Aesculap BipoJet - Aesculap Chirurgische … · Aesculap® BipoJet® Bipolar instruments for open surgery Aesculap Surgical Technologies

Aesculap® BipoJet®

Bipolar instruments for open surgery

Aesculap Surgical Technologies

� C O N T E N T S page

BipoJet dissecting scissors 4

BipoJet forceps 12

BipoJet clamp 16

BipoJet cables and accessories 18

Nelson bipolar units 24

Surgical of application/indication 26

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� BipoJet bipolar instruments represent innovative technicalsolutions and improved product charac teristics for the benefit of the user.

� Particularly important are the ceramic components usedin all BipoJet instruments.

� Ceramic is a hard and extremely heat resistant material,which makes it very resistant to wear

� For this reason, we use special ceramic components forour BipoJet instruments to insulate the working area.

� The practical advantages of ceramic insulationare the low thermal spread in the coagulation zone and the consequent avoidance of collateralcoagulation damage. In addition, BipoJet scissorshave a ceramic blade for improved sharpness andlonger life.

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Defined coagulation area – low thermal spread

Conventional Forceps BipoJet® Forceps

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� B I P O J E T D I S S E C T I N G S C I S S O R S


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Cutting and coagulation in one step

�M O R E E F F I C I E N C Y

� Just one instrument for dissection and coagulationNo instrument change required

Bipolar technology

�M O R E S A F E T Y

� The current flows only through the tissue to be coagulatedNo colateral coagulation

Instrument design

�M O R E S E N S I T I V I T Y

� New ergonomic handle

Solid ceramic blade

�M O R E E C O N O M Y

� Scissor blades made of ceramics and instrument steelSafe insulation, thanks to the wear resistant ceramic inlayThe ceramic cutting edge remains sharp over a long time period

�M O R E I N S T R U M E N T

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Without BipoJet: Example of daily OR routine with three instruments (dissecting scissors, dissectingforceps*, monopolar HF electrode).

With BipoJet: Just one instrument for dissecting and coagulation.

Anti-twist cable

The BipoJet cable and jack are designed and constructed in such a way that the cables cannot become twisted. This means that the scissors can still be openedeven after being rotated repeatedly.

* Not the intended use of non-insulated dissecting forceps – risk of collateral coagulation.


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� Pinpoint coagulation � Surface coagulation

Parallel cutting and coagulating

Parallel cutting and coagulation of the incised tissue: The tissue is cut whilecoagulation mode of the HF generator is activated.

Pinpoint coagulation

Bleeding can be precisely controlled in localized areas with the scissors tip closed or slightly open.

Precoagulation

Prior to performance of the cut, the scissors are rotated so as to coagulate more robust tissue and larger blood vessels.

Surface coagulation

Surface coagulation performed between the open blades of the scissors.

� Coagulation,cutting

� Precoagulation

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BC691RMETZENBAUM Bipolar dissecting scissorsextra fine tip120 mm, 4 3⁄4"



BC694RSTEVENSBipolar dissecting scissorsTenotomy tip120 mm, 4 3⁄4"




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BC697RMETZENBAUM Bipolar dissecting scissorsextra fine tip180 mm, 7"



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BC685RMETZENBAUM Bipolar dissecting scissorsstandard tip180 mm, 7"



BC686RMETZENBAUMBipolar dissecting scissorsfine tip180 mm, 7"

BC688RMETZENBAUMBipolar dissecting scissorsfine tip230 mm, 9"

BC690RMETZENBAUMBipolar dissecting scissorsfine tip 280 mm, 11"


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� B I P O J E T F O R C E P S

� P R E C I S E

� defined coagulation area prevents collateral coagulation

� S A F E

� low temperature range during coagulationcoagulation instead of carbonization

� A N T I - S T I C K I N G

� reduced tissue adhesionless risk of tearing open coagulated vessels when opening forceps

Defined coagulation area – low thermal spread

Conventional Forceps BipoJet® Forceps


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BipoJet forceps. Strictly confined coagulation zone.

