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Richard Wolf
Surgery brochures B 920 TEM D GB VI10

Surgery brochures B 920 TEM D GB VI10

Product catalog summary

Overview of the TEM System

The Transanal Endoscopic Microsurgery (TEM) system is a modular, minimally invasive surgical platform designed for transanal procedures. It includes specialized optics, instruments, and accessories supporting both gas insufflation and gasless techniques, ensuring sterility and optimal surgical performance.

1. System Components and Instruments

Stereoscope and Optics: Autoclavable fixed and adjustable eyepieces with 13.8 mm diameter and 259 mm working length, offering 50° and 73° viewing angles.
Rectoscope Tubes: Available in lengths of 120 mm, 137 mm, and 200 mm with 40 mm diameter; include adapters with viewing windows and illumination inserts. Sealing inserts and caps accommodate instruments from 2.4 mm to 13.8 mm diameter.
Holding Arm: U-shaped arm with special clamping device for secure mounting on operating table rails.
Suction Tubes and HF Knives: Coagulation suction tubes curved right; HF knives available in right and left curved types, diameters 4-6 mm, lengths 30-47 mm.
Multifunction Forceps: HF forceps for tissue grasping and needle handling, various curved and angled designs, 405 mm length, 4.6 mm diameter.
Modular Scissors: "Metzenbaum" type with interchangeable jaw inserts, insulated sheaths, rotatable handles; monopolar and bipolar versions, 330-430 mm length, 5 mm diameter.
Needle Holders and Stapling Forceps: Designed for specific suture needles with irrigation taps and ejector functions; multiple units recommended per procedure.

2. Combination System and Accessories

TEM Combination System 2232: Includes Laparo CO2-Pneu and TEM pump, connecting cables, CO2 tubes, tubing sets, irrigation components, footswitch, sterile filters, and power cables.
Accessories: High-pressure connecting tubes with various connectors (DIN, Pin-Index, ISO) ranging from 500 mm to 5000 mm; disposable sterile tubing sets; CO2 bottle holders; spanners for assembly and maintenance.

3. Gasless TEM System

Designed for optimal illumination and direct vision without gas insufflation.
Includes rinsing and insufflation inserts (Ø 13.8 mm, 245 mm working length) compatible with CCD endocams and documentation telescopes.
Special inserts for tissue retraction and CO2 expansion.
Silicon sealing inserts with three valve ports for auxiliary instruments, autoclavable.
Accessories include U-shaped holding arms and coagulation suction tubes (Ø 6 mm, 470 mm length).

4. Technical Specifications and Usage Notes

All optical components and instruments are autoclavable for sterility.
Sealing caps are color-coded by instrument diameter to ensure proper sealing and compatibility.
Needle holders and forceps are optimized for specific suture needle types.
Power supplies operate on 100-230 V AC, 50/60 Hz, with power consumption of 80 VA (Laparo CO2-Pneu) and 30 VA (TEM pump).
Dimensions and weights of major components are provided for setup planning.

5. Best Practices and Recommendations

Use appropriate sealing caps and inserts to maintain insufflation and prevent gas leakage.
Ensure needle holders are compatible with recommended suture needles for optimal handling.
Regular sterilization of all reusable components is mandatory.
Secure the system to the operating table using the U-shaped arm and universal mounting block.
For gasless TEM, use specified inserts and accessories to maintain illumination and tissue retraction.

Instrument Specifications and Variants

Coagulation Suction Tube: 6 mm diameter, 470 mm length, curved right.
HF Knife: 4 mm diameter, 420 mm length, right and left curved versions.
HF Multifunction Forceps: 4.6 mm diameter, 405 mm length, multiple curvature and angle variants.
Metzenbaum Scissors: Curved left, double-action blades, 430 mm length.
Needle Holder: 4.6 mm diameter, 405 mm length, angled downwards with irrigation tap.
Suture Clip Forceps: 6 mm diameter, 405 mm length, straight, modular with irrigation and ejector functions; suture staples available in packs of 50.

