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TRANSCRIPT
Product Portfolio Overview | 2018
Presentation Overview
• Company History Overview • Holding & Positioning Devices
• Laparoscopic Instrumentation
• Open Surgery Products
• Mediflex Resources
Corporate Timeline
Why Mediflex®
Laparoscopic Disposable Products Cost effective reposable and disposable Laparoscopic Devices for surgical professionals
Mediflex® Surgical Products is a leader in the design, manufacturing, and distribution of surgical devices including Laparoscopic Holding & Positioning Devices, Laparoscopic & Table-Mounted Retractors, and Instruments for General Laparoscopic and Bariatric Surgery. Our innovative line of surgical devices ensures that you will have the instruments you need, when you need them.
Holding Arms & Positioners The gold standard for Surgical Holders and Positioners in laparoscopic surgery
Table Mounted Retractor Systems Uniquely engineered Table Mounted Retractor Systems used by medical professionals worldwide
Laparoscopic Surgical Instruments The industries most comprehensive source for durable, reliable and innovative instruments
Holding & Positioning Devices PRODUCT LINE OVERVIEW
Surgical Holding & Positioning Arms BENEFITS OVERVIEW
OR efficiency; saves time and labor • Can be used to free up OR personnel for other tasks • Stable image reduces procedure time
Superior viewing, precision and safety • Gives surgeons precise control over the position of
cameras, retractors etc. • Eliminates movement and fatigue of ‘human holders’ • May prevent work-related injuries (ie back aches) • Easily conforms to virtually any necessary position • Reduction in organ trauma associated with hand
held retraction • Reduced endoscope tip cleanings
Versatility • Attaches easily and securely to OR Table, no tools required • Can hold a wide variety of scopes and instruments • Available in a variety of system/set-up configurations
FlexArmTM PLUS
StrongArmTM
FlexArm PLUS PRODUCT FEATURES / APPLICATIONS
• Provides static image required by all surgeons
• Ability to make adjustments intra-operatively when arm is tensioned
• Low profile handle remains vertical to prevent field interference
• Easy, quick to set-up. Few handle turns to go from loose to rigid
• Holds virtually any instrument, retractor or scope
• Wear resistant, extended product life
Ideal for holding devices that need to be occasionally moved or repositioned during surgery;
• Laparoscopes • Fundus graspers in lap-chole • Bowel Grasper in Urological cases • Kidney Retraction • Uterine Manipulators • Fatty tissue or other retraction requirements
Single FlexArmTM
Twin FlexArmTM System
Combo StrongArmTM FlexArmTM System
Monolithic FlexArmTM
One-piece system with built in Rail Clamp
TM
FlexArm PLUS STERILE DRAPING INSTRUCTION
TM
https://youtu.be/PFK1cmrzgVY
Mediflex® arms applicable to sterile draping FlexArmTM Plus Systems 99045-QC Monolithic FlexArm Plus, QC Hex Fitting
99045-QG5 Monolithic FlexArm Plus, 5mm Quick-Grip Tip
99045-QG10 Monolithic FlexArm Plus, 10mm Quick-Grip Tip
99054-QC Univ. Single FlexArm Plus System, QC Hex Fitting
99054-QCLR Univ. Single FlexArm Plus System, Long Reach, QC Hex Fitting
99056-QC-BSO1 Univ FlexArm Plus only, w/Distal Swivel Opt, QC Hex Fitting
99702 Long Reach Monolithic FlexArm Plus, QC Hex Fitting
StrongArmTM Systems 73000-LP StrongArm Single Arm Front-Mount, QC Fitting, Long Post
73000-SA StrongArm Single Arm, w/Short Distal Arm, QC Fitting, Rail Clamp
73000-TM StrongArm Top-Mount Single Arm, QC Fitting, Rail Clamp
73000 StrongArm, Single Arm, Front Mount, QC Fitting, Rail Clamp
73002 StrongArm, Cvd Post Sys, Short Distal Arm, QC Fitting, Rail Clamp
73055 Top Mount Strong Arm Plus Single Arm, QC Fitting, Rail Clamp
FlexArm Plus Twin Laparoscopic System PRESS RELEASE / VIDEO / BROCHURE
https://youtu.be/l3ieMx5W7dw
TM
FlexArm Plus Twin Laparoscopic System USER GUIDE
TM
FlexArm Plus Twin Laparoscopic System TALKING POINTS
● No other company has this surgical holding and positioning system. Mediflex has been the pioneer and market leader in flexible surgical arm technology worldwide for 50 years. ● Versatile system to accommodate an array of procedures in multiple specialties. ● Recent advances in the FlexArm Plus technology permit greater holding strength for effective, atraumatic liver retraction, ergonomic handles, more rapid set-up and tightening of the arm and increased durability for a longer life. ● The System offers maximum efficiency for a more fluid surgery and operating room environment which reduced procedure time. ● The image is completely static throughout the procedure which provides optimal viewing, particularly with 3D/4D technology. Less scope cleanings compared to assistant holder. ● The surgeon can make incremental adjustments to the arms for repositioning the endoscope or manipulating the retractor for better field viewing or to permit venous circulation during lengthy retraction of the liver. ● Permits ‘solo-surgery’. Staff can be performing more functional activities. Residents can be more engaged in learning rather than concentrating on holding scope or retractor. ● Simple set-up, cleaning and sterilization procedures.
