Single Use Instruments

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2 Single Use Instruments Single Use Instruments Robinson Healthcare is a pioneer in the introduction of single use instruments, continuing the company s long tradition of innovation. Launched in 2002 under the name of Instrapac, the range has developed to become the brand of choice for many healthcare professionals throughout the UK, delivering high quality, reliability and value for money. Tangible Benefits Until relatively recent times, reusable instruments were generally the only option for healthcare professionals. Following concerns on the potential risks of cross infection, plus a growing need for cost reduction, single use instruments were introduced. They are now commonly used throughout the NHS, mainly for frequently performed or minor procedures. Single use instruments deliver tangible benefits to healthcare organisations and patients in three ways: Save money Save time Minimise risk of infection In addition to these key benefits, Robinson Healthcare s Instrapac range provides clinicians with a comprehensive choice of premium quality instruments, reliable deliveries and exceptional value for money. Save Money Revealing the Hidden Costs There is no doubt that Robinson Healthcare Instrapac single use instruments offer tremendous cost savings to the NHS. The Instrapac range is focussed on minor or straightforward procedures performed in hospitals and in the community. It is not intended to replace high value and complex instruments typically used in operating theatres though Instrapac can cost effectively complement theatre instrument sets. In a hospital setting, it has been found that costs can be significantly lower using single use instruments compared to reusables - even when on site sterilisation facilities exist. In particular: Accident and Emergency Maternity, Obstetrics and Gynaecology Minor Injuries Sexual and Reproductive Health A study carried out at Aberdeen Royal Infirmary 1 revealed a saving of over 30% when using Instrapac single use instruments in selected applications. In the community the savings can be even greater as the decision to use reusables may involve developing and running a sterilisation facility. Using Instrapac may mean that there is no need to run such a facility. It is important when comparing costs to take into account the full cost of using reusables. Have you taken into account the following? Capital cost of premises and developing the facility, decontamination and sterilisation equipment All staff costs including recruitment, training, absence, inefficiency (utilisation), HR cost, National Insurance and pension costs. Management and administration costs. Cost of ongoing maintenance and validation of decontamination and sterilisation Consumables used Capital cost of instruments and the replacement of any lost Repair costs Transport costs Traceability system costs If you are considering using a third party sterilisation facility, have you taken into account the following? Capital cost of instruments Lost and damaged instruments Repairs Transport cost to and from the steriliser Increase in instrument stock required to cover longer turnaround times. Using Robinson Healthcare Instrapac is so simple. You don t have to worry about any of these costs or responsibilities. Save Time and Improve Efficiencies When resources are limited, saving valuable staff time is vital. Instrapac single use instruments can contribute to reducing time lost in the following ways: No cancelled procedures or operating lists Eliminate the need to check instruments for wear and tear prior to use No waiting for instrument collection No delays in supply due to sterilisation capacity issues No supply shortages due to lost instruments or waiting for repairs No supply shortage - Instrapac is in stock and delivered rapidly when ordered Instruments work correctly every time Improved Infection Control Reduced Risk to Patients and Staff Reusable instruments must be thoroughly decontaminated before being re-sterilised and used again. If cleaning protocols are not closely followed, there is an increased risk of onward transmission prion-mediated diseases, such as vcjd. Single use instruments significantly reduce the risk of cross infection as each instrument is and unused. Therefore there is no risk of contamination by blood, tissue, bacteria, viruses or prions. Every instrument goes through the sterilisation process and is guaranteed sterile. This offers peace of mind to clinicians and patients. The NHS also makes savings - treatment of surgical site infections (SSI) is estimated to cost 758 million per annum 2. Minimising infection risk by using single use instruments can help to reduce this cost to the NHS and save lives. 18 Notes: 1. Harden JL/Hiscox JA, Scottish Medical Journal Aug University Hospitals of Leicester, Clinical Services Journal Sept 2010

