2015 product catalog.

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1 2015 product catalog

2 table of contents bleed management and irrigation 1-8 BioShield biopsy valves and irrigation accessories 3 BioVac direct suction device 4 Bipolar hemostasis probe 4 Injection needles 5 Articulator injection needle 5 Carr-Locke injection needle 5 Vari-Safe injection needle 5 Irrigation systems 6-7 AquaShield water bottle system 6 Irrigation kits 7 Torrent irrigation tubing 6 Velocity irrigation system 7 endoscope care and accessories 9-20 BioShield biopsy valves and irrigation accessories Bite blocks Cleaning brushes Endo-Boot endoscope tip protectors 17 Irrigation systems AquaShield water bottle system 18 Irrigation kits 19 Torrent irrigation tubing 19 Keeper device clip 17 Oracle EUS balloon 17 Procedure kits 20 VIA compliance kit 20 VIA bedside pre-cleaning kit 20 Take-Out transport pad 18 enteroscopy and capsule delivery AdvanCE capsule endoscope delivery device 23 Enteroscopy devices Reach overtube 26 ercp Boost head positioner 29 Carr-Locke injection needle 29 Infinity ERCP sampling device 29 Keeper device clip 30 Mio medical device organizer 30

3 feeding Initial placement pull PEGs Initial placement guidewire PEG 35 Initial placement PEGs - non-pharmaceutical Non-balloon replacement PEG 39 foreign body management Falcon rotatable retrieval basket 43 Guardus overtube 43 Raptor grasping device 44 Rotator rotatable snare 44 Roth Net retrievers Talon grasping device 46 laparoscopy Ponsky Laparoscopic cholangiography systems 49 Ponsky Endo-Sock retrieval pouch 49 polypectomy and tissue acquisition Cytology brushes 53 EndoRings device 53 Entrada colonic overtube 54 Forceps Infinity cytology device 55 Infinity ERCP sampling device 55 Injection needles Articulator injection needle 56 Carr-Locke injection needle 57 Vari-Safe injection needle 57 isnare system 56 Polyp traps 57 etrap polyp trap 57 InStream polyp trap 57 Polypectomy snares Exacto cold snare 58 Lariat snare 58 Traxtion snare 58 Roth Net retrievers 60 Roth Net retrieval devices 61-64

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5 bleed management & irrigation bleed management & irrigation

6 bleed management & irrigation US Endoscopy has set a new standard for injection therapy, bleed management and irrigation devices. From our BioVac direct suction device, specializing in evacuation and lavage of the GI tract, to the world-renowned Carr-Locke injection needle, we offer solutions to address nearly all of your bleed management needs. Contact Hour Opportunity Gastrointestinal Bleeding: Types, Challenges, and Treatment Options Provider approved by the California Board of Registered Nursing. Provider #15248, for 1.0 Contact Hours. Please contact US Endoscopy to schedule a contact hour presentation. Currently available in the U.S. only. BioShield biopsy valves & irrigation accessories BioShield irrigator Featuring an irrigation line for remote access irrigation and easy connection to a syringe or a water pump when used in conjunction with our optional BioShield irrigator - extension tubing. product number description irrigation line length (cm) units/box BX Olympus/Fujinon (G5 series and newer) BioShield irrigator Featuring an irrigation line for remote access irrigation and easy connection to a syringe or a water pump when used in conjunction with our optional BioShield irrigator - extension tubing. product number description irrigation line length (cm) units/box BX Pentax BioShield irrigator - extension tubing Extension tubing to compliment the BX or BX (BioShield irrigator) and the BioVac direct suction device for hands-free foot pedal control. product number length (cm) units/box BX

7 BioVac direct suction device Specializing in evacuation and lavage of the GI tract, the BioVac device is designed to suction hard-to-remove, viscous materials, like gelatinous blood and stringy clots*, which may otherwise clog the control head of the endoscope. The BioVac device is unique in that it allows for direct visualization during cleansing and evacuation by empowering the endoscope s own suction capabilities. product number description suction tubing (cm) irrigation line (cm) y-port units/box BX Pentax no 5 product number description suction tubing (cm) irrigation line (cm) y-port units/box BX Olympus/Fujinon no 5 (G5 series and newer) BX Olympus/Fujinon yes 5 (G5 series and newer) Bipolar hemostasis probe With a unique, Hydromer tip to help prevent tissue from sticking to the probe, its universal length can be used for EGD, enteroscopy, and colonoscopy. product number size (FR) length (cm) active cord style units/box EA dual plug 1 EA single plug 1 EA single plug 1 *The size of particles and volume of liquid suctioned is limited to the endoscope s channel size 4

8 injection needles Articulator injection needle A choice needle for injection therapy, the Articulator injection needle features a stainless steel sheath and spring-loaded, luer lock handle designed to ensure needle projection in articulated positions. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box BX BX BX BX * BX Carr-Locke injection needle World renowned for its reliability and consistency, the Carr-Locke injection needle is ideal for your everyday procedures as well as your most tortuous, difficult injection therapy maneuvers. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box BX BX BX (Pentax) BX BX BX BX Vari-Safe injection needle Traditionally designed, 23-gauge, plastic-sheathed injection needle with a spring-loaded, luer lock handle for injection of more viscous media. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box EA *BX does not feature a spring-loaded handle. Not currently for sale in the U.S.

