- Oertli Instrumente AG

Accessories
Content
1.
a.
b.
c.
d.
Phaco
Hexadisq® phaco handpiece, reusable
easyTips®, single use
easyTips®, reusable
Various phaco accessories, reusable
Page
4
5
6
7
8
2.
a.
b.
c.
d.
Irrigation/Aspiration
I/A handpiece coaxial, reusable
I/A Quick tip system coaxial, reusable
I/A handpiece bimanual, single use
I/A handpiece bimanual, reusable
10
11
12
13
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3. HF Function/Diathermy
a. Diathermy handpiece, reusable
b. HFDS® glaucoma tip, reusable
c. Diathermy tip, reusable
d. Endo diathermy tips, reusable
e. Diathermy forceps, reusable
f. Capsulotomy tip, reusable
14
15
15
15
15
17
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4. Anterior Vitrectomy
a. Classic pneumatic vitrectomy cutter, single use
b. SUS electric cutter, reusable
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18
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5. Posterior Vitrectomy
a. PMS pars plana micro incision system, single use
b. Infusion terminal, single use
c. Continuous Flow-Cutter, single use
d. Classic pneumatic vitrectomy cutter, single use
e. Light instruments, single use
f. DEX™ forceps, single use
g. Various vitrectomy accessories, single use or reusable
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21
22
25
25
27
29
30
6. Device Accessories
a. faros
b. CataRhex 3
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32
33
7.
a.
b.
c.
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34
34
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Surgery Packs
Tubing system, single use
Example phaco pack, single use
Example vitrectomy pack, single use
Phaco
easyPhaco® technology
Thanks to Oertli’s clever needle design, its sophisticated fluidics concept and world class pump systems, easyPhaco® technology
offers visible and tangible benefits:
•
•
•
•
Unprecedented chamber stability, perfect emulsification and extremely effective aspiration of fragments
Gentle and effective aspiration thanks to excellent followability and holdability of fragments
Concentrated axial ultrasound and highest possible power generation for perfect emulsification
Elimination of vacuum fluctuations thanks to a capillary aspiration path
Oertli easyPhaco® technology is available in three different tip sizes. All incisions are covered irrespectively of whether you work
with sub 2 mm coaxial micro phaco or with standard incision sizes up to 3.2 mm.
Recommended settings for easyPhaco®
Minimum
Venturi pump
easyTip® CO-MICS for incisions of 1.6 - 1.8 mm
easyTip® 2.2 mm for incisions of 2.2 - 2.4 mm
easyTip® 2.8 mm for incisions of 2.8 - 3.2 mm
Phaco 1 (Grooving)
Phaco 2
Phaco 1 (Grooving)
Phaco 2
Phaco 1 (Grooving)
Phaco 2
Vacuum
(mmHg)
80
250
80
400
80
400
Peristaltic pump/CortexMode™
Vacuumeffect (%)
60
60
60
60
60
60
Flow
(ml/min)
18
20
18
40
18
40
Vakuum
(mmHg)
50
250
50
400
50
400
Maximum
Venturi pump
easyTip® CO-MICS for incisions of 1.6 - 1.8 mm
easyTip® 2.2 mm for incisions of 2.2 - 2.4 mm
easyTip® 2.8 mm for incisions of 2.8 - 3.2 mm
Phaco 1 (Grooving)
Phaco 2
Phaco 1 (Grooving)
Phaco 2
Phaco 1 (Grooving)
Phaco 2
Vacuum
(mmHg)
100
350
100
500
100
500
Peristaltic pump/CortexMode™
Vacuumeffect (%)
80
100
80
100
80
100
• Recommended height of bottle: 100 cm above patient’s eye.
• Recommended additional settings: Pulse mode, 40 Hz, 60 % cooling for phaco 2.
easyPhaco® is a development by Oertli® R&D in scientific collaboration with Prof. Rupert Menapace, Vienna.
Flow
(ml/min)
18
28
18
50
18
50
Vacuum
(mmHg)
50
350
50
500
50
500
5
a. Hexadisq® phaco handpiece, reusable
Having an outside diameter of 13 mm, an internal infusion tube, being extremely light weight (47 grams)
and completely made of titanium, the Hexadisq® phaco
handpiece has set the standards since 2002. The handpiece, which is equipped with 6 piezo crystals, is ideally
suited for easyPhaco® technology and MICS.