Partially insulated tip. Precise and safe,even in cases where the tips of theforceps have to be used for coagulation.

Ceramic forceps. With its ceramic insulation, the BipoJet forceps coagu-lates precisely at low temperature.

Conventional forceps. Extended coagulation zone. Undefined thermalspread.

Conventional bipolar forceps. Clearlyvisible are the comparatively hightemperatures at the centre, whichprovoke tissue adhesion, and the coagulation zone, which extends farbeyond the forceps.

Coagulation comparison Thermal camera images

Partially isulated tipFully isulated tip

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� F U L LY I N S U L AT E D T I P

GK881RBipolarforceps160 mm, 6 1⁄4"


GK883RBipolarforceps230 mm, 9"





Bipolar instruments for open surgery3,

0 m

m

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� PA R T I A L LY I N S U L AT E D T I P







3,0

mm

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� B I P O J E T C L A M P

� F A S T

� Coagulation over a large area for each dissection step

� E A S Y

� Can be used with practically any HF generator

� P R E C I S E

� Defined coagulation zone

� S A F E

� Low thermal spread during coagulation

Complete ceramic insulation,coagulation only takes placebetween the jaws.

Ceramic teeth improve thegrasping properties in the jaw


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BH686RBipolar clamp180 mm, 7"



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� BIPOJET CABLES AND ACCESSORIES

Replacement ceramic protectors*

JG884R Ceramic protector for fine BipoJet scissors BC691R – BC699R

JG885R Ceramic protector for BipoJet scissors BC685R – BC690R and bipolar clamps BH686R – BH689R

GK890P Ceramic protector for BipoJet forceps GK881R – GK886R. Can also be used as a tip protector for other fine forceps. Pack of 5 pieces.

*All BipoJet instruments are delivered with a fitting ceramic protector as standard.


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GN081 Aesculap, Berchtold, Martin, R. WolfLength 5 m

GN082 Erbe, StorzLength 5 m

GN083 Aesculap, for electrosurgical units: GK020, GK021, GK030, GK034, GK050, GK051Length 5 m

GN085 Valleylab, Erbe VIOPin distance 29 mmLength 5 m

Bipolar Connecting cables Generator side Instrument side with anti-twist technology

Bipolar finger switches

Allows the activation of the HF generator without foot switch. To be used with GN640 Nelson deluxe or with the bipolar switch box GN310.

GN084 for BipoJet scissorsGN086 for BipoJet clamps

GN145 Dolly, EMC, ERBE-InternationalPin distance 22 mmLength 5 m

GN146 Codman CMC II, CMC IIIPin distance 38 mmLength 5 m

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Bipolar connection cables Equipment side Instrument side – Aesculap

Tab connector


GK140 Aesculap, ACMI, Berchtold, Martin, WolfRound Pin, Length 4 m

GN217 CodmanLength 4 m

GN342 ERBE, StorzLength 4 m

GK280 Dolly, EMC, ERBE-InternationalLength 4 mPin distance 22 mm

GK281 Aesculap, BOWA, EMC,Lamidey, Söring, ValleylabLength 4 mPin distance 28,6 mm

GK282 Codman CMC II, CMC IIILength 4 mPin distance 38 mm

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GK290SU Dolly, EMC, ERBE-InternationalLength 3,7 mPin distance 22 mm

GK291SU Aesculap, BOWA, EMC, Lamidey, Söring, ValleylabLength 3,7 mPin distance 28,6 mm

Tab connector

GK292SU Codman CMC II, CMC IIILength 3,7 mPin distance 38 mm

GK328 Aesculap GK050, GK051Length 4 mPin distance UHF

Round pin connector

Tab connector

GN226 Dolley/EMCPin distance 22 mm


GN219 ConmedPin distance 32 mm

Aesculap 28.6 mm

Aesculap 28.6 mm

GN224 CodmanPin distance 38 mm

Aesculap 28.6 mm

GN228 Aesculap GN300Pin distance 25 mm

Aesculap 28.6 mm

22 mm

32 mm

38 mm

25 mm


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For more information see our Electrosurgical Instruments and Devices catalog C30481.