3 Why Choose Instrapac? Instrapac instruments have been in clinical use for over 10 years, and are now the first choice for many clinicians. This success is based on a number of significant factors: High quality instruments and packaging Full compliance with the Medical Devices Directive Fully certified UK manufacturing facility Full control over production process in the UK Reliable delivery and extensive stock of finished goods First class customer service Compliance with Legislation and Standards It is a legal requirement for all medical devices to comply with the Medical Devices Directive (MDD) 93/42 EEC and carry the CE mark. Regulatory requirements differ according to the risk attached to the use of the product. The lower the risk, the easier it is to comply with the Directive. Single use instruments are relatively high risk as many are surgically invasive and therefore classified as lla devices. They are therefore subject to greater levels of control than reusables (which are Class l devices except those used on central nervous tissue). Class l devices can be sold without any authorisation from an independent third party a Notified Body. Class lla devices such as Instrapac require a Notified Body to assess the production of the device to Annex lv, V or Vl of the Directive and issue a certificate of conformance before a CE mark can be applied and the product legally sold. Certification by the British Standards Institution (BSI) verifies that Instrapac products meet fully the requirements of the Directive. Robinson Healthcare also complies with the following standards and has current certification as part of the CE marking process: BS EN ISO 13485:2003 Medical Devices Quality Management System BS EN ISO :1999 Cleanroom Validation and Operation BS EN Sterilisation of Healthcare Products MDD Annex V Production Quality Assurance this is the most critical document and is issued by a Notified Body. It demonstrates that the facilities and systems necessary to secure and maintain the sterility of a product meet the required standards. Instrapac procedure packs are easy to open and use UK Production Facility Robinson Healthcare retain control over the production of Instrapac products by designing the products, specifiying production methods and quality control procedures, inspecting finished product and packing and sterilising at the company s large manufacturing facility in Worksop, UK. A large Class 7 cleanroom provides hygienic packing facilities, with sterilisation carried out in the onsite twin chamber steam autoclave or at an EO gas sterilisation facility in the UK. Products comply with the relevant British Standards for surgical instruments and the quality control team ensure that products meet specification before being released for packing. All metal products are manufactured using medical grade stainless steel. The Instrapac range is packaged in high quality, easy to peel packs which feature indicators to verify that the contents are sterile. All procedure packs are presented wrapped in a sterile field for convenience. Robinson Healthcare fully understands that a consistent and reliable supply of quality products is critical to the smooth and efficient running of healthcare services. Consequently, significant stocks of finished goods and raw materials are held to maintain a reliable, uninterrupted supply to customers. After use, instruments should be placed in a sharps container, following the guidance in HTM Orange lidded containers offer a much wider range of options for the recycler, rendering the instrument safe by alternative methods other than incineration. This method enables recycling and reduces landfill. Choosing the Right Supplier How can you be sure that the instruments you purchase are fit for purpose, perform effectively, comply with appropriate regulations, are always available when required and represent value for money? Robinson Healthcare suggest the following checklist: Are products AQL inspected, packaged and sterilised in the UK to maintain control over quality and supply? Does the supplier have BS EN ISO 13485:2003 Medical Devices Quality Management System certification? Is the sterilisation process certified to Annex V Production Quality Assurance? Are you able to verify certification and check the status with the Notified Body? Can you visit the facility to assess the supplier s capabilities and quality? Do packaging and sterilisation facilities have appropriate validation certificates? Are significant stocks of finished goods held to ensure an uninterrupted supply? Come and Visit Us You are welcome to visit our facilities to confirm our credentials. Instrapac the brand of choice for healthcare professionals in the UK. Single Use Instruments 19

4 Podiatry - Single Use Instruments Good Reasons to Use Instrapac Podiatry Instruments Robinson Healthcare s Instrapac is the instrument brand of choice for numerous podiatrists throughout the UK. Thanks to excellent product quality, competitive pricing and exceptional levels of service, the podiatry range has been used extensively for over 10 years. The range is now enhanced with many and improved products, designed to offer more choice and to make podiatry procedures quicker and more effective. High Specification Nail Cutters A high quality nail cutter is essential for all podiatrists, ensuring nails are cut quickly, effectively and safely. It is also important that minimal effort is required during the procedure to reduce the risk of strain injuries (RSI) for clinicians and that the product works smoothly, offering maximum control when cutting. The latest generation of Instrapac Nail Cutters are designed to deliver outstanding performance during use and feature the following: Machined finished blades for excellent performance, guaranteed on every instrument Precision, sharp blades to reduce effort required when cutting Ergonomically designed wide handles with smooth edges mean reduced pressure and improved comfort in the hand Lightweight, well balanced body to reduce user fatigue Super smooth roller spring mechanism for controlled, smooth action Fully recyclable - 100% stainless steel Roller spring folds flat against handle - no need for additional plastic cap and improved safety (reduced risk of sharps injury) Rigorous production control to guarantee clean joints and easy, smooth cutting action Precision sharp, machine finished blades to reduce effort required when cutting Rigorous production control for clean, smooth action joints Ergonomically designed handles for maximum comfort 20 Super smooth roller spring action. Folds flat - no need for plastic cap and reduced risk of sharps injury

5 Expanded Nail Cutter Range In addition to the popular curved blade nail cutter, with roller spring action, the Instrapac range has been extended with the introduction of a number of products. Standard Blade Head - straight cutter 14cm Small Blade Head - curved cutter 13cm Fine Blade Head - curved cutter 13cm The standard size head range now includes a straight nail cutter with roller spring. In addition, a suite of cutters with smaller heads and shorter handles are now available. Suitable for all podiatry applications, the small blade and fine blade curved nail cutters at only 13cm long offer improved fit and comfort in the hand for some users and superior control during finer, more delicate procedures. The Fine Blade Head may also be used for some ingrown toenail avulsion procedures. Podiatry - Single Use Instruments SMALL FINE STANDARD STANDARD C U R V E D S T R AIG H T C U R V E D C U R V E D New, Improved Bur Range The Instrapac range of Podiatry Burs has been significantly improved to offer Podiatrists a much wider choice of product for all types of procedures. All of the burs benefit from precision design and manufacturing and feature a high performance diamond grit finish. This delivers a consistent abrasive action throughout the procedure, for quick and effective removal of hardened skin or thinning of thickened nails. Details of the full range are featured on page 32 of this catalogue. Bud Pear Barrel Tapered Meeting the Podiatrist s Every Need The Instrapac Podiatry range also now benefits from a number of other products, including an improved Blacks Nail File and Cantilever Nail Cutter, Fickling and McKays Elevators, Swan Neck Probe and Emery Boards. Supplementary products such as Dressings and Swabs are featured in the Woundcare, Absorbents and First Aid sections of this catalogue. Robinson Healthcare has also introduced a range of everyday disposables. Grouped under the Readi brand of Hygiene products, the range includes couch rolls, wiper rolls, hand towels, disposable aprons, face masks and, of course, the Readigloves range of Medical Examination Gloves. See the Hygiene and Disposable Gloves sections of this catalogue. Whatever your podiatry needs, Robinson Healthcare has the solution available from stock! 21