VG800011
U/S phaco handpiece with cable 3 m
VV803200
Protection cap for phaco handpiece, titan
Phaco
Phaco
b. easyTips®, single use
Sterile/single use, box of 10 including sleeve,
test chamber, phaco key and emergency key
VV806833A
Titanium easyTip® CO-MICS, 30°
for incisions of 1.6 - 1.8 mm
VV806833
Titanium easyTip® CO-MICS, 53°
for incisions of 1.6 - 1.8 mm
VV806835B
Titanium easyTip® 2.2 mm, 15°
for incisions of 2.2 - 2.4 mm
VV806835A
Titanium easyTip® 2.2 mm, 30°
for incisions of 2.2 - 2.4 mm
VV806835
Titanium easyTip® 2.2 mm, 40°
for incisions of 2.2 - 2.4 mm
VV806840
Titanium easyTip® 2.8 mm, 30°
for incisions of 2.8 - 3.2 mm
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c. easyTips®, reusable
VV800831
Titanium easyTip® CO-MICS, 30°
for incisions of 1.6 - 1.8 mm
VV800833
Titanium easyTip® CO-MICS, 53°
for incisions of 1.6 mm - 1.8 mm
VV603231
Irrigation sleeve for easyTip® CO-MICS,
silicone, grey
VV800735B
Titanium easyTip® 2.2 mm, 15°
for incisions of 2.2 - 2.4 mm
VV800735A
Titanium easyTip® 2.2 mm, 30°
for incisions of 2.2 - 2.4 mm
VV800735
Titanium easyTip® 2.2 mm, 40°
for incisions of 2.2 - 2.4 mm
VV603220
Irrigation sleeve for easyTip® 2.2 mm,
silicone, transparent
VV800740
Titanium easyTip® 2.8 mm, 30°
for incisions of 2.8 - 3.2 mm
VV603209
Irrigation sleeve for easyTip® 2.8 mm,
silicone, blue
Phaco
Phaco
d. Various phaco accessories, reusable
VE800100
Key for phaco tips with titanium insert
VV803100
Test chamber for phaco, silicone
9
Phaco
Irrigation/Aspiration
Quick Tips with Safety Design
1 Extended leg length for better sub-incisional accessibility
2 Downsizing of aspiration opening for better occludability, safety
during aspiration and a stable anterior chamber
3 Repositioning of the aspiration opening that prevents from
unintentional grasping of the capsular bag
Features and benefits
The Quick Tips with Safety Design, especially in combination with the CortexMode™, provide the highest standard of safety,
control and efficiency in the procedure of I/A. In detail, it will provide the following benefits:
•
•
•
•
Completely stable anterior chamber
Improved sub-incisional accessibility
Better occludability
High standard of safety during capsule cleaning process
Additionally, the tips are equipped with the sophisticated Quick Tip snap-on lock closing that enables a fast change of the tip
in the sterile field.
The I/A Quick Tips with Safety Design are intended for application with sleeve.
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a. I/A Handpiece coaxial, reusable
VE655000
I/A Handpiece Quick Tip, titanium
VE603010
Irrigation handpiece «Titano» with Luer connection
VE655020
Luer adaptor Quick Tip female
Irrigation/Aspiration
Irrigation/Aspiration
b. I/A Quick Tip system coaxial, reusable
VE655527
Quick tip for I/A with sleeve, 45°,
aspiration opening 0.25 mm, leg length 1.2 mm,
for incisions from 1.6 - 1.8 mm, SAFETY DESIGN
VE655525
Quick tip for I/A with sleeve, 45°,
aspiration opening 0.25 mm, leg length 1.5 mm,
for incisions from 2.2 - 3.2 mm, SAFETY DESIGN
VE655526
Quick tip for I/A with sleeve, 45°,
aspiration opening 0.25 mm, leg length 2.1 mm,
for incisions from 2.2 - 3.2 mm, SAFETY DESIGN
VE655535
Quick tip for I/A with sleeve, 45°,
aspiration opening 0.35 mm, leg length 1.5 mm,
for incisions from 2.2 - 3.2 mm
VE655035
Quick tip for I/A with sleeve, straight,
aspiration opening 0.35 mm,
for incisions from 2.2 - 3.2 mm
VV603231
Irrigation sleeve for easyTip® CO-MICS, silicone, grey
(for VE655527)
VV603220
Irrigation sleeve for easyTip® 2.2 mm, silicone, transparent
(for VE655035, VE655525, VE655526, VE655535)
VV603209
Irrigation sleeve silicone for easyTip® 2.8 mm, silicone, blue
(for VE655035, VE655525, VE655526, VE655535)
VE655235
Quick tip for I/A, sleeveless, 45°,
aspiration opening 0.35 mm, leg length 1.5 mm,
for incisions from 2.8 - 3.2 mm, diameter 1.80 mm
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c. I/A handpiece bimanual, single use
