EW GYN 38-E.indd

EndoWorld®
GYN 38-1 04/2012-E
In-house Training Solutions
from KARL STORZ
In-house Training Solutions from KARL STORZ –
Endoscopic Training Possibilities Directly Inside the Hospital
The permanently progressing development in minimally invasive surgical techniques requires continuous education as well as adequate
training of the surgeons. In laparoscopy this affects not only surgeons
but also gynecologists and urologists. The elementary laparoscopic
psychomotor skills that should be learnt and practiced are:
• Camera navigation with 0° and 30° telescope
• Evaluation of depth of a 2D picture
• Hand-eye coordination
• Handling of instruments without tactile feedback
• Fine motor skills
• Bimanual coordination
Further essential skills of a surgeon are practical basic knowledge of
instruments and devices in daily OR routine as well as surgical skills of
a particular intervention. A particular challenge is to aquire laparoscopic
suturing skills, which need to be practised intensively.
The traditional apprentice-tutor education model requires a large
number of surgical interventions and is very time-consuming.
Studies have shown that only limited learning is possible by observing
interventions. Live surgery with all its burdens is not an ideal learning
environment. Additionally, it is very problematic to objectively evaluate
the clinical competence of various difficult operative interventions. The
pressure on cost-efficiency is continuously growing and the intervening
OR time also complicates matters.
In order to facilitate the establishment of a training environment where
the above mentioned skills can be learned, practised and consolidated,
KARL STORZ offers various training stations. Thus the required endoscopic skills can already be practised at an early stage by residents in
order to qualify for employment at the OR table.
KARL STORZ supports in-house training and education by special price
conditions of the training stations offered.
2 3
The core piece of these training stations is the TELE PACK system, which
offers a camera, a light source, a monitor and a documentation module,
incorporated into a single compact and mobile unit. Various training
models are available for different OR techniques (e.g. hysteroscopy
and laparoscopy), and can be individually equipped with artificial or
biological preparation. In addition each training station includes the
essential original instruments which are required for each operative
technique and which are also used in the operating theater. In case of
need, further devices (e.g. an HF generator or suction-irrigation pump)
can complement the training station.
In the following pages you will find further details on the individually
equipped training stations from KARL STORZ, which can be used
interdisciplinary and continuously for internal education purposes of
your hospital.
“Suturing” Training Station
This laparoscopic training station was especially designed for the training of suturing
and knot tying skills. The training station consists of the SZABO-BERCI-SACKIER
laparoscopy trainer, the TELE PACK system as well as laparoscopic instruments particular to endoscopic suturing.
The laparoscopy trainer is ideal for the training of intracorporeal knot tying as well as
laparoscopic suturing and therefore improves the skills in both disciplines.
The TELE PACK system is a compact unit consisting of a light source, camera, monitor and documentation unit and provides the imaging during training.
The instruments contained in the set consist of a 0° HOPKINS® II telescope (10 mm),
two needle holders, grasping forceps as well as METZENBAUM scissors. Additionally,
the set contains a light cable as well as a knot tier for extracorporeal knot tying.
4 5
Respective Components
26348
20 0430 01-020
SZABO-BERCI-SACKIER Laparoscopic Trainer
TELE PACK, endoscopic video unit for use with all analog one-chip
camera heads and KARL STORZ video endoscopes
26003 AA
HOPKINS® II Straight Forward Telescope 0°, enlarged view,
diameter 10 mm, length 31 cm, autoclavable,
fiber optic light transmission incorporated,
color code: green
26173 KPF
KOH Macro Needle Holder, with tungsten carbide insert, ergonomic pistol handle with disengageable ratchet, ratchet position left,
jaws straight, size 5 mm, length 33 cm
26173 KAF
KOH Macro Needle Holder, with tungsten carbide insert, ergonomic straight handle with disengageable ratchet, ratchet position
right, jaws straight, size 5 mm, length 33 cm
33321 KW
c MATKOWITZ Grasping Forceps, rotating, dismantling,
insulated, with connector pin for unipolar coagulation, with irrigation
connection for cleaning, double action jaws, size 5 mm,
length 36 cm
34321 MS
c METZENBAUM Scissors, rotating, dismantling, insulated,
with connector pin for unipolar coagulation, double action jaws,
curved, length of blades 12 mm, size 5 mm, length 36 cm
495 NCS
Fiber Optic Light Cable, diameter 4.8 mm, length 250 cm
26596 SK
KOECKERLING Knot Tier, for extracorporeal knotting, size 5 mm,
length 36 cm
Laparoscopic Training Station
according to the requirements of the European Academy for
Gynecological Surgery (EAGS)
The concept of the “European Academy for Gynecological Surgery” (EAGS)
The requirements on the skills of the surgeon have exponentially increased
due to the rising complex surgical techniques, especially in endoscopic surgery.