9 irrigation systems AquaShield water bottle system The disposable AquaShield system offers a safe and convenient alternative to reprocessing reusable water bottle systems. product number water bottle compatibility CO 2 CO 2 tubing length (cm) units/box BX Baxter/Hospira/B. Braun no 25 BX Baxter/Hospira/B. Braun yes BX Fresenius - EU. B.Braun- no 25 EU Versol, Baxter - DE BX Fresenius - EU. B.Braun- yes EU Versol, Baxter - DE BX Baxter/Hospira/B. Braun yes AquaShield water bottle system BX AquaShield water bottle system BX Torrent irrigation tubing Proactively protect patients against cross-contamination with the disposable Torrent irrigation tubing and single-use scope connector. Torrent irrigation tubing product number description tubing length (cm) units/box BX Olympus pumps BX ERBE / EndoGator / Olympus pumps BX Olympus pumps BX ERBE / EndoGator / Olympus pumps Torrent scope connector product number description units/box BX Olympus 140/160/180/ series only BX PENTAX 70/80/ series only Torrent scope connector - PENTAX BX Not currently for sale in the U.S. 6

10 irrigation kits The irrigation kits conveniently include the Torrent irrigation tubing, Torrent scope connector, and the AquaShield water bottle system. product number description electric pump water bottle compatibility compatibility BX AquaShield system - 25 each Olympus Baxter/Hospira/B.Braun Torrent irrigation tubing - 25 each Torrent scope connector each BX AquaShield system - 25 each ERBE/EndoGator/Olympus Baxter/Hospira/B.Braun Torrent irrigation tubing - 25 each Torrent scope connector each Velocity irrigation system The Velocity system offers exceptional volume and pressure allowing for improved outcomes when clearing the mucosa proves challenging. Velocity irrigation pump product number units/box BX BX Velocity biopsy valve product number description units/box BX Olympus/Fujinon 25 (G5 series and newer) Velocity biopsy valve product number description units/box BX Pentax 25 7 Not currently for sale in the U.S.

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13 endoscope care & accessories endoscope care & accessories

14 endoscope care and accessories With cross-contamination a primary concern in any GI unit, US Endoscopy s extensive endoscope care and accessory product lines feature an array of single-use cleaning brushes, bite blocks, and BioShield biopsy valves and irrigation solutions to address these concerns. Our AquaShield water bottle system is disposable and promotes patient safety by reducing the risk of bacterial contamination. Contact Hour Opportunity Endoscope Care and Cleaning; From Start to Finish Provider approved by the California Board of Registered Nursing. Provider #15248, for 1.0 Contact Hours. Please contact US Endoscopy to schedule a contact hour presentation. Currently available in the U.S. only. BioShield biopsy valves & irrigation accessories Olympus & Fujinon (G5 series & newer) compatible BioShield biopsy valve product number description units/box BX Olympus/Fujinon 200 (G5 series and newer) BX Olympus/Fujinon 200 (20 per pack, 10 packages) (G5 series and newer) BX Olympus/Fujinon 100 (G5 series and newer) BX Olympus/Fujinon 100 (G5 series and newer) BioShield biopsy valve product number description units/box BX Olympus/Fujinon 100 (G5 series and newer) BX Olympus/Fujinon 200 (20 per pack, 10 packages) (G5 series and newer) BioShield irrigator The BioShield irrigator features an irrigation line for remote access irrigation and easy connection to a syringe, or water pump when used in conjunction with our optional BioShield irrigator - extension tubing. product number description irrigation line length (cm) units/box BX Olympus/Fujinon (G5 series and newer) 11 Not currently for sale in the U.S.

15 Pentax compatible BioShield biopsy valve product number description units/box BX Pentax 100 BioShield biopsy valve product number description units/box BX Pentax BioShield irrigator The BioShield irrigation features an irrigation line for remote access irrigation and easy connection to a syringe or a water pump when used in conjunction with our optional BioShield irrigator - extension tubing. product number description irrigation line length (cm) units/box BX Pentax irrigation accessories BioShield - irrigating adaptor For use with all biopsy valves, this universal adaptor maximizes direct, intraprocedural irrigation. product number adaptor gauge adaptor length (cm) units/box BX BioShield irrigator - extension tubing Extension tubing to compliment the BX or BX (BioShield irrigator) and the BioVac direct suction device for hands-free foot pedal control. product number length (cm) units/box BX

16 bite blocks US Endoscopy s family of bite blocks is ideal for individualized patient care. Our single-use bite blocks and coordinating straps are latex-free, addressing the ever-growing incidence of latex sensitivity and risk of severe allergic reaction. This extensive line includes a variety of sizes, designs and models to ensure the best fit for the patient and clinician. An impressive selection latex-free and worry free. bite blocks with dental retention rim Sturdy, yet forgiving material protects delicate instruments and provides comfort for patients. Standard bite block latex-free strap* product number opening size side port units/box BX mm / 48 FR no 100 Standard bite block no strap product number opening size side port units/box BX mm / 48 FR no 100 Standard bite block Velcro strap product number opening size side port units/box BX mm / 48 FR no 100 Maxi bite block latex-free strap* product number opening size side port units/box BX mm / 60 FR yes *synthetic elastomer strap

17 Maxi bite block no strap product number opening size side port units/box BX mm / 60 FR yes 100 Maxi bite block Velcro strap product number opening size side port units/box BX mm / 60 FR yes Maxi bite block woven strap product number opening size side port units/box BX mm / 60 FR yes 100 Vasto bite block latex free strap* product number opening size side port units/box BX mm / 72 FR yes 100 Respa O 2 delivery bite block product number opening size side port units/box BX mm / 60 FR yes 100 *synthetic elastomer strap 14

18 bite blocks without dental retention rim With a smooth insertion rim and a flexible frame to mold gently to your patient s face, these latex-free bite blocks are especially suited for limitations of the mouth or jaw. Pediatric bite block latex-free strap* product number opening size side port units/box BX mm / 38 FR yes 25 Intermediate bite block latex-free strap* product number opening size side port units/box BX mm / 48 FR yes 100 cleaning brushes Standard channel cleaning brush A textured, non-slip catheter with specially designed nylon bristles to maximize cleaning efforts. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box BX taper Jumbo channel cleaning brush Larger bristle diameter sized specifically to scrub biopsy channels 2.8mm-9.0mm. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box BX taper BX taper *synthetic elastomer strap 15

