Endoscopy Equipment

ETHICON B5ST ENDOPATH XCEL TROCAR: BLADELESS TROCAR WITH STABILITY SLEEVE 5MM - 75MM

Optical Entry • Visualization is optically guided by a 0° endoscope • Enables visualization of tissue layers during insertion Durable Universal Seal • No reducer caps needed • Maintains insufflation • Accommodates a wide range of instrument sizes (4.7mm to 12.9mm) Funnel Lead-In • Enables smooth, one-handed instrument exchange Release Lever • Unlocks housing to facilitate large specimen removal Camera Scope-Locking Tab • Holds camera locked in place during visually guided entry • Helps provide visual clarity and protects camera from scratching or falling out Recessed Stopcock Valve • Mitigates inadvertent opening/closing of valve during surgery Low-Profile Housing • Enables further instrument reach Integrated Stability Thread Design • Maximizes abdominal wall retention for minimal trocar slip-outs Bladeless Optical Tip • Reduced need for fascial closure • May result in a low port site herniation rate • Separates, rather than cuts, along tissue fibers, pushing tissue and vessels away • Reduced risk of abdominal wall vasculature injuries with bleeding complications

Reliable. Secure. Consistent. Improved performance. The enhanced LIGACLIP Endoscopic Rotating Multiple Clip Applier maintains expected tissue effects and ease of use through its: enhanced end effector which reduces dropped clips and clip scissoring extended lower shroud supports good clip formation, and rotating knob enables 360-degree rotation and one-handed use. Superior Jaw Security Stronger jaws for better clip formation. With 35% stronger jaws, the LIGACLIP Endoscopic Rotating Multiple Clip Applier provides better clip formation and better in-jaw clip security. Superior Clip Formation Reduced clip scissoring for better ligation. By offering 85% reduction in clip scissoring, use of LIGACLIP Endoscopic Rotating Multiple Clip Applier results in superior on-vessel clip performance. Tip Cover Designed for Better Protection Refreshed design allows for easier removal, more secure shipping. The new, vinyl-free tip cover of the LIGACLIP Endoscopic Rotating Multiple Clip Applier is designed to offer better protection during shipping and easier removal during device preparation.

Karl Storz H3Z Camera Head (222200-55)

The VP8500 Cart provides a platform for high definition or standard definition equipment. It has five adjustable 14" shelves, stainless steel arms, HD-SDI outlet for auxiliary monitor, CO2 tank holder, lockable rear doors as well as a 15'' retractable cord reel and built in isolation transformer. NOTE: Item has been used previously and shows signs of cosmetic wear. Unit appears to function as intended. No further testing can be conducted. Item being sold AS-IS.

60mm Stapler (Standard) Staple Technology: B-Form Device Technology: Natural Articulation Size: 60mm Length: 34cm Max Firings: 12 Category: Surgical Stapling

ECHELON ENDOPATH™ 35mm White (Vascular) Reload Staple Technology: B-Form Device Technology: Natural Articulation Size: 35mm Color: WHITE Staple Rows: 4 Tissue Thickness: Vascular/Thin Open Staple Height: 2.5mm Closed Staple Height: 1.0mm Category :Surgical Stapling QTY/BX: 12

TCR75 Reload for Proximate Stapler TLC75 Color: Blue Staple Line Length: 75mm Stapled Rows: 4 Tissue: Regular Open Staple Height: 3.81mm Closed Staple Height: 1.5mm

Ethicon's line of Endo-Surgery Linear Cutter Cartridge Reloads are available in 55 and 75 mm size options. There are 6 stapled rows per cartridge and work with regular to thick tissue. Features: - Cartridge Reloads only - Selectable Reload Specification: - Staple Technology: 3D - Device Technology: Selectable Staple Height - Size: 55 and 75 mm available - Tissue Thickness: Regular/Thick - Open Staple Height: 4.4mm - Closed Staple Height: 1.5mm, 1.8mm, 2.0mm - Wire Diameter: 0.23mm - Number of stapled rows: 6

