Endoscopic

Lenarz Ear Surgeries

Cochlear Fisch Prosthesis
Implantation
Steiner
Stammberger
Laser Set
FESS Set
EAR

NOSE Kator-Berci
SKULL BASE THROAT &
Weerda
SURGERY
ENT
Projects
2008/2009 SInuFit
LaryngoFit
Unidrive ENT

OUT PATIENT
NPU Set
EAR Simulator Fiberscopes
ENDOSCOPIC EAR SURGERY
Rationale

Following the ear canal with the endoscope leads directly to the attic
Anatomie de l’Oreille
Anatomie Oreille : les 3 compartiments
Field of View

Field of view microscope transcanal procedures vs. postauricular mastoidectomy

 Rationale

Microscopic Surgery Endoscopy Surgery

•The field of view in microscopic surgery is

defined and limited by the narrowest segment •Transcanal operative endoscopy bypasses the
of the ear canal narrow segment of the ear canal and provides a
wide field of view that allows to look around
•This basic limitation has forced surgeons to “the corners”
create a parallel port through the Mastoid to
gain a keyhole access into the attic, facial recess, •Following the ear canal leads directly to the
and hypotympanum attic the part of the ear most commonly affected
with Cholesteatoma
 Endoscopic “Open Cavity” Approach

Transcanal Endoscopic Approach Traditional Postauricular Canal Wall

•Allows a “what- you- see- is- what- you- get” •Leads to the creation of extensive cavities
open cavity •Causes the removal of a huge number of healthy
•Would open up only the areas where disease bones
reside •Inferior hearing results
•Maintains much of the healthy and cortical
•Trauma in the ear canal which results in fibrosis
bone intact
and narrowing of the meatus
•Allows the surgeon to observe any residual
cholesteatoma
•Does not affect hearing results
•Allows for minimally invasive surgery that
facilitates the ossicular reconstruction
8
Endoscopic Management of Cholesteatoma

9
Endoscopic-Guided Middle ear Surgery
recommended Set according to Dr. M. TARABICHI
Endoscopic-Guided Middle ear Surgery
recommended Set according to Dr. M. TARABICHI
Endoscopic-Guided Middle ear Diagnosis recommended Set according to Dr. M. TARABICHI
Endoscopic-Guided Middle ear Diagnosis recommended Set according to Dr. M. TARABICHI
Endoscopic-Guided Middle ear Diagnosis recommended Set according to Dr. M. TARABICHI
Endoscopic-Guided Middle ear Diagnosis recommended Set according to Dr. M. TARABICHI
Endoscopic-Guided Middle ear Surgery
recommended Set according to Dr. M. TARABICHI
Endoscopic-Guided Middle ear Surgery
recommended Set according to Dr. M. TARABICHI
Endoscopic-Guided Middle ear Surgery
recommended Set according to Dr. M. TARABICHI
Tarabichi Live Op Recommended set for EES
Tarabichi EES Workshop Miniset
 Endoscopic
Lenarz Ear Surgeries
Cochlear Fisch Prosthesis
Implantation
Steiner
Stammberger
Laser Set
FESS Set
EAR

NOSE Kator-Berci
SKULL BASE THROAT &
Weerda
SURGERY
ENT
Projects
2008/2009 SInuFit
LaryngoFit
Unidrive ENT

OUT PATIENT
NPU Set
EAR Simulator Fiberscopes
Closed Cavity Technique

Stapedotomy

Malleo- Stapedotomy Incus-Stapedotomy

22
S Incus- Stapedotomy tapedotomy

 Stapedotomy means the creation of a small calibrated fenestration

into the stapes footplate
 Incus- stapedotomy and malleo- stapedotomy are introduced to avoid
confusion between whether the prosthesis reaches the vestibule
through a calibrated opening, or through a partial or total
stapedectomy

23
Incus- Stapedotomy

A malleable Measuring Rod is used to determine the distance

between the footplate and the lateral surface of the incus
The Titanium Stapes prosthesis is trimmed
on a special Titanium Cutting Block. The
stapes prosthesis is available in three
different sizes

