ideal instrument for this application in theory but its practical application is limited by the fact that it is simply too large to fit in the typical benchtop autoclave found in general practice This modified version allows both arms to be removed from the cross piece making it small enough to fit easily into a small autoclave The arm of the spoon has also been slightly shortened to achieve this aim This Retractor is ideal for creating exposure for gastric surgery especially gastropexy as well as surgery of Lone Star used during an exploratory laparotomy in a case o feline peritonitis Case Alasdair Hotston Moore z STAR RETRACTOR LON the liver and ruptured diaphragm repair E 702SET Lone Star Basic Ring Set includes Ring 14 x 14cm and 50 Stays 560 00 Balfour Locking Ring 702000 Lone Star Basic Ring 75 00 705SET Lone Star Rectangle Set includes Ring 25 x 14cm and 50 Stays 570 00 The cent
17. eight using the same reload select blue gold or green so no extra re loads to stock Spring loaded intermediate locking mechanism gives easier one handed tissue manipulation 2 sided firing left or right and non slip grip gives improved control of the device Note This Stapler does NOT come with load remember to order your chosen pack size ETHICON ENDO SURGERY LINEAR CUTTER JJNTLE55 Linear Cutter 55mm Selectable no load included x3 235 00 JJNTLE55 S Linear Cutter 55mm as above Single 105 00 JJNTLO75 Linear Cutter 75mm Selectable no load included x3 315 00 JJNTLC75 S Linear Cutter 75mm as above Single 130 00 JJSR55 12 Reload Linear Cutter 55mm for NTLC55 x12 1 250 00 JJSR55 3 Reload Linear Cutter 55mm for NTLC55 x3 365 00 JJSR75 12 Reload Linear Cutter 75mm for NTLC75 x12 1 625 00 JJSR75 3 Reload Linear Cutter 75mm for NTLC75 x3 450 00 Ligaclip Re usable Clip Appliers amp Titanium Clips Fully autoclavable colour coded Clip Applier dedicated to the relevant clip size Quick and easy to use The jaws have a groove to hold the clip once loaded the clip is held securely until it is placed and compressed Clip closure is maintained by the inherent rigidity of the metal Designed for tubular ligation feedback from users has been that it is extremely useful for enucleation thanks Martin Gabbut and to have on hand for unexpected bleeders during orthopaedics as well as major soft tissue surgery LIGACLIP RE US
18. eratively using ultrasound Full Kit available includes access Port one AUS two Huber Point needles and one Huber Point Needle Right Angle Infusion Set 22g Medium Access Port supplied as standard Individual components and more sizes on request For surgical guide and more information please contact info vetinst com go to www vetinst com or call 0845 130 9596 DOCXS AUS PORT SYSTEM DXAUS KIT 6X11 AUS Port System Kit 6 x 11mm Cuff 275 00 DXAUS KIT 8X14 AUS Port System Kit 8 x 14mm Cuff 275 00 DXAUS KIT 10X11 AUS Port System Kit 10 x 14mm Cuff 275 00 DXAUS KIT 12X14 AUS Port System Kit 12 x 14mm Cuff 275 00 DXVO CATH45 AUS amp HSO Backfill Flush Catheter 25 00 For further information see Reeves et al Outcome after placement of an Artificial Urethral Sphincter in 27 dogs Vet Surg 2013 42 12 18 SOFT TISSUE SURGERY 9 DOCXS Hepatic Shunt Occluder HSO System An alternative to cellophane or Ameroid Constrictors this Device uses incremental hydraulic occlusion via a percutaneous port to progressively control closure of the shunt vessel The speed of vessel occlusion is under the control of the surgeon and is reversible if necessary without L further surgery The silicone cuff EN is closed using a suture through 2 eyelets the actuator tubing fed out to a subcutaneously implanted CompanionPort then gradually closed by injecting saline into the port percutaneously Cuff width is 7mm Range of lengths availab
