OTOLARYNGOLOGY & PLASTIC SURGERY INSTRUMENTS

OTOLARYNGOLOGY & PLASTIC SURGERY INSTRUMENTS WE DESIGN, MANUFACTURE & SELL THE TOOLS THE SURGEONS USE ELMED INCORPORATED 60 West Fay Avenue Addison, IL 60101-5106 USA Telephone Number: (630) 543-2792 Fax Number: (630) 543-2102 Web Site: www.elmed.com Email: medical@elmed.com We subscribe to cost containment and protection of the environment. Therefore, We manufacture only reusable products Prices and specifications subject to change without notice. ELMED CATALOG COVER PAGE - 06 ENT - 0208 0907

ELMED = Surgical Cost Reduction: Quality, Reusable, Economically-priced instruments made in the U.S.A. ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION The Elmed Bronchial and Esophageal instruments have been designed to meet the needs that should arise during the endoscopic surgical procedure. Biopsy forceps, grasping forceps, retrieval forceps, aspirating tubes, and other related instruments have been designed specifically in length and diameter to be used with the appropriately sized Pilling scope. Cup Biting Specimen, Foreign Body and Tissue Forceps OPTICAL FORCEPS A full line of quality pediatric, adolescent and adult instrumentation for Airway procedures. These instruments are ideal for: Foreign Body Removal Biopsy Procedures The future of foreign body removal is changing, due to the availability of optical forceps. Visual control is achieved with precision through the use of our double-action peanut, alligator and biopsy forceps. Our exclusive pediatric size optical forceps house a slender 2.0 rod-lens telescope, unsurpassed in versatility and usage options. These high quality instruments can be used in many types of airway management procedures where accurate depth perception is imperative for visualization. 3 sizes available. Easy twist-lock mechanism locks telescope into forceps allowing one-handed operation of the instrumentation. Telescope universal eye-piece easily attaches to video systems. Telescope bayonet connection attaches to non -Pilling light cables by use of adapters. Telescope joined with forceps provide close up view of object being grasped. (continued on next page)

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) Alligator Optical Forceps Biopsy Optical Forceps OPTICAL FORCEPS (continued) Pediatric (Exclusive Size) For use with bronchoscopes, esophagoscopes, laryngoscopes and mediastinoscopes, 3.5 diameter and larger, up to 30 cm working length. 40-5400 Telescope (2.0, Rod Lens System) 40-5301 Alligator Optical Forceps 40-5305 Biopsy Optical Forceps 40-5310 Peanut Optical Forceps Adolescent For use with bronchoscopes and esophagoscopes, 4.7 diameter and larger, up to 42 cm working length. 40-5405 Telescope (2.7, Rod Lens System) 40-5330 Alligator Optical Forceps 40-5335 Biopsy Optical Forceps 40-5340 Peanut Optical Forceps Peanut Optical Forceps Adult For use with bronchoscopes and esophagoscopes, 6.0 diameter and larger, up to 49 cm working length. 40-5410 Telescope (4.0, Rod Lens System) 40-5360 Alligator Optical Forceps 40-5365 Biopsy Optical Forceps 40-5370 Peanut Optical Forceps LIGHT CABLE END ADAPTER # INSTRUMENT FITTING Storz 40-1177 Pilling Bayonet ACMI Male 40-1168 Pilling Bayonet ACMI Male 40-1172 Pilling Bayonet

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION 40-5010 40-5020 Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) PILLING DELICATE CENTER-ACTION BRONCHOSCOPIC FORCEPS The slender stem allows far greater visibility. Center-action handle and double-action jaws eliminate tendency of distal end to pull away from object and rise. Stem does not bend under pressure from handles. Stainless steel construction. 40-5022 40-5034 40-5046 40-5058 40-5070 40-5030 40-5040 40-5052 40-5064 40-5076 CATALOG NUMBER JAW STYLE WORKING LENGTH FOR USE THRU SCOPE 40-5005 Fenestrated, cupped grasping 38 cm 3.5 or larger 40-5010 Fenestrated, cupped grasping 38 cm 4.0 or larger 40-5012 Fenestrated, cupped grasping 45 cm 4.0 or larger 40-5014 Fenestrated, cupped grasping 50 cm 4.0 or larger 40-5016 Alligator grasping 38 cm 4.0 or larger 40-5018 Alligator grasping 45 cm 4.0 or larger 40-5020 Alligator grasping 50 cm 4.0 or larger 40-5022 Rotation, 1 x 2 teeth 38 cm 4.0 or larger 40-5024 Rotation, 1 x 2 teeth 45 cm 4.0 or larger 40-5026 Rotation, 1 x 2 teeth 50 cm 4.0 or larger 40-5028 Kahler grasping 38 cm 4.0 or larger 40-5030 Kahler grasping 45 cm 4.0 or larger 40-5032 Kahler grasping 50 cm 4.0 or larger 40-5034 Universal, biopsy, and grasping 38 cm 4.0 or larger 40-5036 Universal, biopsy, and grasping 45 cm 4.0 or larger 40-5038 Universal, biopsy, and grasping 50 cm 4.0 or larger 40-5040 Patterson, elongated cup biopsy 38 cm 4.0 or larger 40-5042 Patterson, elongated cup biopsy 45 cm 4.0 or larger 40-5044 Patterson, elongated cup biopsy 50 cm 4.0 or larger 40-5046 Circular cup biopsy 38 cm 5.0 or larger 40-5048 Circular cup biopsy 45 cm 5.0 or larger 40-5050 Circular cup biopsy 50 cm 5.0 or larger 40-5052 Oval cup biopsy 38 cm 5.0 or larger 40-5054 Oval cup biopsy 45 cm 5.0 or larger 40-5056 Oval cup biopsy 50 cm 5.0 or larger 40-5058 Right angle cup biopsy 38 cm 6.0 or larger 40-5060 Right angle cup biopsy 45 cm 6.0 or larger 40-5062 Right angle cup biopsy 50 cm 6.0 or larger 40-5064 Retro-angle cup biopsy 38 cm 6.0 or larger 40-5066 Retro-angle cup biopsy 45 cm 6.0 or larger 40-5068 Retro-angle cup biopsy 50 cm 6.0 or larger 40-5070 Square punch biopsy 38 cm 5.0 or larger 40-5072 Square punch biopsy 45 cm 5.0 or larger 40-5074 Square punch biopsy 50 cm 5.0 or larger 40-5076 Oval punch biopsy 38 cm 5.0 or larger 40-5078 Oval punch biopsy 45 cm 5.0 or larger 40-5080 Oval punch biopsy 50 cm 5.0 or larger

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) 40-5112 40-5116 JACKSON EXTRA LIGHTWEIGHT CUP FORCEPS Extra lightweight construction. CATALOG CUP WORKING NUMBER DIAMETER SHAPE LENGTH FOR USE THRU SCOPE 40-5112 2 Straight 28 cm 3.5 or larger 40-5116 2 Angular 28 cm 3.5 or larger 40-5100 STANDARD, MEDIUM-LIGHTWEIGHT CUP FORCEPS 40-5104 CATALOG CUP WORKING NUMBER DIAMETER SHAPE LENGTH FOR USE THRU SCOPE 40-5100 4 Straight 28 cm 7 or larger 40-5104 4 Angular 28 cm 8 or larger 40-5113 40-5130 40-5146 40-5123 SAM ROBERTS BIOPSY FORCEPS Roberts forceps have jaws especially shaped and angled for use through bronchoscopes and esophagoscopes of definite sizes. CATALOG NUMBER CUP DIAMETER SHAPE WORKING LENGTH FOR USE THROUGH STD. BRONCH. ESOPH. 40-5113 2 Straight 50 cm 4.5 3.5 40-5123 2 Angular 50 cm 4.5 3.5 40-5130 4 Straight 40 cm 7.0 7.0 40-5132 4 Straight 50 cm 7.0 7.0 40-5134 4 Straight 60 cm 7.0 7.0 40-5136 6 Straight 40 cm 9.0 9.0 40-5138 6 Straight 50 cm 9.0 9.0 40-5140 6 Straight 60 cm 9.0 9.0 40-5142 4 Angular 40 cm 8.0 8.0 40-5144 4 Angular 50 cm 8.0 8.0 40-5146 4 Angular 60 cm 8.0 8.0 40-5148 6 Angular 40 cm 10.0 10.0 40-5150 6 Angular 50 cm 10.0 10.0 40-5152 6 Angular 60 cm 10.0 10.0 40-5148

