Medical Endoscope

Methods/Applications : Dafe - Diagnostic Auto Fluorescence Endoscopy

Bronchial carcinoma has become one of the most common cancers.
It is responsible for more cancer-related deaths than cancer of the breast, cancer of the intestine, liver cancer, lymphoma and cancer of the pancreas together. In industrial countries, it is the cause of approximately one third of all cancer deaths in men. While numbers in Germany remain fairly constant among men, the numbers of women with the disease continue to rise.

DAFE -AUTOFOURESENCE SYSTEM TO DETECT EARLY STAGE CANCER AND PRECANCEROUS TISSUE IN THE LUNGS.
OPERATING PROCEDURE AND OR PREPARATION

With the DAFE system from R. WOLF, the basic procedure is identical to that for conventional white-light endoscopy in the bronchial region. No additional preparation is necessary. In contrast to PDD (photodynamic diagnosis), no photosensitisers are necessary to generate the fluorescence.The fluorescence is produced in the body's own molecules, such as riboflavin and is therefore known as autofluorescence.

The extent of a tumour is much easier to recognise than under white light allowing more accurate staging. This is also true when a high-resolution video bronchoscope is used instead of a conventional fibre bronchoscope in white light bronchoscopy [Fuj00]. Especially with intraepithelial lesions, this can be decisive in the choice of therapy (see above) [Ren01].

It is a great advantage of autofluorescence endoscopy – in contrast to PDD (photodynamic diagnosis) – that no medication is required to produce the fluorescence. This avoids a number of potential problems such as the approvals for the medication (known as photosensitisers), the method of administering the medication and the dose, toxicity, fading of the tumour marker, etc.

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Methods / Applications : Bronchoscopy For Children

The most frequent indication requiring the interventions with rigid bronchoscopes in pediatrics is the aspiration of foreign bodies. The aspiration of foreign tracheobronchial bodies is a problem which is found primarily in childhood.
In 90 per cent of the cases children below the age of 15 are concerned, and 80 per cent of the children are below 4 years of age. Boys are affected twice as frequently as girls. There are several reasons for this accumulation within the first years of life. Children do not have a sufficient number of teeth to be able to chew food properly. A lack of co-ordination of the swallowing mechanism leads to frequent choking, thus causing the danger of aspiration. Moreover, there is a desire and continuous curiosity to explore everything that is in the vicinity. A lot of these items are put in the mouth whereby the child is not yet able to differentiate between potentially hazardous things and food. Another danger is the proximity to the ground where a lot of small things can be found.
The primary symptoms may differ considerably. On the one hand, a prolonged bout of coughing may be suspicious, and on the other hand cyanosis (bluish discoloration of the skin due to a lack of oxygen), apnoea (respiratory standstill) and even cardiac arrest may occur. In the US, about 2,000 deaths
occur per year as a consequence of aspiration.
The lethality caused by the aspiration of a foreign body is stated at about 1 per cent in general. Primarily children are concerned, in which a critical displacement of the respiratory tract occurs immediately after the aspiration which renders an adequate treatment impossible or the first-aider is not sufficiently trained for the event. Most frequently sausages, hard sweets, nuts and grapes are the causes of fatal aspiration.
Rigid bronchoscopes are used to remove foreign bodies as well as to examine the deeper passages of the respiratory tract.

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Methods/Applications : Indicators

Despite great efforts in recent decades, it has not been possible to significantly improve the 5-year survival rate of patients with bronchial carcinoma which remains poor at between 10% and 15%.

One reason for this is that with conventional forms of diagnosis (including white light endoscopy), preinvasive (in other words, intraepithelial) lesions cannot be adequately detected and localised [Ken01]. However, it can be assumed that a more or less high proportion of these precancerous lesions will develop into invasive carcinomas. This proportion is considerable with carcinoma in situ [Ven00] but cannot be ignored in cases of medium to severe dysplasia [Ris88].

Especially with the preinvasive lesions (stage 0 according to ISS) the chances of healing with a 5-year survival rate of over 90% must be considered good but diminish dramatically as the disease develops [Tho02].