19. es good wound bed contact helps draw the wound together and removes exudate It also aids reduction of oedema The lightweight portable Simplicity V A C Unit from KCI is designed for veterinary use and is available exclusively via Veterinary Instrumentation in the UK The Canister for exudate contains Absorbent Gel and is supplied with with Tubing Clamp and Connector GranuFoam Dressings are designed to treat a wide variety of wounds and are available in standard and silver impregnated versions Both versions of the sterile dressings are open cell reticulated polyurethane foam with pore size 400 600um This is cut to fit within the wound and should not overlap onto normal skin To complete the dressing an adhesive V A C drape is placed over the dressing adhering to the surrounding skin which has been clipped SOFT TISSUE SURGERY 9 The T R A C Pad is attached as per the instructions and attached to the unit to apply the required vacuum Dressing changes at 48 72 hour intervals depending on progress V A C Therapy should be applied for 22 hours out of 24 dressings left for more than 2 hours without vacuum should be changed Dressing size Medium 18 x 12 5 x 3 3cm Small 10 x 7 5 x 3 3cm User manual and quick start guide available on request The VAC Simplicity Therapy Starter Kit contains the Simplicity unit and a sample of the VAC GranuFoam Medium Dressing and VAC GranuFoam Silver Medium Dressing plus req
20. ge Spoons have been designed and manufactured with veterinary procedures in mind Available in three sizes XSmall 10 x 14 x 230mm Suitable for faeces and very small bladders Removal of diseased anal sacs can be quite difficult as it can be hard to distinguish the sac from the surrounding tissues Filling the sac with a light coloured wax makes the dissection much easier The gel pack is warmed Large 67 x 34 x 270mm Suitable for the bladder to liquefy the contents which are then injected into the anal gland via the duct using the blunt ended needle provided feline small canine Small 20 x 25 x 250mm Suitable for faeces and small bladders SOFT EDGED SPOON 014703 Soft Edged Spoon XSmall 22 00 ANAL SAC KIT 014700 Soft Edged Spoon Small 22 00 273570 Anal Sac Kit 115 00 014701 Soft Edged Spoon Large 22 00 273580 Anal Sac Gel 8 42 50 014702 Soft Edged Spoon Set of 3 55 00 273590 Anal Sac Needles 8 32 50 244 www vetinstcom SOFT TISSUE SURGERY 9 Kitt E Tube Kollar Small Animal Nasogastric Feeding Tube j These Small Animal Feeding Tubes are useful in longer term nasogastric nutritional support Transparent plasic rounded closed tip with two opposing lateral eyes Luer syringe connector with attached plug Supplied sterile in packs of 5 SMALL ANIMAL NASOGASTRIC FEEDING TUBE 014041 Cats and Small Dogs Pack of 5 5Frx3 cm 12 50 014042 Small Medium Dogs Pack of 5 8Frx3 cm 12 50
21. instruments stay the same there will be no additional charge assuming that the changes are like for like Feline Spay Kit Canine Spay Kit Stainless Autoclave Case Stainless Autoclave Case Metz Scissor Str 14 5cm Curved Hysterectomy Clamps x 2 Sturdy type Spay Forceps Mayo Scissors 14cm Straight Adson Rat Tooth Forceps Rat Toothed Treves 14cm Halstead Mosquito Forceps x 2 Spencer Wells 14cm Curved x 4 Fenestrated Drape Allis Tissue Forceps x 2 Cross Action Towel clips x 2 Fenestrated Drape Olsen Hegars 15 5cm Olsen Hegars 16 5cm Spencer Wells COF x 2 Cross Action Towel Clips x 4 Scalpel Handle No 3 Scalpel Handle No 3 SPAY KITS SPAYFEL Cased Feline Spay Kit 275 00 SPAYCAN Cased Canine Spay Kit 395 00 Miscellaneous Obstetrical Items Miss Freakes Whelping Forceps Hobdays Obstetric Forceps for cats 150mm Killian Bitch Speculum This Retractor designed by Joe Hauptman at Michigan maintains distal retraction of the ovary during ligation of the ovarian pedicle This is the lt _ crucial part of the procedure which can be a challenge for even experienced Vectis Double Ended surgeons This Retractor simplifies the task considerably MISCELLANEOUS OBSTETRICAL ITEMS Picture Dick White For a free CD on the technique phone or e mail info vetinst com 014310 Miss Freakes Whelping Forceps 260mm 62 50 546465 Hobdays Obstetric Forceps for Cats 150mm 62 50 014400 Small Hauptman Retractor 10mm blade 135 00
