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AESCULAP® NEUROENDOSCOPY

AESCULAP® NEUROENDOSCOPY
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AESCULAP® NEUROENDOSCOPY

Product catalog summary
Introduction to AESCULAP® Neuroendoscopy: The document discusses advancements in neuroendoscopy and minimally invasive neurosurgery, emphasizing the role of improved preoperative imaging and surgical instrumentation. These advancements enable the treatment of more complex pathologies with less invasive approaches, reducing trauma and improving postoperative outcomes.
Historical Context: The philosophy of minimally invasive surgery, as emphasized by William Halsted in 1924, is reiterated, focusing on minimizing iatrogenic trauma while maximizing surgical efficiency.
Product Line Overview: AESCULAP's current product line for neurosurgery applications is presented, with detailed instructions available online.
Expert Commentary: International experts provide insights and recommendations on the use of endoscopic equipment in minimally invasive neurosurgery.
Intraventricular Neuroendoscopy: The MINOP® Intraventricular Neuroendoscopic System is detailed, highlighting its benefits in treating conditions like non-communicating hydrocephalus and pineal region tumors. The importance of training and familiarity with the technology is emphasized for successful implementation.
MINOP® Trocars and Endoscopes: Specifications for various trocars and endoscopes are provided, including dimensions, channels, and features designed to enhance safety and practicality during procedures.
Tube Shaft Instruments: Details on the MINOP® tube shaft instruments are given, focusing on their rotational capabilities and tactile feedback for improved precision and safety during surgery.
Maintenance and Care: Instructions for the disassembly, cleaning, and maintenance of the instruments are provided to ensure longevity and optimal performance.
Conclusion: The document concludes with a note on the importance of careful handling and maintenance of the delicate instruments to reduce wear and tear.
Overview of MINOP® Systems: The document provides detailed information on the MINOP® InVent and MINOP® TEAM systems, which are advanced tools for intraventricular and transcranial endoscope-assisted microneurosurgery. These systems are designed to enhance surgical precision and minimize patient trauma through minimally invasive techniques.
Specifications: Various instruments and their specifications are listed, including micro scissors, grasping forceps, biopsy forceps, and suction cannulas, designed for specific surgical tasks and available in different sizes and configurations.
Procedures: The importance of using microscopes and endoscopes in keyhole neurosurgery is emphasized to provide enhanced visualization and illumination of the surgical field, allowing for precise surgical dissection with minimal trauma.
Norms and Recommendations: The necessity of using dedicated microneurosurgical instruments, such as microdrills, micropunches, and retractors, is highlighted to achieve optimal surgical outcomes. The importance of sterilization and proper storage of instruments is also stressed.
Endoscope-Assisted Microneurosurgery: The advantages of using endoscopes in neurosurgery are discussed, such as increased light, extended viewing angles, and better anatomical detail visualization, with testimonials from surgeons who have successfully used these tools.
Instrument Design and Features: The design features of the instruments are described, such as narrow tubular shafts for increased movement freedom, angled bayonet shapes for enhanced sight, and Noir® coating to reduce light reflections, intended to improve surgical precision and ease of use.
Conclusion: The MINOP® systems are presented as essential tools for modern neurosurgery, offering advanced capabilities for minimally invasive procedures. The document underscores the importance of teamwork between the microscope, endoscope, and surgical instruments to achieve the best patient outcomes.
Overview of Surgical Instruments: Detailed specifications and descriptions of various surgical instruments used in transcranial endoscope-assisted microneurosurgery and transnasal neuroendoscopy are provided, including bipolar forceps, suction cannulas, brain spatulas, bone punches, and endoscopic systems.
1. Bipolar Forceps: Available in different working lengths and total lengths, designed for electrosurgical procedures with AESCULAP® tab connectors.
2. Suction Cannulas: Fukushima suction cannulas feature a teardrop-shaped thumb control and are malleable for individual forming, available in various lengths and diameters.
3. Brain Spatulas: Noir® coated brain spatulas are malleable with a smooth surface and rounded edges to reduce light reflections, available in multiple sizes.
4. Bone Punches: Kerrison detachable bone punches have a jaw position of 130° and are available in various shaft lengths and widths, designed for pituitary and skull base surgeries.
5. Transnasal Endoscopic System: The MINOP® TREND system includes trocars, handles, and accessories for transnasal procedures, with endoscopes available with 0° and 30° viewing angles.
6. Additional Instruments: Includes various curettes, enucleators, micro hooks, and dissectors with different angles and neck lengths, as well as specula and punches for transsphenoidal and sinus surgeries.
Conclusion: The document provides comprehensive information on the specifications, features, and applications of surgical instruments used in advanced neurosurgical procedures, emphasizing the importance of ergonomic design and high-quality visualization for effective surgical outcomes.
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Catalog excerpts

AESCULAP® NEUROENDOSCOPY-1

SHARING EXPERTISE With comments from international experts in the field of neuroendoscopy and minimally invasive neurosurgery.

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AESCULAP® NEUROENDOSCOPY-2

AESCULAP® NEUROENDOSCOPY In this catalog you will find our current product line for various applications in neurosurgery. For the individual intended use of each product, please refer to the respective instructions for use under: https://eifu.bbraun.com. In 1924, the famous general and neurological surgeon William Halsted expressed his belief “…that the tendency will always be in the direction of exercising greater care and refinement in operating”. Today, within the third millennium this fundamental philosophy of minimally invasive therapy should be emphasized more than ever before, operating...

