MADE IN GERMANY

Eco Balloon SystemsThe combined disposable and reusablesystem for maximum cost-effectiveness

Balloon systems

PAJUNK ® Eco balloon systems

Solutions for the extraperitoneal and abdominal surgery

PAJUNK ® has made a name for itself with its balloon systems for extraperitoneal

and abdominal surgery. This is because these proven system solutions combine

two core competences of PAJUNK ®: the know-how from many years of production

of laparoscopic instruments and the development competence for balloon forms

in a very wide range of fi elds of application. Optimum production conditions that

satisfy the highest demands on clean room technology form the basis of the

quality guarantee for the high-grade products “Made in Germany”.

The PAJUNK ® range includes stainless steel balloon valves, space-creating balloons and balloons to secure working access, with various designs and sizes available for each product:

Balloon valves

Manually and automatically actuated trap-door valve

Automatic trap-door valve

* 5.8 mm valves (TrocaTec MAN and TrocaPort), with or without a maintenance-free stop cock for gas inflation

Interchangeable silicone valve

TrocaTec MAN TrocaTec AUTO TrocaPort

Ø 11 mm Ø 11 mm Ø 11 mm Ø 5.8 mm* Ø 5.8 mm Ø 5.8 mm*

2

80 mm

105 mm

Unilateral dilation balloon,extra large

Space-creating balloons

Balloons to secure working access

Bilateral dilation balloon

Ring-anchor balloon system URO ring-anchor balloon system Structural balloon system

Available in two working channel sizes: Ø 5.8 mm and Ø 11 mm

Key Available working lengths:80 mm and 105 mm

Ø 5.8 mm Ø 11 mm

3

TrocaTec with trap-door valve

TrocaPort with silicone valve

Against the background of the growing pressure of costs in the health system,

the PAJUNK ® Eco balloon system offers an economical solution in every respect,

as they combine high-quality reusable components with inexpensive disposable

components. In concrete terms, this means: you invest once in the high-quality

components – the high-precision reusable valve fi tting and the corresponding

obturators, as they can be reused. They have the great advantage of being able

to be combined with all types and forms of balloon, and can therefore be used

for a very wide range of applications.

The disposable components – in particular the balloons – are sterile packed

and hence immediately ready for use. All wear parts, such as silicone valves,

can be easily replaced. This means that the PAJUNK ® balloon systems meet

both high medical standards and fi nancial requirements.

Modular system

Obturators/valves can be combined with all types and forms of balloons

Disposable components are sterile packed and are ready for immediate use

Modularity and fl exibility make for high cost-effectiveness

Wear parts, such as silicone valves, are simple to replace

Balloons made of latex-free material

Cost-effective thanks to modularity

The combined disposable and reusable system

An overview of the designs and structure of PAJUNK ® balloon valves

Sealing insert

Sealing capSealing cap

Silicone valve

Valve insert

Valve housing

Valve housing

O-ring valve insertO-ring insertion compo-nent

Trap-door valve insert

automatic and manual

automatic

O-ring

4

Structural balloon system

Ring-anchor balloon system

Working lengths

Application ideal for

Balloons

short80 mm

long105 mm

long105 mm

Thickness: 26 mmØ: 42 mm

Ring-anchor balloon system, shortRing-anchor balloon system

Abdominal and bariatric surgery

TEP herniasAbdominal surgery

URO ring-anchor balloon systemURO ring-anchor balloon system, shortURO ring-anchor balloon system

The system solution

Balloon valve Ø 5.8 mm Balloon valve Ø 11 mm

Foam size for Ø 5.8 mm / 11 mm

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The entire range

Space-creating balloons

Two different balloon forms for unilateral and bilateral hernias

Manually and automatically actuated reusable trap-door valve

Fast and effective dissection of the preperitoneal space

The PAJUNK ® space-creating balloon systems permit optimum, fast and

effective dissection of the preperitoneal space with direct visualisation.

They make orientation much easier. Two different balloon forms are

available for unilateral and bilateral hernias.

Blunt reusable obturator for unilateral and bilateral dilation balloons

Manually and automati-cally actuated reusable trap-door valve

Maintenance-freestop cock

Latex-freedilation balloon

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Unilateral dilation balloon,extra large

Bilateral dilation balloon

7

PAJUNK ® offers two different balloon systems to secure working access: the

structural balloon system and the ring-anchor balloon system that in addition

to the extraperitoneal fi eld can also be used in abdominal surgery.

Reusable obturator for the structural balloon system

Manually and auto-matically actuated reusable trap-door valve

Maintenance-free stop cock

Structural balloon from below

Structural balloon system

Structural balloon system

Balloon systems

To secure working access

Benefi ts of PAJUNK ® balloons:

Atraumatic geometry

Considerate gas-tight sealing

Stability, minimised risk of collapsing balloon

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Manually and auto-matically actuated reusable trap-door valve

Maintenance-free stop cock

Blunt reusable obturator for the ring-anchor balloon system

Ring-anchor balloon URO ring-anchor balloon system

PROTECT tip for ring-anchor balloons Ø 5.8 mmThe obturator is also available with the PROTECT tip. This allows the balloon system to be placed and dilated without causing trauma as the tip is blunt.