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION 40-5160 Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) EXTRA LIGHTWEIGHT CONSTRUCTION FORCEPS Very light shafts with small cup biting jaws, straight or slightly angled. 40-5166 CATALOG NUMBER CUP DIAMETER SHAPE WORKING LENGTH FOR USE THRU SCOPE 40-5160 2 Straight 35 cm 4.0 or larger 40-5162 2 Straight 40 cm 4.0 or larger 40-5166 2 Angular 35 cm 4.0 or larger 40-5168 2 Angular 40 cm 4.0 or larger 40-5210 MYERSON BIOPSY FORCEPS Jaws are 90 angled to side. CATALOG CUP WORKING NUMBER DIAMETER SHAPE LENGTH FOR USE THRU SCOPE 40-5210 2 Angled to right 47 cm 5.0 or larger 40-5211 2 Angled to left 47 cm 5.0 or larger PATTERSON ELONGATED CUP FORCEPS Lightweight construction. 40-5242 CATALOG NUMBER CUP DIAMETER SHAPE WORKING LENGTH FOR USE THRU SCOPE 40-5242 4.0 Straight 50 cm 6.0 or larger 40-5245 2.5 Straight 40 cm 5.0 or larger 40-5247 2.5 Straight 47 cm 5.0 or larger 40-5674 PILLING FLEXIBLE BIOPSY FORCEPS These forceps pass easily down the instrument channel of the Improved Holinger Bronchoscopes and Laser Bronchoscopes. CATALOG CUP WORKING NUMBER DIAMETER SHAPE LENGTH FOR USE THRU SCOPE 40-5674 1 Straight 35 cm 3.0 or larger JACKSON SQUARE PUNCH SPECIMEN FORCEP S Basket built into lower blade to hold excised tissue. 40-5314 CATALOG NUMBER CUP DIAMETER SHAPE WORKING LENGTH FOR USE THRU SCOPE 40-5313 5 Straight 45 cm 6.0 or larger 40-5314 5 Straight 50 cm 6.0 or larger 40-5316 5 Straight 60 cm 6.0 or larger

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) HOLINGER SPECIMEN FORCEPS Cutting jaws with rounded tip and basket designed to 40-5334 prevent crushing of specimen. Cutting edges extend into box of instrument to permit clean, complete removal of specimen. CATALOG CUP WORKING NUMBER DIAMETER SHAPE LENGTH FOR USE THRU SCOPE 40-5334 5 Straight 60cm 7.0 or larger 40-5650 40-5654 PEDIATRIC BRONCHOSCOPIC INSTRUMENTS These miniature grasping and biopsy forceps and scissors with 2 stems have been designed to pass through the smaller pediatric bronchoscopes. The stems are slightly angled at the handle, affording unobstructed vision. Grasping Forceps 40-5650 Straight forward, 35 cm working length, will pass through a 3 or larger scope, 5 bend at handle Biopsy Forceps 40-5654 Straight cup, 35 cm working length, will pass through a 3.5 or larger scope, 5 bend at handle 40-5658 Angled-up cup, 35 cm working length, will pass through a 5 or larger scope, 5 bend at handle 40-5662 Oval cup, 35 cm working length, will pass through a 3.5 or larger scope 40-5658 Scissors 40-5666 Straight, 35 cm working length, will pass through a 3 or larger scope 40-5662 40-5666

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Cup Biting Specimen, Foreign Body and Tissue Forceps (continued) 40-5670 40-5674 40-5680 40-5684 40-5682 PILLING FLEXIBLE ENDOSCOPIC FORCEPS The Pilling Flexible Forceps were designed for use with Pilling laser and standard bronchoscopes. They pass through the instrument/fiber channel for the purpose of biopsy, foreign body retrieval, or the removal of char from laser ablation. These forceps are available in 1 and 2 sizes. CATALOG WORKING FOR USE NUMBER DESCRIPTION LENGTH THRU SCOPES 40-5670 1 Alligator Grasping Fcps. 35 cm 3.0 x 20 or larger 40-5674 1 Oval Cup Biopsy Fcps. 35 cm 3.0 x 20 or larger 40-5680 2 Alligator Grasping Fcps. 40 cm 5.0 x 30 or larger 40-5682 2 Fenestrated Grasping Fcps. 40 cm 5.0 x 30 or larger 40-5684 2 Circular Cup Biopsy Fcps. 40 cm 5.0 x 30 or larger 40-5686 2 Alligator Grasping Fcps. 50 cm 7.0 x 40 or larger 40-5688 2 Fenestrated Grasping Fcps. 50 cm 7.0 x 40 or larger 40-5690 2 Circular Cup Biopsy Fcps. 50 cm 7.0 x 40 or 40-5686 40-5688 40-5690

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Bronchial/Esophageal Grasping Forceps 40-5400 40-5414 JACKSON ALLIGATOR GRASPING FORCEPS Standard For use through bronchoscopes or esophagoscopes. CATALOG NUMBER JAW WIDTH JAW LENGTH WORKING LENGTH FOR USE THRUSCOPE 40-5400 4 22 28 cm 6.0 or larger 40-5402 4 22 35 cm 6.0 or larger 40-5403 4 22 40 cm 6.0 or larger 40-5404 4 22 50 cm 6.0 or larger 40-5406 4 22 60 cm 6.0 or larger Double-Action Double articulating jaws are finely serrated and grooved. For use through bronchoscopes or esophagoscopes. CATALOG JAW JAW WORKING NUMBER WIDTH LENGTH LENGTH FOR USE THRU SCOPE 40-5414 3.8 10 50 cm 5.0 or larger 40-5415 3.8 10 60 cm 5.0 or larger Light Construction Fine serrated tapered jaws. For use through bronchoscopes or esophagoscopes. 40-5422 CATALOG JAW JAW WORKING NUMBER WIDTH LENGTH LENGTH FOR USE THRU SCOPE 40-5420 1.5 to 3 13 30 cm 5.0 or larger 40-5422 1.5 to 3 13 40 cm 5.0 or larger Extra Delicate For use through infant laryngoscopes and 3.5 bronchoscopes. 40-5432 CATALOG JAW JAW WORKING NUMBER WIDTH LENGTH LENGTH 40-5432 2 10 30 cm 40-5433 2 10 35 cm JACKSON ROTATION FORCEPS Forceps have serrated jaws that terminate in sharp teeth. Stainless steel. Standard Sturdy construction with large, strong teeth for use through bronchoscopes and esophagoscopes. 40-5463 CATALOG JAW JAW WORKING NUMBER WIDTH LENGTH LENGTH FOR USE THRU SCOPE 40-5455 4 20 50 cm 7.0 or larger 40-5456 4 20 60 cm 7.0 or larger Delicate Light construction with small, sharp teeth. CATALOG JAW JAW WORKING NUMBER WIDTH LENGTH LENGTH FOR USE THRU SCOPE 40-5462 2 10 30 cm 3.5 or larger 40-5463 2 10 35 cm 3.5 or larger

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Bronchial/Esophageal Grasping Forceps (continued) 40-5515 KAHLER GRASPING FORCEPS Jaws contain a series of teeth that provide a very secure g rip on most foreign bodies. CATALOG JAW JAW WORKING NUMBER WIDTH LENGTH LENGTH FOR USE THRU SCOPE 40-5515 4 13 60 cm 6.0 or larger JACKSON GRASPING FORCEPS These cannulated forceps are constructed entirely of stainless steel. The jaws are carefully shaped and set to provide a secure grip on the object to be removed. They are strong, durable and will sustain any degree of traction it is safe to exert. 40-6008 JACKSON FORWARD GRASPING FORCEPS (CUPPED JAWS) Serrated, cupped jaws. CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRUSCOPE 40-6000 Extra Small 35 cm 3.0 or larger 40-6003 Small 35 cm 4.0 or larger 40-6004 Small 40 cm 4.0 or larger 40-6008 Medium 40 cm 4.0 or larger 40-6016 Large 50 cm 5.0 or larger 40-6017 Large 60 cm 5.0 or larger 40-6021 JACKSON FORWARD GRASPING FORCEPS (NON-CUPPED JAWS) Thin, flat serrated jaws (not cupped). CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRUSCOPE 40-6020 Medium 45 cm 5.0 or larger 40-6021 Medium 50 cm 5.0 or larger 40-6022 Medium 60 cm 5.0 or larger JACKSON SIDE CURVED GRASPING FORCEPS 40-6030 CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRUSCOPE 40-6025 Extra Small 35 cm 3.0 or larger 40-6028 Small 35 cm 4.0 or larger 40-6030 Small 45 cm 4.0 or larger 40-6034 Medium 40 cm 4.0 or larger 40-6039 Large 50 cm 5.0 or larger 40-6040 Large 60 cm 5.0 or larger

