ISOCOOL®

Bipolar ForcepsA revolutionary instrument designed for procedures requiring critically precise temperature control to reduce sticking and charring while coagulating.

F O C U S I N G O N W H AT M AT T E R S M O S T

RESpONdING TO THE NEEdS OF THE SURGEON

Through our long-standing worldwide partnerships with the

neurosurgical community, we learned that excess heat at the tips of

bipolar forceps causes a number of concerns. Most evident is sticking

and charring, which can tear delicate tissue. What’s more, excess heat

also causes inadvertent peripheral tissue damage as well as necrosis of

valuable tissue in the surrounding area. As a result, surgeons have had

to adjust their techniques.

At Codman Neuro, we knew a revolutionary solution was required. And

what we developed is proving to be a milestone in bipolar forceps use.

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LEAdING EdGE ELECTROSURGERY: The Origin of Active Heat Transfer® Technology

Surgeons identified sticking and charring as a major problem

during electrosurgical procedures. This is caused by excess heat

buildup at the tips of traditional bipolar forceps, regardless of the

metals used or amount of irrigation added to the site. Together

we began to focus on proprietary heat pipe technology that

could effectively control the heat output at the tips while allowing

effective tissue coagulation temperatures to be achieved.

Our solution is Active Heat Transfer® (AHT) Technology. It

continuously transfers excess heat away from the tips and allows

effective coagulation temperatures to be achieved. The ISOCOOL

Bipolar Forceps from Codman Neuro virtually eliminates sticking

and charring of delicate tissue, minimizing the need to remove

the forceps from the surgical site, clean them, and then reorient.

The result? Surgeons can perform more efficiently and benefit

from minimal tip contact temperature and thermal spread in the

surrounding tissue.

The Science of Controlled Heat Infrared Photography of Traditional Bipolar Forceps Tip and ISOCOOL Bipolar Forceps Tip

ISOCOOL Bipolar Forceps stay cool and controlled

AHT allows ISOCOOL Bipolar Forceps Tips to achieve effective coagulation temperatures. At 35 Malis Units, the tips maintained temperatures of approximately 55-65 degrees C.

Competitive bipolar forceps shows excess heat

With the bipolar generator set to 35 Malis units, the tissue temperature escalated to well over 75 degrees C and heat was visibly dispersed beyond the tips of the forceps.

Virtually no sticking

With minimal tissue adhesion,

ISOCOOL® Bipolar Forceps significantly

reduces the need to clean during the

procedure.

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THE SCIENCE BEHINd ACTIVE HEAT TRANSFER AHT Technology actively draws excess heat away from the tips allowing for effective coagulation temperatures to be achieved.

Enlarged diagram of AHT Technology from the tip to the interior heat pipe

INSIdE THE HEAT pIpE, AHT ENABLES A CONTINUOUS CYCLE OF VApORIzATION, TRANSpORT, CONdENSATION, ANd RETURN.

Here’s how it works:

• The heat pipe consists of a vacuum-sealed tube injected with a small amount of two-phase working fluid.

• The heat generated at the distal end of the tip is immediately drawn into the tube’s fluid and vaporized at the point of heat input.

• The vapor travels due to the positive pressure gradient created by the vaporization to the proximal end of the tube, where the vapor

condenses into the wicking structure.

• The wicking structure allows the cooled, condensed working fluid to return to the distal end of the tip by capillary action, even

working against gravity.

Enlarged wicking structure

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pROCEdURE BENEFITS ISOCOOL Bipolar Forceps sterile, single-use gold tips are designed for procedures requiring precise temperature control .

SIX REASONS WHY ISOCOOL BIpOLAR FORCEpS ARE AN EXTREMELY VALUABLE INSTRUMENT FOR TISSUE COAGULATION. The ISOCOOL Bipolar Forceps advantages

In the most delicate procedures, there is no room for error

- instrumentation must be of the highest quality. ISOCOOL

Bipolar Forceps don’t compromise. By incorporating

the Active Heat Transfer Technology along with our

gold plated tips, surgeons now have an instrument that

enhances their ability to coagulate tissue.

Continuous coagulation virtually eliminates interruptions

Enhances ability to coagulate delicate tissue in fine detail

Reduces surgeon frustration and fatigue, leading to increased efficiency

Can eliminate vessel rebleeding

Can reduce inadvertent collateral and peripheral tissue damage

Shorter procedures are a benefit to surgeons, hospitals and ultimately the patient

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CONFIRMING THE SURGICAL NEEd FOR ISOCOOL BIpOLAR FORCEpS TECHNOLOGY: Neurosurgery 53:907-934, 2003

THE ISOCOOL BIpOLAR FORCEpS ISOCOOL Bipolar Forceps address the most critical requirements of Neurosurgery.

“The bipolar electrocoagulator has become fundamental to neurosurgery because it allows accurate fine coagulation of small vessels,

minimizing the dangerous spread of current to adjacent neural and vascular structures. It allows coagulation in areas where unipolar

coagulation would be hazardous, such as near the cranial nerves, brainstem, cerebellar arteries, or fourth ventricle.

To avoid sticking after coagulation, the points of the forceps should be cleaned after each application to the tissue. If charred blood coats

the tips, it should be removed by wiping with a damp cloth rather than by scraping with a scalpel blade, because the blade may scratch

the tips.

Shortening of exposure times tends to reduce the buildup of heat and thermal effects on tissues adjacent to the target.”

