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Page 1: Product Portfolio Overview - MedSurgeTek › ... › uploads › 2016 › 01 › MediflexProductPo… · Product Portfolio Overview | 2018 . Presentation Overview • Company History

Product Portfolio Overview | 2018

Page 2: Product Portfolio Overview - MedSurgeTek › ... › uploads › 2016 › 01 › MediflexProductPo… · Product Portfolio Overview | 2018 . Presentation Overview • Company History

Presentation Overview

• Company History Overview • Holding & Positioning Devices

• Laparoscopic Instrumentation

• Open Surgery Products

• Mediflex Resources

Page 3: Product Portfolio Overview - MedSurgeTek › ... › uploads › 2016 › 01 › MediflexProductPo… · Product Portfolio Overview | 2018 . Presentation Overview • Company History

Corporate Timeline

Page 4: Product Portfolio Overview - MedSurgeTek › ... › uploads › 2016 › 01 › MediflexProductPo… · Product Portfolio Overview | 2018 . Presentation Overview • Company History

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

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Holding & Positioning Devices PRODUCT LINE OVERVIEW

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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

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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

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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

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FlexArm Plus Twin Laparoscopic System PRESS RELEASE / VIDEO / BROCHURE

https://youtu.be/l3ieMx5W7dw

TM

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FlexArm Plus Twin Laparoscopic System USER GUIDE

TM

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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

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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

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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

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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

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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

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StrongArm ROBOTIC-ASSISTED SURGERY

Robotic Sleeve Gastrectomy

TM

Dr. Candice Silverman

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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

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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

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Surgical Holding & Positioning Arms STERILIZATION TRAYS / CONTAINERS

• Wide variety of container systems to accommodate all Mediflex products

• Wrapable Sterilization Trays

• Components and accessories

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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

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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

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Laparoscopic Instrumentation PRODUCT OVERVIEW

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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

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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…

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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

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Needle Holders PRODUCT LINE OVERVIEW

• Simple, one-piece instrument • Stainless steel axial handle • On/Off ratchet handle • Flush port for cleaning

Laparoscopic Needle Holder

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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

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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

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RELIEF ERGONOMIC HANDLE INSTRUMENT

Pivotable thumb ring

TM Patent Pending

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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

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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

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Deluxe Modular Laparoscopic Instruments

Cutting EdgeTM Disposable Tip Laparoscopic Instruments

TM RELIEF Ergonomic Laparoscopic Handle INSTRUMENT COMPATIBILITY

TM

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• 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

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• 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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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• 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

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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

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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

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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

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Open Surgery Products PRODUCT LINE OVERVIEW

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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

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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

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Table Mounted Retractor Systems PRODUCT LINE OVERVIEW

Mini-Bookler® for Pediatric Urology

https://www.youtube.com/watch?v=EPnc4lJxAes

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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

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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

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● 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

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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

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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.

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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

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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

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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

X

X

Y

Y

Z

Z

Surgical Stays

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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

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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

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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

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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

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Mediflex® Resources Literature / Order Form

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Organization Support Team

Mediflex® Resources

Product Management /

Marketing

Joan Carter x326

[email protected]

V.P. / International

Sales Manager

Daniel Adler x343

[email protected]

Regulatory Manager

Keith Donaldson

x345 [email protected]

Customer Svc / Sales Support

Nicole Ellis

Stephanie Soliman Kyle Cosgrove

631.582.6424 [email protected]

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THANK YOU