6 Podiatry - Single Use Instruments Podiatry Basic Pack - Curved, Roller Spring Precision, sharp cutting head reduces effort required Ergonomically designed handles for improved comfort Smooth action roller spring helps to reduce user fatigue Nail Cutter Curved - 1 Roller Spring 14cm Diamond Deb Foot Dresser 18.5cm 1 Blacks Nail File - Extra Fine, Rounded 1 BP Scalpel Handle No Packs Podiatry Assistants Pack - Curved, Roller Spring Precision, sharp cutting head reduces effort required Ergonomically designed handles for improved comfort Smooth action roller spring helps to reduce user fatigue Nail Cutter Curved - 1 Roller Spring 14cm Diamond Deb Foot Dresser 18.5cm 1 Blacks Nail File - Extra Fine, Rounded Packs

7 Podiatry Basic Pack - Straight, Roller Spring Nail Cutter Straight - 1 Roller Spring 14cm Diamond Deb Foot Dresser 18.5cm 1 Blacks Nail File - Extra Fine, Rounded 1 BP Scalpel Handle No. 3 1 Podiatry - Single Use Instruments Packs Podiatry Assistants Pack - Straight, Roller Spring Nail Cutter Straight - 1 Roller Spring 14cm Diamond Deb Foot Dresser 18.5cm 1 Blacks Nail File - Extra Fine, Rounded Packs 23

8 Podiatry - Single Use Instruments Podiatry Basic Pack - Small Curved, Roller Spring Nail Cutter Small Curved - 1 Roller Spring 13cm Diamond Deb Foot Dresser 18.5cm 1 Blacks Nail File - Extra Fine, Rounded 1 BP Scalpel Handle No Packs Podiatry Assistants Pack - Small Curved, Roller Spring Nail Cutter Small Curved - 1 Roller Spring 13cm Diamond Deb Foot Dresser 18.5cm 1 Blacks Nail File - Extra Fine, Rounded Packs

9 Podiatry Basic Pack - Fine Curved, Roller Spring Nail Cutter Fine Curved - 1 Roller Spring 13cm Diamond Deb Foot Dresser 18.5cm 1 Blacks Nail File - Extra Fine, Rounded 1 BP Scalpel Handle No. 3 1 Podiatry - Single Use Instruments Packs Podiatry Assistants Pack, Fine Curved, Roller Spring Nail Cutter Fine Curved - 1 Roller Spring 13cm Diamond Deb Foot Dresser 18.5cm 1 Blacks Nail File - Extra Fine, Rounded Packs 25

10 Podiatry - Single Use Instruments Standard Podiatry Pack - Curved, Roller Spring Nail Cutter Curved - 1 Roller Spring 14cm Diamond Deb Foot Dresser 18.5cm Packs Nail Surgery Pack Thwaites Nail Splitter 14cm 1 Halsted Mosquito Artery Forceps - 1 Straight 12.5cm Beaver Mini Blade Handle 1 Nail Elevator 1 Tubegauze Applicator - Large 1 Blacks Nail File - Extra Fine, Rounded 1 Polypropylene Tray, 2 Integral Pots Packs Standard Nail Surgery Pack Thwaites Nail Splitter 14cm 1 Halsted Mosquito Artery Forceps - 1 Straight 12.5cm Nail Elevator 1 Tubegauze Applicator Large 1 Blacks Nail File Extra Fine, Rounded 1 Gallipot 60ml Packs

11 Podiatry Debridement Pack Halsted Mosquito Artery Forceps - 1 Curved 12.5cm BP Scalpel Handle No. 3 1 Swan Neck Probe 1 Scissors - Sharp/Blunt 20cm 1 Blacks Nail File - Extra Fine, Rounded 1 Podiatry - Single Use Instruments Packs Standard Podiatry Debridement Pack Easy to open pack. Contents wrapped in a sterile field. Adson Micro Forceps - 1 Non-Toothed 12cm Scissors Sharp/Blunt 13cm 1 Probe - Medium 1 BP Scalpel Handle No Packs Social Nail Care Pack - Non-Sterile Supplied in a handy, re-usable zipped wallet. Nail Cutter Curved - 1 Roller Spring 14cm Diamond Deb Foot Dresser 18.5cm 1 Blacks Nail File - Extra Fine, Rounded 1 BP Scalpel Handle No Packs 27

12 Podiatry - Single Use Instruments Nail Cutter Curved - Roller Spring 14cm Nail Cutter Straight - Roller Spring 14cm Nail Cutter Small Curved - Roller Spring 13cm Nail Cutter Fine Curved - Roller Spring 13cm Nail Cutter Curved - Cantilever 15.5cm Ingrowing Toenail Cutter 12cm

13 Thwaites Nail Splitter 14cm Toenail Scissors Podiatry - Single Use Instruments Diamond Deb Foot Dresser 18.5cm Blacks Nail File - Extra Fine, Rounded BP Scalpel Handle No. 3 BP Scalpel Handle No Fits blade sizes 10, 10A, 11, 12 and Fits blade sizes

14 Podiatry - Single Use Instruments Probe - Medium Swan Neck Probe 12cm McKays Nail Elevator 18cm Fickling Nail Elevator 18cm Nail Elevator Tubegauze Applicator Product Code Size Unit of Sale 8169 Small Medium Large 40

15 Dressing Scissors 13cm Podiatry - Single Use Instruments Product Code Type Unit of Sale 7911 Sharp/Sharp Sharp/Blunt Blunt/Blunt 50 Scissors, Polypropylene Handled 12cm Dental Syringe, Standard 2.2ml Cartridge Note: Also suitable for standard 1.8ml cartridge Product Code Type Unit of Sale 7887 Sharp/Sharp Podiatry Emery Boards 18cm Supplied non-sterile. Need a bespoke pack? Robinson Healthcare can design and manufacture packs to meet your requirements, subject to minimum order volumes Box of 200 For more details call us on: Or send us a message by visiting: feedback 31

