2012 Catalogue With Prices Lo Res

VETERINARY INSTRUMENTATIONBroadfield Road, Sheffield S8 0XL

Tel: 0845 130 9596 Fax: 0845 130 8687

E-mail: [email protected] Website: www.vetinst.com

Overseas Customers use: Tel: +44 114 258 8530 Fax: +44 114 255 4061

VETERINARY INSTRUMENTATION

VET

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STRUMEN

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12w

ww.vetinst.com

MIPO application of 2.7/3.5mmCranial Pantarsal Arthrodesis Plate

Case: Noel Fitzpatrick,

Fitzpatrick Referrals

Broadfield Road, SheffieldS8 0XL U.K.

Tel: 0845 130 9596 Fax: 0845 130 8687Overseas Customers use

Tel: +44 114 258 8530Fax: +44 114 255 4061

E-mail: [email protected]: www.vetinst.com

Dear Colleague

2012 sees another substantial expansion of the catalogue. The Physiotherapy section hasbeen re-vamped and I am grateful to David Prydie for writing an introductory section. It is nowaccepted that good surgical outcomes depend on both good surgery and appropriate physio.We are unusual in that we are involved in our products and services from the very inception ofthe idea right through to post operative care.

Those surgeons who deal with fractures in miniature dogs and exotics will be interested in ournew range of 1.0mm orthopaedic implants together with their associated instrumentation. Theimplant range is designed to meet the requirements of the fractures likely to be encountered.There are, for example, eight new ‘T’ plates.

Although historically our focus has been on joint surgery and orthopaedics, our chaptersinvolving soft tissue surgery contain many new additions. We are very pleased to be appointedby Ethicon as their distributor for speciality products including the LigaClip™ haemostasissystem.

A new addition to the Veterinary Instrumentation team is David Strong M.R.C.V.S., both asurgeon and instrument designer. The 2012 catalogue includes significant input from him. Ifyou have any ideas which you would like to develop then David would like to hear from you. Hissurgical background together with metalworking experience plus autocad computer designskills will turn your idea into a finished product.

The beginning of the year marked a huge development for Veterinary Instrumentation whenHenry Schein took a majority shareholding in the company. Henry Schein shares our customerfocussed approach and our customers can expect to see the same high level of customerservice which they are used to. Both myself and Steve are staying with the company to ensurecontinuity and take the company forward.

As ever we will be at all the major shows in the U.K. and the rest of the world so I hope to seeyou there.

Best regards…..

John Lapish. BSc., B.Vet.Med., MRCVSChairman, Veterinary Instrumentation.

LogosIn the 2012 catalogue we have used three logos to identify or highlight additional product features or benefits:

Due to the large number of new products which Veterinary Instrumentation launch each year, it can be difficult to easily see whichproducts are new for 2012. We have therefore inserted the logo to identify that a product is either new for 2012 or has beenmodified and improved over its original design.

Whilst Veterinary Instrumentation strives to include all relevant information regarding each instrument in this catalogue, we know thebest way to understand an instrument is to see it in action. We have therefore upgraded our website www.vetinst.com to allow youto view short sequences (15-30 secs) of many instruments being used. To view the clips visit www.vetinst.com and click on thelarge on the front page and select an instrument from the list shown or enter the product code in the search box (top left ofscreen)

One of the many advantages of becoming part of Henry Schein is that Veterinary Instrumentation is able to offer products andservices which we have not been previously able to. Veterinary Instrumentation is therefore very pleased to be able offer a numberof finance services to its customers. Products which are eligible are highlighted with the . This service will be particularly usefulfor capital equipment purchases or clinic expansion. To find out what finance options are available please call, fax or email the usualcontact details.

Welcome

John Lapish BSc.,BVetMed., MRCVS.

Chairman

Distributors Worldwide

For further information about becoming a distributor please contact:


Tel: 0845 130 9596 Fax: 0845 130 8687



Catalogue ProductionAll the paper used in this catalogue is certified by FSC. If you would prefer not to receive acatalogue (as you use the website etc.) Please email [email protected] and we will remove yourname from our mailing list.

In 2003 John was awarded the BSAVA ‘SimonAward’ in recognition of the welfare benefits ofthe range of instruments he has developed for

use in small animal surgery.

BSAVA Simon Award

2

3

LigaFiba Lateral Sutures with Crimp............................12

75LB LigaFiba Lateral Sutures.....................................13

250LB LigaFiba Lateral Button Suture Double.............14

ACP/ABPS ...................................................................19

Locking TPLO Starter Set......................................22, 23

Taps for Locking Screw...............................24, 146, 169

Locking Screws with Star Drive Pattern ..............25, 170

Star Drive Screwdriver Set ..................................25, 171

TPLO Wire Guide And Reduction Forceps ...................30

Ligaclips Re-usable Clip Pliers And Titanium Clips .....30

TTA Forkless Plate Forceps .........................................35

TTA Spinlock Reduction Forceps.................................35

Cuttable TTA Cages .....................................................35

TTA Spacers ................................................................35

Modified Maquet Technique ........................................36

Bone Mill .....................................................................39

Arthroscopic Stifle Lever.............................................41

VI Locking TPO/DPO Plates ........................................49

Gigli Wire Passer - Nick Vanvooren.............................50

Gutter Hohman............................................................51

2.7 Arthrex Arthroscope..............................................57

X Small Serrated Bone Holding Forceps......................73

Bone Binder .........................................................77,192

Stubby Punch.......................................................86,191

Stubby Osteotome ...............................................87,263

VI Metric Ruler .....................................................88,194

Radiographic Reference Ball ................................89,194

Chandler's Gonadal Shield ...................................89,194

Medipaw X Range .......................................................90

Theraband Exercise Ball Range ...................................96

Physio Roll Ball Range ................................................96

Wobble Cushions ........................................................97

Canine Icer - Stifle Icer................................................97

Electro - Muscle Stimulation Unit................................97

Westville Therapy Systems .........................................98

Vet Aqua Under Water Treadmill..................................99

Titanium Fessa Starter Kits .......................................106

Minos A200...............................................................128

Acculan Battery TPLO Saw........................................130

De-Soutter Slocum Saw............................................131

Chase Spinal Hook ....................................................140

MB Spinal Brace........................................................141

Modular Metal Screwdriver with Inserts....................149

Screw Extraction Trephine Set...................................151

1.0mm Screw and Implant Series .............................152

1.0mm Instrumentation Range .........................152, 153

2.0/2.4/2.7mm Cuttable Plate with Spaces ........155-157

Dr Wing Tip Wong Bone Plating Practical DVD .........157

2.0mm Locking Screws with Star Drive ....................171

Pantarsal Arthrodesis Plates with T4 Slots................178

Canine Cranial Pantarsal Arthrodesis Plates..............179

7" Arthrodesis/Kirschner Wire ...................................189

Helica Total Hip System (2012 Version) ....................199

Canine Disgorger ......................................................206

Ethicon Stapler Series ...............................................207

Lone Star Ring Retractor...........................................210

Kitt ‘E’ Tube Koller .....................................................214

Stomach Tube Speculum .........................................214

LED Head Torch With Hands Free On/Off ..................225

3 LED Head Torch For Between The Eyes ..................225

VI Mini Dental Cart ....................................................234

Ultimate Piezo Scaler Unit .........................................241

VI Extraction Forceps ................................................246

Ball and Socket Towel Clamp ....................................270

Irrigation Bulbs .........................................................273

Henry Schein Ultrasonic Cleaner ...............................275

Automatic Instrument Washer ..................................275

Instrument Box Padlock Security Tags with Indicator ..279

Grahame Gardener Theatre Wear ..............................283

JB Drawstring and Foot Drape ..................................286

Oxygen Concentrator.................................................291

VI Common Gas To Male Leur Connector .................294

EZ Tie Endotracheal Tube Security Device .................297

Henry Schein Pulse Oximeter....................................298

Cardell 9500 HD........................................................301

Tidal Guard Monitor ..................................................302

Infusion Pump ..........................................................303

FireFly Wireless Otoscope .........................................307

PRODUCTS 2012

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Page 297

Page 152

Page 86

Page 35

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4

The CompanyVeterinary Instrumentation was founded by John Lapish BSc., BVetMed., MRCVS. in 1986. Working in Sheffield as a smallanimal orthopaedic surgeon John was frustrated by the lack of appropriate instrumentation for veterinary surgicalprocedures. Most of the available instruments at that time were simply the smaller variants of products designed for use inhuman surgery. Living in Sheffield, centre of the UK surgical trades, John was ideally placed to try and develop one or twoideas of his own. So, working with skilled local instrument makers, John began to develop a range of instruments (initially forhis own use) designed specifically for veterinary surgery. Requests for these products and suggestions for new items beganto trickle in from colleagues and this reinforced the conclusion that a need existed for a specialist instrumentation service tomeet the needs of the profession, and small animal orthopaedics in particular.

Today the Veterinary Instrumentation range of implants and instruments includes over 4,500 items which are stocked forimmediate despatch. Innovation remains a key part of our activity and John works with leading veterinary specialists from all over the world to turn new ideas into practical working instruments.

Our products have the professional backup of veterinary and nursing personnel to advise on the selection and use of bothinstruments and implants. We are always happy to discuss any aspect of instrumentation and can help locate almost anyitem.

In January 2012 Veterinary Instrumentation was acquired by Henry Schein Inc, a Fortune 500® company and a member ofthe NASDAQ 100® Index. Henry Schein is recognised for its excellent customer service and highly competitive prices inexactly the same way as Veterinary Instrumentation and this partnership will maintain our high customer service levels aswell as increasing the product range and offering even better value to customers.

Our Veterinary Team – Here to help you:John Lapish BSC., BVetMed.,MRCVS.

Over 30 years experience as a veterinarysurgeon with an interest in orthopaedics andtrauma. In 2003 John was awarded theBSAVA ‘Simon Award’ in recognition of thewelfare benefits of the range of instruments hehas developed for use in small animal surgery.

Linda CapewellVN

Over 30 yearsexperience

Our veterinary team undertake continuing professional development to ensure that you receive up to date advice and technicalsupport on all aspects of veterinary surgery.

Our administration and warehouse team are always looking for new ways to improve our service. If you have any suggestions as to how we can improve our service to you please contact Steve on (0114) 2588530 or email [email protected]

Gill Fletcher VN


Natalie CowleyVN


Dawn SewellRVN


Tina TattersleyRVN


RachelSingleton RVN,

DipHE CVN,RCVS DipAVNOver 10 years

experience

JonathanSherwood

BSc (Hons)RVN


David Strong BVM&S., MRCVS.

Product Development Manager

A practising surgeon with interests in allaspects of surgery. David also hasextensive CAD and engineering skills tofacilitate the development of newinstruments and implants.

QualityVeterinary Instrumentation’s strap line is ‘Designed by Vets for Vets’ and we fullyunderstand how important it is that all instruments and implants are of the highestquality. We work exclusively with a number of manufacturers to ensure that all ourproducts are not only exclusive to us but are of the highest quality, in terms of design,manufacture and materials. For example, there are over 200 different variants ofstainless steel, thus a stainless steel screw from one manufacturer may be verydifferent from another. Although quality standards are not mandatory within theveterinary market, we work to British and European human standards whenever theyapply. For example, all our screws are manufactured in the UK by a humanorthopaedic company to comply with BS 3531 and ISO 5835, so you can havecomplete confidence that you are buying the best. We have also designed them towork with all other manufacturers’ products, even those where there is not apublished specification (e.g. S.O.P™) to allow you the freedom to choose yoursupplier. If you are interested in seeing plates or screws being manufactured, pleasecontact [email protected] and we will organise a visit.

Life Time WarrantyVeterinary Instrumentation has been offering a lifetime warranty against manufacturing defect on its surgical instruments forover 25 years and we are delighted that many of our instruments are still providing good service after decades of use. Weseek to minimise problems by offering the highest quality products but if you purchase an instrument that either fails or doesnot perform, we will gladly repair or replace the instrument free of charge.

ReturnsVeterinary Instrumentation has always operated a flexible approach to product returns, particularly regarding orthopaedicplates and screws. We fully understand that some procedures may require a range of plate options and screw sizes to beavailable as it may not be possible for the surgeon to make an informed decision until the operation is underway. To accessthis service, please mention that you may be returning products when you place the order and return all unwantedproducts/sizes in or with their original packaging. This is necessary to comply with our “sale or return” policy in our Termsand Conditions. Your order will then be invoiced as normal and a credit raised when the goods are returned. Postage costsfor returned products are always the responsibility of the customer. Any returns after more than 30 days may be declined.Also please note that any products which are ordered specifically for a customer i.e. they are not listed in the catalogue, willincur a 25% restocking charge. Please refer to our Terms and Conditions for further information.

WebsiteDuring 2012 the website has been developed and now has over 3000 pages of useful information. The website has manytraining materials including procedural instructions, training aids, technical papers and free video downloads. In addition theon-line shop now allows you to purchase any of our products on your account or by credit card. Also during 2012 a newwebsite www.vetinst.eu has been launched for customers based in Germany and Austria . Delivery to Germany andAustria on orders over €125 is free for orders placed through the website.

For further information please visit, www.vetinst.com or www.vetinst.eu

Customer feedbackVeterinary Instrumentation is always seeking to improve and values comments from customers. Our customer surveyresults for 2011 are shown below. 16% of questionnaires returned in 2011 (65 out of 400).

Thank you for taking the time to complete our questionnaire, a £2 donation was made to PetSavers for every survey returned.

Excellent (%) Good (%) Average (%) Poor (%)Quality of products 88 10 2 0Customer support 82 18 0 0Delivery times 83 17 0 0After sales service 59 37 4 0Catalogue 58 40 0 2

5

6

Free Training Resources and Additional Services Simply ask with your next order

www.vetinst.com

Over 3000 pages of usefulinformation, on-line orderingfor over 4500 products, freevideo downloads andtraining materials.

www.vetinst.eu

A new website translatedinto German for our and

customers. Free deliveryto Germany and Austria onorders over €125.

DVDs and ProceduralStep by Step Guides

Free DVDs and step by stepguides to TTA, TTO, TPLO,Lateral Suture, Arthrex productrange and many more.

Equine and LargeAnimal Catalogue

A new catalogue for 2011 withmany unique and exclusiveproducts. Request your free copyfrom the website, [email protected] or ask for acopy to be sent with your nextorder.

Posters and InstrumentCare Guides

A free General Orthopaedic andGeneral Surgical poster arecurrently available. Guides arecurrently available for care andmaintenance of surgicalinstruments and sharpening andcare of dental instruments.

Training Equipment VI has a limited amount of equipment which can be loaned for training courses.

Loan Equipment VI has a limited amount of equipment which can be loaned in critical situations.

Set Up Services VI has extensive experience in setting up new orthopaedic practices. Standard recommendedlists are available or call for a free bespoke service.

Repair Services VI offer both an in-house and external repairs service.

Product Development and Prototyping VI can make your product ideas reality. We offer royalties on successful projects.

Contact 0845 130 9596 or email [email protected] for further information

Plate Profiles

We provide profiles of all ourplates on acetates to facilitatecorrect selection. Simply lay theacetate over the X-Ray. Allacetates are to scale — pleasecompensate for X-Raymagnification.

Exhibitions

VI will be attending the followingexhibitions during 2012

BVOA/BSAVA/WSAVA AprilWESAVC MayECVS JulyBEVA SeptESVOT SeptSEVC OctACVS NovLONDON VET SHOW NovBVOA NovNAVC Jan 2013

If you would like to arrange to view specific products at any of the exhibitionsplease email [email protected].

Training Courses

Training courses are scheduledthroughout 2012. Please view thewebsite www.vetinst.com or [email protected] for furtherinformation.

Showroom and ProductDemonstrations

VI now has a display of many of itsproducts available at its Sheffieldoffice. To organise a visit pleaseemail [email protected].

DIAGNOSTICS 20Pages 304 - 308

THEATRE WEAR & DRAPING 18

ANAESTHESIA & MONITORING 19Pages 287 - 303

JOINT SURGERY 1

ARTHROSCOPY & LAPAROSCOPY 2

GENERAL ORTHOPAEDICS 3

EXTERNAL FIXATION 4

POWER TOOLS 5

SPINAL SURGERY 6

TRAUMA IMPLANTS & INSTRUMENTS 7

TOTAL JOINT REPLACEMENT 8

SOFT TISSUE SURGERY 9

HEAD & NECK 10

OPHTHALMIC 11

DENTAL MACHINES 12

DENTAL HAND INSTRUMENTS 13

RODENT DENTISTRY 14

NEEDLES & BIOPSY PRODUCTS 15

GENERAL INSTRUMENTATION 16

INSTRUMENT CARE 17Pages 274 - 281

Pages 258 - 273

Pages 253 - 257

Pages 249 - 252

Pages 242 - 248

Pages 232 - 241

Pages 220 - 231

Pages 215 - 219

Pages 204 - 214

Pages 197 - 203

Pages 142 - 196

Pages 135 - 141

Pages 119 - 134

Pages 100 - 118

Pages 71- 89

Pages 56 - 70

Pages 8 - 55

CLINICAL FURNITURE 21

CLIPPERS 22

TRAINING AIDS 23

INDEX

DELIVERY DETAILS

BONE PLATE TEMPLATES

Pages 323 - 338

Pages 321-322

Pages 319 - 320

Page 339

Pages 341 - 354

Contents

TERMS & CONDITIONS Pages 339 - 340

7

PHYSIOTHERAPY & REHABILITATION 3bPages 90- 99

Pages 282 - 286

Pages 309 - 318

8

1 JOINT SURGERY Chapter 1

Management of CranialCruciate DiseaseRupture of the Canine Cruciate Ligament (CrCL) remains, by a significantmargin, the most commonly encountered veterinary orthopaedic condition inboth general and referral practice.

It is now generally agreed that most ruptures of the Cranial Cruciate Ligament(CrCL) in the dog are part of a degenerative process rather than a purelytraumatic condition. Trauma may be involved at the point of rupture but theligament is largely degenerate at this stage. This is particularly true of young,large and giant breeds. This is a very different situation to cruciate ligamentrupture in man and how things used to be in veterinary surgery 30 years agowhen a cruciate rupture was something which occurred when a dog caughtits hind leg in a hole whilst running.

Early, partial CrCL ruptures may be recognised and if managedappropriately, complete rupture may be avoided.

This change in circumstance makes it difficult for us to compare outcomes ofthe various techniques which have been practiced for the past 50 years. Thechoice of techniques is huge, suggesting that none are perfect. They may bedivided broadly into two groups. Those which attempt to replace the anatomyor function of the original ligament and those which seek to moderate theeffects of a cruciate deficient stifle.

Techniques which replace either the physical ligament or its function include:• Patsaama• Over the Top Technique• DeAngelis lateral suture and derivatives• TightRope and similar techniques.All of the above attempt to stabilise the stifle by replacing the ligament or itsfunction.

Techniques which moderate the effects of the cruciate deficient stifle byaltering the dynamics of the forces acting on it include:• Tibial Plateau Levelling Osteotomy (TPLO) Radial cut• Tibial Plateau Levelling Osteotomy (TPLO) Wedge cut• Tibial Tubercle Advancement (TTA)• Triple Tibial Osteotomy (TTO)

All of the above alter the forces acting on the stifle to make it stable under‘load’. Normal canine activity creates a huge variety of loads and thesetechniques do not create stability in all circumstances, leaving the meniscusvulnerable.

Which is the best?

On the basis of published work to date, there are few scientific grounds, interms of outcome, to choose between any of the available techniques. In thehands of a competent surgeon the likely outcome is ‘good’. It seems that thedifferences between surgeons is as great as the difference betweentechniques. However, there are many differences between the varioustechniques in terms of expertise required, necessary equipment and cost.Without the relevant data many surgeons elect to have ‘faith with the theory’pending definitive results.

There seems to be concensus on certain points. Small dogs appear torespond well to extra-capsular techniques whereas some kind of tibialgeometry altering technique is perhaps preferable to a lateral suture in largeand working dogs. This appears to be backed up by the experience ofphysiotherapists working to rehabilitate dogs.

Having said that the techniques are not mutually exclusive. A commonindication for a tibial plateau technique is a failed lateral suture. The reverseis not true. A failed tibial plateau technique is unlikely to respond to a lateralsuture. Currently there are no published techniques which combine a tibialplateau altering procedure with one which stabilises the stifle. Late meniscalinjuries are always a risk in an unstable stifle.

Ultimately it will be a decision for the individual surgeon as to whichtechniques will be offered to the client. The client will make their choicebased on their own circumstances.

We have taken the view that until there is evidence to the contrary we willsupport all the available techniques by the provision of training materials,instrumentation and implants.

Cruciate TrainingThe best training in any of the available techniques is by attending anorganised training course ideally followed by hands on training in thecompany of an experienced surgeon. Veterinary Instrumentation run somelabs as do our training partners. Please check our training page on thewebsite www.vetinst.com for available courses. BSAVA, ECVS, ESVOTand other bodies also run cruciate labs.

However, we do appreciate that access to courses is not always possibleand we do therefore offer a training DVD free of cost to provide guidance.Included on each technique is:

Video.A colour pictoral Step by Step Guide.Frequently asked questions on the technique.Instrument and implant check lists.

All are very much a personal view but may be of interest. In addition hardpaper copy guides are also available for most techniques. Again see belowfor availability. Most videos are also available via the web atwww.vetinst.com but the quality will be lower than the disc version.

It is recommended that cadaver work or further observation is carried priorto performing any new technique on clinical cases.

If we have updates they will be posted on www.vetinst.com

CRUCIATE MANAGEMENT TRAINING MATERIAL

DVDALL DVD includes information on Over the Top, Lateral SutureSystem. TPLO by Closing Wedge, FiberWire, TTA, TTO £FOC

BRLIGAISO Step by Step guide to LigaFiba Iso Toggle Suture £FOC

BRTPLO Step by Step guide to TPLO by Radial Cut £FOC

BRTTA Step by Step guide to TTA £FOC

BRTTO Step by Step guide to TTO £FOC

BRCCLS Arthrex Canine Cruciate Ligament Repair Kit Literature £FOC

BRLSAS Arthrex Suture Anchor Systems Literature £FOC

BRTIGHT Arthrex Tightrope Literature £FOC

9

JOINT SURGERY 1www.vetinst.com

Cranial Cruciate LigamentLateral Suture System

The use of monofilament nylon as a lateral suture (De Angelis style) isaccepted as a method of repair of the cranial cruciate ligament (CCL).Heavy gauge monofilament nylon (100lb, 80lb and 50lb breaking strain) isdifficult to tie without making a large knot, which tends to stretch and irritatethe soft tissues causing pain and seromas. In addition it is difficult tosterilise. Autoclaving reduces the strength and increases the elasticity ofnylon. Veterinary Instrumentation's Lateral Suture System uses nylonsterilized by Ethylene Oxide together with a crimp tube, a method of joiningthe nylon already well established in other industries. For procedure detailssee www.vetinst.com or request our free DVD ‘Surgical Management ofCanine Cranial Cruciate Disease’.

Some CCL deficient patients benefit from the use of double sutures. This isparticularly true of very large dogs and 100lb line. Passing a second needlebehind the fabella risks damaging both the first line and the peri-fabellarstructures which ultimately will hold the nylon sutures. Double line, swagedon sutures allows the placement of two lines with one pass of the needle.Available as single sterile pack. The double line is also available swaged onas a loop without crimps and will, therefore, be of interest to those surgeonsusing the self-locking McKee/Miller knot (VCOT 1999;12:78-80).

CRANIAL CRUCIATE LIGAMENT LATERAL SUTURE SYSTEM

DVDALL Surgical Management of Canine CCL disease- covers OTT, Lateral suture & TPLO, TTA, TTO £FOC

(Approx)STRENGTH WEIGHT50lb 10 - 15kg80lb 15 - 20kg100lb 20+kg100lb x 2 40kg

These are guidelines only

Sterile CCL Packs

STERILE LEADER LINE + CRIMP + NEEDLE

091155 50lb nylon line x 500mm on swaged-onv. small fabella needle + 10mm crimp (sterile) £15.00

091156 80lb nylon line x 800mm on swaged-onsmall fabella needle + 12mm crimp (sterile) £16.00

091157 100lb nylon line x 800mm on swaged-onmedium fabella needle + 12mm crimp (sterile) £17.00

091155/5 50lb nylon line x 500mm on swaged-on v. smallfabella needle + 10mm crimp (sterile) 5 Pack £62.50

091156/5 80lb nylon line x 800mm on swaged-on smallfabella needle + 12mm crimp (sterile) 5 Pack £67.50

091157/5 100lb nylon line x 800mm on swaged-on mediumfabella needle + 12mm crimp (sterile) 5 Pack £72.50

091159 5 of each sterile CCL pack (50lb, 80lb and 100lb.) 15 in total £150.00

Most surgeons now prefer our sterile procedure packs. Available as a singleor discounted multi-pack.

This pack contains everything required for a single procedure.

Multi-packs offer significant savings (15%+) over single packs.

Sterile Leader Line + Crimp + Needle

DOUBLE LEADER LINE + NEEDLE + CRIMPS

091165 50lb Double line (500mm x 2 as loop) onv small fabella needle plus 2 x 10mm crimps (sterile) £17.50

091166 80lb Double line (800mm x 2 as loop) onsmall fabella needle plus 2 x 12mm crimps (sterile) £18.50

091167 100lb Double line (800mm x 2 as loop) onmedium fabella needle plus 2 x 12mm crimps (sterile) £19.50

091165/5 50lb Double line (500mm x 2 as loop) on v small fabellaneedle plus 2 x 10mm crimps 5 Pack (sterile) £77.50

091166/5 80lb Double line (800mm x 2 as loop) on small fabellaneedle plus 2 x 12mm crimps 5 Pack (sterile) £82.50

091167/5 100lb Double line (800mm x 2 as loop) on medium fabellaneedle plus 2 x 12mm crimps 5 Pack (sterile) £87.50

091169 5 of each sterile Double line CCL pack (50lb, 80lb and 100lb.) 15 in total (sterile) £200.00

For the application of double lines with the single pass of a needle

Double Leader Line + Needle + Crimps

Correct Crimping

Correct. Three evenly

spaced crimps

Incorrect. Not enough

crimps

Incorrect. Crimps too

close to end of tube

Which Suture?

10

1 JOINT SURGERY

VI Starter Kits

Implants

KITS

091154 CCL Suture System (Swaged on) Basic Kit. Crimping forceps, 2 x each size nylon/needle/crimp sterile packs £160.00

091150 CCL Suture System (Swaged on) Compound Action Kit, 2 x each size nylon/needle/crimp sterile packs £180.00

091151 CCL Suture System (Swaged on) Basic Kit Plus.Forceps, 2 x each size nylon/needle/crimp sterile packsplus Heavy Duty needleholders £180.00

If you are new to the lateral suture systemour kits represent the most economicalmeans. All kits include a procedural DVD.

DOUBLE LEADER LINE + NEEDLE

091160 50lb Double line (500mm x 2 as loop) onv small fabella needle £15.50

091161 80lb Double line (800mm x 2 as loop) on small fabella needle £16.50

091162 100lb Double line (800mm x 2 as loop)on medium fabella needle £17.50

For use with McKee/Miller knot

Double Leader Line Loop on Needle

McKee/Miller Self Locking Knot

FABELLA (CRUCIATE) NEEDLES

091144VS Fabella Needle, Very Small - Pack of 6Has regular eye £10.50

091144 Fabella Needle, Small - Pack of 6. Has regular eye £10.50

091145 Fabella Needle, Medium - Pack of 6. Has regular eye £10.50

091146 Fabella Needle, Large - Pack of 6. Has regular eye £10.50

Actual S

ize

fabella(cruciate) needles

Most surgeons now use our sterile procedure packs which includeswaged on needle and appropriate crimps. However, if you wish tosterilise your own nylon we offer appropriate needles. They are shownbelow approximately actual size. Bear in mind that leader line passedthrough a regular needle creates more damage as it passes through thefemoro-fabella ligament. It is this ligament which is relied on for theholding power of the suture. Cruciate needles will pass through a holecreated with a 2.7mm bone tunnel borer into the tibial crest.

Fabella (Cruciate) Needles

STERILE LEADER LINE + CRIMP

091142 10mm Tube Crimp + 500mm x 50lb nylon (sterile pack) £12.50



STERILE NYLON LEADER LINE

091141 500mm x 50lb nylon (sterile pack) £6.75



Also useful for other ligament replacement procedures, e.g. hip toggle,collateral ligament repair.

Sterile Nylon Leader Line

For use with separate Fabella (cruciate) needles

Sterile Leader Line + Crimp

CRIMPS

091140 10mm Tube Crimp for 50lb line (non sterile) £7.50

091136 12mm Tube Crimp for 80lb + 100lb line (non sterile) £7.50

091133 14mm Tube Crimp (non sterile)Suitable for nylon over 100lb £7.50

091140/10 10mm Tube Crimp for 50lb line (non sterile) 10 Pack £50.00

091136/10 12mm Tube Crimp for 80lb+100lb line (non sterile) 10 Pack £50.00

091133/10 14mm Tube Crimp (non sterile)Suitable for nylon over 100lb 10 Pack £50.00

Instruments

Dedicated crimping forceps arerequired to avoid over-crimping orunder-crimping, both of which willlead to early implant failure.

Crimping Forceps

CRIMPING FORCEPS

091135 Crimping Forceps 195mm £120.00

11


The compound action crimper delivers a more powerful and controlled crimpthan our simple action device. The angle of the jaws gives the surgeon abetter view than straight variants. The handles sit almost parallel to the tablesurface which is more comfortable. In the relaxed postion the compoundaction crimper sits more easily in the hand than market alternatives.

Compound Action Crimper

COMPOUND ACTION CRIMPER

091135C Compound Action Crimper 230mm £165.00

Heavy Duty Needle Driver

HEAVY DUTY NEEDLE DRIVER

091153 Heavy Duty Needle Driver with Tungsten jaws 195mm £65.00

Cruciate needles are large. Most needleholders are designed for usewith skin suture needles and will be damaged locking onto the biggerneedle. It is cost effective to purchase a dedicated cruciate needle driverfor your cruciate kit rather than keep replacing your standardneedleholders. The TC inserts ensure maximum lock on giving youcontrol over the trickiest part of the procedure.

091132 - Tensioning Device(gelpis not included)

Prior to crimping it is suggested that the loop be tensioned sufficiently toeliminate the anterior draw, but not enough to create an outward rotation.This may be achieved by a number of methods:

a) Partial crimp - see video, does not require additional instrumentation

b) Simple tension device requiring a pair of gelpis 091132

c) A dedicated loop tensioner 091132A

Loop Tension Devices

CCL LOOP TENSIONER

091132 CCL Tensioning Device (pair - gelpis not included) £60.00

CCL Tensioning Device

Bone Tunnel Borer

Bone tunnels are required in many procedures, e.g. tension wire banding,hip toggling and embrocation techniques. The bone tunnel borer is a simplehand instrument which causes minimal soft tissue damage and minimal fussin setting up compared with orthopaedic drills.

BONE TUNNEL BORER

001070 Bone Tunnel Borer 2mm 160mm £45.00

001073 Bone Tunnel Borer 2.5mm 165mm £45.00



Countersinking Bone Tunnel Borer

In order to minimise the stress and abrasion of the nylon as it passesthrough the bone tunnel, countersinking the hole is advisable. To reducetime and instrumentation the self-countersinking instrument incorporates acountersink on the shaft.

COUNTERSINKING BONE TUNNEL BORER

001075 Bone Tunnel Borer with Countersink 2.5mm 165mm £55.00

Bone Tunnel Borer

Bone Tunnel Borer - Close Up

091132A-CCLLoop-Tensioner

Does not require use of extra crimps - less wasteful.

Speed lock type action gives more ‘feel’ than ratchet type.

Jaws designed specifically for crimping system.

The literature tells us little about the correct tension. We recommend thatthe anterior draw is eliminated but that an outward rotation of the tibia isnot created.

Remember over tensioning is as big a technical error as under tensioning!

Instructions on use on www.vetinst.com

CCL LOOP TENSIONER

091132A CCL Loop Tensioner 175mm £155.00

CCL Loop Tensioning

deta

il in

use

Leader line gripped by thumbscrew.

12

1 JOINT SURGERY

LIGAFIBA CRIMPS

LFCRIMP75 Crimp for 75lb LigaFiba (Available June 2012) £7.50

LFCRIMP150 Crimp for 150lb LigaFiba £7.50



091135M LigaFiba Compound Action Crimpers 245mm £165.00

LigaFiba Lateral Sutures

Extreme strength, minimal stretch and goodabrasion characteristics make LigaFiba anideal material for lateral sutures. The loop maybe either tied or crimped at the end of theprocedure. LigaFiba for any given diameter ismore than twice as strong as monofilamentnylon.Lateral sutures are supplied sterile with size appropriate cruciate needle onone end and a straight round bodied needle at the other. Supplied Sterile.

LIGAFIBA LATERAL SUTURES

LFLS75 75lb LigaFiba Lateral Suture (300mm) £19.50




LigaFibaLigaFiba is a new, extremely strong surgical suture material. It iscomposed entirely of Ultra High Molecular Weight Polyethylene, thesame hard wearing material from which we make acetabular cups. Untilnow it has not been possible to spin it fine enough to produce flexiblestrands that are easily tied.

Weight for weight it is 15 x stronger than steel and 2.5 x stronger thannylon. Importantly it has very good abrasion characteristics which isimportant when used in hostile environments such as lateral sutures andhip toggles.

LigaFiba is available in three breaking strains.150lb (70kg) 0.6mm in diameter Dogs up to 15kg250lb (113kg) 1.0mm in diameter Dogs 15 - 30kg500lb (230kg) 1.6mm in diameter Dogs over 30kg

LigaFiba has a number of applications in veterinary orthopaedics and isavailable in a range of sterile presentations.

Ligament and tendon repairsCruciate lateral suturesBone tunnel cruciate proceduresHip toggle procedure

As a braided material LigaFiba should only be used in aseptic conditions.

LigaFiba Tendon and Ligament SuturesLigaFiba is available in sterile single lengths foruse in conjunction with any suitable suture anchorsystem. A tendon repair suture is also availablewith a round bodied needle at either end.LigaFiba is so tough it is difficult to cut and willdamage standard scissors. Use our special T.C.scissors with a custom cutting edge.

LigaFiba CrimpsLigaFiba ties very well but many surgeonsprefer the low profile, security and speed ofcrimps to complete lateral sutures. Crimpsare available for all sizes of LigaFiba. Pleasenote that only the LigaFiba crimper ispowerful enough for LigaFiba Crimps.

LIGAFIBA

LF150500 150lb LigaFiba x 500mm <15kg £12.00

LF250600 250lb LigaFiba x 600mm 15 - 30kg £12.50

LF500600 500lb LigaFiba x 600mm >30kg £13.50

LFTRS150 150lb LigaFiba Tendon Repair Suture £18.50

LFS140TC LigaFiba Scissors 145mm £82.50

LigaFiba IsoToggle Locking Interference ScrewThe Iso Toggle suture is an extra-capsular suture placed isometricallythrough bone tunnels. Placement of the tunnels is illustrated on a freeCD. The LigaFiba knots very well but there is now an alternative.The locking interference screw offers a secure, low profile alternative totying over a button. The screw has a tapered, softprofile thread which jams the LigaFiba into thebone tunnel without damaging the suture. Thescrew may be partially introduced as a temporarymeasure to assess joint stability and range ofmovement. Once the surgeon is satisfied, thescrew is driven home to lock the suture.

LIGAFIBA ISO TOGGLE INTERFERENCE LOCKING SCREWS

LFIS253518SS Interference screw 3.5 Stainless 18mm £18.50

LFIS253518Ti Interference screw 3.5 Titanium 18mm £24.50

LFIS354523SS Interference screw 4.5 Stainless 23mm £18.50

LFIS354523Ti Interference screw 4.5 Titanium 23mm £24.50

Picture Jean-Benoit Lefebvre LigaFiba Lateral Sutures with CrimpLigaFiba does knot securely but for maximum securityrequires 6 throws which creates a rather bulky knot. Crimpingcreates a secure, low profile, radio-dense join between the freeends of LigaFiba. For convenience we now offer a lateral suture packwhich includes an appropriate crimp. To make passing the LigaFiba

through the crimp a simple process the25mm of LigaFiba nearest the needle hasbeen processed to minimise fraying.Always cut the lateral suture near theneedle. Supplied Sterile.

LIGAFIBA LATERAL SUTURES WITH CRIMP

LFLSCR75 75lb LigaFiba Lateral Suture (300mm) + Crimp £24.50




LFLSCR150/5 150lb LigaFiba Lateral Suture (500mm) + CrimpPack of 5 £100.00



LFLSCRSET 5 of each LigaFiba Lateral Suture + Crimp pack(150, 250, 500lb) 15 in total. £250.00

LigaFiba as a medial colateralrepair using suture screw

13


The new compound action crimper deliversa pre-measured crimp with minimal effort.The jaw cut outs prevent over crimping.These crimpers require the least effort ofany crimper available. The compoundaction crimper is suitable for all crimpsapart from the thin walled 50lb Ande crimpwhich suits the standard simple actioncrimper.

LIGAFIBA COMPOUND ACTION CRIMPERS

091135M LigaFiba Compound Action Crimpers 245mm £165.00

Compound Action Crimpers for LigaFiba

Instruments

Cannulated Drills

For maximum control over the alignment of bone tunnelsuse of cannulated drills is preferred. A fine guide wire isdrilled through where the bonetunnel or screw hole is required.Only when the surgeon is satisfiedthat the guide wire is correctlypositioned is the drill driven along thewire to create the hole. The guidewire can be repositioned if necessarywithout causing undue trauma to thebone. Available for Jacobs chuck orAO Quickfit.

CANNULATED DRILLS

H090112CAN 2.5mm 130mm long 1.1mm cannulation £60.00



S090112CAN 2.5mm 130mm long 1.1mm cannulation AO Quickfit £70.00



090065 Guide Wire 1.1mm x 178mm (pack of 10) £26.00

PushPull Suture Passer

Passing soft suture materials such as FiberWire™ orLigaFiba through bone tunnels can be a challenge

likened to pushing a piece of string. Historically a pullingdevice was fashioned from suture wire. The PushPull Suture

Passer hooks onto the suture material and may then be either pushedthrough a bone tunnel or pulled back through one.

Diameter is 2.0mm therefore minimum bone tunnel size is 2.0 whenpulling and 2.0 plus twice the suture diameter when pushing.

PUSHPULL SUTURE PASSER

001050PP PushPull Suture Passer 235mm £60.00

Lateral Suture Tension Device

This is the standard lateral suture tension device in the USA. Ratchetbased it relies on the jaws pulling against crimps attached to the free endsof the loop. It is simple and effective but does require two extra crimpswhich are ultimately discarded. Remember, over tensioning loops createsas many problems as under tensioning.

LATERAL SUTURE TENSIONER

091158 Lateral Suture tensioner 170mm £155.00

Double LigaFiba Lateral Sutures

DOUBLE LIGAFIBA LATERAL SUTURES

LFLS250D Double 250lb LigaFiba Lateral Suture (500mm) £22.50

LFLSCR250D Double 250lb LigaFiba Lateral Suture (500mm) with 2 Crimps £26.50

LFLBS250D Double 250lb LigaFiba Lateral Suture (500mm) with 2 crimps and a 500lb Button £32.50

The 500lb LigaFiba is quite bulky and many surgeons prefer to use adouble strand of 250lb LigaFiba for dogs over 30kg(66lb) Use of twoseparate 250lb lateral sutures on separate needles increases the traumaaround the fabella and risks damaging the first LigaFiba loop. To savetime and minimise trauma to both implants and patient there is nowavailable a double strand of 250lb LigaFiba swaged onto standardcurved and straight needles. The double lateral suture is available bothwith or without two crimps to suit surgeon preference.

75lb (34kg) LigaFiba Lateral Sutures

At less than 0.5mm in diameter the 75lb LigaFiba is as strong as nylon2.5 x as thick. Suitable for small dogs and cats weighing less than 5kg.LigaFiba ties very well with minimal creep and a resultant small softknot. Alternatively a dedicated crimp may be used with our standardLigaFiba crimper 091135M. Available June 2012.

75LB (34KG) LIGAFIBA LATERAL SUTURES


LFLSCR75 75lb LigaFiba Lateral Suture (300mm) with crimp £24.50

LFLBS75 75lb LigaFiba Lateral Button Suture (300mm) with Button & crimp £28.50

1 JOINT SURGERY

During the placement of standard lateral sutures there is a tendency for theproximal strand of the suture to drift up the straight patella ligament. Thisreduces the isometry of the suture and the the suture can become intra-articular which is undesirable. Use of a toggle button at the proximal tibiahole keeps both strands of suture at the hole. Application is very simple.The suture is passed around the fabella using the swaged on curvedcruciate needle. The suture is then passed through the hole from lateral tomedial and then back through the hole from medial to lateral. The suture isswaged onto a straight needle to facilitate this part of the procedure. Thetoggle button is placed into the loopon the medial surface and retainedinto position by pulling the loop tightfrom the lateral side. The buttonprevents the suture from pullingthrough. The LigaFiba suture is thentensioned and crimped in the usualway. Each pack includes the lateral suture, the correct number and size ofcrimp plus an appropriate button.

Lateral Button Suture

LATERAL MEDIAL

LATERAL BUTTON SUTURE

LFLBS75 75lb LigaFiba Lateral Button Suture £28.50



LFLBS250D 250lb LigaFiba Lateral Button Suture Double £32.50


Lateral Button Suture Step by Step SummaryDetailed step by step guides of both the original lateral suture techniqueand the lateral button suture technique are available free of charge onrequest from Veterinary Instrumentation or may be downloaded free ofcharge from www.vetinst.com. The simple modifications to the standardlateral suture technique are illustrated below for your information.Special thanks to Geoff Robins for the images.

Pass LigaFiba around Lateral Fabella.Be sure to pass the curved needle through substantial fibrous tissuearound the fabella. When tension is applied to the suture in thephysiological direction the LigaFiba should be held by the bone of thefabella. LigaFiba placed in soft tissue will ‘cheese wire’ its way throughlosing tension.

Create isometric hole in proximal tibiaUsing a drill or bone tunnel borer a hole is placed through the proximaltibia in a position which is as isometric as possible with respect to thefabella. It is important that as the knee flexes and extends the LigaFibaloop is not repeatedly loaded and unloaded against the bone. There area number of possible positions for the hole (see Simon Roe VCOT2008). The most common position used is very cranial and very proximalon the tibial tubercle. The straight needle is passed lateral to medialthrough the hole.

Create a loop on the medial sidePass the straight needle back from medial to lateral to create a loop ofLigaFiba on the medial side.

Place slotted button within the loopThe slotted button is placed within the loop and the slack within the loopis drawn through to the lateral side so that the button sits on bone at themedial side. Both strands of LigaFiba exit the lateral tibia at the isometricpoint.

Tension and crimp or knotSufficient tension is applied to the loop to eliminate anterior drawer yetallow a full range of motion. The free ends knot very well but a crimpprovides a secure, low profile, radio dense joint.The closure is routine.

14

15


LigaFiba Iso Toggle Sutures

The strength and flexibility of LigaFiba makes it an ideal material forextracapsular sutures. The Iso Toggle suture is placed via bone tunnelsacross the stifle at isometric points. The use of isometric pointsmaximises the range of movement of the stifle and protects the suturefrom repeated stretching and abrasion.The suture is anchored over buttons on the medial side. Available in all three sizes of LigaFiba150lb Dogs up to 15kg250lb Dogs 15-30kg500lb Dogs over 30kgFree DVD available showing the placement of the Iso Toggle Suture.The starter kit comprises 2 x 250lb sutures, 2 x 500lb sutures and therequired 2.5mm and 3.5mm antiskid drills.

LIGAFIBA ISO TOGGLE SUTURES

LFITS150 150lb Iso Toggle Suture Set £75.00



LFISOKIT Iso Toggle Starter Kit (250 & 500lb) x 2 of each £275.00

DVDALL Free Procedure DVD £FOC

BRLIGAISO Step by Step guide to LigaFiba Iso Toggle Suture £FOC

The full IsoToggle Step by Step guide is available on request fromVeterinary Instrumentation or by download from www.vetinst.com. Anintroduction to the technique is given here.

LigaFiba IsoToggle Suture Step by Step Summary

Iso Toggle Aiming DevicePlacement of the tibial bone tunnel is straightforward but the femoral bone tunnel can be morechallenging. The tunnel must start just cranial toand just distal to the lateral fabella. It should exitthrough cortical bone avoiding the medialtrochlea ridge and a breakout through the caudalaspect of the femur. Some time should be spentjudging the angle of the drill. Alternatively theAdjustable Drill Guide (ADJDG2035) with anappropriately sized drill slider may be used topre-determine the line of the tunnel and offer

protection of the soft tissues. The arms of the guide have sufficient‘spring’ in them so if pre-stressed the guide is self retaining.

Placement of femoral bone tunnelThe tunnel must start just cranial to and just distal to the lateral fabella. Itshould exit through cortical bone avoiding the medial trochlea ridge anda breakout through the caudal aspect of the femur. Drill guides may beused to limit soft tissue issues.

Placement of tibial bone tunnelThe tunnel passes from the Tubercle of Gerdy on the lateral aspect ofthe tibial plateau to exit from the middle of the medial proximal tibia.

Pass the suture through the tibial bone tunnelUsing the guide needle pass the loop end of the IsoToggle suturethrough the tibia from medial to lateral. Leave the button in situ on theend of the suture to prevent pull out. The suture is then passed underthe Long Digital Extensor, (some surgeons prefer to pass the sutureover the top of the LDE).

Pass the suture through the femur, tension and tieUsing the guide needle the suture is passed through the femur fromlateral to medial. The exit hole in the femur should be cleared of softtissue as it is important that the toggle button sits on clean bone. Theslotted button is fed into the loop and and pulled down onto bone bywithdrawing excess LigaFiba from the lateral side of the stifle. TheIsoToggle suture is pulled tight from the medial aspect of the tibia andtied over the button. Care should be taken to ensure that there is noslack in the suture. The tension on the loop should be enough toeliminate the anterior drawer but not enough to cause rotation of the tibiaon the femur.

Iso Toggle ConsumablesISO TOGGLE CONSUMABLES

H090102AS 2.0mm Antiskid Drill (150lb) 100mm £23.50

H090112AS 2.5mm Antiskid Drill (250lb) 115mm £23.50

H090106SAS/L 3.5mm Antiskid Drill (500lb) 180mm £25.00

090166/E Ormrod Button 6mm Sterile (150lb) £9.50

090166/F Ormrod Button Slotted 6mm Sterile (150lb) £9.50

090166/A Ormrod Button 9mm Sterile (250lb) £9.50

090166/B Ormrod Button Slotted 9mm Sterile (250lb) £9.50

090166/C Ormrod Button 11mm Sterile (500lb) £9.50

090166/D Ormrod Button Slotted 11mm Sterile (500lb) £9.50

ADJDG2035 Adjustable Drill Guide 175mm £175.00

16

1 JOINT SURGERY

Arthrex is a highly innovative global surgical company specialising in jointsurgery and arthroscopy products. Their veterinary division Arthrex VetSystems is introducing the most appropriate of the human products to theveterinary market. In addition Arthrex Veterinary Systems is working withleading veterinary surgeons, such as Jimi Cook, to develop innovativesolutions to veterinary joint surgery problems.

Veterinary Instrumentation is very pleased to have been appointed UKdistributor for Arthrex joint surgery products.

FiberWire™Many Arthrex products are based around FiberWire™, a new compositematerial consisting of a multi-stranded long chain ultra high molecularweight polyethylene core with a polyester braided jacket. Compared tomonofilament nylon, FiberWire™ is stronger, and does not stretch. Inaddition and very importantly FiberWire™ has much better wearcharacteristics. Most lateral suture loops fail by abrasion, usually at thefabella. Use of FibreWire™ extends the working life of the lateral suture.FiberWire™ is five times more resistant to abrasion than standardpolyester suture. FiberWire™ ties very well with a creep free soft knotwhich again compares very well with nylon.

FiberWire is available in various presentations, such as free strands,swaged onto needles or attached to suture anchors.

FiberTape is as the name suggests a broader, immensley strong version ofFiberWire and forms the basis of the TightRope cruciate technique.

FIBERWIRE™

AR-7200 #2 (M5) FiberWire™ with tapered needle (12) £170.00

AR-7201 #2 (M5) FiberWire™ without needles (12) £170.00

AR-7202 #2 (M5) FiberWire™ with reverse cut needles (12) £170.00

AR-7205 #2 (M5) FiberWire™ - with two tapered needles (12) £390.00

AR-7206 #2 (M5) FiberWire™ - with 1/2 circle needles (12) £190.00

AR-7210 #5 (M7) FiberWire™ without needles (12) £190.00

AR-7211 #5 (M7) FiberWire™ with needles (12) £190.00

AR-7220 2-0 FiberWire™ with tapered needles (12) £175.00

AR-7237 FiberTape (6) £565.00

BRFIBER FiberWire™ Literature £FOC

NITINOL SUTURE PASSERS

VAR-5000 Small Nitinol Looped Needle (5) £40.00

VAR-1255-08 Nitinol Flexible Suture Passer (200mm) £50.00


Nitinol Looped NeedlesNitinol is a highly sprungmaterial used in stents andother intravascular structures.Attached to a needle the loopsprings open making threadingvery easy and when pulledthrough causes less damage tothe soft tissues than regulareyed needles.

Nitinol Flexible Suture Passer

Passing soft flexible sutures through bone tunnels can be a challenge.The Arthrex suture passer is 200 or 600mm long stiff yet flexible with anitinol loop at the tip which expands for easy passage of the suture c.f.suture wire loops.

Nitinol Suture Passers

FIBERWIRE™ CANINE CRUCIATE LATERAL SUTURE

VAR-2000 #5 (M7) FiberWire™ Lateral Suture (10) £320.00

VAR-2002 #2 (M5) FiberWire™ Lateral Suture (10) £320.00

BRCCLS FiberWire Lateral Suture Step by Step Guide £FOC

DVDARTHREX Arthrex Multi DVD(contains all Arthrex brochures) £FOC

Arthrex FiberWire™ Canine Cruciate Lateral Suture

A special FiberWire™ lateral suture has been developed by Arthrex inconjunction with James L. Cook, DVM, PhD, at the ComparativeOrthopaedic Laboratory, University of Missouri, consisting of a swaged oncurved needle for fabella placement and a straight needle at the other endfor easy passage through the proximal tibia. The #5 FiberWire™ (7 metric)is for use in dogs 15kg to 50kg. The #2 FiberWire (5 metric) is used forsmaller patients.

A step by step guide on how to use the new suture can be viewed ordownloaded as a pdf by visiting our web site www.vetinst.com. A video ofthe technique may also be viewed on the web site. Alternatively ask ourvet tech team for a free training pack which includes a step by stepbrochure, video and sample. If your suture tying technique needs revisionwe can send you a free CD rom on Arthroscopic Suture techniques.

FiberWire ties very well using anumber of knots including thestandard surgeons knot. It issometimes useful to intiallycreate a sliding knot which canbe used to create tension in theloop. The knot may be lockedusing 3 further half hitches.

17


The lateral fabella and the proximal tibial crest are not the ideal isometricpoints to substitute for the cranial cruciate liagament. They are usedbecause they are the nearest convenient points to pass a suture using aneedle. Using Arthrex FiberWire™ and Arthrex suture anchors it ispossible to place a lateral suture at the most isometric points. As the stifleflexes and extends the distance between theisometric points does not change.

F1(lateral fabella) is isometric with T3 (posteriorwall of LDE sulcus).

F2 (posteroventral femoral condyle) is isometricwith T2.

In large dogs a suture may be placed at bothpairs of positions.

A step by step guide is available by post or canbe downloaded from www.vetinst.com from the documents downloadpage. A video is also available on the website.

Arthrex Isometric Lateral Suture Anchor System

Arthrex TightRope for CrCL Repair

Corkscrew

FASTak

Corkscrew suture anchors are designed for cancellous bone and are suppliedpre-loaded and sterile on a disposable screwdriver type applicator. Pre-drillingis not required. The Corkscrew anchor is supplied pre-loaded with either astrand of #5 FiberWire or two strands of #2 FiberWire. Additional, non sterilestand alone Corkscrew anchors are also available which may be insertedusing the same applicator. Should pre-drilling be necessary use a 2.5mm drill.

FASTak ll suture anchors are designed for cortical bone. They are suppliedsterile pre-loaded with #2 (Metric 5 FiberWire) and are used in the Isometricprocedure. The anchor requires no pre-drilling and is inserted directly using thedisposable screwdriver handle applicator. Additional FASTak anchors areavailable which may be inserted using the same applicator.

The applicator of both anchors is laser marked with an insertion line. Wheninserted to this line the eyelet of the anchor is below the bone surface.

Please note Veterinary Instrumentation cannot supply Arthrex productsoutside of the UK.

Arthrex Suture Anchors

ARTHREX TIGHTROPE

VAR-2800 TightRope CCL £175.00

VAR-8920DC Cannulated Drill Bit 3.5mm £95.00

VAR-8920P Guidewire for TightRope (Pack of 6) 1.2mm £60.00

VAR-11796 FiberWire™ Scissors £225.00

VAR-2800-MULTI TightRope CCL 5 Pack with FREE Cannulated Drill Bit £935.00

BRTIGHT TightRope Training Pack(guide + DVD) £FOC

ARTHREX SUTURE ANCHORS

VAR-2100 Corkscrew Suture Anchor 5x15mm Screwdrivertype with one #5 (Metric 7) FiberWire™ (5 pack) £320.00

VAR-2100/S As above - Single Pack £85.00

VAR-2102 Corkscrew Suture Anchor 5x15mm £320.00Screwdriver type with one #2 (Metric 5) FiberWire™ and one #2 (Metric 5) TigerWire™(5 pack)

VAR-2101 Corkscrew Suture Anchor only (5 pack) £260.00

VAR-2200 FASTak II with # 2 (Metric 5) FiberWires™in Screwdriver applicator (5 pack) £320.00


VAR-2201 FASTak II anchor only (5 pack) £210.00


BRCCLS Arthrex CCL Literature £FOC

The start site for the femoral tunnel is just distal tolateral fabella-femoral condyle junction (ie. 2 mmfrom the caudal edge of the lateral femoral condyle).The tibial start site is located caudally within thegroove of the long digital extensor tendon.

A guidewire is placed across the femur. TheCannulated Drill Bit is inserted onto theGuidewire and advanced until it exits throughthe medial side of the femur.

The TightRope needle is inserted through the tibialtunnel in a medial to lateral direction. As tension isapplied to the needle and FiberTape, the toggle buttonwill lay down to allow it to advance through the tunnel.

Place the Guidewire followed by the cannulated drillwithin the tibial extensor groove proximally andresting against its caudal ridge. Advance theGuidewire through the tibia at a 45˚-60˚ angle to exitmedially within the footprint of the caudal sartoriusinsertion.

Advance the TightRope needlethrough the femoral tunnel in a lateralto medial direction.

Once the toggle button has exited the femoraltunnel, the button is flipped by pulling the white suturein a slight upward direction and by pulling back on theFiberTape strands laterally. Ensure that the toggle isflipped and seated fully on medial femoral bone bydirect visualization or palpation.

Remove the blue strands from the tensioner, advance the twowhite strands of FiberTape into the tensioner and tension to10-12 lbs, confirm ROM, internal rotation, and drawer areoptimized. Put the stifle at a weightbearing angle (ie. ˜140˚)and tie a knot (single throw) with the bluestrands of FiberTape. Reinforce the knot with 4 to 5 throws.Remove the tensioner from the white strands of suture andrecheck the ROM, rotation and drawer. If satisfied, tie thewhite strands of FiberTape.

FiberTape is a braided material but provided that standard asepticprotocols are followed infection rates are low. Try to minimise draggingFiberTape across skin. Do not unpack the TightRope until all the bonetunnels are complete.

TightRope Surgical Technique

The TightRope technique for CrCL repairtakes the best aspects of the lateral suturebut adds the benefits of isometric positioningand the use of the immensly stong ArthrexFiberTape. The isometric points are accessedby use of bone tunnels which create verysecure fixation points c.f. the lateral fabella.A full free step by step guide of the TightRopetechnique is available from VeterinaryInstrumentation or as a download fromwww.vetinst.com. The technique issummarised here.

Cancellous Bone

Seat the 4 hole button firmly and completely against themedial tibial bone. Advance the two blue strands ofFiberTape into the tensioner and tension to 10-12 lbs.Check drawer, internal rotation, and range of motion(ROM) of the stifle. Cycle the joint through a full ROM.

Cortical Bone

Don Hulse has developed the knotless SwiveLock technique of CrCLrepair based on his work on isometric points for the anchorage of lateralsutures. The system involves drilling a bone tunnel in the proximal tibiadrilled from point T3 (caudal to the LDE). A double strand of FiberTapeis secured on the medial tibia using a toggle. The FiberTape is tensionedand secured at point F2 just distal to the lateral fabella using the newSwiveLock anchor.Step by Step guide and brochure is available free of charge BRSWIV

Arthrex SwiveLock AnchorKnotless CrCL Technique

18

1 JOINT SURGERY

Mini TightRope

Arthrex have produced a smaller version of the TightRope for dogs lessthan 18kg.

The technique is the same as for the standard TightRope CCL but theguide wire and 2.7mm cannulated drills are smaller. Some users reportthat the Tensioner is more useful with the Mini TightRope (VAR-1529).The MiniTightRope also has an application in the management ofcoxofemoral luxations, see next page.

ARTHREX MINI TIGHTROPE

VAR-2801 Mini TightRope Single Set £125.00

VAR-8911DC Cannulated Drill Bit 2.7mm (use with VAR-8920P) £95.00

VAR-1529 Tensioner with Tensiometer £445.00

VAR-8920P 1.2mm (0.049”) Guidewire (pack of 6) £60.00

SWIVELOCK ANCHOR SYSTEM

VAR-2323PSLG SwiveLock Kit includes VAR-2323PSLC, AR-7237 and VAR-8920G £195.00

VAR-2323PSLC SwiveLock 5.5mm x 19.1mm Single £115.00

AR-7237 FibreTape (6) £565.00

VAR-8920G Suture Button £40.00

Associated Products

VAR-1927CTB Tap for SwiveLock £185.00

VAR-1530C-25 Cannulated Drill 2.5mm £95.00


VAR-1927D Spade Tip Drill for 5.5 SwiveLock £95.00

VAR-1530K Guide Wire 1.04mm (0.041”) pack of x 4 £65.00

BRSWIV SwiveLock Lateral Suture Step by Step Guide £FOC

The F2 site is drilled with theSpade Tip Drill creating ablind tunnel of fixed depth.Aim towards trochlea

Tap the tunnel to the fulldepth indicated by blackmark on tap

Pass the nitinol suture passingwire through the tunnel toretrieve the FiberTape threadedonto the suture button.

Pass a guide wire from site T3just caudal to LDE sulcus. Thewire should exit on caudomedialaspect of tibia. Follow throughwith the cannulated drill

Pull button tight onto bone.No soft tissue should bebetween button and bone.

Pass both strands ofFiberTape through theSwiveLock and mark at blacklaser line

Move the eyelet to the markand insert into blind tunneluntil edge of anchor is at thetunnel entrance.

The Fiber Tape is locked into position by screwingin the anchor. When a 1/4 of the way in test fortension and range of motion. Reposition eyelet ifnecessary and re-screw.

19


TightRope for Coxofemoral Luxation Repair

Placement of a guide wire using the aiming device ensures accuratepositioning of the drill and bone tunnel.

A hole large enough to accept the toggle is drilled through the fossa ofthe acetabulum (3.5mm TightRope. 2.7mm MiniTightRope). The leadneedle is passed through the bone tunnel and the TightRope toggle ispulled through. Once the toggle is through, the lead needle is removed.

The toggle is pushed completely through the fossa hole. The slack inthe FiberTape is removed from the lateral femur and the headreplaced. A low tension (22-31 Newtons) is applied to each pair ofFiberTape strands which are tied off with four throws.

A good outcome using the hip toggle technique for coxofemoral luxationdepends on the use of strong materials in this hostile environment,accuarte placement of bone tunnels and application of the correcttension prior to closure. Arthrex offers both implants and instrumentationto address all of these issues.

ARTHREX COXOFEMORAL REPAIR

VAR-2800 TightRope Single Set £175.00

VAR-2801 Mini TightRope Single Set £125.00

VAR-2810 Femoral Aiming Guide £925.00

VAR-8933-20C Cannulated Drill Bit 2.0mm (use with VAR-8933K) £95.00



VAR-8933K 1.1mm (0.045”) Guidewire (Pack of 6) £60.00

VAR-8920P 1.2mm (0.049”) Guidewire (Pack of 6) £60.00

VAR-1255-O8 Nitinol Flexible Suture Passer (200mm) £50.00

VAR-1529 Tensioner with Tensiometer £445.00

VAR-11796 FiberWire Scissors £225.00

ARTHREX SUTURE TENSIONER WITH TENSIOMETER

AR-1529 Suture Tensioner with Tensiometer £445.00

ACP Autologous Conditioned Plasma

Outside the bloodstream, platelets become activated and releaseproliferative and morphogenic proteins relevant to healing in a variety oftissue types including bone, tendon and cartilage. Arthrex ACPsignificantly increases the levels of both platelets (x2) and growthfactors TGF, PDGF, EGF, VEGF, IGF-1 compared to whole blood. Invitro studies using cell cultures and ACP derived plasma hasdemonstrated increased proliferation of tenocytes, osteoblasts andchrondrocytes. Clinical studies comparing treatments using ACP with aHyaluronic Acid and Depomedrone combination are encouraging.An information pack on the use of ACP and ABPS which includespublished studies is available free on request.

High concentrations of growth factors like those found in ACP have beenshown to have regenerative and modulating effects on impaired cartilageand tendons.

The procedure requires the use of only 10ml of blood together with theArthrex double syringe primed with ACD-A which is then spun downusing a dedicated centrifuge and rotor. Depending on usage Arthrex willsupply the centrifuge and rotor on free loan.The centrifuge is the same as is used with the Arthrex-ABPS system,with easily interchangeable rotors for users of both

Arthrex ACP & ABPSAutologous Blood Products

ACP CONSUMABLES

ABS-10010 Arthrex ACP Double Syringe x 20 £825.00

ABS-10010-5 Arthrex ACP Double Syringe x 5 £250.00

ABS-10007 Anticoagulant ACD-A 10x4ml (For use with ACP) £27.50

ACP / ABPS EQUIPMENT

ABS-10019 Arthrex Centrifuge £3,025.00

VAR-1021 Rotor for ABPS £650.00

ABS-10021 Rotor for ACP £650.00

VAR-1040 Arthrex Incubator £650.00

ABPS CONSUMABLES

VAR-1011 ABPS Syringe (Single) £165.00

Free loan of centrifuge and rotorProvided the surgeon is prepared to commit to an initial purchase of 2boxes (40 units) of syringes (£1,650) and an annual purchase of 5boxes, Arthrex is prepared to offer its Centrifuge with rotor/accessories(value over £3,500) on free loan.Please call for details.

Collect whole blood

Apply to target areaACP (PRP) in sub syringe

Decant platelet richplasma (ACP)

Centrifuge for 5 minutes

Apply to target area

Tying a loop of FiberWire is straight forward in the lateral suturetechnique. Where the FiberWire/FiberTape runs throughbone tunnels, ‘taking up the slack’ can be moreproblematic. This is particularly true in the newTightRope where two separate loops mustbe adjusted to the same tensionbefore tying. This calibrated tension device

deals with this problem

Arthrex Suture Tensioner

20

1 JOINT SURGERY

Presentation is a self-tapping screw with an eyed head. Use where a sutureanchor would seem appropriate. Thread forms are the same as equivalent AO type. Requires dedicated insertion tool (see price table below).

Suture Screws

SUTURE SCREWS

SS2006 2.0mm dia 6mm long 1.0mm hole Cortical £17.50






SS4016 4.0mm dia 16mm long 2.0mm hole Cancellous £17.50

SS4024 4.0mm dia 24mm long 2.0mm hole Cancellous £17.50

SSITUN Universal insertion tool for all suture screws £75.00

SUTURE ANCHOR MATERIALS

091141 500mm x 50lb nylon (Sterile Pack) £6.75

091139 800mm x 80lb nylon (Sterile Pack) £7.25

LF150500 LigaFiba 150lb (68kg) 0.6mm x 600mm £12.00

LF250600 LigaFiba 250lb (113kg) 1mm x 600mm £12.50

LF500600 LigaFiba 500lb (226kg) 1.5mm x 600mm £13.50

AR-7201 FiberWire™ No 2 (12) £170.00

AR-7210 FiberWire™ No 5 (12) £190.00

BRFIBER FiberWire™ Literature £FOC

Ideally the material selected should be strong with a high resistance toabrasion. FiberWire™ and braided polyethylene have these qualities butare braided and must, therefore, be used with care. Monofilamentmaterials cause less problems in infected areas (e.g. shearing injuries).Make sure that the material selected fits the anchor you have in mind.

Suture Anchor Materials

Bone Biter Suture Anchor SystemAvailable in two sizes the Bone Biter is small, easy to install, and able toresist forces equivalent to the breaking strength of a size 2 and a size 5braided suture. Also used with monofilament nylon, 50lb for the no. 2anchor and 80lb for the no. 5.

BONE BITER SUTURE ANCHOR SYSTEM

100001-00 Bone Biter Suture Anchor Size 2 £60.00

100002-00 Bone Biter Suture Anchor Size 5 £60.00

110001-00 Bone Biter Driver Set Size 2 (no anchors) £375.00

110002-00 Bone Biter Driver Set Size 5 (no anchors) £375.00

SUTURE SCREW SET

SSITKIT Suture screw set (16 screws + introducer + 3 Suture Packs) £425.00

SSITUN Insertion Tool for all suture screws 135mm £75.00

Suture Screws

A threaded suture anchor is machined into the tip of a trochar pin.Immediately proximal to the suture anchor is a narrow break off point. Theconstruct is stable during axial drilling of the pin into bone. Once in positionwith the hole of the anchor just above the surface of the bone the shaft ofthe pin is rocked to and fro. The stainless steel undergoes work hardeningand becomes very brittle, ultimately breaking off leaving the anchor inpostion ready for placement of sutures. The suture anchor pin is extremelyeasy to postion and place without pre-drilling. Length of pin into the bone is(approx) 2.5mm - 12mm, 3.0mm - 14mm and 4.0mm - 20mm.

Suture Anchor Pin

SUTURE ANCHOR PIN

SAP2.5 Suture Anchor Pin 2.5mm dia 1.0mm hole. £18.75

SAP3 Suture Anchor Pin 3mm dia 1.0mm hole. £18.75

SAP4 Suture Anchor Pin 4mm dia 2.0mm hole. £18.75

Picture Jean-Benoit Lefebvre

Suture Screw SetSuture screws are a versatile,economic suture anchor. Usedtogether with LigaFiba, suturescrews offer a solution to jointstabilisation. Sizes range from2.0mm up to 4.0mm to cover thefull range of patients. Suturescrews are now available as aboxed set including 2 of eachsuture screw (16) together withthe new universal introducerwhich fits all the screws.Applications include: shearinginjuries, isometric lateral sutures,medial collateral replacement.Also included in the kit is one ofeach LigaFiba sterilesuture packs:150lb,250lb & 500lb.

21


Curved Graft Passer

The repair of the cranial cruciate ligament (CCL) by the ‘Over the Top'technique requires a curved graft passer to pull the graft through the stiflejoint. This design of graft passer has been developed over many years to:

1. minimise damage to intra - articular structures.2. feel right in use. The handle is comfortable.3. for graft insertion anterior to posterior or vice versa.

This design is used by most recognised orthopaedic surgeons. Please seeour free DVD ‘Surgical Management of Canine Cranial Cruciate Disease’(Code: DVDALL) for details and video of the technique.

The small eyed graft passers are appropriate for placement of lateral suturewire or monofilament nylon as described by M. L. Olmstead.

CURVED GRAFT PASSER

001051 Very Small Curved Graft Passer 2cm 165mm £52.50

001052 Small Curved Graft Passer 3cm 175mm £52.50

001053 Large Curved Graft Passer 4.5cm 185mm £52.50

001054 Very Large Curved Graft Passer 6cm 205mm £52.50

001055 Extra Large Curved Graft Passer 8cm 220mm £52.50

001056 2cm Graft Passer with small eye 165mm £52.50

001057 3cm Graft Passer with small eye 170mm £52.50

001058 4.5cm Graft Passer with small eye 185mm £52.50

001057AR Aneurism Needle 3cm Angled Right Small Eye £52.50

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Designed to pass through a 2.7mm hole, the straight graft passer is usefulfor pulling graft and nylon through bone tunnels.

STRAIGHT GRAFT PASSER

001050 Straight Graft Passer £50.00

Aneurism Needles

The sharp tip of the angled graft passer is passed around the fabella byrotating the wrist. The eye is small and accepts all suture materials. Totallength 210mm.

ANEURISM NEEDLES

001057AL Aneurism Needle 3cm Angled Left Small Eye £52.50

001057AR Aneurism Needle 3cm Angled Right Small Eye £52.50

001058AL Aneurism Needle 4.5cm Angled Left Small Eye £52.50

001058AR Aneurism Needle 4.5cm Angled Right Small Eye £52.50

close-up detail

CCL Staple Introducer

The staple introducer holds the staple to facilitate the initial insertion andalignment whilst being struck by a mallet. In case of difficulty starting thestaple, pre-drill with 2.0mm pin or drill bit. Accepts all sizes of CCL staple.

CCL STAPLE INTRODUCER

090129 Staple Introducer 130mm £155.00

091130 CCL Kit in stainless box (introducer with 8 staples) £375.00

CCL StaplesThe attachment of thefacia lata graft to the distalfemur is the weakest partof the OTT repair. Thesmall spikes under thehead of the staple aredesigned to engage thegraft and firmly fix it to theperiosteum. Also usefulfor re-attaching avulsedligaments and transfixingthe biceps tendon. Madefrom cobalt chrome.

CCL STAPLES

090125 6mm wide CCL staple £32.50




Over The Top (OTT)

Straight Graft Passer

22

1 JOINT SURGERY

Standard DCP or round hole plates are held into position by beingtrapped between the head of the screw and the bone. Tightening thescrew pulls the bone up to the plate. When the screw is tight the threadsof the screw pull against the bone holding the plate in position. Thesituation with locking screws and plates is very different. Although thethreads of the screw shaft engage the bone, the interface between boneand screw is not related to attachment of the plate. In locking plates andscrews it is the interface between the screw head and the plate whichattaches the plate to the screw. As the screw is tightened the bonemaintains its position relative to the plate, it is not drawn up to it. Thescrew head engages with the plate. This has a number of implications:

Contouring of PlatesWith standard DCPs the plate must be contoured exactly. When thescrews are tightened the bone fragments will be pulled towards the plateand assume the contour of the plate. If the plate is not contoured correctlythe screws will pull the fragments out of alignment. Using a locking plateand screws once the plate is applied the bone fragments will be held inposition relative to one another as is the case with external fixation.Indeed locking plates are sometimes referred to as ‘internal, externalfixation’. Locking plates do not therefore require contouring in the sameway as DCP type plates. This has particular relevance in the TPLOprocedure where contouring the plate is very important and very timeconsuming. If a standard locking TPLO plate fits all TPLO osteotomiesthere are significant savings in terms of time and morbidity.

Screw Angulation and NumbersIn order to fit and lock into the plate the screw must be inserted at a fixedangle relative to the hole in the plate. Drill guides are provided whichscrew into the locking holes to ensure that this happens. It is not alwaysdesirable that the screws are at 90 degrees to the plate, particularly closeto joints. The angle of the screw is dictated by the plate not the surgeon.The rigid attachment of the screw to the plate gives any locking constructa high degree of angular rigidity relative to a DCP construct where aspherical screw head in an oval hole results in a relative flexibility. Thismeans in any given situation that to achieve the same rigidity as a DCPconstruct a locking construct needs less screws. Again this has particularimplications in terms of time and morbidity. It also offsets, to a degree, thehigher costs of locking screws and plates.

Screw Diameter and StrengthThe increased angular rigidity places greater stresses onto the screw.Because we are not relying on the threads of the screw in the bone to pullthe plate to the bone they do not need to be as coarse as standardcortical screws. They need, only, to hold their position in the bone. Thusfor the same outside diameter of screw we can increase the corediameter without increasing the likelyhood of bone/screw interface failure.Increasing the diameter of the core hugely affects the AMI (resistance tobending) of the screw. The AMI of standard 3.5 cortical screws as used inSOP™ is 1.6, the AMI of standard locking screw is 2.6. A SOP™ screw isfar more likely to fail than is a standard locking screw. Screw failure is thetypical mode of failure of SOP™ constructs. Standard cortical screws arenot designed for use as locking screws.

Minimally Invasive Plate Osteosynthesis (MIPO)MIPO aims to interfere with the patient’s natural respone to fracture aslittle as possible while establishing and maintaining stabilisation of thefracture. Locking plates do not need close contouring to the bone, indeedit is not necessary to have contact between the plate and the bone. Theperiosteum is therefore preserved and the fracture is not disturbed.Additionally the angular stability of locking screws coupled with the needfor fewer screws are desirable features in any MIPO procedure. Lockingscrews were developed for osteoporitic bone where standard DCPs andscrews tend to strip out. The bone screw interface is under far less stressusing locking technology. This is an important quality in juvenile bonealso. Veterinary MIPO candidates tend to be young.

Locking Plates

fine threads lock headinto plate

large core to resist bending

coarser threads than headbut still finer than corticalscrew for max bone screwinterface

TPLO Plates withLocking Screw HolesLocking TPLO plates benefit from two aspects of locking technology.The angular security conferred makes for a very rigid construct. Theminimal requirement for contouring saves times and minimisesmalalignment of the proximal segment. The pre-contouring alsominimises the risk of screw hole distortion and stress riser marks.Veterinary Instrumentation’s VILock TPLO plates have some significantadvantages over others currently available.The plate is designed to align with the osteotomy. The proximal screwsare placed along the line of the osteotomy. This means that the loadingof the screws is distributed evenly and allows a very proximal osteotomy.The screw configuration includes both converging and divergingangulation to maximise pull out resistance. Many of the locking TPLOplates currently available concentrate the screws in a very small areawhich can result in early failure.

All VILock holes are ‘stacked’ which confers extreme rigidity asdescribed by Baroncelli etal, in his paper at ESVOT 2010 where theVILock system performed better than any other system tested. Thestacked hole does not allow compression but is extremely secure. TheVI TPLO locking plate allows compression via the DCP holes in the shaftof the plate. A novel angled DCP hole distally allows for additionalcompression of the cranial osteotomy if necessary. All holes accept bothstandard cortical screws and locking screws.When placing a VILock screw a dedicated drill guide is necessary to placethe pilot hole exactly at the correct angle to the plate.

Locking TPLO plate showing bothconverging and diverging locking screws

angled to avoid articular surfaces

Head of broad 3.5locking TPLO plate

Actual Size

23


3.5 Broad 3.5 2.7

TPLO PLATES WITH LOCKING SCREW TECHNOLOGY

TPLO27LPCL TPLO Plate locking 2.7 left £80.00

TPLO27LPCR TPLO Plate locking 2.7 right £80.00

TPLO35LPCL TPLO Plate locking 3.5 left £80.00

TPLO35LPCR TPLO Plate locking 3.5 right £80.00

TPLO35BLPCL TPLO Plate broad locking 3.5 left £90.00

TPLO35BLPCR TPLO Plate broad locking 3.5 right £90.00

LSDG2724 Locking Screw Drill Guide for small 2.7 £52.50

LSDG35 3.5 Locking Screw Drill Guide £52.50

For plate profiles see pages 352.

VILock TPLO plates are available in 3.5 broad, 3.5 and 2.7mm variantswhich covers the vast majority of TPLO patients.Each size allows the use of two different screw diameters. For examplethe standard 3.5 plate takes 3.5 screws with a 3.5 head and 2.7 screwswith a 3.5 head. Given that one of the downsides of locking technologyis that the angle of screw placement is pre-determined by the platerather than the surgeon, this is important.

The VILock TPLO system is available as a start up kit offeringsubstantial discounts over regular pricing. The kit includes allthat you will need to offer locking TPLO to your clients.

Locking TPLO Starter Set

= DCP hole

= locking hole

Locking TPLO plate showing bothconverging and diverging locking

screws

The VILock TPLO Starter Kit includes the following:

TPLO Saw and Hose

18, 24 & 30mm VI pattern TPLO Blades

TPLO Basic Jig

TPLO Rotation Chart

Slocum Rotation Gauges

Bone Scribe

8 VILock TPLO plates (2x 2.7, 4x 3.5, 2x 3.5 Broad)

DVD Step by step guide

Plate acetates

All Starter Kits are discounted by over 10% compared to the componentprice.

VILOCK TPLO STARTER KIT

TPLOVILOCKKIT VILock TPLO Starter Kit £3,750.00

24

1 JOINT SURGERY

Locking Screw Hex Drive 3.5mm

LOCKING SCREW HEX DRIVE 3.5mm USE 2.7mm PILOT PLUS DRILL SLEEVE

LS3510 Locking 3.5 screw Hex Drive 10mm £12.50




























LSDG35 3.5 Locking screw Drill Guide £52.50

H090104 2.7 Locking screw Pilot Drill £19.50

SHLS3S 3.5 Locking screwbox £125.00

Locking Plug

Use to protect lockingholes during contouring.

LOCKING PLUG HEX DRIVE 2.7/3.5mm

LSP35 Locking Plug for LS35** and LS2735** screws £7.50

LSP24 Locking Plug for LS2724** £7.50

Locking Screws

This screw fits the 2.7mm locking TPLO plate. It has the standard lockingscrew 2.7 cortical bone thread but the head is based on the 2.4mm lockingscrew. This screw will not fit the 3.5mm locking TPLO plate.

Use LSDG2724 2.7mm Locking Drill Guide

Use 2.0mm Pilot Drill. Use 1.5 hex screwdriver (same as 1.5 & 2.0 screws)

VI locking screws are an exact fit for standard locking TPLO plates bututilise the conventional hex drive rather than a star drive.

LOCKING SCREW HEX DRIVE 2.7MM WITH SMALL (2.4MM) HEAD

LS272406 6mm Hex Drive £12.00



















H090102 2.0 Locking Screw Pilot Drill £19.00

SHLS27 2.7 Locking screwbox £125.00

Locking Screw Hex Drive 2.7mm with 2.4mm Head

Locking Screw Taps

Since the introduction of locking screws into veterinary orthopaedics wehave had the feedback that the self tapping feature works well inrelatively soft bone (e.g. proximal tibia for TPLO) but it is less effective indense cortical bone where getting the screw started can be a challenge.Starting the screw at any angle other than 90 degrees to the plate willhave serious consequences when the locking threads meet the plate. Inaddition if the screw does not tap the trans cortex efficiently a disc ofbone may be punched from the bone surface as the screw exits.

LOCKING SCREW TAP

TSLS35 Tap for 3.5 Locking Screws £75.00




QRCS01F Quick Release Tap Handle £135.00

TSLSET Handle and Locking Tap Set (one of each tap) £395.00

25


LOCKING SCREW SETS

LS35KIT 3.5 Locking Screw Set Hex Drive £1,495.00

LS27KIT 2.7 Locking Screw Set Hex Drive £995.00


LS35STARKIT 3.5 Locking Screw Set Star Drive £1,495.00

LS27STARKIT 2.7 Locking Screw Set Star Drive £995.00


Available in both 3.5, 2.7mm (with 2.4mm head) and 2.4mm with either hexdrive or star drive. Supplied in a stainless steel screwbox. Sets discounted by over 5% from component price.

3.5 set includes 3 x 12-20mm, 4 x 24-26mm, 5 x 28-40mm, 4 x 42-50mm,3 x 52-58mm locking screws and 5 locking plugs

2.7 and 2.4mm set includes 3 x 6-8mm, 4 x 10-16mm, 5 x 18-28mm, 4 x 30-32mm, 3 x 34-40mm locking screws and 5 locking plugs

Locking Screw Sets

All VI locking screws are now also available with a star patternhead. Please see page 170 for further information.

Locking Screw Star Drive 3.5mm

LOCKING SCREW STAR DRIVE 3.5mm USE 2.7mm PILOT PLUS DRILL SLEEVE

LS35STAR10 Locking 3.5 screw Star Drive 10mm £12.50



























LSDG35 3.5 Locking screw Drill Guide £52.50

H090104 2.7 Locking screw Pilot Drill £19.50

SHLS3S 3.5 Locking screwbox £125.00

Locking Screw Star Drive 2.7mmwith 2.4mm Head

LOCKING SCREW STAR DRIVE 2.7MM WITH SMALL (2.4MM) HEAD

LS2724STAR06 6mm Star Drive £12.00



















H090102 2.0 Locking Screw Pilot Drill £19.00

SHLS27 2.7 Locking screwbox £125.00

Locking Plug

Use to protect locking holes during contouring.

LOCKING PLUG STAR DRIVE 2.7/3.5mm

LSP35STAR Locking Plug for LS35STAR** screws £7.50


Star Drive Screwdriver Set

STAR DRIVE SCREWDRIVER INSERT

SDT1535 Star Drive Insert for 3.5 Locking screws £60.00

SDT82427 Star Drive Insert for 2.7 (2.4 head) and 2.4 Locking screws £60.00


QRCS01F Quick Release Handle £135.00

SDTSET Handle and Star Drive Insert set (one of each ) £295.00

All VILock screws are available with the international ‘Torx’ style StarDrive. The interface between the screw head and screwdriver issignificantly stronger and the stripping of screw heads consequentlymuch rarer. The tip of the screwdriver is tapered and ‘picks up’ thescrews without the requirement for a screw holding sleeve.Many surgeons do not possess the relevant Star Drive screwdrivers sowe are pleased to offer a modular handle plus inserts for the standard3.5mm, 2.7/2.4mm and 2.0mm screws.The handle and inserts are available seperately but are cheaper as theset. The handle is made from white autoclavable Teflon which does not‘shed’ like the traditional fibre type. The cap revolves in the palm of thehand for extra comfort.

26

1 JOINT SURGERY

Triple Tibial OsteotomyA cruciate management techniquecombining tibial plateau levelling andtibial tubercle advancement.Based on the work of Slocum, Tepic and Montavon, the Triple TibialOsteotomy has been developed by Dr Warrick Bruce to overcome some ofthe problems encountered in the Slocum TPLO technique, the MontavonTTA (Tibial Tubercle Advancement) and the closing wedge TPLOtechnique.

Some of the problems include:

Work by Tepic suggests that the tibial plateau should be perpendicular tothe patella ligament to minimise shear strain at the CrCL. The Slocumtechnique does not always address this issue.

The bi-radial Slocum blade is inefficient and difficult to resharpen resultingin the generation of significant amounts of heat which leads to delayedhealing and other complications.

The Montavon TTA technique creates a large defect in the cranial tibiawhich requires an expensive titanium cage and plate to prevent collapseduring the healing phase.

The closing wedge TPLO shortens the tibia and creates a defect in thetibia which has to be protected from the pull of the straight patella ligamentby a figure of eight wire.

The TTO technique deals with all of these problems:

A long osteotomy is made in the tibial crest to allow the tibial tubercle tomove forward. The angle correction is made by making a small wedgeosteotomy in the caudal tibia which, when closed creates a small tibialtubercle advancement. A free instructional DVD is available which fullydescribes and explains the procedure through video, stills and text files.The DVD also includes an instrument check list.

90˚

Some instrumentation is required to make the procedure easier and tominimise errors. Warrick Bruce’s original instrument set comprises a sawguide, measuring/marking gauge (osteometer) and a bone manipulationdevice (wedgie). The saw guide works with flat oscillating blades with amaximum cut thickness of 1mm (thickness at the teeth). See Chapter 5.

The original set is very reasonably priced and offers the surgeon a verycost effective route to management of CrCL rupture by tibial plateaulevelling surgery. Warrick’s new, more sophisticated designs are shownopposite.

Osteometer and Saw guide

Case Warrick Bruce

Three Osteotomies TPLO + TTA

Triple Tibial Osteotomy

TTO INSTRUMENTATION

TTO008 Basic TTO Instruments (3 items) kit price £225.00

TTO006 Basic Osteometer £90.00

TTO004 Saw Cutting Guide (Standard 62mm) £90.00

TTO002 Wedgie segment manipulator £90.00

TTO004L Saw Cutting Guide (Long 76mm) £90.00

DVDALL DVD Illustrating the procedure £FOC

BRTTO TTO Step by Step Guide £FOC

Multi SawOne of the advantages of the TTO (and TWO) procedure isthat it uses simple flat blades which are easily replaced whenthey become blunt. The TTO uses a saw guide to direct thesaw very accurately ensuring a‘good fit’ once the osteotomy iscomplete. Surgical air or batterydriven saws are ideal for theprocedure but the Multi Saw with asterile shroud and convertor worksvery well. Make sure that the bladeselected fits through the saw guide(cut thickness less than 1.0mm)See chapter 5 for more details onsaws and blades

TTO014

TTO011

TTO002

27


Improved TTO Instrumentation

TTO Starter Kits

TTO AND TPLO BY WEDGE OSTEOTOMY PLATES

TPLO202026 2.0mm DCP 26mm overall length £30.00



TPLO273539 2.7/3.5 DCP 39mm overall lengthAllows use of 3.5 cancellous screw in head £35.00

TPLO273545 2.7/3.5 DCP 45mm overall length 2.5mm thick £39.00


TPLO353557 3.5mm DCP 57mm overall length Heavy Duty £49.00



TPLO353577X 3.5mm DCP 77mm overall length xtra shaft hole £49.00


TPLO354579 3.5/4.5 DCP 79mm overall length Heavy DutyAllows 4.5 screws in head £53.00

TPLO 79mm overall length, Heavy Duty 35456579 Allows 4.5/6.5 screws in head £58.00

TPLO 4.5mm DCP 90mm overall length45659030 Will accept 6.5 cancellous screws in head

3.0mm thick £97.50

TPLO 4.5mm DCP 90mm overall length45659045 Will accept 6.5 cancellous screws in head

4.5mm thick £97.50

TPLOO Angle Finder & Plate Overlay £FOC

IMPROVED TTO INSTRUMENTATION BY WARRICK BRUCE

TTO011 Improved Combination Osteometer/Sawguide £250.00

TTO014 ‘Clasper’ £370.00

TTO002 Wedgie segment manipulator £90.00

TTO009 Enhanced TTO Instrument set (all of above) £675.00

PRE CONTOURED TTO PLATES

TPLO353555PCR 3.5 mm Plate 55mm overall length Right £60.00

TPLO353555PCL 3.5 mm Plate 55mm overall length Left £60.00


TPLO353557PCL 3.5 mm Plate 57mm overall length. Left £60.00


TPLO353579PCL 3.5 mm Plate 79mm overall length Left £65.00

TTO STARTER KITS

TTOBKIT TTO Starter Set Basic £895.00

TTOAKIT TTO Starter Set Enhanced £1,300.00

TTOBKITPOW TTO Starter Set Basic plus Multi Saw kit £1,400.00

TTOAKITPOW TTO Starter Set Enhanced plus Multi Saw kit £1,725.00

Warrick Bruce has designed two new instruments to make the TTOprocedure easier and to eliminate some of the practical difficultiesencountered using the original instrumentation. The new combined osteometer and saw guide interlock to become asingle instrument which is much easier to manage than the original twoseparate instruments. The thumbscrew locks the osteometer onto thesaw guide for secure accurate osteotomies. The osteometer still hasholes for fixation to the tibia using 1.6 arthrodesis wires.Alternatively Warrick’s second new instrument ‘the Clasper’ may beused to lock the osteometer onto the tibia prior to cutting. The ‘Clasper’has an additional role in that it is used to replace the kern bone holdersin the original technique. The ‘Clasper’ grasps the tibia crest prior toclosure and incorporates location holes for the very large fragmentforceps to lock into.The ‘wedgie’, used for manipulating the three osteotomies remainsunchanged.

TTO Plates

TTO Basic Starter Setplus Multi Saw Kit

TTO Basic Instrument Set

Very Large Fragment Forceps

Tissue Protector 2.0mm

10 TTO plates (common sizes)

Arthrodesis wire (1.6 x 10)

Multi Saw Surgical Kit

2 x Sagittal Saw Blades

TTO DVD/Step by Step Guide

Plate Overlay Acetate

An enhanced kit with the Improved TTO Osteometer and the new Clasperis also available. Both kits are available with or without the MultiSawSurgical Kit. All starter kits are discounted by at least 10% compared tothe component price.

The standard TTO plate is a cloverleaf TPLO plate. Being positioned overthe caudal 2/3 of the tibia the plate selected is typically a little smaller thanis the case with a wedge TPLO. Use the free plate overlay for the finalselection. Thicker plates are harder to contour and a selection of pre-contoured plates are available.

TCO Clamp

TCO CLAMP

TTO012 TCO Clamp 65mm £85.00

An alternative to the Kern boneholding clamp the TCO Clamp islighter with a smaller lever arm.The effect of this is to reduce thelikelyhood of a TCO fracture. TheTCO clamp incorporates locatingholes for the tips of the very largefragment forceps

For all screws see chapter 7. For suitable saw blades see chapter 5.

Case Warrick Bruce

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1 JOINT SURGERY

Once the radial cut is made in the proximal tibia the two parts areessentially unstable. The proximal segment has to be rotated whilemaintaining alignment. The jig is placed prior to the cut and keeps the twosegments under control until the rotation is complete and the two partsfixed internally. Supplied with a 2.5mm Allen Key.

TPLO JIG

TPLOJIG TPLO Jig 120mm £205.00

TPLO32 Slocum Guide Pin 3.2mm, Thread 25mm £6.50

Pre-Contoured Slocum Style TPLO plates

PRE-CONTOURED TPLO PLATES

TPLOS35RPC 3.5 Right Slocum Style Pre-contoured Plate £82.50

TPLOS35LPC 3.5 Left Slocum Style Pre-contoured Plate £82.50

For plate profiles see page 351.

Standard Slocum Style TPLO Jig

This jig is a replica of the well known TPLO Jig and includes alignmentbars. Available in two sizes 3.5mm plate size and 2.7mm plate size.Supplied with a 2.5mm Allen Key.

SLOCUM STYLE TPLO JIG

TPLOJIG/S Slocum Style Jig Standard (3.2 Pin) £285.00


TPLOJIG/SS Slocum Style Jig Small (2.4 Pin) £285.00


TPLOJIG/ROD35 Replacement Alignment Bars (set of 2) Standard £25.00

TPLOJIG/ROD27 Replacement Alignment Bars (set of 2) Small £25.00

Slocum Style Plates

Slocum

Tibial Plateau Levelling byRadial Osteotomy

SLOCUM STYLE TPLO PLATES

TPLOS35L TPLO Plate Slocum Style 3.5mm left £75.00

TPLOS35R TPLO Plate Slocum Style 3.5mm right £75.00







BRTPLO TPLO Radial Cut Step by Step Guide £FOC

TPLOS35L slocum style TPLOS27R slocum style

The cast Slocum plate meets neither the current metallurgical specificationnor the manufacturing process requirements for stainless steel implants.While we are allowed to use our judgement regarding implants it would berelatively hard to defend the use of a non-standard implant shouldanything go wrong.

In view of the above we have produced a Slocum style plate, machinedfrom 316LVM. The only clear advantage of the cast Slocum plate was itsmalleability. Our plate has been modified in the head region to makecontouring easier, while retaining the stiffness of 316LVM elsewhere forstability and rapid healing. The lower profile makes closure easier.

TPLO plates manufactured from implant specification stainless steel(ASTM F 138, ISO 5832-1) are extremely difficult to contour appropriatelywithout leaving stress riser marks in vulnerable places. Our pre-contouredplates are pre-bent and polished to leave no stress riser. A final intra-operative ‘tweak’ may be necessary in individual cases.

DELTA STYLE TPLO PLATES

TPLODEL35BL 3.5 Broad Delta Plate Left £75.00

TPLODEL35BR 3.5 Broad Delta Plate Right £75.00

TPLODEL35L 3.5 Delta Plate Left £60.00

TLPODEL35R 3.5 Delta Plate Right £60.00


TPLODEL27R 2.7 Delta Plate Right £60.00


TPLODEL24R 2.4 Delta Plate Right £60.00

Veterinary Instrumentation is now able to supply the familiar triangularTPLO range in all the standard sizes, 3.5 Broad, 3.5 Standard, 2.7 and 2.4.These plates are not easy to contour so we offer only the pre-contouredoptions which may need a final clinical ‘tweak’.

Delta Style TPLO Plates - Contoured

TPLO Jig

Locking TPLO plates are also available. See Page 23 for the complete range.

29



The rotation gauges simplify the rotation procedure. The correctmeasurement, in millimetres, is read from the table and the appropriategauge selected. The bone is marked using the scribe or an osteotome. No more fiddling around with rulers.

SLOCUM TPLO ROTATION GAUGES 5 to 15mm

001492 Slocum Rotation Gauges £87.50

TPLO ROTATION GAUGE DIVIDER TYPE

001499 TPLO Rotation Gauge Divider Type 90mm £62.50

This instrument is an alternative to the feeler gaugetype measuring system. Spring loaded, adjusting theset screw fixes the points at any predetermineddistance from 0-20 degrees as read from thescale.The tibial plateau may then be rotated thedistance between the points.

TPLO Rotation GaugeDivider Type

Slocum TPLO Guide PinEnd threaded negative pin. Drive directly into the tibia for jig attachment.

SLOCUM TPLO GUIDE PIN 3.2mm

TPLO32 Slocum Guide Pin 3.2mm, thread 25mm £6.50

TPLO24 Slocum Guide Pin 2.4mm, thread 20mm £6.50

TPLO ROTATION CHART

TPLOROT TPLO Rotation Chart £65.00

The rotation data for blades 18mm, 21mm, 24mm, 27mm & 30mm aredisplayed on this double sided, laser marked, stainless steel gauge.

Incorporates also a drill gauge and a ruler for measuring screws and rotation.

TPLO Rotation Chart

For screws see Chapter 7. For power tools and saw blades see Chapter 5.

Delta TPLO Plate Benders with Curved SlotsPlate benders with slots tend to distortthe delta plate. The curved slots helpgrip and support the the plate during thebending process. In addition the plate ismuch less likely to end up on the floor.

DELTA TPLO PLATE BENDERS WITH CURVED SLOTS

TPLODELBEND Delta TPLO Plate Benders (Pair) 230mm £125.00

TPLO Starter Kit

2 versions of the TPLO Starter Kit are available, with either Slocum styleor Delta style plates.

The Delta TPLO Starter Kit includes the following:

TPLO Saw and Hose

18, 24 & 30mm VI pattern TPLO Blades

TPLO Basic Jig

TPLO Rotation Chart


Bone Scribe

8 Delta Style TPLO plates (2x 2.7, 4x 3.5, 2x 3.5 Broad)

DVD Step by step guide

Plate acetates

The Slocum TPLO starter kit is the same except 6 TPLO plates areincluded (2x 2.7 and 4 x3.5) rather than the Delta plates.

All Starter Kits are discounted by over 10% compared to the componentprice.

The Slocum TPLO starter kit

The Delta TPLO Starter Kit

TPLO STARTER KIT

TPLODKIT TPLO Starter Kit with Delta Style Plates £3,750.00

TPLOSKIT TPLO Starter Kit with Slocum Style Plates £3,750.00

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1 JOINT SURGERY

We have sold TPLOsaw blades fromvariousmanufacturers overthe years but havealways thought thatnone of them cut aswell as they should.In addition some ofthe blade lengthsavailable did notmatch the clinicalrequirement. Wehave, therefore,designed our own.

Currently available blades either have no ‘set’ or a one sided ‘set’. The ‘set’of a saw is the way that alternate teeth protrude outside the blade of thesaw. The set, which is found on all woodworking and metal working saws,is there to create a slot in the material, wood, metal or bone, which isslightly larger than the blade so that the blade does not produce friction inthe slot. Friction creates heat which although not serious in either wood ormetal is very serious in bone. Thermal necrosis along the saw cut of TPLOosteotomies is a common cause of delayed union and failure. In addition toheat, friction leads to jamming of the blade in the slot which is bothfrustrating and destructive. VI TPLO blades have a full bilateral set formaximum efficiency.

Blade length varies from 35mm in the 15mm blade to 65mm in the 30mmblade as requested by leading surgeons.

TPLO Saws

Slocum TPLO blades create a patented bi radial cut which means that thetibial plateau segment fits the distal tibia section exactly with maximumbone contact. While this is a good thing the design of the blade does notcut very efficiently and needs regular hand sharpening if excess heat is notto be produced. Veterinary Instrumentation has been looking at TPLOblades for a number of years and is introducing a range of radial bladeswhich cut better and are cheaper to replace than the Slocum original. Theyhave the same triangular stryker connection.

TPLO SAWS

TPLOSW TPLO Saw £2,250.00

HALLHOSEVI VI Hose – Halls Fitting £425.00

For further information regarding the TPLO starter kit see pages 23 and 29

TPLO Saw Blades VI Pattern

TPLO SAW BLADES VI PATTERN

TPLOV115 TPLO Blades VI Pattern 15mm, 35mm length £245.00






Once the osteotomy has been performed and the proximal segmentrotated it is essential that the construct is stabilised prior to plateapplication. As is often the case the ideal position for the initial,temporary, stabilisation and the semi-permanent wire are one and thesame. The new TPLO reduction forceps are designed to stabilise andcompress across the osteotomy site. At the tip is a wire guide tube whichallows a stabilising wire to be driven across the osteotomy at exactly thecorrect position without skidding or slippage at start up.The action is spinlock allowing the surgeon full flexibility on positioningand compression.The forceps are handed and significantly cheaper when purchased as aset.

TPLO Wire Guide and Reduction Forceps

TPLO REDUCTION FORCEPS WITH WIRE GUIDE

TPLORFR TPLO Reduction Forceps with Wire Guide Right 215mm £120.00

TPLORFL TPLO Reduction Forceps with Wire Guide Left 215mm £120.00

TPLORFSET TPLO Reduction Forceps with Wire Guide Right & Left £210.00

Stabilisation Wire

Ligaclip Re-usable Clip Appliers & Titanium Clips

Severe haemorhage from the popliteal artery is at best very timeconsuming and at worst life threatening. Ligation by standard techniquesis made very difficult due the inaccessible location. Clips are the systemof choice and ‘Liga Clips’ are recognised as the industry standard.Veterinary Instrumentation is delighted to have been appointeddistributor for Ethicon speciality products.The clips are available in a range of sizes but the medium and largeseem to be most useful in this situation.Application is simple and achievable in very awkward situations withoutthe requirement for a massive dissection.The clips are manufactured from malleable titanium. Ligation is secureand permanent.

LIGACLIP RE-USABLE CLIP APPLIERS AND TITANIUM CLIPS

JJLX207 Ligaclip Applier Reusable 7.5” Med Clips £250.00

JJLC307 Ligaclip Applier Reusable 7.5” Med/Lg Clips £250.00

JJLC800 Ligaclip Clip Base - Stainless Steel £160.00

JJLT200 Ligaclip Titanium Clips Medium 6 x 36 £230.00

JJLT300 Ligaclip Titanium Clips Med / Lg 6 x 18 £170.00

For further information regarding the Ligaclip range and for more sizessee page 207

31


Wedge Osteotomy Gauge Set 9˚ to 30˚

With both borders the same lengththe resulting closure is better, bothfunctionally and cosmetically.

The wedge gauges simplify the markingand cutting of the appropriate wedge.

The parallel marks on each gauge allowthe surgeon to mark and cuta wedge having equalborders proximallyand distally.

WEDGE OSTEOTOMY GAUGE SET - 9˚to 30˚

001493 Wedge osteotomy gauge set £105.00

Bone Scribe

A very sharp marking point with an easy to hold handle enables the surgeonto mark bone prior to cutting or rotating (Slocum procedure).

BONE SCRIBE

001494 Bone scribe 195mm £24.00

Tibial Plateau LevellingOperation by WedgeOsteotomyThe Tibial Plateau LevellingOsteotomy (TPLO) alters theanatomy of the stifle to moderate theeffect of the loss of the cranialcruciate ligament (CCL). The stifleremains unstable to manipulation butis stable as the dog bears weight. Itis claimed that following TPLO,degenerative joint disease changesare minimal compared with otherCCL procedures. The closing wedgeprocedure was the technique whichSlocum used to prove the sciencebehind TPLO. Particularly useful inlarge dogs and dogs with tibialplateau deformation. See page 351for TPLO plate profiles. Our freeDVD illustrates and describes thetechnique. A simple acetate overlay to help you calculate the tibial plateauangle, from which you can easily calculate the size of the wedge to remove.Includes lines to indicate the normal tibial plateau angle and a 5˚ line which isregarded as the most appropriate post-op angle. Also included on the acetateare actual size outlines of our range of TPLO plates to help you select themost appropriate plate. See page 351 for actual size profiles.

Set up costs are minimal requiring only an oscillating saw in addition to abasic plating set. See our multi saw on page 120.

Further details of our TPLO by wedge osteotomy platesare shown on page 27

Cadmus Templates

CADMUS TEMPLATES

TPLOTEM18 Cadmus Centering Template - 18mm £65.00



Accurate placement of the screws in the head is facilitated by use of adedicated load and neutral guide which places the pilot hole away from theosteotomy. As the screw is tightened into the hole there is a compressingmovement of the screw and bone. The spherical head of the screw thenlocks into the round hole giving secure full circumferential contact unlike astandard DCP hole. It is easy to create a single compressing movementaround the arc of the osteotomy using round holes with the added bonus ofextra screw security.

Cadmus Plates and Templates

CADMUS TPLO

TPLOCAD18L Cadmus 2.7 TPLO Plate 18mm L £90.00

TPLOCAD18R Cadmus 2.7 TPLO Plate 18mm R £90.00



TPLOCAD24LB Cadmus 3.5 Broad TPLO Plate 24mm L £100.00

TPLOCAD24RB Cadmus 3.5 Broad TPLO Plate 24mm R £100.00



LNDGCAD27 Cadmus load/neutral guide 2.7mm £175.00

LNDGCAD35 Cadmus load/neutral guide 3.5mm £175.00

DVDTPLOCAD DVD Illustrating use of Cadmus Plate & Template £FOC .

Calvin Cadmus from Oakland California, as an early Slocum user,recognised that when the TPLO osteotomy was centred along the long axisof the tibia several advantages were seen over non-centred osteotomies.

1) Increased accuracy in achieving the desired post-op tibial plateau angle.

2) Significantly fewer tibial tubercle fractures. Decrease in screw pull out.

3) Elimination of undesirable angular deformities (genu valgum).

4) Lower long term DJD.

Calvin has designed a template to ensure that your osteotomy is centred onthe long axis, and a range of plates which stabilise the osteotomy along thelong axis of the tibia.

Ref. ‘Geometrical analysis evaluating the effect of TPLO position on

post-operative tibial plateau slope’ VCOT Jan 2004. M.P. Kowaleski. et al.

Cadmus PlatesCadmus plates are surgeon friendly fitting the contour of the osteotomy andeliminating intra-articular screw placement. Pre-contoured to save time.Compression is created along the arc of the osteotomy. Hole designimproves screw security.

32

1 JOINT SURGERY

Tibial TuberosityAdvancement (TTA)

TTA Starter Kit

The TTA procedure developed by Tepic and Montavon is designed to bringthe tibial plateau to sit at 90˚ to the straight patella ligament. This effectivelyneutralises the shear forces within the stifle, under loading, making the stiflestable.

This is achieved by advancing the tibial tubercle and stabilising the createddefect using a titanium cage and plate. The cage is selected for boththickness and width. The implants are secured using titanium screws.

Titanium is very osteoconductive resulting in rapid healing. The use ofstainless steel implants is not recommended.

TTA ProcedureThe TTA procedure is best learnt on arecognised training course. However, wherethis is not possible careful study of our stepby step guide to TTA and the videopresentation will prepare the surgeon for asurgery on plastic bones followed bycadaver surgery before finally progressing toa clinical case.

The free DVD includes both video footage, astep by step guide and some frequentlyasked questions on the TTA procedure.

The free Step by Step guide is aphotographic sequence of a TTA casebeginning with assessment of theradiographs and following the procedure in 28 steps.

The Starter Kit represents a cost effective solution to setting up for TTA.

The Starter Kit contains the following:

TTA Instrument setTTA Drill guide (4 Hole)TTA Drill Guide (8 hole)TTA Fork HolderTTA Spreader + insertsTTA Plate BenderTTA 2.4 Cross Head ScrewdriverTTA Plate and fork overlayTTA MalletDepth GaugeTTA Cage ForcepsBlock End Serrated dissecting forceps2.5 Hex Screwdriver and sleeve TTA ForcepsPremium equipment box1.8mm, 2.0mm, 2.5mm Drills hard

TTA Implant set (Titanium)One of each Cage (3, 4.5, 6, 7.5, 9, 10.5 & 12), One of each Fork One of each Plate

TTA Titanium Screw set in a screw box2.4 self tapping screws12mm — 38mm 4 of each

2.7 self tapping screws12mm — 28mm 3 of each

3.5 self tapping screws16mm — 36mm 3 of each

The TTA Starter Kit saves over 10% compared to the component price.

Call or email for a copy to be sent or download at www.vetinst.com

TTA PROCEDURE

DVDALL TTA Procedural DVD £FOC

BRTTA TTA Step by Step Guide £FOC

TTA SETS

TTAPREM TTA Starter set in a premium aluminium box £3,950.00

TTAINST TTA Instrument set in a stainless box £995.00

TTASCR TTA Screw set in a stainless box £1,325.00

33


Creating the TTA osteotomy freehand issomething of a challenge. The position andplane of the saw cut are critical to the rest of theprocedure. The TTA Saw Guide is a usefulassistant to the surgeon in that the guide maybe positioned securely in the correct place sothat the surgeon can concentrate on the sawwithout having to constantly worry about the cut.

The instrument serves both left and right sides and is secured usingstandard pointed reduction forceps. The TTA cut is not straight along itslength but curves proximally at the distal end. The straight section is cutusing the guide. The guide is then removed and the less critical distalcurve is cut freehand.

TTA Instrumentation

The TTA procedure does require some essential instruments. Positioningof the fork and cage is impossible without the following instruments. Theset is less expensive than buying the instruments individually.

TTA INSTRUMENTATION

TTA554 TTA Drill Guide (4 Hole) £145.00

TTA555 TTA Drill Guide (8 Hole) £155.00

TTA666 TTA Fork Holder £110.00

TTA444 TTA Spreader and 3, 6, 9, 12 & 15mm Inserts £175.00

TTA445 4.5, 7.5 &10.5mm Insert set £70.00

TTA333 TTA Plate Bender £110.00

TTA777 1.9mm pins (set of two) £20.00

TTA24 TTA 2.4 Cross Head Screwdriver £115.00

TTAPFO TTA Plate and Fork Overlay £FOC

TTATAN Common Tangent TTA/MMT Advancement Overlay £FOC

001323 TTA Mallet (140g) £47.50

TTAFCP TTA Cage Forceps £65.00

SDHS35F 2.5mm Hex Screwdriver and sleeve £75.00

H090208 1.8mm Drill Bit Hard £18.50



TTAINST TTA Set (Includes all of the above in a box) £995.00

DG242735 Depth gauge for 2.4, 2.7 & 3.5 Ti Screws £95.00

The TTA procedure involves a large number of instruments and implants.Organising the kit so that the appropriate instrument or implant is readilyaccessible can be a challenge. Veterinary Instrumentation’s Premium TTACase has a designated space for each instrument and implant. In additionto providing space for standard TTA instruments, positions for usefuladditional items such as the mallet, cage forceps and depth gauge are alsoincluded. Setting up for a procedure is therefore a simple process.

The screw rack has space for 3.5, 2.7 and 2.4 screws of appropriatelengths. The plates and cages are to be found on the free standing lowertrays while the basic instrumentation is located on the top tray.

Like all our premium boxes the TTA case is constructed from anodisedaluminium and includes integral reusable filters. If sterilised on an opentray the case may be placed directly from the autoclave onto the operatingtable. Alternatively the bagged case may be sterilised and stored. Whenrequired the outer bag is removed and the case tipped fully sterile onto thetable. NB No TTA implants, instruments or screws are included.

Premium TTA Case

TTA Saw Guide

TTA Cage Forceps

Manipulating the TTA cage intothe correct position can be anawkward part of the procedure,particularly the smaller sizes. TheTTA cage forceps grasp the cagefirmly along the spine allowing it tobe extracted from the case andplaced into the tibial crestosteotomy.

TTA SAW GUIDE

TTA999 TTA Saw Guide £135.00

TTA CAGE FORCEPS


PREMIUM TTA CASE

TTABOX Premium TTA Case (Box and insert only) £345.00

TTA MALLET

001323 TTA Mallet 140g 155mm £47.50

TTA Mallet

The TTA fork needs to be gentlytapped home for maximumstability. The 140gram mallet isthe ideal weight.

34

1 JOINT SURGERY

TTA PLATES AND CAGES TITANIUM

TTAC310 Cage 3 x 10mm titanium 2.4mm screw £55.00



TTAC4512 Cage 4.5 x 12mm titanium 2.4mm screw £56.50






















TTAP2 Plate 2 hole titanium 2.4mm screw £25.00

TTAP3 Plate 3 hole titanium 2.4 + 2.7mm screw £25.00






TTAF2 Fork 2 prong titanium £32.00







The range of cage sizes has been increased for 2012.

See page 354 for TTA implant profiles

TTA Implants Titanium Screws

Titanium screws andplates are very commonlyused in man particularly for faciomaxillary repairs. The most importantbenefit in this application is that Titanium does not interfere with MRIscans. Compared to stainless steel, Titanium is lighter and much moreosteo compatible. The major application in veterinary orthopaedics is inconjunction with the TTA cruciate procedure.

TITANIUM SCREWS 2.7MM HEX HEAD 2.0MM PILOT

TICS2706 Titanium 2.7 Self Tapping Cortical Screw 6mm £9.50


























TITANIUM SCREWS 2.4MM CRUCIATE HEAD 1.8MM PILOT

















TTA SCREW SET

TTASCR TTA Screw set in a stainless box £1,325.00

DRILL BITS - Stainless Steel 420 Hard

H090208 1.8 (dia mm) 80 (length mm) £18.50

H090102 2.0 100 £19.00

H090112 2.5 115 £19.50

35


Standard TTA plates rely on a barbed fork systemfor attachment onto the tibial crest.

Many surgeons consider that the hardest part ofthe TTA procedure is preparing for and placingthe fork. Forkless TTA plates are screwed ontothe tibial crest using 2.4mm screws. The distalpart of the forkless plate is secured using 2.7 or3.5mm screws as appropriate. The rest of theprocedure is as per the standard technique.

Starter set (one of each size) is discounted byover 15%.

Forkless TTA Plates

FORKLESS TTA PLATES

TTAX42 Forkless TTA Plate (same length as TTAP3) £27.50






TTAXSET Forkless TTA Plate Set - one of each size £150.00

Cuttable Cages

Forkless Plate Forceps

An alternative to the useof titanium spacers is theuse of titanium washers.

Each washer adds 1.0mmof translation. Lessexpensive but less easy touse.

TTA Washers

TTA WASHERS - TITANIUM

PW24TI 2.4mm TTA Washer - Titanium £10.00

TTA Spacers

TTA Spinlock Reduction Forceps

Holding the forkless TTA plate in position presents some challengesparticulary once the osteotomy has been made. Some surgeons preferto place the proximal screw first and swing the plate cranial beforemaking the osteotomy. A variant on the plate holding drill guide forcepshas been developed specifically for the thin TTA plates. The forcepshold the plate in position and allow the surgeon to drill the pilot holethrough the guide in exactly the right position.

FORKLESS TTA PLATE FORCEPS

TTAXFCP Forkless TTA Plate Forceps (145mm) £105.00

Regardless of style of platepreferred it is desirable tocompress the distal part of theosteotomised tibial tubercle againstthe tibial shaft while applying theplate. This will increase stability ofthe repair and reduce healingtimes. ‘Soft ratchet’ type forcepsare very nice but very expensiveand prone to wear. The spinlockreduction forceps are the right sizeand have the correct degree ofspread for most TTA procedures.

TTA SPINLOCK REDUCTION FORCEPS

001245SL TTA Spinlock Reduction Forceps 180mm £95.00

The standard TTA procedure assumes that there is no co-existing patella issues. The tibial tubercle is simply advanced.

In cases where there is patella luxation in addition to cranialcruciate rupture it is possible to move the tibial tubercle either laterally or

medially to help re-align thequadriceps mechanism. This isachieved by adding spacers orwashers (see below) to either thecranial screw or the caudal cagescrew. The spacers are placedbetween the cage and the tibia to

effectively push the tibial tubercle laterally (cranial screw) or push the tibialtubercle medially (caudal screw). It is suggested that the tibial tubercle ismoved a maximum of 50% of its width.

Spacers are more expensive than washers but are much easier to use andresult in a more stable construct. Available in 2, 4, 6 and 8mm widths.Available in Titanium only.

TTA SPACERS TITANIUM

TTASP2 TTA Spacer Titanium 2mm £10.50




TTA CUTTABLE CAGES

TTACUT316 Cuttable Cage 3 x 16mm £55.00

TTACUT4518 Cuttable Cage 4.5 x 18mm £56.50







TTACACUT Cuttable Cage Cutter £165.00

As the range of cage widths increases it becomes more difficult tomanage a full inventory of conventional cages. We currently stock 24different variants. Use of cuttable cages allows the surgeon to select therequired advancement and trim the cage to length intra-operatively usingthe dedicated cutters. The cages may be trimmed by 2mm increments.If you purchase one of each cuttable cage (8 cages) we can offer thecutters free of charge. Value £165.00

Photo Alex Li

width

36

1 JOINT SURGERY

Introduction

The Modified Maquet Technique(MMT) is a variation on the TTAand TTO techniques of cruciate management in that it aims tobring the tibial plateau to sit at right angles to the straight patellaligament. By creating an incomplete tibial crest osteotomy theplacement of a TTA advancementcage alone creates sufficient postoperative stability for rapid healing tooccur. The technique preserves softtissue, requires a minimum ofimplants and saves time andmorbidity. The Maquet technique isdescribed in man as a technique toreduce patellofemoral pressure. TheMMT technique described here is thatpresented by SebastienEtchepareborde to ECVS in 2010 andpublished in VCOT 2011.3.

Preoperative EvaluationThe advancement required is calculated as in the TTA techniqueusing either the traditional or the common tangent method.Transparent overlays for both are available free of charge onrequest.

Surgical TechniqueThe entire procedure may be performed with the dog in lateralrecumbency, but surgeons may findthat internal examination of the stiflemay be more easily performed withthe dog in dorsal recumbency. Thedog is then flipped onto the lateralside for the MMT surgery .The full limb is aseptically prepared.Sterile bandaging of the foot allowsthe surgeon to fully manipulate thelimb throughout the procedure.Exploration of the stifle joint isperformed using the surgeon’spreferred method. Meniscal injuriesare dealt with and optionally ameniscal release may be performed.The craniomedial aspect of the tibiais approached via a craniomedial skinincision. Without dissecting thesubcutaneous tissues a straightlongitudinal incision is made to boneapproximately 10mm caudal to thetibial crest and extended to 20mmbeyond the extent of the tibial crest.The soft tissues at the distal end ofthe incision are cleared using aperiosteal elevator (001271 orsimilar). The site of the tibial crestosteotomy (TCO) is minimally clearedusing a narrow elevator (7350/05, Freer or similar).

A 3.5mm hole is drilled immediately caudal to the cranial cortexapproximately 5-15mm distal to distal extent of the tibial crest.This will act as a hinge once the tibial crest incision is complete.Sebastien Etchepareborde has demonstrated (VCOT 2010.6)that a relatively large hole such as 3.5mm spreads appliedstress and is lesslikely to result inhinge fracture than asmall 2.0mm hole.

The tibial crestosteotomy isperformedperpendicularly tothe sagittal plane ofthe tibia. A sawguide is available toassist if requiredwhich will protect the patella ligament and direct the plane of thesaw. Alternatively a pair of artery forceps may be pushedthrough the jointfrom medial tolateral just caudal tothe straight patellaligament to act as amarker and protectthe ligament.

The osteotomy runsfrom a point cranialto the long digitalextensor (LDE) tothe previously drilled hinge hole.The position of the LDE may begauged by palpating the tubercleof Gerdy laterally and passing a‘K’ wire through from the medialside as a marker.

The osteotomy is best createdusing a power saw and bladeapproximately 10-15 mm wideand less than 1mm thick. All themodular air and electricalsurgical saws are suitable.Where funds are limited thebattery powered Multi Saw(001708) works very well.

The osteotomy is carefully easedopen to allow placement of thepredetermined cage.

Experience with the TTOprocedure suggests thatincremental opening of theosteotomy using the‘wedgie’(TTO002) minimiseshinge fracture. The osteotomymay be finally opened to thecorrect width for the Titaniumcage using the TTA spreader.(TTA444). This item hasdedicated blades for each cagesize.

Clearing sitefor hinge hole

Clearing sitefor osteotomy

Modified Maquet Technique (MMT)

37


The cage is placed as shown in the image below, close to theproximal end of the TCO. The cage is secured using two 2.4mmtitanium screws. The ‘ears’ of the cage should be contoured asfollows: cranial ear down, caudal ear up.

If the hinge fails during surgery a tension band wire (TBW) maybe placed bridging the distal end of the TCO as shown. If thehinge remains intact at the end of surgery there is no need for aTBW. It should be appreciated that even if the bone cracks theperiosteum remains intact providing support.

Once again, the TTO experience shows that even when thehinge fails the tibial crest typically remains in place despitehaving no fixation. The TTA cage in the MMT procedureprovides significant additional fixation so migration is unlikely.

A bone graft (autologous or allograft) may be added if desired.

In the Etchepareborde series a Robert Jones Dressing (RJD)was applied for one week post operatively. Analgesia asnecessary, oral Cefazolin and Carprofen were administered forseven days postoperatively.

It is suggested that the dogshould be restricted to leashexercise until the six week checkradiograph by which time boneinfill should be very visible.Physiotherapy will speed therecovery process and maximisemobility.

2 MonthsPost Op

Special thanks toSebastien

Etchepareborde for hisassistance and

permission to use hisimages.

TTA PLATES AND CAGES TITANIUM











































MMT INSTRUMENTATION

TTA24 2.4 screwdriver (crosshead) £115.00

H090208 1.8mm pilot drill for 2.4 screw £18.50

H090106S 3.5mm Drill for hinge hole £21.50

001271 Periosteal Elevator 6mm AO Type 180mm £45.00

7350/05 Freer Periosteal Elevator £42.50

TTA444 TTA Spreader and 3, 6, 9, 12 & 15mm Inserts £175.00

001708 MultiSaw Surgical Kit £485.00

TTA999 MMT Saw Guide £135.00

TTO002 ‘Wedgie’ osteotomy Spreader £90.00


DG242735 Depth gauge for 2.4, 2.7 & 3.5 Ti Screws £95.00

TTAPFO Traditional TTA/MMT advancement overlay £FOC

TTATAN Common Tangent TTA/MMT advancement overlay £FOC

38

1 JOINT SURGERY

The addition of osteoconductive bioceramic hydroxyapatite to anorthopaedic site can significantly decrease healing times. NanoPaste isavailable as two presentations.NanoPaste. The sterile presentation is an aqueous paste supplied in asyringe (2.5ml or 5.0ml). The paste may be injected directly into a defectwhere it conforms to fill the space. The paste is readily colonised bybone cells and acts as a scaffold encouraging penetration of host bone.The putty-like consistency means that the paste may be pressed ontobone where it sticks until resorbed. NanoPaste is very similar to Ostim™which has an established clinical record.Applications include: joint arthrodesis, TTA, non-unions, delayed unionsand filling spine cages.

NanoPaste and TTAUse to save time harvesting autograft or when the quality of theautograft is poor. NanoPaste will extend autograft.NanoPaste may be injected directly into the defect where it conforms tothe defect shape.Nano HA paste conforms to ENISO 13779-1:200 and ASTM F1185-88for medical grade HA.

NanoPaste is also available in a granule formulation see page 195‘ReproBone’ which may be used alone or as an extender of naturalcancellous bone graft.

ReproBone Bone Substitutes

NANOPASTE

PAS2.5 NanoPaste Syringe 2.5ml £65.00

PAS5 NanoPaste Syringe 5ml £95.00

Veterinary Transplant Services is the world’s leading provider of bone, softtissue and cornea allografts for transplantation into animals. With aparticular focus on contributing to the advancement of medicine andimproving the quality of pets’ lives, the company strives to respond to theneeds within the veterinary community.

During our visit to the VTS facility we were extremely impressed by highstandards of processing, storage and record keeping. VTS operate to thesame standards as human tissue banks.

VTS offer a range of products of interest to the veterinary surgeon.

Osteoallograft® Orthomix®

Using bone allograft allows you to avoid autograft procurement andassociated morbidity risks. Also, because it not only providesosteoconductive scaffold but also native, osteoinductive growth factors(BMPs), you will achieve faster and stronger bone healing comparedwith using bone substitutes. The demineralization of allograft during tissue processing allows forimmediate access to the growth factors (BMPs) inherent in natural bonewhen it is placed into the surgery site. This results in an immediatebeginning of the healing process and helps to make allograft as effectiveas autograft. Indications include:• Fracture repair• Mal- or non-union cases (use standard<4.0mm or fine <2.3mm)• Arthrodesis procedures (use ultra fine <0.7mm particle)• Bone loss• TTAs and TPLOs (use fine <2.3mm particle)

Osteoallograft® Orthomix® is natural,real bone allograft designed specificallyfor veterinary use. It consists ofosteoinductive Demineralized BoneMatrix (DBM) and osteoconductivecancellous bone chips.

Osteoallograft® Orthomix® and TTA

Picture courtesy of Dr Randy Boudrieau

Independently published studies speak for themselves:

“Autograft was used in the first 17 dogs [....], and the other 97 hadan allograft”“No difference in healing was observed between autograft orallograft use to fill the osteotomy gap.”

Lafaver S, Miller NA, Stubbs WP, Taylor RA and Boudrieau RJTibial Tuberosity Advancement for Stabilization of the Canine CranialCruciate Ligament-Deficient Stifle joint: Surgical Technique, Early results,and Complications in 101 dogsVeterinary Surgery. 36:573-586, 2007.

39


Please note that for VTS traceability purposes the name of the practiceand veterinary surgeon will be required at the time of ordering. Alldeliveries will also need to be sent by registered courier.

Osteoallograft® Orthomix® Literature

For further information regarding Osteoallograft Orthomix or other VTSproducts please visit www.vtsonline.com or phone for a literature pack.

OSTEOALLOGRAFT® ORTHOMIX® INFORMATION PACK

BRVTS Osteoallograft Orthomix information pack £FOC

Osteoallograft® Orthomix® and TPLO

“Dogs with a TPLO gap filled with DBM were allowed to return tonormal exercise 2 weeks earlier than dogs with a well-apposedTPLO site”

Hoffer M, Griffon D, Schaeffer D, Johnson A, Thomas MClinical applications of demineralized bone matrix: A retrospective and case-matched study of 75 dogs.Veterinary Surgery. 37:639-647, 2008

OSTEOALLOGRAFT® ORTHOMIX®

BNCBOFFD3 Orthomix Canine Fine 3cc £280.00



BNCBOUFD1 Orthomix Canine Ultra Fine 1cc £130.00

BNCBOUFD0.5 Orthomix Canine Ultra Fine 0.5cc £70.00

BNFBOFFD0.5 Orthomix Feline Fine 0.5cc £135.00

Bone Mill

The best bone graft available is livingautograft. It is both osteoconductive andosteoinductive containing growth factors(BMPs). The bone mill quickly reducescortico-cancellous bone pieces to agranular paste ready for immediateapplication.Bone segments usually harvested fromthe ilial crest are placed into the topfeeder. They are pushed down onto themill which is manually rotated to createfine bone chips into the final receptacle.

BONE MILL

BONEMILL Bone Mill £895.00

Blocks, Segments and Struts

Block, segment and strut bone grafts cut into specific sizes and shapes.These are grafts that are generally not possible to obtain as autografts.We can also create custom made grafts (e.g. wedges, short sections,etc.) for specific applications. Typical indications:

Spinal fusions, periodontics (Cancellous Blocks, Cortical Segments)Void filling (Cancellous Blocks, Cortical Segments)Bone loss (Cortical Segments)Buttressing to augment existing weak bone structure (Cortical Struts)

If you need a graft for these applications please call for a quotation.

40

1 JOINT SURGERY

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ins

Examination and Surgery ofthe MeniscusIntroductionMenisci contribute greatly to the normal function of the stifle joint. Thestifle joint is not a simple hinge as knee replacements in both man anddogs which were based on the hinge premise have discovered. Themenisci are the interface between the two articular surfaces. Theytransmit load, absorb energy and lubricate the joint. Importantly theycontribute to joint stability to both shear and rotational forces.When the cranial cruciate ligament fails the menisci become vulnerableto damage as the femur is free to move relative to the tibia creatingexcessive crushing and shearing forces. The lateral meniscus isrelatively securely attached to the femur so moves with it avoiding injury.The medial meniscus is, however, firmly attached to the tibia and subjectto repetitive trauma. Injuries to the lateral meniscus are uncommonwhereas medial injuries are common. The incidence and severity ofmeniscal injuries are related to the weight of the dog and the duration ofthe injury.

The meniscus is avascular except around the periphery and generallydoes not heal. Despite active research in man to find repair andreplacement techniques these are not readily applicable to the caninepatient.

DiagnosisMeniscal damage may be suspected in a stifle which seems significantlymore painful than might be expected with cruciate rupture alone. Somepatients may exhibit an audible and palpable click on walking. Thisoccurs as the femur rolls over a detached meniscus which has foldedover. MRI in larger patients may suggest a meniscal injury.A definitive diagnosis is provided by examination of the meniscus eitherby direct visualisation via arthotomy or by arthroscopy.The caudal horn is not easy to expose regardless of technique.Veterinary Instrumentation offers a substantial range of instrumentsdesigned to make exposure easier. Caudal detachments, longitudinaland bucket handle tears may be difficult to identify without detailedprobing of the surface of the meniscus. The detached areas often fallback into position when not loaded.

Surgical Management of Meniscal InjuriesThe poor healing characteristics of the meniscus leaves removal of thedamaged area as the only real surgical option. The damaged areas aremade slippery by synovial fluid and are difficult to grasp and cut withoutdedicated instruments. Typically, damaged areas are grasped andretracted as far as they can be and detached from their remainingattachments using knives of various designs. Arthroscopic punches maybe used to ‘tidy up’ less distinct areas of damage in both open andarthroscopic approaches. (see chapter 2)

Meniscal ReleaseThis procedure remains contentious. Recognising the important functionof the meniscus anti-release surgeons seek to preserve as much intactmeniscus as possible. However, all the tibial plateau levelling techniquesleave the stifle unstable in certain circumstances leaving the meniscusvulnerable to injury from the resulting crushing and shearing forces.Pro-release surgeons argue that releasing the meniscus removes it fromharm from the femur and that no meniscus is better than a damagedone. It is certainly the case that meniscal release reduces the incidenceof late meniscal injury which might be linked to the initial injury. Longerterm outcomes in terms of the development of degenerative jointdisease (DJD) are less predictable.Ultimately the evidence is unclear so surgeons must make their owndecision.

Meniscal release is performed by transecting the medial horn by a radialcut just caudal to the medial colateral ligament at ‘x’.(illustrated). Thecaudal horn of the medial meniscus will rotate caudally into the caudalcompartment of the joint capsule. If the meniscus does not movesignificantly it has not been released. Alternatively the meniscus may bereleased by transection of the meniscotibial ligament ‘y’.

VideoGeoff Robins has created a video illustrating a number of meniscalsurgery procedures. It is available free of charge on the VI cruciate DVDor as a download from www.vetinst.com

The crushing and shearing forces resulting from a cruciate deficient stiflecreate a number of relatively specific meniscal injuries. These wereclassified by Bennett and May in 1991 into seven types.1. Caudal detachment with folded caudal horm2. Longitudinal tear3. Multiple longitudinal tears4. Fibrillation/tearing of the surface5. Axial fringe tear6. Bucket handle tear (similar to type 2 or 3 but inner concave portion, orportion between two longitudinal tears, of meniscus becomes lax anddisplaced from the tibial surface give the appearance of a bucket handle)7. Transverse tear

Classification of Meniscal Injuries

41


Stifle Lever

Examination and management of meniscal injuries is made extremelydifficult by the limited access to the medial meniscus during routineapproaches. Exposure of the medial meniscus is typically achieved byeither use of a stifle distractor or by a Hohman retractor. Hohmanretractors are not designed for levering against articular cartilage in thatthe blade does not ‘fit’ the trochlea. The stifle lever is designed tosubstitute for the Hohman.

The caudal surface of the stifle lever is contoured to fit the trochlea of largedogs. The load is dissipated over a large area minimising trauma. The ringstyle handle is convenient for retraction by the surgeon using the thumb.The tip atraumatically hooks behind the caudal aspect of the tibial plateau.

STIFLE LEVER

001115 Stifle Lever >20kg 225mm £52.50

001115S Stifle Lever Small <20kg 165mm £52.50

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to: H

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: Noe

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Exposure of the medial meniscus for examination and treatment is nevereasy. Many instruments have been developed for the purpose. Theoriginal technique required a Hohman to advance the tibia. StandardHohmans are not designed for the purpose and can cause trauma toboth tibia and trochlea. The original stifle lever addresses these issuesbut is a little bulky for arthroscopic use. The arthroscopic version is finer,longer and has a substantial teflon handle allowing better manipulationof the joint. A notch on the handle alerts the surgeon as to the position ofthe tip.

Also very effective in open arthrotomies.

Please note the Arthroscopic Stifle Lever now has a white teflon handle.

Arthroscopic Stifle Lever

ARTHROSCOPIC STIFLE LEVER

AR-17-02 Arthroscopic Stifle Lever 275mm £115.00

Atraumatic Tip

Thumb Ring

Contoured tofit trochlea

42

1 JOINT SURGERY

Swann Morton Beaver Type Blades

The 64 blade (best for meniscal release) cuts around the tip as well as theventral surface. The 65 blade (best for trimming flaps) is essentially ascaled down No. 11 blade. The 65a blade is even smaller. Very useful inrestricted areas minimising risk to articular cartilage.

SWANN MORTON FINE BEAVER TYPE BLADES

05904 No 64 blades (25). Beaver type £24.50

05905 No 65 blades (25). Beaver type £24.50

05906 No 65(a) blades (25). Beaver type £24.50

No. 64

No. 65

Beaver Type Scalpel Handle

Holds Beaver and Swann Morton fine blades. Ideal for delicate control andmaximum visualisation.

BEAVER TYPE SCALPEL HANDLE

06054 Beaver type scalpel handle (VI) 130mm £12.50

06051 Beaver type scalpel handle. 130mm £17.50



Meniscus Probes

Visualisation of the caudal horns of the meniscus can be a challenge.Often the process of exposing the caudal horn can result in distortions. Anormal meniscus can look damaged and occasionally a bucket handle tearcan sit back and look normal. It is helpful to gently probe the meniscus toestablish its true condition. Dimensions refer to length of tip. Use 1mm indogs < 30kg and for dogs >30kg use 2mm.

MENISCUS PROBE

001408 Meniscus Probe 1mm tip 190mm £31.50

001409 Meniscus Probe 2mm tip 220mm £31.50

AR-17-10 Meniscus Probe 2.2mm black shaft for arthroscopy 220mm £62.50

Fat Pad Retractor

Visualisation of the medial meniscus is maximised by retraction of the fatpad. Previously this has been achieved by use of a Senn ("cats paw")retractor. The fat pad retractor has the same clawed foot but has a muchmore practical means of holding the instrument.

FAT PAD RETRACTOR

001114 Fat Pad Retractor 180mm £22.50

833305 Senn cats paw retractor 165mm £22.50

Meniscectomy Instruments

Damage to the medial meniscus following CCL rupture increases with:

1. time after injury.2. size of the dog.

Removal of severely damaged cartilage is assisted by instruments designedfor the purpose. The jaws of the Ligament Clamp have multiple small teethfor maximum grip in the presence of synovial fluid.

MENISCECTOMY INSTRUMENTS

001100 Meniscectomy Instrument Set £95.00

001107 Meniscectomy Knife 165mm £60.00

001110 Ligament/Cartilage Clamp 140mm £55.00

Ligament Clamp Jaws

Toothed Halsteads

TOOTHED HALSTEADS

103185 Halstead mosquito forceps 1/2 teeth Cof 125mm £24.50

103180 Halstead mosquito forceps 1/2 teeth Str 125mm £24.50

103185

Hook Knife and Push KnifeThese three hand held knives can deal with most meniscaltears. Their low profile makes them suitable for both openand arthroscopic surgeries.

MENISCUS KNIVES

AR-17-19XS Hook Knife 150mm £75.00

AR-17-19X Hook Knife 225mm £75.00

AR-17-11X Push Knife 225mm £75.00

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Management of meniscal injuries has three phases all of which willrequire special instrumentation.

• Exposure of the meniscus, particularly the caudal horn of the medialmeniscus. This will require that the tibia is advanced and distractedrelative to the femur.

• Examination of the meniscus for lesions. A visual examination is notenough. The surface of the meniscus should be probed for defectsand tears. The circumferential attachments should be checked forsecurity.

• Lesions discovered must be managed by debridement or meniscalrelease.

This set includes all theinstruments in the MeniscusSurgery Set shown above butwith additional instruments toextend the range of optionsand patients.

AR-17-11X Push Knife (Page 42)AR-17-19X Pull Knife (Page 42)

The push knife and pull knife are the standard instruments in man for the removal of meniscal tears

001113 Small Stifle Joint Distractor (Page 44) for smaller patients

Meniscus Surgery Set

MENISCUS SURGERY SET

001116 Meniscus Surgery Set £295.00

MENISCUS SURGERY SET - ENHANCED

001117 Meniscus Surgery Set - Enhanced £495.00

Meniscus Surgery Set - Enhanced

The Meniscus Surgery Set includes all the essential instruments for theexamination and management of meniscal injuries in a stainless steelautoclave case. Purchased as a set there are significant savings.

Large Stifle DistractorHohman Retractor 12mmMeniscus Probe 1mmMicroToothed HalsteadsBeaver Type Scalpel Handle25 x No 65 Blade (mini no 11)Stainless CaseSilicone protective insertSmall balloon cloth drape

Large StifleDistractor

SmallGelpi

ToothedHalsteads

MeniscusProbe

Image Geoff Robins

Loupes and Lights

Meniscal lesions are small anddifficult to see in idealconditions. Where lighting ispoor, diagnosis and treatmentis very difficult. Use of focal lighting andloupes will significantlyimprove success rates. Seepage 226 for loupes and page311 for lighting.

The tear is grasped mid sectionand sectioned from its axialattachments.

Case Geoff Robins

The abaxial attachments are alsosectioned.

The damaged segment ofmeniscus is removed from the joint.

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1 JOINT SURGERY

STIFLE DISTRACTOR

001112/L Large Stifle Distractor min spread 10mmmax 40mm 210mm £175.00

001112 Stifle Distractor min spread 8mmmax 30mm 190mm. £175.00

The very small distractor is extremely useful as a small joint retractor during the meniscal releaseprocedure. It is used to open a small window, caudal to the medial collateral. Total length 140mm

Small Stifle Joint Distractor

Very Small Stifle Joint Distractor

VERY SMALL JOINT DISTRACTOR/RETRACTOR 3mm wide tips

001113VS V Small Joint Distractor/Retractor 3mm wide tips £135.00

SMALL JOINT DISTRACTOR/RETRACTOR 6mm wide tips

001113 Small Joint Distractor/Retractor 6mm wide tips £135.00

001113VS3

mm

6mm

The small distractor is also useful as small local muscle and tissueretractors in and around canine joints e.g. elbow exploration. Total length130mm.

001113

Stifle Distractors

Damage to the medial meniscus is commonly associated with rupture of theCranial Cruciate Ligament (C.C.L.). It is most frequently found in largerdogs with a longstanding injury. Failure to deal with meniscal damage is aserious omission in C.C.L. repair. Exposure of the medial meniscus forexamination and repair is extremely difficult. For further information see ourweb site or request our free DVD ‘Surgical Management of Canine CranialCruciate Disease’.

Stifle Distractor

The stifle distractor is designed to separate the femoral component of thestifle from the tibia. Ideally the two joint surfaces should move away fromeach other in a parallel fashion so that the meniscus is exposed in itsnatural state and minimally distorted by the examination. One tip is placedin the intercondylar notch and the other on the cranial intercondylar area.Neither tip should involve articular cartilage. Test distractions (by squeezingthe handles) will allow the surgeon to find the exact point at which a fulldistraction will expose the medial (usually) meniscus. The spinlock is thenengaged to powerfully open up the stifle joint. The distractor isself-retaining leaving the surgeon with two free hands to examine themeniscus and deal with any pathology.

When closed the tips overlap making the points atraumatic as they enter thejoint. Additionally the overlapping feature reduces the profile of the tips asthey enter the joint.

Money-back guarantee! If this instrument is not an improvement on whateveryou are currently using, we will give you a full refund.

Stifle Distractor Tips

001112

WHICH DISTRACTOR?>5kg 001113VSX miniature 5kg 001113VS very small 5-15kg 001113 small 15-50kg 001112 standard50kg 001112/L large 001112 the original stifle distractor remains the most useful

001112

Miniature Stifle Distractor

MINIATURE STIFLE DISTRACTOR

001113VSX Miniature Stifle Distractor 100mm £135.00

Although the tips on our very small stifle distractor are very small the restof the instrument remains too bulky for very small and miniature dogs.The miniature stifle retractor has been scaled down all round making itideal for smaller breeds. Small breeds get meniscal injuries too. As is thecase with all our stifle distractors the retaining tips are overlappingcreating a low profile, atraumatic entry into the joint.

45


SURGICAL APPROACHES DVD DR WING TIP WONG

DVDSAW Surgical Approaches DVD Dr Wing Tip Wong £67.50

Spinlock Stifle Distractor

The working tips of our spinlock stifle distractors are just the same as theratchet version. The spin lock offers a more secure distraction as it isimpossible forthe distractor toslip. In additionthe spinlockvariant allowsthe surgeon to‘crank’ open thejoint in the mannerof the larger versionsof this instrument.Many of our Gelpi selfretaining retractors arealso available with aspinlock. See page 85.

SPINLOCK DISTRACTORS

001113SL Spinlock Small Stifle Distractor 140mm 6mm tips £135.00

001113VSSL Spinlock Very Small Stifle Distractor 140mm 3mm tips £135.00

External Stifle Distractor

Osteoarthritic stifles can be very ‘tight’ making examination andtreatment of meniscal lesions difficult. Distraction of the articularsurfaces using intra-articular instruments clutters the operative field.Originally developed for arthroscopic use the extra articular distractorworks very well in open surgery.Pins are placed above and below the stifle approximately along the lineof the medial collateral ligament. The standard distractor uses 2.5mmpins. For those TPLO surgeons who wish to use the proximal tibial pinas their proximal jig pin a version is available which takes 3.2mm (1/8”)pins.Turning the thumb screw distracts the joint from the medial side exposingthe medial meniscus. For better view of the caudal horn the pins may betwisted relative to one another which brings the tibial plateau forward.

Extra Articular JointDistraction

EXTRA ARTICULAR STIFLE DISTRACTOR

AR-17-01 Extra Articular Stifle Distractor 2.5mm pins 80mm £165.00

AR-17-01/TPLO Extra Articular Stifle Distractor 3.2mm pins 80mm £165.00

JOINT SURGERYPRACTICAL DVD

The University of Sydney’s centre for Veterinary Education produces arange of excellent teaching DVDs. Veterinary Instrumentation ispleased to have been appointed a distributor.

Surgical Approaches to the Bones and Joints ofthe Dog

Dr. Wing Tip WongThis DVD includes all the common approaches to the shoulder,elbow, hip, stifle and hock joints as well as the humerus and ilialshaft. Bone models are included to highlight the approach. The DVDis suitable for general practitioners contemplating any surgicalprocedure involving canine joints.