TM
StrongArm PRODUCT FEATURES / APPLICATIONS
• Holds virtually any instrument, retractor or endoscope
• Single tensioning, ergonomic knob locks/unlocks
all three joints simultaneously
• Quick-Connect tip for versatility of adding various distal tips
• Wide variety of configurations; Top Mount, Front Mount, Short Arm and Goose Neck
• For use in both open and laparoscopic procedures
Maximum holding capability, ideal for; • Liver Retraction for Bariatric patients including: Sleeve Gastrectomy,Gastric Bypass, Lap banding • Liver Retraction • Nissen Fundoplication • Colectomy • Bowel retraction • Robotic procedures
Field Post mount for height adjustability
Twin arm system
Top mount with Bookler Clasper
Front mount
StrongArm PLUS with Universal TMR
TM
Surgical Holding & Positioning Arms TIPS AND RAIL CLAMP
Distal Tip Options • Quick-Connect Hex Fitting • Fixed or non-fixed; Arms can be ordered with fixed tips • Various configurations to hold virtually any instrument, retractor or endoscope
- Automatic holding - Atraumatic grip, can prevent scope damage
Quick-Grip Tip 5mm
Quick-Grip Tip 10mm
Stainless Steel Tip 3.5 -15mm
Delrin Tip 1.5-15mm
-Adjustable holding
XL Tip 5-31.75mm
-For oversized or odd shaped holding requirements
Quick -Connect Tip
Rail Clamp • Heavy Duty Rail Clamp • Fits all standard OR tables • Prevents rotation of arm post
Nathanson Retractor Systems FEATURES / BENEFITS
• Widest variety on the market, 3 dia. options
• Used in Bariatric and GERD procedures • Percutaneous • Reduces lateral trocar • Eliminates the need of assistant to hold the liver retractor • Reduced trauma compared to hand-held • Hexagonal lock virtually eliminates retractor slippage and rotation • Versions with extended distal tips for thicker abdominal walls
- FlexArm TM Plus Nathanson System
StrongArmTM Long Reach Nathanson System
FlexArm Plus ROBOTIC-ASSISTED SURGERY
x Maximum surgical efficiency
x Reduces procedure costs
x Rapid set-up, flexible positioning; FlexArm does not block or hinder robotic arm movement
x Eliminates staff member, especially during Whipple and lap. hysterectomy procedures
x Atraumatic, static retraction of organs
x Complimentary instrumentation and accessories
FlexArm Plus holding Lapro-Flex Retractor; used to ‘push’ the left liver lobe out of the way in upper GI surgery
FlexArm Plus holding uterine manipulator in GYN procedure
TM
StrongArm ROBOTIC-ASSISTED SURGERY
Robotic Sleeve Gastrectomy
TM
Dr. Candice Silverman
Nathanson Hook Retractors CLINICAL APPLICATION TIPS
Tips for installing Hooks: • Establish visualization with a laparoscope. • Make 90 degree percutaneous incision with 5mm trocar, 2 fingers left of the mid-line sub-xiphoid. Surgeon can feel for the edge of the liver before making puncture (1) • Expand the hole with forceps to create a direct access point for the hook into the ab. cavity (2) • Remove the trocar, the hook will be inserted percutaneously • Insert the Hook with the neck perpendicular to the patient torso (3-4) • Slide the Hook underneath the liver (5) Tips for utilizing the FlexArms (6): • Bring the FlexArm closest to the patients head towards the proximal end of the Hook. • Slide the hexaganol Hook end into the distal end of the FlexArm and lock. Proceed to tighten the FlexArm cable from the large handle at the proximal end. • If using a Twin FAP System, bring the second FlexArm and attached the arm (with the already attached 72162) and connect to the laparoscope. • Tighten the large handle at the proximal end. Benefits: • Reduction of two assistants (one for liver retractor and one for scope management) • Surgeon has a controlled operating atmosphere (as seen in the video). • Atraumatic Liver retraction (as opposed to fan retractors or hand held retraction) • FlexArm creates a static monitor view while allows the surgeon to adjust the scope incrementally without having to untighten the arm. • Arm allows the surgeon to lower the liver for venous flow in longer cases. • Use of Nathanson Hook reduces the need for a lateral port (cost savings for hospital). • Hook design allows for the entire surface of the liver to be lifted, hence giving optimal vision of the esophagus and stomach.