16 Podiatry - Single Use Instruments Podiatry Bur Range The Robinson Healthcare range of Instrapac Podiatry Burs has been significantly enhanced. The range now includes Bud, Pear, Barrel and Tapered Bur designs. All feature a bur shank diameter of 2.35mm to fit most podiatric power tools. Expanded range to cater for all bur requirements and applications High quality diamond grit finish for consistent abrasive action throughout the procedure New designs and sizes specifically for thickened nails or hard, calloused skin Bud Profile Pear Profile Product Code Head Size Unit of Sale 7819 Small (10mm) Medium (12mm) Large (15mm) 100 Note and 7787 were previously designated as Pear Profile. Product Code Head Size Unit of Sale 8190 Small (8mm) Large (12mm) 100 Barrel Profile Tapered Profile 32 Product Code Head Size Unit of Sale mm 100 Product Code Head Size Unit of Sale mm 100

17 Halsey Fine Suture Pack Plus Easy to open pack. Contents wrapped in a sterile field Halsey Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Iris Forceps - Toothed 10cm 1 Iris Forceps - Non-Toothed 10cm 1 Non-Woven Swabs 7.5x7.5cm 4 Ply 5 Dressing Towel 43x38cm 2 Polypropylene Tray, 2 Integral Pots 1 Surgical - Single Use Instruments Packs Halsey Fine Suture Pack Easy to open pack. Contents wrapped in a sterile field Burns Pack Halsey Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Iris Forceps - Toothed 10cm 1 Iris Forceps - Non-Toothed 10cm 1 McIndoe Forceps - Non-Toothed 15cm 2 Dressing Scissors - Sharp/Sharp 13cm 1 Polypropylene Tray, 2 Integral Pots Packs Packs 33

18 Surgical - Single Use Instruments Fine Suture Pack Plus Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Iris Forceps - Toothed 10cm 1 Iris Forceps - Non-Toothed 10cm 1 Non-Woven Swabs 7.5x7.5cm 4 Ply 5 Dressing Towel 43x38cm 2 Polypropylene Tray, 2 Integral Pots Packs Fine Suture Pack Iris Pack Easy to open pack. Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Iris Forceps - Toothed 10cm 1 Iris Forceps - Non-Toothed 10cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Iris Forceps - Non-Toothed 10cm Packs Packs

19 Standard Suture Pack Plus Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 TOE Forceps 13cm 1 Treves Forceps - Toothed 13cm 1 Non-Woven Swabs 7.5x7.5cm 4 Ply 5 Dressing Towel 43x38cm 2 Polypropylene Tray, 2 Integral Pots 1 Surgical - Single Use Instruments Packs Standard Suture Pack Adson Suture Pack Easy to open pack. Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 TOE Forceps 13cm 1 Treves Forceps - Toothed 13cm 1 Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Adson Forceps - Toothed 12.5cm 1 Adson Forceps - Non-Toothed 12.5cm Packs Packs 35

20 Surgical - Single Use Instruments Minor Surgery Pack Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Halsted Mosquito Artery Forceps - 1 Curved 12.5cm Adson Forceps - Toothed 12.5cm 1 Adson Forceps - Non-Toothed 12.5cm 1 Non-Woven Swabs 7.5x7.5cm 4 ply 5 Dressing Towel 43x38cm 2 Polypropylene Tray, 2 Integral Pots Packs Biopsy Pack Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Halsted Mosquito Artery Forceps - 1 Straight 12.5cm Adson Forceps - Toothed 12.5cm 1 Adson Forceps - Non-Toothed 12.5cm 1 Gillies Skin Hook 18cm 1 BP Scalpel Handle No. 3 1 Non-Woven Swabs 7.5x7.5cm 4 ply 10 Polypropylene Tray, 2 Integral Pots Packs

21 Minor Operations Pack Halsey Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Adson Micro Forceps - Toothed 12cm 1 Strabismus Scissors - Curved 11.5cm 1 BP Scalpel Handle No. 3 1 Gauze Swabs 7.5x7.5cm 8 ply 10 Dressing Towel 43x38cm 1 Polypropylene Tray, 2 Integral Pots 1 Surgical - Single Use Instruments Packs Minor Operations Pack - BG Easy to open pack. Contents wrapped in a sterile field Halsey Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Iris Stitch Scissors - Curved 11.5cm 1 Halsted Mosquito Artery Forceps - Straight 12.5cm 1 Halsted Mosquito Artery Forceps - Curved 12.5cm 1 Adson Forceps - Toothed 12cm 1 Adson Forceps - Non-Toothed 12cm 1 BP Scalpel Handle No. 3 1 Gillies Skin Hook 18cm 1 Polypropylene Tray, 2 Integral Pots packs 37

22 Surgical - Single Use Instruments Maxillofacial Biopsy Pack Mitchell Trimmer 16.5cm 1 Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Fine Straight 11.5cm 1 Halsted Mosquito Artery Forceps - Curved 12.5cm 1 Gillies Forceps - Toothed 15cm 1 Adson Forceps - Toothed 12.5cm 1 Dental Mirror, No. 4 1 BP Scalpel Handle No. 3 1 Non-Woven Swabs 7.5x7.5cm 4 Ply 10 Polypropylene Tray, 2 Integral Pots Packs Minor Plastic Surgery Pack Debridement Pack Easy to open pack. McIndoe Forceps - Non-Toothed 15cm 1 McIndoe Forceps - Toothed 15cm 1 Dressing Scissors - Sharp/Sharp 13cm 1 Iris Stitch Scissors - Curved 11.5cm 1 Treves Forceps - Toothed 13cm 1 Halsted Mosquito Artery Forceps - 1 Straight 12.5cm Silver Probe with Eye 13cm 1 BP Scalpel Handle No Packs Packs