24
 Incus- Stapedotomy

A set of four Manual Perforators is used

to create the stapedotomy opening. A
calibrated opening of 0.5 mm diameter is
made in the safe area

The correct size of the opening (0.5 mm) is confirmed with a 0.4
mm Calibre Rod

The stapes prosthesis is picked up from

the cutting block using a large straight
Smooth Alligator Forceps
25
 Incus- Stapedotomy

The loop is crimped over the incus with a

small straight Smooth Alligator Forceps The incudo-stapedial joint is seperated with a Joint Knife,
the stapedial tendon is sectioned with Tympanoplasty
Microscissors, the posterior crus is cut with Curotomy
Scissors

26
 Malleo- Stapedotomy

The antero- superior overhang is then removed

with Diamond Burrs until the anterior and
posterior tympanic spines can be identified

Soft tissues are

elevated from the
underlying bone
using a Key The canal skin is elevated from the wall of the ear
Raspatory canal with a Fisch Microraspatory that is 2.5 mm in
length. It is then used to elevate the tympanomeatal
flap from the posterior tympanic spine by introducing
it under the rim of bone lateral and superior to the
chorda tympani

27
Malleo- Stapedotomy

A fixed incus is removed after

cutting its long process using A fixed malleus head is removed most effectively
A Malleus Nipper, to avoid by cutting its neck with a 0.6 or 0.8 mm Diamond
damage to the chorda tymapni Burrs
during extraction

28
Malleo- Stapedotomy

The Titanium Stapes

Prosthesis are used for
both incus- stapedotomy
and malleo- stapedotomy,
and are trimmed on the
Titanium Cutting Block

The shaft of the prosthesis may be bent along various planes on the cutting
block to accommodate the anterior position of the malleus. This is done
while the prosthesis is in the 0.4 mm hole of the cutting block by gently
bending it to the correct extent by pushing the shaft with Watchmaker
Forceps

29
 Malleo- Stapedotomy

The stapes prosthesis is picked up from

the cutting block using a large straight
Smooth Alligator Forceps

The malleable Measuring Rod is used to create the stapedotomy

opening

The posterior crus is cut with

Curotomy Scissors
30
Malleo- Stapedotomy

Crimping the prosthesis to the malleus

handle is performed using a small and a
large straight Smooth Alligator Forceps

31
 Stapedotomy

Incus- Stapedotomy Malleo- Stapedotomy

The loop is crimped over the incus with a The loop is crimped over the malleus
small straight Smooth Alligator Forceps handle using a small and a large straight
Smooth Alligator Forceps

32
Total Reconstruction of the Ossicular Chain

 The Fisch Titanium Total Prosthesis

The Fisch Titanium

Prosthesis (FTTP) is
composed of an L-shaped
shaft with head and shoe
(foot) with spike. It can be
used with or without the
shoe

The distance between the tympanic membrane and the

footplate is determined with the malleable Measuring Rod

The FTTP shaft is grasped

with a special Curved
Holding Forceps and
introduced into the shoe

33
 Total Reconstruction of the Ossicular Chain

If more strength is
required, a special
Crimping Forceps can
be used to squeeze the
foot tightly to the shaft Special Titanium Scissors can be
used to reduce the diameter of the
prosthesis head

 The FTTP is used without a shoe if the oval window is too narrow or the stapes
arch remains in place
 The thickness of the FTTP head is only 0.1 mm which makes the plane of the
prosthesis adaptable to the drum position in the vertical and horizontal planes
 The FTTP has the ability to change the length of its L-shaped arm. For this
purpose it shall be grasped with two watchmaker forceps and straightened then
bent in the desired angle

34
Total Reconstruction of the Ossicular Chain

The FTTP is
transported from the
cutting block to the
middle ear using a
special Curved
Holding Forceps or
with the largest
microsuction tube

In case of use of shoe

with spike, perforation
of the stapes footplate
is made with the
smallest Manual
Perforator. A mobile
footplate is fixed with
a 1.0 mm, 45 degrees
Hook