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Nathanson Hook Retractors NEW ROBOTIC HOOKS
Shortened proximal end shaft permits lower positioning of StrongArm to eliminate Robot interference
69736 – Standard Shaft, 18cm
69736-XL-R12 – Robotic Shaft, 12cm
69736-XL-R6 – Robotic Shaft, 9cm
NEW PRODUCTS Ref. No. 69736-XL-R9 Medium 6.5mm Nathanson Retractor, Long Tip, Robotic Shaft 9cm Ref. No. 69736-XL-R12 Medium 6.5mm Nathanson Retractor, Long Tip, Robotic Shaft 12cm
Nathanson Hook Retractors FEATURES / CONFIGURATIONS
The unique shape makes the Mediflex® Nathanson Hooks the only device that can retract the entire liver.
Extra Small, 5mm hook is perfect for Pediatric G.E.R.D. procedures such as Nissan
Quick -Connect feature accommodates of all Mediflex Holders and Positioners.
REF NO DESCRIPTION APPLICATION 69735-3 Small, 3.0mm
GERD
69738 Extra Small, 5.0mm
69703 Small, 5.0mm
69704 Medium, 5.0mm
69705 Large, 5.0mm
69709 Set of 5.0mm: S,M,L
69736-C* Medium, 6.3mm GERD / Bariatric
69735 Small, 6.5mm
Bariatric procedures
69736 Medium, 6.5mm
69737 Large, 6.5mm
69710 Set of 6.5mm: S,M,L
69736-XL Med, 6.5mm,1.9cm Long Tip For thicker
abdominal walls 69737-XL Lg, 6.5mm, 1.9cm Long Tip
69710-XL Set of 6.5mm: S, XL-M, XL-L
69736-XL-R9 Med. 6.5mm, 1.9cm Long Tip, 9cm Shaft Robotic-Assisted
69736-XL-R12 Med. 6.5mm, 1.9cm Long Tip, 12cm Shaft
* Original (Cook Medical) version
Surgical Holding & Positioning Arms STERILIZATION TRAYS / CONTAINERS
• Wide variety of container systems to accommodate all Mediflex products
• Wrapable Sterilization Trays
• Components and accessories
x Industry leading, proprietary flexible/locking arm technology
x Low-profile to optimize surgical field viewing
x Reusable, wear-resistant design
x Clamp housing enables easy attachment to other platforms
x Ergonomic handle designed to tension arm with minimal turns
x Quick-connect tip for rapid accessory attachment
Universal Stabilizer Arm / CardioFlexTM Retractors NEW PRODUCTS
2 Finger, Short MF-CFR-2S
3 Finger, Short MF-CFR-3S
2 Finger, Long MF-CFR-2L
3 Finger, Long MF-CFR-3L
CardioFlexTM Retractors
REF NO DESCRIPTION
75514 Universal Stabilizer Arm - Standard 6 3/4” (17cm) Arm Length
75514-L Universal Stabilizer Arm - Long 9” (22.5cm) Arm Length
MF-CFR-2S CardioFlexTM Retractor - 2 Finger, Short 2 1/8” (5.4cm) L x 1 3/8” (3.5cm) W, Shaft Length 1 ¼” (3.2cm) Disposable, 5 per Box
MF-CFR-3S CardioFlexTM Retractor - 3 Finger, Short 2 1/8” (5.4cm) L x 2 3/8” (6cm) W, Shaft Length 1 ¼” (3.2cm) Disposable, 5 per Box
MF-CFR-2L CardioFlexTM Retractor - 2 Finger, Long 3 1/2” (8.9cm) L x 1 3/8” (3.5cm) W, Shaft Length 1 ¼” (3.2cm) Disposable, 5 per Box
MF-CFR-3L CardioFlexTM Retractor - 3 Finger, Long 3 1/2” (8.9cm) L x 2 3/8” (6cm) W, Shaft Length 1 ¼” (3.2cm) Disposable, 5 per Box
Universal Stabilizer Arm NEW PRODUCT Universal Stabilizer Arm / CardioFlexTM Retractors ORDERING GUIDE
Laparoscopic Instrumentation PRODUCT OVERVIEW
Lapro-Flex® Articulating Retractors FEATURES / BENEFITS
• Reusable articulating technology used to retract
organs and structures in laparoscopic procedures
• Innovative tip design ensures minimally space is required inside the abdomen to form the retractor shape
• Easy activation using actuating knob until shape forms completely
• Full range of tip configurations
• Atraumatic tip and shaft
• High precision machining to ensure flexible joints retain original integrity
• Very low incidence of cable breakages
• Validated cleaning / sterilization protocol