Sterile/single use, box of 10
VV650010
I/A bimanual instruments set,
aspiration opening 0.30 mm,
irrigation opening 0.50 mm,
diameter 0.80 mm
d. I/A handpiece bimanual, reusable
VE654100
I/A bimanual instrument kit,
aspiration opening 0.30 mm,
irrigation opening 0.50 mm,
diameter 0.80 mm
VE654101
I/A bimanual instrument kit, roughened tips,
aspiration opening 0.30 mm,
irrigation opening 0.50 mm,
diameter 0.80 mm
23G VE654103
I/A bimanual instrument kit,
aspiration opening 0.30 mm,
irrigation opening 0.45 mm,
diameter 0.62 mm
Irrigation/Aspiration
HF Function/Diathermy
HFDS® ab interno MIGS technology
High Frequency Deep Sclerotomy (HFDS) glaucoma surgery is
a new ab interno procedure to lower the intraocular pressure
in open-angle glaucoma. Using high frequency energy, six
small pockets are formed in the iridocorneal angle, which significantly reduce the outflow resistance for aqueous humour.
Area of application
Features and benefits
• Ideal for combinations with cataract surgeries
• Very short intervention times
• No bleb formation
• No corneal scars
• No fibroblast movement to the sclera
• Procedure can be repeated
Positioning of abee® tip
Literature
Pallas G, Pajic B. 1999: Die Sklerathalamektomie (STE): Stabile postoperative Augendruckregulierung beim Offenwinkel- und Kapselhäutchenglaukom. Klein Monatsbl Augenheilk 2000; 216:256-260
Forming of sclerotomy pockets
Pajic B. Pallas G, Gerding H, Böhnke M.: A novel technique of ab
interno glaucoma surgery: follow-up results after 24 months. Graefes
Arch Clin Exp Opthalmol 2005 Jul; 19:1-6
50
45
40
Pajic B.: High-Frequency Deep Sclerotomy, Cataract & Refractive Surgery Today, October 2011
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30
mmHg
25
20
15
10
5
0
1 2 3 4 7 1 3 6 9 12 15 18 21 24 27 30 33 36 39 42 45 48 51 54 57 60 63 68 69 72
Pre-op
| Days
| Months
Excellent long-term results (72 months) after conducted HFDS® procedure.
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a. Diathermy handpiece, reusable
VE201710
Handpiece long, plug-on, diathermy, cable 3 m,
floating connector
VE201712
Handpiece short, plug-on, diathermy, capsulotomy,
cable 3 m, floating connector
b. HFDS® glaucoma tip, reusable
VE201751
abee® glaucoma tip, ab interno,
High Frequency Deep Sclerotomy (HFDS®)
c. Diathermy tips, reusable
VE201722
Diathermy plug-on tip «Eraser», 1.1 mm, 25 mm,
50° bevel
d. Endo diathermy tips, reusable
(for faros anterior/posterior system only)
20G
VE201723
Endo diathermy plug-on tip, 28 mm,
54° pointed
23G
VE201733
Endo diathermy plug-on tip, 28 mm,
54° pointed
25G
VE201732
Endo diathermy plug-on tip, 28 mm,
54° pointed
20G
VE201724
Endo diathermy plug-on tip, 28 mm,
54° pointed, tapered 0.45 mm
HF Function/Diathermy
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e. Diathermy forceps, reusable
VE203902
Bipolar forceps plug-on curved
f. Capsulotomy tip, reusable
VE201726
Capsulotomy plug-on tip standard
VE201730
Capsulotomy plug-on tip long, 0.5 mm
capsular phimosis
HF Function/Diathermy
Anterior Vitrectomy
a. Classic pneumatic vitrectomy cutter, single use
(for CataRhex 3 and faros anterior/posterior system)
Sterile/single use, box of 10
20G VV104010
SPS Twinac® Vitrectomy Cutter
23G VV106010
SPS Twinac® Vitrectomy Cutter
25G VV105010
SPS Twinac® Vitrectomy Cutter
b. SUS electric cutter, reusable
(for faros anterior and anterior/posterior system only)
VE103100
SUS magnet drive, cable 3 m
20G VG601351
Irrigation sleeve for SUS and SPS, 1.5 mm diameter,
tube 40 cm, Luer adapter (20G only)
20G VV103006
SUS Cutting head
Sterile/single use, box of 6
23G VV103306
SUS Cutting head
Sterile/single use, box of 6
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Anterior Vitrectomy
Posterior Vitrectomy
(for faros anterior/posterior system only)
Caliburn™ cannula system
«The lancet-pointed needle from Oertli had remarkable low piercing and cutting forces.»
