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

10 11

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.

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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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Customer Service

Americas: 

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