Finger Style
Triangle Base
REF. NO. DESCRIPTION
91680 Finger Style 90 degrees, 38cm
91682 60mm Triangle Base, 32cm
91682-A 60mm Triangle Base, Angled, 32cm
91683 80mm Triangle Base, 32cm
91683-A 80mm Triangle Base, Angled 32cm
Lapro-Flex® Articulating Retractors OPPORTUNITY
Ethicon/J&J disposable Goldfinger Endoscopic Dissector (Product Code GOLD1) IS NO LONGER AVAILBLE
WHY MEDIFLEX… • Reusable, durable, cost-effective • Articulating technology used for dissection and retraction in laparoscopic procedures • Easy activation using actuating knob for tip manipulation • Atraumatic tip and shaft • 90 degree articulation, 38cm shaft length
Ref. No. 91680 (shown above)
Opportunity to promote/sell Mediflex’s Finger-Style Lapro-Flex…
Needle Holders PRODUCT LINE OVERVIEW
Modular Laparoscopic Needle Holder
• 3 pieces, easier to clean and sterilize compared to single piece instruments
• Lightweight, ergonomic handle • Insert allows for variable tip positioning • On/Off ratchet for needle stability • For large sets, fewer complete
instruments; dramatic cost savings • Cost-effective compared to disposable instruments
Needle Holders PRODUCT LINE OVERVIEW
• Simple, one-piece instrument • Stainless steel axial handle • On/Off ratchet handle • Flush port for cleaning
Laparoscopic Needle Holder
Cutting Edge Disposable Tip Instruments FEATURES / BENEFITS
• Sharp, sterile tip for every procedure • Easy assembly • Reusable, Lightweight Handle and Shaft • Superior Shaft and Tip insulation • Assortment of tip configurations;
Scissors, Dissector, Grasper • Ratcheted and non-ratcheted Handles with
Cautery Post • Shafts sizes; 33cm and 45cm lengths
Ratchet Handle TM
Safety Features Innovative design with ball and socket AND threads to prevent inadvertent detachment
A hard silicone insert isolates metal threads to eliminate tissue contact to help prevent electrosurgical injury
Deluxe Modular Instruments FEATURES / BENEFITS
Interchangeable Handles, Shafts and Inserts • RELIEF, Ratcheted/non-ratcheted Handles • Shafts available in 36 and 45cm lengths; 26cm available upon request • 40 different configurations of inserts/tips Easy to clean, assemble and sterilize • Three simple steps securely assembles the system • Can be pre-assembled prior to sterilization Instruments can be color coded • Five color coded nose cone bands available • Can identify type of instrument, procedure set or surgeon Low cost per procedure
Color Ring
Insert
Shaft
Non-Ratchet Handle
Ratchet Handle
RELIEF ERGONOMIC HANDLE INSTRUMENT
Pivotable thumb ring
TM Patent Pending
A simple yet effective solution to address muscle tension and chronic symptoms caused from endoscopic instrumentation use
TM
• Addresses repetitive motion injuries experienced by laparoscopic surgeons
•Thumb ring of Relief Handle pivots and adapts to the thumbs movement in all directions
• The thumb can follow its natural sequence of movements
• Surgeon has less stress with grasping movements
• Tension on all muscles of the hand, arm and shoulder is eliminated
• Through relaxed motion sequences, tactile perception is dramatically increased
RELIEF Ergonomic Laparoscopic Handle OVERVIEW
TM
Problems with conventional endoscopic instrument handles
• Rigid pistol handle is widely used and resembles a scissors grip which restricts the hand’s natural movement dramatically.
• Open/close feature is controlled by the thumb and middle finger. The finger rings force the thumb into a unnatural posture when making a gripping motion.