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� N E L S O N B I P O L A R U N I T S

Martin MAXIUM, ME411, Elektrotom 400

Valleylab Force2, Force FX

ERBE series Erbotom ICC (z. B. ICC350), VIO*

AesculapAesculap GN300, Nelson deluxeGN640 < SN 2000,

* Additional adapters neccesary, please contact your local Aesculap distributor.


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GN640 Nelson deluxe - Electrosurgery the innovative way

Electrosurgical unit featuring 2 monopolar and 2 bipolar outputs

– Starts with the push of a button– Individually programmable (e.g., according to indication or surgeon)– 14 separate memories– Innovative clear information display in color– Monopolar and bipolar cutting and coagulating– Freely selectable cutting quality– All the safety features you’d expect from a best in class device– Nelson deluxe automatically recognizes coded instruments and uses the correct setting

HF adapter cable Pedal adapter cable

Aesculap GN313 GN314

Erbe GN311 GN312

Martin GN313 GN318

Valleylab GN315 GN316

Adapter cabel

GN310 Nelson BiBox – Bipolar switch box

The Nelson BiBox acts as an adapter, control and distributor unit for operatingAesculap bipolar hand switches with HF generators from other manufacturers(e.g. Erbe, Valleylab, Martin). The BiBox converts the Aesculap hand switchsignal into a foot switch signal that the different HF generator can recognize.In addition, the single bipolar output on the HF device is distributed acrossthe double bipolar HF connections of the Nelson BiBox, making two bipolarconnections available with the Nelson BiBox (e.g. for a BipoJet clamp and aBipoJet scissor).

Using the BipoJet hand switches with other manufacturers’ HF generatorsavoids having to use a foot pedal and thus reduces stumbling.

You can double the potential of your HF generator by connecting two bipolarinstruments to one bipolar output!

AREAS OF APPLICATION FOR BIPOJET INSTRUMENTS

The BipoJet instruments are suitable for almost alldissection steps where coagulation is required. Thanksto the ceramic insulation, the surgeon can work alongthe anatomical planes with great precision. Moreover,the coagulation of lymph vessels in carcinoma surgerymight increase safety from the oncological point ofview.

BIPOJET IN VISCERAL SURGERYColorectal carcinoma

1. Skin incisionThe assistant surgeon uses the BipoJet forceps (Partially insulated tips) for hemostasis.

Advantage: fast, because the monopolar knife can beused in parallel.

2. Dissecting the omentumDissection with the BipoJet scissors, with additionalhemostasis using the BipoJet clamp.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Using theBipoJet clamp to coagulate delicate vessels over a large area provides a clearer overview.

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� S U R G I C A L A P P L I C AT I O N / I N D I C AT I O N S


5. LymphadenectomyDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps and coagulation of blood and lymphvessels prior to lymph node removal. Advantage: simultaneous dissection and coagulation with the BipoJet scissors might save time. Precise coagulationcan also be achieved close to vessels or the intestinalwall using the BipoJet forceps for small areas or the BipoJet clamp for large areas. Lymph vessel coagulationduring dissection with the scissors and using the BipoJet clamp prior to lymph node resection is possible.

Recommendation

BC687R Bipolar dissecting scissors 230 mm, 9"

BC688R Bipolar dissecting scissors fine tip 230 mm, 9"

BC698R Bipolar dissecting scissors extra fine tip 230 mm, 9"



BH687R Bipolar clamp 230 mm, 9"


GN086 Hand switch for bipolar clamp

GK883R Bipolar forceps fully insulated 230 mm, 9"


GK891R Bipolar forceps partially insulated 160 mm, 6 1⁄4"


3. Dissecting the mesenteryDissection with the BipoJet scissors, with additionalhemostasis using the BipoJet clamp and spring forceps.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Precise andsafe coagulation can also be achieved close to vesselsor the intestinal wall using the BipoJet forceps forsmall areas or the BipoJet clamp for large areas.