Albert L. Rhoton, Jr., M.d.

The ISOCOOL Bipolar Forceps from Codman Neuro virtually eliminate

sticking and charring of delicate tissue, minimizing the need to remove

forceps from the surgical site, clean them, and then reorient.

Surgeons can perform more efficiently and benefit from minimal tip

contact temperature and thermal spread in the surrounding tissue.

Five Tip Configurations

Active heat transfer

Gold tips

Sterile single-use tips

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ISOCOOL BIpOLAR FORCEpS pROdUCT INFORMATION FORCEPS HANDLE AND SINGLE-USE GOLD TIPS

ORdERING & LENGTH ISOCOOL BIPOLAR FORCEPS TOTAL LENGTH AND WORKING LENGTH FORCEPS

SINGLE-USE TIPS

ISOCOOL BIPOLAR FORCEPS HANDLE

2.0 mm

1.0 mm

0.5 mm

0.25 mm

ISOCOOL BIPOLAR FORCEPS TIP SIZES

8135025S(0.25 mm)

8135050S(0.5 mm)

8135100S(1.0 mm)

823510GL(1.0 mm)

8135200S(2.0 mm)

8135025S (0.25 mm)

8135050S (0.5 mm)

8135100S (1.0 mm)

8135200S (2.0 mm)

823510GL (1.0 mm)

TOP I SIDE TOP I SIDE TOP I SIDE TOP I SIDE TOP I SIDE

E Z I

S L A

U

T

C A

”5.3

”5.4

”5.5

WORKINGLENGTHS*

ACTUAL SIZE

ORDERING & LENGTHISOCOOL BIPOLAR FORCEPS TOTAL LENGTHAND WORKING LENGTH FORCEPS

ITEM TIP SIZE8.5” TOTAL LENGTH AND A 3.5” WORKING LENGTH81 35 025S 0.25 mm tip 1 pair81 35 050S 0.5 mm tip 1 pair81 35 100S 1.0 mm tip 1 pair82 35 10GL 1.0 mm tip 1 pair – (GL)81 35 200S 2.0 mm tip 1 pair9.5” TOTAL LENGTH AND A 4.5” WORKING LENGTH81 45 025S 0.25 mm tip 1 pair81 45 050S 0.5 mm tip 1 pair81 45 100S 1.0 mm tip 1 pair81 45 200S 2.0 mm tip 1 pair10.5” TOTAL LENGTH AND A 5.5” WORKING LENGTH81 55 025S 0.25 mm tip 1 pair81 55 050S 0.5 mm tip 1 pair81 55 100S 1.0 mm tip 1 pair81 55 200S 2.0 mm tip 1 pairISOCOOL BIPOLAR FORCEPS HANDLE80 10 010H ISOCOOL Bipolar Forceps Handle – Flat and Insulated

*Approximate working length is measured from distal tip to proximal end of shaft.

Item Tip Size

8.5" Total Length and 3.5" Working Length

81-35025S 0.25 mm tip 1 pair

81-35050S 0.5 mm tip 1 pair

81-35100S 1.0 mm tip 1 pair

82-3510GL 1.0 mm tip 1 pair - (GL)

81-35200S 2.0 mm tip 1 pair

9.5" Total Length and 4.5" Working Length

81-45025S 0.25 mm tip 1 pair

81-45050S 0.5 mm tip 1 pair

81-45100S 1.0 mm tip 1 pair

81-45200S 2.0 mm tip 1 pair

10.5" Total Length and 5.5" Working Length

81-55025S 0.25 mm tip 1 pair

81-55050S 0.5 mm tip 1 pair

81-55100S 1.0 mm tip 1 pair

81-55200S 2.0 mm tip 1 pair

ISOCOOL Bipolar Forceps Handle

80-10010H ISOCOOL Bipolar Forceps Handle - Flat and Insulated

ISOCOOL and the COdMAN logo are registered trademarks of Codman & Shurtleff, Inc.©Codman Neuro, a division of dOI 2010, 2016. All rights reserved.07/2014

dSUS/COd/0216/0663 02/16

Codman & Shurtleff, Inc.325 paramount driveRaynham, MA 02767For Customer Service in the USAcall: 1-800-255-2500

www.depuysynthes.com

distributed in the USA by:

For more information, contact your

Codman Neuro Sales Representative

For product information, call (800) 225-0460

www.depuysynthes.com

INDICATIONS FOR USE:

The ISOCOOL Bipolar Forceps (handles and tips) when used as part of a system including a bipolar electrosurgical generator

are indicated for cauterizing, coagulating, grasping and manipulating tissue during general surgery, neurosurgery, ENT surgery,

OB/GYN surgery, and maxillofacial/plastic surgery procedures. The ISOCOOL Bipolar Forceps are also indicated for cauterizing,

coagulating, grasping and manipulating soft tissue during spine surgery and orthopaedic surgery.

Indications for use in OB/GYN surgery exclude contraceptive coagulation of fallopian tube tissue.

ISOCOOL Bipolar Forceps• Continuous coagulation virtually eliminates interruptions

• Enhances ability to coagulate delicate tissue in fine detail

• Reduces surgeon frustration and fatigue, leading to increased efficiency

• Can eliminate vessel rebleeding

• Can reduce inadvertent collateral and peripheral tissue damage

• Shorter procedures are a benefit to surgeons, hospitals