Hospital Electronics

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.

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.

Designed for the Procedure for Prolapse and Hemorrhoids (PPH), the PROXIMATE PPH Hemorrhoidal Circular Stapler Set includes the 33mm Hemorrhoidal Circular Stapler, Suture-Threader, Circular Anal Dilator, and Purse-String Suture Anoscope. A minimally invasive surgical approach, called Procedure for Prolapse and Hemorrhoids (PPH) may help patients recover from hemorrhoid surgery faster with less pain when compared to conventional hemorrhoidectomy procedures. As with any surgical procedure, PPH may present risks.

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.

ETHICON SECURESTRAP® Absorbable Strap Fixation Device Market-leading fixation device provides superior acute fixation at various deployment angles. Allows for appropriate tissue capture and penetration to provide superior acute fixation holding at various deployment angles. Superior Acute Fixation at Various Angles Appropriate tissue capture and penetration for secure acute fixation at multiple angles. The device has a unique, absorbable “strap” design uses 2 points of fixation to straddle mesh pores and fibers. The low-profile strap, minimal surface area leaves minimal foreign material exposed to viscera. Superior Acute Holding at Various Angles Each strap deploys with equivalent force, providing reliability. At 45 and 30 degrees, ETHICON SECURESTRAP™ Fixation Device has a statistically significant difference in median holding strength compared with AbsorbaTack (P<0.05). At 90, 45, and 30 degrees, ETHICON SECURESTRAP™ Fixation Device has a statistically significant difference in median holding strength compared with SorbaFix (P<0.05). Minimal to No Pain Proven to get patients back to their lives with minimal to no pain. ETHICON SECURESTRAP® Absorbable Strap Fixation Device is shown in a preliminary study of patients from the International Hernia Mesh Registry (IHMR) to be safe and to provide an improvement in pain levels compared to baseline level. Shown to be safe with improved symptomatic pain levels and movement limitations in the same 12-month follow-up IHMR study.

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

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

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

Trocar Seal Versasea™ RT 5 mm OD VERSAPORT, RT W/SEAL 5MM (6/BX)

Laparascopic Applier Endo Clip™ APPLICATOR, ENDO CLIP PISTOL GRIP TITANIUM 10MM ‣ Single use clip applier with large super Interlock™ titanium clips ‣ Pistol Grip ‣ Endo Clip™ 10 mm pistol grip single use clip applier with Super Interlock™ titanium clips ‣ Super Interlock™ clips ‣ Cholangio-zone feature allows partial closing and release of clip ‣ Surgeon-controlled clip loading allows placement of clip in jaw only when instrument is ready to be fired ‣ Glare-resistant shaft and black jaw with clear clip window ‣ Safety-interlock handle design ‣ Long 33 cm shaft ‣ More secure fixation of clip to tissue provides greater ligation security ‣ Facilitates cholangiograms by securing catheter in cystic duct while allowing for dye administration and later clip removal ‣ Helps prevent dropped or mis-aligned clips during instrument exchange or tissue manipulation ‣ Matte black (or gray) shaft minimizes endoscope glare, while clear window allows visibility of the clips left in cartridge ‣ Prevents damage to tissue by preventing jaw closure when instrument is empty ‣ Provides improved access to structures in larger patients

Applier Endo-Clip™ II ENDO CLIP II MED/LG ‣ Super Interlock™ clips ‣ “Cholangio-zone" feature allows partial closing and release of clip ‣ “Surgeon-controlled" clip loading allows placement of clip in jaw only when instrument is ready to be fired ‣ Glare-resistant shaft and black jaw with clear clip window ‣ Safety-interlock handle design ‣ More secure fixation of clip to tissue provides greater ligation security. ‣ Facilitates cholangiograms by securing catheter in cystic duct while allowing for dye administration and later clip removal ‣ Helps prevent dropped or mis-aligned clips during instrument exchange or tissue manipulation ‣ Matte black (or gray) shaft minimizes endoscope glare, while clear window allows visibility to number of clips left in cartridge ‣ Prevents damage to tissue by preventing jaw closure when instrument is empty