A better grip on movement. Now experience less tissue slippage during firing with the ECHELON FLEX GST System. Only the ECHELON FLEX GST System with the combination of the new ECHELON FLEX Powered Plus Stapler used with proprietary Reloads with GST gives you the following results: • 4x less tissue slippageduring firing compared to Endo GIA Reloads with Tri-Staple Technology for unsurpassed staple formation. •Transect the tissue you intended the first time with a more targeted tissue transection with each firing. • May eliminate 1 reload per procedure due to less tissue slippage during firing. • Only system to provide a uniform closed staple height, now across a range of tissue thicknesses with each reload. • Exclusive reloads with Gripping Surface Technology, offering a proprietary ridged surface to provide a superior grip that holds tissue in place during firing. • The ECHELON FLEX GST System is built on the stability of a powered firing, allowing 88% less movement at the end effector and potentially less trauma to adjacent tissues. ECHELON FLEX Powered ENDOPATH Stapler 45mm and 60mm Compression with Stability. Power with Control. Enhanced system-wide compression • Only powered endocutter with enhanced system-wide compression. • Delivers consistent, properly formed staples across the entire length of the staple line by maintaining a uniform gap in the jaws from proximal end to distal tip. Powered, controlled firing for enhanced stability. Stability on or near vital structures. • Virtually effortless firing minimizes movement of distal tip. Stability in thick tissue • Allows the surgeon to reduce movement at the end effector by at least 63% duringtransection of thick tissue. • Ensures smooth, consistent firing even in thick tissue and at awkward angles. Surgeon-controlled power • Surgeon can pause or reverse firing at any time during the transection (therewill always be staples beyond the cut line when blade is reversed). • Only powered endocutter with a dual safety system that includes a manual override system. • Manual closure allows precise placement on target tissue and provides tactile feedback asthe device is closed. • Effortless firing, natural articulation, and ergonomic handle design enable true one-handed use. Efficient inventory management • Same wide range of cartridges as all ECHELON ENDOPATH Staplers. Responsible power • Reliability: Disposable batteries ensure full power for the case. • Environmental responsibility: Battery pack does not contain heavy metals and is considered nonhazardous waste at time of final disposal. • Cost control and convenience: No capital purchase or hassles with extra setup, disposal, recharging equipment, or hospital sterilization processes.

Curved tip Ultrasonic shears Refined Blade Design Curved blade designed to enable visibility and fine dissection. The refined blade design includes a tapered tip with a proprietary, nonstick coating to enable fast, precise dissection. Designed to Outperform the Competition Strong, secure sealing in vessel sizes up to and including 7mm diameter. The median burst pressures of HARMONIC ACE+7 Shears in Advanced Hemostasis mode were higher than competitors. Adaptive Tissue Technology Provides superior heat management. Adaptive Tissue Technology enables greater surgical precision and performance by dynamically optimizing energy delivery in response to changing tissue conditions.

Control Tissue Slippage During Firing 4x less tissue slippage for the most precise transection. Uniquely designed for better grip to provide the least tissue slippage for the most precise transection. Proprietary Gripping Surface Technology provides superior tissue grip without additional trauma during firing. This means you can transect more of the tissue you intended - especially in very thick tissue - with each firing. 7x More Likely to Fully Capture Mucosa Better mucosal capture for improved leak resistance. Better mucosal capture improves staple line integrity and leak resistance, and promotes optimal conditions for tissue healing. By controlling tissue movement, the ECHELON FLEX GST System more consistently captures both layers of mucosa in the staple line. Exceptional Staple Line Integrity Reliability across the broadest range of tissue thicknesses. Surgeon-controlled stapling delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing. Performance for Robotic Procedures In thick tissue testing, 0 occurrence of compromised staple line integrity§ The ECHELON FLEX GST System delivers superior staple line integrity for robotic procedures compared to EndoWrist® Stapler. In thick tissue, EndoWrist® Stapler 45 required multiple clamp attempts, produced 3x more malformed staples and had a significantly higher occurrence of compromised staple line integrity.