Procedures include:

Caudal approach to shoulderDistal humerus via olecranonLateral approach to humerusLateral approach to elbowMedial approach to elbowDorsal approach to hipLateral approach to stifleMedial approach to hockApproach to ilial shaft

Duration: 40 minutes

46

1 JOINT SURGERY

Patella Sub-LuxationPatella Sub-Luxation is a common condition of the canine stifle joint whichrequires intervention by the veterinary surgeon. Although most common insmall and miniature breeds the condition seems to be becomingincreasingly seen in medium, large and giant breeds of dog. In larger dogs,particularly those with angular deformities of either or both femur and tibia,management can be very challenging.

Patella luxation can be classified into four levels of severity. The leastsevere is grade 1 where the patella stays in the trochlea most of the time.In grade 4 the patella is permanently luxated.

In many cases the trochlea is very shallow but rarely is a shallow trochleathe only problem and by the same token only deepening the trochlea rarelydeals with the problem. Similarly a simple imbrocation is rarely effective.

Usually the underlying problem is a malalignment of the quadricepsmechanism. Re-alignment of this axis is by far the most important aspectof patella management.

The most common technique for re-alignment of the quadricepsmechanism is tibial crest transfer which can be very effective particularly insmall and miniature dogs. Extreme cases may require osteotomy of thefemur or the tibia or both.

Trochleaplasty where desirable may be achieved by a number oftechniques including sulcoplasty, wedge sulcoplasty and block sulcoplasty.More sophisticated techniques of trochlea ridge transplant and eventrochlea implants are also available. Ideally techniques should attempt topreserve as much articular cartilage as possible. In miniature dogs wherethis is difficult a simple deepening of the trochlea with a rasp which is backfilled by fibro cartilage is acceptable.

A step by step guide for the management of patella sub-luxation isavailable on request.

BRPAT

Corrective Osteotomy Sawguide System

Grading of patella sub-luxation after Singleton 1969

Corrective osteotomy is a recognised procedure in the management ofpatella luxation particularly in medium and large dogs.Positioning the osteotomy at the CORA (centre of rotation) can be achallenge.Creating an accurate osteotomy at the site is a further challenge.The new osteotomy and sawguide system allows the surgeon to createaccurate osteotomies positioned at the correct site.

The Osteometer/Sawguide is sucessfully employed in the TTOtechnique of cruciate management to create accurate small wedgeosteotomies. In the TTO technique the sawguide is located into guideholes drilled into the bone. This is not an option in more cylindricalbones. The spinlock saw guide clamp incorporates an appropriate guidehole and can be clamped to virtually any bone. Once the osteotomyangle is determined the sawguide is secured into position using a 1.6mmK wire. The sawguide may then be moved very accurately from proximalto distal cuts to create the precalculated osteotomy.

CORRECTIVE OSTEOTOMY SAWGUIDE SYSTEM

TTO011 Osteometer/Sawguide £250.00

TTO013 Saw Guide Attachment Forceps 91/2”/245mm £115.00

Osteotomy of the distal femur is now an accepted technique for correctionof patella luxation in medium and large dogs with a limb alignmentdeformity. The distal femur is a difficult area to appropriately contour andplace sufficient screws. Using finite element analysis Mark Glyde designeda preformed plate specifically for this area. Screw hole placement allowsfor a closing wedge osteotomy. See page 175 for further informationregarding the Supracondylar Osteotomy Plates (SCOP).

Grade 1 Grade 2

Femur

Tibia

Patella

NORMAL

TibialTubercle

Grade 3 Grade 4

47


X-Acto Saw

Although not stainless, this hard backed fine saw is ideal for wedgetrochleaplasty. Provided the blade is kept absolutely dry, apart from theactual procedure, you will get several procedures from it before it needsreplacing. Handle is aluminium. Consider also the Hard BackedOrthopaedic Saw (001004).

X-ACTO SAW

XACTOB/H X-acto Saw Complete 270mm £24.00

XACTOHANDLE X-acto Saw Handle only 140mm £18.00

XACTOBLADE X-acto Saw Blade 0.3mm cut 140mm £12.50

XACTOSTERILE X-acto Saw Blade Sterile 0.3mm cut 140mm £18.50

Hard Backed Orthopaedic Saw

140mm long 23mm deep0.4mm cut.

In the style of the X-ACTO sawblade but is stiffer and has slightlybigger teeth, more suitable forbone. It is made from stainlesssteel and can be autoclaved. Thestiff back helps to guide the sawcompared with hacksaw typeblades which often deviate.

Use for wedge sulcoplasty andosteotomies up to 23mm deep.

HARD BACKED ORTHOPAEDIC SAW (stainless)

001004 Orthopaedic Hard Back Saw 0.4mm cut. Stainless steel 145mm £37.50

Rectangular Sulcoplasty Instruments

RECTANGULAR SULCOPLASTY INSTRUMENTS

001017 Super Slim Osteotome 8mm 180mm £45.00

001018 Rectangular Bone Rasp 210mm £32.50

A rectangular sulcoplasty retains the maximum articular cartilage. Creationof the sulcoplasty can be a challenge in that most osteotomes are too thickand the block tends to break up. Our super slim 8mm osteotome minimisesbreakup. The rectangular rasp is designed to tidy up the corners of thesulcoplasty to maximise ‘fit’.

MODULAR OSTEOTOME

001380 Modular Osteotome complete with 7 blades £180.00

001382 Modular Osteotome replacement Blade 4mm £22.00







001389 Modular Diamond Rasp 6mm £42.00

The osteotome is supplied as a comfortable handle into which fits alarge range of blades. The blades are very thin (1.1mm) making themsuitable for a variety of procedures including block sulcoplasty. Theblock including the articular cartilage may be harvested with minimalbreakage of the block. Supplied as a handle plus the following blades4mm, 6mm, 8mm, 10mm, 12mm, 15mm and 20mm. A new diamond-coated 6mm rasp has been added to the range to tidy up the corners ofthe sulcoplasty.Total length of Osteotome and blade is 230mm.

Modular Osteotome with ultra-thin interchangeableblades and Diamond Rasp

Trochlea Rasp

Designed for deepening thetrochlea groove, the trochlearasp has a range of diametersto suit breeds from chihuahuasto bull terriers. For largerbreeds perform a wedgetrochleaplasty using a hardbacked saw. An accurately

contoured trochlea is essential for a successful trochleaplasty. Articularcartilage is removed to be replaced by fibrocartilage. Total length 190mm.

TROCHLEA RASP

001020 Trochlea Rasp 11mm max 5mm min diameter £49.50

001022 Trochlea Rasp Small 8mm max 3mm min diameter £49.50

48

1 JOINT SURGERY

TRIPLE PELVIC OSTEOTOMY PLATE

090167 Large TPO Plate £50.00

090179 Small TPO Plate £45.00

090167L30 Large TPO Plate Prebent 30°. Left £55.00

090167R30 Large TPO Plate Prebent 30°. Right £55.00

090179L30 Small TPO Plate Prebent 30°. Left £50.00

090179R30 Small TPO Plate Prebent 30°. Right £50.00

HDTPODVD TPO Technique DVD Hamish Denny £45.00

RASENBERG TPO PLATE

090195 Rasenberg 3.5mm TPO Plate 25°. Right £70.00

090196 Rasenberg 3.5mm TPO Plate 25°. Left £70.00

CDRAS Powerpoint Presentation on CD £FOC

TRIPLE & DOUBLE PELVICOSTEOTOMYTriple Pelvic Osteotomy (TPO) and Double Pelvic Osteotomy (DPO) areboth techniques which rotate the acetabular segment of the pelvis tocreate greater coverage of the head of the femur resulting in more stability.The long term consequence in cases of severe HD is reduced DJD and areduced need for Total Hip Replacement (THR).

The technique has been used for many years but recently has fallen out offashion. The introduction of locking plate technology appears to have giventhe technique a renewed lease of life.

TPO involves transection of Ilium, Pubis and Ischium to free the acetabularsegment. The free segment may then be rotated and fixed into positionusing an angled plate across the Ilial osteotomy. A more stable postoperative construct may be achieved by creating two cuts only in the Iliumand the Pubis. This is the DPO technique which although more stable doesrequire that the ischium has to be folded to allow the desired rotation. It issometimes the case that the stiffness of the ischium prevents the fullrotation indicated on the plate being achieved. A compromise technique,the so called ‘DPO and a half’ procedure, involves complete osteotomiesof the ilium and pubis but only the dorsal cortex of the ischium whichtherefore folds more easily allowing the acetabular segment to fully rotatebut leaving a stable post operative construct.

A number of plates are available, both locking and non-locking for the TPOand DPO procedures.

Most authors now suggest that 25 degrees is the most useful rotation. Inaddition 20 and 30 degree plates are available. Pre-angled plates are allhanded, left or right. Flat plates may be twisted prior to the procedure.

VI Twistable TPO/DPO Plates

Rasenberg TPO/DPO Plates

The plates are supplied flat to be twisted prior to surgery or pre-bent byourselves prior to despatch. Please advise angle and side. Thirty degreesrotation is the most widely applied. The plates accept 3.5mm cortical, 3.5mmcancellous, 4mm cancellous and 9/64" Sherman self tapping screws.

This plate is more flexible than the VI or theSlocum plate. Less pelvic narrowing than theVI plate. Less screw pull out than Slocumplate. For a free powerpoint presentation onthe technique please phone or e-mail us [email protected] Cut outs on the plate allowthe placement of additional screws should theybe necessary.

Available in 25 degrees only.

Slocum Style TPO/DPO Plates

Barclay Slocum first described the TPO technique in 1986. His original plateis still widely used. There are 3 x 3.5mm holes on either side of the ilialosteotomy with an additional small hole on the distal side for a cerclage wire.

A locking screw version for standard twin start locking screws is available foradditional angular rigidity. Includes one DCP hole for compression.

LOCKING SLOCUM STYLE TPO & DPO PLATES 3.5MM

09910320L Slocum Style TPO Plate 20 Left £75.00

09910420R Slocum Style TPO Plate 20 Right £75.00





09920320L Slocum Style TPO Plate 20 Left Locking £80.00

09920420R Slocum Style TPO Plate 20 Right Locking £80.00





LSDG35XL 3.5 locking screw drill guide extra long £52.50

Locking

Original Slocum style platewith round and DCP holesplus a hole for cerclagewire.

Slocum style TPO plate on aSheltie.Case: Nick VanVooren

49


LOCKING SCREW SETS

LS35KIT 3.5 Locking Screw Set Hex Drive £1,495.00



LS35STARKIT 3.5 Locking Screw Set Star Drive £1,495.00



Available in both 3.5, 2.7mm (with 2.4mm head) and 2.4mm with either hexdrive or star drive. Supplied in a stainless steel screwbox. Sets discounted by over 5% from component price.

3.5mm set includes 3 x 12-20mm, 4 x 22-26mm, 5 x 28-40mm, 4 x 42-50mm, 3 x 52-58mm locking screws and 5 locking plugs

2.7mm and 2.4mm set includes 3 x 6-8mm, 4 x 10-16mm, 5x 18-28mm, 4 x 30-32mm, 3 x 34-40mm locking screws and 5 locking plugs

Locking Screw Sets

Locking ScrewsThe angular security of locking plate systems depends on a rigid interfacebetween screw and plate. This is achieved either by the use of interlockingthreads or by using the morse taper phenomenon as seen in the Fixinsystem.

Threaded systems are the most common. The modulus of bone andstainless steel differs greatly and the ideal screw thread for one will not suitthe other. Stainless steel demands fine threads whereas bone needs arelatively coarse thread. If we use a fine thread in the plate and a coarsethread in the bone, when the head of screw engages the plate, the screwmoving faster through the bone than the plate would have the effect ofpulling the plate towards the bone. This is exactly what we do not want.Some systems compromise by using the same thread in both screw headand bone plate.

At Veterinary Instrumentation and in the industry standard locking screwthe problem is solved by some ingenious engineering. The threads on thehead of our screws are fine as required but have a twin start. The threadstaper down the head as a double helix. The pitch (the distance betweenthe tips of the threads) of each individual fine thread is the same as thethreads on the bone screw but because of the double helix the number ofthreads per millimeter of locking thread is double that of the bone screwgiving the fine threads required for metal on metal. The screw movesthrough the bone at the same rate as it moves through the platemaintaining the relative positions of both bone fragment and plate.

There is an additional benefit of the double helix. As the screw headapproaches the plate a single start thread may have to wait 360 degreerotation before the threads start to engage. In the 3.5 screw this mightmean that the plate is pushed around one millimeter before the head of thescrew engages. With a twin start thread the screw head will engage within180 degrees of contact.

Where angular security is important and where contouring is difficultVeterinary Instrumentation is creating special plates with locking holetechnology.

For the complete range and further information see page 168

VI Locking TPO/DPO PlatesOver the past three years wehave been developing a lockingversion of TPO/DPO plates. Theplate has a slightly larger‘footprint’ than the original Slocumplate. The locking screws placedat diverging angles give bettersecurity than regular corticalscrews. One hole next to the osteotomy site on the sacral side is a regularDCP hole so that a regular screw can pull the plate down to the sacralsection of the ilium and then create compression at the osteotomy. Availablein both 3.5 and 2.7mm formats. Will also accept regular cortical screws.

VI LOCKING TPO & DPO PLATES

09930320L 3.5 TPO/DPO Locking Plate 20 Left £90.00

09930420R 3.5 TPO/DPO Locking Plate 20 Right £90.00













Locking Screw Taps


LOCKING SCREW TAP







50

1 JOINT SURGERY

Gigli Saw

Essentially a bonecutting wire. Moreuseful in large dogs.Hard to persuadethe saw to cut whereyou want it to. Canbe threaded throughholes to makeinaccessible cuts.e.g. ulnaosteotomies.

GIGLI SAW

001515 Gigli Saw Handles (pair) 75mm £37.50

001516 Gigli Saw 30cm £8.50

001517 Gigli Saw 50cm £9.50

Adjustable Bone Saw

Useful for many bone procedures, this saw comes complete with five, finechrome plated blades. Blade length is adjustable from 40mm to 100mm.Procedures include trochleaplasty, tibial crest transplants, amputations,trochanteric osteotomy and excision arthroplasty. Also useful for splittingmulti-rooted teeth prior to extraction. Handle length130mm. Blade length155mm.

ADJUSTABLE BONE SAW

001000 Adjustable Bone Saw c/w 5 fine blades £57.50

001001 Spare Fine Blades. Pack of 5 chrome plated £13.50

001000SS Adjustable Bone Saw Blade (Single) Sterile £6.50

Rhinotomy/Plaster Saw Blade

This is a curved stainless blade with a radius of 15mm. Useful forrhinotomy, plaster cutting and osteotomies where access is limited, e.g. radius, ulna and ilium during a TPO. Total length 85mm.

RHINOTOMY/PLASTER SAW BLADE

001003 Rhinotomy/Plaster Saw Blade (single) £13.50

Coarse Stainless Blade

Very useful for larger patients. The tooth pitch is 15 teeth per inch. Thisblade does not clog easily. Also useful for trochleaplasty.

COARSE STAINLESS BLADE

001002 Coarse Stainless Blade (single) 140mm £13.50

Saw Blades for Scalpel Handles

Four different blades are included in the saw set. All saws fit the No3scalpel handle. The blades are very thin (0.25mm) making them suitablefor a variety of small bone cutting procedures. Scapel blade kit includes3 sets of blades and a free scapel handle (0803VI).

SCALPEL FIT SAW BLADES

SBLSET Scalpel fit saw blades (4 different blade styles) £16.50

SBLKIT Scapel Saw Blade Kit (3 of above plus handle) £49.50

Gigli Wire Passer - Nick Vanvooren

Gigli Wire - 10m spools

VI Handles for Gigli Wire

Minimally invasive passing of Gigli wire around the ischium for TPO/DPOcan be challenging. This device, developed by Nick Vanvooren simplifiesthis process. The wire is simply passed down the tube, where the bendforces it back on itself for easy retrieval. Total length 160mm.

GIGLI WIRE PASSER

001518 Gigli Wire Passer - 160mm £65.00

Attachment of non-eyed wires to these handles is achieved by means of athumb screw. The wire is gripped more firmly if it is wrapped once aroundthe handles before tightening the screw.

VI HANDLES FOR GIGLI WIRE

001514 VI Handles for Gigli Wire 110mm (Pair) £55.00

Eyed wire will not pass through the tube of the wire passer, sowire without eyes is required. Simply cut to length beforeautoclaving. We would advise allowing another 10-15mm more thanwith eyed wires to allow attachment to the handles.

GIGLI WIRE - 10M SPOOLS

001519 Gigli Wire - 10m spool £77.50

51


Gutter Hohman

A deceptively useful instrument, this style of Hohman is useful in:

1. retraction of facia lata during CCL repair2. elevation of femoral head and neck3. muscle retraction during many joint and fracture procedures.

If you intend to buy just one Hohman, the one you need is 001041, 18mmwith a short tip. This is usually the one described in texts as ‘Hohman’.

HOHMAN RETRACTORS with short tip

001041 Hohman Retractor 18mm Short Narrow TipTotal length 240mm £49.50

001042 Hohman Retractor 12mm Short Narrow TipTotal length 175mm £49.50

001041

001042

MINI HOHMAN BROAD BLADE SHORT TIP

001040 Mini Hohman 25mm Broad Blade 120mm long £57.50

One of a range of mini Hohmans designed to manipulate bone fragmentsand overlying muscles. The blade is 25mm wide and the overall length is120mm.

Mini Hohman Broad Blade Short Tip

OCD CURETTE

001030 OCD Curette 215mm £47.50

001032 OCD. Curette Small 180mm £47.50

Loose flaps of cartilage at the OCD lesion must be removed. The doubleended OCD curette is designed to perform this task within the limited spaceavailable. Healthy fibrocartilage within the lesion should not be disturbed.

Actual size

OCD Curette

Excision Arthroplasty Rasp

Designed specifically to remove any bone spurs following excisionarthroplasty. Failure to remove bone spurs is the most common cause ofproblems with this procedure. Teeth cut on the back stroke.

EXCISION ARTHROPLASTY RASP

001010 Excision Arthroplasty Rasp 170mm £52.50

Combination Bone Rasp Set

The three interchangeable rasp blades offer a range of cutting surfaces, flat,round and ‘putti’ style. The handle has an ergonomic design which is easyto grip even when wet.

COMBINATION BONE RASP SET

001015 Combination bone rasp with 3 interchangeable heads £160.00

The Gutter Hohman is the brain-child of Haralabos Haralabidis, DVM fromAthens. When used to lever the two bones of an oblique fracture into adistracted position during reduction, the top segment is inclined to slide off astandard Hohman retractor. The gutter we have created prevents thisslippage until the bones fall into reduction.

GUTTER HOHMAN RETRACTOR

001035 Gutter Hohman Retractor 180mm £59.50

Hohman Retractors with short tip

52

1 JOINT SURGERY

Hohman Retractor broad with short narrow tip

The 48mm Hohman is very useful in the large dog for elevation of thefemoral head and neck for excision or toggle. The 24mm is designed toretract muscles during plating and cerclage procedures.

HOHMAN RETRACTOR BROAD with short narrow tip

001045 Hohman Retractor 48mm Short Narrow Tip 260mm £49.50

001046 Hohman Retractor 24mm Short Narrow Tip 240mm £49.50

001045

001046

Mini Hohman 6mm & 8mm short tip

Manipulation of small bone fragments during repair requires carefulretraction of soft tissues to minimise devascularisation. The blade of theHohman retracts the soft tissue as the tip effectively elevates and exposesthe bone fragment.

Exact anatomical repair of the bones will not result in satisfactory healingwithout adequate blood supply.

Mini Hohmans allow delicate, precise retraction of the vital soft tissues,allowing placement of screws or wires.

An assistant to hold these instruments is a distinct advantage.

MINI HOHMAN 6mm and 8mm short tip

001047 Mini Hohman Retractor 6mm Short Tip 165mm £49.50

001048 Mini Hohman Retractor 8mm Short Tip 165mm £49.50

For some patients and some procedures even our mini 6mm Hohman istoo big. The micro 4mm Hohman is scaled down further. Two versionsare available, the standard version and a version with a long narrowshaft to work within standard instrument portals.

Micro Hohman 4mm short narrow tip

MICRO HOHMAN 4MM SHORT NARROW TIP

001049 Micro Hohman Retractor 4mm Short Tip 160mm £49.50

001049A Micro Hohman Retractor 4mm Short Tipwith narrow shaft for arthroscopy 160mm £55.00

Hohman Retractor 20mm wide with short kinked tip

This Hohman is designed for femoral neck retraction for THR after thefemoral head has been removed, in order to visualise the acetabulum foracetabular reaming. The idea is that the bent tip of the Hohman is engagedcaudoventral to the acetabulum with the osteotomised surface of thefemoral neck behind it and then the Hohman is retracted to pull the femoralneck out of the way for the reamer. This is much easier than having to geta rake retractor or Meyerding on the trochanter to physically pull the femurout of the way which is knackering. The Hohman does all the work for you-makes things MUCH easier for reaming! Total length 200mm.

HOHMAN RETRACTOR 20MM WIDE WITH SHORT KINKED TIP

001039 Hohman 20mm wide with short kinked tip £62.50

Hohman Retractor with long broad tip

Useful in and around the shoulder joint and other retraction situations whena blunt tip is desirable.

HOHMAN RETRACTOR with long broad tip

001043 Hohman Retractor 24mm Long Broad Tip 280mm £52.50

001044 Hohman Retractor 18mm Long Broad Tip 175mm £52.50

001043

001044

Originally developed as a Hohmanspecifically for Total HipReplacement (THR) this style hasproved useful in elevating thehead of the femur for other hipprocedures including toggling andtotal head and neck excision(THNE). The multiple small teethat the tip sit securely on thefemoral neck outside the zone ofarticular cartilage.

Hip Hohman

Three sizes are available. Approximate guidelines as follows:Large: 255mm long with 25mm wide tip for large dogs >30kg Medium: 175mm long with13mm wide tip for medium dogs 10-30kgSmall: 125mm long with 8mm tip for small dogs < 10kg

HIP HOHMAN

001038 Large Hip Hohman 255mm x 25mm x 36mm blade £62.50

001037 Medium Hip Hohman 175mm x 13mm x 18mm blade £62.50

001036 Small Hip Hohman 125mm x 8mm x 12mm blade £62.50

53


Disarticulator

Rupture of the roundligament (Teres) can beextremely difficult. Thedisarticulator isdesigned to elevate thefemoral head ready forexcision. The notch atthe tip of the instrumentengages and rupturesthe round ligament. Thedisarticulator is alsoparticulary useful inmanipulation of thehumeral head in OCDlesions, investigation ofelbow lesions and as a general tissue retractor. If you cannot see the cut endof the round ligament you probably have not resected it.

DISARTICULATOR

001090 Small Disarticulator 145mm £47.50

001091 Large Disarticulator 195mm £50.00

Hatt Spoon

An alternativeto thedisarticulator inlarge dogs. Theedge of thespoon is sharp.As used byMartinOlmstead. Ourpattern has afibre handleand a finer shaftfor betterbalance.

HATT SPOON

001092 Hatt Spoon 230mm (17mm x 30mm scoop) £60.00



Actual size

Stainless Steel Goniometers

For intra surgery useor where a morerobust instrument isrequired. The femoralneck goniometer isuseful for assessingimplant size in hipreplacement.

STAINLESS STEEL GONIOMETERS

GONIO3 Stainless Steel Goniometer 340mm £57.50

HE-GONIO Femoral Neck (Stainless Steel) Goniometer 120mm £57.50

Developed by AndrewCoughlan of NorthwestSurgeons, the mangeur isdesigned to rapidly remove soft tissues eg. fat pad whichcan obscure the operativefield. Also ideal for theremoval of the remnants ofthe ruptured cranial cruciateligament.

Goniometer

The goniometer may be used for the calculation oftibial plateau angles, wedge resections, angles ofanteversion etc. Also used to measure pre andpost-op range of motion of joints together with theeffect of physiotherapy. Clients may use tomeasure progress. 360˚ measurement.

Coughlan Soft Tissue Mangeurs

COUGHLAN SOFT TISSUE MANGEURS

001108S Coughlan Soft Tissue Mangeur - very small2mm x 8mm Shaft 115mm £135.00

001108 Coughlan Soft Tissue Mangeur - small2.5mm x 10mm Shaft 160mm £135.00

001109 Coughlan Soft Tissue Mangeur - large5mm x 12mm Shaft 180mm £135.00

Close-up detail

Condyle Clamp

Fracture of the lateral humeral condyle is a relatively common fracture inyoung dogs. Reduction and repair is simple using the condyle clamp anddamage to periarticular structures is reduced to a minimum. No need to lagscrew with this clamp. Pressure should be applied proximo-laterally notpurely laterally. See diagram. Reduction may be checked by radiographyprior to fixation with a single screw. Use only within 48 hours of the fractureand if the fractured condyle is still mobile.

CONDYLE CLAMP

001080 Condyle Clamp Stainless Steel £65.00

GONIOMETER

GONIO Goniometer 6”/150mm (illustrated) £15.00

GONIO2 Goniometer 12”/300mm £22.00

54

1 JOINT SURGERY

Hip Toggle Procedure

HIP TOGGLES

HIPTOGLF250 Hip Toggle 3.0mm + 250lb LigaFiba,Ormrod Button (Sterile Pack) Dogs over 10kg £23.50

HIPTOGLF250M Hip Toggle 2.5mm + 250lb LigaFiba,Ormrod Button (Sterile Pack) Dogs over 10kg £23.50

HIPTOGLF150 Hip Toggle 2.0mm + 150lb LigaFiba,Ormrod Button (Sterile Pack) Dogs under 10kg £23.50

HIPTOG Hip Toggle 3.0mm + 80lb nylon, Ormrod Button(Sterile Pack) £18.50

HIPINTLF250 Hip Toggle Introducer + hip toggle with 250lb LigaFiba+ Ormrod Button (sterile pack) £90.00

HIPINT Hip Toggle Introducer + hip toggle with 80lb nylon+ Ormrod Button (sterile pack) £90.00

HIPTOGKITLF Contains introducer, hip toggle with 250lb LigaFiba,drill guide, 3.5 & 4.5mm drills (discounted) £265.00

HIPTOGKIT Contains introducer, hip toggle with 80lb nylon,drill guide, 3.5 & 4.8mm drills (discounted) £265.00

ADJDG2035 Adjustable drill guide 2.0, 2.5, 3.5mm drills £175.00

TOG Hip Toggle only 3.0mm (non sterile) £9.50

TOGM Hip Toggle only 2.5mm (non sterile) £9.50

TOGS Hip Toggle only 2.0mm (non sterile) £9.50

The Hip Toggle has an ‘eye’ to hold the suture and ismade from stainless steel 316LVM. Use the adjustabledrill guide to accurately place the hole in the femoralneck, (see chapter 7). All sterile packs contain a nylon Ormrod button for securefixation of the suture. Available with monofilament nylonor braided LigaFiba. LigaFiba is easier to work with, isstronger and ties better. However, it is a braided materialwith higher infection risks.

Braided polyethylene is 2.5 x stronger than monofilament nylon and hasthe additional benefit of a high resistance to abrasion. These propertiesare ideal for a hip toggle suture. Additionally the braided materialconforms better and will therefore pass through a smaller hole. The new2mm toggle and 150lb (68kg) will pass through a 2.7mm bone tunnel.

LigaFiba Hip Toggles

The hip toggle procedure is a well established technique for themanagement of traumatic and unstable subluxation of the the coxo-femoral joint. Although somewhat invasive it does have the advantagethat by replacing the round ligament the hip has, postoperatively, a fullrange of movement.However, the suture is placed into a very hostile abrasive environmentand historically had a high failure rate. Newer materials have, to adegree, addressed this problem. LigaFiba isspun Ultra High Molecular WeightPolyethylene. This is the same high wearmaterial used for acetabular cups in Total HipReplacement. For any given weight (ordiameter) LigaFiba is 2.5 x stronger than thetraditional monofilament nylon. In addition thesofter more flexible nature of the materialallows a relatively larger implant to be passedalong bone tunnels. LigaFiba has in additionbetter wear characteristics than nylon.Veterinary Instrumentation is pleased to offeran updated range of hip toggles based on LigaFiba. The range includesthe new 2.0mm and 2.5mm toggle. Use of a dedicated introducerfacilitates the introduction of the toggle through the acetabulum into thepelvis.

Notes on the use the the Hip Toggle system

1. Expose femoral head and floor of acetabulum via a cranio-lateralapproach. Perform a trochanteric osteotomy if necessary. The text ‘AnAtlas of Surgical Approaches to the Bones and Joints of the Dog andCat’ by Piermattei is an almost essental part of any veterinary surgeonslibrary. Code BK02 see page 321.

2. Clear soft tissues (mostly shredded round ligament) from acetabulumand fovea of femoral head.

3. Drill a hole through the acetabular fossa (effectively the origin of theround ligament). Drill size required

3mm Toggle plus 250lb LigaFiba 4.5mm drill3mm Toggle plus 80lb Nylon 4.8mm drill2.5mm Toggle plus 250lb LigaFiba 4mm drill2mm Toggle plus 150lb LigaFiba 2.7mm drill

4. Load the toggle into the insertion tool. The ‘long’ end goes into theinserter tip. The suture is retained onto the inserter shaft by sliding thesilicone ring over the toggle and inserter.

5. Push projecting toggle into hole in acetabulum.

6. Insert plunger and eject toggle into pelvic canal. Toggle should ‘flip’out preventing pull out. Check toggle security.

7. Drill a bone tunnel (2.5-3.5mm) from fovea exiting from proximallateral femur.

a. Use Adjustable Drill Guide for best results. (ADJDG2035)b. ‘Eyeball’ itc. Drill from fovea to femur (requires severe external rotation

of femur)

8. Pass free suture ends down the femoral neck tunnel from fovea tofemur. LigaFiba will require a suture puller or alternatively a folded loopof fine cerclage wire may be passed from lateral to medial to exit at thefovea. Pass the LigaFiba through the loop and pull back. Check thereare no soft tissues (usually joint capsule) interposed between head andacetabulum.

9. Pass ends of the suture through holes in Ormrod button, pull tight andtie temporarily. Check that coxo-femoral joint has a full comma ofmovement. Tie securely over button. Over-tightening is a technical errorand will result in premature failure of the suture.

NOTE: The implant always breaks within a few weeks of placementregardless of technique and material. The toggle provided temporarystability only. If it becomes necessary to remove the suture, locate theOrmrod button and remove both button and suture. It is not possible toretrieve the toggle which, lying extra-articularly, does not cause aproblem.

Hip Toggle Introducer

55


Placing a hip toggle has been a popular technique for managing hipluxations for many years. Despite being very intuitive in that it attempts toreplace what was broken, the technique was not without problems. Placingthe toggle was difficult in that the insertion point through the fovea of theacetabulum was both deep anddark, additionally the toggle itself,even the largest versions weresmall and difficult to hold and insert.Another major issue was that theinside of the hip joint is a veryhostile environment for the toggleretaining suture which was subjectto both tension and abrasion. Earlyfailures were common.

The break-off hip toggle combinedwith the new suture material LigaFiba addresses these problems. Thetoggle is supplied as a 150mm pin with a break off point just above thetoggle. Positioned into the inserter, the distal half of the toggle may bepushed into the hole in the acetabulum. Rocking the pin against theinserter breaks off the toggle which is then pushed through the hole usingthe broken off pin as a ‘pusher’.

LigaFiba is very strong (2.5 x as strong as monofilament nylon) with goodabrasion resistance. It is easy to handle and requires a smaller acetabularhole for any given diameter of nylon. Despite being braided we have hadvery few reports of infection.

Hip Toggle break-off style

HIP TOGGLES BREAK OFF

HIPTOG25BOP 2.5mm Break Off Hip Toggle with 150lb LigaFiba £29.50

HIPTOG30BOP 3.0mm Break Off Hip Toggle with 250lb LigaFiba £29.50

HIPTOG25APP 2.5mm Break Off Hip Toggle Applicator £52.50

HIPTOG30APP 3.0mm Break Off Hip Toggle Applicator £52.50

Drill a bone tunnel from the foveato the lateral femur. Use of a drillguide will help direct the the drill.Use 2.5mm drill.

Load the break off toggle into theapplicator from the distal end. Pullthe LigaFiba back along the shaftof the applicator to retain thetoggle.

Drill a hole through the acetabularfossa large enough to allow thetoggle and LigaFiba to pass.4.0mm drill for 3.0 toggle, 3.2mmdrill for 2.5mm toggle.

Place the tip of the toggle throughthe hole in the acetabular fossa.Pressing the applicator intoposition will retain the LigaFiba.

Rock the shaft of the toggle pin toand fro until the shaft breaks off.Using the shaft, push the togglethrough the hole in the acetabularfossa and ensure that it flips andengages.

Pass a suture puller or folded finewire from lateral femur through thebone tunnel and pull the LigaFibastrands through. See video clip onwww.vetinst.com

The strands are pulled tight buttied loosley over the button.Check for full range of motion andcomplete tie. Do not over tightenwhich will lead to early failure.

Surgical Technique for Break Off Toggle

Case Hamish Denny

Most chronic hip luxations are in the cranio-dorsal position. The initialdissection is to expose the head of the femur prior to creating the bonetunnel and to expose the acetabulum. It is important to clear theacetabulum of soft tissue prior to the toggling procedure. Preserve thejoint capsule as far as is possible.Key points to this procedure are: * Careful dissection and clearing of acetabulum* Accurate positioning of the femoral bone tunnel* Accurate positioning of the acetabular hole* Careful reduction and tensioning of the suture. * Over tensioning is as great a technical error as under tensioning. * Check for a full range of motion before final tying.

56

Meniscal resection is without doubt one of the most challengingarthroscopic procedures but with practice can be accomplished in amatter of minutes. These may be the common “bucket handle” tears,complex horizontal cleavage tears or “parrot beak” tears. We routinelyperform meniscal resection with a combination of hook knives (Dr Fritz),fine angled punches(Slender Punch, Arthrex)and shavers (2mm to3.5mm Dissector, Arthrex).Indeed some studies haveshown that this may be allthat is required in somepatients with CCL tearsand concurrent medialmeniscal injury (12) and inselected patients this hasbecome our approach tomanagement incombination withrehabilitation (unpublishedwork).

For those who are interested both the ESVOT Arthroscopy WorkingGroup and the Arthrex VA3 group have regular meetings providing aninvaluable forum for discussion and practical experience in small animalarthroscopy.

1. Seimering, G. H. (1978) Arthroscopy of dogs. Journal of American VeterinaryMedical Association March, 575- 577

2. Kivumbi, C. W. and Bennett, D. (1981) Arthroscopy of the canine stifle joint.The Veterinary Record 109, 241- 249

3. Hoelzler, M. G., Millis, D. L., Francis, D. A. and Weigel, J. P. (2004) Results ofarthroscopic versus open arthrotomy for surgical management of cranialcruciate ligament deficiency in dogs. Veterinary Surgery 33, 146- 153

4. Pozzi, A., Hildreth, B. E. And Rajala- Schult, P. J. (2008) Comparison ofarthroscopy and arthrotomy for diagnosis of medial meniscal pathology: an exvivo study. Veterinary Surgery 37, 749- 755

5. Beale, B., Hulse, D., Schulz, K. and Whitney, W. (2003) Arthroscopicallyassisted surgery of the stifle joint. In: Small Animal Arthroscopy, Saunders,Philadelphia. Pp 117- 158

6. Ridge, P. A. (2010) Femoral condyle lesions similar to osteochondritisdissecans: Call for opinions or similar cases. Letters to the Editor: Veterinaryand Comparative Orthopaedics and Tramatology 23, 377- 378

7. Ralphs, S. C. and Whitney, W. O. (2002) Arthroscopic evaluation of menisci indogs with cranial cruciate ligament injuries: 100 cases (1999- 2000). Journal ofAmerican Veterinary Medical Association 11, 1601-1604

8. Hays, G. M., Langley Hobbs, S. J. and Jeffery, N. D. (2010) Risk factors formedial meniscal injury in association with cranial cruciate ligament rupture.Journal of Small Animal Practice 51, 630- 634

9. Ridge P. A. (2006) Isolated medial meniscal tear in a Border Collie. Veterinaryand Comparative Orthopaedics and Traumatology 19, 110- 112

10. Williams, R. A. (2010) Isolated lateral meniscus tear in a Boxer. VeterinaryRecord 11, 419- 420

11. Hulse, D., Beale, B. And Kerwin, S. (2010) Second look arthroscopic findingsafter tibial pleateaux levelling osteotomy. Veterinary Surgery 39, 350- 354

12. Tivers, M. S., Comerford E. J. and Owen, M. R. (2009) Does a fabella-tibialsuture alter the outcome for dogs with cranial cruciate ligament insufficiencyundergoing arthrotomy and caudal pole medial meniscectomy? Veterinary andComparative Orthopaedics and Tramatology 4, 283- 288

Arthroscopic stifle surgery indogs

2 ARTHROSCOPY & LAPAROSCOPY Chapter 2

Pat Ridge BVSc Cert VR Cert SAS MRCVS, Ridge Referrals, South Devon.

The first report of stifle arthroscopy in dogs was back in 1978 (1) and inthe UK in 1981 (2). Since then stifle arthroscopy has struggled to beaccepted or practiced widely in the UK although in the USA it is morecommonly employed in private referral and academic practice. Withoutdoubt the learning curve is steep and the equipment neededconsiderable but the benefits in accuracy of joint examination andreduced morbidity have been demonstrated (3, 4).

Positioning is critical to success and we use a moulding vacuum tablebag (Olympic Vac Pac) and a custom stifle brace (VeterinaryInstrumentation) with the patient in dorsal recumbency and the tabletilted 30 degrees from horizontal. Portals are created medial and lateralto the straight patella tendon with an egress cannula placed in themedial suprapatella pouch (5). A complete examination of thefemoropatella and then femorotibial joint can then be performed and thiscan include examination of the caudal femorotibial joint wherenecessary. Arthroscope size varies according to patient size but weusually use a 2.4mm ‘scope although we regularly perform jointexaminations in patients as small as cats (6) using a 1.9mm ‘scope andfor patients in excess of 60kg we use a 4mm ‘scope.

The fat pad in dogs is considerably larger than that in humans and inorder to create a viewing window a motorized shaver (Adapteur PowerSystem, Arthrex) should be used to remove the inflamed fat pad,synovium and torn fibres of cranial cruciate ligament (CCL). The majorityof dogs will require a 3mm aggressive style shaver blade (DissectorRange, Arthrex) and this is attached to suction so that the debridedtissue is removed from the viewing area. In order that the joint isdistended a fluid ingress system is required and we use a fluid pumpthat automatically maintains the pressure as suction is used (ContinuousWave II Pump, Arthrex), which is available on free loan with an annualpurchase commitment.

Meniscal injury occurs in around 40% of dogs with CCL damage (7, 8)and isolated medial (9) and lateral (10) meniscal injury have also beenreported in the dog. Examination of both menisci can be extremelychallenging via an arthrotomy whilst the CCL is intact and recently Hulseand others (11) have suggested that the remaining functional CCL inpartial tears may be “saved” by performing a tibial plateau levelingosteotomy. During arthroscopy both menisci may be completelyexamined, including careful palpation of the caudal horn, with the CCLintact. This is made easier with the use of a stifle distractor (VeterinaryInstrumentation) applied via insertion of 2mm Ellis pins into the medialfemoral condyle and proximal tibia. The use of this particular instrumentdoes not “crowd” the joint space with instruments so reduces the risk forarticular cartilage damage and leaves plenty of space for instruments tobe inserted to palpate structures or remove torn portions of meniscus,whilst at the same time allowing stifle flexion and extension.

Before Distraction After Distraction

Arthroscopic Distractor (AR-17-01)

Meniscal Tear

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All arthroscopes are now available in autoclavable versions. Autoclaving,especially of fine arthroscopes, will significantly reduce the working life ofthe instrument. Autoclavable arthroscopes may be soaked and werecommend this method of sterilisation to preserve your arthroscope. Ifyour arthroscope is not marked autoclavable, it may only be soaked.

2.4 Arthroscope x 10cm, 30˚

2.4 Sheath with Single Stopcock 3.2mm x 85cm

Obturator, Blunt

Arthrex Arthroscopes

Arthrex are leaders in the field of arthroscopy with a deserved reputationfor innovation and quality. We are pleased to offer their top of the rangearthroscopes and sheaths at a very competitive price. 2.7, 2.4 and 1.9arthroscopes are offered here but 4.0 are also available. Please e-mail or call our Vet Tech team for a quotation.+44 114 2588530 [email protected]

Schematic of the tip ofa typical arthroscope

ARTHREX ARTHROSCOPES AND SHEATHES

IR-1030 2.7 Arthroscope x 18.0cm, 30 ˚ £1,475.00

IR-1070 2.7 Arthroscope x 18.0cm, 70˚ £1,475.00

IR-1100 Arthroscopy Sheath 4mm x 12.5cm, with TelescopeSnap-in Locking mechanism, 2 stopcocks £375.00

IR-1101 Arthroscopy Sheath 4mm x 12.5cm, with TelescopeSnap-in Locking mechanism, 1 stopcock £375.00

IR-1200 Obturator Semi Sharp £70.00


IR-2100 Arthroscopy Sheath 4mm x 7.5cm, with Telescope

Snap-in Locking mechanism, 2 stopcocks £375.00


IR-3100 2.4 Sheath 3.2mm dia x 8.5cm working length. 1 Stopcock £395.00

IR-3102 2.4 Sheath 3.5mm dia x 6.5cm working length. 2 Stopcock Rotating Option £395.00

IR-3201 2.4 Obturator Blunt £80.00

IR-4030 1.9 Arthroscope £1,250.00

IR-4100 1.9 Sheath £395.00

IR-4200 1.9 Obturator Blunt £75.00

IR-4201 1.9 Obturator Sharp £75.00

BXS2506050 Arthroscope Sterilisation/storage box 250x60x50mm £80.00

Most damaged or broken arthroscopes can be repaired. Although nevercheap the repair is normally a full refurbishment to new standard andmay be considerably cheaper than a new arthroscope. The sameapplies to hand instruments which by their nature are delicate andvulnerable. Send your repair to our Vet Tech team for a quotation.

Arthroscopy Repairs

ARTHROSCOPY & LAPAROSCOPY 2www.vetinst.com

ArthroscopesAn arthroscope is a rigid endoscope consisting of a system of lenses,which collects and transmits an image from the tip of the instrument alongthe shaft to an eyepiece or camera. A light post close to the eyepieceallows light to be passed into the shaft and down optic fibres surroundingthe lens system to illuminate the subject area at the tip.

The diameter refers to the outside diameter of the unsheathed shaft of thetelescope. Three sizes are commonly used in small animal arthoscopy:2.7mm, 2.4mm and 1.9mm. Arthroscope technology has improved somuch that optically the new 2.4mm arthroscope is as good as the older2.7mm version. The 2.4mm arthroscope is fine for most procedures butcan prove a little large in small elbows. As the diameter of the arthroscopebecomes smaller, there is less space for optical fibres, which hasimplications for light transmission and image size. Recent improvements inconstruction such as the use of rod lens systems as opposed to opticfibres has improved the performance of the smaller arthroscopes.Additionally the smaller arthroscopes are fragile and care must thereforebe exercised to avoid damage in use, cleaning and storage.

The viewing angle is the angle between the lens face and a line drawn atright angles to the long axis of the arthroscope (see above right). A 0˚ scope views straight ahead from the front of the lens, while a 90˚scope sees an image at right angles to the long axis of the scope. Mostveterinary arthroscopes have a viewing angle of 30˚, which is acompromise between field of view and distortion. The user needs to beaware which way the lens is pointing. The light post is used as a referencepoint and is positioned opposite the angle of view. Rotating the scopealong its long axis will allow the surgeon to view a large area within thejoint with minimal repositioning. An oblique viewing angle does offer thesurgeon a limited ability to see ‘around corners’.

Each arthroscope will require a dedicated sheath, which protects thearthroscope as well as delivering fluid to the tip. The sheath reduces theeffective working length and increases the working diameter of thearthroscope.

Arthroscopic InstrumentationIrrigation and Working Cannulae,Trochar Changing System designed by VAN BREE Cannulae and portals: In order to fully examine the joint underinvestigation it may be necessary to manipulate some intra-articularstructures. The instruments used must be small and be introduced eitherdirectly through the peri-articular soft tissues or via a dedicated cannula.Where serial insertions and withdrawals or a range of instruments arerequired, particularly through multiple layers of soft tissue, a cannula ispreferable to minimize trauma, (trying to re-find a portal can befrustrating). Sets of cannulae dedicated to the most common joints arenow available. Initially a small diameter cannula is inserted using atrochar, the portal may then be enlarged by the use of a ‘switching stick’.The stick is inserted into the joint through the small cannula which isthen withdrawn. Larger cannulae may be slid down the changing stickand introduced into the joint. Exchanging a small cannula for a largerone can be surprisingly difficult without such an aid. The system iscolour coded for ease of use.

Arthroscopy Starter KitInstrument choice is determined by personal choice and patientselection. However a starter kit is a useful starting point and offers adiscounted approach to setting up.

The Arthroscopy kit described is discounted by 10% compared to buyingthe individual components.

In addition to arthroscopic hand instrumentation a suitable camera andlight source will be required. Several options, including pre-owned units,are available. Please telephone or e-mail to discuss options.Code Description

IR-3030 2.4 Arthroscope x 10.0cm, 30˚

IR-3100 2.4 Sheath 3.2mm dia x 8.5cm working length. 1 Stopcock

I-18-518 Egress cannula, sharp trocar, stopcockIØ 3mm, WL 7cm

I-17-755 Working cannula set "shoulder & elbow"Designed by van Bree, D:2.3/2.9/3.5mm;WL:3.5-5cm

S140-2438F Target instrument designed Dr.Lehmann for canine arthroscopy; comp.with S110-1932

AR-17-09S Hook probe, 2.2mm, silicon handlecomp. autoclavable, colour code:red

AR-17-06S Currette, small 2.7mm, silicon handleyellow, autoclavable, colour code:red

AR-17-07S Ring currette, 2.7mm, silicon handlered, autoclavable, colour code:black

AR-17-19S Hook knife, 2.7mm, Silicon handleorange, autoclavable, colour code:blue

AR-17-11S Smilie knife, 2.7mm, silicon handleyellow, autoclavable, colour code:red

AR-17-05S Banana knife, 2.7mm, with silicone handleautoclavable, colour code:green

AR-17-03S Bayonett knife 2.7mm, silicon handleyellow, autoclavable, colour code:black

AR-17-12S Micro picking knife, designed by Brian Beale2.7mm, silicon handle, yellow

AR-17-13 Special elevator, 2.7mm, with handlecolour code:metal

I-17-822 Milling drill for arthroscopy

AS-17-561 Mini grasping forceps D:2.0mm WL:11cm, high quality,

AS-17-662 Alligator grasping forceps with ratchet OD:2.7mm; WL:12cm, high

AS-17-762 Universal rongeur and grasping forcepsOD: 3.4mm, WL: 12cm without ratchet

AS-17-531 Mini rongeur and biopsy forcepsOD: 2mm, WL: 11cm

AS-17-632 Universal rongeur and grasping forcepsfenestrated, OD:2.7mm; WL:12cm

AR-08-100 Pressure infusion cuff for 500-1000ml complete with manometer and hand pump

DE-5-17 Cleaning brush, small, 17cm

DE-10-425 Soak basin for chemical solution disinfection

DE-10-25 Camera covers disposable, (30)

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2 ARTHROSCOPY & LAPAROSCOPY

Cannula Sets

I-17-755 Working Cannula Set "shoulder and elbow" designed byVAN BREE, D:2.3 / 2.9 / 3.5mm; WL:3.5-5cm and 7-8 cm,includes sharp trochar and changing rod £550.00

I-17-500 Working Cannula Set "elbow" designed by VAN BREE,consist of 3 cannulas D:2.3 / 2.9 / 3.5mm; WL:3.5-5cm.includes 1 sharp trochar and 1 changing rod (2.3mm) £350.00

I-17-700 Working Cannula Set "shoulder" designed by VAN BREE,consist of 2 cannulas D:2.9 / 3.5mm, WL:7-8cm.includes 1 sharp trochar and 1 changing rod (2.8mm) £230.00

I-18-518 Egress cannula, with sharp trochar stopcock, ID:3mm, WL:7mm £150.00

ARTHROSCOPY STARTER KIT

ARTHROKIT Arthroscopy starter kit £7,450.00

Thanks to Noel Fitzpatrick for the photograph

For further information about the Arthroscopic StifleLever see Page 41

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Hand instruments for investigation are designed to move or retract intra-articular structures and usually take the form of blunt probes orgrasping forceps. Where intra-articular surgery or sampling is involvedadditional cutting instruments will be required.

AR-17-03S Bayonet knife 2.7mm, with silicon handle £175.00

AR-17-05S Banana knife 2.7mm, with silicon handle £175.00

AR-17-06S Curette 2.7mm, curved, with silicon handle £175.00

AR-17-07S Ring curette 2.7mm, small, with silicon handle £175.00

AR-17-11S Meniscus knife, Smillie, 2.7mm, with silicon handle £175.00

AR-17-12S Micro picking knife, acc to Dr Brian Beale 2.7mm, with silicon handle £175.00

AR-17-19S Hook knife 2.7mm, with silicon handle £175.00

AR-17-13 Elevator, heavy, 2.7mm, with metal handle £175.00

Milling Drill designed by VAN RYSSEN & VAN BREE

This hand driven bur allows curretage of both cartilage and bone throughthe smallest working cannula. Much cheaper and easier than shaversystems.

I-17-822 Milling drill for arthroscopy completeOD:2.2mm, WL:12cm £350.00

I-17-821 Replacement bur and shaft £120.00

Designed and developed by Ian Holsworth, this narrow osteotome is usedfor arthroscopic sub-total coronoidectomies.

Gordon Coronoid Osteotome

GORDON CORONOID OSTEOTOME

AR-17-30 Gordon Coronoid Osteotome (4mm) £57.50

AR-17-29 Gordon Coronoid Osteotome (2mm) £57.50

SUTURE PASSING WIRE

AR-1255-18 Suture Passing Wire 600mm £70.00

CRYSTAL CANNULA

AR-6560 Crystal Cannula 5.75mm x 700mm (5 Pack) £105.00

Suture Passing Wire

Crystal Cannula

Hand Instruments

Use to hook under meniscal tears anddetach handle from body of meniscus.

Use to pick area to encourageregeneration.

Hold tear with clamp and push knifeagainst ‘handle’ to detach from bodyof meniscus.

001049a Arthroscopic Hohman 4mm £55.00

AR-17-09S Hook probe 2.2mm, with silicon handle £175.00

Inserts for interchangeable hand instrument (AR-17-00) are available. Please call for details.

Clear cannulahas a lip at thetip to minimise‘fall out’.

Arthroscopy Hand Instrument SetA useful set of three arthroscopy instruments forexamination and intra-articular surgery. The two hand heldknives can deal with most meniscal tears, whilst the blackshaft of the hook probe minimises reflection.

ARTHROSCOPY HAND INSTRUMENT SET

AR-17-19X Pull Knife £75.00

AR-17-11X Push Knife £75.00

AR-17-10 Hook Probe 2.2mm, with stainless handle, black shaft £62.50

AR-17-SET Arthroscopy Hand Instrument Set £175.00

Passing soft suture material through bone tunnels of soft tissues withoutcausing additional trauma can be a challenge to the surgeon. The ArthrexSuture Passing Wire consists of a Nitinol loop attached to a flexible yet stiffwire. The wire may be pushed through bone tunnels of soft tissues and asthe tip emerges the Nitinol loop naturally springs open to receive the suturewhich may then be pulled back through.

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2.7mm Instruments

2.7mm Instruments, working length 12cm

3.4mm Instruments

AS-17-662 Alligator grasping forceps with rachet, OD:2.7mmwith overstraining protection £725.00

AS-17-641 Biopsy and spoonOD:2.7mm with overstraining protection £650.00

AS-17-672 Arthroscopic punch,OD:2.7mm with overstraining protection £750.00

AS-17-621 Arthroscopic hook scissors,OD:2.7mm £650.00

AS-17-762 Universal rongeur and grasping forceps,fenestrated without ratchet, OD:3.4mm workinglength 12cm with overstraining protection £750.00

AS-17-632 Universal rongeur and grasping forceps fenestratedOD:2.7mm with overstraining protection £650.00

2.0mm Instruments

Arthroscopic Punches,Biopsy Forceps, Rongeurs andGrasping ForcepsArthroscopic forceps and rongeurs should be selected according to patientand portal size. A very small pair of grasping or cutting forceps will fit anyportal but will be easily damaged if used on large fragments. Various designsare available for grasping cutting, or nibbling intra-articular structures.

• made for veterinary use

• overstraining protected

2.0mm Instruments, working length 11cm

AS-17-561 Mini grasping forceps, OD:2.0mm £550.00

AS-17-531 Mini rongeur and biopsy forceps, OD:2.0mm £550.00

AS-17-551 Mini punch for arthroscopy, OD:2.0mm £550.00

AS-17-521 Mini scissor for arthroscopy, OD:2.0mm £550.00

Arthrex Hand Instruments

In the human knee management of meniscal tears is by arthroscopypunches. Most human arthroscopy punches are too large for the caninestifle even with appropriate distraction. Our external stifle distractor(AR-17-01, page 62) offers the best possible access. The Arthex slenderpunches are small enough and the best available. The straight one isincluded in VAR-3000S. If you can afford them the punches angled left andright work best of all.

Angled Slender Meniscus Punches

ARTHREX ADDITIONAL HAND INSTRUMENTS

AR-11000 Slender Punch, Straight £975.00

AR-11420 Slender Punch, Angled Left £995.00

AR-11430 Slender Punch, Angled Right £995.00

VAR-11700NR Slender Pointed Graspers, Straight £995.00

AR-30000 Small Probe £195.00

Small Probe

Pointed grasping forceps may be used for gentle dissection and graspingof small intra-articular objects.

Slender Pointed Grasping Forceps

Useful Additions to the VAR-3000S Arthroscopy Set

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photo Mark Owen

Grasping and maintaining a grip on fragments can be very challenging forboth surgeon and instrument. Once locked on, the surgeon isunderstandably reluctant to let go, sometimes taking an instrument beyondits working limits.

The VAR-11600SR Alligator forcep is toothed for maximum grip and has aself releasing handle.

The Alligator grasper is one of a range of canine arthroscopy instrumentsavailable as a set from Arthrex Vet Systems through VeterinaryInstrumentation. Call or e-mail for a full brochure.

ARTHREX HAND INSTRUMENTS

VAR-3000S Canine Arthroscopy Set Boxed £4,945.00

VAR-11100 Punch, Slender Tip £975.00

VAR-11600SR Grasper-Alligator, Ø 2.75mm, with Hook Tip £975.00

VAR-3002S Canine Cannula Set £1,945.00

VAR-3006 Outflow Cannula with stopcock £425.00

VAR-3007 Outflow Cannula Obturator £210.00

VAR-3009 Banana Knife £350.00

BRCANARTH Canine Arthroscopy Literature £FOC

Grasper-Alligator,Diameter 2.75mm withHooked Tip, Self Release

Working with leading canine arthroscopic surgeons the Arthrex setcomprises a comprehensive range of instruments as three modules withina custom autoclave case.

All the instruments are available separately but when bought as the boxedset there is a saving of 10%.

Canine Arthroscopy Set (VAR-3000S)

Main Instrument Tray

VAR-3008 Small Cup Curette, 2.5 mm diameter

VAR-3009 Banana Knife, 2.5 mm diameter

AR-5021 Graduated Black Probe, 1.5 mm Tip

AR-5007 Graduated Black Probe, 2.5 mm Tip

AR-10020 Probe, Stainless Steel

AR-3033 Obturator, Blunt

Canine Cannula Set (VAR-3002S)

VAR-3002 Cannulas (2.9, 3.7 & 4.3 mm)

VAR-3003 Cannulated Obturator

VAR-3004-2.9 Switching Stick, 2.9 mm

VAR-3004-3.7 Switching Stick, 3.7 mm

VAR-3005 Dilation Needles, qty. 5

VAR-3006 Stifle Outflow Cannula with stopcock

VAR-3007 Stifle Outflow Obturator

The cannula set is available separately. The stand alone cannula set doesnot include the Outflow Cannula and Obturator.

Forceps Tray

VAR-11600SR Grasper, Alligator Hook Tip

VAR-11100 Punch, Slender Straight Tip

The forceps tray secures a Series I Grasper and Slender Punch in anupright position for easy accessibility. The tray has space for two furtherforceps.

The Canine Arthroscopy Set combined with an Arthrex camera and lightsource would comprise a start up set for arthroscopy of the canine stifle,elbow, shoulder and hock.

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All cable combinations available.

Light Sources & CablesHalogen light sources are inexpensive but not as good as the xenon basedsystems, which are, unfortunately, significantly more expensive to purchaseand maintain. Xenon light sources have a higher intensity and are essentialif the unit is to be used for laparoscopic work. Thus Xenon is preferable buthalogen can be used successfully in most joint investigations. Both Xenonand halogen bulbs have a limited life (Xenon typically 500 hours, halogentypically 2000 hours) and bulb failure is at best embarrassing so alwayscarry a spare. The light cable carries light from the source to thearthroscope by fibre optics. Each cable has dedicated connectors to couplewith the light source and the arthroscope. Connections on both light sourceand arthroscope vary from manufacturer to manufacturer. Convertors areavailable for both light source and arthroscope but it is wise, if possible, topurchase the appropriate cable for the system.

H150-5-2 Halogen Light Source 150W

H150-5-130 Halogen light source 150W £1,100.00

Xenon Light Source

LK-FX-100 Xenon light source £3,450.00

KW-48-231 Fibre light cable, 4.8mm, 2.3M, both sides compatible to Wolf, autoclavable £450.00

KS-48-231 Fibre light cable, 4.8mm, 2.3M, unit side comp. to Storz, endoscope side comp. to Wolf, autoclavable £400.00

KS-48-230 Fibre light cable, 4.8mm, 2.3M, Olympus/Wolf £425.00

KS-48-300 Fibre light cable, 4.8mm, 3.0M, Storz/Storz £425.00

Shoulder Aiming Device Developed and tested at the Veterinary Facultyof Vienna, Austria by Dr Lehman.

Joint Distraction

S140-2438-F Aiming device by Dr Lehman for the canine shoulder for 2.4 scope T140-2432 and changing rod I-17-028 £375.00

S140- 1938F Aiming device by Dr Lehman for the canine shoulder for 1.9 scope T110-1930 and changing puncture rod I-17-028 £375.00

I-17-028 Changing & puncture rod £90.00

DVDLEHMAN DVD on use of aiming device. £FOC

Osteoarthritic stifles can be very ‘tight’ makingexamination and treatment of intra-articular lesionsdifficult. Distraction of the articular surfaces usingintra-articular instruments is difficult and cluttersthe operative field. Extra-articular distraction isvery effective and leaves potential instrumentportals available for more appropriateinstrumentation.

AR-17-01 Arthroscopic Distractor £165.00

AR-17-01/TPLO Arthroscopic Distractor. 1/8” (3.2mm)pins £165.00

Due to the dense musclemass in shoulder joints,creating a puncture for aworking cannula is oftenquite difficult. If a cleanpuncture allowing accessdirectly to the joint is notachieved the first time, therisk of a subsynovialoedema increases greatly.

The shoulder puncture system has been specifically designed to helpeliminate this risk. The system allows you to align your arthroscopeaccurately in the joint space. Simply attach the puncture system to thearthroscopic sheaths and maintain your arthroscopic vision in a paralleldirection to the shoulder joint rim. At this point you will find the workingtriangulation portal in an ideal position. After a puncture is created with thedesired trochar, simply replace the trochar with a working cannula andstart working with your instruments. Useful for both cranial and caudalapproaches. View at www.vetinst.com/videos

See VCOT 2004; 17:1-56 for review

Arthroscopic Joint Distractor

Arthroscopic Stifle Lever

AR-17-02 Arthroscopic Stifle Lever 275mm £115.00

For further information including a detailedproduct description see Page 41.

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Camera Covers

DE-10-25 Camera covers, disposable, (30) polyethylene, 13 x 235cm (sterile) £135.00

CAMPT Camera cover with perforated tip 250cm x 12.5cm (60 sterile) £135.00

CAMET Camera cover with elasticised tip 250cm x 12.5cm (60 sterile) £160.00

DE-10-25/Single Single camera cover (disposable) 13 x 235cm (sterile) £5.75

DE-10-01 Camera cover, reusable, waterproof, washable,autoclavable, 12 x 200cm, 1 pc £75.00

Cameras & MonitorsDirect viewing of the joint through the eyepiece is possible. However,practicality and the issue of contamination dictate that a camera system isan essential part of the equipment. Arthroscopic cameras work in a verysimilar fashion to video cameras in common usage. The image at theeyepiece of the arthroscope is focussed on a light responsive electronicchip(s). The signal created is transferred to a camera controller, whichprocesses the image into a signal recognized by the monitor and/orrecording system.

Most veterinary cameras have a single chip, which is sufficient for mostusers.

The connection of the camera head to the eyepiece of the arthroscope isalso variable. To maximise the choice and longevity of the instrumentationit is advised that a clip on camera head compatible with DIN standardeyepieces be selected. The camera heads are fully immersible.

Arthrex Eagle Eye Cameras and Light Sources

Top quality equipment from a major human arthroscopic company but ata discount price. It is important to obtain the best possible image.Arthroscopy is difficult enough without working with poor quality images.Buy the best ‘scope’ and camera you can afford. The Eagle Eye camerais human quality as is the matching light source.

ARTHREX EAGLE EYE CAMAERAS AND LIGHTS

AR-5970SP Eagle Eye Single Chip Camera £4,375.00

AR-3595SP Eagle Eye 300watt Xenon light Source £4,095.00

AR-3041 Light Cable £525.00

EAGLE OFFER Eagle Eye Single Chip Camera + Xenon Light Source & Cable Save £3,495.00 £5,500.00

Monitor

Professional monitors offer a better image than domestic screens as theyhave a better resolution. Some pre-owned units are always available. Ringfor details.

Image CaptureGood practice dictates that a record is made of any arthroscopicprocedure. Subsequent investigations can be compared to earlier onesand images can be shared and compared with colleagues or tutors as partof a training programme. Domestic video recorders will create a permanentrecord of a procedure. However the data is relatively crude and difficult tomanipulate. Still video printers capture an image from a video streamwhich can then be printed onto photographic paper.

Digital video and data storage technology now allows the surgeon torecord and store very large amounts of data in a digital format. The digitalinformation can subsequently be manipulated by appropriate computersoftware to create both still and moving images in a variety of formats forstorage or display. If clinical presentations are anticipated then a digitalsystem is very desirable. Domestic DVD or combined DVD/Hard driverecorders offer huge storage capacities at reasonable prices.

The data is stored as Digital Video (DV) which can be converted into manyother formats. The major arthroscopy companies offer sophisticated datastorage systems which are able to capture and store still and movie filesvia sterile touch screens or camera finger controls. Permanent records aremaintained on DVD discs or computer hard drives.

We usually have some pre-owned Sony video printers in stock.Ring for details.

USB Based Image Capture System

Flat Screeen Professional Monitor Pre-owned cathode ray tube type monitor

The latest version of the image capture device captures both still imagesand mpegs directly onto a USB stick ready for transfer to permanentstorage. Capture is activated by pressing a button on the front panel or if thesurgeon prefers to keep control there is an optional foot control.

46-USB-200 USB Image Capture Jpeg and Mpeg £2,500.00

46-USB-15-1 Footswitch for USB Capture System £150.00

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Fluid Infusion and OutflowInfusion of fluids or gas into the joint is essential to create an environmentin which the arthroscope can view joint structures. The joint must beexpanded and debris removed to maintain a clear field of view.

To maintain an appropriate intra-articular pressure (between 40 and100mm of mercury) (0.053 and 0.133 BAR) fluid inflow and outflow mustbe carefully regulated. Fluid under pressure may be obtained by eithergravity feed systems or a pump. Gravity may be sufficient provided thefluid bags can be lifted high enough but greater, more controllablepressure may be obtained by use of a fluid compression bag.

The bag of fluid to be infused is placed into a pressure bag, which isinflated using a hand or machine pump. Without careful monitoring handinflation systems offer erratic pressure levels and use of a regulated pumpoffers much better control. A carbon dioxide powered pump may be usedto pressurize a compression bag or infuse carbon dioxide directly into thejoint. Dedicated roller type pumps are able to maintain a constant linepressure over extended periods but they may require dedicated tubing, areexpensive to purchase and are more prone to breakdown.

To create fluid flow through the joint, appropriate fluid outflow or egressmust be maintained. In the smaller joints (elbow, hock and hip), a largebore hypodermic needle may be sufficient. In the larger joints (shoulder,stifle) where greater volumes of fluid are involved, dedicated multifenestrated egress cannulae may be necessary, the waste fluid may becollected by either bag systems or suction devices.

Use of direct CO2 infusion is indicated in some inflamed joints whereinflammatory synovial villae obstruct the visual field, the villae beingflattened under gas pressure rather than floating free in infused fluid. Inaddition, use of CO2 increases the field of view and image clarity of thearthroscope. CO2 is usually used intermittently with fluid to allow forflushing.

AR-6450 Arthroscopy Pump £3,950.00

AR-6415 Combination Machine and Patient Tube (10) £295.00

AR-6410 Machine Tube Set (10) £325.00

AR-6325 Patient Only Tube Set (20) £180.00

Provided the surgeon is prepared to commit to the purchase of 100 patientinfusion sets per year Arthrex is prepared to offer its Continuous WaveArthroscopy Pump (AR-6450) (value £3,950) on free loan. This pump hasbeen in use in the human sector for some 15 years and is very reliable.Line pressure and flow rate are user defined. This means that the fluidpressure does not have to be continually monitored and adjusted bynursing staff. In addition, if the tube pressure is correct, any problems withfluid flow can be immediately localised to the arthroscope. This is not thecase with inflated cuffs where only the pressure within the bag is known.

If you are performing 3 or more procedures per day it is cheaper to buy theseparate Machine (one per day) and Patient Tube Sets.

AR-08-100 Pressure infusion cuff for 500-1000ml complete withpressure gauge and hand pump, reusable £275.00

AR-08-300 Pressure infusion cuff for 3000-5000ml complete withpressure gauge and hand pump, reusable £325.00

AR-08-110 Pressure infusion cuff for 500-1000ml without pressure gauge, Luer Lock (fem), reusable £175.00

AR-10-948 Silicon tube, 7x2mm, 3m, autoclavable, Luer-Lock (m), needle (f), sterile bags/bottles £125.00

X-7-20-10 Spare silicon tube, 1 metre, size: 7x2mm, colour: natural £12.50

LLM-1258 Spare Luer-Lock connector, male, comp. to silicon tubes 7x2mm £15.00

AR-10-9 Spare needle for infusion bottles/bags, ID:5.5mm,comp. to silicon tubes (7x2mm) £45.00

X-180-26 Silicon tube, ID:5mm, 180cm, LLm both ends, autoclavable £40.00

X-5-15-10 Spare silicon tube, 1m, autoclavable, size: 5x1,5mm, colour: nature £9.50

LLM-1250 Spare Luer-Lock connector (m), comp. to silicon tubes (5x1.5mm) £15.00

Hand Pressure Infusion Cuffs

Peristaltic InfusionArthroscopy Infusion Pump

Connectionto fluid bag

Pressure Infusion Cuffwith fluid bag

Hand pump or Luer-Lock(fem) for infusor

Direct CO2 supply(only in connection with CO2 infusor)

InfusorFluidSupplyPatient

Threewaystopcock

AR-10-901 CO2 Infusor, for large/small animal arthroscopy, DIN connector tube to pressure reducer (DIN type) pressure setting 0-300mm Hg tube connection Luer-Lock(f) £1,550.00

AR-10-903 Reduction valve for CO2-bottles, UK fitting £165.00

AR-10-922 Sterile filter system for CO2 infusor, disposable, box with 50 pcs £195.00

Pressure Pump InfusorFeatures:

• automatic control

• pressure continouslyadjustable

• max. 300mm Hg pressure

• easy handling

• no mechanical parts

• for fluid and CO2 supply

AR-10-100 Pneumatic pressure infusor, for infusion cuffs, for veterinary arthroscopy, complete 4mm tube to central pressure supply, DIN tube connection, front side Luer-Lock (f), universal table fixator, easy pressure setting, automatic regulation (0-300mmHg) £1,250.00

65


ElectrocauteryArthroscopic electrocautery or radiofrequency devices focally create heatwithin the tissues to create haemostasis, debridement or to shrink the jointcapsule in selected cases of instability. Long, fine insulated probes areavailable which may be powered by standard surgical electrocautery units.The tips are bathed in fluid at all times but essentially the same processesoccur at the tissue level as in surgical electrosurgery.

Radiofrequency devices create heat by inter-molecular friction. Tips areavailable in both monopolar and bipolar formats and may be used to debridestructures such as damaged meniscus or fat pad. Capsular shrinkage byradiofrequency may be used to tighten joint capsules following arthroscopyor injury. Radiofrequency ablation dissolves intra-articular tissues at arelatively low temperature. The resulting debris is removed by suction. Thetechnique is therefore an alternative to the shaver for removing soft tissues.At least one manufacturer supplies combined shaver blades and ablatorwands which offer both options on the same intra-articular device.

AR-9600 OPES Console £6,250.00

AR-9600FB Bipolar foot pedal £250.00

AR-9611SFR Bipolar forceps £285.00

AR-961CR Bipolar forceps cable £130.00

AR-9610 Monopolar handpiece (disposable) (Box of 5) £85.00

VAR-1005-01 Ground pad £50.00

VAR-1005-06 Cable £75.00

Ablation wands and electrodes from £85.00

BROPES Opes Literature £FOC

Ablation wands

Arthroscopic Procedure Electrosurgical System (OPES)

A comprehensive orthopaedic electrosurgical system combiningarthroscopic ablation, arthroscopic coagulation, open surgery monopolarand bipolar surgery from one fully digital generator. With 3 in 1 systemflexibility, the OPES Electrical Generator is also capable of controlling ahost of different instruments, including disposable monopolar arthroscopicelectrodes, reusable and disposable monopolar open procedure pencilsand tips, and reuseable bipolar forceps. The need for separate and costlysystems is eliminated. Provided the surgeon is prepared to agree to anannual purchase commitment Arthrex is prepared to offer its OPESConsole (AR-9600) (Value £6,250) on FREE loan. Email [email protected] phone John to discuss the purchase commitment.

Shaver SystemsVirtually the only powered instrument in use in veterinary arthroscopy is theshaver. The shaver is essentially a motorized bur. It may be used to debridecartilage, bone or soft tissues. A range of tips of different designs and sizesare available to manage the different tissues. Tips designed for soft tissuesare typically larger and more aggressively toothed. Suction may be appliedto the cutting tip via the hand piece to remove debris. The hand piece isdriven by a control box operated by finger or foot controls. The speed anddirection of cut are selectable. The tips are usually designed to bedisposable, however with careful use, cleaning and re-sterilisation they maybe re-used. Very expensive to buy new, Veterinary Instrumentationmaintains a stock of high quality ex-hospital units for sale.

The Linvatec ShaverSystem is very interestingfrom a veterinaryarthroscopy point of viewas it is able to use 2.0mmmicro burs. Other majorbrands have a minumumblade diameter of 2.8mmwhich may not seem avery big difference but isalmost half as big again.

Includes the all important micro handpiece for the small burs.

LINSHAV Linvatec Shaver System Complete £2,650.00

SBC9960 2mm Linvatec Micro Gator Shaver Blade £120.00

SBC9950 2mm Linvatec Micro Cuda Shaver Blade £135.00

SBC9911 2mm Linvatec Micro Spherical Shaver Blade £130.00

SBC9961 2.9mm Linvatec Micro Gator Shaver Blade £120.00

SBC9962 3.5mm Linvatec Micro Gator Shaver Blade £120.00

SBC9264 3.5mm Linvatec Gator Shaver Blade £120.00

SBC9253 3.5mm Linvatec Cuda Shaver Blade £120.00

SBC9111 4.5mm Linvatec Spherical Shaver Blade £130.00

Linvatec Shaver

The Arthrex Adapteur II shaver is a current shaver with a value of over£10,950. It takes a wide range of blades down to 2.0mm. VeterinaryInstrumentation can offer the Arthrex shaver on free loan provided thatthe surgeon is prepared to purchase up front two boxes of blades (totalof 10 blades). The unit is supplied as standard with a foot controlledhandpiece. This unit is also available with hand control. Please specifywhen ordering. Call for the Arthrex shaver blade brochure. Below aredescribed a useful selection.

Arthrex Shaver Offer

ARTSHAV Arthrex Shaver System Complete £10,950.00

AR-7285ST Serrated tooth blade full radius, 2.85mm x 70mm (box of 5) £495.00

AR-7300BT Oval bur, small joint, 10 flute 3.0mm x 70mm (box of 5) £345.00

AR-7300DS Dissector small joint 3.0mm x 70mm (box of 5) £345.00

Adapteur Power SystemsAPS II Console

AR-8339FHandpiece

66


Positioning AidsManipulation of arthroscopes and instrumentation inside a joint via animage on a monitor screen can be very demanding. Careful positioning ofthe patient and the surgeon is essential.

An operating table, fully adjustable for height and tilt is a prerequisite forgood arthroscopy. Once fully draped, orientation around a canine limb canbe difficult. Full use should be made of channels, ties and sand bags to fixthe overall position of the dog. Sandbags may also be necessary to act asa fulcrum to open a joint maximally for investigation, e.g. elbow.

To provide multiple fixed positioning during an investigation a multi armpositioning device is available which when attached between the distal limband the table may be lockedinto an infinite range ofpositions. An optionalaccessory allows the stifle tobe accurately positioned foran investigation.

MULTIARM

026000 Multi-arm positioning device with single foot attachment £245.00

020062 Double limb support for multi-arm £135.00

020065 Stifle brace attachment for multi-arm(designed by Schulz and Ian Holsworth) £135.00

020065

Table Top Stand for Limb Suspension

TABLETOP STAND FOR SUSPENDING LIMB

R463 Tabletop stand £135.00

CLEAR ADHESIVE SURGICAL DRAPES WITH POVIDINE

AD1420 14cm x 20cm 20 pieces/box £34.50




ID6650 Ioban™ Drape 56 x 45cm Single £28.50

Vac Pac Vacuum positioning device.

Clear Adhesive Antibacterial Surgical Drapes with Povidine

Simply mould the bead filled bag around or under the patient and hook upto any vacuum source, as the air is removed the bag solidifies in the setposition. Especially useful for arthroscopy or any surgery requiring secureaccurate positioning. The Vac Pac is:

Re-useable RepairableRadiolucent Warm

VAC-PAC

VP23 Vac-Pac size 23 45 x 50cm £295.00




Thanks to Pat Ridge for thephotographs

The majority of humansurgeries use clearadhesive drapes overthe incision site.Benefits include fluidand pathogenresistance, antibacterial,transparent andpermeable. 4 sizesavailable.

See Chapter 18 for Drapes and Draping.

020065

020062

026000

Redmark CradlesAvailable individually or as a set of 3 these cradles are the best available.

REDMARK CRADLES

026022 Redmark Cradles - set of 3 (S. M, L) £210.00

026022L Redmark Cradle - Large over 32kg £95.00

026022M Redmark Cradle - Medium over 13kg - 32kg £90.00

026022S Redmark Cradle - Small up to 13kg £85.00

Suspension of a limb can providesignificant benefits in both arthroscopy andother orthopaedic procedures. The shoulderjoint is distracted and 360 degree accessbecomes available. Height 1.2m (48”)

For 2012 our limb suspension stand hasbeen re-designed to give greater table-topstability. A cleat for tying off limbsuspension ropes has also been added andthe shaft can be dismantled for storage.

67


SterilityArthroscopesDistilled water and an enzymatic cleaner are used to remove grosscontamination from arthroscopes, sheaths and trochars. Arthroscopes areavailable which can be autoclaved. However, repeated autoclaving of eventhese arthroscopes will significantly reduce their working life. Sterility ismore commonly achieved by soaking in an anti-microbial solution.Historically glutaraldehyde based solutions were the norm but health andsafety concerns have led to the use of safer chemicals based on oxidation.

Camera systemsMost cameras used for veterinary arthroscopy cannot be autoclaved butthe head and cable can usually be soaked in the same solution as thearthroscope. Care should be exercised to avoid contact of the sterilizingfluid with the electrical contacts at the end of the cable. An alternative isthe use of a sterile disposable camera sleeve to separate the camera headand cable from the sterile arthroscope eyepiece.

PerasafePerasafe is a rapid, instrument compatible, user and environmentallyfriendly, chemical sterilant. Supplied as a safe, space-saving powder,Perasafe is activated by simply dissolving in luke-warm tap water. Providesrapid sterilisation and re-use of endoscopy instruments. Aldehyde-freeformulation gives efficacy without harm to instruments, health risks tonursing staff and avoids the need for special fume extraction or wastedisposal systems.

100100 Perasafe Cold Sterilant 24x81g (5 litres) £185.00

100101 Perasafe Cold Sterilant 6x81g (5 litres) £65.00

DE-10-425 Soak basin for chemical solution disinfection, consisting of basin (perforated) tray & cover for basin, size: 42x16x9,5cm £115.00

DE-5-17 Cleaning brush for small cannulae with ID:2-4mm, length 17cm £22.50

Perasafe is a pale blue/white powderwhich, when in solution, sterilises within10 minutes. Suitable for all surgicalinstruments and fibrescopes. Formulatednot to damage surgical instruments.Supplied in the following packs.

RAPIZYME Bottle 0.5 Litre £23.50

Rapizyme• Three new enzymes

• Easy to use measured bottle

• 2ml per litre dilution

• Removes all organic material

• Ideal for endoscopes

• Low foam for ultrasonics

• Complete rinsibility

• Biodegradeable

• Tested by The Royal Institute of Public Health

SUPER ABSORBENT MATTING

ABMAT40200 Super Absorbent Mat 200cm x 40cm £7.25

ABMATROLL Super Absorbent Matting 23 metre roll x 80cm £175.00

Super Absorbent Matting

Water, saline, blood or any otherfluid on the theatre floor represent asignificant slip hazard to personnel.In addition free running fluid is muchmore likely to run and penetrateporous areas creating a longer termbiosecurity hazard.

Super Absorbent Matting is splashresistant and absorbs 6.5 litres ofwater(3.5 litres of saline)per mat.

Supplied in 200cm x 40cm mats,perforated every 25cm for easytearing. Also available as a 23 metreroll.

Free sample on request

Puddle Vac Floor Suction Device

The Puddle Vac cancollect an average of700ml of fluid per minute.Simply place whererequired. Connect tostandard suctionapparatus.

INCISE DRAPE WITH FLUID COLLECTION POUCH STERILE

DD198961 Incise Drape with Pouch (Box 40) £145.00

FCP2527 Fluid Collection Pouch 25cm x 27cm (200 Sterile) £270.00

Sterile Incise drape with fluid collection pouch.

Arthroscopy is messy.Collection of fluid run offwill minimise what fallsto the floor. This opaqueplastic film drape has a100mm x 100mm incisearea and a 200mm x300mm fluid collectionpouch. Free sample onrequest.

Fluid Management

PUDDLE VAC FLOOR SUCTION DEVICE

PV9321 Puddle Vac (Pack of 5) £65.00

68


Good optics are a pre-requisite for successful laparoscopy. The more yousee the easier it becomes. Fritz ’scopes have a patented large imageoptical system taking in a wide field of vision producing a full screen, veryhigh definition image.

All the laparoscopes are autoclavable and have standard eyepiece andlight cable connectors.

Standard Laparoscopes

LAPAROSCOPES - STANDARD

T281-5000 Wide angle telescope, 0˚, OD:5mm, WL:29cm, standard light cable connectors, autoclavable £2,550.00

T281-5030 Wide angle telescope, 30˚, OD:5mm, WL:29cm, standard light cable connectors, autoclavable £2,550.00

T291-1000 Wide angle telescope, 0˚, OD:10mm, WL:30cm, SIRIUSsystem, standard light cable connectors, autoclavable £2,250.00

T141-2430 Wide angle telescope, 30˚, OD:2.4mm, WL:14cm, large image technology £2,100.00

S140-2433 Examination Sheath, OD:3.2mm, WL: 12cm,Compatible with T140-2430 and T141-2430 £285.00

T181-4030 Wide angle telescope, 30˚, large image technology, OD:4mm, WL: 18cm, autoclavable £2,250.00

S180-4033 Examination sheath, OD:5.5mm, WL:17cm, compatibleto T181-4030, stopcock, inc. blunt trochar £350.00

Laparoscopes for MinimallyInvasive Surgery

T281-5030

Laparoscopy Start Up Kit

Instrument choice is determined by personal choice and patient selection. However, a starter kit is a useful starting point and offers a discounted approach to setting up.

The Laparoscopy kit described is discounted by 10% compared to buyingthe individual components.

In addition to laparoscopic hand instrumentation a suitable camera, lightsource, CO2 insufflator and electrosurgery generator will be required.Several options, including pre-owned units, are available please telephoneor e-mail to discuss options.

Code Description

T281-5030 Wide angle telescope, 0°OD:5mm, WL: 29cm, standard light cable connectors, autoclavable

DE4680-52 Sterilizing & storing tray, 460x80x52mmperforated stainless steel with silicon bars

230-212V Cannula only with magnetic valveID:10mm, WL:7cm, inflation stopcock, 55g

230-213V Cannula only with magnetic valveID:10 mm WL:7cm, 45g

230-137V Safety trocar onlycompatible to cannulas with ID:10mm, WL:7cm, fully dismantable, cork screw handle

231-213V Cannula only, magnetic valveID:5.5mm, WL:7cm, inflation stopcock

231-212V Cannula only, magnetic valveID:5.5mm, WL:7cm, 30g

231-137V Safety trocar onlycompatible to cannulas ID:5,5mm, WL:7cm, fully dismantable, cork screw handle

230-505 Reducer adapter for trocar cannulas with ID:10 to 5.5mm

L-19-120 Veress needle, D:2mm, 12cm, LL(f)

531.23H11V Atraumatic grasper, curved, 5mm33cm insulated, rotatable, dismantable, inside ratchet, HF connector

531.02H05V Mini - Metzenbaum scissors 5mm33cm insulated, rotatable, dismantable,

531.40H11V Dissecting forceps, (Maryland)5mm, 31cm, insulated, dismantable, silicon handle, inside ratchet

X-300-26 Silicon tube, ID:5mm, 3m, LLm both ends

BP-05-321 Bipolar grasping & cutting forceps5mm, WL:320mm, disposable, universal connector

BP2-533-10 Bipolar grasping forceps with std. handle5mm, WL:34cm, jaws:13 4,5mm with hooktotally dismantable

BP-300-11 Bipolar cable, 3m, comp.to Martinunit to Martin/Berchtold instrument

LAPAROSCOPY STARTER KIT

LAPROKIT Laparoscopy Starter Kit £6,450.00

ELECTROCAUTERY & SUCTION

Adequate suction is also a pre-requisite forLaparoscopy. Our new Hospivac unit with2 x 2litre bottle capacity and foot control isa high capacity suction unit for manyhospital procedures.

See Chapter 21 page 313

* Carriage extra

ELECTROSURGERY & SUCTION

HF122 GIMA 122 Bipolar Electrosurgery Kit £975.00

185H350 HospiVac 350 Suction Unit* £595.00

Laparoscopy will require abipolar electrocauterygenerator to power thehandpieces. The GIMA unitis very effective andreasonably priced.

See Chapter 21 Page 314

69


5.5MM INNER DIAMETER CANNULAE FOR 5MM ’SCOPES

231-213V Cannula only, magnetic valve, ID:5.5mm, WL:7cm, inflation stopcock £265.00

231-212V Cannula only, magnetic valve, ID:5.5mm, WL:7cm, 30g £295.00

231-204V Cannula only, magnetic valve, ID:5.5mm, WL:7cm, 30g £340.00

231-137V Safety trochar only, comp. to cannulas ID:5.5mm, WL:7cm, fully dismantable £340.00

231-105V Trochar only, with sharp tip compatible to ID:5.5mm, WL:7cm £130.00

Trochar Cannulas with magnetic valving

10MM INNER DIAMETER TROCHARS & CANNULAE FOR 10MM ’SCOPES

230-212V Cannula only, magnetic valve, ID:10mm, WL:7cm, inflation stopcock, 55g £315.00

230-213V Cannula only, magnetic valve, ID:10mm, WL:7cm, 45g £295.00

230-137V Safety trochar only, compatible to cannulas with ID:10mm, WL:7cm, fully dismantable, cork screw handles £370.00

230-105V Trochar only with pyramidal tip for trochars cannulasID:10mm, WL:7cm £125.00

ACCESSORIES

230-505 Reducer adapter for trochar cannulas with ID:10 to 5.5mm £33.00

230-525 Snap reducer adapter for trochar cannulas with ID:10 to 5.5mm £85.00

231-211 Sealing caps, for trochar cannula 5.5mm 10 pcs £27.00

230-211 Sealing caps for trochars and reducer adapters £27.00

231-215 Magnetic valve flap 5.5mm, 2 pcs. £35.00

230-215 Magnetic valve flap 8/10mm, 2 pcs. £35.00

Trochars and Cannulae

231-213V

Safety trocar tissue pressure exposes the sharp tip

230-212V

230-105V

231-137V

LAPAROSCOPY NEEDLE VERESS

L-19-120 Veress Needle 2mm x 100mm Luer Lock £110.00

5mm diameter, 330mm long protected interchangeable needle with outertube. Consists of:

L-33 Inside tube Luer lock ConnectorL-33-2 Outside tube/probeL-210 Needle 1 x 26mm

Laparoscopy First Puncture Needle, Veress

KNOT TIER AND CUTTER

L-19-532 Knot Tier Long Version £225.00

Makes it easy to thread andtighten sutures. Integrated cuttingdevice.

5mm diameter 310mm long.

Knot Tier and Cutter

THORACOSCOPY NEEDLE

TR-03-201 Thoracoscopy Needle 3mm x 200mmincludes sharp trochar £135.00

Thoracoscopy First Puncture Needle, long version

Palpation, Dissection andPuncture Instruments

Palpation Probe and Puncture Cannula

PALPATION PROBE & PUNCTURE CANNULA

L-33-210 Palpation Probe/Cannula £195.00

L-210 Injection Cannula 1 x 26mm compatible to L-33/47 £52.00

L-218 Injection Cannula 1.9 x 26mm compatible to L-33/47 £52.00

L-218R Injection Cannula 2 x 28mm blunt compatible to L-33/47 £52.00

SAFETY SPONGE FORCEPS

GE-10-553 Safety Sponge Forceps £295.00

AUTO GRASPING FORCEPS

L-19-645 Grasping Forceps £295.00

5mm diameter, Working length(WL) 320mm. Easily dismantable.

Auto Grasping Forceps

Preparation Safety Sponge Forceps

5mm diameter, 3 hooks, 330mm. Matt non reflective surface. Strips fully forcleaning.

Trochar cannulas are designed with different types of valves to reduce orto avoid CO2 loss when changing instruments and telescope duringlaparoscopy and thoracoscopy. Our reusable and patented magnetic valvetrocar system has several advantages compared to other valve types.They are lightweight and because of the valve construction, the insertion ofinstruments and scopes will pass smoothly through without scratching ortouching the front lens like in a so called automatic valve system. Inaddition there is nearly no gas loss even when changing instruments.There are no mechanical parts to clean inside except the magnetic flapitself which is a great help to your staff.

70


5mm Instruments Complete

5mm Instruments CompleteHand InstrumentsFritz hand instruments have a modular construction. The handles, theconnecting tubes and the working jaw tips are interchangeable.Easily stripped down for cleaning, compatible to 5mm and 10mm trocharcannulas. All handles have a High Frequency connector.

Handles

Tubular sheaths

The handles may have plasticcoated or stainless handles. Theymay or may not have a ratchet. Theratchet may be external orenclosed. See individualinstruments for exact construction.

5mm or 10mm diameter options.Different working lengths which may be rotated through 360 degrees.Insulated or stainless steel.

Biopsy Forceps

Scissors

SCISSORS

531.02H05V Mini-Metzenbaum Scissors £450.00

531.04H05V Hook Scissors £425.00

5MM HAND INSTRUMENTS

531.40H11V Dissecting Forceps £425.00

531.23H11V Atraumatic Grasper £425.00

531.22H21V Grasping Forceps £435.00

531.27H11V Babcock Grasping Forceps £435.00

531.35H21V DeBakey Grasping Forceps £435.00

531.36H21V Bowel Grasping Forceps £435.00

536.30H52V Claw Grasping Forceps £435.00

BIPOLAR FORCEPS

BP-05-321 Bipolar grasping & cutting forceps 5mm, WL:320mm, disposable, universal connector £275.00

BP2-533-10 Bipolar grasping forceps with std. handle 5mm, WL:34cm,jaws:13 4,5mm with hook totally dismantable £695.00

BP-300-11 Bipolar cable, 3 m, comp.to Martinunit to Martin/Berchtold instrument £120.00

Mini-Metzenbaum Scissors531.02H05V

Hook Scissors 531.04H05V

Biopsy Forceps 531.61H01V

Biopsy Forceps 531.60H01V

531.40H11V Dissecting Forceps, 5mm, 31cm, insulated, dismantleable, rotatable,consisting of: jaws insert (53 M 40), sheath (53 R 1) handle (H 01) colour code: black

536.30H52V Claw Grasping Forceps,5mm, 33cm, metal, fixed tube, outside ratchet,consisting of: jaws insert (53 M 36), sheath(53 R 6) handle (H 52), metal *Only availablewith Axial handles (the frog)

531.22H21V Grasping Forceps, universal use, 5mm, 33cm, insulated, dismantleable,rotatable, outside ratchet, consisting of: jaws insert(53 M 22), sheath (53 R 1) handle (H 21, HF-connector), colour code: black

531.27H11V Babcock Grasping Forceps, 5 mm, 33 cm, insulated, dismantleable, rotatable,inside ratchet, consisting of: jaws insert (53 M27), sheath (53 R 1) handle (H 11, HF-connector), colour code: black

531.36H21V Bowel Grasping Forceps, 5mm, 33cm, insulated, dismantleable, rotatable,outside ratchet, consisting of: jaws insert (53 M36), sheath (53 R 1) handle (H 21), colour code:black

531.35H21V DeBakey GraspingForceps, 5mm, 33cm, insulated,dismantleable, rotatable, HF-connectorconsisting of: jaws insert (53 M 35) sheath(53 R 1 handle (H 21, HF-connector) colourcode: black

531.23H11V Atraumatic Grasper, curved 5mm,33cm insulated, rotatable, dismantleable,inside ratchet, consisting of: jaws insert (53 M 23),sheath (53 R 1) handle (H11, HF-connector), colourcode: black

HA 11/HN 82 H 01/H 05/H 11

H 21/H 22

BIOPSY FORCEPS

531.60H01V Biopsy Forceps £425.00

531.61H01V Biopsy Forceps - Double Action Jaw £425.00

Laparoscope Instrument Cleaning Kit

LAPAROSCOPE INSTRUMENT CLEANING KIT

LAPROCLEAN Laparoscope Instrument Cleaning Kit £145.00

Laparoscope instrument cleaning kit consists of:

3 x General brush nylon bristles

3 x Laparoscopic Trumpet valve brush

3 x Nylon twisted wire brush 3mm dia



Chapter 3

71

GENERAL ORTHOPAEDICS 3

Very Large Fragment Forceps

FRAGMENT FORCEPS

001200 Fragment Forceps 160mm £65.00

001201 Small Fragment Forceps 135mm £65.00

001208 Very Small Fragment Forceps 100mm £62.50

001208M Miniture Fragment Forceps 135mm £70.00

Fragment Forceps -Pointed Reduction ForcepsIntroductionIdeal for fragment reduction, these forceps gently hold fragments inposition whilst the permanent fixation is being applied. Particularly useful inthe repair of fractures of the distal femur, acetabulum and distal tibia.

The smaller sizes are useful in the repair of the long bones of the miniaturedog and cat as well as the smaller bones of the distal limbs in largepatients.

001200

001201

001208

Pointed Reduction Forceps with Spinlock

Where delicate reduction of fragments is undertaken, ratchet forceps canbe frustrating in that they do not give as much ‘feel’ as is desirable. Thespinlock version is used initially with the spinlock flipped out giving thesurgeon maximum control. Once the forceps are in place the spinlock isflipped back into position and then gently tightened.

POINTED REDUCTION FORCEPS WITH SPINLOCK

001201SL Small Fragment Forceps with Spinlock 135mm £80.00

001245SL Large Fragment Forceps with Spinlock 180mm £95.00

REDUCTION FORCEPS WITH WIRE GUIDE

001201W Reduction Forceps with Wire Guide 140mm long, gape 10-25mm £80.00



For use in situations where a very wide ‘gape'is required or where the bulk of the instrumentmust be well away from the jaw tips.

The spinlock version has been recommendedfor repositioning of the stifle, prior to placementof a lateral suture wire or nylon in CrCL repair.

VERY LARGE FRAGMENT FORCEPS

001202 Very Large Fragment Forceps 205mm £80.00

001203 Very Large Fragment Forceps with Spinlock 215mm £120.00

Reduction Forceps with Hard Wire Guide

It is often useful to place a temporary or permanent wire close to thepoint of forcep reduction. The reduction forceps are a familiar pattern butthe addition of a wire guide enables accurate placement of wires up to1.6mm across the fragment.

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3 GENERAL ORTHOPAEDICS

Long Ratchet Schroeder Tenaculum

A larger, springier version of the straight Twin Point Forceps. This forcep isrecommended by Jon Dee for reduction of small fragments prior to drillingand screwing. The addition of the longer ratchet increases its range ofapplication over the standard Schroeder.

SCHROEDER TENACULUM LONG RATCHET

001219 Long Ratchet Schroeder Tenaculum Str 240mm 9.5” £75.00

Reduction of afractured centraltarsal bone

IKUTA BONE CLAMPS

001207A Straight for wires to 2.0mm 125mm £67.50

001207B Curved for wires to 2.0mm 125mm £67.50

001207C Straight for screws & wires to 3.0mm 125mm £67.50

001207D Curved for screws & wires to 3.0mm 125mm £67.50

Ikuta slotted clamps are designed to allow the passage of wires or screwsat the point of maximum pressure. The Ikuta clamps are suitable for bonesup to 20mm in diameter. The smaller sizes are for wires, the larger forsmall screws. For even larger screws use 001205 or 001206, Twin PointFragment Forceps. Alternatively for a springier action try 001219 LongRatchet Schroeders, a vusellum forcep. See elsewhere in this chapter forfurther details and pictures.

Ikuta Bone Clamps

001207B plus 2mm ‘K’wire in cat stifle

2.1mmslot

4.5mmslot

001207B

001207D

Twin Point Fragment Forceps

When lag screwing, it is often the case that the exact point where screwplacement should be performed is occupied by the point of the reductionforceps. Twin point fragment forceps are designed to give secure fixation ofbone fragments while allowing drilling and screwing between the jaw points.Especially useful in repairs of fractures of the humeral condyles and thesmall bones distal to the carpus/hock.

TWIN POINT FRAGMENT FORCEPS

001205 Twin Point Fragment Forceps Straight 170mm £67.50

001206 Twin Point Fragment Forceps Curved 165mm £67.50

001205

When using pointed reduction forceps to reduce and compress fracturesthe position of the jaw tip is exactly where the pilot hole for the screwshould be. Use of twin point reduction forceps allows the pilot to bedrilled at exactly the correct position. These large forceps are the correctsize for most elbows, especially Spaniel elbows, which are most likely tobe affected by IOHC.

Large Twin Point Reduction Forceps with Spinlock

TWIN POINT REDUCTION FORCEPS WITH SPINLOCK

001204 Twin Point Reduction Forceps with Spinlock 215mm £140.00

73

GENERAL ORTHOPAEDICS 3www.vetinst.com

Small Curved Serrated Reduction Forceps

SMALL CURVED SERRATED REDUCTION FORCEPS

001996 Small Curved Serrated Reduction Forceps 145mm £60.00

A nice forcep for the manipulation of small bones orsmall bone fragments. You cannot have too manybone holding forceps!

Reduction Forceps Serrated Jaws

These reduction forceps have serrated jaws and spinlock which providessecure incremental control.

REDUCTION FORCEPS SERRATED JAWS

001217 Reduction Forceps Serrated Jaws Spinlock 190mm £75.00

001217/L Reduction Forceps Serrated Jaws Spinlock 240mm £85.00

VI Bone Holding Forceps

A general purpose bone holder for use inmaintaining fracture reduction in I/M pinning.Also very useful for lag screwing and boneplating in that drills and screws can be passedthrough the centre of the jaw at the point ofmaximum compression. A very popular forcep.

VI BONE HOLDING FORCEPS

001210 Bone Holding Forceps 155mm £67.50

Small Serrated Bone Holding Forceps

Manipulation of the long bones of cats and small dogs is difficult withoutcrushing. The serrated jaws of this forcep are contoured to maximise gripand support. The tips are sharp. They may be used as small fragmentforceps.

SMALL SERRATED BONE HOLDING FORCEPS

001218lg Small Serrated Bone Holding Forceps. 12mm grasp 180mm £60.00

001218 Small Serrated Bone Holding Forceps. 7mm grasp 140mm £60.00

001218s X Small Serrated Bone Holding Forceps. 5mm grasp 140mm £60.00

001218xs X Small Serrated Bone Holding Forceps. 3mm grasp 140mm £60.00

Bone Holding ForcepsIntroductionSadly there is no such instrument as a universal bone holding forcep. Therange of sizes and shapes of bones and bone fragments is immense.Additionally the function required will vary also. Some applications requiregentle holding others require aggressive clamping and manipulation.Select appropriate forceps for the procedure.

Pancarpal arthrodesisPhoto Alex Li

Picture # cat femur Geoff Robins

Dingmans Forceps

Useful for manipulation of bone fragments.

DINGMANS FORCEPS (LONG RATCHET)

001470 Dingmans Forceps Long Ratchet. 215mm £85.00

74


Self Centering Bone Holding ForcepsSome fracture reductionsrequire that the bone forcepsjaws be angled from thehandles. Such forcepsrequire:

1. A sophisticated hingemechanism to allow thejaws to maintainalignment as they openand close.

2. A special locking devicewhich can cope with thelaxity at the hinge.

The spinlock and the specialjaw make the instrumentvery nice to use but very expensive.

The veterinary pattern reflects the special requirements of veterinaryanatomy i.e. the handles typically have to stand up from the bone comparedwith the human situation where the limbs are effectively cylinders and thehandles can drop away from the bone.

SELF CENTERING BONE HOLDING FORCEPS

001209 Self Centering Forceps Very Small - 150mm £195.00

001211 Self Centering Forceps Small - 190mm £195.00

001212 Self Centering Forceps Large - 240mm £195.00

001209V Self Centering Forceps Very Small - 150mm Vet Pattern £195.00

001211V Self Centering Forceps Small - 190mm Vet Pattern £195.00

001212V Self Centering Forceps Large - 240mm Vet Pattern £195.00

Self Centering ForcepsVeterinary Pattern

Plate Holding Forceps

PLATE HOLDING FORCEPS

001215 Plate Holding Forceps 160mm £75.00

These forceps are designed to maintain plate position through a holein the plate. Without fixation, bone plates tend to slip and slide over thebone surface. The ball, just behind the point of the jaw, locates in the boneplate causing minimal interference elsewhere in the operation site. Alsouseful as reduction forceps in soft, young bone as the balls prevent overpenetration of bone.

Lowman Bone Clamp Veterinary Pattern Cat SizeA traditional clamp has been extensively reworked for veterinary patientsto include patterns for cats and medium dogs. The human patterns aretypically much too big.

• Lightweight • Requires minimal exposure

• Use to reduce oblique fractures

• Secures plate to fracture prior to screwplacement

LOWMAN BONE CLAMP VETERINARY PATTERN

001991 Lowman Bone Clamp veterinary pattern 60mm £75.00

001993 Lowman Clamp large Bone <30mm 220mm £120.00

Temporary fixation of a bone plate at a fracture is an essential part of boneplating. Unfortunately there is an equal desire for the placement of bonereduction forceps and drill guides. The new range of VI Bone Holding / DrillGuide Forceps attempts to address two of these requirements.

All DCPs and many other plates are designed to hold and interact withspherical headed bone screws. This range of forceps has a spherical balltip on one side of the jaw and a pointed tip on the other to allow themaximum range of positions for each forcep without compromising thereduced fracture. Incorporated into the ball tip is a drill guide of anappropriate size which just protrudes through the ball to engage in thebone under the plate. As pressure is applied the ball tip engages the edgesof the plate hole producing a secure fix of the plate on the bone with a drillguide in situ, hands free ready for drilling. The pointed tip is offset relativeto the drill guide to prevent contact between drill tip and forceps.

Available for 1.5/2.0, 2.4/2.7 and 3.5 screws and plates.

Plate Holding / Drill Guide Forceps

Kern Bone Holding Forceps

Kern Bone Holding Forceps give a very firm controllable grip on long bones,facilitating manipulation and reduction of fragments. A quick release ratchetlocks the jaws.

Kerns are very useful in general orthopaedics and for surgery around thehip joint, in particular:

• femoral shaft fractures • triple pelvic osteotomy

• hip toggle • fractures of the acetabulum

KERN BONE HOLDING FORCEPS

001216 Mini Kern Bone Holding Forceps 4.75” 125mm £67.50

001213 Kern Bone Holding Forceps 6.75” 170mm (small) £67.50

001214 Kern Bone Holding Forceps 8.5” 215mm (large) £67.50

PLATE HOLDING/ DRILL GUIDE FORCEPS

001225 1.5/2.0 Plate Holding/ Drill Guide Forceps 140mm £105.00

001226 2.4/2.7 Plate Holding/ Drill Guide Forceps 145mm £105.00

001227 3.5 Plate Holding/ Drill Guide Forceps 150mm £105.00

0012SET Plate Holding/ Drill Guide Forcep Set (one of each size) £250.00

75


Implant CuttersImplant Cutters Surgical FinishCutting orthopaedic implants with a hack saw is hard work and very timeconsuming. Stainless steel has the unfortunate property of work hardeningi.e. the harder you try to cut it, the harder it becomes.

The surgical finish cutters are made from stainless steel with tungstencarbide cutting inserts. As with all tungsten carbide instruments avoidcutting at the tips of the inserts as this will fracture the hard-wearing butbrittle insert.

The close-cut models are designed to cut pins and wires close to the bonesurface. It is particularly useful where wires are to be left in situ, e.g. repairof the fracture of the distal femur and tibial crest transplants.

IMPLANT CUTTERS SURGICAL FINISH

001229 Safety Cutter Stainless to 4mm capacity. 360mm £245.00

001231 Implant Cutter Stainless to 1/4” 6mm capacity. 490mm £295.00

001231/A Implant Cutter Stainless to 4mm capacity. Detachable handles to allow autoclaving in Little Sister type autoclaves. Length stripped down 370mm. £355.00

001231VL Implant Cutter Stainless to 1/4” 6mm capacity. 63cm long £255.00

001234 Implant Cutter Stainless to 4mm capacity 370mm long £195.00

001228 Implant Cutter Stainless to 3mm capacity 260mm long £195.00

001236 Implant Cutter Stainless to 2.5mm capacity. Close Cut 230mm £195.00

001237 Implant Cutter Stainless to 2.2mm capacity. 230mm £195.00

001238 Implant Cutter Stainless to 1.5mm capacity Close Cut. 150mm £175.00

001230 Implant Cutter Stainless to 1.5mm capacity. 150mm £175.00

Side Cutting 2.0 TC Wire CutterThis is a stainless version of our popular industrial wire cutter (001235). TC inserts cut hard wire to a maximum of 2.0mm

001235TC

SIDE CUTTING WIRE CUTTER

001235TC Side Cutting TC wire cutter to 2.0mm 170mm £135.00

001229

Implant Cutters Surgical Finish

001234

001228

001236 Close cut style

001238 Close cut style

001237

001231/A

This style of our large pin cutters strips down to fit into small autoclaves.

001231

We have re-designed the safety cutter to make it easier to use, easier toclean and easier to autoclave. The telescopic handles may be extendedby pressing the push button release. The extended handles give betterleverage when cutting pins but are too long for many autoclaves.The shear cutting action remains the same giving a neat flat (not sharp)cut. The cut off free end of the pin is retained temporarily within the bodyof the cutter rather than flying off as with standard cutters. Cuts all pinsto maximum of 4mm. Cut is 5mm below end surface of cutter.

standard cutter

safety cutter

Safety Cutters

PUSH BUTTON HANDLE TO OPEN/ CLOSE

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Implant Cutter Industrial Finish

Theseitems areessentiallyindustrial toolsbut selected forhigh quality. The black finish will stainduring steam sterilisation but priorspraying with WD40, or similar, will giveyears of service. When it looks horrible put it in thetool kit and buy another pair. Good value.

IMPLANT CUTTER INDUSTRIAL FINISH

001232 Implant Cutter Industrial Finish to 1/4” 6mm capacity 460mm £135.00

001233 Implant Cutter Industrial Finish to 4mm capacity 350mm £120.00

001235 Implant Cutter Industrial Finish to 2.0mm capacity 165mm £70.00

001232 & 001233

001235

Pin Grip

In situations where pins and wires are inserted for temporary fixation,removal can be performed with a minimum of trauma using pin grips. Thejaws are especially designed to be inserted through a small skin incision. Agroove in the jaw of the stainless version locates the pin and the device canbe locked in position for easy withdrawal - especially useful where threadedpins have been used.

PIN GRIP

001241 Pin Grip (Stainless Steel) Modified Jaw. 175mm £70.00

001242 Pin Grip (Industrial Finish). 165mm £50.00

Parallel Action Pliers

Useful for bending, holding and cutting small pins and wires, parallel actionpliers may also be used in conjunction with bone plate benders forcontouring smaller plates. The industrial version will stain and rust withautoclaving. These changes can be minimised by copious lubrication priorto autoclaving together with dry storage. Will cut arthrodesis and ‘K' wiresto a maximum of 2.0mm.

PARALLEL ACTION PLIERS

001290 Parallel Action Pliers (Stainless Steel) 170mm £70.00

001291 Parallel Action Pliers (Industrial finish) 165mm £50.00

‘K’ Wire / ‘A’ Wire Extraction Forceps

Designed to firmly grip wires 0.9mm to 2.0mm. Tungsten Carbide jawsmaximise grip, fine nose minimises trauma to surrounding tissue.

‘K' WIRE/‘A' WIRE EXTRACTION FORCEPS

001244 ‘K' Wire / ‘A' Wire Remover - 140mm £70.00

Wire Contouring Pliers

Use to contour both soft and hard wires. The jaw design has multiple anvilshapes and a pair of soft wire cutters.

WIRE CONTOURING PLIERS

001245 Wire Contouring Pliers 150mm £70.00

Actual S

ize

Small Pin Vice

This small pin chuck holds wires and instruments up to a diameter of2.5mm. Particularly useful for fingertip control over insertion of arthrodesisand "K" wires.

SMALL PIN VICE

001223 Small Pin Vice 100mm £140.00

77


Jacobs Chuck

The standard instrument for insertion of intra-medullary pins, external fixatorpins, arthrodesis and "K" wires. The standard chuck has a 1/4" (6mm)capacity. The small chuck has a capacity of 5/32" (4mm) and is particularlyuseful for placing smaller pins in cats and miniature dogs. The standardchuck can be quite unwieldy in small patients.

JACOBS CHUCK

001220 Small Jacobs Chuck with handle 5/32” Capacity. 260mm £195.00

001220H Small Jacobs Chuck 5/32” Handle only £60.00

001605S Replacement 5/32” Chuck (& key) only - no handle £140.00

001606S Spare key for 5/32” chuck £23.50

001221 Standard Jacobs Chuck with handle 1/4” Capacity £195.00

001605 Replacement 1/4” Chuck (& key) only - no handle £140.00

001606 Spare key for 1/4” chuck £23.50

Wire PassersThese devices are used to direct orthopaedic cerclage wire around longbones with minimal trauma. Devascularisation of bone fragments is a serious

risk, particularly where cerclage wire is being applied.Devitalised bone can turn into a sequestrum.

Try to keep as much soft tissueattachment as possible. Available

as a double ended instrument orin single individual sizes.

WIRE PASSERS

001250 Wire Passer double ended 145mm £45.00

001252 20mm dia Wire Passer single ended 205mm £27.50



001256 Set of 3 single ended wire passers £65.00

001250

Cerclage wire canbe a very usefulmeans of fragmentfixation. This kitcontains our mostpopular cerclageinstruments and aroll of wire. Kitcontains 1x WireTwister, 1x Set of 3Single Ended Wire Passers and 10m roll of 1.0mm Orthopaedic Wire

The price is discounted by over 10% compared to the component parts.

Orthopaedic Wire Kit

ORTHOPAEDIC WIRE KIT

OWKIT Orthopaedic Wire Kit £135.00

To even the most experienced of surgeons, passing good cerclage wirescan be a bit of a challenge. Most Cerclage passers are of deep profilemaking them difficult to pass between bones which may be in closeapproximation such as those of the lower limbs. Most are also poor formanipulating fragments. This device sets out to address theseshortcomings. Another feature of the new passer is that the instrumentmay be left in situ during tightening, minimising migration and oblique wires

Designed by David Strong MRCVS, the low profile of these devices aimsto allow easier passage between bones. Having an open channel and withwire passable from the tip or handle end should simplify function. The flaton the internal aspect of the tip aims to give better feel for use as areduction aid and to assist with close passage of the device around thebone. Available as a three instrument set, each device is double endedgiving internal diameters of 12.5mm and 15mm on the smallest instrument,20mm and 25mm on the medium instrument and 30mm and 40mm on thelargest instrument.

Strong Cerclage Wire Passers

STRONG CERCLAGE WIRE PASSERS

CWPSM Strong Cerclage Wire Passer Small £57.50

CWPMD Strong Cerclage Wire Passer Medium £57.50

CWPLG Strong Cerclage Wire Passer Large £57.50

CWPSET Strong Cerclage Wire Passer Set of three £125.00

BoneBinder by Aesculap

BONE BINDER

VB302 BoneBinder Small 2.5 x 90mm (5 packs of 2) sterile £29.50

VB303 BoneBinder Medium 3.5 x 120mm (5 packs of 2) sterile £29.50

VB304 BoneBinder Large 4.5 x 180mm (5 packs of 2) sterile £29.50

Cable ties are a very versatile self locking fixation system widely used innon surgical industries. They have been used surgically with somesuccess but the materials used in industrial ties have not been clearedfor implantation. Aesculap, after extensive testing and studies, hasproduced a range of implant grade ties for use in veterinaryorthopaedics. The ties may be used for temporary or long term reductionand fixation of bone fragments. The BoneBinder also includes a radio-dense strip. Supplied sterile in 5 packs of 2 ties. Available in 3 sizes

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Twisterz - Wire Twister

Features “J” slots for quickcapture and release.Textured handle forbetter grip and control. Bellshaped nut provides betterleverage for tightening.Reduced threads requireless turning of the nut forlocking at wire and handle.

TWISTERZ - WIRE TWISTER

200010.00 Twisterz Wire Twisters 155mm £135.00

Cerclage Wire Twisters &TightenersIntroductionCerclage wire can be a very useful means of fragment fixation. However,inappropriate use can lead to devitalisation and wires are often to be foundin the middle of delayed and non-unions. If the fracture reduction is notstable it would be better to take the wire out. Multiple wires may stabilise asituation where a single wire will not. Wires must be tight. Typically one infive wires will break if you are making the loops tight enough. Cerclagewire is tightened by either twisting or tensioning a wire loop.

Wire Twister / Shear Cutter - STILL THE BEST BY FAR

• Jaws lock onto wire to enableeasy twisting under tension forkink-free cerclage. The wiremust be twisted under tension tocreate an even spiral.

• Improved design, long life shearaction cutter will cut 18 gauge(1.2mm) wire twisted double.

• Serrated jaws grip and turn cutends. Jaws have fenestration forextra grip.

• not designed to cut A+K wiresand pins.

• available with tungsten carbidejaws for extra grip.

WIRE TWISTER/ SHEAR CUTTER

001260 Wire Twister/ Shear Cutter 165mm £75.00

001261 Wire Twister/ Shear Cutter - Tungsten Carbide Jaws 165mm (not fenestrated) £90.00

‘Sismey’ Wire IntroducerA useful kit including wire passing and suture passing needles. The needlesmay be positioned in a wide variety of different angles.

“SISMEY” WIRE INTRODUCER

001255 Sismey Wire Introducing Set 135mm £70.00

V1497C Spare Needles - Large £8.50

V1497D Spare Needles - Small £8.50

V1497B Spare Hollow Tubes (3) £21.50

close up detail

LESSER WIRE PASSER/ RETRIEVAL FORCEPS

001268 Lesser Wire Passer/ Retrieval Fcps 150mm £85.00

001269 Lesser Wire Passer/ Retrieval Fcps Large 190mm£85.00

Lesser Wire Passer/ Retrieval Forceps

Arnie Lesser is a well known ACVS diplomate who has been working onthis design for some time. The serrated tube style tip fixes the position ofthe drill hole, minimising ‘skate’ and providing soft tissue protectionduring drilling. The tube guides the cerclage wire or nylon through thehole (no more disappearing holes!). The loop on the other jaw ‘captures’the implant and pulls it from the blind side. Applications include:

• hemi-cerclage

• passage of lateral sutures through tibial crest

• passage of sutures for hip sling for coxo femoral subluxation

• placement of lag screw holes

• passage of ischial wires in TPO procedure

A video illustrating how the Lesser wire passer/ retriever works isavailable on the web site www.vetinst.com/videos

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Wire Tightener for Eyed Wires

Used to tension eyed wires very tightly. The cerclage is finished by kinkingthe wire back against the eye. See page 192 for wire loops.

WIRE TIGHTENER FOR EYED WIRES

001262 Wire Loop Tightener. 125mm £95.00

WIRE TIGHTENER WITH TWO CRANKS

001264 Wire Tightener with Two Cranks 285mm £125.00

Wires with Eyelet

30°

Use with single crank for eyelet wires. Use both cranks to tighten doubleloops.

For a video showing how this product works visit www.vetinst.com/videos

Wire Tightener with Two Cranks forDouble Loop Cerclage and Eyed Wire

The wire twister/ spinner is a surgical version of a wire twisting plier usedby aero mechanics and scaffolders. The distinguishing feature of theinstrument is the spinner which is based on the principle of a slow spiralbeing pulled through a threaded boss to create a rotational moment. Thejaws are clamped onto the two strands of wire. Pulling the spinner placestension and twists the wire evenly.

Wire Twister/ Spinner

WIRE TWISTER/ SPINNER

001265 Wire Twister/ Spinner 250mm long £235.00

Basic Instrumentation QuantityJacobs chuck 1/4" capacity 1

Electric Drill complete with stainless chuck and shroud 1

Wire Twister Shear Cutter 1

Bone Holding Forceps 1

Bone Fragment Forceps 1

Excision Arthroplasty Rasp 1

Hard Back Saw stainless steel 1

15mm Osteotome 1

Heavy Mallet 1

Small Angled Rongeurs 1

Small Angled Cutters 1

Wire Cutters Industrial Finish 2.0mm Capacity 1

K/A Wire Bender 1

Gelpi Self Retaining Retractor standard 1

Volkman Scoop double ended 5mm & 7mm 200mm long 1

Freer Periosteal Elevator dual-ended 1

Stifle Distractor, Standard 1

Wire Passer Double ended 1

Pins and Wires1.0mm Cerclage Wire 1

0.8mm Cerclage Wire 1

2.0mm Arthrodesis Wires (pack of 10) 1

1.6mm Arthrodesis Wires (pack of 10) 1

5/64 - 2mm Intramedullary Screw Ended Pins 2

3/32 - 2.4mm Intramedullary Screw Ended Pins 2



9/64 - 3.5mm Intermedullary Screw Ended Pins 2




Roll for pins and A/K wires 1

Surgical Pin Cutters to 4.5mm 1

External Skeletal FixationSmall ESFSmall Single Clamps 8

Long Bars 2

Spanner 1

2mm Ellis Pins 4

Small Positive Profile Mid Thread Pins 2

Medium ESFMedium Single Clamps 8

Long Bars 2

Spanner 1

3mm Ellis 4

Medium Positive Profile Mid Thread Pins 2

An enhanced kit containing a 2.7 & 3.5 Cortical Self Tapping Plating setplus a 2.7 & 3.5 T bar tap is also available.

ORTHOPAEDIC STARTER KIT

ORTHOKITB Orthopaedic Starter Kit - Basic £1,950.00

ORTHOKITE Orthopaedic Starter Kit -Enhanced £3,750.00

VI Orthopaedic Starter Kit

The orthopaedic starter kit represents a cost effective solution to setting up for basic orthopaedics.

The starter kit is discounted by over 10% when compared to buying thecomponents individually. An enhanced starter kit including an additionalplating kit plus taps is also available.

80


Reconstruction Plate Pliers

Reconstruction Plate Pliers

PLATE BENDING PLIERS - ROLLER TYPE

001283 Plate Bending Pliers, Roller Type 15”, 380mm. Suitable for 3.5 and 4.5mm plates £180.00

Plate Bending Pliers - Roller Type

RECONSTRUCTION PLATE PLIERS

001284A Reconstruction Plate Pliers for 2.7 plates 280mm £160.00

001284 Reconstruction Plate Pliers for 3.5 plates 290mm £160.00

001283 Roller Type Plate Bending Pliers

Bone Plate Bending Levers

Bone plates appropriate for the repair of load bearing long bones are verystiff. Accurate contouring of plates is essential for precise fracture reduction,however, MARKING OF PLATES DURING THE BENDING PROCESSWILL LEAD TO REDUCED FATIGUE STRENGTH. Contoured platesshould be placed with adequate support to minimise cyclical loading. Boneplate benders used in pairs are the most economic method of platecontouring.

BONE PLATE BENDING LEVERS

001280 1.0 Bending Levers (pair) 130mm £50.00

001286 AO type 1.5/2.0 Bending Levers (pair) 130mm £50.00

001285 AO type 2.4 Bending Levers (pair) 140mm £55.00


001288 AO type 3.5/4.5 Broad Bending Levers (pair) 200mm £70.00

001286 1.5/2.0mm

001287 2.7/3.5mm

001288 3.5 Broad/4.5mm

Today’s implantstainless steel is muchstiffer than 20 yearsago yet the design ofstandard platecontouring equipmentremains unchanged.Bending and twisting 3.5mm and 4.5mm plates using standard benders isa challenge. Most TPLO plates require careful contouring and are muchstiffer than the original cast Slocum plates.

Our longer benders (240mm) with 4mm and 6mm slots are designed withTPLO plates in mind to make bending and twisting much easier.

Extra Long Bending Levers

EXTRA LENGTH BONE PLATE BENDING LEVERS

001288L 3.5/4.5/TPLO Bending Levers 240mm £70.00

Bone Plate Contouring Delta TPLO Plate Benders with Curved Slots

Plate benders with slots tend to distort the Delta plate. The curved slotshelp grip and support the the plate during the bending process. In additionthe plate is much less likely to end up on the floor.

DELTA TPLO PLATE BENDERS WITH CURVED SLOTS

TPLODELBEND Delta TPLO Plate Benders (Pair) 230mm £125.00

81


Bone Plate Press

Bone plates suitable for 3.5mm and 4.5mm screws are extremely difficult tocontour in a controlled manner. Most human orthopaedic presses, if largeenough to contour the plate, are too large to fit in the typical veterinarysurgeon's autoclave.

The small bone plate press is designed for all small animal plates and will fitin your autoclave. Will contour 2.7, 3.5, 3.5 broad and 4.5 narrow plates.

The large press will contour all plates but is 410mm long so check yourautoclave before purchase.

BONE PLATE PRESS

001281 Bone Plate Press Small 285mm. For plates up to and including 4.5mm narrow £445.00

001282 Bone Plate Press Large 16” 410mm. For all plates. £445.00

001282

AO Type Plate Bending Pliers

These pliers will contour 2.7mm and 3.5mm narrow plates. 3.5 DCP's willrequire multiple small bends. Also useful for bending guide pins in theSlocum TPLO technique. Available elsewhere for £1000 or more.

AO PLATE BENDING PLIERS

001289A AO Plate Bending Pliers 2.0/2.7mm £295.00

001289B AO Plate Bending Pliers 2.7/3.5mm £345.00

Heavy Duty Bone Plate Pliers to 4.5mm

The largest bone plate pliers in the range, these will contour all platesother than the 4.5 broad. The bending head has 3 interchangeable anvilsand the ‘hammer’ side has 3 different shapes which rotate. This offersthe surgeon 6 different contouring options to match different plates anddifferent shapes.

HEAVY DUTY PLATE BENDING PLIERS

001289C Heavy Duty Plate Bending Pliers £495.00

001289SA Small Anvil for 2.7plates (for existing users) £45.00

Tips on the use of the plate press• The press works at maximum efficiency when the handle is

approximately parallel with the base.

• Place the plate to be contoured in between the anvils.

• Adjust the gap between the anvils using screw A until the handle isparallel with the base.

• Pressure on the handle will bend the plate.

• Readjust the press using screw A to bring the handle parallel onceagain.

• Contouring the plate should be accomplished using several smalladjustments rather than one big one.

Tips on the use of the plate pliers• These notes apply to all bone plate pliers.

• The pliers work at maximum efficiency when the handles areapproximately parallel with each other.

• Place the plate to be contoured in between the anvils.

• Ajust the gap between the anvils using screw B until the handles areparallel with each other.

• Squeezing the handles together will bend the plate.

• Readjust the pliers using screw B to bring the handles parallel onceagain.

• Contouring the plate should be accomplished using several smalladjustments rather than one big one.

82


RUSKIN

142270 Ruskin (Liston) 23cm 9” Cof Rongeur. 6mm bite £175.00

Ruskin

A heavy duty compound action rongeur.

STILLE-LUER

142305 Stille-Luer Heavy Compound Action 8mm bite curved 220mm £215.00

Stille-Luer

A very large rongeur.

Actual size

Actual size

Compound Action RongeursThe compound action give a mechanical advantage to the surgeon butreduces the bite width.

MINI-FRIEDMAN

142501 Mini-Friedman Rongeur curved 3mm bite 155mm £67.50

Mini-Friedman

Useful in bulla osteotomy.

MICRO-FRIEDMAN

142502 Micro-Friedman Rongeur curved 15.5cm. 2.2mm bite £67.50

Micro-Friedman

A small spine rongeur.

Actual size

Actual size

LEMPERT STRAIGHT

6730/10 Lempert Rongeurs Str. 190mm 3mm bite £90.00

Lempert Straight

Useful for spines and bulla osteotomy.

JANSEN

142200 Jansen 19cm 7.5” Curved Rongeur. 4mm bite £195.00

Jansen

Compound action, powerful but small bite.

Actual S

ize

Actual size

Bone Gouge Forceps(Rongeurs)IntroductionRongeurs vary with respect to bite size and jaw angle. Where a rongeurhas a specific function it is indicated in the description. Punch type forcepsand some smaller rongeurs are described in Chapter 6 Spinal Surgery.

Simple Action RongeursTypically simple action rongeurs offer a wide bite but rely on the physicalstrength of the surgeon. Most small rongeurs have a simple action.

VI Small Curved Rongeurs

SMALL CURVED RONGEURS

001300 Small Curved Rongeur 4mm bite 170mm £65.00

A good general purpose rongeur for small bone nibbling procedures, e.g. excision arthroplasty, arthrodesis, sequestrum removal.

Actual size

83


Bone CuttersIntroductionBone cutters vary with respect to length and angle of cut.

Compound Action Bone CutterAll three following designs are similar but vary according to size of bite.

Simple Action Cutters

LISTON

141700 Liston 15cm 6” Str. 25mm blade £85.00

141705 Liston 15cm 6” Cof. 25mm blade £90.00

141710 Liston 15cm 6” Aof. 25mm blade £95.00








Liston

A widely used bone cutter with the following jaw options: straight, angledand curved.

SMALL ANGLED CUTTERS

001310 Small Angled Cutter. 15mm Blade 170mm £65.00

Small Angled Cutters

A very useful small cutter. The jaw is angled to allow cutting where accessis restricted, e.g. excision arthroplasty in cats and small dogs and tibialcrest transplant. The design allows for transection of the tibial crest whileretaining distal periosteal attachments. Also useful for articular cartilageremoval in arthrodesis, digit and tail amputations.

MCINDOE

141900 McIndoe 17cm 6.75” Aof. 15mm blade £175.00

McIndoe

Compound jointed action gives power but reduces bite size.

RUSKIN

141940 Ruskin (Liston) 19cm 7.5” Str. 25mm blade £175.00

141960 Ruskin (Liston) 19cm 7.5” Aof. 25mm blade £175.00

Ruskin

Similar in design to McIndoe but larger.

HORSLEY

141660 Horsley 26cm, 10.5" Aof. cutter. 35mm blade £160.00

141660S Horsley 26cm, 10.5" Str. cutter. 35mm blade £140.00

141660XL Horsley 45cm, 18" Aof. cutter. 35mm blade £185.00

Horsley

Heavy duty compound action cutters.

BONE LEVER/PERIOSTEAL ELEVATOR

001270 Bone Lever/Periosteal Elevator. 195mm. 4mm/7mm £45.00

Bone Lever/Periosteal Elevator

One end of this instrument is bent for use as a hook for retrieving andmanipulating bone fragments. The other end is a periosteal elevator usefulfor clearing soft tissue from bone prior to plating, drilling or burring.

Periosteal Elevators

84


Engels Plaster Saw

A simple cast saw for removal of plaster casts. Quiet and inexpensive.

ENGELS PLASTER SAW

001510 Engels Plaster Saw 145mm £50.00

HOWARTH DISSECTOR (MODIFIED)

001273 Howarth Dissector (Modified) 225mm £45.00

001273

Developed by Richard Whitelock specifically to clear soft tissues from theproximal tibia in the TPLO procedure. It is also useful as a general purposeperiosteal elevator.

AO TYPE PERIOSTEAL ELEVATORS

001271 Curved 6mm Fibre Handle AO type 180mm £45.00

001274 Square ended tip AO type 6mm 190mm £45.00

AO Type Periosteal Elevator

The AO type instrument is the archetypal ‘periosteal elevator'. Available ina curved 6mm tip and a square 6mm tip.

MIPO Minimally Invasive Plate Osteosynthesis Elevator

VERY FINE PERIOSTEAL ELEVATOR

001272 Very fine 2mm/3mm Periosteal Elevator 180mm £42.50

Very Fine Periosteal Elevator

Howarth Dissector (Modified)

Plaster Cutting

PLASTER SHEARS BRUNS/ BOHLER

161405 Plaster Shears Bruns / Bohler 245mm £90.00

MIPO ELEVATOR

001276 MIPO Elevator 280mm £57.50

Plaster Shears Bruns / Bohler

PLASTER SHEARS (STILLE)

161406 Plaster Shears Stille 245mm £145.00

Plaster Shears Stille

Very powerful compound action.

FREER PERIOSTEAL ELEVATOR

7350/05 Freer Periosteal Elevator 5mm 180mm £42.50

Freer Periosteal Elevator

The Freer elevator is a fine instrument which is particularly useful in spinalwork.

Simple action serrated jaw.

This instrument is not somuch a periosteal elevatormore a dissecting probe toclear a tunnel undermuscle layers for theplate. The periosteum is infact left intact. Thanks toAndy Moores for thedesign and photograph.

Hole in tip takes through suture materialwhich is used to pull through the plate

Please see Chapter 5 for Power Tools including cast cutter.

In human orthopaedics plaster spreaders are used to expand initial cuts incasts. Typically these spreaders are too large for veterinary patientsleaving surgeons to resort to inappropriate instruments and fingers toremove casts. The VI cast spreader has been scaled down to suit thesmaller cast usually applied to our patients.

Plaster Spreaders

PLASTER SPREADERS

161410 Plaster Spreaders £125.00

85


Gelpi Self Retaining Retractor

The Gelpi is an extremely versatile self retaining retractor useful in almostany orthopaedic procedure. Veterinary Instrumentation Gelpis are differentfrom standard Gelpis in two respects:

1.Short tips give focal retraction for precise exposure of the fracture orlesion.

2. The teeth on the ratchet are smaller than usual giving finer control overthe spread of the tips.

Gelpis are virtually an extra pair of hands and are invaluable incircumstances where the surgeon is working alone, which is the norm ingeneral practice. The curved shape sits nicely on our patients. Useful inthe following procedures and many more:

• Total Head and Neck Excision • CrCL repairs• Meniscal examination • All arthrotomy procedures• Fracture repairs • Wobblers• Laminectomies • Rib retractors in small patients

Two pairs of Gelpis placed at right angles to one another may be used tocreate a window into a joint or fracture site.

Gelpis are available in a number of lengths. Measurement ‘a’ gives thedepth of the tips.

Self Retaining RetractorsWhere scrubbed surgical assistance is lacking, self retaining retractors arean invaluable aid.

Adequate retraction is essential for good visualisation of the fracture site orlesion. In addition retraction will minimise damage to the soft tissues. Bothare key elements of successful orthopaedic surgery.

GELPI SELF RETAINING RETRACTOR

001330 Gelpi Self Retaining Retractor. 180mm (120mm spread) (a=20mm) £145.00

001330SL Gelpi Self Retaining Retractor with spinlock for extra strength 180mm(a=20mm) £145.00

001330S Gelpi Self Retaining Retractor 180mm sharp tips (a=20mm) £145.00

001331 Gelpi Long Reach. (a=40mm) 200mm £145.00

001331L Gelpi Very Long Reach (a=60mm) 200mm £145.00

001332 Gelpi Small (50mm sprd)(a=15mm) 135mm £145.00

0013301 Gelpi Mini Flat(45mm sprd)(a=15mm) 90mm £90.00

0013302 Gelpi Mini Curved(45mm spread)(a=15mm) 90mm £90.00

001333 Odd leg Gelpi (pair). (a=25/40mm)205mm £295.00

001334 Odd leg Gelpi short (pair).(a20/30) 130mm £295.00

Mini Gelpi and small stifle retractor

When it becomes necessary to bend over the shaft of an arthrodesis wireor ‘K’ wire, usually to minimise back out, the pin becomes difficult to presshome with a standard pin punch. The Offset Pin Punch has an angled,bigger ‘foot’ for this purpose. Also suitable for driving ‘Rush Pins’ eithercommercially available or home made.

Offset Pin Punch

OFFSET PIN PUNCH

001364 Offset Pin Punch 135 mm £55.00

Travers

A blunt multi-pronged flat retractor with a relatively widegape, suitable for skin or large exposures.

Wests

A sharp multi pronged curved retractor which can sit quite nicely on our patients without distorting thesurgical site.

WEISLANDER SELF RETAINING RETRACTOR

702150 Weislander Self Retaining Retractor 14cm sharp tips (60mm spread) £150.00

702152 Weislander Self Retaining Retractor 14cm blunt tips (60mm spread) £150.00

Weislander

Similar to Wests but flat.Available with sharp or blunt prongs.

TRAVERS SELF RETAINING RETRACTOR

703050 Travers Self Retaining Retractors 8” 20cm (90mm spread) £205.00

703051 Travers Self Retaining Retractors 6.5” 16.5cm (70mm spread) £185.00

703053 Travers Mini 95mm (43mm spread) £95.00

WESTS SELF RETAINING RETRACTOR

703250 Wests Self Retaining Retractor 5.5” 14cm (50mm spread) £145.00703253 Wests Mini 95mm (40mm spread) £95.00

86


“K” WIRE/SMALL PIN PUNCH

001360 Pin Punch. 135mm £45.00

001361 Small Pin Punch. 1.6mm tip 135mm £45.00

‘K’ Wire / Small Pin Punch

The cut ends of "K" wires, arthrodesis wires and small pins used forfragment fixation e.g. distal femoral fractures, should be buried beneaththe bone or articular surface to minimise soft tissue irritation. The tip of thepunch is concave to locate onto the pin end. The other end is struck with amallet. Use 001360 for pins and 001361 for wires.

‘K’ Wire Bender

Small wires are commonly used to re-attach bone fragments which havebeen produced either by trauma or electively by osteotomy. To minimise‘backing out', the cut ends of "K" wires and arthrodesis wires should eitherbe buried or bent sharply and cut 5-10mm from the bend. The cut ends arethen rotated to the most comfortable position (see photo). Bending withfingers or pliers is difficult to control and is very likely to damage the repair.

The "K" wire/small pin bender is designed to slip over the wireconcentrating all the bending forces at the pin/bone interface. Theinstrument is double ended, the small end is for 0.9mm and 1.1mm wires,the large end is for1.4mm, 1.6mm & 2.0mm wires.

"K" WIRE/SMALL PIN BENDER

001362 “K” Wire Bender. 140mm £45.00

MODULAR OSTEOTOME

001380 Modular Osteotome complete with 7 blades £180.00








001389 Modular Diamond Rasp 6mm £42.00

The osteotome is supplied as a comfortable handle into which fits alarge range of blades. The blades are very thin 1.1mm making themsuitable for a variety of procedures including block sulcoplasty. Theblock including the articular cartilage may be harvested with minimalbreakage of the block. Supplied as a handle plus the following blades4mm, 6mm, 8mm, 10mm, 12mm, 15mm and 20mm. A new diamond-coated 6mm rasp has been added to the range to tidy up the corners ofthe sulcoplasty.

Modular Osteotome with ultra-thin interchangeableblades and Diamond Rasp

‘STUBBY’ PUNCH

001363 Stubby Punch 50mm £45.00

‘Stubby’ Series of Orthopaedic Instruments

‘STUBBY’ OSTEOTOME

001366 ‘Stubby’ Osteotome 3mm x 70mm £45.00







0013SET ‘Stubby’ Osteotome Set (one of each) £200.00

Following customer feedback David Strong has started development of aseries of ‘Stubby’ Orthopaedic instruments. For 2012 a ‘stubby’ punch anda range of ‘stubby’ osteotomes has been developed. Further instrumentswill be launched during 2012.

‘Stubby’ Osteotome

Available from 3mmto 14mm and as aset at a significantlydiscounted price.70mm long

‘Stubby’ Punch

The reduced working lengthallows the stubby punch to beheld between thumb andforefinger much closer to thepatient for increased control.This is especially useful whenworking without an assistant.50mm long.

Act

ual s

ize

87


OSTEOTOMES

623880 Osteotome Swedish 30mm x 205mm £45.00





001341 Osteotome Light 15mm x 140mm £45.00






Osteotomes

Chisels

CHISELS

001350 Chisel 12mm x 140mm £45.00

001351 Chisel 10mm x 140mm £45.00

001352 Chisel 8mm x 140mm £45.00

001353 Chisel 6mm x 140mm £45.00

001354 Chisel 4mm x 140mm £45.00

162340 Chisel Swedish Pattern 12mm x 205mm £45.00




Use an osteotome to make a precise elective cut, e.g. trochantericosteotomy, excision arthroplasty.

Use a chisel where heavier bone removal is required, e.g. sequestrumremoval.

Gouges

GOUGES

001355S Gouge 12mm x 140mm £45.00

001355 Gouge 12mm x 205mm £45.00

001356 Gouge 10mm x 140mm £45.00

001357 Gouge 8mm x 140mm £45.00

001358 Gouge 6mm x 140mm £45.00

001359 Gouge 4mm x 140mm £45.00

Use a gouge where bone contouring is essential.

Light

Swedish Pattern

Trephine

• Creation of window for bone graft harvest.

• Less risk of iatrogenic fractures than with use of bonepins or drills.

• Cortical bone biopsy.

• Available in three diameters.

Stainless steel and re-usable with a retractable stylet.Extend the stylet to provide secure location at the trephinesite until trephine teeth bite. Withdraw the stylet to harvestthe bone. Push the bone core out using the stylet. Wherea very long core is required the stylet may be removedcompletely.

TREPHINES

001425 Trephine 8mm o/d 6mm core 170mm £80.00



VOLKMAN

782200 Volkman Single Ended Scoop 4mm x 170mm £37.50




782600 Volkman Scoop Double Ended Small 4mm/6mm x 200mm £45.00

782610 Volkman Scoop Double Ended Medium 5mm/6mm x 200mm £45.00

782620 Volkman Scoop Double Ended Large 6mm/8mm x 200mm £45.00

Volkman/Brun

Useful for heavy curettage and collection of cancellous bone grafts.

Bone Scoops

ORTHOPAEDIC MALLET

001323 Mallet 140g 155mm £47.50

001320 Mallet 300g 220mm £45.00

001321 Heavy Mallet 500g 240mm £55.00

001325 Nylon Faced Mallet 500g 240mm £55.00

Orthopaedic Mallet

For use with osteotomes, chisels, gouges and staples. Different weightsare available according to surgeon preference and patient size.

88


AO PATTERN (HUMAN) ORTHOPAEDIC DISTRACTOR

001502 Orthopaedic Distractor AO pattern 410mm £285.00

SMALL DISTRACTOR WITH RATCHET

001503 Small Distractor with Ratchet 185mm £225.00

• Two joints

• Heavier

• More powerful with tommy bar lever

AO Pattern (Human) Orthopaedic Distractor

VI PATTERN ORTHOPAEDIC DISTRACTOR

001500 VI Pattern Orthopaedic Distractor. 330mm £365.00

VI Pattern Orthopaedic Distractor

Application:

• Overcoming muscle contraction prior to fracture reduction.

• Accurate alignment of bone fragments prior to plating.

Features:

• Locking wing nuts fix the distractor as a scaffold for the bone fragmentsto facilitate plating.

• Three joints maximise flexibility.

• Use with external fixation pins 3.2mm to 4.0mm.

Orthopaedic Distractors

Small Distractor with Ratchet

The small ratcheted distractor uses 1.5 or 1.6 K or A wires asdistraction pins. The pins are driven into place through the tubes on thedistractor arm. Threaded pins may be used for additional security.Squeezing the arms of the distractor separates the pins and thus thebone fragments and the ratchet holds them in the new position. Rangeof distraction 12mm - 60mm.

Stainless Vernier Caliper

Useful for very accuratemeasurement of screws,drill bits and bone intra-operatively.Supplied with fullinstructions for use.Accurate to 0.1mm.

STAINLESS VERNIER CALIPER

001490 Vernier Caliper Stainless Steel £87.50

001490D Digital Vernier (Non Autoclavable) £55.00

Orthopaedic Ruler

Used to measure pins, wires, drills and screw diameter. Supplied in eithermetric or imperial sizes.

ORTHOPAEDIC RULER

001498 Orthopaedic Ruler Imperial. 175mm £24.00

001497 Orthopaedic Ruler Metric. 175mm £24.00

imperial

metric

BONE SCRIBE

001494 Bone Scribe (double ended) 200mm £24.00

A very sharp marking point with an easy to hold handle enables thesurgeon to mark bone prior to cutting or rotating (Slocum procedure). One end is pointed and the other is sharpened as a blade.

Bone Scribe

Drill & Screw Gauge

Measures screws upto 60mm and drillsfrom 1.1mm to 3.5mm.

DRILL AND SCREW GAUGE

001496 Drill and Screw Gauge 60mm £18.00

VI Metric Ruler

Following requests, our metric ruler has been over-hauled to provide agreater range of hole sizes, making it the most comprehensive metricruler we have seen on the market.

Hole sizes - 0.9, 1.0, 1.1, 1.25, 1.4, 1.5, 1.6, 1.8, 2.0, 2.5, 2.7, 3.0, 3.2,3.5, 4.0, 4.5, 5.0, 5.5 and 6.5mm.

VI METRIC RULER

001504 Metric Ruler - VI. £32.50

89


Esmarch BandageExsanguination of the distallimbs makes visualisation ofthe small bones andassociated structures mucheasier, eg carpal arthrodesis.Wrap from digits and thenunwrap from digits. Made from latex rubber, supplied non-sterile.

ESMARCH BANDAGE

090169 Esmarch Bandage 75mm £22.50

Ruler with Radio Opaque 1.0mm scale

While digital radiography has huge benefits it can be difficult to scaleimages. The problem is compounded when prints aremade for viewing by a third party. e.g. BVA/KCElbow Dysplasia Scheme where accuratemeasurements down to 2mm are veryimportant.