19 Gemini Brush double ended channel cleaning brush Featuring a standard sized channel brush on both ends of our signature non-slip catheter, the Gemini Brush double ended brush scrubs twice as well with half the effort. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box BX taper BX taper Double-Header combination channel and valve/control head cleaning brush Featuring a standard channel brush on one end (bristle diameter 5-7mm taper) combined with a valve/control head cleaning brush (bristle diameter 10mm) on the other end of a non-slip 230cm catheter. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box BX taper BX taper Valve/control head cleaning brush A full head of soft bristles to aid in removal of gross material, the ridged barbell handle is designed with grooves for a comfortable, non-slip grip. product number bristle head length (cm) length (cm) bristle diameter (mm) channel diameter (mm) units/box BX N/A 10 N/A 50 BX N/A 10 N/A 100 4cm bristle head length! Wooly Brush channel cleaning brush Incorporating a bright orange color with 4 full centimeters of our specially designed nylon bristles, the Wooly Brush channel cleaning brush maximizes cleaning effectiveness by boosting the number of bristles that scrub throughout the channel. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box BX taper Small Wonder channel cleaning brush A specialized, miniature cleaning brush suited for the tiny channels of select bronchoscopes and the balloon channel of Olympus EUS scopes. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box BX BX

20 Endo-Boot endoscope tip protectors A disposable tip protector that cushions your endoscope and its delicate components during transport and storage. Large product number I.D. (mm) O.D. (cm) length (cm) units/box BX For all scopes and delicate instruments over 5mm in diameter Small product number I.D. (mm) O.D. (cm) length (cm) units/box BX For all scopes and delicate instruments up to 5mm in diameter Keeper device clip The Keeper device clip keeps the catheter coiled up so it can be placed conveniently near the clinican during procedures. product number units/box BX (5 bags of 20) BX (individually packaged) Oracle EUS balloon The Oracle EUS balloon is manufactured not to contain latex and offers superior durability during application and use. product number description units/box BX Olympus curvilinear/ 20 radial array Not currently for sale in the U.S. 17

21 Take-Out transport pad The Take-Out transport pad is a safe and easy way to transport an endoscope to the reprocessing room after use. product number description units/box BX ~102cm x ~72cm 25 irrigation systems AquaShield water bottle system The disposable AquaShield system offers a safe and convenient alternative to reprocessing reusable water bottle systems. product number water bottle compatibility CO 2 CO 2 tubing length (cm) units/box BX Baxter/Hospira/B. Braun no 25 BX Baxter/Hospira/B. Braun yes BX Fresenius - EU. B.Braun- no 25 EU Versol, Baxter - DE BX Fresenius - EU. B.Braun- yes EU Versol, Baxter - DE BX Baxter/Hospira/B. Braun yes AquaShield water bottle system BX AquaShield water bottle system BX Not currently for sale in the U.S. 18

22 Torrent irrigation tubing Proactively protect patients against cross-contamination with the disposable Torrent irrigation tubing and single-use scope connector. Torrent irrigation tubing product number description tubing length (cm) units/box BX Olympus pumps BX ERBE / EndoGator / Olympus pumps BX Olympus pumps BX ERBE / EndoGator / Olympus pumps Torrent scope connector product number description units/box BX Olympus 140/160/180/ series only BX PENTAX 70/80/ series only Torrent scope connector - PENTAX BX irrigation kits The irrigation kits conveniently include the Torrent irrigation tubing, Torrent scope connector, and the AquaShield water bottle system. product number description electric pump water bottle compatibility compatibility BX AquaShield system - 25 each Olympus Baxter/Hospira/B.Braun Torrent irrigation tubing - 25 each Torrent scope connector each BX AquaShield system - 25 each ERBE/EndoGator/Olympus Baxter/Hospira/B.Braun Torrent irrigation tubing - 25 each Torrent scope connector each Not currently for sale in the U.S. 19

23 procedure kits VIA compliance kit The VIA compliance kit offers a solution for standardizing patient care and improving unit efficiency. product number description/contents units/box BX transport pad 20 lubrication jelly (10) 4x4 gauze pads dry enzymatic sponge and basin Double Header cleaning brush VIA bedside pre-cleaning kit The VIA bedside pre-cleaning kit provides a convenient and safe way to follow infection control guidelines when cleaning the endoscope post procedure. product number description/contents units/box BX enzymatic sponge 24 basin Currently for sale in the U.S. only 20

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25 enteroscopy & capsule endoscopy enteroscopy & capsule endoscopy

26 enteroscopy & capsule endoscopy US Endoscopy has once again addressed an unmet need in the market with our full line of single-use products for enteroscopy procedures and enteroscope care and accessories. Contact Hour Opportunity Understanding Enteroscopy; How, When, and Why it s Performed Provider approved by the California Board of Registered Nursing. Provider #15248, for 1.0 Contact Hours. Please contact US Endoscopy to schedule a contact hour presentation. Currently available in the U.S. only. single balloon & double balloon enteroscopy For more devices available for single balloon and double balloon enteroscopes (230cm length), please view the individual product sections. AdvanCE capsule endoscope delivery device The AdvanCE capsule endoscope delivery device allows for direct placement of video capsules into the stomach or small intestine of patients with oropharyngeal or mechanical dysphagia, gastroparesis, and known or suspected anatomical abnormalities. product number description sheath diameter (mm) length (cm) units/box BX For use with PillCamSB video capsule enteroscopy devices Articulator injection needle The Articulator injection needle is designed to work in the tortuous conditions of the small bowel. The stainless steel sheath helps to eliminate patient and channel damage risks associated with plastic sheathed needles. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box BX * Biopsy forceps State-of-the-art manufacturing processes ensure that all US Endoscopy forceps are sharp and well aligned, allowing for precise tissue samples every time. product number sheath diameter (mm) length (cm) cup style units/box BX oval with spike 5 23 * does not feature a spring-loaded handle.