23 Chest Drain Support Pack Easy to open pack. Contents wrapped in a sterile field Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Spencer Wells Artery Forceps 18cm 1 Treves Forceps - Toothed 13cm 1 Halsted Mosquito Artery Forceps - Straight 12.5cm 1 Non-Woven Swabs 7.5x7.5cm 4 Ply 5 Dressing Towel 43x38cm 1 Polypropylene Tray, 2 Integral Pots 1 Surgical - Single Use Instruments Packs Vasectomy Pack Easy to open pack. Contents wrapped in a sterile field Vasectomy Forceps Blunt 16cm 1 Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Straight 11.5cm 1 Halsted Mosquito Artery Forceps - Straight 12.5cm 2 Halsted Mosquito Artery Forceps - Curved 12.5cm 3 Rampley Sponge Holder 25cm 1 BP Scalpel Handle No. 3 1 Gauze Swabs 10x10cm 8 ply 10 Dressing Towel 43x38cm 2 Gallipot 60ml Packs 39

24 Women s Health - Single Use Instruments IUD Procedure Pack Cusco Medium 1 Teale Vulsellum Forceps 23cm 1 Rampley Sponge Holder 25cm 1 Sims Uterine Sound 32cm 1 Currie Uterine Scissors 20cm 1 Dressing Towel 43x38cm 1 Cotton Wool Balls BP Large 5 Gallipot 60ml 1 Polypropylene Tray, 2 Integral Pots Packs Standard IUD Pack with Cusco Cusco Medium 1 Allis Tissue Forceps 25cm 1 Spencer Wells Artery Forceps 18cm 1 Mayo Scissors - Straight 17cm 1 Gallipot 60ml Packs

25 IUD Pack Plus with Cusco Easy to open pack. Contents wrapped in a sterile field Cusco Medium 1 Allis Tissue Forceps 20cm 1 Spencer Wells Artery Forceps 23cm 1 Mayo Scissors - Curved 17cm 1 Cotton Wool Balls BP Large 3 Gallipot 60ml 1 Women s Health - Single Use Instruments Packs Basic IUD Pack Easy to open pack. Contents wrapped in a sterile field Allis Tissue Forceps 23cm 1 Spencer Wells Artery Forceps 18cm 1 Mayo Scissors - Curved 17cm 1 Polypropylene Tray, 2 Integral Pots Packs 41

26 Women s Health - Single Use Instruments Standard IUD Pack Allis Tissue Forceps 25cm 1 Spencer Wells Artery Forceps 18cm 1 Mayo Scissors - Straight 17cm 1 Gallipot 60ml Packs Durbin IUD Pack Allis Tissue Forceps 25cm 1 Rampley Sponge Holder 25cm 1 Currie Uterine Scissors 20cm 1 Cotton Wool Balls BP Medium 4 Gallipot 60ml Packs

27 Delivery Pack - 18cm Forceps Spencer Wells Artery Forceps 18cm 2 Mayo Scissors - Straight 17cm 1 Umbilical Cord Scissors 10cm 1 Umbilical Cord Clamps - Gated 2 Polypropylene Tray, 2 Integral Pots Packs Women s Health - Single Use Instruments Delivery Pack - 13cm Forceps Spencer Wells Artery Forceps 13cm 2 Mayo Scissors - Straight 17cm 1 Umbilical Cord Scissors 10cm 1 Umbilical Cord Clamps - Gated 2 Polypropylene Tray, 2 Integral Pots Packs Plain Delivery Pack Spencer Wells Artery Forceps 18cm 2 Umbilical Cord Scissors 10cm 1 Umbilical Cord Clamps - Gated 2 Polypropylene Tray, 2 Integral Pots Packs 43

28 Women s Health - Single Use Instruments Perineal Suture Pack Bonney Tissue Forceps - 1 Toothed 18cm Bonney Tissue Forceps - 1 Non-Toothed 18cm Mayo Needle Holder 18cm 1 Mayo Scissors - Straight 17cm 1 X-Ray Detectable Swabs 10 10x10cm 16 ply Polypropylene Tray, 2 Integral Pots Packs Perineal Suture Pack No Swabs Bonney Tissue Forceps - Toothed 18cm 1 Bonney Tissue Forceps - Non-Toothed 18cm 1 Mayo Needle Holder 18cm 1 Mayo Scissors - Straight 17cm 1 Polypropylene Tray, 2 Integral Pots Packs Perineal Repair Pack Bonney Tissue Forceps - Toothed 18cm 1 Spencer Wells Artery Forceps 18cm 1 Mayo Needle Holder 18cm 1 Mayo Scissors - Straight 17cm 1 Polypropylene Tray, 2 Integral Pots Packs

29 Vaginal Examination Pack Dressing Towel 43x38cm 1 Cotton Wool Balls BP Medium 8 Gallipot 60ml 1 Polypropylene Bowl 500ml Packs Women s Health - Single Use Instruments Vaginal Examination/Catheterisation Pack Dressing Towel 43x38cm 1 X-Ray Detectable Swabs 5 10x10cm 16ply Gallipot 60ml 1 Polypropylene Bowl 500ml Packs Cusco Vaginal Speculum Wrapped in a sterile field. Product Code Size Unit of Sale 7953 Virgin Small Medium Medium-Long Large 40 45