The new ruler is 120mm long andgraduated in 1.0mm increments. Placedat the level of the bone or joint underinvestigation at the time of radiography itwill enable accurate scaling of lesions.Reduced visibility over 70kV 16mAs Also available in 500mm length.

X-r

ay fr

om A

lex

Li

RADIO OPAQUE RULER

001495 Radio Opaque Ruler 120mm £34.00

Using digital media regardless of whether the xray was taken on ananalogue or digital xray machine it is very important to incorporate areliable scale. When viewed on different screens an xray may appear to bea different size. This is particularly important when the original is notavailable for comparison. When sending digital radiographs to colleaguesfor opinion a scale is especially important. VI’s Left and Right markers are50mm long and include a scale marked at 5mm intervals. For use whenmeasuring particular structures or lesions the marker should be positionedat the same level as the structure under examination. A purpose designedstand is available which incorporates a clip to hold the appropriate marker.

Xray Marker with Scale

XRAY MARKERS WITH SCALE

XRAYMARK1 Xray Marker with Scale Set Left and Right £6.50

XRAYHOLD1 Xray Marker Stand £35.00

Radiographic Reference Ball

Taking radiographs where the area of interest is not close to the platecreates some challenges in scaling. This is true of both digital andanalogue systems. When using the radiograph for templating implantse.g. total hip replacement, it is very important to make accuratemeasurements.The Reference Ball is 25mm in diameter and is attached to a stable baseby a flexible neck which allows the ball to be placed at the same levelabove the plate as the area of interest. Using a spherical object as areference eliminates errors created by ruler type reference which mightnot be quite parallel with the plate.Also available in a 10mm version for smaller patients.

RADIOGRAPHIC REFERENCE BALL

XRAY25MM Radiographic Reference Ball 25mm diameter £65.00


Chandler’s Gonadal Shield

CHANDLER’S GONADAL SHIELD

GSHSET Chandler’s Gonadal Shield (Set incl 3 sheilds) £150.00

GSHSMALL Chandler’s Gonadal Shield 50 x 25 x 1.8mm £50.00

GSHMED Chandler’s Gonadal Shield 75 x 40 x 1.8mm £50.00

GSHLARGE Chandler’s Gonadal Shield 100 x 50 x 1.8mm £50.00

Image Malcolm McKee

Exposure of the patient’s gonads to radiation is undesirable particularlywhere repeated imaging is likely. The Gonad shield uses a similar‘goose neck’ arrangement on a solid base as is used in the referenceball. There are three different sized shields to cover the typical patientrange. 50 x 25 x 1.8mm 75 x 40 x 1.8mm 100 x 50 x 1.8mm

90

3b PHYSIOTHERAPY & REHABILITATION

THERA-PAW

200002 Thera-paw Small (T/B) £14.00

200003 Thera-paw Small/Medium (T/C) £14.50

200003#2 Thera-paw Small/Medium#2 (T/D) £15.00

200004 Thera-paw Medium (T/E) £15.50

200005 Thera-paw Medium/Large (T/F) £15.50

200006 Thera-paw Large (T/G) £16.50

Thera-Paw acts as a reusable bandage with a protective base.

• The ultra-cushioned sole alleviates pain, reducing lameness andpromoting more even weight distribution.

• The use of perforated top-sole material and cut-out design allow the pawto breathe and keeps the injured site free from moisture build-up.

• The rubberized, non-skid base and toe-cap are waterproof, protect thesite from further injury, and provide better traction.

• The vertical closure design runs parallel to the carpal/ tarsal bones,dispersing pressure over a wide area.

• Thera-Paw is easily cleaned by rinsing it under warm water. Milddetergent may be used. It air dries in under 1 hour, and is ready forimmediate reapplication.

• The front opening and closing mechanism makes it easy to slipThera-Paw into place.

• The outer safety strap provides additional security, to ensure that Thera-Paw stays on even the most active dogs.

• The dual closing mechanism reduces the risk that a dog can remove the garment.

Thera-Paw

Medipaws

A professional waterproof but breathable cover for dressings and casts.Available in 8 colour-coded sizes, they have a durable no-skid bottom, andelasticised straps with Velcro closures as well as an upper cord lock.

Note 200031 will be available June 2012

MEDIPAWS

200015 Medipaws Boot Extra Small wide Orange £10.00

200020 Medipaws Boot Extra Small Yellow £10.00

200031 Medipaws Boot Extra Small #2 Pink £11.00

200025 Medipaws Boot Small Blue £11.00

200030 Medipaws Boot Medium Red £12.00

200035 Medipaws Boot Large Green £13.00

200037 Medipaws Boot Large wide Grey £15.00

200040 Medipaws Boot Extra Large Purple £15.00

200055 Medipaws Boot (Set of 3 S, M, L) £30.00

200050 Medipaws Boot (Set of 7 - excludes XSmall#2) £70.00

Dressing & Support

Waterproof/breathable, facilitatescompliance, reduces rewraps, savesresources.

Available in 8 colour-coded sizes

Tarso-Flex X are a range of supports designed.to stablise and support the tarsal.

Thick Tarsal Wrap with versatile support.

Neoprene.

Velcro closure.

Self adhesive foam padding.

Nylon support wraps are placed on outer wrapfor additional support.

Easily fitted & cleaned.

More info on www.therapaw.com

Tarso-Flex X

TARSO-FLEX X

Code Size Max Tibia Price

200080 S 14cm £77.50

200081 M 16.5cm £80.00

200082 L 21.5cm £82.50

Medipaw X

Medipaw X delivers the same waterproof/breathable protection andfeatures a new extra durable moulded rubber bottom. Available in 8 colour-coded sizes.

MEDIPAW X

200097 Medipaws X Boot Extra Small wide Orange £20.00

200093 Medipaws X Boot Extra Small Yellow £20.00

200092 Medipaws X Boot Extra Small #2 Pink £20.00

200094 Medipaws X Boot Small Blue £22.00

200095 Medipaws X Boot Medium Red £24.00

200096 Medipaws X Boot Large Green £26.00

200099 Medipaws X Boot Large wide Grey £30.00

200098 Medipaws X Boot Extra Large Purple £30.00

200090 Medipaws X Boot (Set of 3 S, M, L) £60.00

200091 Medipaws X Boot (Set of 8) £145.00

91

PHYSIOTHERAPY & REHABILITATION 3bwww.vetinst.com

Carpo-Flex are a range of supports designed to stabilise and support thecarpus, helping reduce carpal deviation and hyperextension.

Available in 3 support grades.

Carpo-flex Sports Wrap - Light Support

Carpo-flex X - Moderate Support

Carpo-flex Splint Kit - Strong Support to Complete Immobilisation

Made from neoprene, with elastic straps.

Add L for Left or R for Right to code.


Carpo-Flex Range

CARPO-FLEX SPORTS WRAP (LIGHT)

Code Size Carpus Price

200011 XS 11.5cm £33.00

200012 S 12.5cm £33.00

200013 M 15cm £35.00

200014 L 17.5cm £35.00

CARPO-FLEX X (MODERATE)


200070 XS 9.5cm £55.00

200071 S 10cm £55.00

200072 M 14.5cm £60.00

200073 L 19.5cm £60.00

200074 XL 21.5cm £65.00

CARPO-FLEX SPLINT KIT (STRONG)


200060 XS 9.5cm £70.00

200061 S 10cm £70.00

200062 M 14.5cm £75.00

200063 L 19.5cm £75.00

200064 XL 21.5cm £80.00

Dorsi-flex is a physical aid to normalplacement of the hind foot which is aimedto help reduce knuckling, assist withtarsal/ hock flexion & digital extension andact as a mobility aid for unstable or weakdistal hind limbs. Includes a Thera-Pawboot plus adjustable tension straps &tarsal anchor strap. Easily fitted & cleaned


Dorsi-flex

DORSI-FLEX

Code Size T’paw Max Tibia Price

200021 XS S/M#2 11.5cm £62.50

200022 S M 14cm £65.00

200023 M M/L 16.5cm £67.50

200024 L L 21.5cm £70.00

Marq-Easy Thermo Plastic Splinting Rectangular Sheets

Thermo Plastic Splinting

The wide variety of shapes and sizes of animal patients makes splinting achallenge. Thermal plastic, widely used in human medicine, is heated inhot water and moulded to a specific custom shape for the patient. Thethermal plastic material is available in a variety of rectangular- sized flatsheets. White.

MARQ-EASY THERMO PLASTIC SPLINTING Rectangular Sheets

940A Thermo Plastic Splinting Sheet - 1/8” thick. 4” x 9” For narrow long legs £16.00

940B Thermo Plastic Splinting Sheet - 1/8” thick. 6” x 12” £27.50

940C Thermo Plastic Splinting Sheet - 1/8” thick. 12” x 24” £85.00

Velcro StrapsUse in areas that do not require dressing to help hold the splint in properposition. Kit includes Velcro 1" x 36" strap and 12" hook patch with oneside adhesive. Both can be trimmed to customise the splint.

VELCRO STRAPS

940V Velcro Straps £9.00

Compact Foam Lining

This special foam padding withone adhesive side can beplaced into the splint for patientcomfort. Blue. 16" x 24" x 3/8"thickness.

COMPACT FOAM LINING

940X Compact Foam Lining Blue 16" x 24" x 3/8" thickness £34.50

940CD CD illustrating the use of thermoplastic splinting FREE

940P Heat gun for softening thermoplastic £35.00

Thermo Plastic Splinting Starter KitA useful starter kit containing 1x Thermo Plastic Splinting sheet (940A),1x Thermo Plastic Splinting Sheet (940B), 1x Velcro straps (940V), 1xCompact Foam Lining (940X) and 1x CD illustrating the use ofthermoplastic splinting (940CD).

Discounted by 10+% compared to component price.

THERMO PLASTIC SPLINTING STARTER KIT

940KIT Thermo Plastic Splinting Starter Kit £70.00

92


DOGLEGGS INCLUDES CHEST STRAP

0746A Small 6”/4” (150mm/100mm) £91.00

0746B Medium 8”/6” (200mm/150mm) £94.00

0746C Medium/Large 10”/8” (250mm/200mm) £96.00

0746D Large 12”/10” (300mm/250mm) £99.00

0746E Extra Large 14”/12” (350mm/300mm) £102.00

REPLACEMENT CHEST STRAPS

0746AS 16”/400mm £11.50

0746BS 18”/450mm £12.00

0746CS 20”/500mm £12.50

0746DS 22”/550mm £13.00

0746ES 24”/600mm £13.50

• Hygromas — Adjustable DogLeggs treat the cause of the hygroma, notjust the symptom.

• Use to prevent decubital ulcers and pressure wounds.• Dogs with hip dysplasia to protect the elbows

from added stress.• Arthritis.• Elbow dysplasia.• Post surgical coverage.• Older dogs to help with pressure.• Neurologic dogs - to provide proprioception to

the limbs.• Lick Granuloma.Download order/measurement form fromwww.vetinst.com/dogleggsor e-mail [email protected]

DogLeggs

The DogLeggs Shoulder Stabilization System limits abduction, flexion

and extension of the shoulder, while allowing for full weight-bearing.

The patient’s gait is altered with a short limited stride. The DogLeggs

Shoulder Stabilization System can be worn continuously for several

months with minimal irritation. The device can be removed and

reapplied easily for rehabilitation therapy and is simple enough for

the patient’s owner to manage. The typical use is for Medial Shoulder

Instability (MSI), but it can be used anytime there is the need to provide

additional stability to the front legs.

Download order/measuring form from www.vetinst.com/dogleggs or e-mail [email protected]

Shoulder Stabilisation System

SHOULDER STABILISATION SYSTEM

DLSSS Shoulder Stabilisation System (measurements required) £130.00

The system comprises:1 pair Adjustable Dogleggs2 Hobble Straps (1 as spare)2 Hobble Tabs

The system requires a vest of an appropriate size plus the Ehmerextension. The Vest utilizes the latest generation of light weight, latex free,

adhesive free, breathable, antimicrobial, antibacterial, bactericidal “fabric.”

Care: Machine wash gentle, in lukewarm water with mild detergent, air dry.

Ehmer Style Sling works for both left and right legs. The Sling attaches

directly to The VEST, one strap under the belly and one on the same side

as the leg to be restricted.

Because there are such a wide variety of sizes and shapes of dogs

who will wear the same size VEST, we can provide an extension that

attaches directly to the VEST and allows for longer backed dogs and

customized placement of the Ehmer Sling.

The VEST and Ehmer Sling are machine washable and very durable

VEST Sizing Information: (chest measurement)

XSmall..........................15-18” M/L ..................30-34”

Small.............................20-24” Large................34-38”

S/M................................24-28” XLarge ............38-44”

Medium..........................26-30” XXL..................44-52”

Vest for Ehmner Sling

VESTS AND EHMER SLING

DLV1 XS £90.00

DLV2 S, M, M/L, L £130.00

DLV3 XL, XXL £140.00

DLESLING Ehmer Sling for TheVest £67.50

Padded SplintsMade from green foamlined plastic, splintsprovide temporary firstaid support until surgeryis appropriate.Alternatively use forlonger term support where other forms of fixation are inappropriate.

PADDED SPLINTS

090120 Padded Splint. Small. 210mm £4.50

090121 Padded Splint. Medium. 310mm £5.00

090122 Padded Splint. Large. 410mm £5.50

Splints

93


A Velpeau sling is a method of holding the wrist (carpus), elbow andshoulder joints in flexion, preventing the animal from putting any weight onthe forelimb. The DogLeggs Velpeau Sling VEST is easy to use andsecurely immobilizes the limb. Using the DogLeggs Velpeau will result inbetter outcomes and owner compliance.

The DogLeggs Velpeau Sling VEST is manufactured utilizing hi-tech, hookcompatible, anti-microbial, antibacterial, bactericidal, three dimensional,breathable fabric. The Velpeau Sling is machine washable.

Download order/measuring form from www.vetinst.com/dogleggs ore-mail [email protected]

Velpeau Sling Vest

VELPEAU SLING VEST

20090 XXS, XS, S Velpeau Sling Vest £120.00

20091 Medium Velpeau Sling Vest £130.00

20092 Large Velpeau Sling Vest £150.00

20093 XLarge Velpeau Sling Vest £170.00

20094 XXLarge Velpeau Sling Vest £190.00

The DogLeggs Rear Leg Hobbles limit abduction, flexion and extension ofthe hip, while allowing for full weight-bearing. The patient’s gait is alteredwith a short limited stride. The DogLeggs Rear Hobble is comprised of twocuffs of nylon-faced neoprene, with Velcro hook and loop closure forcustom fit. The Hobble Strap passes through “D” rings on each Cuff. TheHobble Strap is adjustable.

Download order/measuring form from www.vetinst.com/dogleggs ore-mail [email protected]

Rear Leg Hobbles

REAR LEG HOBBLES

DLRLH Rear Leg Hobbles Select S/M or M/L £52.50

Please noteCustomised products may take 1-2 weeks from order.

All DogLegg products shown on page 92-93 are non-returnable.

Used for temporary stabilisation of fractures,particularly of the proximal limb pending internal/external fixation. May also be used as sole means offracture management where severity of fracture oreconomics preclude a more sophisticated repair.Take care not to allow distal ring to sit at fracturesite. Stainless steel manufacture. Splint is adjustablefor length.

Handy Canis Harness

A simple harness whichprovides balance andsupport whilst helpingminimise owner’s back strain.

ADJUSTABLE THOMAS SPLINTS

(diameter of circle mm)

272100 Hind leg size 1 100 £30.50

272110 Hind leg size 2 120 £31.50

272120 Hind leg size 3 150 £32.50

272130 Hind leg size 4 160 £33.50

272140 Fore leg size 2 100 £32.50

272150 Fore leg size 3 140 £33.50

272160 Fore leg size 4 180 £34.50

HANDY CANIS HARNESS

227250 XS Yorkshire Terrier £24.50

227252 S Dachshund £25.50

227254 M Basset Hound £26.50

227256 L Retriever, German Shepherd £27.50

227258 XL St Bernard £28.50

Adjustable Thomas Splints

Coneless CollarThis collar prevents the dog from licking andbiting an abdominal surgical wound and pullingout the stitches. In contrast to Elizabethancollars it is much more tolerable, however it is notsuitable for protecting wounds on limbs and itdoes not prevent head scratching. To ensurecorrect selection accurately measure from thebase of the skull to the scapula. Even thoughthis coneless collar is comfortable you shouldcheck regularly whether it is chafing and take it off from time to time.

CONELESS COLLAR

CCXS9 Coneless Collar XS 9cm £37.50

CCS10 Coneless Collar S 10cm £37.50

CCM13 Coneless Collar M 13cm £40.00

CCL15 Coneless Collar L 15cm £42.50

CCXL18 Coneless Collar XL 18cm £42.50

ABDOMINAL SUPPORT

263-2010 XS Yorkshire Terrier £18.50

263-2020 S Dachshund £19.50

263-2030 M Basset Hound £20.50

263-2040 L Retriever £22.50

263-2050 XL Rottweiler £24.50

Abdominal SupportFor certain patients an abdominalsupport is the perfect substitute for aprotective collar.

DOGLEGGS BROCHURE

BR DOGLEGG DogLeggs Brochure £FOC

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3b PHYSIOTHERAPY AND REHABILITATION

Degenerative myelopathy (CDRM) isnot uncommon, particularly in theGerman Shepherd, Boxer andPembroke Corgi. It is a difficultcondition to manage either medicallyor surgically. Whilst the progression of the degeneration can be delayed bydietary supplements, treatment options are very limited. Sooner or later thecontrol over the hind limb deteriorates to the point where walking andparticularly turning is difficult. Excoriation of the toes and dorsal surface ofthe foot typically follows. Affected dogs are well in themselves and ownersare often highly motivated. Keeping the dog as active as possible isimportant to delay progression. The Biko physio brace has been developedto assist the dog in walking and turning for as long as possible. The systemis based on elastic straps which run from a chest harness to the hind feet.As the the hind foot reaches the end of the stride and the weight istransferred to the opposite foot the strap helps to bring the trailing footstraight forward ready for the next stride thereby compensating for the lossof muscle tone.

Dogs suffering from neurological deficits, both temporary and permanent,due to disc pathology will also benefit from the Biko brace.

The brace is simple to apply and is tolerated very well. Dogs resume usefullevels of activity significantly improving the length and the quality of theirlives. Physiotherapy occurs whenever the dog is walking which makesit more effective than sessional hydrotherapy or physiotherapy. Use ofthe Biko brace delays euthanasia or use of a cart. Feedback from ownersis excellent.

For best results the brace should be exactly the correct length. Selection ofthe appropriate brace requires that the patient is measured as shown.

Once fitted the programme supplied should be followed closely for bestresults. Use of the Biko brace may be combined with other therapies suchas physio or hydrotherapy.

Should scuffing continue we recommend the use of Therapaws (see page 90).

Before the dog can be measured for the Biko device an appropriateharness must be in position. This may be supplied by the veterinarysurgeon or purchased elsewhere. If there is any difficulty we can supply(see pricing section). The caudal ring of the harness should sit just behindthe scapulae in the centre of the spine. If the ring is too far back it will limitthe effectiveness of the Biko device. Some harnesses drop the ring too farcaudally e.g. a large harness on a stocky dog.

Measurement ‘A’ is the distance from the ring to the cranial aspect of theproximal metatarsus.

Measure ‘B’ is the circumference around the foot at the level of theproximal metatarsus.

OrderingWhen ordering please provideMeasurement A and B in cmto enable correct sizing.

Measurements

Mobility AssistTrolleys to support dogs' hind limbs in the event of partial or total loss ofmobility.

Characteristics:

- Welded, galvanized metal and aluminium chassis - Height and length adjustable- Adjustable straps- Synthetic protective fur, removable for washing - Soft rubber wheels- Reinforcement hoop to lift the animal and to help it to cross the pavement.

Indications:

- Paralysis or paresis of dogs’ rear limbs, particularly in GermanShepherds, Labradors, Dachshunds, Poodles, Fox Terriers etc.

- Functional re-education following a slipped disc - Temporary immobilization of the rear limbs following surgery or

injury, fitting a plaster cast, a splint, external fixators, etc...

On request:

- Axle offset to improve the mobility of a handicapped animal, allowing useof the hind feet

- Inflatable wheels for the large model - Model for cats- Model made to measure with the following information:

1. Thoracic strap, circumference of chest behind point of elbow

2. Space between the front and back feet

3. Height under the tail

Mobility Carts

1

2

3

CANIS-MOBILE

1 2 3Code (Circumference mm) min/max min/max Price

260400 Small Dog 410 max 160/260mm 170/270mm £395.00

260402 Medium Dog 660 max 250/350mm 240/380mm £425.00

260404 Large Dog 900 max 350/500mm 410/560mm £475.00

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PHYSIOTHERAPY AND REHABILITATION 3bwww.vetinst.com

BIKO CANINE PHYSIO BRACE

BIKOAABB Biko Physio Brace (measurements required) £110.00 suggested client price £170.00

BIH1 Harness Small Black £9.50

BIH2 Harness Medium Black £10.50

BIH3 Harness Large Black £13.00

BIH4 Harness Very Large Black £17.50

DVDBIKO Biko DVD £FOC

Biko Kit includes:

Set of two braces, set of two hindfoot cuffs and instructions for theprogramme of use. For more information including videos view online atwww.biko.co.at/indexenglish.php

A DVD illustrating the benefits of the Biko brace and the measurementsrequired is available free of charge. DVDBIKO.

Biko Sizing GuidePlease note the sizing guide shown below should only be considered a general guide and should be used inconjunction with accurate measurement as described on the previous page.

A cm Size Needed

33 Size 0

34 Size 0

35 Size 0

36 Size 0

37 Size 0

38 Size 0

39 Size 0

40 Size 1

41 Size 1

42 Size 1

43 Size 1

44 Size 1

45 Size 1

46 Size 2

47 Size 2

48 Size 2

49 Size 2

50 Size 2

51 Size 2

52 Size 3

53 Size 3

54 Size 3

55 Size 3

56 Size 3

57 Size 3

58 Size 3

59 Size 3

60 Size 4

61 Size 4

62 Size 4

A cm Size Needed

63 Size 4

64 Size 4

65 Size 4

66 Size 4

67 Size 4

68 Size 5

69 Size 5

70 Size 5

71 Size 5

72 Size 5

73 Size 5

74 Size 5

75 Size 5

76 Size 6

77 Size 6

78 Size 6

79 Size 6

80 Size 6

81 Size 6

82 Size 7

83 Size 7

84 Size 7

85 Size 7

86 Size 7

87 Size 7

88 Size 7

89 Size 7

90 Size 7

91 Size 7

92 Size 7

Measurement ‘A’ is the distance from the ring tothe cranial aspect of the proximal metatarsus.

Measurement ‘B’ is the circumference around thefoot at the level of the proximal metatarsus.

B Cuff Size Needed

5-6cm Size 1

7-8cm Size 2

9-10cm Size 3

11-13cm Size 4

13-16cm Size 5

Chow Chows & Colliestend to fall into the

55-68cm range.

Smaller breeds(examples above) are

typically 32-42cm.

Most medium Cross-breeds and Terrierstypically fall into the

40-60cm range.

Giant breeds, e.g. Irish Wolfhounds

would usually be 85cm+.

The correct measurement of the patient is very important to get the right size.

Examples of breeds that tend to falll into the64-75cm range include

Boxers, Dalmations,Pointers etc.

German Shepherds havethe highest rate of CDRM.They usually fall into the

68-85cm range.

96

3b PHYSIOTHERAPY AND REHABILITATION

Veterinary Physiotherapy

David Prydie BVMS, CertSAO, CCRT, MRCVS

Physio-vet Referrals, Crewe.

Theraband Exercise Ball RangeTheraband Anti-burstballs are a range ofexercise therapy ballsthat may be used as arehabilitation/physiotherapy aid to helpimprove an animal’smuscular strength and tohelp achieve functionalmovements andpostures. The patient’sbody responds to theballs movements using muscles, especially core muscles, to retainbalance. The exercise balls can be used to help improve co-ordination,balance and flexibility. Assisted exercises may aid a patient’s muscularstrength for standing and walking and may be beneficial for patients thatare unable to stand and walk independently. A pump is required for initialinflation and maintenance.

THERABAND EXERCISE BALL RANGE

PY091342310 Theraband Exercise Ball 45cm £16.00





PYTEBSET Theraband Exercise Ball Set (One of each) £105.00

PYAA9055 Air Pump (required) £14.00

Goniometer

The goniometer may be usedto measure pre and post-oprange of motion of jointstogether with the effect ofphysiotherapy. Clients mayuse to measure progress.360˚ measurement.

GONIOMETER

GONIO Goniometer 6”/ 150mm (illustrated) £15.00

GONIO2 Goniometer 12”/ 300mm £22.00

Physio-Roll Ball Range

The Physio-Roll is a variation onthe traditional shaped sphericalexercise ball. Due to the ‘peanut-like’ shape, the movement of theball is limited to side to side andforwards and backwardsproviding greater stability. Apump is required for initialinflation and maintenance.

PHYSIO-ROLL BALL RANGE

PYAA9081A Physio-Roll Ball 300mm Blue £40.00

PYAA9081B Physio-Roll Ball 400mm Red £40.00

PYAA9081C Physio-Roll Ball 550mm Yellow £55.00

PYAA9081D Physio-Roll Ball 700mm Blue £70.00

PYAA9081E Physio-Roll Ball 850mm Red £80.00

PYRBSET Physio-Roll Ball Set (one of each) £255.00

PYAA9055 Air Pump (required) £14.00

In recent years there has been a marked increase of interest from both theveterinary profession and the public in the application of physiotherapy inanimals. However, historically, the profession has been slow to embracethis exciting discipline and this has led to many lay people offeringrehabilitation services. It is important that control of physiotherapy and therehabilitation of animals remains with the veterinary profession. This willensure appropriate standards are met and that CPD is mandatory. Theprofession will then be in a position to advise the public accordingly.Proper training in physiotherapy is essential. There are many coursesspringing up but not all meet the standards recognised by the specialinterest group BVRSMA (British Veterinary Rehabilitation and SportsMedicine Association. www.bvrsma.org.uk).

Physiotherapy has many applications in veterinary practice and can helpincrease practice turnover and profit. It also offers the chance of bondingwith clients and provides a service not available over the internet.

Traditionally, vets have considered this a nurses’ job and many treatmentsessions can be carried out by suitably trained and supervised nurses.However, the diagnosis and treatment plan must be drawn up by a suitablytrained vet or ACPAT Cat A physiotherapist (Association of CharteredPhysiotherapy in Animal Therapy). This treatment plan will be bespoke foreach patient and will change as the patient progresses through therecovery schedule.

Another preconception is that physiotherapy equals hydrotherapy. Whilsthydrotherapy is a useful part of physiotherapy there is much more that canbe done. Other pieces of equipment (modalities) include therapeutic laser,therapeutic ultrasound, pulsed electromagnetic therapy (PEMT), electricalmuscle stimulation (EMS), hot and cold therapy (Canine Icer) and theunderwater treadmill (UWTM). For example, laser, ultrasound, pulsedelectromagnetic therapy help as part of a multimodal approach to themanagement of OA. Core stability, proprioceptive retraining andstrengthening are essential parts of any recovery program (wobble boards,physio balls/peanuts, UWTM, EMS). Other opportunities for physiotherapyinclude post operatively where it will significantly speed wound healing andreturn to function (laser, ultrasound, Canine Icer;) as part of a treatmentplan for elbow and hip dysplasia (laser, UWTM) spinal and neurologicalcases(PEMT, EMS) muscle atrophy (EMS, UWTM) as part of a weight lossprogram (UWTM) general fitness (UWTM) and pain control (laser, EMS,PEMT).

Most of the equipment in physiotherapy is straight forward to use.However, its application can only be learnt by attending suitable coursessuch as the CRI course. (www.caninerehabinstitute.com)

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PHYSIOTHERAPY AND REHABILITATION 3bwww.vetinst.com

Wobble Cushions & Wobble/Rocker Board Sets.

The main function of wobblecushions, boards and rockers isto improve proprioception andre-educate balance. Theyprovide a challenging surfaceto stand on, aiding co-ordination, strength andcirculation and are a usefulrehabilitation aid.

WOBBLE CUSHIONS AND WOBBLE ROCKER BOARD SETS

PY091338540 Dynair Senso Wobble Cushion 36cm Green £25.00

PYXET73T Rocker Board £35.00

PYXET736 Wobble Board £35.00

PY091337740 Rocker / Wobble Board with stand (set) £65.00

Canine Icer™ - Stifle Icer.

The Stifle Icer allows you toapply a consistent, evenapplication of cold therapy tothe stifle joint and surroundingmuscles. It can be usedfollowing surgery such ascruciate surgery or an injuryand can aid recovery byhelping reduce inflammationand oedema. The Icer iscustom-made of strong andinsulating Neoprene® orDenier Cordura® Fabric with a soft lining of cotton Lycra® pockets thatholds the ice packs. The Stifle Icer is held in place with Velcro® whichallows maximum adjustability.

Additional ice packs are available for your Canine Icer™

Measurements = length from thigh to hock.

CANINE ICER - STIFLE ICER

PYCIS-S Stifle Icer - Small 13cm (5”) - 18cm (7”) with ice pack £37.50

PYCIS-M Stifle Icer - Medium 19cm(7.25”) - 23cm (9”) with ice pack £37.50

PYCIS-L Stifle Icer - Large 24cm (9.25”) - 28cm (11”) with ice pack £37.50

PYCIS-XL Stifle Icer - X Large 28+cm (11”) with ice pack £37.50

PYCI-IP Spare Ice Pack - 41cm (16”) x 23cm (9”) £11.50

Electro-Muscle Stimulation Unitand Self Adhesive Electrodes.

The E.M.S. Series 3 Unit provides an electrical impulse which causesmuscle contraction. This provides a wide range of benefits includingincreasing muscle strength and the range of movement of joints and canbe of particular use for patients with musculoskeletal injuries, peripheralneuropathies and post-operative rehabilitation following orthopaedicsurgery. The primary use is to help attenuate muscle atrophy, re-educatemuscle function and strengthen muscles.

Not to be confused with the TENS machine.

Features of EMS Series 3 Unit:

• Large clear digital display

• Easy to use 1 touch operation.

• Protective control cover

• Selectable modes: constant, sync and alternate.

• 5 year warranty (unit only)

Replacement self-adhesive electrodes are available.

ELECTRO-MUSCLE STIMULATION UNIT

PY091362466 Physio-Med Electro-Muscle Stimulation

Unit 3 series £37.50

PY091362763 Electrode Valutrode Fabric 5 x 5cm (Pack of 4) £4.50

PY091362797 Electrode Valutrode Lite 5 x 5cm (Pack of 4) £4.50

Canine Icer™ - Leg Weight Cuffs

The Canine Icer™ leg weight wrap can beplaced at any point on the dog’s leg. Eachwrap contains a separate weight bag ofeither 2 or 4 oz. Leg weights can provideextra resistance and can be used aphysiotherapy aid.

Weights should only be used under directsupervision by a Veterinary Surgeon orPhysiotherapist.

CANINE ICER - LEG WEIGHT CUFFS

PYCILC-S Legweight Cuffs - Small (for dogs 10kg or under) £20.00

PYCILC-M Legweight Cuffs - Medium (for dogs 10kg - 40kg) £20.00

PYCILC-L Legweight Cuffs - Large (40kg +) £20.00

98


Measurements: Girth = measurement around widest part of ribcage.

Length = distance from back of neck to the base of tail.

K9 FLOAT COAT

CODE SIZE GIRTH LENGTH VET PRICE RRP

02978a XXS 12”-19” 9” £57.50 £85.00

02978b XS 17”-24” 12” £57.50 £85.00

02978c S 23”-30” 16” £57.50 £85.00

02978d M 27”-32” 21” £70.00 £100.00

02978f L 31”-40” 25” £70.00 £100.00

02978g XL 35”-48” 35” £70.00 £100.00

The safe use of hydrotherapy should include either a float coat or, forexperienced swimmers, a safety harness. Patients should not beswimming with a simple collar. The Web Master Harness is comfortableand cushioned in all the right areas but strong enough to lift the dog fromthe water.

Manufactured from heavy duty nylon with quick release buckle. Designedwith hydrotherapy in mind but also useful as a mobility assist in any dogunsure of its footing into cars or up steps etc.

Colour is black and red.

WEB MASTER HARNESS

CODE SIZE GIRTH LENGTH VET PRICE RRP

02979a XXS 12”-19” 10” £50.00 £70.00

02979b XS 17”-24” 13” £50.00 £70.00

02979c S 18”-30” 16” £50.00 £70.00

02979d M 23”-36” 19” £55.00 £85.00

02979e L 31”-48” 22” £55.00 £85.00

Web Master Harness

The use of water treadmills and/ or swimming as non weight bearingexercise are becoming increasingly popular in canine rehabilitation.Necessary precautions should include the use of a quality life preserverwith the means of rapid removal from the water.

The Float Coat has a durable nylon shell with an ergonomic fit. The coathas high buoyancy and a low profile assistance handle. The handle andcoat are strong enough to support and lift the dog from the water. Securedby quick release buckles the Float Coat is supplied in green. Also usefulfor dogs who love the water but are not as strong a swimmer as they usedto be.

K9 Float Coat

Westville Therapy Systemsare designers of veterinarypulsed electro-magnetictherapy units. They are aportable, cost effectivesolution to animalphysiotherapy and injuryrepair. All Westville productsare designed as a result ofscientific research and onlyuse pulsed field therapy. Allfrequencies and treatmentguidelines are purely theintellectual property of Dr.D.C. Somerville.

The Biomag 2 Unit has arange of frequencies offeringa range of treatment optionsfrom soft tissue injuries,fracture repair enhancementand pain relief.

Applicator specifics:

The Triple Concentric Applicator is valuable in canine therapy since it canbe placed under the dog (or even under the dog bed) to allow the provisionof pain relief.

The Canine Leg Applicator has dual coils and wraps around the limb. Itcan be used to treat soft tissue injuries and to enhance the repair of longbone fractures. It may also be used for tendon injuries. Available in 2 sizes.

The Canine Jacket is an extremely versatile design. Having 4 coils inpockets, 2 on each side, it allows treatment to be given to hip andshoulder, for instance in arthritic dogs. However, by reversing one coil oneach side, it also enables treatment of the fore or rear areas of the spine.

The Westville Imita Units offer both phototherapy treatment (laser) andpulsed magnetic therapy.

The Imita 30 (VR) has 30 high intensity visible red emitters for healing ofwounds and scar reduction, but has also proved useful for deeper tendoninjuries. The unit also has a single pulsed coil with individual switch control.This allows the option of additional PMF treatment to be offeredsimultaneously.

The Imita 30 (B) has 30 high intensity blue emitters. It is designedspecifically for application to infected wounds due to its antibacterial effect.As with the above applicator, a single field coil is included and can be usedsimultaneously to the phototherapy if required.

For further information regarding pulsed magnetic field therapy and phototherapy for veterinary use please view Westville Therapy Systems websitewww.westvilletherapy.co.uk

Regular training courses are offered by Dr D.C. Somerville on both pulsedelectro-magnetic therapy and phototherapy treatment. Call for details.

PULSED ELECTROMAGNETIC THERAPY UNIT AND PHOTOTHERAPY UNIT

PYBMG Biomag 2 Pulsed Electromagnetic

Therapy Unit £495.00

PYTCP Triple Concentric Applicator £105.00

PYCA1S Canine Leg Applicator Small £85.00

PYCA1L Canine Leg Applicator Large £95.00

PYCJ1 Canine Jacket (measurements for Canine

Jacket = Base of neck to the top of tail) £155.00

PYITAB Imita Unit 30 (VR) £235.00

PYITAR Imita Unit 30 (B) £235.00

Westville Therapy Systems™ Pulsed Electromagnetic Therapy Unit & Phototherapy Unit

99


The Vet Aqua has been designed with input from over 50veterinarians and physiotherapists using existing UWTMs.The design has taken the best features of existingmachines and then added features requested by thepractitioners. This is a machine designed and built to thevets’ specification rather than being designed solely froman engineer’s perspective.

The Vet Aqua is one of the longest treadmills available.This allows large breeds to be treated. Joint problemsare common in the larger breeds and represent one of thelargest groups for treatment and practice revenue.

The Vet Aqua boasts a large 17” waterproof touch screen that is either ceiling or floor mounted which allows operationfrom outside AND inside the tank without the use of fiddly remote controls that can get lost or dropped in the water!

The Vet Aqua features specially written software that incorporates parameters of speed, time, distance, watertemperature and depth display along with % buoyancy of each patient. Units can be displayed in SI or Imperial units.The display is also multi lingual. The software also allows sessions to be recorded and saved as profiles in patientrecords. These profiles can be edited to increase/ decrease the parameters above. This allows the vet/ physiotherapistto perform the initial assessment and design a profile that can subsequently be run by a suitably trained vet nurse.This is the only machine to have these features.

Full training is given by fully qualified key opinion leader and is included in the cost.

For further details and pricing or to organise a visit to view the Vet Aqua Under Water Treadmill

call 0845 130 9596 or email www.vetinst.com

Vet Aqua Under Water TreadmillThe Most Advanced Canine Under Water Treadmill.

Feature Benefit

Treatment Tank

Fully certified 17v AC drum motor Designed for safety, longevity and heavy usage

Large viewing area on sides givinggreater visibility

Allows easy gait analysis from the side

Large viewing area on doors Allows easy gait analysis from head on and from behind

Doors at both ends Avoids dogs with spinal injuries from having to turn round in the tank

Door hung on the same side oftreadmill

Allows efficient patient flow through the treadmill

Easy open/close door handles Quick, easy and secure to use

Textured ramps at both ends Dog does not have to walk on slippery glass surface

Flat running boards Allows operator to stand in most convenient place for each patient

Belt assembly lifts upAllows for easy and effective cleaning helping prevent a build-up of debrisand bacteria such as MRSA, that could cross contaminate between patients.

Powerful gas struts Belt assembly can easily be lifted by one person

Floor pan of treadmill slopes towardsoperator and has a hair and grit trap

Traps unwanted hair and grit allowing quick and easy removal betweenpatients. Also stops debris entering the filter system and holding tank.

Large sand filter with easy to usebackwash system

Copes with water filtration even in a busy clinic and reduces chemicalusage.

100

Insert sleeves may be used through the KE Plus clamps to act as softtissue protectors for pilot drills. See table on page 107 for insertion data.

External fixation can offer major advantages over “conventionalmethods” in the management of many fractures.

1. Relatively easy to apply.

2. Maintains limb use and joint mobility.

3. Well tolerated by patients.

4. Low cost c.f. plating systems and is largely re-useable.

5. Relatively low risk procedure.

6. Particularly useful in the presence of infection.

SINGLE KE CLAMP

001583 Large KE Clamp Single (Max pin size is 4mm) £14.50

001591 Medium KE Clamp Single (Max pin size is 3.2mm) £14.00

001593 Small KE Clamp Single (Max pin size is 2.4mm) £13.50

SINGLE KE PLUS CLAMPS

001525 Large Single KE Plus Clamp £16.50

001526 Medium Single KE Plus Clamp £16.00

001527 Small Single KE Plus Clamp £15.50

001544 Large KE Plus Clamp - Pack of 6 £87.50

001545 Medium KE Plus Clamp - Pack of 6 £85.00

001546 Small KE Plus Clamp - Pack of 6 £82.50

001540 6 of each KE+ Clamp (Large, Medium Small)18 in total £235.00

Single KE Plus ClampIntroduction

Fixator SystemsKE Plus -‘The Second Generation'

Single KE Clamp

KE equipment is a very versatile system which has stood the test of timeand remains the industry standard. However, one major limitation is thatpositive threaded pins cannot be inserted through the standard clamp.Most authorities are recommending the use of at least some positivethreaded pins in any construct.

Veterinary Instrumentation has developed KE Plus specifically to increasethe range of pins which may be used including positive threaded pins. Forany given size of clamp it is now possible to use both larger and smallerdiameter pins than standard KE systems. KE Plus is fully compatible withyour existing KE set up. KE Plus clamps have a matt finish compared withthe polished standard KE clamps.

This clamp remains the industry standard in veterinary orthopaedics. Mostcriticisms levelled at KE are usually attributable to pilot error. Usedcorrectly KE is very effective. Used to attach fixation pin to connecting bar,the single clamp is the key element of any external fixation frame. Its sizewill dictate the size of the fixation pin and the size of the connecting bar.The greater the diameter of the connecting bar and the greater the numberof connecting bars, the stronger the apparatus.

As a guide, we would suggest small clamps for up to 5kgs, medium clampsfor 5 - 30kgs, and large clamps or multiple medium frames for over 30kgs.

Each clamp will accept a variety of pins, see table on page 107. The pinsize indicated is the largest possible. Smaller pins will also work althoughthe fixation is not quite as rigid. e.g. the proximal radius may need aslightly smaller pin than the distal radius.

Medium KE Pluswith large positive pin

Medium KE Pluswith small positive pin

4 EXTERNAL FIXATION Chapter 4

101

CONNECTING BARS

001595 Small Connecting Bar 1/8" (3.2mm) x 30mm £5.75





001560 Small Connecting Bar 1/8" (3.2mm) x 150 mm £7.00

001588 Medium Connecting Bar 3/16" (4.8mm) x 75mm £7.25




001589XL Medium Connecting Bar 3/16" (4.8mm) x 250mm £8.75

001586 Large Connecting Bar 5/16" (8mm) x 100mm £11.50



001549 Large Connecting Bar 5/16 " (8mm) x 340mm £23 .00

Double Clamps

Used to attach a connecting bar to another connecting bar. If possible, thefixation pins in the proximal fragment should be linked to the pins in thedistal fragment via single clamps and a single connecting bar. This is notalways possible because of the shape of the bones or the angle ofplacement of the pins.

It may be necessary to connect the pins in the proximal fragment to a shortconnecting bar and the pins in the distal segment to another shortconnecting bar. Finally the two short connecting bars are joined by a longconnecting bar using double clamps. The frame is not as rigid as the singleconnecting bar frame. Double clamps may be used to connect long barsproximally and distally, as in type III frames.

Connecting BarsConnecting Bars are available in 5/16" for large clamps, 3/16" for mediumclamps and 1/8" for small clamps. The thicker the bar, the stronger theframe. The shorter the bar between bone fragments, the stronger theframe. Rigidity is important early in fracture healing. When significantcallus is present, it is often helpful to introduce some slight axial motion byeither removing some pins or moving the clamps further away from thebone. This is known as staging down or dynamising. Bars are available ina variety of lengths.

EXTRA LARGE CLAMPS & BARS

EXL01 Extra Large Single Clamp £39.50

EXL02 Extra Large Double Clamp £78.50

EXL09 Extra Large Connecting Bar 100mm £24.50





Extra Large Clamps and Bars

Standard KE clamps made verymuch larger. Bars are 1/2"12.5mm in diameter.

Clamps will accept up to 5/16"8mm pins. Suitable for foals andcalves.

SPLIT CLAMP

001547S Small Split Clamp Single £19.50

001547M Medium Split Clamp Single £20.00

001547L Large Split Clamp Single £20.50

Split Clamp

Occasionally it is necessary to add a pin to a frame toimprove stability. If the pin is required in the middle ofa frame it will be necessary to dismantle the wholeframe. The split clamp enables the surgeon tointroduce additional pins without disassembly. Whenfully loosened the clamp slides over the connectingbar. Not as secure as a standard single clamp.

DOUBLE CLAMPS

001594 Small Double Clamp £22.00

001592 Medium Double Clamp £24.00

001584 Large Double Clamp £26.00

ESF Hinge

ESF HINGE

001597 ESF Hinge Joint Small £46.00

001598 ESF Hinge Joint Medium £48.00

001599 ESF Hinge Joint Large £50.00

Designed specifically to maintain reduction of luxated hips by means of asimple frame on the pelvis, the ESF hinge is also useful in transarticularframes where continued mobility is desirable, e.g. hock and elbow.

Attaches to standard KE equipment. Relatively weak in abduction.Supplied with instructions for use.

EXTERNAL FIXATION 4 www.vetinst.com

102

4 EXTERNAL FIXATION

BOXED ESF KITS (SPANNERS INCLUDED)

001579 Boxed Full Kit (including doubles) in Stainless Box. S/M/L Std kits + spanners. £695.00

001579ND Boxed Full Kit No Doubles. As above but with no double clamps £545.00

001579NDP Full kit in stainless steel box. Includes for each size of the 3 sizes: 8 Single clamps, 2 long bars, spanner, 2 mid thread positive pins, 4 end thread positive pins, the correct predrill and an ESF tissue protector £775.00

The full kit comprisesone of each “standardkit” plus acompartmentalisedstainless steel box inwhich to sterilise it.However typically,double clampsweaken frames andare to be avoided ifpossible. 001579NDis based on singleclamps only. For idealconstruction use atleast 3 pins in eachfragment. Kits save10% on componentcosts.

NB: pins are only supplied with kit 001579NDP which includespositive pins of all appropriate sizes.

ESF Kits

TYPE ONE KE PLUS KIT

001570 Unilateral Kit Large 4 Clamps 1 Bar 240mm £71.50

001571 Unilateral Kit Medium 4 Clamps 1 Bar 150mm £62.00

001572 Unilateral Kit Small 4 Clamps 1 Bar 100mm £59.50

001570P Unilateral Kit Large 6 Clamps 1 Bar 240mm £105.00

001571P Unilateral Kit Medium 6 Clamps 1 Bar 200mm £95.00

001572P Unilateral Kit Small 6 Clamps 1 Bar 150mm £89.50

TYPE TWO KE PLUS KIT (MODIFIED)

001520 Bilateral Kit Large 6 Clamps 2 Bars, 240mm £120.00

001521 Bilateral Kit Medium 6 Clamps 2 Bars, 200mm £98.50

001522 Bilateral Kit Small 6 Clamps 2 Bars, 100mm £95.00

001520P Bilateral Kit Large 8 Clamps 2 Bars, 240mm £150.00

001521P Bilateral Kit Medium 8 Clamps 2 Bars, 200mm £135.00

001522P Bilateral Kit Small 8 Clamps 2 Bars, 100mm £130.00

Type One Kit

Contains two long barsand 6 or 8 KE Plusclamps. Pins andspanners are notincluded. Use tocreate a bilateralframe using a long(preferably mid-threaded) pinproximally and distally.

Type Two Kit - (modified)

Consists of 8 single KE Plus clamps, 2 double clamps, 2 long bars, 2 shortbars. Some fractures and somepatients require more elaborateframes using either more clamps ormore connecting bars. The standardkit will enable you to deal with mostsituations.

NB: No pins or spanners are supplied with these kits.



Standard Kit

STANDARD KE PLUS KIT

001580 Large Standard Kit 4mm. 8 single + 2 double clamps & bars 2 long + 2 short £220.00

001581 Medium Standard Kit 3mm. 8 single + 2 double clamps & bars 2 long + 2 short £185.00

001582 Small Standard Kit 2mm. 8 single + 2 double clamps & bars 2 long + 2 short £175.00

001578 Stainless Box with partitions £140.00

When purchased as kits there is typically a 10% reduction in totalcost. All single clamps will be KE Plus.

ESF & Shearing Injury

Contains a long barand 4 or 6 KE Plussingle clamps. Pinsand spanners are notincluded. This is theminimum frame youshould try to use. Twopins only in the distalfragment is moreacceptable than 2 pinsproximally. Pincomplications areusually fewer in thedistal fragment.

Boxed ESF Kits (spanners included)

SF Bars

103


The standard fixator described in veterinary literature is based on doublebolted clamps based on 3.2mm bars (Mini), 6.3mm bars (Small) and9.5mm bars (Large).

The advantages of Standard Fixator (SF) clamps over KE have been welldocumented.

• Better angular security of pins.

• Suitable for a large range of positive and negative threaded pins.

• Thicker bars for stronger unilateral / type 1 frames.

• Ability to add and remove clamps anywhere in the frame.

• Simple constructs save time, money and morbidity.

VI Standard Fixator (SF) clamps are fully compatible with the industrystandard.

SF Clamps

Standard Bars for the minisystem are 1/8” or 3.2mmin stainless steel. For thesmall clamps the bars are1/4” or 6.3mm in eithercarbon fibre or titaniumand for the large clampsthe bars are 3/8” or 9.5mmin either carbon fibre oraluminium.

STANDARD FIXATORS (SF) BARS

001559 Mini 1/8” (3.2mm) Bar x 50mm Stainless Steel £6.00





001862C Small 1/4”(6.3mm) Bar x 100mm Carbon £8.00




001862TI Small 1/4”(6.3mm) Bar x 100mm Ti £8.50




001870C Large 3/8”(9.5mm) Bar x 100mm Carbon £8.50





001870TI Large 3/8”(9.5mm) Bar x 100mm Aluminium £8.50





STANDARD FIXATORS (SF)

Clamp Pin Shaft Dia Bar Dia Spanner

Mini 0.9 - 2.5mm 1/8” 3.2mm 7mm

Small 2.0 - 3.2mm 1/4” 6.3mm 8mm

Large 3.2 - 4.8mm 3/8” 9.5mm 10mm

SF PinsStandard Fixator (SF) clamps accept a wide range of both positive andnegative threaded pins. VI takes the view that when comparing pins witha similar thread diameter there is no particular advantage of positive pinsover negative pins. Details of pin options may be found on page 109The Pin Chart on page 107 show which pins will fit which clamp.

SF Kits

Standard Fixator Kits are discounted by 5% over the component price.Each kit includes two long bars and 8 clamps but no pins or spanners.

STANDARD FIXATORS (SF) KITS

001892 Mini SF Kit with Stainless Steel Bars £115.00

001893 Small SF Kit with Carbon Bars £135.00

001894 Small SF Kit with Titanium Bars £140.00

001895 Large SF Kit with Carbon Bars £145.00

001896 Large SF Kit with Aluminium Bars £135.00

STANDARD FIXATORS (SF) CLAMPS

001740 Mini Single Clamp £15.00

001741 Small Single Clamp £15.50

001742 Large Single Clamp £16.00

001743 Mini Double Clamp £21.00

001744 Small Double Clamp £23.00

001745 Large Double Clamp £25.00

STANDARD FIXATORS (SF) SPANNERS & WRENCHES

001566 Mini Spanner 7mm £9.50

001566T Mini T Bar Wrench 7mm £17.50

001565 Medium Spanner 8mm £9.50

86685 Medium Angled Wrench 8mm £13.50

001565T Medium T Bar Wrench 8mm £19.50

001564 Large Spanner 10mm £9.50

86687 Large Angled Wrench 10mm £13.50

001564T Large T Bar Wrench 10mm £21.50

104

4 EXTERNAL FIXATION

SMALL LINEAR FIXATOR

015301 Small Linear Kit. 8 Slide On (4.0), 8 Hook On (4.0), 8 Slide On (2.5), 8 Hook On (2.5), Spanner, 1 of each carbon bar, 6 of each pin. Stainless Box. Kit is discounted 10% £775.00

015300 Small Linear Clamp ‘Slide On’ 4.0mm shaft £15.50

015310 Small Linear Clamp ‘Hook On’ 4.0mm shaft £17.50

015305 Small Linear Clamp ‘Slide On’ 2.5mm shaft £15.50

015315 Small Linear Clamp ‘Hook On’ 2.5mm shaft £17.50

001566 7mm spanner £9.50

001566T 7mm ‘T’ Wrench £17.50

015203 Stainless Bar 75mm £5.50




015200C Carbon Fibre Bar 75mm £8.00




The Small Linear Fixator is designed for use in the stabilisation of fracturesrequiring pins with thread diameters ranging from 1.5mm to 4mm.

The clamps are of two types. The ‘slide on’ type is fed onto the end of thebar. The ‘hook on’ type may be fitted into the middle of an existing frame.Each type of clamp is available as two variants, the 4.0mm variant and the2.5mm variant. The 4.0mm variant is used to connect bars to each otherand for pin thread diameters 4.0mm, 3.5mm and 3.0mm. The 2.5 variant isused for pins with thread diameters 2.5mm, 2.0mm and 1.5mm.

A feature of all the clamps is a system of internal locking grooves whichinterlock when tightened giving very rigid angular fixation (c.f. KE typesystems).

The clamps may be used with either Stainless Steel or Carbon Fibre Barsof 4.0mm in diameter. This is a beautifully engineered system which costslittle more than KE.

Available as a set including clamps, wrenches, carbon bars and pins of allsizes saving 10% on component costs.

Small Linear Fixator (SLF)

SMALL LINEAR FIXATOR PINS

Code Overall Length Shaft Dia Thread Dia Thread Lgth (mm) Price

015100 80 4.0 4.0 35 £5.25

015105 80 4.0 3.5 30 £5.25

015110 80 4.0 3.0 25 £5.25

015115 60 2.5 2.5 20 £5.25

015120 50 2.5 2.0 15 £5.25

015125 50 2.5 1.5 12 £5.25

Linear Fixators

The Linear Fixator (LF) is designed around carbon or stainless bars from1/4”/6.3mm to 3/8”/9.5mm. Pins from 2 to 5mm shaft diameter are grippedby the clamps.

The clamps are ‘Clip on’ in style and may be fitted into the middle of anexisting frame. The clip on clamp is springloaded and clips onto the bar ina semi-retained fashion pending tightening. Additionally the pin clamp isspringloaded, the pins clip in and are retained pending insertion andtightening. The tightening of the clamp to the bar and the clamp to the pinsare separate operations. There is minimal slipping and sliding duringassembly. The large clamp offers multi-point fixation to pins 3.5mm to5.0mm and fits an 11.00mm bar. The medium clamp takes pins 2.0mm to4.0mm and fits a 1/4” or 6.3mm bar. A feature of the clamps is a system ofinternal locking grooves which interlock when tightened giving very rigidangular fixation (c.f. KE type systems).

The clamps are used with radiolucent Carbon Fibre Bars.

Available as a set including both clamp styles, wrenches and carbon barssaving 10% on component costs. Use standard pins between 2.0mm and6.0mm in diameter.

Linear Fixator (LF)

LINEAR FIXATOR SYSTEM (LF)

015590 Medium/Large Linear Kit: 8 Large Clip On Single Clamps, Large Spanner, 1 of each 11.0mm bar (except 350mm). 8 medium Clip On Clamps, one of each 6.3mm bar. Medium Spanner Stainless Box Kit is discounted 10% £495.00

015594 Large Linear Clamp ‘Clip On’ £21.00

015595 Large Linear Double Bar Clamp £25.00

015596 Large Linear Double Pin Clamp £21.00

015597 Large Linear ‘T’ Double Pin Clamp £28.50

015550 Carbon Fibre Bar 11.0mm x 150mm £16.00





015580 Large Linear Spanner 11mm across flats £9.50

015585 Large Linear Box Wrench 11.00mm across flats £21.00

015598 Medium Linear Clamp ‘Clip On’ £21.00

001862C Carbon Fibre Bar 6.3mm x 100mm £8.00





001561 Medium Linear Spanner 9mm across flats £9.50

Double Pin clamp ‘T’ Double Pin clamp Double Bar clamp

NEW medium size clamp for 1/4”/6.3mm bars and pins 2.0 to 4.0mm socompatible with small SK and SF bars.

Close up showing interlockridges and pin holdingmechanism.

105


Vumex External Fixation

VUMEX EXTERNAL FIXATION

F0101.2030 Alpha Clamp (up to 2mm wire, 3mm rod) £15.00

F0101.3040 Beta Clamp (up to 3mm wire, 4mm rod) £15.00

F0102.3040 Beta Clamp Add on (up to 3mm wire, 2mm rod) £18.00

F0101.4040 Beta Clamp (up to 4mm wire/rods) £20.50

F0202.40 Bi-axial Uniplanar hinge joint £24.50

F0401.2007 Straight rod knurled 2mm x 75mm £25.00



F0401.2507 Straight rod knurled 2.5mm x 75mm £28.00














F0402.2502 Large L rod knurled 2.5mm £55.00



F0403.4003 Large Z rod knurled 4.0mm £72.50

F0703.01 Bender tube pair £33.00

F0702.0120 Allen key 2.0mm A/F disposable £4.95

F0702.0130 Allen key 3.0mm A/F disposable £4.95

F0302.0407 Fishmouth Distractor 100mm 1.6-3.2mm pins £90.00

F0302.0415 Fishmouth Distractor 150mm 1.6-3.2mm pins £90.00

F0302.0615 Distractor M4 Double Hole 150mm £90.00

F0302.0620 Distractor M4 Double Hole 200mm £90.00

F0304.0620 Distractor M6 Fishmouth 200mm £90.00

Vumex

Vumex Distraction Unit

The Vumex external fixation system is particularly appropriate for smalldogs and cats together with rabbits, guinea pigs and exotics. The systemis very lightweight. The bars are knurled for maximum grip and are easilycontoured. The grub screw pushes the bar against the pin which is lockedwith a minimum of three point fixation.

The distraction devices are self contained and very effective in smallfragment distraction. The fishmouth type does not require that the pinpasses through the clamp prior to attaching the distractor. The clamps will‘grab’ pins from 1.6mm up to 3.2mm.

MEYNARD CLAMPS

clamp fixation pin bar diameter diameter diameter

260002 12 1.0 2 £4.25

260003 12 1.2 2 £4.25

260004 12 1.6 2 £4.50

260005 14 1.5 3 £4.50

260005KE 14 1.5 3 £4.50

260006 14 2.0 3 £4.50

260007 16 2.0 4 £5.00

260013KE 16 2.4 3.2 £5.75

260013 16 2.4 4 £5.75

260008 16 3.0 4 £5.75

260014KE 24 3.0-3.2 4.8 £7.00

260015KE 24 4.0 6.3 £9.50

260009 24 4.0 6 £9.50

MEYNARD CONNECTING BARS

260030 3mm for 14mm clamps. 50mm long £7.75



260060 2mm for 12mm clamps. 500mm long; cut to length £7.75




Meynard Fixation Clamps

Stainless Steel External Fixators. Very simple, very inexpensive ESFsystem widely used with success in France and Spain. The clamps splitallowing placement of pins, (both positive threaded and negative threaded)mid frame. Not as strong as KE or KE Plus type so more clamps areneeded. Bars are available in all sizes. There are now Meynard clampsavailable which fit standard KE bars. Very useful for mid frame and positivethreaded pins. Clamps which work with KE bars carry a KE suffix. Uses a7mm spanner.

SPANNERS

001566 Spanner Small 7mm £9.50

86104 Small Socket 7mm £4.95

001566T Small T Wrench 7mm £17.50

106

4 EXTERNAL FIXATION

‘Leonardo’ Mini ESF

Designed and developed by Jose Vicente Targa Villalba, the Leonardosystem takes external fixation as small and as light as it can go. Theclamps are made from Titanium and accept pins and bars from 0.8mm to2mm. Suitable for avians and small furries. Three sizes of clamps, thesmallest weighing less than 1g. Available as set comprising 6 of each sizeclamp and hexdriver in a stainless case. Also available as components.

See chapter 7 page 189 and chapter 4 page 108 for suitable threaded andsmooth wires for pins and bars.

‘LEONARDO’ MINI ESF

LEOKIT ‘Leonardo’ Mini ESF Kit £375.00

LEOC2015 2.0/1.5 Leonardo Clamp £22.00



015517 2.0mm Hex Driver (Allen Key Type) £8.50

015516 2.0mm Hex Driver (Screwdriver Type) £52.50

FESSA External Fixation

Developed for use in the French army FESSA is a lightweight tubularfixator with a number of interesting features.

• The tube incorporates the pinclamping mechanism and is thusvery strong and has extremelygood angular pin rigidity.

• Available in 6 and 8mm diametertubes.

• 6mm tube accepts pins of shaftdiameter 0.9mm to 1.8mm makingit extremely useful in themanagement of fractures in catsand exotics.

• 8mm tube accepts pins of shaft diameter 1.6mm to 3.2mm.

• Design allows placement of multiple parallel pins close together in smallfragments.

• Pins can be placed at right angles to tube or angled through adjacentholes. Pins are locked into position by hex driven grub screws.

FESSA EXTERNAL FIXATION

015500 FESSA starter Set in stainless box £445.00

015502 FESSA Tube 6mm x 30mm £25.50



015507 FESSA Hex Driver Screwdriver Type 1.5mm £52.50

015508 FESSA Hex Driver Allen Key Type 1.5mm £8.50

015509 FESSA 6mm (1.5 Hex) Locking Screws (10) £24.00

015534 FESSA 6mm Hinge £57.50

015510 FESSA Tube 8mm x 100mm £34.50

015512 FESSA Tube 8mm x 150mm £38.50

015514 FESSA Tube 8mm x 200mm £42.50

015516 FESSA Hex Driver Screwdriver Type 2.0mm £52.50

015517 FESSA Hex Driver Allen Key Type 2.0mm £8.50


015536 FESSA 8mm Hinge £57.50

FESSA

6mm FESSA plus 1.1mm pinsDistal radius/ulna cat

Standard Stainless Steel FESSA is already very light. The tubular structureacts as both clamp and bar. Birds, small furries and exotics demand evenlighter constructs. Using Titanium tube of 5.0mm in diameter enables thesurgeon to apply FESSA constructs weighing from as little as 1.5 grams.

Titanium Fessa tubes (015521 & 015522) are both supplied with 6 x M3grub screws. Suitable for pins 0.8mm to 1.6mm. For full range of pins seepage 108. Uses 1.5 hex drivers, the same as 6.0mm FESSA

Ultra-Lightweight Titanium FESSA

TITANIUM FESSA

015530 Titanium FESSA Set in stainless steel box £475.00

015521 5mm x 30mm Titanium FESSA £55.00

015522 5mm x 45mm Titanium FESSA £60.00


015508 1.5 hex Allen Key £8.50

BCNET08 0.8mm Bicortical Negative Pins £5.95



Illustrated is 5.0mm x 30mm FESSA plus 4 x 1.0mm bicortical pins.

Weight 1.5 gram

FESSA External Fixation

Kit contains:

2 x 5mm x 30mm Ti Fessa

2 x 5mm x 45mm Ti Fessa

1.5 Hex driver

Small Pin Vice

10 x M3 grub screws

6 x 0.8 Bicortical Negative Pins



Actual Size

Starter kit contains the following:

One of each 6mm tube and one of each 8mm tube (6 in total)

1 x 6mm Hinge and one 8mm Hinge

1 x 1.5mm Hex Screwdriver and one 2.0mm Hex Screwdriver

10x 1.5 Locking Screws and 10 x 2.0 Locking Screws

All contained in a stainless steel box with silicone insert.

Discounted by more than 20%

Kit supplied in stainless box withsilicone insert.

Discounted by more than 20%

107


TROCHAR PINS001556 Trochar Pin 2mm l l l l001557 Trochar Pin 3mm l l l l l 001558 Trochar Pin 4mm l l l l lCORTICAL NEGATIVE THREADED PINS (ELLIS TYPE)001528 Ellis pin 1.1m l l 001529 Ellis pin 1.6mm l l l 001533 Ellis pin 1.8mm l l l 001550 Ellis pins 2mm l l l l l l 001530 Ellis pins 2.4mm - (3/32") l l l l l l 001550A Ellis pins 2.7mm - (7/64") l l l l l 001551 Ellis pins 3mm l l l l l l 001531 Ellis pins 3.2mm - (1/8") l l l l l l 001551A Ellis pins 3.6mm - (9/64" ) l l l l l l l001552 Ellis pins 4mm l l l lBICORTICAL FINE NEGATIVE THREADED PINSCode Shaft Diameter BCNET08 0.8mm l BCNET10 1.0mm l l BCNET11 1.1mm l l l BCNET15 1.5mm l l l BCNET16 1.6mm l l l l l l BCNET18 1.8mm l l l l l l BCNET20 2.0mm l l l l l l BCNET24 2.4mm l l l l l l BCNET30 3.0mm l l l l l l lBCNET35 3.5mm l l l l l l lBCNET40 4.0mm l l l l lBCNET50 5.0mm l l lPOSITIVE THREADED PINS - END THREADCET0018 1.6mm shank 2.0mm threads Predrill 1.5mm H090101 l l l l CET0019 2.0mm shank 2.4mm threads Predrill 1.9mm H090202 l l l l l l CET0020 2.4mm shank 3.2mm threads Predrill 2.3mm H090203 l l l l l l CET0020A 2.7mm shank 3.5mm threads Predrill 2.5mm H090112 l l l l l CET0020B 3.0mm shank 3.6mm threads Predrill 2.7mm H090104 l l l l l l CET0021 3.2mm shank 4.0mm threads Predrill 3.0mm H090205 l l l l l l CET0024A 3.5mm shank 4.3mm threads Predrill 3.2mm H090105 l l l l l lCET0022 4.0mm shank 4.8mm threads Predrill 3.8mm H090207 l l l l l lPOSITIVE THREADED PINS - MID THREADCMT0018 1.6mm shank 2.0mm threads Predrill 1.5mm H090101 l l l l CMT0019 2.0mm shank 2.4mm threads Predrill 1.9mm H090202 l l l l l l CMT0023 2.4mm shank 3.2mm threads Predrill 2.3mm H090203 l l l l l l CMT0023A 2.7mm shank 3.5mm threads Predrill 2.5mm H090112 l l l l l CMT0023B 3.0mm shank 3.6mm threads Predrill 2.7mm H090104 l l l l l l CMT0024 3.2mm shank 4.0mm threads Predrill 3.0mm H090205 l l l l l l lCMT0024A 3.5mm shank 4.3mm threads Predrill 3.2mm H090105 l l l l lCMT0025 4.0mm shank 4.8mm threads Predrill 3.8mm H090207 l l l l l

CLAM

P ST

YLE

B

AR

DI

AMET

ER

KE P

lus

Smal

l

1/

8” /

3.2m

m

Med

ium

3/1

6” /

4.8m

m

Larg

e

5

/16”

/ 8m

m

Stan

dard

Min

i

1

/8”

/ 3.2

mm

Smal

l

1/

4” /

6.3m

m

Larg

e

1

/3”

/ 9.5

mm

Line

arM

ediu

m

Larg

e

PinReferenceChart

108

Pin ChoiceThere are some rules:

1. Threaded pins have a higher pull out resistance and may be placed atright angles to the bone surface c.f. smooth pins. It is therefore possibleto place more pins per bone fragment using threaded pins.

2. Try to place at least 3 pins in each fragment. If only 2 pins are possibleuse as large a diameter as seems safe. The bone holding power of a pinis proportional to the bone/pin interface it creates. 1/3 fragment diameteris the usual guideline.

3. As far as end thread pins are concerned, do not worry too much aboutthe positive/negative profile. Select your pins based on thread diameternot shaft diameter. Your fixator system (old KE) may impose positiveprofile pins on you to obtain a given thread diameter.

4. Type II frames work much better with mid thread pins but care needs tobe exercised not to exceed a safe diameter (e.g. proximal radius).

5 The longer your frame needs to stay in situ (based on fracture type andpatient factors), the greater the stability and bone/pin interface you willrequire. If in doubt, go for a modified type II, fully threaded.

Trochar Pins

TROCHAR PINS

001556 Trochar Pin 2mm £4.00



EXL10 1/4” Trochar Pin £11.50

EXL 11 5/16” Trochar Pin £13.50

Our Trochar Pins have a special long point designed to cut bone. Use ofpins with short trochar tips generates heat which leads to pin loosening.

The smooth shanks of the pins provide minimal pull out resistance.Trochar pins should, therefore, be placed at converging or divergingangles compared to other pins in the same bone fragment.

Pin Code Shank Size KE+ Clamp Pre Drill Size Drill bit Ellis Bicort (mm) code

001528BCNET11 1.1 S - -

001529BCNET16 1.6 S 1.1 H090100

001550BCNET20 2 S 1.5 H090101

001530 2.4 S/M 1.8 H090208

BCNET24 2.7 S/M 2.0 H090102001550A

001551BCNET30 3 S/M/L 2.3 H090203

001531 3.2 M/L 2.4 H090209

01551ABCNET35 3.6 M/L 2.7 H090104

001552BCNET40 4 M/L 3.0 H090205

BCNET50 5 L 3.5 H090106S H090106L

Trochar

Negative Pins (Ellis Type and Bicortical -VEThreaded) Insertion Data

Cortical Negative Threaded Pins (Ellis type)

CORTICAL NEGATIVE THREADED PINS (ELLIS TYPE)

001528 Ellis Pin 1.1mm £4.95

001529 Ellis Pin 1.6mm £4.95

001533 Ellis Pin 1.8mm £4.95

001550 Ellis Pins 2mm £4.95

001530 Ellis Pins 2.4mm - (3/32") £4.95

001550A Ellis Pins 2.7mm - (7/64") £4.95


001531 Ellis Pins 3.2mm - (1/8") £4.95

001551A Ellis Pins 3.6mm - (9/64") £4.95


The drilling tip of this type of pin is the long Trochar. Immediatelybehind the Trochar is a short fine thread designed to engage thefar cortex. The smooth shank engages the near cortex. Thethread/shank junction (the weakest part of the pin) is positionedin the medullary cavity and is therefore protected.

Ellis type pins have improved pull out resistance over Trocharpins and the angle of placement is not as critical. Ellis pinsshould be placed at right angles to the bone if possible.

Bicortical Negative Threaded Pins

BICORTICAL FINE NEGATIVE THREADED PINS

Code Shaft Diameter Thread Diameter Thread Length Overall Length Price

BCNET08 0.8mm 0.8mm 8mm 70mm £5.95

BCNET10 1.0mm 1.0mm 10mm 70mm £5.95

BCNET11 1.1mm 1.1mm 12mm 70mm £5.95

BCNET15 1.5mm 1.5mm 12mm 70mm £5.95

BCNET16 1.6mm 1.6mm 20mm 70mm £5.95

BCNET18 1.8mm 1.8mm 24mm 85mm £6.50

BCNET20 2.0mm 2.0mm 24mm 85mm £6.50

BCNET24 2.4mm 2.4mm 25mm 100mm £6.50

BCNET30 3.0mm 3.0mm 35mm 130mm £7.00

BCNET35 3.5mm 3.5mm 40mm 130mm £7.00

BCNET40 4.0mm 4.0mm 45mm 150mm £7.50

BCNET50 5.0mm 5.0mm 50mm 150mm £8.50

Negative Bicortical Pins have had a bad reputation for earlyfailure at the thread pin junction. Where selection of pin andframe are appropriate failure of negative threaded pins is rare.

The important criterion is thread diameter not shaft diameter. Forany given thread diameter both positive and negative threadedpins are equally strong. Virtually all human pins are negativethreaded!

Cortical

Bicortical

Coarse Negative Threaded Pins

COARSE NEGATIVE THREADED PINS

001567 Coarse Negative Threaded Pin 2mm £6.50



The thread on this pin is similar to a self-tapping cortical screw. Thedrilling tip is, again, the long Trochar. In young bone, use withoutpre-drilling; in older, hardened bone, use smaller pilot hole.

The much improved pull out resistance means that these pins canbe placed parallel within the same bone fragment; useful whenfragment is smaller or when aligning proximal and distal fragments.More prone to pin fracture than Ellis pins. Always use three pins oneither side of the fracture if possible.

Coarse Negative

4 EXTERNAL FIXATION

109

Positive Threaded Pins - Cancellous

POSITIVE THREADED PINS - CANCELLOUS

CANET0026 2.4mm shank 3.5mm threads 115mm long - cancellous end thread £8.95

CANET0027 3.2mm shank 4.8mm threads 150mm long - cancellous end thread £9.95

CANMT0029 2.4mm shank 3.5mm threads 150mm long - cancellous mid thread £9.95

CANMT0030 3.2mm shank 4.8mm threads 180mm long - cancellous mid thread £10.95

The coarser threads of these pins are appropriate for use in the proximaltibia and occasionally in the distal radius.

ESF Lag Pins with Olive

ESF LAG PINS WITH OLIVE

001534 ESF Lag Pins with Olive. Small 2.4mm shank 25mm x 3.2mm thread £19.50

001535 ESF Lag Pins with Olive. Medium 3.2 shank 40mm x 4.0mm thread £19.50

001537 ESF Lag Pins with Olive. Large 4mm shank 55mm x 4.8mm thread £19.50

Used almost exclusively in the management of complex humeral fracturesinvolving a variant on the ‘Y’ or ‘T’ fracture. The olive, positioned at the endof the threaded portion of the pin, acts as the screw head in a lag screw.Bone fragments may be compressed and incorporated into the externalfixator frame. The bone fragment involved is usually the lateral condyle.

Positive Threaded Pins - Cortical

POSITIVE THREADED PINS - END THREAD

CET0018 1.6mm shank 2.0mm threads 70mm long - end thread £7.50



CET0020A 2.7mm shank 3.5mm threads 110mm long - end thread £8.00

CET0020B 3.0mm shank 3.6mm threads 120mm long - end thread £8.25


CET0024A 3.5mm shank 4.3mm threads 130mm long - end thread £10.25


POSITIVE THREADED PINS - MID THREAD

CMT0018 1.6mm shank 2.0mm threads 85mm long - mid thread £10.00



CMT0023A 2.7mm shank 3.5mm threads 115mm long - mid thread £10.50

CMT0023B 3.0mm shank 3.6mm threads 120mm long - mid thread £11.50


CMT0024A 3.5mm shank 4.3mm threads 140mm long - mid thread £12.50


The fine threads of these pins are proud of the shank eliminating the weakpoint where the thread ends in other pins. The major benefit of positivepins is that the additional thread diameter creates a larger bone pininterface for a given shaft diameter. This style of pin is useful where a goodpull out resistance is required and where it is anticipated that the frameswill be left in situ for long periods - 6 weeks plus. Use KE Plus clamps ifavailable. Place at right angles to the bone.

The mid threaded pin provides good pull out resistance in frames wherethe fixation pins are supported on either side of the limb by connectingbars. i.e. Type II frames.

End Thread

Mid Thread

John

Fer

guso

n

Pin Code Shank Size Thread Size KE+ Drill bit pre drill (MM) (MM) Clamp code size

CET/CMT0018 1.6 2.0 S H090101 1.5

CET/CMT0019 2.0 2.4 S H090202 1.9

CET0020/CMT0023 2.4 3.2 S/M H090203 2.3

CET0020A/CMT0023A 2.7 3.5 M H090112 2.5

CET0020B/CMT0023B 3.0 3.6 M/L H090104 2.7

CET0021/CMT0024 3.2 4.0 M/L H090205 3.0

CET/CMT0024A 3.5 4.3 M/L H090105S H090105L 3.2

CET0022/CMT0025 4 4.8 M/L H090207 3.8

Positive Pins Insertion Data


PUSH BUTTON HANDLE TO OPEN/ CLOSE

110

Most types of bolt cutter;

• cause the cut end to fly off in a potentially dangerous manner

• create a sharp point leading to soft tissue irritation

• deform the cut area which may jam in ESF clamps.

The enclosed shearing action of this pin cutter addresses all theseproblems. The cutting range and type of action makes this cutter ideal fortrimming ESF pins. The actual cut is 5mm below the surface of the cutter.

SAFETY PIN CUTTER to 4mm

001229 Safety Cutter to 4mm Stainless 36cm £245.00

Pin CuttersSee page 75

Safety Pin Cutter to 4mm

Pre-Drills

PIN INSERTION

001600 Variable Speed Orthopaedic Drill Kit £350.00

001660 Minidrill Kit £305.00

001220 Small Jacobs Chuck and handle 5/32" (4mm) capacity £195.00

001221 Standard Jacobs Chuck and handle 1/4" (6.35mm) capacity £195.00

Correct pin insertion requires slow axial rotation under pressure. A Jacobshand chuck can be used particularly where bone is young and soft. Thereis a tendency when using a hand chuck to produce a hole which is notcircular, this will reduce the pin / bone interface resulting in premature pinloosening. The small Jacobs hand chuck gives better control and is bigenough for 2, 3 and 4mm pins.

The ideal instrument in our experience, is the Variable Speed OrthopaedicDrill which offers maximum control and minimal wobble. It delivers pureaxial rotation. It is a low speed, high torque device and, of course, usefulelsewhere in veterinary orthopaedics.

For further details about the drill and spare chuckssee Chapter 5 - Power Tools.

ESF TISSUE PROTECTOR

001548 ESF Tissue Protector £65.00

ESF Tissue Protector

Protection of soft tissue is very important when placing an ESF frame.Tissue protection whilst placing single pins is relatively straight forward.However, once a bar is in position passing a pin through a clamp into bonepresents a particular difficulty. Standard tissue protectors cannot beremoved. The ESF Tissue Protector splits along its length to allow removal.The tip has small serrations to encourage grip on the bone surface.

Pin InsertionFor positive threaded pins use a drill slightly smaller than the shaft. Fornegative threaded pins use the same size drill as the pilot drill for theequivalent screw diameter.

PRE-DRILLS

H090202 1.9mm pre-drill for 2.0mm shank positive pin. £19.50




H090101 1.5mm pre-drill for 2.0mm shank negative pin £17.50



H090106L 3.5mm pre-drill for 4.0mm shank negative pin £24.00

001229

We have re-designed the safety cutter to make it easier to use, easier toclean and easier to autoclave. The telescopic handles may be extendedby pressing the push button release. The extended handles give betterleverage when cutting pins but are too long for many autoclaves.The shear cutting action remains the same giving a neat flat (not sharp)cut. The cut off free end of the pin is retained temporarily within the bodyof the cutter rather than flying off as with standard cutters. Cuts all pinsto maximum of 4mm. Cut is 5mm below end surface of cutter.

standard cutter

safety cutter

4 EXTERNAL FIXATION

111

Table Top Stand for Limb Suspension

Suspension of a limb canprovide significant benefitsin both arthroscopy andother orthopaedicprocedures. The shoulderjoint is distracted and 360 degree accessbecomes available. Height1.2m (48”)

For 2012 our limbsuspension stand hasbeen re-designed to givegreater table-top stability.A cleat for tying off limbsuspension ropes has alsobeen added and the shaftcan be dismantled forstorage.

TABLETOP STAND FOR SUSPENDING LIMB

R463 Tabletop Stand £135.00

SPANNERS

001566 Spanner Small 7mm £9.50

001565 Spanner Medium 8mm £9.50

001564 Spanner Large 10mm £9.50

86012 Socket Drive Handle £15.00

86104 Small Socket 7mm £4.95

86105 Medium Socket 8mm £4.95

86107 Large Socket 10mm £4.95

86685 Angled Wrench Medium 8mm £13.50

86687 Angled Wrench Large 10mm £13.50

Standard spanners, sockets or combination spanners are available for allclamp sizes.

‘T’ Bar Wrenches

Useful for speedytightening of clamps inthat the wrench canbe ‘spun’ using theshaft.

‘T’ BAR WRENCHES

001566T Small T Wrench - 7mm £17.50

001565T Medium T Wrench - 8mm £19.50

001564T Large T Wrench - 10mm £21.50

Spanners & Wrenches

Quick Ratchet Spanner

Use of our quick ratchet spanner will save time tightening clamps. Unlikeconventional ratchet handles and socket sets the quick ratchet is notthicker than a regular spanner and can be used in very confined spaces.

QUICK RATCHET SPANNER

001565QR Quick Ratchet Spanner 8mm (Medium) £39.50

001564QR Quick Ratchet Spanner 10mm (Large) £42.50


www.vetinst.comOn-line store for all VI products:

Browse or Quick order

Your on-line training resource:Video downloads

Step by Step guides - FAQs

Supra Condylar Wedge Osteotomy plus TrochleaplastySimon Roch & Toby Gemmill

Designed by Vets for Vets

112

4 EXTERNAL FIXATION

Please note because of the nature of the material we can only ship bysurface transport.

APEF Base Kit

The kit includes:• a carrying case.• a sterilisation tray.• 4 x 3mm (1/8") diameter centrally threaded full pins.• 4 x 3mm (1/8") diameter end threaded half pins.• 8 x 3mm (1/8") diameter medium smooth pins.• 8 x 2mm (3/32") diameter small smooth pins.• frame alignment kit.• 1 x double acrylic tube pack.• 1 x single acrylic tube pack.• 1 x half acrylic tube pack.• a procedural video.

Acrylic Pin ExternalFixation SystemAn Acrylic Pin External Fixator (APEF)is created by replacing mechanicalconnecting clamps and rigidconnecting bars with mouldable acryliccolumns.

APEF is indicated for any fracture orarthrodesis where a comparable sizedbar/column fixator would beappropriate. Research has shown theacrylic columns provide equal orgreater strength when compared to thetraditional KE designs in all standardconfigurations. The illustration showsuse of frame alignment kit APFAK422.Please bear in mind that, ultimately, theacrylic has to be poured which will haveimplications for the repair.

APEF BASE KIT

APBKUNST APEF Base Kit. Includes Carrying Case, (non sterile) Sterilisation Tray £610.00

G70025-000 Base Kit Container Only £65.00

G70029-000 Pin Sterilization Tray Only (Anodised Aluminium) £90.00

Acrylic Tube Packs

These convenient, premeasured, easy mix dispensing packs contain bothpowder and liquid separated by a temporary divider. These packs containthe appropriate amount of tubing and plugs.

ACRYLIC TUBE PACKS

APNSPT150 Triple Tube Pack (150ml). 450mm x 21mm tube plus acrylic and plugs. £65.00

APNSPD100 Double Tube Pack (100ml). 300mm x 21mm tube plus acrylic and plugs. £60.00

APNSPS50 Single Tube Pack (50ml). 150mm x 21mm tube plus acrylic and plugs. £55.00

APNSPDM50 Double Mini Tube Pack (50ml). 300mm x 15mm tube plus acrylic and plugs. £50.00

APNSPH25 Half Tube Pack (25ml). 150mm x 15mm tube plus acrylic and plugs. £40.00

APNSPQ12 Quarter Tube Pack (12.5ml). 150mm x 10mm tube plus acrylic and plugs. £35.00

APEF TIPS• Rather than wait a fixed time to pour, wait until the mix starts to thicken. The setting time will vary with ambient temperature.• Once cut, roll up the bag to minimise waste.• Use cotton wool to help clot.• Remember to orientate the tube so that the acrylic runs down the tube.

113


Acrylic Bi-PacksThese convenient, premeasured, easy mix and dispensing packs containboth powder and liquid separated by a temporary divider. You will requiretubing; see below.

ACRYLIC BI-PACKS

APNSBT150 Triple Acrylic Bi-Pack (150ml) £57.50

APNSBD100 Double Acrylic Bi-Pack (100ml) £50.00

APNSBS50 Single Acrylic Bi-Pack (50ml) £42.50

APNSBH25 Half Acrylic Bi-Pack (25ml) £32.50

APNSBQ12 Quarter Acrylic Bi-Pack (12.5ml) £27.50

APEF Tubing

APEF TUBING

APTK21 21mm (1") Dia.Tube Kit 152cm (60") Tubing 10 Endplugs £12.00

APTK15 15mm (5/8") Dia.Tube Kit 152cm (60") Tubing 10 Endplugs £11.50

APTK10 10mm (3/8") Dia.Tube Kit 122cm (48") Tubing 8 Endplugs £10.50

APEF Pins & Frame Alignment Kit

APEF pins come ineither 3.2mm (1/8")diameter or 2.4mm(3/32") diameter.The threaded pinshave a positiveprofile thread. APEFfunctions very wellwith all VeterinaryInstrumentationESF pins.

APEF PINS

APPINETH18 End Threaded Half Pin. 3.2mm shank £18.50

APPINCTH18 Centrally Threaded Full Pin. 3.2mm shank £18.50

APPINSM332 Small 2.4mm non-threaded pin £18.50

APPINSM18 Medium 3.2mm non-threaded pin £18.50

APFAK422 Frame Alignment kit £230.00

AccessoriesThe carrying case and the pin sterilisation tray that come with the base kitcan be bought separately. The pin sterilisation tray is made from anodisedaluminium.

Removing frame alignment clamps

Lower pictures by Andy Moores

Epoxy ESF Putty

Epoxy ESF putty is asimple to use, quick andconvenient alternative tothe standard bar andclamp system. The putty,once mixed, stiffens in 5minutes and within 1 houris fully cured. The puttycan be applied and thenthe fracture reducedallowing precise manipulation of the fracture site. The versatility of thesystem allows the putty to be used in place of clamps, to cover sharp endsof cut pins, and many other applications.

There are two pack sizes in a bar format with the premeasured catalyst inthe centre of the bar ready for mixing. The product is clean and has a longshelf life. Only mix the quantity you need, cutting the required amount offthe end of the bar. If you find you don't have enough, more can be preparedin a matter of seconds. ESF putty sticks to itself very well and may be usedfor repairs and corrections. Particularly useful in fractures in small furrieswhere proximal and distal fragments may be attached together with ‘blobs'of putty in place of clamps regardless of fixation pin site.

• Easy to use • Economical • Versatile

Typical Applications• ESF applications requiring multiple pins of various sizes placed at

various angles.• ESF applications in rabbits and guinea pigs• Fractures of the jaw• Protecting sharp ends of cut pins• Joining non-standard pins and bars• Use to add a pin mid frame

EPOXY ESF PUTTY

EPOXY1 Epoxy ESF Putty 55G £13.50

EPOXY2 Epoxy ESF Putty 110G £25.00

Epoxy

114

4 EXTERNAL FIXATION

Dynamic FixatorsExternal fixation has an increasingly important place in veterinaryorthopaedics including the management of fractures, non unions andgrowth plate abnormalities in adult dogs.

In addition to the standard KE and KE Plus systems, VeterinaryInstrumentation also offers a range of dynamic external fixators which are ofparticular use in the management of growth plate injuries in the growing dog.

UNIPLANAR DYNAMIC DISTRACTOR

001910 Sliding Single Clamp 3/32” Pins £26.50

001911 Sliding Double Clamp 3/32” Pins £46.00





001918 Wire Insert Guide £59.50

001920 Threaded Rod - Small 50mm Pitch 0.75mm £11.50




001930 Threaded Rod - Medium 75mm Pitch 1.0mm £16.50



001940 Threaded Rod - Large 100mm Pitch 1.0mm £18.50

001941 Threaded Rod - Large 200mm Pitch 1.0mm £25.50

001951 Knurled Adjuster - Small £12.50

001952 Knurled Adjuster - Medium £13.50

001953 Knurled Adjuster - Large £14.50

001960 Locking Nut - Small £3.50

001961 Locking Nut - Medium £4.00

001962 Locking Nut - Large £4.50

001900 Radius Assembly - Small 3/32”. Does not include pins. £235.00

001901 Radius Assembly - Medium 1/8”. Does not include pins. £265.00

001902 Radius Assembly - Large 5/32”. Does not include pins. £295.00

Uniplanar Dynamic DistractorBone lengthening is occasionally required to substitute bone lost throughgrowth plate abnormalities, e.g. short radius or trauma. The bilateraldynamic fixator is more user friendly than the ring fixator. N.B 1.0mm pitchmeans that one full turn of the adjuster moves the assembly 1.0mm.Sliding clamps are available as either single or doubles. When significantbowing of the bone involved has occurred (usually radius) some singlesmay be necessary.

Most sliding clamps are now supplied in the KE Plus configuration allowinga wider choice of pin & through clamp placement of positive pins.

See also Vumex distractors page 105.

case: John Taylor.

Linear Distractors

115


Ring Fixator Kit 70, 100, 120 &160mm Rings

Kit Contents:DESCRIPTION QTY

Full Ring 70mm Aluminium or Carbon Fibre 4

5/8 Ring 70mm Aluminium or Carbon Fibre 1

Full Ring 100mm Aluminium or Carbon Fibre 4

5/8 Ring 100mm Aluminium or Carbon Fibre 1

Half Rings - 120 mm Stainless Steel 8

Half Rings - 160 mm Stainless Steel 8

5/8th Ring - 120 mm Stainless Steel 1

5/8th Ring - 160 mm Stainless Steel 1

Multiple-pin fixation clamp/Wrench cube 2

Fixator Pin Bolt 2

Cannulated Bolt 30

Offset Bolt 12

Connection Bolts 10

Telescopic Rod - 100 mm 3

Telescopic Rod - 150 mm 3

Threaded Rod - 100 mm 6



Nut - 10 mm 100

Square nut 8

Non slip nylon bushed nut 6

3 Hole connection plate 4





Twisted plate 2

Male post 2 holes 2

Male post - 3 Holes 2

Male post - 4 holes 2

Female post - 2 holes 2

Female Post - 3 Holes 2

Washer 30

Hinge female 6

Hinge male 6

Universal Joints 3

Incremental motors (4 clicks = 1mm) 3

Wrenchocube 3 Hole 2

K. Wire - 1.5 mm 20

K. Wire - 1.8mm 20

Olive Wire - 1.5mm 5

Olive Wire - 1.8mm 5

Angulated Wrench 1

10mm Spanner 2

Mechanical Tensioner 1

Stainless Steel Container 1

Veterinary Instrumentation’s full ring fixator set includes all the instrumentationand implants for virtually all appropriate veterinary procedures. It is closelybased on the well proven original Ilizarov model with some modifications forsmall animal use. For full details check www.vetinst.com

The kit is available in two forms: 001800A has 70 and 100mm ringsmanufactured in high tensile aluminium. 001800C has the 70 and 100mmrings made from ultra lightweight carbon fibre. In both sets the 120 and160mm rings are made from stainless steel.

Connection plates are used to convert half or 5/8 rings into ellipsoid or ovals.

A range of clamps is included to allow the fixation of wires to the rings in avariety of positions. Half pins (negative or positive profiles) may be added tothe frames using the posts and clamps provided.

Several spanners are included to enable the surgeon to access clamps inrestricted areas and to allow the surgeon to accurately control wire alignmentand to a degree wire tension.

Conical washers allow rings to change angle relative to the threaded rods forsmall angular adjustments.

Hinges are included for dynamic angular deformity correction.

360 degree universal joints are included.

The incremental motors move 0.25mm per click.

A dedicated mechanical tensioner facilitates application of tension.

Although not critical using smaller rings, tension is very important using thinwires on large rings.

RING FIXATOR KIT

001800A Complete Ring Ex. Fix. Set 70/100mm (Aluminium) 120/160 (Stainless Steel) £2,825.00

001800C Complete Ring Ex. Fix. Set 70/100mm (Carbon Fibre) 120/160 (Stainless Steel) £3,250.00

Ring Fixators

Ale

x Li

116

4 EXTERNAL FIXATION

RINGS

001840 70mm Aluminium Ring £27.50

001843 100mm Aluminium Ring £39.50

001841 5/8 70mm Aluminium Ring £27.50

001809 50mm Carbon Fibre Ring £33.00



001812 5/8 50mm Carbon Fibre Ring £33.00



001846 120mm Stainless Half Ring £23.50

001848 160mm Stainless Half Ring £25.50

001847 5/8 120mm Stainless Ring £29.50

001849 5/8 160mm Stainless Ring £32.00

COMBINATION POST

001857 Combination Wire / Pin Post £23.50

WIRE CLAMPS

001851 Cannulated Wire Bolt £6.50

001854 Offset Wire Bolt £6.50

001855 Standard Nut £1.75

001854N Nylon Bushed Nut £6.50

001828 Connecting Bolt £2.25

001852 Washer £2.25

001852A Washer Spacing 2mm £2.25

001852S Washer Slotted £2.25

FIXATOR CLAMP

001853 Fixator Pin Clamp 4mm £7.50

Rings

70 and 100mm rings are available in high tensile aluminium and carbonfibre. 120mm and 160mm rings are made from stainless steel and are soldas half rings. 5/8 rings are available in all sizes where anatomy dictatesthat full rings will interfere with soft tissues.

Stand Off Pin Clamps

Wires are attached to rings using clamps. The wire either passes through acenter cannulation or placed alongside.

Fixator Pin Clamp

WRENCHOCUBE AND KE POST

001834 Wrenchocube (3 hole) £9.50

001837 Medium KE Post £19.50

CONNECTION PLATES

001820 2 Hole £6.00

0018933 3 Hole £6.00

0018934 4 Hole £6.00

0018935 5 Hole £6.50

0018936 6 Hole £7.00

0018937 7 Hole £7.00

0018938 Twisted Connection Plate £7.00

This post allows the placement of either pins or wires parallel to the ringbut standing off 20mm.

Fixator pins may be attached to rings some distance away from the ringusing a wrenchocube (left) or a standard KE clamp attached to a mediumKE post (right).Wire Guide

WIRE GUIDE

001819 Ring Fixator Wire Guide £44.50

Combination Wire/Pin Post

Wire Clamps

Directs and controls the insertion of ring fixator wires. The guideminimises drift of the wire during insertion and keeps the wire close tothe ring. The guide is clamped to the ring using a thumb screw.

117


Clamp Posts - Male and Female

POSTS

0018942 Male Post 2 Holes £7.00



0018952 Female Post 2 Holes £7.00

0018954 Female Post 4 Holes £7.00

THREADED RODS

001823 75mm Threaded Rod £7.00




Threaded Rods

Hinges and Conical Washers

Using conical washers it is possible to move a ring relative to another ringby up to 10˚. Where a greater correction is necessary use hinges. Thehinge is available as a male or female component. Assemble hinges usingconnection bolts and nuts. Where multiplanar movement is required usethe universal joint.

INCREMENTAL LINEAR MOTOR

001818 Incremental motor 0.25mm £45.00

001855S Nut Square Adjusting £4.50

TELESCOPIC RODS

001890 Telescopic Rod 100mm £13.50

001891 Telescopic Rod 150mm £13.50

Incremental Linear Motor

Use to quickly connect rings without the tiresome feeding of threaded rodsthrough rings.

Limb lengthening requires that rings are distracted relative to one anotherby 1mm per day preferably in 0.25mm increments. The incremental motorhas a locking collar which when pressed allows the collar to be rotated 1/4 of a full turn moving the rings 0.25mm apart.

CONICAL WASHERS, HINGES AND UNIVERSAL JOINTS

001856 Conical Washers (set of 4 components) £11.50

001813 Male Hinge £7.00

001814 Female Hinge £7.00

001839 Universal Swivel £46.00

Telescopic Rod

Use to place wires standingoff the ring through eithercannulated clamps or offsetclamps. Female fittingposts can be attached tothreaded rods.

Spacer

Use to fix two rings 40mm apart without using threaded rods and nuts.

Wrenches and Spanners

WRENCHES AND SPANNERS

001817 10mm Open Ended Spanner £9.50

001838 Angled Wrench £33.50

001821 10mm Box Spanner £22.50

SPACER

001832 Spacer 40mm £12.50

118

4 EXTERNAL FIXATION

WIRES

001881 1.5mm Wire (pack 5) £18.00

001882 1.8mm Wire (pack 5) £18.00

001883 1.5mm Olive Wire (pack 5) £52.50

001884 1.8mm Olive Wire (pack 5) £52.50

HYBRID FIXATOR COMPONENTS

001837A Medium 3/16”(4.8mm) KE hybrid Bar 100mm £25.00

001837B Medium 3/16”(4.8mm) KE hybrid Bar 150mm £29.50

001837C Medium 3/16”(4.8mm) KE hybrid Bar 200mm £32.00

001837 F Large 5/16”(8mm) KE hybrid Bar 150mm £29.50

001837G Large 5/16”(8mm) KE hybrid Bar 200mm £36.00

001837H Large 5/16”(8mm) KE hybrid Bar 250mm £38.50

001837J Large 5/16”(11mm) Linear hybrid Bar 200mm £36.00

001837K Large 5/16”(11mm) Linear hybrid Bar 250mm £43.50

001862SS Small 1/4”(6.3mm) Bar x 100mm Stainless Steel £7.50



001871SS Large 3/8”(9.5mm) Bar x 150mm Stainless Steel £8.50



001809 50mm Internal Dia Carbon Ring £33.00

001812 50mm 5/8 Carbon Ring £33.00


001815 70mm 5/8 Carbon Ring £36.50


001816 100mm 5/8 Carbon Ring £44.00

001851 Ring Fixator Clamp 1.5 to 1.8mm wire £6.50

TENSION DEVICE MECHANICAL

001830 Tension Device Mechanical £115.00

Wires 300mm 12” Long

Hybrid components showing hybrid KE plus and bar, wire insertion guideand carbon fibre ring.

Full ring fixator assemblies are a challenge to plan and assemble. Asingle distal ring attached to standard ESF linear bars can be very usefulin the management of distal fractures of particularly the radius and tibiawhere it can be difficult to place sufficient standard pins for stability. Barsare available for use of rings with medium and large KE / KE plusclamps and the large linear fixator.

Including crossed wires distally also subjects the healing fracture tomicromovement which has been shown to encourage good callus.

Rings of 70mm and less do not require wire tensioning. 100mm plusrings demand that the wires are tensioned.

Hybrid FixatorsMechanical Tension Device

Wires must be placed under tension in the Ilizarovsystem. This is particularly true of the larger rings. It isrecommended that 60-90Kg of tension is applied.

DYNO TENSION DEVICE

001885 Dyno Tensioning Device £235.00

Dyno Tensioning Device

Automatically grabs wires and by twisting the body, tension is applied tothe desired level prior to final clamping. Read tension scale applied onbody.

Different views of standardIlizarov wire tip

Chapter 5

119

POWER TOOLS 5

Variable Speed Orthopaedic Drill

Our model has a removable battery pack. This feature makes chargingeasier and a spare battery pack can be maintained on charge. The batterycharges more quickly than you can discharge the one in the drill. Thisremains the best drill we have found.

All the original features remain.

• excellent control over speed 0-600rpm via trigger

• stainless steel chuck (6.35mm capacity) and extension

• 80mm through chuck cannulation

• autoclavable shroud

• low speed, high torque

• supplied as a complete kit including stainless chuck, key, extension,autoclavable shroud, 2 batteries and a charger.

VARIABLE SPEED ORTHOPAEDIC DRILL

001600 Variable Speed Orthopaedic Drill (Complete Kit).Drill, chuck, key, shroud, extension, 2 x batteries £350.00

001605 Spare Chuck (& Key) 1/4" 6.35mm £140.00

001606 Spare Key for standard chuck £23.50

001607 Drill Extension £57.50

001620 Spare Drill Shroud £18.50

001611 Battery Charger - Spare/Replacement £90.00

Spare Battery Pack

For use as standby or replacement. The quick charge unit supplied withthe drill charges the spare battery pack faster than you can discharge thebattery pack in the drill. With drills having a permanent integral battery,once the battery fails the drill must be replaced, but with this system yousimply replace the battery.

SPARE BATTERY PACK

001610 Spare Rechargeable Battery £42.50

Synthes Quick Fit Adaptor - Jacobs

Converts both small and large Jacobs chuck to take Synthes fit drills andtaps. Adds 40mm length. Fits all chucks.

SYNTHES QUICK FIT ADAPTOR

001612 Synthes Quick Fit Adaptor - Jacobs £120.00

Electrical Power

MINI RECHARGEABLE DRILL

001660 Mini Re-chargeable Drill complete kit £305.00

001661a Waterproof Shroud £18.50

001605S Spare Chuck with Key 5/32” (4mm) £140.00

001662 Mini Drill Extension to fit 5/32” (4mm) chuck £57.50

001666 Mini Drill Extension to fit 1/4” (6.3mm) chuck £57.50

001663 Battery Charger - Spare/Replacement £55.00

Our standard orthopaedic drill can feel quite bulky when used in cats orwith fine wires. Our mini drill fits in the palm of your hand and weighs only865 grams.

Speed is variable via the trigger 0-600 rpm appropriate for drills and wires

• forward and reverse key above the trigger

• stainless steel chuck and key 4mm capacity with extension

• 50mm through cannulation

• supplied with two lithium ion batteries to ensure you are never leftwithout a charged battery

• supplied as a complete kit with two batteries, charger, stainlesscannulated extension, 4mm chuck and key and waterproof shroud

Mini Re-chargeable Drill

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Desoutter Cast Cutter

Removal of casts without a power saw is extremely hard work and verytime consuming. This has implications for procedure costs and anaestheticrisk. The Desoutter saw is extremely reliable and makes short work of allcast materials. (The harder synthetics require the diamond blade).

DESOUTTER CAST CUTTER

001700 Desoutter Cast Cutter CC4 £675.00

001710 Spare Blade for Gypsum Casts 64cm £25.00

001720 Diamond Blade for Resin Casts 64mm £95.00

001721 Diamond Blade for Resin Casts 80mm £95.00

Multi Saw Battery Powered

The Multi Saw is a multi-function oscillating saw which may be used as acast cutter and a surgical oscillating saw. The standard rechargeable sawis supplied as a kit including charger, battery (x2), Titanium Nitride coatedblade and S82-103 blade. The Multi Saw has adjustable speed control.The saw cuts best at full speed but early users may wish to start theosteotomy at a lower setting.

Our stainless attachment converts the multi saw into a surgical saw in asimilar fashion to our orthopaedic drill. With the converter and shroud inplace, all exposed surfaces are sterile. Excellent for total femoral head and neck excision, TPLO by Tibial Wedge Osteotomy and TTA. A widerange of blades fit the Multi Saw. We recommend either the Desoutter S82 series or the Halls SB5071 series. The latter offers a slimmer cut0.8mm c.f. 1.2mm.

MULTI SAW BATTERY POWERED

001708 Multi Saw Surgical Kit incl convertor, shroud,Titanium Nitride coated blade and S82-103 blade £485.00

001702 Stainless Convertor (c/w spanner) £115.00

001703 Waterproof shroud for Multi Saw £18.50

001705 Multi Saw Diamond Blade £47.50

001714 Multi Saw Titanium Nitride Coated Blade £42.50

001701B Spare Battery for Multi Saw £95.00

Multi Saw in use during aclosing wedge TPLOoperation

Slocum Blade Adaptor

This adaptor converts our standard Multi Saw into a radial/bi-radial bladedriver. The mount is in fact the old Stryker triangular mount. Please bear inmind the following, once mounted the saw sits at right angles to the longaxis of the saw c.f. standard Slocum type saws. Additionally the cut is lessaggressive in that the oscillation is 4˚ rather than the 6˚ of standard saws.The cut will, therefore, be slower. Ideal as a budget alternative or as aback up to your air saw.

MULTI SAW SLOCUM BLADE ADAPTOR

001707 Multi Saw Slocum Blade Adaptor £115.00

Multi Saw

MULTI SAW, VARIABLE SPEED MAINS POWERED 240V

001711 Multi Saw Kit incl convertor, shroudDiamond blade and S82-103 blade £495.00

001703MAINS Shroud for Corded Multi Saw £18.50

The well established Multi Saw is also available in a mains powered (240v)version. This plug in version has the advantage of reliability of power andsignificantly the speed of the saw is variable allowing a slow start speed.The disadvantage is that a flex is not convenient and care should be takento eliminate electrical hazards in theatre.

The option of a slow speed is also an advantage when used as a cast saw.

The surgical attachment and blades are common to both battery andmains powered saws.

Multi Saw Variable Speed 240volt

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All blades with a central hole bigger than 6mm will fit the Multi Saw.

Surgical Blades

MULTI SAW BLADES

CODE CUT THICKNESS LENGTH WIDTH PRICE

S82-100 0.9mm 45mm 12mm £47.50

S82-103 1.2mm 70mm 12mm £47.50

S82-104 1.2mm 70mm 25mm £47.50

SB5071-134 0.4mm 41mm 9.0mm £57.50

SB5071-232 0.4mm 41mm 19.5mm £57.50

SB5071-135 0.6mm 30mm 5.0mm £57.50

SB5071-133 0.4mm 25mm 9.5mm £47.50

S85-110 0.4mm 33mm 10.0mm £47.50

*Also fits Desoutter M171/M172

† Suitable for use with TTO Sawguide

S82-100*†

S82-103*

S82-104*

Other patterns available - phone for full list

Multi Saw BladesCast Blades

CAST BLADES

001705 Diamond Multi Saw Blade 63mm for resin casts £47.50

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SB5071-134†

SB5071-232†

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Actual S

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S85-110†

SB5071-133†

SB5071-135†

Guide to Saw BladesA Veterinary Instrumentation Saw Blade guide is now available. Either download from www.vetinst.com or request a paper copy with your next order.

The guide includes blades for all major manufacturers including the VI power tool range, 3Ms MiniDriver & MaxiDriver, Synthes, Halls, Linvatec,Zimmer and Desoutter.

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VI MiniDriver

The MiniDriver Is Dead!! Long Live the MiniDriver!!3Ms Orthopaedic was sold to Linvatec who killed off the MiniDriver andthe MaxiDriver as they competed with their own product range. TheMiniDriver remains in widespread use and in many ways is the idealsmall animal orthopaedic power system particularly when used with theMark II saw. Veterinary Instrumentation is pleased to announce that weare having the entire MiniDriver range re-manufactured including theK220 which takes a larger blade than the original Mark I saw. In fact wehave improved on some of the accessories. New MiniDriver sets areavailable from £3750. Some say the torque on the MiniDriver is too low.OK then buy the high torque chuck which more than triples the torque!

Fully re-furbished to the newK200 standard, the handpieceis the centre of the modularsystem. Handpiece has forwardand reverse button plus lockingtrigger. Power output withMedical Air @7bar input is 0.78Newton Meters. Speed variable0-1100rpm.

K200 MiniDriver Handpiece

Illustrated above is the basic MiniDriver set comprisingK200 Handpiece Mark IIK110 4mm chuckK111 Wire DriverK114B AO quick release chuckK120 Sagittal Saw Mark I Push button release3MHOSEVI MiniDriver Hose

Also available with the Mark II sawWhen purchased as a set the savings are considerable.

MiniDriver Sets

The K120 sagittal saw uses a push button mechanism for bladeattachment. It is relatively widely available and less expensive than themore robust Mark II K220.

K120 Mark I Sagittal Saw

Similar to the wire driver inoperation the pin driver has alarger capacity. (1.6 to 4mm).

Re-attachment of osteotomies orsmall bone fragments is often bestachieved using ‘K’ or arthrodesis(‘A’) wires. Driving a long pin in achuck often results in bending andkinking making driving difficult.Incrementally advancing the wirethrough a chuck is fiddly and timeconsuming. The wire driver allowsthe easy incremental advancementof the wire through the handpiece via the use of a clutch arrangement.

K111 Wire Driver

The Mark II saw is more robust in construction than the K120 saw. Bladeattachment is by use of a hex wrench. While this gave a more rigidattachment of the blade to the saw it was also the weak point of theattachment. We have re-engineered the blade holding mechanism tomake it stronger and made the whole attachment from stainless steel.The Mark II saw drives a larger ranger of blades including longer onesup to 42mm useful in the TTO and TTA procedures. Much moreexpensive than the Mark I version.

The standard hose is a 3 meter long double hose which vents back atthe wall gas outlet or the regulator. In the UK the standard drive gas isbottle sterile Medical Air delivered at 7bar (100psi). Elsewhere in theworld Nitrogen may be used. The standard hose supplied is fitted withan MA7 gas probe (Medical Air @ 7bar) which prevents connection toother gases e.g. Oxygen.

MiniDriver Hose

K211 PIN DRIVER

K211VI K211 Pin Driver 1.6 to 4mm £825.00

K120 MARK I SAGITTAL SAW

K120VI K120 Sagittal Saw Attachment £725.00

K220 MARK II SAGITTAL SAW

K220VI K220 Mark II Sagittal Saw Attachment £975.00

K201VI Replacement wrench for K220K £125.00

MINIDRIVER HOSE

3MHOSEVI MiniDriver Hose £425.00

3MHOSEVIUS MiniDriver Hose US Schrader £425.00

K111 WIRE DRIVER

K111VI Wire Driver 0.7 to 1.8mm £675.00

K200 MiINIDRIVER HANDPIECE

K200VI K200 Handpiece £2,450.00

MINIDRIVER SETS

VIMDB1 MiniDriver Basic Set (inc Mk I saw) £3,750.00

VIMDB2 MiniDriver Basic Set (inc MkII saw) £3,950.00

K211 Pin Driver

K220 Mark II Sagittal Saw

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K120 Blades

K120 BLADES


K121 1.0mm 15.1mm 6.4mm £52.50

K122 1.0mm 31.0mm 6.4mm £52.50

K123 1.0mm 15.1mm 10.4mm £52.50

K124 1.0mm 31.0mm 10.4mm £52.50

K125 1.0mm 15.1mm 16.5mm £52.50

K131 0.7mm 15.1mm 6.4mm £52.50

K132 0.7mm 31.0mm 6.4mm £52.50

K133 0.7mm 15.1mm 10.4mm £52.50

K134 0.7mm 31.0mm 10.4mm £52.50

K135 0.7mm 15.1mm 16.5mm £52.50

K123

K133

Other patterns available - phone for full list

K122

K132

K124

K134

K220 Blades

K220 BLADES


K141 1.0mm 14.2mm 6.4mm £52.50

K142 1.0mm 30.0mm 6.4mm £52.50

K144 1.0mm 30.0mm 10.2mm £52.50

K146 0.65mm 27.4mm 19.0mm £52.50

K147 0.65mm 27.4mm 14.0mm £52.50

K148 0.65mm 27.4mm 9.5mm £52.50

K149 0.65mm 42.7mm 19.1mm £52.50

K152 0.65mm 30.0mm 6.4mm £52.50

K154 0.65mm 42.7mm 9.5mm £52.50

K155 0.65mm 42.7mm 14.0mm £52.50

K142

K152

K148

K144

K154

K155

Other patterns available

Actual S

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Both Jacobs chuckattachments are throughcannulated for drivinglong pins. 4mm capacitywith key.

K110 Small (4mm) Jacobs Chuck

Many drills and taps areavailable with a quickrelease fitting, the mostcommon of which is tothe Synthes or AOstandard. Drills may bechanged quickly without the use of a chuck key. The original version wasmade from relatively soft aluminium. The re-manufactured K114B ismade from stainless steel and is easier to use than the original.

K114B AO Quick Release Attachment

Both Jacobs chuckattachments are throughcannulated for drivinglong pins. 6.25mmcapacity with key.

K109 Large (6.25mm) Jacobs Chuck

Using the standardchucks the MiniDriverhas a torque of 0.78Newton Meters, whichmakes heavy weather ofdriving large pins withoutpre-drilling. By adding aset of gears the chuck speed is reduced but the stall torque is increasedto 2.8 Newton Meters ideal for driving pins.

K210 Hi Torque Large (6.25mm) Jacobs Chuck

K110 SMALL (4MM) CHUCK

K110VI K110 4mm Chuck Attachment £375.00

K109 LARGE (6.25MM) CHUCK

K109VI K109 6.25mm Chuck Attachment £375.00

K210 HI TORQUE LARGE (6.25MM) CHUCK

K210VI K210 Hi Torque 6.25mm Chuck Attachment £825.00

K114B AO QUICK RELEASE ATTACHMENT

K114BVI K114B AO Quick Release Attachment £495.00

Chuck keys wear quickly, become lost and can be awkward to use in somesituations. The keyless chuck, as are found on most DIY drills allow thesurgeon to quickly switch drills and pins without a key. The distal part ofthe chuck is held using fingers and the chuck opened or closed byengaging the drill in either the forward or reverse drive respectively. Thedownside is that the chuck is slightly bulkier than the keyed equivalent.

K107VI & K108VI Keyless Chuck Attachment

K108VI & K107VI KEYLESS CHUCK ATTACHMENTS

K108VI Keyless Chuck Attachment 0 - 3.2mm £525.00

K107VI Keyless Chuck Attachment 0 - 6.3 mm £525.00

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MaxiDriver Modular SystemThe MaxiDriver remains theworkhorse of very many humanand veterinary orthopaedicunits. It is extremely reliable andalmost infinitely repairable. Itsrobust construction will toleratea good deal of abuse.Veterinary Instrumentation is re-manufacturing the handpiecesand attachments and has takensteps to ensure that all sparesare available or can be re-made.The New MaxiDriver has a full 1year warranty. The handpiece issignificantly bigger than theMiniDriver (940g vs 480g). The modular system takes 15 quick releaseattachments. All attachments also available in new re-manufacturedcondition. Please phone for details. A huge range of saw blades isavailable making the MaxiDriver Kit an extremely good valueintroduction to orthopaedic power.

MAXIDRIVER MODULAR SYSTEM

MAXL100R MaxiDriver Handpiece Refurbished to new £2,450.00

MAXL110 Jacobs Chuck Attachment 6.35mm capacity £425.00

MAXL111 Wire/Pin Driver 1.6 to 4mm capacity £475.00

MAXL320 Sagittal Saw Large Attachment £525.00

MAXL140 Reciprocating Saw Attachment £425.00

MAXL513 AO Quick Release Attachment £525.00

MAXIHOSE 3 Metre MA7 Hose to fit MaxiDriver £425.00

MAXIKITR MaxiDriver Basic Kit with as new handpiece £3,950.00

MAXL100R

MAXL110 Jacobs Chuck MAXL320 Sagittal Saw

MAXL513 AO Quick Release

MAXL111 Wire/Pin Driver

MAXKITR Basic MaxiDriver Set

OrthopaedicEquipment

Desoutter is a long established U.K. company providing high quality airdriven equipment for orthopaedic surgeons. Excellent equipment with highquality, local backup.

MPZ Modular System

This system is similar in size and feel tothe Mini Driver. The range of availableattachments is greater than the Mini Driver.The saw can take blades up to 44mm useablelength. The pin driver attachment accepts pinsup to 3.2mm (1/8”) which is very useful whenplacing external fixation pins.

Air and corded versions are available.

A full colour stand alone brochure is available which illustrates all the MPZoptions, together with other De Soutter small bone equipment.

MPZ MODULAR SYSTEM

MPZ226414 Multidrive MPZ Handpiece £3,575.00

MPZ14110 Small Jacobs Chuck Attachment max 4.0mm £545.00

MPZ14240 Large Jacobs Chuck Attachment max 6.3mm £575.00

MPZ14140 AO Attachment £600.00

MPZ14230 Sagittal Saw Attachment (quick release) £2,150.00

MPZ14210 Sagittal Saw Attachment (wrench fitting) £1,925.00

MPZ14220 Reciprocating Saw Attachment £1,925.00

MPZ14260 Wire Driver Attachment 0.6 to 1.8mm Gold Nose £1,725.00

MPZ14270 Pin Driver Attachment 1.8 to 3.2mm Silver Nose £1,725.00

MPZ10900 3 Metre Hose MA7 fitting £550.00

BRDESOUTSM Small Bone Surgery Brochure £FOC

BRDESOUTLB Large Bone Surgery Brochure £FOC

Wrench tightening sagittal saw

Wire driver

Small Jacobs chuck

Quick release sagittal saw

AO Quick release chuck

125


MPZ Blades for Sag Saw with Wrench 14210(SZ-450)MPX Blades for Sag Saw with Wrench 12300(MX-600)

S85-103

S85-100

S85-110

S85-117

MPZ/MPX BLADES TO FIT WRENCH FITTING SAG SAW SZ-450/NX-600


S85-100 0.7mm 23mm 10.4mm £49.50

S85-103 0.7mm 11mm 6.4mm £49.50

S85-107 0.7mm 44mm 19mm £49.50

S85-109 0.7mm 44mm 17mm £49.50

S85-110 0.7mm 33mm 10mm £49.50

S85-117 0.7mm 48mm 17mm £49.50

MPZ/MPX BLADES TO FIT QUICK RELEASE SMALL SAG SAW NZ-450/NX-600


S88-100 0.6mm 25mm 10.0mm £49.50

S88-103 0.6mm 22mm 6.4mm £49.50

S88-109 0.6mm 46mm 15mm £49.50

S88-110 0.6mm 35mm 10mm £49.50

S88-103

S88-109

S88-110

S88-100

Many other blade styles are availablePhone for all profiles

MPZ Blades for Quick Release Sag Saw 14230(NZ-450)MPX Blades for Quick Release Sag Saw 144400(NX-600)


MPX 600 Modular System

Heavier duty than the MPZ system, theMPX will be of particular interest to thosesurgeons with a high through put ofClosing Wedge TPLOs and TTOs. Theworking blade length goes up to 100mm.High power, high torque coaxial motor.

A massive 27 quick release attachments,including 3 different saws which take all theblades styles illustrated on this page.

Air, battery and corded versions available.Air hose is the same as the Slocum saw.

Full colour stand alone brochure isavailable which illustrates all the MPXoptions together with other De Soutterlarge bone equipment.

MPX BLADES TO FIT LARGE QUICK RELEASE SAG SAW 12380(KX-600)


S87-103 0.8mm 60mm 13mm £49.50

S87-108 0.75mm 52mm 20mm £49.50

S87-109 0.8mm 32mm 12mm £49.50

S87-108

S87-103


MPX Blades for Large Quick Release Sag Saw KX-600

NX-600

S87-109

KX-600

MPX-600 MODULAR SYSTEM

MPX226464 MPX Handpiece £3,825.00

MPX11720 Jacobs Chuck 4mm cap £745.00

MPX11710 Jacobs Chuck 6.35mm cap £745.00

MPX11930 Wire Pin Driver 0.6 to 3.2mm £2,125.00

MPX12380 MPX Sagittal Saw Large Blade Head KX-600 £1,850.00

MPX14400 Mini Sagittal Saw Quick Release Head NX-600 £1,850.00

MPX12300 Mini Sagittal Saw Wrench Fit MX-600 £1,975.00

MPX11730 AO Quick Release Attachment £625.00

MPX11760 Oscillating Drill £1,675.00

MPX5300 3 Metre MA7 Hose to fit MPX & Slocum Saw £425.00

BRRDLBS Large Bone Surgery Brochure £FOC

The Blue Line Drill is fullyautoclavable at 134 degrees (notbatteries). The batteries are nomemory Lithium for long life.Supplied with a quick fit 1/4”(6.3mm) stainless chuck. An AOquick fit attachment may be coupledto the drill’s industry standardhudson drive. Fully cannulated.

Supplied complete with battery,battery charger and battery transfersleeve.

Weight 1110g

The Blue Line Saw accepts a rangeof blades from 6mm wide. Sawspeed is nicely controlled via thetrigger.

The saw has a maximum oscillationof 15000/min. Noise levels arebelow 90dB.

Supplied complete with batterycharger and battery transfer sleeve.

Weight 905g

The system is CE marked and carries a full 12 month warranty. Thebatteries should not be autoclaved but an autoclavable transfer system isincluded.

BLUE LINE BATTERY POWER

BLDKIT Blue Line Drill Complete Kit £1,750.00

BLAOA AO Quick Fit Attachment £135.00

BLSSKIT Blue Line Sagittal Saw £1,750.00

BLDSSET Blue Line Drill/Saw Full set £2,750.00

BLBAT Spare Battery £185.00

BLBH Spare Battery Exchange Device £15.00

Blue Line Battery Surgical Power

SPECIAL OFFERBuy both Drill/Saw set and save over £750.00.

Drill/Saw Set £2,750.00Less than the price of the battery charger of

other systems!!!

Drill / Saw SetBlue Line Drill

Blue Line Saw

Jacobs Chuck

AO Quick Release Chuck

2 x Battery Chargers

3 x Batteries

2 x Battery Sleeves /Exchange device

12 month Warranty

Instructions

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5 POWER TOOLS

SynthesJacobs Chuck (4mm) with Synthes Quick ReleaseAttachment

The small Jacobs stainless chuck is fitted with the standard Synthes quick release attachment. This chuck will now fit the 511 series of Synthes drill allowing it to drive round shaft drills as well as pins and wires. It will also fit all Synthes tap handles making it a useful hand driver.

4MM JACOBS CHUCK WITH SYNTHES QUICK RELEASE ATTACHMENT

SYN4MM 4mm Chuck with Synthes quick release fitting £155.00

Blue Line Saw Blades

BLUE LINE SAW BLADES

Blade Length (mm)

BL540906 Saw Blade 54mm x 9 x 0.6mm 30mm £35.00







BL540906

BL622912

BL721008

BL802312

BL841008

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Reciprocating Saw Blades

RECIPROCATING SAW BLADES


5053-021 0.6mm 39mm N/A £49.50

S22-059M 0.6mm 60mm N/A £49.50

5053-021

S22-059M

V.I. AIR POWER

Speed variable 100-90,000rpm At high speed the bur becomes partiallyself cleaning, as bone debris is thrown off.

Accepts all spine and HP burs. Always use a bur guard (not included).

Twist locking system

This bur system is the same as the Surgairtome.

High Speed Drill

Speed 100-18,000 cuts per minute. Ideal for precise small osteotomies.

Accepts a wide range of flat and angled blades. Also includes wrench.

Sagittal Saw

100-18,000 cuts per minute

Accepts both flat and round shank saws with finger grip tightening

Used for small osteotomies. May also be used to make radial cuts in theproximal tibia for the TPLO procedure and cTTA procedure.

Reciprocating Saw

This is the same saw as the Whittemore which we have sold for manyyears with a very good record of reliability. Has the standard triangulardrive for TPLO saw blades.

See Chapter 1, Pages 23 and 29 for TPLO starter kit.

TPLO Saw

Considered by many to be the bestwire driver available this design functionsusing a single two stage trigger. Most otherdrivers require the use of an extra lever whichneeds to be adjusted for each size of wire.The first stage pull on the trigger ‘grabs’ thewire. The second pull on the trigger engagesthe drive. Now automatically grabs wire0.7mm to 2.00mm. Also has forward andreverse facility. Supplied with wire guard andwire brush.

VI Wire Driver

Veterinary Instrumentation is pleased to be able to offer a full range of airdriven small bone surgery tools. They are based on the well known Hallsrange and all take a standard Halls hose.

The medium speeed drill has vey similar styling to the above. The maximumspeed is 25,000rpm delivered at a higher torque where more aggressivedebridement is required. Always use a bur guard (not included).

Medium Speed Drill

Bur Guards Burs should not be driven without a bur guardwhich supports the shaft of the bur. Withoutbur guards burs vibrate and can bend causinginjury to both patient and surgeon.

The shortest guard available is the medium forburs 45-51mm long

VI HIGH SPEED DRILL

VIHSD VI High Speed Drill £1,675.00

VI RECIPROCATING SAW

VIRCPS VI Reciprocating Saw £1,750.00

VI TPLO SAW

TPLOSW VI TPLO Saw £2,250.00

VI WIRE DRIVER

VIWD VI Wire Driver £3,550.00

VI MEDIUM SPEED DRILL

VIMSD VI Medium Speed Drill £1,350.00

VI BUR GUARDS

VIMBG Medium Bur Guard for Burs 45-51mm long £295.00

VILBG Long Bur Guard for Burs 70mm long £325.00

VIXBG Extra Long Bur Guard for Burs 95mm long £350.00

VI SAGITTAL SAW

VISS Sagittal Saw includes Wrench £1,750.00

Blades Many patterns available please phone or email for details

VI HOSE FITS ALL MOTORS ON THIS PAGE

HALLHOSEVI VI Hose, Halls fitting £425.00

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Surgairtome II

This is the current replacement for the Minos A200. Available bothnew and pre-owned. Similar performance to the Minos but has an airbrake, so the bur stops immediately the trigger is released. Not as robustas the Minos as the drive is through gears but preferred by some surgeonse.g. Simon Wheeler.

SURGAIRTOME II

505800 Surgairtome II kit. Includes hose, medium bur guard, motor and case £4,750.00

5058 Surgairtome Motor. £3,750.00

PREHALLSSURG Pre-owned Surgairtome II kit.Includes hose and bur guard £2,350.00

5042-35E Halls UK Hose MA-7 £675.00


Bur Systems

3M Spinal Bur System

Halls (Linvatec) Spinal Bur System

Halls Bur Guards

Burs and bur guards are common to both theMinos and the Surgairtome II. A bur guardshould always be used when driving burs.Spinning at 100,000 rpm the shaft needssupport. These are the original Halls guards.

HALLS BUR GUARDS

1375-023 Extra Long Bur Guard £625.00

1375-011 Long Bur Guard £450.00

1375-012 Medium Bur Guard £450.00

Bur Brush

When burs stop cutting mid procedure the reason is usually clogging of thecutting flutes. High speeds (100,000 rpm) minimise the problem. Dremeltype flexdrive units are particularly prone. Our bur brush is used to cleanthe bur without damaging it. It may be more convenient to change the burand clean them up afterwards.

BRUSH

A315 Bur Brush £24.50

ELECTRIC FLEXIDRIVE BUR SYSTEM

001640A Mini Drill (Electric Drive) 15,000 rpmForedom full kit incl burs £645.00

D235A Spare Handpiece £95.00

D295051/2 Spare Inner Drive Flex £47.50

D295051/3 Spare Outer Drive Flex £47.50

001641 Collet for HP burs £12.00

001785 1.6mm Round Short Carbide Bur £6.50

HP8 2.3mm Round Short Carbide Bur £3.95

M30R 3.0mm Round Short Carbide Bur £29.50

Electric Flexidrive Bur System

For the occasional spinalsurgeon, this budget systemperforms very well. The bursrun at 0 - 15,000 rpmcontrolled via a foot pedaland the flexidrive is easy touse. Now supplied withremovable, autoclavablehandpiece. Use sterileautoclavable film to shroudthe flexible shaft. Suppliedas a complete kit includingburs and instructions. Whenyou are cutting more thanone back per month thinkabout a Minos / Surgairtome.

New Minos A200

The Minos A200 remains the industry standard for veterinary high speedburs. It has a deserved reputation for build quality and reliability. We aremaintaining around 100 of these units and they seem to be infinitelyrepairable. 3Ms stopped making the Minos some years ago and for awhile the only source was the pre-owned market. Veterinary Instrumentation is pleased to announce that we have foundthe engineer who made the original Minos and he is now re-makingthem exclusively for us. He is also making the bur guards.The body is machined from solid aluminium and will tolerate muchabuse. The bur locking mechanism seems better than the others on themarket. New units carry a full 12months warranty.

The most cost effective way to purchase the Minos is as a set whichcomprises: A200 motor, medium bur guard and hose. Any other size burguard may be substituted on request and all products are availableseparately. The hose is the same as for the MiniDriver.

We usually have a stock of goodquality pre-owned units which carry a 6 month warranty.The bur guards support the burs andreduce vibration. The Minos andother high speed burs should not be used without an appropriate burguard. Without the guard, risks to surgeon and patient are significant.

NEW MINOS A200

MNA200 New Minos A200 set (motor, hose, medium bur guard) £3,250.00

PREMNA200 Preowned Minos A200 set (motor, hose, medium bur guard) £2,150.00

3MHOSEVI Hose with 3M Fitting £425.00

VIMBG Medium Bur Guard for 45-50mm burs £295.00

VILBG Long Bur Guard for 65-70mm burs £325.00

VIXBG Extra Long Bur Guard for 95mm burs £350.00

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ORDER ORDER HEAD OVERALL BUR CODE PRICE CODE PRICESIZE LENGTH GUARD (Carbide) £ (Diamond) £

1.8 50mm Medium M18R £29.50 - -

2.0 50mm Medium M20R £29.50 M20D £82.50

2.3 50mm Medium M23R £29.50 - -

3.0 50mm Medium M30R £29.50 M30D £85.00

4.0 50mm Medium M40R £59.50 M40D £85.00

5.0 50mm Medium M50R £59.50 - -

6.0 50mm Medium M60R £59.50 M60D £85.00

1.8 72mm Long L18R £37.50 - -

2.0 72mm Long L20R £37.50 L20D £52.50

3.0 70mm Long L30R £47.50 L30D £52.50

4.0 69mm Long L40R £47.50 L40D £55.00

5.0 69mm Long L50R £65.00 L50D £72.50

6.0 69mm Long L60R £67.50 L60D £85.00

6.5 69mm Long L65R £70.00 - -

2.0 95mm Extra Long X20R £52.50 X20D £62.50





BursAll surgical burs have a 2.36mm shank (HP fitting) and will fit in all high speed surgical bur machines e.g. 3M's Minos, Halls Surgairtome, Foredom. Wehave selected Komet burs for their high quality. All are single pack and non sterile. In human surgery burs are regarded as disposable items. In veterinarysurgery the cost precludes using burs as disposables. However, use of burs which are less than sharp extends procedure time and creates heat. We doadvise that burs are checked and changed on a regular basis.

Diamond burs are sharper and create less heat that carbide equivalents. Adequate irrigation is essential. Please see chart for options and prices.

BURS

BUR TYPE illustrations are actual size

BUR BLOCKS HP BURS (2.36MM SHAFT)

BUR6 Basic Bur Block for 6 burs £26.50

BUR10 Bur Block for 10 burs £37.50

BURSP12 Bur Block Split Level for 12 burs £52.50

BURRACK Bur Rack Flip Out for 12 burs £75.00

BURROT Bur Rack Rotating for 24 burs £245.00(NB Bur stands do not include burs)

Bur Stands

Bur Rack Rotate folded flat for autoclaving

Bur Rack Rotate rotated out for use.

Bur Rack Flip OutBur Block Split LevelBur Block x 10Bur Block x 6

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5 POWER TOOLS

AESCULAP TPLO MOTOR SYSTEM

GA200 Air Motor £1,975.00

GB124R TPLO Saw Attachment £1,150.00

GA468 MA7 Aesculap Air Hose £875.00

The heart of this system is the tried and tested Aesculap air motor. Themotor will drive other attachments such as drills and oscillating sawsmaking this TPLO saw part of a truly modular system. Aesculap radialblades are driven by the TPLO saw attachment.

Aesculap TPLO Motor SystemAesculap Motor Systems by B BraunAcculan Ti Modular System

Aesculap is knownworld wide for itsquality and reliability.The Acculan 3Ti is theirlatest battery drivenmodular system whichmeets the higheststandards of reliability,durability andergonomics. The bodyis machined fromTitanium for lightweight and durability.All standardattachments areavailable including:drill, oscillating saw,AO quick fit & wiredriver. The wire driver takes all pins up to 4.0mm and the Acculan 3Tihas the power to drive 4.0mm pins.

AESCULAP ACCULAN MODULAR SYSTEM

GA671 Handpiece £4,925.00

GA666 Battery £595.00

GA677 Charger £3,350.00

GA643R Wire/Pin Driver £1,350.00

GA638R Drill Attachment £1,075.00

GA660R Oscillating Saw Attachment £1,875.00

GA635R AO Quick Fit Attachment £1075.00

BRAESPOW Aesculap Power System Brochure £FOC

BRAESPBURBLA Aesculap Burs and Blades Brochure £FOC

TPLO Saws and Blades

TPLO SAW

TPLOSW TPLO Saw £2,250.00


TBHEX32 ‘T’ Bar Hex Drive 3.2mm £40.00

TPLOSCREW TPLO Saw - Replacement Screw £12.50

The VI TPLO is based on the very robust and reliable Halls sternumsaw. As such it takes the industry standard Halls hose, the same as theSurgairtome and the Halls range of saws and drills.The blade hub rotates back and forth 6 degrees. As the blade diameterincreases this 6 degrees will move the teeth on the saw a greaterdistance. You will find, therefore, that the bigger blades cut moreefficiently than the smaller ones. In addition, where the patient is smallthe tibia has a relatively low inertia and will therefore be moved back andforth by the blade further reducing the cutting efficiency. It is suggestedthat the tibia be supported by a sandbag to minimise this effect.

Using the VI TPLO saw the blade is tightened into the saw hub using asingle hex drive grub screw. This grub screw is larger and more effectivethan the 3 small grub screws on the original Slocum saw.Replacement grub screws are available. A ‘T’ bar type wrench is alsoavailable for greater comfort and efficiency. The saw is supplied with anallen key type wrench.

TPLOSCREW TBHEX32

Acculan Battery TPLO Saw

A new addition to the Acculan Ti range the TPLO saw is acknowledgedas the best battery TPLO saw available. It operates along the the longaxis as do all the standard saws and feels just right in operation. Theextra weight of the battery gives the blade some inertia to kick againstresulting in an improve cut. Users state that the saw drops through thebone under the weight of the saw alone. The lack of drag from a hosefurther improves the feel of the saw.If you have an Acculan set, the saw uses the same battery and it makesperfect sense to add the saw. The addition of the saw to the rangemakes purchase of the Acculan set even more attractive.Available as a stand alone saw or as part of the Acculan Ti set. We oftenhave special offers on the set so call or e-mail. www.vetinst.com

ACCULAN BATTERY TPLO SAW

GT676 Acculan Battery TPLO Saw £5,200.00

TBHEX30 3.0mm ‘T’ Bar Hex Driver (Aesculap) £40.00

We have sold TPLO saw blades from various manufacturers over theyears but have always thought that none of them cut as well as theyshould. In addition some of the blade lengths available did not match theclinical requirement. We have, therefore, designed our own.

Currently available blades either have no ‘set’ or a one sided ‘set’. The ‘set’of a saw is the way that alternate teeth protrude outside the blade of thesaw. The set, which is found on all woodworking and metal working saws,is there to create a slot in the material, wood, metal or bone, which isslightly larger than the blade so that the blade does not produce friction inthe slot. Friction creates heat which although not serious in either wood ormetal is very serious in bone. Thermal necrosis along the saw cut of TPLOosteotomies is a common cause of delayed union and failure. In addition toheat, friction leads to jamming of the blade in the slot which is bothfrustrating and destructive. VI TPLO blades have a full bilateral set formaximum efficiency.

Blade length varies from 35mm in the 15mm blade to 65mm in the 30mmblade as requested by leading surgeons.

131


For further information regarding the TPLO starter kit see page 29

TPLO Saw Blades VI Pattern

TPLO BLADES VI PATTERN

TPLOVI15 TPLO Blades VI Pattern 15mm, 35mm length £245.00






De-Soutter ‘Slocum’ Saw

It may come as a surprise to many users that the original Slocum sawwas a modified De-Soutter product. As De-Soutter distributors we arenow pleased to be able to offer the original saw to existing and newusers. Many of the original saws are still in use but are coming to theend of their life. It is now possible to replace like for like to minimise anychange in the technique.

DE-SOUTTER SLOCUM SAW

DPX-SAW De-Souter Slocum Saw (includes Stryker adaptor) £2,950.00

TBHEX25 2.5mm ‘T’ Bar Hex Driver (Slocum) £40.00

SLOSCREW Slocum TPLO - Replacement Screw £12.50

Used Air EquipmentWe maintain a large stock of used air equipment which John Lapish haspersonally selected for condition. Everything carries a 6 month warranty.Loan items are usually available. The stock list varies from day to day soplease telephone to ask for our current stock list.

All items available on a sale or return basis so that you can trialbefore you buy.

Usually available - Mini Driver, Maxi Driver (Larger version of Mini Driver)De-Soutter MPZ and MPX Halls Drills & SawsSurgairtome IIMinos

Check the pre-owned section of www.vetinst.com

for latest offers

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5 POWER TOOLS

MODULAR STAINLESS TPLO SAW BLADES

TPLOBHUB Hub for 18, 24 & 30mm Blades includes Collar £425.00

TPLOB18 18mm Radial Cut Stainless Blade £145.00



TPLOB30COL Collar for 30mm Blade £145.00

TBHEX32 3.2mm ‘T’ Bar Hex Driver (Whittemore/VI) £40.00

All the blades fit the standard hub. The 30mm blade requires a collar whichis supplied with the hub. The blades have a ‘set’ which makes the teethslighter wider at the tips which reduces friction and heat as the bladepasses through the bone.

For those who purchased our stainless steel hub system taking semidisposable radial cut blades we are pleased to inform you that in additionto the 24mm blade, 18 and 30mm blades are now available. The bladesare long lasting with a tooth ‘set’ to reduce heat generation. When they getdull simply fit a new one.

Modular Stainless TPLO Blades

We are now able to supplyradial cut blades in thefollowing sizes: 15, 18, 21,24, 27, & 30mm.

Mandrels are available for the following sizes: 15, 18 & 24, 21 & 27 and 30mm.

The theoretical benefits of a bi-radial blade are well known. However, inpractice the bi-radial blade is not very efficient at cutting bone even when new.After hand sharpening the efficiency falls still further. An inefficient bladecreates heat. The thermal necrosis produced by the bi-radial blade neutralisesany benefit derived from the bi-radial cut.

Our titanium blades are light, thin, hard and replaceable. In addition the bladeshave a ’set’ (the teeth are alternately offset as in all wood cutting saws) whichcreates a slot slightly wider than the blade. This reduces the friction and heatstill further as well as preventing the blade jamming in the osteotomy. Whenthe blade becomes worn simply replace with new sharp blade.

RADIAL CUT TPLO BLADES

TPMDRL15 Mandrel for 15mm Blades £325.00

TPMDRL1824 Mandrel for 18 & 24mm Blades £325.00

TPMDRL2127 Mandrel for 21 & 27mm Blades £325.00

TPMDRL30 Mandrel for 30mm Blades £325.00

TPBL15 15mm Blade £195.00






TPLO Radial Saw Blades

AESCULAP TPLO SAW BLADES

GC544R Aesculap Radial Saw Blade 18mm £275.00





GCTEM TPLO Blade Template £FOC

• Blade is slightly thicker at the cuttingedge which reduces friction and heat atthe level of the blade body.

• Cutouts in the blade body further reduceheat generated by friction, the singlebiggest problem associated with TPLO.

• Available in 18, 20, 24, 27 and 30mm

• TPLO blade template available printedonto a clear acetate. The blade profile isa useful planning aid for radial cutTPLOs.

Aesculap TPLO Saw Blades

Aesculap TPLO blades are, as you would expect, engineered to very highstandards and have a number of important features.

Aesculap Power Lubricants - Sterilit

This is the especially formulated lubricantfor all Aesculap power tools.

AESCULAP STERILIT SPRAY

GB600 Aesculap Sterilit Spray (300ml) £59.50

133


Slocum Flat Blade Convertor

Allows any saw with a Slocum type drive to drive flat blades

Huge range of blades available

Friction grip allows infinite range of blade angles

Use for osteotomies, wedge TPLOs, TTO, TTA.

001770

Blade not included

SLOCUM FLAT BLADE CONVERTOR

001770 Slocum Flat Blade Convertor £102.50

TPLO PROTRACTOR

TPLOPRO TPLO Protractor £24.50

Use to accurately measure the tibial plateau slope. In addition theprotractor is marked with blade outline to further assist in the planning ofthe TPLO procedure.

TPLO Saw Blade Protractor

‘T’ BAR HEX DRIVERS

TBHEX25 2.5mm ‘T’ Bar Hex Driver (Slocum) £40.00

TBHEX30 3.0mm ‘T’ Bar Hex Driver (Aesculap) £40.00

TBHEX32 3.2mm ‘T’ Bar Hex Driver (Whittemore/VI) £40.00

The fitting on most TPLO saw blades isof the triangular Stryker type. Themeans of attachment to the saw is byhex drive grub screws which arenotorious for working loose. Our ‘T’ barhex drivers allow the surgeon to quicky,easily and firmly attach the blade to thesaw.

Available in 2.5mm (Slocum), 3.0mm (Aesculap) and 3.2mm (Whittemore VI).

TPLO Saw Hex Driver ‘T’ Bar type Air Regulators and Hose Probes

All the air equipment runs on Medical Air at 7 Bar (100PSI). Drills andsaws can be run from compressors as their air requirement is intermittent.High speed drills need bottled gas or a big compressor. A twin dialregulator is best to control gas pressure (001756). One dial gives bottlepressure, the other one gives line pressure (7 Bar).

UK supplied hoses come with an MA7 probe (Medical Air 7 Bar pressure).Schrader fittings on hoses purchased from the USA look similar to UK MA7probes. Many will however not lock into UK MA7 sockets. The bestsolution is to change the probe. A cheaper alternative is to use a Schrader / MA7 convertor (001758).

AIR REGULATORS AND HOSE PROBES

001756 Medical Air Regulator MA7 outlet * £355.00

001758 Schrader / MA7 Convertor (plug in) £70.00

001759 Hose conversion US Schrader to UK Probe P.O.A.

notch UK MA7 US Schrader

Air Instrument Care Products

Orthopaedic Air instruments areexpensive to buy and replace.Regular basic maintenance willensure continuing excellentperformance and minimal repairbills. Many instruments whichcome to us for repair have simplynot been lubricated. Followmanufacturer's recommendationsexactly.

AIR INSTRUMENT CARE PRODUCTS

M105 Blitz Spray Cleaner £23.00

M317 Lubricant for Minidriver and Minos £19.50

M316 VI Air Instrument Oil £10.50

Carriage is extra for all items marked *

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5 POWER TOOLS

Replacement Air Hoses — what do I need?

To get the correct hose you will need to know 2 things — the make / model ofinstrument the hose is to fit, and the type of supply outlet you have.

Outlet connectors cause most fitting issues. Most usual outlet — UK MA7. Thiswill only accept UK MA7 probes. If your hose pushes in, but will not click home,the hose usually has a US Schrader fitting. A common symptom of eBaypurchases! Hoses sourced outside the UK & USA are very unlikely to becompatible with UK outlets as each country has its own connectors for safetyreasons. Hose outlet connectors are shown with the relevant outlet. Schraderhoses can be as shown but can also have no gutter round the probe.