27 Hot biopsy forceps With all of the features of our standard biopsy forceps, the hot biopsy forceps have insulated sheaths designed for maximum flexibility and protection. product number sheath diameter (mm) length (cm) cup style active cord connection units/box BX oval Olympus style active cord 5 BioShield biopsy valves & irrigation accessories It is nearly impossible to manually clean, disinfect, flush and dry biopsy valves. Reused biopsy valves can become leaky and potentially harbor dangerous pathogens. BioShield biopsy valves are single-use offering unsurpassed protection for patients and healthcare workers. Note: Please refer to page for the complete line of BioShield biopsy valves & irrigation accessories. Bipolar hemostasis probes With a unique, Hydromer tip to help prevent tissue from sticking to the probe, its universal length can be used for EGD, enteroscopy and colonoscopy. product number size (FR) length (cm) style units/box BX dual plug 1 BX single plug 1 BX single plug 1 Cytology brush Designed to collect cell samples from the small bowel, the unique bristle configuration of US Endoscopy s enteroscopy length cytology brush provides an abundant cell sample. product number sheath diameter (mm) length (cm) bristle diameter (mm) units/box BX

28 Endo-Boot endoscope tip protector An indispensable aid in protecting your enteroscope and its delicate distal tip components during transport and storage. product number I.D. (mm) O.D. (cm) length (cm) units/box BX > For all scopes and delicate instruments over 5mm in diameter Jumbo channel cleaning brush Designed with a textured, non-slip catheter and soft, specially designed nylon bristles for maximum cleaning effort in scopes that range from 2.8mm-9.0mm. product number sheath diameter (mm) length (cm) bristle diameter (mm) channel diameter range (mm) units/box BX taper Valve/control head cleaning brush A full head of soft bristles to aid in removal of gross material, the ridged handle is designed with grooves for a comfortable, non-slip grip. product number bristle head length (cm) length (cm) bristle diameter (mm) channel diameter (mm) units/box BX N/A 10 N/A 50 BX N/A 10 N/A 100 Roth Net retriever Designed for removal of excised polyps and foreign bodies within the convolutions of the small bowel. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x 6 5 Short Throw polypectomy snare The Short Throw snare is designed to work in tortuous conditions, an important feature when performing enteroscopy procedures. product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box BX x 5.4 Olympus style active cord 5 25

29 Reach overtube The Reach overtube helps splint the endoscope from the lower esophageal sphincter to the pylorus, offering a more direct path to reach small bowel findings. product number scope OD (mm) length (cm) overtube OD (mm) overtube ID (mm) units/box BX

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31 ercp ercp

32 ercp From a convenient medical device organizer to a purpose-built sampling device for the biliary duct, US Endoscopy offers unique products to address the challenges encountered during an ERCP procedure. Boost head positioner The Boost head positioner is designed to help stabilize a patient s head during ERCP, cradling it to enable access to the mouth and airway. product number height (cm) width (cm) length (cm) units/box BX Carr-Locke injection needle Originally designed for use in ERCP procedures, the Carr-Locke injection needle provides outstanding performance in your everyday procedures, as well as your most tortuous conditions including use in side-viewing duodenoscopes. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box BX BX BX (Pentax) BX BX BX BX Infinity ERCP sampling device Purpose-built for collecting substantial and quality samples from strictures in the biliary duct. product number description sheath diameter (mm/fr) length (cm) units/box BX short/long guidewire 3.0 / compatibility Not currently for sale in the U.S. 29

33 Keeper device clip The Keeper device clip keeps the catheter coiled up so it can be placed conveniently near the clinician during procedures. product number units/box BX (5 bags of 20) BX (individually packaged) Mio medical device organizer Easily adheres where it is convenient, the Mio organizer offers three clear pouches to house a variety of accessories such as guidewires, papillotomes, cannulas, snares, etc. product number description units/box BX ~86cm x ~76cm 20 Not currently for sale in the U.S. 30

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35 feeding feeding

36 feeding From initial easily accessible placement PEG kits to non-balloon replacement tubes, US Endoscopy s feeding systems address the needs of patients and clinicians for a variety of PEG placement procedures. All PEG kits provide support components, while the Safety PEG system reduces the risk of injuries from needles and other sharps. initial placement Pull PEG Specifically designed with the help of clinicians, this kit combines a procedure tray and support items, as well as a deluxe grasping snare. Pull PEG system product number description size (FR) units/box BX cm silicone tube with insertion depth 20 2 markings Each kit contains: (1) nylon coated pull wire (1) silicone dual port feeding adaptor (1) silicone external bolster, one piece (1) silicone external bolster, two piece (1) 5cc ampule Xylocaine (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 14 gauge cannula (1) 25 gauge x 5/8 needle (1) 19 gauge x 1 ½ needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (2) lubricating jelly (1) triple pack povidone-iodine swabs (2) ointment (10% povidone-iodine swabs) (1) patient care manual (1) triple patient label 33

37 initial placement Pull PEG Pull PEG system product number description size (FR) units/box BX cm silicone tube with insertion depth 24 2 markings and 71cm guidewire dilating tube with a dilating tip Each kit contains: (1) nylon coated pullwire (1) silicone dual port feeding adaptor (1) silicone round external bolster, one piece (1) 5cc ampule Xylocaine (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 14 gauge cannula (1) 25 gauge x 5/8 needle (1) 19 gauge x 1 ½ needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (2) lubricating jelly (1) triple pack povidone-iodine swabs (2) ointment (10% povidone-iodine swabs) (1) patient care manual (1) triple patient label 34