• Extensive muscle tension of the hand, arm and shoulder results from repetitive gripping motions.
• Thumb saddle joint experiences mechanical stress which results in chronic, painful inflammation.
TM TM RELIEF Ergonomic Laparoscopic Handle OVERVIEW
TM
Deluxe Modular Laparoscopic Instruments
Cutting EdgeTM Disposable Tip Laparoscopic Instruments
TM RELIEF Ergonomic Laparoscopic Handle INSTRUMENT COMPATIBILITY
TM
• Thumb ring of Relief Handle pivots and adapts to the thumbs movement in all directions
• The thumb can follow its natural sequence of movements
• Surgeon has less stress with grasping movements
• Tension on all muscles of the hand, arm and shoulder is eliminated
• Through relaxed motion sequences, tactile perception is dramatically increased
TM RELIEF Ergonomic Laparoscopic Handle SUMMARY OF BENEFITS
TM
• Economical line of 3-piece laparoscopic instruments
• Available as complete instruments or components
• Wide insert/tip pattern selection
• 33cm Shafts in 5 or 10mm dia.; 45cm Shaft in 5mm dia.
• 360°Rotatable Shaft
• Durable handle with monopolar post
TM Modular III Basic Laparoscopic Instruments PRODUCT LINE OVERVIEW
Shaft
Insert Tip
Handle
Specialty Instruments FEATURES / BENEFITS
Slide-Lock Graspers
• Attraumatic tissue grasping and retraction • Reliable and durable jaw control • Finger tip rotation for optimal one-hand operation • Multiple configurations;
Single/Double Action Jaws
Anvil Graspers • One-piece w/ Ratchet Handle • Flush Port
Knot Pushers • Multi-purpose, also used as palpation probe • 5mm dia, 26cm or 33cm lengths • Depth markings
Wave Grasper Retraction Grasper
Anvil Grasper • One-piece Instrument with flush port • 360° rotation knob • Ratcheted handle to lock jaws in place
MicroGripTM Ratcheting Graspers FEATURES / BENEFITS
Designed to secure and manipulate soft tissue and organs percutaneously during traditional and single-port laparoscopic procedures
• Laparoscopic or percutaneous; 2.7mm dia, 28cm long
• Ratcheted handle, one-hand operation
• Eliminates need for additional trocar and suture closure of incision
• Blunt dissecting tip • Multiple jaw/tip configurations
• Reposable, steam autoclavable
Alligator Grasper
Bowel Grasper
Clutch Grasper
https://www.youtube.com/watch?v=PyWR-AVafJA
Lap-RackTM FEATURES / BENEFITS
• Holds all standard laparoscopic instruments 3mm-12mm dia
• Provides surgeon immediate access to instruments, minimizes instrument exchanges with surgical tech
Convenient laparoscopic instrument and accessory holding system
• Cantilever-style rack attaches directly to the surgical table rail
• Enhances cord management by holding cautery handpieces,
suction/irrigators and the harmonic scalpel
Laparoscopic/Perc Closure Devices PRODUCT FEATURES & BENEFITS
• Rigid introducer for passing sutures through
all tissue layers
• Supplied sterile, disposable, 10/bx
• Enables surgeon to rapidly close each laparoscopic port or incision securely and safely
• Simple, efficient single-hand function
• Accommodates any suture size
• Cost-effective design permits multiple site closure with a single device, per procedure
Top views 2 Guide Holes
4 Guide Holes • Cone shaped guide for closure of
laparoscopic port sites
• Stainless Steel, reusable
• 3 configurations for different port diameters; 10mm, 10/12mm, 15mm
• Accurately angles the Suture Grasper Closure Device to capture all tissue layers for full closure of fascia and peritoneum
• Prevents loss of pneumoperitoneum during port site closure
Suture Grasper Closure Device
Suture Grasper Guide
NEW Suture Grasper Device PRODUCT FEATURES & ORDERING INFO
Large spring jaw
• Innovative, patent pending tip design to increase patient safety against needle injury • Spring-loaded blunt stylet springs forward rapidly and smoothly once peritoneal cavity is entered • Unique grasping channel with spring jaw provides atraumatic suture retrieval • Prevents suture fraying and breakage during application
SafePass TM
Blunt retractable safety tip protects anatomy
Unique grasping channel
Suture held securely in place
Product Code: D2001 Ref. No. RSG-14SP Sterile, Disposable – 10/Bx
Protects against needle injury
Suture Grasper Device APPLICATIONS