A UK MA7 probe will fit a Schrader socket, but a Schrader probe will NOTfit a UK MA7 outlet without a special adaptor

AIR HOSES

3MHOSEVI VI Hose 3M Fitting UK MA7 (3 metre) £425.00

3MHOSEVIUS VI Hose 3M Fitting US Schrader (3 metre) £425.00

HALLHOSEVI VI Hose Halls Fitting UK MA7 (3 metre) £425.00

MAXIHOSE MaxiDriver Hose MA7 (3 metre) £425.00

MPZ10900 Desoutter MPZ Hose MA7 (3 metre) £550.00

MPX5300 Desoutter MPX Hose MA7 (3 metre)Also fits original Slocum Saw £425.00

GA468 Aesculap Air Hose MA7 fits GA200 motor(3 metre) £875.00

001758 MA7 Male to Schrader Female plug in adaptor £70.00

UK MA7 SCHRADER

3M connector — fits Minidriver, Microdriver,Minos A200.

Halls connector. Fits most Halls air tools,Surgairtome spinal system, VI air equipment,Whittemore TPLO saw and many others.

Maxidriver. Fits nothing else!

Common Instrument Connectors:

POWER TOOLS COMPARISON

Modular SystemsBattery

AesculapAcculan Ti

AirDe-SoutterMPX 600

AirDe-Soutter

MPZ

AirMiniDriver

AirMaxiDriver

Handpiece £4,925 £3,825 £3,575 £2,450 £2,450

AO quick release £1,075 £625 £600 £495 £525

4mm Jacobs £745 £545 £375

6.25mm Jacobs £1,075 £745 £575 £375 £425

High Torque Chuck6.25mm

£825

Wire Driver £1,350 £2,125 £1,725 £675 £475

Oscillating Saw £1,875 £1,975 £2,150 £975 £525

Battery £595

Charger £3,350

Hose £425 £550 £425 £425

Set includingHandpiece, Drill,Saw, AO, Wire driver,4mm chuck, plusHose or Batteries (x2) plus charger

£14,840 £10,465 £9,720 £3,950 £4,475*

* does not include4mm chuck

Warranty Period 12 months 12 months 12 months 12 months 12 months

135

Surgery of the Spine

Surgery of the spine in the cat and the dog can be performed in generalpractice provided that appropriate skills and instrumentation are available.Diagnostic skills and equipment are of course equally important.Myelography is another procedure which is not particularly difficult and canbe very rewarding. However, myelography perhaps should only beperformed if the means to correct the problem is available. Spinal surgeryis an increasingly common topic at CPD meetings and courses. Equippedwith knowledge and some instruments, practice (initially on cadavers)makes perfect.

Many procedures can be performed using hand instruments only, eg. fenestration of cervical and thoraco / lumbar discs. Even hemi-laminectomies and slotting can be done manually provided that the correct instruments and time are available. Access to high speed drills and burs does, however, make life easier and significantly reducessurgery time. The choice of power tools is very difficult with a wide range of options. Important criteria include drill speed, bur range, ease ofsterilising and expense.

Veterinary Instrumentation has assembled a range of hand instrumentsand surgical power tools which will enable the veterinary surgeon toperform most spinal procedures.

The range is such that if you do not know exactly what you require ask fora selection on a sale or return basis. Simon Wheeler's book is an excellentguide. The new edition is now available which is even better.

Bur SystemsA range of both electric and air driven Bur systems for

spinal surgery are shown on page 128 in Chapter 5. The

Electric Foredom Bur system is suitable for the

occasional spinal surgery, whilst surgeons cutting more

than one back per month may find the

Minos/Surgairtome of interest. All power tools are

available individually or as part of a discounted kit.

Introduction

PERCUSSION MALLET

001322 Percussion Mallet 210mm £24.50

Percussion Mallet

Designed for consistent neurological examination. Much better thanwhatever you are using at the moment!

Duck-Billed Daniel Rongeurs

Designed by Simon Wheeler BVSc PhD, these rongeurs can remove fullthickness laminal bone in small dogs. They are, however, best used toremove the layer of deep cortical bone overlying the spinal cord once thesuperficial cortex and cancellous bone have been removed using powertools; this is particularly true of the medium and large dog.

Rongeurs & PunchesAll rongeurs and spine forceps cut with one part of the jaw inserted into thecompromised spinal canal. Our spine instruments are designed tominimise the size of the lower jaw. In many cases this will reduce thecutting strength of the instrument which should only be used onappropriate bone thickness. A selection of rongeurs will be required.

DUCK-BILLED DANIEL RONGEURS

001400 Duck-Billed Daniel Rongeurs 177mm long 3mm bite £82.50

Daniel Rongeur

The jaws of this instrument are straight and the bite is small. Also suitablefor bulla osteotomy.

DANIEL RONGEUR

001402 Daniel Rongeurs 130mm long 2mm bite AOF £82.50

BOOK

BK05 Small Animal Spinal Disorders £110.00

Actual S

ize

Actual S

izeChapter 6 SPINAL SURGERY 6

136

6 SPINAL SURGERY

Lempert Rongeur

A useful rongeur with a small bite favoured by Simon Wheeler forincremental bone nibbling around the spine. A selection of small rongeursis desirable when operating on the spine.

LEMPERT RONGEUR

6730/10 Lempert Rongeurs 3mm bite 190mm Str £90.00

Friedman

Very fine rongeurs for incremental removal of bone overlying the spine.

142501 142502

FRIEDMAN

142501 Mini Friedman curved 3mm bite 160mm. £67.50

142502 Micro Friedman curved 2.2mm bite 155mm. £67.50

Actual S

ize

Actual S

ize

Actual S

ize

Actual size

Micro Spine Rongeur Set

Very fine rongeurs with a 1.75mm bite. Available in three variations,straight, curved and angled. Significant savings when purchased as a setof three.

MICRO SPINE RONGEURS

142600 Micro Spine Rongeurs Set of 3 £135.00

Compound Action Spinal Rongeurs

Much more powerful than the Daniels, this instrument cannibble through full thickness lamina. The jaws are very fineand angled to allow the surgeon to enlarge the inter-verterbralforamen. Available in 2, 3, 4 and 5mm jaw widths. Length 190mm.

COMPOUND ACTION SPINAL RONGEURS

001429 Compound Action Spinal Rongeurs 2mm £225.00




STILLE-LUER RONGEURS

142305 Stille-Luer Heavy Compound Action Rongeurs8 mm curved £215.00

Stille-Luer Rongeurs

Actual size

Actual size

Length 225mm.

Laminectomy Rongeurs

These rongeurs have been developed specifically for laminectomy in thedog. Features:

• Sigmoid shaped for maximum visualisation of surgical site and ease of grip.

• Lower jaw is very slim to minimise trauma to the spinal cord.

• Available in jaw widths of 2, 3 and 4mm. Length 16cm.

• Stronger than Duck-Billed Daniels

LAMINECTOMY RONGEURS

001432 Laminectomy Rongeurs 2mm 160mm £165.00



137

SPINAL SURGERY 6www.vetinst.com

Modular Forceps with Rotating Punch & RongeurInserts

MODULAR FORCEPS WITH PUNCH & RONGEUR INSERTS

001448 Kerrison Modular, Multi-Position Inserts £445.00

Smith Kerrison Punch Forceps

close updetail

This is a traditional design with a 40 degreeupward cutting jaw. Robust spine forceps.Good quality and excellent value.

185mm shaft.

SMITH KERRISON PUNCH FORCEPS

001445 Smith-Kerrison Punch Forceps 2mm £135.00

001446 Smith-Kerrison Punch Forceps 3mm £135.00

The standard handpiece accepts six different inserts which can bechanged very quickly and simply even mid-procedure. Each insert willrotate 360˚ in 40˚ increments without impairing cutting efficiency. Full kitwith 6 inserts supplied in stainless case for autoclaving. Length 28cm.

Full set with six inserts in case:

• Rongeur 1.5mm insert • 40˚ 1.0mm insert



Replacement inserts can be purchased separately.

40˚ Bone Punch Forceps (Low Profile)

This instrument is designed for use withhigh speed bur systems. The bur isused to remove the outer cortical layerand the underlying cancellous layer,leaving only the inner cortical bone(appoximately egg shell thickness).Access to the neural canal is achievedusing the bur or a small mobiliser(001420). The powerful nibbling actionallows the final layer of bone to beremoved in a very controlled manner.

From a surgical standpoint the foot should be as small as possible, forstrength the foot needs to be as large as possible. This wedge shape is agood compromise. In addition the foot is polished to minimise friction andtrauma to the spine. Overall length 21cm.

40˚ BONE PUNCH

001438 Spine Punch Forceps 2mm 40° upward cut £245.00



Standard Kerrison require that the jaws be cleared of debris after each bite formaximum efficiency. The Self Clearing Kerrison incorporates a channel alongwhich bone debris moves much in the same way as a paper hole punch.Significant time and frustration is eliminated. Available in 2mm and 3mm.

Kerrison Self Clearing

SELF CLEARING KERRISON RONGEURS

001143 Self Clearing Kerrisons 2mm bite 210mm shaft £245.00

001144 Self Clearing Kerrisons 3mm bite 210mm shaft £245.00

Some purchasers of our full modular set found that they did not use therongeur style inserts very much. In addition we got feedback that the shaftof the Kerrison should be shorter and if possible with a smaller jaw. As aresult of your comments we have produced this set with three shorterinserts, the smallest of which is 1.5mm. This is as small as we can go whileretaining the self clearing feature of the system.

Shaft length is 100mm.

Modular Kerrison with 3 Inserts, Self Clearing

MODULAR KERRISON WITH THREE INSERTS 1.5MM, 2.5MM & 3.5MM

001415 Modular Kerrison with 3 inserts £360.00

001416 Spare 1.5mm insert £80.00



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6 SPINAL SURGERY

Cone Laminectomy Retractor

Similar in size to a Travers retractor but witharticulated arms, the cone retractor allows a veryflexible field of retraction, with the additional benefitthat it can be folded away from the operation site.Maximum retraction, minimum interference.

CONE LAMINECTOMY RETRACTOR

001335 Cone Laminectomy Retractor 160mm £265.00

Small Spine Distractor

The tips of the small distractor are designed to fit into inter-vertebralspaces. The surfaces pushing against the end plates are serrated formaximum grip. Tips when closed 4mm. Overall length 140mm. Tips arestaggered for easy introduction.

SMALL SPINE DISTRACTOR

001491 Small Spine Distractor £225.00

CASPAR MODULAR SELF RETAINING RETRACTOR

001485 Caspar Retractor with Standard Blades (6) 170mm £295.00

001486 Caspar Cervical Distractor Pins (2) £49.50

001489 Set Extended Length Blades 8, 10, 12 & 15cm £145.00

The Caspar self retaining retractor is a modular retractor which utilises aratchet rack mechanism to distract a variety of blades and other inserts.Although designed as a spinal retractor the Caspar has many otherapplications.

‘Not just a one trick pony’ Andrew Wills 2007.

Uniquely veterinary inserts include the cervical distraction pins (2.5mm dia).

Caspar Modular Self Retaining Retractor

Spike & Shield Odd Leg Retractor

Operates in a similar fashion to the odd legGelpis but the muscle retaining shieldcreates a wider field of view. Supplied inpairs left and right.

SPIKE & SHIELD ODD LEG RETRACTOR

001480 Large 25x25mm Shield (pair) 180mm £265.00

001482 Small 12x12mm Shield (pair) 125mm £265.00

Gelpi Odd Leg Retractor

One arm (short) engages theneural spine, the other (long)retracts the longissimus dorsimuscle. Supplied in pairs.

GELPI ODD LEG RETRACTORS

001333 Gelpi Odd Legs (Pair) 205mm £295.00

001334 Gelpi Short Odd Legs (Pair) 130mm £295.00

139


Burley Disc Scoop

The Burley Disc Scoop is designed to remove material without repeatedinsertions into the disc space. As the scoop is moved around, the nuclearmaterial travels along the channel and out.

BURLEY DISC SCOOP

001501 Burley Disc Scoop 155mm £57.50

Wobblers

At the present time, distraction fusion techniques seem to offer the bestchances of success. The rapid improvement following surgery encouragesthe owners to persevere to long term stabilisation. The McKee washer hasbeen shown to give a relatively high success rate for this most difficultcondition. Each size washer has its own distractor to facilitate insertion.The washer is maintained in situ by a 3.5mm position screw.

WOBBLERS

090250 6.0 McKee Wobbler Washer No 2 £29.50

090251 7.5 McKee Wobbler Washer No 1 £29.50

090255 6.0 Wobbler Washer Distractor 200mm £47.50

090256 7.5 Wobbler Washer Distractor 200mm £47.50

McKee Distractor with Speedlock

The odd legs of this dedicated distractor engage the intra vertebral spaceproximal to and distal to the space involved. The speedlock opens the discspace leaving it uncluttered by instrumentation. An alternative to washersis fusion using bone cement with or without screws. See page 202 for full list.

MCKEE DISTRACTOR WITH SPEEDLOCK

090257 McKee Distractor with Speedlock 240mm £225.00

Lyostypt®

Lyostypt® is a wet-stable collagen haemostat. Collagen leads tothrombocyte adhesion and to activation of coagulation factor XII.Replacement for Gelfoam. Size 30 x 50mm. 12 units per pack.

• Achieves haemostatis very swiftly.

• Is completely absorbable.

• Can be removed easily.

• Can be applied endoscopically.

• Can be combined with fibrin glue and antibiotics.

LYOSTYPT®

1069128 Lyostypt® (12 units) £115.00

Bone Wax

It will not help you if you hit a venous sinus but will control the blood fromcut cancellous bone which obscures the visual field. The wax physicallyblocks the blood vessels.

An alternative is the distraction of the disc space using a small screw andfilling the space with Gentamycin BC1G Bone Cement.

Bone cement is also used for stabilising spinal fractures. Use screws orpins to provide ‘keying’ points.

For full list of available bone cement see page 202.

BONE WAX

001460 Bone Wax 12 x 2.5g £28.50

Veterinary Instrumentation Bone Cement

VETERINARY INSTRUMENTATION BONE CEMENT VACUUM MIX

BC1 High Viscosity 40g £50.00

BC1G High Viscosity 40g with Gentamycin £60.00

BC3G Low Viscosity (syringe) 40g with Gentamycin £60.00

140

6 SPINAL SURGERY

Dandy Nerve Hook

The Dandy Nerve Hook is useful for manipulation of nerves and nerveroots. Also useful for manipulation of the medial meniscus during CCLprocedures.

DANDY NERVE HOOK

001408 Dandy Nerve Hook 1mm 190mm £31.50

001409 Dandy Nerve Hook 2mm 220mm £31.50

hook detail

Freer Periosteal Elevator

Very Fine Periosteal Elevator

Even smaller than the Freer this double ended instrument is suitable forvery fine work. 2 and 3mm tips.

VERY FINE PERIOSTEAL ELEVATOR

001272 Very Fine Periosteal Elevator 2mm/3mm 180mm £42.50

Finer than a standard orthopaedic elevator, this instrument is useful in catsand miniature dogs. Particularly good around the spine. 5mm tip.

FREER PERIOSTEAL ELEVATOR

7350/05 Freer Periosteal Elevator 5mm 180mm £42.50

Hand Instruments

House Curette

The House Curette is a strong small curette to lift bone from around thespinal cord. Double ended 2.5 and 3.0mm scoops.

HOUSE CURETTE

7262/05 House Curette 2.5 and 3.0mm scoops 150mm £45.00

Rosens Mobiliser

With care, intraneural canal structures can be manipulated. Removal ofdisc debris is essential to achieve decompression of the cord. The curvedtip of this instrument is very useful.

ROSENS MOBILISER

001420 Rosens Mobiliser 160mm £45.00

curved tip detail

House Curettedetail

House Curettedetail

Bone Curette

Following requests for a House Curette with smaller scoops, this set of twobone curettes have been designed with 1mm and 2mm scoops. This is thesmallest scoop we can provide whilst still being strong enough to elevatebone.

BONE CURETTE

001411 Bone Curette 1.0mm scoop 145mm £36.50

001412 Bone Curette 2.0mm scoop 145mm £36.50

Bone Tamper - also can be used as a bone filling instrument.

BONE TAMPER

001413 Bone Tamper 1.0mm scoop 150mm £21.50

001414 Bone Tamper 2.0mm scoop 150mm £21.50

Bone Tamper

Based on a suggestion from Damian Chase of Pride Veterinary CentreThis probe is useful for manipulation of the spinal cord and nerve rootsduring certain surgeries.

CHASE SPINAL HOOK

001451 Chase Spinal Hook 8mm 90° Offset 145mm £45.00

Chase Spinal Hook

141


Sheas Curette

Fenestration of discs, particularly cervical discs, can be a usefulprocedure. The Sheas Curette is a very small scoop. 2.5mm in diameter.

SHEAS CURETTE

001410 Sheas Disc Curette 2.5mm diameter 170mm £45.00

Both instruments are recommended by Simon Wheeler for the removal ofwafer thin bone overlying the spinal cord during laminectomy. The YoungerGood scaler is blunt backed and useful for removal of disc material fromboth disc spaces and neural canal. This is not a standard scaler in that allthe sharp surfaces are softened to minimise spinal trauma. The Jaquettescaler is sharp and best suited to hooking out the final lamina.

YOUNGER GOOD SCALER, JAQUETTE SCALER

001422 Younger Good Scaler 175mm £37.50

001424 Small Jaquette Scaler 165mm £37.50

Jaquette Scaler

Younger Scaler

YoungerScaler detail

JaquetteScaler detail

scoop detail

Younger Good Scaler, Jaquette Scaler

FITZEXCAVATOR SET

001428 FitzExcavator Set £245.00

Designed and developed by Noel Fitzpatrick this excavator set includesall the necessary hand instruments for surgical managment of canineinter-vertebral disc disease.The set consists of 5 cutting instruments: one left ,one right, plus 3straight instruments 2.00mm, 1.00mm and 0.5mm. Set also includes 001275 Molt Periosteal Elevator (4mm/6mm).The six instruments are supplied in a stainless autoclavable case.

FitzExcavator Set

MB Spinal Brace

Many cases of disc disease, spinal fractures or instabilities are notamenable to surgical treatment for a variety of reasons, from the rightpatient signalment (i.e. age, underlying diseases) to economicconsiderations. The “MB Spinal Brace” (MBSB) developed by MarkBesancon DVM is designed to help support cases of thoracic and lumbarIVDD, vertebral fractures or instabilities. The durable and comfortableneoprene harnesses encircle the patient at the desired locations and areconnected by two parallel adjustable metal rods that lay on the lateralaspects of the chest and abdomen. The MBSB supports and restricts therange of motion of the patient in several planes giving the body a betterchance of healing. The expandable metal connection rods can be placed ina neutral position strictly for support, or extended to apply minimal tomoderate decompressive forces on the spine. These back braces arecommonly used in the human medical field and now they are available forveterinary use.

Several indications for use include:

• Medical IVDD treatment (support and decompression).

• Medical spinal fracture treatment.

• Pre and post-surgical spine support.

For further information and to view an application guide visitwww.vetinst.com

To order the correct size please measure:

1. The circumference of the chest in cm (C)

2. The circumference of the abdomen (A)

3. The length of the back (Distance from C to A)

AC

Patent Pending.

To be launched June 2012

Chapter 7

142

7 TRAUMA IMPLANTS & INSTRUMENTS

Implant Designs andSpecificationsFor many years, veterinary orthopaedics have been complicated by theuse of two incompatible plating systems: AO/ASIF type cortical screwsplus compression type plates, and Sherman type screws plus Shermanand Venables type plates. The two systems differed both in theirmetallurgy and their strength.

All our implants are now made from stainless steel of the latest humanspecification, exceeding DIN 17443 and ISO 5832/1 (all are versions ofstainless 316LV). This is the same specification material used by othermanufacturers. In addition, where international standards have beenapplied to screw threads e.g. 3.5 cortical screws (DIN 58812) our implantsmeet these standards. It is now safe to use implants from a variety ofsources provided they meet the above specifications. All implants made inEurope must be compatible with each other.

Round hole plates may be used with cortical screws. Only cortico-cancellous screws with spherical heads can be used to achievecompression using compression plates.

Self-Tapping Cortical ScrewsAfter many years of being advised by AO that self-tapping screws wereunacceptable, it now seems that they are fine and are supplied as self-tapping cortical screws. The pull out resistance is unaffected provided theself-tapping flutes sit outside the bone. In our view long holes in hard boneshould be pre-tapped e.g. a trans-condylar screw in the mature humerus ora position screw through the calcaneus. Veterinary Instrumentation'scortical kits are now available with self-tapping cortical screws or regularcortical screws which require a tap.

Implant CodesTo minimise confusion regarding ordering, we have given our implantscodes which accurately describe the item in question. For example:C2706052 is a compression plate for 2.7 screws which has 6 holes and is52mm long.

To further assist in decision making and ordering, templates are printed onpages 342 to 354 which show the exact shape of all the plates available.Each outline is described by its own code. Acrylic overlays of thesetemplates for use during fracture planning with radiographs are availablefree of charge from Veterinary Instrumentation.

Which screw?

HEAD TYPE

Hexagonal Self-tappingor needs a tap

SlottedSingle slot orcross head(Philips type)

AO type Self Tapping Cortical.All have a CSST prefix followed by thediameter and length of screw,e.g. CSST2718 is an 18mm 2.7self-tapping cortical screw.

AO type screw, cortical or cancellousPrefix is CS followed by the diameter and length of screw,e.g. CS3520 is a 20mm 3.5 cortical screw.

Either 2.0 or 2.7 (7/64”) Sherman typeself-tapping screw. All have ST prefix followed by the length of screw, e.g. ST2012 is a 12mm 2.0 self-tapping screw.

3.5 (9/64”) Sherman type self-tapping screw.Prefix is ST35 followed by the length of screw,e.g. ST3519 is a 19mm 3.5 self-tapping screw.

SELF-TAPPING

OR

NON SELF TAPPING ?

There is a significant trend towards the use of self tapping screws over thetraditional pre-tapped type. This trend is occurring in both veterinary andhuman orthopaedics. It takes roughly twice as long to drill, tap and insert atraditional screw compared with a self tapper. Any saving in time reducesmorbidity and saves money. These savings are most pronounced inlengthy procedures involving long plates and multiple screws.

Self-tapping screws are particularly suited to the proximal tibia wherecortices are thin. Most self tapping screws are therefore used in the TPLOand TTO procedures. Self tappers are less suitable for use in hard corticalbone or dense bone such as the calcaneous or the distal humerus. This isnot surprising in that the short self tapping flutes on the screw are lessefficient at cutting threads than a purpose designed tap. Once the shortcutting flutes on the screw tip are full of bone debris the tapping becomesinefficient, increasing the risk of splits.

It is suggested that as a new set up, the surgeon opts for a self tapping kit.However, taps should also be purchased and used in appropriatesituations. e.g. calcaneous, distal humerus and distal 1/3 of the tibia. Thethread form of both screws is identical and the self-tapping threads willfollow a pre-tapped pilot hole.

To acheive the same pull outresistance as standard screws itis important that the self tappingflutes sit outside the trans cortex.

The self tapping effect of the screw may beachieved in different ways.Cortical self tappers have 1-3 self tappingflutes cut into the tip of the screw to cut athread as the screw is inserted.Cancellous screws have a ‘pigtail’ tip whichdoes not cut through cancellous bone butrather expands and eases the screw through,minimising damage to the fragile bone. Thereis one important consequence to this. In theproximal tibia during the TPLO procedure, ifthe pilot hole for the longest screw penetratesthe proximal fibula and a full length cancellousscrew is selected then the ‘pigtail’ will not beable to penetrate through what is effectivelythree trans cortical layers and will jam resultingin either a loose screw or possibly the headshearing off.

143

TRAUMA IMPLANTS & INSTRUMENTS 7 www.vetinst.com

By carefully positioning screws within the special holes of compressionplates, compression can be exerted at the reduced fracture site as thescrew is tightened. As the spherical head of the screw strikes the rearedge of the hole in the plate, the screw, (and the attached bone) are forcedaway from the edge of the hole and towards the fracture site.

The object of compression is to provide for primary bone union. A specialguide must be used to position accurately the screw hole within the plate.The oval shaped holes in DCP’s allow a greater range of screwangulations than round hole plates. Cortical screws are available in bothtapped and self tapping formats.

Larger table available on page 355.

Compression Plates and Cortical Screws(AO/ASIF type)

DRILL & EQUIPMENT for Cortical and Cancellous ScrewsCORTICAL = CSCORTICAL SELF TAP = CSST SELF- SELF SELF- SELF-CANCELLOUS = CAN TAPPING SMALL TAPPING TAPPING SMALL SMALL TAPPING CORTICAL CORTICAL CORTICAL CANCELLOUS CORTICAL CORTICAL CORTICAL CANCELLOUS CORTICAL CANCELLOUS CORTICAL CANCELLOUS CORTICAL CORTICAL CANCELLOUS 1.5 2.0 2.0 2.2 2.4 2.7 2.7 3.0 3.5 3.5 3.5 4.0 4.5 5.5 6.5

PILOT DRILL 1.1 1.5 1.5 1.5 1.8 2.0 2.0 2.0 2.5 2.0 2.5 2.5 3.2 4.0 3.2

JACOBS HARD H090100 H090101 H090101 H090101 H090208 H090102 H090102 H090102 H090112 H090102 H090112 H090112 H090105S H090107 H090105S

JACOBS SOFT - 090101 090101 090101 N/A 090102 090102 090102 090112 090102 090112 090112 090105 090107 090105

SYNTHES FIT S090100S S090101S S090101S S090101S N/A S090102S S090102S S090102S S090112S S090102S S090112S S090112S S090105S S090107 S090105S

TAP - QUICK FIT TD0015 TD0020 N/A N/A N/A TS0027 N/A N/A TS12535 TS17535 N/A TS17535 TS00045 TS00055 TS00065

TAP - ‘T’ BAR TBT015 TBT020 N/A N/A N/A TBT027 N/A N/A TBT12535 TBT17535 N/A TT17535 TBT045 - TBT065

CLEARANCE DRILL 1.5 2.0 2.0 2.0 2.4 2.7 2.7 3.0 3.5 3.5 3.5 4.0 4.5 5.5 6.5

JACOBS HARD H090101 H090102 H090102 H090102 H090209 H090104 H090104 H090205 H090106S H090106S H090106S H090107 H090108S H090109 -

JACOBS SOFT 090101 090102 090102 090102 N/A 090104 090104 - 090106 090106 090106 090107 090108 - -

SYNTHES FIT S090101S S090102S S090102S S090102S N/A S090104S S090104S SDD1500 S090106S S090106S S090106S S090107 S090108S S090109 -

SCREW DRIVER - TYPE 1.5 HEX 1.5 HEX 1.5 HEX 1.5 HEX 1.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 2.5 HEX 3.5 HEX 3.5 HEX 3.5 HEX

SDHS20F SDHS20F SDHS20F SDHS20F SDHS20F SDHS35F SDHS35F SDHS35F SDHS35F SDHS35F SDHS35F SDHS35F SDH3500 SDH3500 SDH3500

AO Type Screws, Plates and Equipment

AO type screws and plates have, for many years, been the human and veterinary standard implants. They wereoriginally designed in the 1950s by the AO study group [Arbeitsgemeinschaft für Osteosynthesefragen (English:Association for the Study of Internal Fixation, AO/ASIF) ] which continues to this day to lead the world in implant design.The design of the spherical screw head and the compression hole are particularly important as, unless made to veryexacting specifications, will not work properly together.The composition and design of AO type implants are laid down in very detailed international standards. The specificationfor plates and screws are detailed below. Provided implants are made to these exacting standards it is safe to mix andmatch sources. Be very wary about using implants which may not comply.Veterinary Instrumentation implants are made in the U.K. in a factory for human implants where every aspect ofmanufacture is closely monitored so that every product meets the specification.

Materials

BS 7252-1:1997 ISO 5832-1:1997 Metallic materials for surgical implants. Specification for wrought stainless steel.BS 7252-3:1997 ISO 5832-3:1996 Metallic materials for surgical implants. Specification for wrought titanium 6al4v.BS 7252-9:1993 ISO 5832-9:1992 Metallic materials for surgical implants. Specification for high nitrogen stainless steel BS ISO 5832-2:1999 Implants for surgery. Metallic materials. Unalloyed titanium.

Bone Screws

BS 3531-5.3:1991, ISO 5835:1991 Implants for osteosynthesis. Bone screws and auxiliary equipment. Specification for the dimensions of screwshaving hexagonal drive connection, spherical under-surfaces and asymmetrical thread.

BS 3531-5.6:1991, ISO 6475:1989 Implants for osteosynthesis. Bone screws and auxiliary equipment. Specification for the mechanicalrequirements and test methods for screws having asymmetrical thread and spherical undersurface.

BS 3531-5.4:1993, ISO 9268:1988 Implants for osteosynthesis. Bone screws and auxiliary equipment. Specification for screws having symmetricaland asymmetrical thread and conical undersurfaces.

Bone Plates

BS 3531- 23.1:1991 ISO 9585:1990 Implants for osteosynthesis. Bone plates. Method for determination of bending strength and stiffness.BS 3531- 23.2:1993 ISO 9269:1988 Implants for osteosynthesis. Bone plates. Specification for holes and slots for use with screws of 4.5mm 4.2mm

4.0mm 3.9mm 3.5mm and 2.9mm nominal sizes.BS 3531- 23.3:1991 ISO 5836:1988 Implants for osteosynthesis. Bone plates. Specification for holes corresponding to screws with asymmetrical

thread and spherical under surfaces.

Savings may bemade by purchasingpre-assembled kits.The price is typicallydiscounted by 5%compared to thecomponent price.

The descriptioncortical means thatthe pilot hole must bepre-tapped prior toscrew placement.Cortical Self Tappingmeans that the screwitself has a self tapping tip and cuts its own thread. Self tappers work verywell in all but the hardest cortical bone. It recommended that surgeonsusing self tappers keep a tap ‘just in case’.

Each kit contains all you need including screws and implants. Full detailsof what the kit includes is available at www.vetinst.com/kits.

144


AO Cortical and Cortical Self Tapping Kits

Examples of the Self Tapping kits are shown below:

AO Cortical Self Tapping Kits with Limited Contact (LC) Compression Plates

AO Plating Kits

AO CORTICAL & CORTICAL SELF TAPPING PLATING KITS

CORTKIT1.5/2 1.5/2.0mm Cortical Kit in Stainless Box £1,675.00

CORTSTKIT1.5/2 1.5/2.0mm Cortical Self Tapping Kit in Stainless Box £1,475.00

CORTKIT2 2.0mm Cortical Kit in Stainless Box £1,250.00

CORTSTKIT2 2.0mm Cortical Self Tapping Kit in Stainless Box £1,150.00

CORTSTKIT2.4 2.4mm Cortical Self Tapping Kit in Stainless Box £1,275.00

CORTKIT2.7/3.5 2.7/3.5mm Cortical Kit in Stainless Box £2,150.00

CORTSTKIT2735 2.7/3.5mm Cortical Self Tapping Kit in Stainless Box £1,975.00

CORTKIT4.5 4.5mm Cortical Kit in Stainless Box £1,300.00

CORTSTKIT4.5 4.5mm Cortical Self Tapping Kit in Stainless Box £1,150.00

CORTKIT4.5/5.5 4.5/5.5mm Cortical Kit in Stainless Box £2,475.00

2.7/3.5mm Cortical Self Tapping Kit (CORTSTKIT2735)

Hex Screwdriver and sleeve

2.7 & 3.5 Load / Neutral drill guide

Depth Gauge

Screw Length and drill gauge

Small countersink

2x Insert Sleeve

Bending levers

2x Triple Drill Guide / Sleeve

2x Bending templates

2.7 CSST 6mm — 30mm (44 in total)


1x 2.7 DCP 4 — 10 hole (6 in total)


1x 5 Hole T Plate

1x Cuttable / Malleable Plate

Stainless steel equipment / screw box

4.5mm Cortical Self Tapping Kit (CORTSTKIT45)


4.5 Load / Neutral drill guide

Orthopaedic Ruler

Depth Gauge

Large countersink

1x Bending templates

Tissue Protector

3.2mm Round Shank Drill Hard 130mm

4.5mm Round Shank Drill Hard 130mm




1.5/2.0mm Cortical Self Tapping Kit (CORTSTKIT1.5/2.0)

Hex Screwdriver and sleeve Load / Neutral drill guide

Double Drill Guide / Sleeve Insert Sleeve

Screw Length and drill gauge Bending templates

Depth Gauge Bending levers

Combination Drill, Tap, Insert Sleeve 3 drills

5 x 1.5 CSST screws 6mm — 20mm (40 in total)


1x DCP 4 — 8 hole (5 in total)

1x 4 and 5 hole T Plates

1x Cuttable and Cuttable/Malleable Plate

Stainless steel equipment/screw box


Hex Screwdriver and sleeve Load/Neutral drill guide

Tissue Protector Double Drill Guide / Sleeve

Insert Sleeve Screw Length and drill gauge

Bending templates Depth Gauge

Bending Levers 2 drills

2.0 CSST screws 6mm — 16mm (32 in total)

1x DCP 4 — 7 hole (4 in total)

1x 4 Hole T Plates

1x Cuttable and Cuttable / Malleable Plate




Load / Neutral drill guide

2 drills

Bending Levers & Bending Templates


1 x DCP 4 — 14 hole (10 in total)

Stainless steel equipment / screwbox

Contains same implants and instruments except DCPs are replaced withLimited Contact Compression Plates.

AO CORTICAL SELF TAPPING KITS WITH LIMITED CONTACT COMPRESSION PLATES

LCORTSTKIT24 2.4mm Cortical Self Tapping Kit with Limited Contact Compression Plates in Stainless Box £1,375.00

LCORTSTKIT2735 2.7/3.5mm Cortical Self Tapping Kit with Limited Contact Compression Plates in Stainless Box £2,250.00

145


AO EQUIPMENT / SCREW BOX

BX152OCS Box for 1.5 & 2.0mm Screws and Equipment £175.00

BX2OCS Box for 2.0 AO Screws and Equipment £175.00

BX24CS Box for 2.4 AO Screws and Equipment £175.00



BX2735CS Box for 2.7/3.5 Screws and Equipment £175.00

SCREW BOX LARGE

SH20273540 Box for 2.0/2.7/3.5/4.0 screws max length 100mm £175.00

SH455565CS Box for 4.5/5.5/6.5 screws max length 100mm £175.00

Large multi-size screwboxwith a clip on lid. Insertmay be lifted out withintegral handles the basebeing used for instrumentstorage.

Screw Box 310mm x 140mm x 115mm deep

SCREW BOX

SH3540CS Box for 3.5/4.0 screws Max length 55mm £125.00

SH354080CS Overflow box for 3.5/4.0 screws to 80mm £125.00

SHTTA242735 Box for TTA screws 2.4/2.7/3.5 to 38mm £125.00

Clip on lid style screw box 80mm deep i.e.slightly deeper that the above. Maximumscrew length 80mm. Screw holes marked asindicated.

Screw Box 105mm x 90mm x 80mm

This screw box has ahinged lid with astainless perforatedinsert. The maximumscrew length is 55mmbut the marking of theholes is indicated.

SCREW BOX

SH2000CS Box for 2.0 screws marked, 2-36mm £125.00



SH2735CS Box for 2.7 & 3.5 screws marked, 6-32mm £125.00



SH202735CS Box for 2.0, 2.7 & 3.5 screws marked, 6-34mm £125.00

AO Cortical and Cortical Self Tapping Kitsin Premium Boxes

AO Plating Kits

During 2012 Veterinary Instrumentation will be launching a range of AOCortical Self Tapping Kits in Premium boxes. The boxes will be designedwith a screw tray, 2 insert trays for implants and the base compartment forinstruments.

Savings may be made by purchasing pre-assembled kits. The price istypically discounted by 5% compared to the component price.

Each kit contains all you need including screws and implants. Full detailsof what the kit includes is available at www.vetinst.com/kits.

AO CORTICAL SELF TAPPING PLATING KITS IN PREMIUM BOXES

CORTSTP10 1.0mm Cortical Self Tapping Kit in Premium Box £2,750.00 Available June 2012

CORTSTP152024 1.5/2.0/2.4mm Cortical Self Tapping Kit in Premium Box £3,575.00

CORTSTP2735 2.7/3.5mm Cortical Self Tapping Kit in Premium Box £2,350.00

An example of the 1.5/2.0/2.4 Self Tapping kit isshown below:


Double Drill Guide / Sleeve

Screw Length and drill gauge

Depth Gauge

Load/Neutral drill guide x 2

Insert Sleeve x 2

Bending templates x 2

Bending levers x 2

Combination Drill, Tap, Insert Sleeve x 2

5 drills




2 x T Plates

2 x Cuttable and Cuttable/Malleable Plate

1 x Cuttable plate with spaces

2 x Cortical Tap - Dental Fit

2 x Tap Handle

1 x Cortical Tap



Premium equipment / screwbox with insert trays

Screw Box 145mm x 105mm x 55mm deep for AO Type Screws

AO Equipment and Screw Boxes

Box shown BX20CS

146


Taps

TAP HANDLE

QRCS01 Handle for 2.4, 2.7, 3.5, 4.0, 4.5 Taps. Synthes fit 75mm £135.00

QUICK RELEASE TAP HANDLE WITH TEFLON HANDLE

QRCS01F Quick Release with Fibre Handle 155mm £135.00

Teflon Tap Handle with Rotating Cap

The working tip of this instrument is a quick release chuck of the Synthestype which accepts drills, taps and screwdriver attachments. Inclusion ofthis handle would mean that you would not require separate tap handlesand screwdriver. The rotating cap which sits in the palm allows the tip tobe spun with the fingers.

Suitable for dental fit 1.5 and 2.0mm taps. Also accepts screwdriver andcountersink attachments for the 1.5/2.0 systems.

Quick Release Tap Handle Dental Fit

QUICK RELEASE TAP HANDLE DENTAL FIT

DC20 Handle for 1.5mm & 2mm Tap (dental fit) 120mm £135.00

TD0015 1.5mm Cortical Tap (dental fit) £55.00

TD0020 2.0mm Cortical Tap (dental fit) £55.00

SDD1500 1.5/2.0/2.4mm Hex Dental Fit Screwdriver Attachment £47.50

COUDEN Mini Countersink Dental Fit for 1.5/2.0mm Screws 55mm £70.00

QUICK RELEASE TAPS

TD0015 1.5mm Cortical Tap (will only fit DC20) £55.00

TD0020 2.0mm Cortical Tap (will only fit DC20) £55.00

TS0024 2.4mm Cortical Tap £55.00


TS12535 3.5mm (1.25 pitch) Cortical Tap £52.50

TS17535 3.5mm (1.75 pitch) Small Cancellous Tap £52.50


TS00045/L 4.5mm Extra Long Tap (195mm) £52.50



TD0015Metal Handle

Tap Handle

A tap is essentially a cutting tool designedto pre-cut screw threads into the pilot holeprior to screw placement. The profile issimilar to the screw in question but haslong flutes to allow bone debris to be cleared. Taps areavailable as stand alone ‘T’ bar configuration or as a quickrelease version which require a separate handle. 2.4, 2.7, 3.5,4.0, 4.5 and 6.5mm quick release taps require Synthes type quick releasehandle. 1.5 and 2.0mm quick release taps require a small dental fit handle.

T BAR TAPS

TBT015 T Bar Tap 1.5mm Cortical £55.00



TBT12535 T Bar Tap 3.5 (125pitch) Cortical £52.50

TBT17535 T Bar Tap 3.5 (175pitch) Small Cancellous £52.50


TBT065 T Bar Tap 6.5mm Cancellous £52.50

These taps require no additional handle.

T Bar Taps

Locking Screw Taps


LOCKING SCREW TAP







147


Adjustable Drill Guide

DRILL GUIDES & INSERTS

ADJDG2035 Adjustable Drill Guide for 2.0/2.5/3.5mm drills 175mm £175.00

ADJDG45 Adjustable Drill Guide 4.5mm drills 190mm £175.00

ADJSL55 Slider to fit 5.5 Cortical (equine) screws fits ADJDG45 75mm £55.00

Our adjustable Drill Guide allows accurate placement of drill holes bypredetermination of drill entry and exit points. Locks onto bone to minimiseerrors.

• The swivelling point allows use of the guide where access is limited.

• Supplied with 2.0, 2.5 and 3.5 drill sleeves. Use the appropriate sleeve forthe drill in use.

• A scale on the instrument measures hole depth.

• Applications include condyle fractures, femoral neck tunnels and screwholes, proximal TPLO screws, ununited anconeal process.

In our view this design has significant advantages over ‘CEG’ and ‘C’ guides.

SMALL DRILL GUIDE (does not include insert sleeves)

CEG2735 Small Drill Guide i/d 3.5mm “C” Guide 135mm £72.50

LARGE DRILL GUIDE (does not include insert sleeves)

CEG4565 Large Drill Guide i/d 6.5mm “C” Guide 140mm £90.00

Use of an appropriate sized drill guide enables the surgeon to control exactlythe entry and exit points of drills. This ability is extremely important in lagscrewing.

Various insert sleeves are available for each drill size, with an accurateguidance system, and provide exact positioning of holes for lag screwing,(e.g. for a 3.5mm cortical screw, drill 3.5 lag hole in proximal cortex, insertSL3525 and drill through it into the trans cortex. Finally tap and insert screw.)

Drill Guides and Inserts

CEG2735

CEG4565

TRIPLE DRILL GUIDE/SLEEVES

SLG1115 Double Drill Guide/Sleeve for 1.1 & 1.5mm drills 100mm £115.00

SLG0020 Triple Drill Guide/Sleeve for 2.0mm drills 115mm £105.00

SLG0025 Triple Drill Guide/Sleeve for 2.5mm drills 115mm £105.00

Triple drill guides are used to accurately position drills and ‘K’ or arthrodesiswires. The three holes in the head allow for the placement of parallelderotation wires.

Triple Drill Guides

COMBINATION DRILL, TAP & INSERT SLEEVE

CDTIS20 Combination Drill, Tap & Insert Sleeve for 2.0 screws 100mm £105.00





DRILL GUIDE 0.7MM /1.0MM

CDTIS10 Drill Guide 0.7mm/1.0mm £105.00

Due to the size limitations, this device serves only as a drill guide and cannotbe used as an insert sleeve or tap guide.

Drill Guide 0.7mm/1.0mm

Combination Drill, Tap and Insert Sleeve

The large end has an internal diameter which matches theclearance drill and tap. The small end has an internal diameter

the same as the pilot drill and an external diameter which fits theclearance drill hole, ie. the same as an insert sleeve. This single instrumentcontains all the guides and sleeves you need to place a lag screw.

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INSERT SLEEVES

SL2015 Insert Sleeve 2.0mm o/d 1.5mm i/d £39.50









Drill sleeves centre smaller drills in theplacement of lag screws.

Insert Sleeves

Drilling to a pre-measured depth can bea challenge even with a‘C’ arm! A morereasonably pricedoption is to use a drillstop which is tightenedonto the drill bit at therequired depth. The setincludes 4 stops tocover all the standarddrill sizes. 2.0, 2.5, 2.7, 3.2, 3.5 & 4.5mmThe stop is tightened onto the drill bit using the hex driver provided.

Drill Stops

DRILL STOPS

DRILLSTOP Drill Stop Set in Stainless Case £97.50

Tissue Protection Sleeves

TISSUE PROTECTION SLEEVES

TP2020 For Drill/Taps to 2.0mm 90mm £55.00





Rotating pins, drills andtaps will "pick up" softtissues, skin, muscle,nerve and blood vessels,causing serious damage.Use of tissue protectionsleeves minimises suchdamage. The teeth at thetop of the guide locate onthe bone whilst thestainless tube provides abarrier between softtissue and implantequipment.

Hex Screwdrivers for 1.5, 2.0 & 2.4 Screws

HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 1.5/2.0/2.4 Screws

SSH2000 Screwholding Sleeve to fit SDHS20F £42.50

SDHS20F 1.5mm Hex Screwdriver + Sleeve - with Fibre Handle for 1.5, 2.0, 2.4mm screws 125mm £75.00

Screwdriver & sleeve for 2mm screws. SDHS20F

Screwdrivers for 2.7, 3.5 & 4.0 Screws

Screwdrivers for 4.5, 5.5 & 6.5mm Screws

SDHS35F

Screwdrivers with screw holding sleeves hold the screw until it hasengaged in the threaded hole. The sleeve is slid back up the shaft torelease the screw without disengaging it.

Screwdrivers & ScrewholdingSleeves

HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 4.5, 5.5 & 6.5 ScrewsSSH4500 Screwholding Sleeve to fit SDH3500 £42.50SDH3500 3.5mm Hex Screwdriver for 4.5, 5.5 & 6.5mm Screws 250mm £60.00

HEX SCREWDRIVERS & SCREWHOLDING SLEEVES 2.7/3.5 & 4.0 Screws

SSH2741 Screwholding Sleeve to fit SDH535F £42.50

SDHS35F 2.5mm Hex Screwdriver + Sleeve with Fibre Handle for 2.7, 3.5, 4.0mm screws 200mm £75.00

The 1.0mm screwdriver consists of an insert and handle. The insert is adedicated crosshead screwdriver tip for use with our 1.0mm screws. Thecentral ‘pip’ on the end engages with a small recess in the centre of our1.0mm screwheads. This improves the coupling for improved driving.Thetail of our screwdriver rotates in the hand allowing excellent control andpure axial rotation. It is also very light, making it ideal for drilling the verysmall holes required for our 1.0mm plating system. It has a combinedcollet and dog drive system to hold accessories very firmly — somethingthat can be difficult to achieve as accessory size reduces.

Screwdriver for 1.0mm Screws

SCREWDRIVER FOR 1.0MM SCREWS

SDIN1.0 Screwdriver Insert for 1.0mm Screws £47.50

SDH1.0 Screwdriver Handle for 1.0mm Screws £135.00

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HEX AND CROSS HEAD SCREWDRIVER INSERTS

TTA222 Cross Head Screwdriver Insert Fits 2.4mm Screws 100mm £47.50

SDH35S Hex Screwdriver Attachment Insert Fits 2.7/3.5/4.0 Screws 125mm £47.50

SDH455 Hex Screwdriver Attachment Insert Fits 4.5/5.5 Screws 135mm £47.50


If the screw is destined to screw down onto the surface of the bone without aplate, it is helpful to contour the top of the screw hole to fit the screw head.This procedure is especially important when lag screwing relatively smallfragments. Failure to countersink may lead to fracture of the bone fragment.

COUNTERSINKS - DENTAL FIT

COUDEN Mini Countersink Dental Fit for 1.5/2.0mm Screws 55mm £70.00

DC20 Handle for 1.5/2.0mm dental fit £135.00

Countersinks

COUNTERSINKS - AO QUICK COUPLING

COU2535 Small Countersink AO Quick Fit Coupling 70mm 2.7/3.5 £50.00

COU4565 Large Countersink AO Quick Fit Coupling 130mm 4.5 £50.00


COUNTERSINKS - KNURLED HANDLE / T HANDLE

COU1520 Mini Countersink with Handle for 1.5/2.0mm Screws £80.00

COU2535T Small Countersink ‘T’ Handle 130mm 2.7/3.5 £50.00

COU4565T Large Countersink ‘T’ Handle 175mm 4.5 £50.00

Hex and Cross Head Screwdriver InsertsModular Metal Screwdriver for2.4mm crosshead screws, 1.5 / 2.0mm and 2.7 / 3.5mm Hex Screws

The handpiece is made from stainless steel and takes special quickrelease inserts. The handpiece is sculpted for comfort and ease of use.The inserts included with the set are:

*Crosshead for crosshead 2.4mm screws.*2.5mm hex drive for 2.7 and 3.5 cortical screws.*1.5mm hex drive for 1.5 and 2.0 cortical screws.

The screwdriver set is ideal for TTA users.

Please note this screwdriver will not accept AO Quickfit attachments.

METAL MODULAR SCREWDRIVER AND INSERTS

SDMMH Modular Metal Screwdriver £110.00

SDMM1.5 1.5 Hex Drive Insert for 1.5 and 2.0 Cortical Screws £25.00

SDMM2.5 2.5mm Hex Drive Insert for 2.7 and 3.5 Cortical Screws £25.00

SDMM2.4C Crosshead insert for Crosshead 2.4mm Screws £25.00

SDMMSET Metal Modular Screwdriver Set £150.00


STAR DRIVE SCREWDRIVER INSERTS

SDT1535 Star Drive Insert for 3.5 Locking Screws £60.00

SDT82427 Star Drive Insert for 2.7 (2.4 head) and 2.4 Locking Screws £60.00

SDT620 Star Drive Insert for 2.0 Locking Screws £60.00


SDTSET Handle and Star Drive Insert Set (one of each ) £295.00

All VILock screws are available with the international ‘Torx’ style StarDrive. The interface between the screw head and screwdriver issignificantly stronger and the stripping of screw heads consequentlymuch rarer. The tip of the screwdriver is tapered and ‘picks up’ thescrews without the requirement for a screw holding sleeve.Many surgeons do not possess the relevant Star Drive screwdrivers sowe are pleased to offer a modular handle plus inserts for the standard3.5mm, 2.7/2.4mm and 2.0mm screws.The handle and inserts are available separately but are cheaper as theset. The handle is made from white autoclavable Teflon which does not‘shed’ like the traditional fibre type. The cap revolves in the palm of thehand for extra comfort.

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Accurate measurement of hole depth is essential in order to select theappropriate screw size. A range of gauges is available for various screwsizes. Hole depth is read from the instrument. Add extra to allow for over-penetration. Use in self-tapping or cortical systems.

Depth Gauge

DEPTH GAUGE

DG1520 For 1.5mm & 2.0mm screws 115mm £95.00




DG242735 For 2.4mm, 2.7mm & 3.5mm screws 180mm £95.00

To exert compression at the fracture site, the cortical screw must bepositioned precisely within the slot in the compression plate. Theload/neutral drill guide has two tips, one for compression (load) and onewhere no compression is exerted (neutral). There is one combination foreach screw/plate size. Each guide is marked with the drill size to be used.

Load Neutral Drill Guides

LOAD NEUTRAL DRILL GUIDES

LNDG20 For 2.0mm Compression Plates £135.00






SCREW HOLDING FORCEPS

SF2055 Screw Holding Forceps 2.4/2.7/3.5/4.5 Screws £21.50

SF1024 Screw Holding Forceps 1.0/1.5/2.0/2.4 Screws £21.50

A useful instrument for selecting screws with minimal handling. Can beused with any style of screw.

Screw Holding Forceps

PLATE HOLDING CLIP

BPC2 Plate Holding Clip 2.0mm £9.25



A useful little clip for holding plates insequence. Labelled with size.

Plate Holding Clip

Developed by Colin Whiting the bone plate retractor is designed to exposethe end hole(s) of the plate for screw placement. It is often the case that aplate is pushed under soft tissues to avoid unnecessarily large exposuresonly to find that it is very difficult to access the last screw hole. The boneplate lever slides along the plate until the tip drops over the end. Thehandle is then elevated and the tip of the lever hooks onto the end of theplate. As the retractor is lifed the end hole of the plate is exposed allowingfree insertion of drills taps and screws.

WHITING BONE PLATE RETRACTOR

BPR3535 Whiting Bone Plate Retractor 3.5/3.5 Broad £70.00

BPR2427 Whiting Bone Plate Retractor 2.4/2.7 £65.00

BPRSET Whiting Bone Plate Retractor Set £120.00

Whiting Bone Plate Retractor

HEX DRIVE SHAFTS FOR POWER DRIVERS

DS25HEX 2.5 Hex Drive Shaft for 2.7, 3.5 & 4.0 screws £42.50

DS35HEX 3.5 Hex Drive Shaft for 4.5 & 5.5 screws £42.50

Hex Drive Shaft

The battery drills we use as a base for our shrouded orthopaedic drillshave adjustable torque settings. While it is advised that the finaltightenening of the screw is performed by hand, much time and effort cansaved by power driving. Risks are low, particularly in the proximal tibia. Topower drive using our drill we have created two hex driver extensions to fitinto a standard Jacobs chuck. Use 2.5 hex for 2.7, 3.5 and 4.0mm screwsand the 3.5 hex for 4.5 and 5.5 screws.

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Plate Bending Screw Salvage Kit

Bending TemplatesTo avoid repeated entry into the operation site when contouring plates, an ‘aluminium' bending template is contoured to the bone. The steel plate is then bent to match the template using irons or abone plate press.

PLATE BENDING





001288 AO type 3.5/4.5 Broad Bending Levers (pair) 200mm £70.00

001288L AO type 3.5/4.5 Broad Bending levers. Long version. 240mm £70.00

001283 Plate Bending Pliers, Roller Type 15", 380mm £180.00

001284A Reconstruction Plate Pliers 2.7mm plates 280mm £160.00

001284 Reconstruction Plate Pliers 3.5mm plates 280mm £160.00

001281 Bone Plate Press Small 285mm £445.00

001282 Bone Plate Press Large 16", 410mm £445.00

001289A 2.0/2.7mm Bone Plate Contouring Pliers 195mm £295.00

001289B A0 style 2.7/3.5mm Plate Bending Pliers 220mm £345.00

001289C A0 style Heavy Duty Plate Bending Pliers 250mm £495.00

SCREW SALVAGE KIT

SCSKIT Full Screw Salvage Kit £1,950.00

SCSKITLOAN Full Screw Salvage Kit - Loan £135.00

BENDING TEMPLATES

BT200737 Bending Template 37mm for 2mm DCPs & Round Hole Plates £7.75

BT240752 Bending Template 52mm for 2.4mm DCPs & Round Hole Plates £7.75

BT270760 Bending Template 60mm for 2.7 DCPs & Round Hole Plates £7.75

BT350786 Bending Template 86mm for 3.5 DCPs & Round Hole Plates £8.75

BT450590 Bending Template 90mm for 4.5 DCPs Broad 3.5 DCPs & HD & Round Hole Plates £8.75

BT4507120 Bending Template 120mm for 4.5 DCPs & Broad 3.5 DCPs & HD & Round Hole Plates £8.75

BT4509150 Bending Template 150mm for 4.5 DCPs Broad 3.5 DCPs & HD & Round Hole Plates £8.75

Removal of embedded screws can be a challenge particularly whenfatigue and fracture leaves a headless portion of screw in situ exactlywhere a replacement is necessary. Ideally the screw should be removedwithout creating so much damage that a replacement cannot be set. TheVI screw salvage set contains all the tools you might need for all sizes ofscrew. A loan set is also available. The charge is for 7 days rental andincludes a return collection by courier. All losses and breakages will becharged accordingly. Mainland UK only.

SCREW EXTRACTION TREPHINES

SCET20 Extraction Trephine for 2.0 screws o/d 2.7mm £42.50





SCETSET Extraction Trephine Set (one of each in free steel case)£210.00

Screw Extraction Trephine

Once the head of a screw hasbecome detached the shaft can bevery difficult to extract, particularlywhen the screw has been in situ forsome time. The screw extractiontrephine is designed to ‘core out’ thescrew shaft either in its entirety orpartially to allow the screw to begrasped by extractionforceps. The internaldiameter is a little largerthan the screw to beextracted. The externaldiameter is small enoughin most cases to allow thereplacement of the screwby a larger one.

The trephine fits directly into a Jacobs chuck.

001282

001289A

Plate bending irons —the small size of theseimplants necessitatesequally small platebending irons. These have been designed with additional slots to allow adegree of contouring across a plate’s width.

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1.0mm Screws and PlatesIntroductionManagement of fractures in dogs such as the Papillon and Chihuahuaweighing less than a kilo is very challenging. Even 1.5 and 2.0mmscrews are too large. Metacarpals in even some medium size patientsrequire very small implants. To deal with fractures in tiny bones we areintroducing our exclusive range of 1.0mm implants and equipment. The range includes T-plates, compression plates and 5 different cuttablestrips. Due to the small size, dedicated instrumentation is required.

Use a 0.7mm drill bit for a pilot holeand a 1.0mm drill bit for lag screwing.

At this size, these drills are very delicate and most power tools are tooheavy to provide adequate control to prevent breakages. Our step drillshave the same shaft as our cruciate screwdriver insert for use in ourlightweight modular screwdriver.

The modular screw-driverhandpiece accepts the cruciatescrew-driver tip and the twosizes of drill bits. Its lightweight combines with arotating end-cap allowing formore controlled, truer axialmotion minimising breakages.

Holding and manipulating these very small implants is difficult in agloved hand. We recommend the use of our plate forceps. The plateforceps also make it easy to remove the plates from their slots in ourplate tray. The top jaw of the plate forceps has a locating projectionwhich fits into a screw hole to reduce slippage. The bottom jaw has alow profile to slide between stacked plates. The crank of the tips makesthem particularly useful for offering a plate up to a bone.

The screw holdingforceps are a shrunken tipversion of the tongs usedfor our larger implantsand are particularly usefulat this size

The cruciate head 1.0mm screwsare very small and require adedicated cross head screwdrivertip. The tip of the screwdriver has ataper fit which holds the screwwithout a sleeve.

Cruciate Screwdriver Insert

Drill Bits 0.7mm and 1.0mm

1.0mm Modular Screwdriver Handpiece

1.0mm Plate Holding Forceps

1.0mm Screw Forceps

1.0mm Drill Guide

The drill guide locates the drill, avoiding impingement on other implants.The drill guide additionally protects the soft tissues from drill ’wraparound’. One end takes the pilot drill 0.7mm and the other takes theclearance drill 1.0mm.

Instrumentation

ImplantsAll the 1.0mm plates are manufactured from 316LVM stainless steelsheet of 1.0mm thickness. Implants currently available consist of a rangeof straight plates, cuttable plates and, given the target patient range, anextensive range of ‘T’ plates for radial fractures.

AO Type Screws & Plates

1.0mm CORTICAL SELF TAPPING SCREWS-CRUCIATE HEAD (use 0.7mm pilot)

CSST1004 4mm £4.75

CSST1005 5mm £4.75

CSST1006 6mm £5.25

CSST1007 7mm £5.25

CSST1008 8mm £5.75

CSST1009 9mm £5.75

CSST1010 10mm £6.25

CSST1011 11mm £6.25

CSST1012 12mm £7.00

CSST1013 13mm £7.00

CSST1014 14mm £7.50

CSST1015 15mm £7.50

Available 4mm to 15mm length. Use0.7mm pilot drill and 1.0mm cruciatescrewdriver. The threads on thescrews are very fine. Caution mustbe exercised at the final tightening.

1.0mm Cortical Self Tapping Screws

Use with 1.0mm cortical screwsif compression is required. Plate profile page 349.

1.0mm Compression Plates

1.0 mm COMPRESSION PLATES

no. of holes thickness (mm) length (mm)

C100210 2 1.0 10 £27.50

C100314 3 1.0 14 £30.00

C100418 4 1.0 18 £35.00

C100522 5 1.0 22 £42.50

C100626 6 1.0 26 £47.50

C100730 7 1.0 30 £60.00

C100834 8 1.0 34 £75.00

C100938 9 1.0 38 £85.00

C101042 10 1.0 42 £95.00

1.0MM CRUCIATE SCREWDRIVER INSERT

SDIN1.0 Screwdriver Insert for 1.0mm Screws £47.50

1.0MM SCREW FORCEPS

SF1024 1.0mm Screw Forceps £21.50

DRILL BITS 0.7MM AND 1.0MM

10MDB07 0.7mm Drill Bit £37.50


1.0MM MODULAR SCREWDRIVER

SDH1.0 1.0mm Modular Screwdriver Handpiece £135.00

1.0MM PLATE HOLDING FORCEPS

C1PHF 1.0mm Plate Holding forceps £26.50

1.0MM DRILL GUIDE

CDTIS10 1.0mm Drill Guide £105.00

1.0MM PLATE BENDING IRONS

001280 1.0mm Plate Bending Irons £50.00


1.0mm Plate Bending Irons

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CUTTABLE 1.0MM PLATE

CP10390 Cuttable Plate 1.0mm 30 holes 90 mm long £85.00


CM10390 Cuttable Malleable Plate 1.0mm 30 holes 90 mm £85.00

CUTTABLE 1.0MM PLATE WITH SPACES

CP1039027 Cuttable plate 1.0mm 27 holes 90 mm 3mm spaces £100.00

CP1049120 Cuttable plate 1.0mm 20 holes 91 mm 4mm spaces £100.00

001230 Compound Action Implant Cutter T.C. Jaws £175.00

1.0 mm ‘T’ PLATES

series holes thickness (mm) length (mm)

T101016 A 5 1.0 16 £35.00

T101020 A 6 1.0 20 £35.00

T101024 A 7 1.0 24 £35.00

T101018 B 5 1.0 18 £35.00

T101022 B 6 1.0 22 £35.00

T101026 B 7 1.0 26 £35.00

T101021 C 6 1.0 21 £35.00

T101027 C 7 1.0 27 £35.00

Cruciate Screwdriver insert x10.7mm Drill Bits x 21.0mm Drill Bit x1Lightweight Screwdriver x1Plate Holding Forceps x1Screw Holding Forceps x1Plate Bending Irons 1 pairDrill Guide x1Miniature Pointed Reduction Forceps x13mm Grasp Serrated Bone Holding Forceps x15mm Grasp Serrated Bone Holding Forceps x1Small Compound Action Implant Cutters x11 each of T101016-T1010271 each of C100210-C1010421 each of CP10390-CP10491208 each of CSST1004-CSST10076 each of CSST1008 and CSST10094 each of CSST1010 and CSST10112 each of CSST1012 - CSST1015

1.0mm Plating Set

1.0MM PLATING SET IN PREMIUM BOX

CORTSTP10 1.0mm Plating Set In Premium Box £2,750.00

The 1.0mm plating set includes all the 1.0mm instrumentation and a fullset of 1.0mm implants. Everything is laid out in an easily accessibleformat in a premium filtered case.The plates are housed in a removable tray for easy access andinventory control.

1.0mm Cuttable Plates

1.0mm Cuttable Malleable 3.0mm Spacing

1.0mm Cuttable 3.0mm Spacing

1.0mm Cuttable 4.0mm Spacing with spaces

1.0mm Cuttable 4.0mm Spacing

1.0mm Cuttable 3.0mm Spacing with spaces

1.0mm ‘T’ Plates

The 1.0mm T-plates have been designed by Veterinary Instrumentationto provide options for the repair of distal radial fractures in very smalldogs and in cats. These fractures can be difficult to manage, partlybecause of the small sizes of the bones involved and partly because thearea has relatively poor vascularity resulting in what is often a prolongedhealing time. The spacing between the head holes and the shank holes increasesfrom the A-series to the B-series with two extended options in the C-series to permit fracture repair at different levels of the distal radius. Ascan be seen, the C-series plates have space for a third head screw. Thisprovides greater repair stability and the C-series are strongly advisedwhen the distal fragment is large enough. Plate profile on page 349.

Series ‘A’ 4.6mm between head and shaft holes

Series ‘B’ 6.6mm between head and shaft holes

Series ‘C’ 7.4mm between head and shaft holes


1.0mm Kit Contents:

1.0mm Bone Holding Forceps and Pointed Reduction Forceps

A range of scaled down forceps have been developed for used on bonesof 3-5mm diameter.

The Veterinary Instrumentation range of cuttable 1.0mm plate givesflexibility for new management options for a number of different fracturescenarios. All of our cuttable plate have round holes.The range is suitedto fractures of the small bones of the pes and manus as well as other finebones such as the ulna and fibula. They should also find a home in themanagement of long bone fractures on very small animals as well as jawand pelvic repairs where space is at a premium. For 2012 we have alsoadded a 1.0mm cuttable plate with spaces to give the surgeon additionaloptions. Versions are available with either 3mm or 4mm hole spacing. Use the dedicated compound action implant cutters (001230) to sectionplates. Plate profile on page 348.

1.0MM PLATING SET

001218XS X Small Serrated Bore Holding Forceps 3mm Gape £60.00

001218S X Small Serrated Bore Holding Forceps 5mm Gape £60.00

001208M Miniature Fragment Forceps 135mm £70.00

Available June 2012

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1.5mm CORTICAL SCREWS - HEX HEAD 1.5mm (use 1.1mm pilot)

CS1506 6mm £4.40

CS1507 7mm £4.40

CS1508 8mm £4.40

CS1509 9mm £4.40

CS1510 10mm £4.75

CS1511 11mm £4.75

CS1512 12mm £4.75

CS1514 14mm £5.50

CS1516 16mm £5.50

CS1518 18mm £6.00

CS1520 20mm £6.00

CS1522 22mm £6.50

CS1524 24mm £6.50

CS1526 26mm £6.50

CS1528 28mm £6.50

CS1530 30mm £6.75

CS1532 32mm £6.75

CS1534 34mm £6.75

1.5mm Screws

1.5mm CORTICAL SELF TAPPING SCREWS - HEX HEAD 1.5mm use 1.1mm pilot

CSST1506 6mm £4.75

CSST1507 7mm £4.75

CSST1508 8mm £4.75

CSST1509 9mm £4.75

CSST1510 10mm £5.25

CSST1511 11mm £5.25

CSST1512 12mm £5.25

CSST1514 14mm £5.75

CSST1516 16mm £5.75

CSST1518 18mm £6.25

CSST1520 20mm £6.25

CSST1522 22mm £6.50

CSST1524 24mm £6.50

Use of self tapping screws can save considerable time and trauma. Pullout strength is not affected provided the self tapping flutes lie outside of the cortex. Add an extra 1mm when assessing screw length.

Self tapping screws are less effective in dense cortical bone. e.g. calcaneus. It is advised that an appropriate tap be available should the need arise. Drill data: Pilot drill 1.1mm, Clearance drill 1.5mm.

1.5mm Cortical Self Tapping Screws.

2.0mm Cortical Screws

Available 6mm to 34mm length, the spherical head of these screws providesfor compression when used in association with 2.0mm compression plates.

2.0mm CORTICAL SCREWS - HEX HEAD 1.5mm (use 1.5mm pilot)

CS2006 6mm £4.40

CS2008 8mm £4.40

CS2010 10mm £4.75

CS2012 12mm £4.75

CS2014 14mm £5.50

CS2016 16mm £5.50

CS2018 18mm £6.00

CS2020 20mm £6.00

CS2022 22mm £6.75

CS2024 24mm £6.75

CS2026 26mm £6.75

CS2028 28mm £6.75

CS2030 30mm £6.75

CS2032 32mm £6.75

CS2034 34mm £6.75

2.0mm Cortical Self Tapping Screws - hex head 1.5mm(use 1.5mm pilot)This type of screw is becoming increasingly popular in both human andveterinary orthopaedics. Self tapping flutes at the tip obviate the need forpre-tapping which saves time and reduces time related complications. Pullout strength is not affected provided the self-tapping flutes lie outside thebone cortex. Allow an extra 1mm when assessing screw length. Drill data:pilot drill 1.5mm, clearance drill 2.0mm.

2.0mm CORTICAL SELF TAPPING SCREWS - HEX HEAD 1.5mm(use 1.5mm pilot)

CSST2006 6mm £4.75

CSST2008 8mm £4.75

CSST2010 10mm £5.25

CSST2012 12mm £5.25

CSST2014 14mm £5.75

CSST2016 16mm £5.75

CSST2018 18mm £6.25

CSST2020 20mm £6.25

CSST2022 22mm £6.75

CSST2024 24mm £6.75

CSST2026 26mm £6.75

CSST2028 28mm £6.75

CSST2030 30mm £6.75

CSST2032 32mm £7.25

CSST2034 34mm £7.25

CSST2036 36mm £7.25

CSST2038 38mm £7.25

CSST2040 40mm £7.25

2.0mm Screws & Plates

1.5mm Cortical ScrewsAvailable 6mm to 34mm length.Use 1.1mm pilot drill and 1.5mmhex screwdriver. Use extremecare when tightening as thethreads have a very fine pitch.Use in combination with 2.0 plates. The head is slightly smaller than the 2.0 cortical screw.

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This plate is cuttable and stackable. The holes are round. The plateprofile is convex for added strength. Also available in a notched versionfor easy three dimensional contouring. This is the cuttable malleableplate. Plate profile on page 348.

Cuttable 2.0mm Plate


CP205150 Cuttable Plate 2.0 Screws 30 Holes 150 mm long £90.00

CM205150 Cuttable, Malleable Plate 2.0 Screws 30 Holes 150mm £115.00

width 5.0mm thickness 1.4mm hole spacing 5.0mm

Available from 8mm to 24mm length. Self tapping. Do not use in corticalbone unless using as a salvage screw for a stripped 2.0mm cortical screw.

2.2mm Cancellous Screws

2.2mm CANCELLOUS SELF TAPPING SCREWS- HEX HEAD 1.5mm (use 1.5mm pilot)

CAN2208 8mm £5.50

CAN2210 10mm £6.00

CAN2212 12mm £6.00

CAN2214 14mm £6.00

CAN2216 16mm £6.00

CAN2218 18mm £6.50

CAN2220 20mm £6.50

CAN2222 22mm £6.50

CAN2224 24mm £6.50

Use with 2.0mm cortical screws if compression is required. Plate profile page 341.

1.5 / 2.0mm Compression Plates

1.5 / 2.0mm COMPRESSION PLATES


CP20422 4 1.0 22 £27.50

CP20527 5 1.0 27 £30.00

CP20632 6 1.0 32 £35.00

CP20737 7 1.5 37 £42.50

CP20842 8 1.5 42 £47.50

CP201052 10 1.5 52 £60.00

CP201262 12 1.5 62 £75.00

CP201472 14 1.5 72 £95.00

Use for fracture stabilisation of very small bones e.g metacarpals andmetatarsals. 1.5 mm screws are an exact match but 2.0 will passthrough the holes. This plate is cuttable and stackable. The plate profileis convex for added strength. Plate profile on page 348.

Cuttable 1.5/2.0mm Plate

width 4mm thickness 1.1mm hole spacing 4mm

CUTTABLE 1.5 / 2.0MM PLATE

CP15413030 Cuttable plate 1.5 / 2.0 screws 30 holes 120 mm long £85.00

CUTTABLE 1.5 / 2.0MM PLATE WITH SPACES

CP15413027 Cuttable plate 1.5 / 2.0 screws 27 holes 120 mm long £95.00

Mini Bone Plates Use with 2mm cortical screws if compression isrequired. Plate profile on page 341.

Mini Bone Plates

2mm MINI BONE PLATES

MP20317 3 (number of holes) 17 (length in mm) £27.50

MP20423 4 23 £30.00

MP20529 5 29 £32.50

MP20635 6 35 £35.00

MP207039 7 39 £37.50

2.0MM CUTTABLE PLATE WITH SPACES



width 4mm thickness 1.1mm hole spacing 4mm

Drill Bits for 1.5 and 2.0mm

PILOT DRILL - AO QUICK FIT

S090100S For 1.5mm 1.1 (dia mm) 60 (length mm) £26.00

S090101S For 2.0mm 1.5 60 £26.50

S090101L For 2.0mm 1.5 95 £28.50

CLEARANCE DRILL - JACOBS SOFT

090101 For 1.5mm 1.5 (dia mm) 127 (length mm) £9.00

090102 For 2.0mm 2.0 127 (length mm) £9.00

PILOT DRILL - JACOBS HARD DIA LENGTHH090100 For 1.5mm 1.1 (dia mm) 60 (length mm) £17.50

H090101 For 2.0mm 1.5 60 £17.50

PILOT DRILL - JACOBS SOFT

090101 For 2.0mm 1.5 (dia mm) 127 (length mm) £9.00

CLEARANCE DRILL - JACOBS HARDH090101 For 1.5mm 1.5 60 £17.50

H090102 For 2.0mm 2.0 100 £19.00

CLEARANCE DRILL - AO QUICK FIT

S090101S For 1.5mm 1.5 60 £26.50

S090101L For 1.5mm 1.5 95 £28.50

S090102S For 2.0mm 2.0 100 £24.75

S090102L For 2.0mm 2.0 125 £26.75

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When working with cats and other smaller patients it is often the case that2.0mm screws and plates are too small and 2.7mm screws and plates aretoo large. The jump from 2.0 DCPs to 2.7 DCPs is huge. 2.4mm screws areused in veterinary surgery but until now have not been available as a fullrange of cortical screws and DCPs.

Currently only available in the self tapping format. A quick fit tap is alsoavailable.

The screwdriver required is the same as 1.5 & 2.0 screws (SDHS20F).

Available as a full set comprising 5 of each screw 6mm through 30mm, oneof each plate, 1.8 drill, 2.4 drill & load / neutral drill guide. All are containedin a stainless screw box / instrument case.

2 Cutting Flutes


2.4MM COMPRESSION PLATES

Holes Length mm

C240431 4 31 £29.50

C240538 5 38 £32.50

C240645 6 45 £37.50

C240752 7 52 £42.50

C240859 8 59 £47.50

C240966 9 66 £52.50

C241073 10 73 £67.50

C241180 11 80 £72.50

C241287 12 87 £77.50

C2414101 14 101 £85.00

H090208 1.8 Pilot Drill for 2.4 system £18.50

H090209 2.4 Clearance Drill for 2.4 system £20.50

LNDG24 Load / Neutral Drill Guide for 2.4 system £135.00

2.0 DCPs are often too small and 2.7 DCPs are often too large. The 2.4DCP falls exactly in between the 2.0 and the 2.7 in terms of weight and holesize and spacing. Plate profile on page 341.

2.0mm and 2.7mm cortical screws may be used with the 2.4 mm DCP plate.

2.4 DCPs have a matt finish to distinguish them from 2.0 and 2.7 plates.

Use LNDG24 Load Neutral Drill Guide to obtain compression with 2.4cortical screws.

Use BX24CS as an equipment box for 2.4mm screws and plates.

2.4mm Compression Plates2.4mm Screws & Plates

2.0mm, 2.4mm and 2.7mm screws may be used with all 2.4mm implants.

Following requests we have now added a range of Limited Contact (LC) Plateswith cutaways. See profile page 343.

2.4mm Limited Contact (LC) Compression Plate

2.4mm LIMITED CONTACT (LC) COMPRESSION PLATES

LC2404038 4(number of holes) 38(length in mm) £52.50

LC2405046 5 46 £55.00

LC2406054 6 54 £60.00

LC2407062 7 62 £65.00

LC2408070 8 70 £70.00

LC2409078 9 78 £75.00

LC2410086 10 86 £80.00

LC2411094 11 94 £85.00

LC2412102 12 102 £90.00

2.4 CORTICAL SELF TAPPING SCREWS - HEX HEAD 1.5 (USE 1.8MM PILOT)

CSST2406 6mm £4.75

CSST2408 8mm £4.75

CSST2410 10mm £5.25

CSST2412 12mm £5.25

CSST2414 14mm £5.75

CSST2416 16mm £5.75

CSST2418 18mm £6.25

CSST2420 20mm £6.25

CSST2422 22mm £7.00

CSST2424 24mm £7.00

CSST2426 26mm £7.50

CSST2428 28mm £7.50

CSST2430 30mm £8.00

CSST2432 32mm £8.00

CSST2434 34mm £8.50

CSST2436 36mm £8.50

CSST2438 38mm £9.00

CSST2440 40mm £9.00

CORTSTKIT24 Kit including case, screws, plates, drills, £1,275.00 load / neutral drill guide, bending levers and screwdriver

1 length

pilot 1.8mmclearance 2.4mm

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2.0/2.4/2.7 VETERINARY CUTTABLE PLATE

VCP202427 2/2.4/2.7 Cuttable Plate 300mm 50 holes £125.00

This is a familiar plate with a curved 1/4 tubular profile, 300mm long with ahole every 6mm. The following screws 2.0mm, 2.2mm, 2.4mm, 2.7mm,3.0mm all fit making the plate a very useful implant to have available. For added strength these plates can be stacked.

2.0/2.4/2.7 Veterinary Cuttable Plate

7.1mm wide 1.2mm thick hole spacing 6.0mm

Cuttable 2.4mm plate


CP2455150 Cuttable Plate 2.4 Screws 27 Holes 150mm long £95.00


width 5.5mm thickness 1.8mm hole spacing 5.5mmSee profile page 348.

Drill Bits and Taps for 2.4


S090208 For 2.4mm 1.8mm 80mm £27.50

PILOT DRILL - JACOBS HARD DIA LENGTHH090208 For 2.4mm 1.8mm 80mm £18.50

CLEARANCE DRILL - JACOBS HARDH090209 For 2.4mm 2.4mm 115mm £20.50


S090209 For 2.4mm 2.4mm 115mm £26.75

CORTICAL TAP - QUICK RELEASE

TS0024 2.4mm cortical £55.00

Selection of additional 2.4mm Plates

‘T’ PLATES COMPRESSION


HYBRID ‘T’ PLATES

T20242752 Hybrid ‘T’ Plate - 2.0, 2.4 or 2.7mm head 2.0, 2.4 or 2.7mm shaft 52mm long Shaft width 7.4mm, Shaft thickness 2mm £42.50


SUPRACONDYLAR PLATES

152711R Supracondylar Plate 2.4mm 62mm long. Right Shaft width 6.6mm, Shaft thickness 2mm £80.00

152711L Supracondylar Plate 2.4mm 62mm long. Left Shaft width 6.6mm, Shaft thickness 2mm £80.00

BT152711 Bending template for 2.4 supracondylar plate £9.00

SUPRACONDYLAR OSTEOTOMY PLATES

152606 2.4 Supracondylar Osteotomy Plate Right £85.00

152607 2.4 Supracondylar Osteotomy Plate Left £85.00

ACETABULAR PLATES

AP240406 2.4mm Acetabular plate 4 hole £42.50

CUTTABLE 2.4MM PLATE WITH SPACES



BONE PLATING DVD DR WING TIP WONG

DVDBP Bone Plating DVD Dr Wing Tip Wong £67.50

BONE PLATINGPRACTICAL DVD

The University of Sydney’s centre for Veterinary Education produces arange of excellent teaching DVDs. Veterinary Instrumentation ispleased to have been appointed a distributor.

A Practical Guide to Basic Bone PlatingDr. Wing Tip Wong

This DVD includes:1. Instruments2. Application of instruments3. Pre-operative planning4. Application of a lag, position and plate screw using a bone model5. Application of a lag screw on a lateral condylar femoral fracture

in a cadaver6. Application of a compression plate using a bone model7. Application of a compression plate on a transverse radial fracture

in a cadaver8. Application of a neutralisation plate using a bone model9. Application of a neutralisation plate with an independent lag

screw on an oblique10. Post-operative assessment

2.4 Acetabular Plate

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Use with 2.7mm cortical screws to produce fracture site compression.Plate profile on page 341.

2.7mm Compression Plates

2.7mm COMPRESSION PLATES


C2702020 2 2.0 20 £25.00

C2704036 4 2.0 36 £29.00

C2705044 5 2.0 44 £32.50

C2706052 6 2.0 52 £35.00

C2707060 7 2.5 60 £37.50

C2708068 8 2.5 68 £40.00

C2709076 9 2.5 76 £45.00

C2710084 10 2.5 84 £47.50

C2712100 12 2.5 100 £50.00

C2714116 14 2.5 116 £52.50

C2716132 16 2.5 132 £55.00

Use with 2.7mmcompression and 2.7mmreconstruction plates toobtain compression atfracture site.


2.7mm CORTICAL SCREWS - HEX HEAD 2.5mm (use 2mm pilot)

CS2706 6mm £3.50

CS2708 8mm £3.50

CS2710 10mm £4.00

CS2712 12mm £4.00

CS2714 14mm £5.00

CS2716 16mm £5.00

CS2718 18mm £5.00

CS2720 20mm £5.50

CS2722 22mm £5.50

CS2724 24mm £5.50

CS2726 26mm £6.00

CS2728 28mm £6.00

CS2730 30mm £6.75

CS2732 32mm £6.75

CS2734 34mm £7.50

CS2736 36mm £7.50

CS2738 38mm £8.25

CS2740 40mm £8.25

2.7mm Screws & Plates

Available from 12mm to 36mm length. Self tapping. Do not use in corticalbone unless using as a salvage screw for a stripped 2.7mm cortical screw.

3.0mm Cancellous Screws

3.0mm CANCELLOUS FULL THREAD SELF TAPPING SCREWS- HEX HEAD 2.5mm (use 2mm pilot)

CAN3012 12mm £5.25

CAN3014 14mm £5.25

CAN3016 16mm £5.25

CAN3018 18mm £6.00

CAN3020 20mm £6.00

CAN3022 22mm £6.00

CAN3024 24mm £6.00

CAN3026 26mm £6.50

CAN3028 28mm £6.50

CAN3030 30mm £7.00

CAN3032 32mm £7.00

CAN3034 34mm £7.00

CAN3036 36mm £7.00

2.7mm CORTICAL SELF TAPPING SCREWS- HEX HEAD 2.5mm (use 2mm pilot)

CSST2706 6mm £3.75

CSST2708 8mm £3.75

CSST2710 10mm £4.25

CSST2712 12mm £4.25

CSST2714 14mm £5.25

CSST2716 16mm £5.25

CSST2718 18mm £5.25

CSST2720 20mm £6.00

CSST2722 22mm £6.00

CSST2724 24mm £6.00

CSST2726 26mm £ 6.75

CSST2728 28mm £ 6.75

CSST2730 30mm £ 7.25

CSST2732 32mm £ 7.25

CSST2734 34mm £8.00

CSST2736 36mm £8.00

CSST2738 38mm £8.25

CSST2740 40mm £8.25

2.7mm Cortical Self Tapping ScrewsThis type of screw is becoming increasingly popular in both human andveterinary orthopaedics. Self tapping flutes at the tip obviate the need forpre-tapping which saves time and reduces time related complications. Pullout strength is not affected.

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Thin but strong due tothe curved profile. Fitsthe shape of smallfemurs quite well. Hasa wider hole spacingthan 2.7mm DCP.

2.7mm Quarter Tubular Plate

2.7mm 1/4 TUBULAR PLATEST2703023 3 (number of holes) 23 (length in mm) £15.00T2704031 4 31 £16.00T2705039 5 39 £17.00T2706047 6 47 £18.00T2707055 7 55 £19.00T2708063 8 63 £20.00

This plate is cuttable and stackable. The plate profile is convex for addedstrength. Also available in a notched style for easy 3 dimensionalcontouring. This is the cuttable malleable plate. Plate profile on page 348.





Cuttable 2.7mm plate




LC2702026 2(number of holes) 26 (length in mm) £40.00

LC2704044 4 44 £45.00

LC2705053 5 53 £47.50

LC2706062 6 62 £50.00

LC2707071 7 71 £55.00

LC2708080 8 80 £60.00

LC2709089 9 89 £62.50

LC2710098 10 98 £65.00

LC2712116 12 116 £70.00

LC2714134 14 134 £75.00

LC2716152 16 152 £80.00

Drill Bits and Taps for 2.7mm


S090102S For 2.7mm 2.0mm 100mm £24.75

S090102L For 2.7mm 2.0mm 125mm £26.75


CLEARANCE DRILL - JACOBS HARDH090104 For 2.7mm 2.7mm 130mm £19.50


S090104S For 2.7mm 2.7mm 100mm £26.50

S090104L For 2.7mm 2.7mm 125mm £28.50


TS00027 2.7mm cortical £52.50

Selection of additional 2.7mm Plates‘T’ PLATES ROUND

TC270532 2.7mm T 5 Hole 32mm 2 Holes Distally £21.00

TL270532 2.7mm T 5 Hole Angle L 32mm 2 Holes Distally £21.00

TR270532 2.7mm T 5 Hole Angle R 32mm 2 Holes Distally £21.00

OL270532 2.7mm T 5 Hole 32mm Oblique L 2 Holes Distally £21.00

OR270532 2.7mm T 5 Hole 32mm Oblique R 2 Holes Distally £21.00





T273562 Hybrid ‘T’ Plate - 2.7 or 3.5mm head 3.5mm shaft 62mm long Shaft width 9.5mm, Shaft thickness 2mm £47.50



152712 Supracondylar Plate 2.7mm Left 69mm £80.00

152714 Supracondylar Plate 2.7mm Right 69mm £80.00

BT152714 Bending Template for 2.7mm Supracondylar Plate £9.00




PILOT DRILL - JACOBS SOFT090102 For 2.7mm 2.0mm 127mm £9.00

CLEARANCE DRILL - JACOBS SOFT090104 For 2.7mm 2.7mm 127mm £9.50



TPLO273539 2.7/3.5 DCP 39mm overall length Allows use of 3.5 cancellous screw in head £35.00

TPLO273545 2.7/3.5 DCP 45mm overall length Allows use of 2.7 and 3.5 screws in head 2.5mm thick £39.00

This is a new addition for 2012. Exactly the same profile as our regularcuttable 2.7 but with spaces. Plate profile on page 348.




Cuttable 2.7mm plate with spaces

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3.5mm Cortical Screws (1.25 pitch) DIN58812

3.5mm (1.25 PITCH) CORTICAL SCREWS- HEX HEAD 2.5mm (use 2.5mm pilot)CS3508 8mm £4.45CS3510 10mm £4.45CS3512 12mm £4.45CS3514 14mm £4.45CS3516 16mm £5.50CS3518 18mm £5.50CS3520 20mm £5.50CS3522 22mm £5.50CS3524 24mm £5.75CS3526 26mm £5.75CS3528 28mm £5.75CS3530 30mm £6.25CS3532 32mm £6.25CS3534 34mm £6.25CS3536 36mm £6.25CS3538 38mm £6.25CS3540 40mm £6.25CS3542 42mm £6.75CS3544 44mm £6.75CS3545 45mm £7.25CS3546 46mm £7.25CS3548 48mm £7.25CS3550 50mm £7.25CS3555 55mm £9.50CS3560 60mm £11.50CS3565 65mm £11.50CS3570 70mm £11.50CS3575 75mm £13.50CS3580 80mm £13.50CS3585 85mm £13.50CS3590 90mm £13.50CS3595 95mm £18.50CS35100 100mm £18.50CS35105 105mm £18.50CS35110 110mm £18.50

3.5/4.0mm Screws & Plates

Use with 3.5mmcompression and3.5mm reconstructionplates to obtainfracture sitecompression.

This type of screw is becoming increasingly popular in both human andveterinary orthopaedics. Self tapping flutes at the tip obviate the need forpre-tapping which saves time and reduces time related complications. Pullout strength is not affected provided the self tapping flutes are positionedoutside the cortex. Add an additional 2mm to screw length c.f. pre-tappedcortical screws.


3.5mm (1.25 PITCH) CORTICAL SELF TAPPING SCREWS- HEX HEAD 2.5mm (use 2.5mm pilot)

CSST3508 8mm £4.75

CSST3510 10mm £4.75

CSST3512 12mm £4.75

CSST3514 14mm £4.75

CSST3516 16mm £4.75

CSST3518 18mm £5.75

CSST3520 20mm £5.75

CSST3522 22mm £5.75

CSST3524 24mm £6.00

CSST3526 26mm £6.00

CSST3528 28mm £6.00

CSST3530 30mm £6.75

CSST3532 32mm £6.75

CSST3534 34mm £6.75

CSST3536 36mm £6.75

CSST3538 38mm £6.75

CSST3540 40mm £7.25

CSST3542 42mm £7.25

CSST3544 44mm £7.25

CSST3545 45mm £7.75

CSST3546 46mm £7.75

CSST3548 48mm £8.25

CSST3550 50mm £8.25

CSST3555 55mm £9.25

CSST3560 60mm £9.25

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The much coarser thread gives a much bigger "bite" to bone. Use onmetaphysis or other cancellous bone. The screw needs its own tap.

3.5mm Cancellous Screws (1.75 pitch)

3.5mm (1.75 PITCH) SMALL CANCELLOUS SCREWS- HEX HEAD 2.5mm (use 2.0mm pilot)

CAN3510 10mm £5.00

CAN3512 12mm £5.00

CAN3514 14mm £5.00

CAN3516 16mm £6.00

CAN3518 18mm £6.00

CAN3520 20mm £6.00

CAN3522 22mm £6.00

CAN3524 24mm £6.75

CAN3526 26mm £6.75

CAN3528 28mm £6.75

CAN3530 30mm £7.00

CAN3532 32mm £7.00

CAN3534 34mm £7.00

CAN3536 36mm £7.00

CAN3538 38mm £7.00

CAN3540 40mm £7.50

CAN3545 45mm £8.00

CAN3550 50mm £8.50

CAN3555 55mm £9.50

CAN3560 60mm £9.50

4mm Cancellous Screws Part Threaded

4mm CANCELLOUS PART THREAD SELF TAPPING SCREWS- HEX HEAD 2.5mm (use 2.5mm pilot)

CNP4010 10mm £4.75CNP4012 12mm £4.75CNP4014 14mm £4.75CNP4016 16mm £5.75CNP4018 18mm £5.75CNP4020 20mm £5.75CNP4022 22mm £5.75CNP4024 24mm £6.00CNP4026 26mm £6.00CNP4028 28mm £6.00CNP4030 30mm £7.00CNP4035 35mm £7.00CNP4040 40mm £7.50CNP4045 45mm £8.00CNP4050 50mm £8.50

CNP4055 55mm £9.50

CNP4060 60mm £10.50

Use with 3.5mm cortical or 3.5mm or 4.0mm cancellous screws to producefracture compression. Plate profile page 341.

3.5mm Compression Plate

3.5mm COMPRESSION PLATES

C3502026 2 (number of holes) 26 (length in mm) £26.00

C3503038 3 38 £27.00

C3504050 4 50 £28.50

C3505062 5 62 £29.00

C3506074 6 74 £31.00

C3507086 7 86 £33.50

C3508098 8 98 £35.50

C3509111 9 111 £37.50

C3510122 10 122 £41.00

C3512146 12 146 £43.50

C3514170 14 170 £46.00

C3516194 16 194 £52.50

Use in cancellousbone wheregreater screw / boneinterface isdesirable. Selftapping.

4mm Cancellous Screws Full Threaded

4mm CANCELLOUS FULL THREAD SELF TAPPING SCREWS- HEX HEAD 2.5mm (use 2.5mm pilot)

CNF4010 10mm £4.75

CNF4012 12mm £4.75

CNF4014 14mm £4.75

CNF4016 16mm £5.75

CNF4018 18mm £5.75

CNF4020 20mm £5.75

CNF4022 22mm £5.75

CNF4024 24mm £6.00

CNF4026 26mm £6.00

CNF4028 28mm £6.00

CNF4030 30mm £6.75

CNF4032 32mm £6.75

CNF4034 34mm £6.75

CNF4035 35mm £6.75

CNF4036 36mm £6.75

CNF4038 38mm £6.75

CNF4040 40mm £7.25

CNF4045 45mm £7.25

CNF4050 50mm £8.25

CNF4055 55mm £9.25

CNF4060 60mm £9.25

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This plate is made from the same plate profile as the standard 4.5 narrowcompression plate but drilled for 3.5 screws. These plates are usually impossibleto contour without a bone plate press or roller type pliers, see page 80. Plateprofile on page 342.

Broad 3.5mm Compression Plate

BROAD 3.5mm COMPRESSION PLATES

BC3504050 4 (number of holes) 50 (length in mm) £47.50

BC3505062 5 62 £50.00

BC3506074 6 74 £50.00

BC3507087 7 87 £52.50

BC3508098 8 98 £57.50

BC3509110 9 110 £62.50

BC3510122 10 122 £67.50

BC3511134 11 134 £72.50

BC3512146 12 146 £77.50

BC3513158 13 158 £82.50

BC3514170 14 170 £87.50

BC3515182 15 182 £92.50

BC3516194 16 194 £97.50

BC3518218 18 218 £110.00

BC3520242 20 242 £120.00

BC3522266 22 266 £130.00

Veterinary IF Plate (Keyhole plate)

VETERINARY IF PLATE (KEYHOLE PLATE)

IF3507094 3.5 Narrow IF (Interfragmentary DCP) 7 Hole 94mm £97.50

Occasionally a lag screw has to be placed exactly where the neutralisationplate required to protect it should sit. This usually results in a compromiseof one or the other being placed in a less than ideal position or a fiddletrying to feed the screw through the plate at the same time as reducing thefracture. Veterinary Instrumentation’s keyhole plate allows the plate to beplaced after the lag screw. Before tightening the screw it is a simple matterto fit the protecting plate over the head of the screw. The screw headtightens into the narrower part of the keyhole. Thedesign of the keyhole allows a greater range ofscrew angle than is possible in a standardDCP. The strength of the plate isunaffected. Available as a 3.5 7 holeDCP i.e. the keyhole holeand threeeither side.

Following requests we have now added a range of Limited Contact (LC) Platewith cutaways.

Broad 3.5mm Limited Contact (LC)Compression Plate

BROAD 3.5mm LIMITED CONTACT (LC) COMPRESSION PLATES

BLC3504056 4 (number of holes) 56 (length in mm) £60.00

BLC3505069 5 69 £65.00

BLC3506082 6 82 £70.00

BLC3507095 7 95 £75.00

BLC3508108 8 108 £80.00

BLC3509121 9 121 £85.00

BLC3510134 10 134 £90.00

BLC3512160 12 160 £100.00

BLC3514186 14 186 £110.00

BLC3516212 16 212 £120.00




LC3502030 2 (number of holes) 30 (length in mm) £38.00

LC3503043 3 43 £40.00

LC3504056 4 56 £45.00

LC3505069 5 69 £47.50

LC3506082 6 82 £52.50

LC3507095 7 95 £57.50

LC3508108 8 108 £60.00

LC3509121 9 121 £62.50

LC3510134 10 134 £65.00

LC3512160 12 160 £68.50

LC3514186 14 186 £70.00

LC3516212 16 212 £80.00

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The standard human cortical screw is suitable for very large dogs andequines. Because it is a human product made in large numbers, 4.5mm screws are relatively inexpensive.


4.5mm CORTICAL SCREWS- HEX HEAD 3.5mm (use 3.2mm pilot)

CS4512 12mm £5.50

CS4514 14mm £5.50

CS4516 16mm £5.50

CS4518 18mm £5.50

CS4520 20mm £5.50

CS4522 22mm £5.50

CS4524 24mm £6.25

CS4526 26mm £6.25

CS4528 28mm £6.25

CS4530 30mm £6.25

CS4532 32mm £6.25

CS4534 34mm £6.25

CS4536 36mm £6.25

CS4538 38mm £6.25

CS4540 40mm £7.00

CS4542 42mm £7.00

CS4544 44mm £7.00

CS4546 46mm £7.00

CS4548 48mm £7.00

CS4550 50mm £7.00

CS4552 52mm £7.00

CS4554 54mm £7.00

CS4556 56mm £7.75

CS4558 58mm £7.75

CS4560 60mm £7.75

CS4562 62mm £7.75

CS4564 64mm £7.75

CS4566 66mm £7.75

CS4568 68mm £7.75

CS4570 70mm £7.75

CS4575 75mm £10.50

CS4580 80mm £12.00

CS4585 85mm £14.00

4.5mm Screws & PlatesDrill Bits and Taps for 3.5mm (Cortical)


S090112S For 3.5mm 2.5mm 110mm £25.25

S090112SG For 3.5mm 2.5mm 110mm £33.00

S090112L For 3.5mm 2.5mm 180mm £27.00


CLEARANCE DRILL - JACOBS HARDH090106S For 3.5mm 3.5mm 130mm £21.50

H090106L For 3.5mm 3.5mm 180mm £24.00


S090106S For 3.5mm 3.5mm 110mm £28.00

S090106L For 3.5mm 3.5mm 195mm £30.00


TS12535 3.5mm (1.25 pitch) cortical £52.50

Selection of additional 3.5mm Plates‘T’ PLATES ROUND

TC350655 3.5mm T 6 Hole 55mm 2 holes distally £37.50







152715N Supracondylar Plate 3.5 Narrow Left 135mm £135.00

152717N Supracondylar Plate 3.5 Narrow Right 135mm £135.00

152715 Supracondylar Plate 3.5mm Broad Left - 135mm £155.00

152717 Supracondylar Plate 3.5mm Broad Right - 135mm £155.00

152716 Supracondylar Femur 3.5mm Broad Left - 173mm £155.00

152718 Supracondylar Femur 3.5mm Broad Right - 173mm £155.00

BT152717 Bending Template for 3.5 Supracondylar Plate £9.00




152620 3.5 Brd Supracondylar Osteotomy Plate Right £155.00

152625 3.5 Brd Supracondylar Osteotomy Plate Left £155.00

PILOT DRILL - JACOBS SOFT090112 For 3.5mm 2.5mm 127mm £9.50

CLEARANCE DRILL - JACOBS SOFT090106 For 3.5mm 3.5mm 127mm £10.00









164


Until such time as we are able to reliably stimulate the humeral condylesto fuse together, it seems that the only practical means of managing theproblem is to place a large stabilising screw. In that the incidence offatigue failure is high it seems sensible to use the strongest screwpossible. We have manufactured a small range of 4.5 shaft screws from32mm to 40mm specifically for this procedure. The threaded portion is13mm long in all screws.

Andy Moores advises that the 4.5 shaftscrew has an AMI (bending resistance)5 times greater than a standard 4.5cortical screw. Placement of the screwis, however a challenge in that thegliding hole has to cross the area ofIOHC to penetrate into the far condyle.This may be achieved by imaging or bycareful pre-measurement and the use ofdrill stops.

4.5 Shaft Screws and IOHC

4.5 SHAFT SCREWS

SHSC4532 Shaft Screw 32mm 13mm Thread £18.50





SHSC4534TI Shaft Screw 34mm Titanium £26.50

SHSC4536TI Shaft Screw 36mm Titanium £26.50

4.5MM CORTICAL SELF TAPPING SCREWS - HEX HEAD=3.5MM PILOT=3.2MM

CSST4512 12mm £6.00

CSST4514 14mm £6.00

CSST4516 16mm £6.00

CSST4518 18mm £6.00

CSST4520 20mm £6.00

CSST4522 22mm £6.00

CSST4524 24mm £6.75

CSST4526 26mm £6.75

CSST4528 28mm £6.75

CSST4530 30mm £6.75

CSST4532 32mm £6.75

CSST4534 34mm £6.75

CSST4536 36mm £6.75

CSST4538 38mm £6.75

CSST4540 40mm £7.25

CSST4542 42mm £7.25

CSST4544 44mm £7.25

CSST4546 46mm £7.25

CSST4548 48mm £7.25

CSST4550 50mm £7.25

CSST4552 52mm £7.25

CSST4554 54mm £7.25

CSST4556 56mm £8.00

CSST4558 58mm £8.00

CSST4560 60mm £8.00

CSST4562 62mm £8.00

CSST4564 64mm £8.00

CSST4566 66mm £8.00

CSST4568 68mm £8.00

CSST4570 70mm £8.00

CSST4575 75mm £11.00

CSST4580 80mm £13.00

CSST4585 85mm £15.00

Use of self tapping screws can save considerable time and trauma.Reducing surgery time will reduce morbidity. Pull out strength is notaffected provided the self tapping flutes lie outside of the cortex. Add an extra 1mm when assessing screw length.

Self tapping screws are less effective in dense cortical bone. e.g. calcaneus. It is advised that an appropriate tap be available should the need arise.

Drill data: Pilot drill 3.2mm Clearance drill 4.5mm


www.vetinst.comBone Plate Profiles

All our bone plate profiles are printedon the pages inside the back cover.They are also in the documentdownload section ofwww.vetinst.com A full set of profilesprinted on clear acetates as an aid tofracture planning is available free ofcharge.Remember the profiles are actualsize so you will have to compensate(5-10%) for magnification dependingon the position of the bone and thehead of the x-ray unit.

2.4 DCPs

Designed by Vets for Vets

Thanks to Andy Moores for the picture.13mm

165


Use with 4.5mm cortical screws to produce fracture site compression.Plate profile on page 344.

Narrow 4.5mm Compression Plate

NARROW 4.5mm COMPRESSION PLATES

C45239 2 (number of holes) 39 (length in mm) £28.50

C45355 3 55 £29.50

C45471 4 71 £30.50

C45587 5 87 £33.50

C456103 6 103 £35.00

C457119 7 119 £37.50

C458135 8 135 £39.50

C459151 9 151 £41.00

C4510167 10 167 £43.50

C4511183 11 183 £45.50

C4512199 12 199 £49.00

C4513211 13 211 £52.00

C4514230 14 230 £55.00

C4515246 15 246 £57.50

C4516265 16 265 £67.50

This is the strongest plate available for veterinary orthopaedics.

Broad 4.5mm Compression Plate

BROAD 4.5mm COMPRESSION PLATES

B4505087 5 (number of holes) 87 (length in mm) £42.50

B4506103 6 103 £45.00

B4507119 7 119 £47.50

B4508135 8 135 £50.00

B4509151 9 151 £52.50

B4510167 10 167 £55.00

B4511183 11 183 £57.50

B4512199 12 199 £60.00

B4513215 13 215 £62.50

B4514231 14 231 £67.50

B4515247 15 247 £72.50

B4516263 16 263 £77.50

B4517279 17 279 £82.50

B4518295 18 295 £87.50

6.5mm Cancellous ScrewsThis very large screw has an application in the closing wedge TPLOprocedure in very large dogs. Bone stock is poor in the proximal tibia. The 6.5mm self tapping, fully threaded cancellous screw gives maximumpull out resistance. Pilot drill 3.2mm, screwdriver SDH3500 and tapTBT065 or TS00065. Only use the tap for the fibular head screw. Drill data: Pilot 3.2mm, Clearance 6.5mm.

6.5mm CANCELLOUS SCREWS - FULL THREADED- HEX HEAD 3.5mm (use 3.2mm pilot)

CNF6525 25mm £9.50

CNF6530 30mm £10.00

CNF6535 35mm £11.00

CNF6540 40mm £12.00

CNF6545 45mm £13.00

CNF6550 50mm £14.00

CNF6555 55mm £15.00

CNF6560 60mm £16.00

CNF6565 65mm £17.00

CNF6570 70mm £18.00

CNF6575 75mm £19.00

5.5mm Cortical ScrewsThis cortical screw is suitable for equines. Nearly twice as strong as 4.5mm cortical screws. Use with 4.5mm plates. Drill data: Pilot 4.0mm,Clearance 5.5mm.

5.5mm CORTICAL SCREWS- HEX HEAD 3.5mm (use 4.0mm pilot)

CS5524 24mm £13.00

CS5526 26mm £14.00

CS5528 28mm £15.00

CS5530 30mm £16.00

CS5532 32mm £17.00

CS5534 34mm £18.00

CS5536 36mm £19.00

CS5538 38mm £20.00

CS5540 40mm £21.00

CS5542 42mm £22.00

CS5544 44mm £23.00

CS5546 46mm £24.00

CS5548 48mm £25.00

CS5550 50mm £26.00

CS5552 52mm £27.00

CS5554 54mm £28.00

CS5556 56mm £29.00

CS5560 60mm £30.00

CS5564 64mm £31.00

CS5570 70mm £32.00

CS5580 80mm £33.00

CS5590 90mm £34.00

CS55100 100mm £35.00

5.5/6.5mm Screws

166


Standard DCP or round hole plates are held into position by beingtrapped between the head of the screw and the bone. Tightening thescrew pulls the bone up to the plate. When the screw is tight the threadsof the screw pull against the bone holding the plate in position. Thesituation with locking screws and plates is very different. Although thethreads of the screw shaft engage the bone, the interface between boneand screw is not related to attachment of the plate. In locking plates andscrews it is the interface between the screw head and the plate whichattaches the plate to the screw. As the screw is tightened the bonemaintains its position relative to the plate, it is not drawn up to it. Thescrew head engages with the plate. This has a number of implications:

Contouring of PlatesWith standard DCPs the plate must be contoured exactly. When thescrews are tightened the bone fragments will be pulled towards the plateand assume the contour of the plate. If the plate is not contoured correctlythe screws will pull the fragments out of alignment. Using a locking plateand screws once the plate is applied the bone fragments will be held inposition relative to one another as is the case with external fixation.Indeed locking plates are sometimes referred to as ‘internal, externalfixation’. Locking plates do not therefore require contouring in the sameway as DCP type plates. This has particular relevance in the TPLOprocedure where contouring the plate is very important and very timeconsuming. If a standard locking TPLO plate fits all TPLO osteotomiesthere are significant savings in terms of time and morbidity.

Screw Angulation and NumbersIn order to fit and lock into the plate the screw must be inserted at a fixedangle relative to the hole in the plate. Drill guides are provided whichscrew into the locking holes to ensure that this happens. It is not alwaysdesirable that the screws are at 90 degrees to the plate, particularly closeto joints. The angle of the screw is dictated by the plate not the surgeon.The rigid attachment of the screw to the plate gives any locking constructa high degree of angular rigidity relative to a DCP construct where aspherical screw head in an oval hole results in a relatively flexibility. Thismeans in any given situation that to achieve the same rigidity as a DCPconstruct a locking construct needs less screws. Again this has particularimplications in terms of time and morbidity. It also offsets, to a degree, thehigher costs of locking screws and plates.

Screw Diameter and StrengthThe increased angular rigidity places greater stresses onto the screw.Because we are not relying on the threads of the screw in the bone to pull the plate to the bone they do not need to be as coarse as standardcortical screws. They need, only, to hold their position in the bone. Thus for the same outside diameter of screw we can increase the corediameter without increasing the likelihood of bone / screw interfacefailure. Increasing the diameter of the core hugely affects the AMI(resistance to bending) of the screw. The AMI of standard 3.5 corticalscrews as used in SOP™ is 1.6, the AMI of standard locking screw is 2.6. A SOP™ screw is far more likely to fail than is a standard lockingscrew. Screw failure is the typical mode of failure of SOP™ constructs.Standard cortical screws are not designed for use as locking screws.

Minimally Invasive Plate Osteosynthesis (MIPO)MIPO aims to interfere with the patient’s natural response to fracture aslittle as possible while establishing and maintaining stabilisation of thefracture. Locking plates do not need close contouring to the bone, indeedit is not necessary to have contact between the plate and the bone. Theperiosteum is therefore preserved and the fracture is not disturbed.Additionally the angular stability of locking screws coupled with the needfor fewer screws are desirable features in any MIPO procedure. Lockingscrews were developed for osteoporitic bone where standard DCPs andscrews tend to strip out. The bone screw interface is under far less stressusing locking technology. This is an important quality in juvenile bonealso. Veterinary MIPO candidates tend to be young.

Locking Plates

fine threads lock headinto plate.

large core to resist bending.

coarser threads than headbut still finer than corticalscrew for max bone screwinterface.

Locking plates with dual or combinationholes are useful but typically the intervalbetween holes is too large, limiting howmany screws are possible in a fragment.The stacked locking hole allows the useof both 3.5 cortical screws with limitedangulation (7 degrees) and standardlocking screws having full angle securitythrough the same round hole. While themixing of locking and non locking screws in the same fragment is rarelyindicated, it can be useful to place a screw outside the angularlimitations of the locking hole.

The cutaways underneath the plate are designed to offer low contactbetween plate and bone when using regular cortical screws. In additionthey help create aneven resistance tobending for easiercontouring and reducedstress concentration atthe screw holes. Plateprofile on page 347.

VILock 3.5 Plates with Stacked Locking Holes

3.5mm LOCKING PLATESLPSH3504046 3.5mm Locking Plate 46mm 4 Hole £42.50

LPSH3505056 3.5mm Locking Plate 56mm 5 Hole £44.00














LS35PSET 3.5mm Locking Plate Set £795.00

Locking Screw Taps


LOCKING SCREW TAP







167


VILock 2.7 Plates with Stacked Locking HolesVILock plates accept perfectly the standard 2.7mm twin start lockingscrew. Locking plates with combination holeshave the disadvantage that the combinationhole occupies a lot of space which results inhole spacing being too large. Theconsequence is that it may not be possible toplace the desired number of screws in anybone fragment.

In that situations which demand locking screwsand plates rarely need DCP holes the VI locking plate offers only stackedholes which will take both locking and standard cortical screws but will notoffer compression. The hole spacing is the same as that of a standard2.7mm DCP. Plate profile on page 347.

LOCKING 2.7 PLATES

LPSH2704034 2.7mm Locking Plate 4 Hole 34mm Long £42.50















LS27PSET 2.7mm Locking Plate Set £795.00

LOCKING 2.4 PLATES
















S24PSET 2.4mm Locking Plate Set £795.00

Locking Pancarpal Arthrodesis

At the 2009 BVOA scientific meeting there was a lengthy discussionregarding the value of incorporating locking screws into pancarpalconstructs. Locking screws add angular security which was generallyregarded to be a good thing. The presence of compression holes was alsoconsidered to be desirable.

Aaron Moles (Perth) considers that once the cartilage has been removedthe carpus effectively becomes a comminuted fracture and questionswhether placing a single screw in a small fragment (the radial carpal bone)is appropriate. All good fun! Veterinary Instrumentation has produced asmall number of plates which offer a variety of combinations. Feedbackfrom surgeons is appreciated. All radial carpal bone holes are round.

This plate is effectively a double hybrid in that it includes both locking andDCP holes of two different sizes. Proximal holes are 3.5, distal are 2.7 (2.7or LS2724** series).

In this plate all holes are locking and will accept either 3.5 locking (LS35**series) or 2.7 locking with a 3.5 head (LS2735** series).

This plate is as above but includes two DCP holes above and below theradial carpal bone hole. The above two plates have the same dimensionsand hole spacing as 152907XL (see page 350)

LOCKING PANCARPAL ARTHRODESIS

152907XLLS Locking Pancarpal Arthrodesis - All 3.5 locking holes £125.00

152907XLL Locking Pancarpal Arthrodesis - All 3.5 locking holes except 2 DCP holes above and below radial carpal bone hole £125.00

152903XLL Locking Pancarpal Arthrodesis - Double hybrid Proximal, 3.5 Distal 2.7 £125.00

VILock 2.4 Plates with Stacked Locking HolesVI 2.4 locking plates have stacked locking holes as is thecase with our 2.7 plates. The twin starthole in the plate is the same size as the2.7 locking plate. The following screwsmay be used, locking 2.4 (LS2424**),locking 2.7 screws (LS2724**), cortical2.4, cortical 2.7 and cancellous 3.0.

Hole spacing is 7mm, the same as the2.4DCP. Plate profile on page 347.

168


Locking Screws

LOCKING SCREW SETS

LS35KIT 3.5 Hex Drive Locking Screw Set £1,495.00

LS27KIT 2.7 Hex Drive Locking Screw Set £995.00

LS24KIT 2.4 Hex Drive Locking Screw Set £995.00

LS35STARKIT 3.5 Star Drive Locking Screw Set £1,495.00

LS27STARKIT 2.7 Star Drive Locking Screw Set £995.00



The angular security of locking plate systems depends on a rigid interfacebetween screw and plate. This is achieved either by the use of interlockingthreads or by using the morse taper phenomenon as seen in the Fixinsystem.

Threaded systems are the most common. The modulus of bone andstainless steel differs greatly and the ideal screw thread for one will not suitthe other. Stainless steel demands fine threads whereas bone needs arelatively coarse thread. If we use a fine thread in the plate and a coarsethread in the bone, when the head of screw engages the plate, the screwmoving faster through the bone than the plate would have the effect ofpulling the plate towards the bone. This is exactly what we do not want.Some systems compromise by using the same thread in both screw headand bone plate.

At Veterinary Instrumentation and in the industry standard locking screwthe problem is solved by some ingenious engineering. The threads on thehead of our screws are fine as required but have a twin start. The threadstaper down the head as a double helix. The pitch (the distance betweenthe tips of the threads) of each individual fine thread is the same as thethreads on the bone screw but because of the double helix the number ofthreads per millimeter of locking thread is double that of the bone screwgiving the fine threads required for metal on metal. The screw movesthrough the bone at the same rate as it moves through the platemaintaining the relative positions of both bone fragment and plate.

There is an additional benefit of the double helix. As the screw headapproaches the plate a single start thread may have to wait 360 degreerotation before the threads start to engage. In the 3.5 screw this mightmean that the plate is pushed around one millimeter before the head of thescrew engages. With a twin start thread the screw head will engage within180 degrees of contact.

Available in both 3.5, 2.7mm (with 2.4mm head) 2.4mm and 2.0mm. Supplied in a stainless steel screwbox. Available with either Hex or StarDrive head. Sets discounted by over 5% from component price.

3.5 set includes 3 x 12-20mm, 4 x 22-26mm, 5x 28-40mm, 4x 42-50mm,3x 52-58mm locking screws and 5 locking plugs.

2.7 set includes 3 x 6-8mm, 4 x 10-16mm, 5x 18-28mm, 4x 30-32mm, 3x 34-40mm locking screws and 5 locking plugs.

2.4 set includes 3 x 6-8mm, 4 x 10-16mm, 5x 18-28mm, 4x 30-32mm, 3x 34-40mm locking screws and 5 locking plugs.

Locking Screw Sets

LOCKING SCREW 3.5mm USE 2.7mm PILOT PLUS DRILL SLEEVE

LS3510 Locking 3.5 Screw Hex Drive 10mm £12.50




























LSDG35 3.5 Locking Screw Drill Guide £52.50

H090104 2.7mm Pilot Drill £19.50

SHLS35 3.5 Locking Screwbox £125.00

Locking Plug


LOCKING PLUG HEX DRIVE 2.7/3.5mm

LSP35 Locking Plug for LS35** and LS2735** screws £7.50

LSP24 Locking Plug for LS2724** and LS2424** £7.50

Locking Screws - Hex Drive

VI screws are an exact fit for standard locking plates but utilise theconventional hex drive rather than a star drive. See page 170 for Star Drive.


169


This screw fits the 2.7mm locking TPLO plate. It has the standard lockingscrew 2.7 cortical bonethread but the head is basedon the 2.4mm locking screw.This screw will not fit the3.5mm locking TPLO plate.

Use LS2724 2.7mm LockingDrill Guide

Use 2.0mm Pilot Drill. Use1.5 hex screwdriver (same as 1.5 & 2.0 screws)

LOCKING SCREW HEX DRIVE 2.7MM WITH SMALL (2.4MM) HEAD



















LSDG2724 2.0 Locking Screw Drill Guide for small 2.7 £52.50



Locking Screw Hex Drive 2.7 with Large 3.5mm head

This 2.7 locking screw has thesame head as the 3.5 lockingscrew. It will therefore fit 3.5 locking plates and TPLOplates. It will not fit the smaller2.7 locking plates and TPLOplates. It requires a 2.0mm pilotdrill placed with the aid of adedicated drill guide.

LOCKING SCREW HEX DRIVE 2.7MM WITH LARGE (3.5MM) HEAD















LSDG2735 2.0 Locking Screw Drill Guide for LS2735** £52.50

H090102 2mm Pilot Drill £19.00

Locking Screw Hex Drive 2.7mm with Small (2.4mm) Head

LOCKING SCREW HEX DRIVE 2.4MM



















LSDG2424 Locking Screw Drill Guide for 2.4 £52.50



The 2.4 locking screw has the same head as the 2.7mm locking screw(LS2724** series) and may therefore be used in both 2.4 locking platesand 2.7 locking plates where desirable.

The required screwdriver is the 1.5mm hex SDHS20F or similar. The pilotdrill is 1.8mm and as with other locking screw sizes requires a dedicateddrill sleeve.


Locking Screw Taps


LOCKING SCREW TAP







This screw fits the 2.7mmlocking TPLO plate. It hasthe standard locking screw2.7 cortical bone thread butthe head is based on the2.4mm locking screw. Thisscrew will not fit the 3.5mmlocking TPLO plate.

Use LS2724 2.7mm Locking Drill Guide

Use 2.0mm Pilot Drill.

170

VI Locking TPO/DPO Plates

Over the past three years we have been developing a locking version ofTPO/DPO plates. The plate has a slightly larger ‘footprint’ than the originalSlocum plate. The locking screws placed at diverging angles give bettersecurity than regular cortical screws. One hole next to the osteotomy site onthe sacral side is a regular DCP hole so that a regular screw can pull theplate down to the sacral section of the ilium and then create compression atthe osteotomy. Available in both 3.5 and 2.7mm formats. Will also acceptregular cortical screws.

For the complete range and further information see pages 48-49.

LOCKING SCREW STAR DRIVE 3.5mm USE 2.7mm PILOT PLUS DRILL SLEEVE

LS35STAR10 Locking 3.5 screw Star Drive10mm £12.50




LS35STAR18 Locking 3.5 screw Star Drive18mm £13.75























LSDG35 Locking screw Drill Guide for 3.5 £52.50



Locking Plug Star Drive


LOCKING PLUG STAR DRIVE


LSP24STAR Locking Plug for LS2724STAR** and LS2424STAR** £7.50

LSP20STAR Locking Plug for LS20STAR** £7.50

Locking Screws - Star Drive

VI screws are an exact fit for standard locking plates but utilise the StarDrive rather than Hex drive.


LOCKING SCREW STAR DRIVE 2.7MM WITH SMALL (2.4MM) HEAD























Locking Screw Star Drive 2.7mm with Small (2.4mm) Head

171


LOCKING SCREW STAR DRIVE 2.4MM






















The 2.4 locking screw has the same head as the 2.7mm locking screw(LS2724** series) and may therefore be used in both 2.4 locking platesand 2.7 locking plates where desirable. The pilot drill is 1.8mm and aswith other locking screw sizes requires a dedicated drill sleeve.


LOCKING SCREW STAR DRIVE 2.0MM















LSDG20 Locking Screw Drill Guide for 2.0 £52.50

HO90101 1.5 Locking Screw Pilot Drill £17.50

SHLS20 2.0 Locking Screwbox (available June 2012) £125.00

The 2.0 locking screw has the standard twin start thread and fits allplates with the standard 2.0mm locking hole including 2.0mm lockingTPLO plates. The drive is the T6 Star Drive and the pilot drill required is1.5mm.


STAR DRIVE SCREWDRIVER INSERT


SDT82427 Star Drive Insert for 2.7 (2.4 head) and 2.4 Locking screws £60.00



SDTSET Handle and Star Drive Insert set (one of each ) £295.00

All VILock screws are available with the international ‘Torx’ style StarDrive. The interface between the screw head and screwdriver issignificantly stronger and the stripping of screw heads consequentlymuch rarer. The tip of the screwdriver is tapered and ‘picks up’ thescrews without the requirement for a screw holding sleeve.Many surgeons do not possess the relevant Star Drive screwdrivers sowe are pleased to offer a modular handle plus inserts for the standard3.5mm, 2.7/2.4mm and 2.0mm screws.The handle and inserts are available separately but are cheaper as theset. The handle is made from white autoclavable Teflon which does not‘shed’ like the traditional fibre type. The cap revolves in the palm of thehand for extra comfort.

Locking Screw Taps


LOCKING SCREW TAP








172


LOCKING SCREW SETS

LS35KITALL 3.5 Locking Screw and Plate Kit in Premium Box £2,150.00



LS24/27KITALL 2.4/2.7 Locking Screw and Plate Kit in Premium Box £2,995.00

LS35BOX 3.5 Locking Screw Premium Box with Insert only £250.00

LS27BOX 2.7 Locking Screw Premium Box with Insert only £250.00

LS24BOX 2.4 Locking Screw Premium Box with Insert only £25 0.00

The locking plateand screw setcontains a wideselection of lockingplates and screwsas well all theessentialinstrumentsrequired. Availablein both 2.7 and3.5mm. The price isdiscounted by over5% compared to thecomponent parts.

Locking Plate and Screw Set in Premium Box

The 2.7 set contains the following:

1 of each plate from 4 to 14 hole

3 of each screw from 6mm to 10mm





5 Locking plugs plus box

Drill guide

2mm Drill — Hard

1x 1.5mm Hex Screwdriver with fibre handle

1x Screw holding forceps

All held in a premium box with insert

The 3.5 set contains the following:

1 of each plate from 4 to 14 hole






5 Locking plugs plus box

Drill guide

2.7mm Drill - Hard

1x 2.5mm Hex Screwdriver with fibre handle

1x Screw Holding Forceps

All held in a premium box with insert

Cuttable and Cuttable, Malleable (reconstruction) Plates

Veterinary Instrumentation nows offers a comprehensive range of cuttableplates. They are available either as a standard strip of round holes or as aversion with notches between the holes for easy contouring. These aredescribed as cuttable malleable or cuttable reconstruction plates.

Using standard wire cutters 001236, 001237, 001228 or 001230 (page 75) astrip with the desired number of holes can be cut from the length. With carethe plate can be cut between holes, although it is easier to cut across a hole.

Cuttable plates may be stacked to double the strength along all or part ofthe construct.

Plates are available in 1.5, 2.0, 2.4 and 2.7mm. Hole spacing is smallerthan the equivalent DCP which may be useful where bone fragments aresmall. The smaller sizes are particularly useful in the repair of metacarpalsand metatarsals. Plate profiles on page 348.

The malleable plates may be twisted and bent using parallel action pliers(001290 page 76) and/or wire contouring pliers (001245 page 76)

CUTTABLE PLATES



CM10390 Cuttable Malleable Plate 1.0mm 30 holes 90 mm £85.00

CP15413030 1.5/2.0mm Holes 4mm Spacing 30 Holes £85.00

CP15413027 1.5/2.0 Cuttable Plate with Spaces 27 Holes £95.00

CP205150 2.0mm Holes 5mm Spacing 30 Hole £90.00

CM205150 2.0mm Malleable 5mm Spacing 30 Holes £115.00

CP2455150 2.4mm Holes 5.5mm Spacing 27 Holes £95.00

CM2455150 2.4mm Holes Malleable 27 Holes £115.00

CP276150 2.7mm Holes 6mm Spacing 25 Holes £85.00

CM276150 2.7mm Holes Malleable 25 Holes £115.00

VCP202427 2.0/2.4/2.7mm Holes 6.0mm Spacing 50 Holes £125.00

VCP202427

1.5/2.0mm

2.0mm

2.7mm

2.7MM RECONSTRUCTION PLATES

no. of holes length (mm)

RC270540 5 40 £42.50

RC270648 6 48 £46.50

RC270864 8 64 £54.50

RC271080 10 80 £64.50

RC271296 12 96 £74.50

3.5MM RECONSTRUCTION PLATES

RC350558 5 (number of holes) 58 (length in mm) £49.50

RC350670 6 70 £54.50

RC350782 7 82 £67.50

RC350894 8 94 £72.50

RC3510118 10 118 £77.50

RC3512142 12 142 £82.50

Reconstruction plates are designed for easycontouring. However contouring is not easy withoutdedicated bending pliers. (page 80) Notching betweenholes facilitates multiplanar bending. Useful forreconstruction of non-load bearing bone. Especiallyuseful in the pelvis. Plate profile on page 348.

AO type Reconstruction Plates

173


See page 346 for actual size profiles.

Biological Healing Plates

BHP2008065

These plates are designed to bridge a section of shattered long bone. Iteffectively acts as a buttress plate. No attempt is made to reconstruct. Thefracture site is not disturbed to minimise de-vitalisation and contamination.The plate maintains length and permits weight bearing. Use of these platesavoids leaving empty screw holes over the fracture site which significantlyweakens the construct. Plates are available in 7 or 8 hole versions. Eachtype of plate is available in a range of lengths.

BHP2008065 the cat femur plate is contoured for the average cat femur.Use when proximal and distal sections are intact and the body of the femuris un-reconstructable. If it cannot be reconstructed it is better not to try.

See page 346 for all Biological Healing Plate profiles.

All holes are round as compression is not required and there is betterscrew/plate contact with round holes.

BIOLOGICAL HEALING PLATES

BHP2007060 2.0mm 7 Hole 60mm Long £27.00
















BHPB3508130 Broad 3.5mm 8 Hole 130mm Long £47.50











Cuttable Plates with Spaces

The cuttable plate with spaces is a concept developed by AlessandroPiras who recognised that the even hole spacing of standard cuttableplates was very limiting when managing radial fractures. It was often thecase that screws fell exactly where solid plate was devisable. Bystrategically placing ‘spaces’ along the length of the cuttable plate it waspossible to cut out up to 12 different combinations of plate.

Initially the concept was applied to the 1.5/2.0 x 4.5 mm wide plate.Today cuttable plates with spaces are available in the following sizes:1.0mm, 1.5/2.0mm, 2.0mm, 2.4mm and 2.7mm.

The 1.0mm plate is further refined by being available with 3.0mm and4.0mm hole spacing. In very tiny dogs this can be the differencebetween success and failure. Plate profiles on page 348.

CUTTABLE PLATES WITH SPACES

CP1039027 1.0mm Holes 3mm Spacing 27 Holes 90mm £100.00

CP1049120 1.0mm Holes 4mm Spacing 20 Holes 90mm £100.00

CP15413027 1.5/2.0mm Holes 4mm Spacing 27 Holes120mm £100.00

CP20515027 2.0mm Holes 5.0mm Spacing 27 Holes 150mm £100.00

CP245515024 2.4mm Holes 5.5mm Spacing 24 Holes 150mm £95.00

CP27615022 2.7mm Holes 6mm Spacing 22 Hole £95.00

Case Alessandro Piras

174


The problem with many distal radius fractures is that the distal segment isso small that it is difficult to place sufficient screws. T plates help but oftenthe head portion is too bulky. Hybrid ‘T’ plates provide a solution.

The screwholes in the head are smaller and closer together than thosein the shaft. Three sizes are available 2.7/3.5, 2.0/2.4/2.7 and 1.5/2.0

Hybrid ‘T’ plates will accept the same screw in the head as in the shaft butwith reduced range of screw angle. The longer plate is useful for complexdistal radius fractures and corrective osteotomies.

Use the smallest size load/neutral drill guide for hole placement. (See page 349 and 351 for T Plate Profiles)

T273562


T152034 Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 34mm long Cuttable Shaft width 4.5mm, Shaft thickness 1.1mm £47.50

T202032 Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 32mm long Shaft width 5.1mm, Shaft thickness 1.5mm £37.50

T2020742 Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 42mm long, Shaft width 5.1mm, Shaft thickness 1.5mm £37.50

T202050 Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 50mm long, 8 hole Shaft width 5.1mm, Shaft thickness 1.5mm £40.00

T2020750 Hybrid ‘T’ Plate - 1.5 or 2.0mm head 2.0mm shaft 50mm long, 7 hole Shaft width 5.1mm, Shaft thickness 1.5mm £42.50





62mm long Actual S

ize

T152034

34mm long

Actual S

izeAvailable for 1.0, 2.0, 2.4, 2.7,3.5 and 4.0mm screws, eithercortical or self tapping.

‘T’ plates are used almostexclusively for the repair offractures of the distal radius.In addition they may also beused in a partial carpalarthrodesis. See page 349 &page 351 for full range ofprofiles including TPLO plateswhich offer three holes in thehead.

‘T’ Plates

See page 349 and page 351 for ‘T’ Plate profiles.

Hybrid ‘T’ Plates

‘T’ PLATES ROUND HOLE

TC204018 2mm T 4 Hole 18mm 2 Holes Distally £18.50

TC205024 2mm T 5 Hole 24mm 2 Holes Distally £18.50

TL204018 2mm T 4 Hole Angle L 18mm 2 Holes Distally £18.50

TR204018 2mm T 4 Hole Angle R 18mm 2 Holes Distally £18.50

OL204018 2mm T 4 Hole 18mm Oblique L 2 Holes Distally £18.50

OR204018 2mm T 4 Hole 18mm Oblique R 2 Holes Distally £18.50


TL270532 2.7mm T 5 Hole Angle L 32mm 2 Holes Distally £21.00

TR270532 2.7mm T 5 Hole Angle R 32mm 2 Holes Distally £21.00

OL270532 2.7mm T 5 Hole 32mm Oblique L 2 Holes Distally £21.00

OR270532 2.7mm T 5 Hole 32mm Oblique R 2 Holes Distally £21.00





1.0mm ‘T’ Plates

Series ‘A’ 4.6mm between head and shaft holes

Series ‘B’ 6.6mm between head and shaft holes




T101016 1.0mm series A 5 hole length 16mm £35.00



T101018 1.0mm series B 5 hole length 18mm £35.00



T101021 1.0mm series C 6 hole length 21mm £35.00

T101027 1.0mm series C 7 hole length 27mm £35.00









TPLO353577 3.5mm DCP 77mm overall length 7 holes £49.00

TPLO353577X 3.5mm DCP 77mm overall length 8 holes £53.00


TPLO354579 3.5/4.5 DCP 79mm overall length Heavy Duty Allows 4.5 screws in head £53.00

TPLO 3.5/4.5 DCP 79mm overall length, Heavy Duty35456579 Will accept 6.5 cancellous screws in head 4.5mm thick £58.00

TPLO 4.5mm DCP 90mm overall length45659030 Will accept 6.5 cancellous screws in head 3.0mm thick £97.50

TPLO 4.5mm DCP 90mm overall length45659045 Will accept 6.5 cancellous screws in head 4.5mm thick £97.50

Case: Sorrel Langley-Hobbs

175



152700 Supracondylar Plate 2.0mm 50mm long. Right Shaft width 5.5mm, Shaft thickness 2mm £60.00

152710 Supracondylar Plate 2.0mm 50mm long. Left Shaft width 5.5mm, Shaft thickness 2mm £60.00

152700XL Supracondylar Plate 2.0mm 120mm Extra long Cuttable Right Shaft width 5.5mm, Shaft thickness 2mm £125.00

152710XL Supracondylar Plate 2.0mm 120mm Extra long Cuttable Left Shaft width 5.5mm, Shaft thickness 2mm £125.00

152711R Supracondylar Plate 2.4mm 62mm long Right Shaft width 6.6mm, Shaft thickness 2mm £80.00

152711L Supracondylar Plate 2.4mm 62mm long Left Shaft width 6.6mm, Shaft thickness 2mm £80.00

152712 Supracondylar Plate 2.7mm Left 69mm £80.00

152714 Supracondylar Plate 2.7mm Right 69mm £80.00

152715N Supracondylar Plate 3.5 Narrow Left 135mm £135.00

152717N Supracondylar Plate 3.5 Narrow Right 135mm £135.00

152715 Supracondylar Plate 3.5mm Broad Left 135mm £155.00

152717 Supracondylar Plate 3.5mm Broad Right 135mm £155.00

152716 Supracondylar Femur 3.5mm Broad Left 173mm £155.00

152718 Supracondylar Femur 3.5mm Broad Right 173mm £155.00





Supracondylar femoral fractures in mature animals can bevery difficult to repair. Small fragment size makes placementof sufficient implants a challenge. In medium and large dogsthere are often multiple small fragments in the supracondylararea. The forces acting on the distal femur are complexrequiring a special plate to neutralise them. The 2.7 and3.5mm plates were developed by Mark Glyde using finiteelement analysis.

Available in a range of sizes and lengths. 2.0, 2.4, 2.7, 3.5narrow and 3.5 broad (two lengths). Use bending templatesto pre-contour plates.

Supracondylar Plates

An extra long version has been developed inconjunction with Sorrel Langley-Hobbs.

Supracondylar Osteotomy Plates (SCOP)

Osteotomy of the distal femur is now an accepted technique for correctionof patella luxation in medium and large dogs with a limb alignmentdeformity. The distal femur is a difficult area to appropriately contour andplace sufficient screws. Using finite element analysis Mark Glyde designeda preformed plate specifically for this area. Screw hole placement allowsfor a closing wedge osteotomy. Available in 2.0, 2.4, 2.7mm, 3.5mmnarrow and 3.5mm broad sizes. Use profiles on page 352 as guide.










152620 3.5 Brd Supracondylar Osteotomy Plate Right £155.00

152625 3.5 Brd Supracondylar Osteotomy Plate Left £155.00

Accurate repair of fractures of the acetabulum is essential if full function isto be restored and long term arthritic changes are to be avoided. Sevensizes are available, singly or as a set. The plates are pre-contoured threedimensionally to ensure a good fit. Holes are round.

Acetabular Plates

ACETABULAR PLATES

AP200400 2.0mm Acetabular Plate 4 hole Size 0 £37.50


AP240406 2.4mm Acetabular Plate 4 hole £42.50





APSET Set of Acetabular Plates Set of 7 £225.00

See page 352 for actual size profiles.

See page 352 for profiles.

176


Pancarpal arthrodesis is a common procedure in veterinary orthopaedicsas a salvage procedure for hyper extension injuries. Standard plates tendto be either too big for the metacarpal or too small for the radius. Our rangeof hybrid carpal arthrodesis plates tries to give you the best of both worlds.

The taper on the distal part of the plate makes closure easier andautomatically produces an angle of around 5 degrees. (See page 350 forplate profiles).

Some surgeons prefer greater coverage of the metacarpals than is offeredby our standard plates. We now offer extra long plates in all the commonsizes. It is suggested that the plate offers 50% coverage of the metacarpalsegment.

For partial carpal arthrodesis try our TPLO plates (see page 351). Alsouseful for pantarsal arthrodesis, intertarsal arthrodesis, distal tibial fractureand distal humerus fractures.

Pancarpal Arthrodesis Plate (Hybrid Plates)

PANCARPAL ARTHRODESIS PLATES DCP STYLE

152911 1.5/2.0mm Compression Arthrodesis plate. £62.50

152911XL 1.5/2.0mm Compression extended length. £65.00

152912 2.0/2.0mm Compression Arthrodesis plate. £65.00

152912XL 2.0/2.0mm Compression extended length. £67.50

152905 2.0/2.7mm Compression Arthrodesis plate £67.50

152905XL 2.0/2.7mm Compression extended length £70.00





152909 3.5/4.5mm Pancarpal Arthrodesis plate 185mm £155.00

PANCARPAL ARTHRODESIS PLATES ROUND HOLES

152906 2.0/2.7mm Arthrodesis Plate Round Holes £50.00


152904XL 2.7/3.5mm Arthrodesis Plate Round Holes extended length £55.00


HDCADVD Carpal Arthrodesis Technique DVD. Hamish Denny £47.50

Extensive range available. Locking Plates shownwith*. For locking plates see page 166

If none of our standard plates are suitable our custom plate service willmanufacture the exact plate you require from £250.00

*

*

Hybrid Arthrodesis Plates

See Plate profileon page 350

(Intertarsal plate page 178)

177


PARTIAL CARPAL ARTHRODESIS PLATE

152930 Partial Carpal Arthrodesis Plate 2.7/3.5mm 65mm £55.00

152931 Partial Carpal Arthrodesis Plate 2.0/2.4/2.7mm 50mm £60.00

152932 Partial Carpal Arthrodesis Plate 1.5/2.0mm £65.00

Severe DJD in the elbow is difficult to manage. Despite recent advances inelbow replacement outcomes are still far from ideal. Even when pain free,dogs rarely have a normal gait.

Where funds are limited elbow arthrodesis is a realistic option. The result isa pain free limb albeit with an abnormal gait.

Contouring standard plates to perform an elbow arthrodesis is very difficultand usually leaves empty plate holes vulnerable to fatigue failure.

VI’s elbow arthrodesis plates are hybrid in nature spanning humerus andulna. The plate is placed medially.

If none of our standard plates are suitable our custom plate service willmanufacture the exact plate you require from £250. Plate profile 353.

Elbow Arthrodesis Plates

ELBOW ARTHRODESIS PLATES

152950 Elbow Arthrodesis Plate 3.5/2.7 Right £145.00

152951 Elbow Arthrodesis Plate 3.5/2.7 Left £145.00

110°

Injuries around the carpus may be so severe that reconstruction is notpossible. When the distal radius is involved a simple pancarpal arthrodesismay not be enough. The forelimb salvage plate is designed for suchinjuries. The length and screw positions allow some reconstruction of thedistal radius together with arthrodesis of the carpus.

With no contouring the plate gives a five degree angle to the carpus.

Plate profile on page 350.

Forelimb Salvage Plate

FORELIMB SALVAGE PLATE 1.5/2.0MM

152910 Forelimb Salvage Plate 1.5/2.0mm £115.00

Photo: Simon Roch

Where instability lies in the intercarpal or carpometacarpal joints and theradiocarpal joint is undamaged, partial carpal arthrodesis offers anoutcome with a relatively normal range of movement.

The problem is that the normal radiocarpal joint is capable of such adegree of extension that the distal radius tends to impinge on any implantplaced onto the radial carpal bone. The image above shows a greyhoundin full carpal extension illustrating the point very well. VI partial carpalarthrodesis plates have been engineered to have an extremely low profile.Additionally the proximal screw holes are very close to the proximal borderof the plate thereby minimising the implant profile on the radial carpalbone. Plates with a thicker profile must be removed to avoid pain onextension.

The proximal plate is precontoured for best possible fit and to allow bestposition and angles of screws.

The largest plate accepts 2.7 and 3.5mm screws. Using 3.5 screws asmaller degree of screw angulation is possible. The medium plate takes2.7, 2.4 and 2.0 screws. The smallest plate takes 1.5 and 2.0mm screwsSee page 350 for profiles.

Our TTO / TWO plates have also been used successfully for partial carpalarthrodesis. See page 350 for actual size profiles

Partial Carpal Arthrodesis Plates

This is normal!!Thanks to Alessandro

Piras for the photo

178


Pantarsal Arthrodesis Plate (medial)

PANTARSAL ARTHRODESIS PLATE

SPECIAL Custom plate to your requirements from £250.00

152914 2.7/3.5mm Pantarsal plate Right. See page 353 for profile £105.00

152913 2.7/3.5mm Pantarsal plate Left. See page 353 for profile £105.00

152920 2.0/2.7mm Intertarsal plate See page 353 for profile £105.00

152916 2.0/2.7 Pantarsal Plate Right Dog 140° £105.00

152915 2.0/2.7 Pantarsal Plate Left Dog 140° £105.00

152918 2.0/2.7 Pantarsal Plate Right Cat 120° £105.00

152917 2.0/2.7 Pantarsal Plate Left Cat 120° £105.00

Our 3.5/2.7 Hybrid Pantarsal plate has proved very popular. Based on ourdatabase of manufacturing custom plates for small dogs and cats we arenow in a position to offer two further plates as standard. Surgeons areencouraged to check the patient’s radiograph against our PantarsalArthrodesis profile sheet on page 353 of this catalogue or as a downloadfrom www.vetinst.com Both are designed for medial application. Lateralapplication is acceptable if circumstances dictate. However, you mustorder the ‘wrong’ side.

Small Dog 140 degrees 2.7/2.0mm. This plate will fit most patientsrequiring 2.7mm screws in the tibia and 2.0mm screws in the metatarsals.

Cat 120 degrees 2.7/2.0(1.5)mm. This plate is designed to performarthrodesis to the compromised calcanoquartal (hock) joint which iscommonly subject to shearing injuries or fracture dislocations. Proximallythe plate will accept 2.7mm screws. Distally the plate will accept either2.0mm or 1.5mm screws.

‘Off the shelf’ we have a 3.5mm plate bent at 140 degrees tapering to2.7mm holes distally. This plate applied to the medial aspect of the joint fitsin most cases. The plate was developed with Malcolm McKee using ourexperience of producing custom plates. (Vet Record, Vol 154, Issue 6,165-170). The plate is especially strengthened at the stress point aroundthe talus screw. If this plate is not suitable please send a radiograph ortracing and we will design and make a plate for you. If you are faxing adrawing please draw a line 100mm long prior to transmission. See page353 for an actual size profile of the 2.7/3.5mm plate. Use a tibiocalcaneous position screw to maximise stability.

Pantarsal Arthrodesis Plates with T4 slots

The original series of custom pantarsal plates created with MalcolmMcKee (McKee, W. M., May, C., Macias, C. & Lapish, J. P. (2004)Pantarsal arthrodesis with a customised medial or lateral bone plate in13 dogs. Veterinary Record 154, 165-170) always included a screw holebetween the metatarsals and the talus so that a screw could be placedto pick up the central tarsal bone plus T4 laterally. When we made astudy prior to producing the ‘off the shelf’ pantarsal plate we found thatthe position of this hole was not predictable and if the surgeon wasunlucky the screw placed could find itself in a joint space. We took theview that this screw was not essential and omitted it. We are unaware ofany arthrodesis failures as a consequence.However, cadaver studies by Loic Dejardin have shown that the placementof the additional screw adds significantly to the stffness of the construct.Surgeons requesting custom plates seem to prefer plates with the extra hole.We are please to be able to offer a new series of pantarsal plates which havea slot over the T4 region which will allow the surgeon to collect the centraltarsal bone and T4. After looking at all our custom pantarsal plates we havealso taken the opportunity to add a smaller 2.7/3.5 plate.The plate is designed for medial application but should circumstances dictatethe plate can be applied laterally provided that the distal fibula is managed.