38 initial placement Guidewire PEG Guidewire PEG system product number description size (FR) units/box BX cm silicone tube with insertion depth 20 2 markings, 76cm guidewire dilating tip Each kit contains: (1) 260cm Teflon coated guidewire (1) silicone dual port feeding adaptor (1) silicone external bolster, one piece (1) silicone external bolster, two piece (1) 5cc ampule Xylocaine (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 18 gauge cannula (1) 25 gauge x 5/8 needle (1) 19 gauge x 1 ½ needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (2) lubricating jelly (1) triple pack povidone-iodine swabs (2) ointment (10% povidone-iodine swabs) (1) patient care manual (1) triple patient label 35

39 initial placement PEGs Pull PEG (non-pharmaceutical) These kits are a cost-effective alternative to our traditional PEG kits. Bearing the CE Mark, all pharmaceuticals have been omitted from these kits. Pull PEG system product number description size (FR) units/box *BX cm silicone tube with insertion depth 20 2 markings Each kit contains: (1) nylon coated pull wire (1) silicone dual port feeding adaptor (1) silicone round external bolster, one piece (1) silicone rectangular external bolster, two piece (1) pinch clamp (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 14 gauge cannula (1) 19 gauge x 1 ½ needle (1) 25 gauge x 5/8 needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (1) patient care manual (1) triple patient label *Bears CE mark Not currently for sale in the U.S. 36

40 initial placement PEGs Pull PEG (non-pharmaceutical) Pull PEG system product number description size (FR) units/box *BX cm silicone tube with insertion depth 24 2 markings and pullwire dilating tip Each kit contains: (1) nylon coated pull wire (1) silicone dual port feeding adaptor (1) silicone round external bolster, one piece (1) 24 x 36 fenestrated drape (1) grasping snare (1) No. 11 scalpel (1) 5cc syringe (1) filter cannula (1) 14 gauge cannula (1) 19 gauge x 1 ½ needle (1) 25 gauge x 5/8 needle (1) curved hemostat (1) stainless steel scissors (1) prep razor (4) 4 x 4 gauze pads (4) 2 x 2 gauze pads (2) cotton tipped applicators (1) 48FR bite block (1) patient care manual (1) triple patient label *Bears CE mark Not currently for sale in the U.S. 37

41 initial placement PEGs Pull PEG (non-pharmaceutical) Pull PEG system product number description size (FR) units/box *BX cm silicone tube with insertion depth 20 2 markings, without snare Each kit contains: (1) nylon coated pull wire (1) silicone dual feeding port adaptor (1) silicone rectangular external bolster, one piece (1) pinch clamp (1) No. 11 scalpel (1) 14 gauge cannula (1) curved hemostat (1) triple patient label *Bears CE mark Not currently for sale in the U.S. 38

42 non-balloon replacement PEG A replacement tube designed like an initial placement feeding tube to better withstand the acidic conditions of the gastric cavity. product number description size (FR) units/box *BX cm silicone tube with insertion depth 20 2 markings and external bolster Each kit contains: (1) obturator (1) lubricating jelly (2) 4 x 4 gauze pads (1) 20FR silicone dual port feeding adaptor (1) triple patient label 39 *Bears CE mark

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45 foreign body management foreign body management

46 foreign body management US Endoscopy has redefined the standard of care in foreign body management with innovative and practical devices. From the revolutionary Guardus overtube to the Raptor grasping device, you can rely on US Endoscopy s essential selection of foreign body management devices for unsurpassed security and peace of mind. Contact Hour Opportunity GI Foreign Body and Food Bolus; Overview and Retrieval Management Provider approved by the California Board of Registered Nursing. Provider #15248, for 1.0 Contact Hours Please contact US Endoscopy to schedule a contact hour presentation. Currently available in the U.S. only. Falcon rotatable retrieval basket The Falcon rotatable retrieval basket offers flexibility when retrieving long or oddly shaped objects, such as tooth brushes, utensils, and pens. product number sheath diameter (mm) length (cm) basket size (cm) units/box BX wide x 6.0 long 5 Guardus overtube The revolutionary Guardus overtube was developed to address the inadequacies of traditional overtubes by enhancing the efficiency and safety of your procedures. An exclusive tapered tip design hugs the endoscope to help protect the patient s esophagus from mucosal shearing or tearing, while its unique insufflation cap helps maintain desired insufflation and guards medical personnel against leakage of body fluids. Esophageal length product number scope OD (mm) length (cm) overtube OD (mm) overtube ID (mm) units/box BX BX BXSI BXSI Gastric length product number scope OD (mm) length (cm) overtube OD (mm) overtube ID (mm) units/box BX BX BXSI BXSI Guardus overtube standard handle BX / BX / BXSI / BXSI Guardus overtube therapeutic handle BX / BX / BXSI / BXSI Not currently for sale in the U.S. 43

47 Raptor grasping device The disposable Raptor device combines alligator and rat tooth capabilities into one device, offering strength and precision during foreign body retrieval. Raptor grasping device product number sheath diameter (mm) length (cm) units/box BX Raptor grasping device - mini product number sheath diameter (mm) length (cm) units/box BX Rotator rotatable snare Standard oval snare easily rotates with one-handed manipulation for individualized orientation, addressing a variety of findings. Standard oval product number sheath diameter (mm) length (cm) approximate snare size (mm) active cord connection units/box width x length BX x 54 Olympus style active cord 10 Mini oval product number sheath diameter (mm) length (cm) approximate snare size (mm) active cord connection units/box width x length BX x 30 Olympus style active cord 10 44

48 Roth Net Platinum retrieval devices Featuring larger capacity, ergonomic design, and superior performance, the spring-like action of the Roth Net Platinum retriever series offers a retrieval net with a sturdy form and shape. Roth Net Platinum retriever food bolus Designed specifically for the challenges encountered in food bolus removal, its octagonal net is designed to open to maximum capacity while maintaining its form within the esophagus. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x Roth Net Platinum retriever universal Capable of addressing a variety of retrieval needs, this robust retriever is an all encompassing solution for foreign bodies and food impactions. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x BX x Roth Net retrieval devices Roth Net retrievers are engineered with a strong, reinforced net material for extra security when extracting past the cricopharyngeus. Roth Net retriever standard Ideal for the removal of round, blunt, or otherwise hard to grasp foreign bodies. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x 6 5 BX x 6 10 BX x 6 5 BX (enteroscopic) x 6 5 BX x 6 10 Roth Net retriever - mini The Roth Net - mini retriever is extremely effective for removing coins, watch batteries, and a variety of other foreign bodies. (For use in gastroscopes with 2.0mm accessory channels or larger.) product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x BX x Not currently for sale in the U.S. 45