Control Tissue Slippage During Firing 4x less tissue slippage for the most precise transection. Uniquely designed for better grip to provide the least tissue slippage for the most precise transection. Proprietary Gripping Surface Technology provides superior tissue grip without additional trauma during firing. This means you can transect more of the tissue you intended - especially in very thick tissue - with each firing. 7x More Likely to Fully Capture Mucosa Better mucosal capture for improved leak resistance. Better mucosal capture improves staple line integrity and leak resistance, and promotes optimal conditions for tissue healing. By controlling tissue movement, the ECHELON FLEX GST System more consistently captures both layers of mucosa in the staple line. Exceptional Staple Line Integrity Reliability across the broadest range of tissue thicknesses. Surgeon-controlled stapling delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing. Performance for Robotic Procedures In thick tissue testing, 0 occurrence of compromised staple line integrity§ The ECHELON FLEX GST System delivers superior staple line integrity for robotic procedures compared to EndoWrist® Stapler. In thick tissue, EndoWrist® Stapler 45 required multiple clamp attempts, produced 3x more malformed staples and had a significantly higher occurrence of compromised staple line integrity.

Control Tissue Slippage During Firing 4x less tissue slippage for the most precise transection. Uniquely designed for better grip to provide the least tissue slippage for the most precise transection. Proprietary Gripping Surface Technology provides superior tissue grip without additional trauma during firing. This means you can transect more of the tissue you intended - especially in very thick tissue - with each firing. 7x More Likely to Fully Capture Mucosa Better mucosal capture for improved leak resistance. Better mucosal capture improves staple line integrity and leak resistance, and promotes optimal conditions for tissue healing. By controlling tissue movement, the ECHELON FLEX GST System more consistently captures both layers of mucosa in the staple line. Exceptional Staple Line Integrity Reliability across the broadest range of tissue thicknesses. Surgeon-controlled stapling delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing. Performance for Robotic Procedures In thick tissue testing, 0 occurrence of compromised staple line integrity§ The ECHELON FLEX GST System delivers superior staple line integrity for robotic procedures compared to EndoWrist® Stapler. In thick tissue, EndoWrist® Stapler 45 required multiple clamp attempts, produced 3x more malformed staples and had a significantly higher occurrence of compromised staple line integrity.

Control Tissue Slippage During Firing 4x less tissue slippage for the most precise transection. Uniquely designed for better grip to provide the least tissue slippage for the most precise transection. Proprietary Gripping Surface Technology provides superior tissue grip without additional trauma during firing. This means you can transect more of the tissue you intended - especially in very thick tissue - with each firing. 7x More Likely to Fully Capture Mucosa Better mucosal capture for improved leak resistance. Better mucosal capture improves staple line integrity and leak resistance, and promotes optimal conditions for tissue healing. By controlling tissue movement, the ECHELON FLEX GST System more consistently captures both layers of mucosa in the staple line. Exceptional Staple Line Integrity Reliability across the broadest range of tissue thicknesses. Surgeon-controlled stapling delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing. Performance for Robotic Procedures In thick tissue testing, 0 occurrence of compromised staple line integrity§ The ECHELON FLEX GST System delivers superior staple line integrity for robotic procedures compared to EndoWrist® Stapler. In thick tissue, EndoWrist® Stapler 45 required multiple clamp attempts, produced 3x more malformed staples and had a significantly higher occurrence of compromised staple line integrity.