30 Women s Health - Single Use Instruments Wintertons Vaginal Speculum Wrapped in a sterile field Sims Vaginal Speculum Wrapped in a sterile field Hegar Dilator Wrapped in a sterile field. IUD Hook 31cm Wrapped in a sterile field. Product Code Size Unit of Sale / / / Currie Uterine Scissors 20cm Sims Uterine Sound 32cm Wrapped in a sterile field

31 Baby Tischler Wittner Cervical Punch Biopsy Forceps 23cm Women s Health - Single Use Instruments Schumacher Cervical Punch Biopsy Forceps 23cm Bonney Uterine Polyp Forceps 24cm

32 Women s Health - Single Use Instruments Umbilical Cord Scissors 10cm Rampley Sponge Holder Product Code Size Unit of Sale cm cm 20 Luer Vulsellum Forceps 23cm 1:1 Teeth Wrapped in a sterile field. Teale Vulsellum Forceps 23cm 3:4 Teeth Wrapped in a sterile field

33 Instraspec The Unique, Unbreakable Plastic Speculum* Instraspec is a high quality, reliable, sterile disposable vaginal speculum that also delivers exceptional value for money. Instraspec is the only single-use plastic vaginal speculum to be classified as a Class IIa medical device and is indicated for both gynaecological observation/examination and surgically invasive procedures. Manufactured from an advanced polymer, Instraspec has been independently tested and proven to be unbreakable in normal clinical use*. Safe and Strong Independently proven to be strong and unbreakable* offering complete peace of mind The only Class IIa approved single use plastic vaginal speculum* Approved for examination and access to the vaginal cavity during observation/assessment Safe for use in surgically invasive procedures, including those requiring diathermy Guaranteed sterility to eliminate cross infection Latex free material and packaging Design Comfort Silent, smooth and quick locking mechanism for reduced patient anxiety Anti-pinch design for improved patient comfort Crystal clear for maximum visibility of tissue Women s Health - Single Use Instruments Ease of Use and Convenience Colour coded packaging for quick and easy size selection Individual, easy tear packs for guaranteed sterility Convenient flip front case for rapid dispensing Eliminates the need for decontamination and re-sterilisation, reducing costs and saving time Instraspec is supplied in a convenient flip front dispensing case * Instraspec is manufactured from an advanced polymer which is unbreakable in normal use, independently tested by SMTL, Princess of Wales Hospital, Swansea. Instraspec is now classified as a Class IIa medical device, and is indicated for use during gynaecological observation/examination and for surgically invasive procedures. All other single-use plastic vaginal speculums are currently classified as Class I medical devices, and are therefore not indicated for use during surgically invasive procedures. Text correct at time of printing. Virgin Small Medium Medium-Long Large/Broad Product Code Size Length (mm) Width at Tip (mm) Unit of Sale 8099 Virgin (4 cases of 25) 8100 Small (4 cases of 25) 8101 Medium (4 cases of 25) 8102 Medium-Long (4 cases of 25) 8103 Large/Broad (4 cases of 25) 49

34 Dental - Single Use Instruments 50

35 Dental Examination Pack Dental Mirror No. 4 1 Dental Probe 1 College Forceps 15cm 1 Dental Periodontal Examination Pack Dental Mirror No. 4 1 Dental Probe 1 Peridontal Pocket Measuring Probe 1 Dental - Single Use Instruments Packs Packs Dental Periodontal Exam Pack Plus Dental Cavity Preparation Pack Dental Mirror No. 4 1 Dental Probe 1 Peridontal Pocket Measuring Probe 1 College Forceps 15cm 1 Flat Plastic Double Ended, Small 1 Ball Burnisher Double Ended 1 Spoon Excavator Double Ended, Large 1 Amalgam Condenser Double Ended Packs Packs 51

36 Dental - Single Use Instruments Dental Conservation Pack Ward Carver, No. 2 1 Ball Burnisher Double Ended 1 Spoon Excavator Double Ended, Small 1 Amalgam Condenser Double Ended 1 Dycal Applicator 1 Dental Mirror, No. 4 1 Dental Probe, 90º Angle Packs Dental Conservation Pack Plus Wards Carver, No. 2 1 Ball Burnisher, Double Ended 1 Spoon Excavator, Double Ended, Large 1 Amalgam Condenser Double Ended 1 Flat Plastic, Double Ended, Large 1 College Forceps 15cm 1 Dental Mirror, No. 4 1 Dental Probe, 90 Degree Angle Packs

37 Extraction Forceps, No. 37 Child Upper Incisors & Canines Supplied in individual easy to open packs Extraction Forceps, No. 39 Child Upper Molars Supplied in individual easy to open packs Dental - Single Use Instruments Extraction Forceps, No. 123 Child Lower Roots Supplied in individual easy to open packs Extraction Forceps, No. 138 Child Upper Roots Supplied in individual easy to open packs Extraction Forceps, No. 161 Child Lower Molars Supplied in individual easy to open packs Extraction Forceps, No. 7 Adult Upper Roots & Bicuspids Supplied in individual easy to open packs

38 Dental - Single Use Instruments Extraction Forceps, No. 29 Adult Upper Roots Supplied in individual easy to open packs Extraction Forceps, No. 73 Adult Lower Molars (Hawks Bill) Supplied in individual easy to open packs Extraction Forceps, No. 74 Adult Lower Roots Supplied in individual easy to open packs Extraction Forceps, No. 74N Adult Small Lower Roots & Crowded Incisors Supplied in individual easy to open packs Extraction Forceps, No. 86 Adult Lower Molars (Cowhorn) Supplied in individual easy to open packs Extraction Forceps, No. 94 Adult Upper Molars Right Supplied in individual easy to open packs