22. le 9 Full kit available includes access port one HSO two Huber Point needles and one Huber Point Needle right angle infusion set 22g Medium access port supplied as standard For more information please contact info vetinst com go to www vetinst com or call 0845 130 9596 DOCXS HEPATIC SHUNT OCCLUDER SYSTEM DXHS KIT HS 4 Hepatic Shunt Kit 4mm 195 00 DXHS KIT HS 6 Hepatic Shunt Kit 6mm 195 00 DXHS KIT HS 8 Hepatic Shunt Kit 8mm 195 00 DXHS KIT HS 10 Hepatic Shunt Kit 10mm 225 00 DXHS KIT HS 12 Hepatic Shunt Kit 12mm 225 00 DXHS KIT HS 14 Hepatic Shunt Kit 14mm 225 00 DXHS KIT HS 16 Hepatic Shunt Kit 16mm 225 00 DXVO CATH45 AUS amp HSO Backfill Flush Catheter 25 00 Vascular Probe Set A Set of 15 Vascular Probes in a fully Autoclavable Stainless Steel Case The 25mm long angled working tips are of specified diameter permitting accurate documentation of blood vessel diameter and marriage of blood vessel diameters when performing vascular anastomoses With an overall length of 225mm these are especially useful in abdominal surgery in particular for documenting hepatic shunts The Set includes Probe diameters of 1 25 1 50 1 75 2 00 2 25 2 50 2 75 3 00 3 25 3 50 3 75 4 00 4 50 5 00 and 6 00mm Diameters are clearly etched on the handles VASCULAR PROBE SET 0014SET Vascular Probe Set 265 00 243 SOFT TISSUE SURGERY Miscellaneous Soft Tissue 47924 Al s Tissue Forceps Pr
23. oducts S S T S EP t R o 7 eecececacetocacacecatataresesescesteees A favourite of Rob White this angled Allis has 4 into 5 teeth at the tip and is a e angled mid shaft The kink in the shaft of the Allis allows use in the upper airway and pharynx without obstructing other instrumentation Note the length is longer at 200mm than the standard Allis ANGLED ALLIS TISSUE FORCEPS 4 5 TEETH 801161 Angled Allis Tissue Forceps 4 5 Teeth 200mm 45 00 PVC Stomach Tube This stomach tube is primarily used in foals but should be in every practice s emergency kit for the rare but drastic true emergency gastric dilatation volvulus in large deep chested dogs Another example of every practice should have one Use polyester mesh to repair soft tissue defects where alternative autografts are not available For example perineal hernia illustrated umbilical hernia Mesh loop diameter 1mm Sheet size 60mm x 80mm or 60mm x 120mm Supplied single pack sterile 1 4 i d 3 8 o d x 7 L PVC STOMACH TUBE EQSTF PVC Stomach Tube 19 50 POLYESTER MESH PM6080 Polyester Mesh 60mm x 80mm Single 35 00 PM60120 Polyester Mesh 60mm x 120mm Single 45 00 Soft Edge Surgical Spoon Faecal Bladder Removing calculi from the bladder or impacted faeces from the rectum requires great care to avoid damage Domestic spoons are typically too sharp and too short for the purpose Our Soft Ed
24. om Disgorger Canine Ingested fish hooks are seen commonly in many practices If they are stuck in the oesophagus they can be challenging to remove even with endoscopy Although very much larger our disgorger is of a design that will be familiar to many fishermen The device allows for the hook point to be pushed back out of the wall of the oesophagus the way it came and then either retrieved via the mouth or if it is a multi pointed hook to be gently pushed into the stomach for removal via a gastrotomy DISGORGER CANINE 014010 Disgorger Canine 10mm Total length 800mm 135 00 Thoracic Surgery Kit as used by the Cambridge Vet School Working inside the chest of medium and large dogs will require extended instrumentation The instruments listed below represent a reasonable kit When purchased as a kit there is a saving of over 10 In addition a pair of rib retractors will be required Other useful instruments include extra long Metzenbaum scissors and right angled forceps Lahey cholecystectomy clamp and small right angled forceps Various specialist items are listed THORACIC SURGERY KIT as used by the Cambridge Vet School 106205 45 Degree Curved Forceps 220mm 41 50 105415 90 Degree Curved Forceps 245mm 41 50 754060 Metz Scissors Str 235mm T C 77 50 754120 Metz Scissors Curved 235mm T C 77 50 342020 DeBakey Thumb Forceps 205mm 49 50 347665 Rat Tooth Thumb Forceps 205mm 29 50 602010