Control Tissue Slippage During Firing 4x less tissue slippage for the most precise transection. Uniquely designed for better grip to provide the least tissue slippage for the most precise transection. Proprietary Gripping Surface Technology provides superior tissue grip without additional trauma during firing. This means you can transect more of the tissue you intended - especially in very thick tissue - with each firing. 7x More Likely to Fully Capture Mucosa Better mucosal capture for improved leak resistance. Better mucosal capture improves staple line integrity and leak resistance, and promotes optimal conditions for tissue healing. By controlling tissue movement, the ECHELON FLEX GST System more consistently captures both layers of mucosa in the staple line. Exceptional Staple Line Integrity Reliability across the broadest range of tissue thicknesses. Surgeon-controlled stapling delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing. Performance for Robotic Procedures In thick tissue testing, 0 occurrence of compromised staple line integrity§ The ECHELON FLEX GST System delivers superior staple line integrity for robotic procedures compared to EndoWrist® Stapler. In thick tissue, EndoWrist® Stapler 45 required multiple clamp attempts, produced 3x more malformed staples and had a significantly higher occurrence of compromised staple line integrity.

Control Tissue Slippage During Firing 4x less tissue slippage for the most precise transection. Uniquely designed for better grip to provide the least tissue slippage for the most precise transection. Proprietary Gripping Surface Technology provides superior tissue grip without additional trauma during firing. This means you can transect more of the tissue you intended - especially in very thick tissue - with each firing. 7x More Likely to Fully Capture Mucosa Better mucosal capture for improved leak resistance. Better mucosal capture improves staple line integrity and leak resistance, and promotes optimal conditions for tissue healing. By controlling tissue movement, the ECHELON FLEX GST System more consistently captures both layers of mucosa in the staple line. Exceptional Staple Line Integrity Reliability across the broadest range of tissue thicknesses. Surgeon-controlled stapling delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing. Performance for Robotic Procedures In thick tissue testing, 0 occurrence of compromised staple line integrity§ The ECHELON FLEX GST System delivers superior staple line integrity for robotic procedures compared to EndoWrist® Stapler. In thick tissue, EndoWrist® Stapler 45 required multiple clamp attempts, produced 3x more malformed staples and had a significantly higher occurrence of compromised staple line integrity.

Control Tissue Slippage During Firing 4x less tissue slippage for the most precise transection. Uniquely designed for better grip to provide the least tissue slippage for the most precise transection. Proprietary Gripping Surface Technology provides superior tissue grip without additional trauma during firing. This means you can transect more of the tissue you intended - especially in very thick tissue - with each firing. 7x More Likely to Fully Capture Mucosa Better mucosal capture for improved leak resistance. Better mucosal capture improves staple line integrity and leak resistance, and promotes optimal conditions for tissue healing. By controlling tissue movement, the ECHELON FLEX GST System more consistently captures both layers of mucosa in the staple line. Exceptional Staple Line Integrity Reliability across the broadest range of tissue thicknesses. Surgeon-controlled stapling delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing. Performance for Robotic Procedures In thick tissue testing, 0 occurrence of compromised staple line integrity§ The ECHELON FLEX GST System delivers superior staple line integrity for robotic procedures compared to EndoWrist® Stapler. In thick tissue, EndoWrist® Stapler 45 required multiple clamp attempts, produced 3x more malformed staples and had a significantly higher occurrence of compromised staple line integrity.

Control Tissue Slippage During Firing 4x less tissue slippage for the most precise transection. Uniquely designed for better grip to provide the least tissue slippage for the most precise transection. Proprietary Gripping Surface Technology provides superior tissue grip without additional trauma during firing. This means you can transect more of the tissue you intended - especially in very thick tissue - with each firing. 7x More Likely to Fully Capture Mucosa Better mucosal capture for improved leak resistance. Better mucosal capture improves staple line integrity and leak resistance, and promotes optimal conditions for tissue healing. By controlling tissue movement, the ECHELON FLEX GST System more consistently captures both layers of mucosa in the staple line. Exceptional Staple Line Integrity Reliability across the broadest range of tissue thicknesses. Surgeon-controlled stapling delivers closed staple height formation reliability through a proprietary combination of multi-stage compression, powered firing and Gripping Surface Technology, including stronger internal reload components and redesigned staple geometry to mitigate the amount and effect of tissue slippage during firing. Performance for Robotic Procedures In thick tissue testing, 0 occurrence of compromised staple line integrity§ The ECHELON FLEX GST System delivers superior staple line integrity for robotic procedures compared to EndoWrist® Stapler. In thick tissue, EndoWrist® Stapler 45 required multiple clamp attempts, produced 3x more malformed staples and had a significantly higher occurrence of compromised staple line integrity.