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AESCULAP® NEUROENDOSCOPY-3

Michael Fritsch Neubrandenburg, Germany Jeremy Greenlee Iowa City, USA André Grotenhuis Nijmegen, Netherlands Peter Nakaji Phoenix, USA Mark Souweidane New York, USA Charles Teo Sydney, Australia skin incision, the craniotomy, and the extent of brain surface traumatization and retraction to a necessary minimum limit. These advantages of minimally invasive microsurgery contribute to improved postoperative results, including shorter hospitalization time because of reduction of the risk for complications. However, small sized minimally invasive approaches cause two important limitations: the significant...

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AESCULAP® NEUROENDOSCOPY-5

- Intraventricular Neuroendoscopy - MINOP® 8 - Paediatric Intraventricular Neuroendoscopy - PaediScope® 22 - Advanced Intraventricular Neuroendoscopy - MINOP® InVent 26 Endoscope-assisted Microneurosurgery - MINOP® TEAM 38 Transnasal Neuroendoscopy - MINOP® TREND 68

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AESCULAP® NEUROENDOSCOPY-7

INTRAVENTRICULAR NEUROENDOSCOPY

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AESCULAP® NEUROENDOSCOPY-8

MINOP ® Intraventricular Neuroendoscopic System Minimally Invasive Neuroendoscopic OPeration

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AESCULAP® NEUROENDOSCOPY-9

The genesis of endoscopic surgery within the ventricular compartment can be attributed to the development of small caliber rod lens optics, fiberoptic light transmission and dedicated instrumentation. Since the advent of intraventricular endoscopic surgery, neurosurgeons have applied the technology to treat a number of disorders. While the enthusiasm has been great and the full potential not yet realized, a major benefit to the patient has been proven for selected conditions. Most notably the treatment of non-communicating hydrocephalus, management of patients with pineal region tumors, fenestration...

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AESCULAP® NEUROENDOSCOPY-10

Rounded tip for less traumatic insertion into the brain Single obturator for working channel enables insertion of the trocar under visual control, with the 0° endoscope Large depth scale on the outer shaft of the trocar Conical entry of the working channel supporting the insertion of instruments into the trocar Attachment on top of the trocar for connection of peripheral devices MINOP® trocar ■ Endoscope channel, diam. 2.8 mm ■ Working channel, diam. 2.2 mm ■ Irrigation channel, diam. 1.4 mm ■ Overflow channel, diam. 1.4 mm ■ 3 obturators for all channels and 1 single obturator for the working...

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AESCULAP® NEUROENDOSCOPY-11

FF398RMINOP® trocarOuter diam. 4.6 mm3 channels: ■ Endoscope channel, diam. 2.8 mm ■ Irrigation channel, diam. 0.8 mm ■ Overflow channel, diam. 0.8 mm ■ 1 obturator for the endoscope channel ■ 3 sealing caps for Luer-Lock connector rroa/r\ endoscope channel, 2.8 mm 1 channel: ■ Endoscope channel: diam. 2.8 mm Including: ■ 1 obturator for endoscope channel ■ 1 sealing cap for Luer-Lock connector

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AESCULAP® NEUROENDOSCOPY-12

MINOP® Intraventricular Neuroendoscopic System - Spare Parts for Trocars PF893800 Cleaning brush for MINOP® trocars FF398R and FF399R EJ751251 Sealing cap for Luer-Lock connector Sales unit: PAK = Package of 20 pieces EJ751200 Sealing cap for Luer-Lock connector Sales unit: ST = Package of 1 piece

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AESCULAP® NEUROENDOSCOPY-13

MINOP® Intraventricular Neuroendoscopic System - MINOP® Endoscopes Full HD compatible Optimized optical components leading to an enlarged image area, higher image quality, brightness and contrast Angled endoscope design for enhanced instrument maneuverability Autoclavable / Sterrad® PE184A MINOP® angled endoscope Direction of view: 0° (green ring) Shaft diam.: 2.7 mm PE204A MINOP® angled endoscope Direction of view: 30° upwards (red ring) Shaft diam.

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AESCULAP® NEUROENDOSCOPY-14

Tactile Feedback ■ Improved control during instrument insertion thanks to the integrated tactile feedback which delivers a noticeable resistance indicating that the instrument tip is emerging from the trocar ■ Smooth rotation of the instrument tip by turning the knob with the index finger leading to enhanced handling and precision during neuroendoscopic surgery "A very appealing feature of the MINOP tube shaft instruments is a rotational capability of the instrument tip through a coaxial system thus eliminating the need for hand rotation and reducing excessive movement of the endoscope. Irrespective...

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AESCULAP® NEUROENDOSCOPY-15

MINOP® Intraventricular Neuroendoscopic System - Tube Shaft Instruments Instrument complete: Handle · outer tube · jaw part with inner tube, detachable, including cleaning brush MINOP® scissors sharp / sharp MINOP® biopsy forceps MINOP® scissors blunt/blunt MINOP® grasping and dissecting forceps FF389R MINOP® surgical forceps, 1 x 2 teeth The very delicate MINOP® instruments should be carefully and completely detached and pre-cleaned manually at the end of the operation. Keeping them in dedicated baskets for sterilization protects the super-fine instrument tips. A careful handling by trained...

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AESCULAP® NEUROENDOSCOPY-16

MINOP® Intraventricular Neuroendoscopic System - Spare Parts for Tube Shaft Instruments FF432R MINOP® instrument handle, only FF433R MINOP® outer tube, only Scissors, jaw part with inner tube sharp / sharp Biopsy forceps, jaw part with inner tube Scissors, jaw part with inner tube blunt/blunt Grasping and dissecting forceps, jaw part with inner tube 2⁄1 Cleaning brush for tube shaft instruments without illustration Surgical forceps, jaw part with inner tube, 1 x 2 teeth For disassembly and assembly of MINOP® tube shaft instruments see poster no. C60911. Aesculap® Neuroendoscopy DISASSEMBLING...

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