25. ractor strips around the periphery of a surgical incision which may then be tensioned individually and retained around the edge of the ring The Ring is laser cut from stainless steel which is thin enough to mould to the profile of the patient Slots are cut every 15mm around the periphery of the ring into which lock one or more retractor strips Case Alasdair Hotston Moore Parotid Salivary Gland Resection The Strips are manufactured from silicon with a Stainless hook The strips are autoclavable but will require periodic replacement All the Rings fit into a standard Little Sister type autoclave In 2012 a Extra Large Ring 220 x 250mm which can be folded was added to the range Once folded the ring will again fit into a standard Little Sister Please Note VI Sterile Hooks are compatible with other retractor systems RING RETRACTOR 701700 Basic Set including 3 Standard Rings 200 x 130mm 160 x 85mm amp 110 x 40mm internal and 10 Sterile Hooks 165 00 701701 Large Ring 200 x 130mm internal 60 00 701702 Medium Ring 160 x 85mm internal 57 50 701703 Small Ring 110 x 40mm internal 55 00 701704 X Large Ring 220 x 250mm internal 80 00 701H00K Set 10 of Sterile Hooks 27 50 SOFT TISSUE SURGERY 9 Doyen Bowel Clamp Rather large for small animal surgery but cheaper than the small atraumatic bowel clamp DOYEN BOWEL CLAMP 201950 Bowel Clamps Doyen 24cm Str 9 5 201955 Bowel Clamps
26. ral blade in the S T S Balfour slides freely on the 705000 Lone Star Rectangle 85 00 back bar and automatically self 702001 Lone Star Elastic Stays 50 x Sterile single 495 00 centers If the lesion or organ 702002 Lone Star Elastic Stays 10 x Sterile single 125 00 of interest is off centre this is undesirable The Balfour Locking Ring fits onto the back bar and may be locked in any position holding the blade off centre The Balfour Locking Ring fits all VI Balfours Bungee Gelpi Self Retaining Retractors Based on our current standard Gelpis 001330 they are BALFOUR LOCKING RING designed to be as user friendly as regular gelpis in LARGE ABDOMINAL RETRACTOR lt a normal use but 25 2375AHM AHM Balfour Retractor 180mm spread 175 00 with the party trick 25 2375 Standard Balfour Retractor 180mm spread 155 00 of bungee slots 25 2375R Balfour Locking Ring 17 50 See page 101 for further information 25 2377 Medium Balfour 115mm spread 150 00 25 2376 Baby Balfour Retractor 90mm spread 145 00 703260 Collins Retractor 110mm spread 140 00 001330BUNGEE Gelpi Bungee Retractor 175 00 684755 Morris Retractor 50mm 62 50 701H00K Sterile Ring Retractor Hooks Set of 10 27 50 240 www vetinst com Ring Retractor Some abdominal approaches require a more complex retraction system than a simple Balfour or Gossett The V I Ring Retractor allows the surgeon to place hooked ret
27. scular x3 white 485 00 JJTX30V S TX Linear Stapler 30mm Vascular x1 white 175 00 JJTX30B TX Linear Stapler 30mm Blue x3 485 00 JJTX30B S TX Linear Stapler 30mm Blue x1 175 00 JJTX30G TX Linear Stapler 30mm Green x3 485 00 JJTX30G S TX Linear Stapler 30mm Green x1 175 00 JJTX60B TX Linear Stapler 60mm Blue x3 545 00 JJTX60B S TX Linear Stapler 60mm Blue x1 190 00 JJTX60G TX Linear Stapler 60mm Green x3 545 00 JJTX60G S TX Linear Stapler 60mm Green x1 190 00 JJSC45 Echelon 45 Short Compact 12 7 diameter 28cm Shaft No load Pack of 3 925 00 JJSC45 S Echelon 45 Short Compact 12 7 diameter 28cm Shaft No load Single 325 00 RELOADS JJXR30V 3 Reload TX Linear Stapler 30mm Vascular x3 265 00 JJXR30G 6 Reload TX Linear Stapler 30mm Green x6 500 00 JJXR30G 3 Reload TX Linear Stapler 30mm Green x3 265 00 JJXR60B Reload TX Linear Stapler 60mm Blue x12 1 075 00 JJXR60B 6 Reload TX Linear Stapler 60mm Blue x6 575 00 JJXR60B 3 Reload TX Linear Stapler 60mm Blue x3 295 00 JJXR60G Reload TX Linear Stapler 60mm Green x12 1 075 00 JJXR60G 6 Reload TX Linear Stapler 60mm Green x6 575 00 JJXR60G 3 Reload TX Linear Stapler 60mm Green x3 295 00 JJECR45B Blue Reload for Echelon 45 Box of 12 2 190 00 JJECR45B 3 Blue Reload for Echelon 45 x3 units 535 00 Ethicon Endo surgery Linear Cutter gt air SS YILLND YVYINII Staples and cuts in one firing Innovative 3D 6 row staple pattern Selectable staple h