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Bronchial/Esophageal Grasping Forceps (continued) 40-6050 JESBERG FENESTRATED GRASPING FORCEPS A multi-purpose forceps with fenestrated blades shaped to encircle an odd shaped or globular object. Valuable as a forward grasping forceps for pebbles, beads, peanuts, meat, head presented tacks and nails. CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRU SCOPE 40-6050 Light 35 cm 4.0 or larger 40-6051 Light 40 cm 4.0 or larger 40-6052 Light 45 cm 4.0 or larger 40-6053 Light 50 cm 4.0 or larger 40-6065 JACKSON FENESTRATED PEANUT GRASPING FORCEPS Jaws considerably lighter and smaller than meat grasping forceps. CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRU SCOPE 40-6060 Extra Small 35 cm 3.5 or larger 40-6063 Small 35 cm 4.0 or larger 40-6064 Small 40 cm 4.0 or larger 40-6065 Small 45 cm 4.0 or larger 40-6068 Medium 45 cm 5.0 or larger 40-6070 Medium 60 cm 5.0 or larger 40-6075 JACKSON FENESTRATED MEAT GRASPING FORCEPS Large, deeply serrated blades. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRU SCOPE 40-6075 Large 50 cm 7.0 or larger 40-6076 Large 60 cm 7.0 or larger 40-6100 JACKSON GLOBULAR OBJECT GRASPING AND SPECIMEN FORCEPS Fenestrated jaws specially shaped and set for removal of globular objects such as marbles, beads, ball bearings and pebbles. CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRU SCOPE 40-6100 Extra Small 35 cm 3.5 or larger 40-6104 Small 35 cm 4.0 or larger 40-6105 Small 40 cm 4.0 or larger 40-6106 Small 45 cm 4.0 or larger

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Bronchial/Esophageal Grasping Forceps (continued) 40-6132 JACKSON RINGJAW GLOBULAR OBJECT FORCEPS Grasping jaws are in form of opposing rings instead of perforated cups. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRUSCOPE 506132 Small 40 cm 4.0 or larger 506144 Large 60 cm 9.0 or larger 40-6150 GORDON BEAD GRASPING FORCEPS The four-bladed grasping unit is designed to completely surround a slippery, hard-surfaced, smooth object such as an oval bead or ball-bearing. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRUSCOPE 506150 Small 45 cm 5.0 or larger 506152 Large 50 cm 6.0 or larger 40-6157 TUCKER BEAD GRASPING FORCEPS Forceps have stiff, expanding springs and jaws designed to grasp over and beyond the greatest circumference of the bead. Blades are concave and back-serrated at the tip for secure grasp. CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRUSCOPE 40-6155 Small 40 cm 4.0 or larger 40-6157 Medium 50 cm 5.0 or larger 40-6159 Large 50 cm 6.0 or larger 40-6208 JACKSON SHARP-POINTED, RIGHT ANGLE ROTATION FORCEPS CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRUSCOPE 40-6200 Extra Small 35 cm 3.5 or larger 40-6208 Medium 45 cm 4.0 or larger 40-6211 Large 50 cm 5.0 or larger 40-6212 Large 60 cm 5.0 or larger 40-6231 JACKSON DULL-POINTED RING ROTATION FORCEPS CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRUSCOPE 40-6220 Extra Small 35 cm 3.5 or larger 40-6227 Medium 40 cm 4.0 or larger 40-6228 Medium 45 cm 4.0 or larger 40-6231 Large 50 cm 5.0 or larger 40-6232 Large 60 cm 5.0 or larger

Bronchial/Esophageal Grasping Forceps (continued) 40-6251 JACKSON DOUBLE PRONG GRASPING FORCEPS Powerful, fenestrated, deeply serrated blades with distal points are especially valuable in grasping teeth and similar difficult objects. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRU SCOPE 40-6251 Medium 45 cm 5.0 or larger 40-6252 Medium 50 cm 5.0 or larger 40-6275 TUCKER TACK AND PIN FORCEPS These forceps are generally regarded as preferable to the side curved forceps for execution of the inward rotation method of removing tacks, pins and needles, and for the point sheathed method of removing safety pins. CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FORUSE THRUSCOPE 40-6275 Small 35 cm 4.0 or larger 40-6276 Small 40 cm 4.0 or larger 40-6280 Medium-Light 40 cm 5.0 or larger 40-6282 Medium-Light 50 cm 5.0 or larger 40-6285 Medium 45 cm 5.0 or larger 40-6286 Medium 50 cm 5.0 or larger 40-6290 Large-Heavy 45 cm 6.0 or larger 40-6292 Large-Heavy 60 cm 6.0 or larger 40-6302 C.L. JACKSON SCREW AND NAIL FORCEPS Designed to be equally useful for removal of screws, nails or tacks where either the head or point is presented. May also be used for swiveling a nail or similar object from an angular to a straight position. CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FORUSE THRUSCOPE 40-6302 Small 45 cm 5.0 or larger 40-6306 Large 50 cm 7.0 or larger 40-6307 Large 60 cm 7.0 or larger 40-6318 TUCKER STAPLE FORCEPS Specially shaped blades are angled to permit withdrawal of both points into beveled distal end of the bronchoscope. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRU SCOPE 40-6318 large 50 cm 6.0 or larger

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Bronchial/Esophageal Grasping Forceps (continued) 40-6331 CLERF-ARROWSMITH SAFETY PIN CLOSER A notched brace pushes the loop of the pin away from the jaws which simultaneously grasps the limbs of the pin. This action results in approximation of the point and keeper. CATALOG NUMBER CONSTRUCTION WEIGHT WORKING LENGTH FOR USE THRU SCOPE 40-6330 7/8" 1 1/2" 45 cm 5.0 or larger 40-6331 7/8" 1 1/2" 50 cm 5.0 or larger 40-6333 1 5/8" or larger 50 cm 7.0 or larger 40-6335 1 5/8" or larger 60 cm 7.0 or larger 40-6372 JACKSON FLEXIBLE UPPER LOBE BRONCHUS FORCEPS For reaching 180. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRU SCOPE 40-6370 Child 36 cm to spiral ferrule 5.0 or larger 40-6372 Adult 42 cm to spiral ferrule 6.0 or larger 40-6380 JACKSON HEAVY SIDE-ANGLED GRASPING FORCEPS Specially designed and constructed for removal of items such as metallic bougies. Used through an open laryngoscope. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRU SCOPE 40-6380 Large 45 cm adult laryngoscope 40-6391 JACKSON CYLINDRICAL OBJECT GRASPING FORCEPS, SERRATED Jaws are concave and the inner surfaces deeply serrated for grasping cylindrical bodies of various dimensions. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRU SCOPE 40-6391 Medium 50 cm 7.0 or larger 40-6392 Large 60 cm 9.0 or larger 40-6396 JACKSON CYLINDRICAL OBJECT GRASPING FORCEPS, WITH TEETH Concave jaws contain points for secure grasp on such objects as rubber tubes and bougies. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRU SCOPE 40-6396 Large 60 cm 7.0 or larger