Ring-anchor- and UROring-anchor balloon system

Securing working access in abdominal surgery

Large pivot radius

Quick and easy fi xation

Material that is gentle to the skin

Large support area

Well secured, thanks to the balloon and foam stopper

Large sealable accesses

Adapts to different abdominal wall thicknesses

Stops micro bleedings (caused by dissection)

Simultaneous anchoring and sealing thanks to the interplay of the balloon and the foam stopper.

The foam stopper allows the balloon to be securely positioned quickly and easily.

9

1 Misra, Kumar, Bansal, Total extraperitoneal (TEP) mesh repair of inguinal hernia ..., 2008; 12 Misra, Kumar, Bansal, Total extraperitoneal (TEP) mesh repair of inguinal hernia ..., 2008; 73 Hannon et al., Comparison of insuffl ation vs retractional technique ..., 2000; 14: 3044 Brunt et al., Endoscopic Axillary Lymph Node Dissection ..., 1998; 10(4): 162

Uses

PAJUNK ® Eco balloon systems

PAJUNK ® balloon systems can be used in a wide range of procedures, from

endoscopic totally extraperitoneal hernioplasty (TEP) through laparoscopic

extraperitoneal radical nephrectomy (LERN) to laparoscopic extraperitoneal

prostatectomy (LERP). They can also be used in spinal surgery and lymph

gland removal. Their use is presented below, taking TEP as an example.

Totally extraperitoneal hernioplastyWith this method, the preperitoneal space is dilated by inserting and infl ating a balloon, and the point of rupture is reinforced with a plastic mesh.

Exemplary presentation of retroperitoneal dissection of tissue layers with the PAJUNK® Eco balloon system:

Practitioners are advised to place a structu-ral or ring-anchor balloon system to ensure working space access. Carbon dioxide is then injected to maintain the preperito-neal space during the operation.

The obturator is retracted and can be replaced by a laparoscope.

The dilation balloon is introduced by means of a blunt obturator parallel to the peritoneum.

No peritoneal opening

Small incision and wound area, minimising the risk of infection

Less need for post-surgical pain me-dication compared to endoscopic dissection 1

Low rate of complications 2

10

L4-5

Spinal surgeryIn spinal surgery, PAJUNK® balloon systems are used in laparosco-pically assisted procedures. This technique can be used suppor-tively in lumbar spine procedures with anterior access. The balloons can be used to dilate the operating space between two access points. 3

Lymph node removalHere, the balloon creates space for minimally invasive instru-ments. This allows the benefi ts of minimally invasive access tech-niques to be transferred to lymph node removal procedures. 4

UrologyBalloon dilation is also useful in surgery on the kidneys, ureters and other organs located in the retroperitoneal area, as it allows space to be created for the procedure.

Examples of uses.

Creation of retroperitoneal space for spinal surgery.

Creation of retroperitoneal space for urological kidney surgery.