The reason for the low sensitivity of conventional forms of diagnosis for intraepithelial lesions, on the one hand, is the small size of these lesions which are usually only a few millimetres in diameter (at times even less) and often extend over only a few cell layers [Lam00]. As a result, they cannot always be distinguished from surrounding healthy tissue by their form; in other words by their size and elevation.

On the other hand, differentiation between preinvasive lesions and healthy tissue based on colour is very restricted or even impossible.
As a result, for example, only approximately 30% of existing carcinomas in situ could previously be made visible 30% [Woo83]. With dysplasia, an even smaller proportion must be assumed due to the small dimensions and less conspicuous appearance.

Autofluorescence endoscopy is a great help in dealing with this problem. It leads to a significant improvement in the detection and localisation of intraepithelial lesions [Gou], [Ren01], [Hor99].

By exciting bronchial tissue by exposing it to violet and blue light at a defined wavelength, autofluorescence light is induced in the endogenous fluorophors of the bronchial walls. This radiation is in a waveband lower than that of the applied excitation light. The fluorescent response depends greatly on the state of the tissue (healthy tissue fluoresces strongly, whereas the fluorescence of pathological tissue is weaker) so that it is possible to distinguish early stage cancer and precancerous tissue clearly from healthy tissue, in contrast to conventional white light endoscopy [Zel].

Even tissue with only slight pathological changes stands out clearly from healthy tissue in the fluorescence image.

All patients with suspected preinvasive lesions or microinvasive carcinoma should therefore be examined by fluorescence bronchoscopy.

These include:

  • Patients with known or previously diagnosed lung cancer
  • Patients with lung cancer suspected on the basis of direct symptoms such as haemoptysis, dry cough, chronic or recurrent pneumonia, progressive dyspnoea, etc.
  • Patients with lung cancer suspected on the basis of diagnostic symptoms such as positive sputum cytology, increased tumour marker concentration, X-ray findings, etc.
  • Patients with suspected lung cancer due to their anamnesis 

When collecting the anamnesis, the following aspects should be taken into account:

  • Inhalation smoking, possibly also in conjunction with alcohol abuse
  • occupational influences (exposure to certain hard metals, aromatic hydrocarbons and ionising radiation)
  • predisposing disease (for example tuberculosis)
  • recurrence of a treated pulmonary tumour
  • pulmonary metastasis of an extrapulmonary tumour (possibly already treated)
  • formation of secondary tumours as a sequel to radiation or cytostatic therapy of another tumour 

For autofluorescence endoscopy, the endoscopically accessible bronchial regions and therefore central carcinomas and early forms are of significance.

CONTRAINDICATIONS

Patients who should be excluded from fluorescence bronchoscopic examination are primarily those barred from conventional white light endoscopy.

Also patients

  • who have received photosensitising substances in the preceding three months
  • who have been treated with cytostatic drugs or radiologically in the preceding three months
  • who have been treated chemoprophylactically in the preceding three months.
ADVANTAGES OF THE INDICATIONS

The decisive advantage of autofluorescence endoscopy is that it allows bronchial carcinoma to be visualised and treated at a stage at which the chances of healing are still very good.

Change from white light to autofluorescence with Cursor

It is also possible to detect lesions about which there is still controversy as to whether they should be resected or not (for example slight dysplasia) and to monitor their development during follow up (carcinogenesis). These lesions can, when necessary, be treated early with medication or surgically if malignant growth continues.

In some situations, the detection and localisation of preinvasive lesions (stage 0 according to ISS) also allows the option of employing endobronchial therapeutic methods such as PDT (photodynamic therapy) [Mon90], [McC97], [Fre96], [Fre99] laser therapy [Cav94], cryotherapy [Oze90], therapy with electrocautery [Box98], APC (argon plasma coagulation), brachytherapy [Per97] etc.

In contrast to surgical tumour resection (for example, lobectomy, bilobectomy or even pneumonectomy), which is recommended from ISS stage I onwards [Dom00], firstly most of these procedures can generally be repeated, for example, with recurrences or new occurrences and secondly due to their less invasive character they involve no or comparatively little reduction in quality of life of the patient at least in the medium to long term in many cases. In addition to this, classical surgical resection

  • is firstly not always possible: Some patients, for example, already have severely restricted lung function due to a history of smoking that would further deteriorate to an unacceptable level if the required resection was performed
  • is secondly not always possible to the extent considered ideal based on the diagnosis: For example, a fifth of all patients with a radiologically occult carcinoma already have multicentric lesions [Fuj00].

