Pediatric Neuroendoscope GAAB Recommended Set

NEURO 4-5 07/2014-E
Pediatric Neuroendoscope
GAAB Recommended Set
Pediatric and Minimally Invasive Minifiber Endoscope
for especially atraumatic intracranial endoscopy,
e.g., pediatric ventriculostomy, cystostomy, biopsy, use in narrow
ventricles and cavities
In intracranial endoscopy and especially for ventriculoscopy and cysto­scopy, rigid
HOPKINS® endoscopes are predominantly used due to their optimal optical qualities,
ease of steering including neuronavigation and because of the availability of stable,
rigid instruments. However, to ensure effective endoscopic mani­pulation, e.g., during
endoscopic ventriculostomy or aquaductoplasty, a sheath diameter of approx. 6.6 mm is
necessary for puncture access (e.g., critical size for accessing the foramen of Monro).
If no complex options are required for hemostasis and manipulation (dissection
of tissue or removal of tumors), e.g. for standard ventri­culostomy, septostomy or
aquaductoplasty, the new, autoclavable “mini­fiber telescope” offers the advantage of
being less invasive due to the overall diameter of 4.5 mm including the sheath. The
resolution of the minifiber telescope with 35,000 pixels is higher than that of a flexible
endoscope and enables good optical orientation; at the same time straight instruments
can also be used which are both easy to steer and effective.
Straight instruments permit a blunt puncture of membranes similar to ventriculostomy,
cystostomy and septostomy. At the same time, biopsy samples, smaller tissue
resections and the removal of foreign bodies can also be carried out using biopsy
forceps. Stomata can be most effectively enlarged and with a minimum of trauma using
a 2-F balloon catheter while efficient hemostasis is possible with unipolar diathermy.
In addition to the working channel, the compact endoscope is also equipped with
adequately dimensioned irrigation channels (separate inlet and outlet). These channels
have a diameter of 1.15 mm and can be used as additional working channels for
1 mm flexible instruments. This means that even simultaneous manipulation with two
instruments is possible, e.g., to open or incise membranes and for tissue dissection.
Use of the endoscope (access points, steering direction) corresponds to the general
procedure for intracranial endoscopy and neuronavigational steering is possible.
Prof. Dr. habil. M. R. GAAB
Former Senior Consultant, Department of Neurosurgery,
Klinikum Nordstadt,
Klinikum Region Hannover (KRH)
Hannover, Germany
Practice Address:
Robert-Enke-Straße 1
(Spine Center)
D-30169 Hannover, Germany
2 3
Special Features
• Fiber optic system with very good quality
• Suitable for pediatric interventions and in relatively narrow cavities
(also with precise neuronavigation)
• The physician has both hands free – this allows easier instrument application
and handling
• High irrigation rate – two separate irrigation channels with a diameter of 1 mm
for continuous irrigation and suction
• Central working channel with a diameter of 1.3 mm allows the use of rigid
instruments
• Lateral irrigation channel allows use of additional instruments with a diameter
of 1 mm parallel to the working channel
•Autoclavable
GAAB Recommended Set
for pediatric neurosurgery / minimally invasive intracranial endoscopy in
ventricles and cysts
1
2
3
4
5
6
8
7
4 5
GAAB Recommended Set
for pediatric neurosurgery / minimally invasive intracranial endoscopy in
ventricles and cysts
1 28162 AMA
2 28162 CS
3
4
5
6
7
8
28160
11161
11161
28160
28162
28161
28160 TVL
KA
KA
KB
EK
FL
SG
GAAB Neuroscope 6º,
autoclavable, diameter 3.8 mm, working length 21 cm,
for use with Operating Sheath 28162 CS
Operating Sheath, graduated, outer diameter 4.5 mm, working length 20 cm,
with blunt Obturator 28162 CSO
Coagulation Electrode, unipolar, flexible, diameter 1 mm, working length 53 cm
Biopsy Forceps, flexible, double action jaws, diameter 1 mm, length 60 cm
Grasping Forceps, flexible, double action jaws, diameter 1 mm, length 60 cm
Scissors, single action jaws, diameter 1.3 mm, working length 34 cm
Biopsy Forceps, double action jaws, diameter 1.3 mm, working length 30 cm
Grasping Forceps, double action jaws, diameter 1.3 mm, working length 30 cm
Forceps, for ventriculostomy, flexible, double action jaws, diameter 1 mm,
working length 60 cm
(not illustrated)
Recommended container for sterilization:
Angled Telescope: 39501 XKN
Instrument: 39360 AK
Please note:
The use of Balloon Catheter 28162 SB with diameter 0.7 mm is also recommended.
Notes
6 7
Notes
It is recommended to check the suitability of the product for the intended procedure prior to use.
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96022004 NEURO 4-5 07/2014/EW-E
KARL STORZ GmbH & Co. KG
Mittelstraße 8, 78532 Tuttlingen, Germany
Postbox 230, 78503 Tuttlingen, Germany
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