Sealing Caps for Instruments

Available in different sizes and colors for instrument diameters ranging from 2.4 mm to 13.8 mm.
Color coding facilitates correct selection: red, blue, and grey caps for 15 mm and 17 mm outer diameter caps.

Mounting and Accessories

U-shaped arm with special clamping device and universal mounting block for operating table attachment.

Connecting Cables for HF Devices

Monopolar Cables: Lengths 3 m and 5 m, compatible with multiple HF devices featuring 4 mm connectors.
Bipolar Cables: Lengths 3 m and 5 m, compatible with various HF devices and designed for bipolar tweezers connection.

Additional Notes

The document is printed on chlorine-free bleached paper. Specifications are subject to change without notice. Contact details for Richard Wolf GmbH and their international presence are provided.

Catalog excerpts

Transanale endoskopische Mikrochirurgie Transanal endoscopic Microsurgery

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Transanal endoscopic Transanale endoskopische Suction Tube / Knife / Forceps / Scissors / Needle holder / Stapling Forceps Saugrohr / Messer / Pinzetten / Scheren / Nadelhalter / Klemmzange

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by Buess, Theiss, Hutterer nach Buess, Theiss, Hutterer with fixed eyepiece and adjustable eyepiece, mit feststehendem und verstellbarem Okularteil, Sterilisation and instrument storage basket

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Rectoscope Tubes Rectoscope tube, including obturator, Adapter with viewing window Working insert consisting of: working insert (8840.241), sealing insert (8840.242) and sealing caps (red 89.01, blue 89.02, grey 89.03, Spare parts: Silicon sealing insert (pack of 3) with 3 valve ports (2 valve ports for up to 6 mm auxiliary instruments) (1 valve port for 6-11 mm auxiliary instruments) Sealing caps*, outer 015 mm, Sealing caps*, outer 017 mm, Rektoskop-Tubus, einschl. Mandrin, bestehend aus: Arbeitseinsatz (8840.241), Dichteinsatz (8840.242) und Dichtungskappen* (rot 89.01, blau 89.02, grau 89.03,...

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U-förmiger Haltearm special clamping device. Also required: Universal mounting block for attachment Hierzu erforderlich:

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Suction Tube / Knives Saugrohr / Messer ^™ for fransanal endoscopie zur transanalen endoskopischen HF connecting cable seepage B 920.801 HF-Anschlusskabel siehe Seite B 920.801

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Multifunction Forceps Typen / Types nach unten gekröpft und rechts gebogen angled downwards and curved right nach unten gekröpft und links gebogen angled downwards and curved left rechts gebogen curved right links gebogen curved left For grasping tissue or for holding the needle Zum Fassen des Gewebes bzw. zur Übernahme der Nadel HF connecting cable see page B 920.801 HF-Anschlusskabel siehe Seite B 920.801

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Scissors, modular Scheren, modular Typen / Types "Metzenbaum" scissors HF connecting cable see page B 920.801 HF-Anschlusskabel siehe Seite B 920.801

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RICHARD rrpi Scissors, modular Schiere, modular Typen / Types Handgriff, drehbat Handle, rotatable Typen / Types "Metzenbaum" scissors HE connecting cable see page B 920.802 HF-Anschlusskabel Siene Seite B 920.802

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Surgery brochures B 920 TEM D GB VI10-10

Needle Holder Type / Type nach unten gekröpft, mit Spülanschluss Needle holder* angled downwards, with irrigation tap Type / Type Needle holder* Should be used with the needles Ethicon SH-1 • or Braun-Dexon, Maxon Nur Nadeln entsprechend Ethicon SH-1 • Oder Braun-Dexon, Maxon 3-0,

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Surgery brochures B 920 TEM D GB VI10-11

Retractable Needle / Stapling Forceps Versenkbare Nadel / Klemmzangel Type / Type Versenkbare Nadel Retractable needle Typen / Typen Klemmzange*, gerade, modular, mit Spülanschluss (inkl. Auswerfer fur Naht- Suture clip forceps* straight modular, with irrigation tap (with ejector for Suture Suture staples pack of 50

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Surgery brochures B 920 TEM D GB VI10-12

