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Equine Arthroscopy

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Arthroscopic Surgery Set for the Equine PractitionerArthroscopy in the horse – as in humans – has revolutionized joint surgery. Since the 1980s, arthroscopy has been accepted as the standard way of performing joint surgery in the horse. Over the past two decades, the number of indications and surgical procedures developed has steadily grown. Working with top equine surgeons around the world, KARL STORZ has developed a complete range of arthroscopes and instruments for these techniques.

This brochure features a basic set for equine arthroscopy. For a complete listing of products in this range, please refer to our catalog: Veterinary Endoscopy – Large Animals.

List of Indications for Arthroscopic SurgeryDistal interphalangeal (coffin) joint)

Elevation of proximal

dorsal P1 chipRemoval of proximal

dorsal P1 chip

• Extensor process fragments of distal phalanx

• Subchondral cystic lesions opening into coffinjoint

• Small fracture fragments distal second phalanx

Proximal interphalangeal (pastern) joint

Proximal dorsal P1 chip

• Fragments of proximal dorsal aspect of second phalanx

Metacarpal phalangeal and metatarsal phalangeal (fetlock) joints

OCD in fetlock of weanling

• Proximaldorsalfirstphalanxchipfragments

• Osteochondritis dissecans of distal dorsal metacarpus

• Chronic proliferative (villonodular) synovitis removal

• Diagnostic evaluation of traumatic synovitis and osteoarthritis

• Lagscrewfixationofdistalmetacarpalormetatarsal condylar fractures

• Evaluation of proximal aspect of sagittal P1 fractures treated with lag screw fixation

• Palmar/plantar P1 chip fragments

• Fragments of apical, abaxial and basilar sesamoid bone

• Subchondral cystic lesions of distal metacarpus or metatarsus

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Elbow joint

• Diagnostic evaluation of elbow articulation (traumatic arthritis and OA)

• Osteochondritis dissecans

Shoulder joint

• Osteochondritis dissecans of humeral head and glenoid

• Evaluation and treatment of traumatic synovitis, occasional osteochondral fragmentation and osteoarthritis

Tibiotarsal (tarsocrural) joint

OCD intermediate ridge

of tibia at elevationRemoval of OCD fragment –

intermediate ridge of tibia

• Osteochondritis dissecans of distal intermediate ridge of tibia, common lateral trochlear ridge of talus, medial trochlear ridge of talus or medial malleolus of tibia

• Intra-articular fracture fragments

• Septic osteomyelitis and septic arthritis in foals

• Evaluation of traumatic and proliferative synovitis

Femoropatellar joint

Small OCD lesion in femoropatellar joint

• Osteochondritis dissecans of lateral and medial trochlear ridges of femur and patella

• Distal fragmentation of patella

• Traumatic osteochondral fractures of patella

• Diagnostic evaluation for traumatic synovitis and osteoarthritis

Femorotibial articulations

• Subchondral cystic lesions of medial condyle of femur and (occasionally) proximal tibia

• Meniscal injury

• Cranial ligament of medial meniscus injury

• Cranial and caudal cruciate ligament injury

• Articular cartilage fragmentation with or without subchondral bone disease

• Diagnostic arthroscopy of femorotibial joints

Hip (Requires long arthroscope)

• Diagnostic evaluation of traumatic disease

• OCD and subchondral cystic lesions

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Endoscopic photographs courtesy of Dr. C. Wayne McIlwraith,

Professor of Surgery Colorado State University, USA

Carpal joints

Small distal radial carpal

bone chipRemoval of distal radial

carpal bone chip fragment

• Chip fragments of carpal bones

• Monitoring and treatment of slab fractures ofcarpalboneswithinternalfixation

• Degenerative subchondral bone disease

• Diagnosis and treatment of tearing of intracarpal ligaments

• Subchondral cystic lesions of carpal bones

• Osteochondritis dissecans of carpal bones

Carpal canal tenoscopy

• Osteochondroma of distal radius

• Superior check desmotomy as prophylaxisforsuperficialdigitalflexortendonitis

• Diagnostic evaluation of carpal canal and retinacular resection for carpal canal syndrome