35
The Fisch Titanium Neo Malleus

 The Fisch Titanium Neo Malleus

The 5mm long Titanium Neo- Malleus is introduced over the

lateral surface of the graft through two small incisions. The
perichondrium with the attached Neo Malleus is introduced
under the partially elevated tympanic membrane

The Titanium Stapes Prosthesis is brought into place,

introduced 0.5 mm from the lateral surface of the footplate
in the vestibule, and crimped on the titanium Neo- Malleus

36
FISCH Instruments

Instruments
 Retractors
 Scissors
 Suction tubes
 Dressing forceps
 Micro instruments
 Micro-forceps and -scissors
FISCH Instruments

 Very delicate scissors for

tympanoplasty

 Very delicate hooks for placing

the prostheses

 Crurotomy-scissors for cutting

the crura of the stapes
FISCH Instruments
FISCH Instruments

 Cutting block for adaptation of the

prostheses

 With “parking-holes” for the

different types of prostheses

 Blue surface avoids reflections

while using with the microscope
Titanium-Artificial Prosthesis acc. to
FISCH for Ossicle Chain Reconstruction
Titanium-Artificial Prosthesis acc. to
FISCH for Ossicle Chain Reconstruction

Titanium Stapes Piston, sterile, small 227510, medium,

227511, large 227512

Titanium Incus artificial limb, sterile, small 227515, medium

227516, large 227517

Titanium Total artificial limb with foot, sterile, 227520

Titanium Neomalleus artificial limb, sterile, 227522

FISCH Instruments

Positioning of the Stapes and Incus Prosthesis

FISCH Instruments

Positioning of the Total- and Neomalleus-Prosthesis

 Endoscopic
Lenarz Ear Surgeries
Cochlear Fisch Prosthesis
Implantation
Steiner
Stammberger
Laser Set
FESS Set
EAR

NOSE Kator-Berci
SKULL BASE THROAT &
Weerda
SURGERY
ENT
Projects
2008/2009 SInuFit
LaryngoFit
Unidrive ENT

OUT PATIENT
NPU Set
EAR Simulator Fiberscopes
Cochlear Implantation
by Dr. Lenarz

Definiton:

 This procedure is done on

patients undergoing cochlea
removal to replace it with a
receiver stimulator (cochlear
device).
 Cochlear Implantation
by Dr. Lenarz

The cochlear implant electrode:

 An array of several electrodes is inserted into the cochlea;

 this delivers electrical pulses directly to the hearing nerve.
 The nerve carries the information to the brain, where it is interpreted as
sound.
Cochlear Implantation
by Dr. Lenarz

 The placement of the cochlea is adjusted at the dorsal side of

the bony auditory meatus following a masteidoctomy .

 Incision
 Incision approximately 1 cm behind the retroauricular fold
 The pinna is elevated from the underlying tissues
 Periosteal pouch
 A pouch is created with the straight raspatory

 Exposure of the Mastoid Plane

 After creation of the pouch wound retractors are
placed
 Masteoidectomy
 Mastoid is drilled exposing
the bony wall of the outer
ear canal

 The cortical bone covering

the mastois is preserved
infriorly posteriorly and
superiorly to create an
overhang used to stabilize
the elctrode.

 Cutting burrs and

diamond drills are used.
 Bone bed
 To securely fix the implant and stabilize the receiver
stimulator
 Provide a precise fit for the implant case
 Creation of the bed is done with cutting burrs and while
approaching the dura with diamond burrs
 to facilitate this part of procedure, special hook with
integrated suction has been developed to allow the surgeon
to work with both hands
 Creating the Tunnel or Channel
 The bone bed and the mastoid are connected by a
tunnel or a channel.
 Posterior Tympanotomy
 In order to reach the middle ear the bone between
the facial nerve
INSTRUMENTATION
Special Set for Cochlear Implantation,
acc. to Prof.LENARZ
Special Set for Cochlear Implantation,
Supplement to Ear Micro Surgery Sets, acc. to Prof.LENARZ
DALCHOW-O‘DONOGUE Retractor for
Cochlear-Implantation
233250
 Features and Benifits

