DEVICES FOR MIS AND UPPER- GI SURGEONS
Do you have all the tools you need today?
Illustrations by Lisa Clark
cookmedical.com
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Question the norm. Cook Medical won’t be satisfied with the state of surgery until every person who enters the operating room has a positive outcome. We’ve worked toward that goal for more than 50 years. And we continue today by partnering with inquisitive surgeons, sharing advanced techniques, and making devices that can help in even the most complex cases. Our portfolio is broad. Cook Medical offers devices for many surgical specialties. Some of our technologies, such as Biodesign® biologic grafts, can be used in a wide variety of procedures.
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Contents Biodesign® Move beyond to advanced tissue repair. Biodesign Staple Line Reinforcement Biodesign Hernia Graft Biodesign Hiatal Hernia Graft Biodesign Inguinal Hernia Graft Biodesign 4-Layer Tissue Graft
6-9 6 8 8 9 9 9
Zenapro® 10-11 Is there a better way to treat complex routine hernias? Zenapro Hybrid Hernia Repair Device
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Novapass® 12-13 Could you pass sutures through tissue more easily? Novapass Reverdin Suture Passer Novapass Straight Suture Passer
Biliary devices Cholangiography Do you have all the tools you need today? Fanelli Cholangiography Catheter Set Franklin Endoscopic Cholangiography Set Mixter Endoscopic Cholangiography Set Olsen Endoscopic Cholangiography Set and Catheter Olsen Endoscopic Cholangiography Introducer Sheath Set Petelin Endoscopic Cholangiography Set
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14-19 14 14 14 15 15 16 16
Contents Common bile duct exploration Common Bile Duct Exploration Set Appel-Berci Cystic Duct Introducer Set NCompass® Nitinol Stone Extractor Nathanson Transcystic Bile Duct Stone Exploration Pack Three–Way Multipurpose Adapter
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Endobiliary laparoscopy Fanelli Laparoscopic Endobiliary Stent Set
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Foregut devices
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Silicone Gastric Sizing Balloon Catheter Cook Esophageal Dilator Set Dilator Set
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Tissue pouches and liver retractors
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LapSac®
Surgical Tissue Pouches Nathanson Liver Retractors
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Let’s be partners.
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BIODESIGN
Move beyond to advanced tissue repair. Biodesign is a non—cross-linked, non— dermis-based biologic graft technology that is completely remodeled into strong, well-vascularized tissue.2
BIODESIGN® A D V A N C E D T I S S U E R E PA I R
Cross-linked Non—cross-linked Biodesign products have been designed to maintain strength throughout the remodeling process, so there is no need for cross-linking. And because Biodesign material is remodeled completely into strong, vascularized tissue, it can provide a strong repair without a permanent material. 2
Non—dermis-based Biodesign material is non—dermisbased, so it does not contain meaningful amounts of elastin.3 As a result, the body completely remodels Biodesign material into patient tissue that has an organized deposition of collagen. 2
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Cross-linked biologic grafts do inhibit remodeling and vascular ingrowth, and have been associated with chronic inflammation and encapsulation.1
Dermis-based Dermis-based grafts contain high amounts of elastin. Over time, this elastin remains in the patient’s body. A dermis-based graft can stretch and possibly lead to recurrence.4
BIODESIGN
Bioabsorbable synthetic mesh
Bioabsorbable synthetic mesh
Bioabsorbable synthetic mesh resorbs in the body over time. While bioabsorbable mesh leaves behind no permanent material, the body cannot remodel this mesh into new vascularized tissue.