If the therapy is intended to be curative, postoperative lung function must also be guaranteed.

In surgical resection, a not insignificant risk of mortality must be accepted in the order of several percent for a lobectomy [Lod98] and increasing with the extent of the resection.

A further advantage of autofluorescence endoscopy is that the margins of the tumour can be visualised clearly.

Change from white light to autofluorescence with Cursor

The extent of a tumour is much easier to recognise than under white light allowing more accurate staging. This is also true when a high-resolution video bronchoscope is used instead of a conventional fibre bronchoscope in white light bronchoscopy [Fuj00]. Especially with intraepithelial lesions, this can be decisive in the choice of therapy (see above) [Ren01].

It is a great advantage of autofluorescence endoscopy – in contrast to PDD (photodynamic diagnosis) – that no medication is required to produce the fluorescence. This avoids a number of potential problems such as the approvals for the medication (known as photosensitisers), the method of administering the medication and the dose, toxicity, fading of the tumour marker, etc.

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Methods/Applications : Dafe - Advantages

The DAFE diagnostic autofluorescence endoscopy system from R. WOLF has a number of advantages:

  • Use of a small, light and therefore easy-to-handle camera unit (camera head and zoom lens); the freedom of movement that this permits also makes it possible to use rigid telescopes in the normal fashion.
  • The DAFE system allows the use of competitors' bronchoscopes. Special DAFE adapters are available for these instruments. Nevertheless, to achieve the best picture quality in the DAFE mode (-> picture brightness) the special DAFE bronchoscope from R. WOLF should be the instrument of choice.
  • The DAFE system can, of course, also be used for conventional white light endoscopy – without any restrictions either in handling or in the picture quality. It can also be considered as a completely normal endoscopic system.
  • The changeover between conventional white light endoscopy and DAFE is simple and fast by pressing a footswitch or at the touch of a button on the light source. Changing modes does not involve changing any system components or other measures.
  • To further improve the distinction between healthy tissue and pathological changes, the R. WOLF system goes one step further: A reflection image is superimposed on the pure autofluorescence image in the DAFE mode and both images are then processed in the camera controller.

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Product: Texas Optical Integrated Rigid Bronchoscope Set

Rigid bronchoscopes are used for diagnostic and therapeutic procedures for various indications in the bronchial system. Particularly in the case of foreign bodies or for interventional procedures such as tumor ablation or stent implant, the rigid bronchoscope has gained a reputation as the gold standard. The key factor with these techniques is to ensure that the working channel of the bronchoscope is as large as possible. This enables various forceps and instruments to be easily introduced synchronously or alone. Intubation is also frequently problematic with the rigid bronchoscope tube. An integrated optical view makes introducing the bronchoscope significantly easier.

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Products : Flexible Bronchoscopes

Richard Wolf offers a complete range of flexible fiber and video bronchoscopes. Featuring a high-resolution chip-on-the-tip design, Eye Max video endoscopes are uncompromising in their image quality. They permit examination of tissue in unparalleled detail and color fidelity. Thanks to the ergonomic handle, which has received an IF award, fatigue-free work is possible even during lengthy interventions.
And of course, like all Richard Wolf endoscopes, our flexible bronchoscopes are rugged and reliable.
Why not convince yourself of the advantages of the ingenious ergonomic handle and the optical quality of our bronchoscopes.

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Products : Fdafe – Diagnostic Auto-Fluorescence Endoscopy

Today bronchial carcinoma is one of the most common forms of cancer and is responsible for more cancer deaths than breast cancer, intestinal cancer, liver cancer, lymphomas, and pancreatic cancer combined. In industrialized countries it accounts for around one third of all cancer deaths in men. Whereas the death toll in Germany due to bronchial carcinoma has stopped rising for men, it continues to rise for women.