 Creation of the bone bed for the Cochlear-Implant

 Simultaneous illumination of the operation field and
suction
 Due to the use of a drill the suction and the irrigation
tube are exposed to frequent damage. Suction and
irrigation tube can be disassembled:
- easy cleaning and sterilization
- in case of repair only
exchange of the defective parts
 Suction tube and light carrier are placed very closely
to the blade to have the optimal amount of space for
the drill
 Article no. 233250
 Cochlear Impalntation Implant Used
Ear Surgeon Hospital Practice/Month Instruments Set (Brand and
Available Model)
Cochlear:
DR. A Y 1 Wolf Nucleus 24
Bionics:HiRes
DR. B X 3 KARL STORZ 90K
 Fill the survey form accurately

 Our target customers are all ENT surgeons practicing the

Cochlear implantation

 Start with doctors using the Cochlea brands (freedom and

Nucleus 24) in specific

 Conduct workshop with collaboration of Cochlea and CARL

ZEISS (Microscopes)
 PROF. TH. LENARZ

 Specialty Ear, Nose and Throat

 Special field: Ear, Cochlea-Implantation
 Contact person: Prof. Dr. med. Th. Lenarz
 Address:Medizinische Hochschule Hannover, Klinik und
Poliklinik für Hals-Nasen-Ohrenheilkunde
Carl-Neuberg-Str. 1
30625 Hanover Germany
 Phone: +49 (0)511 532-6565Fax+49 (0)511 532-5558E-
 Mail: ric@hno.mh-hannover.de
 Website: www.hoerzentrum-hannover.de
 Endoscopic
Lenarz Ear Surgeries
Cochlear Fisch Prosthesis
Implantation
Steiner
Stammberger
Laser Set
FESS Set
EAR

NOSE Kator-Berci
SKULL BASE THROAT &
Weerda
SURGERY
ENT
Projects
2008/2009 SInuFit
LaryngoFit
Unidrive ENT

OUT PATIENT
NPU Set
EAR Simulator Flexible Scopes
LASER

Light
Amplification by
Stimulated
Emission of
Radiation

71
LASER

Gas (CO2) Solid State (Nd:YAG)

 low thermic damage  high thermic damage

 low coagulation qualities  high coagulation qualities
 excellent cutting  lower cutting qualities

Cutting Instrument Coagulating Instrument

72
CO2-LASER
Procedures, Indications, Instruments

Transoral LASER Microsurgery of the upper aerodigetive

tract
Resection of benign and malignant tumors of the oropharynx, hypopharynx
and the larynx using a CO2-LASER in conjunction with special
laryngoscopes and instruments for microlaryngeal surgery.

73
CO2-LASER
Procedures, Indications, Instruments

Transoral LASER Microsurgery of the Upper Aerodigetive

Tract – Indications:

 Polyps
 Reinke-Edema
 Granuloma
 Papilloma
 Nodules
 Cysts
 Carcinoma of oral cavity
and pharynx
 Vocal cord carcinoma
 Laryngeal cancer

74
CO2-LASER
Procedures, Indications, Instruments

Instruments

 STEINER Laryngoscopes and Instruments

 WEERDA Distending LASER-Laryngoscope
 RUDERT LASER-Laryngoscope
 LINDHOLM LASER-Laryngoscope
 BENJAMIN LASER-Laryngoscope
 Additional LASER-Instruments

75
Le larynx
laryngoscopie
Endolaryngeal Microsurgery - Instrumentation

80
LASER Instruments acc. to STEINER
8661 AN Distending Laryngo-Pharyngoscope

FEATURES & BENEFITS

 Opening the blade leaves allows - an
improved overview - the
insertion and easier
manipulation of the instruments
- especially for large tumors
 Integrated suction channel to remove vapor.
 Precise and easy to adjust, length 18 cm.
 Lightweight construction.
 With anti-reflection coating.
 Also with side swinging blades 8666 AN, length 18 cm.
LASER Instruments acc. to STEINER
8661 AN/8666 AN Distending Laryngo-Pharyngoscope

8661 AN 8666 AN
LASER instruments acc. to STEINER
8666 DN Distending Oropharyngoscope

Right and Left

Side Swinging
Blades
LASER Instruments acc. to STEINER
8666 DN distending Oropharyngoscope

FEATURES & BENEFITS

 Right and left side swinging blades to prevent the tongue / soft tissue
from obstructing the lumen.
 With integrated suction channel for evacuation of vapor.
 For use with illumination clip 497 AC.
 Length 14 cm, for adults.
 Lightweight construction.