28. tion with Ethicon both Harmonic and ENSEAL consumable handpiece has a 12mm diameter energy hand pieces Both hand pieces are powered by the GEN11 console y 22cm long shaft and a larger 40mm pictured available from Ethicon on a special deal See below for details jaw Single handed action with 360 and how to apply i degree rotation Separate energy HARMONIC Technology is unique in the way it operates Mechanical G2 Superjaw activation button integrates l Blade energy a blade vibrating at 55 000 times a second simultaneously cuts release Seals up to 7mm vessels and coagulates tissue Ultrasonic vibration reduces tissue to a sticky coagulum sealing vessel walls together ETHICON HARMONIC AND ENSEAL HANDPIECES JJACE23E SINGLE Harmonic Ace Curved Shear Harmonic Handpieces Ergonomic Handle 23cm Single 595 00 JJACE36E SINGLE Harmonic Ace Curved Shear Ergonomic Handle 36cm Single 645 00 JJNSLG2C25 SINGLE Enseal G2 Tissue Sealer Curved 25cm Single 495 00 JJNSLG2C45 SINGLE Enseal G2 Tissue Sealer Curved 45cm Single 545 00 JJNSLG2S25 SINGLE Enseal G2 Tissue Sealer Straight 25cm Single 495 00 JJNSLG2S35 SINGLE Enseal G2 Tissue Sealer Straight 35cm Single 515 00 JJNSEALX22L SINGLE Enseal G2 Superjaw Device 40mm 22cm Single 495 00 HARMONIC ACE Shears can be used for coagulation and transection of vessels up to 5mm and handle multiple surgical jobs with precision including dissection s
29. uired connectors and adhesive drapes V A THERAPY KCIPN320255 V A C Simplicity Therapy Starter Kit 2 695 00 KCIM8275057 10 SENSATRAC PAD 135 00 KCIM6275066 10 1 R A C Y CONNECTOR 42 50 KCIM6275026 10 V A C Gel strips 47 50 KCIM6275009 10 V A C DRAPE 115 00 KCIM8275058 5 ActiV A C 300ml Canister with Gel 195 00 KCIM8275052 5_ V A C GranuFoamTM Medium Dressing Kit 195 00 KCIM8275051 5 V A C GranuFoamTM Small Dressing Kit 175 00 KCIM8275081 5 SENSATRAC THIN VAC GRANUFOAM DRESSING 215 00 KCIM8275096 5_ V A C GranuFoam Silver Medium Dressing Kit 255 00 KCIM8275098 5_ V A C GranuFoam Silver Small Dressing Kit 225 00 247
30. urther apart These subtleties are best learnt by practical training Supervising surgeons have developed the knack but may not be aware of the issues Included in this section are two aids which assist in the exposure and ligature of the ovarian pedicle The new Howard B clamp and the well established Hauptman retractor Videos of both instruments may be viewed or downloaded from www vetinst com ovariohysterectomy Howard B Ovariohysterectomy Clamp PT2 Feline spay showing ovary exteriorised and ovarian pedicle collected ready for ligation EAN Designed and developed in practice by Howard Taylor who recognised that ovariohysterectomy was far from straightforward particularly but not exclusively for recent graduates The Clamp has a number of features which assist the surgeon in the exposure and ligature of the ovarian pedicle e The ligature material is preloaded onto the forceps which takes it through the broad ligament e Longitudinal grooves in the jaw minimise slippage e As the forceps are rotated the B shaped extension collects and brings together the structures of the pedicle ready for tying e The forceps sit outside the incision to exteriorise the pedicle The ligature is tied without precrushing but is retained by a small haemostat to check for bleeding prior to closure Visit www vetinst com to view a surgical video HOWARD B OVARIOHYSTERECTOMY CLAMP 546470 Howard B O