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Endoscopy for Surgery

Surgery is dealing with the diagnosis and therapy of diseases and injuries as a result of a direct impact on the body. The term surgery originally comes from the ancient greek words for hand and work. The litteral translation of surgeon therefore is "hand worker".
The main objective of surgery is restoring wholly or in part the natural functions of the human body. If this is not possible, surgery tries to restore the previous functions as far as possible using implants.
Surgery comprises many individual disciplines. In addition to general surgery, the field of surgery comprises further specialist areas such as:

  • Emergency/trauma surgery
  • orthopedics
  • pediatric surgery
  • plastic and esthetic surgery
  • vascular surgery
  • thoracic surgery
  • visceral surgery
  • heart surgery
  • neurosurgery

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Method / Applications: Laparoscopic Surgery

Laparoscopic surgery is today a fixed part of the therapeutic spectrum of surgeons. The therapeutic sucess depends, beside the great operative skills, on the right instruments that are used. As an experienced, worldwide active producer of endoscopes we have a unique know-how, which continuously flows in new product ideas. Our PANOVIEW-Endoscopes with highest optical quality, our ergonomic MODUline forceps and scissors as well as our needleholders with axial handles, unique suction and irrigation systems and our RIWO-ART trocars show just a small part of our various instruments for laparoscopic surgery.

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Method / Applications : Keyport - The Cost-Effective Route To Modern Surgery From Richard Wolf

The Single Port originated from the discussion about new, minimally invasive operating techniques, e.g. by using natural openings in the body providing access for surgery (Natural Orifice Translumenal Endoscopic Surgery – NOTES) and the associated “scarless operation”. The Single Port technique involves introducing all the instruments necessary for the specific surgical intervention into the abdomen through a single port at the navel (Umbilicus). The scar produced from the port can be discretely concealed in the navel and it is no longer visible after a few weeks. The scarless result and the prospect of less pain, faster recovery and quicker return to the everyday routine make the Single Port technique increasingly attractive for many surgeons, hospitals and patients.

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Method / Applications : Tem Transanal Endoscopic Microsurgery

For more than twenty years, TEM (Transanal Endoscopic Microsurgery) has accompanied us in the world of colorectal surgery - from the first trials carried out by Professes Buess in the early 1980s until today. The TEM trend is not letting up, on the contrary, at present TEM is experiencing a real boom, and this subject is being discussed at almost all national and international congresses. New markets are being opened up for TEM (such as China – two large workshops in 2006 with Richard Wolf and Professor Buess), and the
others are being expanded continuously (such as Spain – again workshops with Richard Wolf in 2006 and in the years to come; annual courses during the congress of the American Society for Colon and Rectal Surgery, USA).
Therefore the TEM system is certainly the most successful niche product of Richard Wolf GmbH – with just under seven hundred systems sold world-wide. It is not only the instruments, but also the operating method as such that has developed into an established process in rectal surgery for certain tumour stages. The "patient benefit" is extremely high with TEM – There is hardly any other operating technique that offers more advantages for the patients than TEM.

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Method / Applications : Endocrine Surgery

Aside from open surgical procedures, thyroid gland disorders are treated with minimally invasive, video assisted thyroid surgery.

Interventions on the thyroid are among the most frequent surgical interventions. Favourable cosmetic results can be obtained through the use of a new endoscopic procedure.

Instrument set for minimally invasive video-assisted thyroidectomy and parathyroidectomy (MIVAT / MIVAP)

The innovative and user-friendly instrument set for minimally invasive, video-assisted thyroidectomy and parathyroidectomy was developed by Richard Wolf in the highest quality and is being used internationally in thyroid surgery, with excellent surgery results.

Interventions on the thyroid leave a noticeable scar in the frontal throat region. A new endoscopic procedure allows the avoidance of large cuts, resulting in better cosmetic results. Using a video endoscopic view, a short cut is made precisely on the skin line, and the thyroid lobe is freed and removed through it. Onscreen, the structures appear in an image which is strongly magnified by the endoscope; this, of course, is an enormous advantage for protection of the vocal chord nerves.

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Method / Applications : Vascular Surgery Endoscopic Sub fascial Dissection Of Perforating Veins - Esdp

10 – 15 % of adults suffer from extensive varicosis of the legs. In 16 % of these cases, one of the causes is insufficiency of the perforating veins.