Covidien Autosuture Versaport Plus 5mm-11mm Fixation Cannula 3 per box, single use trocar fixation sleeve

COVIDIEN 177990 - VERSAPORT AUTO SUTURE SINGLE USE TROCAR SLEEVE 5MM

Covidien Versaport Auto Suture V2 Blated RT Obturator 5mm

COVIDIEN 179305 - THORCAPORT AUTO SUTURE SINGLE USE TROCAR WITH NON-CONDUCTIVE SLEEVE 5.5MM

COVIDIEN VERSAONE BLADELESS TROCAR WITH FIXATION CANNULA 12MM LONG

‣ 45mm Articulating medium/thick reload with Tri-Staple™ Technology ‣ Tri-Staple™ Technology provides varied-height staples (two triple-staggered, height-progressive rows of titanium staples) ‣ Purple Reloads: Two triple-staggered, height-progressive rows of 3.0mm, 3.5mm and 4.0mm titanium staples ‣ Purple Reloads are intended to be used on medium/thick tissues that compress to between 1.5 and 2.25mm thickness

‣ Medium/thick tissue purple reload can be introduced through a 12mm port ‣ Forward/Backward compatibility with Endo GIA Universal and Endo GIA Ultra Universal staplers ‣ Fixed anvil and larger anvil buckets ‣ Stepped cartridge face

‣ 60 mm Vascular/Medium reload with Tri-Staple™ Technology ‣ Covidien’s Tri-Staple™ Technology provides Endo GIA™ reloads with outstanding performance across a broader range of tissue thickness, thereby simplifying the cartridge selection process ‣ Tri-Staple™ Technology provides varied-height staples (two triple-staggered, height-progressive rows of titanium staples) ‣ All Endo GIA™ Reloads with Tri-Staple™ Technology provide articulation at the wrist

‣ Covidien’s Tri-Staple™ Technology provides Endo GIA™ reloads with outstanding performance across a broader range of tissue thickness, thereby simplifying the cartridge selection process ‣ Combines an ergonomic design, precise articulation, and one-handed grasping, for increased versatility enhancing the user experience ‣ Unique curved tip reload (with optional flexible introducer) provides surgeons with enhanced direct visualization, facilitates access to the surgical site, and the ability to dissect and manipulate tissue and vessels in various challenging stapling applications ‣ Unique black reloads enable surgeons to confidently and consistently staple in extra thick tissue applications previously beyond the indications of any MIS stapler

LS1020 The LigaSure Atlas™ hand switching instrument is a blunt tip vessel sealer and divider, featuring a 20cm shaft for use in open procedures. ‣ Length: 20cm ‣ Shaft Diameter: 10mm ‣ Shaft Rotation: <359° ‣ Jaw Angle: Straight, Bilateral, Blunt ‣ Seal Length: 22mm ‣ Cut Length: 20mm ‣ Generator: ForceTriad™ Energy Platform and LigaSure™ Vessel Sealing System

LF4418 (Updated version of LF4318) ‣ Length: 18cm ‣ Shaft Diameter: 13.5mm (Oval) ‣ Shaft Rotation: 180° ‣ Jaw Design: Curved, 14° ‣ Seal Length: 36mm ‣ Cut Length: 34mm ‣ Generator Compatability: Valleylab FT10, ForceTriad Energy Platform ‣ Sealer / Divider ‣ Hand Switching or Foot Switching Improves procedural flow Compared to the LF4318, the nonstick coating on the LigaSure Impact™ jaws: ‣ Reduces sticking and eschar buildup ‣ Results in fewer cleanings ‣ Makes cleaning more efficient ‣ Enables greater procedural efficiency

LS1037 ‣ Length: 37cm ‣ Shaft Diameter: 10mm ‣ Shaft Rotation: <359° ‣ Jaw Angle: Straight, Blunt ‣ Seal Length: 22mm ‣ Cut Length: 2mm ‣ Generator: ForceTriad™ Energy Platform ‣ Sealer/Divider ‣ Single Use ‣ Hand Switching or Foot Switching