4. Mobilizing the intestineDissection with the BipoJet scissors, with additionalhemostasis using the BipoJet clamp and forceps. Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Precise coagulation can also be achieved close to vessels orthe intestinal wall using the BipoJet forceps for smallareas or the BipoJet clamp for large areas.

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Gastric carcinoma



� E I N S AT Z G E B I E T E


Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Using theBipoJet clamp to coagulate delicate vessels over a large area improves the overview.

3. Dissecting the stomachDissection with the BipoJet scissors, with additionalhemostasis using the BipoJet clamp and forceps.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Precise andsafe coagulation can also be achieved close to vesselsor the intestinal wall using the BipoJet forceps forsmall areas or the BipoJet clamp for large areas.


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Recommendation










GK884R Bipolar forceps fully insulated 250 mm, 9 7⁄8"


GK893R Bipolar forceps partially insulated 230 mm, 9"


4. Mobilizing the stomachDissection with the BipoJet scissors, with additionalhemostasis using the BipoJet clamp and forceps.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Precise coagulation can also be achieved close to vessels andnerves using the BipoJet forceps for small areas or the BipoJet clamp for large areas.

5. LymphadenectomyDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps and coagulation of blood andlymph vessels with the BipoJet clamp prior to lymphnode removal.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Precise coagulation can also be achieved close to vessels orthe intestinal wall using the BipoJet forceps for small areas or the BipoJet clamp for large areas. Lymph vessel coagulation during dissection with the scissorsand using the BipoJet clamp prior to lymph node resection is possible.

Thyroid surgery

1. Skin incisionThe assistant surgeon uses the BipoJet forceps (Parti-ally insutated tips)hemostasis.

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Recommendation

BC697R Bipolar dissecting scissors extra fine tip180 mm, 7 1⁄8"

BC693R Bipolar dissecting scissors extra fine tip 160 mm, 6 1⁄4"

BC696R Stevens bipolar dissecting scissors 160 mm, 6 1⁄4"

BH686R Bipolar clamp 180 mm, 7 1⁄8"





Thyroid surgery



2. Exposing the thyroidDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Precise coagulation with the BipoJet forceps (fully insulatedtips).

3. Mobilizing and resecting the thyroidDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Safe coagulation can also be achieved close to vessels ornerves using the BipoJet forceps (fully insulated tips).

B I P O J E T I N G Y N A E C O L O G YBreast cancer



2. Resecting the tumor / breastDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Coagulation


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Recommendation

BC686R Bipolar dissecting scissors fine tip 180 mm, 7 1⁄8"












in the narrow and not clearly visible operating site is assured by the length of the insulation on the BipoJetscissor blades and the ceramic insulation on the forceps (prevents any accidental coagulation on theoutside of the tip).

3. Axillary lymphadenectomyDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps and coagulation of blood andlymph vessels with the BipoJet clamp prior to lymphnode removal.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Coagulationin the narrow and not clearly visible operating site canbe achieved using the BipoJet forceps for small areas or the BipoJet clamp for large areas. Lymph vessel coagulation during dissection with the scissors andusing the BipoJet clamp prior to lymph node resectionis possible.

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Recommendation












Abdominal hysterectomy



2. Dissecting the uterusDissection with the BipoJet scissors, with additionalhemostasis using the BipoJet clamp and forceps.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Precise coagulation can be achieved using the BipoJet forcepsfor small areas or the BipoJet clamp for large areas.

3. Mobilizing and resecting the uterusDissection with the BipoJet scissors, with additionalhemostasis using the BipoJet clamp and forceps.


4. LymphadenectomyDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps and coagulation of blood andlymph vessels with the BipoJet clamp prior to lymphnode removal.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Precise coagulation can also be achieved close to vessels or the intestinal wall using the BipoJet forceps for small areasor the BipoJet clamp for large areas. Lymph vessel coagulation during dissection with the scissors andusing the BipoJet clamp prior to lymph node resectionis possible.

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2. All dissecting and resecting steps (omentum, ovaries, etc.)Dissection with the BipoJet scissors, with additionalhemostasis using the BipoJet clamp and forceps.