More than 90% of these insufficient perforating veins are located in the lower leg. Only precise dissection of these veins can reliably prevent recurrences. The subfascial elimination fo the insufficient perforating veins in the treatment of primary varicosis and postthrombotic or trophic skin disturbances as a result of varicosis is accepted as the most effective therapeutic principle.

In keeping with the principle of minimally invasive surgery, we use an endoscopic technique, that allows all the perforating veins in the lower leg to be coagulated and dissected under direct vision with little trauma.

The instrument set for endoscopic subfascial dissection of the perforating veins includes cold-light operating tubes in various lengths and diameters, through which an operating telescope (PANOVIEW operating telescope) is inserted. The telescope has a working channel for auxiliary instruments such as the endoscopic bipolar coagulation forceps and the endoscopic scissors.

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Method / Applications : Endoscopic Surgery

In endoscopic surgery, and especially in laparoscopic surgery, the inner organs of the abdominal cavity and thorax are diagnosed and treated. The examinations are carried out via an endoscopic system that is placed via one or several trocars. A xenon light source illuminates the operating area via the endoscope. For surgical intervention today, high-definition video cameras are used. This provides more reliable information than non-invasive preexamination, such as ultrasound or X-ray control.
The corresponding working instruments are inserted into the abdomen under view through trocars which in most cases measure 5 mm.
Especially for surgical indications the endoscopic procedure guarantees maximum reliability in image interpretation, thus minimizing the risk of complications.
The use of endoscopy in surgery allows a correct diagnosis and therapy in the least aggressive way.

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Products

  • Pumps, Insufflators etc.
  • Hand instruments
  • Endoscopes
  • Camera-Systems
  • Link to catalogues - requires ID login

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Products : Devices

THE EFFECTIVE, ALL-PURPOSE SUCTION IRRIGATION PUMP FOR LAPAROSCOPY FLUID CONTROL LAP 2216

An effective and dependable suction and aspiration system is extremely important for any laparoscopic intervention. Apart from effective irrigation and suction power, you as a surgeon are also reliant on simple and effortless operation. We combine optimum performance parameters in our new generation of FLUID CONTROL LAP 2216 Suction Irrigation Pumps with very easy handling. 

The latest technology using an RFID (Radio Frequency Identification) transponder provides enhanced safety during application. The coded tubes mean that the type of tubing, the validity and dependability of the tubing sets used is automatically identified by the unit. 

The validity of each tubing set is checked automatically when it is connected at the start of a procedure. This ensures that single use tubing sets are indeed used only once and the reusable set is prevented from reuse once its maximum life is reached.

LAPAROSCOPIC CO² INSUFFLATOR 2232

Gas warming

  • Reduces postoperative pain 
  • Prevents misting of telescope
  • Prevents risk of hypothermia

Specifications:

  • Flow rate 30 l/min 
  • Flow levels: continuous up to 30 l/min 
  • Pressure: 3 - 25 mm Hg
  • Special properties
  • Gas warming
  • Overpressure control
  • Video connection
  • Gas humidifier, external device

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Products : Laparoscopic Surgery

ERAGON MODULAR - WE SET NEW STANDARDS!

As a manufacturer of highly complex systems in medical technology our responsibility every day is to provide you as a surgeon with a dependable and precise tool to perform your interventions on patients.
We are setting new standards with the introduction of our new generation of modular forceps and scissors ERAGON modular. When the new system was developed, we deliberately focused on the areas of safety and hygiene, alongside ergonomic design and product quality.
The result is an instrument generation that is impressive in all aspects and will inspire you: ERAGON modular

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Products : ERAGON COMPACT

Our new ERAGON compact, monopolar instruments enable us to consistently meet
your requirements for cost-effectiveness, functionality, and ergonomic design.
The all-in-one design of the instruments provides a special feature. Each instrument is ready to use immediately and does not have to be assembled from different components. This minimizes the setup times prior to intervention
and reprocessing.

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Products : ERAGON BIPOLAR FORCEPS AND SCISSORS SYSTEM

modular • ergonomic • safe



All aspects of the new bipolar ERAGON system meet the requirements of economy, functionality and ergonomics.
ERAGON is a cost-effective, modular system with a wide range of different jaws sections. The system can be assembled and dismantled extremely simply thanks to the new "click-it system" and allows the use of a wide selection of jaws.