INTERTARSAL ARTHRODESIS PLATE

152920 Intertarsal Arthrodesis Plate 2.0/2.7mm £105.00

152921 Intertarsal Arthrodesis Plate 2.7/3.5mm £100.00

Intertarsal Arthrodesis Plates

Plantar ligament rupture, particularly in collie type breeds, is far from rare.Conservative treatment or coaptation is rarely effective. Intertarsal arthrodesisis the treatment of choice. Options include pin and tension band wire, long lagscrew, ESF and intertarsal plating. The intertarsal plate is similar to butshorter than the pancarpal arthrodesis plate. It is hybrid in nature having 3.5DCP holes proximally and 2.7 DCP holes distally (152921) or 2.7 DCP holesproximally and 2.0 DCP holes distally (152920.) See page 350 for the profile.If necessary bilateral plating can be performed. Care should be taken to avoidscrews interfering with each other at the level of the tarsus. Regardless oftechnique a cancellous bone graft should be added to the debrided joints.

PANTARSAL ARTHRODESIS PLATES WITH SLOT FOR T4 (MEDIAL)

152914-T4 2.7/3.5 Canine Pantarsal Plate with T4 Slot - Right Hand £115.00

152913-T4 2.7/3.5 Canine Pantarsal Plate with T4 Slot - Left Hand £115.00

152916-T4 2.0/2.7 Canine (Small) Pantarsal Plate with T4 Slot - 140° Right £115.00

152915-T4 2.0/2.7 Canine (Small) Pantarsal Plate with T4 Slot - 140° Left £115.00

152918-T4 2.0/2.7 Feline Pantarsal Plate with T4 Slot - 120° Right £115.00

152917-T4 2.0/2.7 Feline Pantarsal Plate with T4 Slot - 120° Right £115.00

152914-T4S 2.7/3.5 Canine Pantarsal Plate with T4 Slot - Right Short £115.00

152913-T4S 2.7/3.5 Canine Pantarsal Plate with T4 Slot - Left Short £115.00

Plate profile on page 353.

179


FELINE CRANIAL PANTARSAL PLATE

152940 Feline Cranial Pantarsal Arthrodesis Plate 2.0/2.0mm £115.00



Developed incollaboration with NoelFitzpatrick we offer adedicated cranial platewith holes placed inexactly the correctpositions and machinedto allow appropriatescrew angulation tosecure the talus. Theplate is a hybrid havingsmaller holes distally ina range of sizes. Theplate tapers distally toreduce the stress risereffect on themetatarsals.

Available in a range ofscrew sizes 2.0 to 2.7.

The plate mostcommonly used is the2.0/2.0 plate which willaccept both 2.0 and 1.5screws.

Feline Cranial Pantarsal Arthrodesis Plate

Canine Cranial Pantarsal Arthrodesis PlateThe concept of a cranial plate is not new. Contoured DCPs have beenused with success for pantarsal arthrodesis. However, there is afundamental problem with the use of DCPs. The loading takes placeacross the weakest plane of the plate on the compression side of the jointresulting in a relatively weak construct which leads to cycling and platefailure usually at the hole closest to the bend. In addition use of the samediameter screw in both metatarsals and the tibia always results in amismatch. A large screw in the distal metatarsal makes the metatarsalinvolved very vulnerable to fracture.

Although requiring more initial dissection than the medial approach, thecranial plate makes alignment easier and does not involve screwingmetatarsals to each other. Stability across the talocrural joint is achievedby a screw which passes through the plate and crosses the joint into thecalcaneus.

Noel Fitzpatrick and VI have revisted the cranial plate and have developeda range plates which allow the surgeon to benefit from the advantages ofcranial plating while minimising the risks of failure. The plates are hybrid innature and taper distally to reduce the stress riser at the end of the plate.The vulnerable area on either side of the bend is substantially thicker andstronger than the plate proximally and distally to reduce stress at the joint.For maximum stability it is essential that a screw is placed across thetalocrural joint. To facilitate this the holes on either side of the bend areextended into slots to increase the range of screw angles possible.

An aiming device is available to assist the surgeon in placing these vitalscrews.

The shape of the cranial plate lends itself to being placed by minimallyinvasive plate osteosynthesis (MIPO) to preserve as much soft tissue aspossible

CANINE CRANIAL PANTARSAL ARTHRODESIS PLATE

152945 Canine Cranial Pantarsal Arthrodesis Plate 2.7/3.5mm £145.00

152946 Canine Cranial Pantarsal Arthrodesis Plate 2.4/2.7/3.5mm £145.00

152947 Canine Cranial Pantarsal Arthrodesis Plate 2.0/2.4/2.7mm £145.00

Pantarsal Arthrodesis by Cranial Hybrid Plate

Case: Noel Fitzpatrick


Feline Cranial PantarsalArthrodesis MIPO

Canine Cranial PantarsalArthrodesis MIPO


The Canine Cranial PantarsalRange developed by NoelFitzpatrick currently comprisesthree hybrid plates which coversthe typical patient range. Eachplate has the following features:• Plate is much stronger aroundthe bend to tranfer stress awayfrom vulnerable areas.• Plate tapers distally to minimisestress riser on metatarsal at theend of the plate.• Full hybrid. Metatarsal holessmaller than tibia holes.• Slots above and below bend tomaximise screw angle options.

Schematic showing strengthened areasActual plate has these areas blended in.

During MIPO application the distal end of the plate is fed from the jointdown through the distal keyhole. The proximal half of the plate is pushedthrough and retrograded back up the tibia. All screw holes may beaccessed through keyholes.

180


Presentation is a self-tapping screw with an eyed head. Use where a sutureanchor would seem appropriate. Thread forms are the same as equivalent AO type. Requires dedicated insertion tool (see price table below).

Suture Screws

SUTURE SCREWS

SS2006 2.0mm dia 6mm long 1.0mm Hole Cortical £17.50






SS4016 4.0mm dia 16mm long 2.0mm Hole Cancellous £17.50

SS4024 4.0mm dia 24mm long 2.0mm Hole Cancellous £17.50

SSITUN Universal Insertion Tool for all Suture Screws £75.00

Suture Screw SetSuture screws are a versatile, economic suture anchor. Used together with LigaFiba, suture screws offer a solution to jointstabilisation. Sizes range from2.0mm up to 4.0mm to cover thefull range of patients. Suturescrews are now available as aboxed set including 2 of eachsuture screw (16) together withthe universal introducer which fitsall the screws. Applicationsinclude: shearing injuries,isometric lateral sutures, medialcollateral replacement.Also included in the kit is one ofeach LigaFiba sterile suturepacks:150lb, 250lb & 500lb.

SUTURE SCREW SET

SSITKIT Suture Screw Kit (16 Screws + Introducers, plus 3 suture packs) £425.00

SSITUN Universal Insertion Tool for all Suture Screws £75.00

Custom Made Implants

Limb salvage plate followingresection of distal radiusosteosarcoma.

Case and pictures: Neil Burton& Alberto Gines.

Custom pantarsal arthrodesis plateincorporating a trabecular tantalumimplant.

Case and photos: Toby Gemmill.

Pantarsal arthrodesis platecreated for a kangaroo!

A selection of special platesmade for customers overthe past 12 months.

If it appears that someoneelse might need one wemake extra and keep them.

Phone for details and wewill fax you the outlines ofplates which might besuitable for you.

Veterinary Instrumentation offers a unique service to our customers.Where no suitable plate exists we can make a special to your design.Typically the process involves a discussion with John Lapish regardingdesign and screw options. Once the design is agreed the manufactureusually takes 2 weeks.

Picture: Jean-Benoit Lefebvre

181


Titanium Screws

Titanium Screwsand plates are verycommonly used inman particularly forfacio maxillary repairs. Themost important benefit in thisapplication is that Titanium does not interfere with MRI scans. Comparedto stainless steel Titanium is lighter and much more osteo compatible.

The major application in veterinary orthopaedics is in conjunction with theTTA cruciate procedure. Please note 2.4mm screws have a cruciate head.






























SCREWBOX FOR TITANIUM TTA SCREWS

SHTTA242735 TTA Screwbox for 2.4, 2.7 & 3.5 Ti Screws £125.00

Use to spread load or retainwire or sutures. Use withcortical or self-tapping screws.Spikey washers are used toreattach ligaments or securegrafts to the femur in the OTTtechnique of CrCL repair.

Washers

WASHERS

PW20 Plain Washer 2.0mm/1.5mm Screws Stainless £5.75

PW24 Plain Washer 2.4mm Screws Stainless £5.75

PW24TI Plain Washer 2.4mm Screws Titanium £10.00

PW273540 Plain Washer 2.7/ 3.5/4.0mm Screws Stainless 7.0mm Dia £5.75

PW273540B Plain Washer 2.7/ 3.5/4.0mm Screws Stainless 8.5mm Dia £5.75

PW45 Plain Washer 4.5mm Screws Stainless £5.75

SW20 Spikey Washer 2.0mm Screws Stainless £8.50


SW3540 Spikey Washer 3.5/4.0mm Screws Stainless £8.50


The standard TTA procedure assumes that there is no co-existing patellaissues. The tibial tubercle is simply advanced.

In cases where there is patella luxation in addition to cranial cruciaterupture it is possible to move the tibial tubercle either laterally or mediallyto help re-align the quadriceps mechanism. This is achieved by addingwashers to either the cranial screw or the caudal cage screw. The washersare placed between the cage and the tibia to effectively push the tibialtubercle laterally (cranial screw) or push the tibial tubercle medially (caudalscrew).

It is suggested that the tibial tubercle is moved a maximum of 50 % of itswidth.

Each washer adds 1.0mm of translation and can be stacked.

Titanium Screws

TITANIUM SCREWS 1.5MM HEX HEAD


During 2011 we received a number of orders for titanium screws outside ofour listed range and have therefore increased the range. If you require atitanium screw which is not shown, please let us know and we will look toorder it for you and add it to the range for 2013.

TITANIUM SCREWS 4.5MM HEX HEAD





TTA WASHERS, TITANIUM

PW24TI 2.4 Washer, Titanium £10.00

TTA Washers
















182


Kits

SHERMAN PLATING KITS

STAPKIT.2.0 2.0 Sherman Plating Kit £575.00

STAPKIT2.7/3.5 2.7/3.5 Sherman Plating Kit £825.00

Savings may be made by purchasing pre-assembled kits. The price istypically discounted by 5% less than the component price.

Each kit contains all you need including screws and implants. Full detailsof what the kit includes is available at www.vetinst.com/kits

Sherman Plating Kits

The Shermanequipment boxincludes space for theessential equipmentand a screw rack.

Sherman Equipment & Screw Box

Sherman Equipment and Screw Boxes

2.0 Equipment/Screw Box

2.7/3.5 Equipment/Screw Box

InstrumentsSherman Self-Tapping Equipment

This screw box has ahinged lid with a stainlessperforated insert. Themaximum screw length is55mm but the marking ofthe holes is indicated. Thisbox is for Sherman typescrews.

Screw Box 145mm x 105mm x 55mm deep forSherman Screws

SCREW BOX

SH2000ST Box for 2.0 Sherman Screws £125.00

SH2700ST Box for 2.7 Sherman Screws Marked 10-44 £125.00

SH3500ST Box for 3.5 Sherman Screws Marked 10-57 £125.00

SH2735ST Box for 2.7 & 3.5 Sherman Screws £125.00

SH202735ST Box for 2.0, 2.7 & 3.5 Sherman Screws £125.00

SHERMAN EQUIPMENT/SCREW BOX

BX20ST Box for 2.0 Sherman Screws and Equipment £175.00



BX2735ST Box for 2.7/3.5 Sherman Screws and Equipment £175.00

Sherman Plates and Screws

Sherman screws and plates, long regarded as the poor relation of the AOtype, are worthy of re-examination, not least for their role in thedevelopment of internal fixation as we know it today.

William O’Neill Sherman (1880-1970) was an eminent orthopaedic surgeonbased in Pittsburg. One of his roles was surgeon to the Carnegie SteelCompany which no doubt gave him access to engineering andmetallurgical resources necessary for his work on implants.

His patent for a ‘surgical appliance’ US Patent 1,105,105 is dated July1914, before the invention of stainless steel. He specified the use ofVanadium, a steel alloy containing between 0.25 and 1 % vanadium,recognising the increase in strength and the increase in corrosionresistance conferred by the vanadium. The added strength allowed him tode-bulk his implants.

The screw specified had essentially a machine thread with self tappingflutes. It is interesting to note that pre-tapped screws had been tried butwere dropped as the tapping took too long. Exactly the same hashappened with current AO screws after decades of decrying the concept ofself tapping! The head was slotted but Sherman recognised the issue ofscrewdriver slippage and specified a dimple in the slot and a matchingprojecting portion on the screwdriver. Difficult to manufacture, this featuredoes not survive in current versions of Sherman screws.

The plate design is concavo-convex in nature for extra strength. Thecurvature was such that only the margins of the plate bore onto the bone.Limited contact by any other name. The sinuous outline of the plate“avoids a construction having sharp corners or points of intersection, whichwould form the beginning of a break in the plate”. Minimal stress risers!

Perhaps osteosynthesis has moved on with the development of metals,compression and locking technologies but Sherman’s role should not beforgotten. Oh... he was also an advocate of early mobilisation, very muchagainst the practice of the time. Maybe we have not come so far?

Historical Perspective

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Depth Gauge

SCREWDRIVER CRUCIATE TIP

SDC350 Screwdriver cruciate tip for 3.5mm screws £70.00

DEPTH GAUGE

DG2027 For 2.0mm & 2.7mm Screws 135mm £95.00

DG242735 For 2.4, 2.7mm & 3.5mm Screws 180mm £95.00

DG2735 For 2.7mm & 3.5mm Screws 175mm £95.00

SCREWDRIVER FLAT END

SDF200 For 2mm Screws + Sleeve 130mm £80.00

SDF270 For 7/64”/2.7mm Screws + Sleeve 200mm £80.00

SDF350 For 9/64”/3.5mm Screws + Sleeve 230mm £80.00

Screwdrivers & Sleeves for Slotted Screws (Sherman Type)

Self tapping screws can be somewhat fiddly to start, particularly thesmaller ones. Screwdrivers with screwholding sleeves hold the screw inplace until the threads are engaged. Once the self tapping process hasstarted the sleeve is pulled back, releasing the screw. Available for 2.0,2.7, and 3.5mm slotted screws.

Designed to fit the 3.5mm cruciate head. And offers a more secure drivehowever it will not fit the 2.7mm self tapping screw. Screw holding sleevesdo not work with the cruciate screwdriver. 230mm length.

Cruciate Screwdriver

SCREW HOLDING FORCEPS

SF2055 Screw Holding Forceps £21.50

A useful instrument forselecting screws withminimal handling. Canbe used with any styleof screw.

Screw Holding Forceps

Accurate measurement of hole depth is essential in order to select theappropriate screw size. A range of gauges is available for various screwsizes. Hole depth is read from the instrument. Add extra to allow for overpenetration and screw head. Use in self-tapping or cortical systems.

Sherman Self-Tapping Screws & Plates

SHERMAN TYPE SCREW LENGTHS - Measure from top of countersink to tip

INCHES 3/8 1/2 5/8 3/4 7/8 1 1 1/8 1 1/4 1 3/8 1 1/2

MM 10 13 16 19 22 25 28 31 34 38

1 5/8 1 3/4 1 7/8 2 2 1/4 2 3/8 2 1/2 2 5/8 2 3/4 2 7/8 3

41 44 48 50 57 60 64 66 69 72 75

NB: 2mm Sherman Type Self Tapping Screws are measured in 2mm increments from 6mm.

DRILL SIZES for Self Tapping Sherman Type Screws - Slotted HeadST - PREFIX 2.0 7/64” - 2.7mm 9/64” - 3.5mmPILOT DRILL 1.6 2.4 2.7JACOBS HARD H090112 H090104JACOBS SOFT 090111 090103 090104SYNTHES FIT S090112S S090104STAP N/ACLEARANCE DRILL 2.0 2.7 3.5JACOBS HARD H090102 H090104 H090106SJACOBS SOFT 090102 090104 090106SYNTHES FIT S090102S S090104S S090106SSCREW DRIVER - FLAT SDF200 SDF270 SDF350

2mm Self Tapping System (Sherman)The 2mm self tapping system enables the veterinary surgeon to plate thebones of cats and miniature dogs without involving prohibitive costs. Therange includes "T" plates, cuttable plates and reconstruction plates.

The 2mm kit includes both equipment and implants to cover the typicalrange of 2mm patients. All contained in a dedicated stainless box.

Please ring for details or visit www.vetinst.com

2mm Self Tapping Screws (Sherman)Used in conjunction with our 2mm bone plates, 2mm self tapping screwsallow the veterinary surgeon to plate the long bones of small patients or thesmall bones of larger patients. Until now this has been possible only withsophisticated equipment. The head is a simple slot. Use screwdriver SDF200

SELF TAPPING KIT 2MM

STAPKIT.2.0 Self Tapping Kit 2mm £575.00

2MM SELF TAPPING SCREWS - single slot head (use 1.6mm pilot)

ST2006 6mm £3.40

ST2008 8mm £3.40

ST2010 10mm £3.60

ST2012 12mm £3.60

ST2014 14mm £3.70

ST2016 16mm £3.70

ST2018 18mm £3.80

ST2020 20mm £3.80

ST2022 22mm £4.00

ST2024 24mm £4.00

ST2026 26mm £4.20

ST2028 28mm £4.20

ST2030 30mm £4.40

2mm Self Tapping System (Sherman)

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This system of screwsand plates utilises thefamiliar 7/64" selftapping screw. Thehead has a single slot.Until now the availablebone plates for thisscrew were extremelylimited, the plateswere too weak with too few holes. A wide range of plates are nowavailable, including "T" plates and reconstruction plates.

2.7mm - 7/64" Self Tapping Screws (Sherman)For use with 2.7mm - 7/64" round hole plates in small to medium patients.Use screwdriver SDF270.

Available in a widerange of sizes, the2mm plates used witheither 2mm self tappingscrews or 2mm AOcortical screws,provides the securerepair of the smallbones of the dog andcat. See template fordetails on page 345.

2MM ROUND HOLE PLATE

PR200213 2 (number of holes) 13 (length in mm) £15.50

PR200420 4 20 £18.00

PR200423 4 23 £18.00

PR200525 5 25 £20.50

PR200528 5 28 £20.50

PR200630 6 30 £24.00

PR200633 6 33 £24.00

PR200735 7 35 £26.00

PR200738 7 38 £26.00

PR200840 8 40 £31.00

PR200843 8 43 £31.00

CP205150 2mm Cuttable Plate 30 Holes x 150mm £90.00

CM205150 2mm Cuttable Malleable Plate 30 Holes x 150mm £115.00

2mm Bone Plates (Round holes)

2.7mm - 7/64" Self Tapping System (Sherman)

2.7MM SELF TAPPING SCREWS - single slot head (use 2.4mm pilot)

ST2710 3/8" (length in inches) 10mm (length in mm) £3.10

ST2713 1/2" 13mm £3.25

ST2716 5/8" 16mm £3.60

ST2719 3/4" 19mm £3.60

ST2722 7/8" 22mm £3.60

ST2725 1" 25mm £3.60

ST2728 1 1/8" 28mm £3.60

ST2731 1 1/4" 31mm £3.80

ST2734 1 3/8" 34mm £3.80

ST2738 1 1/2" 38mm £3.80

ST2741 1 5/8" 41mm £4.00

ST2744 1 3/4" 44mm £4.00

ST2748 1 7/8" 48mm £4.00

ST2750 2" 50mm £4.20

ST2757 2 1/4" 57mm £4.20

Bone plates for 2.7mmor 7/64" screws usuallyhave too few holes in thewrong places. The2.7mm round hole platehas holes at 6mmintervals in a range oflengths. These platesare stronger thanSherman plates. Seetemplate for details. See page 345 for plate profiles.

2.7mm Round Hole Plate (6mm wide - 2mm thick)

2.7mm Round Hole Plate

2.7MM / 7/64" ROUND HOLE PLATE (6mm wide)

PR270215 2 (number of holes) 15 (length in mm) £17.50

PR270424 4 24 £19.00

PR270427 4 27 £19.00

PR270530 5 30 £21.00

PR270533 5 33 £21.00

PR270636 6 36 £23.00

PR270639 6 39 £23.00

PR270742 7 42 £25.00

PR270745 7 45 £25.00

PR270848 8 48 £27.00

PR270851 8 51 £27.00

CP276150 2.7mm / 7/64" Cuttable Plate 25 Holes x 150mm £85.00

CM276150 2.7mm / 7/64" Cuttable Malleable Plate 25 Holes x 150mm £115.00

HEAVY DUTY 2.7MM / 7/64" ROUND HOLE PLATE (8mm wide)

HPR270744 7 (number of holes) 44 (length in mm) £28.00

HPR270750 7 50 £28.00

HPR270850 8 50 £30.00

HPR270856 8 56 £30.00

HPR270956 9 56 £32.00

HPR270962 9 62 £32.00

HPR271062 10 62 £34.00

HPR271068 10 68 £34.00

HPR271168 11 68 £36.00

HPR271174 11 74 £36.00

HPR271274 12 74 £38.00

HPR271280 12 80 £38.00

Slightly wider than thestandard 2.7 roundhole plate andavailable in longersections, this plate is suitable for applications where extra strength isrequired, e.g. neutralisation or buttress fixation of long bones

2.7mm Heavy Duty Round Hole Plate

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Although looked downupon by someorthopaedic surgeons,the 9/64" Shermanbone screw has a verysimilar pull outresistance to 3.5mm cortical screws. The main problem with this screw hasbeen the lack of suitable bone plates. Our range of 3.5mm round hole boneplates widens the scope of these self tapping screws considerably. Use flatscrewdriver SDF350 or cruciate screwdriver SDC3500. The head of this screwis conical. It cannot be used in DCPs to create inter-fragmentary compression.

3.5mm 9/64” Self Tapping Screws (Sherman)

3.5MM / 9 / 64" SELF TAPPING SCREWS (cross slot head - use 2.7mm pilot)

ST3510 3/8” (length in inches) 10 (length in mm) £3.30

ST3513 1/2” 13 £3.30

ST3516 5/8” 16 £3.70

ST3519 3/4” 19 £3.70

ST3522 7/8” 22 £3.70

ST3525 1” 25 £3.70

ST3528 1 1/8” 28 £3.70

ST3531 1 1/4” 31 £4.00

ST3534 1 3/8” 34 £4.00

ST3538 1 1/2” 38 £4.00

ST3541 1 5/8 41 £4.30

ST3544 1 3/4” 44 £4.30

ST3548 1 7/8” 48 £4.30

ST3550 2” 50 £4.80

ST3557 2 1/4” 57 £4.80

ST3564 2 1/2” 64 £4.80

A cheaper alternative to3.5mm compressionplates. The material iscompatible with corticaland Sherman screws. Ifcompression isunnecessary orundesirable use a roundhole plate. The plateprofile is the same as a3.5mm DCP.

3.5mm Standard Round Hole Plates

3.5MM / 9/64" ROUND HOLE PLATE

P3502022 2 (number of holes) 22 (length in mm) £17.50

P3504046 4 46 £19.00

P3504052 4 52 £19.00

P3505058 5 58 £21.00

P3505064 5 64 £21.00

P3506070 6 70 £23.00

P3506076 6 76 £23.00

P3507082 7 82 £25.00

P3507088 7 88 £25.00

P3508094 8 94 £27.00

P3508100 8 100 £27.00

P3509106 9 106 £29.00

P3509118 9 118 £29.00

P3510118 10 118 £31.00

P3510130 10 130 £31.00

HEAVY DUTY 3.5MM / 9/64" ROUND HOLE PLATE

H3508104 8 (number of holes) 104 (length in mm) £28.00

H3509117 9 117 £30.00

H3510130 10 130 £32.00

H3511143 11 143 £34.00

H3512156 12 156 £36.00

H3513169 13 169 £38.00

H3514180 14 180 £40.00

H3515195 15 195 £43.00

The heavy duty plateis stronger than either3.5mm compressionplate or our 3.5mmstandard round holeplate. Use of this platemakes 3.5mm corticalor 9/64" Shermanscrews appropriate ineven the largest canine breed. The plate profile is the same as a 3.5mmbroad DCP.

3.5mm Heavy Duty Plate Round Holes(12mm wide 4mm thick)

Venables PlatesVenables and Sherman plates are included to fulfil our commitment tosupply a comprehensive range of implants. Please consider our range ofround hole plates and DCPs. Typically Sherman and Venables Plates arelimited in terms of plate strength and hole distribution.

VENABLES BONE PLATES

090180 8 (number of holes) 5 (length in) 127 (length mm) £40.00

090181 7 4.5 114 £40.00

090182 6 4.5 114 £40.00

090183 6 4.0 102 £40.00

090184 5 4.0 102 £35.00

090185 5 3.5 89 £35.00

090186 4 3.5 89 £35.00

090187 4 3.0 76 £30.00

090188 4 2.5 64 £30.00

090189 4 1.75 45 £30.00

090190 4 1.5 38 £30.00

090191 4 1.25 32 £30.00

SHERMAN BONE PLATES

090041 Size 0 35 6 holes 140mm £50.00

090042 Size 1 35 6 holes 117mm £50.00

090043 Size 2 35 6 holes 117mm £50.00

090044 Size 3 30 6 holes 117mm £50.00

090045 Size 4 30 6 holes 92mm £50.00

090046 Size 5 30 4 holes 79mm £45.00

090047 Size 6 25 4 holes 79mm £45.00

090048 Size 6.5 25 4 holes 76mm £45.00

090049 Size 7 25 4 holes 57mm £45.00

090050 Size 8 25 4 holes 51mm £40.00

090051 Size 10 22 3 holes 45mm £40.00

090052 Size 11 22 3 holes 35mm £40.00

090053 Size 12 22 2 holes 32mm £35.00

Sherman Plates

See page 345 for plate profiles.

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H090104AS

DRILL BITS - AO QUICK FIT

S090100S 0.045 (dia in.) 1.1 (dia mm) 60 (length mm) £26.00

S090101S 1.5 60 £26.50

S090101L 1.5 95 £28.50

S090208 1.8 80 £27.50

S090102S 5/64 2.0 100 £24.75

S090102L 5/64 2.0 125 £26.75

S090209 2.4 115 £26.75

S090112S 2.5 110 £25.25

S090112SG 2.5 110 £33.00

S090112L 2.5 180 £27.00

S090104S 7/64 2.7 100 £26.50

S090104L 7/64 2.7 125 £28.50

S090105S 1/8 3.2 145 £27.50

S090105L 1/8 3.2 195 £29.50

S090106S 9/64 3.5 110 £28.00

S090106L 9/64 3.5 195 £30.00

S090107 5/32 4.0 145 £27.00

S090108S 11/64 4.5 145 £28.50

S090108L 11/64 4.5 195 £30.50

S090109 5.5 145 £34.00

S090SET Drill Box with complete with AO Drills (10) £315.00

Drill Bits - AO Quick FitQuick fit drills have a quick release coupling which enables them to bequickly switched using a quick release drill attachment as supplied with theMini Driver, Maxi Driver, MPX, MPZ systems and most other poweredsystems. G suffix indicates gold titanium nitride coating.

ANTI-SKID DRILLS

H090101AS Anti-Skid Drill 1.5mm 60mm long £23.50




H090105SAS Anti-Skid Drill 3.2mm 130mm long £24.50


H090106SAS/L Anti-Skid Drill 3.5mm 180mm long £26.00


090117AS Drill Box with Anti-Skid Drills (7) £225.00

Anti-Skid Drills

Unless a bone drill is driven at 90 degrees to the bone surface there is atendency for the drill to ‘skid’ over the bone surface placing the holeinappropriately. The anti-skid drill has a special tip to bite into the bone atvirtually any useful angle, accurately predetermining the hole position.

Made from hard multi use 420 stainless steel.

Available in all useful sizes. 1.5, 2.0, 2.5, 2.7, 3.2, 3.5, & 4.5mm

DRILL BITS - Stainless Steel 316 Implant Quality - Short Life

090101 (diameter in.) 1.5 (diameter mm) 127mm £9.00

090111 1/16 1.6 127mm £9.00

090102 5/64 2.0 127mm £9.00

090103 3/32 2.4 127mm £9.50

090112 2.5 127mm £9.50

090104 7/64 2.7 127mm £9.50

090105 1/8 3.2 127mm £10.00

090106 9/64 3.5 127mm £10.00

090113 3.6 127mm £10.00

090107 5/32 4.0 127mm £10.00

090108 11/64 4.5 127mm £12.00

090118 3/16 4.8 127mm £12.00

090109 1/4 6.35 127mm £12.00

090115S Drill Box S/Steel Empty (for I/Q drills) £99.50

090116 Drill Box S/S complete with I/Q drills (9) £155.00

Made from DIN 58812 stainless steel (the same as implants). The drill bitsare compatible with all current plating systems. Replace drill every tenholes. Blunt drills cause heat necrosis. Cheap but do not last long.

DRILL BITS - Stainless Steel 420 Hard- Not Implant Quality - Long Life - Round Shank

H090100 0.045 (dia in) 1.1 (dia mm) 60 (length mm) £17.50

H090101 1.5 60 £17.50

H090208 1.8 80 £18.50

H090102 5/64 2.0 100 £19.00

H090209 2.4 115 £20.50

H090112 2.5 115 £19.50

H090112G 2.5 115 £27.50

H090104 7/64 2.7 130 £19.50

H090105S 1/8 3.2 130 £20.50

H090105L 1/8 3.2 180 £21.50

H090106S 9/64 3.5 130 £21.50

H090106L 9/64 3.5 180 £24.00

H090107S 5/32 4.0 130 £24.00

H090107L 5/32 4.0 180 £24.00

H090108S 11/64 4.5 130 £24.00

H090108L 11/64 4.5 180 £28.00

H090109S 5.5 130 £24.00

H090109L 5.5 180 £28.00

H090202 1.9mm Predrill for 2.0mm Shank Positive Pin. £19.50




090117 Drill Box S/S complete with Hard Drills (10) £255.00

Drill Bits - HardExpensive but last a long time. All quick fit drills, and those round shankdrills with a diameter of 3.2mm or more, come in short and long lengths.These drills are much stiffer than implant quality ones. Particularlyrecommended for drills less than 3.2mm diameter. Drill fragments do notcause a problem. G suffix indicates gold titanium nitride coating.

Drill Bits

Drill Bits - Soft

WHICH DRILL DIAMETER 1.5 2.0 2.7 3.5 4.0 4.5 5.5AO TYPE - Pilot 1.1 1.5 2.0 2.5 2.5 3.2 4.0CORTICAL- Clear 1.5 2.0 2.7 3.5 4.0 4.5 5.5SHERMAN - Pilot - 1.6 2.4 2.7 - - -TYPE MAN - Clear - 2.0 2.7 3.5 - - -

Drilling to a pre-measured depth can be achallenge even with a ‘C’ arm! A morereasonably priced option is to use a drillstop which is tightened onto the drill bit atthe required depth. The set includes 4stops to cover all the standard drill sizes. 2.0, 2.5, 2.7, 3.2, 3.5 & 4.5mmThe stop is tightened onto the drill bit using the hex driver provided.

Drill Stops

DRILL STOPS

DRILLSTOP Drill Stop Set in Stainless Case £97.50

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Size Comparison Tables

DRILL BITS - DENTAL FIT

D090100 0.052 (dia in.) 1.1 (dia mm) £59.50

D090101 1.5 £62.50

D090102 2.0 £65.00

Drill CaseFolding box to fit all the standard sizes of drill. Ideal forautoclaves. Case has holes for 1.1, 1.5, 2.0, 2.5, 2.7,3.2, 3.5, 4.0, 4.5, and 5.5mm drills.

Mini Drill BitsIn stainless steel - hard.

DRILL CASE

090115S Drill Box S/Steel Empty (for I/Q Drills) £99.50

090116 Drill Box S/S complete with I/Q Drills (9) £155.00

090115H Drill Box for Hard Drills Empty £99.50

090117 Drill Box complete with Hard Drills (10) £255.00

090114AS Drill Box for Anti-Skid Drills Empty £99.50

090117AS Drill Box with complete with Anti-Skid Drills (7) £225.00

S090115 Drill Box for AO Drills Empty £99.50

S090SET Drill Box with complete with AO Drills (10) £315.00

Cannulated DrillsFor maximum control overthe alignment of bonetunnels use of cannulateddrills is preferred. A fineguide wire is drilled throughwhere the bone tunnel orscrew hole is required. Onlywhen the surgeon is satisfiedthat the guide wire iscorrectly positioned is thedrill driven along the wire tocreate the hole. The guidewire can be repositioned ifnecessary without causingundue trauma to the bone.

CANNULATED DRILLS







090065 Guide Wire 1.1mm x 178mm (pack of 10) £26.00

DIAMETER — DIAMETER - FRACTION INCH DIAMETER - DECIMAL INCHMM’S

0.9 0.035”

1.1 0.045”

1.4 0.055”

1.5 0.06”

1.6 1/16” 0.0625”

1.8 0.0712”

1.9 0.074”

2.0 5/64” 0.08”

2.4 3/32”

2.7 7/64”

3.2 1/8”

3.5 9/64”

4.0 5/32”

4.8 3/16”

5.6 7/32”

6.35 1/4”

8 5/16”

ACTUAL SIZE (MM) METRIC GAUGE SYNTHETIC SUTURE MATERIALS (USP)

0.02 0.2 10-0

0.03 0.3 9-0

0.04 0.4 8-0

0.05 0.5 7-0

0.07 0.7 6-0

0.1 1 5-0

0.15 1.5 4-0

0.2 2 3-0

0.3 3.5 #0

0.4 4 #1

0.5 5 #2

0.6 6 #3,#4

0.7 7 #5

0.8 8 #6

0.9 9 #7

GAUGE MM (APPROX.)

34 0.23

32 0.27

30 0.32

28 0.38

26 0.46

24 0.56

22 0.71

20 0.91

18 1.22

16 1.63

14 2.03

12 2.64

Available for Jacobs chuck or AO Quickfit.

Use a 0.7mm drill bit for a pilot hole and a 1.0mm drill bit for lagscrewing. At this size, these drills are very delicate and most power toolsare too heavy to provide adequate control to prevent breakages. Ourstep drills have the same shaft as our cruciate screwdriver insert for usein our lightweight modular screwdriver.

Drill Bits 0.7mm and 1.0mm

DRILL BITS 0.7MM AND 1.0MM



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Simple, cheap and often the best technique for the repair of long bones.I/M pinning does not resist compression and rotation very effectively. Itmay be helpful to add an external fixator for two weeks if in any doubt.Smooth pins are most likely to migrate. The threaded pins are negativelycut and do reduce backing out particularly if the distal fragment is small.

Our Trochar tips are designed to cut bone but care must be exercised toavoid heat necrosis during insertion. Can be cut in half to produce cheapESF pins. Most pin chucks will only take 1/4" pins.* Do not purchase a5/16” pin unless you have a chuck to insert it. Use 1.0mm wire minimum asa cerclage.

Steinman Intra-Medullary Pins

STEINMAN INTRA-MEDULLARY PINS TROCHAR TIPS(12”, 300mm length)

090000 1/16" 1.6mm £4.00

090001 5/64" 2.0mm £4.25

090002 3/32" 2.4mm £4.50

090003 7/64" 2.8mm £4.75

090004 1/8" 3.2mm £5.00

090005 9/64" 3.6mm £5.25

090006 5/32" 4.0mm £6.25

090007 3/16" 4.8mm £7.75

090008 1/4" 6.35mm £8.75

090009* 5/16" 8.0mm £8.75

090153 15/64" 6mm £8.75

STEINMAN INTRA-MEDULLARY PINS SCREW POINTTROCHAR TIPS (12”, 300mm length)

090010 1/16" 1.6mm £5.00

090011 5/64" 2.0mm £5.25

090012 3/32" 2.4mm £5.50

090013 7/64" 2.8mm £5.75

090014 1/8" 3.2mm £6.00

090015 9/64" 3.6mm £6.25

090016 5/32" 4.0mm £7.75

090017 3/16" 4.8mm £8.75

090018 1/4" 6.35mm £9.75

090019* 5/16" 8.0mm £9.75

090154 7/32" 5.6mm £9.75

090040 Leighton Bone Pin Introducer £97.50

*Do not fit standard Jacobs.

Bone pin storage and sterilisationis difficult. Pins are long andsharp. The bone pin roll stores atleast one of each pin.

Bone Pin StorageBone Pin Roll

Bone Pin Tubes

BONE PIN ROLL

090038 Bone Pin Roll £35.00

BONE PIN TUBES

090039a I/M Pin Storage / Autoclave Tube 320mm £45.00

090039c I/M Pin Storage / Autoclave Tube 225mm £45.00

090039d I/M Pin Storage / Autoclave Tube 180mm £45.00

090039b I/M Pin Storage / Autoclave Tube 150mm £45.00

TRAININGAt Veterinary Instrumentation we understand the importance oftraining for both traditional techniques and new ones.

We are particularly enthusiastic abouthands-on sessions which at least attemptto give delegates a feel for how things willbe clinically. Cadaver work is particularlyimportant and unfortunately increasinglyhard to come by.

Please keep checking www.vetinst.com for up and coming trainingcourses. You will find there details of courses run by ourselves butalso links to other training partners who run courses using our loanwet lab instrumentation. In addition you will find other trainingresources such as ‘step by step’ guides and videos designed forhome study.

Hamish Denny takes adelegate through theexamination of themeniscus

Implant Cutters

For further information regarding Implant Cutters for bone pins pleasesee Chapter 3, page 75.

001234

189


ARTHRODESIS WIRE Trochar Pointed at both ends.PACK OF 10 (5”, 125mm length)

090054 0.8mm £21.50

090020 0.035" 0.9mm £21.50

090060 1.0mm £21.50

090021 0.045" 1.1mm £21.50

090061 1.25mm £21.50

090024 1.4mm £21.50

090062 1.5mm £21.50

090022 0.0625" 1.6mm £21.50

090026 0.0712" 1.8mm £21.50

090023 0.08" 2.0mm £21.50

Rather like small intra-medullary pins, arthrodesis wires have trocharpoints at each end. They are used for the fixation of small bone fragments,produced either electively or as a result of trauma, e.g. distal femoralfractures, tibial crest transplants and femoral neck fractures. (5", 125mm).Supplied in packs of ten.

Arthrodesis Wire

Arthrodesis Wire Extra FineArthrodesis wires - extra fine. 70mm long with one trochar end and oneblunt end. Useful for exotics. Supplied in packs of ten.

ARTHRODESIS WIRE EXTRA FINE PACK OF 10 (70mm length)

090056 0.6mm £21.50

090055 0.7mm £21.50

ARTHRODESIS WIRE Trochar Pointed at both ends.PACK OF 10 (7”, 178mm length)

090064 0.9mm £26.00

090065 1.1mm £26.00

090066 1.4mm £26.00

090067 1.6mm £26.00

090068 1.8mm £26.00

090069 2.0mm £26.00

Rather like small intra-medullary pins, arthrodesis wires have trocharpoints at each end. They are used for the fixation of small bone fragments,produced either electively or as a result of trauma, e.g. distal femoralfractures, tibial crest transplants and femoral neck fractures. (7", 178mm).Supplied in packs of ten.

Arthrodesis Wire (Extra Long)

KIRSCHNER WIRE - Pack of 10 (7” 178mm)

090074 0.9mm £28.00

090075 1.1mm £28.00

090076 " 1.4mm £28.00

090077 1.6mm £28.00

090078 1.8mm £28.00

090079 2.0mm £28.00

Kirschner Wire (Extra Long)

One tip bayonet, the other blunt, these pins are supplied in packs of ten.(7", 178mm).

KIRSCHNER WIRE - Pack of 10 (5” 125mm)

090030 0.035" 0.9mm £23.50

090070 1.0mm £23.50

090031 0.045" 1.1mm £23.50

090071 1.25mm £23.50

090034 1.4mm £23.50

090072 1.5mm £23.50

090032 0.0625" 1.6mm £23.50

090073 1.8mm £23.50

090033 0.08" 2.0mm £23.50

Kirschner Wire

One tip bayonet, the other blunt, these pins are supplied in packs of ten.(5", 125mm).

7”7”

Please note the extra long (7") wires do not fit in our standard wire holders(09039) or dispenser (090039E) but can be stored in Bone Pin tube (090039d).

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This box will store all diameters of arthrodesis and ‘K’ wire in fourcompartments.

In addition there is a space for a ‘K’ wire bender and a ‘K’ wire punch.

ARTHRODESIS & K WIRE ORGANISER AUTOCLAVABLE

001124 Stainless Box for Arthrodesis & ‘K’ Wires £97.50

0900200 Arthrodesis & K Wire Organiser Plastic (Autoclavable) £11.00

‘K’ Wire / ‘A’ Wire Holders for 5” / 125mm wires

The simplest solution for storing A / K wires is to have a tube dedicatedfor each size marked clearly with the diameter. There is no possibility forconfusion. Each tube is 165mm long and 12mm diameter and will takeany wire less than 150mm in length. Coding is 090039 with a suffix ofthe size required. A tube for 1.6mm wires is therefore 0900391.6.

K WIRE / A WIRE HOLDERS FOR 5”/125MM WIRES

0900390.8 0.8mm Arthrodesis Wire / K Wire Holder £28.50










090039SET Arthrodesis Wire / K Wire Holder Set (10) £225.00

Arthrodesis Wire Box

Use singly to re-attach small bonefragments. Use in multiples to re-attach larger fragments e.g. humeralcondyles. (4 x 2.0 threaded pins

have similar properties to one 3.5 screw while interfering less with thehealing process). Use threaded washer to create screw effect. Very easyto insert using an orthopaedic drill.

Thread pitch is 0.4mm for use in cortical bone. Self drilling. Cut off excesspin. For maximum pull out resistance drill through trans cortex and cut offtrochar cutting tip.

FINE THREADED FRAGMENT PINS 2.0MM

090300 Fine Threaded Washer 5.0mm dia Single £4.50

090305 Fine Threaded Pin 5mm thread length Single £6.25







0903111 Fine Threaded Pin Set Comprising 5 of each pin plus 5 washers in stainless case £265.00

Fine Threaded Small Fragment Pins 2.0mm

fine threaded pin plus threaded washer

Use threaded pins where you might use a2mm fixation screw or ‘K’ wire, e.g. tibial cresttransplant. Drive in with slow speed drill.Relatively coarse threads. 0.8mm thread pitch.

Coarse Threaded Small Fragment Pins

COARSE THREADED SMALL FRAGMENT PINS - 2.0mm diameter

090036 Threaded Pins 5mm thread. Single £7.50




Threaded Pins and Wires

Threaded wires have a much greater pull out resistance than smoothwires. They are very easy to insert using standard drills fitted with Jacobschucks or wire drivers. Although having only trochar tips they will self tapin all but the hardest of cortical bone. Driven across fragments, threadedwires act as mini position screws which can be cut off flush to the bonesurface or buried. It may be possible to place several threaded wires atangles to each other in a relatively small area.

Available in coarse or fine thread pitches. Use the coarse in cancellous ormetaphyseal bone.

Fully Threaded Arthrodesis Wires

FULLY THREADED WIRES

090091 Fully Threaded Wire. Single 0.8 £9.75




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K WIRE / ARTHRODESIS WIRE DISPENSER

090039E K Wire/Arthrodesis Wire Dispenser 0.9, 1.1, 1.6 & 2.0 £77.50

The tube is sub divided into four sections each of which has a windowthrough which the wires may be viewed. The knurled dispensing tip isrotated until the hole is over the desired wire size and the wire shakenout. Total length 175mm. For wires 125mm.Marked with the standard sizes of 0.9, 1.1, 1.6 and 2.0mm.

K Wire / A Wire Dispenser

Kirschner Wire / Small Pin Punch

001360 ‘K’ Wire Punch

KIRSCHNER WIRE/SMALL PIN PUNCH

001360 K Wire / Small Pin Punch. 135mm £45.00

001361 Very Small Pin Punch. 1.6mm tip 135mm £45.00

When it becomes necessary to bend over the shaft of an arthrodesis wireor ‘K’ wire, usually to minimise back out, the pin becomes difficult to presshome with a standard pin punch. The Offset Pin Punch has an angled,bigger ‘foot’ for this purpose. Also suitable for driving ‘Rush Pins’ eithercommercially available or home made varieties.

Offset Pin Punch

OFFSET PIN PUNCH

001364 Offset Pin Punch 135mm £55.00

‘K’ Wire Bender

Small wires are commonly used to re-attach bone fragments which havebeen produced either by trauma or electively by osteotomy. To minimise‘backing out', the cut ends of "K" wires and arthrodesis wires should eitherbe buried or bent sharply and cut 5-10mm from the bend. The cut ends arethen rotated to the most comfortable position (see photo). Bending withfingers or pliers is difficult to control and is very likely to damage the repair.

The "K" wire/small pin bender is designed to slip over the wireconcentrating all the bending forces at the pin/bone interface. Theinstrument is double ended, the small end is for 0.9mm and 1.1mm wires,the large end is for 1.4mm, 1.6mm & 2.0mm wires.

"K" WIRE/SMALL PIN BENDER

001362 “K” Wire Bender. 140mm £45.00

‘STUBBY’ PIN PUNCH

001363 Stubby Pin Punch 50mm £45.00

‘Stubby’ Pin Punch

The reduced working length allows the stubby punch to be held betweenthumb and forefinger much closer to the patient for increased control. Thisis especially useful when working without an assistant. 50mm.

Actual Size

192


Cerclage wire is anextremely usefulmethod of fragmentfixation. Use as thick awire as seemspossible. Twist evenlyunder tension. Thebest instrument is ourwire twister/cutter 001260 see page 78. Minimise wire movement onperiosteum. Tension wire banding should be performed where muscularforces must be transferred beyond a fracture or osteotomy, e.g. Tibial crestavulsion or trochanteric osteotomy. 1.0mm wire is the most useful. All are supplied in 10 metre rolls.

Cerclage wire can be a very useful means of fragment fixation. This kitcontains our most popular cerclage instruments and a roll of wire. Theprice is discounted by over 10% compared to the component parts. Kitcontains

• 1x Wire Twister

• 1x Set of 3 Single Ended Wire Passers

• 10m roll of 1.0mm Orthopaedic Wire

• The price is discounted by over 10% compared to the component parts.

ORTHOPAEDIC WIRE (in 10m rolls)

OW0210 0.2 (diameter in mm) £8.00

OW0310 0.3 £8.50

OW0410 0.4 £10.00

OW0510 0.45 £12.00

OW0610 0.56 £14.00

OW0710 0.71 £16.00

OW0810 0.8 £18.50

OW0910 0.9 £20.50

OW1010 1.0 £34.00

OW1012 1.25 £38.50

OW1015 1.5 £52.50

The free end of the wire is threaded through the eye. The cerclage istightened using the special tightener. Requires 001262 wire tightener or forwire twisting instruments see pages 78 and 79.

Wires with Eyelet

ORTHOPAEDIC WIRE (with eyelet)

CWWE22 Orthopaedic Wire with Eyelet. 22g x 12" (6 pack) £22.00



001262 Wire Loop Tightener for above £95.00

200010.00 Twisterz Wire Twisters £135.00

30˚

Orthopaedic Wire

Orthopaedic Wire Kit

ORTHOPAEDIC WIRE KIT

OWKIT Orthopaedic Wire Kit £135.00

For convenience and identification rolls of orthopaedic wire can be markedwith Padlock Security Tags (see Page 279) This also has the addedadvantage of stopping rolls of wire unraveling in the operating theatre.

BoneBinder by Aesculap

Cable ties are a very versatile self locking fixation system widely used innon surgical industries. They have been used surgically with somesuccess but the materials used in industrial ties have not been cleared forimplantation. Aesculap, after extensive testing and studies has produceda range of implant grade ties for use in veterinary orthopaedics. The tiesmay be used for temporary or long term reduction and fixation of bonefragments. The BoneBinder also includes a radio-dense strip. Supplied sterile in 5 packs of 2 ties. Available in 3 sizes

BONE BINDER

VB302 BoneBinder Small 2.5 x 90mm (5 packs of 2) sterile £29.50

VB303 BoneBinder Medium 3.5 x 120mm (5 packs of 2) sterile £29.50

VB304 BoneBinder Large 4.5 x 180mm (5 packs of 2) sterile £29.50

193


EPIPHYSEAL STAPLES

Width Leg Length Wire Diameter

090171 12mm wide 10mm wide 1.6mm diameter £11.75




Epiphyseal StaplesUse to correct angular deformities caused by uneven growth of distalgrowth plates. Staples will only work if there is growth potential in the plateto be stapled.

CORTICAL NUTS

CN20 2.0mm Cortical Nut (sterile) £7.50





N45 4.5mm Cortical Nut Stainless Steel (sterile) £15.00

Use to prevent suturesfrom ‘cheese wiring’through bone, e.g. athip toggle. Made from1020 Medical GradeUHMWPE. (Ultra HighMolecular WeightPolyethylene).

Ormrod Buttons

ORMROD BUTTONS

090166/E Ormrod Button, 6mm diameter (sterile) 2 Holes £9.50

090166/F Ormrod Button, 6mm diameter (sterile) 2 Slots £9.50

090166 Ormrod Button, 8mm diameter (sterile) 2 Holes £9.50

090166/A Ormrod Button, 9mm diameter (sterile) 2 Holes £9.50

090166/B Ormrod Button, 9mm diameter (sterile) 2 Slots £9.50

090166/C Ormrod Button, 11mm diameter (sterile) 2 Holes £9.50

090166/D Ormrod Button, 11mm diameter (sterile) 2 Slots £9.50

The cerclage button occupies a screw hole. The slot retains cerclage wirewhere screw placement is not possible. Reduces plate weakness due toempty screw holes. Fits 3.5mm DCP holes only.

Cerclage Buttons

CERCLAGE BUTTON

090175 Cerclage Button for use with 3.5mm DCP. £21.00

Occasionallytapped threadsstrip and a largerscrew isappropriate. Lagscrews areparticularlyvulnerable as onlyone cortex isavailable.

A cortical nut manufactured from implant grade nylon gives the screwpurchase allowing normal tightening. The thread form is designed to gripthe screw to minimise ‘backing out'. Available in 2.0mm, 2.4mm, 2.7mm,3.5mm and 4.5mm cortical thread forms. Supplied as a single sterile pack.The 4.5 nut is also available in stainless steel.

Cortical Nuts

Use where lag screw strips out. Supplied as a threaded rod, two nuts and twowashers.Pre-measure and cut to length or crop after procedure.Saw cut or bolt cutting will prevent loosening of the nuton the cut side.Run a fine nylon suture through the nut prior toattachment to create a locking effect.

4mm Webb Bolt requires a 7mm spanner (001566),whilst 5mm Webb Bolt requires a 8mm spanner(001565)

5mm Webb bolt use 5.5mm drill H090109S



2mm Webb bolt use 2.0mm drill H090102.

Webb Bolt

WEBB BOLTS

092003 Webb Bolt 5mm/8cm Drill 5.5mm £29.50




Screw and Drill Gauge

Screw and Drill Gauge

SCREW AND DRILL GAUGE

001496 Screw and Drill Gauge £18.00

Taking radiographswhere the area ofinterest is not close tothe platecreates somechallenges in scaling.This is true of bothdigital andanalogue systems.When using theradiograph fortemplating implantse.g. total hipreplacement it is veryimportant to make accurate measurements.The Reference ball is 25mm in diameter and is attached to a stable baseby a flexible neck which allows the ball to be placed at the same levelabove the plate as the area of interest. Using a spherical object as areference eliminates errors created by ruler type reference which mightnot be quite parallel with the plate.Also available in a 10mm version for smaller patients.

194


ORTHOPAEDIC RULER

001498 Orthopaedic Ruler Imperial 150mm £24.00

001497 Orthopaedic Ruler Metric 150mm £24.00

001496 Screw and Drill Gauge 60mm £18.00

Used to measure pin, wire, drill and screw diameter. Supplied in either metricor imperial sizes.

Orthopaedic Ruler

Imperial

Metric

Ruler with Radio Opaque 1.0mm scale

While digital radiography has huge benefits it can be difficult to scaleimages. The problem is compounded when printsare made for viewing by a third party. e.g.BVA/KC Elbow Dysplasia Scheme whereaccurate measurements down to 2mm arevery important. The new ruler is 120mm longand graduated in 1.0mm increments. Placedat the level of the bone or joint underinvestigation at the time of radiography it willenable accurate scaling of lesions. Alsoavailable in 500mm length. Reduced visibilityover 70 kV 16mAs. X

-ray

from

Ale

x Li

RADIO OPAQUE RULER

001495 Radio Opaque Ruler 120mm £34.00

Using digital media regardless of whetherthe xray was taken on an analogue ordigital xray machine it is very important toincorporate a reliable scale. Whenviewed on different screens an xray mayappear to be a different size. This isparticularly important when the original is

not available for comparison. When sending digital radiographs tocolleagues for opinion a scale is especially important. VI’s Left and Rightmarkers are 50mm long and include a scale marked at 5mm intervals. Foruse when measuring particular structures or lesions the marker should bepositioned at the same level as the structure under examination. A purposedesigned stand is available which incorporates a clip to hold theappropriate marker.

Xray Marker with Scale

XRAY MARKERS WITH SCALE

XRAYMARK1 Xray Marker with Scale. Left and Right £6.50

XRAYHOLD1 Xray Marker Stand £35.00

VI Metric Ruler

Following requests, our metric ruler has been over-hauled to provide agreater range of hole sizes, making it the most comprehensive metricruler we have seen on the market.

Hole sizes - 0.9, 1.0, 1.1, 1.25, 1.4, 1.5, 1.6, 1.8, 2.0, 2.5, 2.7, 3.0, 3.2,3.5, 4.0, 4.5, 5.0, 5.5 and 6.5mm.

VI METRIC RULER

001504 Metric Ruler - VI. 150mm £32.50

Radiographic Reference Ball

RADIOGRAPHIC REFERENCE BALL



Chandler’s Gonadal Shield

CHANDLER’S GONADAL SHIELD

GSHSET Chandler’s Gonadal Shield (Set incl 3 shields) £150.00

GSHSMALL Chandler’s Gonadal Shield 50 x 25 x 1.8mm £50.00

GSHMED Chandler’s Gonadal Shield 75 x 40 x 1.8mm £50.00

GSHLARGE Chandler’s Gonadal Shield 100 x 50 x 1.8mm £50.00

Exposure of the patient’sgonads to radiation isundesirable particularly whererepeated imaging is likely.The Gonad shield uses asimilar ‘goose neck’arrangement on a solid baseas is used in the referenceball. There are three differentsized shields to cover thetypical patient range. 50 x 25 x 1.8mm 75 x 40 x 1.8mm 100 x 50 x 1.8mm

195


Interlocking Nail SystemInterlocking nails are a refinement of the original Kuntscher Nail. Aninterlocking nail is basically an intra-medullary pin secured in position byproximal and distal transfixing screws which engage the bone to the nail toprovide axial, bending and torsional stability.

In comminuted long bone fractures, the Interlocking Nail System is useful due to the mechanical advantage of medullary implantation (i.e. mechanical axis) and prevention of collapse of the fracture by theinterlocking effect. Ancillary cerclage wires reduce periosteal stripping andminimise disturbance to blood supply compared to plating.

Veterinary Instrumentation stocks the 4 hole no.11 nails (11mm spacing) in8.0, 6.0, 4.7 and 4.0mm nail diameters.

We also maintain stocks of additional drill bits and taps - please phone forinformation.

MODEL 11 - 6mm / 8mm WITH INTERLOCKING NAILSfor 2.7mm and 3.5mm screwsHole spacing is 11.0mm. This kit is for extensive shaft fractures, allowingtwo screws to be used in minimal proximal and distal bone.The instrumentation set includes;

• Model 11 6/8mm Drill Jig • Attachment Screw• Trochar • Insertion Tool• Hex Driver • Guide Sleeve• Depth Gauge • 6mm Femur Extension• 6mm Tibia Extension • 8mm Femur Extension• 8mm Tibia Extension • 2.0mm Drill Guide• 2.5mm Drill Guide • 2.7mm Tap Guide• 3.5mm Tap Guide • 2.0mm Drill Bit• 2.5mm Drill Bit • 2.7mm Screwdriver• 3.5mm Screwdriver • Set of 4-hole Nails• 3.5mm Extra Long Tap • 6mm Reamer• 8mm Reamer • Instrument Tray• 6mm Implant Tray • 8mm Implant Tray

IN1168SET Model 11 - 6.0 / 8.0 set

INTERLOCKING NAILS - MODEL 11 - 6mm / 8mm

IN1168SETBAS Model 11 - 6mm / 8mm with Interlocking Nails - Full Kit. See above for details £4,375.00

IN1122TAPHAND Tap Handle £180.00

IN112227TAP 2.7mm Extra Long Tap £75.00

NANO PASTE

PAS2.5 NanoPaste Syringe 2.5ml £65.00

PAS5 NanoPaste Syringe 5ml £95.00

The addition of osteoconductive bioceramichydroxyapatite to an orthopaedic site cansignificantly decrease healing times. ReproBone isavailable as two presentations. NanoPaste. The sterile presentation is an aqueouspaste supplied in a syringe (2.5ml or 5.0ml). Thepaste may be injected directly into a defect where itconforms to fill the space. The paste is readilycolonised by bone cells and acts as a scaffoldencouraging penetration of host bone. The putty-likeconsistency means that the paste may be pressedonto bone where it sticks until resorbed. NanoPasteis very similar to Ostim which has an established clinical record.Applications include: joint arthrodesis, TTA, non unions, delayed unionsand filling spine cages.

NanoPaste and TTAUse to save time harvesting autograft or when the quality of theautograft is poor. ReproBone will extend autograft.NanoPaste may be injected directly into the defect where it conforms tothe defect shape.Nano HA paste conforms to ENISO 13779-1:200 and ASTM F1185-88for medical grade HA.

ReproBone Bone Substitutes

ReproBone is also available in a granule formulation which may be usedalone or as an extender of natural cancellous bone graft. The mixture ofhydroxyapatite and tricalcium phosphate is formulated as anosteoconductive scaffold which is fully resorbed by the body. The latticework mimics that of cancellous bone (see photo).Available as granules or blocks of various sizes.

ReproBone Granules

Cas

e Jo

hn F

ergu

son

pre-op post-opp2 monthpost op

CERAMYSIS REPRO BONE

RBG5 5cc Granules 1.0 to 4.0mm £85.00

RBG10 10cc Granules 1.0 to 4.0mm £140.00

RB10D10 Rod 10mm dia 10mm long £95.00

Other sizes available...please call 0845 1309596

For further details about Osteoallograft Orthomix and their range ofBlocks, Segments and Struts please refer to Chapter 1 Page 39.

Veterinary Transplant Services is the world’s leading provider of bone, softtissue and cornea allografts for transplantation into animals. With aparticular focus on contributing to the advancement of medicine andimproving the quality of pets’ lives, the Company strives to respond to theneeds within the veterinary community.

196


Nail System AccessoriesThe sterilisation trays store components for both instrumentation sets,accessories and all interlocking nails.

INTERLOCKING NAIL BOLTS

INB2020 2.0mm Interlocking Nail Bolt 20mm long - cut to length £15.50



Unicortical and self tapping. Useof these bolts shortensoperative time considerably.Bolts come as a standard lengthand are cut to size(recommended IN Bolt Cutter,001229). Pilot drill is same asthe bolt diameter.

Interlocking Nail Bolts

INTERLOCKING NAIL BOLT CUTTER 4mm

001229 Safety Cutter to 4mm £245.00

001229/A Interlocking Nail Bolt Measuring Rule (for use with Safety Cutter) £19.50

Most types of bolt cutter deform thepin as they cut. In addition the cutend can fly off in a dangerousmanner. VeterinaryInstrumentation's safety cutter cutscleanly, without deformation andprevents fly off. Also very useful forESF pins to 4mm.

Interlocking Nail Bolt Cutter 4mm

Standard Safety Cutter

Rush PinsWe stock Rush pins in 2.4mm (3/32") and 3.2(1/8") diameters. Lengthsvary from 25mm (1") to 100mm (4").

RUSH PINS

090140 to 152 Rush Pins 2.4mm (3/32") £15.50

090201 to 212 Rush Pins 3.2mm (1/8") £15.50

INTERLOCKING NAILS - MODEL 11 - 4.0 / 4.7MM

IN1147SETBAS Model 11 - 4.7 / 4.0mm with Interlocking Nails - Full Kit. See above for details £3,750.00

IN1122TAPHAND Tap Handle £180.00

IN114720TAP 2.0mm Extra Long Tap £75.00

IN1147SET Model 11 - 4.0 / 4.7 set

4.0MM 4 HOLE NAILS. MODEL 11. 2.0mm SCREWS.

IN1140068020220 68mm in length £72.50

IN1140079020220 79mm in length £72.50

IN1140091020220 91mm in length £72.50

IN1140101020220 101mm in length £72.50

IN1140112020220 112mm in length £72.50

4.7MM 4 HOLE NAILS. MODEL 11. 2.0mm SCREWS.

IN1147068020220 68mm in length £72.50

IN1147079020220 79mm in length £72.50

IN1147091020220 91mm in length £72.50

IN1147101020220 101mm in length £72.50

IN1147112020220 112mm in length £72.50

6.0MM 4 HOLE NAILS. MODEL 11. 2.7mm SCREWS

IN1106140020227 140mm in length £72.50

IN1106160020227 160mm in length £72.50

IN1106185020227 185mm in length £72.50

IN1106205020227 205mm in length £72.50

IN1106230020227 230mm in length £72.50

8.0MM 4 HOLE NAILS. MODEL 11. 3.5mm SCREWS

IN1108140020235 140mm in length £72.50

IN1108160020235 160mm in length £72.50

IN1108185020235 185mm in length £72.50

IN1108205020235 205mm in length £72.50

IN1108230020235 230mm in length £72.50

Some three hole nails are available - please ring for details.

model number length of nail (mm) number of holes distally

diameter of nail (mm) number of holes proximally diameter of hole (mm)

11-06-140-01-02-2.7

MODEL 11 - 4.0/4.7MM WITH INTERLOCKING NAILSfor 2.0mm screwsHole spacing is 11.0mm. This option is indicated for fracture cases insmaller animals. The nail diameter is either 4.0mm or 4.7mm and the holediameter 2.0mm. The instrumentation set contains:

• Model 4.0/4.7mm Jig • Attachment Screw• Trochar • ‘T' Handle• Hex Driver • Guide Sleeve• Depth Gauge • 4.0mm Femur Extension• 4.0mm Tibia Extension • 4.7mm Femur Extension• 4.7mm Tibia Extension • 1.5mm Drill Guide• 2.0mm Tap Guide • 1.5mm Drill Bit• 2.0mm Screwdriver • Set of 4-hole Nails• 4.7mm Reamer • 4.0mm Reamer• Instrument Tray • Implant Tray

197

Chapter 8 TOTAL JOINT REPLACEMENT 8

Modular, cementless, screw-in total hip replacement.Now available with improved three part stem. (TPS)

The Helica system of Total Hip Replacement is unique in a number ofrespects.

Most cementless systems rely on a ‘press fit’ for at least one implantcomponent. Creation of the site for the component is critical andtechnically demanding or the component will not lock into position. Inaddition, press fit components are vulnerable until osseous integrationdevelops over severalweeks (if it happensat all). In man this isless of an issue in thatthe patient can strictlycontrol the stressplaced on the newhip. We have muchless control over ourcanine patients duringthis critical phase.

Both Helicacomponents screwinto position givingpost operativesecurity during thephase of osseous integration. The cup is not only fixed very rigidly but caneven be re-positioned intra-operatively, should it be required, withoutlosing any security. The Helica cup may be used with all other leadingbrands of stems to create a hybrid system with maximum cup security.

The stem is a short prosthesis located entirely in the proximal femur. Onlythe articular surface is removed during implantation retaining the maximumbone stock. The new Three Part Stem (TPS) ensures more accuratepositioning of the stem in addition to an increased surface area for loaddispersement. A choice of flanges is available to suit individual femoralneck size.

HELICACEMENTLESSHIP SYSTEM

Only the articular surface of thefemoral head is removed,retaining the maximum amountof bone stock to support thefemoral prosthesis, whichscrews into place. Althoughperhaps counter intuitive thesmall stem in the proximal femurloads at least as well as longstemmed prostheses.

The outer surface of theacetabular cup is threaded forrapid screw-in insertion.Repositioning of cupsintraoperatively is straightforward. Revision cups forother systems are available.

Both femoral and acetabular components screw into position allowingimmediate loading. The surface finish of the titanium componentsencourages rapid osteointegration. Flexibility is achieved by:• 5 stem sizes• 5 neck lengths• 3 flanges for the femoral neck• 5 acetabular cup sizesOnce the implantation sites have been prepared the implants self tapinto position.

Advantages• Short surgery time• Minimally invasive• Cementless technique• Screw-in implants• Immediately loadable• Cost effective

The surface of both acetabular shell and femoral stem are treated tomaximise osteointegration of implants.

198

8 TOTAL JOINT REPLACEMENT

Pre-operative assessment and planninggives the predicted size of cup, stem andhead / neck.

The acetabulum is prepared by reamingwith progressively larger and largerreamers finishing with the predicted size.

The resection of the femoral headis made just distal to the bone-cartilage interface. The resectionis made perpendicular to thefemoral stem implant axis. Theface of the osteotomy will bemilled at a later stage to ensurethat the bed for the femoralcomponent flange is alignedcorrectly. The osteotomy isfacilitated by use of the Helicahohman to lift the femoral head.

The femoral component must be inserted along the axis of the femoralneck. It is important to spend time establishing the correct axis.

A CCD angle of 145 to 147 degrees is desirable.

Much thought and care should be taken when placing the initial 2.0 or2.5mm drill hole which should exit the lateral cortex. Drills of increasingsize are used to open up the femoral neck. Each drill should exit the lateralcortex. The final drill for the femoral neck will be the pilot drill for thepredicted femoral component.

Correct positioning of the implantsis confirmed by radiography.

After trialling, the appropriatefemoral head is locked ontothe femoral neck. Theinterface is a very securemorse taper. Hybrid headsare available to fit other hipsystems to allow the use ofthe Helica cup when revisingother system cup failures.

The cup inlay is a click fit into theacetabular shell. Insertion isaccomplished using an insertion tool.The rim of the inlay should sit flushwith the shell margin.

The milling tool prepares the bone surface for theflangewhich sits on and spreads the load onto thefemoral neck. The new stem design ensures thatthe flange will always sit squarely on the milledarea. The flange is fitted and locked in position bya locking ring.

The extension pin is added to thechosen stem to ensure correctalignment of the stem in thefemoral neck. The stem is slowlyscrewed into position until the tipexits the lateral cortex. The finethread at the neck of the stemshould sit below the resectionline. The milling tool will removeexcess bone to leave theresection line at right angles tothe stem.

HELICA Surgical Technique

Using the insertion T grip and alignmentaid the threaded shell for theacetabulum is positioned ready forinsertion. The threads on the shell areself tapping and are firmly screwed intoposition. After assessment the shellmay be re-positioned if necessary.

This surgical guide is included to give anover view of the technique. Surgeonscontemplating use of the Helica systemmust attend a recognised training course. Afuller illustrated guide is included.

The axis is determined in part by eye butaided by a goniometer. The axis isestablished initially by a small drill which isprogressively opened using larger and largerdrills.

The selectedhead is fitted.

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TOTAL JOINT REPLACEMENT 8www.vetinst.com

Ancillary Helica Instrumentation

Three instruments, not included in the standardsets, make osteotomy and alignment of thefemoral stem significantly easier and arerecommended. The Meyerding is a verypowerful hand held retractor.

HELICA ANCILLARY INSTRUMENTS

001038 Helica Hohman Large £62.50

001037 Helica Hohman Medium £62.50

001036 Helica Hohman Small £62.50

HE-GONIO Helica Goniometer £57.50

150019 Meyerding Retractor £52.50

The Helica Hohman has a dished profile and fine teeth along its leadingedge to lift the femoral head and neck up from the incision for osteotomy.The goniometer helps the surgeon to establish the correct axis for thefemoral stem at an angle of 145 to 147 degrees.

Hohman

Meyerding

HELICA HybridsThe stability of the Helica cup is such that it may be used in conjuction withpress fit cups from other systems either as a revision or as a primaryprocedure.

Helica heads are available in various lengths which interface with stems forthe Kyon and BFX systems. These heads fit standard Helica cups. Thetray of acetabular instruments may be purchased separately afterattending an approved training course.

HELICA TOTAL HIP INSTRUMENTATION

HE-KIT Helica Instrument Kit (2012 Version) £5,750.00

ACETABULAR CUPS

HE-HC1-T24 Helica 24mm Acetabular Cup £425.00





TPS STEMS (2012 VERSION)

HE-HS3-T0831 TPS Helica Stem 8mm x 31mm (2012 Version) £320.00

HE-HS3-T0932 TPS Helica Stem 9mm x 32mm (2012 Version) £320.00

HE-HS3-T1035 TPS Helica Stem 10mm x 35mm(2012 Version) £320.00



TPS FLANGE (2012 VERSION)

HE-HF3-T18.5 TPS Helica Flange 18.5mm (inc 1 locking nut) £50.00

HE-HF3-T20 TPS Helica Flange 20.0mm (inc 1 locking nut) £50.00

HE-HF3-T22 TPS Helica Flange 21.5mm (inc 1 locking nut) £50.00

TPS LOCKING NUT (2012 VERSION)

HE-HN3-T08 TPS Helica Locking Nut (for replacement) £15.00

FEMORAL HEADS

HE-FH1-18S Helica 18mm Femoral Head - Short £100.00

HE-FH1-18M Helica 18mm Femoral Head - Medium £100.00

HE-FH1-18L Helica 18mm Femoral Head - Long £100.00

HE-FH1-18XL Helica 18mm Femoral Head - Extra Long £155.00

HE-FH1-18XXL Helica 18mm Femoral Head - XX Long £155.00

INLAYS

HE-AL1-P24 Helica 24mm Inlay £85.00





HYBRID REVISION IMPLANTS

HE-FHB-18-0 Helica Hybrid 18mm Femoral Head Biometric Shank + 0 £155.00



HE-FHK-18XS Helica Hybrid 18mm Femoral Head Kyon Extra Short £155.00

HE-FHK-18S Helica Hybrid 18mm Femoral Head Kyon Short £155.00

HE-FHK-18M Helica Hybrid 18mm Femoral Head Kyon Medium £155.00

HE-FHK-18L Helica Hybrid 18mm Femoral Head Kyon Long £155.00

HE-FHK-18XL Helica Hybrid 18mm Femoral Head Kyon Extra Long £155.00

Helica Total Hip Implants (2012 Version)

Helica Total Hip Instrumentation

STEMS

HE-HS1-T0826 Helica Stem 8mm x 26mm £330.00





Helica Total Hip Stem Implants (Original Version)

These stems are the original design to be used in conjunction with theoriginal instrumentation.

200


Veterinary Instrumentation Modular Hip System(Cemented)

Femoral Prosthesis

The modular format gives four different femur combinations. Two stemsizes are available. The taper neck is the same on both. Two ball optionsare available, the ball diameter is 15mm in both cases. The “short neck”ball when fitted to the standard taper neck gives a short necked prosthesisand the “long neck” ball gives a long necked prosthesis. When combinedwith the two acetabular cups a total of 8 combinations are possible. Themost common combination is a small stem and long neck ball together witha small acetabular cup.

The surgeon most familiar with the system is Hamish Denny FRCVS, whohelped develop the system and has performed over 200 procedures. Healso produced the instructional DVD which is available on free loan. This isnot a ‘high tech’ system which requires a mass of dedicatedinstrumentation and jigs. It is a simple, well proven system which assumesthat the surgeon has the knowledge and expertise to complete theprocedure.

Combination Stem size Neck Acetabular cup

1 Small Stem Short Small

2 Small Stem Long Small

3 Small Stem Short Medium

4 Small Stem Long Medium

5 Large Stem Short Small

6 Large Stem Long Small

7 Large Stem Short Medium

8 Large Stem Long Medium

Two stems are available whichare identical distally. Supplied sterile.

FEMORAL PROSTHESIS

150200 Large Stem (Sterile) £240.00

150201 Small Stem (Sterile) £240.00

150300 Long Ball (Sterile) £125.00

150301 Short Ball (Sterile) £125.00

HDTHPDVD Hamish Denny Total Hip DVD £40.00

Acetabular Cups

Two sizes are available. The internal diameter is the same, as all the headsof the femoral components are 15mm in diameter. The only differencebetween the cups is the wall thickness and therefore the outside diameter.

All cups are marked with stainless rings to establish cup position onradiographs. Cups have very deep grooves on the external diameter toprovide good cement keying. Supplied sterile.

ACETABULAR CUPS

150402 Medium Acetabular Cup (Sterile) £135.00

150401 Small Acetabular Cup (Sterile) £135.00

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Hatt Spoon

An alternative to the disarticulator in large dogs. The edge of the spoon issharp. As used by Martin Olmstead. The VI version has a narrower shaftand a fibre handle for ease of use.

HATT SPOON

001092 Hatt Spoon 230mm Scoop 17mm x 30mm £60.00

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Femoral Reamer

Use in conjunction with the femoral rasp to open up the proximal femur. ‘T’ handle format with an overall length of 270mm. Use 6mm for the distalportion and 8mm proximally.

FEMORAL REAMER

150003 Femoral Reamer 6mm 270mm £225.00

150004 Femoral Reamer 8mm 270mm £225.00

CYLINDRICAL RASP

150008 Cylindrical Rasp 6mm diameter £225.00

150009 Cylindrical Rasp 8mm diameter £225.00

Acetabular Reamers

Each reamer is designed to produce a prepared bed for each cup. The reamer shaft is 1/4” (6.3mm) to fit air or electric rechargeable drills. Themulti-bladed style has a much longer life than the cheese grater type.Good soft tissue retraction is essential. The reamer head can be re-sharpened on an exchange basis.

ACETABULAR REAMERS

150012 Small Acetabular Reamer £225.00

150010 Medium Acetabular Reamer £225.00

Acetabular Skid

A double-ended instrument useful in the dislocation of the femoral headprior to excision. Also useful in “helping” the head of the femoral prosthesisinto the acetabular cup.

ACETABULAR SKID

6200/05 Acetabular Skid £80.00

Femoral Prosthesis Pusher

This instrument fits both small and large femoral prostheses and allows thesurgeon to position the stem and apply pressure as the cement sets.

FEMORAL PROSTHESIS PUSHER

161602B Femoral Prosthesis Pusher £175.00

Acetabular Cup Positioner

This instrument holds the acetabular cup in position as the cement sets.

ACETABULAR CUP POSITIONER

161602A Acetabular Cup Positioner £175.00

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Meyerding Retractor

A heavy duty retractor for use around the hip.Much favoured by Martin Olmstead.

MEYERDING RETRACTOR

150019 Meyerding Retractor 16mm £52.50

Femoral Rasp

The aim of the femoral rasp is to produce a hole the same shape as thestem of the femoral prosthesis plus a margin for the bone cement. Thefemoral rasp can create seating for both stems in that both stems have asimilar profile distally and differ only in the proximal area. To create aseating for the large stem simply make a deeper hole.

FEMORAL RASP

150005 Femoral Rasp £465.00

Use to widen opening in femur. Available in 6mm and 8mm diameter.

Cylindrical Rasp

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202


Heygroves Femur Grasping Forceps

Hohman Retractor 20mm Wide with Short Kinked Tip

Powerful clamps to lock onto the femoral shaft.Used to rotate the femoral head outwards for excision.

HEYGROVES FEMUR GRASPING FORCEPS

150017 Heygroves Femur Grasping Forceps 10" £140.00

HOHMAN RETRACTOR 20MM WIDE WITH SHORT KINKED TIP

001039 Hohman 20mm Wide with Short Kinked Tip £62.50

Lewin Femur Grasping Forceps

The curvature and multiple teeth of these forceps matchalmost exactly the profile of the large dog femur.Another Martin Olmstead favourite.

The Total Hip Replacement kit is a cost effective solution saving over 10%when compared to the component costs. The set also includes one of eachimplant.

LEWIN FEMUR GRASPING FORCEPS

150018 Lewin Femur Grasping Forceps £90.00

Total Hip Replacement Kit

TOTAL HIP REPLACEMENT KIT

150001 Total Hip Replacement Kit £3,450.00

Our Total Hip Replacement kit includes the following:

INSTRUMENTSCylindrical Rasp 6mmCylindrical Rasp 8mmFemoral RaspFemoral Reamer 8mmFemoral Reamer 6mmAcetabular Reamer SmallAcetabular Reamer MediumStem PositionerCup PositionerLewin Bone Holding ForcepsMeyerding Retractors x 2Trial Stem SmallTrial Stem LargeTrial Cup SmallTrial Cup Medium

IMPLANTSStem SmallStem LargeShort Neck BallLong Neck BallCup SmallCup MediumTraining DVDStainless Case

Please note that the kit does notinclude bone cement.

Antibiotic Impregnated Polymethacrylate Beads(AIPMMA)Management of chronic local infections may benefit from the insertion ofantibiotic impregnated polymethacrylate(AIPMMA) beads. The beads aremanufactured from sterile bone cement with the addition of appropriateantibiotic.

Indications include osteomyelitis and abcessation in the rabbit.

Veterinary Instrumentation offers two kits for the preparation of AIPMMAbeads. Both kits contain sufficient material for approximately 100 sterilebeads. Store unused beads in sterile containers for maximum shelf life.

Full instructions are included.

ANTIBIOTIC IMPREGNATED POLYMETHACRYLATE BEADS (AIPMMA)

BC1GKIT AIPMMA Bead Kit with Gentamycin £70.00

BC1KIT AIPMMA Bead Kit. No Antibiotic £65.00

Veterinary Instrumentation Bone Cement

VETERINARY INSTRUMENTATION BONE CEMENT VACUUM MIX

BC1 High Viscosity 40g £50.00

BC1G High Viscosity 40g with Gentamycin £60.00

BC3G Low Viscosity (syringe) 40g with Gentamycin £60.00

CVAC Mixing System (unit) £62.50

CGUN Application Gun £575.00

BOWLSET Set of 3 Mixing Bowls and Spatula £12.00

SPATDISP Disposable Spatula - non-sterile (100 units) £5.25

SYRINGE 50ml Catheter Mount Syringe. Sterile £3.95

SPATULA Autoclavable Plastic Mixing Spatula £5.75

DePuy CMW Bone Cement

Designed for total hip replacement.CMW is the industry standard.Various options are available. Alsouseful in stabilisation of vertebralfractures/luxations.

CMW1 is a medium/high viscositycement for digital application

CMW2 is a rapid set cementsuitable for the acetabular cup via digital application.

CMW3 is a more fluid cement which is more appropriate for the femoralcomponent. It is usually applied via a 50ml syringe.

CMW cement comes impregnated with Gentamycin which minimises postoperative infection, the worst complication of the procedure.

CMW BONE CEMENT

160506 CMW1 no Gentamycin 40g £75.00

160500 CMW1 with Gentamycin 20g £95.00




Bone CementThis Hohman is designedfor femoral neckretraction for THR.Please see Page 52 forfurther information

203


WORK IN PROGRESS

The Sirius system is an unlinked TER incorporating a cemented CobaltChrome humeral prosthesis and a screwed Titanium radio/ulnar tray. Thebearing surface is made from Ultra High Molecular Weight Polyethylene.(UHMW-PE)

John Innes and the Small Animal Teaching Hospital at Liverpool Universityhave been collaborating with designers and manufacturers to produce asystem which offers:

• Instrumentation to accurately identify elbow flexion-extension axis(locates on axis of humeral shaft and surface of trochlea)

• Gap between humeral forks for passage of radio-ulnar implant, tooptimise ROM

• Conservative bone cuts to maintain stress field on distal humerus andenhance long-term fixation (by minimising stress shielding)

• All cuts are instrumented (no free-hand cutting) and reference from oneflexion-extension axis marker

• Radio-ulnar cutter relies upon widely available TPLO reciprocating saw

• Radio-ulnar bearing is snap-fitted to stemless, screw-fixed titanium plateproviding an internal plate fixation to the semilunar notch of the ulna toguard against fracture

• Hydroxyapatite coating of the titanium plate for bony ingrowth for long-term stability

• Small radial difference between TER articular surfaces to enable somejoint laxity

• Universal (non-handed) implants existing in small, medium and large tocover wide range of patient size.

STIFLE

ELBOW

Several joint replacement systems are under development which may beof interest. Some details are included here. Surgeons who are interestedin being kept informed or take part in trials are invited to [email protected] or [email protected].

GenuSys Total Knee Replacement

‘Sirius’ Total Elbow Replacement

GenuSys is an unconstrained, uncementedstifle replacement system developed by thelate Volker Hach. GenuSys is a 3component system giving maximum rangeof movement. The metal components aremanufactured from Titanium coated CobaltChrome with the Tibial Inlays beingUHMW-PE.

There are four sizes each one of which hasa choice of tibial inlays to suit the availablenatural constraints.

30 dogs have been implanted thus far.

Training courses are available in the USAand in Europe later in 2012.

Initial clinical cases have been very encouraging and John is now lookingfor candidates for clinical trials. Individuals interested in becoming involvedshould contact:-

[email protected]

www.liv.ac.uk/sath

‘Patents Pending’

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9 SOFT TISSUE SURGERY Chapter 99 TRAUM SOFT TISSUE SURGERY

Thoracic SurgeryForeign Body Retrieval Forceps

Our family of foreign body retrieval forceps has grown! We now offer arange of forceps to cover every eventuality from a bone in theoesophagus of a large dog to a grass seed in a cat trachea.

The forceps may be guided by rigid or flexible endoscopes orfluoroscopy. In exceptional cases retrieval may be achieved by ‘feel’. It ishelpful to inflate the oesophagus prior to withdrawal of spiky objects.Video of Alasdair Hotson-Moore of Bristol University locating andretrieving a bone body may be viewed at www.vetinst.com/videosThe teeth face backwards for maximum grip. When closed the jaws areatraumatic for minimal damage to the oesophagus or trachea.

The “One day you will need these” reflects our experience of desperatephone calls which end in us sending a pair of foreign body forceps bysame day courier at great expense.

FOREIGN BODY RETRIEVAL FORCEPS

Shaft Length

014097 Foreign Body Retrieval Forceps 640mm £155.00

014097M Foreign Body Retrieval Forceps 500mm £155.00

014097F Foreign Body Retrieval Forceps 400mm £155.00

014097XF Foreign Body Retrieval Forceps 400mm £155.00

014097XXF Foreign Body Retrieval Forceps 220mm £155.00

“One day you will need one of these”

014097

014097M

014097F

014097XF

014097XXF

• Backward facing teethfor maximum grip

• Jaws are externallyatraumatic

• Shaft diameter as smallas possible

• Large forceps jaws areangled when closed sothat when open they sitmid oesophagus.

Photo & case Alasdair Hotston Moore

Dia at

Jaws(mm)

Lengthat

Jaws(mm)

ShaftDia

(mm)

ShaftLength(mm)

13.0 x

9.034

7.5 x

6.0640

11.5 x

6.031

6.5 x

5.0500

5.6 x

4.215.5

4.0 x

3.0400

4.5 11.5 3.5 400

3.3 8.0 2.5 220

014097

014097M

014097F

014097XF

014097XXF

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SOFT TISSUE SURGERY 9www.vetinst.com

The oesophascope allows the surgeon to see the foreign body and is large enough to easethe bone back out through the mouth. Without a large tube the bone traumatises theoesophagus as it is withdrawn.

Two versions are available:

Basic. Simply a long tube with an atraumatic lip at the mouth. Using this version either anexternal light source must be shone down the tube or a fiber optic or LED light source mustbe passed down to illuminate the foreign body.

Fibre Optic. In this version the lip at the mouth of the oesophascope includes fibre optics toallow direct illumination of the problem. The oesophascope may be connected to yourexisting endoscopic light source by means of a fibre optic cable (Storz or Wolf fitting).Alternatively an LED light handle may be attached making the oesophascope free of cabling.

The flexible probe is taped along thelength of the selected foreign bodyforceps leaving the LED lights and thecamera lens just behind the jaws. Theforceps are then directed using theimage in the monitor.

Foreign Body Oesophascope

Each version of the oesophascope is available as a boxed set of threeinstruments plus a cleaning brush.

1. 29mm x 450mm long



The LED light handle is supplied with a Storz fitting and may also be usedto illuminate arthroscopes, laparoscopes and rhinoscopes. Adaptors areavailable for other light fittings.

Once the diagnosis of oesophageal foreign body has been made it is achallenge to see and grasp the bone prior to withdrawal or pushing into thestomach. The lining of the oesophagus is usually traumatised and friable.Repeated ‘blind’ attempts are likely to end in tragedy even if the foreignbody is retrieved.

The flexible camera with incorporated LED light source enables thesurgeon to direct the foreign body forceps into position and grab the boneready for retrieval. The image is viewed on a bright 50mm x 35mm monitor.Alternatively the video output may be fed into a standard monitor orcomputer for viewing or image capture.

To further minimise trauma to the oesophagus the Flexible LED Camerashould be used in conjunction with the Oesophascope.

FLEXIBLE LED CAMERA

LEDFC Flexible LED Camera £345.00

The camera allows you tosee exactly what you aredoing so that you canlock onto the bone ratherthan damage theoesophageal wall.

OESOPHASCOPE

OESSETB Oesophascope Set Basic No Fibre Optic £395.00

OESSETFO Oesophascope Set Basic Fibre Optic Version £975.00

OESLH LED Light Source Handle £715.00

Flexible LED Camera

FO Oesophascope with LED Handle

FO Oesophascope with FO cable Handle

9 SOFT TISSUE SURGERY

THORACIC SURGERY KIT - as used by the Cambridge Vet School

106205 45 Degree Curved Forceps 220mm £39.50

105415 90 Degree Curved Forceps 245mm £39.50

754060 Metz Scissors Str 235mm T.C. £75.00

754120 Metz Scissors Curved 235mm T.C. £75.00

342020 DeBakey Thumb Forceps 205mm £47.50

347665 Rat Tooth Thumb Forceps 205mm £27.50

602010 Debakey Needleholders T.C. 200mm £92.50

347655 Dressing Forceps 205mm £24.00

2685/03 Satinsky Clamps 160mm long 20mm jaw £57.50


CAMTHORKIT All the above in a stainless steel case £475.00

Thoracic Surgery Kit- as used by the Cambridge Vet School

Working inside the chest of medium and large dogs will require extendedinstrumentation. The instruments listed below represent a reasonable kit.When purchased as a kit there is a saving of over 10%. In addition a pairof rib retractors will be required. Other useful instruments include extralong Metzenbaum scissors and right angled forceps (Laheycholecystectomy clamp and small right angled forceps).

Various specialist items are listed.

RIB SHEARS

014056 Rib Shears 220mm £120.00

Rib Shears

RIGHT ANGLED CLAMPS

014051 Right Angled Lahey Cholecystectomy Clamps 195mm £49.50

014052 Small Right Angle Clamps 160mm £37.50

014052S Small Right Angle Clamps without ratchet 160mm £37.50

Right Angled Clamps

Typically used todissect around apatent ductusarteriosus and thenpull throughappropriate ligativematerial.

RIB RETRACTOR

704000 Rib Retractor Finnochetto - Small (95mm spread) £130.00

704005 Rib Retractor Finnochetto - Large (130mm spread) £135.00

Rib Retractor

Finnochetto is the standard ribretractor available in large andsmall.

SPENCER WELLS

106600 Spencer Wells 12.5cm 5” Str Art. Forceps £21.00

106605 Spencer Wells 15cm 6” Str Art. Forceps £23.50





Spencer Wells

The standard veterinary artery forceps. If the text states “artery forceps orhaemostat” this is probably the one.

Curved Forceps - Long

CURVED FORCEPS - LONG

106205 45 Degree curved forceps 220mm £39.50

105415 90 Degree curved forceps 245mm £39.50

DISGORGER - CANINE

014010 Disgorger Canine 10mm Total length 800mm £130.00

Disgorger - Canine

Ingested fish-hooks are seen commonly in many practices. If they arestuck in the oesophagus, they can be challenging to remove, even withendoscopy. Although very much larger, our disgorger is of a design thatwill be familiar to many fishermen. The device allows for the hook point tobe pushed back out of the wall of the oesophagus the way it came andthen either retrieved via the mouth, or if it is a multi-pointed hook, to begently pushed into the stomach for removal via a gastrotomy.

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207


Useful in — Gastrointestinal and Thoracic Surgery

Ease of use: This stapler has 2 levers, one used during placement toposition and close the jaws, then a separate lever for firing. A well-sitedbutton can be used to release the jaws if repositioning of the stapler isrequired. The stapler can be operated completely single-handedly. Thinanvil, wide jaw opening and medium closing position of the parallel jaws ofthe PROXIMATE®TX staplers are designed to facilitate positioning of thetissues in the jaws. The long thin axis of the PROXIMATE® TX 30mmstaplers aid access to more difficult surgical sites.

Sizing: Suitable for stapling tissue 1-2mm thick. Available in 30 & 60mmwidth, and 3 staple heights.

White — vascular, 1mm closed height, Blue — standard, 1.5mm closedheight, Green — thick tissue, 2mm closed height. Vascular loads arededicated to the 30mm Vascular stapler, otherwise blue and green loadsare interchangeable in the same width.

PROXIMATE® TX staplers may be reloaded up to 7 times during the sameprocedure allowing up to 8 stapling operations.

Supplied sterile including 1 load.

PROXIMATE® TX Reloadable Linear Stapler

PROXIMATE TX RELOADABLE LINEAR STAPLER

JJTX30V TX Linear Stapler 30mm Vascular x3 white £460.00

JJTX30V/S TX Linear Stapler 30mm Vascular x1 white £165.00

JJTX30B TX Linear Stapler 30mm Blue x3 £460.00

JJTX30B/S TX Linear Stapler 30mm Blue x1 £165.00

JJTX30G TX Linear Stapler 30mm Green x3 £460.00

JJTX30G/S TX Linear Stapler 30mm Green x1 £165.00

JJTX60B TX Linear Stapler 60mm Blue x3 £510.00

JJTX60B/S TX Linear Stapler 60mm Blue x1 £180.00

JJTX60G TX Linear Stapler 60mm Green x3 £510.00

JJTX60G/S TX Linear Stapler 60mm Green x1 £180.00

RELOADS

JJXR30V/3 Reload TX Linear Stapler 30mm Vascular x3 £250.00

JJXR30G/6 Reload TX Linear Stapler 30mm Green x6 £475.00


JJXR60B Reload TX Linear Stapler 60mm Blue x12 £1,010.00

JJXR60B/6 Reload TX Linear Stapler 60mm Blue x6 £535.00

JJXR60B/3 Reload TX Linear Stapler 60mm Blue x3 £275.00

JJXR60G Reload TX Linear Stapler 60mm Green x12 £1,010.00



ETHICON ENDO-SURGERY LINEAR CUTTER

JJNTLC55 Linear Cutter 55mm selectable, no load included x3 £225.00

JJNTLC55/S Linear Cutter 55mm as above single £100.00

JJNTLC75 Linear Cutter 75mm selectable, no load included x3 £300.00

JJNTLC75/S Linear Cutter 75mm as above single £120.00

JJSR55/12 Reload Linear Cutter 55mm for NTLC55 x12 £1180.00




LIGACLIP RE-USABLE CLIP APPLIERS AND TITANIUM CLIPS

JJLX105 Ligaclip Applier Reusable 5.75” Small Clips £230.00

JJLX107 Ligaclip Applier Reusable 7.5” Small Clips £250.00



JJLX220 Ligaclip Applier Reusable 10.5” Med Clips Right Angle £300.00

JJLC307 Ligaclip Applier Reusable 7.5” Med/Lg Clips £250.00

JJLC320 Ligaclip Applier Reusable 10.5” Med/Lg Clips Right Angle £290.00

JJLC407 Ligaclip Applier Reusable 7.5” Large Clips £250.00

JJLC410 Ligaclip Applier Reusable 10.5” Large Clips £270.00

JJLC420 Ligaclip Applier Reusable 10.5” Large Clips Right Angle £290.00

JJLC800 Ligaclip Clip Base - Stainless Steel £160.00

JJLT100 Ligaclip Titanium Clips Small 6 x 36 £200.00

JJLT200 Ligaclip Titanium Clips Medium 6 x 36 £230.00

JJLT300 Ligaclip Titanium Clips Med / Lg 6 x 18 £170.00

JJLT400 Ligaclip Titanium Clips Large 6 x 18 £190.00

Staples and cuts in one firing. Innovative, 3D, 6 row staple pattern.

Selectable staple height using the same reload — select blue, gold or greenso no extra re-loads to stock. Spring-loaded intermediate lockingmechanism gives easier one-handed tissue manipulation. 2 sided firing,left or right, and non-slip grip gives improved control of the device. NoteThis stapler does NOT come with load - remember to order yourchosen pack size

Ethicon Endo-surgery Linear Cutter

Ligaclip Re-usable Clip Appliers & Titanium Clips

Other Ethicon Endo-surgery products are available to order. If whatyou usually use is not here, please contact us. These can be orderedin as required, and are usually available in 2-3 days subject toEthicon’s stock.

Fully autoclavable colour coded clip applier, dedicated to the relevant clipsize. Quick and easy to use. The jaws have a groove to hold the clip —once loaded the clip is held securely until it is placed and compressed. Clipclosure is maintained by the inherent rigidity of the metal. Designed fortubular ligation, feedback from users has been that it is extremely usefulfor enucleation (thanks Martin Gabbut!) and to have on hand forunexpected bleeders during orthopaedics as well as major soft tissuesurgery.

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Angiotribes

Angiotribes. The jaws of this instrument aredesigned for maximum crushing by serratedlongitudinal grooves.

Hysterectomy Clamps

These clamps are curved with longitudinalgrooves in the jaws to minimise tissue slippage.More reasonably priced than angiotribes.

HYSTERECTOMY CLAMPS

014307 Hysterectomy Clamp (Carmault) 20cm £36.00

014309 Hysterectomy Clamp (Carmault) 16cm £36.00

Spay Clamps

ANGIOTRIBES

014304 Angiotribes 6.5”/ 16cm Straight £59.50

014305 Angiotribes 6.5”/ 16cm Curved £59.50

014301 Angiotribes 8”/20cm Straight £59.50

014302 Angiotribes 8”/20cm Curved £59.50

Spay Forceps

‘Sturdy’ type. Atraumatic spay forceps-tips have fine toothed DeBakey typeform.

SPAY FORCEPS

014211 Spay Forceps 5”/12.5cm £22.50

014218 Spay Forceps (DeBakey Type) 5”/12.5cm £31.50

OvariohysterectomySpay Hooks

Use to atraumatically lift uterine horns.

SPAY HOOKS

014320 Spay Hook Small (13cm) £29.50

014325 Spay Hook Large (17cm) £29.50

Because ovariohysterectomy is the prodcedure most commonlyperformed in practice there is an expectation that all qualified veterinarysurgeons have high level of competency in the technique.Ovariohysterectomy is not a simple technique and things can go badlywrong despite surgeons following what appears to be a straightforwardstep by step approach. Many young surgeons have been badlytraumatised by the learning curve involved in becoming adept at thisfundamental procedure. ‘Cannot even spay a bitch’ is a heavy burden.Calling in the senior partner to deal with a bleeder does not add to one’sself confidence.

This was confirmed by a paper by Tivers etal (JSAP 46, 430-435) whichreported that 50% of graduates no longer used the technique in whichthey were trained. The standard 3 clamp technique for tying off theovarian pedicle is very effective when performed correctly. However it isoften the case that the clamps are applied with the ovary undersignificant tension so that the clamps are placed very close together.Once the central clamp is removed in these circumstances, because ofthe tension and the limited space, the crushed pedicle cannot be pulledinto a tight circle by the ligature. Instead the pedicle is often tied off asan oval. In that the circumference of an oval is greater than that of acircle with similar area, as soon as the outer clamps are released thepedicle reverts to a circle and the once tight ligature becomes loose andthe artery bleeds.

This can be managed byreducing the tension on thepedicle by breaking down theround ligament, exteriorisingthe ovary and applying the clamps slightly further apart. These subtletiesare best learnt by practical training. Supervising surgeons havedeveloped the ‘knack’ but may not be aware of the issues.

Included in this section are two aids which assist in the exposure andligature of the ovarian pedicle. The new Howard ‘B’ clamp and the wellestablished Hauptman retractor. Videos of both instruments may beviewed or downloaded from www.vetinst.com/ovariohysterectomy.

Howard ‘B’ Ovariohysterectomy Clamp

Designed and developed in practice by Howard Taylor who recognisedthat ovariohysterectomy was far from straightforward, particularly but notexclusively for recent graduates.The new clamp has a number of features which assist the surgeon in theexposure and ligature of the ovarian pedicle.• The ligature material is preloaded onto the forceps which takes it

through the broad ligament.• Longitudinal grooves in the jaw minimise slippage• As the forceps are rotated the ‘B’ shaped extension ‘collects’ and

brings together the structures of the pedicle ready for tying.• The forceps sit outside the incision to exteriorise the pedicleThe ligature is tied without precrushing but is retained by a smallhaemostat to check for bleeding prior to closure. Visit www.vetinst.comto view a surgical video.

Feline spay showing ovary exteriorised and ovarian pedicle‘collected’ ready for ligation.

HOWARD ‘B’ OVARIOHYSTERECTOMY CLAMP

546470 Howard ‘B’ Ovariohysterectomy Clamp (160mm) £67.50

Ovariohysterectomy

tightloose

Case: Howard Taylor

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Hauptman Retractors

This new retractor designed by Joe Hauptman at Michigan maintains distalretraction of the ovary during ligation of the ovarian pedicle. This is thecrucial part of the procedure which can be a challenge for even experiencedsurgeons. This retractor simplifies the task considerably.

For a free CD on the technique phone or e-mail [email protected]

HAUPTMAN RETRACTOR

014400 Small Hauptman Retractor 10mm blade £130.00

014410 Medium Hauptman Retractor 15mm blade £130.00

014420 Large Hauptman Retractor 20mm blade £130.00

Spay Retractors

SPAY KITS

SPAYFEL Cased Feline Spay Kit £255.00

SPAYCAN Cased Canine Spay Kit £375.00

It is convenient and cheaper to purchase your spay packs as kits.

We appreciate that instrument selection is a matter of personal choice so ifyou wish to adjust the contents to suit your practice that is fine. We willcustomise the kits to your requirements. Provided the number ofinstruments stay the same there will be no additional charge assuming thatthe changes are ‘like for like’.

Feline Spay KitStainless Autoclave CaseMetz Scissor Str 14.5cmSturdy type Spay forcepsAdson Rat Tooth forcepsHalstead Mosquito Forceps x 2Fenestrated drapeCross Action Towel clips x 2Olsen Hegars 15.5cmSpencer Wells COF x 2Scalpel Handle No. 3

Canine Spay KitStainless Autoclave CaseCurved Hysterectomy Clamps x 2Mayo Scissors 14cm StraightRat Toothed Treves 14cmSpencer Wells 14cm Curved x 4Allis Tissue Forceps x 2Fenestrated DrapeOlsen Hegars 16.5cmCross Action Towel Clips x 4Scalpel Handle No. 3

Miscellaneous Obstetrical Items

MISCELLANEOUS OBSTETRICAL ITEMS

014310 Miss Freakes Whelping Forceps 260mm £59.50

546465 Hobdays Obstetric Forceps for Cats. 150mm £59.50

546466 Hobdays Obstetric Forceps for Dogs. 210mm £59.50

546468 Obstetric Vectis Double Ended 240mm £44.50

546455 Bitch Speculum (Killian). Blade length 6.5cm (21/2”) £59.50

Miss Freakes Whelping Forceps

Hobdays Obstetric Forceps for cats. 150mm

Killian Bitch Speculum

Vectis Double Ended

Spay Kits

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Large Abdominal RetractorsAlso see GENERAL INSTRUMENTATION - Page 258

LARGE ABDOMINAL RETRACTOR

25-2375AHM AHM Balfour Retractor (180mm spread) £165.00

25-2375 Standard Balfour Retractor (180mm spread) £145.00

25-2375R Balfour Locking Ring £16.50

25-2377 Medium Balfour (115mm spread) £145.00

25-2376 Baby Balfour Retractor (90mm spread) £140.00

703260 Collins Retractor (110mm spread) £130.00

684755 Morris Retractor 50mm £59.50

Exploratory surgery of the cranialabdomen in larger dogs presentsdifficulties of access for all surgeons,but especially when a scrubbedassistant is unavailable. Thetraditional Balfour retractor is an idealinstrument for this application intheory, but its practical application islimited by the fact that it is simply toolarge to fit in the typical benchtopautoclave found in general practice. This modified version allows botharms to be removed from the cross piece, making it small enough to fiteasily into a small autoclave. The arm of the "spoon" has also beenslightly shortened to achieve this aim. This retractor is ideal for creatingexposure for gastric surgery (especially gastropexy) as well as surgery ofthe liver and ruptured diaphragm repair.

AHM Balfour Retractor

The original Balfour has for many years served as the standard largeabdominal retractor for canine surgery. However the standard midlinecanine approach is very different from the standard human approach.Alasdair Hotston Moore has re-visited the original design and has madesome significant changes which improve the instrument both in use andsterilisation.

The central blade in theBalfour slides freely on theback bar and automatically selfcenters. If the lesion or organof interest is off centre this isundesirable.The Balfour locking ring fitsonto the back bar and may belocked in any position, holdingthe blade off centre. TheBalfour locking ring fits all VIBalfours.

Balfour Locking Ring

BALFOUR LOCKING RING

Lone Star Ring Retractor

The Lone Star retractor is widely used by soft tissue surgeons includingAlasdair Hotston Moore and Rob White. The outer slotted ring is hingedto allow conformation to the body shape and to direct the angle oftraction of the bungee-type elastic stays. The outer ring segments aremanufactured from Noryl resin and may be repeatedly autoclaved. Thesilicone bungees will tolerate some autoclaving. The elastic stays aremanufactured from flexible silicone with the stainless steel hookmoulded into an ergonomic finger grip. The silicone shaft is grasped bythe slots in the outer ring in an infinite number of positions. The staysmay be used to retract different layers of soft tissue with differingtensions and angle of pull. The whole system sits neatly on top of thepatient without obscuring the operative field.The standard segments (3307) creates a square 14cm x 14cm. Anextended version (3310) creates a rectangle 25cm x 14cm which can bereduced to a square 14cm x 14cm.

LONE STAR RETRACTOR

702SET Lone Star Basic Ring Set includes ring (14 x 14cm) and 50 stays £560.00

702000 Lone Star Basic Ring £75.00

705SET Lone Star Rectangle Set includes ring (25 x 14cm) and 50 stays £570.00

705000 Lone Star Rectangle £85.00

702001 Lone Star Elastic Stays 50 x Sterile (single) £495.00

702002 Lone Star Elastic Stays 10 x Sterile (single) £125.00

Lone Star used during an exploratory laparotomy in a case offeline peritonitis. Case: Alasdair Hotston Moore

Case: Alasdair Hotston MoorePrepubic tendon rupture repair

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Some abdominal approaches require a more complex retraction systemthan a simple Balfour or Gossett. The V.I. Ring Retractor allows thesurgeon to place hooked retractor strips around the periphery of a surgicalincision which may then be tensioned individually and retained around theedge of the ring.

The ring is laser cut from stainless steel which is thin enough to mould tothe profile of the patient. Slots are cut every 15mm around the periphery ofthe ring into which lock one or more retractor strips.

Ring Retractor

RING RETRACTOR

701700 Basic set including 3 standard rings (200 x 130mm, 160 x 85mm & 110 x 40mm internal and set (10) Sterile Hooks £145.00

701701 Large Ring (200 x 130mm internal) £55.00

701702 Medium Ring (160 x 85mm internal) £52.50

701703 Small Ring (110 x 40mm internal) £50.00

701704 X Large Ring (220 x 250mm internal) £75.00

701HOOK Set (10) of sterile hooks £26.50

DOYEN

201950 Bowel Clamps Doyen 24cm 9.5” Str £70.00

201955 Bowel Clamps Doyen 24cm 9.5” Cof £75.00

Doyen

Rather large for small animal surgery but cheaper than thesmall atraumatic bowel clamp.

Bowel Clamps

ATRAUMATIC SMALL BOWEL CLAMP

222165 Bowel Clamps Small Animal Atraumatic 17cm Str £75.00

222170 Bowel Clamps Small Animal Atraumatic Cof 17cm £80.00

Atraumatic Small Bowel Clamp

Jaw design gentlyholds and seals thebowel with aminimum of pressureand trauma. The fineratchet facilitatesgentle yet secureapplication. Str

Cof

LLOYD DAVIS BOWEL CLAMP

201952 Lloyd Davis Bowel Clamp. 25cm, 10”. £80.00

RESANO BOWEL CLAMP

201956 Resano Bowel Clamp. 25cm, 10”. £80.00

Lloyd Davis Bowel Clamp

Resano Bowel Clamp

Similar to the Resano in style butwith a greater angle on the tips.

Case: Alasdair Hotston Moore Parotid Salivary Gland Resection

The strips are manufactured from silicon witha stainless hook. The strips are autoclavablebut will require periodic replacement.

All the rings fit into a standard ‘Little Sister’type autoclave.

for 2012 is a Extra Large Ring (220 x 250mm) which can be folded.Once folded the ring will again fit into a standard ‘Little Sister.’

Please Note: VI Sterile Hooks are compatible with other retractor systems.

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VACUUM DRAINS CONCERTINA TYPE

014062 Vacuum Drainage Kit 50ml 2.5mm dia tube Complete Disposable £8.00

014063 Vacuum Drainage Kit 20ml 2.0mm dia tube Complete Disposable £9.00

VACUUM DRAINS — JACKSON PRATT TYPE

014058 Vacuum Drainage Kit 100ml 3.2mm dia tube Complete Sterile Semi-disposable £31.50

014059 Vacuum Drainage Kit 200ml 4.8mm dia tube Complete Sterile Semi-disposable £31.50

PRE EVACUATED BOTTLE DRAINS

014080 Bottle Drain 400ml with 10FG Drain £9.00




014064 200ml Evacuated Bottle - no Drain £5.50

014065 400ml Evacuated Bottle - no Drain £6.50

Vacuum Drains Concertina Type

Vacuum Drains — Jackson Pratt Type

Pre-Evacuated Bottle Drains

Appropriate drainage willmake the differencebetween success andfailure, particularly withthoracic surgery. Thewhole system can bestrapped to the patient.Concertina type actioncreates suction. Each kitincludes the drain.

The 400ml bottle issupplied pre-evacuatedcomplete with perforateddrain and introducingneedle. The bottlecreates a much highervacuum moreappropriate for chestdrains.

Drains & DrainageA soft silicon chest tube forpneumothorax or haemothorax.140mm length, graduated at10mm lengths with radiopaquestrip for easy placement.Universal hub connects tostandard barbed connector withfemale luer lock. Alsorecommended to be used with 3way stopcock. 3 diametersavailable.

THORA-CATH CHEST TUBES

025612 Thora-Cath Chest Tubes 3.2mm Inner Diameter £37.50

025613 Thora-Cath Chest Tubes 4mm Inner Diameter £40.00

025614 Thora-Cath Chest Tubes 4.67mm Inner Diameter £42.50

025618 Standard Barbed Connector with femal Luer Lock £4.50

025619 3 way Stopcock £1.95

Ameroid Constrictors

Used exclusively in the surgical treatment of hepatic shunts, the ameroidconstrictor gradually occludes the blood vessel in question allowing thecirculation to make adjustments. The clay layer expands as it absorbs waterconstricting the blood vessel within. Supplied sterile. Insertion of metallocking key prevents constrictor from slipping from blood vessel.

Selection of Ameroid Constrictor. Once the portosystemic shunt hasbeen identified and exposed it is suggested that a constrictor should beselected which initially encloses the vessel but does not constrict it(Tobias 2009).

AMEROID CONSTRICTORS

AC35 Ameroid Constrictor 3.5mm Sterile £70.00




Drain Clamps

Thora-Cath Chest Tubes

For rapid, complete occlusion use artery forcep style. Where incrementaladjustments are required use the gate type.

DRAIN CLAMPS

101776 Tube Clamp 190mm 7.5” £26.00

014066 Gate Clamp £4.00

Tube Clamp

Gate Clamp

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Use polyester mesh to repair softtissue defects where alternativeautografts are not available. Forexample perineal hernia(illustrated), umbilical hernia.

Mesh loop diameter 1mm. Sheetsize 60mm x 80mm or 60mm x120mm Supplied single packsterile.

POLYESTER MESH

PM6080 Polyester Mesh 60mm x 80mm (single) £32.50

PM60120 Polyester Mesh 60mm x 120mm (single) £42.50

Miscellaneous Soft TissueProducts

Removing calculi from the bladder or impacted faeces from the rectumrequires great care to avoid damage. ‘Domestic’ spoons are typically toosharp and too short for the purpose.

Our soft edge spoons have been designed and manufactured withveterinary procedures in mind.

Available in three sizes:

XSmall 10 x 14 x 230mm Suitable for faeces and very small bladders

(feline/small canine)

Small 20 x 25 x 250mm Suitable for faeces and small bladders

Large 67 x 34 x 270mm Suitable for the bladder

Soft Edge Surgical Spoon......Faecal, Bladder

PVC Stomach TubeThis stomach tube is primarily usedin foals but should be in everypractice’s emergency kit, for the rarebut drastic true emergency gastricdilatation +/- volvulus in large deep-chested dogs. Another example of‘every practice should have one!’

1/4” i.d. 3/8” o.d x 7’L.

PVC STOMACH TUBE

EQSTF PVC Stomach Tube £18.50

SOFT EDGED SPOON

014703 Soft Edged Spoon - XSmall £21.00

014700 Soft Edged Spoon - Small £21.00

014701 Soft Edged Spoon - Large £21.00

014702 Soft Edged Spoon - Set of 3 £50.00

A favourite of Rob White this angled Allis has 4 into 5 teeth at the tip and isangled mid shaft. The kink in the shaft of the Allis allows use in the upperairway and pharynx without obstructing other instrumentation. Note thelength is longer at 200mm than the standard Allis.

Angled Allis Tissue Forceps

ANGLED ALLIS TISSUE FORCEPS 4/5 TEETH

801161 Angled Allis Tissue Forceps, 4/5 Teeth 200mm £42.50

Anal Sac Kit

Removal of diseased anal sacs can be quite difficult as it can be hard todistinguish the sac from the surrounding tissues. Filling the sac with a lightcoloured wax makes the dissection much easier. The gel pack is warmedto liquefy the contents which are then injected into the anal gland via theduct using the blunt ended needle provided.

ANAL SAC KIT

273570 Anal Sac Kit £105.00

273580 Anal Sac Gel (8) £39.50

273590 Anal Sac Needles (8) £29.50

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These small animal feedingtubes are useful in longerterm nasogastric nutritionalsupport. Transparent plasic.Rounded closed tip with twoopposing lateral eyes. Luersyringe connector withattached plug. Suppliedsterile in packs of 5.

OESOPHAGOSTOMY TUBE SYSTEM

VC810 Oesophagostomy Kit (inc 10 tubes) £235.00

VC800 Tube Applicator only £150.00

2112409 Oesophagostomy Tubes (pack 10) £125.00

CDOES CD Showing Procedure £FOC

BROES Detailed Brochure of the Procedure £FOC

Placement of an oesophagostomy tube is a regular requirement inveterinary practice. Good indications include head trauma, anorexiathrough illness, or nutrition of trauma patients. Designed and developed byDr Von Werthern the kit simplifies the placement of an oesophagostomytube. The probe locates the correct position for the incision. Cutting ontothe probe simplifies the oesophagostomy. The channel in the probe directsthe oesophagostomy tube down the oesophagus. The tube is marked toindicate depth and has a radio opaque line along its length to enable thesurgeon to check positioning. The tube is 50cm long and 4.8mm / CH.15 indiameter and supplied in individual sterile packs.The cap is a two partdevice allowing administration of food via a cather mount syringe and othermedications via a standard luer syringe.

Supplied with full instructions and a procedural video. The kit comprisesthe introducer and 10 oesophagostomy tubes. The video may be viewed atwww.vetinst.com/videos.The procedural instruction sheet may bedownloaded as a pdf from www.vetinst.com/docs

Oesophagostomy Tube System

SMALL ANIMAL NASOGASTRIC FEEDING TUBE

014041 Cats and Small Dogs 5Fr x 37cm £11.50

014042 Small / Medium Dogs 8Fr x 37cm £11.50

014043 Medium / Large Dogs 5Fr x 99cm £11.50

014044 Large Dogs 8Fr x 105cm £11.50

Small Animal Nasogastric Feeding Tube

The placement of oesophagostomy “E” feeding tubes is a growing modalityin small animal medicine. Many “E” tubes have been successfully in placefor years on some patients. The challenge of the “E” tube is its care andmaintenance. The Kitt “E” Kollar was designed as a sensible solution to theeveryday patient management of the “E” tube. The adjustable collar fitssecurely around the animal’s neck. It has a small hole for the “E” tube topass through. A velcro strap secures or holds the “E” tube flat when not inuse. Circular cotton pads with a center hole are provided to be placedbetween the collar and the skin. They protect the wound and absorbdrainage eliminating the need for owners to learn bandage techniques orrepeated clinic visits for rebandaging. These small animal feeding tubesare useful in longer term nutritional support.

Machine washable collars provides cleansing of stoma site.

- Easy application and removal.

- Protected against accidental removal.

- Decreases the risk of wound trauma such as scratching.

- Can leave in place for radiographs, chemo, MRI, and other procedures.

- Works for most brands of “E” tubes.

Includes six protector pads and laminated instruction card.

KITT “E” TUBE KOLLAR

KTK-PF Petite Feline £17.50

KTK-F Feline £17.50

Kitt “E” Tube Kollar

Speculum is useful for passing stomach tube in the conscious patient. Thespeculum is held in check by the canine teeth going through the two holes.Made of hardened Nylon. Can be cold sterilised for re-use. Available in 3sizes or as a discounted set.

Feline/small dog 6mm opening will accept tubes up to18Fr

Medium dog 9mm opening will accept tubes up to 27Fr

Large Dog 9mm opening will accept tubes up to 28Fr

STOMACH TUBE SPECULUM

014045 Stomach Tube Speculum Cat/Small Dog £9.75

014046 Stomach Tube Speculum Medium Dog £9.75

014047 Stomach Tube Speculum Large Dog £9.75

014SET Stomach Tube Speculum Set £25.00

Stomach Tube Speculum - Feline / Canine

Chapter 10

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HEAD & NECK SURGERY 10

Surgery of the upper airway is both a rewarding and challenging part ofthe portfolio of the soft tissue surgeon. These surgeries have thepotential to transform the lifestyle of the patient, but can also cause lifethreatening complications. For them to be performed with a good chanceof success, four factors should be available within the clinic: anexperienced and trained surgeon, a well equipped operating theatre,post operative nursing care and the correct instrumentation. Absence ofany of these will jeopardise the outcome of the surgery. Particulartheatre requirements are excellent illumination (with ceiling lights and asurgical headlamp), positioning aids and surgical suction (a Frazier tiphas wide application in ENT and oral surgery).

Reflecting on the surgeries most often performed, the two commonestconditions managed in the dog are laryngeal paralysis andbrachycephalic obstructive airway syndrome (BOAS). Laryngealparalysis remains an underdiagnosed disease in the opinion of manyspecialist surgeons. Some practitioners make the diagnosis frequentlyand make frequent referrals, whilst others rarely recognise the diseaseat all: this suggests that some clinicians are more aware of the typicalclinical presentation than others. Numerous surgical procedures havebeen described to address the obstruction of laryngeal paralysis, but aunilateral laryngoplasty is considered the most appropriate. In the handsof experienced surgeons, a successful outcome is expected in 90% ofdogs (the outcome in cats, which are affected much less commonly, issomewhat poorer).

Upper Airway Surgery in the Dog and CatAlasdair Hotston Moore MA VetMB CertSAC CertVR CertSAS CertMEd MRCVS Bath Veterinary Referrals

Key equipment requirements for this surgery are self retaining retractors(Gelpi pattern), reliable ratcheted needle holders (high quality Mayopattern) and of course a laryngoscope. For post op care, a suitabletracheotomy tube must be to hand. In the typical larger dog, disposabletracheotomy tubes are suitable.

Surgical procedures for the components of BOAS include rhinoplasty forstenotic nares, soft palate resection, removal of everted ventricles andpermanent tracheostomy for intractable laryngeal collapse. Rhinoplastyis straightforward and requires no special care, although the exacttechnique that should be used is somewhat controversial. Soft plateresection is reasonably straightforward. Although a technique to boththin and shorten the palate has been described recently, a simplershortening technique has been widely used for many years andproduces excellent outcomes in the majority of patients. Again, severalvariations on this technique have been described, but the use of theLane palate forceps is highly recommended.

Application of these, followed by resection and oversewing makesassessment of the extent of resection more reliable than simpleresection, reduces intra-operative haemorrhage and stabilises the palateduring suturing. For dogs with laryngeal collapse, partial laryngectomywas suggested historically but this technique is no longer widely usedbecause of poor outcomes. Permanent tracheostomy however can beextremely useful, for dogs with severe respiratory disablement.Whenever BOAS surgery is performed, the clinic should be prepared fortracheotomy tube placement. Unfortunately, the widely available plastictracheotomy tubes are unsuitable for small breed dogs (e.g. Pugs) andcats, since the relative size of the lumen is too narrow and prone toobstruction. The Veterinary Instrumentation metal tubes are ideal forthese patients.

Fig 1: Careful placement of Gelpi retractors provides excellentexposure during layngoplasty. Two sutures have been placedhere (arytenocricoid and arytenothyroid) and the medial aspectof the arytenoid cartilage is exposed to show how the suturesholes are spread over the articular cartilage, to reduce the risk offragmentation.

Fig 2: Bulldog during palatoplasty.Attention to patientpositioning makes thesurgery morestraightforward. Provisionof an aseptic field is notgenerally practical for thistype of surgery. Thesurgeon is using the Lanepalate forceps (althoughobtaining photographs ofthe way in which these areplaced is almost impossible:line drawings are found inUK Vet Companion Animalvolume 14 issue 8).

Fig 3: Tube tracheotomy in a cat following surgery for laryngealparalysis. A metal tube offers a much wider lumen relative to itssize than a disposable plastic tube and has a inner sleeve thancan be removed and cleaned.

Surgical diseases in the cat are rather less common and more diverse.Laryngeal diseases of various types are reported (e.g. neoplasia,inflammatory disease, paralysis). Cup biopsy forceps are useful tocollect biopsies per os in cases of uncertainty. However these cases aremanaged, again the clinic should have suitable tracheotomy tubesavailable as a precaution, since laryngeal obstruction can occur evenafter biopsy. Nasopharyngeal obstruction is a more commonpresentation however, due to nasopharyngeal foreign bodies,nasopharyngeal polyps or (rarely) nasopharyngeal stenosis. Mostforeign bodies (typically blades of grass) can be retrieved with forceps:the small right angled forceps designed for thoracic surgery areparticularly helpful for exploration of the nasopharynx. The same forcepsare also ideal for traction of nasopharyngeal polyps and stretching openof the strictures seen in feline nasopharyngeal stenosis.

Airway surgery is an interesting clinical challenge. The potential for postoperative complications, such as worsening respiratory obstruction,should prompt the surgeon to plan carefully, ensuring the necessaryequipment and aftercare is provided for the best outcomes.

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10 HEAD & NECK SURGERY

Airway Surgery

SOFT PALATE CLAMP

014040 Soft Palate Clamps Large 26 x 12mm 170mm £105.00

014050 Soft Palate Clamps Small 18 x 7mm 170mm £105.00

Soft Palate Clamp

An overlong palate is a common cause of dyspnoea in the brachiocephalicdog. Shortening the soft palate in an atraumatic manner provides almostimmediate relief.

The Soft Palate Clamp was designed by Geoff Lane FRCVS.

The jaws have a special atraumatic grip to hold the very slippery soft palate.TRACHEOSTOMY TUBE

014070 Tracheostomy Set (Silver Plate) (6,8,11) £275.00

014071 Tracheostomy Tubes 6mm (Silver Plate) £100.00




Tracheostomy Tube

Where temporary or permanent upper airway obstruction occursplacement of a tracheostomy tube is a life saving procedure. Our tubes aresilver plated with a removable lining for easier cleaning.

Metal tubes have a much thinner wall than plastic tubes. This becomesparticularly critical in smaller patients.

SATINSKY CLAMP



BUSTER STARLIGHT DIAGNOSTIC SET

270500 Buster Starlight Diagnostic Torch 155mm £47.50

Satinsky Clamp

Useful for intra-thoracic surgery, trimming soft palates and even ears.Atraumatic design maximises haemostasis and minimises trauma.

TONSILLECTOMY CLAMP

014038 Tonsillectomy Clamp (right angle) 190mm £47.50

014039 Tonsillectomy Clamp (curved) 190mm £47.50

Tonsillectomy Clamp

The standard Negus clamp may be used in pairs for soft palate resection.A right angled version designed by Stephen Baines at the RVC is alsoavailable.

Although wall thickness doesrestrict air flow in the smallestsize, the disposabletracheostomy tube can be a lifesaver.

Tracheostomy Tube Disposable

TRACHEOSTOMY TUBE DISPOSABLE

014076 2.5mm internal dia 4.0mm external dia £31.50




TRACHDISPSET Set of 4 Tracheostomy tubes disposable £115.00

Actual Size

Buster Starlight Diagnostic Set

A simple torch based set for easy intubation.

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HEAD & NECK SURGERY 10www.vetinst.com

SOFT TISSUE BIOPSY FORCEPS

014087 Cup Biopsy Forceps 2mm dia. shaft 75 x 3.6mm £120.00

014087A Cup Biopsy Forceps 2mm dia. shaft 100 x 3.6mm £125.00

014088 Cup Biopsy Forceps 3.5 x 8mm shaft 105 x 5.6mm £130.00

MINI GELPIS

0013301 Gelpi Mini Flat (45mm spread) 90mm £90.00

0013302 Gelpi Mini Curved (45mm spread) 90mm £90.00

Designed to take samples of soft tissue masses from the ear or viathe mouth.

Fits down all usual aural speculae.

Two sizes for most patients.

014088

8mm x 3.5mm bite

Soft Tissue Biopsy Forceps

Actual S

ize

Ideal for retraction in and around small joints or in very small patients. Thecurved version allows slightly deeper retraction.

Mini Gelpis

Flat

Curved

Surgical management of aural haematomas is a common procedure inveterinary practice. Once drained the haematoma must be prevented fromfilling up again. In addition the layers of skin and cartilage must besupported during the healing phase to prevent the development of acosmetically unacceptable crumpled ear flap.

Historically thelayers arestitched,sometimesalone but alsousing buttons orxray film tospread thepressure evenlyto restore the ear to as normal a state as possible.

Nick Hart, aveterinarypractioner, hasspent a numberof yearsdeveloping adedicatedsystem which

makes the procedure straight forward. The system comprises a pair ofclamp forceps which apply a fenestratedplastic implant under controlled pressurewhich is then stitched into place.

Once the haematoma has been removedfrom the ear the pinna pads are insertedinto the forceps which then applied toeither side of the pinna. The amount ofpressure is controlled using a thumbscrew on the forceps. Too much pressurewill cause necrosis, too little will allow re-filling. The suture needle and material of choice is passed through theholes in the pad and tied off in the usual way. The holes are unevenlysized to ease the passage of the needle which is enters through thesmaller hole and exits the larger hole on the ‘blind side’. The pads need tobe loaded into the forceps accordingly. The forceps are then removedleaving the pair ofpads stitched inplace. The processis repeated asnecessary.

Hart Pinna Haematoma System

HART AURAL HAEMATOMA SYSTEM

014600 Hart Haematoma System (Forceps plus 24 implants) £125.00

014601 Spare Implants (pack 12) £30.00

014602 Spare Implants (pack 24) £48.00

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10 HEAD & NECK SURGERY

CANINE EAR LOOP

012526 VI Canine Ear loop 170mm £29.50

012528 Flexible Ear Loop (cat/small dog size) 160mm £34.00

012529 Flexible Ear Loop (medium/large dog size) 160mm £34.00

AMJ772 Canine Ear Model (x-section) £87.50

CANINE EAR LOOP

EW915 EarWick 9mm Diameter x 15mm Length £36.50

EW924 EarWick 9mm Diameter x 24mm Length £42.50

Removal of hard wax and other debris from the canine horizontal canalwithout causing trauma is a common problem in veterinary surgery.

It is now accepted that the use of ear loops is more effective than cottontipped products. Most human ear loops are too large and too short for usewith the much longer veterinary speculae.

Veterinary Instrumentation's Canine Ear Loop is slimmer and longer tofacilitate debris removal without obscuring the visual field. The flexible earloop is very fine and flexible for added safety. It is not cheap but shouldlast a lifetime.

Also illustrated is the Canine Ear Model, a valuable aid when explainingaural problems and procedures.

Canine Ear Loop

AbsorbENT™ Ear Wick

Malleable Instrument Set

CROCODILE FORCEPS

014091 Extra Fine Croc Forceps Tubular Shaft 3” £65.00




014094 Aural Crocodile Forceps Standard Jaw (3” shaft) £47.50



Crocodile ForcepsExamination of the external ear is anessential part of any investigation of otitis.Heine equipment is unrivalled for quality ofmanufacture and optics. See chapter 20Diagnostics. Removal of foreign bodies,particularly grass seeds, is achieved usinglong crocodile forceps. Available intraditional designs or as a fine tubularshaft design.

Ear wicks have been around fora long time in human medicine.AbsorbENT™ Ear Wick isdesigned as an aid in thetreatment of Otitis Eterna. Whenliquid medication (antibiotic orcorticosteroid) is applied to thesterile, compressed sponge, itgently and evenly expands to fillthe ear canal, dispersing themedication and applying gentlepressure to the tissue. Availablein 2 lengths, in packs of 10.

Fine Tip

Regular Tip

Not A

ctual Size

MALLEABLE INSTRUMENT SET

014098 Malleable Grasping Forceps 145mm shaft £110.00

014099 Malleable Biopsy Forceps 145mm shaft 2mm cup £110.00

012528 Malleable Ear Loop Curette 2.0mm diameter £34.00

012529 Malleable Ear Loop Curette 4.0mm diameter £34.00

014125 Malleable Instrument Set in Stainless Steel Case £245.00

Fully flexible instruments are difficult to control. Malleable instrumentsallow the tips to be positioned exactly where the surgeon needs them.The forceps are available as graspers or as biopsy forceps. Themalleable loops are available in two loop diameters 2mm and 4mm. Theinstruments may be purchased as a set in a stainless steel autoclavecase. The case comes free when purchased as a set.

FINE FLEXIBLE GRASPING FORCEPS

014067 Fine Flexible Grasping Forceps 160mm shaft £155.00

Fine Flexible Grasping Forceps

The fine flexible grasping forceps have a maximum diameter of 1.7mm andare therefore ideal for small working channels and speculae.

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HEAD & NECK SURGERY 10www.vetinst.com

BULLA OSTEOTOMY & TOTAL EAR CANAL ABLATION

684375 Langenbeck Retractor 6mm Blade 220mm £40.00




684395 Langenbeck Retractor 6mm Blade (extra long) 220mm £45.00

001330 Gelpi Self Retaining Retractor.180mm (120mm spread) £145.00

605355 Olsen Hegars 6 1/2” T.C. Jaws £80.00

342005 DeBakey Atraumatic Forceps 6 1/2” £40.00

6730/10 Lempert Rongeurs 190mm £90.00

782205 Volkman Single Ended Scoop 3mm 170mm £37.50



Bulla Osteotomy & Total Ear Canal Ablation

Lempert

Bulla osteotomy is greatly facilitated by specialised instruments. A rongeuris more effective than a curette. In addition a Penrose Drain may beneccessary. Consider 3mm Smith Kerrison spine punch forceps. Accessthe bulla using I/M pin or trephine.

PENROSE DRAINS

090168 Penrose Drain 1/4” 40cm/16” long sterile £3.50

090165 Penrose Drain 1/2” 40cm/16” long sterile £3.50

Penrose DrainsLatex rubber. Use to maintain drainage from infected wounds. Also useful to retract soft tissues such as blood vessels and nerves.

Actual S

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BULLA OSTEOTOMY RONGEURS

142280 Bulla Osteotomy Rongeurs 20cm 8” £185.00

The sclerotic bone aroundthe auditory meatus of thediseased ear is some ofthe hardest found in thebody. Total ear canalablation (TECA) requiresthat the rim of the meatusis nibbled away to ensurethat all skin is removed.The bulla rongeurs have asmall bite (3mm) but are relatively heavy in construction. The compoundaction allows the appropriate force to be applied without undue effort onthe part of the surgeon.

Bulla Osteotomy Rongeurs

MINI-FRIEDMAN

142501 Mini-Friedman Rongeur curved. 3mm bite £67.50

Mini-Friedman

Useful in bulla osteotomy.

Actual size

Successful Total Ear Canal Ablation (TECA) depends on the completeremoval of the ear canal including those parts of skin closely attached tothe auditory meatus. Curettage is rarely completely sucessful. Mostsurgeons elect to remove the rim of the meatus together with any skinusing rongeurs. Standard rongeurs with beak type jaws struggle to cut thevery hard sclerotic bone of the area unless they are so big as to obscurethe site of interest.

Kerrison type punch forceps are both small and powerful. The jaw designof V.I.’s TECA Kerrisons are designed for ear surgery. The tip of the insertis placed into the meatus and pushed against the rim. Closing the handlespunches out a small segment of bone / skin which is retained within theinstrument. The insert is designed to rotate 360 degrees within the handlewhile remaining fully functional allowing the surgeon to remove the wholemeatus rim without changing position or grip. The debris gradually movesup the self cleaning canal and may be removed when visible. The tips donot require cleaning after each bite as is the case with standard kerrisons.

Modular TECA Kerrison with 3 Inserts, Self Cleaning

TECA Total Ear Canal Ablation

MODULAR TECA KERRISON WITH THREE INSERTS 1.5, 2.5 & 3.5MM

014800 Modular TECA Kerrison with 3 Inserts £365.00

014801 Spare 1.5mm Inserts £75.00



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Beaver Type Handle (Swann Morton ‘fine’ series) - see page 224 for blades.

Ophthalmic Kit

The kit contains 10 instruments. All are contained in a stainless steel casewith a protective silicone lining which minimises damage to the delicateinstruments. As recommended by David Williams MA VetMB PhDCertVOphthal

Suitable for the following procedures:-

• Hotz-Celsus Entropion Surgery

• Stades Procedure for Entropion with trichiasis

• Lid Wedge Resection

• Khunt-Szymanowski Entropion Surgery

• Wyman Lateral Canthoplasty for Diamond Eye

• Lateral Canthoplasty

• Parotid Duct Transposition

• Conjunctival Flaps, Pedicle, Fornix Based

• Nictitating Membrane Flap

• Replacement of Prolapsed Nictitans Gland

• Correction of Scrolled Nictitans Cartilage

• Superficial Lamellar Keratectomy

• Primary Reconstruction of Corneal Penetrating Wound

• Corneoscleral Transposition Flap

Choosing ophthalmic instruments is very difficult, every surgeon seems tohave their own preference. Follow the advice of a surgeon you respect.

We will always exchange items if you make the wrong choice. There arehundreds of different styles to choose from. If you do not see what youwant we can get it for you. Phone or fax with item name or description.

Basic Ophthalmic Surgery Kit incl 10 instruments in case.As recommended by David Williams MA VetMB PhD CertVOphthal withstainless box 200mm x 100mm with integrated bacterial filter, a siliconefingered insert to prevent instrument damage and balloon cloth drape18" x 18".

OPHTHALMIC KIT

014130 When purchased separately cost £590 plus £455.00

Castroviejo Needleholders with catch straight

Steven’s Tenotomy Scissors

Colibri Tissue Forceps

Graefe Fixation Forceps 3.5mm

Roberts Tying Forceps

Castroviejo Corneal Scissors straight

Halstead Mosquito Forceps x 2 - (one curved and one straight)

Barraquer Wire Eyelid Speculum

Chapter 1111 TRAUMOPHTHALMIC

221

Eyelid - Speculae

DESMARRES EYELID RETRACTOR

014215-S Small 12mm wide 140mm £60.00

014215-M Medium 14mm wide 140mm £60.00

014215-L Large 16mm wide 140mm £60.00

Desmarres Eyelid Retractor

Lister Speculum

LISTER SPECULUM

014115 Lister Speculum 40mm gape, 80mm length £97.50

This speculum is adjustable and has a locking facility. The shape iscontoured for minimum interference with sutures and instruments.

This simple spring loaded speculum is ideal for most procedures whichdo not require a locking speculum. No protuberances to catch sutures.

Useful during wedge resections of eyelids

Speculum stretches and retains the eyelid prior to cutting

The blade cuts down onto the metal of the speculum which protectsthe eye.

Barraquer Speculum

BARRAQUER SPECULUM

014110 Barraquer Speculum large 30mm gape, 10mm ‘blade' £22.50

014112 Barraquer Speculum small 25mm gape, 5mm ‘blade' £22.50

JAEGER EYELID SPECULUM

014120 Jaeger Eyelid Speculum (Stainless) 100mm £36.50

014121 Jaeger Eyelid Speculum Insulated 110mm £62.50

Jaeger Eyelid Speculum

Corneal Forceps

ST. MARTIN'S CORNEAL FORCEPS

014160 St Martin’s Corneal forceps 90mm £49.50

The best value corneal forceps. Also useful as a fine rat tooth in otherdelicate procedures.

CASTROVIEJO’S CORNEAL FORCEPS

014190 Castroviejo’s corneal forceps 105mm £92.50

COLIBRI (BARRAQUERS) FORCEPS

014191 Colibri (Barraquers) forceps 75mm £92.50

Colibri (Barraquers) Forceps

This is the most well known of cornealtoothed forceps. There are many variations.This is the most typical.

Castroviejo’s Corneal Forceps

St. Martin’s Corneal Forceps

Graefe Iris Forceps

Iris Forceps

GRAEFE IRIS FORCEPS

014195 Graefe iris forceps Serrated 105mm £49.50

014196 Graefe iris forceps str. 1/2 teeth 105mm £49.50

Established in 1775 Dixey is one of the oldestcompanies in the world specialising in themanufacture and servicing of ophthalmicinstruments.

Veterinary Instrumentation is pleased to havebeen appointed Dixey’s UK Veterinarydistributor. Our ophthalmic section includes asmall selection of instruments selected with thepractioner in mind. Those surgeons with aparticular interest in opthalmology shouldrequest a copy of the Dixey catalogue whichillustrates thousands of instruments dedicated to surgery of the eye. Allare manufactured in Europe and conform to international standards.

Dixey’s craftsmen have accumulated generations of expertise and canrepair your worn or damaged instruments.

OPHTHALMIC 11www.vetinst.com

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11 OPHTHALMIC

Fixation Forceps

BARRAQUERS FIXATION FORCEPS

014201 Barraquers Fixation Forceps 105mm £92.50

Graefe Fixation Forceps

GRAEFE FIXATION FORCEPS

014162 Graefe Fixation Forceps 3.5mm jaws 105mm £92.50

Barraquers Fixation Forceps

Arruga Capsule Forceps

Capsule Forceps

Cilia Forceps

ARRUGA CAPSULE FORCEPS

014150 Arruga Capsule Forceps. 100mm £97.50

Castroviejo’s Cross Action Forceps

CASTROVIEJO’S CROSS ACTION

014155 Castroviejo’s Aross Action Capsule Forceps. 105mm £155.00

EPILATION FORCEPS

342450 Epilation forceps 90mm £29.50

Epilation Forceps

Castroviejo Needleholders

Needleholders

CASTROVIEJO

014175 Castroviejo’s Needleholders. with catch T.C. 150mm £115.00

014177 Castroviejo’s Needleholders. without catch T.C. 150mm £115.00

014178 Castroviejo’s Needleholders. with catch T.C. 180mm £115.00

The standard ophthalmic needleholder. The squeeze through action isawkward at first. All our Castroviejos have tungsten carbide jaws.

Foster Gillies & Miniature Foster Gillies

FOSTER GILLIES & MINIATURE FOSTER GILLIES

602700 Fosters T.C. (mini Gillies) 5.0" 125mm RH £115.00

602705 Fosters T.C. (mini Gillies) 5.0" 125mm LH £120.00

602710 Miniature Fosters T.C. (mini Gillies) 4.0" 100mm £90.00

This needleholder is a scaled-down version ofGillies and may, therefore, suit those familiarwith this commonly used scissors/needleholder.

Bennet’s Cilia Forceps

Favoured by some surgeons the circular tips give good focal grip ofindividual cilia.

BENNET’S CILIA FORCEPS

342460 Bennets Cilia Forceps 80mm £59.50

CASTROVIEJO NEEDLEHOLDERS/SCISSOR

014181 Castroviejo NH / Scissor 150mm Str TC £115.00

014182 Castroviejo NH / Scissor 150mm COF TC £115.00

014183 Castroviejo NH / Scissor 150mm Str S’Cut TC £120.00

014184 Castroviejo NH / Scissor 150mm COF S’Cut TC £120.00

Castroviejo Needleholders / Scissor

This instrument functions as a standard Castroviejo needleholder but thejaws incorporate a suture cutting function in the style of Olsen Hegars orGillies. Jaws are Tungsten Carbide for maximum grip. Available as TC andSupercut TC.

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Ryder (Micro) Needleholder

RYDER (MICRO) NEEDLEHOLDER

606340 Ryder (Micro) 12.5cm 5” T.C. Jaws £85.00

The Derf needleholder is a small TC needleholder with slightly heavierjaws than the Ryder. More resistant to surgeon abuse!

Derf Needleholder

DERF NEEDLEHOLDER

607010 Derf Needleholder 12cm TC Jaws £75.00

A small scale locking needleholder with tungstencarbide inserts. Ryders offer the occasionalophthalmic surgeon an alternative toCastroviejo’s.

Robert’s Tying Forceps

ROBERT’S TYING FORCEPS

014132 Robert’s Tying Forceps 100mm £49.50

Used in conjunction with the needleholders to tieknots in fine materials.

ScissorsPooley’s Conjunctival Scissors

POOLEY'S CONJUNCTIVAL SCISSORS

746350 Pooley’s Conjunctival Scissors 85mm £39.50

Strabismus Scissors

STRABISMUS SCISSORS

746900 Strabismus Scissors 9cm str. £21.00

747010 Strabismus Scissors 9cm cof. £21.00

746910 Strabismus Scissors 11cm str. £23.00

747020 Strabismus Scissors 11cm cof. £23.00

Stronger than corneal and conjunctival scissors,strabismus scissors are suitable for cuttingmuscles and skin.

Castroviejo Corneal Scissors

CASTROVIEJO'S CORNEAL SCISSORS

014210 Castroviejo Corneal Scissors cof. 115mm £110.00

014210S Castroviejo Corneal Scissors str 115mm £110.00

Squeeze action, very delicate scissorused to extend the stab corneal incision.Easily damaged.

Steven’s Tenotomy Scissors

STEVEN’S TENOTOMY SCISSORS

014108 Steven's Tenotomy Scissors Str 110mm £27.00

014108CV Steven's Tenotomy Scissors Cof 110mm £37.00

Iris Scissors

IRIS SCISSORS

744100 Iris Scissors 9cm str. £17.50

744120 Iris Scissors 9cm cof £20.00

744110 Iris Scissors 11cm str. £17.50

744130 Iris Scissors 11cm cof £20.00

744131 Iris Scissors Tungsten Carbide Str 120mm £34.50

Lightweight, ‘standard’ action scissor for conjunctivaand, less satisfactorily, the cornea. Very rarely usedon the iris in veterinary ophthalmology.

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CASTROVIEJO SUTURE REMOVAL SCISSORS

014185 Castroviejo Suture Removal Scissors 120mm £38.50

Castroviejo Suture Removal Scissors

Designed for the removal of very fine sutures the Castroviejo actionmatches that of the Castroviejo needleholders.

EYE ENUCLEATION SCISSORS

014225 Eye Enucleation Scissors 145mm £74.50

Eye Enucleation Scissors

Standard curved surgical scissors do not match the radius of the eye ofdogs and cats. The eye enucleation scissor closely matches requiredradius and slides easily behind the eyeball to cut the optic nerve andinternal opthalmic artery and vein, without the requirement to applydangerous traction to the globe. Use in conjuction with eye enucleationforceps, shown on next page.