Biologic graft
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BIODESIGN
Biodesign Staple Line Reinforcement Used for the reinforcement of the gastric staple line during bariatric surgical procedures. Order Number
Reference Part Number
Stapler
For Covidien® staplers G50868
C-SLRA-GIA45
G50867
C-SLRA-GIA60
Endo GIA 60
G25006
C-SLRA-TRI45
Tri-Staple® 45
G25007
C-SLRA-TRI60
Tri-Staple 60
Endo GIA™ 45
For Ethicon® staplers G51746
C-SLRA-ECH45
Echelon™ 45
G50871
C-SLRA-ECH60
Echelon 60
G23201
C-SLRA-SC60
Echelon 60
G23662
C-SLRA-TN45
Echelon 45
G24827
C-SLRA-TN60
Echelon 60
Endo GIA is a trademark of Covidien AG. Tri-Staple is a registered trademark of Covidien LP. Ethicon is a registered trademark of Johnson & Johnson. Echelon is a trademark of Johnson & Johnson. Covidien is a registered trademark of Covidien AG.
Biodesign Hernia Graft Used for implantation to reinforce soft tissue where weakness exists. Indications for use include repair of a hernia or body wall defect. Size cm
Order Number
Reference Part Number
G23764
C-SLH-8H-10X10
G36032
C-SLH-8H-13X15
13 x 15
G46600
C-SLH-8H-13X22
13 x 22
G36033
C-SLH-8H-20X20
20 x 20
G48216
C-SLH-8H-20X30
20 x 30
10 x 10
Illustrations by Lisa Clark
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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BIODESIGN
Biodesign Hiatal Hernia Graft Used for implantation to reinforce soft tissue where weakness exists, including repair of paraesophageal or hiatal hernias. Order Number
Reference Part Number
Size cm
Comments
G31455
C-PHR-7X10-U
7 x 10
Preshaped
G51578
C-PHR-7X10
7 x 10
Standard
Biodesign Inguinal Hernia Graft Used for implantation to reinforce soft tissues in the inguinal floor to repair inguinal hernias. Order Number
Reference Part Number
Size cm
G44778
C-IHM-6X13-P-B
6 x 13
G44779
C-IHM-8X15-P-B
8 x 15
G44777
C-IHM-10X15-B
10 x 15
Illustrations by Lisa Clark
Biodesign 4-Layer Tissue Graft Used for implantation to reinforce soft tissue. Order Number
Reference Part Number
Size cm
G31320
C-SLH-4S-2X3
G13808
SLH-4S-2X3
2x3
G12580
C-SLH-4S-7X10
7 x 10
G12579
C-SLH-4S-7X20
7 x 20
2x3
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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ZENAPRO
Is there a better way to treat complex routine hernias? The Zenapro Hybrid Hernia Repair Device allows you to help a patient who could benefit from lasting reinforcement, but whose procedure may be too complex for synthetic meshes.
Routine cases
Complex routine cases
Complex cases
Zenapro® Synthetic meshes
Zenapro • Combines elements of biologic grafts and a permanent synthetic mesh • Is durable • Allows the growth of well-organized tissue2,5
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Biologic grafts
ZENAPRO
Zenapro Hybrid Hernia Repair Device Used for implantation to reinforce soft tissue where weakness exists. The indications for use include the repair of a hernia or body wall defect requiring the addition of a reinforcing or bridging material to obtain the desired surgical effect.
Illustration by Lisa Clark
Order Number
Reference Part Number
cm
G35476
C-HYB-10D
10
78
G23772
C-HYB-15D
15
176
cm2
Circular
Rectangular / Square G35477
C-HYB-10X15
10 x 15
150
G23771
C-HYB-15X22
15 x 22
330
G35479
C-HYB-20X20
20 x 20
400
G23770
C-HYB-20X30
20 x 30
600
G35114
C-HYB-30X30
30 x 30
900
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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NOVAPASS
Could you pass sutures through tissue more easily? The Novapass® suture passers are designed to make suturing easier. And the Novapass Reverdin Suture Passer is the first disposable suture passer with the Reverdin curve.
• The sharpened tip is designed to let you to pass through tissue without unintentional tearing. • The ergonomic handle can be gripped naturally, which helps you place sutures precisely. • The Novapass suture passer is disposable, which means you can use a sharp needle for every case.
Illustration by Lisa Clark
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NOVAPASS
Novapass Reverdin Suture Passer Used to pass sutures through soft tissue in open abdominal procedures.