Digital flexor tendon sheath

• Evaluation for acute and chronic tenosynovitis

• Annular ligament sectioning

• Villonodular synovitis

• Diagnostic evaluation

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Check out our schedule of upcoming hands-on training courses at http://go.karlstorz.com/eventsVET

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64230 BWA HOPKINS® Wide Angle Forward-Oblique Telescope 30°, enlarged view, diameter 4 mm, length 18 cm, autoclavable, fiberopticlighttransmissionincorporated,color code: red

Standard Arthroscope, size 5.5 mm

Snap-In Arthroscope Sheathswith rotating stopcocks

Special features:

• Coupling between the telescope and sheath is possible in absolutely any position; surgeries requiring a changeover between the arthroscope and instrument ports are thus considerably simplified

• Telescope rotation is made easier

• High-flow system ensures improved inflow and outflow

Sheath

Reinforcement

Telescope

Increased inflow and outflow rate without disturbing turbulence

64131 R High Flow Arthroscope Sheath, diameter 5.5 mm, working length 13.5 cm, with snap-in coupling mechanism, with one stopcock, rotating, for use with HOPKINS® Telescope 0°, 30°, 45°, 70°, 90° and Obturators 64130 BC/BT, color code: blue

64131 CR Same, with 2 stopcocks

Obturators for use with sheaths 64131R/CR

64130 BC Obturator, blunt, color code: green-red-yellow

64130 BT Same, semisharp

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64146 T Egress Cannula, LUER-Lock, with stopcock, diameter 3.2 mm, length 7 cm

64146 Z Egress Cannula, diameter 5 mm, length 15 cm

64145 S Hook and Retractor, graduated, diameter 1.5 mm, length of hook 2 mm, working length 8.5 cm

64146 D Hook and Retractor, diameter 2.5 mm, length of hook 3.5 mm, working length 11.5 cm

64601 Curette, size 1, length 21 cm

64611 Same, size 0

64620 Same, size 00

Basic Instruments for Equine Arthroscopy

Hook Probes and RetractorsTo probe articular cartilage and subchondral bone.

28146 QB Obturator, blunt, for use with Egress Cannula 64146 T

Egress CannulasFor efficient, adjustable outflow of distention fluid. Side holes prevent blocking of fluid flow.

CurettesFor debridement of articular cartilage or damaged subchondral bone.

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64906 Elevator, sharp, curved, width 6 mm

64104 Osteotome, flat, cuts both sides, width 4 mm, length 19 cm

Osteotome and ElevatorFor making precise incisions and separating fragments from parent bone.

MalletFor use with osteotome.

174200 COTTLE Metal Mallet, length 18 cm

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Equine Arthroscopy RongeursSpecially designed rongeurs with strong jaws and robust handles are ideal for use in the larger joints of the horse.

64149 RL Ferris-Smith Rongeur, long, jaws 5 x 8 mm, working length14cm

64971 BG Rongeur, with ratchet, for equine arthroscopy, with robust handle and strong jaws, fenestrated, straight, cup 5 x 11 mm, working length 16 cm

64971 GK Grasping Forceps, with ratchet, for equine arthroscopy, with robust handle and strong jaws,straight,with2teeth,jaws5 x 11 mm,working length 16 cm

64148 RK Same, short, working length 10 cm

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Grasping ForcepsRecommended for removal of smaller cartilage fragments.

64165 SN Suction Punch, size 4.8 mm, working length 13 cm

64146 UD Grasping Forceps, with ratchet, working length 13 cm

64728 CC Microfracture Chisel, straight, working length 12 cm

64728 CD Same, angled 30°

64728 CE Same, angled 70°

Microfracture ChiselsFor perforation of subchondral bone, which may stimulate cartilage regrowth.

Suction PunchFor resection of synovium, cartilage, soft bone and other soft tissue masses.

ScissorsFor cutting in tight areas such as carpal canal release and villonodular mass resection.

28571 SP SILCUT® PRO Scissors, straight jaws, sheath diameter 3.5 mm, straight, handle with cleaning connector, working length 14 cm

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ENDOMAT® SELECT VET

ENDOMAT® SELECTVETistheidealchoiceforsafeandprecisearthroscopicfluidirrigationinsmallandlargeanimals.Irrigationandflowrateissetbytheuserusingtheintuitive,colortouch screen.