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Balloon systems

All the information at a glance

Space-creating balloons

Product Size Item no. PU

EcoBalloon DIL-XL

Unilateral dilation balloon (round, extra large), sterile Ø 11 mm 1285-60-11 5 •

Ø 12.5 mm 1285-60-12 5 •

EcoBalloon DIL-BI

Bilateral dilation balloon (oval), sterile Ø 11 mm 1285-50-11 5 •

Balloons to secure working access

Product Size Item no. PU

EcoBalloon SB

Structural balloon and instrument channel, sterile Ø 11 mm 1285-20-11S 5 •

EcoBalloon RA

Ring-anchor balloon and instrument channel, sterile Ø 11 mm 1285-30-11S 5 •

Ø 5.8 mm 1285-30-58S 5 •

EcoBalloon RA-S

Short ring-anchor balloon and instrument channel,

sterile

Ø 11 mm 1285-40-11S 5 •

EcoBalloon URO

Flat ring-anchor balloon and instrument channel,

sterile

Ø 11 mm 1285-70-11S 5 •

Ø 5.8 mm 1285-70-58S 5 •

EcoBalloon URO-S

Short, flat ring-anchor balloon and instrument channel,

sterile

Ø 11 mm 1285-75-11S 5 •

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Balloon systems

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Double balloon kits

Product Size Item no. PU

EcoBalloonDuo DIL-XL + RA

Unilateral dilation balloon (round, extra large),

ring-anchor balloon and instrument channel,

sterile

Ø 11 mm 1285-60-20S 5 • •

EcoBalloonDuo DIL-XL + SB

Unilateral dilation balloon (round, extra large),

structural balloon and instrument channel,

sterile

Ø 11 mm 1285-60-24S 5 •

EcoBalloonDuo DIL-XL + URO

Unilateral dilation balloon (round, extra large),

URO ring-anchor balloon and instrument channel,

sterile

Ø 11 mm 1285-60-28S 5 • •

EcoBalloonDuo DIL-BI + RA

Bilateral dilation balloon (oval), ring-anchor balloon

and instrument channel, sterile

Ø 11 mm 1285-50-20S 5 • •

EcoBalloonDuo DlL-BI + SB

Bilateral dilation balloon (oval), structural balloon

and instrument channel, sterile

Ø 11 mm 1285-50-24S 5 •

EcoBalloonDuo DIL-BI + URO

Bilateral dilation balloon (oval), URO ring-anchor

balloon and instrument channel, sterile

Ø 11 mm 1285-50-28S 5 • •

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Balloon systems – kits

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Product Size Item no. PU

EcoBalloon TrocaTec MAN

With manually and automatically

actuated trap-door valve

Ø 11 mm 1285-13-11 1 •

Ø 5.8 mm 1285-13-58N 1

Ø 5.8 mm 1285-13-58 1 •

EcoBalloon TrocaTec AUTO

With automatic trap-door valve Ø 11 mm 1285-26-11 1 •

Ø 5.8 mm 1285-26-58N 1

EcoBalloon TrocaPort

With interchangeable silicone valve Ø 11 mm 1285-21-11 1 •

Ø 5.8 mm 1285-21-58N 1

Ø 5.8 mm 1285-21-58 1 •

All reusable balloon valves are characterised by an ergonomic valve housing and are easy to clean.

They have a low weight, a quick lock and a maintenance-free stop cock for gas inflation.*

* except for the TrocaTec AUTO 5.8 mm diameter model

Balloon valves

Balloon systems

All the information at a glance

Stop

coc

k

Ø 11 mm Ø 5.8 mm

Ø 11 mm Ø 5.8 mm

Ø 11 mm Ø 5.8 mm

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Product Size Item no. PU

EcoBalloon OBT DIL

For inserting unilateral

and bilateral dilation balloons

Ø 11 mm 1285-94-11 1

EcoBalloon OBT SB

For inserting

structural balloons

Ø 11 mm 1285-95-11 1

EcoBalloon OBT RA

For inserting

ring-anchor balloons

Ø 11 mm 1285-96-11 1

Ø 5.8 mm 1285-96-58 1

EcoBalloon OBT RA-S

For inserting short

ring-anchor balloons

Ø 11 mm 1285-97-11 1

EcoBalloon OBT PROTECT

Dilating trocar for inserting

ring-anchor balloons

Ø 5.8 mm 1285-98-58 1

Reusable blunt, and atraumatic obturators for balloon systems

Obturators

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Studies

• Brunt M., Jones D. B., Wu J. S., Brunt E. M., Radford D. M. Endoscopic Axillary Lymph Node Dissection: An Experimental Study in Human Cadavers, J. Am. Coll. Surg. 1998 August Vol. 187, No. 2; 10(4): 158–163

• Hannon J. K., Faircloth W. B., Lane D. R., Ronderos J. F., Snow L. L., Weinstein L. S., West J. L. Comparison of insuffl ation vs retrac-tional technique for laparoscopic-assisted intervertebral fusion of the lumbar spine, Surg. Endosc. 2000; 14: 300–304

• Misra M. C., Kumar S., Bansal V.K. Total extraperitoneal (TEP) mesh repair of inguinal hernia in the developing world: comparison of low-cost indigenous balloon dissection versus direct telescopic dissection: a prospective randomized controlled study, Surg. Endosc. 2008, Springer Science+Business Media

• Nahm C., Free J., Gananadha S., Hugh T. J., Samra J.S. Suction test to demonstrate the peritoneal edge during laparoscopic extra-peritoneal inguinal hernia repair, Surg. Endosc. 2013 Nov; 27(11): 4360–4363

• Regan J. P., Cattey R. P., Henry L. G., Robbins S. Laparoscopically assisted retroperitoneal spinal surgery, J. S. L. S. 2006 Oct–Dec; 10(4): 493–495

• Schmidt P., Antal A. The totally extraperitoneal (TEP) laparoscopic hernia repair, Acta Chir. Hung. 1997; 36(1–4): 320–322

PAJUNK® GmbH

Medizintechnologie

Karl-Hall-Strasse 1

D-78187 Geisingen / Germany

Phone +49 (0) 77 04 /92 91-0

Telefax +49 (0) 77 04 /92 91-6 00

www.pajunk.com

PAJUNK® Medical Produkte GmbHD.A.CH • BeNeLux

Karl-Hall-Strasse 1

D-78187 Geisingen / Germany

Phone +49 (0) 77 04 / 80 08-0

Telefax +49 (0) 77 04 /80 08-150

www.pajunk.com