ELMED BRONCHIAL AND ESOPHAGEAL INSTRUMENTATION Bronchial/Esophageal Grasping Forceps (continued) 40-6415 JACKSON HOLLOW OBJECT FORCEPS These instruments are designed to be introduced into a hollow, cylindrical or cannulated object that is grasped from the inside by the dilating type blades. Forceps for removal of items such as intubation tubes and beads. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FORUSE THRUSCOPE 40-6418 40-6415 Medium 50 cm 5.0 or larger Dilation blades form a canal which may be pushed down over the presenting points of objects such as tacks. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FORUSE THRUSCOPE 40-6418 Medium 50 cm 5.0 or larger Forceps for hollow objects and cartridge removal. 40-6420 CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FORUSE THRUSCOPE 40-6420 Medium 50 cm 6.0 or larger JACKSON DILATING, FORWARD GRASPING FORCEPS Large, heavy, stiff springs with deeply serrated, cupped jaws. 40-6426 Intended to dilate and grasp. CATALOG CONSTRUCTION WORKING NUMBER WEIGHT LENGTH FOR USE THRU SCOPE 40-6426 Medium 50 cm 5.0 or larger 40-6427 Large 60 cm 5.0 or larger 40-8590 JACKSON PARTS KIT Contains various sizes of screws for Jackson cannulated style forceps. 40-8590 HOLINGER ENDOSCOPIC MAGNETS 40-6726 For removal of magnetizable foreign bodies through a bron - choscope or esophagoscope. May be guided into the esopha - gus after exposure of the laryngopharynx with the laryngo - scope. For use in the stomach under fl uoroscopic control. CATALOG NUMBER CONSTRUCTION WEIGHT WORKING DIAMETER LENGTH FOR USE THRU SCOPE 40-6725 Small 3.0 55 cm 4.0 or larger 40-6726 Medium 5.5 55 cm 7.0 or larger 40-6727 Large 6.5 55 cm 8.0 or larger

ELMED FRAZIER MONOPOLAR SUCTION COAGULATOR Frazier Type Suction Tube W/ Thumb Control Suction Reusable & Autoclavable ORDERING INFORMATION: 5½ (140MM) LIST NO. DIAMETER LIST NO. DIAMETER ANGULAR, 37-5006-06 6 FRENCH Ø 37-5006-11 11 FRENCH Ø INSULATED, W/ MONOPOLAR 37-5006-07 7 FR. Ø 37-5006-12 12 FR. Ø RF-CONNECTOR, 37-5006-08 8 FR. Ø 37-5006-15 15 FR. Ø REUSABLE 37-5006-09 9 FR. Ø 37-5006-18 18 FR. Ø 37-5006-10 10 FR. Ø 7 (178MM) LIST NO. DIAMETER LIST NO. DIAMETER ANGULAR, 37-5007-06 6 FR. Ø 37-5007-11 11 FR. Ø INSULATED, W/ MONOPOLAR 37-5007-07 7 FR. Ø 37-5007-12 12 FR. Ø RF-CONNECTOR, 37-5007-08 8 FR. Ø 37-5007-15 15 FR. Ø REUSABLE 37-5007-09 9 FR. Ø 37-5007-18 18 FR. Ø 37-5007-10 10 FR. Ø 9 (228MM) LIST NO. DIAMETER LIST NO. DIAMETER ANGULAR, 37-5009-06 6 FR. Ø 37-5009-11 11 FR. Ø INSULATED, W/ MONOPOLAR 37-5009-07 7 FR. Ø 37-5009-12 12 FR. Ø RF-CONNECTOR, 37-5009-08 8 FR. Ø 37-5009-15 15 FR. Ø REUSABLE 37-5009-09 9 FR. Ø 37-5009-18 18 FR. Ø 37-5009-10 10 FR. Ø 20 (500MM) LIST NO. DIAMETER LIST NO. DIAMETER ANGULAR, INSULATED, W/ MONOPOLAR RF-CONNECTOR, REUSABLE 37-5020-10 10 FR. Ø 37-5020-12 12 FR. Ø Note: Custom tube length and angle available, per your specifications. MONOPOLAR RF-CABLE ORDERING INFORMATION: LIST NO. 5022 LIST NO. 5023 MONOPOLAR RF-CONNECTION CABLE WITH SCREW-TYPE INSTRUMENT PLUG AND MALE BANANA PLUG. MONOPOLAR RF-CONNECTION CABLE WITH SCREW-TYPE INSTRUMENT PLUG AND MALE BOVIE PLUG. ELMED has been at the forefront of surgical instrumentation for over forty years and has innovated many of today s conventional instruments, such as handswitching forceps, bipolar instruments, automatic output compensation, just to mention a few. For comprehensive information, request our booklet Introduction to Electrosurgery. WE DESIGN, MANUFACTURE & SELL THE TOOLS THE SURGEONS USE ELMED specializes in the design and manufacture of new and innovative instruments, the repair of all competitive products and a one day turnaround time on repairs. MADE IN USA ELMED INCORPORATED, 60 West Fay Avenue, Addison, IL 60101, USA PH: (630) 543-2792 WEB: www.elmed.com FX: (630) 543-2102 EMAIL: medical@elmed.com We subscribe to cost containment and protection of the environment. Therefore, we manufacture reusable products. Prices and specifications subject to change without notice. 06-18a-BIPOLAR COAGULATION SPECIALTIES 1209

ELMED = Surgical Cost Reduction: Quality, Reusable, Economically-priced instruments made in the U.S.A. ELMED LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Laryngoscopes (Monocular View) TEETH GUARDS These nylon (latex free) teeth guards were designed as a protection for the patient s teeth against pressure that may be exerted during insertion and positioning of a laryngoscope. 40-2275 Adult size teeth guards, box of 24 pair 40-2276 Adult size teeth guards, box of 3 pair 40-2275 TUCKER MID-LIGHTED SIDE SLIDE LARYNGOSCOPES A standard Jackson slide laryngoscope with a mid-line fiber optic light carrier and Tucker modification of a side slide. The side slide removal allows for easy introduction of the bronchoscope. The shortened light carrier facilitates the use of the instrument in the vallecula to minimize the shadow cast by the epiglottis when introducing a bronchoscope. Supplied with one light carrier. 9 10 12 12 6.9 9.1 10.7 11.8 40-1450 40-1455 40-1460 40-1465 40-1465 CATALOG NUMBER SIZE OVERALL LENGTH MIN. I.D. NOMINAL PROXIMAL I.D. MAX. O.D. REPLACE. CARRIER 40-1450 Child 90 6.9 9.0 14.0 526510 40-1455 Adolescent 114 9.1 10.0 17.0 526512 40-1460 Adult 120 10.7 12.0 19.0 526515 40-1465 Long Adult 160 11.8 12.0 19.0 526516 Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE. HOLINGER INFANT (NEWBORN) SLIDE LARYNGOSCOPE The Holinger Infant Slide Laryngoscope is supplied with a very small light carrier to permit maximum lumen. NOMINAL CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. I.D. O.D. CARRIER 40-1500 Infant 8 1 m m 8.0 m m 9. 0 m m 1 4.0 m m 52 6 2 04

LARYNGOSCOPES Laryngoscopes (Monocular View) (continued) 40-1552 JACKSON STANDARD FIBEROPTIC SLIDE LARYNGOSCOPE The Jackson Standard Slide Laryngoscope is considered the standard scope and is used not only for introduction of a bronchoscope but also for operating in the larynx. Supplied with one light carrier. CATALOG NUMBER SIZE OVERALL LENGTH MIN. I.D. NOMINAL PROXIMAL I.D. MAX. O.D. REPLACE. CARRIER 40-1550 Infant 95 8.0 10.0 16.0 526000 40-1552 Child 125 10.5 12.0 17.0 526006 40-1554 Adolescent 159 10.6 12.0 17.0 526018 40-1556 Adol/Adult 159 11.4 13.0 18.0 526018 40-1558 Adult 159 13.0 14.0 21.0 526018 10 12 12 13 8 10.5 10.6 11.4 40-1550 40-1552 40-1554 40-1556 14 13 40-1558 40-1554 Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE. JACKSON DIRECT OR ANTERIOR COMMISSURE LARYNGOSCOPE The distal tip and arrangement of the light carrier in the Jackson Anterior Coissure Laryngoscope are constructed for best vision and avoidance of trauma, especially going through the glottis into the trachea without injury to the cords. The scope is long enough to also be used as a tracheascope in many cases. Supplied with one light carrier. Hook handle. NOMINAL CATALOG OV ERALL M IN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 40-1820 Child 133 5.8 7.7 x 9.8 13.6 526008 40-1824 Adult 155 6.8 10 x 11 16.0 526026 40-1820 7.7 5.8 9.8 6.8 40-1820 10 40-1824 11 Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE.