Basic components: Connecting cable (2232.981), C02 connecting tube, set of2 (2232.851), tubing fixtures for connecting to instrument (8170.841), pump tube (8170.861X irrigation bottle connecting tube (8170.862), irrigation cannula (8170.865), bottle holder for irrigation bottle (2232.841), footswitch (2030.231), hygiene filter (gas), sterile (4171.111, packof 10), hygiene filter, sterile, DLL (4171.112, packof 50) and power cable (2232.851), Schlauch-Garnitur zum Instrument (8170.841), Pumpen- Spülkanüle (8170.865), Flaschenhalter fur Spulflasche (2232.841), FuSschalter (2030.231 ), Hygienefilter...

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Surgery brochures B 920 TEM D GB VI10-13

High-pressure connecting tube disposable article, sterile Tubing set for the instrument, irrigation bottle Einmal-Artikel, sterll Schlauchgamiturzum Instrument, Spulflaschen- disposable article, sterile, for Erbe multifunction instrument Tube set, connecting tube for irrigation channel, irrigation tube Bottle holder, for holding C02 bottles Einmal-Artikel, steril, fur Erbe Multifunktions-lnstrument Schlauchset, Verbindungsschlauch fur Spülkanüle, Spülschlauch Technical Data Technische Daten Power supply Power consumption Dimensions (wxhxd)

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Surgery brochures B 920 TEM D GB VI10-14

transanal endoscopic microsurgery transanale endoskopische Mikrochirurgie Dichtungskappen siehe Ruckseite Sealing caps see overleaf □ Optimum illumination of the operating field when working under direct vision. Rinsing and insufflation insert Dokumentation telescope, Silicon sealing insert (pack of 3) with 3 valve ports □ Optimale Ausleuchtung des Operations-Feldes, wenn unter direkter Sicht gearbeitet wird. Zur Anwendung mit einer CCD-Endocam: Silikon-Dichteinsatz (Verpackungseinheit 3 Stuck) Zubehör siehe Ruckseite.

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Surgery brochures B 920 TEM D GB VI10-15

also required: Universal mounting block Coagulation suction tube, Scissors, " Melzenbaum" Needle holder, Suture clip forceps, straight, modular, with irrigation tap Sealing caps*, outer 0 15 mm, Sealing caps*, outer 0 17 mm, U-förmiger Haltearm hierzu erforderlich: Schiere, "Metzenbaum" gerade, modular, mit Spülanschluss

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Surgery brochures B 920 TEM D GB VI10-16

HF Monopolar Connecting Cables HF-Monopolar Anschlusskabel Anschluss Gerät To connect to unit Bovie / Valleylab / Erbe Int. Eschmann I.03 und andere Geräte mit 4 mm Stecker and other devices with 4 mm connectors 8106.052 8106.132 5m 8106.152 8106.031 5m 8106.051 8106.033 5m 8106.053 3m Martin / Berchtold / Aesculap 5m 3m ERBE T-Serie 8106.032 3m ERBE / ACC / ICC Typen Types 3m WOLF - Instrumente WOLF instruments Länge Length 3m Anschluss Instrument To connect to instrument 8106.034 5m TEM TEM 8106.054 B 920.801 8

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Surgery brochures B 920 TEM D GB VI10-17

HF Bipolar Connecting Cables HF-Bipolar Anschlusskabel

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Surgery brochures B 920 TEM D GB VI10-18

M E D I C A L V E T E R I N A R Y RICHARD WOLF GmbH · 75434 Knittlingen · PF 1164 · Telephone +49 70 43 35-0 · Telefax +49 70 43 35-300 · GERMANY · [email protected] · www.richard-wolf.com AUSTRIA · BELGIUM / NETHERLANDS · FRANCE · GERMANY · INDIA · U.A.E. · UK · USA B 920.VI.10.D/GB.3 Änderungen vorbehalten. Specifications subject to change without notice. I N D U S T R I A L Gedruckt auf chlorfrei gebleichtem Papier. Printed on paper based on cellulose which has been bleached without the use of chlorine. spirit of excellence

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