VENTRAL HERNIA MESH FIXATION Allows the surgeon to temporarily fixate the mesh corners or center prior to final placement; prevents mesh migration PORT CLOSURE Without extending the incision, enables the surgeon to rapidly close each laparoscopic port securely and safely while pneumoperitoneum is maintained ORGAN ANCHORING Facilitates percutaneous anchoring of organs PERCUTANEOUS SUTURING Excellent choice in any procedure requiring percutaneous suturing in lieu of utilizing an additional trocar VESSEL LIGATION Tying a knot around a bleeding vessel too large to coagulate can provide effective hemostasis
Suture Grasper Device & Guide CLINICAL FOOTAGE – Trocar Port Closure
https://www.youtube.com/watch?v=hCrPv_IZqqk
Suture Grasper Port Closure Outside View
https://www.youtube.com/watch?v=mGjGldwmPv8
Suture Grasper Port Closure Inside View
TM Cholangiography Devices PRODUCT LINE OVERVIEW
Product Code D1004
Metal tapered tip is easily inserted and fixated in cystic duct
Clip is secured without collapsing catheter or contrast extravasation
Product Codes D1005 / D1006
xRapid set-up, tapered tip provides easy access and duct insertion
x Metal catheter tip allows for tactile feedback and prevents catheter collapse
x Clip is secured behind rigid, bulb-shaped tip preventing withdrawal and extravasation during contrast injection
x Accommodates all cystic duct sizes
x Traditional port insertion or percutaneous approach
TM Disposable Cholangiography Catheters PRODUCT LINE OVERVIEW
Mediflex® offers a variety of solutions to perform rapid, safe and effective intra-operative cholangiograms and common bile duct exploration.
Product Code: D1004
x 16” (40.64cm) flexible catheter with metal tip, for open or laparoscopic use
x 14g radiolucent percutaneous Introducer
x Sterile, 10 per box
Product Code: D1005
x 13” (33cm) rigid catheter for use through a 5mm port
x Angled tip for ease of insertion into the cystic duct, particularly in a lateral approach
x 5mm radiolucent Introducer Sheath with gas seal
x Sterile, 6 per box
Product Code: D1006
x 11” (27cm) rigid catheter for port or percutaneous use
x Angled for ease of insertion into the cystic duct, particularly in a lateral approach
x 14g radiolucent percutaneous Introducer
x Sterile, 10 per box
Acce
ssor
y MicroGripTM 2.7mm Percutaneous Ratcheting Grasper / Retractor A reposable instrument which eliminates a port - used for retraction and stabilization during cholangiogram and cholecystectomy
Alligator Grasping Jaw Ref. No. 92050-A
• Simple activation by bending metal disk to start warming action
• Warms scopes within 2 minutes
• Disposable, sterile packaged - single-use.
• Latex,DEHP, and alcohol free
• Inexpensive, cost-effective
• Accommodates most scope diameters
TM Liquid Scope Warmer PRODUCT LINE OVERVIEW
Easy to use pre-surgical Scope Warmer activates in seconds. Quickly warms laparoscopes and endoscopes to body temperature, greatly reducing fogging during procedures.
Ref. No. 74005-20 20 per box, Sterile
Snap closures Activation disk
REF. NO. DESCRIPTION UOM
VBN10A05 Versa Lifter Band – 5cm Needle 5 / Box
VBN10X05 Versa Lifter Band – 6.5cm Needle (for bariatric or thicker abdominal wall)
5 / Box
x Hands-free solution for optimal surgical field exposure
x Atraumatic, cushioned liver suspension with adjustable distance and angle of retraction
x Eliminates port dedicated for retraction – saving time and money
x Fully compatible with robotic procedures
x Easy, rapid set-up
Internal, Dynamic Liver Retractor
Versa Lifter Band NEW PRODUCT
Versa Lifter Needle NEW PRODUCT
REF. NO. DESCRIPTION UOM
VN10A05 Versa Lifter Needle – 5cm Needle 5 / Box
VN10X05 Versa Lifter Needle – 6.5cm Needle (for bariatric or thicker abdominal wall)
5 / Box
Internal, Dynamic, Hands-Free Retractor
x Hands-free solution for optimal surgical field exposure
x Dynamic suspension with adjustable distance and angle of retraction
x Eliminates port dedicated for retraction – saving time and money
x Fully compatible with robotic procedures
x Two needle lengths to accommodate different abdomen thicknesses
x Easy, rapid set-up
CHOLECYSTECTOMY
COLECTOMY
Versa Lifter Needle is highly effective to
suspend the following organs;
- Peritoneum
- Colon
- Stomach
- Gallbladder
- Bladder
- Bowel
TPEA Lifter NEW PRODUCT
Internal, Dynamic, Hands-Free Retractor
xHands-free solution for optimal surgical field exposure
x Dynamic suspension with adjustable distance and angle of suspension
x Ideal for uterine suspension or sigmoid retraction in lower pelvic surgeries