In contrast to the classical training concepts, the demanding specific skills of the
surgeon are also trained outside the operating theater by using the training model for
laparoscopic surgery, the EAGS model.
Although many different systems, including animal models and simulators have
been proposed, an in-house structured and validated method, easily implemented
anywhere, has been missing.
For these demands a training model such as the one displayed above is adequate in
order to train the specific skills and monitor the learning process.
The implementation of the training model during Skill Evaluation Workshops
organized by the European Academy of Gynecological Surgery highlights the
special suitability of the trainer during further education of laparoscopic skills.
Detailed information about the EAGS can be obtained via the following website:
http://www.theacademyhouse.org
6 7
Respective Components
26332 N
Training model for laparoscopic surgery, EAGS model
20 0430 01-020
TELE PACK, endoscopic video unit for use with all analog one-chip
camera heads and KARL STORZ video endoscopes
26003 AA
HOPKINS® II Straight Forward Telescope 0°, enlarged view,
diameter 10 mm, length 31 cm, autoclavable,
fiber optic light transmission incorporated,
color code: green
26003 BA
HOPKINS® II Forward-Oblique Telescope 30°, enlarged view,
diameter 10 mm, length 31 cm, autoclavable,
fiber optic light transmission incorporated,
color code: red
26173 KPF
KOH Macro Needle Holder, with tungsten carbide insert, ergonomic pistol handle with disengageable ratchet, ratchet position left,
jaws straight, size 5 mm, length 33 cm
26173 KAF
KOH Macro Needle Holder, with tungsten carbide insert, ergonomic straight handle with disengageable ratchet, ratchet position
right, jaws straight, size 5 mm, length 33 cm
33321 MD
c KELLY Dissecting and Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation,
double action jaws, size 5 mm, length 36 cm
33321 KW
c MATKOWITZ Grasping Forceps, rotating, dismantling,
insulated, with connector pin for unipolar coagulation, with irrigation
connection for cleaning, double action jaws, size 5 mm, length
36 cm
34321 MS
c METZENBAUM Scissors, rotating, dismantling, insulated,
with connector pin for unipolar coagulation, double action jaws,
curved, length of blades 12 mm, size 5 mm, length 36 cm
495 NCS
Fiber Optic Light Cable, diameter 4.8 mm, length 250 cm
“Laparoscopy LYRA” Training Station
The above displayed training station is intended to simulate a laparoscopic intervention
preferably under realistic conditions. The realistic conditions are achieved by the
organs being made of neoderma which are inside the trainer.
The abdominal wall is reproduced to the consistency of the human abdominal
wall. Various laparoscopic surgical steps, especially laparoscopic suturing can be
practised well with this model. For example, intracorporeal knot-tying as well as the
introduction of needles through the abdominal wall can be realistically simulated.
Moreover, the grasping and dissection technique with different instruments can be
exercised and improved.
Certain practise is also necessary for the appropriate camera navigation. The LYRA
trainer provides a good possibility to practise the skills in camera navigation, for
example with a 30° telescope.
With this training station a realistic training facility for the surgeon has been created
which might be beneficial in improving his stereo tactile skills.