See LASER-Brochure STEINER / WERNER

LASER Instruments acc. to STEINER
8661 CN/DN/EN Operating Laryngoscopes

8661 CN 8661 DN
8661 EN

-For routine -For use in patients where -For special cases with
the introduction of the difficult anatomy
Laryngoscopy
laryngoscope is impaired -For use of attachable,
-Integrated suction (difficult anatomy) as movable suction tubes of
channel to remove vapor well as for use on varying lengths (8661 M,
allows unobstructed view children 8661 N in combination
with adaptor 8661 P) is
-Medium-large, for adults, -Integrated suction recommended
length 18 cm channel
-Extra small size, flat,
-Length 19 cm length 20 cm
LASER Instruments acc. to STEINER
8661 CN/DN/EN Operating Laryngoscopes

FEATURES & BENEFITS

 All laryngoscopes 8661 CN, DN, EN now with new matt finish for
LASER surgery.
 These models NOT weight reduced, only 8661 AN and 8666 series.

See Endoworld ORL-71-3

LASER Instruments Acc. to STEINER
8662 D/E/F/G/GL/H Grasping Forceps

87
LASER Instruments Acc. to STEINER
8662 D/E/F/G/GL/H Grasping Forceps

FEATURES & BENEFITS

 For carefully yet effectively grasping tissue, available in 5 sizes; two of them
are additionally equipped with a suction tube
 Length 22 cm
 All forceps with new alligator teeth

88
LASER Instruments Acc. to STEINER
8593 GM/HM Ultra Fine Grasping Forceps

89
LASER Instruments Acc. to STEINER
8593 GM/HM Ultra Fine Grasping Forceps

FEATURES & BENEFITS

 With triangular fenestrated, serrated jaws

 Upturned towards the right or left

 Extra delicate
 Length 23 cm

90
LASER Instruments Acc. to STEINER
Additional Instrumentation

 Extra delicate grasping forceps with insulated shaft, curved to the right or left
 Clip forceps for endoscopic introduction of vascular clips for closing vessels, jaws
angled to the right or left
 Unipolar cannula for suction and coagulation with different diameters
 Protectors for protecting lower regions of the mucous membrane against accidental
LASER irradiation

91
Recommended Sets - Tender, Basic, Specialist

RECOMMENDED SETS
 Tender Set
 Basic Set
 Specialist Set

92
 Endoscopic
Lenarz Ear Surgeries
Cochlear Fisch Prosthesis
Implantation
Steiner
Stammberger
Laser Set
FESS Set
EAR

NOSE Kator-Berci
SKULL BASE THROAT &
Weerda
SURGERY
ENT
Projects
2008/2009 SInuFit
LaryngoFit
Unidrive ENT

OUT PATIENT
NPU Set
EAR Simulator Fiberscopes
Throat

KANTOR / BERCI
Video-Laryngoscopes
-
Better Protection due to Smart
Design
 Throat

For use with HOPKINS forward

telescope

The wide angle of view of the HOPKINS

telescope provides a larger overview behind the
distal end of the laryngoscope
 Throat

Advantages of video-laryngoscope compared to operation

microscopes

Kantor-Berci Video Laryngoscope Operation Microscopes

• Greater Depth
Focus
• No need to adjust
focus
• The magnified
image can be
observed from
the ideal distance • Better acces to
the anterior
comissure
• No operation
fatigue
• Simplifies the
work of the
assistant
 Endoscopic
Lenarz Ear Surgeries
Cochlear Fisch Prosthesis
Implantation
Steiner
Stammberger
Laser Set
FESS Set
EAR