x Eliminates port dedicated for retraction – saving time and money
x Fully compatible with robotic procedures
x Easy, rapid set-up
REF NO DESCRIPTION UOM
TPL5A180-B10 TPEA Lifter – 5cm Needle, 18cm Suture (use with min. 5mm port) 10 / Box
TPL5X180-B10 TPEA Lifter – 6.5cm Needle, 18cm Suture (use with min. 5mm port) (for bariatric or thicker abdominal wall)
10 / Box
TPL10A180-B10 TPEA Lifter – 5cm Needle, 18cm Suture (use with min. 10mm port) 10 / Box
Open Surgery Products PRODUCT LINE OVERVIEW
Table Mounted Retractor Systems PRODUCT LINE OVERVIEW
• Multiple system configurations Procedure specific systems or individual components for custom system, add-on or replacement
• Multiple mounting options Field / Table Post (standard or Elevator) or StrongArm Plus
• Assorted frame options Solid, Segmented, Split Rings, Segment components
• Various Ratchet Mechanisms
• Mini-Bookler System Pediatric/adolescent and minimally invasive procedures
Bookler® / Mini-Bookler® Systems
StrongArm TM Plus for flexibility of movement and eliminating post interference
Mini-Bookler System on StrongArmTM
Segmented Oval and Solid Round Rings
Field Post mount
Tilt Ratchet
Table Mounted Retractor Systems PRODUCT LINE OVERVIEW
• Eliminates hand-held retraction with its inevitable tremor • Unlike Weitlaner Retractors, it can lift upwards & outwards creating unparalleled exposure • Particularly valuable in difficult patients: short or ‘bull’ necks, barrel chest, high lesions etc. • Facilitates ‘high exposure’ by having stable retraction and no tremor • Ring notches hold Vessel Loops with or without clamps • The Retractor is affixed to the OR table, not the patient • Mini ‘Twist Ratchet’ allows very precise retraction
Dardik Mini-Bookler® Carotid Endarterectomy Retractor System Herbert Dardik, MD
https://www.youtube.com/watch?v=fyIyzFzLZmg
Table Mounted Retractor Systems PRODUCT LINE OVERVIEW
Mini-Bookler® for Pediatric Urology
https://www.youtube.com/watch?v=EPnc4lJxAes
Table Mounted Retractor Systems PRODUCT LINE OVERVIEW
Universal Round BarTM Systems
• Multiple mounting options Field/Table Post (standard or Elevator) or StrongArm /StrongArmPLUS
• Various frame configurations One-piece with integrated Horizontal Bar, Hinged Cross Bar, Angled Arms, Flexible Bridge
• Quick & easy Snap Clamps
• Bilateral System for liver transplant, upper abdominal and bariatric surgery
Field Post, Horizontal Arm and Coupler
Bilateral System
StrongArmTM PLUS
Easy Snap Clamp
Retractor Blades PRODUCT LINE OVERVIEW
• Extensive line of blade configurations Standard and custom blades available for Mediflex Bookler, Universal Round Bar as well as other industry retractor systems such as Thompson, Omni-Tract and Bookwalter.
• Malleable blades with protected, attraumatic edge
• Swivel Blades
• Blade bending tool For Malleable blades
Blade Bender
Protective edge on Malleable blades
● Disposable, sterile accessory for self-
retaining or manual surgical retractor blades
● Provides targeted protection from trauma/compression injury to vessels, nerves and organs during pelvic surgery
● Easy to apply to retractor blades to increase patient safety
● Remains on the blade throughout the surgery saving OR time
● Eliminates the need for laparotomy pads/sponges thereby reducing incidence of post-op adhesions
FlexGuard FEATURES & BENEFITS
Open hexagonal cushion serves as a
shock absorber
5mm thick silicone aids in protection of
tissue planes
Groove for targeted cushion orientation
TM
FlexGuardTM Retractor Blade Cushion OVERVIEW
Tissue remains healthy after hours of retraction with a FlexGuard® protected blade
Tissue damage resulting from retractor blade
without FlexGuard®
FlexGuard® remains on the blade and won’t shift intra-operatively
Sterile, disposable FlexGuard® is adhered to any blade with cushion oriented for
maximum protection
Bulky sponges hinder visualization, dry tissue, shift resulting in ineffective protection
and may cause post-op adhesions
FlexGuardTM SUMMARY OF BENEFITS
Effective - Saves Time The adhesive attachment of FlexGuardTM to the retractor blade ensures targeted protection throughout the surgery. Lap pads are difficult to place properly and tend to move. In addition, they are usually ineffective and need to be checked periodically which increases surgical time and presents challenges.