Independent study*
Features and benefits
• Superb post-operative wound tightness
• New surface finish for even smoother incisions
• Less resistance on trocar edge-entry
• Patented snap-on lock infusion line for more flexibility
• Incision template for exact trocar placement
Application
•
•
•
•
•
Patented integrated, double-slotted sealing membrane
Easy finding and entry with instruments
Reliably constant IOP during surgery
Reliable retention of the trocar
Color coded for each gauge size (23G, 25G)
1. Pull the conjunctiva slightly sideways over the sclera with the Oertli®
incision template.
2. Insert the trocar in the sclera through the incision opening by holding
cannula blade at an angle of maximum 30°.
3. After inserting the blade, lift the blade vertically and gently penetrate the
sclera with the instrument.
4. Insert the trocar completely until its head touches the sclera.
The shaft is now fully inserted.
5. Connect the infusion line with the patent-registered snap mechanism
to the trocar. Insert the remaining trocars in the sclera using the above
mentioned procedure (steps 1 to 4).
* Source: Geometry, penetration force, and cutting profile of different 23-gauge trocars systems for pars plana vitrectomy, C.H. Meyer MD,
H. Kaymak MD, published in the November 2014 issue of the Retina Journal (Volume: 34:2290–2299, 2014).
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a. PMS Pars Plana micro incision system, single use
Sterile/single use, box of 10
23G VV123311
Caliburn™ PMS system, one step, self sealing
25G VV125311
Caliburn™ PMS system, one step, self sealing
Posterior Vitrectomy
Posterior Vitrectomy
(for faros anterior/posterior system only)
Sterile/single use, box of 10
23G VV123211
Infusion line 6 mm for PMS, self sealing
23G VV123212
Infusion trocar with infusion line and
mandrel for PMS system
VV125110
PMS incision template
b. Infusion terminal, single use
Sterile/single use, box of 10
20G VV690220
Infusion terminal 4 mm, BSS
20G VV690221
Infusion terminal 4 mm, silicone 6000CS
20G VV690230
Infusion terminal 6 mm, BSS
20G VV690231
Infusion terminal 6 mm, silicone 6000CS
20G VV690320
Infusion terminal «No Stitch» 4.5 mm
20G VV690330
Infusion terminal «No Stitch» 6 mm
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Posterior Vitrectomy
Posterior Vitrectomy
(for faros anterior/posterior system only)
Continuous Flow-Cutter – a new level of vitrectomy cutter
«This cutter is very efficient and effective. I have got an
outstanding control for peripheral vitreous removal»
Early user, Italy
Features and benefits
• 100% continuous flow for tear-free high speed cutting
• Perfect portioning of vitreous body removal
• Highest efficiency and safety in core vitrectomy
• Excellent precision for all maneuvers
• Ability to peel and manipulate membranes
• Continuous holding force
• Absolute minimal distance of cutter port from the distal end
• Pneumatic push-pull cutter (no spring)
• Double cut-rate
Vitreous body removal
– Continuous Flow-Cutter: Continuous flow without any
noticeable fluctuations. With each cycle, vitreous body is
removed twice
– Standard Cutter: Flow is interrupted with each cycle.