Chalazion Forceps (Desmarres)

CHALAZION FORCEPS (DESMARRES)

014216 Chalazion Forceps (Desmarres) 3.5” £65.00

Halstead Mosquito Forceps

HALSTEAD MOSQUITO FORCEPS

103225 Halstead’s Mosquito Artry. Forceps 5" Cof. £23.50

103175 Halstead’s Mosquito Artry. Forceps 5" Str. £23.50

Miscellaneous

Swann Morton Fine Surgical Blades

SWANN MORTON FINE SURGICAL BLADES

05901 25 Blades individually packed SM61 £24.50





05906 25 Blades individually packed SM65a £24.50




06051 Fine Stainless Handle Beaver type 130mm £17.50



06054 VI Beaver Blade handle 130mm £12.00

Beaver type blades fit their own fine blade handle. They offer a range ofblade sizes appropriate to eye surgery.

Actual S

ize

Snellen’s Vectis

SNELLEN'S VECTIS

014101 Snellen’s Vectis 135mm £49.50

Use to apply pressure to globe to extrude lens rather than ‘fishing’ for itwithin the eye.

Kimura Spatula

KIMURA SPATULA

014103 Kimura Platinum Spatula 145mm £49.50

Use to apply pressure to globe to extrude lens rather than ‘fishing’ for itwithin the eye.

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Distichiasis Clamp

DISTICHIASIS CLAMP

014113 Distichiasis Clamp 170mm £125.00

Punctum Dilator

PUNCTUM DILATOR

014116 Nettleship Dilator (single ended) 100mm £33.50

014117 Castrovejo's Double ended Punctum Dilator 130mm £35.00

Harrison Butler Lachrymal Cannula

HARRISON BUTLER LACHRYMAL CANNULA

014221 Harrison Butler Lachrymal Cannula (curved) 40mm £23.00

Lachrymal Cannula Straight

LACHRYMAL CANNULA STRAIGHT

014222 Langs Cannula £23.00

014224 Lachrymal Cannula (straight) S/S £23.00

Rabbit Nasolachrymal Duct Cannulae

RABBIT NASOLACHRYMAL DUCT CANNULAE

012523 Nasolacrymal Duct 19 gauge £23.00

012524 Nasolacrymal Duct 21 gauge £23.00

012525 Nasolacrymal Duct both 21 & 19G £36.00

Very bright 3 LED light source poweredby three AAA bateries (supplied) whichlast up to 80 hours. The light is hingedat the headband for beam adjustment.

LED Head Torch

LED HEAD TORCH

014203 LED Head Torch 3 LED £31.50

EYE ENUCLEATION FORCEPS

014219 Eye Enucleation Forceps 135mm £62.50

014219L Eye Enucleation Forceps Large 155mm £67.50

It is very important to clamp and crush the optic nerve and internalopthalmic artery and vein. The curvature on standard artery forceps arenot correct and if used the handles stand up in the way. The enucleationforceps are designed to slide around the rear of the globe and capture theblood vessels. The jaws are then levered against the edge of the orbit toelevate the globe for ease of tying. The handles curve out of the way. Usewith eye enucleation scissors page 224. The large size is for cattle.

Eye Enucleation Forceps

Powerful LED Head torch delivering100lumens from one set of batteries (AAAsupplied) Bright single LED so useful forindirect ophthalmoscopy. (Multiple LEDs givemultiple images)The light has a 4 x zoomfocus plus the useful option of an infra redsensor switch which switches the light on oroff by simply passing your hand in front of thelight. Useful when scrubbed up but need totalk to staff or clients without blinding them.

LED Head Torch with Hands Free On/Off

LED HEAD TORCH WITH HANDS FREE ON/OFF

014230 LED Head Torch with Hands Free On/Off £45.00

This reasonably priced powerful 3 LED headtorch has the useful option of being worn back tofront which gives the surgeon the option of a lightbetween the eyes. Very useful when looking intoconfined spaces e.g. the mouth of a horse. Headtorches mounted on the forehead do not work forthis function as the light shines on the horse’smuzzle casting a shadow into the mouth.

3 LED Head Torch for between eyes

3 LED HEAD TORCH FOR BETWEEN EYES

014231 3 LED Head Torch for between eyes £16.50

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11 OPHTHALMIC

A simple loupe at areasonable price. The lack ofa complex lens systemmeans that as themagnification gets higher,the focal distance becomesshorter. This can take a littleadjustment as a surgeon.This 2.5X loupe is as great amagnification as you can getwithout becoming too closeto the patient.

Due to the myriad of different combinations of loupes, lights and powerpacks available, selection of an ideal loupe starter kit can seem daunting.To simplify the process Veterinary Instrumentation has put together astarter kit. To minimise cost the starter kit is supplied on a spectacle typeframe and utilises an LED head torch rather than a bespoke Loupe Light.Supplied with case.

Many other combinations of loupe, lights and power sources are shownoverleaf.

Magnifying Loupe 2.5X

Loupe Starter Kits

MAGNIFYING LOUPE 2.5X

014200 Magnifying Loupe 2.5X £65.00

014200SET Magnifying Loupe 2.5X + Visor Light (014200L) £100.00

Pen Torch

PEN TORCH

014213 Pen Torch 115mm £4.95

014214 Pen Torch (Six Pack) £18.00

Sealed disposable torch which lastsfor weeks provided you do not leaveit switched on! Pocket clip.

Magnifying Pen Torch (10 x Magnification)

MAGNIFYING PEN TORCH (10 X MAGNIFICATION)

014209 Magnifying Pen Torch 150mm £52.50

Good for seeing andtreating distichiasis andother periorbital lesions.Takes 2 AA batterieswhich are not included.

Visor light is a lightweight battery powered light,which illuminates the magnified viewing area.Mounts directly onto the Magnifying Loupe 2.5X

Visor Light

Heine C2.3X loupes plusLED head torch £375.00

VISOR LIGHT

014200L Visor Light (clip on) £45.00

VI BINOCULAR LOUPES

01425380 2.5X Binocular Loupe -380mm focal distance £575.00

01425430 2.5X Binocular Loupe -430mm focal distance £575.00

LOUPE STARTER KITS

LOUPEVAL340 Loupe 2.3X Starter Kit340mm Working distance £375.00

LOUPEVAL450 Loupe 2.3X Starter Kit450mm Working distance £375.00

Binocular LoupesVI Binocular Loupes

Excellent optics plus areasonable price makesthe 2.5X binocular loupe asensible purchase for anypractice.

• Lenses quickly adjustable for any user

• Lenses flip out the visual field when not required

• Lightweight pure titanium frames

• Prescription lenses available if required

• Supplied in quality aluminium case

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11 OPHTHALMIC

HEINE HR-C 2.5X BINOCULAR LOUPES

C-000.32.290 Loupes on S Frame in Case WD 340mm (1) £925.00

C-000.32.291 Loupes on S Frame in Case WD 420mm £925.00

C-000.32.265 Optics only in Case WD 340mm (2) £725.00

C-000.32.266 Optics only in Case WD 420mm £725.00

C-000.32.549 Professional Headband (3) £155.00

C-000.32.516 Lightweight Headband (4) £120.00

C-000.32.518 Universal Clip for Spectacles Cannot be used with Loupe Light £52.50

C-008.32.238 LED Loupe Light £695.00

C-008.32.376 LED Loupe Light with mPack LL and EN 50, Yellow Filter £1,450.00

C-008.32.379 LED Loupe Light with mPack LL and Plug in Transformer, Yellow Filter £1,125.00

HEINE C2.3 X BINOCULAR LOUPES

C-000.32.039 Loupes on frame with case WD 340mm (1) £345.00

C-000.32.202 Loupes on frame with case WD 450mm £345.00

C-000.32.230 Headband Loupe in case WD 340mm (2) £395.00

C-000.32.231 Headband Loupe in case WD 450mm £395.00

C-008.32.235 C Series Economy Loupe Light £235.00

X-001.99.118 Standard N Battery Handle £65.00

X-002.99.495 NT300 Rechargable Charger £225.00

X-002.99.411 Rechargable Handle £135.00

LOUPEC1 C Series Starter Kit (Loupe on Headband and Loupe Light) £625.00

LOUPEC2 C Series Starter Kit with power source (Headband Loupe, Loupe Light, Power Source (Battery Handle) £675.00

LOUPEC3 C Series Starter Kit with rechargeable power source (Loupe on Headband, Loupe Light, Power Source and Charging Unit(Rechargeable handle) £950.00

The Super compact HR-C offers high quality at good pricing. Available onan S Frame, headband or to be fitted to spectacles.

Optics can be fitted to most spectacles using a universal clip. Please notewhen optics are fitted to spectacles, a loupe light cannot also be fitted tothe spectacles. A separate headband, either lightweight or professional, tohold the light will be needed.

Featues:Modern, Compact DesignSuper Light Weight (48g including frame)Colour Correction and excellent Depth of Focus. Precise Optical Adjustment. Water and Dust Resistant. Working Distance of either 340mm or 420mmOptics can be fitted to most spectaclesSet includes 2 sterilisable swivel levers, retaining cord and cleaning fluid

Heine C 2.3x

German optics are the best. Being able to see exactly what you are doingis half the battle with micro-surgery. Each eyepiece contains a number oflenses which means that a high magnification of the operating field ispossible while maintaining normal position of the head relative to thepatient, i.e. a focal distance of between 340 to 420mm. There are anumber of variables to think about.

• Magnification. 4X is as high as one should go. 2.5X is the most common.

• Working Distance.Choose between 340mm and 420mm whatever is normal for you.

• Spectacle type frame(you can fit your own prescription lenses) or head band.

The entry level loupe from Heine. Cost effective and economical.Available on a frame or lightweight head-band. Cannot be fitted tospectacles. Supplied as shown above in a plastic carry case. The CSeries Economy Loupe Light can be fitted to the head band but not frame.If you are looking for a cost effective loupe and light, the head band andlight is the solution for you. The C Series economy loupe light can also bepowered by all Heine battery and rechargeable handles rather thanrequiring a specific battery.

Choose between 340mm and 450mm working distance.

FeaturesCrisp, clear images. Flexibility for precise adjustment. Low profile design. Super lightweight and comfortable — only 46 g. The ideal all-purpose loupe.

Heine HR-C 2.5x Binocular Loupes

Loupes from £345Loupes with light from £625

Loupes, light and power from £675

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HEINE HR 2.5X AND HRP 3.5 AND 4X BINOCULAR LOUPES

C-000.32.355 2.5x SET A WD 340mm £1,075.00

C-000.32.365 2.5x SET B WD 340mm £1,075.00

C-008.32.355 2.5x SET C WD 340mm £2,350.00

C-000.32.356 2.5x SET A WD 420mm £1,075.00

C-000.32.366 2.5x SET B WD 420mm £1,075.00

C-008.32.356 2.5x SET C WD 420mm £2,350.00

C-000.32.430 3.5x SET A WD 420mm £1,325.00

C-000.32.440 3.5x SET B WD 420mm £1,325.00

C-008.32.430 3.5x SET C WD 420mm £2,550.00

C-000.32.431 4x SET A WD 340mm £1,300.00

C-000.32.441 4x SET B WD 340mm £1,300.00

C-008.32.431 4x SET C WD 340mm £2,550.00

C-008.32.236 LED Loupe Light £695.00

C-008.32.375 LED Loupe Light with mPack LL and EN 50, Yellow Filter £1,450.00

C-008.32.378 LLED Loupe Light with mPack LL and Plug in Transformer, Yellow Filter £1,125.00

POWER SUPPLIES

X-007.99.660 mPack LL with Lithium Battery Packand Transformer. (17hr) £385.00

X-007.99.671 mPack LL with Lithium Battery Pack.without Transformer. (17hr) (1) £345.00

X-095.16.315 Transformer for mPack LL £85.00

X-095.17.300 EN50 Base Unit + Charging Station (2) £345.00

HEINE LED LOUPELIGHT

C-008.32.236 LED Loupe Light for HR and HRP (1) £695.00

C-008.32.238 LED Loupe Light for HR-C (2) £695.00

C-008.32.375 LED Loupe Light for HR and HRPwith mPack LL and EN 50, Yellow Filter £1,450.00

C-008.32.378 LED Loupe Light for HR and HRP with mPack LL and Plug in Transformer, Yellow Filter £1,125.00

C-008.32.376 LED Loupe Light for HR-C with mPack LL and EN 50, Yellow Filter £1,450.00

C-008.32.379 LED Loupe Light for HR-C with mPack LL and Plug in Transformer, Yellow Filter £1,125.00

Everything you require in a convenient set. Available as a complete set in2.5x, 3.5x or 4.5x with working distance of either 340mm or 420mm.

SET AOptics, S-Frame with i-View loupe mount for HR 2.5 x or 3.5x or 4.5loupes, detachable protective lenses,2 sterilisable swivel levers, retainingcord, cleaning fluid, carrying case.

SET BOptics, Professional L Headband with i-View loupe-carrier for theprofessional headband, S-Guard splash protection, detachable protectivelenses, 2 sterilisable swivel levers, cleaning fluid. Loupelight not included.Options shown at bottom of table

SET COptics, S-Frame with i-View loupe-carrier, detachable protective lenses, 2sterilisable swivel levers, retaining cord, cleaning fluid, carrying case, LEDLoupeLight, mPack LL, EN 50.

Features: The Crispest Image with Colour Correction. Super-Wide, Super-Deep Field of View.Dust and Water Resistant. Flexibility for Precise Adjustment. Working distance of either 340mm or 420mmSuper Light. HR optics weigh only 42 gramsOptics cannot be fitted to spectacles

Advanced LED technology

40.000Lux at a working distance of 250mm

50,000 hours operating life

Compact and lightweight (24g)

Full portable with mPackLL

Individual adjustment of the angle of view

Heine HR 2.5x and HRP 3.5x and 4x Binocular Loupes

Power Supplies

Heine LED LoupeLight

(1) (2)

(1) (2)

(Set A)

(Set B) (Set C)

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11 OPHTHALMIC

Ophthalmic DiagnosticSchiotz Tonometer with Weights

SCHIOTZ TONOMETER WITH WEIGHTS

581500 Schiotz Tonometer, inclined scale, in case £195.00

Used to measure intra-occular pressure. Surprisingly well tolerated bypatients. Contains full instructions for use.

TonoVet

TONOVET

581600 TonoVet Kit £2195.00

581610 TonoVet Probes (100) £125.00

CDT0N0 Free procedure CD rom £FOC

Placing the sterile tip on the cornea generates a digital pressure reading.Supplied in aluminium carrying case together with 100 probes. Furtherinformation, including published papers are available on request.

TonoVet is based on a new ‘induction impact principle’, where an ultra lightprobe touches the cornea very gently. As such, no topical anaesthetic isrequired. Usually the animal does not even notice so sedation is seldomneeded.

The clear benefit compared to the ‘pen’ type tonometer is TonoVet’s lowforce on the eye. The probe weight is a mere 26.5mg with a contact time of0.3 millisecs. The ‘pen’ type probe actually bends the cornea.

In practical terms this means that intra-occular pressure can be measuredby the Tonovet within an hour of surgery. With ‘pen’ types you have to wait4 to 5 hours.

Uses standard AA batteries. c.f. the custom expensive ‘pen' type ones.

Finhoff Transilluminator Heine

FINHOFF TRANSILLUMINATOR HEINE

C-001.17.080 Finhoff Transilluminator 2.5v £85.00

C-002.17.080 Finhoff Transilluminator 3.5v £95.00

X-001.88.077 Spare 2.5v bulb £25.00

X-002.88.078 Spare 3.5v bulb £25.00

For scleral transillumination.

Indirect Viewing Lens

INDIRECT VIEWING LENS

C0017992 Indirect Viewing Lens £82.50

Aspheric 20 diopter handheld lens. Cost effectivemethod for examining thefundus. Supplied withstorage bag.

Beta 200 Ophthalmoscope Heine

BETA 200 OPHTHALMOSCOPE HEINE

C-001.30.100 BETA 200 head (no handle) 2.5v £265.00

C-002.30.100 BETA 200 head (no handle) 3.5v £265.00

X-001.88.069 Spare 2.5v bulb £25.00

X-002.88.070 Spare 3.5v bulb £25.00

The separation of the illumination and observation beam avoids bothcorneal and iris reflex. The BETA 200 allows you to view the whole of theilluminated section of the retina even with a small pupil. You will need ahandle or other power source see page 304.

231


IndirectOphthalmoscopes HeineMonocular Hand Held

MONOCULAR HAND HELD

C-002.33.001 Monocular Hand HeldIndirect Ophthalmoscope 3.5v £525.00

C-004.33.001 Monocular Hand HeldIndirect Ophthalmoscope 6v £545.00

• Built-in interference free red filter

• Durable metal construction

• Adjustable light beam

• +3D lens attachment

• Can be updated to binocular version (see below)

• Requires power source either 3.5v handle or 6v transformer see page 304

Binocular Hand Held

BINOCULAR HAND HELD

C-002.33.002 Binocular Hand Held Ophthalmoscope 3.5v £1,050.00

C-004.33.002 Binocular Hand Held Ophthalmoscope 6v £1,050.00

C-000.33.106 Binocular Convertor for Monocular indirect £575.00

• PD selection 54 to 74mm

• Quick and easy to adjust

• Multi coated lenses

• Requires power source either 3.5v handle or 6v transformer see page 304.

Sigma Spectacle Type

SIGMA 150 SPECTACLE TYPE

C-004.33.350 Sigma 150 with ‘S’ Frame without power source £925.00

X-007.99.660 Pack LL with Lithium Battery Pack and Transformer £395.00

• 6v 5w halogen bulb.

• 90g comfortable (without frame).

• Integral red-free and cobalt blue filters.

• 2D and plain lenses supplied.

• Optics swivel out of line of vision.

• Requires power source.

Heine Portable Slit Lamp HSL

HEINE PORTABLE SLIT LAMP HSL

C-001.14.602 2.5v HSL 100 Slit lamp £545.00

C-002.14.602 3.5V HSL 199 Slit lamp £545.00

• At 70 grams the lightest slitlamp of its kind.

• 6X magnification with 20Dloupe.

• Slit adjustable from 0.2mmx 10mm to 4mm x 14mm.

• Blue interference filter(FITC) can be combined.

• Multicoated optics formaximum lighttransmission.

• Use any Heine 2.5v or 3.5vsource (not included - seepage 304).

The specialist's instrument ofchoice. Turns the eye into awork of art.

Chapter 12

232

12 DENTAL MACHINES

Veterinary Instrumentation is very pleased to have been appointedexclusive UK distributor for Midmark. The Midmark family also includesthe Matrx range of Anaesthesia machines and Cardell monitors. With over90 years of healthcare manufacturing and clinical use experience,Midmark are recognised as leaders in veterinary dentistry, anaesthesiaand monitoring.

VETERINARY DENTISTRYVeterinary dentistry, in many practices, remains an unglamorous cousin to‘real’ veterinary surgery. In fact good dental health contributes hugely toany pet’s well being. Veterinary dentistry should also be making asignificant contribution to the financial well being of any practice. Dentistryis one of the few areas where there is potential for expansion. A briefexamination of the mouth of most pets will reveal teeth which needattention. Owners are very familiar with the concept of routine check upsand dental work.

Dental equipment is not hugely expensive when compared to much othercapital equipment and unlike many other practice investments dentalequipment quickly pays for itself.

As a minimum every practice should have an ultrasonic scaler andpolisher. Scaling without polishing is generally regarded as bad practice.There is, however, more to dentistry than scaling and polishing and mostpractices wishing to offer a full service will want to invest in a moresophisticated machine.

Within this section of the catalogue you will find a range of dentalequipment from a simple piezo ultrasonic scaler to the new fully featuredMidmark machine.

Some dental units are supplied with integrated suction driven by theventuri effect using compressed air. In our experience this type of suctionis very hungry on air necessitating a large, expensive compressor. Inaddition the nature of the suction tubes of venturi type are difficult to cleanand sterilise. Stand alone suction units are inexpensive and much moreefficient plus they can be used elsewhere in the clinic. See chapter 21page 312-312.

Air Driven Dental Units

To obtain the truly high speeds required for drilling and burring an airdriven dental unit is necessary. Veterinary Instrumentation can supply twolevels of air driven dental machines. The Midmark VetProTM 1000 is state ofthe art with exclusive oil-free technology, whilst the VeterinaryInstrumentation Minicart is a straightforward unit containing all theessentials of an air driven dental machine. Both are offered as a completeset up for cutting and polishing but can be modified by the addition offurther handpieces and accessories.

Air Driven Dental Units

VetProTM 1000

SERVICING AND SUPPORT

Veterinary Instrumentation offers national coverage for servicing andrepairs through its network of authorised dental engineers.

To arrange for an engineerto visit please identify yourregion (Number 1-9 on themap) and call

(0845) 130 9596)

If possible please describethe nature of the fault, thebrand / type of machineand the date of purchase.

233

DENTAL MACHINES 12www.vetinst.com

VetProTM 1000Introducing the VetPro™ 1000 Mobile Dental Delivery System fromMidmark. Our exclusive, oil-free technology means there is no oil tocontaminate your handpieces, providing a clean, dry, aseptic workenvironment for you, your staff and your patients. And best of all...no moreoil changes. That’s better for your staff and better for the environment.

Integrated oil free compressor means no worries because it eliminatespotential oil exposure to patients and messy changes! You will also beinvesting less often in handpiece replacement with no degradation from oilcontamination.

Handpieces automatically activate when removed from holders allowingyou to focus on the client. You can switch from handpiece to handpiecewithout touching a button — the unit will automatically adjust as thehandpiece is lifted from its cradle.

High and low speed handpieces included.

Integrated Piezo Scaler also included which saves valuable space andimproves efficiency during the procedure.

Standard Midwest 4-Hole connection type.

Quiet — Compressor has a sound level of 40dB.

Optional fibre optics enables proper lighting.

Quickly toggle between the dual 1-litre water bottles with a flick of a switchwithout de-pressurizing the system.

External quick connects for water and air make setup easy.

Medical grade castors and 3m hospital grade power cord allow you toposition the cart where you need it.

Durable construction. Its durable construction withstands the rigors oftenfound in clinical settings. The VetProTM 1000 has a completely enclosedsystem to protect internal mechanics from contaminants and animal hair,made from a sturdy ABS plastic to withstand the strains caused byfrequent usage.

Dimensions 47cmD x 59cmW x 93cmH

Supplied with

High speed Miniature Head

Little Pro Hygiene Low Speed Handpiece

Autoclavable Prophy Angle

VetPro Bur Starter Kit

Acteon Satelec Scaler & tips MID016-1203-00, 03, 04 & 01

Handpieces

A quiet handpiece, weighted and balanced for improved feel. 350,000RPMs’s at 32 PSI. Autoclavable. Supplied with a 6 month warranty.

*Carriage Extra

VETPRO 1000

MID8000-005 VetPro 1000 with integratedScaler* £4,350.00

MID8000-006 VetPro 1000 with integrated Scaler and Fibre Optics* £4,950.00

HIGH SPEED HANDPIECES

MID002-1155 High Speed Miniature Head £245.00

MID002-1157 High Speed Fibre Optic £395.00

Acteon Satelec Scaling Tips

These corrosion resistant scaling tips are made exclusively by Satelecusing patented procedures. Each tip is individually tested and ‘tuned’enabling more powerful cavitation, better spray control and perfectly-controlled vibration energy at the end of the instrument.

ACTEON SATELEC SCALING TIPS

MID016-120300 Universal, Tip No. 1 £70.00

MID016-120303 Voluminous Calculus, Tip No2 £70.00

MID016-120304 Shallow Pockets, Tip No.10P £70.00

MID016-120301 Subgingival, Tip No. 10Z £70.00

MID016-120302 Periodontics, Micro Universal Curette, Tip No.3 H3 £90.00

A highly versatile low speed handpiece. Accepts disposable or metalprophy angles and straight handpiece burs. Range 0-5000 RPM at 40-45PSI. Nonreversible. Supplied with a two year warranty.

Other Handpieces and accessories are shown on Page 235-236.

LOW SPEED HANDPIECES

MID002-1156 Little Pro Hygiene £435.00

MID002-1159 Autoclavable Prophy Angle £27.50

P464 Prophy Cups (x144) Snap On £9.50

234

12 DENTAL MACHINES

VI Mini Cart

New for 2012 the VI Mini Cart has been redesignedand improved.

Supplied as a complete package the Veterinary Instrumentation Mini Cartincludes all the essential elements for a veterinary air unit. Made in the UKto our specification and incorporating a Bambi medical standardcompressor.

The standard Mini Cart is supplied with the following handpieces: Pushbutton highspeed, low speed motor, polishing attachment and pack ofprophy cups. Both handpieces are controlled via the foot control. Manyother handpiece options are available to fit the standard outlets.

The inside of the dog or cat’s mouth isrelatively dark. It is difficult to set upancillary lighting to get light to where youneed it (c.f. human dentistry). Fibre opticsdeliver brilliant light exactly where youneed it. The fibre optic version of theMiniCart includes fibre optic light to thehigh speed handpiece.

Magnetic Bur ZoneThe tray has a nice lip to retainelevators and burs etc but thefront left hand corner ismagnetised to attract and keepall your burs and scaler tips inone place.

Pressurised Water Outlet forScalersFor your convenience to therear of the unit there is a wateroutlet which is connected up tothe pressurised water coolingsystem of the MiniCart. Simplyplug in your scaler. No morepump up bottles!!

Discrete Air ConnectionAll the airpipe work is hiddenaway within the cart frame for acleaner look and a minimum oftangles and trip hazards. Eithercompressor or cart may bedisconnected from each other inan instant should an off siteservice be required.

Bambi Medical CompressorThe MiniCart is supplied with aUK made Bambi compressorrenowned for its build qualityand reliability. The unit isbacked by a national team ofspecialist engineers.

The tray style top is large (400mm x 300mm, 16” x 12”) andmanufactured from 316 stainless steel for easy cleaning. There is plentyof room for instruments, scalers and other dental materials. The tray hasa lip to prevent items rolling off onto the floor.

VI Mini Cart

235


Micromotor NM3000This powerful, reliable motor performs all the functions of a low speedhandpiece without the requirement for compressed air.

• Speed variable between 2,000 and 30,000 rpm

• Variable footswitch for speed control within preselected range.

The micromotor has the same fitting as the low speed motor and can beused to drive a variety of handpiece combinations.

Polishing Kit

12 MONTH WARRANTY

Polishing Kit Including NM3000 Micromotor Polishing Kit includes NM3000Micromotor, 1:1 Straight Nose Cone. 25 Oscillating disposable prophyheads and prophy paste. This kit will also drive rabbit burs.

1:1 ATTACHMENT AND CONTRA ANGLE (LATCH) HEAD

Y110148 1:1 Attchment Contra Angle (Latch Head) £115.00

MICROMOTOR

1007 Micromotor NM3000 (Motor and foot control) £685.00

1007A Micromotor Polishing Kit £865.00

IM3L7465S OSCILLATING PROPHY ANGLE SEMI-DISPOSABLEOscillating prophy angle fits on straight nose cone (shown). Generates lessheat than standard types with much less hair wrap.

H260001 Non optic 1:1 Straight nose cone for use with rabbit bur optionuse burs with prefix HP, also for use with oscillating prophy head max6,000rpm. This reduction is controlled by settings on the micromotor.

Y110148 Non optic 1:1 Contra angle for use with RA burs for cutting teethand latch prophy cups (P465) for post-scaling polishing.

Additional Options

VI MINI DENTAL CART

Head Unit, Floor Stand and Quiet Bambi CompressorHandpiece Holders and Air Lines for:High Speed 1 (HS1) with Water Flow ControlLow Speed (LS)3 Way Air/Water SyringeSwitched Handpiece ActivatorsWater Supply, Filter, Regulator, On/Off SwitchTray Style TopSocket Power BoardPressurized Water Outlet for Ultrasonic Tooth ScalersDimensions470mm wide x 550mm deepHeight adjustable from 630mm to 860mm

HandpiecesHigh Speed Handpiece Push ButtonLow Speed 30,000 rpm Motor for PolishingPolishing attachment for low speed (L688 + L670)Burs-5x FG4 + 5x FG701Pack of screw-on Prophy cups

VIMINI VI Mini Dental Cart complete * £2,650.00

VIMINIFO VI Mini Dental Cart complete with Fibre Optics* £2,950.00

VIMINIPLUS VI Mini Dental Cart complete with Ultrasonic Scaler* £2,950.00

VIMINIFOPLUS VI Mini Dental Cart complete with Fibre Optics andUltrasonic Scaler* £3,250.00

Carriage is extra for all items marked*

Consider also the Rabbit option (page 251) and the Diamond saw option(page 237). Any scaler will work with the Mini Cart without the requirementfor a pump up water bottle.

The Mini Cart is plumbed for ultrasonic scalers. Any ultrasonic scaler canbe simply plugged into the unit to obtain water under pressure.

The large stainless steel tray style top of the Mini Cart has plenty of roomfor scalers and instruments. The tray is easy to wipe clean and can beremoved if necessary for more thorough cleaning.

The ‘Plus’ versions of the Mini Cart includes our USD scaler at a smallpremium. Any other scaler may be included with the MiniCart and willattract a discount.

VI Mini Cart Options

236

12 DENTAL MACHINES

Handpieces

HIGH SPEED HANDPIECE

P560001 High Speed Push Button £275.00

MID002-1155 High Speed Miniature Head Push Button Midmark £255.00

MID002-1157 High Speed Fibre Optics Push Button Midmark £395.00

100006 Teflon Drops £17.50

High Speed Handpiece

LOW SPEED MOTOR

M195001 Low Speed Motor Only £285.00

Y160020 Speed Motor Kit inc Motor, 1:1 SNC & Contra Angle Latch Head/1:1 Attachment Complete £455.00

Low Speed Motor

Running with low speed (20,000 rpm) and high torque, this motor is usedto drive several dental accessories e.g. straight nose cone, prophy headsand the latch head. The motor has forward and reverse, controlled by acollar near the motor base. The accessories listed will also fit directly ontoelectric drive micromotors such as the Nouvag NM3000 see page 235.

Straight Nose Cone

This accessory pushes directly onto the lowspeed motor and drives a range of handpiece(HP+ HL) burs and the diamond disc. Thiscombination is used to cut rabbit teeth and drillholes in bone. In addition HP burs may beused in the straight nose in spinal procedures.6,000rpm is the recommended maximumspeed for prophy cups.

If using an air driven unit we advise the 4:1reduction straight nose cone. If using anelectric micromotor the 1:1 may be used butturn the maximum speed down to 6,000rpm.

STRAIGHT NOSE CONE

H260001 Straight Nose Cone 1:1 (used in rabbit bur option) £185.00

H262001 Straight Nose Cone 4:1 Reductionfor Oscillating Prophy £235.00

Running with high speed and low torque this handpiece is designed toremove tooth or bone as part of extraction or repair techniques. Use ofRoto Pro burs (see page 238) allows the high speed to be used as anultrasonic scaler for tartar removal. Only Friction Grip (FG) burs fit the highspeed. Fine water jets cool the bur. The fibre optic version illuminates theoperative area with a brilliant cold light. The Midmark handpieces have 6month warranty. Use FG as prefix when ordering burs.

P560001

1:1 ATTACHMENT AND CONTRA ANGLE (LATCH) HEAD

Y110148 1:1 Attachment and Contra Angle (Latch) Head £115.00

1:1 Attachment and Contra Angle (Latch) Head

The 1:1 attachment pushes directly onto the low speedmotor and transmits actual motor speed to the head fitting(it has a blue band). The head may be used as a prophypolisher with use of P465 latch prophy cups or as a contraangle drill with the use of RA burs.

The contra angle head offers a higher torque than the highspeed. The speed is limited to 25,000rpm. A range ofcontra burs is available as bur kit D752. Use RA prefixwhen ordering packs of burs. See page 239.

4:1 Reduction Attachment, Rotating Prophy Headsand Cups

C187001 Screw On

C188001 Snap On

C634001 4:1 Handpiece Body

4:1 REDUCTION ATTACHMENT, ROTATING PROPHY HEADS & CUPS

C634001 4:1 Handpiece Body £150.00

C187001 Prophy Head Screw On (ISO) £50.00

P262 Prophy Cups Screw On x 144 £65.00

C188001 Prophy Head Snap On (ISO) £50.00

P464 Prophy Cups Snap On x 144 £50.00

P465 Contra Angle (Latch) Head Prophy Cup x 36 £25.00

The 4:1 attachment gears down the low speed motor by 4 times, thisshould be set to 6000rpm. It offers very high torque which is the bestspeed for polishing teeth. It has a green band and is used to drive prophyheads. We recommend the screw on type prophy cups. Prophy cups areused in conjunction with abrasive prophy paste to polish teeth followingscaling. Failure to polish will result in a rapid build up of new plaque.

Screw In Prophy HeadFar fewer problems with hair.

Snap On Prophy HeadWidely used but has some problems in veterinary dentistry. Muzzle hairbecomes caught behind the ‘button’ and when combined with prophy pastequickly degrades the head.

LED Illuminated High Speed Handpieces

Daylight colour light

25000lux

No wires or transformers

Cool light

Swivel option

Standard connectors to fit allmachines

12 month warranty

LED ILLUMINATED HIGH SPEED HANDPIECES

L5200 LED High Speed Handpiece £875.00

L5300 LED High Speed Handpiece with Swivel £1,350.00

MD30 LED Handpiece Oil 30ml £17.50

The LED High Speed represents a huge step forward in dental handpiecetechnology. Up until now illuminated handpieces have been both inefficient& unreliable. In addition they required complex, fragile wiring and powersupply. The self generating LED does away with all the wiring and comeswith a 12 month warranty. The low voltage power required by the LED isgenerated by the turbine as it spins.

H26

0001

1:1 4:1

H26

2001

237


Rabbit Option

Options

Rasping is a very inefficient method of levelling rabbit and rodent molars.The best method is the use of side cutting burs. Our rabbit bur kit includestwo of each of the most useful handpiece burs which fit the 1:1 straight nosecone. They are housed in a custom made stainless block which also hasholes for your favourite friction grip burs for the high speed. To minimisedamage to the cheek and tongue, a soft tissue protector is highlyrecommended. The soft tissue protector and burs were developed by DavidCrossley. See our rodent dentistry section page 249 for further details.

HANDPIECE OPTIONS - RABBIT

001792 Rabbit Bur Kit (6 burs in block) £47.50

H260001 1:1 Straight Nose Cone £185.00

001793 Soft Tissue Protector £57.50

001794 Rabbit Bur Option (includes all of above) £265.00

HL563D Very Long Side Cut Diamond Bur(smoother cut and less heat than carbide) £6.00

Diamond coated discs make short work of sectioning teeth and shorteningrodent incisors. To minimise risk to surgeon and patient always use a discsafety shield. Fits onto 1:1 straight nose cone. If you do not have anairdriven high speed unit this may be your only tooth cutting option.

A convenient spray for cleaning andlubricating handpieces

HANDPIECE OPTIONS - DIAMOND DISC

001789 Diamond (double sided) Disc £29.50

001791 Diamond Disc Safety Shield £55.00

001790 Diamond Disc Option (includes both of the above) £70.00


Diamond Disc Option

OSCILLATING PROPHY HEAD SEMI DISPOSABLE

IM3L7465S Oscillating Disp Prophy Angle(for 4:1 reduction) x 25 £29.50

IM3L7465L Oscillating Disp Prophy Angle(for 4:1 reduction) x 100 £105.00

Oscillating Prophy Head

Developed for human dentistry to combat the risk of HIV the disposableprophy head is surprisingly cheap and minimises the risk of FeLV and FIVtransmission. The oscillating action means there is no heat build-up on thetooth surface and ‘snagging’ on muzzle hair is minimal. Available in packs of25 or 100. The oscillating disposable prophy fits onto the straight nose coneto achieve the correct running speed. Use 4:1 nose cone with air equipmentwhich takes the speed down to a maximum of 6,000rpm. Electricalmicromotors can use the 1:1 nose cone provided the maximum speed isadjusted down to 6,000rpm. Use coarse prophy paste for best results.

Prophy Paste

Cleaning and Lubricating Spray

Prophy paste is an abrasivepolishing compound used inconjunction with prophy cupsand brushes to create a highlypolished enamel surface whichis resistant to tartar build up.Use regular paste for rotatingcups and coarse paste foroscillating prophy heads.

PROPHY PASTE

P466 Prophy Paste 300g £9.50

P466R/200 Prophy Paste Regular. 200 (2g) individual pots £57.50

P4660DP Coarse Prophy Paste. 200 (2g) individual pots £57.50

CLEANING AND LUBRICATING SPRAY

Y900-630 Cleaning and Lubricating Handpiecce Spray £27.50

Z019090 Applicator nozzle for Low Speed Motor Attachments £10.75

Z020201 Applicator nozzle for High Speed Handpiece £10.75

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12 DENTAL MACHINES

SMALL ANIMAL SPECIALITY BURS IN BLOCK

BURKIT24 Block Including Burs (24) £115.00

BURBLCK24 Block Alone £27.50

Bur Kits

Each bur kit contains a range ofuseful burs for each application.

Each comes with a simple to followguide for bur usage.

Burs

BUR KITS

D751 Dog, High Speed Bur Kit (F/G) £67.50

D753 Cat, High Speed Bur Kit (F/G) £67.50

D754 Low Speed (HP) Bur Kit (for SNC) £67.50

Small Animal Speciality Burs in Block

See overleaf for full bur chart

Code Number Application

Side cutting FG698 2

Section teeth,Reduce molars in rabbits

FG701 2

FG702 2

HP702 2

HP703 2

HP560 2

Round FG1/4 2Atomise roots,Trimming molars inrabbits

FG4 2

HP4 2

HP8 2

Pear FG330 2Smooth bone

HP332 2

All the burs you need for routine veterinary dentistry in oneautoclavable block. The set includes 12 slow speed (HP shank) bursand 12 high speed (Friction grip burs).

Includes:

To aid correct bur selection, see chart opposite and use the followingsteps

Please ask a member of our Vet Tech team if the bur you are looking foris not shown.

Roto-Pro Burs

Dental Burs

When run in a high speed handpieceroto-pro burs produce vibrations at20,000 cycles per second. Theseburs are very effective for removingcalculus. The action is quiteaggressive so care must beexercised.

ROTO-PRO BURS

R350 Flame (pack of 6) £26.00

R351 Perio (pack of 6) £26.00

BUR PREFIX PACK SIZE CARBIDE DIAMOND

5FG Five £15.00 £18.50

5RA Five £15.00 £18.50

HP Single £3.95 £4.95

5HP Five £15.00 £18.50

HL Single £5.25 £6.25

5HL Five £21.50 £26.00

Identify shaft type i.e. FG, RA, HP or HL (top row)

Identify the head shape (green column)

Select the diameter of the head(white column)

Choose between Carbide orDiamond head

239


Dental Burs - Many New Shapes

Head Shape Diameter

FG RA HP

Carbide Diamond5 Pack 5 Pack

Carbide Diamond5 Pack 5 Pack

Carbide Carbide Diamond DiamondSingles 5 Pack Singles 5 Pack

Small Round

Medium Round

Large Round

Extra Large Round

0.5

1.4

1.8

2.1

5FG 1/4 5FG 1/4D

5FG4 5FG4D

5FG6 5FG6D

5FG8 5FG8D

5RA4 5RA4D

5RA6 5RA6D

5RA8 5RA8D

HP4 5HP4 HP4D 5HP4D

HP6 5HP6 HP6D 5HP6D

HP8* 5HP8 HP8D 5HP8D

Extra Small Taper Fissure

Small Taper Fissure

Medium Taper Fissure

Medium Taper Long Head

Large Taper Fissure

Extra Large Taper Fissure

0.8

1.2

1.6

1.6

2.1

2.3

5FG698

5FG701 5FG701D

5FG702 5FG702D

5FG702L 5FG702LD

5RA698

5RA170L 5RA170LD

5RA702L 5RA702LD

HP698 5HP698

HP701 5HP701

HP702 5HP702

HP702L 5HP702L

HP703 5HP703

HP704* 5HP704 HP704D 5HP704D

Extra Small Flat Fissure

Small Flat Fissure

Medium Flat Fissure

Large Flat Fissure

0.9

1

1.6

2.3

5FG556

5FG557

5FG5660

5RA556

5RA557L 5RA557LD

5RA560

HP556 5HP556

HP557L 5HP557L HP557D 5HP557LD

HP560 5HP560

HP563 5HP563 HP563D 5HP563D

Small Inverted Cone

Medium Inverted Cone

Large Inverted Cone

Extra Large Inverted Cone

0.6

1

1.4

1.8

5FG331/2

5FG35 5FG35D

5FG37 5RA37 5RA37D

HP39 5HP39 HP39D 5HP39D

Extra Small Pear

Small Pear

Medium Pear

Large Pear

0.6

0.8

1

1.2

5FG329

5FG3330

5FG331

5FG332

5RA330

HP332 5HP332

Medium Domed Fissure

Large Domed Fissure

1

1.2

5FG1557

5FG1558 5FG1558D

Additional BursExtra Long Diameter

HL

Carbide Carbide Diamond DiamondSingles 5 Pack Singles 5 Pack

Extra Large Taper Fissure

Large Flat Fissure

2.3

2.3

HL704 5HL704 HL704D 5HL704D

HL563* 5HL563 HL537D 5HL537D

* in Rabbit Bur Kit

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12 DENTAL MACHINES

Piezo Scaler with detachable, autoclavable handpiecewith inbuilt water supply.

Supplied with 5 tips this is a reliable unit at a veryreasonable price. If you cannot afford the 42-12 this isthe best scaler for you. It will require a water source.Either plug straight into your VI dental unit unit orpurchase our pump up water bottle. CE marked.

PIEZO SCALER WITH DETACHABLE, AUTOCLAVABLE HANDPIECE & IRRIGATION

1020 Piezo Scaler with Autoclavable Handpiece UDS-L £495.00

Introduction

It is possible to scale and polish using only hand instruments. It is,however, extremely time consuming. Teeth must be polished afterscaling or plaque and tartar will quickly reform.

Ultrasonic ScalersUltrasonic scalers work by delivering high frequency vibrations to a metaltip. The vibration may be generated by a variety of mechanisms:

• Sonic. The tip is vibrated using air from the compressor. The action isvery gentle but very slow with cost and anaesthesia implications.

• Magneto restrictive (cavitron type). The tip is vibrated by multiple layeredmetal strips and a magnetic field. Typically their type generates a lot ofheat which requires a lot of cooling water. 35-38000Hz.

• Piezo. The movement at the tip is generated by applying a current acrossa crystal. Typically uses less water.

• Ferrite Rod. The tip movement is generated by an electrical field around aferrite rod. This system is capable of producing higher frequencies up to42,000Hz.

Veterinary Instrumentation stock Piezo and Ferrite Rod types (iM3 42-12).We think these are most appropriate for veterinary use.

Please note that all ultrasonic scalers should be used with care asinappropriate use will result in damage to enamel.

Piezo Scalers

This top of the range piezo unit has a handpiece which is detachable forcleaning and autoclaving . Separate handpieces may be set up withdifferent tips. The controls are simple with an LED power readout. Suppliedwith 5 different replaceable, scaling tips. This unit is supplied with its ownintegrated pressurised water supply system. Alternatively the USD-L maybe plumbed into your dental unit. Automatic frequency tracking.

Piezo Scaler with Detachable, Autoclavable Handpiece

PIEZO SCALER WITH DETACHABLE, AUTOCLAVABLE HANDPIECE & IRRIGATION

1022 Piezo Scaler with Autoclavable Handpiece UDS-P £445.00

The UDS-P scaler has a detachable autoclavable handpiece. This meansthat handpieces can be switched between patients or at least regularlysterilised. Alternatively different piezo tips can be fitted to differenthandpieces.

This scaler also features automatic frequency tracking with an LED outputdisplay.

Piezo Scaler Accessories

Piezo Scaler Tips

General purposescaler for calculusremoval

Slightly stronger forheavy calculus

A lighter version ofG1

Use for subgingivaltartar.

G1 G2 G4 P1

PIEZO SCALER ACCESSORIES

1021 Spare Autoclavable Handpiece £155.00

102G1 G1 Scaler Tip £34.00



102P1 P1 Scaler Tip £34.00

Spare handpiece for 1022 and 1020

Supplied with G1 x 2, G2, G4 & P1 tips

Supplied withG1 x 2, G2, G4& P1 tips

Supplied with G1 x 3, G2, & P1 tips

UDS-J

UDS-L

UDS-P

PIEZO SCALER

1008 Piezo Scaler UDS-J £375.00

1010 Pump up Water Bottle(not necessary with VI Air Driven Units) £49.50

T0580 Piezo Scaler Tip £75.00

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CLS • Freshens mouth• Disinfects mouth & machine• Improves bur cutting• Minimises cross contamination with FeLV & FIV

Used in the water system of dental units CLSfreshens and sterilises the mouth. When used ascoolant for high speed handpieces cutting efficiencyis improved. It prevents transfer of FeLV and it canalso be flushed through the air turbines to steriliseand lubricate them using the iM3 CLS flushingsystem.

The unique composition of CLS allows use ofchlorhexidine in all dental equipment. Standardchlorhexidine crystallises out from solution and willdamage your equipment. Do not use regularchlorhexidine in dental units as it will crystallise outin the handpieces rendering them inoperative.

Purchase of the larger pack sizes gives significantsavings.

IM3 42-12 ULTRASONIC SCALER

IM34212 iM3 Ultra Sonic Scaler with unique rotational tip £1,550.00

OSO-209036 Thin Scaler Tip £285.00

OSO-209080 Universal Scaler Tip £245.00

FERRITEROD Ferrite Rod £34.00

PLAQUE DISCLOSING SOLUTION

ICIM3 iCplaque (Box 72) £46.50

iM3 42-12 Ultrasonic ScalerThe 42-12 is unlike anyother ultrasonic scaler. Allother ultrasonic scalerswork on the ‘jack hammer'or scraping movement ofthe scaler tip. The 42-12lifts the plaque andcalculus, the circularmotion of the tip moves

and dislodges loosened debris, which is washed away by the water. Theextremely high frequency and the small tip amplitude all contribute to safer,quicker, less traumatic and more effective scaling. Theshaft of the tip is made from titanium and has no fixedscaling position; it scales anywhere within 360degrees. The shaft touches the tooth and is wipedback and forth without pressure. More pressure doesnot improve the scaling. The 42-12 represents thecutting edge of ultrasonic scaler technology today, giving less enameldamage and scaling taking half the time. The water supply plugs directlyinto any iM3 dental unit or pump-up water bottle. Supplied with 2 tips,Universal and Periodontal.

CLS CONCENTRATE

CLS1 CLS Solution 250ml £13.50

CLS6 CLS Solution 250ml - 6 Pack £70.00

CLS12 CLS Solution 250ml - 12 Pack £120.00

Plaque Disclosing Solution

Many owners are very aware of the need for scaling and polishing on aregular basis. However, should any convincing be necessary the ‘iCPlaque disclosure’ is ideal for the purpose. Simply swab around the mouthwith the convenient dispenser and the plaque shows up as a vivid pink.

iM3 is an exclusively veterinary dental equipment company. iM3understands the special requirements of veterinary dentists and hasproduced a range of products to meet these requirements. Reliability andquality of construction are key features. iM3 units are designed to last andlast. Older units can be upgraded to current specification. Most specialistteachers recommend iM3.

iM3 Dentistry

ULTIMATE PIEZO SCALER UNIT

BAC100 Ultimate Piezo Scaler Unit £795.00

Ultimate Piezo Scaler Unit

Stand-alone unit with adjustable power and water supply.Compact, with easy clean control panel. Handpiece isdetachable and autoclavable. Supplied complete with 2autoclavable treatment centres, which each contain ahandpiece, 3 tips, a tip changer plus an endo head &wrench all in an autoclavable container. 2 water bottles aresupplied, 500 & 350ml. A good unit where it is not possibleor convenient to attach a scaler to the water supply of an airdriven dental machine

BAC161E

BAC164E

BAC173E

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EXPLORER / MEASURING PROBE

012100 Shepherd’s Crook Explorer/ Measuring Probe 170mm £23.50

Explorer / Measuring Probe

A detailed examination of the patient's mouth is the starting point of anydental care programme. This double-ended instrument is all you need.

The shepherd’s crook explorer is used to test tooth stability and thecondition of the gum margins. Tartar and gum disease cause detachmentof the gingiva exposing the tooth root.

The depth of these sulci are measured using the measuring probe. Detailsare recorded for subsequent treatment and comparisons.

SUBGINGIVAL CURETTE

012130 Subgingival Curette (double ended) 170mm £23.50

Subgingival Curette

This scaler is used to removesubgingival tartar and to planetooth roots. Unless the root isclean the gum will not re-attach.The back surface of the scaler isblunt to minimise damage to thesensitive gingiva. The instrumentis double-ended and has abalanced grip for extra comfort inuse.

Double-ended ScraperThe tips of this instrument are of familiar design mounted in a comfortablehandle. One end is a fine hook to remove tartar from between teeth, theother is a shallow scoop to break tartar from flatter surfaces. A simplegeneral purpose instrument for tartar removal.

HOE SCALER

012110 Hoe Scaler (double ended) 165mm £23.50

Hoe ScalerUseful for removal of large areasof tartar and plaque from flat toothsurfaces. Double ended scaler.

DOUBLE-ENDED SCRAPER

012020 Double Ended Scraper 175mm £23.50

Jaquette Supragingival Scaler

This scaler is used to removetartar from above the gummargin. The tip and back of theinstrument is sharp to scrapebetween teeth. Do not use belowthe gum margin. Double-endedwith a balanced grip handle forease of use and comfort.

13 DENTAL HAND INSTRUMENTS Chapter 13

TARTAR SCRAPERS

012021 Single Ended Scraper 11 150mm £27.50




Tartar Scrapers - Various

Traditional scrapers offering tip design as illustrated.

JAQUETTE SUPRAGINGIVAL SCALER

012120 Jaquette Supragingival Scaler 170mm £23.50

Periodontal Hand Instrument Set Boxed

Seven periodontal instruments in a stainless autoclave case.

Instruments include: mirror, shepherd hook explorer/measuring probe,straight curette scaler, angled curette scaler, angled jaquette scaler plustwo fine probes. Comfortable silicone handles.

PERIODONTAL HAND INSTRUMENT SET

012210 Periodontal Instrument Set in Autoclave Case £135.00

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DENTAL HAND INSTRUMENTS 13www.vetinst.com

Winged Elevators

Veterinary elevators designed by Dr RobertWiggs. They have short winged blades withlateral edges which curve upwards further thantraditional elevators, improving conformation tothe root structure as well as instrument control.The narrow neck enhances visibility of the rootand the shorter shaft improves handling andcontrol, especially if the operator’s hands arenot large. The design incorporates the bestparts of an elevator and a luxator. Aluminium knurled handles are verycomfortable in use. Flattened surface prevents rolling off the table. Availableas a boxed set.

WINGED ELEVATORS

012389 Winged Elevator 1.0mm (purple) 145mm £45.00

012390 Winged Elevator 2.0mm (gold) 145mm £45.00

012391 Winged Elevator 3.0mm (blue) 145mm £45.00

012392 Winged Elevator 4.0mm (black) 145mm £45.00

012393 Winged ElevatorS Set of 4(includes free stainless steel case) £150.00

012395 Autoclavable Stainless Steel Casefor Winged Elevators £44.50

WINGED ELEVATORS SHORT

012401 Rainbow 1.0mm 125mm £45.00

012402 Gold 2.0mm 125mm £45.00

012403 Slate 3.0mm 125mm £45.00

012404 Black 4.0mm 125mm £45.00

012405 Set of 4 in stainless case £150.00

Our short handled winged elevators are designed to fit in the hand,particularly small hands. A palmed instrument is more under control as wellas being more comfortable. The stainless case is silicone lined to minimisedamage to the elevators yet convenient for autoclaving.

Winged Elevators with Short Handles

Designed and developed by David Strong MRCVS. The Comfort patternelevators takes a radical new look at elevator handles. A range of newdesigns was tested by both nurses and veterinary surgeons to find themost comfortable design. The most popular pattern fits into the palm of thehand allowing the fore finger to be positioned along the shaft for addedcontrol.

Supplied in fully autoclavable coloured coded ‘Teflon’ in 1, 2, 3 and 4mmwidths. Available singly or as a set of 4. When purchased as a set thestainless autoclave case comes free.

Comfort Handle Elevators

Comfort Handle Winged Elevators

COMFORT HANDLE ELEVATORS

012601 Comfort Elevator 1.0mm (White) £45.00

012602 Comfort Elevator 2.0mm (Green) £45.00

012603 Comfort Elevator 3.0mm (Blue) £45.00

012604 Comfort Elevator 4.0mm (Black) £45.00

012600 Comfort Elevators Set of 4(includes free stainless steel case) £150.00

COMFORT HANDLE WINGED ELEVATORS

012611 Comfort Winged Elevator 1.0mm (White) £45.00

012612 Comfort Winged Elevator 2.0mm (Green) £45.00

012613 Comfort Winged Elevator 3.0mm (Blue) £45.00

012614 Comfort Winged Elevator 4.0mm (Black) £45.00

012610 Comfort Winged Elevators Set £150.00

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13 DENTAL HAND INSTRUMENTS

Wedge Elevator

Designed to remove the UpperPremolar IV (the carnassial)without the need to split thetooth. The tooth roots areelevated in the usual mannerusing carnivore elevators orluxators. The tip of the wedge isdrilled through between rostraland posterior roots. The bladeof the instrument is then workedunder the tooth. As the width of the blade increases the tooth is forced fromthe alveolus. The triangular cross section of the blade supports the structureof the tooth during extraction.

WEDGE ELEVATOR

012010 Wedge Elevator 170mm £33.50

CARNIVORE ELEVATOR

012001 Carnivore Elevator No. 1 (2.5mm) 145mm £33.50



012001/4S Set of Carnivore Elevators Nos. 1, 2, 3(2.5, 3.5 and 4.0mm) and the Wedge Elevator £100.00

Removal of the teeth of dogsand cats requires rupture of theperiodontal ligament. Inrelatively healthy roots rupture isvery difficult, requiring greatforce. Rupture (and thereforeextraction) is best achieved byforcing an elevator or luxatorinto the periodontal space. Inthe dog and cat the space isvery narrow, quite different tothe human situation. Ourcarnivore elevators are thin andvery sharp.

Small Feline Elevator

The 2mm angled tip on a fine handle allows accessto lingual surfaces. Also useful in the extraction ofrabbit incisors.

SMALL FELINE ELEVATOR

012018 Small Feline Elevator 165mm £33.50

Actual size

Carnivore Elevator

Superfine Elevator Straight

2mm with a comfortable handle.

SUPERFINE ELEVATOR STRAIGHT

012004 Superfine Elevator 2mm straight 150mm £33.50

Actual size

LuxatorsLuxators, which are inessence very slimelevators, are favouredby many veterinarydentists for the ruptureof the periodontalligament. They are, infact, designed for thehuman tooth but arevery good for veterinaryuse. A veterinary set isnow availablecontaining the mostuseful luxators for feline and canine teeth: 1mm straight, 2mm straight,3mm curved, 3mm straight, 3mm contra angle plus a sharpening tool.Swedish made, these Luxators are very thin and very sharp.

LUXATORS

012177 Luxator 1mm straight 160mm £62.50



012192 Luxator 3mm curved 160mm £62.50


012195 Luxator 5mm curved 160mm £62.50

012192/CA Luxator 3mm contra angle 160mm £62.50

012196VET Veterinary Luxator set. (Set of five c/w stone) £275.00

012146 Luxator Sharpening Stone £26.00

Double Ended Elevator

The curved tips aredesigned to follow theconcave and convexcurvatures of the roots,helping to prevent breakingthe roots.

DOUBLE ENDED ELEVATOR

012036 Double Ended Elevator 2mm 185mm £30.00

012038 Double Ended Elevator 4mm 190mm £30.00

APICAL ELEVATOR

012006 Heidbrink Apical Elevator 145mm £33.50

Apical Elevator

Used to remove tooth root fragments.

COUPLANDS ELEVATORS

012015 Couplands Chisel No. 1 (3.0mm) 150mm £33.50



Couplands Elevators

This is the standard human elevator. Generally considered too thick forveterinary use.

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Luxator Autoclave Case

LUXATOR CASE

FIXUS1 Luxator Case £10.25

Periosteal Elevator

Used to raise gingival flaps. The fine instrument is particularly useful in cats.

PERIOSTEAL ELEVATOR

001270 Periosteal Elevator. A (195mm - 4mm/7mm end) £45.00

7350/05 Freer Periosteal Elevator 5mm. B (180mm) £42.50

001271 Curved 6mm Fibre Handle AO type. C (180mm) £45.00

001272 Very fine 2mm/3mm Periosteal Elevator. D (180mm) £42.50

A.

B.

C.

D.

Forte Luxators havebeen specificallydesigned to withstandthe considerable forcesometimes neededfor controlled andsafe tooth elevation.The extra strongcornered lip has beendeveloped to aid grip.The best all roundveterinary luxator.Available in 3 sizes.

Molt Periosteal Elevator 2/4 (4mm/6mm)

Molt is a double ended periostealelevator often recommended bydental experts. The two tips areround and dished. 4mm and 6mmdiameters.

MOLT PERIOSTEAL ELEVATOR 2/4 (4MM/6MM)

001275 Molt Periosteal Elevator 200mm £39.50

Forte Luxators

FORTE LUXATORS

012174 Forte Luxator 2.5mm Black/Green 160mm £62.50

012175 Forte Luxator 3.2mm Black/Grey 160mm £62.50

012176 Forte Luxator 4mm Black/Brown 160mm £62.50

012172 Forte Luxator Set of 3 £155.00

Veterinary Transplant Services is the world’s leading provider of bone, softtissue and cornea allografts for transplantation into animals. With aparticular focus on contributing to the advancement of medicine andimproving the quality of pets’ lives, the Company strives to respond to theneeds within the veterinary community.

During our visit to the VTS facility we were extremely impressed by highstandards of processing, storage and record keeping. VTS operate to thesame standards as human tissue banks.

VTS offer a range of products of interest to the veterinary surgeon.

For more info see www.vtsonline.com

OssiflexTM Bone Membranes from VTS are thin, flexible sheets made ofnatural, demineralized cortical bone. Ideal for Guided TissueRegeneration, oronasal fistulas and more, they are the membranes youhave been looking for:• Avoids premature soft tissue in-growth into areas of bone healing• No removal necessary• Can be sutured through to keep them in place• Can be cut and curved to fit• Proven technology

OssiflexTM Bone Membrane

Similar in composition and particle size to the Orthomix® Ultrafine thePeriomix® is attractive to the veterinary dentist for the followingindications.• Tooth extractions• Furcation defects• Horizontal and vertical bone loss• Fracture of the mandible

6 weeks Post OpExtraction & filling

with PeriomixExtraction sitesbarely visible

Pre OpPrior to extractiondue to plasmacytic

stomatitis

Images taken from a study comparing Periomix® with BioglassFull details availble from www.vetinst.com

OSTEOALLOGRAFT® PERIOMIX®

BNCBPFD0.3 Periomix® Canine 0.3cc £45.00

BNCBPFD0.5 Periomix® Canine 0.5cc £65.00

BNCBPFD2.0 Periomix® Canine 2cc £195.00

BNCBPFD3.0 Periomix® Canine 3cc £295.00

BNFBPFD0.2 Periomix® Feline 0.2cc £55.00

OSSIFLEX BONE MEMBRANE

BNCBOXFD1 OssiflexTM Membrane Size 1 1.0cm x 1.0cm £55.00



BNCBOXFD3L OssiflexTM Membrane Size 3L 1.5cm x 4.0cm £175.00


Osteoallograft® Periomix®

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These tartar forcepsare designedspecifically for theremoval of bulky tartarprior to scaling andpolishing. One jaw iscup shaped to locateonto the tooth tip andact as a fulcrum for theother jaw. The otherjaw is a sharp hook to engage the tartar at the gum margin. The jaws aredesigned to remove tartar from both flat surfaces and between teeth.

TARTAR FORCEPS

012052 Tartar Forceps Cupix Point Style 180mm £59.50

012053 Tartar Forceps Cat Size 150mm £59.50

Tartar Forceps

Our spring loaded tartar forceps are designed to sit comfortably in the handto enable the veterinary dentist to remove quickly bulky deposits from teeth.

TARTAR FORCEPS

012050 Tartar Forceps Spring Loaded 180mm £57.50

012051 Tartar Forceps Cat SizeExtraction Forceps / Small 150mm £57.50

Tartar Forceps

Hawksbill Forceps

The multi-rooted teeth of the dog and cat should be loose before extractionby forceps. The loosening may be due to dental disease or carefulelevation. As well as firmly gripping the tooth to be extracted appropriatedental forceps should support the tooth structure. None of the severalhundred human forceps available suit the teeth of our patients. TheHawksbill forceps are designed specifically for the extraction of multi-rootedteeth in the dog and cat.

HAWKSBILL FORCEPS

012030 Large Hawksbill Forceps 170mm £59.50

012040 Small Hawksbill Forceps 110mm £59.50

Small Incisor Forceps

The tips of these forceps are ideal for the removal of single rooted, usuallyincisor teeth. Cross-hatched thumb area for extra control. Tips meet.

SMALL INCISOR FORCEPS

012070 Small Incisor Forceps 150mm £59.50

Dental Mirror

DENTAL MIRROR

957900C Dental Mirror 165mm £7.50

Root Fragment Set

Removal of fragmented roots can be a challenge particularly if the rootsthemselves are healthy. A combination of elevation and forcep work isusually required. The set of three forceps with differing jaw angles covers allsituations. The handles are anatomical and ergonomic.

ROOT FRAGMENT SET

012075 Root Fragment Set (3 forceps) £105.00

EXTRACTION FORCEPS VETERINARY INSTRUMENTATION PATTERN

012091 VI Extraction Forceps Straight £55.00

012092 VI Extraction Forceps Curved £55.00

012093 VI Extraction Forceps Angled £55.00

012090 VI Extraction Forceps Set of 3 £125.00

Veterinary Instrumentation Extraction Forceps

Available either individually or as a set of three, VI extraction forceps arewell suited to extraction of medium to large teeth. The jaws have fineserrations for increased grip.As with all extractions it is important that the tooth involved is suitablyelevated prior to the use of forceps. The teeth of our patients are muchmore tightly bound to the jaw than are human teeth.

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Lip Retractor

The lip retractor solves the problem ofretracting the lip for clear access to the teeth.It has a new modified shape to preventpinching the lip and the tips of the instrumentare plastic coated to minimise trauma. It canbe adjusted by lightly bending. 6.5" long and

autoclavable.

LIP RETRACTOR

010147 Lip Retractor 160mm £21.00

Grays Mouth GagSimple action allows spring to gentlyopen the jaws but doesnot allow the patientto close its mouth.

GRAY'S MOUTH GAG

012158 Hamilton Kirk Cat Gag Maximum gape 40mm £47.50

012160 Grays Mouth Gag Small Maximum gape 65mm £47.50

012170 Grays Mouth Gag Medium Maximum gape 100mm £47.50

012180 Grays Mouth Gag Large Maximum gape 140mm £47.50

012159 Grays Mouth Gag Set (3) £115.00

Smith Baxter Mouth GagSpring action maximises access butis less likely to overstretch the TMJ.

SMITH BAXTER MOUTH GAGS

012795 Smith Baxter Mouth Gags Spring Bar Type (Set) £70.00

012795ES Smith Baxter Mouth Gags Extra Small Max Gape 5.5cm £14.00

012795S Smith Baxter Mouth Gags Small Max Gape 6.5cm £16.00

012795M Smith Baxter Mouth Gags Medium Max Gape 10cm £18.00

012795L Smith Baxter Mouth Gags Large Max Gape 14cm £20.00

012795EL Smith Baxter Mouth Gags Extra Large Max Gape 15.5cm £22.00

DIAMOND CONE

012147 Diamond Flat £33.50

012148 Diamond Cone 205mm £41.50

Diamond Cone

Subgingival curettes must be kept sharp to work efficiently. They should bechecked and sharpened at least weekly. The diamond cone isindestructable compared with stones which break very easily and useswater rather than oil as a lubricant.

Sharpening AccessoriesTo work effectively both scalers andelevators need to be sharp. Regularsharpening will keep yourinstruments working correctly.

DIAMOND CARD - FINE

012144 Flat Diamond Sharpening Card (Fine) £23.50

Diamond Card - Fine

This credit card sized, diamond covered plate is ideal for sharpening dentalelevators and luxators. To work efficiently these instruments must besharp. The diamond is virtually indestructable. An additional advantage isthat the lubricant used is water rather than the oil used with sharpeningstones.

IM3 White Stone Slip

This stone has both flat and roundedsurfaces to sharpen elevators andcurettes. Use baby oil as lubricant.

IM3 WHITE SLIP STONE

012150 IM3 White Slip Stone for curettes and elevators £27.50

The mouth wedge provides asimple effective means of holdingthe mouth open for routine dentalprocedures.

Mouth Wedge

MOUTH WEDGE

012790 Mouth Wedge Small £16.00

012791 Mouth Wedge Large £16.00

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Demonstrates manytypical dentalproblems to clientswith greater easethan in an un-cooperative patient.Once the clientunderstands theproblem they will bemuch more likely to accept the necessity of any particular procedure.

DENTAL MODELS

AMJ770C Dental Model Cat £145.00

AMJ771C Dental Model Cat with Pathology £190.00

AMJ770S Set of Canine & Feline Model Teeth £275.00

AMJ771S Set of canine & Feline Model Teethwith Pathology £375.00

Dental Models

DENTAL MODELS CLEAR FELINE/CANINE

D1050 Canine Clear Dental Model £85.00

D1055 Feline Clear Dental Model £85.00

D1060 Set of Feline and Canine Models £150.00

DENTAL MODELS CLEAR RABBIT

D1057 Rabbit Clear Dental Model £90.00

D1062 Set of Feline, Canine and Rabbit Models £210.00

These new clear dental models take the guesswork out of veterinarydentistry! By allowing you to observe the tooth and root patterns of atypical canine and feline jaw, these hinged models let you demonstrate toyour clients why a procedure is necessary and what will be involved.

Also included with the jaw is an education card. This valuable card helpsyou easily identify which approach to take and the instruments needed toprecisely section and excise teeth by comparing the patient to the modeland card, saving you valuable time under anaesthetic.

The models show the roots of all teeth (incisors, canine, premolars,molars) and can be opened for better observation.

This dental model is in the same style as the popular Feline and Caninemodels released in 2010. The clear hinged model allows you to observethe tooth and root patterns of a typical Leporida. 2 education cards arealso included, one which indicates the location of the Nasolacrimal duct,whilst the second helps you identify which approach to take and theinstruments required.

A very useful aid for this increasingly popular pet.

Dental Models Clear Feline/CanineDental Models Clear Rabbit (Leporidae)

Feline Model

Rabbit Model

Canine Model

Dental Chart Stick-On Labels

An essential part of any dental programme is accurate recording. Thesestick-on labels make dental recording a simple process.

DENTAL CHART STICK-ON LABELS

012200 Dental Chart Labels - Dog (50) £9.75

012201 Dental Chart Labels - Cat (50) £9.75

012203 Dental Chart Labels Starter Set - Dog & Cat £9.75

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Rodent Mouth Gag

Without this gag examination and treatment of rabbit molars is virtuallyimpossible.

RODENT MOUTH GAG

012185 Rodent Mouth Gag £55.00

Lightweight Rodent Mouth GagLess bulky and less powerful than thestandard rodent gag. Cheaper too.

LIGHTWEIGHT RODENT MOUTH GAG

012185LW Rodent Mouth Gag Lightweight £44.50

This version of our well known gag now has a white Teflon platform whichmakes the gag warmer for the anaesthetised small patient and rathercheaper than the original. It is easy to clean and may be autoclaved.

Table Top Rabbit Gag

TABLE TOP RABBIT GAG

012207 Table Top Rabbit Gag £235.00

012209 Table Top Rabbit Gag and LED light £295.00

DENRODKIT Table Top Rabbit Gag, LED lightand Full Hand Kit (Rod2 - see page 252) £495.00

Illumination of the inside of the rabbit mouth is difficult without the hands ofthe surgeon getting in the way. The Rabbit gag LED light simply clips intothe retaining mount which screws onto the threaded height adjustmentcontrol. The flexible neck of the light can be adjusted for best effect. Thepowerful white LED lasts for approximately 100 hours on a set of AAAbatteries. Also useful as a focal examination light elsewhere in the clinic.

Fits all table top gags.

LED Light For Table Top Gag

LED LIGHT FOR TABLE TOP GAG

012208 LED Light with Flexible Neck (inc clip) £85.00

Cheek Dilators

The small dilator is also useful as a smallgag for guinea pigs and chinchillas.

CHEEK DILATORS

012188 Rodent Cheek Dilator Small Max gape 40mm £13.00

012189 Rodent Cheek Dilator Large Max gape 60mm £13.00

012189A Rodent Cheek Dilator Long Reach -use with long burs Max gape 35mm £13.00

Rodent Spatula

Use to deflect tongue and cheek to examine and treat molars.

RODENT SPATULA

012184 Rodent Spatula £19.00

Chapter 14 RODENT DENTISTRY 14

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14 RODENT DENTISTRY

Diamond Disc

For trimming incisors. Shown with straight nose cone and diamond discsafety shield (not included).

DIAMOND DISC

001789 Diamond Disc (20mm) £29.50

001791 Diamond Disc Safety Shield £55.00

001790 Diamond Disc and Safety Shield £70.00

Rodent Molar Cutter

Use to debulk or for trimming spurs and hooks.

RODENT MOLAR CUTTER

012186 Rodent Molar Cutter 180mm £36.50

012186/S Rodent Molar Cutter 140mm £36.50

DOUBLE ENDED DIAMOND RASP

012173 Double Ended Diamond Rasp 205mm £57.50

Rodent Molar Rasp

The diamond coated rasps are designed to smooth off sharp edges withoutdisturbing the delicate tooth roots. The small diamond rasp is contoured intwo directions to enable it to sit nicely on top of the molars. Unsuitable fordebulking but good for tidying.

RODENT MOLAR RASP

012187 Rodent Tooth Rasp. Large 165mm £26.00

012181 Rodent Tooth Rasp. Small 180mm £26.00

012181A Rodent Molar Rasp, Fine - Diamond. Small 180mm £39.50

012182 Rodent Molar Rasp, Fine - Diamond. Large 165mm £42.50

012181 012181A

012187 012182

One end is concave to sit on and around the molars. The other end isflat. Each blade is 25mm long

Double Ended Diamond Rasp

Dental Model Clear

See Rabbit Model(Clear) on page 248.

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RODENT DENTISTRY 14www.vetinst.com

Crossley Incisor Luxator

Designed by David Crossley to extract the very large rabbitincisors. Removal avoids the requirement for repeatedcutting of overgrown mal-occluded incisors. Shape ofluxator matches tooth shape. A smaller version is availablefor guinea pigs and rats.

CROSSLEY INCISOR LUXATOR

012197CR Crossley Incisor Luxator 195mm £29.50

012197R Small Crossley for guinea pigs and rats 190mm £29.50

Molar Extraction Forceps

There is verylittle spaceinside a rabbitmouth. Theseforceps arevery slim andangled to fit inthe mouthwithout totallyobscuring theteeth.

MOLAR EXTRACTION FORCEPS

012199 Rabbit/Guinea Pig Molar Forceps 160mm £38.50

Rabbit Bur Kit

RABBIT BUR KIT

001792 Rabbit Bur Kit in Block (six burs) £47.50

HP8 Round Carbide Bur 2.3mm £3.95

HP704 Taper Side Cut Bur 2.3mm £3.95

HL563 Extra Long Cross Cut Bur £5.25

HL563D Extra Long Cross Cut Bur. Diamond £6.00

001793 Soft Tissue Protector for above, fits St nose cone £57.50


Three burs have been selected by David Crossley as being suitable for thereduction of rabbit and chinchilla molar teeth. Our rabbit bur kit includestwo of each bur in a stainless steel autoclavable block. All are HP fitting tofit into the straight nose cone (not included). When using the long bur(HL563) use the soft tissue protector to shield tongue and cheek. Thediamond version of the very long cross cut bur cuts with less trauma andless heat than the carbide equivalent.

Crossley Molar Luxator

Designed to facilitate extraction of molars with a minumum ofdamage to the alveolus and surrounding soft tissue. Onecutting blade is for insertion down buccal or lingual surface.The other end of the instrument is set at right angles topenetrate between molars.

CROSSLEY MOLAR LUXATOR

012197M Crossley Molar Luxator 160mm £29.50

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14 RODENT DENTISTRY

Rabbit Dental Kits

If you are setting up or have no rabbit / rodent equipment you may wish topurchase a set, which offers considerable savings and is supplied in anautoclaveable case.

Basic Kit (ROD1) contains:• Rodent Gag

• Long Reach Cheek Dilator• Incisor Luxator

• Molar Cutter• Fine Rasp

Full Hand Kit (ROD2) contains:• Rodent Gag

• Small Cheek Dilator

• Large Cheek Dilator

• Long Reach Dilator

• Incisor Luxator

• Molar Luxator

• Molar Extraction Forceps

• Diamond Rasp

• Rodent Spatula

• Molar Cutter

Hand & Motor Kit (ROD3) contains:• As Full Hand Kit PLUS:

• Rabbit Bur Kit

• Soft Tissue Protector

• Diamond Disc

• Diamond Disc Protector

This kit also requires a Straight Nose Cone, plus a Micromotor, Air orElectric Drive.

RABBIT DENTAL KITS

ROD1 Basic Kit £185.00

ROD2 Full Hand Kit £265.00

ROD3 Hand & Motor Kit £385.00

Antibiotic Impregnated Polymethacrylate Beads(AIPMMA)

Management of chronic local infections may benefit from the insertion ofantibiotic impregnated polymethacrylate (AIPMMA) beads. The beads aremanufactured from sterile bone cement with the addition of appropriateantibiotic.

Indications include osteomyelitis and abcessation in the rabbit.

Veterinary Instrumentation offers two kits for the preparation of AIPMMAbeads. One kit uses cement with no antibiotic; choice of antibiotic willdepend upon bacteriology and sensitivity. The other kit uses cementcontaining gentamycin which is the preferred choice of antibiotic for manyinfections but is toxic when administered parenterally. Both kits containsufficient material for approximately 100 beads. Full instructions areincluded.

ANTIBIOTIC IMPREGNATED POLYMETHACRYLATE BEADS(AIPMMA)

BC1KIT AIPMMA Bead Kit no antibiotic £65.00

BC1GKIT AIPMMA Bead Kit with Gentamycin £70.00

Root Tip Extraction Forceps

Most chronic abcesses around the head of a rabbit are related to infectedtooth roots. Removal of the offending root is a prerequisite for successfultreatment. Designed by Frances Harcourt-Brown these modifiedneedleholders are used to locate and lock onto the root tip via the abcess.

ROOT TIP EXTRACTION FORCEPS

012206 Root Tip Extraction Forceps 160mm £38.50

Actual S

ize

253

8 gauge

18 gauge

BONE MARROW BIOPSY JAMSHIDI (DISP) BAXTER

012504 Bone Marrow Biopsy Jamshidi 18g (Disp) BaxterIllinois £46.50

DIN1515X Bone Marrow Biopsy Jamshidi 15g (Disp) Baxter

Illinois £46.50

DJ4011 Bone Marrow Biopsy Jamshidi 11g (Disp) BaxterIllinois £46.50

DJ4008 Bone Marrow Biopsy Jamshidi 8g (Disp) BaxterIllinois £46.50

WHICH BIOPSY NEEDLE?BONE MARROW <5kg 18g

5 - 15kg 15g/16g15 - 30kg 13g30 - 50kg 11g>50kg 8g

CORTICAL BONE <5kg 11g5 - 15kg 8g>15kg trephine

SOFT TISSUE All 14g(TRUCUT)

Biopsy Needles - BoneBone Marrow Biopsy - Jamshidi Type

In the Jamshidi type needle the integral stylet locks into the lumen of theneedle preventing obstruction by debris. When the needle tip is in thedesired location the stylet is removed and the sample aspirated.

The 11 gauge needle with the stylet removed may be used to take a 1.5mmapprox. core of bone from tumours for typing (see also bone trephines).

See www.vetinst.com for further information.

VETERINARY INSTRUMENTATION RANGE

BMBJV18A VI, Jamshidi Type Disposable 18g x 2”(50mm) £30.00

BMBJV16 VI, Jamshidi Type Disposable. 16g x 2” (50mm) £30.00




012520 15g Jamshidi Type (Rocket) £25.50

Designed as a cost effective version of the Baxter needles (below left),takes both marrow and core samples. Drive into a suitable site (wing ofilium, tuber ischium, proximal femur), pull back a little, withdraw stylet andaspirate. If there is no aspirate, replace stylet, push in further and repeat.Manufactured to our specification, these needles represent excellent value.

VI Type Biopsy Needle - BMBJV11

BMBJV18A

Re-usable Bone Marrow Biopsy Needles

Made entirely from stainless steel these needlesare fully autoclavable and can be re-sharpenedas necessary.

Veterinary Instrumentation Range

RE-USABLE BONE MARROW BIOPSY NEEDLES

012506 Bone Marrow Biopsy Jamshidi 18g (Re-use) £295.00

012505 Bone Marrow Biopsy Jamshidi 13g (Re-use) £295.00

012519 Bone Marrow Biopsy Jamshidi 11g x100mm (Re-use) £295.00

012518 Bone Marrow Biopsy Jamshidi 8g x100mm (Re-use) £375.00

Bone Marrow Biopsy - Klima Type

The Klima is stainless and re-usable representing good value. The stylet isretained in position by hand. Practically, the use of the needle is not aseasy as the Jamshidi type.

BONE MARROW BIOPSY - KLIMA TYPE

012508 Bone Marrow Biopsy Klima 18g x 25mm £57.50




This item may be re-used providing it is re-sterilised by either ETO or coldsterilisation. These are the original Baxter Jamshidi needles.

Bone Marrow Biopsy - Rosenthall

Similar to Klima. Stylet does not lock into position.

BONE MARROW BIOPSY-ROSENTHAL

012509 Bone Marrow Biopsy Rosenthal 16g x 35mm £62.50

Chapter 15 NEEDLES & BIOPSY PRODUCTS 15

Used to sample liver, kidney and other soft tissues withminimal trauma. Takes just a small sliver of tissue. Disposable but willwithstand boiling. Needle is “locked” and when released spring loadedcutting needle takes the biopsy. 14g has two stop system and can takeeither 10mm or 20mm samples.

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15 NEEDLES & BIOPSY PRODUCTS

Where vascular access is difficult, fluidsand most drugs can be administered viathis interosseus infusion needle. Thisprocess is particularly useful in neonates and birds where blood vesselsare very small. The most common site is the proximal femur via thetrochanteric fossa. An IV catheter should be placed as soon as practical.Also used as a small bone marrow aspiration needle in the Jamshidi style.

INTEROSSEUS INFUSION NEEDLE

BMBJV18 Interosseus Infusion Needle 18g £20.50

Interosseus Infusion Needle 18g

Disposable Skin Biopsy Punch

Disposable skin biopsypunch with razor sharpstainless steel blade. Light weight, ribbed plastic handle for control andcomfort. 4, 6 and 8mm diameters available. Supplied sterile.

DISPOSABLE SKIN BIOPSY PUNCH

SBP4 Skin Biopsy Punch 4mm Diameter Head £3.50



SBPSET Set of 4, 6, 8mm Skin Biopsy Punch £7.50

Temno Evolution Biopsy Needle

TEMNO EVOLUTION BIOPSY NEEDLE

TEM1420/1 Temno Evolution Biopsy Needle 14g x 20cm Single £52.50

TEM1420/5 Temno Evolution Biopsy Needle 14g x 20cm 5 Pack £225.00

Biopsy Needles - Soft Tissue

Cortical Bone Trephine

Stainless steel and re-usable. Used to take a coreof bone for tumour typing. Retractable styletlocates trephine until teeth begin to cut and then isretracted. Stylet is finally used to push out core.Core size 3, 4 and 6mm. Preserve in formol salinefor the lab. Take multiple samples if possible.

CORTICAL BONE TREPHINE

001427 Bone Biopsy Trephine 5mm o/d 3mm core £78.50



Tru-Cut Style

TRU-CUT STYLE SOFT TISSUE BIOPSY

STB18 VI, Trucut type, Supercore Biopsy Needle 14g x 90mm £36.50

STB18B VI, Trucut type, Supercore Biopsy Needle 18g x 90mm £36.50

012521 Trucut soft tissue Biopsy Needle Fully Manual 14g x 115mm £26.50

Ear Flushing Needles

Often referred to as Spreulls needles these blunt beaded needles areavailable in 60mm and 100mm lengths with a luer hub.

EAR FLUSHING NEEDLES

012510 Spreulls Needle Short 60mm £20.50

012511 Spreulls Needle Long 100mm £22.50

Flushing Needle 21 Gauge

Suitable for tear ducts of large and medium sized dogs. Also suitable foranal gland ducts of small dogs. Ideal for flushing the urethra in the malecat prior to placement of catheter. Start with the 30mm needle and move tothe 50mm and 75mm versions as urethra clears. Very difficult to do anyother way.

FLUSHING NEEDLE 21 GAUGE

012512 Flushing Needle 21g Bead Tip 30mm £16.00

012512L Flushing Needle 21g Bead Tip 50mm £16.00

012512XL Flushing Needle 21g Bead Tip 75mm £16.00

Rabbit Lachrymal Duct Cannulae

Treatment of chronic eye infections in the rabbit can be very unrewardingwith topical ophthalmic preparations alone. It is now accepted that flushingthe large nasolachrymal duct punctum to remove accumulations of pus isan essential adjunct to the topical therapy.

This procedure is usually well tolerated by the rabbit under sedation andlocal anaesthetic eye drops. The angle and lengths of standard ophthalmiccannula are incorrect for this procedure.

Veterinary Instrumentation’s Rabbit Lachrymal Duct Cannula is designedespecially for this procedure and is available in two sizes, 19 gauge and 21 gauge.

RABBIT LACHRYMAL DUCT CANNULAE

012523 Rabbit Lachrymal Needle 19g £23.00

012524 Rabbit Lachrymal Needle 21g £23.00

012525 Set Rabbit Lachrymal Needles 19 & 21g £36.00

Flushing NeedlesFlushing needles have a bead or olive soldered onto the tip to minimsetrauma to friable soft tissues.

The standard soft tissue biopsy needle used by theNHS. 2 different sample sizes can be selected whenpulling the plunger. One click equals a 10mm notchexposure, two clicks 20mm. Expensive but best in class.

Staple Remover

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NEEDLES & BIOPSY PRODUCTS 15www.vetinst.com

Bladder Catheters

Stainless steel bladder catheter for queens and bitches. Blunt tip with twolateral eyes. Luer Lock hubs.

BLADDER CATHETERS

307126 Bladder Catheter Straight (queen) 170mm £23.00

307120 Bladder Catheter Curved (bitch) 180mm £24.00



Spinal Needles

We now strongly recommend the use of disposable needles for spinalprocedures. The transluscent hub allows good visualisation of the CSF.

SPINAL NEEDLES

405255 22g x 3” Spinal Needles (Disp) (Box 25) £62.50

405254 22g x 1.5” Spinal Needles (Disp) (Box 25) £62.50







012501 Spinal Needle 21g Short Bevel 40mm (reusable) £11.00



Oral Dosing Needles

Suitable for oral dosing and feeding of birds and reptiles. Available in arange of gauges from 12 to 23. Care should be taken to ensure theneedles cannot be swallowed.

ORAL DOSING NEEDLES

012513 12g Oral Dosing Needle 200mm (curved) £25.00

012514 14g Oral Dosing Needle 125mm (curved) £22.50

012515 16g Oral Dosing Needle 75mm (straight) £18.50

012515C 16g Oral Dosing Needle 75mm (curved) £19.50

012515STR 16g Oral Dosing Needle 100mm (straight) £18.50





012517CS 20g Oral Dosing Needle 25mm (curved) £16.50

012517S 20g Oral Dosing Needle 25mm (straight) £16.50




Needle Boxes (Autoclavable)

Available in polypropyleneor stainless steel.

NEEDLE BOXES (AUTOCLAVABLE)

091149 Needle Box - Polypropylene 50mm x 40mm x 8mm £3.50

091149L Needle Box - Polypropylene 95mm x 70mm x 17mm £3.50

NDLBOX Needle Box- Stainless 70mm x 45mm x 7mm £29.50

NDLBOXL Large Needle Box/SmallParts Container 150x90x12mm £46.50

1. Polypropylene

2. Stainless

3. Needle Box Large

STAPLE REMOVER

012544 Staple Remover £8.25

Skin Staplers

Surgi-Close Autoclavable Skin Staplers

Universal staple remover

Aesculap Manipler Disposable Skin Stapler

Lightweight DesignHigh Quality ConstructionConsistent reliable performanceSlim Grip DesignUnique Angled HeadAllows the surgeon to see the incision as well as closing itFlexible Placement AngleAllows choice of staple depthEconomical36 Staples

MANIPLER SKIN STAPLER

783100 Manipler Skin Stapler £11.00

783101 Manipler Skin Stapler, 12 units for the price of 10 £105.00

The surgi-close skin stapler has now been discontinued, howeverreplacement staple cartridges are still available.

SURGI-CLOSE SKIN STAPLERS

012543 Staple Cartridge with 20 sterile staples (24 pack) £135.00

012542 Staple Cartridge with 20 sterile staples (36 pack) £165.00

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15 NEEDLES & BIOPSY PRODUCTS

Regular Curved

Regular Half-Curved

REGULAR CURVED

NRC*** Regular Curved Suture Needle(12) £3.60

REGULAR HALF-CURVED

NRHC*** Regular Half-Curved Suture Needle(12) £3.60

Order code NRC followed by needle size e.g. NRC1 is regularcurved needle 80mm. Please also specify round or triangular.

Order code is NRHC followed by needle size e.g. NRHC20 is regularhalf curved needle 23mm. Please also specify round or triangular.

Suture NeedlesThe needles are manufactured from high grade stainless steel andundergo a rigorous quality control procedure to ensure a high standard ofsharpness, ridgity, durability and presentation. The needles are handhoned for added sharpness to ensure a smooth, less traumatic passagethrough the tissue. All needles supplied non-sterile in packs of 12.

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NEEDLES & BIOPSY PRODUCTS 15www.vetinst.com

Regular Straight

REGULAR STRAIGHT

NRS*** Regular Straight Suture Needle(12) £3.60

Order code NRS followed by needle size e.g. NRS8 is regularstraight needle 50mm. Please also specify round or triangular.

Regular Half-Circle

REGULAR HALF-CIRCLE

NRHCi*** Regular Half-Circle Suture Needle(12) £3.60

Order code NRHCi followed by needle size e.g. NRHCi10 is regularhalf circle needle 43mm. Please also specify round or triangular.

Suture Needle Holder Spring Loaded

SUTURE NEEDLE HOLDER AUTOCLAVABLE

NH105R Suture Needle Holder £22.50

258

CRILE

101750 Crile 14cm 5.5” Str Artery Forceps £23.00

101755 Crile Atraumatic Jaws 5.5” Str £31.00

101765 Crile 16cm 6.5” Str Artery Forceps £25.00

101770 Crile 1/2 teeth 16cm 6.5” Str. Forceps £25.00

101775 Crile 18cm 7” Str Artery Forceps £36.00

101780 Crile 14cm 5.5” Cof Artery Forceps £25.00

101785 Crile Atraumatic Jaws 5.5” Cof £31.00

101795 Crile 16cm 6.5” Cof Artery Forceps £31.00

101800 Crile 18cm 7” Cof Artery Forceps £37.50

Crile

Jaw is somewhat lighter than the more popularSpencer Wells artery forceps.

HALSTEAD MOSQUITO

103165 Halstead Mosquito 10cm 4” Str Art. Forceps £21.50

103170 Halstead Mosquito 10cm 4” Cof Art. Forceps £21.50

103175 Halstead Mosquito 12.5cm 5” Str Art. Forceps £23.50

103225 Halstead Mosquito 12.5cm 5” Cof Art. Forceps £23.50

103180 Halstead Mosquito 12.5cm Str 1/2 Teeth £24.50

103185 Halstead Mosquito 12.5cm Cof 1/2 Teeth £24.50

Halstead Mosquito

Very light but adequate for routine haemostasis in all but the largestblood vessels.

Rochester Pean

The long jaw of this forcep makes it useful as ahysterectomy clamp in small and medium breeds.

Spencer Wells

The standard veterinary artery forceps. If the textstates “artery forceps or haemostat” this isprobably the one.

ROCHESTER PEAN

106225 Rochester Pean 14cm 5.5” Str Art. Forceps £24.00


106235 Rochester Pean 18cm 7” Str Art. Forceps £29.50


106270 Rochester Pean 14cm 5.5” Cof Art. Forceps £25.00

106275 Rochester Pean 16cm 6.5” Cof Art. Forceps £30.00

106280 Rochester Pean 18cm 7” Cof Art. Forceps £31.50

106285 Rochester Pean 20cm 8” Cof Art. Forceps £36.50

106290 Rochester Pean 22.5cm 9” Cof Art. Forceps £38.50

Artery Forceps

IntroductionVeterinary Instrumentation's no quibble lifetime guarantee means thatyou can purchase instruments in the full confidence that they will not letyou down.

The instruments will be replaced free of charge in the event of breakingdue to faulty workmanship. Wear, e.g. in needleholders, is not covered.Veterinary Instrumentation’s range of general surgical instruments isselected as being the most appropriate for routine surgical procedures. Ifyou do not see what you want we can source it for you. Please phone, faxor email the usual contacts.

TerminologyStr = Straight Cof = Curved Aof = Angled

close-up details

16 GENERAL INSTRUMENTATION Chapter 16

Kocher

Having a long jaw this forcep is rather like aRochester Pean but the tips are toothed foradded security.

SPENCER WELLS

106600 Spencer Wells 12.5cm 5” Str Art. Forceps £21.00






106625 Spencer Wells 12.5cm 5” Cof Art. Forceps £23.00

106630 Spencer Wells 15cm 6” Cof Art. Forceps £25.00




KOCHER

105521 Kocher 15cm 6” Str Artery Forceps £31.50

105522 Kocher 15cm 6” Cof Artery Forceps £33.50

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GENERAL INSTRUMENTATION 16 www.vetinst.com

Negus ForcepsNEGUS

7018/05 Negus 18cm 7” Cof Art. Forceps Small £41.50

MAYO SAFETY PIN

106699 Mayo Safety Pin £15.00

Mayo Safety Pin

Use to organise artery forceps and other similar instruments.

Bone Cutting ForcepsSee GENERAL ORTHOPAEDICS - page 83

Bone Gouge Forceps(Rongeurs)See GENERAL ORTHOPAEDICS - page 82and SPINAL - page 135

Bone Holding ForcepsSee General Orthopaedics, page 73

VI Bone Holding Forceps

A general purpose bone holder for use in maintaining fracture reduction in I/M pinning. Also very useful for lag screwing and bone plating in that drills and screws can be passed through the centre of the jaw at the point ofmaximum compression. A very popular forcep.

VI BONE HOLDING FORCEPS

001210 Bone Holding Forceps 155mm £67.50

Diffenbach (Bulldog) Clamps

Small cross action vascular clamps. Most commonly used in soft tissuesurgery.

DIFFENBACH (BULLDOG) CLAMPS

107708 Diffenbach Clamp 5cm Str £19.00

107710 Diffenbach Clamp 5cm Conf £19.00

Small Serrated Bone Holding Forceps

SMALL SERRATED BONE HOLDING FORCEPS

001218m Small Serrated Bone Holding Forceps. 12mm grasp 140mm £60.00

001218 Small Serrated Bone Holding Forceps. 7mm grasp 140mm £60.00

001218s X Small Serrated Bone Holding Forceps. 5mm grasp. 90mm £60.00

001218xs X Small Serrated Bone Holding Forceps. 3mm grasp.90mm £60.00

Reduction Forceps Serrated Jaws

REDUCTION FORCEPS SERRATED JAWS

001217 Reduction Forceps Serrated Jaws Spinlock 190mm £75.00

001217/L Reduction Forceps Serrated Jaws Spinlock 240mm £85.00

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16 GENERAL INSTRUMENTATION

ChiselsSee General Orthopaedics, page 87

DOYEN

201950 Bowel Clamps Doyen 24cm 9.5” Str £70.00

201955 Bowel Clamps Doyen 24cm 9.5” Cof £75.00

Doyen

Rather large for small animal surgery but cheaper than thesmall atraumatic bowel clamp.

Bowel Clamps

ATRAUMATIC SMALL BOWEL CLAMP

222165 Bowel Clamps Small Animal Atraumatic 17cm Str £75.00

222170 Bowel Clamps Small Animal Atraumatic Cof 17cm £80.00

Atraumatic Small Bowel Clamp

Jaw design gently holds and seals the bowel with a minimum of pressureand trauma. The fine ratchet facilitates gentle yet secure application.

Str

Cof

SERRATED-BLOCK END

341070 Block End Serr. Dissecting Forceps 5” 12.5cm £10.00

341075 Block End Serr. Dissecting Forceps 6” 15cm £14.00

341080 Block End Serr. Dissecting Forceps 7” 18cm £16.50

347655 Dressing Forceps 205mm £24.00

Serrated-Block End

A cheap, general purpose dressing forcep.

Dissecting Forceps 1/2 Teeth

Dissecting Forceps

DISSECTING FORCEPS 1/2 TEETH

341145 Dissecting Forceps 1/2 teeth 15cm 6” £22.00

341160 Dissecting Forceps 1/2 teeth 18cm 7” £22.00

341170 Lanes Diss Forceps 1/2 teeth 6” 15cm £22.00

349520 Lanes Diss Forceps 2/3 teeth 7” 18cm £22.00

ADSON

341200 Adson Serr. Diss. Forceps 12.5cm 5” £22.00

341201 Adson Serr. Extra Fine 12.5cm 5” £28.50

341210 Adson 1/2 teeth 12.5cm 5” Diss. Forceps £31.00

341212 Adson Brown Dissecting Forceps 12.5cm 5” £34.00

341214 Adson Brown Serr/Croc 15cm 6” £40.00

341215 Adson Brown 1/2 teeth 15cm 6” £40.00

341220 Adson DeBakey Dissecting Forceps 125mm / 5” £40.00

Adson

Ideal for fine surgical procedures. Available in a range of jaw designs.

DEBAKEY - ATRAUMATIC

342005 DeBakey 15cm 6” Diss. Forceps £40.00

342010 DeBakey 18cm 7” Diss. Forceps £40.00

342015 DeBakey 19.5cm 8” Diss. Forceps £40.00

342020 DeBakey 20.5cm 8.5” Diss. Forceps £47.50

342030 DeBakey 15cm 6” Diss. Forceps Angled £47.50

DeBakey - Atraumatic

The forceps in this range grip as firmly as rat tooths but cause minimaldamage to delicate tissues. Particularly useful in surgery of the ear, bowelor urogenital system.

teeth profile (end view)

Epilation

A very fine rat tooth for delicate procedures including corneal surgery.

ST. MARTIN DISSECTING FORCEPS

014160 St. Martin 1/2 Teeth 90mm 3.25” Diss. Forceps £49.50

St. Martin Dissecting Forceps

EPILATION

342450 Epilation Sq. Jaws Plain. 9cm 3.5” Diss. Forceps £29.50

Actual size

341200 341201 341210 341212 341220

261


TREVES, RAT TOOTH FORCEPS

346850 Treves 1/2 Teeth 12.5cm 5” Diss. Forceps £17.00

346855 Treves 1/2 Teeth 15cm 6” Diss. Forceps £19.00

346860 Treves 1/2 Teeth 18cm 7” Diss. Forceps £22.50

347665 Fine Rat Tooth Thumb Forceps 205mm £27.50

Treves, Rat Tooth Forceps

A cheap general purpose rat tooth dissecting forceps.

CASTROVIEJO

014175 Castroviejos Needlehldrs. with catch T.C. 150mm £115.00

014177 Castroviejos Needlehldrs. without catch T.C. 150mm £115.00



Tungsten CarbideMost Veterinary Instrumentation needleholders are availablewith tungsten carbide inserts (T.C. jaws). They grip better andwear better. They are especially useful for holding smallerneedles.

Their handles are gold plated to make it easier to spot them ona tray of artery forceps.

Needleholders

Castroviejo

The classic ophthalmic needleholders with a catch. Occasional ophthalmicsurgeons should consider Miniature Fosters or Ryders. The squeezeaction of the Castroviejos can be awkward at first.

MINIATURE FOSTER GILLIES

602710 Miniature Foster Gillies T.C. 4.0" 100mm £90.00

Miniature Foster Gillies

Foster Gillies

Smaller than the standard Gillies this instrument isideal for finer surgery or smaller hands.

FOSTER GILLIES

582650 Foster Gillies RH 12.5cm 5” N/Holders £75.00

582660 Foster Gillies LH 12.5cm 5” N/Holders £80.00

602700 Foster Gillies RH 12.5cm 5” T.C. Jaws £115.00

602705 Foster Gillies LH 12.5cm 5” T.C. Jaws £120.00

Gillies

Combined scissor/needleholder.

GILLIES

582950 Gillies RH 16cm 6.25” N/Holders £46.00

582951 Gillies LH 16cm 6.25” N/Holders £50.00

602950 Gillies RH 16cm 6.25” T.C. Jaws £90.00

602951 Gillies LH 16cm 6.25” T.C. Jaws £100.00

Actual size

Actual size

Actual size

McPhails

The McPhails needleholder has soft copper jaws for extra needle grip. Thecatch engages with a moderate squeeze on the handles. Further pressurereleases the catch and the needle.

McPHAILS

584650 McPhails 15cm 6” N/Holders £65.00



Castroviejo Needleholders / Scissor

This instrument functions as a standard Castroviejo needleholder but thejaws incorporate a suture cutting function in the style of Olsen Hegars orGillies. Jaws are Tungsten Carbide for maximum grip.

CASTROVIEJO NEEDLEHOLDERS/SCISSOR

014181 Castroviejo NH / Scissor 150mm Str TC £115.00

014182 Castroviejo NH / Scissor 150mm Cof TC £115.00

014183 Castroviejo NH / Scissor 150mm Str S’Cut TC £120.00

014184 Castroviejo NH / Scissor 150mm Cof S’Cut TC £120.00

262


Mayo and Mayo Hegar (T.C.)

The veterinary general purpose needleholder,available in a large range of sizes with or withouttungsten jaws.

MAYO AND MAYO HEGAR (T.C.)

584750 Mayo 12.5cm 5” N/Holders £31.00

584760 Mayo 14cm 5.5” N/Holders £32.50

584780 Mayo 16.5cm 6.5” N/Holders £33.50

584765 Mayo 18cm 7.0” N/Holders £36.00

584810 Mayo 19cm 7.5” N/Holders £38.00

584820 Mayo 20cm 8” N/Holders £40.00

604700 Mayo Hegar 12.5cm 5” T.C. Jaws £55.00

604705 Mayo Hegar 14cm 5.5” T.C. Jaws £57.50

604712 Mayo Hegar 15cm 6” T.C. Jaws £62.50

604715 Mayo Hegar 16.5cm 6.5” T.C. Jaws £65.00

604715L Mayo Hegar 16.5cm 6.5” T.C. Jaws - Left Handed £70.00

604720 Mayo Hegar 18.5cm 7” T.C. Jaws £70.00

604730 Mayo Hegar 19cm 7.5” T.C. Jaws £75.00



Kilner Needleholders

Kilner needleholders are similar to 14cm Mayosbut the arms are cranked, offsetting the jawsfrom the handles by around 10mm.

KILNER NEEDLEHOLDERS

608000 Kilner Needleholders 14cm 5.5” £67.50

DeBakey

Much lighter in construction than the Mayo Hegar. Theseneedleholders are very useful for deep surgical procedureswhere there is limited space e.g. chest surgery.

DEBAKEY

602005 DeBakey 18cm 7” T.C. Jaws £85.00




602025 DeBakey 30.5cm 12” T.C. Jaws £130.00

Olsen Hegar Scissor / Needleholder

Olsen Hegar's combine the best features of Gillies andneedleholders. They cut stitches but also lock. Highlyrecommended. Combined scissor/needleholder.Looser ‘feel’ will feel more like a scissor than aneedleholder in use.

OLSEN HEGAR SCISSOR/NEEDLEHOLDER

585400 Olsen Hegar 14cm 5.5” N/Holders £55.00

585410 Olsen Hegar 16.5cm 6.5” N/Holders £60.00

585420 Olsen Hegar 19cm 7.5” N/Holders £65.00

605340 Olsen Hegar 11.5cm 4.5” T.C. Jaws £72.50

605350 Olsen Hegar 14cm 5.5” T.C. Jaws £80.00

605350S Olsen Hegar 14.5cm 5.5” Super Cut T.C. Jaws £90.00

605355 Olsen Hegar 16.5cm 6.5” T.C. Jaws £80.00

605355L Olsen Hegar 16.5cm 6.5” T.C. Jaws - Left Handed £85.00

605380 Olsen Hegar 17cm Supercut T.C. £90.00



605360 Olsen Hegar 19cm 7.5” T.C. Jaws £85.00

605361 Olsen Hegar Razor Cut 14.5cm 5.5 ” £82.50

605362 Olsen Hegar Razor Cut 17cm 6.5” £85.00

Ryder

Ideal for small needles.The smaller sizes are an alternative forophthalmic needleholders.

RYDER

606340 Ryder (Micro) 12.5cm 5” T.C. Jaws £85.00

606305 Ryder (Micro) 15cm 6” £80.00

606345 Ryder (Micro) 15cm 6” T.C. Jaws £87.50

606350 Ryder (Micro) 18cm 7” T.C. Jaws £90.00

606340

The Derf needleholder is a small TCneedleholder with slightly heavier jaws than theRyder. More resistant to surgeon abuse!

Derf Needle Holder

DERF NEEDLE HOLDER

607010 Derf Needleholder 12cm TC Jaws £75.00

Actual S

ize

263

GENERAL INSTRUMENT

ATION

16

www.vetinst.com

Galibans Suture Forceps

GALIBANS SUTURE HOLDING FORCEPS

58900 Galibans Suture Holding Forceps £42.50

Osteotomes

LANGENBECK

684375 Langenbeck Retractor 6mm blade 215mm £40.00

684395 Langenbeck long reach 6mm x 35mm blade 215mm £45.00




Langenbeck

Good retraction is the key to success in many procedures,especially surgery on deep structures e.g. the pelvis or the larynx.

MORRIS

684750 Morris Retractor 38mm, 1.5" 215mm £60.00

684755 Morris Retractor 50mm, 2" 260mm £60.00

684760 Morris Retractor 65mm, 2.5" 220mm £60.00

Morris

Much wider than the Langenbeck, good for fat abdomens.

Senn (Cats Paw)

Retractors

SENN (CATS PAW)

833305 Senn Retractor (cats paw) 160mm £22.50

Fat Pad Retractor

Visualisation of the medial meniscus is maximised by retraction of the fatpad. Previously this has been acheived by use of a Senn ("cats paw")retractor. The fat pad retractor has the same clawed foot but has a muchmore practical means of holding the instrument.

FAT PAD RETRACTOR

001114 Fat Pad Retractor 180mm £22.50

OSTEOTOMES












Osteotomes

Use an osteotome to make a precise elective cut, e.g. trochantericosteotomy, excision arthroplasty.

Light

Swedish Pattern

Malleable (Walton) Retractors

These flat plates ofsoft stainless steel arebent intra-operativelyto retain abdominalstructures.

MALLEABLE (WALTON) RETRACTORS

687613 Malleable Retractor 13mm 175mm £19.50



‘STUBBY’ OSTEOTOME








0013SET ‘Stubby’ Osteotome Set (one of each) £200.00

Use when placing sutures under tension. A good example is the placement of a lateral stabilising suture in the management of anterior cruciate ligament failure or abdominal sutures in an overweight dog.Galibans used by an assistant are used to atraumatically secure the firstthrow. The Galibans are removed as the second throw is tightened.

‘Stubby’ Osteotome

Available from 3mm to14mm and as a set at asignificantly discountedprice. 70mm long

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TRAVERS

703051 Travers Retractor 16.5cm 6.5" (70mm spread) £185.00

703050 Travers Retractor 20cm 8” (90mm spread) £205.00

703053 Travers Mini 95mm (43mm spread) £95.00

Travers

Expensive but very useful for retraction of skin and superficial soft tissue.

WEISLANDER

702150 Weislander S/R Retractor 14cm 5.5” Sharp 60mm gape £150.00

702152 Weislander S/R Retractor 14cm 5.5” Blunt 60mm gape £150.00

Weislander

Arms are flat compared with the Wests.

WEST

703250 West Retractor 14cm 5.5” (50mm spread) £145.00

703253 West Retractor 95mm (40mm spread) £95.00

West

Widely used but sharp points tend to snag tissues. Curved arms sit quitenicely on small veterinary patients.

Aln Skin Retractor

ALN SKIN RETRACTOR

252370 Aln Skin Retractor 7.5cm 3” £36.50

GOSSET

701550 Gosset Retractor Large (130mm spread) £205.00

710600 Gosset Retractor Small (100mm spread) £205.00

Gosset

Good as a rib retractor,laparotomy retractor and forretraction of ventral cervicalstructures during cervicalfenestration.

Finsen Self Retaining Retractor

Spring loaded retractor for small incisions. The blade width is 14mm.Very reasonably priced.

FINSEN SELF RETRACTOR

252374 Finsen Retractor 75mm £46.50

Gelpi Self Retaining Retractor

The Gelpi is an extremely versatile self retaining retractor useful in almostany orthopaedic procedure. Veterinary Instrumentation Gelpis are differentfrom standard Gelpis in two respects:

1.Short blunt tips give focal retraction for precise exposure of the fractureor lesion.

2. The teeth on the ratchet are smaller than usual giving finer control overthe spread of the tips.

Gelpis are virtually an extra pair of hands and are invaluable incircumstances where the surgeon is working alone. This is the norm ingeneral practice. The curved shape sits nicely on our patients. Useful inthe following procedures and many more:

• Total Head and Neck Excision • CrCL repairs• Meniscal examination • All arthrotomy procedures• Fracture repairs • Wobblers• Laminectomies • Rib retractors in small patients

Two pairs of Gelpis placed at right angles to one another may be used tocreate a window into a joint or fracture site.

Gelpis are available in a number of lengths. Measurement ‘a’ gives thedepth of the tips.

GELPI SELF RETAINING RETRACTOR

001330 Gelpi Self Retaining Retractor. 180mm(120mm spread) (a=20mm) £145.00

001330SL Gelpi Self Retaining Retractor with spin lock for extra strength (a=20mm) 190mm £145.00

001330S Gelpi Self Retaining Retractor 180mm sharp tips (a=20mm) £145.00

001331 Gelpi Long Reach. (a=40mm) 200mm £145.00

001331L Gelpi Very Long Reach (a=60mm) 200mm £145.00

001332 Gelpi Small (50mm sprd)(a=15mm) 135mm £145.00

0013301 Gelpi Mini Flat(45mm sprd)(a=15mm) 90mm £90.00

0013302 Gelpi Mini Curved(45mm spread)(a=15mm) 90mm £90.00

001333 Odd leg Gelpi (pair). (a=25/40mm)205mm £295.00

001334 Odd leg Gelpi short (pair).(a20/30) 130mm £295.00

Mini Gelpiand small

stifleretractor

265


COLLINS

703260 Collins Retractor (110mm spread) £130.00

Collins

The two blades swivel as retraction takes place. They self-centre in theincision.

Mini Self Retaining RetractorsMini Multipronged Retractors

These retractors facilitate retraction in and around small joints or in verysmall patients.

Ideal for retraction in and around small joints or in very small patients. Thecurved version allows slightly deeper retraction.

Mini Gelpis

MINI GELPIS

0013301 Gelpi Mini Flat (45mm spread) 90mm £90.00

0013302 Gelpi Mini Curved (45mm spread) 90mm £90.00

MINI MULTIPRONGED RETRACTORS

703253 Mini West Retractor 95mm (40mm spread) £95.00

703053 Mini Travers Retractor 95mm (43mm spread) £95.00

Travers

West

Flat

Curved

RIB RETRACTOR

704000 Rib Retractor Finnochetto - Small (95mm spread) £130.00

704005 Rib Retractor Finnochetto - Large (130mm spread) £135.00

Rib RetractorFinnochetto is the standard ribretractor available in large andsmall.

LARGE ABDOMINAL RETRACTOR

25-2375AHM AHM Balfour Retractor (180mm spread) £165.00

25-2375 Standard Balfour Retractor (180mm spread) £145.00

25-2375R Balfour Locking Ring £16.50

25-2377 Medium Balfour Retractor (115mm spread) £145.00

25-2376 Baby Balfour Retractor (90mm spread) £140.00

684755 Morris Retractor 50mm £60.00

AHM Balfour

The original Balfour has for many years served as the standard largeabdominal retractor for canine surgery. However the standard midlinecanine approach is very different from the standard human approach.Alasdair Hotston Moore has re-visited the original design and has madesome significant changes which improve the instrument both in use andsterilisation.For further information about Balfour Retractors see Chp 9, Page 210.

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Dressing - Blunt/Blunt

DRESSING - Blunt/Blunt

742610 Dressing Scissors Blunt Str. 5” 12.5cm £15.50

742620 Dressing Scissors Blunt Str. 5.5” 14cm £19.00

742630 Dressing Scissors Blunt Str. 6” 15cm £21.00



742900 Dressing Scissors Blunt Cof. 5” 12.5cm £19.00

742622 Dressing Scissors Serr. B/B Cof. 5” 14cm £19.00

742910 Dressing Scissors Blunt Cof 5.5” 14cm £23.00

742910L Dressing Scissors Blunt Cof 5.5” 14cmLeft Handed £24.00

742920 Dressing Scissors Blunt Cof. 6” 15cm £27.00



Dressing - Sharp/Sharp

DRESSING - Sharp/Sharp

742600 Dressing Scissors Sharp Str. 4” 10cm £16.50

742700 Dressing Scissors Sharp Str. 4.5” 11cm £17.50

742710 Dressing Scissors Sharp Str. 5” 12.5cm £19.50

742720 Dressing Scissors Sharp Str. 5.5” 14cm £20.50




743010 Dressing Scissors Sharp Cof. 5” 12.5cm £19.50

Dressing - Blunt / Sharp

DRESSING - Blunt / Sharp

742810 Dressing Scissors Blunt / Sharp 5” Str £20.00

742820 Dressing Scissors Blunt / Sharp 6” Str £21.00

743100 Dressing Scissors Blunt / Sharp 5” Cof £21.00

743120 Dressing Scissors Blunt / Sharp 6” Cof £22.00

Dressing - Blunt / Blunt Coloured Handles

DRESSING - Blunt / Blunt Coloured Handles

742622G Dressing Scissors Serr B/B Cof 5” Gold Handles £21.00

742622B Dressing Scissors Serr B/B Cof 5” Blue Handles £21.00

742622RB Dressing Scissors Serr B/B Cof 5” Rainbow Handles £21.00

742622P Dressing Scissors Serr B/B Cof 5” Pink Handles £22.00

742622R Dressing Scissors Serr B/B Cof 5” Red Handles £22.00

Scissors

Lister Bandage

LISTER BANDAGE

744800 Bandage Scissor 5.5’ 14cm £21.00

744810 Bandage Scissor 7” 18cm £23.50

The comfortable handles and serrated blades make these a useful allround dressing scissor cheap enough for each consulting room.

These standard dressing scissors are now available with different colouredhandles to enable easy identification. Never lose your pair again.

GENERAL PURPOSE DRESSING SCISSORS

744840 General Purpose Dressing Scissors 190mm £9.00

General Purpose Dressing Scissors

267


HEATH STITCH

743800 Heath Stitch Scissors 15cm 6” £44.50

Heath Stitch

General purpose stitch cutter.

LITTAUER STITCH

745095 Littauer Stitch Scissors 8cm 3.5” £18.00


745110 Littauer Stitch Scissors 12.5cm 5” Str. £18.00

Littauer Stitch

Very nice for removal of small awkward sutures.

LITTAUER STITCH



745110 Littauer Stitch Scissors 12.5cm 5” Str. £25.00

Very nice for removal of small awkward sutures.

IrisA useful general purpose ophthalmic scissor.Lightweight, ‘standard’ action scissor for conjunctivaand, less satisfactorily, the cornea. Very rarely usedon the iris in veterinary ophthalmology.

IRIS

744100 Iris Scissors 9cm Str £17.50

744120 Iris Scissors 9cm Cof £20.00

744110 Iris Scissors 11cm Str £17.50

744130 Iris Scissors 11cm Cof £20.00

744131 Iris Scissors Tungsten Carbide Str. 11cm £34.50

VETERINARY BANDAGE SCISSORS

744820 Veterinary Bandage Scissors 14cmm, 5.5” £22.00

744830 Veterinary Bandage Scissors 19cm, 7.5” £25.00

The limbs of small animal veterinary patients are typically much smallerthan their human counterparts. Most bandage scissors are designed forthe human limb. Veterinary bandage scissors should be lower in profile toget between bandage and skin and, for ease of use, need to be slightlystraighter than standard human bandage scissors.

Our Veterinary Bandage Scissors meet these requirements and makedressing removal much easier.

Strabismus Scissors

STRABISMUS SCISSORS

746900 Strabismus Scissors 9cm Str £21.00

747010 Strabismus Scissors 9cm Cof £21.00

746910 Strabismus Scissors 11cm Str £23.00

747020 Strabismus Scissors 11cm Cof £23.00

Stronger than corneal and conjunctival scissors,strabismus scissors are suitable for cuttingmuscles and skin.

CASTROVIEJO SUTURE REMOVAL SCISSORS

014185 Castroviejo Suture Removal Scissors 120mm £39.50

Castroviejo Suture Removal Scissors

Designed for the removal of very fine sutures. The Castroviejo actionmatches that of the Castroviejo needleholders.

EYE ENUCLEATION SCISSORS

014225 Eye Enucleation Scissors 140mm £74.50

Eye Enucleation Scissors

Standard curved surgical scissors do not match the radius of the eye ofdogs and cats. The eye enucleation scissor closely matches requiredradius and slides easily behind the eyeball to cut the optic nerve andinternal opthalmic artery and vein, without the requirement to applydangerous traction to the globe. Use in conjuction with eye enucleationclamps, see page 225.

Veterinary Bandage Scissors

268


Surgical Scissor - Standard

MAYO-STANDARD

745300 Mayo Chamf. Blades 14cm 5.5” Str £22.00

745300L Mayo Chamf. Blades 14cm 5.5” Str - Left Handed £23.00

745310 Mayo Chamf. Blades 16.5cm 6.5” Str £25.00

745320 Mayo Chamf. Blades 19cm 7.5” Str £31.00

745330 Mayo Chamf. Blades 21.5cm 8.5” Str £42.50

745400 Mayo Chamf. Blades 14cm 5.5” Cof £25.00

745410 Mayo Chamf. Blades 16.5cm 6.5” Cof £31.00

745420 Mayo Chamf. Blades 19cm 7.5” Cof £40.00

745430 Mayo Chamf. Blades 21.5cm 8.5” Cof £50.00

Surgical ScissorsSurgical scissors are typically either one of two designs. The Mayo is thegeneral purpose surgical scissor in which the blade occupiesapproximately one third of the length of the scissor. The 14cm straightMayo is the standard veterinary surgical scissor. The Metzenbaum is afiner lighter scissor in which the blade occupies approximately onequarter of the scissor length. Using a 14.5cm metzenbaum rather than a14cm Mayo will give you a finer scissor but a similar working distance.

Each style of scissor is available in four different qualities which varyaccording to blade construction and cutting characteristics. They can beidentified by handle colour.

• Standard Stainless

• Supercut Black

• Tunsten Carbide Gold

• Supercut T.C. Black & Gold

METZENBAUM-STANDARD

746100 Metzenbaum ‘Lahey’ Sciss. 14.5m 5.75” Str £29.00

746101 Metzenbaum Sciss. 15cm 6” Str £29.00


746110L Metzenbaum Sciss. 18cm 7” Str - Left Handed £33.00


746120 Metzenbaum Sciss. 21.5cm 8.5” Str £42.50

746130 Metzenbaum Sciss. 24cm 9.5” Str £47.50

746200 Metzenbaum ‘Lahey’ 14.5cm 5.75” Cof £36.00

746210 Metzenbaum ‘McIndoe’ 18cm 7” Cof £40.00

746215 Metzenbaum 20cm 8” Cof £45.00

746220 Metzenbaum 21.5cm 8.5” Cof £50.00

746230 Metzenbaum 24cm 9.5” Cof £55.00

One blade is sharpened to a tapered edge which greatly enhances theability of the scissor to slice through tissues. The standard scissor hasmuch more of a crushing action. Identified by having black handles.

Surgical Scissor - Supercut

SURGICAL SCISSORS -SUPERCUT

760000 Mayo Str. 14cm, 5.5”. Supercut £35.00

760002 Mayo Cof. 14cm, 5.5”. Supercut £35.00

760008 Metzenbaum 14.5cm, 5.75” Str. Supercut £40.00

760009 Metzenbaum 14.5cm, 5.75” Cof. Supercut" £40.00

760010 Metzenbaum Str. 18cm, 7”. Supercut £47.00

760012 Metzenbaum Cof. 18cm, 7”. Supercut £47.00

Surgical Scissors - Tungsten Carbide

SURGICAL SCISSORS-TUNGSTEN CARBIDE

752250 Mayo Clinical 6” 15cm Str. Hard Edge £65.00

752260 Mayo Clinical 7” 18cm Str. Hard Edge £65.00

752280 Mayo Clinical 6” 15cm Cof. Hard Edge £67.50

752290 Mayo Clinical 7” 18cm Cof. Hard Edge £67.50

754020 Metzenbaum 14.5cm 5.75” Str. Hard Edge £75.00

754030 Metzenbaum 18cm 7” Str. Hard Edge £75.00

754060 Metzenbaum 23cm 9.5” Str. Hard Edge" £75.00

754080 Metzenbaum 14.5cm 5.75” Cof. Hard Edge £75.00

754090 Metzenbaum 18cm 7” Cof. Hard Edge £75.00

754120 Metzenbaum 23cm 9.5” Cof. Hard Edge £75.00

754095 Metzenbaum 35cm 14” Cof. Hard Edge £75.00

Stay sharper, longer. Gold handles to distinguish from general surgicalitems. The cutting edge is constructed of Tungsten Carbide, a very hardmaterial.

269


VOLKMAN





782600 Volkman Scoop Double EndedSmall 4mm/6mm x 205mm £45.00

782610 Volkman Scoop Double EndedMedium 5mm/6mm x 200mm £45.00

782620 Volkman Scoop Double EndedLarge 6mm/8mm x 200mm £45.00

Volkman

Useful for heavy curettage and collection of cancellous bone grafts.

Scoops

RAMPLEYS

786505 Rampleys Sponge Forceps 250mm £36.50

Rampleys

CheatleFor manipulation of instruments during setting up.

Sponge Forceps

Steriliser Forceps

CHEATLE

787655 Cheatle 26.5cm 10.5” Ster. Forceps B/J £42.50

COSMETIC SURGEON SCISSORS WITH ‘OPEN' SHANKS

755100 Cosmetic Surgeon Scissors Str. 15cm, 6" £80.00

755110 Cosmetic Surgeon Scissors Cof. 15cm, 6" £80.00

Favoured by human cosmetic surgeons, these scissors have very finerazor sharp blades with hard inserts for long life. They have a beautifulaction and have a place in a veterinary surgery where precise cutting isrequired. TC Blades.

Cosmetic Surgeon Scissors

close-up detail

The Supercut TC is our best scissor having the special cuttingcharacteristic of the Supercut style but with the long lasting Tungstenblades. Identified by one black and one gold handle

Surgical Scissor - Supercut TC

SURGICAL SCISSORS -SUPERCUT TC

760000TC Mayo Str. 14cm, 5.5”. Supercut TC £82.50

760002TC Mayo Cof. 14cm, 5.5”. Supercut TC £82.50

760008TC Metzenbaum 14.5cm, 5.75” Str. Supercut TC £82.50

760009TC Metzenbaum 14.5cm, 5.75” Cof. Supercut TC £82.50

760010TC Metzenbaum Str. 18cm, 7”. Supercut TC £90.00

760012TC Metzenbaum Cof. 18cm, 7”. Supercut TC £90.00

Bitch Speculum

KILLIAN

546455 Bitch Speculum (Killian). Blade length 6.5cm (2.5") £59.50

Killian

Essentially a human nasal speculum this 6.5cm bladed instrument is thestandard bitch speculum. Adding a focal light source improves visualisationenormously.

270


Backhaus

General purpose towel clip.Available in a range of sizes.

Towel Clips

BACKHAUS

841350 Backhaus 9cm 3.5” £20.00

841355 Backhaus 10cm 4” £22.00

841360 Backhaus 12.5cm 5” £26.00

PROBES

901010 Blunt Dissection Probe 140mm £11.00

901015 Winged Director 130mm £11.00

AllisGeneral purpose tissue forceps.

Tissue Forceps

ALLIS

801150 Allis 2/3 teeth 15cm 6” £33.00

801155 Allis 3/4 teeth 15cm 6” £33.00

801156 Allis 3/4 teeth 18cm 7” £33.00

801160 Allis 4/5 teeth 15cm 6” £33.00

801165 Allis 5/6 teeth 15cm 6” £33.00

801170 Allis 6/7 teeth 15cm 6” £33.00

801175 Baby Allis 4/5 teeth 13cm 5” £31.00

BabcockAn alternative to Allis's. Less traumatic but less grip.

BABCOCK

801350 Babcock 16.5cm 6.5” £33.00

801354 Babcock 18cm 7” £35.00

801355 Babcock 20cm 8” £45.00

801360 Babcock 23cm 9” £52.50

Youngs Tongue Forceps

YOUNGS TONGUE FORCEPS

7853/05 Youngs tongue forceps 170mm £46.50

Use the blunt probe to track fistulae. The butterfly cutting guide has a groovealong its length to allow a scalpel to be run down without fear of damagingdeeper tissues, the vulnerable tissues being protected by the guide.

Miscellaneous

Cross Action

Shardel

CROSS ACTION

846550 Shardel Cross Action 9cm 3.5” £13.00

171566 Jones Cross Action 9cm 3.5” £11.00

841352 Atraumatic Towel Clamp 4.5” £24.50

Probes and Cutting Guides

Ball and Socket Towel Clamp

Traditional pointed towel clips hold drapes in place very well, but areinclined to bruise the patient and can be a reason for wound interferencepost-op. They are also inclined to rip paper drapes and put holes in clothdrapes, reducing there efficacy as a barrier. Ball and socket towel clampsdo not penetrate the skin and are less inclined to rip paper drapes and putholes in cloth drapes.

BALL AND SOCKET TOWEL CLAMP

843005 Ball and Socket Towel Clamp 5” £24.50

Atraumatic

271


Swann Morton Fine Blades (Beaver Type)

SWANN MORTON BLADES - Carbon Steel

0201 100 Blades individually packed size 10 £12.00








SWANN MORTON SCALPEL BLADE REMOVER

240109 Scalpel Blade Remover Forceps £16.00

5525 Scalpel Blade Remover Disposable (Box 10) £11.00

Swann Morton Scalpel Blades

Swann Morton Blades & Handles

No. 3

No. 4

No. 4L

No. 7

No. 9

No. B3

PM40

HandlesVeterinary Instrumentation's No.3 scalpel handle is a standard handle buthas a centimetre/millimetre scale along its length. In addition the back andedge are sharp enough to act as a periosteal elevator for strippingperiosteum and muscle from bone.

SWANN MORTON HANDLES

0803VI No 3 Handle with Scale and Periost Elevator Back £3.50

0803 No 3 Handle with Scale £4.50

0923 No B3 Handle £13.50

0804 No 4 Handle £4.50

0814 No 4 Long Handle £6.00

0807 No 7 Handle £4.50

0909 No 9 Handle £4.50

02652 PM40 Standard Handle £4.50

0805 No 5(b) Scalpel Handle £11.00

SWANN MORTON FINE STAINLESS HANDLE - Beaver type




06054 VI Beaver Blade handle 130mm £12.50

Swann Morton Fine Blades

Fine blades are designed for finework, eg. ophthalmic surgery,meniscus surgery.

SWANN MORTON FINE BLADES - Beaver type






05906 25 Blades individually packed SM65a £24.50




02551 PM40 standard Blade (box 10) £7.75

Actual size

61 62 63 64 65 65A 67 68 69

Sterile Swann Morton blades are made in Sheffield fromthe finest steel. These blades are the result of experienceplus modern production methods.

Cygnetic provides the surgeon with additional strength and stabilitythrough the patented combination of blade and handle.

Blade attachment and removal is significantly easier and safer using thelever action locking mechanisn. Blades no longer need to be flexed prior tofitting or removal. With lever open blade simply drops out for disposal.

Handle easily strips for cleaning.

Cygnetic Scalpel Handle and Blades

CYGNETIC HANDLES AND BLADES

CY5398 Cygnetic Handle by Swann Morton £21.00

CY5301 Cygnetic Blades No 10 (Pack 50) £10.50




With lever open blade is free to dropin and out. No need to lever blade toattach and detach from handle

11 15 20

10

272


INSTRUMENT BOXES

BX201040 Box 200mm x 100mm x 40mm £52.50

BX201040NF Box 200mm x 100mm x 40mm No Filter £47.50

BX221250 Box 220mm x 120mm x 50mm £60.00


BX221550 Box 220mm x 150mm x 50mm £77.50

BX281450 Box 280mm x 140mm x 50mm £77.50


BX341650 Box 340mm x 165mm x 50mm £87.50

BX341670 Box 340mm x 165mm x 70mm £90.00

BX402070 Box 400mm x 200mm x 70mm £100.00

FILTER Filter (State Size Of Box) £7.00

Stainless steel in construction with a bacterial filter in the base. The filterallows steam to enter and water vapour to leave but excludes bacteria.

Available in a range of sizes to suit most instrument sets and autoclaves.Some sizes are available without filter. Replace filters annually.

Instrument Boxes

Autoclavable siliconeinsert fits the base of thestainless box to preventinstruments contactingand damaging each other.There is an insert to fiteach of our standardboxes.

Insert shown in use with castroviejo scissors

(not included)

Fingered Silicone Insert

FINGERED SILICONE INSERT

BXSIL2010 Silicone Insert for Box 200 x 100mm £25.00

BXSIL2540 Silicone Insert for Box 250x150mm £31.00






Other sizes available POA

PREMIUM INSTRUMENT BOXES

BX301410P Box External 285mm x 135mm x 92mm £145.00Box Internal 280mm x 125mm x 81mm



BXPFILTER Replacement Paper Filters w Indicators (x100) £14.00

BXREUSE Reuseable Filters (1,000 cycles) £28.50

BXPFIND Paper Labels w Indicators (x 100) £14.00

PSS100 Disposabel Security Padlocks (x100) £16.00

PSL100 Security Padlocks with sterilisation indicator (x100) £25.00

PBXS270125 Fingered Silicone Mat, Green, 270 x 125mm £31.00

Premium Instrument Boxes

Veterinary Instrumentation’s range of premium instrument boxes are madefrom lightweight anodised aluminium. Both lid and base are perforated, butprotected by replaceable paper filters in the lid and reuseable filters in thebase which allow steam penetration but not micro-organisms. The clip onlid incorporates a silicone seal which is impervious to micro-organisms.Paper labels to identify kits and safety padlocks add to peace of mind. Afingered silicone mat will prevent instruments damaging each other.

Premium BoxBaskets fit neatlyinside thepremium box.This means thatthe instruments tobe sterilised maybe placed insidethe basket insidethe box which issealed with paperfilters. The boxwith sterilecontents is stored. When required the assistant opens the box and thesurgeon lifts out the basket of sterile instruments.

Premium Box Baskets & Other Accessories

PREMIUM BOX BASKETS & ACCESSORIES

PBBX26011570 260 x 115 x 70mm for BX301410P £57.50

PBBX26011550 260 x 115 x 55mm for BX301410P £55.00

PBBX26011540 260 x 115 x 40mm for BX301470P + BX301410P £52.50

PBBX13011550 130 x 115 x 50 (Two fit side by side in BX301470P) with Lid £52.50

PBX270125 Silicone Mat 270 x 125mm £31.00

PSS100 Plastic Security Seal -Blue (x100) £16.00

INSTRUMENT BOX PADLOCK SECURITY TAGS WITH INDICATOR

PSL20 Instrument Box Padlock Security Tag with Indicator (20) £6.00


Instrument Box Padlock Security Tags with Indicator

Anti-tamper securitypadlock with steamsterilisation indicator spot.Spot colur changes frompale blue to brown. Singleuse only. Padlock has tobe broken to be removed.

Supplied in packs of 20and 100.

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GENERAL INSTRUMENTATION 16

Holloware

Sterile Surgical Skin Marker

Supplied in a sterile peel pouch the surgical marker allows the surgeon todemarcate selected sites prior to or during surgery. The marker is scrubresistant, non toxic and highly visible. Especially useful around the eyesand ears where accurate reconstruction is vital. Also useful for large skinreconstruction procedures.

Veterinary Instrumentation offers a wide selection of left handedinstruments. A selection of which is shown below. If the instrument youare looking for is not shown, please contact us and we will get it for you.

STERILE SURGICAL SKIN MARKER

001487 Surgical Skin Marker Single £3.00

001488 Surgical Skin Marker Single (6 pack) £13.00

HOLLOWARE

KID6 6” Kidney Dish £11.00




LOTBWL4 4” Lotion Bowl £12.00




LEFT HANDED SCISSORS

745300L Mayo Scissor 14 cm/ 5.5", Blunt/Blunt, Straight £23.00

745400L Mayo Scissor 14 cm/ 5.5", Blunt/Blunt, Curved £26.00

745310L Mayo Scissor 16.5 cm/ 6.5", Blunt/Blunt, Straight £26.00

745410L Mayo Scissor 16.5 cm/ 6.5", Blunt/Blunt, Curved £31.00

746100L Metzenbaum Scissor 14.5 cm, 5.75", Blunt/Blunt, Straight £29.00

746200L Metzenbaum Scissor 14.5 cm, 5.75", Blunt/Blunt, Curved £36.00

746110L Metzenbaum Scissor 18 cm / 7", Blunt/ Blunt, Straight £33.00

746115L Metzenbaum Scissor 20 cm / 8", Blunt/Blunt, Straight £40.00

744800L Lister Bandage Scissor 14 cm / 5-1/2", For Left Hand £23.00

744810L Lister Bandage Scissor 18 cm / 7", For Left Hand £24.50

744110L Iris Scissor 11 cm / 4-1/4", Round , Straight £18.00

744130L Iris Scissor 11cm / 4-1/4", Round, Curved £21.00

LEFT HANDED FORCEPS

103175L Halsted Mosquito Artery Forcep 12.5 cm/ 5", Straight £23.50

103225L Halsted Mosquito Artery Forcep 12.5 cm/ 5", Curved £23.50

101750L Crile Artery Forcep 14 cm/ 5-1/2", Straight £24.00

101780L Crile Artery Forcep 14 cm/ 5-1/2" , Curved £26.00

106230L Rochester Pean Artery Forcep 16 cm/ 6-1/2", Straight £26.00

106275L Rochester Pean Artery Forcep 16 cm/ 6-1/2", Curved £31.00

841350L Backhaus Towel Forcep 9 cm/ 3-1/2" £21.00

LEFT HANDED NEEDLE HOLDERS

604715L Mayo Hegar Needleholder 16.5 cm £70.00

604720L Mayo Hegar Needleholder 18.5 cm/ 7" £75.00

585400L Olsen Hegar Needleholder 14 cm / 5-1/2" £60.00

605355L Olsen-Hegar Needleholder 16.5 cm / 6.5" £85.00

Left Handed Instruments

Kit contains a selection of left handed instruments plus standard instruments. Kit contains:

1x Mayo Scissors 5.5” str, 1x Metzenbaum Scissors 5.75” Str, 1xMetzenbaum Scissors 5.75” cvd, 2x Halstead Forceps 5” str, 2x HalsteadForceps 5” cvd, 4x Crile Forceps 5.5 Cvd, 4x Backhaus Towel Clip & 1xOlsen Hegar Needleholders. Plus 1x standard Debakey Forceps 6”, 1xAdsons Forceps & 1x Scapel Handle no.3 in a stainless steel case.

Kit discounted by over 10%+.

LEFT HANDED INSTRUMENT STARTER KIT

LHKIT Left Handed Instrument Starter Kit £425.00

Left Handed Instrument Starter Kit

Irrigation BulbsDuring extendedprocedures, particularlythose performed underpowerful lighting, it is veryimportant to preventtissues becomingdessicated anddevitalised. It is advisableto delegate irrigation tosomeone other than theprimary surgeon who islikely to be focussed onother things. A smalllotion bowl of saline plusan irrigation bulb is an effective way to keep tissues moist. Available intwo sizes. Fully autoclavable.

IRRIGATION BULBS

IRB60 Irrigation Bulb 60mm Diameter £18.50

IRB45 Irrigation Bulb 45mm Diameter £18.50

IRBSET Irrigation Bulb Set (one of each) £30.00

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IntroductionThe majority of surgical instruments are made of stainless steel. There aremany different types of stainless steel alloys (60+), with varying amounts ofnickel & chromium to increase resistance to corrosion. All types ofstainless steel will corrode under certain conditions — ‘stainless’ is a littlemisleading. The proportions of the various constituents affect thecharacteristics of the final steel, along with the degree of hardeningapplied.

Surgical instruments must be hard enough to take and keep a cutting edge(eg scissors) or have a certain spring (eg artery forceps). The steelpossessing these qualities contains less chromium and more carbon thanorthopaedic implants, which are made of steel with the primarycharacteristic of resistance to corrosion, making it too soft for instruments.The penalty is that this type of higher carbon stainless steel (calledMartensitic) is much more likely to corrode and stain.

The parts of the steel likely to rust are protected by a thin layer ofchromium oxide which is produced by the chromium part of the steel.Actions which encourage the production of chromium oxide minimisecorrosion. Actions which either physically or chemically destroy this layerof chromium oxide encourage rusting or staining. Maximising thechromium oxide layer is the basis of sound instrument care. This layerthickens with age and increases the resistance of your instruments tocorrosion — in new instruments it is relatively thin. This is why you mayhave marking problems with new instruments but your old ones are fine —new instruments will be more intolerant of inappropriate detergents,inadequate lubrication and the corrosive environment of the autoclave etc.

wire, and implant cutters have a size rating for a reason! Inappropriateuse will damage instruments and invalidate warranties.

4. Avoid mixing different metals when processing instruments — keepchrome plated, industrial finish & aluminium items separate fromstainless, particularly in ultrasonic cleaners.

Cleaned lubricated instruments are ready for packaging. Always carry outa visual check at this stage — are thecutting edges of scissors free ofdamage, do the jaws of artery forceps& needle-holders meet correctly withno signs of twisting for example.Check that all thumbscrews are tight,as in Gelpi & Stifle Distractor joints

Also look for fine cracks ininstruments, for example across thebox joints in artery forceps.

To keep your instruments in peak condition, there are some basic ruleswhich should be followed.

1. Handle your instruments with care — dropping, scratching etc. will alldamage the surface of instruments and reduce their resistance tocorrosion.

2. Store with care. If instruments are stored damp they will corrode.Delicate instruments should be packed with protective tips & siliconestorage box inserts to stop them rattling around. Always make sureheavy instruments are not stored on top of lighter equipment.

3. Use them to do what they were designed for! Artery forceps are notneedle-holders or wire twisters, bone cutters are not designed to cut

Manual cleaning protocol — stainless instruments

1. Open all joints and rinse gross loose debris from instruments inwarm water (NOT hot — this will coagulate proteins & make theinstruments much harder to clean) immediately after use. They willbe much harder to clean if left to dry!

2. Completely submerge instruments in an enzyme based neutral pHdetergent — soak for time specified in detergent instruction.

3. Gently scrub instruments with a soft bristled brush to remove allremaining visible soil, keeping the instrument under the surface ofthe detergent to reduce spray. Use a pipe-cleaner brush oninstruments with a lumen. Pay special attention to joints & ratchets.

4. Remove from the enzyme solution and rinse thoroughly in tap waterfor at least 3 minutes.

5. Ideally place the instruments in an ultrasonic cleaning bath for 10-15 minutes or as per cleaner instruction manual.

6. Remove from bath at completion of cycle, (or after step 4 if noultrasonic available) then rinse instruments thoroughly with purified(distilled) water.

7. Dry with a clean non-shedding wipe — leaving them to air-dry willresult in water spotting.

8. Lubricate with either spray surgical instrument oil or place ininstrument milk bath — follow directions for product used.

17 INSTRUMENT CARE Chapter 17

Damaged items should be sent for repair or disposed of. It is good practiceto sterilize items being sent for repair. Many repairers require a certificateof decontamination to be sent with instruments, and instruments shouldnever be sent out in a soiled condition.

There are many materials for packing instruments for autoclaving. Paperpeel-packs are commonly used, along with nylon autoclave film. We do notrecommend the use of laundered fabrics as instrument wraps, as residualdetergents and bleaches can cause pH & chlorine related damage to yourinstruments. Disposable autoclavable instrument wrapping fabrics similarto disposable drapes are available.

Sterilisation

The autoclave is a very hostile environment for your instruments. Thecombination of heat & moisture promotes corrosion and staining,particularly if there are residual detergents etc. in wrapping materials. Thisis also true where tap water instead of distilled or demineralised water isused in the autoclave. Mineral deposits on instruments are unsightly aswell as interfering with normal joint function etc. They are difficult toremove, so prevention is better than cure.

Rust in the steam pipes of your autoclave will transfer to your instruments,so autoclave maintenance is important. Regular servicing ensures theautoclave is working correctly. Vacuum autoclaves help remove residualsteam from packs, and it is important that directions are followed andcycles are completed. Regularly check the door seal is undamaged, andreplace if necessary. If applicable to your machine, drain & refill the watertank regularly with distilled water. You may well be surprised what comesout!

If your packs are coming out of the autoclave wet through then there is acycle problem & you need to speak to your autoclave engineer for advice.Wet storage will result in corrosion and damage to your instruments.

So — store your instruments clean, dry, lubricated & protected and they willgive you many years of service. A good, easy to follow instrument careprotocol will extend instrument life, save money and result in happysurgeons!

Needleholder with damaged jaws Box joint showing cracking& biological debris

Joint showing wear due toinadequate lubrication

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INSTRUMENT CARE 17

Automatic Instrument Washer

HENRY SCHEIN ULTRASONIC CLEANER

HS9003562 Ultrasonic Cleaning Machine £750.00

HS320400 Spare Basket £85.00

HS9002941 Accessory Kit £195.00

Accessory kitAlso available is a useful accessory kit. This contains a beaker stand &positioning cover, an auxiliary pan, mesh basket, bur tray and 400-600mlbeakers. Spinal burs and other small items clean well in ultrasonics but can‘get lost’ in a large tank. The bur tray keeps these together. Occasionallychemicals other than standard cleaning products may be needed. These canbe used in the beakers supplied, held in the beaker stand which is thenplaced in the cleaner. Provided the fluid level in the cleaner is at the correctlevel giving good contact with the beaker, the ultrasonic waves generated willpass through into the fluid in the beaker, to clean the contents.

Suggested cleaning solutions — see page 276

Solutions must be low-foaming and recommended for ultrasonic cleaners.Products with enzymes such as Rapidex will give the best results. (Page 276)

Instrument Cleaning

AUTOMATIC INSTRUMENT WASHER DISINFECTOR

MED1360 Automatic Instrument Washer Disinfector* £4,350.00

MED1014 Printer £375.00

MED20070G Medi Logger for Washer £425.00

MEDINST Installation £395.00


Henry Schein Ultrasonic Cleaner

Regular use of an ultrasonic cleaner is recommended to maintain yourinstruments, particularly jointed and textured items, in their best condition.Normal cleaning cannot reach into joints, or penetrate the narrow lumens ofdrill guides for example. Biological residues accumulate and cause stiffeningand corrosion.