Improved Exposure The low profile FlexGuardTM is applied in line with the blade curvature essentially becoming part of the blade. Lap pads or sponges are bulky and can obstruct the surgical field.
Patient Safety FlexGuardTM applied to any retractor blade will protect vessels and nerves as well as reduce risk of injury to the liver and other organs. Used in place of lap pads and sponges, FlexGuardTM eliminates associated foreign debris, thus post-operative issues.
Better Outcomes FlexGuardTM may reduce post-operative inflammation, adhesions, neuropathies and chronic pain which will result in earlier ambulation, better diet tolerance – overall a more rapid recovery requiring less pain medication with a higher rate of patient satisfaction.
Accessories PRODUCT LINE OVERVIEW
• Attaches to Table Mounted Retractor Systems to provide light into surgical field
• Supplied with adaptors for Storz/Olympus, ACMI fiberoptic cables
Flex-Light™ Malleable Fiber Optic Light Pipe
Neurosurgical Retractor System PRODUCT LINE OVERVIEW
Davida Neurosurgery System
• Flexible holding arms for adjustable retractor and instrument positioning
• Ergonomic handrests to minimize fatigue and tremor
• Instrument holder to reduce instrument exchange
• Available in Stainless Steel or Titanium
Advanced Retractor and Hand Stabilization System
Designed by I.M. Greenberg, MD and Mediflex’s Founder, David T. Adler, inventors of the original Greenberg System
TM
Ref. No. 4012B Surgical Stays, 12mm Blunt Hook Ref. No. 4005S Surgical Stays, 5mm Sharp Hook Ref. No. 4005B Surgical Stays, 5mm Blunt Hook
• Sterile, Disposable • 4 Stays per pk, 5 pks per box
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Surgical Stays
Retractor Ring Product Line NEW PRODUCT
VersaTracTM Retractor Ring offers Versatile reTraction opportunities:
• Self-Retraining Retractor Ring (Ref. No. 78000 without Hex Post) • Retractor Ring stabilized with FlexArmTM or StrongArmTM
(for procedures where ring must be elevated from patient ie: thyroid surgery - Ref. No 78000 with Hex Post)
• Retraction using Surgical Stays
• Retraction using Bookler® Ratchets and Retractor Blades
Ref. No. 78000 VersaTracTM Retractor Ring Ref. No. 78000-HP VersaTracTM Retractor Ring, Hex Post
Other configurations coming soon
Ref. No. 78000-HP
Ref. No. 78000
Disposable Light Cartridge NEW PRODUCT
• Provides light within the surgical area • Adheres to malleable retractor blades • On/Off button • Won’t heat-up
Adhesive Backing ON/OFF Button
Mediflex® Resources
Website / Intranet
• Interactive Website - www.mediflex.com - Access full product line with images and
specifications - Search by procedure or Ref. No. via search box. - Extensive line of blade configurations
• Password protected Intranet - Access all literature - Access primary regulatory documents - Instructions For Use (IFU) - Educational resources
Mediflex® Resources
Facebook / YouTube
• Facebook Page - - Posting of clinical use of Mediflex products - Announcement of exhibitions and educational opps - PLEASE SEND US CLINICAL IMAGES
with brief description to Joan’s cell via text or WhatsApp: 516.721.7442
https://www.facebook.com/mediflexsurgicalproducts/
https://www.youtube.com/channel/UCBuo2gIN4I_BAb5xPqYBxyA
• Mediflex YouTube Channel - - Key product/procedure video footage - Announcement of exhibitions and educational opps
Mediflex® Resources Literature / Order Form
Organization Support Team
Mediflex® Resources
Product Management /
Marketing
Joan Carter x326
V.P. / International
Sales Manager
Daniel Adler x343
Regulatory Manager
Keith Donaldson
x345 [email protected]
Customer Svc / Sales Support
Nicole Ellis
Stephanie Soliman Kyle Cosgrove
631.582.6424 [email protected]
THANK YOU