39 Extraction Forceps, No. 95 Adult Upper Molars Left Supplied in individual easy to open packs Periosteal Elevator No. 1 Supplied in individual easy to open packs Dental - Single Use Instruments Coupland Chisel Supplied in individual easy to open packs Product Code Size Unit of Sale 8123 No. 1 (Small) No. 2 (Medium) No. 3 (Large) 10 Cryers Elevator Supplied in individual easy to open packs Product Code Size Unit of Sale 8126 Left Right Set - Left & Right 10 55

40 Dental - Single Use Instruments Warwick-James Elevators Product Code Size Unit of Sale 8129 Left Right Straight Set - Left, Right and Straight 10 Luxation Instruments 3mm - Curved and Straight Product Code Size Unit of Sale mm Straight mm Curved 10 Luxation Instruments 5mm - Curved and Straight 56 Product Code Size Unit of Sale mm Straight mm Curved 10

41 Ainsworth Rubber Dam Punch Rubber Dam Frame Dental - Single Use Instruments Brewer Rubber Dam Clamp Forceps Rubber Dam Clamp Product Code Type Unit of Sale 8144 AW FW C 40 57

42 Dental - Single Use Instruments Dental Probe, 90º Angle Supplied in individual easy to open packs Dental Probe Supplied in individual easy to open packs CPITN Probe Supplied in individual easy to open packs Periodontal Pocket Measuring Probe Supplied in individual easy to open packs Dental Mirror No. 4 Supplied in individual easy to open packs Spoon Excavator - Double Ended Supplied in individual easy to open packs Product Code Size Unit of Sale 8034 Small Large 40

43 Dycal Applicator Supplied in individual easy to open packs Flat Plastic Filling Instrument - Double Ended Supplied in individual easy to open packs Dental - Single Use Instruments Product Code Size Unit of Sale 7808 Small Large 20 Wards Carver, No. 2 Supplied in individual easy to open packs Ball Burnisher - Double Ended Supplied in individual easy to open packs Amalgam Condenser - Double Ended Supplied in individual easy to open packs Mitchell Trimmer 16.5cm

44 Dental - Single Use Instruments Dental Syringe, Standard 2.2ml Cartridge Supplied in individual easy to open packs Note: Also suitable for standard 1.8ml cartridge Tongue & Cheek Retractor, Minnesota Pattern Supplied in individual easy to open packs College Forceps Supplied in individual easy to open packs Throat Pack, Medium x 2 Supplied in individual easy to open packs High quality, absorbent cotton pad with soft viscose cover High strength, securely attached removal cord for safety Packs

45 Maxillofacial Biopsy Pack Easy to open pack. Contents wrapped in a sterile field Mitchell Trimmer 16.5cm 1 Kilner Needle Holder 14cm 1 Iris Stitch Scissors - Fine Straight 11.5cm 1 Halsted Mosquito Artery Forceps - Curved 12.5cm 1 Gillies Forceps - Toothed 15cm 1 Adson Forceps - Toothed 12.5cm 1 Dental Mirror, No. 4 1 BP Scalpel Handle No. 3 1 Non-Woven Swabs 7.5x7.5cm 4 Ply 10 Polypropylene Tray, 2 Integral Pots 1 Dental - Single Use Instruments Packs Dental Rolls - Non-Sterile Superior quality, 100% absorbent cotton dental rolls Ideal for soft tissue and moisture control during dental procedures Available in 3 sizes - 8, 10 and 12mm diameter Throat Packs - Non-Sterile High quality, absorbent cotton pad with soft viscose cover High strength, securely attached removal cord for safety Product Code Size Unit of Sale 6850 Size 1-8mm Dia. 6,000 (500 s x 12) 6851 Size 2-10mm Dia. 6,000 (500 s x 12) 6852 Size 3-12mm Dia. 6,000 (500 s x 12) Product Code Size Unit of Sale Small x 5.1cm 960 (80 s x 12) Medium x 6.3cm 600 (50 s x 12) Large x 8.9cm 600 (50 s x 12) 61

46 ENT - Single Use Instruments Jobson Horne Probe Formby Cerumen Hook and Scoop 14cm Product Code Size Unit of Sale cm cm St Barts Wax Hook Blunt 17cm Tilley Aural Dressing Forceps 14cm Zoellner Suction Tube 18cm Lister Sinus Forceps 13cm

47 Thudicum Nasal Speculum Product Code Size Unit of Sale 7860 Size Size Size Size Size Size Size Size 7 40 ENT - Single Use Instruments Trousseau Bowlby Tracheal Dilating Forceps 14cm Magills Forceps Product Code Size Unit of Sale 7992 Adult 25cm Child 20cm 20 Scissors Page 64 Forceps Page 69 Surgical Instruments Page 33 Supplementary Items Page 76 63

48 Scissors - Single Use Instruments Iris Stitch Scissors Product Code Size Unit of Sale 8031 Fine Straight 11.5cm Straight 11.5cm Curved 11.5cm 50 Mayo Scissors Product Code Type Unit of Sale 7966 Straight 15cm Straight 17cm Curved 17cm Curved 23cm 20 Dressing Scissors 13cm 64 Product Code Type Unit of Sale 7911 Sharp/Sharp Sharp/Blunt Blunt/Blunt 50

49 Lister Bandage Scissors Scissors - Single Use Instruments Product Code Size Unit of Sale cm cm 40 Currie Uterine Scissors 20cm Strabismus Scissors 11.5cm Product Code Type Unit of Sale 7849 Curved Straight 50 65