49 Talon grasping device Roth Net retriever - maxi Ideal for large foreign body removal, such as batteries and EMR specimens, too large for any other sized retriever. (For use in gastroscopes and colonoscopes with 3.2mm accessory channel or larger.) product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x 8 5 BX x 8 5 Designed to provide the firm hold required for challenging food bolus and foreign body retrieval cases. product number sheath diameter (mm) sheath length (cm) units/box BX

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51 laparoscopy laparoscopy

52 laparoscopy In 1991, US Endoscopy pioneered devices for use in surgical endoscopy, including our exclusive Ponsky Endo-Sock specimen pouch - the first commercially available lap-chole retrieval pouch. This premium specimen retrieval pouch, along with our cholangiography system, was developed with leading gastrointestinal endoscopic surgeons for maximum efficiency and value. Ponsky laparoscopic cholangiography systems Flexible cholangiocatheters are 5FR catheters with bold markings on their distal tips for easy insertion depth identification. Available with a round tip and.025 coated guidewire for simple cystic duct cannulation, or with a taper tip catheter design for selection that best fits the anatomical findings. product catheter catheter distal tip distal tip units/ number length (cm) diameter (FR) configuration diameter (FR) box BX round w/guidewire 5 5 BX taper 4 5 Ponsky Endo-Sock retrieval pouch As the first disposable laparoscopic retrieval pouch introduced to the market in 1991, the Ponsky Endo-Sock specimen pouch is designed with a preloaded, ready to use, urethane pouch that automatically opens by advancing the handle. The Ponsky Endo-Sock is ideal for containing specimens, as it will not rupture or spill upon closure. product introducer working pouch opening units/ number diameter (mm) length (cm) dimensions (cm) dimensions (cm) box BX x 15 5 x

53 50

54

55 polypectomy & tissue acquisition polypectomy & tissue acquisition

56 polypectomy and tissue acquisition US Endoscopy offers an extensive and unique line of polypectomy and tissue acquisition devices. The new Lariat snare is setting a new standard in advanced polypectomy featuring three snare sizes and shapes in one device, saving time and eliminating frustration. Our Roth Net Platinum retriever and etrap polyp trap have redefined polyp retrieval. Contact Hour Opportunity Surveying the Colon; Polyps and Advances in Polypectomy Provider approved by the California Board of Registered Nursing. Provider #15248, for 1.0 Contact Hours. Please contact US Endoscopy to schedule a contact hour presentation. Currently available in the U.S. only. cytology brushes Designed to collect cell samples in the bronchus as well as the upper and lower GI tract, the unique bristle configuration is enhanced with a rotatable handle - facilitating an abundant cell sample. product number description sheath diameter (mm) length (cm) bristle diameter (mm) units/box BX bronchoscope BX gastroscope BX colonoscope BX enteroscope EndoRings device The EndoRings device easily attaches to the distal end of a colonoscope and provides improved visibility and stability during endoscopic therapy. product number colonoscope category colonoscope model* sterile units/box E100 standard adult Olympus 140, 160, 165 series yes 5 PENTAX 38-70/72K, 90, i10 series Fujinon 200, 400, 50-W/D series E101 wide-angle adult Olympus 190 series, CF-Q180 yes 5 E102 full wide-angle Olympus 180 series yes 5 (excluding CF-Q180) E101S slim (pediatric) Olympus 190 series yes 5 E102S slim (pediatric) Olympus 160, 180 series yes 5 PENTAX 38-70/72K, 90, i10 series Fujinon 200, 400-M/P series Currently for sale in the U.S. only *reference IFU for full listing of compatible colonoscopes 53

57 Entrada colonic overtube Designed to prevent a sigmoid loop from reforming, the Entrada colonic overtube facilitates colonoscopy in patients with difficult anatomy, specifically tortuous sigmoid looping. A unique hydrophilic coating allows for smooth insertion and scope movement. product number scope OD (mm) length (cm) overtube OD (mm) overtube ID (mm) units/box BX forceps US Endoscopy offers premium biopsy forceps built with stainless steel cups and state-of-the-art technology. disposable biopsy forceps Produced with sharpened cutting edges, our disposable stainless steel forceps are available in an oval cup style and feature a Teflon sheath for ease of insertion. product number sheath diameter (mm) length (cm) cup style units/box BX oval with spike 5 BX oval 5 BX oval with spike 5 BX oval 5 BX oval with spike 5 BX oval 5 BX oval with spike 5 disposable biopsy forceps - with sheath product number sheath diameter (mm) length (cm) cup style units/box BX oval with spike 5 54

58 hot disposable biopsy forceps product number sheath diameter (mm) length (cm) cup style active cord connection units/box BX oval Olympus style 5 active cord BX oval Olympus style 5 active cord Infinity cytology device Designed for collecting quality samples from the upper and lower GI tract. product number sheath diameter (mm) length (cm) units/box BX Infinity ERCP sampling device Purpose-built for collecting substantial, quality samples from strictures in the biliary duct during ERCP procedures. product number description sheath diameter (mm/fr) length (cm) units/box BX short/long guidewire 3.0 / compatibility 55

59 isnare system A unique, multi-functional device ideal for endoscopic mucosal resection and submucosal injection polypectomy. injection needles isnare system - oval snare product number snare style sheath diameter (mm) length (cm) approximate active cord needle (mm) units/box snare size (mm) connection width x length BX oval x 40 Olympus style 23 gauge x 5 5 active cord BX oval x 40 Olympus style 25 gauge x 5 5 active cord isnare system - hexagonal snare product number snare style sheath diameter (mm) length (cm) approximate active cord needle (mm) units/box snare size (mm) connection width x length BX hexagonal x 40 Olympus style 25 gauge x 5 5 active cord BX hexagonal x 40 Olympus style 23 gauge x 5 5 active cord Articulator injection needle A choice needle for injection therapy, the Articulator injection needle features a stainless steel sheath and spring-loaded, luer lock handle designed to ensure needle projection in articulated positions. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box BX BX BX BX * BX *BX does not feature a spring-loaded handle. Not currently for sale in the U.S.