Reliable. Secure. Consistent. Improved performance. The enhanced LIGACLIP Endoscopic Rotating Multiple Clip Applier maintains expected tissue effects and ease of use through its: enhanced end effector which reduces dropped clips and clip scissoring extended lower shroud supports good clip formation, and rotating knob enables 360-degree rotation and one-handed use. Superior Jaw Security Stronger jaws for better clip formation. With 35% stronger jaws, the LIGACLIP Endoscopic Rotating Multiple Clip Applier provides better clip formation and better in-jaw clip security. Superior Clip Formation Reduced clip scissoring for better ligation. By offering 85% reduction in clip scissoring, use of LIGACLIP Endoscopic Rotating Multiple Clip Applier results in superior on-vessel clip performance. Tip Cover Designed for Better Protection Refreshed design allows for easier removal, more secure shipping. The new, vinyl-free tip cover of the LIGACLIP Endoscopic Rotating Multiple Clip Applier is designed to offer better protection during shipping and easier removal during device preparation.

Proper formation & unique clip design means on-structure clip security. Axial & lateral clip grooves minimize the risk of clip migration, increasing the force to remove the clip from a structure compared to a smooth clip. Superior Clip, Superior Clip Security No other leading clip applier provides more in-jaw clip retention/security. LIGAMAX 5 Endoscopic Clip Applier is engineered for reliable clip engagement and retention by remaining in contact throughout the duration of the firing cycle. Additional stability is provided by the jaws for three points of contact. Clips That Stay in Place Greater in-jaw clip retention to reduce/mitigate clip dislodgement. LIGAMAX 5 Endoscopic Clip Applier provides greater in-jaw clip retention than all other leading 5mm clip appliers to reduce/mitigate clip dislodgement. Clips that stay in place during surgical maneuvering while positioning the jaws around a structure have a better chance of forming properly when fired.

Echelon Endopath Staplers are sterile, single-patient-use instruments that deliver staples while simultaneously dividing tissue between rows. The Echelon Staplers are offered with staple cartridge lengths of 60mm and 45mm, and come in long or compact shaft lengths. Echelon Endopath Staplers with gray, white, blue, gold, and green reloads deliver six staggered rows of staples with a single cut line in-between. A safety lock-out feature in the Ethicon reloads is designed to prevent a used reload from being re-fired. A staple retaining cap on the Echelon reload, protects the staple leg points during shipping and transportation. All Echelon Endopath Cartridges are compatible only within the Echelon Endopath Family of Staplers (EXPIRED)

Echelon Endopath Staplers are sterile, single-patient-use instruments that deliver staples while simultaneously dividing tissue between rows. The Echelon Staplers are offered with staple cartridge lengths of 60mm and 45mm, and come in long or compact shaft lengths. Echelon Endopath Staplers with gray, white, blue, gold, and green reloads deliver six staggered rows of staples with a single cut line in-between. A safety lock-out feature in the Ethicon reloads is designed to prevent a used reload from being re-fired. A staple retaining cap on the Echelon reload, protects the staple leg points during shipping and transportation. All Echelon Endopath Cartridges are compatible only within the Echelon Endopath Family of Staplers

Echelon Endopath Staplers are sterile, single-patient-use instruments that deliver staples while simultaneously dividing tissue between rows. The Echelon Staplers are offered with staple cartridge lengths of 60mm and 45mm, and come in long or compact shaft lengths. Echelon Endopath Staplers with gray, white, blue, gold, and green reloads deliver six staggered rows of staples with a single cut line in-between. A safety lock-out feature in the Ethicon reloads is designed to prevent a used reload from being re-fired. A staple retaining cap on the Echelon reload, protects the staple leg points during shipping and transportation. All Echelon Endopath Cartridges are compatible only within the Echelon Endopath Family of Staplers