31. variohysterectomy Clamp 160mm 69 50 Ovariohysterectomy Spay Hooks Use to atraumatically lift uterine horns SPAY HOOKS 014320 014325 Spay Hook Small 130mm 31 50 Spay Hook Large 170mm 31 50 Spay Forceps Sturdy type Atraumatic spay forceps tips have fine toothed DeBakey type form SPAY FORCEPS 014211 Spay Forceps 5 125mm 23 50 014218 Spay Forceps DeBakey Type 5 125mm 32 50 Spay Clamps Angiotribes Angiotribes The jaws of this instrument are designed for maximum crushing by serrated longitudinal grooves ANGIOTRIBES 014304 Angiotribes 6 5 Straight 160mm 61 50 014305 Angiotribes 6 5 Curved 160mm 61 50 014301 Angiotribes 8 Straight 200mm 61 50 014302 Angiotribes 8 Curved 200mm 61 50 Hysterectomy Clamps These Clamps are curved with longitudinal grooves in the jaws to minimise tissue slippage More reasonably priced than angiotribes HYSTERECTOMY CLAMPS 014307 Hysterectomy Clamp Carmault 200mm 37 50 014309 Hysterectomy Clamp Carmault 160mm 37 50 238 www vetinst com SOFT TISSUE SURGERY 9 Spay Retractors Spay Kits Hauptman Retractors It is convenient and cheaper to purchase your spay packs as kits We appreciate that instrument selection is a matter of personal choice so if you wish to adjust the contents to suit your practice that is fine We will customise the Kits to your requirements Provided the number of
32. y be viewed at www vetinst com videos The procedural instruction sheet may be downloaded as a pdf from www vetinst com docs Large Dog 9mm opening will accept tubes up to 28Fr OESOPHAGOSTOMY TUBE SYSTEM Feline Small Dog 6mm opening will accept tubes up to18Fr Medium Dog 9mm opening will accept tubes up to 27Fr STOMACH TUBE SPECULUM vc810 Oesophagostomy Kit inc 10 tubes 245 00 014045 Stomach Tube Speculum Cat Small Dog 10 25 vc800 Tube Applicator only 160 00 014046 Stomach Tube Speculum Medium Dog 10 25 2112409 Oesophagostomy Tubes pack 10 135 00 014047 Stomach Tube Speculum Large Dog 10 25 CDOES CD Showing Procedure FOC 014SET Stomach Tube Speculum Set of 3 27 50 BROES Detailed Brochure of the Procedure FOC 245 9 SOFT TISSUE SURGERY CryOmega This new Cryosurgical Device offers low cost effective cryosurgery Simply activate the cartridge and the Device is ready for use Re use the Device until the cartridge is empty and the dispose No need for additional accessories changing of filters or replacement cartridges This simple Cryosurgery Device delivers a direct spray of liquid nitrogen at 98 degrees centigrade to the treatment site With a lower operating temperature compared with canister based systems Indications Localised drug delivery for example carrying antibiotics as a resorbable CRYOMEGA alternative to PMMA beads Removes the need for a second procedure CRYOME CryOmega
33. ysterectomy is not a simple technique and things can go badly wrong despite surgeons following what appears to be a straightforward step by step approach Many young surgeons have been badly traumatised by the learning curve involved in becoming adept at this fundamental procedure Cannot even spay a bitch is a heavy burden Calling in the senior partner to deal with a bleeder does not add to one s self confidence This was confirmed by a paper by Tivers etal JSAP 46 430 435 which reported that 50 of graduates no longer used the technique in which they were trained The standard 3 clamp technique for tying off the ovarian pedicle is very effective when performed correctly However it is often the case that the clamps are applied with the ovary under significant tension so that the clamps are placed very close together Once the central clamp is removed in these circumstances because of the tension and the limited space the crushed pedicle cannot be pulled into a tight circle by the ligature Instead the pedicle is often tied off as an oval In that the circumference of an oval is greater than that of a circle with similar area as soon as the outer clamps are released the pedicle reverts to a circle and the once tight ligature becomes loose and the artery bleeds loose tight This can be managed by reducing the tension on the pedicle by breaking down the round ligament exteriorising the ovary and applying the clamps slightly f
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