60 Carr-Locke injection needle World renowned for its reliability and consistency, the Carr-Locke injection needle is ideal for your everyday procedures as well as your most tortuous, difficult injection therapy maneuvers. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box BX BX BX (Pentax) BX BX BX BX Vari-Safe injection needle Traditionally designed, 23-gauge, plastic-sheathed injection needle with a spring-loaded, luer lock handle for injection of more viscous media. product number sheath diameter (mm) length (cm) needle projection (mm) needle gauge units/box BX polyp traps etrap polyp trap Forget sifting through waste to locate your specimen. The etrap polyp trap helps protect from unnecessary biomaterial exposure with an easy-grip, removable specimen strainer to effortlessly capture the entire resected polyp. Each unit is packaged with two specimen strainer trays for uninterrupted suction throughout the procedure. product number specimen strainer trays units/box BX (2 per unit) 25 InStream polyp trap The InStream polyp trap minimizes exposure to biomaterial and is a cost effective alternative to single specimen and mucous traps. product number description units/box BX individually packaged Not currently for sale in the U.S.

61 polypectomy snares Exacto cold snare The only purpose-built cold snare, the Exacto cold snare offers more control for placement around diminutive polyps and a precise, clean cut. product number sheath diameter (mm) length (cm) snare size (mm) units/box BX Lariat snare Featuring three shapes in one device, the multi-functional design of the Lariat snare helps address a variety of resection needs including piecemeal resection and multiple polyps. product number sheath diameter (mm) length (cm) approximate snare size units/box (width x length) BX oval shape: 30 x 50mm 10 hex shape 10 x 28mm diamond shape: 6 x 15mm Traxtion snare Arguably one of the stiffest snares on the market today, the Traxtion snare is ideal for the resection of flat or sessile lesions. product number sheath diameter (mm) length (cm) approximate snare size (mm) active cord connection units/box (width x length) BX x 40 Olympus style active cord 10 58

62 Rotator rotatable polypectomy snare - standard oval This standard oval polypectomy snare easily rotates with one-handed manipulation for individualized orientation, addressing a variety of anatomical findings. product number sheath diameter (mm) length (cm) approximate snare size (mm) active cord connection units/box (width x length) BX x 54 Olympus style active cord 10 Rotator rotatable polypectomy snare - mini oval product number sheath diameter (mm) length (cm) approximate snare size (mm) active cord connection units/box (width x length) BX x 30 Olympus style active cord 10 Short Throw polypectomy snare - standard oval Featuring a handle with 25% stroke travel reduction, this snare offers superior loop memory and the comfort of one-handed deployment. product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box (width x length) BX x 5.4 Olympus style active cord 10 BX x 5.4 Olympus style active cord 5 Short Throw polypectomy snare - mini oval product number sheath diameter (mm) length (cm) approximate snare size (cm) active cord connection units/box (width x length) BX x 30 Olympus style active cord 10 59

63 Roth Net retrievers Used to efficiently capture large polyps, multiple polyps and piecemeal polyp fragments, Roth Net retrievers - polyp hold specimens securely while going around colonic folds or through the anal sphincter. Designed with a finer, more transparent net, the Roth Net retrievers - polyp improve visibility and preserve precious specimens for histopathological analysis. Roth Net retriever polyp Designed with a finer, more transparent net, the Roth Net retriever - polyp easily encapsulates excised polyps in as little as one to three minutes and preserves specimens for accurate histopathological review. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x 6 5 BX x 6 10 Roth Net Platinum retriever polyp This polyp-specific retriever is designed to spring open to capacity to fully utilize the oversized retrieval pouch for large and piecemeal resected polyps, as well as multiple polyp collection. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x BX x Not currently for sale in the U.S. 60

64

65 Roth Net retrieval devices Roth Net retrieval devices

66 Roth Net retrieval devices Co-developed by US Endoscopy and Bennett Roth, MD, our all-encompassing line of Roth Net retriever and Roth Net Platinum retrievers are indispensable for polyp and foreign body retrieval. The patented net delivers a flexible, durable pouch for even the most difficult retrieval procedures. Food bolus, foreign body, or polyp retrieval, the Roth Net retriever and Roth Net Platinum retrievers have been utilized worldwide as the #1 trusted choice in endoscopic retrieval. Roth Net Platinum retrievers Roth Net Platinum retriever food bolus Designed specifically for the challenges encountered in food bolus removal, its octagonal net is designed to open to maximum capacity while maintaining its form within the esophagus. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x Roth Net Platinum retriever polyp This polyp-specific retriever is designed to spring open to capacity to fully utilize the retrieval pouch for large and piecemeal resected polyps, as well as multiple polyp collection. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x BX x Roth Net Platinum retriever universal Capable of addressing a variety of retrieval needs, this robust retriever is an all encompassing solution for foreign bodies, polyps, and food impactions. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x BX x Not currently for sale in the U.S. 63