50 Scissors - Single Use Instruments Metzenbaum Scissors 14cm Product Code Size Unit of Sale 8225 Straight Curved Fine Straight 40 Metzenbaum Scissors 18cm Product Code Type Unit of Sale 8226 Straight Curved 20 Kilner Scissors 11.5cm 66 Product Code Type Unit of Sale 8230 Straight Curved Fine Straight 50

51 McIndoe Scissors Straight 18cm Umbilical Cord Scissors 10cm Scissors - Single Use Instruments Suture Scissors, Hook Point 11.5cm Tough Cut Scissors 18.5cm - Non-Sterile

52 Scissors - Single Use Instruments Scissors, Polypropylene Handled 12cm Dressing Scissors, Polypropylene Handled 13cm Product Code Type Unit of Sale 7887 Sharp/Sharp 50 Product Code Type Unit of Sale 8027 Sharp/Blunt 50 Toenail Scissors Forceps Page 69 Supplementary Items Page 76 Podiatry Page 22 Surgical Instruments Page 33 Women s Health Page

53 TOE Forceps 13cm Treves Toothed Forceps 13cm Forceps - Single Use Instruments Iris Forceps 10cm Adson Forceps 12.5cm Product Code Type Unit of Sale 7894 Non-Toothed Toothed 50 Product Code Type Unit of Sale 7910 Non-Toothed Toothed 50 Adson Micro Forceps 12.5cm McIndoe Forceps 15cm Product Code Type Unit of Sale 7974 Non-Toothed Toothed 50 Product Code Type Unit of Sale 7990 Non-Toothed Toothed 20 69

54 Forceps - Single Use Instruments DeBakey Dissecting Forceps (2mm Width) Product Code Size Unit of Sale cm cm 20 Spencer Wells Artery Forceps Straight Product Code Type Unit of Sale 7908 Straight 12.5cm Straight 15cm Straight 18cm Straight 20cm Straight 23cm 20 Spencer Wells Artery Forceps Curved 70 Product Code Type Unit of Sale 8245 Curved 12.5cm Curved 15cm Curved 18cm 20

55 Kocher Artery Forceps 15.5cm Forceps - Single Use Instruments Product Code Type Unit of Sale 8242 Straight Curved 20 Halsted Mosquito Artery Forceps 12.5cm Dunhill Artery Forceps 12.5cm Product Code Type Unit of Sale 7888 Straight Curved 50 Product Code Type Unit of Sale 8240 Straight Curved 50 Crile Forceps 14.5cm Full Serration Kelly Forceps 14.5cm Tip Serration Product Code Type Unit of Sale 8236 Curved Straight 40 Product Code Type Unit of Sale 8238 Straight Curved 20 71

56 Forceps - Single Use Instruments Hartmann Crocodile Forceps Wrapped in a sterile field. Product Code Size Unit of Sale cm cm, Extra Fine cm 40 Magills Forceps Wrapped in a sterile field. Product Code Type Unit of Sale 7992 Adult 25cm Child 20cm 20 Allis Tissue Forceps 72 Product Code Type Unit of Sale cm 4:5 Tooth cm 3:4 Tooth cm 4:5 Tooth 20

57 Rampley Sponge Holder Luer Vulsellum Forceps 23cm 1:1 Teeth Wrapped in a sterile field. Forceps - Single Use Instruments Product Code Size Unit of Sale cm cm Teale Vulsellum Forceps 23cm 3:4 Teeth Wrapped in a sterile field. Hospital Tubing Clamp 18cm Vasectomy Forceps 16cm Vasectomy Forceps Sharp Ended 15cm Product Code Type Unit of Sale 7851 Blunt

58 Forceps - Single Use Instruments Arthur Splinter Forceps 14cm Martins Splinter Forceps 11cm Hunter Splinter Forceps 11cm Trousseau Bowlby Tracheal Dilating Forceps 14cm Tilley Aural Dressing Forceps 14cm Lister Sinus Forceps 13cm

59 Baby Tischler Wittner Cervical Punch Biopsy Forceps 23cm Forceps - Single Use Instruments Schumacher Cervical Punch Biopsy Forceps 23cm Bonney Uterine Polyp Forceps 24cm

60 Supplementary Items - Single Use Instruments Olsen-Hegar Needle Holder 14cm Halsey Needle Holder 13cm Derf Needle Holder 13cm Kilner Needle Holder 14cm Mayo Needle Holder 76 Product Code Size Unit of Sale cm cm 20

61 Volkmann Spoon, Double Ended Product Code Size Unit of Sale cm cm cm cm 20 BP Scalpel Handle No. 3 BP Scalpel Handle No. 9 Supplementary Items - Single Use Instruments Fits blade sizes 10, 10A, 11, 12 & Fits blade sizes Gillies Skin Hook 18cm Dental Syringe, 2.2ml Cartridge Note: Also suitable for 1.8ml cartridge

62 Supplementary Items - Single Use Instruments Backhaus Towel Clip Product Code Size Unit of Sale cm cm 50 Silver Probe with Eye 13cm Zoellner Suction Tube 18cm

63 Foil Bowl 500ml Gallipot 60ml Foil Tray 19 x 12.5cm Polypropylene Bowl 500ml Supplementary Items - Single Use Instruments Dressing Towel 43 x 38cm Pre-folded 2 ply crepe tissue Highly absorbent and high wet strength Throat Pack, Medium x 2 High quality, absorbent cotton pad with soft viscose cover High strength, securely attached removal cord for safety Packs 79

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