NOSE Kator-Berci
SKULL BASE THROAT &
Weerda
SURGERY
ENT
Projects
2008/2009 SInuFit
LaryngoFit
Unidrive ENT

OUT PATIENT
NPU Set
EAR Simulator Fiberscopes
Flexible Endoscopes
Video Rhino-Laryngoscope
 Video Rhino-Laryngoscope

Sterilizable
Waterproof With Eto gas, Steris and

Fully immersible for

Sterrad
Excellent
cleaning and
disinfection
Optical
Quality
Of lens system and
video chip
Special Features
Robust
Easy
Mechanical
Orientation
Design
Large viewing angle
and movable distal tip Gives a superior life
span
 Video Rhino-Laryngoscope

 delicate and robust steering with ergonomically

designed handpiece

 short distal tip with smooth and inflective steering-

mechanism

 optimally designed and torsion-free sheath

Video Rhino-Laryngoscope

 item number:
 11101 VP (PAL)
 11101 VN (NTSC)
 direction of view: 0°
 angle of view: 70° 85 °
 deflection: up 180°, down 90°
 working length: 30 cm
 outer diameter: 3,5 mm
Video Rhino-Laryngoscope

Following Accessories are Included

Case Pressure Compensation Cap

27677 RR

For ventilation during

gas sterilization
13242 XL

Leakage Tester
With bulb and manometer
11025 E
Rhino-Pharyngo-Laryngo-Fiberscope
 Rhino-Pharyngo-Laryngo-Fiberscope

EDGE PRODUCTS
 Improved flexible Rhino-Pharyngo-Laryngo-
Fiberscope
 Smoother Sheath
 More robust
 More Flexible

• Ref. No.:
11101 RP
• In the catalogue and in the
confirmation of order it will
be written 11101 RP
 Rhino-Pharyngo-Laryngo-Fiberscope

Laryngo Fiberscopes Overview

Laryngo-
Fiberscopes
1101 RD 1101 UD 11101 RP 11101 SK 11101 SP

Diameter

3.7 mm 5.2 mm 3.7 mm 2.5 mm 2.5 mm

Deflection

Working
Channel
Inner 1.5 mm 2.3 mm - - -
Diameter
 HERRMANN
Pharyngo-Esophago-Fiberscope
HERRMANN Pharyngo–Esophago-Fiberscope
HERRMANN Pharyngo-Esophago-Fiberscope

 13304 C Pharyngo-Esophago-Fiberscope,
working length 76 cm, O.D. 3.7 mm,
deflection up 200° and down 100°

See Endoworld ORL-69

Contact:
Prof. Ingo. F. Herrmann, Rome
i.herrmann@europeanhospital.it
HERRMANN Pharyngo-Esophago-Fiberscope

Usage

The fiberscope is
introduced transnasally

Many functions can be

examined in the nose and
in other parts of the
pharynx and the larynx

For passage to the upper

esophageal sphincter, the patient
is given a glass of clear water with
a straw
 Prochaine session
HERRMANN Pharyngo-Esophago-Fiberscope

Usage

In inversion, the function

of the cardia during eating
and drinking can be
observed from the stomach

Often it can be observed

that the cardia stays open
for a longer period after
passage of a bolus of food
or swallow water The functions of the
laryngopharynx are
observed and recorded
from the level slightly
above the arytenoid
cartilage and the tip of the
epiglottis
 Reference

 Special field: Esophagoscopy, Swallowing Disorders

 Contact person: Prof. Dr. med. Ingo F. Herrmann
 Address: European Hospital
 Phone+39 (0)6 65975-726
 Fax+39 (0)6 65975-657E
 Mail:i.herrmann@europeanhospital.it
 Website: www.europeanhospital.it
Competitors