67 Roth Net retrievers Roth Net retriever polyp Designed with a finer, more transparent net, the Roth Net retriever - polyp easily encapsulates excised polyps. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x 6 5 BX x 6 10 Roth Net retriever standard Ideal for the retrieval of round, blunt, or hard to grasp objects. product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x 6 5 BX x 6 10 BX x 6 5 BX x 6 5 BX x Roth Net retriever mini The Roth Net retriever - mini is extremely effective for removing coins, watch batteries, and a variety of other foreign bodies. (For use in gastroscopes with 2.0mm accessory channels or larger.) product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x BX x Roth Net retriever maxi Ideal for large foreign body removal, such as batteries and EMR specimens, too large for any other sized retriever. (For use in gastroscopes or colonoscopes with 3.2mm accessory channel or larger) product number sheath diameter (mm) length (cm) approximate net size (cm) units/box BX x 8 5 BX x 8 5 Not currently for sale in the U.S. 64

68 Roth Net retriever product information chart part number description sheath diameter (mm) foreign body retrieval length (cm) approximate net size (cm) qty/box BX Roth Net retriever - standard x 6 5 BX Roth Net retriever - standard x 6 10 BX Roth Net retriever - standard x 6 5 BX Roth Net Platinum retriever - food bolus x BX Roth Net retriever - standard (sterile) x 6 10 BX Roth Net Platinum retriever - universal x BX Roth Net Platinum retriever - universal (sterile) x tissue retrieval BX Roth Net retriever - polyp x 6 5 BX Roth Net retriever - polyp x 6 10 BX Roth Net Platinum retriever - polyp x BX * Roth Net Platinum retriever - polyp (sterile) x specialty retrieval BX Roth Net retriever - mini x BX Roth Net retriever - maxi x 8 5 BX Roth Net retriever - enteroscopic x 6 5 BX Roth Net retriever - maxi (sterile) x 8 5 BX Roth Net retriever - mini (sterile) x Not currently for sale in the U.S. 65

69 product index product number page product number page product number page BX BX BX BX BX BX BX BX BX BX BX , 64 BX , 64 BX , 64 BX , 64 BX , 64 BX BX BX BX BX BX BX , 59 BX BX BX BX , 59 BX , 59 BX BX BX BX BX BX BX BX , 11 BX , 12 BX BX BX , 12 BX BX BX BX BX BX BXSI BX BXSI BX BXSI BX BXSI BX , 64 BX , 64 BX , 45, 64 BX , 63 BX , 64 BX , 64 BX , 64 BX BX BX BX BX BX BX BX BX BX BX BX , 54 BX , 55 BX BX BX BX , 53 BX BX BX BX BX BX BX , 18 BX , 18 BX , 18 BX , 18 BX , 19 BX , 19 BX , 18 BX , 19 BX , 19 BX , 19 BX , 19 BX , 19 BX , 19 BX BX BX , 25 BX BX BX , 25 BX , 25 BX BX BX BX BX , 25 BX BX BX , 55 BX BX BX BX , 30 BX , 30 BX BX , 56 BX , 56 BX , 56 BX , 23, 56 BX , 56 BX , 29, 57 BX , 29, 57 BX , 29, 57 BX , 29, 57 BX , 57 BX , 29, 57 BX , 29, 57 BX , 29, 57 BX , 24 BX , 24 BX , 24 BX BX BX BX BX BX BX BX BX BX BX BX BX BX BX BX , 63 BX , 63 BX , 63 BX , 63 BX E E E E101S...53 E102S...53 symbol index latex-free single- use sterile not currently for sale in the U.S. currently for sale in the U.S. only can be used for maximum of 24 hours 66

70 US Endoscopy is a subsidiary of STERIS Corporation. Listening and delivering solutions, the US Endoscopy listening and delivering solutions design, and all marks denoted with or are registered or pending applications with the U.S. Patent and Trademark Office, or trademarks owned by US Endoscopy, unless otherwise stated. AquaShield water bottle system, Guardus overtube, Infinity sampling device, patents pending. AdvanCE capsule delivery device, U.S. patent number 8,834,355, and other patents pending. BioShield biopsy valve, U.S. patent numbers 7,967,744 and 8,702,596, and other patents pending. BioVac direct suction device, U.S. patent number 8,251,945, and other patents pending. Carr-Locke injection needle, U.S. patent numbers 6,666,847 and 7,727,197, Japan patent number , and other patents pending. etrap polyp trap, U.S. patent number 8,088,079. Entrada colonic overtube, U.S. patent numbers 5,779,624 and 5,941,815. isnare system, U.S. patent numbers 7,691,110 and 8,343,168, Japan patent numbers and , European patent number 1,766,476, and other patents pending. Raptor grasping device, U.S. patent numbers D689,606 and D710,006, and other patents pending. Roth Net retrieval devices and Roth Net Platinum retrieval devices, U.S. patent numbers 6,814,739, 8,016,838, 8,057,484, and 8,591,521 Japan patent numbers , and , and other patents pending. Velocity irrigation system, U.S. patent numbers 8,231,574 and 8,579,857, European patent number 2,461,848 and other patents pending. EndoGator is a registered trademark of Medivators Inc. Endorings is a trademark of EndoAid Ltd. ERBE USA Incorporated is a subsidiary of ERBE Elektromedizin GmbH. Fujinon is a registered trademark of FujiFilm Corporation. Hydromer is a registered trademark of Hydromer, Inc. Olympus is a registered trademark of Olympus Corporation PENTAX is a registered trademark of Hoya Corporation PillCam is a registered trademark of Given Imaging Ltd. Teflon is a registered trademark of E. I. du Pont de Nemours and Company or its affiliates Velcro is a registered trademark of Velcro Industries B.V. Copyright 2015 US Endoscopy All rights reserved Rev. L

71

72 Follow us: 5976 Heisley Road Mentor, OH phone (1) 440 / fax (1) 440 / customer service (1) 800 / Rev.L

BIOPSY FORCEPS HIGH RELIABILITY WITH AN OPTIMAL BITE PERFORMANCE CHARACTERISTICS

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