8 9
Respective Components
26344 L2
LYRA Laparoscopy Trainer
20 0430 01-020
TELE PACK, endoscopic video unit for use with all analog one-chip
camera heads and KARL STORZ video endoscopes
26003 AA
HOPKINS® II Straight Forward Telescope 0°, enlarged view, diameter
10 mm, length 31 cm, autoclavable,
fiber optic light transmission incorporated,
color code: green
26003 BA
HOPKINS® II Forward-Oblique Telescope 30°, enlarged view, diameter
10 mm, length 31 cm, autoclavable,
fiber optic light transmission incorporated,
color code: red
26173 KPF
KOH Macro Needle Holder, with tungsten carbide insert, ergonomic
pistol handle with disengageable ratchet, ratchet position left, jaws
straight, size 5 mm, length 33 cm
26173 KAF
KOH Macro Needle Holder, with tungsten carbide insert, ergonomic
straight handle with disengageable ratchet, ratchet position right, jaws
straight, size 5 mm, length 33 cm
33321 MD
c KELLY Dissecting and Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, double action
jaws, size 5 mm, length 36 cm
33321 KW
c MATKOWITZ Grasping Forceps, rotating, dismantling, insulated, with connector pin for unipolar coagulation, with irrigation connection for cleaning, double action jaws, size 5 mm,
length 36 cm
34321 MS
c METZENBAUM Scissors, rotating, dismantling, insulated, with
connector pin for unipolar coagulation, double action jaws, curved,
length of blades 12 mm, size 5 mm, length 36 cm
3 x 30120 TRX
Trocar, with conical tip, thread, silicone leaflet valve, size 6 mm
2 x 30123 TCS
Trocar, with conical tip, thread, silicone leaflet valve, size 11 mm
30140 DB
Reduction Sleeve, reusable, instrument diameter 5 mm, trocar cannula
outer diameter 11 mm
495 NCS
Fiber Optic Light Cable, diameter 4.8 mm, length 250 cm
“Diagnostic and Office Hysteroscopy”
Training Station
A special realistic training experience is possible due to the vagina and uterus models
being made of neoderma. A uterus made of biological tissue as well as neoderma
can be introduced inside the trainer. Therefore a very realistic training possibility has
been created which is ideal for learning the atraumatic access into the cavum uteri
without speculum or tenaculum forceps to hook the portio. This method is also
called vagino-cervico hysteroscopy and is increasingly carried out without any type
of anesthesia.
The introduction of the hysteroscope can be simulated realistically. This offers the
possibility to the surgeon to train the hand-eye coordination. With semirigid instruments, for example, biopsy sampling, septum dissection or polyp extraction can be
simulated. The imaging is also accomplished via a TELE PACK system.
The equipment consists of a 5 mm BETTOCCHI® hysteroscope based on a 2.9 mm
rod lens telescope (30°), biopsy and grasping forceps, scissors as well as tenaculum
forceps each with a diameter of 5 Fr.
10 11
Respective Components
26343
LYRA "EVE" IInd Generation Hystero-Trainer
20 0430 01-020
TELE PACK, endoscopic video unit for use with all analog one-chip
camera heads and KARL STORZ video endoscopes
26120 BA
HOPKINS® II Forward-Oblique Telescope 30°,
diameter 2.9 mm, length 30 cm, autoclavable,
fiber optic light transmission incorporated,
color code: red
26153 BI
BETTOCCHI® Operating Sheath, size 4.3 mm, with channel for semirigid 5 Fr. operating instruments, with 1 stopcock and 1 LUER-Lock
adaptor, for use with CF Operating Sheath 26153 BO
26153 BO
BETTOCCHI® Continuous-Flow Operating Sheath, size 5 mm, with
1 stopcock and 1 LUER-Lock adaptor, for use with Operating Sheath
26153 BI
26159 UHW
Biopsy and Grasping Forceps, semirigid, double action jaws,
5 Fr., length 34 cm
26159 H
HESSELING Tenaculum Grasping Forceps, semirigid, double action
jaws, 5 Fr., length 34 cm
26159 SHW
Scissors, semirigid, pointed, single action jaws, 5 Fr., length 34 cm
495 NTA
Fiber Optic Light Cable, diameter 2.5 mm, length 230 cm
“Operative Hysteroscopy (Resection)”
Training Station
The training station for operative hysteroscopy contains similar components to the
trainer for diagnostic and office hysteroscopy. A resectoscope is applied instead of a
diagnostic or office hysteroscope.
Operative hysteroscopy is very demanding and can be learnt by frequent and regular
practise. During surgery, hand-eye coordination is a very complex task. This can
be trained by targeted practise on the trainer. Amongst other possibilities, precise
resection of pathologies can be exercised by means of different uterine models.
The imaging is accomplished by the TELE PACK system which is included in the
set. The training station is furthermore equipped with a HAMOU® ENDOMAT®, which
dilates the cavum uteri with pressure and flow control. Moreover, it allows for active
suction and thus enables continuous-flow interventions. An HF generator, which is
dedicated for both unipolar and bipolar resection, is required for the application of a
resectoscope. For this purpose the AUTOCON® II 400 is part of the training station.