LARYNGOSCOPES Laryngoscopes (Monocular View) (continued) 40-2000 TUCKER-HOLINGER ANTERIOR COMMISSURE LARYNGOSCOPES The Tucker-Holinger Anterior Coissure Laryngoscope retains the design principles that have made the Holinger Laryngoscope the choice for visualizing the anterior coissure and the subglottic region. A large oval light carrier has been placed at the midline of the anterior surface. A full-length slot facilitates intubation and permits full instrument manipulation. NOMINAL CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. I.D. O.D. CARRIER 522000 Infant 96 5.4 9.0 13.0 526203 522001 Child 119 5.6 9.0 13.0 526201 5.4 9 5.6 9 7 7 522000 522001 Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE. 40-2012 HOLINGER ANTERIOR COMMISSURE LARYNGOSCOPES The Holinger Anterior Coissure Laryngoscope incorporates the principle of the Yankauer post-nasal speculum. The distal end of the superior surface of the tube rises obliquely and flares laterally, and the proximal portion drops obliquely. This increases the lumen, and gives a larger field for work by elevating the tuberculum of the epiglottis. Supplied with one light carrier. NOMINAL CATALOG OV ERALL M IN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 522002 Infant 97 3.7 6 x 9 9.8 526206 522004 Child 120 7.0 8 x 12 13.0 526210 522010 Adult 170 8.3 10 x 14 19.0 526028 522012 Adult X Long 180 8.3 10 x 14 19.0 526038 522040 Adult 170 8.5 10 x 14 19.0 526028 Slotted 40-2040 9 7 12 8.3 14 8.3 14 8.5 14 6 8 10 10 10 522002 522004 522010 522012 522040

LARYNGOSCOPES Laryngoscopes (Monocular View) (continued) HOLINGER HOUR GLASS ANTERIOR COMMISSURE LARYNGOSCOPE The Holinger Hour Glass Anterior Coissure Laryngoscope accentuates the flare tip and enlarged proximal opening of the original Holinger laryngoscope. The center portion, which is markedly constricted, and the very small light carriers give a minimal external diameter for ease in introduction, while providing maximum exposure of the vocal cords for endolaryngeal surgery. NOMINAL CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 40-2030 Adult 171 7.7 12 x 20 20.2 526212 40-2032 Adult X Long 181 7.3 12 x 20 20.4 526214 40-2032 m m 2 0 m m 7.7 m m 2 0 m m 7.3 40-2030 40-2032 Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE. HOLINGER SLOTTED ANTERIOR COMMISSURE LARYNGOSCOPE The Holinger Slotted Anterior Coissure Laryngoscope is a Holinger Hour Glass Laryngoscope that has been modified with an open slot on the working right side of the instrument. This modification allows greater latitude of forceps manipulation and may be useful in vocal cord injection procedures. Supplied with one light carrier. NOMINAL CATALOG OV ERALL M IN. PROXIMAL MAX. REPLACE. NUMBER SIZE 40-2045 Adult 170 8.2 11 x 19 20.0 526212 Slotted m m 1 9 m m 8.2 40-2045 11 40-2045

TRACHEASCOPES Tracheascopes (Monocular View) The Tucker and Fearon Tracheascopes are made without distal side apertures so that positive-pressure ventilation can be carried out regardless of the scope s position in the trachea. The scopes are particularly useful for examining the subglottic space and the trachea when performing tracheotomies where intermittent positive-pressure ventilation is essential, and for serial dilation of subglottic and upper tracheal stenosis. Supplied with one light carrier and one window plug. 11 5 40-240 40-2403 TUCKER TRACHEASCOPE The Tucker Tracheascope was designed to accoodate the Pilling 2.7 x 24 cm telescope (524018). NOMINAL CATALOG NOMINAL OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. I.D. O.D. CARRIER 40-2403* 5 x 18 180 5.0 11.0 13.0 527521 Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE. FEARON TRACHEASCOPE The Fearon Tracheascope was designed to accoodate the Pilling 2.7 x 24 cm telescope (524018). 40-2404 NOMINAL CATALOG NOMINAL OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. I.D. O.D. CARRIER 40-2404* 3 x 20 203 2.5 11.9 11.0 527 11.9 2.5 40-2404

MICRO-LARYNGOSCOPES Micro-Laryngoscopes fulfill the need for maximum illumination and light intensity in microsurgery, specifically for still or cine color photography. Elmed, with direction from leading surgeons, designed the most up-to-date laryngoscopes available today. The lighting systems on the micro-laryngoscopes provide more than adequate illumination for microsurgery and diagnosis when used under high microscopic magnification. Micro-Laryngoscopes (Binocular View) JAKO MICRO-LARYNGOSCOPE TYPE I The Jako-Laryngoscope Type I is considered the standard scope for micro-laryngoscopy. These scopes are designed to be used with the standard fiberoptic Pilling connecting cables and provide more than adequate lighting for microsurgery and diagnosis. Supplied with two light carriers. JAKO TYPE I NOMINAL CATALOG OV ERALL M IN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 40-2200P 40-2200P Adult 178 13.0 29.0 x 19.0 34.0 40-6365R* 40-6366L* 13 19 29 40-2200 P Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE. 40-2207 CHERRY-JAKO TYPE I 40-2207 Adolescent 149 11.0 25.0 x 14.0 31.0 40-6375R* 40-6376L* 40-2210 Child 121 9.4 20.0 x 12.0 26.0 40-6370R* 40-6371L* 11 25 14 9.4 20 40-2207 40-2210 12 NOMINAL CATALOG OV ERALL M IN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE. * R indicates right light carrier L indicates left light carrier

MICRO-LARYNGOSCOPES Micro-Laryngoscopes (Binocular View) (continued) JAKO MICRO-LARYNGOSCOPE TYPE II The Jako Micro-Laryngoscope Type II is identical in size and configuration to the Type I. However, the Type II scopes are supplied with two extra large diameter light carriers permanently connected to 72" light transmission cables. These scopes are designed for maximum illumination and light intensity, specifically for still, cine, or video photography. NOMINAL CATALOG OV ERALL M IN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 40-2205 40-2205 Adult 178 11.1 29.0 x 19.0 38.0 40-7805R* 40-7800L* 11.1 19 29 40-2205 Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE. JAKO-CHERRY MICRO-LARYNGOSCOPE TYPE II The Jako-Cherry Micro-Laryngoscope Type II is identical in size and configuration to the Type I. However, the Type II scopes are supplied with two extra large diameter light carriers permanently connected 40-2208 to 72" light transmission cables. These scopes are designed for maximum illumination and light intensity, specifically for still, cine, or video photography. NOMINAL CATALOG OV ERALL M IN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 40-2208 Adolescent 149 8.8 24.0 x 14.0 34.0 40-7815R* 40-7810L* 40-2215 Child 120 9.3 20.0 x 12.0 28.0 40-7825R* 40-7820L* 40-2220 Newborn 114 7.8 18.0 x 10.0 25.0 40-7825R* 8.8 14 9.3 12 7.8 10 522220 24 20 40-2208 40-2215 40-2220 18

MICRO-LARYNGOSCOPES Micro-Laryngoscopes (Binocular View) JAKO MICRO-LARYNGOSCOPE TYPE III The Jako Micro-Laryngoscope Type III is identical in size and configuration to the Type II. However, the Type III scope features an improved lighting system which diverts the fiberoptic cable out of the way of the surgeon s hands. This system consists of a bifurcated light carrier running down each side of the laryngoscope barrel providing bilateral illumination, which minimizes shadows from the instruments as they approach vocal cord lesions. NOMINAL CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. 40-2206 522206 Adult 178 13.4 29.0 x 20.0 34.0 40-6526 522209 Adolescent 149 11.7 25.0 x 13.0 30.0 40-6527 522216 Child 120 9.1 20.0 x 13.0 25.0 40-6528 13.4 20 11.7 13 29 25 40-2206 40-2209 Micro-Laryngoscopes (Binocular View) For Difficult Intubations 40-2209 OSSOFF-PILLING MICRO-LARYNGOSCOPE Available in two proximal widths. The 25.5 width can be introduced in most patients and is easily aligned with the microscope (400 objective). The 19 scope has the narrowest width capable of absorbing both microscope sight lines and can be used in most patients who previously could accept only the original Holinger scope. Holinger distal end, ease of introduction, excellent visualization 19 or 25.5 proximal widths, increases patient selection for micro procedures Standard adult handle, can be used with most suspension systems, B.U. suspension handle available as option Single light carrier, external tube dimensions are kept to a minimum Laser finish, laser safety NOMINAL CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 40-2190 Adult 168.2 7.0 19.0 x 15.0 22.0 527864 40-2191 Adult 168.2 8.0 24.0 x 14.0 27.0 527865 40-2190 7.0 15 8.0 m 1 19 24 40-2190 40-2191