ENDOMAT®SELECTVETisacross-disciplinerollerpumpdevicesuitableforfluidirrigationand suction during a variety of surgical and diagnostic procedures in large and small animals such as laparoscopy, thoracoscopy and gastrointestinal endoscopy, as well as arthroscopy.

During any given procedure irrigation or suction can be selected, but only one function can be used during a single procedure. If suction is needed, such as with an arthroscopic shaver, a supplementarysuctionunitwillberequired.

ENDOMAT® SELECT VET comes programed with two primary menus, VET SURG and VET ART.VETARTisfurthersubdividedintotwoprogramswiththefollowingpre-programedsettings:

ART SA - Irrigation pressure: 20-150 mmHg; increments: 10 mmHg - Boost function: 10% - 20% - 30% - 40% - Irrigationflowrate:1,500-2,000-2,500ml/min

ART LA - Irrigation pressure: 20-400 mmHg; increments: 10 mmHg - Boost function: 10% - 20% - 30% - 40% - Irrigationflowrate:1,500-2,000-2,500ml/min

ThemostversatileandeconomicalfluidpumpforveterinaryendoscopyfromKARL STORZ.

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Ordering Information:

When ordering an ENDOMAT® SELECT for veterinary use, the UP 210 basic device and the UP609softwaremodulemustbothbespecified,otherwisethedeviceisnotfunctional.

UP 210 ENDOMAT® SELECT, suction or irrigation pump, incl. mains cord, power supply 100-240 VAC, 50/60 Hz

UP 609 VET Software for ENDOMAT® SELECT

Tubing Set for use with ENDOMAT® SELECT VET – ART SA and ART LA:

Single Use

031523-10* Tubing Set, irrigation, PC, sterile, for single use, package of 10

Reusable

UP 008 Tubing Set, irrigation, PC, reusable, sterilizable

For further information regarding the VET SURG programs and tubing sets, see MFL UNITS 2, 96321002

*

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26 3101 38 Pressure Infusion Cuff, 3 l

Accessories:

20 3100 92 Manometer, for use with Pressure Cuffs 26 3100 38 and 26 3101 38

20 3100 90 Rubber Foot Pump, with silicone tubing, length 200cm,withpressurereliefvalve,fitsPressureCuffs26 3100 38 and 26 3101 38

20 3100 41 Silicone Tubing Set, for irrigation, sterilizable, length 250 cm, for use with Pressure Cuffs 26 3100 38 and 26 3101 38 with Foot Pump 20 3100 90

InsufflatorFor gas distention which improves visibility.

62 4325 01 CO2 ENDO-ARTHROFLATOR VET, power supply 100-240 VAC, 50/60 Hz including: Silicone Tubing Set, sterilizable Universal Wrench Gas Filter, sterile, package of 10

The pressure hose and CO2 bottles must be ordered separately, see catalog Veterinary Endoscopy: Large Animals

Pressure Cuff

For fluid joint distention when a fluid pump is not available.

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Shaver SystemUNIDRIVE® S III ARTHRO SCB

28 7230 01-1 UNIDRIVE® S III ARTHRO SCB, with color display, touch screen operation, two motor outputs, with integrated SCB module, 100-120/230-240 VAC, 50/60 Hz including: SCB Connecting Cable, length 100 cm Mains Cord

20 0128 32 Three-Pedal Footswitch, slim design, for use with POWERSHAVER SL

28200 DX DRILLCUT-X® ARTHRO Shaver Handpiece, up to 8000 rpm, for use with UNIDRIVE® S III ARTHRO SCB, as of software status 1.10.

The shaver handpieces should NOT be treated with universal spray!

Multi-function motor system allows for quicker procedure time, reducing patient time under anesthesia

Optional Accessory

Handpiece

Reusable and single use shaver blades are available in a variety of styles and sizes, see catalog Veterinary Endoscopy: Large Animals

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Notes

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Notes

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KARL STORZSE&Co.KG Dr.-Karl-Storz-Straße 34, 78532 Tuttlingen/Germany Postbox 230, 78503 Tuttlingen/Germany Phone: +49 (0)7461 708-0 Fax: +49 (0)7461 708-105 E-Mail: vet@karlstorz.com

www.karlstorz.com