Order Number
Reference Part Number
Reverdin Suture Passer (30° curve) G35121
C-PAS-30-11.4
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Novapass Straight Suture Passer Used to pass sutures through soft tissue in laparoscopic or open abdominal procedures.
Order Number
Reference Part Number
Straight Suture Passer G35119
C-PAS-180-16.0
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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CHOLANGIOGRAPHY
Do you have all the tools you need today? Cook Medical brings together a number of laparoscopic common bile duct exploration devices in complete sets that are designed for successful stone discovery and removal. Plus, each tool in the kit is packaged individually, so you don’t need to waste any unused tools. Fanelli Cholangiography Catheter Set Used for diagnostic evaluation of the bile ducts during laparoscopic cholecystectomy procedures.
Order Number
Reference Part Number
Catheter Fr
Catheter ID inch
Wire Guide Diameter inch
Wire Guide Length cm
G12950
C-FCC-100
5.0
.044
.021
90
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Franklin Endoscopic Cholangiography Set Used for diagnostic evaluation of the bile ducts during percutaneous cholecystectomy procedures.
Order Number
Reference Part Number
Catheter Fr
Catheter Length cm
Wire Guide Diameter inch
Wire Guide Length cm
4.0
60
.025
145
Radiopaque G10456
C-ECS-400-60-FECS
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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CHOLANGIOGRAPHY
Mixter Endoscopic Cholangiography Set Used for diagnostic evaluation of the bile ducts during percutaneous cholecystectomy procedures.
Order Number
Reference Part Number
Catheter Fr
Catheter Length cm
Catheter End Hole Diameter inch
Needle Stylet Length cm
G08045
C-OECS-400-MIXTER
4.0
50
.025
52
G09331
C-OECS-500-MIXTER
5.0
50
.035
52
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Olsen Endoscopic Cholangiography Set and Catheter Used for access and diagnostic evaluation of the bile ducts during percutaneous cholecystectomy procedures.
Catheter Fr
Catheter Length cm
Introducer Sheath Needle gage
Introducer Sheath Needle Length cm
Order Number
Reference Part Number
G05926
C-OECS-300
3.0
43
16
12
G05927
C-OECS-400
4.0
43
14
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Replacement Cholangiography Catheter G06238
C-NFEP3.0-18-43-P-NS-OECS
3.0
43
-
-
G06239
C-NFEP4.0-21-43-P-NS-OECS
4.0
43
-
-
G08077
C-NFEP4.0-21-65-P-NS-OECS
4.0
65
-
-
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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CHOLANGIOGRAPHY
Olsen Endoscopic Cholangiography Introducer Sheath Set Used for the placement of cholangiography catheters and other instruments.
Order Number
Reference Part Number
Trocar Sheath Needle gage
Trocar Sheath Needle Length cm
G06167
C-OECI-68-12
16
12
G06168
C-OECI-90-12
14
12
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Petelin Endoscopic Cholangiography Set Used for access and diagnostic evaluation of the bile ducts during percutaneous cholecystectomy procedures.
Order Number
Reference Part Number
G10664
C-OECS-400-PECS
Catheter Fr
Catheter Length cm
Catheter Needle gage
Catheter Needle Length cm
4.0
60
14
7.5
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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COMMON BILE DUCT EXPLORATION
Common Bile Duct Exploration Set Used for common bile duct exploration.
Order Number
Reference Part Number
G26908
C-CDES-100
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Appel-Berci Cystic Duct Introducer Set Used for placement of choledochoscopes, cholangiography catheters, and other instruments.
Order Number
Reference Part Number
G08297
C-CDIS-4.0-15-BERCI
Sheath Lumen Diameter mm
Sheath Length cm
Introducer Fr
Accepts Maximum Diameter Instrument Fr
4.0
15
12.0
12.0
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
NCompass® Nitinol Stone Extractor Used for stone manipulation and removal in the common duct.