Ovarial carcinoma

1. Skin incisionThe surgical assistant uses the BipoJet forceps (Partiallyinsulated tips) for hemostasis.




3. LymphadenectomyDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps and coagulation of blood and lymphvessels with the BipoJet clamp prior to lymph node removal.

Advantage: simultaneous dissection and coagulationwith the Bipojet scissors might save time. Precise coagulation can also be achieved close to vessels or organs using the BipoJet forceps for small areas or theBipoJet clamp for large areas. Lymph vessel coagulationduring dissection with the scissors and using the BipoJetclamp prior to lymph node resection is possible.

Recommendation

BC686R Bipolar dissecting scissors fine tip 180 mm, 7 1⁄8






BC699R Bipolar dissecting scissors extra fine tip,280 mm 11"














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V A S C U L A R S U R G E R Y

Abdominal Aortic Aneurysm




Advantage: simultaneous dissection and coagulationwith the BipoJet scissors might save time. Using theBipoJet clamp to coagulate delicate vessels over a large area provides a clearer overview.

3. Mobilizing the intestineDissection with the BipoJet scissors, with additionalhemostasis using the BipoJet clamp and forceps.

Advantage: simultaneous dissection and coagulationwith the BipoJet scissors might save time. Precise coagulation can also be achieved close to vessels orthe intestinal wall using the BipoJet forceps for small areas or the BipoJet clamp for large areas.

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Recommendation





BC699R Bipolar dissecting scissors extra fine tip,280 mm 11"








4. Coagulation of lymphatic vesselsDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps and clamp coagulation of bloodand lymph vessels Advantage: simultaneous dissectionand coagulation with the BipoJet scissors might savetime. Precise coagulation can also be achieved closeto vessels or the intestinal wall using the BipoJet forceps for small areas or the BipoJet clamp for largeareas.

5. Dissecting of the AneurysmaDissection with the BipoJet scissors, haemostasis withthe BipoJet forceps and clamp coagulation of bloodand lymph vessels. Due to the ceramics insulation ofthe BipoJet forceps and clamps coagulation is possibleeven close to vessel walls and other sensitive anatomical structures.

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Recommendation



BC693R Bipolar dissecting scissors extra fine tip 160 mm, 6 1⁄4"

BC696R Stevens bipolar dissecting scissors 160 mm, 6 1⁄4"





Carotis operations



2. DissectingDissection with the delicate BipoJet scissors, with additional hemostasis using the BipoJet forceps andclamp.

Advantage: simultaneous dissection and coagulationwith the BipoJet scissors might save time. Using the BipoJet forceps to coagulate delicate vessels and usingthe BipoJet clamp to coagulate lymphatic vessels. Due to the ceramics insulation of the BipoJet forcepsand clamps coagulation is possible even close to vesselwalls and other sensitive anatomical structures.



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Recommendation








Operations in the groin



2. Dissecting Dissection with the delicate BipoJet scissors, with additional hemostasis using the BipoJet forceps andclamp.

Advantage: simultaneous dissection and coagulationwith the BipoJet scissors might save time. Using theBipoJet forceps to coagulate delicate vessels andusing the BipoJet clamp to coagulate lymphatic vessels. Due to the ceramics insulation of the BipoJetforceps and clamps coagulation is possible even closeto vessel walls and other sensitive anatomical structures.

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� N OT I C E

Aesculap AG | Am Aesculap-Platz | 78532 Tuttlingen | GermanyPhone +49 7461 95-0 | Fax +49 7461 95-26 00 | www.aesculap.com

Aesculap – a B. Braun company

Subject to technical changes. All rights reserved.This brochure may only be used for the exclusivepurpose of obtaining information about ourproducts. Reproduction in any form partial orotherwise is not permitted.

The main product marks ’Aesculap’ and BipoJet are registered marks of Aesculap AG.

Brochure No. C25102 0411/1.0/2

Documents

Aesculap BipoJet - Aesculap Chirurgische … · Aesculap® BipoJet® Bipolar instruments for open surgery Aesculap Surgical Technologies