12 13
Respective Components
26343
LYRA "EVE" IInd Generation Hystero-Trainer
20 0430 01-020
TELE PACK, endoscopic video unit for use with all analog one-chip
camera heads and KARL STORZ video endoscopes
20 5352 01-115
AUTOCON® II 400, High End,
power supply 230 VAC, 50/60 Hz, HF connecting sockets: bipolar standard, bipolar multifunction, unipolar 3-pin and Erbe, neutral electrode 6.3
mm jack,
including:
Mains Cord
SCB Connecting Cable
20 0178 30
Two-Pedal Footswitch, for use with AUTOCON® II 400
26 3310 09-1
HAMOU® ENDOMAT® SCB,
including:
Mains Cord
SCB Connecting Cable
3 HYST Tubing Set, for single use
3 LAP Tubing Set for single use
VACUsafe Promotion Pack Suction
26105 FA
HOPKINS® II Telescope 12°, enlarged view, diameter 4 mm,
length 30 cm, autoclavable, fiber optic light transmission incorporated,
color code: black
26050 SL
Resectoscope Sheath, including connecting tube for in- and outflow,
for continuous irrigation and suction, diameter 8 mm, oblique beak,
rotatable Inner Sheath 26050 XA with ceramic insulation
26040 EBH
6 × 26040 GP
Working Element Set, bipolar,
including:
1 Working Element
2 Cutting Loops, bipolar
1 Cutting Electrode, bipolar, pointed
1 Coagulation Electrode, bipolar, ball end
1 Bipolar High Frequency Cord
Cutting Loop, bipolar
495 NA
Fiber Optic Light Cable, diameter 3.5 mm, length 250 cm
KARL STORZ TELE PACK
20 0430 01-020
TELE PACK, endoscopic video unit for use with all analog one-chip camera
heads and KARL STORZ video endoscopes, color system PAL, with integrated
digital Image Processing Module, integrated keyboard with US English character
set, fix mounted folding 12" LCD Screen and PCMCIA memory module,
incl. 24 W Hi-Lux light source, power supply 100 – 240 VAC, 50/60 Hz or 12VDC
including:
TELECAM one-chip camera head, color system PAL, soakable,
gas-sterilizable, with integrated Parfocal Zoom Lens, f = 25 – 50 mm (2x),
2 freely programmable camera head buttons
Mains Cord
CF Memory Card, 128 MB, incl. PCMCIA adaptor
BNC/BNC Video Cable, length 180 cm
S-Video (Y/C) Connecting Cable, length 180 cm
Case
Answer
KARL STORZ GmbH & Co. KG
Marketing
Mittelstraße 8
78532 Tuttlingen, Germany
or via Fax to
+49 (0)7461/708 75585
Yes, I am interested in the “In-house Training Solutions” from KARL STORZ.
Please send me a quotation about
r “Suturing” training station (Code: 1005)
r Laparoscopic training station acc. to the requirements of the EAGS (Code: 914)
r “Laparoscopy LYRA” training station (Code: 1006)
r “Diagnostic and Office Hysteroscopy” training station (Code: 1007)
r “Operative Hysteroscopy (resection)” training station (Code: 1008)
r TELE PACK (20 0430 01–020)
r I am interested in laparoscopic and hysteroscopic training courses.
r I request a visit by the local sales representative.
.
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Name, Title
Phone
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Fax
Hospital, Department
.............................................................................................
Street
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Post code, City
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E-Mail
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Signature
EW GYN 38, 2011
My address:
KARL STORZ GmbH & Co. KG
Mittelstraße 8, 78532 Tuttlingen, Germany
Postbox 230, 78503 Tuttlingen, Germany
Phone: +49 (0)7461 708-0
Fax: +49 (0)7461 708-105
E-Mail: [email protected]
www.karlstorz.com
KARL STORZ Endoscopy-America, Inc.
2151 East Grand Avenue
El Segundo, CA 90245-5017, USA
Phone: +1 424 218-8100
Phone toll free: 800 421-0837 (US only)
Fax: +1 424 218-8525
Fax toll free: 800 321-1304 (US only)
E-Mail: [email protected]
96122031 GYN 38-1 04/2012/EW-E
www.karlstorz.com
EndoWorld®

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