Order Number
Reference Part Number
G36250
C-NTSE-2.4-115-NC3
G36251
C-NTSE-2.4-115-NCT4
Fr
Length cm
Basket Configuration
Basket Diameter cm
2.4
115
3 wires, tipped
1.5
2.4
115
4 wires, tipless
1.5
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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COMMON BILE DUCT EXPLORATION
Nathanson Transcystic Bile Duct Stone Exploration Pack Used for the extraction of bile duct stones by means of a transcystic approach.
Order Number
Reference Part Number
G03298
CDES-550-NATHANSON
Catheter Length cm 70
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Three–Way Multipurpose Adapter Used for saline flush or contrast for cholangiography.
Order Number
Reference Part Number
G13070
C-MPA-200
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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ENDOBILIARY LAPAROSCOPY
Fanelli Laparoscopic Endobiliary Stent Set Used for internal biliary drainage.
Order Number
Reference Part Number
G13699
C-FBSS-100
Stents Fr
Stent Length Between Flaps
Stent Assembly Fr
Stent Assembly Length cm
Wire Guide Diameter inch
Wire Guide Length cm
7.0
6
8.5
50
.035
150
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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FOREGUT DEVICES
Silicone Gastric Sizing Balloon Catheter Used in gastric and bariatric surgical procedures to size the gastric pouch and drain and remove gastric fluid.
Order Number
Reference Part Number
Fr
Length cm
G30274
C-GSB-18-55
16
12
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Cook Esophageal Dilator Set Used for placement of an esophageal bougie or stent during laparoscopic hiatal hernia repair.
Order Number
Reference Part Number
Fr
Length cm
G11913
C-CEDS-48-70
48.0
70
G12118
C-CEDS-53-70
53.0
70
G11914
C-CEDS-58-70
58.0
70
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Dilator Set Used for dilating puncture sites or catheter tracts.
Order Number
Reference Part Number
G10397
C-JCDS-100-CHB
Fr 8, 12, 16, 20
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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TISSUE POUCHES AND LIVER RETRACTORS
LapSac® Surgical Tissue Pouches Used to isolate tissue during, or prior to, surgical removal.
Dimensions inch
Volume mL
Order Number
Reference Part Number
G07253
C-LSP-5-2
2x5
50
G07571
C-LSP-6-4
4x6
200
G07255
C-LSP-8-5
5x8
750
G11327
C-LSP-10-8
8 x 10
1,500
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
Nathanson Liver Retractors Used to rectract the left lobe of the liver during surgery in the upper gastrointestinal region.
Order Number
Reference Part Number
Size
G03121
NLRS-1100
small
G03122
NLRS-1010
medium
G03123
NLRS-1001
large
G03395
NLRS-1002
extra-large
Some products or part numbers may not be available in all markets. Contact your local Cook representative or Customer Service for details.
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Let’s be partners. In order to help every patient leave the operating room with a positive outcome, we need to provide you with the tools you need in a manner that benefits your hospital. Cook Medical values quality and efficiency. • Every Cook Medical product meets rigorous quality standards before it reaches your hands. • We can work with your hospital to find costeffective solutions. • We offer Vista® workshops, which allow surgeons to explore using our products in advanced procedures. • We invest heavily in researching the next generation of products.
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Citations 1
Novitsky YW, Rosen MJ. The biology of biologics: basic science and clinical concepts. Plast Reconstr Surg. 2012;130 (5 Suppl 2):9s–17s.
2
Franklin ME Jr, Treviño JM, Portillo G, et al. The use of porcine small intestinal submucosa as a prosthetic material for laparoscopic hernia repair in infected and potentially contaminated fields: long-term follow-up. Surg Endosc. 2008;22(9):1941-1946.
3
Heise RL, Ivanova J, Parekh A, et al. Generating elastin-rich small intestinal submucosa-based smooth muscle constructs utilizing exogenous growth factors and cyclic mechanical stimulation. Tissue Eng Part A. 2009;15(12):3951-3960.
4
Gupta A, Zahriya K, Mullens PL, et al. Ventral h erniorrhaphy: experience with two different biosynthetic mesh m aterials, Surgisis and Alloderm. Hernia. 2006;10(5):419-425.
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Data is on file at Cook Biotech.
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