With each cycle, vitreous body is removed once
25
c. Continuous Flow-Cutter, single use
Sterile/single use, box of 10
20G VV104110
Continuous Flow-Cutter, Twinac®
23G VV106110
Continuous Flow-Cutter, Twinac®
25G VV105110
Continuous Flow-Cutter, Twinac®
d. Classic pneumatic vitrectomy cutter, single use
Sterile/single use, box of 10
20G VV104010
SPS Twinac® Vitrectomy Cutter
23G VV106010
SPS Twinac® Vitrectomy Cutter
25G VV105010
SPS Twinac® Vitrectomy Cutter
Posterior Vitrectomy
Posterior Vitrectomy
(for faros anterior/posterior system only)
Endo illuminator panorama – wide panorama illumination
Features and benefits
• Wide panoramic tip for optimal illumination
• Shielded design to avoid glare during the procedure
• Oertli® micro-connector
• Color coded by gauge size
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e. Light instruments, single use
Sterile/single use, box of 10
20G VV300101
Endo illuminator 90°, micro connector
23G VV300103
Endo illuminator 90°, micro connector
25G VV300105
Endo illuminator 90°, micro connector
20G VV300191
Endo illuminator Panorama, shielded,
micro connector
23G VV300194
Endo illuminator Panorama, shielded,
micro connector
25G VV300195
Endo illuminator Panorama, shielded,
micro connector
Posterior Vitrectomy
Posterior Vitrectomy
(for faros anterior/posterior system only)
DEX™ disposable forceps
«The best ILM forceps, I have ever used»
Early user, Germany
Features and benefits
• Perfect ergonomics achieved by 360° actuation
• Short efficient stroke for direct closing of the instrument
• Precise grasping due to the carefully manufactured tips
• Excellent holding force due to a superior tip design
• No shredding of the peeled membrane due to tips without sharp edges
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f.
DEX™ forceps, single use
Sterile/single use, box of 5
23G DVF4019-23
DEX Maculorhexis forceps
25G DVF4019-25
DEX Maculorhexis forceps
23G DVF4022-23
DEX End Grasping forceps
25G DVF4022-25
DEX End Grasping forceps
23G DVF4005-23
DEX Nanotapered Awh forceps
25G DVF4005-25
DEX Nanotapered Awh forceps
Posterior Vitrectomy
Posterior Vitrectomy
(for faros anterior/posterior system only)
g. Various vitrectomy accessories, single use or reusable
VV690100
Air delivery line with filter
Sterile/single use, box of 10
VV690310
Silicone application set 20 cc, visco system
Sterile/single use, box of 10
20G VV800051
Titanium tip, Phaco,
for Pars Plana phacoemulsification
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Posterior Vitrectomy
Device Accessories
a. faros
VE830011
Pedal, programmable, dual linear
VE840020
Remote control, wireless
VE840002
Instrument tray
VE840030
Cover
33
b. CataRhex 3
VE821015
Pedal, linear
VE820003
Carrying case
VE820002
Instrument tray for infusion trolley VE820001
VE820001
Infusion trolley
Device Accessories
OP Packs
a. Tubing system
Sterile/single use, box of 10
VV621010A
I/A tubing system
including drainage bag, infusion set and
protection bag
b. Example phaco pack
Sterile/single use, box of 10
VV621011DE
Phaco pack faros/CataRhex 3, tubing system,
easyTip® 2.2 mm 40°, sleeve, test chamber,
phaco key, emergency key, infusion set,
drainage bag, protection bag
c. Example vitrectomy pack
Sterile/single use, box of 6
VV621213BP
Vitrectomy pack faros, 23G, tubing system,
Caliburn™ cannula system one step, Continuous
Flow-Cutter, panorama illuminator shielded, giving set,
PE bag for remote control, drainage bag, air delivery
line, 3-way-stop-cock
Further phaco and vitrectomy packs are available
online at www. oertli-instruments.com or upon
request.
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Reprocessing and sterilization
Norms and quality control
All disposable products labelled with this symbol
are delivered in a sterile state and are intended for single use. They
must not be reused.
Oertli® attaches utmost importance to its quality and continuous improvement of all its products and quality management
systems. All products listed in this catalogue correspond to the
high Swiss quality standard and bear the CE marking.
Reusable products, which are not labelled with this symbol
, are suited for multiple use. Reprocessing of these products must be carried out according to Oertli® instructions for
use TN999042 “Instructions for Processing (Cleaning, Disinfection and Sterilization) of Instruments”. The procedures
described in TN999042 have been validated according to ISO
17665-1.
Oertli® uses the following standard dimensions (outer diameter)
20G 0.89 mm
23G 0.64 mm
25G 0.51 mm
Packaging recommended for sterilization:
Possible packaging that can be used for reprocessing the various reusable products are described in Oertli® instructions for
use TN999042.
Disclaimer
All details in this catalogue were correct at the time of publication. There may be changes without notice as a result of enhancements to the
design or safety of products. The details specified in the relevant quotation or delivery documentation shall apply.
www.oertli-faros.com
Oertli Instrumente AG
CH-9442 Berneck
Fax +41 (0)71 747 42 90
Switzerland
Phone +41 (0)71 747 42 00
www.oertli-instruments.com
info@oertli-instruments.com
Ecknauer+Schoch ASW. BD1028.E 2016.03
www.oertli-catarhex3.com