Karl Storz Olympus

Rhino-
Laryngo
…
Fiberscopes
Pentax Wolf
Competitors

Rhino-Laryngo Fiberscopes

Karl Storz Olympus

 11001 RD 180° / 100°  Type P4
 11001 UD 180° / 100°  Type XP
 11101 RP 180° / 90 °  Type T3
 11101 SK 180° / 90 °
Up/ Down 130º
 11101SP 180° / 90 °
Deflection
…

Pentax Wolf
TFS 2.4 150°/90°
 61288FNL-7RP3 TFS 2.5
120°/90°
160°/120°
TF 3 180°/90°
 61289FNL-10RP3 160°/90°
170°/90°
 61287FNL-15RP3 TFA 5
140°/90°
180°/90°

TF 5 4 way:
Up/ Down 130º TF 6/ TF 8/ TF 11
180°/140°
4 way:
120°/120°
Competitors

Rhino-Laryngo Fiberscopes

Karl Storz Olympus

 11001 RD 90 °  Type P4
 11001 UD 110 °  Type XP
85 °
 11101 RP 70 °  Type T3
 11101 SK 90 °
 11101SP 90 ° Angle of
…
view
Pentax Wolf
TFS 2.4 60°
 61288FNL-7RP3 TFS 2.5 60°
 61289FNL-10RP3 75 ° TF 3 90°
TFA 5 90°
 61287FNL-15RP3 TF 5 80°
TF 6/ TF 8/ TF 11 30° (with optional
objective heads:
65°/100° or
80°/120°)
Competitors

Rhino-Laryngo Fiberscopes

Karl Storz Olympus

 11001 RD 34 cm  Type P4
 11001 UD 23 cm  Type XP
30 cm
 11101 RP 30 cm  Type T3
 11101 SK 27 cm
 11101SP 37 cm Working
…
Length
Pentax Wolf
TFS 2.4 40 cm

 61288FNL-7RP3 70 cm
110 cm
TFS 2.5 70 cm

 61289FNL-10RP3 30 cm TF 3 45 cm
70 cm

 61287FNL-15RP3
110 cm
140 cm
190 cm
TFA 5 69 cm
69 cm
TF 5 104 cm
130 cm
TF 6/ TF 8/ TF 11 132 cm/ 182 cm
Competitors

Rhino-Laryngo Fiberscopes

Karl Storz Olympus

 11001 RD 1.5 mm  Type P4 -
 11001 UD 2.3 mm  Type XP -
 11101 RP -  Type T3 2.2 mm (dia)
 11101 SK - Working
 11101SP - Channel
…
Inner
Pentax Diameter Wolf
 61288FNL-7RP3 -
 61289FNL-10RP3 -
 61287FNL-15RP3 2.2 mm
(dia)
Competitors

Rhino-Laryngo Fiberscopes

Karl Storz Olympus

 11001 RD 3.7 mm  Type P4 3.4 mm
 11001 UD 5.2 mm  Type XP 1.8 mm
 11101 RP 3.7 mm  Type T3 3.4 mm
 11101 SK 2.5 mm (dia)
 11101SP 2.5 mm Distal End
Outer
…

Pentax Diameter Wolf

TFS 2.4 2.2 mm
 61288FNL-7RP3 2.4 mm 2.4 mm
TFS 2.5 2.5 mm
 61289FNL-10RP3 3.4 mm TF 3 3.2 mm
3.5 mm
 61287FNL-15RP3 4.8 mm TFA 5 5 mm
(dia) TF 5
5.6 mm
5 mm
TF 6/ TF 8/ TF 11 6.3 mm/ 8.3 mm/ 11.3mm
Competitors

Olympus Karl Storz

Video Rhino-
Laryngoscope
 Endoscopic
Lenarz Ear Surgeries
Cochlear Fisch Prosthesis
Implantation
Steiner
Stammberger
Laser Set
FESS Set
EAR

NOSE Kator-Berci
SKULL BASE THROAT &
Weerda
SURGERY
ENT
Projects
2008/2009 SInuFit
LaryngoFit
Unidrive ENT