MICRO-LARYNGOSCOPES Micro-Laryngoscopes (Binocular View) For Difficult Intubations (continued) 40-2193 OSSOFF-PILLING VIDEO LARYNGOSCOPE The Ossoff-Pilling Video Laryngoscope is similar in design to our standard Ossoff-Pilling Laryngoscope (522191) except that it includes an integral telescope port and accompanying telescope. The telescope can be connected to the OR s video system and is ideal for training, education and direct visualization during surgery. The telescope channel is located on the left side of the Laryngoscope. A plume evacuation tube and light carrier is located on the right side of the instrument.the telescope (4 x 177 ) features a forward view with an angled eyepiece. The fiberoptic terminal accepts ACMI style cable connections. Complete system including Laryngoscope and telescope. NOMINAL CATALOG OVERALL MIN. PROXIMAL REPLACE. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS CARRIER TELESCOPE 40-2193 Adult 16.5 cm 8.0 24.0 x 14.0 527866 40-4060 8.0 14 Drawings illustrate Nominal Proximal Internal Dimensions and Minimum Internal Diameter (I.D.), NOT TO SCALE. 24 40-2193 Video Coupler NOT included DEDO-PILLING MICRO-LARYNGOSCOPE The Dedo-Pilling Micro-Laryngoscopes have been designed to provide the ability to examine the vocal cords at the anterior coissure in the majority of patients, for example, patients with bull necks, short jaws, or prominent upper teeth. The dimensions of the Dedo-Pilling Micro- Laryngoscopes are narrow enough between the light carriers to permit moving the instrument off the incisors and down between the molars to permit visualization of the anterior coissure. The fiberoptic light carriers are adjacent to the handle with a metal protected fiberoptic bundle which runs in a groove in the handle. When used with the operating microscope equipped with a 400 lens, the Dedo-Pilling Micro-Laryngoscope affords binocular vision for microendoscopy. Supplied with one bifurcated light carrier. NOMINAL CATALOG OVERALL MIN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 40-2222 Child 119 7.1 15.0 x 16.0 22.0 40-6524 40-2224 Adolescent 145 9.1 18.0 x 17.0 25.0 40-6529 40-2225P Adult 173 10.7 19.0 x 19.0 27.0 40-6525 40-2225P 7.1 16 9.1 17 10.7 19 15 18 19 40-2222 40-2224 40-2225P

MICRO-LARYNGOSCOPES For Difficult Intubations (continued) 40-2227 DEDO-PILLING MICRO-LARYNGOSCOPE TYPE II The Dedo-Pilling Micro-Laryngoscope Type II is identical in size and configuration to the standard Dedo-Pilling instrument, with the exception of the illuminating system. In the Type II system, the illuminating fibers are continuous throughout both light carriers and cables, thus eliminating light loss normally incurred at the junction of these two components. This micro-laryngoscope is designed for maximum illumination to facilitate still or cine photography. Supplied with two light carriers. NOMINAL CATALOG OV ERALL M IN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 40-2227 Adult 173 11.6 19.0 x 19.0 32.0 40-7860 I A B J D E Drawings illustrate Nominal Proximal Internal 19 Dimensions and Minimum Internal Diameter (I.D.), 11.6 19 Mm NOT TO SCALE. C 40-2227 G H 40-2229 H ABRAMSON-DEDO MICRO-LARYNGOSCOPE The Abramson modification of the Dedo-Pilling Micro-Laryngoscope was designed to increase the efficiency of Venturi type ventilation. It provides the physician with a choice of six positions for placement of the Venturi Needle (up to 14 Ga.). The inside is finished to be nonreflective, and 14 Ga. blunt needles may be used for smoke evacuation. Supplied with a set of right and left light carriers, two 12" 14 Ga. blunt needles, and two Luer-Lok adapters for bare Sanders system tubing. NOMINAL CATALOG OV ERALL M IN. PROXIMAL MAX. REPLACE. NUMBER SIZE LENGTH I.D. DIMENSIONS O.D. CARRIER 40-2229 Adult 177 12.0 19.0 x 19.0 28.0 40-7586R* 12 19 Drawings illustrate Nominal Proximal Internal 40-7587L* LEGEND GK A,C,D,F Channels for ventilating needle up to 14 gauge B, E Channels for light carriers or ventilating needles G, H Ventilating needles and adapters I, J Light carriers K Luer-Lok hubs to fit tubing adapter 18.4 40-2229 Dimensions and Minimum Internal Diameter (I.D.) NOT TO SCALE.

MICRO-LARYNGOSCOPES 40-2241 Micro-Laryngoscopes (Binocular View) For Difficult Intubations (continued) 40-2240 REPLACEMENT VENTILATING NEEDLES 40-2241 12" blunt 40-2599 REPLACEMENT CLIPS 40-2240 For ventilating needles 40-2594 40-2600 REPLACEMENT ADAPTER 40-2599 Needle Luer-Lok hub to Sanders tubing 40-2596 VENTURI VENTILATING BLUNT NEEDLES 40-2594 4" (10.1 cm), 14 gauge 40-2600 4" (10.1 cm), 14 gauge, bent 90 40-2596 4" (10.1 cm), 16 gauge 40-2598P 4" (10.1 cm), 18 gauge 40-2590 4" (10.1 cm), 20 gauge

LARYNGOSCOPE HOLDERS Laryngoscope Holders allow the surgeon to have both hands free during Laryngoscopy, Micro-Laryngoscopy, and Laser Laryngoscopy procedures. These holders allow the surgeon to perform intricate procedures requiring both hands available for necessary instrumentation insertion through the laryngoscopes. Laryngoscope Holders LARYNGOSCOPE HOLDER, IMPROVED MODEL The external chest bar and rod easily attach or detach from the handle of most laryngoscopes.manually operated gear supplies leverage to the laryngoscope for exposure of the anterior coissure and allows the operator to have both hands free for instrumentation. (Laryngoscope is not included.) 40-2245 40-2245 40-2248 40-2248 TOBEY LARYNGOSCOPE HOLDER The Tobey Laryngoscope Holder has a quick attach/releas e mechanism that provides a secure hold of the laryngoscope. With the blue thumb tab mechanism on the Tobey, there is no more twisting or turning necessary to lock the laryngoscope into the holder. The Tobey also allows for fine adjusting using the size adjustment knob for different laryngoscope handles.

LARYNGOSCOPE HOLDERS Laryngoscope Holders (continued) 40-2260 BOSTON UNIVERSITY SUSPENSION SYSTEM This system is used to suspend the laryngoscope during micro and laser surgery of the larynx. (Laryngoscope and strong laryngoscope handle extension are not included.) Supports the laryngoscope for two -handed surgery. Is not affected by chest movement. Allows use of the Boyce-Jackson position. Allows repositioning of the table as necessary without read - justment of the suspension system. 40-2260 PIVOTING EXTENSION ARM ASSEMBLY 40-2262 40-2262 STRONG LARYNGOSCOPE HANDLE EXTENSION Adapts micro-laryngoscope for use with the Boston University Suspension System. Laryngoscopes already in use may be returned to Piling for the modification, or a new instrument may be ordered with extension. 40-2261 40-2261 PILLING TABLE CLAMP 11-3100 Fits over table drapes BOSTON UNIVERSITY SUSPENSION SYSTEM Most laryngoscopes can be made adaptable to the Boston University Suspension System. Piling Repair Dept. can tap a hole for Boston University/Strong Extension in most laryngoscopes with a straight handle. 11-3100 SCOPE SERVICE TO ADAPT HANDLE FOR USE WITH BU SYSTEM 11-3094 Tap new scope for BU System must be added to your order 11-1170 Tap old scope for BU System contact Elmed Repair Dept. at 1630-543-27920 40-2261 Strong Laryngoscope Handle Extension must be ordered along with scope for use with BU System