This unit has a reasonable sized tank with a capacity of 5.7 litres. A 30minute timer and heater, along with a rear drain outlet and uncluttered wipedown control panel make this unit practical for use in small animal surgeries.

Lid and basket are supplied with the unit.

Dimensions:

Tank: 29.8 x 15.2 x 15.2cm

Overall: 32.4 x 17.8 x x27.8cm

Capacity: 5.7 litre

Manual instrument cleaning becomes a thing of the past with the updatedPico Evo automated instrument washer. One touch operation with pre-programmed cycles and process validation make operation straightforward.Interior lights and clear door panel allow inspection of the load duringprocessing. Auto dosing of detergent reduces cost of wastage by ensuringthe optimum concentration is used per load. Dual spray arms distribute waterefficiently throughout the whole chamber.

Fast — 35 minute cycle includes drying.No vent is required, as the unit has aninternal condenser. Instruments areready to pack immediately for theautoclave. Each cycle can be validatedand documented.

Also has a dedicateduniversal hand piececonnector to allow thoroughcleaning of your dental handpieces.

The purchase of a machine will also include the following items free ofcharge:

• 1 x Carrier which slides into machine

• 1 x Mesh Tray for larger item cleaning

• 3 x Holloware “Toast Racks” for holding Ezee Clip Cassettes

• 1 x 3Ezyme detergent, 4ltr bottle

• 1 x AWT 4 ltr bottle, water treatment

• 1 x Burr Basket

• 1 x Hand Piece Manifold

• 1 x Ezee Clip Cassette size 10

Installation requirements:

Standard 13A socket, hot & cold water within 1 metre, access to drainagebelow the benchtop, shelf for detergent dosing & water treatment containersat or below benchtop. Full details on request.

UK based support & engineering.

1 Year Warranty

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Stainless steel instruments are protected from corrosion by a very thinlayer of chromium oxide. This should not be damaged by regular wirebrushes. Brushes available with Nylon and Stainless bristles.Orthopaedic cleaning brush is double ended with superfine soft stainlesssteel bristles. General instrumentation is the same with nylon bristles.One end has 3 rows of bristels, the other has a single row for delicatework. Pipecleaners are 1/8” diameter and 12” long. Absorbant forcleaning and drying. Supplied in packs of 100.

Instrument Cleaning Brushes and Pipecleaners

INSTRUMENT CLEANING BRUSH

CB1 Cleaning Brush Nylon for gross contamination £12.00

CB2 Cleaning Brush Stainless for large Burs, Reamers £12.00

CB3 Cleaning Brush - Nylon - General Instrumentation £15.00

CB4 Cleaning Brush Stainless - Orthopaedic £15.00

CBPIPE Pipecleaners 1/8”, 12”long (Pack of 100) £47.50

Repair ServiceVeterinaryInstrumentation has anetwork of specialistswho can repair anysurgical instrument.Send the damaged itemto us and we will adviseif it is worth repairing.For some power tools, itmay be necessary tosend them back to theoriginal manufacturer forassessment, which maybe overseas. Allcarriage fees will becharged at cost.

Routine sharpening andsetting of scissors isperformed quickly andprofessionally in our own workshop by Len Richardson, an instrumentmaker with over 55 years of experience.

RAPIDEX CLEANER

RAPIDEX Box of 50 soluble sachets £36.00

RAPIDEXBULK 2.25kg bulk powder £55.00

Rapidex Cleaner - (Now supplied in bulk or watersoluble sachets)

An effective degreaser and general instrument cleaner. Some users dislikethe loose powder format. The new soluble sachets are simply dropped intothe ultrasonic bath. No dry powder is released.

• Ideal for Ultrasonic cleaners.

• Also effective as a pre-soak for long standing or difficult residues

• Tested by the Royal Institute of Public Health

RAPIZYME

RAPIZYME Bottle 0.5 litre £23.50

Rapizyme

• Three new enzymes.

• Easy to use measured bottle.

• 2ml per litre dilution.

• Removes all organic material.

• Ideal for endoscopes.

• Low foam for ultrasonics.

• Completely rinsable.

• Biodegradeable.

• Tested by The Royal Institute of Public Health.

Instrument Cleaning Agents

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INSTRUMENT CARE 17www.vetinst.com

MICRO 90 CONCENTRATE

100300 Micro 90 1Litre dilute 1:100 £13.25

Micro 90 Concentrate

Liquid general purpose instrumentcleaner (dilute 1:100) for ultrasonics.

PERASAFE

100100 Perasafe Cold Sterilant 24 x 81g (5 litre size) £185.00

100101 Perasafe Cold Sterilant 6 x 81g (5 litre size) £65.00

Perasafe

Perasafe is a rapid, instrument compatible, user andenvironmentally friendly chemical sterilant.Supplied as a safe, space-saving powderPerasafe is activated by simplydissolving in luke-warm tap water.Providing rapid sterilisation and re-useof endoscopy instruments, Perasafegives confidence to users and patientsalike. A unique aldehyde-freeformulation gives efficacy without harmto instruments, health risks to nursingstaff and avoids the need for special fume extraction or waste disposalsystems.

Perasafe is a pale blue/white powder which, when in solution, steriliseswithin 10 minutes. Suitable for all surgical instruments and fibrescopes.Formulated not to damage surgical instruments. Prepared solution lasts 24hours. 81g pack makes 5 litres. May be subdivided to make less.

SURGICAL INSTRUMENT LUBRICANT

100009 Instrument Lubricating Spray £12.50

Surgical Instrument Lubricant

After washing and drying, a regular spray ofinstrument lubricant will prolong working lifeand improve the function of your jointedinstruments.

Instrument Lubrication

INSTRUMENT OIL — AUTOCLAVABLE

100003 Instrument Lubricating Oil £14.00

100006 Teflon Drops £17.50

Instrument Oil - (autoclavable)

Regular lubrication will keep yourinstruments working longer.Failure to lubricate will result instiff joints and ultimatelybreakages. Low boiling point oilsare quickly lost during theautoclaving process.

Oils containing teflon offersignificant extra lubrication.Can be autoclaved.

INSTRUMENT LUBE

100008 EZEE Lube Instrument Lube 4 Litre (makes 200 litres) £85.00

Instrument LubeDiluted with water instrument lubebecomes an oil emulsion.Instruments are allowed to soak toallow penetration of lube to allworking parts. The excess isdrained off prior to autoclaving.The water evaporates duringautoclaving, leaving a film of oil inthe joints. Concentrated solution.Recommended dilution rate 1 partEZEE-Lube to 50 parts water.Clear solution becomes whitewhen diluted.

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Instrument Marking

INSTRUMENT MARKING TAPE

100001 Instrument Marking Tape (box 8 colours) (120cm) £19.75

100001Y Instrument Marking Tape Single Yellow (300cm) £8.75

100001R Instrument Marking Tape Single Red (300cm) £8.75

100001BR Instrument Marking Tape Single Brown (300cm) £8.75

100001OR Instrument Marking Tape Single Orange (300cm) £8.75

100001BLU Instrument Marking Tape Single Blue (300cm) £8.75

100001G Instrument Marking Tape Single Green (300cm) £8.75

100001W Instrument Marking Tape Single White (300cm) £8.75

100001BLK Instrument Marking Tape Single Black (300cm) £8.75

Instrument Marking Tape

Allows rogue instruments to be returned to their kits. Also useful whengoing on practical courses. Available as a kit or in individual rolls.

PROTECTIVE AUTOCLAVABLE TIPS

100011-W Protective Tip Whiteup to 1.6 - 2.0mm dia Pack 20 £9.75

100011-BL Protective Tip Blue2.5 - 3mm dia Pack 20 £9.75

100011-G Protective Tip Greenup to 3.2 - 4.0mm dia Pack 20 £9.75

100011-R Protective Tip Redup to 4.8mm dia Pack 20 £9.75

100011-Y Protective Tip Yellowup to 6.0 - 6.5mm dia Pack 20 £9.75

100011-O Protective Tip Flat Orange up to 10mm wide Pack 20 £9.75

100011-BR Protective Tip Flat Brownup to 16mm dia Pack 20 £9.75

100011-BLK Protective Tip Flat Blackup to 25mm dia Pack 20 £9.75

100020 Protective Tips Silicone Multi Pack One pack of each colour 160 (8 x 20) £62.50

Protective Autoclavable Tips

For Steinman, ESF pins and delicate or sharp instruments. Protect bothtips and staff.

Colour CodedIdentity Rings

Strong tear-resistantsilicone instrumentcoding rings.

COLOUR CODED IDENTITY RINGS

100012 Coloured Silicone Instrument I.D. Rings x 120 £15.00

Tube Brushes

Fine brushes are very useful for cleaning the lumen of drill guides andtissue protectors down to 2mm, particularly where ultrasonic cleaning isnot available. Use to remove gross contamination and ensure patencybefore ultrasonic cleaning.

TUBE BRUSHES

END02 Tube Brush 12 inch 2mm £13.95




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INSTRUMENT PADLOCK SECURITY TAGS - REPAIR

PSTR10 Instrument Padlock Security Tag - Repair (10) £4.75

Instrument Padlock Security Tags - Repair

Useful for marking instruments which should be sent for repair. Single useonly. Padlock has to be broken to be removed.

Supplied in packs of 10DIAMOND CONE

012147 Diamond Flat £33.50

012148 Diamond Cone 205mm £41.50

Diamond Cone

Subgingival curettes must be kept sharp to work efficiently. They should bechecked and sharpened at least weekly. The diamond cone isindestructable compared with stones which break very easily and useswater rather than oil as a lubricant.

Sharpening Accessories Autoclaving

To work effectively bothscalers and elevators needto be sharp. Regularsharpening will keep yourinstruments workingcorrectly.

DIAMOND CARD - FINE

012144 Flat Diamond Sharpening Card (Fine) £23.50

Diamond Card - Fine

This credit card sized, diamond covered plate is ideal for sharpening dentalelevators and luxators. To work efficiently these instruments must besharp. The diamond is virtually indestructable. An additional advantage isthat the lubricant used is water rather than the oil used with sharpeningstones.

IM3 White Stone Slip

This stone has both flat androunded surfaces tosharpen elevators andcurettes. Use baby oil aslubricant.

IM3 WHITE SLIP STONE

012150 IM3 White Slip Stone for curettes and elevators £27.50

INSTRUMENT BOX PADLOCK SECURITY TAGS - NO INDICATOR

PSS100 Disposable Security Padlocks No Indicator (x100) £15.00

Instrument Box Padlock Security Tags - No Indicator

Anti-tamper security padlock. Useful for marking instrument boxes. Singleuse only. Padlock has to be broken to be removed. Good value

Supplied in packs of 100

INSTRUMENT BOX PADLOCK SECURITY TAGS WITH INDICATOR



Instrument Box Padlock Security Tags with Indicator

Anti-tamper security padlock with steam sterilisation indicator spot. Spotcolur changes from pale blue to brown. Single use only. Padlock has to bebroken to be removed.

Supplied in packs of 20 and 100

The Kronos ‘S’Series ofautoclaves hasall the featureslisted oppositeand meets all theregulations whichcover vacuumveterinaryautoclaves. Both‘Bowie and Dick’and ‘VacuumTest’ as specified by the NHS are met. The double-stage vacuum pumpevacuates the chamber both prior to the cycle and after the sterilisationprocess.

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The Kronos Range of Autoclaves

The Kronos range of autoclaves comply with all the relevant EuropeanDirectives and Standards, including BS EN13060. Designed andmanufactured in Italy, the Kronos are built to the highest standarddelivering quality, efficiency, speed, simplicity and reliability. Midmarkhave a major market presence in Germany, France and Italy, proving tobe the professional’s choice across Europe.

Above all else we realise that what the busy veterinary surgery requiresis reliability. The autoclave needs to perform day in day out and not gowrong. If it does go wrong it must be fixed as soon as possible or aservice unit provided. This is exactly what Newmed offers.

One of the unique features of the Kronos range is that all modelsincorporate a steam generator, injecting steam directly into the chamber.This enables the autoclave to operate with some of the fastest cycletimes on the market whilst using less power.

Both the Kronos B and S class autoclave meet the highest standardsrequired for vacuum sterilisation and are suitable for all wrapped, non-wrapped, solid, hollow and porous loads, meeting the BS EN13060standard for steam penetration and resulting in dry packs andinstruments. Both B and S class autoclaves have the following features:

• Fast sterilisation times

• Steam generator to reduce water and energy consumption by upto 50%

• Internal thermal printer as standard with last 10 cycle reprint facility

• Optional internal USB data-logger facility

• Graphic display for easy operation and control

• Practical water loading from self-priming pump

• Direct connections for automatic water fill and drainage

• Separate water loading and drainage tanks for improved hygiene

• Motor operated door closure with triple safety protection

• Suitable for all load and instrument types

• Available in 18 or 23 Litre capacity

• Up to 52cm chamber length (B&S 23L) — one of longest on market - for those larger kits

• Reversible tray holders and 5 trays as standard

• Competitively priced

• Superior build using quality materials ensure reliability and longevity of machine.

Midmark customer service includes:After-sales Service and MaintenanceFree delivery (UK Mainland), installation, commissioning and stafftraining on purchase. Service is recommended every 1000 cycles or at least once per year.Manufacturer trained engineersBCAS AccreditedOne year warranty (5 year warranty on chamber)Free Technical Support by phoneFully inclusive (all parts and labour) Service and Maintenance plansavailable for peace of mind and transparent associated costs.

Autoclaves

Kronos ‘S’ Autoclave

The graphic display indicatescurrent temperature and pressureplus details of cycle phases.

Details of operator errors alsodisplayed

Tray holders carry 5 trays asstandard. 5 trays included.Tray holder is reversible andremoveable for larger packs.

Wrapped packs up to 4.5kg may besterilised (B23 & S23)

Chamber length up to 530mm (23L)

Kronos ‘B’ Autoclave

An on board printer is standard toprovide a permanent record of thecomplete cycle.

Reprint option on previous 10 cylcesavailable.

Similar in looks to the Kronos ‘S’, the Kronos ‘B’ includes moreadvanced technology controlling the vacuum process to remove evenmore air than the Kronos ‘S’ prior to heating. This enables the ‘B’ versionto meet the demanding requirements of the Helix test

Customer service includes:

After-sales service and maintenanceFree delivery (UK Mainland), installation, commissioning and stafftraining on purchase.

Service is recommended every 1000 cycles or at least once per year.Manufacturer trained engineersBCAS AccreditedOne year warranty (5 year warranty on chamber)Free Technical Support by phoneFully inclusive (all parts and labour) Service and Maintenance plansavailable for peace of mind and transparent associated costs.

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A really handy Process Indicator Pen (PIP) - you will wonder how you didwithout it.

Conforms to EN ISO 11140-1. Writes on all standard sterilization wrappingmaterials. Changes colour from purple to green. Clear Stop/Go colourchange. Non toxic and lead free.

Process Indicator Pen (PIP)

AUTOCLAVE PEN

AUTOPEN Autoclave Pen £32.50

KRONOS AUTOCLAVES

KROS18 Kronos ‘S’ Autoclave 18 Litre £3,490.00

KROS23 Kronos ‘S’ Autoclave 23 Litre £4,090.00

KROB18 Kronos ‘B’ Autoclave 18 Litre £4,490.00

KROB23 Kronos ‘B’ Autoclave 23 Litre £5,190.00

KROTB Thermal Printer Paper (Pack of 10 rolls) £24.00

KROMPL 3 year Service and maintenance plans for light use (up to 1000 cycles per year) includes 1 service per year, full maintenance and repair incl partsEquates to £485 per year £1,475.00

KROMPH 3 year Service and maintenance plans for heavy use (over 1000 cycles per year) includes 2 services per year, full maintenance and repair incl partsEquates to £775 per year £2,325.00

Use to seal bags and boxes. Integral marking changes colour whenpassed through a full cycle. Note that a change in colour of the tape doesnot necessarily guarantee that the contents of the bag or pack are sterile.

Conforms to ISO 11140-1 Class 1 19mm x 50m roll

Autoclave tape

AUTOCLAVE TAPE

AUTOT12 Autoclave Tape 19mm x 50m roll (12 Pack) £26.50

AUTOT48 Autoclave Tape 19mm x 50m roll (48 Pack) £79.50

Available in Class 4 Dual Steam Multi Parameter and Class 6 SteamEmulating indicators

Class 4 monitors all 121oC to 134oC steam sterilization cycles

Class 6 monitors critical parameters - Time, Temperature and Steam

5.3 min at 134oC and 15 mins at 121oC

Clear colour change.

Steam Sterilization Indicators

STEAM STERILIZATION INDICATORS

AUTOINDMP Class 4 Dual Steam Multi Parameter Indicators (500 Pack) £44.50

AUTOINDE Class 6 Steam Emulating Indicators (250 Pack) £44.50

Kronos B 18-23 Kronos S 18-23

Motor-operated closure 4 4

Door lock safety Electric Electric

Type of Vacuum Fractionated Pre and Post Vacuum

Instantaneous Vapourizer 4 4

Test Programs Bowie & DickHelix/Vacuum Bowie & Dick/Vacuum

Onboard Printer 4

Display Graphic Graphic

M.T.S. Memory System Test 4 4

Connection to PC 4 4

Connection to demineralizer 4 4

Night Cycle 4 4

Internal water tanks (loading and unloading)

2 2

Chamber volume in litres 18 23 18 23

Inner Depth mm 370 520 370 520

Inner Width mm 236 236 236 236

No. of Cycles with water loading (indicative)

8 6 10 8

Wrapped sterilizable weight in kg

3 4,5 3 4,5

Unwrapped sterilizable weight in kg

4 6 4 6

Porous material in kg 1 1,5 0,5 1

Empty machine weight in kg 56 60 45 50

Outer Depth mm 610 695 610 695

Outer Width mm 505 505 445 445

Outer Height mm 400 400 400 400

Supply Voltage 220 240 v

Mains Frequency 50-60 Hz

Rated Power 2400w 2400w 2400w 2400w

282

UNISEX SIZE CHARTXS S M L XL

BUST/CHEST (inches) 31 - 33 34 - 37 38 - 40 41 - 44 45 - 47WAIST (inches) 24 - 26 28 - 30 32 - 34 36 - 38 40 - 42

ScrubsIncreasingly veterinary operating room procedures are coming into linewith their human counterparts. Everyday clothing should not enter theclean areas. We offer a wide range of plain and patterned scrubs, aselection of which is illustrated here.

Please phone 0845 130 9596 for a full colour brochure.

Plain two pocket scrub tunics ‘V’ neck. 65/35 polycotton.

Plain Scrubs Scrub TunicsAvailable in XS - XL (please state size when ordering)(larger sizes available - please ask for price).

PLAIN SCRUB TUNICS

TW0013J XSmall Jade £12.00

TW0013A XSmall Adriatic £12.00

TW0003J Small Jade £12.00

TW0003A Small Adriatic £12.00

TW0005J Medium Jade £12.00

TW0005A Medium Adriatic £12.00

TW0007J Large Jade £12.00

TW0007A Large Adriatic £12.00

TW0009J XLarge Jade £12.00

TW0009A XLarge Adriatic £12.00

Plain Scrub Trousers with drawstring waist. 65/35 polycotton.

PLAIN SCRUB TROUSERS

TW0014J XSmall Jade £11.00

TW0014A XSmall Adriatic £11.00

TW0004J Small Jade £11.00

TW0004A Small Adriatic £11.00

TW0006J Medium Jade £11.00

TW0006A Medium Adriatic £11.00

TW0008J Large Jade £11.00

TW0008A Large Adriatic £11.00

TW0010J XLarge Jade £11.00

TW0010A XLarge Adriatic £11.00

Re-Usable Cotton TheatreWear

Royal Blue with Lime Trim Tunic

ROYAL BLUE WITH LIME TRIM TUNIC

TW9051BL Royal Blue with Lime Trim Tunic One pocket £31.50

Jade Adriatic

Grahame Gardener Ltd

Veterinary Instrumentation is pleased to announce that we have linked upwith Grahame Gardener Ltd, one of the UK’s biggest suppliers of theatrewear, to provide the veterinary professional with a huge choice of scrubs,coats and related wear.

Please call 0845 130 9596 or e-mail [email protected] for the latestcatalogue. Or visit www.vetinst.com.

18 THEATRE WEAR & DRAPING Chapter 18

Malbec Tunic

MALBEC TUNIC

TW8219M Malbec Tunic Two pockets £31.50Save 10% if you purchase one tunic and one trouserquote TW000SET when ordering

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THEATRE WEAR & DRAPING 18www.vetinst.com

Surgical Wellies

White.Please state sizewhen ordering.

SURGICAL WELLIES

SWL100 Surgical Wellies state size when ordering £29.50

1. Green cotton with long sleeves and cuffs, the standard operating gown.

2. Waterproof material, with cuffs for minimal strike through. Pale blue.

Operating Gowns

OPERATING GOWNS

TW0001M Operating Gown, Cotton + Cuffs. Medium £18.50

TW0001L Operating Gown, Cotton + Cuffs. Large £18.50

TW0001XL Operating Gown, Cotton + Cuffs. Extra Large £18.50

TW0002 Operating Gown. Waterproof with Cuffs Blue. Large £48.50

1. 2.

SURGICAL CLOGS

0499W White Clogs £46.50

0499LB Light Blue Clogs £46.50

0800N Navy Blue Clogs £46.50

0497BW White Paws on Black £46.50

SC052 Clean Clog £46.50

0497FW White Paws on Fuschia £46.50

‘Clean’ areas require dedicated clean footwear. Slip on clogs are ideal.Available in a variety of styles and colours. Please state size when ordering.

The latest Toffeln brochure has ahas huge range of footwear.

Please note we will not accept anyreturns of clogs, so please beaccurate when ordering.

CODE: BRCLOG

(Please phone for our full colour brochure 0845 130 9596)

Clogs

Grahame Gardener Ltd

The latest Garhame GardenerLtd catalogue has a hugerange of different scrubs,coats and related wear.Please contact us for theirlatest catalogue.

Please note we will not acceptany returns of non-standardwear.

CODE: BR GG

Client ExpectationsIn 2009 a survey published in the Journal of Small Animal Practice(JSAP.Vol 50. September 2009) revealed a significant disconnect betweenclient expectations of operating theatre practice and the reality of whathappens in first opinion veterinary practice.

Client Expectation % Practice Reality %

Wearing of gloves 98.2 37.5

Wearing a gown 92.7 14.3

Wearing a hat 80.9 12.5

Wearing a facemask 80.2 10.7

Wearing theatre shoes 62.2 7.1

Using disposable drapes 42 19.6

The article also revealed that clients would be unhappy if theirexpectations were not met.

The main driver of theatre practice should be the wellbeing of our patientsbut how clients expect us to operate is not an insignificant factor. Thatveterinary practice should, ideally, comform to the standards indicated isnot really in doubt. The survey shows that veterinary practice is in manycases not living up to client expectations. By implication if clients expect usto use these materials then they will be willing to pay for them.

This section includes a wide selection re-usable and disposable theatrewear and drapes.

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18 THEATRE WEAR & DRAPING

PLAIN SURGICAL DRAPES - Balloon Cloth - Single ply

BDS1818 Plain Drape 18” x 18” (45cm x 45cm) £4.50

BDS2418 Plain Drape 24” x 18” (60 x 45cm) £4.75







PLAIN SURGICAL DRAPES - Balloon Cloth - Double ply

BDS1818DBL Double Drape 18” x 18” (45cm x 45cm) £8.00

BDS2418DBL Double Drape 24” x 18” (60 x 45cm) £8.25







PLAIN SURGICAL DRAPES - Calico - Single ply

CDS1818 Calico Drape 18” x 18” (45cm x 45cm) £5.50

CDS2418 Calico Drape 24” x 18” (60 x 45cm) £5.75






Most veterinary autoclaves sterilise cloth drapes unreliably. Packscontaining materials should be autoclaved using a vacuum autoclave.Disposables provide an alternative in that they require no cleaning,laundering, folding, packing and autoclaving.

The cost is no longer prohibitive particularly when bought by the case.Below is a useful section of what is available. If you require a specific packnot shown please call 0845 130 9596. Samples are available on request.

Or look at website www.vetinst.com

Surgical Gown Disposable - Standard

SURGICAL GOWNS - Standard

DG003001 Surgical Gown (single). Medium standard plus 2 hand towels £4.50

DG003001/30 Surgical Gown (box of 30). Medium standard plus 2 hand towels £102.50

DG003002 Surgical Gown (single). Large standard plus 2 hand towels £4.50

DG003002/30 Surgical Gown (box of 30). Large standard plus 2 hand towels £115.00

DG003003/30 Surgical Gown (box of 30). Large Long standard plus 2 hand towels £115.00

Surgical Gown Disposable - Reinforced

SURGICAL GOWNS - Reinforced

DG113401 Surgical Gown (single). Medium reinforcedplus 2 hand towels £4.75

DG113401/30 Surgical Gown (box of 30). Medium reinforcedplus 2 hand towels £125.00

DG113402 Surgical Gown (single). Large reinforcedplus 2 hand towels £4.75

DG113402/30 Surgical Gown (box of 30). Large reinforcedplus 2 hand towels £125.00

DG113403/30 Surgical Gown (box of 30). XLarge reinforcedplus 2 hand towels £125.00

Plain Surgical DrapesAvailable in green balloon cloth (lightweight with fine weave) single anddouble thickness, and the tougher calico (heavyweight with coarser weave)available in single thickness only.

FENESTRATED SURGICAL DRAPES - Balloon cloth - Single ply

BDSF1818 Fenestrated Drape 18” x 18” 2” x 1” hole £6.50

BDSF2424 Fenestrated Drape 24” x 24” 4” x 1.5” hole £8.75



FENESTRATED SURGICAL DRAPES - Balloon cloth - Double ply

BDSF1818DBL Fenestrated Drape Double 18" x 18"2" x 1" hole £10.75

BDSF2424DBL Fenestrated Drape Double 24" x 24"4" x 1.5" hole £13.50

BDSF3636DBL Fenestrated Drape Double 36" x 36"5" x 2" hole £16.00

FENESTRATED SURGICAL DRAPES - Calico - Single ply

CDSF1818 Fenestrated Drape Calico 18" x 18" 2" X 1" hole £6.25

CDSF2424 Fenestrated Drape Calico 24" x 24" 4" x 1.5" hole £9.25

CDSF3636 Fenestrated Drape Calico 36" x 36" 5" x 2" hole £14.75

Fenestrated Surgical DrapesAvailable in green balloon cloth single and double thickness.

Calico drapes available in single thickness only.

Disposable Gowns,Drapes & Towels

Re-useable Cotton Drapes

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THEATRE WEAR & DRAPING 18www.vetinst.com

Masks and Caps

MASKS & CAPS

TW0011 Disposable Caps (50) Tie Back £19.50

TW001100 Disposable Caps (100) Tie Back £32.00

TW0012 Disposable Masks (50) £13.50

TW001110 Disposable Caps Beret Style (100) £37.50

TW001111 Disposable Caps Beret Style (50) £20.50

DRAPING AND THEATRE WEAR CATALOGUE

BRGARD Draping and Theatre Wear Catalogue £FOC

Draping and Theatre Wear Full CatalogueThe drapes and theatre wear shown inthis section of the cataloguerepresents a small fraction of the itemsavailable. Sterile drapes are availble ina variety of materials each havingdifferent characteristics and pricing.

Please request our full illustratedcatalogue which includes individualitems and a large range of drape sets.Samples available.

Provided you are willing to take a fullbox we can supply anything.

Non-sterile drapes suitable for steamsterilisation. 134°Practices which prefer not to launder cloth drapes but do not wish to switchto fully pre-sterile disposables have the option of sterilising their owndisposable drapes. The drapes are available in two materials, one ofwhich is waterproof in 3 ply, one of which is an impervious water repellantplastic film. Strike through is not possible with this drape.

NON-STERILE DRAPES FOR STEAM STERILISATION 134°DD928002 75 x 90cm 3ply Waterproof (Box 250) £105.00

DDCB03 60 x 90cm Water Repellent (Box 200) £105.00



INCISE DRAPE WITH FLUID COLLECTION POUCH

DD198961 Incise Drape with Pouch (Box 40) £145.00

FCP2527 Fluid Collection Pouch 25cm x 27cm (200 Sterile) £270.00

Incise Drape with Fluid Collection Pouch

Arthroscopy is messy. Collectionof fluid run off will minimise whatfalls to the floor.

This opapaque plastic film drapehas a 100mm x 100mm incisearea and a 200mm x 300mmfluid collection pouch.

Free sample on request.

Set-up and Trolley Covers Sterile

Plastic, waterproof, sterile. A basic cover for tables, instrument trays, Mayotables etc.

SET-UP AND TROLLEY COVERS STERILE

DD205002 Sterile Plastic Cover 120cm x 160cm (70) £110.00

DD209001 Sterile Plastic Cover 95cm x 150cm (70) £165.00

Surgeon’s Gloves.

Available in both latex or latex free, Veterinary Instrumentation surgeonsgloves have been shown to add significantly to aseptic technique.Absolutely essential for any orthopaedic procedure.

SURGICAL GLOVES

352511 Surgical Gloves Latex (50) Size 5.5 £39.50

352512 Surgical Gloves Latex (50) Size 6 £39.50







352511LF Surgical Gloves Latex Free (10) Size 5.5 £34.50

352512LF Surgical Gloves Latex Free (10) Size 6 £34.50







CLEAR ADHESIVE SURGICAL DRAPES with POVIDINE

AD1420 14cm x 20cm 20 Pieces/box £34.50




ID6650 Ioban™ Drape 56 x 45cm (Single) £28.50

Adhesive Antibacterial Impregnated Drapes

Buster Operation Cover (Disposable) SterileBUSTER OPERATION COVER

141840 Buster Op Cover Sterile Plastic drape.120cm x 120cm Box 25 £39.50

The Full Range of Disposables

We have listed only a small selection of the available range of disposables.If you cannot see what you are looking for please call or e-mail for our fullcatalogue. Provided you are prepared to buy these by the case we will bevery happy to meet your requirements.

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18 THEATRE WEAR & DRAPING

Utility Drape (Disposable) Sterile

UTILITY DRAPE

DD128805/40 Utility Drape (box of 40) 75 x 75cm £45.00








Utility Drape (Disposable) Sterile

New Pack sizes

New Pack sizes

New Pack sizes

UTILITY DRAPE

DD3939 Utility Drape 98cm x 98cm (Single) £4.75




Adhesive Operating Drape (Disposable) Sterile

ADHESIVE OPERATING DRAPE

DD128801/40 Adhesive Operating Drape (box of 40)75 x 75cm £68.50




Adhesive Aperture Drape (Disposable) Sterile

ADHESIVE APERTURE DRAPE

DD128810/10 Adhesive Aperture Drape (box of 10)200 x 300cm with 9 x 22cm aperture £87.50

DD128810/20 Adhesive Aperture Drape (box of 20)200 x 300cm with 9 x 22cm aperture £170.00

Universal Set - Minor (Disposable) Sterile

UNIVERSAL SET - MINOR

DD148803/9 Universal Set - Minor (box of 9) £110.00

DD148803/18 Universal Set - Minor (box of 18) £200.00

Universal set of Drapes - Minor. Set comprises:

• 2 x Op Towels (75 x 75cm)

• 2 x Medium Drapes (160 x 175cm)

Dashed areashows adhesive



JB FOOT DRAPES

JBFD6 JB Foot Drape Small 6” long (Single) £25.00

JBFD9 JB Foot Drape Medium 9” long (Single) £26.00

JBFD12 JB Foot Drape Large 12” long (Single) £27.00

JBFD15 JB Foot Drape Extra Large 15” long (Single) £28.00

JBFDSET JB Foot Drape Set £75.00

JB Drawstring and Foot Drapes

JB DRAWSTRING DRAPES

JBDD24242 JB Drawstring Drape 24” x 24” with 2” hole (Single) £32.50




JBDDSET JB Drawstring Drape Set £120.00

Jane Trinder BVM&SMRCVS has come to uswith a couple ofingenious products. Thefirst of which is asolution for the longstanding problem of howto stop drape slippagewith whole limbpreparations. This canbe quite a challenge,especially if you startmoving a limb around alot during surgery. Hersolution has been tocreate a reuseabledrawstring drape whichworn over the leg ‘like aponcho’ has thedrawstring tightened toprovide a tight fit andreduce slippage. Itprovides much better coverage than many multi-drape set-ups andreduces the over-reliance on using loads of towel clips.

Jane has also developed a reusable foot drape. These drapes are veryeasy to use, being much better than wrapping a foot in a standard drape.They have the added advantage that they can be partially undone withminimal effort mid-procedure to check limb alignment.

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Chapter 19 ANAESTHESIA & MONITORING 19

The use of breathing systemscontaining a method of carbondioxide absorption (i.e. a soda limecanister) can considerably reducethe cost of inhalation anaesthesia insmall animal practice. This isbecause, when carbon dioxide isremoved from the exhaled breath,the remainder of the respiratorygases may be recycled and inhaledrepeatedly. The advantages of absorption ofcarbon dioxide include decreasedfresh gas requirement, decreasedexpense of volatile agent,decreased environmental pollutionand decreased loss of heat andmoisture from the patient.There are some disadvantages tothe use of soda lime including that itmay become exhausted, leading tohypercarbia. The material can bedusty and caustic and care shouldbe taken with handling. Thegranules add some resistance to thework of breathing, and under certaincircumstances the reaction ofcarbon dioxide with soda lime maycontribute to hyperthermia.Breathing systems with soda limeare of two main types; circle and to-and-fro. The circle system issuperior as carbon dioxideabsorption is more efficient and thedesign is less cumbersome. In

particular the circle offers thefollowing advantages over the to-and-fro:• The canister is positioned

vertically, therefore channellingof gases through areas withoutabsorbent does not occur.

• The canister is separated fromthe patient by a length of tubingreducing the possibility of causticsoda lime dust reaching therespiratory tract.

• The tubing does not exertappreciable drag on theendotracheal tube.

• The pressure relief valve issituated remotely from thepatient, allowing ease ofmanipulation.

• Dead space is small and doesnot increase with duration ofanaesthesia.

• One-way valves ensure gasmoves in one direction only,rather than forwards andbackwards.

• The risk from hyperthermia isreduced, as heat generated bythe absorption of carbon dioxidemay be dissipated by thebreathing tubes.

All circle systems depend onfunctioning soda lime and one-wayvalves for correct operation. If thesecriteria are met then the system

allows rebreathing ofexhaled gases, from whichcarbon dioxide has beenremoved by the absorbent.Oxygen flow may bereduced to that required bythe body for cellularmetabolism. This is called‘low-flow’ anaesthesia and isthe most cost-effective wayto deliver inhalationanaesthesia. The exact arrangement of acircle system varies,however the maincomponents include• canister containing soda

lime, for absorption ofcarbon dioxide

• two one-way valves, to ensureuni-directional gas movement.

• inspiratory breathing tube (limb)and expiratory breathing tube.These are normally arranged inparallel, but may also have theinspiratory limb inside theexpiratory limb, as in the F-circuit.

• Y-piece which connects to bothbreathing tubes and to theendotracheal tube. This shouldbe the only source of dead spacegas.

• reservoir bag. This should belarge enough to hold 2-3 timesmaximal tidal breath of thepatient.

• pop-off, pressure relief orscavenging valve, to preventbuild up of pressure in thesystem and allow effectivescavenging of waste gases.

• pressure manometer. This is auseful addition, especially whencarrying out IPPV.

Low-flow AnaesthesiaOxygen required for cellularmetabolism in anaesthetised dogsand cats is reported to be from 2-7mL-1kg-1min-1 and depends onmetabolic rate, age, temperatureetc. A safe (over-)estimate is 10 mL-1kg-1min-1. This allows a smallamount of gas to be vented throughthe partially open pressure reliefvalve, but still retains economy andresults in minimal atmosphericpollution. This flow may be usedduring periods when anaestheticdepth is stable and no rapidchanges in vapour concentration areanticipated. However, as it takesconsiderable time to change theanaesthetic concentration within thebreathing system, a higher flow, forexample 100 mL-1kg-1min-1, maybe used from time to time.During maintenance periods,open/close the pressure relief valveslightly and/or alter the oxygen flowto ensure there is adequate gas inthe reservoir bag at all times. If thereservoir bag empties during thecourse of an anaesthetic, it shouldbe refilled by increasing the gas flowat the flowmeter. Using the oxygenflush mechanism will result indilution of the volatile anaestheticagent. This is desirable only at theend of anaesthesia. When nitrous oxide is used in acircle system, care should be takento provide adequate inspiredoxygen. As oxygen is continuouslyconsumed by the patient, andnitrous oxide is not, the proportion ofoxygen in the system will decreaseover time. The use of an inspired

oxygen analyser is recommended, but in the absence of this monitor, amaximum of 50% nitrous oxide shouldbe used, and oxygen flow should beat least 20 mL-1kg-1min-1.Monitoring of inhaled and exhaledcarbon dioxide is beneficial whenusing a circle system. This willdetect inadequate respiration(elevated end-tidal CO2 levels), butalso mal-functioning valves andexhausted soda lime (elevatedinspired CO2 levels).When using the circle inspontaneously breathing patients,most systems are suitable forpatients > 10-12 kg body weight.The manufacturer’s guidelinesshould be consulted with regard tosmaller patients. If the circle has apressure manometer, it is an idealbreathing system for provision ofintermittent positive pressureventilation in all sizes of patients,including cats. This may be carriedout manually (by squeezing the bag)or by attaching the system to anappropriate mechanical ventilator.

Conclusions:“Low flow anaesthesia is the mostcost-effective way to deliverinhalation anaesthesia”“If the circle has a pressure monitorit is an ideal breathing system forprovision of intermittent positivepressure ventilation in all sizes ofpatients, including cats”Printed with kind permission ofMidmark.

5-step guide to using low-flow anaesthesiawith a circle system:

1. Induce general anaesthesia, intubatetrachea and attach breathing systemto patient

a. turn O2 flow to 100 mL-1kg-1min-1b. open the pop-off valve fullyc. turn isoflurane vaporiser setting to 2-3% 2. Monitor depth of anaesthesia, and

when adequate (approximately 5-10minutes)

a. decrease O2 flow to 10 mL-1kg-1min-1 b. partially close pop-off valve c. do not alter vaporiser setting at this point

but continue to monitor depth ofanaesthesia and when appropriate,decrease the vaporiser setting by smallincrements (0.5-1%). This prevents largeswings in anaesthetic depth

3. If a rapid change in anaesthetic depthis required

a. increase or decrease the vaporisersetting

b. open the pop-off valve fully c. turn O2 flow up to 100 mL-1kg-1min-14. When anaesthesia is stable again,

return to low-flow (10 mL-1kg-1min-1)5. At the end of anaesthesia a. turn off the vaporiser b. open the pop-off valve fully c. increase O2 flow to 100 mL-1kg-1min-1 d. occasionally empty the reservoir bag into

scavenging system a i10 mL-1kg-1m

Low-Flow AnaesthesiaLynne Hughes MVB, DipIECVAA, DVA, FCARCSI, MRCVS, University College Dublin

288

19 ANAESTHESIA & MONITORING

Veterinary Instrumentation is very pleased to have been appointedexclusive UK distributor for Midmark. The Midmark family also includesthe Matrx range of Anaesthesia machines and Cardell monitors. With over90 years of healthcare manufacturing and clinical use experience,Midmark are recognised as leaders in veterinary dentistry, anaesthesiaand monitoring.

The VMS small animal anaesthesia machine is a long-time favorite ofveterinary professionals. It is designed for safe, simple, and controllablesmall animal inhalation anaesthesia. The dual view oxygen flowmeter (0.2-4 LPM) allows you to quickly switch from standard to magnified view.Midmark is the only company to have a negative pressure safety valve thatallows room air into the system if the oxygen flow is cut off to the patient.

Specifications

Dual view oxygen flowmeter - glass tube with a fused scale reading from0.2 to 4 lpm — quickly switch from standard to magnified view at the touchof a finger.

Easy-to-view inhalation/exhalation valves allow easy monitoring ofrespiration for patient safety.

Automatic air intake valve — opens to provide room air to patient if contentsof breathing bag are depleted.

Oxygen flush.

1500cc CO2 absorber with “Quick Release” lever feature for easyabsorbent replacement (accepts pre-pack canisters or 1350gm looseabsorbent).

Dome-type inhalation and exhalation valves — no tools needed todisassemble.

Scavenging/adjustable pressure limiting valve.

-60 to +60 cm H2O pressure gauge.

15mm and 22mm diameter corrugated breathing circuits.

One- and two-liter breathing bags.

Chrome portable stand with 5-leg spider base and casters.

Accepts VIP 3000 and TEC 3 vaporisers (mounting kit included).

Oxygen low-flow flowmeter or nitrous oxide flowmeter add-on capabilit.

Please note cylinder mounting blocks required if using cylinders. (seeoverleaf).

Optional shelves available.

ACCESSORIES

Note: For Vaporisers, turn to page 290.

For cylinder mount blocks, turn to page 289.


Midmark VMSTM Standard

Midmark VMSTM

Also available in a wall mount configuration

MIDMARK VMS

MID91800070 Midmark VMS Standard* £1,850.00

MID91800166 Midmark VMS Wall Mount £1,850.00

ADDITIONAL OPTIONS

MID91800709 Low Flow O2 Kit £495.00

MID91800138 Quick Release Conversion Kit £80.00

MID93305007 Post Mount Assembly (for adding 2nd vaporiser) £175.00

MID91800167 VMS to VMS Plus Conversion Kit £465.00

MID93805114 Occlusion Valve £80.00

MID91805140 Tray Shelf for VMS £110.00

MID91805141 Ventilator Shelf for VMS £110.00

MID91805146 Mayo Tray (1) £50.00

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ANAESTHESIA & MONITORING 19www.vetinst.com

Wall Mount Anaesthetic Unit

Anaesthesia Accessories

Cylinder Mounting Blocks

This compact unit is supplied fixed to a railfor wall mounting. Twin or single gassupplied with or without vapouriser. We cansupply rail mountings for the attachment ofother items e.g. lights and a circle absorber.The cheapest unit you can buy.

All the parts you need forroutine anaesthesiamachine maintenance.Saves money againstpurchasing separately.

WALL MOUNT ANAESTHETIC UNIT

WA2 Wall mount anaesthetic unit, twin gas (no vapouriser) * £925.00

VMS / VMS PLUS MAINTENANCE KIT

MID91303015 Maintenance Kit £75.00


Midmark VMSTM Plus

A new twist on a time-proven anaesthesia machine. The Midmark VMSPlus provides more functionality than ever before with two shelves forconvenient placement of monitors and equipment. Its dual vapourisermounting capacity allows you to easily switch from one agent to another.

Exactly the same specification as the Midmark VMS Standard shown onprevious page.

Small E or D Size, cylinder mounting blocks with single-stage regulatorsare available to complete your portable system. Includes high pressurehoses and cylinder wrench.

MIDMARK VMS PLUS

MID91800075 Matrx VMS Plus* £1,975.00

ADDITIONAL OPTIONS

MID91800709 Low Flow O2 Kit £495.00

MID93805114 Occlusion Valve £80.00

MID91800129 IV Holder Kit £100.00

MID91305187 Mounting Kit for 2nd Vapouriser £30.00

CYLINDER MOUNTING BLOCKS

MID93305384 1 Cylinder O2 £325.00

MID94305383 2 Cylinder O2 £425.00

MID94305372 1 O2 & 1 N2O Cylinder £845.00

MID94305385 2 O2 & 2 N2O Cylinder £1,125.00

VMS/VMS Plus Maintenance Kit

290


The Midmark™ Veterinary Anaesthetic Gas Scavenger offers reliable activescavenging of waste anaesthetic gas. It is designed to meet current ASTM andANSI standards and is available in a post mount or wall mount configuration.

Each Wall or Post Mount Scavenger unit will scavenge the waste anaestheticgas from one anaesthesia machine.

Portable — Post Mount Scavenger comes complete with 20 ft. (6m) of 32mmtubing, 5 ft. (1.5m) of 19mm tubing and post mount hardware.

Wall Mount Scavenger comes complete with 2 ft. (0.6m) of 32mm tubing, 18 ft.(5.5m) of 19mm tubing and wall mount hardware.

• Designed to meet current ASTM and ANSI standards.

• Available in post mount or wall mount confi gurations.

• Quiet operation.

• Can be used with a ventilator or oxygenator.

• Easy to install, compact design with few parts.

• Standard 19mm inlet connection.

• Power on/off switch with indicator light.

• Low voltage (12V DC) operation.

Fluosorber

FLUOSORBER

025510 Fluosorber (Single) £28.00

025515 Fluosorber (Six Pack) £140.00

MIDMARK VETERINARY ANAESTHETIC GAS SCAVENGER

MID91515181 Post Mount Veterinary Scavenger * £485.00

MID91515182 Wall Mount Veterinary Scavenger * £485.00

The Fluosorberabsorbs all organicvolatiles includingHalothane andIsoflurane. Theabsorbed volatile isdiscarded with theexhausted Fluosorberafter an increase inweight of 200g.

The Fluosorber is idealfor situations wherethere is no convenientoutside wall.

Fluosorbers arecheaper in bulk (6).

CONVENTIONAL ‘TEC’ VAPOURISER SYSTEMS

ISO3TEC Mark III Isoflurane Vapouriser * £685.00

SEVOTEC Mark III Sevoflurane Vapouriser * £685.00

ISOBTEC Mark III Isoflurane Vapouriser - Recalibrated * £555.00

ISO4TEC Mark IV Isoflurane Vapouriser - Recalibrated * £660.00

ISO5TEC Mark V Isoflurane Vapouriser - Recalibrated * £880.00

SERVOTEC Vapouriser Service and Calibrate * £195.00

2012-000 Isoflurane Key Filled Bottle Adaptor £65.00

2015-000 Sevoflurane Key Filled Bottle Adaptor £65.00

Conventional ‘Tec’ Vapouriser Systems Midmark Veterinary Anaesthetic Gas Scavenger

Anaesthetic machinesusing calibrated "TEC"type vapourisers deliverinto the circuit a gasmixture containing aspecified percentage ofvolatile. In non-rebreathing circuits thepatient will breathe thisexact mixture. In circuitswhere some rebreathingoccurs, the gas mix willnot be the same asdialed on the vapouriser.

VeterinaryInstrumentation'svapourisers areserviced and recalibrated prior tosale.



An oxygen concentrator is anelectronically operated devicethat provides an uninterruptedsupply of oxygen as and whenrequired at the touch of a button.The oxygen concentrator drawsin room air, separates theoxygen from other gases in theair and delivers the oxygen athigh concentrations to thepatient. Although theconcentrator filters oxygen fromthe room air, it will not affect thenormal amount of oxygen in theroom.

Features and benefits• High Oxygen concentration

levels over the whole flow range

• Variable Flow rate up to 5 l/min

• OSD Sensor for continuously monitoring Oxygen levels

• Visual and audible alarms for low Oxygen levels, power failure, pressuredrop and service required

• Dimension (H x W x D)62.2 x 34.2 x 30.4 cm

• Weight 16.3 kg

• Flowrate 0.5 to 5 l / min

• Oxygen Concentration at 0.5 - 5 l / min 93% �} 3%

• Electrical Requirements 230 V, 50 Hz

• Power Consumption

approx. 290 Watt at 2 l/min.

approx. 312 Watt at 5 l/min.

• Classification II Type B

Specifications• Paediatric Flowmeter Humidifier

• Easy to operate, robust design

• Moulded handgrip for easy transportation and free moveable roller base formaximum manoeuvrability

• Circuit breaker with reset function

• Easy-to-view hour meter

• Take away bubble humidifier for placing where needed

• Service and maintenance friendly

• Data output socket compatible with PC, Notebook or Smart-Track. Remotefor diagnostic analysis of the unit

• Intelligent power management system utilises turn-downR technologyproviding less power consumption below 2 l/min flowrates

• Low noise, quiet operation

• Weighing only 16.3 kg the Compact 525 is the smallest and lightest 5 litreconcentrator

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OXYGEN CONCENTRATOR

OXYCON Oxygen Concentrator* £775.00

MATRX MODEL 3000 SMALL ANIMAL ANAESTHESIA VENTILATOR

MID91806002 Model 3000 with 0-300 ml Bellows, Bellows Housing and Adapter(Approx Patient Weight Range Up to 30 kg) * £2,550.00

MID91806001 Model 3000 with 300-1600 ml Bellows and Bellows Housing(Approx Patient Weight Range 14-120 kg) * £2,500.00

MID91806029 DISS O2, White £45.00

MID91806032 DISS O2, FxF, 4 ft., White £55.00

An electronically controlled, time-cycled, pressure-limited ventilator, theMatrx by Midmark Model 3000 replaces the breathing bag, providingsmooth, even delivery of anaesthesia. Designed specifically for veterinarypractice, the Model 3000 assures a constant volume for each deliveredbreath, regardless of patient compliance and airway resistance. Easy-to-use controls make operation simple and convenient.

Replaces the breathing bag, freeing technician to assist in otherprocedures.

Precise control of anesthetic state allows lower levels of anaesthesia formore responsive patients, more economical operation, with blood CO2 andpH levels closer to normal.

Interchangeable bellows adapt to animals from 1 kg to 300 kg — no toolsrequired.

Maximum working pressure limit (MWPL) adjustable from 10-60 cm H2O.

Dual airway pressure alarms signal any breath exceeding preset maximumor minimum.

Optional low supply gas alarm signals supply gas pressure below 35 psi.

Respitory rates from 6-40 breaths per minute at inspiratory flow rates from0-100 lpm.

Tidal volumes from 20-3,000 cc.

Built in scavenging point.

Please note to connect the Model 3000 to an oxygen supply a demandwye piece (91806029) and 02 hose (9180 6032) are required.

Matrx Model 3000 Small Animal AnaesthesiaVentilator

Oxygen Concentrator

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REDUCTION VALVES

0XREDE Oxygen Reduction Valve Pin Index Fitting (4 bar) £185.00

0XREDF Oxygen Reduction Valve Bull Nose Fitting (4 bar) £185.00

0XREDG Oxygen Reduction Valve - Pin Index Dial - Therapy Outlet £240.00

0XREDH Oxygen Reduction Valve - Bull Nose Regulator - Therapy Outlet £240.00

NITREDF Nitrous Oxide Reduction Valve Bull nose fitting £185.00

NITREDE Nitrous Oxide Reduction Valve Pin index fitting £185.00

BELLOWS

MID91806021 0-300 ml Attachment (Includes: Bellows, Adapter and Housing) £355.00

MID91806026 0-300 ml Bellows £145.00

MID91806027 0-300 ml Bellows Adapter £85.00

MID91806028 0-300 ml Bellows Housing £175.00

MID91806042 300-1600 ml Bellows £155.00


MID91806043 1600-3000 ml Bellows £195.00


DEMAND WYE

MID91806029 DISS O2, White £45.00

MID91806030 DISS O2 90°, White £60.00

STANDS

MID91806033 5 Leg, 42" w/Casters and Mounting Plate £235.00

MID91806034 5 Leg, 37" w/Casters and Bushing Mount £235.00

SUPPLY HOSE

MID91806032 DISS O2, FxF, 4 ft., White £55.00

MOUNTING ARMS/PLATES

MID91805152 Mounting Arm w/Plate and Extension for VMS £155.00

Reduction Valves forAnaesthetic GasesBottled gas at highpressure needs tobe reduced to apressure which canbe handled by theanaestheticmachine (4 bar).Our single stagereduction valvesreduce the pressureautomatically to thecorrect pressure forthe gas. Available ineither bull nosefitting or pin index.

All models of the Matrx Model 3000 Anaesthesia Ventilator include Model3000 controller, bellows base assembly, pressure sensing tube and tee,driving gas tube, power cord, spare fuse and operating manual.

Ventilator Accessories

OXREDF OXREDH

OXREDG


AYRES NON-REBREATHING SYSTEM

MID94515185 Ayres System Complete £135.00

MID92305073 FS-2 Outlet Adapter £35.00

MID61930908 Black Rubber Tubing-each(122 cm x 11mm OD x 6mm ID) £18.50

MID92315080 “T” Tube Adapter £39.50

MID92316019 Breathing Tube £39.50

MID92305098 Bag to Tube Adapter £19.50

MID91800194 1L Bag with Scavenger Adapter £49.50

MID91305439 Scavenger Adapter £29.50

MID91815246 Tube Connector x 19mm x 15mm £10.00

MID92800173 1L Bag w/Hole, No Scav. Adapter £25.00

BREATHING CIRCUITS

MID91316420 22mm Diameter £15.00

MID91316419 15mm Diameter w/1 Litre Breathing Bag £20.00

MID20221100 2” (50.8mm) Diameter, 180cm £72.50

Connects in secondsto any Matrx™anaesthesia machine.Designed especiallyfor the small animalpatient with less than7kg (15 lbs) bodyweight, it providesminimal dead spaceand less resistance to flow as compared to a full-circle system.

Designed to maximize patient safety and user convenience. A 360 degreeconnector rotation eliminates tubing twists or kinks. Unique Z-wave tubingprovides superior flexibility.

Ayres Non-rebreathing System with Scavenger Adapter

Breathing Circuits

UNILIMB REBREATHING CIRCUIT

MID91316417 Unilimb Rebreathing Circuit 100cm £19.50



MID91316435 Pedi Unilimb Rebreathing Circuit 100cm £19.50

Unique tube-within-a-tube designenhances performance andconvenience. Aids in heat and moistureretention, speeding patient recoverytime Unique design reduces clutter ofmultiple tubes

Unilimb Rebreathing Circuit

Circuits

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Modified Ayres ‘T’ Piece

The standard circuit for patientsweighing less than 10kg

• Low resistance

• No valves

• An open circuit

Complete with scavengeconnector see 025534.

MODIFIED AYRES ‘T' PIECE

025105 Modified Ayres ‘T’ Piece Circuit Complete £120.00

Modified Ayres ‘T’ Piece Semi Disposable

As above but lighter in construction.

MODIFIED AYRES ‘T' PIECE - SEMI DISPOSABLE

025105SD Semi disposable ‘T’ circuit £27.50

‘T’ Piece Scavenge Connector

Pollution is a problem with all open circuits. This connector fits into the tail ofthe rebreathing bag and connects to standard scavenging systems. Also fitsMini Bain.

‘T' PIECE SCAVENGE CONNECTOR

025534 “T” piece Scavenge Connector £16.00

025051 0.5 Litre rebreathing bag £14.50

025104 4 Litre rebreathing bag £20.50

025106 2 Litre rebreathing bag £17.50

Circuits

Bain CircuitFresh gas passes down the innertube. Exhaust gas returns via theouter tube. Good heat andmoisture exchange.

Use 2.0 to 2.5 times respiratoryminute volume. The adapter is re-usable but the circuits are semi-disposable.

Use in patients 10kg plus.

BAIN CIRCUIT

025080 Bain Circuit Mount (required initially) £205.00

025081 Bain Circuits tube set only £20.50

Bain Circuit Semi-Disposable

As above but supplied as a complete circuit whichcan be reused many times. 1.6 m length.

BAIN CIRCUIT SEMI-DISPOSABLE

025083 Bain Circuit Semi Disposable. Complete £35.00

LACK Parallel Circuit

This is a safer system than co-axialcircuits.

Both tubes are visible and can be checkedfor leaks, damage and security.

Use in patients 10kg plus.

LACK PARALLEL CIRCUIT

LACK1 LACK Parallel Circuit Complete £175.00

LACK4 LACK Replacement Tubes Set £35.00

LACK Parallel Circuit Semi-Disposable

As above but supplied complete with headunit and 2 litre bag 1.6m length.

LACK PARALLEL CIRCUIT SEMI-DISPOSABLE

LACKSD LACK Circuit - semi-disposable x 1 £35.00

Circle Circuits Semi-Disposable

An economical circuit for 10kg or more.

There is a degree of rebreathing but the CO2 isremoved by the in-circuit soda lime.

Minimum flow replenishes patients metabolic oxygen.

Rubber bung allows Soda Lime to be replenished.

CIRCLE CIRCUITS SEMI-DISPOSABLE

025085 Circle circuit x 1 £57.50

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SMALL FURRY/EXOTIC MASK SYSTEM

025091 Mask 9.0mm Opening 25cm, 10” tubing £28.50



025095 Masks Set of all 3 masks £70.00

Small Furry / Exotic Mask and Non-Rebreathing Circuit

These very small masks were designed specifically for use on smallexotics, small furries and birds. The fresh gas supply hooks up to thestandard GA machine outlet. The soft conforming mask may be trimmedfor maximum fit. The fresh gas feed may be re-positioned within the mask.Exhaust gases are fed into the scavenge system. Tape the circuit onto thetable.

Connectors

30mm is theinternational diameterfor scavengesystems. Use 30/22adaptors to linksections of 22mmscavenge tubing.

CONNECTORS

025536F 22mm Male to 30mm Female £7.00

025536M 22mm Male to 30mm Male £7.00

025534 30mm Scavenge to 500ml Bag Tail(for ‘T’ piece or mini bain) £16.00

PORTEX Portex Swivel with Port £19.00

Connectors Semi-Disposable

CONNECTORS SEMI-DISPOSABLE

025536SDF 22mm Male to 30mm Scavenge Female £4.25

025536SDM 22mm Male to 30mm Scavenge Male £4.25

025088 15mm Elbow. 15m - 22m/15f + 7.6mm port £4.75

Anaesthetic Circuit Consumables

Use Soda Lime to replenish to and fro circle systems. Turns pink to white.

CONSUMABLES

025052 Soda Lime 5Kg * £32.00

025104 4 Litre Rebreathing Bag Antistatic Rubber £20.50

025106 2 Litre Rebreathing Bag Antistatic Rubber £17.50

025051 0.5 Litre Rebreathing Bag Antistatic Rubber £14.50

TUBING Oxygen feed Tubing (per metre) £3.95

025535 Scavenge Tubing 22mm Dia. (per metre) £2.95

025545 Corrugated plastic hose set with Y mount £22.00


ELDRIDGE ANAESTHESIA MASK

025553 Feline / Small Canine OD 90mm £40.00

025554 Canine up to 50lbs OD 125mm £42.50

025555 X Large Canine OD 150mm £45.00

New mask designed to minimise rolland slipping. 3 sizes available.

Eldridge Anaesthesia Mask

Resuscitation Bag

RESUSCITATION BAG

025557 Small Resuscitator Bag (Volume 550ml) £35.00

025558 Large Resuscitator Bag (Volume 1800ml) £44.00

For emergency artificialrespiration. The device isideal for administeringeither pure oxygen or roomair to oxygen deprivedpatients. A special valveallows lung inflation oncompression of the bagand passive exhalation ofCO2 whilst fresh air refillsthe bag. Can be used witha standard endotrachealtube or an airtight mask.

VI Common Gas to Male Luer Connector

VI COMMON GAS TO MALE LUER CONNECTOR

025617 VI Common Gas to Male Luer Connector £77.50

Taping components together for small patientanaesthesia is not ideal. Gas leakage hashealth and safety connotations, IPPV is difficultto achieve and capnography becomesunreliable. Our common gas to male lueradapter provides an answer. Developed withhelp from Alan Humphries of Village Vets in Liverpool and Kevin Eatwell ofR(D)SVS, Edinburgh, our common gas to male luer device connectsbetween the 15mm female end of an anaesthetic circuit and any standardmale luer lock device — such as a cut-down urinary catheter. An easilyaccessible female luer lock port on the top of the device allows forconnection of a capnography probe. The device has been designed tocontribute minimally to respiratory dead space.

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iM3 Masks

IM3 MASKS

025538CBR Mask Bird / Rodent Clear £37.50

025538CVS Mask Rabbit / Cat Clear £37.50

025538C Mask Small (Cat) Clear £37.50

025539C Mask Large Clear £37.50

025547C Long Nose Mask Clear £37.50

025552 Set of 5 clear masks(plus FREE resuscitation bag) £185.00

iM3 masks are designedfor rapid induction ofanaesthesia with aminimum of fuss andminimum pollution. They allhave the following features.

• Very low dead space,important when maskingdown using circlesystems

• Removeable rubber diaphragm which minimises gas leaks and permitscleaning.

• Made from virtually indestructable pvc which will not degrade like thelatex rubber type.

• Clear plastic allows visualisation of patient’s muzzle.

• Buy a full set (5) and get a free resuscitation bag, small.

Code Inner Diameter Outer Diameter Length

025538CBR 25mm 65mm 60mm

025538CVS 35mm 60mm 60mm

025538C 55mm 85mm 85mm

025539C 80mm 130mm 140mm

025547V 60mm 100mm 170mm

Anaesthetic Chamber

Most very small patients may be induced using a chamber. The kit containsthe chromed inlet and outlet fittings.

• Relatively stress free

• Patient remains visible

• Standard 15mm inlet, standard scavenge tube outlet

• 300mm x 300mm x 180mm (12” x 12” x 7")

• 3m of scavenge tubing included.

ANAESTHETIC CHAMBER

025540 Anaesthetic Chamber £120.00

025540C Chamber Kit to Convert Plastic Containers £95.00

Feline Inhalant Delivery System

FELINE INHALANT DELIVERY SYSTEM

025700 Feline Inhalant Delivery System £49.50

Feline asthma is increasingly recognised in small animal practice. Existingtreatments include oral corticosteroids and bronchodilators. These regimesare far from ideal due to side effects or poor owner compliance.

Metered Dose Inhalers (MDI) have been the treatment of choice for humanasthmatics for many years. Inhaled medication has been shown to bemore effective with fewer side effects. It is now possible to use theseagents in cats with our unique aerosol chamber designed for cats. Thechamber works with standard human MDIs and works well with the smalltidal volume of feline patients. Patients quickly accept the system.

The kit comes complete with two masks. Chamber is 11cm x 4.5cm, (4.5” x 1.75”)

• reusable and easy to clean

• designed to be dispensed for client home use.

• includes two different sized masks

• directions included with suggested treatment regimes

LARYNGOSCOPES

025118FO Laryngoscope Setwith 0, 1, 2, 3 & 4 Blades - Fibre Optic £225.00

025118FO Spare Bulb for Fibre Optic LaryngoscopesBULB £20.00

025127 Wall Bracket for Laryngoscope Sets £52.50

025120 Laryngoscope for rabbit - Fibre Opticincludes Miller No 0 Blade and 00 Blade £155.00

025125L Spare Bulb non FO laryngoscopes large £17.50

025125 Spare Bulb non FO Laryngoscopes small £17.50

Laryngoscopes

Intubation of certain breeds of certainspecies can be very difficult without theappropriate laryngoscope. Deflection ofsoft tissues and a light source makes lifevery much easier. In a crisis e.g. a bluebrachycephalic, the appropriatelaryngoscope will be a life saver. Veterinary Instrumentation recommendsMiller blades. Our fibre optic system uses a remote single bulb producing acold light at the blade tip.

Miller Set & Wall Bracket

025120

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ENDOTUBE LIGHT

025600 Endotube Light £24.50

025601 Spare Endotube Light Bulb £13.00

This small penlight has attached a flexible metal rod with a light at the tip.A 5mm tube easily slides over the light tube. Offers both rigidity and light,especially useful in cats and small dogs.

Operates with ‘AA’ batteries which are included.

Endotube Light

Intubation Accessories

ENDOTRACHEAL TUBE STYLET

025605 Stylet Tube sizes 2.0-3.5mm £9.00

025606 Stylet Tube sizes 4.0-6.5mm £9.00

025607 Stylet Tube sizes 7.0-10mm £9.00

Intubation is much easier using a malleable stylet. These plastic coated stylets may be bent to the desired shape. Each stylet has anadjustable rubber stopper to ensure that the stylet tip is not exposed at theendo tube tip. The stylets work especially well with silicone tubes whichtend to be soft.

Endotracheal Tube Stylet

Endotracheal tubes require cleaning to prevent cross contaminationbetween patients. Thorough cleaning also ensures that there is no mucousobstructing the tube which could be fatal. Appropriately small endo tubebrushes are hard to find.

Endotracheal Tube Brushes

ENDOTRACHEAL TUBE BRUSHES

END02 Endotracheal Tube Brush 12 inch 2mm £13.95








Almost all ET tubes used today depend upon an inflation cuff to seal thetube in the trachea, not so the Safe-Seal™ ET tube featuring the BlaineBafflex System. This new technology uses a series of 6 silicone baffleswith carefully engineered pattern and spacing to seal the trachea withoutpressure points. The flexible baffles allow an “o-ring effect”. The Safe-SealET tube lies in the trachea and the sealing baffles touch the tracheal wallleaning towards the larynx. Thus, when the patient inspires the siliconebaffles are sucked against the trachea forming a tight seal.

The special design allows passage of pressure exceeding 20-30centimeters of water in the patient’s lungs. If the pop-off valve isaccidentally left closed, the excess pressure is released and no harm willcome to the patient.

These soft, flexible baffles are atraumatic to the tracheal surface due to thelimited contact of the baffles. There is minimal contact with the trachealwall when using the Safe-Seal tube as opposed to the large area ofcontact of inflation cuff tubes. This means the tube can be left in the sameposition for extended periods of time.

Another advantage is the “squeegee” effect when extubating, by scrapingthe trachea clean of any fluids present.

The Safe-Seal ET tube with the Blaine Bafflex System eliminates dangersof deflation or over inflation. The Safe-Seal tube’s baffles keep the tip ofthe tube centered in the trachea.

Although the Safe-Seal ET tube has a different ‘feel’ to regular tubes, newusers quickly adjust and rarely switch back.

Safe-Seal Endotracheal Tubes

SAFE: Baffles prevent over insufflation - no pressure points

EASY: Faster insertion and removal - less traning needed

ECONOMICAL: Only three sizes needed for dogs ranging 5 - 100kgs

The new Safe — Seal Endo Tube utilizes a series of silicone baffles toreplace the inflation cuff. It eliminates the risks of over inflation, underinflation and leaky tubes. The soft, flexible baffles seal the trachea withoutpressure and cleanses the trachea of all fluids upon extubation .

Only 3 sizes of tubes are necessary for dogs weighing 5 to 100kgs. TheET tube’s one piece construction of medical grade silicone is autoclavable.

Advantages & benefits

* Solid one piece construction of medical grade silicone.

* No moving parts to fail.

* Can be left in the same position in the trachea for extended periods.

* The tube will rotate in the trachea during surgery without injury.

* Transparent, so blood or fluids can be visualized in the tube.

* Autoclavable

Safe Seal Tube with stylet (supplied)

SAFE-SEAL ENDOTRACHEAL TUBES

ET18L Safe-Seal ET - Large 30 - 100 kg £42.50

ET14M Safe-Seal ET - Medium 11 - 35 kg £37.50

ET12S Safe-Seal ET - Small 5 - 15kg £32.50

ETSET Safe-Seal ET - Set of 3 (S, M, L) £97.50

02545-553 Cleaning brush for Safe-Seal ET - Large £13.95

02545-540 Cleaning brush for Safe-Seal ET - Medium £13.95

02545-544-2 Cleaning brush for Safe-Seal ET - Small £13.95

02545SET Cleaning brush set for Safe-Seal ET £39.95

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LARGE DIAMETER ENDOTRACHEAL TUBE

Inner Diameter (mm) Length (cm)

025620 10 36 £24.00

025621 11 40 £25.00

025622 12 44 £26.00

025623 14 48 £27.00

025625 Set of 4 tubes £85.00

Features:Connector included.Lateral Murphy eye at distal tip allows ventilation in the event ofobstruction of the main opening at the tip.10 to 14mm diameter.Transparent: blood and mucous visibleComfortable c.f. rubber and PVC.Durable c.f. rubber and PVC.NOT autoclavable (use cold sterilants e.g. perasafe p.277).Sensible pricing.

Large Diameter Silicone Endotracheal Tube

Oesophageal Stethoscope

Very simple yet very effective. The anaesthetist can monitor heart and lungsyet still have hands and eyes free for other signs. Supplied complete withheadset and three probes. Probe length - 50cm.

OESOPHAGEAL STETHOSCOPE

025101 Oesophageal Stethoscope including 3 Probes £65.00

025101/24F 24F Probe for stethescope (8mm O/D) £21.50

025101/P18F 18F Probe for stethescope (6mm O/D) £21.50

025101/P12F 12F Probe for stethescope (4mm O/D) £21.50

Stethoscope Professional

Diaphragm and bell options for detailed chest examinations. Very gooddiagnostic quality. Available in 4 colours.

No quibble money back guarantee if you are not delighted. Supplied with 4spare ear ‘nibs’ and a spare diaphragm.

STETHOSCOPE PAEDIATRIC

025108BUR Paediatric Stethoscope Burgundy £15.00

025108B Paediatric Stethoscope Blue £15.00

025108G Paediatric Stethoscope Hunter Green £15.00

025108L Paediatric Stethoscope Lavender £15.00

Paediatric

4 FORTHE

PRICEOF 3

EZ TIE ENDOTRACHEAL TUBE SECURING DEVICE

025094 EZ Tie Endotracheal Securing Device (pack of 3) £15.00

The EZ Tie is designed to bequick and easy to hold anyendotracheal or anaesthesiamask safely in place. The thinbut strong plastic tubing has 2sliding clasps. These claspsreadily move along the tubingbut hold steady under tension.The first clasp is used to tightenaround the ET tube or mask.The second slides along totighten around the patient’smuzzle. It also works extremelywell with challengingbrachycephalic breeds such aspugs and felines.

EZ Tie Endotracheal Tube Securing Device

Maintaining an endotracheal tube in the correct position is a criticalcomponent of anaesthesia or surgery. Any shift or displacement of anendotube during anaesthesia can be life threatening. A common practiceis to use a length of cotton gauze roll to first tie around the tube thenaround the animal’s muzzle. Roll gauze can come untied or be difficult toquickly untie.

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Monitoring

Increasing sophistication of monitors leads nurses to monitor theinstruments rather than the patient. Simple respiratory monitoring plus acompetent nurse offers the most reliable patient monitoring.

Apalert Respiration Monitor

Respiratory arrest almost always precedes cardiac arrest in an anaestheticemergency. Prompt action at the point of respiration failure will usually savethe patient. The APALERT is:

• Reliable. It beeps at each breath and the display shows the interval sincethe last breath.

• Rechargeable approx 70hrs use. You can still use it as it recharges.

• Adjustable by beep volume and sensitivity.

• Alarming. The alarm gets louder if you ignore it. The alarm can be resetby the surgeon using magic eye facility without compromising sterility.

This unit saves lives with a minimum of fuss.

APALERT RESPIRATION MONITOR

025005 Apalert Monitor Complete Kit £295.00

025007 Apalert Probe £23.00

025100 Mains Adaptor £26.00

Breathe-Safe Monitor MKIII

This tiny monitor is a simple apnoea alert monitor. The microprocessorbeeps with every breath.

• Highly sensitive.

• Easy to use - just connect between the endotracheal tubeand anaesthesia circuit.

• No adjustments. A sophisticated alogorithm will recognise and indicatewith a beep every breath from a kitten to St Bernard.

• Apnoea Alert. If your patient fails to breathe for 45 seconds a distinctiveapnoea alert will sound.

• Auto shut off.

• High density long-life lithium battery will last for years.

A simple life saver.

A new Pulse Oximeter by Henry Schein

• Robust• Reliable• Great Value

BREATHE-SAFE MONITOR MKIII

025010 Breathe-Safe Monitor MKIII £179.00

Henry Schein Pulse Oximeter

Features:

• LCD display.

• RTC (Real Time Clock) display.

• Backlight control and automatic power-off function for power saving.

• SpO2 0-100%

• Pulse rate measurement 30-350bpm.

• Display numeric and waveform of SpO2 simultaneously.

• Long battery life - up to 48 hours on 4 “AA” or 36 hours on Ni-MHrechargeable batteries.

• Powerful data storage capacity.

• Data can be transferred to PC for storage, review and printing.

• The latest 10 minutes trend graph and table of SpO2 and Pulse Ratecan be reviewed in the screen.

• Audible and visible alarm capability.

• Pitch tone.

PULSE OXIMETER

HSEH100B Pulse Oximeter £245.00

HSVESH7 SpO2 Sensor (Replacement) £27.50

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Oscillometric technology for non-invasivemonitoring offers a simple and effective means ofrepeatedly and harmlessly determining arterialblood pressure in both healthy and sick patients. It should be part of the routine physicalexamination especially in animals over 5 yearswith baseline data recorded as part of the medicalrecord. When adverse events occur, comparisonscan be made to recorded baselinemeasurements. Monitoring blood pressure as partof the anaesthesia protocol will improve morbidityand mortality not only for patients at risk, but forhealthy animals as well. As veterinary cliniciansbecome more knowledgeable about the benefitsof arterial blood pressure measurements, it will bean integral component of improved patient care.

Arterial Blood PressureCardiac output is the product of volume ejectedfrom the heart per beat (stroke volume) and heartrate (per minute). The resultant pulsatile pressuregenerated in the vascular system causesdistention of arterial vessels that has a maximumvalue, systolic arterial pressure (SAP) and aminimum value, diastolic arterial pressure (DAP).Mean arterial pressure (MAP) is roughly theaverage pressure during the cardiac cycle that

occurs as blood is pushed through vessels. Tissue perfusion is maintained during arterialpressures of 60 to 150 mm Hg (8.0 — 20.0kPa).When mean pressure falls below 60 mm Hg,blood flow may be too low to adequately perfuseessential organs such as the brain, heart, lungs,liver, and kidneys. Sustained systolic pressuresover 170 mmHg (22.6 kPa) can result in severeconsequences such as blindness, stroke,haemorrhage, and death.

MethodsDirect monitoring of blood pressure requirescannulation of a peripheral artery. It does nothave practical application in most clinical settingsfor small animal patients but in animals with life-threatening disorders where continuousmeasurement of arterial blood pressure isessential, invasive monitoring should beconsidered. Indirect or non-invasive bloodpressure (NIBP) measurement using Doppler flowultrasonography includes the use of asphygmomanometer combined with a flowdetector or sensor placed over an artery. Bynoting the pressure value on the manometergauge when the occluding cuff is inflated to stopblood flow and then deflated to resume completeflow, SAP can be determined. MAP would need tobe calculated if it is possible to determine DAP,and pulse rate (PR) counted.There are a number of problems associated with

the Doppler technique that make it inefficient foruse in the Operating Theatre. Most important, thissystem is not automated. Sensor position maychange, especially during surgery with the patientdraped. The assistant performing Dopplermeasurements may be required to do other tasks,thus taking them away from the monitoringprocess. In addition, measurements are notdisplayed other than onthe anaesthetic record,nor does the systemprovide alarms to alertthe clinician of trouble.Noise in the OR anddifferences in hearingacuity among individualscan cause difficulty inobtaining reliablereadings.

OscillometryOscillometry usesmicroprocessortechnology to detect oscillations produced byvascular pulsation in a peripheral artery. Acompression cuff is placed around an appropriatelocation on an extremity and is automaticallyinflated to occlude the underlying artery. Eachtime the heart beats, oscillations occur within theartery that are transmitted through the cuff andpressure hose to a transducer located within themonitor. A microprocessor analyzes oscillationsand displays values SAP, MAP, DAP and PR.Recent advances in animal specific algorithms inbrands such as the Cardell® Monitor haveallowed thousands of veterinary practicesworldwide to provide reliable use in dogs, cats,puppies, kittens and other animals. Publishedstudies in peer reviewed journals have validatedthe Cardell against direct arterial pressure inanaesthetized dogs and cats.

Monitoring the Anaesthetised PatientAssessment of patient status and depth ofanaesthesia with NIBP monitoring has become anessential component in clinical practice. A 2006 study concluded that more than 25% ofveterinary patients were hypotensive duringsurgery, mostly because arterial blood pressurewas not monitored . Risk of death during surgicalanaesthesia in healthy dogs and cats has beenestimated to be 0.11 to 0.15%. This risk is muchhigher in sick, aged, or injured patients. Further,anaesthetic depth and duration of anaesthesiahas been shown to be a cause of death up to ayear after non-cardiac surgery. Intraoperativesystolic hypotension was one of the significantpredictors of increased mortality. Although themargin of safety for modern anaesthetic agentshas greatly improved, side effects ofcardiovascular depression still can occur.Multimodal combinations of drugs are commonand may result in hypertension or hypotension. In addition, with more intricatesurgical procedures being performed and longerlife expectancy in companion animals, effectiveblood pressure monitoring is essential to safe

outcomes of anaesthesia. Thus, major goals for monitoring theanaesthetised patient are to help assessanaesthetic depth and to detect trouble beforesevere consequences occur. To achieveanaesthesia as safely as possible, the presenceof a trained technician is of prime importance.Then, in descending order of usefulness, come

NIBP, capnography, pulse oximetry and ECG.Observation of the electrocardiograph (ECG) isuseful in detecting cardiac conductionabnormalities and the pulse oximeter providescontinuous values for pulse rate and thepercentage of haemoglobin oxygen saturation.But neither provides an early warning forassessing depth of anaesthesia. When the pulseoximeter displays a warning alert for a weaksignal of oxygen saturation below 90%, thepatient is already in trouble relative to oxygenpartial pressure.

Conclusion:For monitoring anaesthetised patients,assessment of therapeutic responses especiallyin patients with cardiac disease, or those needing critical or emergencycare, avoiding intervals of hypotension is essentialto maintain adequate cerebral, coronary, andsplanchnic organ blood flow. Whether one usesSAP values of 80 (10.6kPa) or MAP of 60 as lowalert thresholds, values from the monitor can befollowed not only for early warning but also toestablish an upward trend of improved pressuresas corrective measures are instituted. Mostanaesthetised patients should have indirect SAPvalues in the range of 85 to 130 mm Hg (11 —17kPa). If SAP is above I50 mm Hg, arterialhypertension is evident. Assessment must bemade to evaluate other signs for lightanaesthesia, sympathetic responses from deeppain, or other complications. There is no questionthat automated monitoring of arterial bloodpressure in companion animals is in the bestinterest of veterinarians, clients, and their pets. Itshould be a standard of practice not only duringanaesthesia but also as a diagnostic andtherapeutic tool for better patient care.

Donald C. Sawyer, DVM, PhD, DACVA, HDABVP

Printed with kind permission of Midmark.

Non-Invasive Blood Pressure Monitoring inAnaesthetised PatientsDonald C. Sawyer, DVM, PhD, DACVA, HDABVP

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Cardell monitors are designed and manufactured exclusively for theveterinary sugeon. There are five different monitor options which includesome or all of the following features:

• Cardell independently verified non-invasive blood pressure technology.

• Nellcor’s OxiMax all-digital pulse oximetry.

• Oridian’s CO2 technology.

• 3 or 5 lead ECG.

• Respiration and temperature monitoring.

Simply select a package which meets your requirements and Cardell willdo the rest.

On request we can supply copies of papers proving Cardell technologyand reliability.

Cardell Model 9402 BP/Pulseox Monitor

Cardell Model 9403 Multiparameter MonitorBP, SpO2, ECG, Respiration, and Temp.

Provides reliable blood pressure monitoring in a compact and affordablepackage. The Model 9401 offers systolic, diastolic, mean arterial pressureand heart rate in seconds. It has an automatic mode allowing the user toset measurements from 1-90 minutes. A STAT mode provides continuousreadings for five minutes. A manual mode allows the user to take ameasurement at any time. There are high and low alarms for allparameters. The Cardell BP technology is known for working reliably in allour patient species. It comes with 13 cuffs in 7 different sizes.

Along with the BP advantages of Model 9401, the Model 9402 usesNellcor’s OxiMax® digital processing for its pulse oximetry. The OxiMaxtechnology offers greater accuracy than conventional oximetry, even fordifficult-to-monitor patients with motion or low perfusion. A lingual sensor isincluded.

This multi-parameter monitor offers the Cardell® reliable blood pressuretechnology, all-digital pulse oximetry from Nellcor, and ECG. Temperaturesoftware is built in. Only the reusable temperature probe must bepurchased. A 3-lead ECG set is included (or opt for a 5-lead set). Multiplevariable lead trace waveform selection is included along with 5 gain sizeselections and a trace freeze option. A printer and rolling stand are optional.

CARDELL MONITORSProviding reliable data in acompact, affordable unit

Cardell Model 9401 Blood Pressure Monitor

CARDELL MONITORS

CARD9403 Cardell 9403 £2,750.00

CARDELL MONITORS

CARD9402 Cardell 9402 £2,150.00

CARDELL MONITORS

CARD9401 Cardell 9401 £1,500.00

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Cardell Model 9404 Multiparameter Monitor BP/ECG/Resp/Temp

Cardell Model 9405 Multiparameter MonitorBP/SpO2/ECG/CO2/Respiration and Temp.

For those wanting to check health status in the exam room, or who alreadyhave a pulse oximeter, this monitor offers blood pressure measurementsusing the superior Cardell® technology along with a 3-lead ECG. Cuffs andthe leads are included. Only the reusable temperature probe must bepurchased.

This multi-parameter monitor has the “best in class” for key parameters:Cardell® blood pressure technology, Nellcor pulse oximetry and Oridioncapnography. The ECG is 3-lead, but 5-lead is an option. With its compactsize and 4-6 hours of operation from a rechargeable battery, thislightweight monitor is an ideal tool for the modern veterinary practice. Anesophageal/rectal temperature probe is optional as is a printer and rollingstand. Included are 13 cuffs in 7 sizes, lingual SpO2 probe, 3 CO2 filterlines and a 3-lead ECG wire set.

CARDELL MONITORS

CARD9405 Cardell 9405 £3,950.00

CARDELL MONITORS

CARD9404 Cardell 9404 £2,150.00

Cardell 9500 HD Multiparameter MonitorBP, SpO2, ECG, Temp(2), CO2 & Respiration

CARDELL 9500 HD MULTIPARAMETER MONITOR

CARD9500 Cardell 9500 £2,950.00

9500 with optionalrolling stand

The Cardell 9500 has a number ofattachment options from a freestanding rolling stand to brackets to fitMidmark anaesthetic machines.

Not just another pretty face, the Cardell 9500 HD features the world-class Cardell blood pressure technology, Nellcor digital pulse oximetryand optional Respironics solid-state mainstream CO2. You can alsomeasure ECG, respiration and 2 channels of temperature. With a 7" highdefinition, wide screen display and integrated printer, it's exactly whatCardell fans have been waiting for.• High definition, full color 7" screen• World-leading Cardell veterinary blood pressure technology• Nellcor's all-digital Oximax™ pulse oximetry• Diagnostic quality ECG (3 or 5 lead) with 3 filtering modes• Upgrade option with Respironics Capnostat® mainstream CO2 sensor• 2 YSI temperature channels• Built-in, 3-channel printer• 48 hours of graphical trends on each parameter• 4-channel waveform display• Quick blood pressure readings of systolic, diastolic and mean• Automatic, STAT and manual blood pressure modes• Pulse rate range from 20-300 bpm• High and low alarms for all parameters• Alarm triggered print function• Stores up to 600 sets of tabular data• Waveform displayed at 12.5, 25 or 50 mm/sec• Operates on AC or rechargeable battery

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CARDELL MAX12 MULTIPARAMETER MONITOR

CARDMAX12DUOHD MAX12 DUO HD £4,250.00

CARDMAX12DUOHDI MAX12 DUO HD-i w Invasive BP £4,950.00

CARDMAX12HDM MAX12 DUO HD-m w Multigas monitoring £6,950.00

CARDMAX12HDIM MAX12 DUO HD-im w Invasive BP and Multigas £7,450.00

CARD4F Wall Stand for MAX12 £480.00

CARDMOB.64A Mobile Stand with Basket £685.00

CARDPAPER4F Box 4 rolls printer paper £42.00

The Cardell MAX-12 Duo HD contains the world leading Cardell veterinaryblood pressure technology, Nellcor’s all-digital Oximax® pulse oximetry,and new for 2011: the ability to upgrade any time to CO2 with Philips-Respironics’ solid state Capnostat mainstream or LoFlo sidestream.Invasive pressure can be included as an option, and the Max-12 HDm andHDim offer the addition of multi-gas monitoring with the Draeger bench.These are all complimented by a diagnostic quality ECG, respiration viadirect impedance or direct through CO2, and temperature. Also, new for2011: download cases to a USB memory stick for easy transfer to your PC.View up to 8 waveforms at once, including 4 ECG waveforms. Anoesophageal ECG is also available.

Full detailed brochure available on request or from the websitewww.vetinst.com/docs

• World-class Cardell BP, Nellcor SpO2, Respironics CO2

• 12.1" high-definition color screen with ultra-wide viewing angle

• Built-in 3-channel graphical printer

• Upgrade to CO2 anytime (sidestream or mainstream) NEW!

• Download case history onto USB memory stick NEW!

• 8 waveform channel display; including 4 vector simultaneous ECG

• 120 hour graphical trends; 12-minute full recall ECG memory

• 4 veterinary specific alarm defaults (dog, cat, horse, other)

• Ethernet and serial ports for central station connectivity, USB port for

downloading, VGA port for video

• Invasive pressure (2-channel) and anesthetic agent monitoring options

• Optional esophageal ECG probe

• Intuitive, easy to navigate menu

• 2-year warranty

Cardell MAX-12 DUO HD Multiparameter Monitor

CARDELL ACCESSORIES

CARDPRINT Cardell Printer for 9400 Series £525.00

CARDSENSOR Nello Vetsat Sp02 Sensor £215.00

CARDTEMP Temperature Probe £120.00

CARDC20B Cardell Cuffs 20mm Box 10 £52.50

CARDC20BS Cardell Cuffs 20mm Single £7.75





CARDC412 Cardell Cuffs 40mm Box 10 £52.50

CARDC412S Cardell Cuffs 40mm Single £7.75

CARDC515 Cardell Cuffs 50mm Box 10 £52.50

CARDC515S Cardell Cuffs 50mm Single £7.75

CARDC600 Cardell Cuffs Box 5 Mixed £27.50

CARDSV8 80mm, Large Animal Reuseable Cuff £15.50

CARDSV10 102mm, Large Animal Reuseable Cuff £18.50

Cardell Accessories

Tidal Guard EtCO2, SpO2, Pulse andRespiration Monitor

• Measures EtCO2, respiration rate, SpO2, pulse rate

• New high-definition, bright color screen

• Size of an iPhone — very compact

• Choose between mainstream or sidestream CO2

• Diagnostic CO2/SpO2 waveforms

• Audible/visual physiological and technical alarms

• User adjustable alarm limits

• Pre-set alarm limits for cats, dogs and horses

• Three-hour graphical trend review

• Up to 99 patient IDs, 72-hour tabular trend for each

• Operates on four “AA” alkaline batteries or NiMH 2400 mAhrechargeable batteries (>4.5 hrs), or AC power

• Power charger/cradle included

• Dimensions 4.8 x 2.9 x 0.9 in (125 x 73 x 23 mm)

TIDAL GUARD EtCO2 SPO2 PULSE RESPIRATION MONITOR

CARD8009001 Tidal Guard Monitor £2,250.00

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The Versatile and Compact Veterinary Monitor

This advanced monitor offers fast and reliable SpO2, Pulse Rate, ECG,non-invasive blood pressure and temperature with waveforms and trenddisplay. The Vetron features a built-in battery lasts for more than 3hours. Having dimensions of 250mm x 85mm x 84mm (W x H x D) and aweight of 2.2kg makes this one of the world’s most compact multi-parameter patient monitors.

VETRON 4 PARAMETER MONITOR

VETRON4 Vetron 4 £845.00

Vetron 4 Parameter Monitor

I-WARM INFUSION WARMER

CARDWARM Cardwarm Infusion Warmer £245.00

Features

• Portable and lightweight

• Convenient hanging belt to hang on I.V.pole

• Current temperature displayed inFahrenheit or Celsius

• Temperature overheating protection

• Indicators for warming (orange), power(green), and overheating (red)

i-Warm Infusion Warmer by Cardell

Doppler Ultrasonic Blood Flow MonitorNon-invasive blood pressuremonitoring. Hypertension isoften overlooked duringdiagnosis, treatment androutine physical examinations insmall animals. In addition manyhypotensive patients, such asthose suffering from shock,benefit greatly from Dopplermeasurement of blood pressurewhen knowing the pressure canmean effective and timelytreatment.

Combining Doppler with an appropriate sized 'cuff' for small animals,provides the veterinarian with the same non-invasive method for testingblood pressure as is available in human medicine. A small probe is placedover a peripheral artery (e.g digital or coccygeal). An ultrasonic crystal inthe probe transmits pulse wave sound back to the amplifier. The pressurecuff is inflated until the pulse sound is no longer audible. The cuff is slowlydeflated, using the manometer, until pulse sounds are audible once more,at which point the manometer displays a numeric value of the animal'ssystolic pressure.

Lightweight hand-held unit; high quality, vet spec sphygmomanometer.Comes complete with 2 cuffs (2.5cm and 5.0cm). Runs on 9 volt battery.Complete with headset and carrying case. All consumables are available.

DOPPLER ULTRASONIC BLOOD FLOW MONITOR

025850 Doppler Ultrasonic Blood Flow Monitor Full Kit £995.00

INFUSION PUMP ST1000

IPST1000 Infusion Pump ST1000 £745.00

HSGIVSET10 Intravenous Infusion Set (x10) £25.00

Infusion Pump ST1000

This infusion pump has been extremely popular in the Spanish Market andVeterinary Instrumentation is very pleased to have been appointedexclusive Veterinary Distributor for the UK. This robust, reliable unitrepresents great value.

Pump supplied with 10x Intravenous Infusion sets Free of Charge

FEATURES:

Pumping system - linear peristaltic

Flow rate - 0.1 to 999.9 ml/h, 0.1 ml/h increment

Tubing - standard, 3.6 - 4.2 mm PVC

Programming - ml/h x volume limit- time x volume limit- weight x concentration x dose

Special functions - adjust occlusion- titration- fluid balance- clear volume- adjust Keep Vein Open- adjust bolus- sound level- purge- memory of last infusion- macro/micro drops selectable

KeepVeinOpen - programmable from 0.1 to 3.0 ml/h

Visual and/or audible alarms - air-in-line- free flow- Keep Vein Open rate- occlusion- door open- no drops (empty container)- infusion completed- low battery

Power supply - 110 - 230V, 50/60 Hz

Battery - NiMH, rechargeable- battery life: 6 hours at 25 ml/h

Weight - 2.3 kg

Width x height x length - 160 x 205 x 230 mm

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NT300 Rechargeable Handpiece System

The NT300 is a rechargeable system which has a capacity for 2 handles.

NT300 RECHARGEABLE HANDPIECE SYSTEM

X-002.99.495 NT300 Charger £225.00

X-002.99.411 Rechargeable handle for NT300 £135.00

X-002.99.382 Rechargeable battery 3.5V for NT300 £55.00

Heine DiagnosticTo create a diagnostic set you will need tocombine the diagnostic head of your choicetogether with a power source.

Power Sources

Standard N Handle

The standard N handle takes regular dry cell batteries.

STANDARD N BATTERY HANDLE

X-001.99.118 Standard N Battery Handle £65.00

Heine Diagnostic Sets Otoscope Kit

The kit includes the slit illumination head, three closed speculae (57mm x4mm, 65mm x 6mm, 90mm x 7mm) a spare bulb and a hard case. Kitshown is with a standard battery handle but it is also available with arechargeable handle or a rechargable handle and charging unit.

Top quality equipment boxed as a kit.

HEINE OTOSCOPE KIT

G-112.10.118 Heine Otoscope Kit with Standard Battery Handle £410.00

G-112.20.376 Heine Otoscope Kit with Rechargeable HandleDoes not include charger £535.00

X-000.99.308 Charger for G-112.20.376 £90.00

X-002.99.412 Convertor Insert to enable G-112.20.376 to workwith NT300 Rechargeable Handpiece System £24.50

G-112.20.420 Heine Otoscope Kit with Rechargeable Handle and Charging Unit (X-002.99.495) £725.00

The kit includes the slit illumination head, the Beta 200 ophthalmoscopehead, three closed speculae (57mm x 4mm, 65mm x 6mm, 90mm x 7mm)spare bulbs and a hard case. Kit shown is with a standard battery handlebut it is also available with a rechargeable handle or a rechargable handleand charging unit.

HEINE OTOSCOPE AND OPHTHALMOSCOPE KIT

G-148.10.118 Heine Otoscope and Ophthalmoscope Kit with Standard Battery Handle £655.00

G-148.20.376 Heine Otoscope and Ophthalmoscope Kit with Rechargeable HandleDoes not include Charger £825.00

X-000.99.308 Charger for G-148.20.376 £90.00

X-002.99.412 Convertor Insert to enable G-148.20.376 to workwith NT300 Rechargeable Handpiece System £24.50

G-148.20.420 Heine Otoscope and Ophthalmoscope Kit withRechargeable Handle and Charging Unit(X-002.99.495) £985.00

Otoscope and Ophthalmoscope Kit

20 DIAGNOSTICS Chapter 20

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DIAGNOSTICS 20www.vetinst.com

EN100 Wall Mount Unit with 2 Handpiece Positions

The latest version of this popular unit is wall mounted with the handpiecesconnected by flexible cables. You will never be dependant on batteries orbe concerned as to where the otoscope is!

EN100 WALL MOUNT UNIT WITH 2 HANDPIECE POSITIONS

X-095.12.110 EN100 Modular Unit c/w two handles no heads £375.00

X-095.12.135 Extra Handpiece Position £190.00

Otoscope Heads and Accessories

Designed to facilitate the examination of the external ear and the removalof foreign bodies the slit head otoscope includes a magnifying loupe(22mm) which swings out of the way for insertion of crocodile forceps.

OTOSCOPE HEADS & ACCESSORIES

G-002.21.301 Otoscope/Slit head with magnifying swivel £155.00

G0021330 Speculum Metal Closed 4mm £47.50



G0021353 Speculum Metal Closed 10mm x 150mm £47.50

G-000.21.209 Magnifying Swivel Loupe £19.50

X-001.88.077 2.5v Bulb for Otoscope £25.00

X-002.88.044 3.5v Bulb for Otoscope - Screw Fit £25.00

X-002.88.078 3.5v Bulb for Otoscope - Push Fit £25.00

Direct Opthalmoscope Heads

DIRECT OPTHALMOSCOPE HEADS

C-002.30.100 Opthalmoscope Head 3.5v £265.00

X-001.88.069 2.5v Bulb Beta Ophthalmoscope £25.00

X-002.88.070 3.5v Bulb Beta Ophthalmoscope £25.00

Betaopthalmoscopehead

X0288070

X0288078

Buster Starlight Diagnostic Set

A simple torch based set for easy intubation.

BUSTER STARLIGHT DIAGNOSTIC SET

270500 Buster Starlight diagnostic torch £47.50

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20 DIAGNOSTICS

The diagnostic set contains the same elements as the otoscope set plusan ophthalmoscope head. All are housed in a plastic case.

VI Diagnostic Set

Veterinary Instrumentation’s otoscope set includes: battery handle, a slithead otoscope (18mm diameter) 4, 5, & 6mm metal speculae plus 7.5 and9.4 slotted speculae. The fitted case includes space for theophthalamoscope if purchased later. Upgrade to rechargeable bypurchasing the NiMH battery and charger.

VI Otoscope Set

DIAGNOSTIC SETS

VIDIAG Diagnostic Set £385.00

VIRB35 3.5v rechargeable NiMH battery £85.00

VIBCS Charging Station £145.00

VISBOTO Spare Bulb for Otoscope £17.50

VISBOPTH Spare Bulb for Ophthalmoscope £24.50

Tele-View High ResolutionWireless Otoscope - TV-16High Resolution 1.36 Mega Pixel• On Board Function.

• Compact.

• Lightweight Body.

• 16 Image Storage Capacity.

Unlike halogen lights, 4 white LEDlamps ensure realistic colourreproduction. The LED lamps alsoeliminate the need for bulbreplacement.

TELE-VIEW HIGH RESOLUTION WIRELESS OTOSCOPE

014900 Tele-View Otoscope Transmitter/receiver £1,800.00

014910 Video Capture Unit for Computer (XP) £100.00

The Tele-View TV-16 is the world’s first wireless otoscope to displaycrystal clear images with 1.36 Mega pixel resolution. The TV-16 image canbe displayed in real-time on any television or computer.* Now you caneasily show all ear pathology to your clients resulting in additional billableprocedures. The TV-16 incorporates the latest in image sensors andmicroprocessors to deliver a high resolution, low noise image with realisticcolour. The TV-16 also incorporates four white LED lamps for excellentillumination and 128MB memory to store up to 16 images. The design islightweight and ergonomic and the instrument is easy to use by all clinicpersonnel.

* With minimum computer specifications

Specification• 1.36 - Mega pixel colour CCD

• Full digital processing

• 4 white LED imaging

• 2.4GHz transmitter

• Rechargeable battery (60 min battery)

• Image memory SDRAM 128MB

• Use with any PAL TV monitor (not supplied)

Video Input

Your TV

Wireless

OTOSCOPE SETS

VIOTO Otoscope Set £235.00

VIRB35 3.5v rechargeable NiMH battery £85.00

VIBCS Charging Station £145.00

VISBOTO Spare Bulb for Otoscope £17.50

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DIAGNOSTICS 20www.vetinst.com

• Digital display of systolic, diastolic, MAP and heart rate.

• Real-time display of the oscillometric “envelope”.

• Tabular list of measurement session values.

• Graphical trend of session values.

• Real-time calculation and display of the NSV (nominal session value).

• BP Range 30-260mmHg.

• Heart rate 40-240BPM.PetMap Graphic can display the last 10 readings either as a list or agraphical chart.

Supplied with 7 cuffs from 2 to 5.5cm. Larger cuffs available.

Suitable for all species.

PetMap Graphic Blood Pressure Measurement

PETMAP GRAPHIC

PGBM PetMap Graphic Blood Pressure Monitor £1,675.00

PGCUFF2 Cuff - 2cm £35.00

PGCUFF2.5 Cuff - 2.5cm £35.00










Integrated Graphic Display Shows

FireFly is the industry’s firstwireless high precisiondigital video otoscope withimage and video capturecapabilities. It providesunprecedented accuracy inobserving the ear canal.This is a powerful toolwhich can be used to aidand record both medicaland surgical examinationsas well as improving clientcompliance as they will be able to see the problem for themselves. Unlikeolder electronic otoscopes, FireFly delivers these breakthrough capabilities- and much more - at a highly economical cost.

Performs accurate and clear otoscopyobservations.

- Wirelessly captures snapshots & videos.

- Integrates easily with computer VeterinaryDatabase Systems.

- Magnifies objects up to 50x (optical) and upto 150x (digital).

FireFly is controlled directlywith the FireFlyProprofessional imageprocessing software whichis bundled with the product.This state-of-the artsoftware enables users tocapture, store, recall, view,manipulate and measureimages and videos in realtime. Its intuitive interfaceempowers users to getright to work anytime andanywhere.

FireFly Wireless Otoscope

FIREFLY WIRELESS OTOSCOPE

014300 FireFly Wireless Otoscope £375.00

!!!!Great Value at only £375!!!!!

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20 DIAGNOSTICS

CARDIO LINK OESOPHAGEAL ECG PROBE

025060 Cardio Link Control Box £165.00

0250603 6mm (18Fr) x 105cm (42”) Medium/Large dogs £165.00

The Cardio Link is an oesophageal probe with four stainless electrodesincorporated along the distal end. It can be linked to all existing ECGmachines. The existing ECG clips are attached to metal posts inside thecontrol box.

Select lead II and adjust position of the Cardio Link probe to obtain a QRSwaveform.

No more leads trailing over the patient.

Probes available in three different sizes all of which work with the samecontrol box.

Cardio Link Oesophageal ECG Probe

The Cardell CardEX 100 ECG Monitor has become a standard feature inmany US clinics. Veterinary Instrumentation is pleased to have beenappointed exclusive Veterinary Distributor for the UK. This robustreliable unit offers great value.

Simple, reliable and accurate, this single channel veterinary ECG is aperfect addition to your examination room. Providing diagnostic qualityECG, this portable monitor has a built-in printer.

• Complete digital design with veterinary specific algorithms.

• 3-lead acquisition, single channel.

• CD waveform display; parameters configurable.

• Multiple digital filters.

• High-resolution built-in thermal printing.

• Print speeds (mm/sec) 25, 50.

• Built-in rechargeable Li-ion battery with high capacity (>3 hrs);

• AC/DC supply.

• Well-designed touch panel for easy operation.• Input/output via RS-232 serial port.

• Automatic baseline adjustment for optimal recording.

• Auto or manual operation.

• Lead-off detection and display.

• Light (5.0 lbs) and compact; optional carry bag.• 2-year warranty.

Suppied with 1 paper roll

CARDELL CARDEX 100 ECG MONITOR

CARDCDEX100 Cardell CardEX 100 ECG Monitor £725.00

CD-0005 Paper Roll( 50mm x 30m), Pack of 10 £30.00

CD-0004 CardEX 100 Carry Bag £95.00

Cardell CardEX 100 ECG Monitor

Veterinary Interpretive ECG

In addition to functioning as a high quality standard ECG, the D120includes software to assist the surgeon in making a diagnosis. Theinterpretive software is based on 25 years data on dogs and cats and iscontinuously updated.

Simple operationUser friendly, clearly labelled operating panel

Three recording modes

A: 4 seconds of the standard six limb lead ECG recorded.

B: In addition to A, a 30 second II lead ECG together with a 30second graph of the variation of the R-R interval calculatingboth variation and standard deviation.

M: Fully manual operation for long term recording.

An invaluable tool for routine screening orserious investigations.

VET ECG

VETECG D120 Vet ECG £1,950.00

VETECGFOLD Spare Chart Paper (Fold type) (10 Packs) £55.00

VETECGROLL Spare Chart Paper (Roll type) (10 Rolls) £55.00

VETECGNEE Needle Elecrodes (10) £55.00

Kit Contents: Vet ECG Unit, Patient lead, 5 x small clip electrodes, 5 x large clip electrodes, ECG cream, Chart paper, Instructions and

Interpretation Guide

Chapter 21

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CLINICAL FURNITURE 21

Vet Sink

Major Vetsink featuresinclude -

• Fully welded internaljoints precludingmatter ingress andthe retention ofinfectious organisms.

• All roundaccessibility instanding and seatedpositions.

• Sloping sink base draining all fluids automatically away from the subject.

• Integral mixer taps and umbilical shower unit.

• Easily cleaned and maintained, thus popular with veterinary nurses.

• Radiused corners.

• Can be combined with the latest air driven dental units and mobileseating.

• Four button hooks are located on the sides for hanging the taps duringcleaning.

• 660mm width.

VETSINK

VETSINK12 Vet Sink 1200mm Tub Table complete* POA



VETSINKTOP Solid top converts above into exam table/op table* POA


Folding Wall Mount Examination TableVery rigidand will nottip over.Surface areacan thereforebe smallerthan a freestandingtable.

Table flipsflat againstthe wall forcleaning andexaminationof largedogs.

Standardtable is40" x 20",but all sizesavailable onrequest.

FOLDING WALL MOUNT EXAMINATION TABLE

028026 Folding Table 40" x 20" * POA


TablesStainless steel furniture can be fabricated to your design in our Sheffieldworkshop. Phone or fax a sketch for a quote.

Custom Furniture


MAYO INSTRUMENT TABLE

028027 Stainless Mayo Instrument Table 19" x 13"* POA

Mayo Instrument Table• Stainless steel throughout.

• Tray 19"(490mm) X 13"(330mm).

• 4 castors.

• Height adjustable33" (840mm) to47" (1200mm).

• Lifetime guarantee.

Scrub Dispenser StainlessSteel Demountable

SCRUB DISPENSER - DEMOUNTABLE

025134 Scrub Dispenser Stainless Steel £39.50

• Stainless construction.

• Unit dismountable from wall bracket (included) for cleaning/autoclaving.

• Operates standard scrub bottles.

025134 Dispenser

Dispenser Attachment

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21 CLINICAL FURNITURE

HF SERIES PROCEDURE LIGHT

12456 HF Flexible Goose Neck Wall Mount 50w * £365.00

12929 HF 3-Part Ceiling Mount 50w * £395.00

12454 HF Flexible Arm Mobile Base 50w * £545.00

12455 HF Flexible Arm ‘C’ Clamp 50w * £365.00

12930 HF Articulated Wall Mount Procedure Light * £365.00

This very compact single light source is an ideal procedure light. The headswivels around to whatever position you require.

• Vented shade.

• stay cool finger tip controller.

• 50w halogen light source.

• 230-240v 50Hz AC.

• 31,000 lux light intensity.

• Options:Articulated Wall MountArticulated Ceiling MountFlexible Goose Neck MobileFlexible Goose neck ‘C’ Clamp


* Carriage extra

MAGNIFYING PROCEDURE LIGHT

RLMCLT Mobile * £315.00

RLMCL Mobile with ‘C’ Clamp * £260.00

A superior magnifying light for detailed distortion free examination.

• 2.25 x magnification (5 dioptre).

• 127mm diameter.

• 3 adjustable joints.

• Fluorescent tube 22w.

• 230-240v 50Hz AC.


• Options:C-Clamp 6.8kgMobile 10.0kg

Good lighting is an essential pre-requisite for any examination or procedure.Regardless of the quality and range of your surgical instruments if you cannotadequately see what you are doing, your procedure will be compromised.

We have selected a range of quality lights to meet your examination andprocedure requirements.

Magnifier

Lighting

12929

12930

12454

12455 (clamp)

12456 (wall mount)

HF Series Multipurpose Examination Lights

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CLINICAL FURNITURE 21www.vetinst.com

TriStar

TRISTAR LIGHTING

TS2015W Wall Mount TriStar * £1,035.00

TS2015M Mobile TriStar * £1,035.00

18464 Bulb 20w £17.50

A compact combination of three light sources offers the following features:

• Light pattern is 125mm at 600mm distance.

• 3 x 20w long life halogen bulbs (2000hr).

• 230-240v 50Hz AC.


• Light colour 4,100 Kelvin.

• Wall mount option offers 1400mm reach. 8.2kg.

• Mobile unit raises from 685mm to 2030mm on a non tip base. 11.4kg.

Celestial Star

CELESTIAL STAR LIGHTING

CS2050C Ceiling * £1,550.00

CS2050W Wall Mount * £1,550.00

CS2050M Mobile * £1,550.00

18544 Autoclaveable handle £62.50

13078 Bulb £22.50

18676 Corrective Filter £27.50

Compact and counterbalanced, the three light source Celestial light is veryeasy to move and adjust.

• Drift free balance arm.

• 3 x 35w long life halogen bulbs (4000hr).

• 230-240v 50Hz AC.


• Light colour 4,100 Kelvin.

• Options:Ceiling 23.6kgDual Ceiling 47.2kgWall 17.3kgMobile 24.3kg

Wall mount

Ceiling mount

Mobile CS unit

Carriage is extra for all items marked * Carriage is extra for all items marked *

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Small Platform Scales

Dosage calculation for verysmall patients is critical.Guesswork can result inserious overdosage orunderdosage. Our smallscales weigh in gramincrements to 4kg. There isalso a tare facility so thatyou can weigh things inboxes and bags. Stainlessplatform 250mm x 200mm.

SMALL PLATFORM SCALES

025131 Mini Scale £78.50

Walk-On Large Platform Scales

0 to 100kg digital display. 1 year warranty. Free Delivery

MEDIUM PLATFORM SCALES

025135 Medium Scale £160.00

WALK-ON LARGE PLATFORM SCALES

025132 Walk-on Scales 900 x 500mm £340.00

025133 Rubber Mat for above £22.00

Scales

Medium Platform Scales

For patients weighing between1Kg and 20Kg this mediumtable scale is ideal. Mains andbattery power 520mm x200mm.

SuctionSuction Machine

This simple suction unit is sensibly priced to make it suitable for generalpractice as well as more specialised centres. The suction tube will fit allstandard tips. The bottle capacity is 1 litre which is adequate for virtually allsmall animal procedures. The in-line filtration system minimisesbiohazards. Most veterinary dentists now regard suction as beingessential. Suction is controllable and there is a vacuum indicator.

CE marked for peace of mind and quality.

The suction machine is ready for the attachment of tubes and tips.

SUCTION DEVICE

185000 ASKIR 30 Suction Device £255.00

185003 Filter Only £7.50

185004 Spare Suction Bottle & Lid £26.50

185005 Spare Lid from Suction Bottle £19.50

DRIP STAND, CAGE DOOR MOUNT

028035 Drip Stand (Cage Door Mounting) (single) £42.00

028036 Drip Stand (Cage Door Mounting) 3 Pack £95.00

Drip Stand, Cage Door Mount

• Clips onto all mesh or bar fronted cages.

• Stainless steel.

• Adjustable for height.

• Occupies no floor space.

• Moves with cage door causing noobstruction when examining patient.

I/V Accessories

I / V Splints

Maintains foreleg in extensionfor long term IV therapy

Different sizes to suit all patients

Stainless steel, will autoclave

Well tolerated, even by cats

Supplied with full instructions

I / V SPLINTS

028037 IV Splints Small - cat size £47.50

028038 IV Splints Medium - up to 20lb dog £47.50

028039 IV Splints Large - 20 to 40lb dog £52.50

028040 IV Splints Ex Large - 40 to 80lb dog £57.50

028040S Set IV Splints £175.00

313


We stock the four most useful styles of tip. Each tip comes complete with alength of autoclavable silicone tube to connect to the suction unit.

General purpose suction tip for removal of large volumes e.g. fromabdomen.

YANKAUER SUCTION TIP

1854327 Yankauer Suction Tip £34.50

Suction Tips

Yankauer

As Yankauer but more holes for greater volume uptake. With perforatedouter sheath removed the Poole functions as a small bore straightsuction tip.

POOLE SUCTION TIP

1854330 Poole Suction Tip £34.50

Poole

Focal suction tip removes fluid from specific locations e.g.in spinalprocedures. Very controllable at the handpiece by single finger over airbypass hole.

ADSON SUCTION TIP

1852121 Adson Suction Tip 4.0mm £34.50

Adson 4mm

As the Adson but finer still.

FRAZIER SUCTION TIP

1854328 Frazier Suction Tip 2.6mm £34.50

Frazier 2.6mm

SUCTION TUBING

185001 Autoclavable Suction Tubing per Metre £4.25

Suction Tubing

SUCTION TUBING CONNECTOR

185006 Suction Tubing Connector £2.95

Suction Tubing Connector

DISPOSABLE SUCTION TIP

185DISP Disposable Tips Narrow Mouth (pack of 3) £16.00

185DISPW Disposable Tips Wide Mouth (pack of 100) £7.00

185DISPH Disposable Tip Handpiece (Autoclavable) £52.50to fit onto standard suction tubing

185DISP Narrow

The autoclavable suction tip holder fits onto standard silicone suctiontubing. There are a wide range of tips which fit the standard 11mmtapered opening. We offer a choice of two, narrow and wide. Theautoclaveable nature means any standard suction unit may be used forboth dentistry and sterile sugery.

185DISPW Wide185DISPH

Disposable Suction Tips and AutoclavableTip Holder

The HospiVac 350 has agreater maximumvacuum ( -0.9Bar)greater flow rate (60litres/min) and a greatercapacity (2 x 2 litrebottles) than ourstandard suction unit. It issuitable for hospitalsituations where greatervolumes of fluid mightexpect to be aspirated.The double bottle facilityfurther increase capacity.Size 600 x 460 x 420mm.

A feature found on theHospiVac 350 whichalthough desirable is notfound on base levelsuction units is the footcontrol. Without thisfeature the unit isessentially on or off all ofthe time.

HospiVac 350

HOSPIVAC 350

185H350 Hospivac 350 complete with foot control * £595.00

185H210351 Spare Bottle £16.50

185H210353 Spare Bottle with Lid £26.50

185HSPO33 Spare Tubes £14.00

185HSPO121 Spare Filters £14.00

185HSP0032 Spare Tubes and Filters £25.00

* Carriage is extra for all items marked.

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Cautery Units

This mains (240v) thermocautery deviceis very robust and reliable with a wideselection of tips. As the trigger ispressed the area to be cauterised isilluminated by an integral light. Suitablefor a wide range of minor procedureswhere thermocautery is appropriate.

THERMOCAUTERY UNIT

SP33 Thermocautery Unit 240v £99.50

SP36 Thermocautery Tip A Knife £31.50

SP34 Thermocautery Tip B Pin £31.50

SP35 Thermocautery Tip C Loop £31.50

SP37 Thermocautery Tip D Ball £31.50

SP43 Spare Bulb £15.00

A B C D

integral illumination

Thermocautery Unit

This handy set comprises a handpiece using two AA batteries (included)and four interchangeable and replaceable cautery tips

1/2”(12mm) Fine general purpose electrode for haemostasis1/2”(12mm) Loop electrode for small skin tumours

4”(130mm) Fine electrode for deep areas

4”(130mm) Loop electrode

Tip temperature 2200F/1200C

PORTABLE CORDLESS CAUTERY KIT

02313 Portable Cordless Cautery Kit £62.50

02313w Replacement Cautery Tip 1/2” fine £14.00

02313x Replacement Cautery Tip 1/2” loop £14.00

02313y Replacement Cautery Tip 4” fine £14.00

02313z Replacement Cautery Tip 4” loop £14.00

Portable Cordless Cautery Kit

GIMA BIPOLAR ELECTROCAUTERY UNIT

HF122 120watt MonoPolar/BiPolar Electrosurgery Unit £975.00

HF125 Spare Autoclavable MonoPolar Handpiece for HF122 £85.00

HF30547 Spare MonoPolar Handle - Screw Grip for HF122 £95.00

HF123 Spare Standard Bipolar Forceps for HF122 £105.00

HF124 Spare Bipolar Cable for HF122 (A Type) £110.00

HF127 Waterproof Foot Pedal for HF122 £220.00

HF 122 is a complete innovation in the electrosurgery field. It is a highfrequency-electronic scalpel suitable for microcoagulation, small andmedium MonoPolar surgery and BiPolar coagulation. The followingMonoPolar modes of operation are available via the control panel: purecutting (CUT), coagulated cutting (COAG), MonoPolar coagulation andmicrocoagulation (BLEND). Additionally with BiPolar forceps, bipolarcoagulation and microcoagulation are available.

Safety Alarm

Open Circuit (OC) Alarm warns the user that connection into the neutralplate has not been made or that the cable is disconnected. The alarm issignalled with an intermittent beep together with a flashing red light on thefront panel. In this condition HF emission for cut and coagulation operationis switched off. Meets all EC standards for this type of equipment

Overheat Alarm

Should the final module in the HF generator overheat, the unit incorporatesan internal circuit protection which cuts off operation. In this condition thered OVH warning light illuminates and the user must wait until thegenerator cools down, about 20 sec, before recommencing. The modulewill not go into protection mode as long as the instruction for operation asdescribed in the manual are followed.

Kit includes:

• Two button MonoPolar handle (Autoclavable)• BiPolar cable and forceps

• Two button MonoPolar handle (disposable) • Foot control

• Flat neutral plate • 6 short MonoPolar electrodes

ElectrosurgeryGIMA BiPolar Electrosurgery Unit

6 x MonoPolar tips included inthe kit.

Spare tips available.

BiPolar forceps areincluded in the set.

Other style forcepsare available.

EU Forceps have asquare fitting into thecable.

315


MONOPOLAR ACCESSORIES

HF1 Electrode £6.75










HF1-10 Set of 10 Electrodes (mixed) £55.00

HF30537 Scratch Pad (supplied sterile) Pack of 10 £24.50

HF30563 Spare MonoPolar Cable for HF122 & HF106 £65.00

HF126 Spare Metal Plate for HF122 & HF106 £90.00

GIMA MonoPolar Electrosurgery Unit

This HF 106 electrosurgery unit is particularly suitable for small procedures.The 50 watt unit offers precision of cut with immediate coagulation. There isa choice of 10 electrodes. The three modes of operation, CUT, COAG andBLEND, can be easily selected through a switch on the front panel. Meetsall EC standards for this type of equipment. The package includes HF 106with all accessories including electrode handle, flat neutral plate, foot switchand a kit of 6 electrodes 5 cm long.

6 x MonoPolar tips included inthe kit.

Spare tips available.

MONOPOLAR ELECTROSURGERY UNIT

HF106 50watt MonoPolar Electrosurgery Unit £645.00

HF107 Spare Autoclavable MonoPolar Handle for HF106 £59.50

MonoPolar Spares and Accessories

BIPOLAR ACCESSORIES

HF190-100 Bipolar Forceps. Adson 1mm Tip £90.00

HF120-100 Bipolar Forceps Straight 1mm Tip 150mm long £90.00

HF130-100 Bipolar Forceps Straight 1mm Tip 180mm long £90.00

HF122-100 Bipolar Forceps Straight/Angled 1mm Tip 150mm long £90.00

HF132-100 Bipolar Forceps Straight/Angled 1mm Tip 180mm long £90.00

HF124 Spare Bipolar Cable A type Universal Forcep Connector £110.00

HFU-30 Spare Bipolar Cable B type Universal Forcep Connector £65.00

HFY-30 Spare Bipolar Cable C type Universal Forcep Connector £65.00

HFS-30 Spare Bipolar Cable D type Universal Forcep Connector £65.00

Other Bipolar Cable types available. Phone for details

BiPolar Cable Generator Terminations

BiPolar Dissecting Forceps

BStorz

AGIMA HF122

D4mm Banana Plugs

Valley LabEschman

Arthrex OPES

These are the most common types of termination for the generator ormachine end of the cable. We can supply cables to fit all machines. If youdo not see the right connector here please check the brand and modelnumber of your electrosurgery unit and call or e-mail us. We will find theright cable for your machine.

The termination on our bipolar cables is auniversal type fitting both the EU (squareend) and the US (twin pin) forceps.

CValleylab

(autobipolar)

316


Soft Carry Stretcher

SOFT CARRY STRETCHER

02742A Soft Stretcher 30” (750mm) x 50” (1250mm) £37.50

02742B Soft Stretcher 21” (525mm) x 34” (850mm) £35.00

Without rigid poles the soft carry stretcher can go into tight corners e.g.kennelling and cars. Six padded handles for comfort. Made from heavyduty washable nylon. Easily stored when not in use. Max weight forstretchers is 150lb (67.5kg).

Animal Stretcher

ANIMAL STRETCHER

02742 Animal Stretcher £92.50

Can be used by either two people with one at each end or by a singleperson utilising the wheels at one end.

The frame is lightweight coated steel. The stretcher is made from heavyduty re-inforced nylon. Three 2” (50mm) straps are provided for patientsecurity. 24” (600mm) x 48” (1200mm)

Safe and Warm Foam Patient Mats

SAFE AND WARM FOAM PATIENT MATS

02767 Operating Table Mat 15” (375mm)

x 40” (1000mm) x 1” (25mm) £175.00

02767A Operating Table Mat 15”(375mm)

x 44” (1100mm) x 1” (25mm) £215.00

Safe and Warm Standing Anti-Fatigue Mat

1” (25mm) impermeable foam mats minimise patient heat loss duringsurgery and recovery. The mats are hugely more comfortable for thepatient than stainless steel.

Wipe clean using all standard disinfectant solutions. Available for cages,and operating tables.

SAFE AND WARM STANDING ANTI-FATIGUE MAT

02769 Anti-fatigue Mat 19” (475mm) x 38” (950mm)

x 2” (50mm) £255.00

02769A Anti-fatigue Mat 29” (725mm) x 38” (950mm)

x 2” (50mm) £295.00

Long hours standing on hard floors is very tiring causing leg and backaches. This easy clean impermeable mat really does work. We have it onthe show stand (very long hours on hard floors) and our staff fight over it!!!Edges are tapered to stop tripping.

Patient Warming andPositioning

317


WARM AIR BLANKETS

HBWARM Warm Air Unit £1,150.00

HB109101/1 Warm Air Blanket 109cm x 101cm Viewing Window Single £10.50

HB109101/10 Warm Air Blanket 109cm x 101cm Viewing window (10 units) equates to £9.50 each £95.00

HB109101/40 Warm Air Blanket 109cm x 101cmViewing window (40 units) equates to £8.50 each £340.00

HB109101/80 Warm Air Blanket 109cm x 101cm Viewing window (80 units) equates to £7.50 each £600.00

HB147101/1 Warm Air Blanket 147cm x 101cm Single £10.50

HB147101/10 Warm Air Blanket 147cm x 101cm (10 units) £95.00



HB233152/1 Warm Air Blanket 233cm x 152cm Single £10.50




Washable Warm Air Blanket

The blankets are re-usable being madeof a silky polyesterfabric with an inlay ofnylon waterproofmaterial to keep theairflow circulatingupwards towards thepatient. The blankets are machine washable (hang to dry, do not tumble dry).The opening is 5” (12.5cm) with a cord tie making these blanketssuitable for all brands of warm air convection units.

WASHABLE WARM AIR BLANKET

C9B7550 Washable Warm Air Blanket (75cm x 50cm) £65.00



C9SET Set of 3 Blankets £175.00

109cm x 101cm suitable for small dogsand cats. Over or under.

233cm x 152cm suitable for large dogsor wrap around. Over or under.

147cm x 101cm suitable formedium dogs or wrap around cats.

Over or under

Patient Warming

Maintaining bodytemperature duringanaesthesia andrecovery isextremely important.Hypothermia willresult in prolongedand poorer qualityrecovery. Electricpads carry a risk ofoverheating andcirculating waterblankets are easilydamaged. Our newair warming systemis a safe economicalanswer to theproblem.

The unit has threetemperature rangesettings and filtration down to 0.2 microns to minimise bacterialcontamination.

The blankets may be used as under blankets (typically during surgery)or as over blankets (during recovery). They are available as disposableor as a washable version in a range of sizes to suit all patients.

Warm Air Specifications

Filtration 0.2 Microns

Weight 6.1kg

Temperature settings

32.2C +4.0/-2.0C

37.8C +4.0/-2.0C

43.3C +4.0/-2.0C

Maximum contact temp 47C

318


Multi Arm With Limb Brace Attachment In Use

Safety need not be compromised to obtain accurately positionedradiographs. The multi arm can replace the human hand in the positioningand holding of limbs for both radiography, surgery and arthroscopy. Alsouseful for hands free positioning of bronchoscopes & gastroscopes.

• Use cohesive bandage to attach limb

• Three joints allow positioning at any angle.

• A single knob locks all three joints rigid.

• Clamp fixes device to virtually any operating or X-ray table

• Double limb support (for hip radiographs) available as an option.

• As described by Kurt Schulz in Veterinary Surgery

MULTI ARM

026000 Multi Arm - ‘Improved' Versionincludes Single Limb Support £245.00

020062 Double Limb Support £135.00

020065 Limb Brace Attachment for Multi Arm £135.00

Double Limb Support

Multi ArmRedmark CradlesAvailable individually or as a set of 3 these cradles are the best available.

REDMARK CRADLES

026022 Redmark Cradles - set of 3 (S. M, L) £210.00

026022L Redmark Cradle - Large over 32kg £95.00

026022M Redmark Cradle - Medium over 13kg - 32kg £90.00

026022S Redmark Cradle - Small up to 13kg £85.00

Positioning Devices

Vac Pac Vacuum positioning device.

Simply mould the beadfilled bag around or underthe patient and hook up toany vacuum source, asthe air is removed the bagsolidifies in the setposition. Especially usefulfor arthroscopy or anysurgery requiring secureaccurate positioning. TheVac Pac is:

• Re-useable

• Repairable

• Radiolucent

• Warm

Thanks to Pat Ridge for the photographs

020065

020062

026000

VAC PAC

VP23 Vac Pac size 23 45 x 50cm £295.00




With Single Limb Support Limb Brace Attachment

319

Cardinal Wet n Dry

This clipper is designed to work in a wet environment. Other than the bladeregular veterinary clippers are rarely cleaned effectively allowing a build upof potential pathogens in the prep or consulting area. The wet n dryclippers will tolerate washing and disinfecting. They may even be soakedfor long enough for chemical sterilisation thereby minimising crosscontamination. Sterilisable clippers are now commonplace in humantheatres.

In addition they are quiet, giving a close surgical clip for a small areas.

Surgical Clippers

CARDINAL WET N DRY CLIPPER

4410 Cardinal Kit (Clipper, Charger, 1 blade) £62.50

4413 Cardinal Clipper Unit £42.50

4414 Cardinal Charger Unit £32.50

4412-4 Cardinal Blades x 4 £32.50

OSTER CLIPPERS A5

028080 Oster A5 “Golden” Body Only (no blades) £140.00

OSTER BLADES

028081 Oster Clipper Blade Size 40 £35.00




028082/10 Oster Clipper Blade Size 10 £35.00

Oster Clippers A5

Oster Blades

The latest version of the industry standard clipper with a blade lockingdevice to prevent the blade unclipping in use. (blade not included).

WAHL MOSER MAX 45 CLIPPERS

KM6245-800 Moser Max 45 incl. surgical blade £110.00

Wahl Clippers

• Moser Max 45 - 2 Speed Mains Clipper.

• Extremely robust with 45 Watt motor.

• Two speed.

• Takes standard clip on blades.

LAUBE 505 CORDLESS CLIPPER

028100 Laube 505 Clipper £375.00

Laube 505 Cordless Clipper

LAUBE BLADES

028111 Laube No. 15 blade £33.50

028112 Laube No. 30 blade £33.50

028110 Laube No. 40 blade £33.50

028113 Laube No. 50 blade £33.50

Laube BladesTo function with the powerful Laube range of clippers Laube havecorrected all the faults of all the other blades. Laube blades fit all clipperssold by Veterinary Instrumentation, except Pocket pro trimmer andCardinal wet n dry.

Highly recommended and very competitively priced.

POCKET PRO TRIMMER (PURPLE)

9861 Pocket Pro trimmer £9.75

9861/5 Pocket Pro trimmer (5 pack Includes 1 FREE) £39.00

Pocket Pro Trimmer (purple)Light duty trimmer, easilyconcealed in palm of hand.Handy for i/v clips or bloodtests.

Runs off single AA battery(supplied). Cheap enoughto have one in every room.

A powerful clipper. Has integrated light for better visualisation.

ANDIS SUPER AGR+ CORDLESS

0285604 Andis AGR+ Clipper £250.00

0285142 AGRC Power Groom Cord Adaptor £46.50

* Powerful clipper designed for all day heavy use.

* Sensa-Charge charger recharges battery is less than an hour.

* High speed motor 3800 strokes per minute.

* Includes No 10 Ceramic edge blade.

* Cord adaptor converts clipper to mains power in emergencies.

Andis Super AGR+ Cordless with Corded Back Up

Chapter 22 CLIPPERS 22

Nail ClippersHeavy Duty with Plastic Handles

HEAVY DUTY WITH PLASTIC HANDLES

028088 Nail Clipper Heavy Duty Plastic Handle £11.50

Compound Action Nail Clippers

COMPOUND ACTION NAIL CLIPPERS

028086 Nail Clipper Compound Action £72.50

Resco Guillotine Type

RESCO GUILOTINE TYPE

028087 Resco Clippers Guillotine £10.75

Nail Clippers Standard

NAIL CLIPPERS STANDARD

028085 Nail Clippers (Large) 14cm £34.50

028085S Nail Clippers (Small) 12cm £34.50

Large

Small

A lightweight clipper suitable for cats and small furries.

320

22 CLIPPERS

Bird Ring Cutter

BIRD RING CUTTER

028090 Bird Ring Cutter £33.50

Aluminium and plastic rings frequently prevent venous return from thedistal limb of small birds. Oedema and necrosis quickly follow unless thering is removed. Removal of the ring without fracturing the leg is not easywithout this special cutting tool.

Parrot Ring Cutters

PARROT RING CUTTERS

028093 Parrot Ring Cutter £53.50

028094 Spare Blade for above £17.00

This device is used by jewellers to remove rings from people’s fingers. Thering is cut by turning a hardened saw blade. Parrot rings are very tough andcannot be removed by nail cutters. This cutter will also remove rabbit ringsbut bear in mind that the lower blade has to go between skin and ring.

Rabbit Ring Cutters

RABBIT RING CUTTERS

028091 Rabbit Ring Cutters £28.50

Identification ringsplaced on show rabbitscan occlude the venousreturn from the distalhind limb withdisastrous results.Removal of the ringwithout causingadditional damage andpain to the limb is verydifficult without thesepurpose designed cutters. Once the notched jaws are engaged on the ring,firm pressure may be applied to cut the ring without fear of the ring "flippingover". Also functions as a general purpose canine nail cutter.

Based on a familiarmechanism, we havereversed the jaws to allowsmooth, controlled and stressfree trimming of the lateralextent of the beaks of severalspecies commonlyencountered in small animalsand exotics practice.

Developed by David Strong

Beak Trimmer

BEAK TRIMMER

028097 Beak Trimmer 65mm £19.50

321

Anatomical Models

When clients better understand their pet's condition they are more likely toaccept the treatment you suggest. Models illustrating the commonproblems are an invaluable aid.

ANATOMICAL MODELS

D1050 Canine Dental Model Clear £85.00

D1055 Feline Dental Model Clear £85.00

D1057 Leporidae Dental Model Clear £90.00

D1062 Set of Canine, Feline & Leporidae Models £210.00

AMJ772 Cross section of Canine Ear £87.50

AMJ779 Canine Lumbar Vertebrae with Pathology £95.00

AMJ776 Canine Stifle £100.00

AMJ775 Canine Hip + Lower Vertebrae £175.00

AMJ780 Canine Elbow £95.00

AMJ781 Canine Hock £95.00

Stifle AMJ776 Lumbar AMJ779

Hock AMJ781

Canine & felinemodels AMJ770S

Chapter 23 EDUCATION & TRAINING AIDS 23

Plastic Training Bones

The limited availability of cadavertraining programmes means thatbasic orthopaedic techniques mustbe practiced on plastic bones. Ourplastic bones simulate the real thingas closely as possible in that theyhave cortices and medullary cavities.

PLASTIC TRAINING BONES

2121-20 Femur, Right with block £35.00

2117-20 Tibia, Right with block £35.00

2117-21 Tibia/fibula Right no block £57.50

2003-20 Humerus Right with block £35.00

2002-20 Radius Right solid foam with canal £28.50

2002-25 Radius and Ulna Right £55.00

2002-22 Radius, Solid with Canal - Transverse Fracture £28.50

2003-21 Humerus, Foam Cortex with Oblique Fracture £42.50

2003-22 Humerus, Foam Cortex - Distal Condylar Fracture £42.50

2003-23 Humerus, Oblique Condylar Fracture £42.50

2003-24 Humerus, growth plate £42.50

2003-25 Humerus - High Y Fracture, Head Fracture £47.50

2003-26 Humerus, Spiral Fracture £45.00

2117 Tibia Left Foam Cortex £35.00

2304 Hemi Pelvis Left with block £35.00

2307 Hemi Pelvis Right with block £35.00

2307-1 Hemi Pelvis no block £35.00

MANSONPUBLISHING

Harry W Scott • Ron McLaughlin

FELINEORTHOPEDICS

Books

BOOKS

BK01 A Guide to Canine and Feline Orthopaedic Surgeryby Hamish Denny & Steve Butterworth £85.00

BK02 An Atlas of Surgical Approaches the Bones & Joints ofthe Dog and Cat. 3rd Edition by Donald L. Piermattei £77.50

BK03 Handbook of Small Animal Orthopaedics and Fracture Repair. 4th Edition by Donald L. Piermattei & Gretchen L.Flo £80.00

BK05 Small Animal Spinal Disorders - Diagnosis and Surgeryby Simon J. Wheeler & Nicholas J H Sharp £110.00

BK07 Feline Orthopaedics by Scott & McLaughlin £110.00

BK08 Electrocardiography made easy by Larry Tilley £50.00

BK09 Feline Orthopaedic Surgery and Musculorskeletal Disease by P M Montavon £82.50

A combination of BK02 and BK01or BK03 will cover nearly all thesituations you are likely to face inpractice.

DVD/CD Rom

These DVD/CD Roms show in detail the following procedures:

• Fracture fixation including surgical approaches, plate, lag screw andtension band fixation.

• Triple pelvic osteotomy using a VI plate.

• Total hip replacement.

• Carpal arthrodesis.

• Surgical management of canine CrCL disease.

• Surgical approaches to the Bones and Joints of the Dog.

DVD/CD ROM

HDFFDVD DVD Denny Fracture Fixation DVD Version £42.50

HDTPODVD Hamish Denny Triple Pelvic Ostotomy DVD Version £45.00

CDRAS Powerpoint presentation on Rasenberg TPO plate (CD Rom) FOC

HDTHPDVD DVD Hamish Denny Total Hip Replacement DVD Version £40.00

HDCADVD DVD Hamish Denny Carpal Arthrodesis DVD Version £47.50

DVDSAW Surgical Approaches DVD Dr Wing Tip Wong £67.50

DVDFIX Fracture Fixation DVD Dr Wing Tip Wong £67.50

DVDALL Surgical Management of Canine CRCL disease - covers TTO, TTA, TPLO plus Lateral Suture FOC

322

23 TRAINING AIDS

Free Training aids andBrochures

INSTRUMENT POSTERS

POSTER1 Orthopaedic poster £FOC

POSTER2 General Surgical Instrument poster £FOC

SET BY STEP GUIDES

BRTTO Step by step guide to TTO £FOC

BRTTA Step by step guide to TTA £FOC

BRTPLO Step by step guide to TPLO (Radial Cut) £FOC

BRLATSUT Step by step guide to Lateral Suture £FOC

BRLIGAISO Step by step guide to LigaFiba ISO Toggle Sutures £FOC

BRTTOVCOT TTO VCOT Paper £FOC

BRHELVCOT HELICA VCOT Paper £FOC

DVDS AND CDROM

DVDALL DVD Containing: OTT, Lat Suture, TPLO Closing Wedge and Radial Cut, TTA, TTO, Tight Rope and Meniscus Surgery and Full Catalogue £FOC

DVDARTHREX Arthrex Multi Brochure DVD £FOC

DVDLIGAISO Liga Fiba Iso Toggle Suture Step by Step Guide £FOC

DVDLEHMAN Lehman – Arthroscopy £FOC

DVDI/N DVD – Interlocking Nail £FOC

DVDBAP Cochran Bisecting Angle Positioner Illustrated CD £FOC

DVDTPLOCAD DVD Illustrating Use of Cadmus Plate and Template £FOC

CDRAS CD PowerPoint Presentation on Rasenberg Plate (CD ROM) £FOC

CDHAU Illustrating Use of Hauptman Retractor £FOC

CDTONO Tonovet Procedure £FOC

ADDITIONAL CATALOGUES AND BROCHURES

BR SUTURE Shoulder Repair Technique Brochure £FOC

BR TIGHT Tightrope CCL Technical Brochure £FOC

BRAWSPOW Aesculap Power System Brochure £FOC

BRAESPOWBURBLA Aesculap Power System Burs and Blades Brochure £FOC

BRARTHAND Arthrex instruments technical Brochure £FOC

BRARTHREXEAGLE Arthrex Eagle Eye Camera Brochure £FOC

BRCANARTH Canine Arthroscopy Set Brochure £FOC

BRCCLS Arthrex Canine Cruciate Ligament Repair Brochure £FOC

BRCERAM Ceramysis Reprobone Brochure £FOC

BRDESOUTLB Desoutter Power Tools Large Bone Brochure £FOC

BRDESOUTSM Desoutter Power Tools Small Bone Brochure £FOC

BRFIBER Fiberwire Brochure £FOC

BRFRVID Dr Fritz Video Compact System £FOC

BRLSAS Step By Step Brochure Arthrex Suture Anchor System £FOC

BROATS Arthrex Oats System Brochure £FOC

BROES Oesophagostomy Procedure Brochure £FOC

BROPES OPES Consol Brochure (electro surgical) £FOC

BRSHAV Arthrex Shaver System £FOC

BRVAC Veterinary Apparel Catalogue £FOC

BRHELICA Helica Brochure £FOC

BRHELSURGMAN Helica Surgical Manual £FOC

BRDIXEY Dixey Catalogue £FOC

PLATE/ TTA ACETATES

ACETATES Acetate Overlay of bone Plates £FOC

TTAPFO Traditional TTA / MMT advancement overlay £FOC

TTATAN Common Tangent TTA / MMT advancement overlay £FOC

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Equine and Large Animal Cataloguewith interesting and surgicalspecialities.