OUT PATIENT
NPU Set
EAR Simulator Fiberscopes
 UNIDRIVE ENT Features

 Save Time

 Save Money

 Relieve OR Personnel

 Other features

 STAMMBERGER-CASTELNUOVO DrillCut-X Shaver handpiece

Save Time With Unidrive ENT

 2 Motor outputs
 2 Motors can be connected simultaneously

 Possible to change active output from the sterile area via footswitch
 No plugging or unplugging during an operation

 Automatic display of possible errors

 No need for trouble shooting in OR
Save Money with Karl Storz Unidrive ENT:

One unit fulfils six functions:

 Drill ( 40,000 rpm)

 Shaver system for paranasal sinus and anterior skull base surgery (7000
rpm with DrillCut-X shaver handpiece)

 Sinus Burrs (12000 rpm with DrillCut-X shaver handpiece)

 Intranasal Drill (60000 rpm)

 Micro Saw (20000 rpm)

 Dermatome (8000 rpm)

STAMMBERGER-CASTELNUOVO DrillCut-X Shaver
handpiece

40711040

126
STAMMBERGER-CASTELNUOVO DrillCut-X Shaver handpiece

Hygiene
No clogging Security Ergonomic
WHEN POWER MEETS PRECISION
 STAMMBERGER-CASTELNUOVO DrillCut-X Shaver
handpiece

40711040

 Ergonomically formed, angled handpiece, optimally fits the hand

 Oscillating operation mode for shaver blades, max 7000 rpm

 Absolutely straight irrigation, ablated material is therefore more fluid to

prevent blockages

 LOCK allows fixation of shaver blades and sinus burrs

129
STAMMBERGER-CASTELNUOVO DrillCut-X Shaver handpiece

 Very powerful motor, also suitable for removing harder material

 Very quiet operation, very law vibration

 Special lubrication holes for easy maintenance

 With Lock for positioning shaver blades and sinus shavers, if required

 Fully immersible and machine-washable

 DrillCut-X Shaver handpiece

• They are available as reusable and

disposable
• They are reusable without
hygienic concerns
• They are completely made out of
medical stainless steel
• They are rotatable
360 °
any
• There is a large
selection of shaver
blades in different
versions
Unidrive ENT

Drilling machine: new INTRA hand pieces

 Thinner
 Reduced vibration
 No overheating
 New surface easier to clean

132
 Tubing - Set
sterilizable or disposable

Paranasal Micro Shaver DrillCut-X

Sinus Shaver Shaver

EC - Micro
Motor
Shaver Sinus
Blades Burrs

Drill Hand Piece Dermatome Micro Saws Intranasal Drill

133
COMPETITION
Competition At a Glance
XOMED XPS 3000
Stryker Multidrive
 Endoscopic
Lenarz Ear Surgeries
Cochlear Fisch Prosthesis
Implantation
Steiner
Stammberger
Laser Set
FESS Set
EAR

NOSE Kator-Berci
SKULL BASE THROAT &
Weerda
SURGERY
ENT
Projects
2008/2009 SInuFit
LaryngoFit
Unidrive ENT

OUT PATIENT
NPU Set
EAR Simulator Fiberscopes
Karl Storz GmbH & Co. KG

Out Patient
Clinics
ENT
Table of Content

 TelePack
 Fiberscope 11101 RP
 LED battery Light 11301 DF
 Headlight 094120
 Nose and Ear Scope 7209 BA
 Larynx and Nose 7230 CA
 Special Instrument set for Clinics
Power Of Light
LED -Technology from KARL STORZ
LED Portable Light Sources
LED-battery handle
power of light -
 LED-battery handle
- power of light -

 Exact and strong illumination of the operating field with absolutely

white and special focused light
 50.000 LUX LED light source
 Burning life more than 120 minutes if permanently switched on
 No need for special batteries – available everywhere
 Lifetime of the LED more than 50.000 hours
 Needs 2x lithium photo batteries
Rechargeable
LED Battery Light Source 11301 DE / DF

Rechargeable: 1hr. charging time 40min burning time at

100% brightness

11301 DE: Rechargeable with click connection

11301 DF: Rechargeable with rapid thread

LED-headlight
- power of light -