LARYNGOSCOPE HOLDERS Laryngoscope Holders (continued) LOEB LARYNGOSCOPE HOLDER SUPPORT The Loeb system is used to support the laryngoscope holder (40-2245) or Tobey Laryngoscope Holder (40-2248) during micro and laser surgery of the larynx. This support removes the laryngoscope holder from the patient s chest. The width of the support is adjustable to accoodate most operating tables. 40-2250 40-2250 TABLE-MOUNTED MAYO TRAY The Dedo Table Mounted Mayo Tray System is used to sup - port the standard Pilling Laryngoscope Holder. The tray can be positioned at any height, will swivel, and can be extend ed. All parts are stainless steel and can be disassembled for cleaning and sterilizing. This system can be easily covered by a sterile Mayo cover. 40-2265 Complete system: Tray Detachable sliding bars and clamps Upright rod Table Clamp 502265 LARYNGEAL DEPRESSOR The Laryngeal Depressor was designed to facilitate external pressure to the larynx by exerting controlled pressure to the anterior neck. By attaching to a laryngoscope holder (40-2245 or 40-2248), hands off laryngeal pressure is achieved. 40-6682 40-6682

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Pilling, in conjunction with leading surgeons in the field of Otolaryngology, has designed a large variety of laryngeal instruments. These instruments can be utilized for both Laryngoscopy and Micro-Laryngoscopy. Pilling works continually with surgeons on new designs and modifications as procedural changes occur. Jako-Kleinsasser MicroLaryngeal Instruments FORCEPS-SCISSORS These micro-laryngeal forceps and scissors were designed specifically for micro-surgery. They feature slender 2 diameter stems with miniature distal jaws in shapes of forceps and scissors, and are made of dull finished st ainless steel to reduce glare. Stems are angulated (5 bend at handle) for unobstructed vision. 40-6455 40-6455 Cup forceps, straight, 22 cm working length 40-6460 40-6461 40-6462 40-6463 40-6465 40-6470 40-6471 40-6460 Cup forceps, angled left, 22 cm working length 40-6461 Cup forceps, angled right, 22 cm working length 40-6462 Cup forceps, angled up, 22 cm working length 40-6463 Cup forceps, oval, single action, 22 cm working length 40-6465 Cup forceps, straight oval, 22 cm working length 40-6470 Grasping forceps, curved left, 22 cm working length 40-6471 Grasping forceps, curved right, 22 cm working length (additional patterns continued on next page)

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Jako-Kleinsasser Micro-Laryngeal Instruments (continued) 40-6472 40-6475 40-6476 FORCEPS-SCISSORS (continued) These micro-laryngeal forceps and scissors were designed specifically for micro-surgery. They feature slender 2 diameter stems with miniature distal jaws in shapes of forceps and scissors, and are made of dull finished stainless steel to reduce glare. Stems are angulated (5 bend at handle) for unobstructed vision. 40-6472 Grasping forceps, very fine serrated, straight, 40-6478 40-6477 40-6479 22 cm working length 40-6475 Scissors, curved left, 22 cm working length 40-6476 Scissors, curved right, 22 cm working length 40-6477 Scissors, slight up-angle, 22 cm working length 40-6478 Scissors, straight, vertical, 22 cm working length 40-6479 Scissors, straight, horizontal, 22 cm working length Jako Micro-Laryngeal Instruments 40-6679 JAKO FINE BALL TIP HOOK 40-6679 Right angle, 23 cm JAKO SICKLE KNIFE 40-6680 40-6680 25 cm JAKO COAGULATION PROBE Will fit standard Bovie Pencil Handle. 40-6672 40-6672 27 cm

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Jako Micro-Laryngeal Instruments BOVIE PENCIL HANDLE With connecting cord. 40-1970 324 cm (10.6 ft) SUCTION TUBE Fully insulated with thumb-valve for controlled suction. Supplied with 10 ft (305 cm) Bovie Cord and plug (507046). Working length 22 cm. 407045 40-7045 4 diameter (12 Fr.). BOVIE CORD For insulated suction. 40-704 40-7046 40-6662 JAKO RIGID STEM INSTRUMENTS Dull finish to reduce glare. May be used with Jako Universal handle. Working length 26 cm. 40-6662 Jako Universal Handle 40-6663 Jako Sickle Knife, curved (additional patterns continued on next page) 40-6663

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES 40-6667 40-6664 JAKO RIGID STEM INSTRUMENTS (continued) Dull finish to reduce glare. May be used with Jako Universal handle. Working length 26 cm. 40-6665 40-6664 Jako Sickle Knife, straight 40-6665 Jako Circle Knife 40-6666 Jako Round Edge Knife 40-6667 Jako Sharp Hook, slight 40-6668 Jako Sharp Hook, acute 40-6669 Jako Probe, straight 40-6670 Jako Roller knife 40-6673 Jako Blunt Angled Probe 40-6666 40-6668 40-6670 40-6665 40-6673

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Jako Micro-Laryngeal Instruments (continued) JAKO TRANSILLUMINATOR For transillumination of the vocal cords to aid in the inspection of the vocal cord edges for small surface changes. Slim, reverse curved fiberoptic tube. 40-4075 40-4075 Working length 25 cm JAKO MIRROR For minor examination of the undersurface of the vocal cords. 40-8230 40-8230 26 cm 40-7120 JAKO FINE SUCTION TUBES 40-7120 No. 00, 5 Fr. 23 cm working length 40-7121 No. 0, 6 Fr. 23 cm working length 40-7122 No. 1, 7 Fr. 23 cm working length 40-7122 FINE SPONGE CARRIER 40-6751 40-6751 Working length 26 cm JAKO KNOT PUSHER 40-6480 40-6485 40-6480 Working length 23 cm STRONG SUCTION IRRIGATOR For washing dyed vocal cords with saline. 40-6485 23 cm

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Jako Micro-Laryngeal Instruments (continued) JAKO LARYNGEAL NEEDLE HOLDER 40-6490 40-6490 Working length 25 cm Feder-Ossoff Microlaryngeal Precision Instruments for Phonosurgery FEDER-OSSOFF PHONOSURGERY SET These instruments were designed specifically for micro laryngeal procedures to retain, restore, or improve voice quality. Ideal for use in delicate mucosal microflap dissection techniques. 40-6880 Delicate Mayo blades on scissors 40-6882 Matte laser finish Angled handles and slender diameter shafts Universal ring handle for knives and probes 23 to 27 cm working length 40-6884 Much smaller than Jako -Kleinsasser Durable storage and sterilization tray 40-6886 40-6800 28 items, 40-6802 through 40-6890 (does not include 40-6884 or 40-6886) KNIVES AND KNIFE HANDLE All knives have 27 cm maximum working length, 3.2 1 tapered shaft. Working length is measured from front portion of handle to tip of instrument. 40-6880 Straight sickle, 3 blade 40-6882 Curved sickle, 3 blade 40-6884 Phono circle knife, 3 blade, (optional only) 40-6886 Phono knife round, 1.5 blade, (optional only) 40-6888 Universal ring handled knife handle with camlock 40-6888 Shown with probe inserted into handle. Knives and probes can be set to any angle or depth relative to the handle.

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES 40-6830 40-6832 PROBE/ELEVATORS These probe/elevators allow for sharp and blunt disse ction and elevating of tissue. All probes fit into the camlock handle 40-6830 30 angle, blunt 40-6832 60 angle, blunt 40-6842 30 angle, sharp 40-6844 60 angle, sharp 40-6842 40-6844 40-6856 40-6858 FEDER-OSSOFF MICRO-LARYNGEAL FORCEPS This series of forceps includes both alligator grasping jaw and cup biopsy jaws. The grasping forceps provide secure hold for delicate traction. The round cups provide a sharp, smooth cutting surface for precise biopsies. All forceps have matte laser finish and shafts that taper from 2.0 to 0.5. Double action grasping forceps with coarsely serrated jaws and a suction channel. The 1.0 suction channel has a Luer Lok proximal fitting and extends to 6.5 from distal end. 40-6860 Grasping forceps finely serrated jaws, 1.1 wide tapering to 0.6, 4.0 long, working length 23 cm. Cup forceps round biopsy cups with 1.0 jaw, working length 23 cm. 40-6856 Grasping Forceps, double action, straight, with suction 40-6858 Grasping Forceps, angled up 40-6860 Grasping Forceps, straight 40-6862 Cup Biopsy, 1, straight 40-6864 Cup Biopsy, 1, up angled 40-6862 40-6864