EQUINE/LARGE ANIMAL CATALOGUE

CATEQ Equine/Large Animal Catalogue £FOC

Equine / Large Animal Catalogue

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323

1.0mm Bone Plates . . . . . . . . . . . . . . . . . . . . . . . . . .152

1.0mm Cortical Self Tapping Screws . . . . . . . . . . . . .152

1.0mm Cuttable Plate with Spaces . . . . . . . . . . . . . .153

1.5/2.0mm Compression Plates . . . . . . . . . . . . . . . . .155

1.5/2.0 Cuttable Plate with Spaces . . . . . . . . . . . . . .155

1.5mm Cortical Screws . . . . . . . . . . . . . . . . . . . . . . .154

1.5mm Cortical Self Tapping Screws . . . . . . . . . . . .154

1.5mm Cuttable Plate . . . . . . . . . . . . . . . . . . . . . . . . .155

1:1 Attachment for Dental Units . . . . . . . . . . . . . . . . .235

2.0/2.4/2.7 Veterinary Cuttable Plate . . . . . . . . .172, 157


2.0mm Cortical Self Tapping Screws . . . . . . . . . . . .154


2.0mm Locking screws with Star Drive . . . . . . . . . . .171

2.0mm Round hole Plate . . . . . . . . . . . . . . . . . . . . . .184

2.2mm Cancellous Screws . . . . . . . . . . . . . . . . . . . . .155

2.4, 2.7, 3.5mm Screws, Titanium . . . . . . . . . . . .34, 181

2.4mm Compression Plates . . . . . . . . . . . . . . . . . . . .156



2.4 Locking Plates . . . . . . . . . . . . . . . . . . . . . . . . . . .167

2.4 Locking Screws . . . . . . . . . . . . . . . . . . . . . . . . . .169

2.4mm TPLO, TPLO Delta & Hybrid T Plates . .28, 48, 159

2.7mm - 7/64 Self Tapping Screws (Sherman) . . . . .184

2.7mm Compression Plates . . . . . . . . . . . . . . . . . . . .158




2.7mm Heavy Duty Round Hole Plate . . . . . . . . . . . .184

2.7mm 3.5mm Hybrid Locking DCPCarpal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . . . .167

2.7mm Locking Plates . . . . . . . . . . . . . . . . . . . . . . . .167

2.7mm Locking Screw Sets . . . . . . . . . . . . . . . . . . . . .25

2.7mm Quarter Tubular Plate . . . . . . . . . . . . . . . . . . .159

2.7mm Round Hole Plate . . . . . . . . . . . . . . . . . . . . . .184


3.5mm 9/64 Self Tapping Screws (Sherman) . . . . . .185


3.5mm Compression Plate . . . . . . . . . . . . . . . . . . . . .161



3.5mm Heavy Duty Plate Round Holes . . . . . . . . . . .185

3.5mm Locking Screw Sets . . . . . . . . . . . . . . . . . . . . .25

3.5mm Standard Round Hole Plates . . . . . . . . . . . . .185

3 LED Head Torch For Between The Eyes . . . . . . . .225

3M’s Orthopaedic Equipment . . . . . . . . . . . . . . . . . . .122

4.5mm Broad Compression Plate . . . . . . . . . . . . . . .165



4.5mm Narrow Compression Plate . . . . . . . . . . . . . .165

4:1 Reduction Attachment for Dental Units . . . . . . . .236

4mm Cancellous Screws Full Threaded . . . . . . . . . .161

4mm Cancellous Screws Part Threaded . . . . . . . . . .161



AA200 Minos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128

A / K Wire Instruments . . . . . . . . . . . . . . . . . . . .190-191

A / K Wire Dispenser . . . . . . . . . . . . . . . . . . . . . . . . .191

A Wire / K Wire Holder . . . . . . . . . . . . . . . . . . . . . . . .190

Abdominal Retractors . . . . . . . . . . . . . . . . . . . . .210, 265

Abdominal Support . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

ABPS/ACP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Acetabular Cups VI . . . . . . . . . . . . . . . . . . . . . . . . . .200

Acetabular Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . .175

Acetabular Positioner VI . . . . . . . . . . . . . . . . . . . . . . .201

Acetabular Reamers VI . . . . . . . . . . . . . . . . . . . . . . .201

Acetabular Skid VI . . . . . . . . . . . . . . . . . . . . . . . . . . .201

Acrylic Bi-Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113

Acrylic Pin External Fixation System . . . . . . . . . . . . .112

Acrylic Tube Packs . . . . . . . . . . . . . . . . . . . . . . . . . . .112

Adhesive Drapes (Disposable) Sterile . . . . . . . . .66, 286

Adjustable Bone Saw . . . . . . . . . . . . . . . . . . . . . . . . . .50

Adjustable Drill Guide . . . . . . . . . . . . . . . . . . . . . . . . .147

Adjustable Thomas Splints . . . . . . . . . . . . . . . . . . . . . .93

Adson 4mm Suction Tip . . . . . . . . . . . . . . . . . . . . . . .313

Adson Dissecting Forceps . . . . . . . . . . . . . . . . . . . . .260

Aesculap TPLO Saw Blades . . . . . . . . . . . . . . . . . . .132

Aesculap Acculan Battery TPLO Saw . . . . . . . . . . . .130

Aesculap Acculan TI . . . . . . . . . . . . . . . . . . . . . . . . .130

Aesculap Manipler Disposable Skin Stapler . . . . . . .255

Aesculap Motor Systems . . . . . . . . . . . . . . . . . . . . . .130

Aesculap Oesophagostomy Tube System . . . . . . . . .214

Aesculap Power Lubricants . . . . . . . . . . . . . . . . . . . .132

Aesculap TPLO Motor System . . . . . . . . . . . . . . . . . .130

AgiLegro Hip Resurfacing System . . . . . . . . . . . . . . .203

AHM Balfour Retractor . . . . . . . . . . . . . . . . . . . . . . . .210

Aiming Device, Dr Lehman . . . . . . . . . . . . . . . . . . . . .62

Aiming Device, Drill . . . . . . . . . . . . . . . . . . . . . . . . . .147

AIPMMA (for antibiotic beads) . . . . . . . . . . . . . .202, 252

Air Driven Dental Units . . . . . . . . . . . . . . . . . . . .232-235

Air Driven Dental Units — Midmark . . . . . . . . . . . . . . .232

Air Equipment, Pre-owned . . . . . . . . . . . . . . . . . . . . .131

Air Instrument Care Products . . . . . . . . . . . . . . . . . . .133

Air Regulators and Hose Probes . . . . . . . . . . . . . . . .133

Airway Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216

Alligator Forceps - Arthrex Arthroscopy . . . . . . . . . . . .61

Allis Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .270

Allis Tissue Forceps - Angled . . . . . . . . . . . . . . . . . . .213

Aln Skin Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . .264

Ameroid Constrictor . . . . . . . . . . . . . . . . . . . . . . . . . .212

Anaesthetic Chamber . . . . . . . . . . . . . . . . . . . . . . . . .295

Anaesthetic Circuit Consumables . . . . . . . . . . . .292-295

Anaesthetic Circuits . . . . . . . . . . . . . . . . . . . . . .292-295

Anaesthetic Machines . . . . . . . . . . . . . . . . . . . . .287-291

Anal Sac Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213

Anatomical Models . . . . . . . . . . . . . . . . . . . . . . . . . . .321

Anaesthestia Mask — Eldridge . . . . . . . . . . . . . . . . . .294

Anaesthesia Mask Security Device . . . . . . . . . . . . . .297

Anchor, Suture . . . . . . . . . . . . . . . . . . . . . . . .17, 20, 180

Andis Clipper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Angiotribes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .208

Angled Cutter, Small . . . . . . . . . . . . . . . . . . . . . . . . . .83

Animal Stretchers . . . . . . . . . . . . . . . . . . . . . . . . . . . .316

Antibiotic Impregnated Beads . . . . . . . . . . . . . .202, 252

Anti-Fatigue Mats . . . . . . . . . . . . . . . . . . . . . . . . . . . .316

Anti-Skid Drills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186

AO Type Periosteal Elevator . . . . . . . . . . . . . . . . . . . .84

Index

324

AO Type Plate Bending Pliers . . . . . . . . . . . . . . . . . . .80

AO Type Screws & Plate Equipment . . . . . . . . . . . . .143

AO/Synthes Quick Release Chuck . . . . . . . . . . . . . .146

Apalert Respiration Monitor . . . . . . . . . . . . . . . . . . . .298

APEF Base Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112

APEF Pins & Frame Alignment Kit . . . . . . . . . . . . . . .113

APEF Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113

Apical Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244

Arruga Capsule Forceps . . . . . . . . . . . . . . . . . . . . . .222

Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .258-259

Arthrex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16-19

Arthrex ABPS/ACP . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Arthrex Arthroscopes . . . . . . . . . . . . . . . . . . . . . . . . . .57

Arthrex Arthroscope, 2.7 . . . . . . . . . . . . . . . . . . . . . . .57

Arthrex Corkscrew — single . . . . . . . . . . . . . . . . . . . . .17

Arthrex Fastak II — single . . . . . . . . . . . . . . . . . . . . . . .17

Arthrex - Instruments, Hand . . . . . . . . . . . . . . . . . . . . .60

Arthrex Lateral Suture Anchors . . . . . . . . . . . . . . . . . .17

Arthrex Mini Tightrope . . . . . . . . . . . . . . . . . . . . . . . . .18

Arthrex Shaver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Arthrex Suture Passing Wire . . . . . . . . . . . . . . . . . . . .16

Arthrex Swivelock Anchor . . . . . . . . . . . . . . . . . . . . . .18

Arthrex SwiveLock Anchor Technique . . . . . . . . . . . . .18

Arthrex Tension Device . . . . . . . . . . . . . . . . . . . . . . . .19

Arthrex Tightrope CCL System . . . . . . . . . . . . . . . . . .17

Arthrex Tightrope Guidewire — single . . . . . . . . . . . . . .17

Arthrodesis/Kirschner Wire . . . . . . . . . . . . . . . . . . . .189

Arthrodesis, Pan Carpal . . . . . . . . . . . . . . . . . . . . . . .176

Arthrodesis, Pantarsal . . . . . . . . . . . . . . . . . . . .178, 179

Arthrodesis Plates, Canine Cranial Pantarsal . . . . .179

Arthrodesis Plates, Medial Pantarsal With T4 Slots .178

Arthrodesis Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189

Arthrodesis Wire Box . . . . . . . . . . . . . . . . . . . . . . . . .190

Arthrodesis Wires — Fully Threaded . . . . . . . . . . . . . .189

Arthroscope, Arthrex 2.7 . . . . . . . . . . . . . . . . . . . . . . .57

Arthroscope, Standard 2.4mm with Arthroscopic Sheath . . . . . . . . . . . . . . . . . . . . . . .57

Arthroscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56-58

Arthroscopic Distractor . . . . . . . . . . . . . . . . . . . . .45, 62

Arthroscopic Electrocautery - Arthrex OPES . . . . . . . .65

Arthroscopic Instrumentation . . . . . . . . . . . . . . . . .58-61

Arthroscopic Punches, Biopsy Forceps, Rongeurs, Grasping Forceps . . . . . . . . . . . . . . . . .60, 61

Arthroscopic Stifle Lever . . . . . . . . . . . . . . . . . . . . . . .41

Arthroscopy — Crystal Cannula . . . . . . . . . . . . . . . . . .59

Arthroscopy Hand Instrument Set . . . . . . . . . . . . . . . .59

Arthroscopy - Infusion Pump Arthrex . . . . . . . . . . . . . .64

Arthroscopy — Meniscus Probe 2.2mm . . . . . . . . .42, 59

Arthroscopy — Micro Hohman Retractor . . . . . . . .52, 59

Arthroscopy Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . .58

Arthroscopy Sterility . . . . . . . . . . . . . . . . . . . . . . . . . . .67

Arthroscopy USB Image Capture . . . . . . . . . . . . . . . . .63

ASIF/AO Type Screws, Plates and Equipment . . . . .143

Atraumatic Dissecting Forceps, DeBakey . . . . . . . . .260

Atraumatic Small Bowel Clamp . . . . . . . . . . . . . . . . .260

Aural Haematoma System . . . . . . . . . . . . . . . . . . . . .217

Auto Grasping Forceps . . . . . . . . . . . . . . . . . . . . . . . .69

Autoclavable Tip Holder . . . . . . . . . . . . . . . . . . . . . . .313

Autoclave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280

Autoclave Indicators . . . . . . . . . . . . . . . . . . . . . . . . . .281

Autoclave Pen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .281

Autoclave Tape . . . . . . . . . . . . . . . . . . . . . . . . . . . . .281

Autologous Blood Products . . . . . . . . . . . . . . . . . . . . .19

Automatic Instrument Washer . . . . . . . . . . . . . . . . . .275

Ayres ‘T’ Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293

BBabcock Tissue Forceps . . . . . . . . . . . . . . . . . . . . . .270

Backhaus Towel Clamps . . . . . . . . . . . . . . . . . . . . . .270

Bain Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293

Bain Circuit Semi Disposable . . . . . . . . . . . . . . . . . . .293

Balfour Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . .265

Balfour Retractor AHM . . . . . . . . . . . . . . . . . . . . . . . .210

Ball and Socket Towel Clamp . . . . . . . . . . . . . . . . . .270

Ball Range, Physio Roll . . . . . . . . . . . . . . . . . . . . . . . .96

Ball Range, Theraband Exercise . . . . . . . . . . . . . . . .96

Bandage Scissors, Veterinary . . . . . . . . . . . . . . . . . .266

Bandage, Esmarch . . . . . . . . . . . . . . . . . . . . . . . . . . . .89

Barraquer Fixation Forceps . . . . . . . . . . . . . . . . . . . .222

Barraquer Speculum . . . . . . . . . . . . . . . . . . . . . . . . .221

Bars, Connecting . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

Baskets - Premium Boxes . . . . . . . . . . . . . . . . . . . . .272

Battery Pack, Orthopaedic Drill . . . . . . . . . . . . . . . . .119

Battery TPLO Saw, Aesculap Acculan . . . . . . . . . . .130

Beaker Trimmer . . . . . . . . . . . . . . . . . . . . . . . . . . . . .320

Beaver Blades . . . . . . . . . . . . . . . . . . . . . . .42, 224, 271

Beaver Type Scalpel Handle . . . . . . . . . . . .42, 224, 271

Benders, K Wire . . . . . . . . . . . . . . . . . . . . . . . . . .86, 191

Bending Templates . . . . . . . . . . . . . . . . . . . . . . . . . .151

Bennets Cilia Forceps . . . . . . . . . . . . . . . . . . . . . . . .222

Bennett Type Graft Passer & Aneurism Needles . . . . .21

Beta 200 Ophthalmoscope Heine . . . . . . . . . . . . . . .230

Bicortical Negative Threaded Pins . . . . . . . . . . . . . . .108

Biko Canine Physio Brace . . . . . . . . . . . . . . . . . . . . . .98

Binder, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77,192

Binocular Hand Held Indirect Ophthalmoscope . . . . .231

Binocular Loupes . . . . . . . . . . . . . . . . . . . . . . . .226-229

Biological Healing Plates . . . . . . . . . . . . . . . . . . . . . .173

Biopsy and Grasping Forceps . . . . . . . . . . . . . . . . . . .60

Biopsy Needle, Bone & Soft Tissue . . . . . . . . . .253, 254

Biopsy Needle — Temno Evolution . . . . . . . . . . . . . . .254

Biopsy Punch — Disposable . . . . . . . . . . . . . . . . . . .254

Biopsy, Soft Tissue Forceps . . . . . . . . . . . . . . . . . . .217

Bipolar Electrocautery . . . . . . . . . . . . . . . . . . . . .314-315

Bird Ring Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . .320

Bitch Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . .269

Bladder Catheters . . . . . . . . . . . . . . . . . . . . . . . . . . .225

Blades, Desoutter MPX Saw . . . . . . . . . . . . . . . . . . .125

Blades, Desoutter MPZ Saw . . . . . . . . . . . . . . . . . . .125

Blades, Hand Saw . . . . . . . . . . . . . . . . . . . . . . . . .47, 50

Blades, Mini DriverSaw . . . . . . . . . . . . . . . . . . . . . . .122

Blades, MultiSaw . . . . . . . . . . . . . . . . . . . . . . . . . . . .121

Blades, Power Saw, Halls . . . . . . . . . . . . . . . . . . . . .127

Blades, Scalpel . . . . . . . . . . . . . . . . . . . . . .42, 224, 271

Blades, Swann Morton . . . . . . . . . . . . . . . . .42, 224, 271

Blankets — Heating . . . . . . . . . . . . . . . . . . . . . . .316-317

Blitz Spray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133

Blood Pressure measurement - PetMAP . . . . . . . . . .307

Blue Line - Mini Surgical Power . . . . . . . . . . . . . . . . .126

325

Blood Pressure Monitor . . . . . . . . . . . . . . . . . . .299-302

Blue Line Battery Surgical Power Tools . . . . . . . . . . .126

Bolt, Webb/Condylar . . . . . . . . . . . . . . . . . . . . . . . . .193

Bone Biter Suture Anchor System . . . . . . . . . . . . . . . .20

Bone Cement . . . . . . . . . . . . . . . . . . . . . . . . . . .139, 202

Bone Clamp Ikuta . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72

Bone Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140

Bone Cutting Forceps . . . . . . . . . . . . . . . . . . . . . . . . .83

Bone Gouge Forceps (Rongeurs) . . . . . . . . . . . . . . . .82

Bone Holding Forceps . . . . . . . . . . . . . . . . . . . . . . . . .74

Bone Holding Forceps, X Small Serrated . . . . . . . . . .73

Bone Lever /Periosteal Elevator . . . . . . . . . . . . . . . . . .84

Bone Marrow Biopsy - Jamshidi Type . . . . . . . . . . . .253

Bone Marrow Biopsy - Klima Type . . . . . . . . . . . . . . .253

Bone Marrow Biopsy - Rosenthall . . . . . . . . . . . . . . .253

Bone Marrow Biopsy Needles . . . . . . . . . . . . . . . . .253-4

Bone Mill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

Bone Pin Roll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188

Bone Pin Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . .188

Bone Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188, 190

Bone Plates, 1.0mm . . . . . . . . . . . . . . . . . . . . . . . . .152

Bone Plate Benders . . . . . . . . . . . . . . . . . . . . . . .80, 151

Bone Plate Press . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81

Bone Plates, DCP Type . . . . . . . . . . . . . . . . . . .155-165

Bone Plate Holding Clip . . . . . . . . . . . . . . . . . . . . . . .150

Bone Plate Pliers — Heavy Duty to 4.5mm . . . . . . . . . .81

Bone Plate Retractor . . . . . . . . . . . . . . . . . . . . . . . . .150

Bone Plates, Round Hole . . . . . . . . . . . . . . . . . .184-185

Bone Plating Practical DVD, Dr Wing Tip Wong . . . .157

Bone Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82

Bone Scoops . . . . . . . . . . . . . . . . . . . . . . . . . . . .87, 269

Bone Scribe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31, 88

Bone Tamper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140

Bone Trephine . . . . . . . . . . . . . . . . . . . . . . . . . . .87, 254

Bone Tunnel Borers . . . . . . . . . . . . . . . . . . . . . . . . . . .11

Bone Wax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139

BoneBinder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77, 192

Bones Plastic Training . . . . . . . . . . . . . . . . . . . . . . .321

Book - Spinal Surgery . . . . . . . . . . . . . . . . . . . .135, 321

Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .321

Bowel Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260

Boxes, Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . .272

Boxes, Needle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255

Boxes, Screw . . . . . . . . . . . . . . . . . . . . . . . . . . .145, 182

Brace, Spinal MB . . . . . . . . . . . . . . . . . . . . . . . . . . . .141

Braided Polyethylene suture material . . . . . . . . . .12-19

Breathe Safe Monitor . . . . . . . . . . . . . . . . . . . . . . . . .298

Broad 3.5mm Compression Plate . . . . . . . . . . . . . . .162

Broad 4.5mm Compression Plate . . . . . . . . . . . . . . .165

Brun Scoop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87

Brush, Instrument Cleaning . . . . . . . . . . . . . . . . . . . .276

Bulla Osteotomy/Rongeurs . . . . . . . . . . . . . . . . . . . .219

Bulla Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .219

Bulldog (Diffenbach) Clamp . . . . . . . . . . . . . . . . . . . .259

Bur Brush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128

Bur Guards, Surgical . . . . . . . . . . . . . . . . . . . . . . . . .128

Bur Kit, Rabbit . . . . . . . . . . . . . . . . . . . . . . .237-239, 251

Bur Rack and Autoclave Case . . . . . . . . . . . . . . . . . .129

Bur Stands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129

Burley Disc Scoop . . . . . . . . . . . . . . . . . . . . . . . . . . .139

Burs, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . .237-239

Burs, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . . . .239-251

Burs, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128

Buster Operation Cover (Disposable) Sterile . . . . . . .285

Buster Starlite Diagnostic Set . . . . . . . . . . . . . .216, 305

Button Orthopaedic . . . . . . . . . . . . . . . . . . . . . . .15, 193

Button Suture Lateral LigaFiba Double 250LB . . . . . .14

CCadmus Centering Templates . . . . . . . . . . . . . . . . . . .31

Cadmus Load Neutral Guide . . . . . . . . . . . . . . . . . . . .31

Cadmus TPLO Plates/Templates . . . . . . . . . . . . . . . . .31

Cages, Cuttable TTA . . . . . . . . . . . . . . . . . . . . . . . . . .35

Cages, TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

Calico Drapes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286

Caliper, Vernier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88

Camera Covers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63

Camera — Eagle Eye . . . . . . . . . . . . . . . . . . . . . . . . . .63

Camera / Flexible . . . . . . . . . . . . . . . . . . . . . . . . . . . .205

Camera Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63

Cameras & Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . .63

Canine Arthroscopy Set . . . . . . . . . . . . . . . . . . . . . . . .61

Canine Clear Dental Model . . . . . . . . . . . . . . . .218, 321

Canine Cranial Pantarsel Arthrodesis Plate . . . . . . . .179

Canine Ear Loop . . . . . . . . . . . . . . . . . . . . . . . . . . . .218

Cannula Set, van Bree, Arthroscopy . . . . . . . . . . . . . .58

Cannula, Lachrymal Duct . . . . . . . . . . . . . . . . . .225, 254

Cannulated Drills . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Caps, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285

Capsule Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .222

Cardell 9500 HD . . . . . . . . . . . . . . . . . . . . . . . . . . . . .301

Cardell Infusion Warmer . . . . . . . . . . . . . . . . . . . . . .303

Cardell MAX-12 Multi Parameter Monitor . . . . . . . . .302

Cardell Multi-Parameter Monitors . . . . . . . . . . . .300-302

Cardinal Wet n Dry Clipper . . . . . . . . . . . . . . . . . . . .319

Cardio Link ECG Probe . . . . . . . . . . . . . . . . . . . . . . .308

Carnivore Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . .244

Carpal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . . . .176

Carpal Arthrodesis Plate — Hybrid Locking DCP 166, 167

Carpo-flex wrap support . . . . . . . . . . . . . . . . . . . . . . .91

Cart, Mobility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94

Caspar Modular Self Retaining Retractor . . . . . . . . .138

Cast Blades . . . . . . . . . . . . . . . . . . . . . . . .121, 123, 125

Cast Cutter Desoutter . . . . . . . . . . . . . . . . . . . . . . . .120

Castroviejo’s Corneal Forceps . . . . . . . . . . . . . . . . . .221

Castroviejo’s Corneal Scissors . . . . . . . . . . . . . . . . .220

Castroviejo’s Cross Action Capsule Forceps . . . . . . .222

Castroviejo’s Needleholders . . . . . . . . . . . . . . .222, 261

Castroviejo Needleholder/Scissor . . . . . . . . . . .222, 261

Castroviejo Suture Removal Scissors . . . . . . . .224, 267

Cat Pantarsal Arthrodesis Plate (Cranial) . . . . . . . . .179

Catheters, Bladder . . . . . . . . . . . . . . . . . . . . . . . . . . .255

Cautery Kit, Portable . . . . . . . . . . . . . . . . . . . . . . . . .314

CCL Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

CCL Loop Tightener . . . . . . . . . . . . . . . . . . . . . . . . . . .11

CCL Management Training Materials . . . . . . . . . . . . . .8

CCL Repair System . . . . . . . . . . . . . . . . . . . . . . . . .8-15

CCL Staple Introducer . . . . . . . . . . . . . . . . . . . . . . . . .21

326

CCL Staples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

CCL Suture Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

CD ROM - CCL . . . . . . . . . . . . . . . . . . . . . . .8, 321, 322

CD ROM - Hauptman . . . . . . . . . . . . . . . . . . . . . . . . .208

CD ROM - Rasenberg TPO . . . . . . . . . . . . . . . . .48, 321

CD ROM - Thermoplastic Splinting . . . . . . . . . . . . . . .91

CD ROM - TPLO . . . . . . . . . . . . . . . . . . . . . . . . . .8, 321

Cement, Bone . . . . . . . . . . . . . . . . . . . . . . . . . .139, 202

Cementless Hip System — Helica . . . . . . . . . . . .197-199

Cerclage Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . .193

Cerclage Wire Tighteners . . . . . . . . . . . . . . . . . . .78, 79

Chalazion Forceps (Desmarres) . . . . . . . . . . . . . . . .224

Chart, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .248

Cheatle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .269

Cheek Dilators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249

Chest Strap Dog Leggs . . . . . . . . . . . . . . . . . . . . . . . .92

Chest Tubes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212

Chisels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87

Chuck, Jacobs . . . . . . . . . . . . . . . . . . . . . . .77, 110, 126

Circle Circuits Semi Disposable . . . . . . . . . . . . . . . . .293

Circuit Non-Rebreathing . . . . . . . . . . . . . . . . . . . . .292-3

Circuit, Ayres T Piece . . . . . . . . . . . . . . . . . . . . . . . . .293

Circuit, Bain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293

Circuit, Lack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293

Circuit, T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293

Circuits — Midmark . . . . . . . . . . . . . . . . . . . . . . . . . . .293

Clamp, Condyle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Clamp, Double . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

Clamp, Split . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

Clamps KE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100

Clamps, Bowel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260

Clamps, External Fixation . . . . . . . . . . . . . . . . . .100-106

Clamps- SF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103

Cleaners, Ultrasonic . . . . . . . . . . . . . . . . . . . . . . . . . .275

Cleaning Brush . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276

Clear Adhesive Surgical Drapes with Povidine . .66, 285

Clear Dental Model — Rabbit . . . . . . . . . . . . . . . . . . .248

Clip Applicator, Ligaclip Re-usable . . . . . . . . . . . . . . .30

Clips, Ligaclip Titanium . . . . . . . . . . . . . . . . . . . . . . . .30

Clipper Wet n Dry . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Clippers, Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Clippers, Laube . . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Clippers, Nail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .320

Clippers, Oster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Clippers, Pocket Pro Trimmer . . . . . . . . . . . . . . . . . .319

Clippers, Wahl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Clogs Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .283

CLS Concentrate . . . . . . . . . . . . . . . . . . . . . . . . . . . .241

CMW Bone Cement DePuy . . . . . . . . . . . . . . . . . . . .202

Coarse Negative Threaded Pins . . . . . . . . . . . . . . . .108

Coarse Stainless Blade . . . . . . . . . . . . . . . . . . . . . . . .50

Colibri (Barraquers) Forceps . . . . . . . . . . . . . . . . . . .221

Collins Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .265

Colour Coded Identity Rings . . . . . . . . . . . . . . . . . . .278

Combination Bone Rasp Set . . . . . . . . . . . . . . . . . . . .51

Combination Drill, Tap and Insert Sleeve . . . . . . . . . .147

Compound Action Crimper . . . . . . . . . . . . . . . . . . . . . .11

Compound Action Crimpers . . . . . . . . . . . . . . . . . . . .13

Compound Action Nail Clippers . . . . . . . . . . . . . . . . .284

Compound Action Spinal Rongeurs . . . . . . . . . . . . . .136

Compression Plates and Cortical Screws . . . . .153-165

Concentrator, Oxygen . . . . . . . . . . . . . . . . . . . . . . . .291

Condyle Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Cone Laminectomy Retractor . . . . . . . . . . . . . . . . . .138

Connecting Bars . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

Connectors Semi Disposable, Anaesthetic . . . . .292-293

Connectors, Anaesthetic . . . . . . . . . . . . . . . . . . .292-293

Connector, Common Gas to Male Leur . . . . . . . . . . .297

Contra Angle (Latch) Head . . . . . . . . . . . . . . . . . . . .236

Contra Angle Dental Handpiece . . . . . . . . . . . . . . . . .236

Corded Multi Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . .120

Cordless Clipper, Andis . . . . . . . . . . . . . . . . . . . . . . .319

Coneless Collar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Corkscrew Suture Anchor . . . . . . . . . . . . . . . . . . . . . .17

Corneal Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221

Coronoid Osteotome, Gordon . . . . . . . . . . . . . . . . . . .59

Corrective Osteotomy Sawguide System . . . . . . . . . . .46

Cortical Bone Trephine . . . . . . . . . . . . . . . . . . . . . . .254

Cortical Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . .144-145

Cortical Negative Threaded Pins (Ellis type) . . . . . . .107

Cortical Nuts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193

Cortical Screwboxes . . . . . . . . . . . . . . . . . . . . . . . . .145

Cosmetic Surgeon Scissors . . . . . . . . . . . . . . . . . . . .269

Coughlan Soft Tissue Mangeur . . . . . . . . . . . . . . . . . .53

Countersinking Bone Tunnel Borer . . . . . . . . . . . . . . .11

Countersinks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149

Couplands Elevators . . . . . . . . . . . . . . . . . . . . . . . . .244

Cradles, Redmark Positioning . . . . . . . . . . . . . . . .66,318

Cranial Cruciate Ligament Lateral Suture System . .8-10

Cranial Pantarsal Arthrodesis Plates, Canine . . . . . .179

Crile Artery Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .258

Crimper, Compound Action . . . . . . . . . . . . . . . . . . . . .11

Crimper, Simple Action . . . . . . . . . . . . . . . . . . . . . . . . .10

Crimps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Crimps — LigaFiba . . . . . . . . . . . . . . . . . . . . . . . . . . . .12

Crocodile Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .218

Cross Action Towel Clips . . . . . . . . . . . . . . . . . . . . . .270

Cross Cut Taper Fissure Long Head Bur . . . . . . . . .239

Crossley Incisor Luxator . . . . . . . . . . . . . . . . . . . . . . .251

Crossley Molar Luxator . . . . . . . . . . . . . . . . . . . . . . .251

Cruciate Management Training Material . . . . . . . . . . . .8

Cruciate Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Cruciate Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-11

Cruciate Screwdriver . . . . . . . . . . . . . . . . . . . . . . . . .183

Crystal Cannula (Arthroscopy) . . . . . . . . . . . . . . . . . .59

Curette, House . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140

Curette, OCD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Curette, Sheas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141

Curette, Subgingival . . . . . . . . . . . . . . . . . . . . . . . . . .242

Curette, Volkman . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87

Curved Graft Passer . . . . . . . . . . . . . . . . . . . . . . . . . . .21

Cushions, Wobble . . . . . . . . . . . . . . . . . . . . . . . . . . . .97

Custom Made Furniture . . . . . . . . . . . . . . . . . . . . . . .309

Cuttable Plates . . . . . . . . . . . . . . . . . .155, 157, 159, 173

Cuttable Plate — 1.5mm . . . . . . . . . . . . . . . . . . . . . . .155

Cuttable Plate With Spaces . . . . . . . . . . . . . . . . . . . .173

Cuttable Plate with Spaces, 1.0mm . . . . . . . . . . . . . .153

Cuttable Plate With Spaces, 2.0mm . . . . . . . . . . . . .155



327

Cuttable TTA cages . . . . . . . . . . . . . . . . . . . . . . . . . . .35

Cutters, Pin . . . . . . . . . . . . . . . . . . . . . . . . . . .75, 76, 110

Cutting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270

Cygnetic Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . .271

Cylindrical Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . .201

DDandy Nerve Hook . . . . . . . . . . . . . . . . . . . . . . . . . . .140

Daniel Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135

DeBakey - Atraumatic Dissecting Forceps . . . . . . . . .260

DeBakey Needleholder . . . . . . . . . . . . . . . . . . . . . . .262

Delta Style TPLO Plates . . . . . . . . . . . . . . . . . . . . . . .28

Delta TPLO Plate Benders . . . . . . . . . . . . . . . . . . . . . .29

Dental Burs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238-239

Dental Bur Block - New . . . . . . . . . . . . . . . . . . . . . . .238

Dental Chart Stick-On Labels . . . . . . . . . . . . . . . . . . .248

Dental Elevators . . . . . . . . . . . . . . . . . . . . . . . . .243-245

Dental Extraction Forceps . . . . . . . . . . . . . . . . . . . . .246

Dental Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246

Dental Handpieces . . . . . . . . . . . . . . . . . . . . . . .235-236

Dental Kit, Rodent . . . . . . . . . . . . . . . . . . . . . . . . . . .252

Dental Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . .244-245

Dental Machines . . . . . . . . . . . . . . . . . . . . . . . . .232-234

Dental Mirror . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246

Dental Models . . . . . . . . . . . . . . . . . . . . . . . . . .248, 321

Dental Models Clear . . . . . . . . . . . . . . . . . . . . . .248, 321

Dental Scraper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .242

Dental, Straight Nose Cone . . . . . . . . . . . . . . . . . . . .236

Depth Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . . .150,183

DePuy CMW Bone Cement . . . . . . . . . . . . . . . . . . . .202

Derf T.C. Needleholders 12cm . . . . . . . . . . . . . .223, 262

Desmarres Eyelid Retractor . . . . . . . . . . . . . . . . . . . .221

Desoutter Cast Cutter . . . . . . . . . . . . . . . . . . . . . . . . .120

Desoutter Orthopaedic Equipment . . . . . . . . . . . . . . .124

Diamond Card - Fine Sharpener . . . . . . . . . . . . . . . .247

Diamond Cone Sharpener . . . . . . . . . . . . . . . . . . . . .247

Diamond Disc & Shield . . . . . . . . . . . . . . . . . . .237, 250

Diamond Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . .250

Diamond Rasp — Modular . . . . . . . . . . . . . . . . . . .47, 86

Diffenbach Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . .259

Digital Vernier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88

Dilator, Punctum . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225

Dingmans Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .73

Direct Opthalmoscope Heads . . . . . . . . . . . . . . . . . .305

Disarticulators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Disgorger, Canine . . . . . . . . . . . . . . . . . . . . . . . . . . .206

Disposable Gowns, Drapes & Towels . . . . . . . . . . . .284

Disposable Skin Biopsy Punch . . . . . . . . . . . . . . . . .254

Disposable Skin Stapler . . . . . . . . . . . . . . . . . . . . . . .255

Disposable Suction Tips . . . . . . . . . . . . . . . . . . . . . . .313

Dissecting Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .260

Dissection Probe (Blunt) . . . . . . . . . . . . . . . . . . . . . .270

Distichiasis Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . .225

Distractor — Arthroscopic . . . . . . . . . . . . . . . . . . . .44, 62

Distractor — Orthopaedic . . . . . . . . . . . . . . . . . . . . . . .88

Distractor — Small Spine . . . . . . . . . . . . . . . . . . . . . .138

Distractor — Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . .138

Distractor — Stifle . . . . . . . . . . . . . . . . . . . . . . . . . . .44-45

Distractor small with ratchet . . . . . . . . . . . . . . . . . . . .88

DogLeggs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92-93

Doppler Ultrasonic Blood Flow Monitor . . . . . . . . . . .303

Dorsi-flex support . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Double Ended Diamond Rasp . . . . . . . . . . . . . . . . . .250

Double Ended Elevator . . . . . . . . . . . . . . . . . . . . . . .244

Double Ended Scraper . . . . . . . . . . . . . . . . . . . . . . . .242

Doyen Bowel Clamp . . . . . . . . . . . . . . . . . . . . . . . . . .260

DPO/TPO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . .166

DPO/TPO Plates, VI Locking . . . . . . . . . . . . . . . . . . . .49

Dr Lehman Aiming Device . . . . . . . . . . . . . . . . . . . . . .62

Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212

Drapes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286

Drape, Drawstring . . . . . . . . . . . . . . . . . . . . . . . . . . .286

Drape, Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286

Dressing Cover, Medipaw . . . . . . . . . . . . . . . . . . . . . .90

Dressing Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . .266

Drill & Screw Gauge . . . . . . . . . . . . . . . . . . . . . . . . . . .88

Drill Bits - External Fixator Pre-drills . . . . . . . . . . . . .110

Drill Bits - Hard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186

Drill Bits - Soft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186

Drill Bits - Synthes Fit . . . . . . . . . . . . . . . . . . . . . . . . .186

Drill Bits, antiskid . . . . . . . . . . . . . . . . . . . . . . . . . . . .186

Drill Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187

Drill guide 1.0mm series . . . . . . . . . . . . . . . . . . . . . . .153

Drill Guides and Inserts . . . . . . . . . . . . . . . . . . . .147-148

Drill, Mini Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . .119

Drill, Orthopaedic Battery Driven . . . . . . . . . . . . . . . .119

Drill Stops . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148, 186

Drills — Cannulated . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Drip Stand, Cage Door Mount . . . . . . . . . . . . . . . . . .312

Dual Zoom Head Torch . . . . . . . . . . . . . . . . . . . . . . .225

DVD / CD's . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .321

DVD, Bone Plating Practical , Dr Wing Tip Wong . . .157

DVD, TTA Procedure . . . . . . . . . . . . . . . . . . . . . .32, 321

Dynamic Fixators . . . . . . . . . . . . . . . . . . . . . . . . . . . .114

Dyno Tensioning Device . . . . . . . . . . . . . . . . . . . . . .118

EEagle Eye Camera & Light Sources … . . . . . . . . . . . .63

Ear Diagnostic Instruments . . . . . . . . . . . . . . . . . . . .218

Ear Flushing Needles . . . . . . . . . . . . . . . . . . . . . . . . .254

Ear Loops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218

EarWicks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218

ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .300-301, 308

ECG Machine . . . . . . . . . . . . . . . . . . . . . . .300-301, 308

ECG - Midmark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308

ECG Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308

ECG — Veterinary Interpretive . . . . . . . . . . . . . . . . . .308

Ehmner sling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92

Elbow Arthrodesis Plates . . . . . . . . . . . . . . . . . . . . . .177

Eldridge Anaesthesia Mask . . . . . . . . . . . . . . . . . . . .294

Electric Flexidrive Bur System . . . . . . . . . . . . . . . . . .128

Electrocautery, Arthroscopy, Arthrex Vet Systems . . .65

Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .314 315

Electrosurgery BiPolar . . . . . . . . . . . . . . . . . . . .314-315

Electrosurgery Electrodes . . . . . . . . . . . . . . . . . .314-315

Electrosurgery MonoPolar . . . . . . . . . . . . . . . . . . . . .315

328

Elevators, Dental . . . . . . . . . . . . . . . . . . . . . . . . .243-244

Elevators, Winged . . . . . . . . . . . . . . . . . . . . . . . . . . .243

Ellis Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107, 108

EN100 Wall Mount Unit with 2 Handpiece Positions .305

Endo Tube Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . .296

Endo Tube Stylet . . . . . . . . . . . . . . . . . . . . . . . . . . . .296

Endotracheal Tube Brushes . . . . . . . . . . . . . . . . . . . .296

Endotrachael Tubes - Large Silicone . . . . . . . . . . . .296

Endotracheal Tubes - Safe Seal . . . . . . . . . . . . . . . .296

Endotracheal Tube - Security Device . . . . . . . . . . . . .297

Engels Plaster Saw . . . . . . . . . . . . . . . . . . . . . . . . . . .84

Epilation Forceps . . . . . . . . . . . . . . . . . . . . . . . .222, 260

Epiphyseal Staples . . . . . . . . . . . . . . . . . . . . . . . . . . .193

Epoxy ESF Putty . . . . . . . . . . . . . . . . . . . . . . . . . . . .113

Equipment Boxes - Stainless Steel . . . . . . . . . .145, 182

Equipment Boxes AO . . . . . . . . . . . . . . . . . . . . . . . . .182

Equipment Boxes Sherman . . . . . . . . . . . . . . . . . . . .145

ESF Hinge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

ESF Lag Pins with Olive . . . . . . . . . . . . . . . . . . . . . . .109

ESF — Leonardo . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106

ESF Tissue Protector . . . . . . . . . . . . . . . . . . . . . . . . .110

Esmarch Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . . .89

ET Tube Brushes . . . . . . . . . . . . . . . . . . . . . . . . . . . .296

Examination Table, Wall Mounted . . . . . . . . . . . . . . .309

Excision Arthroplasty Rasp . . . . . . . . . . . . . . . . . . . . .51

Exercise Ball Range, Theraband . . . . . . . . . . . . . . . .96

Explorer/Measuring Probe . . . . . . . . . . . . . . . . . . . . .242

External Fixation Equipment . . . . . . . . . . . . . . . . . . .100

External Fixation, FESSA . . . . . . . . . . . . . . . . . . . . . .106

External Fixation, Linear . . . . . . . . . . . . . . . . . . . . . .114

External Fixation, Vumex . . . . . . . . . . . . . . . . . . . . . .105

External Fixator Kits . . . . . . . . . . . . . . . . . . . . . . . . . .102

External Fixator Pins . . . . . . . . . . . . . . . . . . . . . .107-109

Extra Articular Stifle Distractor . . . . . . . . . . . . . . . . . . .45

Extra Large Clamps and Bars . . . . . . . . . . . . . . . . . .101

Extra Large Horsley Bone Cutter . . . . . . . . . . . . . . . .83

Extraction Forceps, Root Tip . . . . . . . . . . . . . . . . . . .252

Extraction Trephine Set, Screw . . . . . . . . . . . . . . . . .151

Extremity Drape (Disposable) Sterile . . . . . . . . . . . . .286

Eye Enucleation Forceps . . . . . . . . . . . . . . . . . . . . . .225

Eye Enucleation Scissors . . . . . . . . . . . . . . . . . .224, 267

Eye Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220

Eyelet Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192

Eyelid Retraction - Speculae . . . . . . . . . . . . . . . . . . .221

EZ Tie Endotracheal Tube Security Device . . . . . . . .297

Ezelube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .277

FFabella Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Fastak II Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . .17

Fastak Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . . .17

Fat Pad Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Feline Clear Dental Model . . . . . . . . . . . . . . . . .248, 321

Feline Inhalant Delivery System . . . . . . . . . . . . . . . . .295

Feline Orthopaedics Book . . . . . . . . . . . . . . . . . . . . .321

Femoral Prosthesis . . . . . . . . . . . . . . . . . . . . . . . . . .200

Femoral Prosthesis Pusher . . . . . . . . . . . . . . . . . . . .201

Femoral Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201

Femoral Reamer . . . . . . . . . . . . . . . . . . . . . . . . . . . .201

Femur Grasping Forceps . . . . . . . . . . . . . . . . . . . . . .202

Fenestrated Surgical Drapes . . . . . . . . . . . . . . . . . . .284

FESSA External Fixation . . . . . . . . . . . . . . . . . . . . . .106

Fessa Starter Kits, Titanium . . . . . . . . . . . . . . . . . . .106

Fessa - Titanium . . . . . . . . . . . . . . . . . . . . . . . . . . . . .106

FiberWire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

FibreWire (Arthrex Vet Systems) . . . . . . . . . . . . . . . . .16

FibreWire Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Fine Negative Threaded Pins . . . . . . . . . . . . . . . . . . .107

Finnochetto Rib Retractors . . . . . . . . . . . . . . . . . . . .265

Finsen Self Retaining Retractor . . . . . . . . . . . . . . . . .264

FireFly Wireless Otoscope . . . . . . . . . . . . . . . . . . . . .307

Fitz excavator set . . . . . . . . . . . . . . . . . . . . . . . . . . .141

Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .222

Fixator, Dynamic, Linear . . . . . . . . . . . . . . . . . . . . . .114

Fixator, External . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100

Fixator, Ring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115

Fixators, Linear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114

Flexible Grasping Froceps — Fine…………………… 218

Flexible LED Camera . . . . . . . . . . . . . . . . . . . . . . . . .205

Float Coat, Harness . . . . . . . . . . . . . . . . . . . . . . . . . . .98

Fluid Infusion and Outflow, Arthroscopy . . . . . . . . . . .64

Fluosorber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290

Flushing Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . .254

Foam Lining, Compact . . . . . . . . . . . . . . . . . . . . . . . . .91

Folding Wall Mount Examination Table . . . . . . . . . . .309

Forceps — Kocher . . . . . . . . . . . . . . . . . . . . . . . . . . . .258

Forceps — Screw Holding . . . . . . . . . . . . . . . . . . . . . .150

Forceps Capsule . . . . . . . . . . . . . . . . . . . . . . . . . . . .222

Forceps Eye Enucleation . . . . . . . . . . . . . . . . . . . . . .224

Forceps, Artery . . . . . . . . . . . . . . . . . . . . . . . . . .258-259

Forceps, Bone Cutting . . . . . . . . . . . . . . . . . . . . . . . . .83

Forceps, Bone Gouge (Rongeurs) . . . . . . . . . . . . . . . .82

Forceps, Bone Holding . . . . . . . . . . . . . . . . . . . . . .73-74

Forceps, Cheatle . . . . . . . . . . . . . . . . . . . . . . . . . . . .269

Forceps, Corneal . . . . . . . . . . . . . . . . . . . . . . . . . . . .221

Forceps, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246

Forceps, Dissecting . . . . . . . . . . . . . . . . . . . . . . . . . .260

Forceps, Forkless TTA Plate . . . . . . . . . . . . . . . . . . . .35

Forceps, Fragment . . . . . . . . . . . . . . . . . . . . . . . . .71-72

Forceps, Iris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221

Forceps, Plate Holding . . . . . . . . . . . . . . . . . . . . . . . . .74

Forceps, Plate Holding/Drill Guide . . . . . . . . . . . . . . . .74

Forceps, Reduction . . . . . . . . . . . . . . . . . . . . . . . . .71-72

Forceps, Schroeder Tenaculum . . . . . . . . . . . . . . . . . .72

Forceps, Sponge . . . . . . . . . . . . . . . . . . . . . . . . . . . .269

Forceps, Steriliser . . . . . . . . . . . . . . . . . . . . . . . . . . .269

Forceps, TTA Spinlock Reduction . . . . . . . . . . . . . . . .35

Forceps, Tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270

Forceps, Tongue . . . . . . . . . . . . . . . . . . . . . . . . . . . .270

Forceps, Tying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .223

Forceps, Whelping . . . . . . . . . . . . . . . . . . . . . . . . . . .209

Forceps, X Small Serrated Bone Holding . . . . . . . . . .73

Foreign Body Forceps . . . . . . . . . . . . . . . . . . . . . . . .204

Foreign Body Oesophascope . . . . . . . . . . . . . . . . . . .205

Forelimb Salvage Plate . . . . . . . . . . . . . . . . . . . . . . .177

Forkless TTA Plates . . . . . . . . . . . . . . . . . . . . . . . . . . .35

Forks, TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Forte Luxators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245

329

Foster Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . .222, 261

Foster Gillies, Miniature . . . . . . . . . . . . . . . . . .222, 261

Fragment Forceps . . . . . . . . . . . . . . . . . . . . . . . . . .71-72

Frazier 2.6mm Suction Tip . . . . . . . . . . . . . . . . . . . .313

Freer Periosteal Elevator . . . . . . . . . . . . . . . . . . .84, 140

Freeze Frame Camera . . . . . . . . . . . . . . . . . . . . . . . . .63

Fully Threaded Arthrodesis Wires . . . . . . . . . . . . . . .190

GGags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247

Galibans Suture Holding Forceps . . . . . . . . . . . . . . .263

Gas Scavenger — Matrx by Midmark . . . . . . . . . . . . .290

Gelpi Odd Leg Retractor . . . . . . . . . . . . . . . . . . . . . .138

Gelpi Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . .264

Gelpi Retractor with sharpened tips . . . . . . . . . . . . .264

Gelpi, mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . .264, 265

Genusys Total Knee Replacement . . . . . . . . . . . . . .203

Gigli Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50

Gigli Wire Passer - Nick Vanvooren . . . . . . . . . . . . . . .50

Gillies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .261

Giving Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .303

Gloves, surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285

Gonadal Shield, Chandler's . . . . . . . . . . . . . . . . .89,194

Goniometer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Goniometer — Stainless Steel . . . . . . . . . . . . . . . . . . . .53

Gordon Coronoid Osteotome 2mm . . . . . . . . . . . . . . .59

Gosset Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . .264

Gouges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87

Gowns, Disposable . . . . . . . . . . . . . . . . . . . . . . . . . .284

Gowns, Operating . . . . . . . . . . . . . . . . . . . . . . . .282-283

Graefe Fixation Forceps . . . . . . . . . . . . . . . . . . . . . . .222

Graefe Iris Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .221

Graft Passer, Bennett . . . . . . . . . . . . . . . . . . . . . . . . . .21

Graft Passer, Curved . . . . . . . . . . . . . . . . . . . . . . . . . .21

Graft Passer, Straight . . . . . . . . . . . . . . . . . . . . . . . . . .21

Grahame Gardener Theatre Wear . . . . . . . . . . . . . . .283

Grasping Forceps, Auto . . . . . . . . . . . . . . . . . . . . . . . .69

Grasping Forceps — Fine Flexible . . . . . . . . . . . . . . .218

Grasping Forceps — Slender Pointed . . . . . . . . . . . . . .60

Grays Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . . .247

Guide Pin, Slocum TPLO . . . . . . . . . . . . . . . . . . . . . . .29

Gutter Hohman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

HHalls (Linvatec) Orthopaedic Power Equipment . . . .128

Halstead Mosquito Forceps . . . . . . . . . . . . . . . . .42, 258

Halstead Toothed (small meniscus clamp) . . . . .42, 258

Hand Instruments, Laparoscopy . . . . . . . . . . . . . . . . .70

Handpieces, Dental . . . . . . . . . . . . . . . . . . . . . .233, 236

Handpiece Lubricating Spray . . . . . . . . . . . . . . . . . . .237

Handy Canis Harness . . . . . . . . . . . . . . . . . . . . . . . . .93

Hard Backed Orthopaedic Saw . . . . . . . . . . . . . . . . . .47

Harness — Handy Canis . . . . . . . . . . . . . . . . . . . . . . . .93

Harrison Butler Lachrymal Cannula . . . . . . . . . . . . . .225

Hatt Spoon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53, 200

Hauptman Retractors . . . . . . . . . . . . . . . . . . . . . . . . .208

Hawksbill Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .246

Head Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225

Heated Blanket . . . . . . . . . . . . . . . . . . . . . . . . . . . . .317

Heath Stitch Scissors . . . . . . . . . . . . . . . . . . . . . . . . .267

Heavy Duty Bone Plate Pliers to 4.5mm . . . . . . . . . . .81

Heavy Duty Nail Cutters . . . . . . . . . . . . . . . . . . . . . . .320

Heine Binocular Loupes . . . . . . . . . . . . . . . . . . .228-229

Heine Diagnostics . . . . . . . . . . . . . . . . . . . . . . . .304-305

Heine LED Loupelight . . . . . . . . . . . . . . . . . . . . . . . .229

Heine Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . .228-229

Heine Portable Slit Lamp HSL 150 . . . . . . . . . . . . . .231

Helica Cementless Hip System . . . . . . . . . . . . .197-198

Helica Total Hip System . . . . . . . . . . . . . . . . . . . . . . .197

Henry Schein Pulse Oximeter . . . . . . . . . . . . . . . . . .298

Henry Schein Ultrasonic Cleaner . . . . . . . . . . . . . . . .275

Hex Drive Shaft . . . . . . . . . . . . . . . . . . . . . . . . . .148-150

Hex Screwdrivers & Screwholding Sleeves . . . .148-150

Heygroves Femur Grasping Forceps . . . . . . . . . . . . .202

High Speed Drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127

High Speed Handpiece . . . . . . . . . . . . . . . . . . . . . . .236

Hinge, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

Hinges & Conical Washers . . . . . . . . . . . . . . . . . . . .107

Hip Replacement Kit VI . . . . . . . . . . . . . . . . . . . . . . .203

Hip Resurfacing System . . . . . . . . . . . . . . . . . . . . . . .203

Hip System - Helica . . . . . . . . . . . . . . . . . . . . . .197-198

Hip System, Helica Total (2012 Version) . . . . . . . . .199

Hip System, Modular (Cemented) . . . . . . . . . . . .200-202

Hip Toggle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54-55

Hip Toggle Break Off Style . . . . . . . . . . . . . . . . . . . . . .55

Hip Toggle with Braided Polyethylene

Suture Anchor Material . . . . . . . . . . . . . . . . . . . . . . . .55

Hobday Forceps, Vectis . . . . . . . . . . . . . . . . . . . . . . .209

Hoe Scaler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .242

Hohman, Gutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Hohman Retractor . . . . . . . . . . . . . . . . . . . . . . . . .51-52

Hohman Retractor - Mini . . . . . . . . . . . . . . . . . . . . .51-52

Holder Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245

Holloware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .273

Hook, Chase Spinal . . . . . . . . . . . . . . . . . . . . . . . . .140

Horsley Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . .83

Hospivac . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .313

House Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140

Howarth Dissector (Modified) . . . . . . . . . . . . . . . . . . . .84

Hybrid ‘T’ Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174

Hybrid Arthrodesis Plates . . . . . . . . . . . . . . . . . . . . . .176

Hybrid Fixators . . . . . . . . . . . . . . . . . . . . . . . . . . . . .118

Hybrid Wedge Osteotomy Plates . . . . . . . . . . . . . . . . .27

Hysterectomy Clamps . . . . . . . . . . . . . . . . . . . . . . . .208

II / V Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .312

Icer, Canine - Stifle Icer . . . . . . . . . . . . . . . . . . . . . . . .97

Ikuta Bone Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . .72

iM3 42-12 Ultrasonic Scaler . . . . . . . . . . . . . . . . . . . .240

iM3 Dental Models . . . . . . . . . . . . . . . . . . . . . . . . . . .248

iM3 Masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295

iM3 White Stone Slip . . . . . . . . . . . . . . . . . . . . . . . . .247

Implant Cutter Industrial Finish, Surgical Finish . . .75-76

Implant Designs and Specifications . . . . . . . . . . . . . .142

Implants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153-180

330

Implant Cutter to 3mm . . . . . . . . . . . . . . . . . . . . . . . . .75

Implant Series, 1.0mm . . . . . . . . . . . . . . . . . . . . . . .152

Incisor Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246

Incisor Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .251

Indirect Ophthalmoscope, Binocular . . . . . . . . . . . . .231

Indirect Ophthalmoscope, Monocular . . . . . . . . . . . .231

Indirect Ophthalmoscope, Spectacle Type . . . . . . . .231

Indirect Viewing Lens . . . . . . . . . . . . . . . . . . . . . . . .230

Infusion Cuff, Arthroscopy . . . . . . . . . . . . . . . . . . . . . .64

Infusion Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .303

Inhalant Delivery System, Feline . . . . . . . . . . . . . . . .295

Injection Cannula . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69

Insert Sleeves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .148

Instrument Box Padlock Security Tags with Indicator . .279

Instrument Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . .272

Instrument Cleaning . . . . . . . . . . . . . . . . . . . . . .274-276

Instrument Cleaning Agents . . . . . . . . . . . . . . . . . . . .276

Instrument Cleaning Brush . . . . . . . . . . . . . . . . . . . . .276

Instrument Lube . . . . . . . . . . . . . . . . . . . . . . . . . . . . .277

Instrument Lubrication . . . . . . . . . . . . . . . . . . . . . . . .277

Instrument Marking . . . . . . . . . . . . . . . . . . . . . . . . . . .278

Instrument Oil - (autoclavable) . . . . . . . . . . . . . . . . . .277

Instrument Table . . . . . . . . . . . . . . . . . . . . . . . . . . . .309

Instrument Washer, Automatic . . . . . . . . . . . . . . . . . .275

Interlocking Nail Bolt Cutter 4mm . . . . . . . . . . . . . . . .196

Interlocking Nail Bolts . . . . . . . . . . . . . . . . . . . . . . . . .196

Interlocking Nail System . . . . . . . . . . . . . . . . . . .195-196

Interosseus Infusion Needle . . . . . . . . . . . . . . . . . . . .254

Intertarsal Arthrodesis Plates . . . . . . . . . . . . . . . . . . .178

Intra Articular Hand Instruments . . . . . . . . . . . . . . .59-61

Intramedullary Pins . . . . . . . . . . . . . . . . . . . . . . . . . . .188

Intravenous Infusion Set . . . . . . . . . . . . . . . . . . . . . .303

Intravenous Splints . . . . . . . . . . . . . . . . . . . . . . . . . . .312

Intubation Accessories . . . . . . . . . . . . . . . . . . . . . . . .296

Iris Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221

Iris Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . .223, 267

Irrigation Bulbs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .273

ISO Toggle Suture - LigaFiba . . . . . . . . . . . . . . . . . . .15

Isometric Lateral Suture Anchor System . . . . . . . .15, 17

I-Warm Infusion Warmer, Cardell . . . . . . . . . . . . . . . .303

JJJacob’s Chuck . . . . . . . . . . . . . . . . . . . . . .110, 124, 77

Jacob’s Chuck with Synthes Quick Release Attachment . . . . . . . . . . . . . . . . . . . . .119

Jaeger Eyelid Speculum . . . . . . . . . . . . . . . . . . . . . .221

Jamshidi Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . .253

Jansen Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82

Jaquette Supragingival Scaler . . . . . . . . . . . . . . . . . .242

JB Drawstring and Foot Drape . . . . . . . . . . . . . . . . . .286

Jig, Standard TPLO Slocum Type . . . . . . . . . . . . . . . .28

Jig, TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

Jones Cross Action Towel Clips . . . . . . . . . . . . . . . . .270

K‘K' Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189

‘K' Wire / ‘A’ Wire Dispenser . . . . . . . . . . . . . . . . . . .191

‘K' Wire / ‘A’ Wire Extraction Forceps . . . . . . . . . . . . .76

‘K’ Wire / ‘A’ Wire Holder . . . . . . . . . . . . . . . . . . . . . .190

‘K' Wire Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86

K9 Float Coat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98

KE Clamps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100

KE Plus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100

Kern Bone Holding Forceps . . . . . . . . . . . . . . . . . . . . .74

Kerrison Punch Forceps . . . . . . . . . . . . . . . . . . . . . . .137

Kerrison Self Clearing Punch Forceps . . . . . . . . . . . .137

Keyhole Plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .162

Keyless Chuck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123

Kidney Dishes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .273

Killian Speculum . . . . . . . . . . . . . . . . . . . . . . . . .209, 269

Kilner Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . .262

Kimura Spatula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224

Kirschner/Arthrodesis Wire . . . . . . . . . . . . . . . . . . . .189

Kirschner Wire . . . . . . . . . . . . . . . . . . . . . . . . . .189, 191

Kit, AO (Cortical) Type Screws . . . . . . . . . . . . .144, 145

Kit, CCL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Kit, Dental Bur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238

Kit, External Fixation . . . . . . . . . . . . . . . . . . . . . . . . .102

Kit, Hip Replacement VI . . . . . . . . . . . . . . . . . . . . . . .202

Kit, Multisaw Surgical . . . . . . . . . . . . . . . . . . . . . . . . .120

Kit, Ophthalmic Surgery . . . . . . . . . . . . . . . . . . . . . .220

Kit, Rabbit Bur . . . . . . . . . . . . . . . . . . . . . . . . . .237, 251

Kit, Rodent Dental . . . . . . . . . . . . . . . . . . . . . . . . . . .252

Kit, Sherman Type Screws . . . . . . . . . . . . . . . . . . . . .182

Kit, Thoracic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .206

Kit, TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

Kitt "E" Tube Koller . . . . . . . . . . . . . . . . . . . . . . . . . . .214

Klima Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .253

Knee Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . .203

Knot Tier and Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . .69

Kocher Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .258

LLabels, Dental Chart . . . . . . . . . . . . . . . . . . . . . . . . .248

Lachrymal Cannula . . . . . . . . . . . . . . . . . . . . . . . . . .225

Lachrymal Duct Cannula . . . . . . . . . . . . . . . . . . . . . .254

LACK Parallel Circuits . . . . . . . . . . . . . . . . . . . . . . . .293

Lag Pin, External Fixator . . . . . . . . . . . . . . . . . . . . . .109

Laminectomy Rongeurs . . . . . . . . . . . . . . . . . . . . . . .136

Langenbeck Retractors . . . . . . . . . . . . . . . . . . . . . . .263

Laparoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68

Laparoscopes for Minimally Invasive Surgery . . . . . . .68

Laparoscopes Standard . . . . . . . . . . . . . . . . . . . . . . . .68

Laparoscopy 5mm Instruments . . . . . . . . . . . . . . . . . .68

Laparoscopy Hand Instruments . . . . . . . . . . . . . . . . . .68

Laparoscopy Needle Veress . . . . . . . . . . . . . . . . . . . .69

Laparoscopy Starter Ki . . . . . . . . . . . . . . . . . . . . . . . . .68

Large Silicone Endotracheal Tubes . . . . . . . . . . . . .297

Large twin point reduction forceps with Spinlock . . . .72

Laryngoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295

Lateral Button Suture . . . . . . . . . . . . . . . . . . . . . . . . . .14

Lateral Button Suture LigaFiba Double 250LB . . . . . .14

Lateral Suture — LigaFiba . . . . . . . . . . . . . . . . . . . . . . .12

Lateral Sutures LigaFiba with Crimp . . . . . . . . . . . . . .12

Lateral Suture Anchor System, Isometric . . . . . . . .15, 17

Lateral Suture and Crimps Nylon . . . . . . . . . . . . . . . . .10

Lateral Suture Tension Device . . . . . . . . . . . . . . . . . . .13

331

Laube 505 Cordless Clipper . . . . . . . . . . . . . . . . . . . .319

Laube Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Leader Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Leader Line/Needles/Crimps . . . . . . . . . . . . . . . . . . . . .9

LED Camera . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .205

LED Head Torch With Hands Free On/Off . . . . . . . . .225

LED Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225

LED Option, 2.5 Loupe . . . . . . . . . . . . . . . . . . . . . . . .229

Left Handed Instruments . . . . . . . . . . . . . . . . . . . . . .273

Lempert Rongeur . . . . . . . . . . . . . . . . . . . . . . . . .82, 136

Lengthening Plates . . . . . . . . . . . . . . . . . . . . . . . . . .173

Leonardo Mini ESF . . . . . . . . . . . . . . . . . . . . . . . . . .106

Lesser Wire Passer . . . . . . . . . . . . . . . . . . . . . . . . . . .78

Lesser Wire Passer/ Retreival Forceps Large . . . . . .78

Lever, Arthroscopic Stifle . . . . . . . . . . . . . . . . . . . . . . .41

Lewin Femur Grasping Forceps . . . . . . . . . . . . . . . . .202

Ligaclip Re-usable Clip Applicator . . . . . . . . . . . .30, 207

Ligaclip Titanium Clips . . . . . . . . . . . . . . . . . . . . . . . . .30

LigaFiba — ISO Toggle Sutures . . . . . . . . . . . . . . . . . .15

LigaFiba — Lateral Button Suture . . . . . . . . . . . . . . . . .14

LigaFiba Lateral Button Suture Double 250LB . . . . . .14

LigaFiba Lateral Suture with Crimp . . . . . . . . . . . . . . .12

LigaFiba Lateral Sutures 75LB . . . . . . . . . . . . . . . . . . .13

LigaFiba — Tendon Sutures . . . . . . . . . . . . . . . . . . . . .12

LigaFiba Hip Toggle . . . . . . . . . . . . . . . . . . . . . . . . . . .54

Ligament/Cartilage Clamp . . . . . . . . . . . . . . . . . . . . . .42

Light Source, Halogen . . . . . . . . . . . . . . . . . . . . . . . . .62

Light Source, Xenon . . . . . . . . . . . . . . . . . . . . . . . . . . .62

Light Sources & Cables . . . . . . . . . . . . . . . . . . . . . . . .62

Light Sources & Magnification . . . . . . . . . . . . . .225-229

Lighting, Theatre . . . . . . . . . . . . . . . . . . . . . . . . .310-311

Lights LED . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225, 229

Limb Lengthening - Linear Motor . . . . . . . . . . . . . . . .117

Limb Suspension Stand, Tabletop . . . . . . . . . . . .66, 111

Limited Contact Compression Plate . . . . .156, 159, 162

Linear Cutter, Ethicon . . . . . . . . . . . . . . . . . . . . . . . .207

Linear Distractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114

Linear Fixator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104

Linear StaplerTX, Ethicon . . . . . . . . . . . . . . . . . . . . .207

Linvatec Shaver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Lip Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247

Lister Bandage Scissors . . . . . . . . . . . . . . . . . . . . . .266

Lister Speculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221

Liston Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . .83

Littauer Stitch Scissors . . . . . . . . . . . . . . . . . . . . . . . .267

Lloyd Davis Bowel Clamp . . . . . . . . . . . . . . . . . . . . .211

Load Neutral Drill Guides . . . . . . . . . . . . . . . . . . . . . .150

Locking 2.7 Plates . . . . . . . . . . . . . . . . . . . . . . . . . . .167

Locking DPO/TPO Plates . . . . . . . . . . . . . . . . . . . .48-49

Locking Pancarpel Arthrodesis Plate . . . . . . . . . . . . .167

Locking Plates . . . . . . . . . . . . . . . . . . . . . . .22, 166, 167

Locking Plates 2.4 . . . . . . . . . . . . . . . . . . . . . . . . . . .167

Locking Plate and Screw Set in Premium Box . . . . . .172

Locking Plates with Stacked locking holes . . . . . . . .166

Locking Plug 2.7/3.5mm . . . . . . . . . . . . . . . . . . . . . . .168

Locking Screws . . . . . . . . . . . . . . . . . . . . . . .24, 168-172

Locking Screws 2.4 . . . . . . . . . . . . . . . . . . . . . .169, 171

Locking Screw Set . . . . . . . . . . . . . . . . . . . . . . .168, 172

Locking Screw Taps . . . . . . . . . . . . . . . . . .24, 146, 169

Locking Screws with Star Drive, 2.0mm . . . . . . . . . .171

Locking TPO/DPO Plate . . . . . . . . . . . . . . . . . . . . . . .49

Locking TPO/DPO Plates, VI . . . . . . . . . . . . . . . . . . .49

Locking TPLO Plate broad . . . . . . . . . . . . . . . . . . . . .23

Lone Star Ring Retractor . . . . . . . . . . . . . . . . . . . . . .210

Loop, Ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218

Lotion Bowls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .273

Loupe Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . .226

Loupes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226-229

Loupes — Heine . . . . . . . . . . . . . . . . . . . . . . . . . .228-229

Low Speed Motor . . . . . . . . . . . . . . . . . . . . . . . . . . . .236

Lowman Bone Clamp . . . . . . . . . . . . . . . . . . . . . . . . . .74

Lube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .277

Lubrication, Air Instruments . . . . . . . . . . . . . . . . . . . .133

Lubrication, Surgical Instruments . . . . . . . . . . . . . . . .277

Lubricants — Sterilit . . . . . . . . . . . . . . . . . . . . . . . . . . .132

Luxator Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .245

Luxator, Rabbit Incisor . . . . . . . . . . . . . . . . . . . . . . . .251

Luxators, Dental . . . . . . . . . . . . . . . . . . . . . . . . .244-245

Lyostypt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139

MMalleable Instrument Set . . . . . . . . . . . . . . . . . . . . .218

Malleable Retractor . . . . . . . . . . . . . . . . . . . . . . . . . .263

Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87

Mallet — TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Mangeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Mangeurs, Coughlan Soft Tissue . . . . . . . . . . . . . . . . .53

Manipler Skin Stapler . . . . . . . . . . . . . . . . . . . . . . . . .255

Marker, Surgical Skin . . . . . . . . . . . . . . . . . . . . . . . . .273

Marking Tape, Instruments . . . . . . . . . . . . . . . . . . . .278

Maquet Technique, Modified . . . . . . . . . . . . . . . . . . . .36

Mask, Cat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .294

Mask, Small Exotic . . . . . . . . . . . . . . . . . . . . . . . . . . .294

Masks, Anaesthetic . . . . . . . . . . . . . . . . . . . . . . . . . .294

Masks, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285

Matrx by Midmark Anaesthesia Range . . . . . . . .288-292

Mats, Patient & Antifatigue . . . . . . . . . . . . . . . . . . . . .316

MaxiDriver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124

Maxi Driver 3 Modular System . . . . . . . . . . . . . . . . . .124

Mayo and Mayo Hegar (T.C.) Needle Holders . . . . . .262

Mayo Instrument Table . . . . . . . . . . . . . . . . . . . . . . .309

Mayo Safety Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . . .259

Mayo Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .268

McIndoe Bone Cutters . . . . . . . . . . . . . . . . . . . . . . . . .83

McKee Distractor with Speedlock . . . . . . . . . . . . . . .139

McPhails Needleholders . . . . . . . . . . . . . . . . . . . . . .261

Medial Pantarsal Arthrodesis Plates, With T4 Slots .178

Medipaws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90

Medium Platform Scales . . . . . . . . . . . . . . . . . . . . . .312

Meniscus Knife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Meniscus Probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Meniscus Probe 2.2mm very fine handle

for arthroscopy . . . . . . . . . . . . . . . . . . . . . . . . . . . .42, 59

Meniscus Punch - Slender Angled . . . . . . . . . . . . . . . .60

Meniscus Surgery Set . . . . . . . . . . . . . . . . . . . . . . . . .43

Menisectomy Instruments . . . . . . . . . . . . . . . . . . . . . .42

Mesh, Polyester . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213

Metric Ruler, VI . . . . . . . . . . . . . . . . . . . . . . . . . .88, 194

Metzenbaum Scissors . . . . . . . . . . . . . . . . . . . . . . . .268

332

Meyerding Retractor . . . . . . . . . . . . . . . . . . . . . .199, 201

Meynard Fixation Clamps . . . . . . . . . . . . . . . . . . . . .105

Micro Driver Modular System . . . . . . . . . . . . . . . . . . .122

Micro 90 Concentrate . . . . . . . . . . . . . . . . . . . . . . . . .277

Micro Friedman Rongeurs . . . . . . . . . . . . . . . . . .82, 136

Micro Hohman Retractor 4mm Short Tip . . . . . . . . . . .52

Micro Hohman Retractor 4mm Short Tip with narrow shaft for arthroscopy . . . . . . . . . . . . .52, 59

Micromotor — Dental / Surgical . . . . . . . . . . . . . . . . . .235

Micromotor, Dental . . . . . . . . . . . . . . . . . . . . . . . . . . .235

Midmark Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . .232

Mill, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

Milling Drill designed by van Ryssen & van Bree . . . .59

Mini Bone Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . .155

Mini Hohman Broad Blade Short Tip . . . . . . . . . . . . . .52

Mini Tightrope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

MiniDriver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122

MiniDriver & Attachments . . . . . . . . . . . . . . . . . .122-123

MiniDriver - Keyless Chuck . . . . . . . . . . . . . . . . . . . .123

Mini Friedman Rongeurs . . . . . . . . . . . . . . .82, 136, 219

Mini Gelpi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .217, 265

Mini Hohman 6mm & 8mm short tip . . . . . . . . . . . . . . .52

Mini Multipronged Retractors . . . . . . . . . . . . . . . . . . .265

Mini Rechargeable Drill . . . . . . . . . . . . . . . . . . . . . . .119

Mini Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .312

Mini Self Retaining Retractors . . . . . . . . . . . . . . . . . .265

Miniature Foster Gillies . . . . . . . . . . . . . . . . . . . . . . .261

Minos 200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128

Minos A200 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128

MIPO Periosteal Elevator . . . . . . . . . . . . . . . . . . . . . .84

Mobiliser, Rosens . . . . . . . . . . . . . . . . . . . . . . . . . . . .140

Mobility Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94

Mobility Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94

Modified Ayres ‘T’ Piece . . . . . . . . . . . . . . . . . . . . . . .293

Modified Maquet Technique . . . . . . . . . . . . . . . . . . . . .36

Modular Diamond Rasp . . . . . . . . . . . . . . . . . . . . . . . .47

Modular Forceps with Rotating Punch (spine) . . . . .137

Modular Osteotome . . . . . . . . . . . . . . . . . . . . . . . .47, 86

Modular Kerrison with 3 Inserts - Self Cleaning . . . . .137

Modular Metal Screwdriver with inserts . . . . . . . . . . .149

Molar Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250

Molar Extraction Forceps . . . . . . . . . . . . . . . . . . . . . .251

Molar Luxator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .251

Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250

Molt Periosteal Elevator 2/4 (4mm/6mm) . . . . . . . . . .245

Monitor, Apalert . . . . . . . . . . . . . . . . . . . . . . . . . . . . .298

Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .299-303

Monocular Hand Held Indirect Ophthalmoscope . . . .231

Monopolar Electrosurgery . . . . . . . . . . . . . . . . . . . . .315

Morris Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .263

Mosquito Forceps Halstead . . . . . . . . . . . . . . . . . . . .258

Mouth Gag, Grays, Smith Baxter . . . . . . . . . . . . . . . .247

Mouth Gag, Rodent . . . . . . . . . . . . . . . . . . . . . . . . . .249

Mouthwash/Disinfectant . . . . . . . . . . . . . . . . . . . . . . .241

Mouth Wedge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247

MPX Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125

MPX Modular System . . . . . . . . . . . . . . . . . . . . . . . . .125

MPZ Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .125

MPZ Modular System . . . . . . . . . . . . . . . . . . . . .124-125

Multi Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66, 318

Multi Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120

Multi Saw Variable Speed 240v . . . . . . . . . . . . . . . . .120

Multipack — Sterile CCL Pack . . . . . . . . . . . . . . . . . . . . .9

Multisaw Blades . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121

NNail Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .320

Nanopaste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38, 195

Naso Gastric Feeding Tubes small animal . . . . . . . .214

Needle Arthroscope, 1.9 mm with Arthroscopic Sheath . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Needle Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255

Needle Driver Heavy Duty . . . . . . . . . . . . . . . . . . . . . .11

Needle, Fabella/Cruciate . . . . . . . . . . . . . . . . . . . . . . .10

Needle, Flushing . . . . . . . . . . . . . . . . . . . . . . . . . . . .254

Needle, Interosseus Infusion . . . . . . . . . . . . . . . . . . .254

Needle, Oral Dosing . . . . . . . . . . . . . . . . . . . . . . . . . .255

Needle, Spine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255

Needle, Spruells . . . . . . . . . . . . . . . . . . . . . . . . . . . . .254

Needle, Suture . . . . . . . . . . . . . . . . . . . . . . . . . .256-257

Needleholders . . . . . . . . . . . . . . . . . . . . . . . . . . .261-263

Needleholders, Ophthalmic . . . . . . . . . . . . . . . . .222-223

Needleholder/Scissor — Castroviejo . . . . . . . . . .222, 261

Needles, Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .254

Needles, Nitinol Looped . . . . . . . . . . . . . . . . . . . . . . . .16

Negative Thread Pins Bicortical . . . . . . . . . . . . . . . . .108

Negative Thread Pins Uni Cortical (Ellis Type) . . . . .108

Negative Thread Pins, Coarse Thread . . . . . . . . . . . .108

Negative Thread Pins, Fine Thread . . . . . . . . . . . . . .108

Negus Forceps, Tonsil . . . . . . . . . . . . . . . . . . . . . . . .259

Nerve Hook . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140

Nitinol Looped Needles . . . . . . . . . . . . . . . . . . . . . . . .16

Nose Cone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .236

NSK Dental / Surgical Micromotor . . . . . . . . . . . . . . .235

Nut, Cortical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193

OObstetrical Items, Misc. . . . . . . . . . . . . . . . . . . . . . . .209

OCD Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Oesophageal FB Grasping Forceps Medium . . . . . . .204

Oesophageal Foreign Body Forceps . . . . . . . . . . . . .204

Oesophageal Stethoscope . . . . . . . . . . . . . . . . . . . . .297

Oesophagostomy Tube System . . . . . . . . . . . . . . . . .214

Oesophascope — Foreign Body . . . . . . . . . . . . . . . . .205

Offset Pin Punch . . . . . . . . . . . . . . . . . . . . . . . . .85, 191

Oil, Air Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . .133

Oil, Instrument . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .277

Olsen Hegar Scissor / Needleholder . . . . . . . . . . . . .262

Operating Gowns . . . . . . . . . . . . . . . . . . . . . . . .283-284

Ophthalmic Capsule Forceps . . . . . . . . . . . . . . . . . . .222

Ophthalmic Diagnostic Instruments . . . . . . . . . . . . . .220

Ophthalmic Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220

Ophthalmic Needleholders . . . . . . . . . . . . . . . . .222-223

Ophthalmic Scissors . . . . . . . . . . . . . . . . . . . . . .223-224

Ophthalmoscope Kits . . . . . . . . . . . . . . . . . . . . .304-306

Ophthalmoscopes . . . . . . . . . . . . . . . . . . . .231, 304-306

Oral Dosing Needles . . . . . . . . . . . . . . . . . . . . . . . . .255

Ormrod Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193

Orthomix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

333

Orthopaedic Distractors . . . . . . . . . . . . . . . . . . . . . . . .88

Orthopaedic Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . .87

Orthopaedic Wire . . . . . . . . . . . . . . . . . . . . . . . . . . . .192

Orthopaedic, Ruler . . . . . . . . . . . . . . . . . . . . . . . . . . .194

Orthopaedic, Starter Kits . . . . . . . . . . . . . . . . . . . . . . .79

Orthopaedics, Feline (Book) . . . . . . . . . . . . . . . . . . .321

Oscillating Prophy Head . . . . . . . . . . . . . . . . . . .235, 237

Ossiflex Bone Membrane . . . . . . . . . . . . . . . . . . . . . .245

Osteoallograft Orthomix . . . . . . . . . . . . . . . . . . . . . . . .39

Osteoallograft Periomix . . . . . . . . . . . . . . . . . . . . . . .245

Ostoscope, Wireless . . . . . . . . . . . . . . . . . . . . . .306-307

Osteotome, Gordon Coronoid . . . . . . . . . . . . . . . . . . .59

Osteotomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59

Osteotome - modular . . . . . . . . . . . . . . . . . . . . . . .47, 86

Osteotome, Stubby . . . . . . . . . . . . . . . . . . . . . . .87, 263

Oster Clipper Blades . . . . . . . . . . . . . . . . . . . . . . . . .319

Oster Clippers A5 . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Otoscope Attachment . . . . . . . . . . . . . . . . . . . . . . . . .306

Otoscope - FireFly . . . . . . . . . . . . . . . . . . . . . . . . . . .307

Otoscope Heads and Accessories . . . . . . . . . . . . . . .306

Otoscope, Wireless . . . . . . . . . . . . . . . . . . . . . . .306-307

Ovariohysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . .208

Oxygen Concentrator . . . . . . . . . . . . . . . . . . . . . . . . .291

Oxygen Generator/Concentrator . . . . . . . . . . . . . . . .291

Oxygen Reduction Valve . . . . . . . . . . . . . . . . . . . . . .292

PPadded Splints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92

Padlock Security Tags with Indicator . . . . . . . . . . . . .279

Palpation Probe and Puncture Cannula . . . . . . . . . . . .69

Pantarsal Arthrodesis Plate . . . . . . . . . . . . . . . . . . . .178

Pantarsal Arthrodesis Plates, Canine Cranial . . . . .179

Parallel Action Pliers . . . . . . . . . . . . . . . . . . . . . . . . . .76

Parameter Monitors . . . . . . . . . . . . . . . . . . . . . .299-302

Parrot Ring Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . .320

Partial Carpal Arthrodesis Plates . . . . . . . . . . . . . . . .177

Passer, Gigli Wire - Nick Vanvooren . . . . . . . . . . . . . .50

Pen Torch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226

Penrose Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .219

Perasafe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67, 277

Percussion Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . .135

Periodontal Hand Instrument Set . . . . . . . . . . . . . . . .242

Periomix Osteoallograft . . . . . . . . . . . . . . . . . . . . . . .245

Periosteal Elevator, MIPO . . . . . . . . . . . . . . . . . . . . .84

Periosteal Elevators, Orthopaedic . . . . . . . . . . . . .83-84

Periosteal Elevators, Spine . . . . . . . . . . . . . . . . . . . .140

PetMAP Blood Pressure Measurement . . . . . . . . . . .307

Piezo Scaler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .240

Piezo Scaler with Detachable Handpiece . . . . . . . . .240

Piezo Scaler With Detachable, Autoclavable Handpiece . . . . . . . . . . . . . . . . . . . . . .240

Pin Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86, 191

Pin Cutters . . . . . . . . . . . . . . . . . . . . . . . . . . .75, 76, 110

Pin Grip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

Pin Punch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86, 191

Pin Punch - Offset . . . . . . . . . . . . . . . . . . . . . . . .85, 191

Pin Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188

Pin Vice, Small . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

Pinna Haematoma System . . . . . . . . . . . . . . . . . . . .217

Pins, External Fixation . . . . . . . . . . . . . . . . . . . .107-109

Pins, Fragment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190

Pins, Intramedullary . . . . . . . . . . . . . . . . . . . . . . . . . .188

Pins, Steinman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188

Plaque Discloser . . . . . . . . . . . . . . . . . . . . . . . . . . . .241

Plaster Cutting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

Plaster Saw, Engels . . . . . . . . . . . . . . . . . . . . . . . . . . .84

Plaster Shears . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

Plaster Spreaders . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

Plastic Training Bones . . . . . . . . . . . . . . . . . . . . . . . .321

Plate Bending Equipment . . . . . . . . . . . . . . . .80-81, 151

Plate Bending Pliers AO Type . . . . . . . . . . . . . . . . . . .81

Plate Holding Forceps . . . . . . . . . . . . . . . . . . . . . . . . .74

Plates and Screws, Sherman and Round Hole . .182-185

Plates, Acetabular . . . . . . . . . . . . . . . . . . . . . . . . . . .175

Plate Benders — Delta TPLO . . . . . . . . . . . . . . . . . . . .29

Plates, Bending, Templates . . . . . . . . . . . . . . . . . . . .151

Plates, Biological Healing . . . . . . . . . . . . . . . . . . . . . .173

Plates, Carpal Arthrodesis . . . . . . . . . . . . . . . . . . . . .177

Plates, Cat Pantarsal Cranial Position . . . . . . . . . . . .179

Plates, Compression .155, 156, 157, 158, 159, 161, 162

Plate Forceps, Forkless TTA . . . . . . . . . . . . . . . . . . . .35

Plate Holding/Drill Guide Forceps . . . . . . . . . . . . . . . .74

Plates, 1.0mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152

Plates, Lengthening . . . . . . . . . . . . . . . . . . . . . . . . . .174

Plates, Locking . . . . . . . . . . . . . . . . . . . . . . .22, 166-167

Plates, Medial Pantarsal Arthrodesis With T4 Slots .178

Plates, Pantarsal Arthrodesis . . . . . . . . . . . . . . . . . . .178

Plates, Reconstruction . . . . . . . . . . . . . . . . . . . . . . . .172

Plates, Supracondylar . . . . . . . . . . . . . . . . . . . . . . . .175

Plates, T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174

Plates, TPLO . . . . . . . . . . . . . . . . . . . . . . . . .22, 28, 174

Plates, TPO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48-49

Plates, TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

Platform Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . .312

Pliers, Parallel Action . . . . . . . . . . . . . . . . . . . . . . . . . .76

Pliers, Wire Contouring . . . . . . . . . . . . . . . . . . . . . . . .76

Polishing Kit Including NM300 Micromotor . . . . . . . .235

Polymethacylate Beads . . . . . . . . . . . . . . . . . . . . . . .252

Poole Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . .313

Pooley’s Conjunctival Scissors . . . . . . . . . . . . . . . . .223

Portable Cordless Cautery Kit . . . . . . . . . . . . . . . . . .314

Positioning Aids . . . . . . . . . . . . . . . . . . . . . . . . . .66, 318

Positive Threaded Pins . . . . . . . . . . . . . . . . . . . . . . .109

Power Sources, Heine . . . . . . . . . . . . . . . . . . . . . . . .304

Power Tools — Blue Line . . . . . . . . . . . . . . . . . . . . . .126

Pre-contoured TTO plates . . . . . . . . . . . . . . . . . . . . . .27

Pre Drills, ESF Pins . . . . . . . . . . . . . . . . . . . . . . . . . .110

Premium Instrument Boxes . . . . . . . . . . . . . . . . . . . .272

Premium TTA Case . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Pressure Infusion Cuff, Hand . . . . . . . . . . . . . . . . . . . .64

Pressure Pump Infusor . . . . . . . . . . . . . . . . . . . . . . . . .64

Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270

Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .236

Prophy Head . . . . . . . . . . . . . . . . . . . . . . . . . . . .236-237

Prophy Paste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .237

Protective Autoclaveable Tips . . . . . . . . . . . . . . . . . .278

Protractor TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133

Puddle Vac Floor Suction Device . . . . . . . . . . . . . . . . .67

Pull Knife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Pulse Oximeter, Henry Schein . . . . . . . . . . . . . . . . . .298

Pump Infusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .303

Pump, Arthroscopic . . . . . . . . . . . . . . . . . . . . . . . . . . .64

334

Punch, K wire/Pin . . . . . . . . . . . . . . . . . . . . . . . . .86, 191

Punch, Stubby . . . . . . . . . . . . . . . . . . . . . . . . . . .86,191

Push Knife . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

PushPull Suture Passer . . . . . . . . . . . . . . . . . . . . . . .13

PVC Stomach Tube . . . . . . . . . . . . . . . . . . . . . . . . . .213

QQuick Release Tap Handle AO/Synthes Fit . . . . . . . .146

Quick Release Tap Handle Dental Fit . . . . . . . . . . . .146

RRabbit Bur Kit . . . . . . . . . . . . . . . . . . . . . . . . . . .237, 251

Rabbit Dental Kits . . . . . . . . . . . . . . . . . . . . . . . . . . .252

Rabbit Dental Model . . . . . . . . . . . . . . . . . . . . . . . . . .250

Rabbit Lachrymal Duct Cannulae . . . . . . . . . . . . . . .254

Rabbit Nasolachrymal Duct Cannulae . . . . . . . . . . . .225

Rabbit Ring Cutters . . . . . . . . . . . . . . . . . . . . . . . . . .320

Rack Bur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129

Radial Cut TPLO Blades . . . . . . . . . . . . . . . . . . . . . .132

Radio opaque ruler . . . . . . . . . . . . . . . . . . . . . . .89, 194

Rampleys Sponge Forceps . . . . . . . . . . . . . . . . . . . .269

Rapidex Cleaner . . . . . . . . . . . . . . . . . . . . . . . . . . . .276

Rapizyme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67, 276

Rasenberg TPO Plate . . . . . . . . . . . . . . . . . . . . . . . . .48

Rasp, Block Resection . . . . . . . . . . . . . . . . . . . . . . . . .47

Rasp, Combination Set . . . . . . . . . . . . . . . . . . . . . . . .51

Rasp, Diamond Rodent Molar . . . . . . . . . . . . . . . . . .250

Rasp, Excision Arthroplasty . . . . . . . . . . . . . . . . . . . . .51

Rasp, Femoral . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201

Rasp, Rodent Molar . . . . . . . . . . . . . . . . . . . . . . . . . .250

Rasp, Trochlea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47

Rat Tooth Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .261

Ratchet Spanner . . . . . . . . . . . . . . . . . . . . . . . . . . . .111

Reamer Femoral . . . . . . . . . . . . . . . . . . . . . . . . . . . .201

Rear Leg Hobbles . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Rebreathing Bags . . . . . . . . . . . . . . . . . . . . . . . . . . .294

Reconstruction Plate Pliers . . . . . . . . . . . . . . . . . . . . .80

Reconstruction Plates/Cuttable Malleable. . . . . .172-173

Reciprocating Saw - VI . . . . . . . . . . . . . . . . . . . . . . . .127

Redmark Cradles . . . . . . . . . . . . . . . . . . . . . . . . .66, 318

Reduction Forceps . . . . . . . . . . . . . . . . . . . . . . . . .71-72

Reduction Forceps Large with Spinlock . . . . . . . . . . .72

Reduction Forceps with Hard Wire Guide . . . . . . . . . .71

Reduction Forceps, TPLO with Wire Guide . . . . . . . . .30

Reduction Forceps, TTA Spinlock . . . . . . . . . . . . . . . .35

Reduction Valves For Anaesthetic Gases . . . . . . . . .292

Reference Ball, Radiographic . . . . . . . . . . . . . . .89, 194

Reference Ball, Radiographic . . . . . . . . . . . . . . .89, 194

Regulator, Medical Air . . . . . . . . . . . . . . . . . . . . . . . .133

Regulator, Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . .133

Reloads, Ethicon Staplers . . . . . . . . . . . . . . . . . . . . .207

Remover, Staple . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255

Resano Bowel Clamp . . . . . . . . . . . . . . . . . . . . . . . . .211

Resco Guillotine Type Nail Cutter . . . . . . . . . . . . . . .320

Resuscitation Bag . . . . . . . . . . . . . . . . . . . . . . . . . . .294

Retractor Self Retaining Caspar . . . . . . . . . . . . . . . .138

Retractor, Hand Held . . . . . . . . . . . . . . . . . . . . . . . . .263

Retractor, Hohman . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Retractor, Lip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247

Retractor, Lone Star . . . . . . . . . . . . . . . . . . . . . . . . . .210

Retractor, Malleable . . . . . . . . . . . . . . . . . . . . . . . . . .263

Retractor, Meyerding . . . . . . . . . . . . . . . . . . . . . . . . .201

Retractor, Rib . . . . . . . . . . . . . . . . . . . . . . . . . . .206, 265

Retractor, Self Retaining . . . . . . . . . . . . . . . . . . .264-265

Retractors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .263-265

Retrieval Forceps Lesser . . . . . . . . . . . . . . . . . . . . . . .78

Rhinotomy / Plaster Saw Blade . . . . . . . . . . . . . . . . . .50

Rib Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . .206, 265

Rib Sheers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .206

Right Angled Clamps . . . . . . . . . . . . . . . . . . . . . . . . .206

Ring Cutters, Bird . . . . . . . . . . . . . . . . . . . . . . . . . . . .320

Ring Cutters, Parrot . . . . . . . . . . . . . . . . . . . . . . . . . .320

Ring Cutters, Rabbit . . . . . . . . . . . . . . . . . . . . . . . . . .320

Ring Fixator Components . . . . . . . . . . . . . . . . . .116-118

Ring Fixator Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . .115

Ring Fixator wire guide . . . . . . . . . . . . . . . . . . . . . . .116

Ring Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .211

Robert’s Tying Forceps . . . . . . . . . . . . . . . . . . . . . . .223

Rochester Pean Artery Forceps . . . . . . . . . . . . . . . . .258

Rodent Cheek Dilators . . . . . . . . . . . . . . . . . . . . . . . .249

Rodent Dental kits . . . . . . . . . . . . . . . . . . . . . . . . . . .252

Rodent Molar Cutter . . . . . . . . . . . . . . . . . . . . . . . . . .250

Rodent Molar Rasp . . . . . . . . . . . . . . . . . . . . . . . . . .250

Rodent Mouth Gag . . . . . . . . . . . . . . . . . . . . . . . . . . .249

Rodent Spatula . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .249

Rongeur - Friedman . . . . . . . . . . . . . . . . . . . . . . . . . .136

Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82

Rongeurs & Punches (spine) . . . . . . . . . . . . . . .135-137

Rongeurs, Bulla . . . . . . . . . . . . . . . . . . . . . . . . . . . . .219

Rongeurs, Micro Spine . . . . . . . . . . . . . . . . . . . . . . . .136

Rongeurs, Spine . . . . . . . . . . . . . . . . . . . . . . . . .135-136

Root Fragment Set . . . . . . . . . . . . . . . . . . . . . . . . . . .246

Root Tip Extraction Forceps . . . . . . . . . . . . . . . . . . . .252

Rosens Mobiliser . . . . . . . . . . . . . . . . . . . . . . . . . . . .140

Rosenthal Needle . . . . . . . . . . . . . . . . . . . . . . . . . . . .253

Rotation Chart, TPLO . . . . . . . . . . . . . . . . . . . . . . . . .29

Rotation Gauge, TPLO Divider Type . . . . . . . . . . . . . .29

Roto-Pro Burs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .238

Ruler, Metric VI . . . . . . . . . . . . . . . . . . . . . . . . . .88, 194

Ruler, Orthopaedic . . . . . . . . . . . . . . . . . . . . . . . .88, 194

Ruler with Radio Opaque 1.0mm Scale . . . . . . .88, 194

Rush Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196

Ruskin Bone Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . .82

Ruskin Rongeur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82

Ryder (Micro) Needleholder . . . . . . . . . . . . . . . . . . . .223

Ryder Needleholder . . . . . . . . . . . . . . . . . . . . . . . . . .262

SSafety Pin Cutter to 4mm . . . . . . . . . . . . . . . . . . . . . .110

Safety Pin, Mayo . . . . . . . . . . . . . . . . . . . . . . . . . . . .259

Safety Sponge Forceps . . . . . . . . . . . . . . . . . . . . . . . .69

Saggital Saw - VI . . . . . . . . . . . . . . . . . . . . . . . . . . . .127

Salvage Kit — Screw . . . . . . . . . . . . . . . . . . . . . . . . . .151

Salvage Plate - Forelimb . . . . . . . . . . . . . . . . . . . . . .177

Satinsky Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . .216

335

Saw, Adjustable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50

Saw, Aesculap Acculan Battery TPLO . . . . . . . . . . .130

Saw, Air Driven, Desoutter MPX . . . . . . . . . . . . . . . .125

Saw, Air Driven, Desoutter MPZ . . . . . . . . . . . . . . . .124

Saw, Battery Powered, Orthopaedic . . . . . . . . . . . . .120

Saw, Blades, Adjustable Bone Saw . . . . . . . . . . . . . . .50

Saw, Blades, MPX . . . . . . . . . . . . . . . . . . . . . . . . . . .125

Saw, Blades, MPZ . . . . . . . . . . . . . . . . . . . . . . . . . . .124

Saw, Blades, Multi Saw . . . . . . . . . . . . . . . . . . . . . . .121

Saw De-Soutter Slocum TPLO . . . . . . . . . . . . . . . . .131

Saw, Gigli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50

Saw, Hard Backed . . . . . . . . . . . . . . . . . . . . . . . . . . . .47

Saw, Plaster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84

Saw, X-acto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47

Sawguide - Corrective Osteotomy System . . . . . . . . .46

Scaler, Hoe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .242

Scaler, Ultrasonic . . . . . . . . . . . . . . . . . . . . . . . .240-241

Scales, Large Platform . . . . . . . . . . . . . . . . . . . . . . . .312

Scales, Medium . . . . . . . . . . . . . . . . . . . . . . . . . . . . .312

Scales, Mini . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .312

Scalpel Blade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .271

Scalpel Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .271

Scalpel Handle — Saw Blades . . . . . . . . . . . . . . . . . . .50

Scalpel Handle & Blades, Beaver Type . . . . . . . .42, 271

Schiotz Tonometer with Weights . . . . . . . . . . . . . . . .230

Schroeder Tenaculum Forceps . . . . . . . . . . . . . . . . . .72

Scissors — Eye Enucleation . . . . . . . . . . . . . . . .224, 267

Scissors, Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . .266

Scissors, Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . .266

Scissors, Fibrewire . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Scissors, Hard Edge . . . . . . . . . . . . . . . . . . . . . . . . .268

Scissors, Iris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .267

Scissors, Mayo . . . . . . . . . . . . . . . . . . . . . . . . . .268-269

Scissors, Metzenbaum . . . . . . . . . . . . . . . . . . . .268-269

Scissors, Ophthalmic . . . . . . . . . . . . . . . . . . . . .223-224

Scissors, Stitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .267

Scissors, Supercut . . . . . . . . . . . . . . . . . . . . . . .268-269

Scissors, Surgical . . . . . . . . . . . . . . . . . . . . . . . .268-269

Scoops, Volkman . . . . . . . . . . . . . . . . . . . . . . . . .87, 269

SCOP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175

Screw And Implant Series, 1.0mm . . . . . . . . . . . . . .152

Screw Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . .145, 182

Screw Extraction Trephine . . . . . . . . . . . . . . . . . . . . .151

Screw Holding Forceps . . . . . . . . . . . . . . . . . . . . . . .150

Screw On Prophy Cups . . . . . . . . . . . . . . . . . . . . . . .236

Screw, Locking . . . . . . . . . . . . . . . . . . . .24-25, 168-171

Screw Salvage Kit . . . . . . . . . . . . . . . . . . . . . . . . . . .151

Screwbox for Titanium TTA Screws . . . . . . . . . . . .32, 33

Screwdriver, Cruciate . . . . . . . . . . . . . . . . . . . . . . . . .183

Screwdriver, Flat End . . . . . . . . . . . . . . . . . . . . . . . . .183

Screwdriver handle, 1.0mm . . . . . . . . . . . . . . . . . . . .153

Screwdriver insert, 1.0mm . . . . . . . . . . . . . . . . . . . . .153

Screwdriver, Hexagonal Head . . . . . . . . . . . . . .148-150

Screwdriver Set, Star Drive . . . . . . . . . . . . . . . . .25, 171

Screwdriver With Inserts, Modular Metal . . . . . . . . .149

Screws, 1.0mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152

Screws AO/ASIF type (Hex Head) . . . . . . . . . . .153-165

Screws, Self-tapping, Sherman . . . . . . . . . . . . .183-185

Screws, Suture . . . . . . . . . . . . . . . . . . . . . . . . . . .20, 180

Screws, Titanium . . . . . . . . . . . . . . . . . . . . . . . . .34, 181

Scribe, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31, 88

Scrub Dispenser, Stainless Steel . . . . . . . . . . . . . . .309

Scrubs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .282-283

Security Seal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .272

Self Centering Bone Holding Forceps . . . . . . . . . . . . .74

Self Retaining Retractor, Finsen . . . . . . . . . . . . . . . .264

Self Retaining Retractor, Gelpi, Travers, Wests, Weislander . . . . . . . . . . . . . . . . . . . .85, 264-265

Self-tapping Screws AO/ASIF (Hex head) . . . . .153-165

Self-tapping Screws Sherman (Slot head) . . . . .183-185

Senn (Cats Paw) Retractor . . . . . . . . . . . . . . . . .42, 263

Serrated Block End Dissecting Forceps . . . . . . . . . . .260

Serrated Bone Holding Forceps, X Small . . . . . . . . . .73

Set — Locking Screws . . . . . . . . . . . . . . . . . . . . . . . . .168

SF Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .103

Shaft screws 4.5mm for IOHC stainless . . . . . . . . . .164

Shaft screws 4.5mm for IOHC titanium . . . . . . . . . . .164

Shardell Towel Clips . . . . . . . . . . . . . . . . . . . . . . . . .270

Sharpening Accessories for Dental Instruments . . . .247

Shaver Arthrex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Shaver Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Sheas Curette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .141

Sherman Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185

Sherman Screw Boxes . . . . . . . . . . . . . . . . . . . . . . . .182

Sherman Self-tapping Equipment . . . . . . . . . . .182, 185

Shoulder stabilisation system . . . . . . . . . . . . . . . . . . . .92

Shield, Chandler's Gonadal . . . . . . . . . . . . . . . . .89,194

Shroud - Drill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119

Shroud - Multisaw . . . . . . . . . . . . . . . . . . . . . . . . . . . .120

Side Cutting Wire Cutter . . . . . . . . . . . . . . . . . . . . . . .75

Silicone Insert for Boxes . . . . . . . . . . . . . . . . . . . . . .272

Single packs of Arthrex corkscrew and Fastak II Suture Anchors & Tightrope Guidewires . . .17

Sismey Wire Introducer . . . . . . . . . . . . . . . . . . . . . . . .78

Sirius' Total Elbow Replacement . . . . . . . . . . . . . . . .203

Skid, Acetabular . . . . . . . . . . . . . . . . . . . . . . . . . . . . .201

Skin Marker Sterile Surgical . . . . . . . . . . . . . . . . . . .273

Skin Retractor, Aln . . . . . . . . . . . . . . . . . . . . . . . . . . .264

Skin Stapler Aesculap . . . . . . . . . . . . . . . . . . . . . . . .255

Skin Staplers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255

Sleeves, Insert, Soft Tissue . . . . . . . . . . . . . . . . . . . .148

Slit Head (Otoscope) . . . . . . . . . . . . . . . . . . . . . .304-305

Slit Lamp, Portable . . . . . . . . . . . . . . . . . . . . . . . . . . .231

Slocum Blade Adaptor . . . . . . . . . . . . . . . . . . . . . . . .120

Slocum Flat Blade Converter . . . . . . . . . . . . . . . . . . .133

Slocum Pre-Contoured TPLO Plates . . . . . . . . . . . . . .28

Slocum Rotation Gauges . . . . . . . . . . . . . . . . . . . . . . .29

Slocum Saw Flat Blade Adaptor . . . . . . . . . . . . . . . .133

Slocum Style TPLO Plates . . . . . . . . . . . . . . . . . . . . . .28

Slocum - Style TPO/DPO Plate . . . . . . . . . . . . . . . . . .48

Slocum TPLO Guide Pin . . . . . . . . . . . . . . . . . . . . . . .29

Slocum TPLO Saw De-Soutter . . . . . . . . . . . . . . . . .131

Small Angled Cutter . . . . . . . . . . . . . . . . . . . . . . . . . . .83

Small Animal Induction Chamber . . . . . . . . . . . . . . . .295

Small Distractor with Ratchet . . . . . . . . . . . . . . . . . . .88

Small Pin Vice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

Small Spine Distractor . . . . . . . . . . . . . . . . . . . . . . . .138

Smith Baxter Mouth Gag . . . . . . . . . . . . . . . . . . . . . .247

Smith Kerrison Punch Forceps . . . . . . . . . . . . . . . . .137

Snap On Prophy Cups . . . . . . . . . . . . . . . . . . . . . . . .236

Snap On Prophy Head . . . . . . . . . . . . . . . . . . . . . . . .236

Snellen’s Vectis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224

336

Soft Carry Stretcher . . . . . . . . . . . . . . . . . . . . . . . . . .316

Soft Edged Surgical Spoon . . . . . . . . . . . . . . . . . . . .213

Soft Palate Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . .216

Soft Tissue Products, Misc . . . . . . . . . . . . . . . . .213-214

Spacers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117

Spacers TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

Spanner Ratchet . . . . . . . . . . . . . . . . . . . . . . . . . . . .111

Spanners, ESF . . . . . . . . . . . . . . . . . . . . . . . . . .102, 111

Spatula, Disposable . . . . . . . . . . . . . . . . . . . . . . . . . .202

Spay Instruments . . . . . . . . . . . . . . . . . . . . . . . .208-209

Spay Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .209

Speculae, Ophthalmic . . . . . . . . . . . . . . . . . . . . . . . .221

Speculum, Bitch . . . . . . . . . . . . . . . . . . . . . . . . .209, 269

Speculum, Metal Closed . . . . . . . . . . . . . . . . . . . . . .305

Speculum, Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .221

Spencer Wells Artery Forceps . . . . . . . . . . . . . . . . . .258

Spike & Shield Odd Leg Retractor . . . . . . . . . . . . . . .138

Spikey Washers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181

Spin Lock Stifle Distractor . . . . . . . . . . . . . . . . . . . . . .45

Spinal Brace, MB . . . . . . . . . . . . . . . . . . . . . . . . . . . .141

Spinal Hook, Chase . . . . . . . . . . . . . . . . . . . . . . . . .140

Spinal Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255

Spinal Rongeurs . . . . . . . . . . . . . . . . . . . . . . . . .135-136

Spine Hand Probes & Curettes . . . . . . . . . . . . . . . . .140

Spinlock Reduction Forceps, TTA . . . . . . . . . . . . . . . .35

Splinting Rectangular Sheets . . . . . . . . . . . . . . . . . . . .91

Splints & Support . . . . . . . . . . . . . . . . . . . . . . . . . .90-93

Splints, Intravenous . . . . . . . . . . . . . . . . . . . . . . . . . .312

Splints, Thermoplastic . . . . . . . . . . . . . . . . . . . . . . . . .91

Splints, Thomas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Split Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

Sponge Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . .269

Sponge Forceps, Safety . . . . . . . . . . . . . . . . . . . . . . . .69

Spoon, Hatt . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53, 200

Spring Loaded Suture Needle Holder . . . . . . . . . . . .257

Spruell Needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . .254

St. Martin Dissecting Forceps . . . . . . . . . . . . . . . . . .260

Stapler Series, Ethicon . . . . . . . . . . . . . . . . . . . . . . . .207

Stapler, Linear Ethicon TX . . . . . . . . . . . . . . . . . . . . .207

Star Drive 2.0mm Locking Screws . . . . . . . . . . . . . .171

Star Drive Pattern Locking Screws . . . . . . . . . . .25, 170

Starter Kit - Arthroscopy . . . . . . . . . . . . . . . . . . . . . . . .58

Starter Kit — Laparoscopy . . . . . . . . . . . . . . . . . . . . . . .68

Starter Kit — Loupe . . . . . . . . . . . . . . . . . . . . . . . . . . .226

Starter Kits — Titanium Fessa . . . . . . . . . . . . . . . . . .106

Starter Kit — TPLO . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

Starter Set — TPLO Locking . . . . . . . . . . . . . . . . . . . .23

Starter Kit — TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

Starter Kit — TTO . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

Standard Arthroscope, 2.4 mm with Arthroscopic Sheath . . . . . . . . . . . . . . . . . . . . . . .57

Standard Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . .103

Standard Laparoscopes . . . . . . . . . . . . . . . . . . . . . . . .68

Standard Slocum Style TPLO Jig . . . . . . . . . . . . . . . . .28

Staple, Epiphyseal . . . . . . . . . . . . . . . . . . . . . . . . . . .193

Staple, Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .255

Stapler Remover . . . . . . . . . . . . . . . . . . . . . . . . . . . .255

Steinman Intra-Medullary Pins . . . . . . . . . . . . . . . . . .188

Sterile CCL Packs . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Sterile Surgical Skin Marker . . . . . . . . . . . . . . . . . . . .273

Sterilit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .132

Steriliser Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .269

Stethoscope Oesophageal . . . . . . . . . . . . . . . . . . . .297

Stethoscopes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .297

Steven’s Tenotomy Scissors . . . . . . . . . . . . . . . . . . .223

Stifle Brace Attachment . . . . . . . . . . . . . . . . . . . . . . . .66

Stifle Distractors & Spinlock versions . . . . . . . . . . . . . .45

Stifle Distractor - Miniature . . . . . . . . . . . . . . . . . . . . . .44

Stifle Icer - Canine Icer . . . . . . . . . . . . . . . . . . . . . . . . .97

Stifle Lever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Stifle Lever — Arthroscopic . . . . . . . . . . . . . . . . . . . . . .41

Stifle Lever — Small . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Stille - Luer Rongeur . . . . . . . . . . . . . . . . . . . . . .82, 136

Stimulation Unit, Electro - Muscle . . . . . . . . . . . . . . . .97

Stomach Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213

Stomach Tube Speculum . . . . . . . . . . . . . . . . . . . . .214

Strabismus Scissors . . . . . . . . . . . . . . . . . . . . . .223, 267

Straight Nose Cone . . . . . . . . . . . . . . . . . . . . . . . . . .236

Stretchers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .316

Stubby Osteotome . . . . . . . . . . . . . . . . . . . . . . . .87, 263

Stubby Punch . . . . . . . . . . . . . . . . . . . . . . . . . . . .86, 191

Subgingival Curette . . . . . . . . . . . . . . . . . . . . . . . . . .242

Suction Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .312

Suction Tip Holder, Autoclavable . . . . . . . . . . . . . . . .313

Suction Tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .313

Suction Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .313

Sulcoplasty instruments . . . . . . . . . . . . . . . . . . . . . . . .47

Supercut Scissors . . . . . . . . . . . . . . . . . . . . . . . .268-269

Superfine Elevator Straight . . . . . . . . . . . . . . . . . . . .244

Supracondylar Osteotomy Plate . . . . . . . . . . . . . . . .175

Supracondylar Plates . . . . . . . . . . . . . . . . . . . . . . . . .175

Surgairtome II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .128

Surgic AP Micromotor . . . . . . . . . . . . . . . . . . . . . . . .235

Surgical Approaches DVD - Dr Wing Tip Wong . . . . .45

Surgical Blades - Power Equipment . . . . . . . . . .121-126

Surgical Caps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285

Surgical Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Surgical Clogs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .283

Surgical Gown . . . . . . . . . . . . . . . . . . . . . . . . . . .283-284

Surgical Gown Disposable . . . . . . . . . . . . . . . . . . . . .284

Surgical Instrument Lubricant . . . . . . . . . . . . . . . . . .277

Surgical masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .285

Surgical Spoon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213

Surgical Wellies . . . . . . . . . . . . . . . . . . . . . . . . . . . . .283

Suture Anchor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17-20

Suture Anchor Pin . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Suture Anchor, Fastak II . . . . . . . . . . . . . . . . . . . . . . .17

Suture Anchors, Arthrex . . . . . . . . . . . . . . . . . . . . . . . .18

Suture Holding Forceps, Galibans . . . . . . . . . . . . . . .263

Suture Material — Braided Polyethene . . . . . . . . . .12-13

Suture Needle Holder, Spring Loaded . . . . . . . . . . . .257

Suture Needles . . . . . . . . . . . . . . . . . . . . . . . . . .256-257

Suture Passing Wire . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Suture Removal Scissors — Castroviejo . . . . . . .224, 267

Suture Screws . . . . . . . . . . . . . . . . . . . . . . . . . . .20, 180

Suture Screw Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

Suture Screws — Universal Insertion Tool . . . . . .20, 180

Swann Morton Blades & Handles . . . . . . . . . . . . . . . .42

Swivelock Anchor . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Swivelok, Arthrex . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Synthes Quick Fit Adaptor - Jacobs . . . . . . . . . . . . . .119

Synthes, Quick Fit Taps . . . . . . . . . . . . . . . . . . . . . . .146

337

TT Bar Hex Driver . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133

T Bar Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146

T Bar Wrench for KE clamps . . . . . . . . . . . . . . . . . . .111

T Piece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .293

T Piece Scavenge Connector . . . . . . . . . . . . . . . . . .293

T Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174

Table Top Rabbit Gag Economy Model . . . . . . . . . . .249

Table Top Rabbit Gag LED Light . . . . . . . . . . . . . . . .249

Table Top Rodent Gag . . . . . . . . . . . . . . . . . . . . . . . .249

Table, Mayo Instrument . . . . . . . . . . . . . . . . . . . . . . .309

Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .309

Tabletop Stand for Limb Suspension . . . . . . . . . .66, 111

Tap Handle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146

Taps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .146

Tarso-Flex X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90

Tartar Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .246

Tartar Scrapers - Various . . . . . . . . . . . . . . . . . . . . . .242

TCO Clasper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

TECA Kerrison With 3 Inserts . . . . . . . . . . . . . . . . . .219

Teflon Drops . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .277

Telescopic Rod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117

Temno Evolution Biopsy Needle . . . . . . . . . . . . . . . .254

Tenaculum Bone Forceps . . . . . . . . . . . . . . . . . . . . . .72

Tenotomy Scissors . . . . . . . . . . . . . . . . . . . . . . . . . . .223

Tension Device — Arthrex . . . . . . . . . . . . . . . . . . . . . . .19

Tension Device — Lateral Suture . . . . . . . . . . . . . . . . .17

Tension Device, Mechanical . . . . . . . . . . . . . . . . . . .118

Tension devices, CCL . . . . . . . . . . . . . . . . . . . . . . . . .13

Theatre Lighting . . . . . . . . . . . . . . . . . . . . . . . . .310-311

Theatre Wear . . . . . . . . . . . . . . . . . . . . . . . . . . .282-285

Theatre Wear - Grahame Gardener . . . . . . . . . . . . . .283

Thera-Paw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90

Therapy Systems, Westville . . . . . . . . . . . . . . . . . . . .98

Thermocautery Unit . . . . . . . . . . . . . . . . . . . . . . . . . .314

Thermo Plastic Splinting . . . . . . . . . . . . . . . . . . . . . . .91

Thermo Plastic Splinting Starter Kit . . . . . . . . . . . . . . .91

Thomas Splint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Thora-Cath Chest Tubes . . . . . . . . . . . . . . . . . . . . . .212

Thoracic Surgery Kit . . . . . . . . . . . . . . . . . . . . . . . . .206

Thoracoscopy Needle . . . . . . . . . . . . . . . . . . . . . . . . .69

Threaded ‘A’ Wires . . . . . . . . . . . . . . . . . . . . . . . . . . .189

Threaded Small Fragment Pins . . . . . . . . . . . . . . . . .190

Tibial Tuberosity Advancement . . . . . . . . . . . . . . . .32-35

Tidal Guard Monitor . . . . . . . . . . . . . . . . . . . . . . . . . .302

Tips, Protective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .278

Tissue Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270

Tissue Protector, External Fixation . . . . . . . . . . . . . .110

Tissue Protectors . . . . . . . . . . . . . . . . . . . . . . . . . . . .148

Titanium Screws . . . . . . . . . . . . . . . . . . . . . . . . . .34, 181

Titanium Washers . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

Toggle, Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54-55

Tonometer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .230

Tonovet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .230

Tonsillectomy Clamp . . . . . . . . . . . . . . . . . . . . . . . . .216

Torch, Pen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226

Total Hip Replacement Kit VI . . . . . . . . . . . . . . . . . . .202

Total Hip System (2012 Version) Helica . . . . . . . . . .199

Towel Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270

“Towel Clamp 4.5” . . . . . . . . . . . . . . . . . . . . . . . . . . .270

Towel Clamp, Ball and Socket . . . . . . . . . . . . . . . . . .270

TTO — Improved Osteometer / Sawguide . . . . . . . . . .27

TPLO Jig . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

TPLO Jig Standard Slocum Style . . . . . . . . . . . . . . . . .28

TPLO Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

TPLO Motor System Aesculap . . . . . . . . . . . . . . . . .130

TPLO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28, 174

TPLO Plates — Slocum Style . . . . . . . . . . . . . . . . . . . .28

TPLO Plate broad 3.5 locking . . . . . . . . . . . . . . . . . . .23

TPLO Plates Delta Style . . . . . . . . . . . . . . . . . . . . . . .29

TPLO Plate Locking . . . . . . . . . . . . . . . . . . . . . . . . . . .22

TPLO Plates Slocum Style . . . . . . . . . . . . . . . . . . . . . .28

TPLO Plates with Locking Screw . . . . . . . . . . . . . . . . .23

TTO Plates pre Contoured . . . . . . . . . . . . . . . . . . . . .28

TPLO Reduction Forceps . . . . . . . . . . . . . . . . . . . . . . .30

TPLO Rotation Chart . . . . . . . . . . . . . . . . . . . . . . . . . .29

TPLO Rotation Gauge Divider Type . . . . . . . . . . . . . .29

TPLO Saw, Aesculap Acculan Battery . . . . . . . . . . .130

TPLO Saw Blade Protractor . . . . . . . . . . . . . . . . . . . .133

TPLO Saw Blades - VI . . . . . . . . . . . . . . . . . . . . . . . .131

TPLO Saw Blades Aesculap . . . . . . . . . . . . . . .130, 132

TPLO Saw De-Soutter Slocum . . . . . . . . . . . . . . . . .131

TPLO Saw Hex Driver . . . . . . . . . . . . . . . . . . . . . . . .133

TPLO Saws and Blades (radial type) . . . . . . . . .130-132

TPLO Starter Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

TPLO Starter Set, Locking . . . . . . . . . . . . . . . . . . . . .23

TPLO Wedge Template . . . . . . . . . . . . . . . . . . . . . . . .31

TPO/DPO Locking Plate . . . . . . . . . . . . . . . . . . . . . . .49

TPO/DPO Plates, VI Locking . . . . . . . . . . . . . . . . . . . .49

TPO/DPO Slocum - Style Plate . . . . . . . . . . . . . . . . . .48

TPO Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48-49

Tracheostomy Tube . . . . . . . . . . . . . . . . . . . . . . . . . .216

Tracheostomy Tube Disposable . . . . . . . . . . . . . . . .216

Training Bones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .321

Travers Retractors . . . . . . . . . . . . . . . . . . . . . . . .85, 264

Treadmill, Vet Aqua Under Water . . . . . . . . . . . . . . . .99

Trephine — Screw Extraction . . . . . . . . . . . . . . . . . . .151

Trephine, Bone . . . . . . . . . . . . . . . . . . . . . . . . . . .87, 254

Trephine Set, Screw Extraction . . . . . . . . . . . . . . . . .151

Treves, Rat Tooth Forceps . . . . . . . . . . . . . . . . . . . .261

Triple Drill Guides . . . . . . . . . . . . . . . . . . . . . . . . . . . .147

Triple Pelvic Osteotomy . . . . . . . . . . . . . . . . . . . . . . . .48

Triple Tibial Osteotomy . . . . . . . . . . . . . . . . . . . . . .26-27

Trochar Cannulas with Magnetic Valving . . . . . . . . . . .69

Trochar Pins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108

Trochlea Rasp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47

Tru-Cut Style Soft Tissue Biopsy Needle . . . . . . . . . .254

TTA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32-35

TTA Cages, Cuttable . . . . . . . . . . . . . . . . . . . . . . . . . .35

TTA Cage Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

TTA Instrumentation . . . . . . . . . . . . . . . . . . . . . . . . . . .33

TTA Mallet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

TTA Plates - Forkless . . . . . . . . . . . . . . . . . . . . . . . . . .35

TTA Plates and Cages . . . . . . . . . . . . . . . . . . . . . . . . .35

TTA Procedural DVD . . . . . . . . . . . . . . . . . . . . . . . . . .32

TTA Saw Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

TTA Screwbox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

TTA Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

TTA Spacers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

338

TTA Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

TTA Washers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

TTO Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

TTO DVD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

TTO - Improved Osteometer & Sawguide . . . . . . . . . .27

TTO Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26

TTO Osteometer / Sawguide . . . . . . . . . . . . . . . . . . . .27

TTO Plates - Pre Contoured . . . . . . . . . . . . . . . . . . . .27

TTO Starter Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

Tub Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .309

Tubing, Suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . .313

Tungsten Carbide Needleholders . . . . . . . . . . . . . . .261

Twin Point Fragment Forceps . . . . . . . . . . . . . . . . . . .72

Twisterz - Wire Twister . . . . . . . . . . . . . . . . . . . . . . . . .78

UUltimate Piezo Scaler Unit . . . . . . . . . . . . . . . . . . . . .241

Ultrasonic Cleaner, Henry Schein . . . . . . . . . . . . . . .275

Ultrasonic Dental Scaler . . . . . . . . . . . . . . . . . . .240-241

Ultrasonic Instrument Cleaner . . . . . . . . . . . . . . . . . .275

Under Water Treadmill, Vet Aqua . . . . . . . . . . . . . . . .99

Uniplanar Dynamic Distractor . . . . . . . . . . . . . . . . . .114

Universal Insertion Tool for Suture Screws . . . . .20, 180

Utilty Drape . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .286

VVac Pac . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66, 318

Vacuum Drains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212

Vacuum Positioning System . . . . . . . . . . . . . . . .66, 318

Variable Speed Orthopaedic Drill . . . . . . . . . . . . . . . .119

Vectis, Snellens . . . . . . . . . . . . . . . . . . . . . . . . . . . . .224

Velcro Straps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Velpeau Sling vest . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Venables Plates . . . . . . . . . . . . . . . . . . . . . . . . . . . . .185

Ventilator — Matrx by Midmark . . . . . . . . . . . . . . . . . .291

Veress Laparoscopy Needle . . . . . . . . . . . . . . . . . . . .69

Vernier Caliper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88

Vest for Ehmner Sling . . . . . . . . . . . . . . . . . . . . . . . . .92

Vet Sink . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .309

Veterinary Cuttable Plate . . . . . .153, 155, 157, 159, 172

Veterinary IF Plate (Keyhole Plate) . . . . . . . . . . . . . .162

Vetron 4 Parameter Monitor . . . . . . . . . . . . . . . . . . . .303

VI Air Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127

VI Bone Cement . . . . . . . . . . . . . . . . . . . . . . . . .139, 202

VI Bone Cement Bowl Mix . . . . . . . . . . . . . . . . . . . . .202

VI Common Gas To Male Leur Connector . . . . . . . . .294

VI Extraction Forceps . . . . . . . . . . . . . . . . . . . . . . . . .246

VI Locking TPO/DPO Plates . . . . . . . . . . . . . . . . . . . .49

VI Mini Cart (Dental) . . . . . . . . . . . . . . . . . . . . . . . . . .234

VI Otoscope Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . .306

Visor Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226

VMS Anaesthesia Machine . . . . . . . . . . . . . . . . . . . .289

Volkman Scoops . . . . . . . . . . . . . . . . . . . . . . . . .87, 269

VTS (Veterinary Transplant Services) . . . . . . . . . . . .245

Vumex External Fixation . . . . . . . . . . . . . . . . . . . . . .105

WWahl Clippers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Walk-On Large Platform Scales . . . . . . . . . . . . . . . . .312

Wall Mount Anaesthetic Unit . . . . . . . . . . . . . . . . . . .289

Wall Mounted Exam Table . . . . . . . . . . . . . . . . . . . . .309

Walton, Retractor . . . . . . . . . . . . . . . . . . . . . . . . . . . .263

Warm Air Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .317

Washer/Disinfector . . . . . . . . . . . . . . . . . . . . . . . . . . .275

Washers, Plain Orthopaedic & Spikey . . . . . . . . . . . .181

Web Master Harness . . . . . . . . . . . . . . . . . . . . . . . . . .98

Webb Bolt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193

Wedge Elevator . . . . . . . . . . . . . . . . . . . . . . . . . . . . .244

Wedge Osteotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

Weislander Retractors . . . . . . . . . . . . . . . . . . . . .85, 264

Wellies, Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . .283

West Retractors . . . . . . . . . . . . . . . . . . . . . . . . . .85, 264

Westville Therapy Systems . . . . . . . . . . . . . . . . . . . . .98

Whelping Forceps . . . . . . . . . . . . . . . . . . . . . . . . . . .209

Wing Tip Wong Surgical DVD . . . . . . . . . . . . . . . . . . .45

Winged Director . . . . . . . . . . . . . . . . . . . . . . . . . . . . .270

Winged Elevators . . . . . . . . . . . . . . . . . . . . . . . . . . . .243

Winged Elevators with Short Handles . . . . . . . . . . . .243

Wire Bender . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86, 190

Wire Contouring Pliers . . . . . . . . . . . . . . . . . . . . . . . . .76

Wire Driver - VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127

Wire Driver, Mini Driver Attachment . . . . . . . . . . . . . .122

Wire passer Lesser . . . . . . . . . . . . . . . . . . . . . . . . . . .78

Wire Passers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77-78

Wire Passer — Gigli - Nick Vanvooren . . . . . . . . . . . . .50

Wire Passer — Strong . . . . . . . . . . . . . . . . . . . . . . . . . .77

Wire Tightener for Eyed Wires . . . . . . . . . . . . . . . . . . .79

Wire Tightener with Two Cranks . . . . . . . . . . . . . . . . .79

Wire Twister / Shear Cutter . . . . . . . . . . . . . . . . . . . . .78

Wire, Arthrodesis . . . . . . . . . . . . . . . . . . . . . . . .189, 190

Wire, Cerclage, Orthopaedic . . . . . . . . . . . . . . . . . . .192

Wire, ‘K' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189

Wire Twister/Spinner . . . . . . . . . . . . . . . . . . . . . . . . . .79

Wires with Eyelet . . . . . . . . . . . . . . . . . . . . . . . . . . . .192

Wobblers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .139

Working Cannulae, Arthroscopy . . . . . . . . . . . . . . . . .58

Wrenches & Spanners - Ring Fixator . . . . . . . . . . . . .117

Wrenches, ESF . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111

XX-Acto Saw . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47

X-Ray Marker With Scale . . . . . . . . . . . . . . . . . . . . . .194

Xenon Light Source . . . . . . . . . . . . . . . . . . . . . . . . . . .62

YYankauer Suction Tip . . . . . . . . . . . . . . . . . . . . . . . . .313

Younger Good Scaler, Jaquette Scaler . . . . . . . . . . .141

Youngs Tongue Forceps . . . . . . . . . . . . . . . . . . . . . .270

339

TIMED DELIVERIES

In stock items will be despatched as soon as practicable.

NB: Urgent items may be despatched on the day of ordering, provided wereceive the order BEFORE 3.30PM (and the stock is available). Pleasestate clearly that the order is urgent and advise your preferred method ofdelivery.

Please note that the only certain way to obtain the goods when you wantthem is to collect them yourself! All delivery systems can fail. All we can dois to despatch according to your instructions. Veterinary Instrumentationstaff are happy to help trace wayward deliveries but please do not givethem a hard time when the problem is outside their control.

STANDARD DELIVERY

Prices include first class mail postage and packing to UK addresses(unless otherwise stated).

COURIER DELIVERIES

Delivery next day (up to 6pm weekdays) to England & Lowland Scotland —price depends on weight and destination

Cost: from £6.50 + VAT.

TIMED DELIVERIES

Delivery next day (weekdays only) to England & Lowland Scotland — pricedepends on weight and area

Cost: from £12.00 + VAT.

SATURDAY DELIVERIES AND OTHER AREAS

Cost and availability upon application.

RETURNS POLICY

Any returns should be within 7 days of delivery and should be in perfectoriginal condition. Details of the invoice or delivery note should be includedwith any return.

Abuse of our sale or return policy may result in a restocking charge. Therestocking charge may also be levied for late returns.

Non stock items or specials made to customer specifications may not bereturned.

PAYMENT TERMS

Payment is due strictly on or before the last day of the month following thedate of the company's invoice. Accounts with more than 60 days debt maybe stopped. All payments to be made in sterling (£).

VAT

All prices are shown without VAT. VAT will be added to the invoice where appropriate.

VETERINARY INSTRUMENTATION LTDTERMS AND CONDITlONS OF TRADE

1. Definitions

1.1 ‘Company’ means Veterinary Instrumentation Ltd.

1.2 ‘Customer’ means the veterinary practice or any person to whom theCompany has agreed to supply goods.

1.3 ‘Goods’ means the products which the Company is to supply tothe customer in accordance with these conditions.

1.4 ‘Writing’ includes telex, cable, facsimile transmission, e-mail orsimilar means of communication.

2.Breakages and ShortagesIn the case of obvious shortages or suspected damage to deliveries ofgoods, the driver’s delivery note must be signed accordingly by theperson accepting the delivery on behalf of the customer. All claims forbroken or missing goods should be reported to the Company no laterthan three days from the date of delivery. Where independent transportis used failure to sign or indicate on delivery notes any shortage and/ordamage will invalidate the Company’s claim against the carrier involvedand therefore the customer’s claim against the Company.

3.Returned Goods Policy

3.1 Under normal circumstances, goods will not be accepted for returnfor credit other than for the following reasons:

a) To correct a Company delivery or order error.b) In response to a recall instigated by a manufacturer.c) Where the products or packages are alleged to have been faulty,

damaged or tampered with prior to delivery.d) Where the products have been offered on a pre-arranged ‘sale or

return’ basis.e) Where the Company agrees, in advance of their return, to accept

goods not covered by any of the above criteria.

3.2 Goods Returned to Correct a Company Error:a) The goods must be returned within 7 working days of receipt. Goods

requiring temperature-controlled storage must be notified to the Company no later than the next working day and must have beenstored in accordance with the manufacturer’s recommendations whilst on the customer’s premises. Goods must be adequately packaged to ensure that no damage is caused during their return to the Company.

b) All returned goods must be in perfect original condition; not marked in any way; should not show any evidence of being tampered with.

c) To be considered for return for credit, the goods must beaccompanied by a copy of the original invoice or delivery note, or thenumber of the specific invoice on which the goods were supplied,together with a reason for their return. If this information is missing,there will be a delay in issuing a credit.

3.3 Returns where the products or packages are alleged to have beenfaulty, damaged or tampered with prior to delivery:a) Details of the fault or damage should be notified to the Company as

soon as possible in order that the manufacturer can be alerted ifappropriate.

b) Goods must be packed separately and accompanied by a copy of theinvoice or delivery note (as in 3.2(c)).

Deliveries Terms & Conditions

340

3.4 Where the Company agrees to accept the return of goods notcovered by any of the criteria recited in clauses 3.2 - 3.4.Goods will onlybe accepted by prior agreement with the Company and must beaccompanied all the information detailed in 3.2(c) in addition to the nameof the person who has authorised the return.Please note: Goods returned under this category may be subject to ahandling charge.

3.5 Goods Returned to StockGoods returned by customers for any of the above reasons will only beconsidered for credit if:a) It is known that they have been stored in accordance with the

manufacturers recommendations.b) They have been assessed and accepted by a person authorised by

the Company so to do. The assessment will take into account thenature of the product, any special storage conditions required and thetime elapsed since the goods were supplied.

3.6 Special OrdersThese products will not be accepted for return or credit unless suppliedas a result of a Company error. In such cases, the product must bereturned within 7 working days of receipt.

3.7 PackagingAll returned goods must be securely packaged to prevent damageduring the return journey.

3.8 Date Expired Goods Date Expired Goods will only be accepted forcredit in accordance with the terms laid down by the manufacturerconcerned.

4. Price of Goods Goods will be invoiced at the prevailing price at the date of despatch tothe customer. The price of goods shall be subject to alteration by theCompany without prior notice to the customer. The price is exclusive ofany Value Added Tax for which the customer shall be additionally liableto pay the Company.

5. Terms of Payment

5.1 The customer shall pay the amount of the invoice on or before thelast day of the month following the date of the Company’s invoice unlessotherwise agreed in writing by the Company. If the customer fails to payon the due date, the Company reserves the right to:a) Suspend any further deliveries to the customer.b) Appropriate any payment raised by the customer to such of any other

invoices raised by the Company for goods supplied to the customeras the Company may think fit, notwithstanding any purportedappropriation by the customer and:

c) Charge the customer interest (both before and after any judgement) onamounts unpaid at the rate of 2.5% per month until payment is made infull. Notice of interest charges will be served in writing on the customer.

6. Delivery Any dates/times quoted for delivery of the goods are to be treated asestimates only and the Company shall not be liable for any loss, injury,damage or expense arising from delay in delivery of the goodshowsoever caused.

7. Force MajeureThe Company shall not be liable to the customer or be deemed to be inbreach of the Contract by reason of any delay in performing, or anyfailure to perform, any of the Company’s obligations in relation to theGoods, if the delay or failure was due to any cause beyond theCompany’s reasonable control. Without prejudice to the generality of theforegoing, the following shall be regarded as causes beyond theCompany’s reasonable control:a) Act of God, explosion, flood, tempest, fire or accident;

b) Strikes, lock-outs or other industrial actions or trade disputes (whetherinvolving employees of the Company or third parties);

c) War or threat of war, sabotage, insurrection, civil disturbance orrequisition;

d) Import or export regulations or embargos;e) Difficulties in obtaining raw materials, labour, fuel, parts or machinery;f) Power failure or breakdown in machinery.

8. LiabilityGoods are sold on the understanding that the customer is solelyresponsible for determining the suitability of the goods for the purposesfor which the customer intends to use them. Accordingly the Company’sliability for any loss or damage suffered by the customer and arising bydefects in the goods, shall be limited to the invoice price of the goods inrespect of or in relation to which loss or damages is claimed. TheCompany will not accept under any circumstances liability forconsequential loss, damage or loss of profits arising from the use of thegoods, service, information and advice.

9. Title and RiskUnless otherwise agreed in writing between the parties prior to delivery,the title to the goods shall not be transferred to the customer until the fullpurchase price has been paid to the Company. The risk of loss ordamage to the goods shall pass to the customer on the date that thegoods are received and accepted by the customer.

10. Insolvency

10.1 This clause applies if:a) The customer makes any voluntary arrangement with its creditors or

becomes subject to an administration order or (being an individual orfirm) becomes bankrupt or (being a company) goes into liquidation(otherwise than for the purpose of a solvent amalgamation orreconstruction);

b) An encumbrancer takes possession, or a receiver is appointed, overany of the property or assets of the customer;

c) The customer ceases, or threatens to cease, to carry on business;d) The Company reasonably apprehends that any of the events

mentioned above is about to occur in relation to the customer andnotifies the customer accordingly.

10.2 If this clause applies then, without prejudice to any other right orremedy available to the Company, the Company shall be entitled tocancel the Contract or suspend any further deliveries under the Contractwithout liability to the customer. If the Goods have been delivered butnot paid for, the price shall become immediately due and payablenotwithstanding any previous agreement or arrangement to the contrary.

11. IndemnityThe customer agrees to indemnify the Company against all loss,damage, costs, legal costs and professional and other expenses of anynature whatsoever incurred or suffered by the Company or by a thirdparty as a result of the use of the Goods, the breach of any legislationrelating to the use of the Goods or as a result of any breach of theContract by the customer.

12. JurisdictionThese conditions shall be construed in accordance with and governedby English Law. Each of the parties irrevocably submits for all purposesin connection with the Conditions to the exclusive jurisdiction of theCourts of England.

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PLEASE NOTE THAT PLATE PROFILES ARE ACTUAL SIZE YOU WILL NEED TO COMPENSATE FOR X-RAY MAGNIFICATION • PROFILES FOR GUIDANCE ONLY PLATES MAY BE AMENDED AT ANY TIME

VETERINARYINSTRUMENTATION

Broadfield Road, Sheffield

S8 0XL U.K.Tel: 0845 130 9596 Fax: 0845 130 8687


0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

CP201472

CP201262

CP201052

CP20842

CP20737

CP20632

CP20527

CP20422

2.7 DCP

3.5 DCP

2.0 DCP

2.0 MINI PLATES

2.4 DCP

341

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N

VET

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

BC

3518218

BC

3516194

BC

3515182

BC

3514170

BC

3513158

BC

3512146

BC

3511134

BC

3520242B

C35

1012

2

BC

3509

110

BC

3508

098

BC

3507

087

BC

3506

074



S8 0XL U.K.Tel: 0845 130 9596 Fax: 0845 130 8687


3.5BROAD

DCP

342

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

LIMITED CONTACT DCP

BROAD 3.5 ALSO AVAILABLE - HOLE SPACING IS SAME AS STANDARD 3.5 BUT 2mm WIDER

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

C45

1626

5

C45

1524

6

C45

1423

0

C45

1321

1

C45

1219

9



S8 0XL U.K.Tel: 0845 130 9596 Fax: 0845 130 8687


4.5 DCP4.5 BROAD ALSO AVAILABLE

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150


Broadfield Road, Sheffield S8 0XL U.K.

Tel: 0845 130 9596 Fax: 0845 130 8687E-mail: [email protected]

Website: www.vetinst.com

345

346

BIOLOGICAL HEALING PLATES

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

BHP4508163

BHP4508150

BHP4507164

BHP4507151

BHP4507138

BHP4508176

BHP2706063

BH

P20

0807

0

347

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

LPSH3514146

LPSH3512126

LPSH3511116

LPSH3510106

LPSH3509096

LPSH3508086

LPSH3507076

LPSH3506066

LPSH3505056

LPSH3504046

LOCKING PLATES WITH STACKED LOCKING HOLES 2.7mm

LPSH2705042

LPSH2706050

LPSH2707058

LPSH2708066

LPSH2709074

LPSH2710082

LPSH2711090

LPSH2712098

LPSH2713106

LPSH2714114

LPSH2704034

3.5mm

2.4mm2.4 PLATES AVAILABLE

UP TO 18 HOLE

VETERINARY INSTRUMENTATIONBroadfield Road, Sheffield S8 0XL U.K.Tel: 0845 130 9596 Fax: 0845 130 8687


ALSO AVAILABLE IN 13 HOLE

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RECONSTRUCTION PLATES

CUTTABLE PLATES

CP1039027

CP1049120

CP20515027

CP15413027

CP245515024

CP27615022

2.7mm

1.0MM NEW FOR 2012

CUTTABLE PLATES WITH SPACES – NEW FOR 2012

3.5mm

OTHER LENGTHS ALSO AVAILABLE –SEE PAGE 172 OF 2012 CATALOGUE

349

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

‘T’PLATES

C100210 T101016

T101020

T101024

T101021

T2020742

T101027

T101018

T101022

T101026

C100314

C100418

C100522

C100626

C100730

C100834

C100938

C101042





1.0MM SERIES NEW FOR 2012

NEW

FOR

201

2

C SERIES

1.0 T-TPLATES NEW FOR 20121.0 DCP NEW FOR 2012

OTHER STYLES ALSO AVAILABLE –SEE PAGE 174 OF 2012 CATALOGUE

350

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

PANACARPAL ARTHRODESISSEE PAGE 167 OF 2012 CATALOGUE FOR LOCKING HYBRID VERSIONS

EXTRA LENGTHPANACARPAL

INTERTARSAL ARTHRODESIS

FORELIMB SALVAGE

PARTIAL CARPALARTHRODESIS152921

152920



152910

1529

32

1529

31

1529

30

351

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

TPO PLATES

TPLO PLATES

352

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0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

ACETABULAR PLATES

AP200401

AP200400

AP240406AP350605

AP350604

AP270603

AP270602

1527

11 A

DD

R O

R L

2.4m

m

2.4m

m



TPLO LOCKING NEW SHAPE FOR 2012

NEW FOR 2012

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TATIO

NVET

ERIN

ARY

INST

RUMEN

TATIO

N


0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150

ELBOW ARTHRODESIS





NEW SIZES FOR 2012

MEDIAL PANTARSAL PLATES WITH T4 SLOT

ALSO AVAILABLE WITHOUT SLOT, DROP T4 CODE

CRANIAL PANTARSAL ARTHRODESIS PLATES

152940 CAT

154947

152917-T4 LEFT

1529

15-T

4 LEFT

1529

13-T

4S L

EFT

1529

14-T

4S R

IGH

T

1529

14-T

4 R

IGH

T

1529

16-T

4 R

IGH

T

1529

18-T

4 R

IGH

T

1529

13-T

4 LE

FT

152946

154945

354

VET

ERIN

ARY

INST

RUMEN

TATIO

NVET

ERIN

ARY

INST

RUMEN

TATIO

N


0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150





TTAP2 TTAP3 TTAP4 TTAP5 TTAP6 TTAP7 TTAP8

TTAF2

TTAF3

TTAF4

TTAF5

TTAF6

TTAF7

TTAF8

PLEASE NOTE THE NEW FORKLESS PLATE RANGE ISTHE SAME SIZE/DIMENSION AS PLATE RANGE SHOWN

TTA/MMT ADVANCEMENT CHARTALSO USE TO MEASURE CAGES

355

" DRIL

L &

EQU

IPM

ENT

for C

ortic

al a

nd C

ance

llous

Scr

ews

CORT

ICAL

= C

SCO

RTIC

AL S

ELF

TAP

= C

SST

SEL

F-

S

ELF

SEL

F-

S

ELF-

CANC

ELLO

US =

CAN

TAPP

ING

SM

ALL

T

APPI

NG

T

APPI

NG

SM

ALL

S

MAL

L

TAP

PING

COR

TICA

L

CO

RTIC

AL

C

ORTI

CAL

CAN

CELL

OUS

C

ORTI

CAL

C

ORTI

CAL

COR

TICA

L

CAN

CELL

OUS

C

ORTI

CAL

CAN

CELL

OUS

C

ORTI

CAL

CAN

CELL

OUS

COR

TICA

L

CO

RTIC

AL

C

ANCE

LLOU

S

1

.5

2.0

2

.0

2

.2

2.4

2.7

2

.7

3.0

3

.5

3

.5

3.5

4.0

4.5

5.5

6.5

PILO

T DR

ILL

1

.1

1.5

1

.5

1

.5

1.8

2.0

2

.0

2.0

2

.5

2

.0

2.5

2.5

3.2

4.0

3.2

JACO

BS H

ARD

H

0901

00

H090

101

H0

9010

1

H

0901

01

H09

0208

H09

0102

H

0901

02

H09

0102

H

0901

12

H0

9010

2

H090

112

H090

112

H

0901

05S

H09

0107

H

0901

05S

JACO

BS S

OFT

-

0

9010

1

090

101

09

0101

N/

A

09

0102

0901

02

09

0102

090

112

090

102

0

9011

2

0901

12

0

9010

5

090

107

090

105

SYNT

HES

FIT

S0

9010

0S

S

0901

01S

S09

0101

S

S09

0101

S

N/

A

S09

0102

S

S

0901

02S

S09

0102

S

S

0901

12S

S

0901

02S

S09

0112

S

S09

0112

S

S090

105S

S09

0107

S

0901

05S

TAP

- QUI

CK F

IT

TD00

15

TD0

020

N/A

N

/A

N/

A

TS

0027

N/

A

N/

A

T

S125

35

T

S175

35

N

/A

TS

1753

5

TS0

0045

TS

0005

5

TS

0006

5

TAP

- ‘T’

BAR

TBT

015

T

BT02

0

N

/A

N/A

N/A

TBT0

27

N/A

N/A

TBT

1253

5

TBT

1753

5

N/

A

TT1

7535

TBT

045

-

TBT0

65

CLEA

RANC

E DR

ILL

1

.5

2.0

2

.0

2

.0

2.4

2.7

2

.7

3.0

3

.5

3

.5

3.5

4.0

4.5

5.5

6.5

JACO

BS H

ARD

H

0901

01

H090

102

H0

9010

2

H

0901

02

H09

0209

H09

0104

H

0901

04

H09

0205

H0

9010

6S

H09

0106

S

H

0901

06S

H

0901

07

H09

0108

S

H

0901

09

-

JACO

BS S

OFT

0901

01

090

102

0

9010

2

0901

02

N/A

0901

04

09

0104

-

0901

06

0901

06

09

0106

09

0107

090

108

-

-

SYNT

HES

FIT

S0

9010

1S

S

0901

02S

S09

0102

S

S09

0102

S

N/

A

S09

0104

S

S

0901

04S

SDD

1500

S0

9010

6S

S09

0106

S

S

0901

06S

S090

107

S

0901

08S

S09

0109

-

SCRE

W D

RIVE

R- T

YPE

1.5

HEX

1.5

HEX

1.

5 HE

X

1.

5 HE

X

1

.5 H

EX

2.

5 HE

X

2.5

HEX

2.

5 HE

X

2.5

HEX

2

.5 H

EX

2.5

HEX

2.5

HEX

3

.5 H

EX

3

.5 H

EX

3.5

HEX

S

DHS2

0F

S

DHS2

0F

SDHS

20F

SDHS

20F

SDH

S20F

SDH

S35F

SD

HS35

F

S

DHS3

5F

SDH

S35F

SDHS

35F

SDH

S35F

SDH

S35F

S

DH35

00

S

DH35

00

SD

H350

0

AO

Typ

e S

crew

s, D

rills

, Tap

s &

Scr

ewdr

iver

s

Please cut and photocopy for future use.

Plates and Screws Fax Order Form

Postcode and Practice Name.........................................................................................................................

Name.................................... Telephone No............................................................... Order Ref.................

Cortical Screws

1.5mm Cortical

1.5mm Cortical Self Tap

2.0mm Cortical



2.7mm Cortical


3.5mm Cortical


6mm 10mm 8 12 10 14 12 16 14 18 16 20 18 22 20 24 22 26 24 28 26 n/a 30 28 n/a 32 30 n/a 34 32 n/a 36 34 n/a 38 36 n/a n/a n/a 40 38 n/a n/a n/a 45 40 n/a n/a n/a 50 n/a – not available 55

60 Additional Items

Compression Plates (DCP)

Hole 1.5/2.0 2.4mm 2.7mm 3.5mm Please state Product Code, Description and Quantity 2 n/a n/a 3 n/a n/a n/a 4 5 6 7 8 9 10 12 14 16 n/a n/a

Standard terms and conditions apply (see catalogue for details)

"


Broadfield Road, Sheffield, UK. S8 0XLT: 0845 130 9596F: 0845 130 8687

[email protected] www.vetinst.com

Dear Colleague







Best regards…..






Welcome


Chairman




Tel: 0845 130 9596 Fax: 0845 130 8687






BSAVA Simon Award

2


Tel: 0845 130 9596 Fax: 0845 130 8687



VETERINARY INSTRUMENTATION

VET

ERIN

ARY IN

STRUMEN

TATIO

N 20

12w

ww.vetinst.com

MIPO application of 2.7/3.5mmCranial Pantarsal Arthrodesis Plate

Case: Noel Fitzpatrick,

Fitzpatrick Referrals

Broadfield Road, SheffieldS8 0XL U.K.

Tel: 0845 130 9596 Fax: 0845 130 8687Overseas Customers use

Tel: +44 114 258 8530Fax: +44 114 255 4061


Dear Colleague







Best regards…..






Welcome


Chairman




Tel: 0845 130 9596 Fax: 0845 130 8687






BSAVA Simon Award

2

Documents

2012 Catalogue With Prices Lo Res