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES FEDER-OSSOFF MICRO-LARYNGEAL SCISSORS 40-6802 All blunt scissors have Mayo type dissecting blades tapering to a 1 tip. All scissors 23 cm working length, 2 diameter shaft, 5 bend at handle. 40-6804 40-6806 40-6808 Blunt Scissors 40-6802 Straight blades, vertical action 40-6804 Curved blades, horizontal action, open left 40-6806 Curved blades, horizontal action, open right 40-6808 Angled up, vertical action 40-6810 Angled down, vertical action 40-6822 Angled up, double action 40-6810 40-6822 Sharp Scissors 40-6812 Straight blades, vertical action 40-6814 Curved blades, horizontal action, open left 40-6816 Curved blades, horizontal action, open right 40-6818 Angled up, vertical action 40-6820 Angled down, vertical action 40-6824 Double action 40-6812 40-6814 40-6816 40-6818 40-6820

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Feder-Ossoff Microlaryngeal Precision Instruments for Phonosurgery (continued) SUCTIONS 23 cm working length, with thumb control, laser finish. 40-6870 3 Fr. diameter 40-6872 5 Fr. diameter 40-6874 7 Fr. diameter 40-6874 FEDER-OSSOFF PHONOSURGERY INSTRUMENT STERILIZING TRAY With individual instrument housing. The tray is a durable construction, protecting the delicate instruments. This tray may be stacked for storage and withstands flash autoclaving. It also withstands temperature of multiple cycles of steam sterilization, ethylene oxide sterilization, and gaa radiation, chemical cold sterilizing agents, disinfectants and germicides. 40-6890 Inside dimensions: 11 3/4" (29.8 cm) x 15 1/4" (38.7 cm) x 3" (7.6 cm) at handles 40-6890 MICRO-LARYNGEAL FORCEPS 40-6950 The serrated triangular jaw allows for a larger surface area of tissue to be grasped within the 3 wide tips. These forceps have 23 cm working length and have a non -reflective finish for use with lasers. Jaws are uniquely angled and fenestrated to better grasp along the longitudinal surface of the respective chord, 2.75 wide triangular jaw, serrated jaw, 2 shaft. Fits adult laryngoscopes without interfering with microscope, 5 bend at the handle. Non-reflective finish, can be used in laser surgery. 40-6952 40-6950 Triangular fenestrated, serrated jaw forceps, right, 23 cm working length 40-6952 Triangular fenestrated, serrated jaw forceps, left, 23 cm working length

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Laryngeal Instrumentation 40-5100 40-5102 40-5104 40-5106 JACKSON CUP FORCEPS Jackson Forceps come in standard and extra lightweight con struction that provides durability and strength. The jaw size, shape, and angle are specially calculated for use through Jackson scopes. Standard, Medium Lightweight 40-5100 Straight, 4 diameter jaw, 28 cm working length 40-5102 Straight, 6 diameter jaw, 28 cm working length 40-5104 Angular, 4 diameter jaw, 28 cm working length 40-5106 Angular, 6 diameter jaw, 28 cm working length Extra Lightweight 40-5110 Straight, 2 diameter jaw, 20 cm working length 40-5112 Straight, 2 diameter jaw, 28 cm working length 40-5114 40-5114 Angular, 2 diameter jaw, 20 cm working length 40-5116 Angular, 2 diameter jaw, 28 cm working length 40-5110 40-5112 40-5116

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Laryngeal Instrumentation (continued) JURASZ INDIRECT LARYNGEAL FORCEPS Double action forceps with oval shaped cutting edge jaws. 40-6625 Forward-backward biting, 21 cm working length 40-6626 Side-to-side biting, 21 cm working length 40-6625 40-6626 40-5195 40-5230 LORE SUBGLOTTIC SPECIMEN AND TISSUE FORCEPS Jaws angled 90 upward, and open to the right or left. 40-5195 Open to right, 6 length jaw, 28 cm working length 40-5196 Open to left, 6 length jaw, 28 cm working length PATTERSON ELONGATED CUP BITING SPECIMEN AND TISSUE FORCEPS 40-5230 Regular, 4 width jaw, 28 cm working length 40-5233 Delicate, 2.5 width jaw, 20 cm working length JACKSON SQUARE PUNCH SPECIMEN FORCEPS A basket is built into lower blade to hold excised tissue. 40-5310 40-5330 40-5310 Standard, 6 diameter jaw, 26 cm working length HOLINGER SPECIMEN AND TISSUE FORCEPS Cutting jaws with rounded tip and basket designed to hold specimen. Cutting edges extend the full length of the jaw to permit clean, complete removal of specimen. 40-5330 7 diameter jaw, 28 cm working length

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Laryngeal Instrumentation (co 40-5342 JACKSON TRIANGULAR PUNCH SPECIMEN AND TISSUE FORCEPS Shear type forceps remove a piece of tissue approximately 3.5 x 7. Will pass through laryngoscope 10 or larger. 40-5342 Angular jaws, 26 cm working length 40-5400 JACKSON ALLIGATOR GRASPING FORCEPS 40-5420 40-5400 Standard, deep serrated and grooved jaws, 4 wide by 22 long, 28 cm working length 40-5420 Small, finely serrated jaws taper from 3 to 1.5 width, 13 long, 30 cm working length 40-5432 Extra delicate, designed for use through the smallest laryngoscopes, jaw 2 wide by 12 long, 30 cm working length 40-5432 JACKSON ROTATION FORCEPS Serrated jaws terminate in sharp teeth. 40-5450 40-5450 Standard, jaws 4 wide by 20 long, large strong teeth, 28 cm working length 40-5462 Delicate-light, jaws 2 wide by 10 long, small sharp 1 x 1 teeth, 30 cm working length

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Laryngeal Scissors 40-5600 HOLINGER CURVED SCISSORS These scissors may be used for dissecting or actual tissue resection and were designed for use in the intralaryngeal arytenoidectomy procedure. 40-5600 Curved right, 24 cm working length 40-5601 Curved left, 24 cm working length 40-5605 JACKSON LARYNGEAL SCISSORS 40-5605 Straight, 20 cm long blades, working length 28 cm 40-5608 Curved left, 20 long blades, working length 28 cm Laryngeal Aspirating Tubes 40-7115 SAMSON-DAVIS INFANT TRACHEOBRONCHIAL TUBE Designed for use through a laryngoscope to aspirate the infant or newborn. 40-7115 2.7 diameter (8 Fr.) with soft rubber tip to prevent damage, 27 cm working length with thumb-valve control 40-9204 OSSOFF-KARLAN MICRO SUCTION TUBE Micro suction tube with thumb-valve control. Ebonized for laser surgery. 40-9204 2.3 diameter (7 Fr.), 7.5" (21.5 cm) working length 40-7120 JAKO FINE SUCTION TUBES Specially designed with thumb control. 40-7122 40-7120 No. 00, 5 Fr. 23 cm working length 40-7121 No. 0, 6 Fr. 23 cm working length 40-7122 No. 1, 7 Fr. 23 cm working length

LARYNGEAL INSTRUMENTATION FOR LARYNGOSCOPES AND MICRO LARYNGOSCOPES Laryngeal Aspirating Tubes (continued) 40-9012 LAR 40-9013 JAKO ASPIRATING TUBES 40-9012 Velvet Eye, smooth oval shaped opening on each side of distal tip with a closed, blunt end, 3 diameter (9 Fr.), 20 cm working length 40-9013 Open end, 3 diameter (9 Fr.), 15 cm working length 40-7010 40-7030 JACKSON ASPIRATING TUBES 40-9014 40-7060 40-7065 40-7010 Open end, 4 diameter (12 Fr.), 20 cm working length 40-7030 Velvet Eye, smooth oval shaped opening on each side of distal tip with a closed, blunt end, 4 diameter (12 Fr.), 20 cm working length ASPIRATING TUBE CLIP 40-9014 For attaching up to 3 (9 Fr.) aspirating tube to laryngoscope THUMB VALVE CONTROL ASPIRATING TUBES For tracheal aspiration. 40-7060 3 diameter (9 Fr.), 20 cm working length 40-7065 4 diameter (12 Fr.), 35 cm working length WE DESIGN, MANUFACTURE & SELL THE TOOLS THE SURGEONS USE ELMED specializes in the design and manufacture of new and innovative instruments, the repair of all competitive products and a one day turnaround time on repairs. MADE IN USA ELMED INCORPORATED, 60 West Fay Avenue, Addison, IL 60101, USA PH: (630) 543-2792 FX: (630) 543-2102 WEB: www.elmed.com EMAIL: medical@elmed.com We subscribe to cost containment and protection of the environment. Therefore, we manufacture reusable products. Prices and specifications subject to change without notice. 01-10 Laryngeal Instruments for Laryngoscopes 01-10