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Products : FULL SCREEN 5MM TELESCOPE 8935

According to the "less-is-more" principle and despite an external diameter of "only" 5.3 mm.

Our new PANOVIEW PLUS telescope provides bright, distortion-free,

Full Screen images comparable with images produced by a 10 mm telescope!

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Products : EYEMAX CHIP-ON-THE-TIP TECHNOLOGY

eyeMAX chip-on-the-tip technology sets new standards in laparoscopy with the latest generation CCD endoscopes. The image sensor, directly fitted within the distal tip of the endoscope, ensures clear and needle-sharp images.

The spirit of vision - Chip-on the tip endoscope. The 10 mm and 5mm laparoscopes are available with an angle of view of
0° and 30°.

Advantages

The 30° version has been provided with a mechanica l image correction system.

The direction of view can be turned through 360° b y rotating this wheel.

The perfect depth of sharpness adapted for laparoscopy ensures relaxed simple handling during the entire duration of the operation.

Focussing is never required.

A high-contrast image is produced as only one group of optical lenses is located in front of the CCD sensor.

The camera cable and the light guide cable can be removed, which facilitates the hygienic reprocessing.

Two individually programmable buttons remotely control the functions

The unit can be autoclaved and is suitable for machine reprocessing.

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Product: Tem Transanal Endoscopic Microsurgery

For more than twenty years, TEM (Transanal Endoscopic Microsurgery) has accompanied us in the world of colorectal surgery - from the first trials carried out by Professes Buess in the early 1980s until today. The TEM trend is not letting up, on the contrary, at present TEM is experiencing a real boom, and this subject is being discussed at almost all national and international congresses. New markets are being opened up for TEM (such as China – two large workshops in 2006 with Richard Wolf and Professor Buess), and the
others are being expanded continuously (such as Spain – again workshops with Richard Wolf in 2006 and in the years to come; annual courses during the congress of the American Society for Colon and Rectal Surgery, USA).
Therefore the TEM system is certainly the most successful niche product of Richard Wolf GmbH – with just under seven hundred systems sold world-wide. It is not only the instruments, but also the operating method as such that has developed into an established process in rectal surgery for certain tumour stages. The "patient benefit" is extremely high with TEM – There is hardly any other operating technique that offers more advantages for the patients than TEM.

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Test Product

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Overview

Bronchoscopy can now look back on more than a century of development. In 1897 Professor Kilian, working at a university hospital, succeeded in removing an aspired bone splinter from the right main bronchus of a patient. Today modern bronchoscopy is an essential technique for assessing airway disease.

Richard Wolf offers a complete product range of flexible and rigid bronchoscopes for children and adults. Whether for the removal of foreign bodies or the early detection of lung cancer, our instruments and equipment are designed specifically to meet users’ needs.

Why not convince yourself of the outstanding quality of our bronchoscopy instruments?


ACCESSORIES FOR TRACHEOSCOPY AND BRONCHOSCOPY

Richard Wolf supplies comprehensive instrumentation for tracheoscopy and bronchoscopy.

  • Rigid and flexible endoscopes
  • Tracheoscope- Bronchoscope tubes
  • Trocars
  • Dissectors / Probes
  • Forceps / Scissors
  • Pleura Abrader -Needles
  • Powder Spray
  • Suction-Irrigation-Systems
  • Cannulas
  • Electrodes
  • Endo-Suture

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Endoscopy For Gynaecology

Aside from diagnostic hysteroscopy, which has increasingly established itself as the standard method in clinics and gynecological practices in recent years, therapeutic interventions are gaining greater importance. However, operative hysteroscopy places high demands on the surgeon.

The R+D department at Richard Wolf has developed innovative products and modular system solutions in close cooperation with gynecologists. A special highlight in the development of instruments for operative hysteroscopy is represented by the “Resection Master“, consisting of a resectoscope with an integrated suction channel and a special, microprocessor controlled pump aggregate with an impulse transmitter for suctioning off the chip cuttings.

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Method / Applications : Gynaecological Laparoscopy

Although laparoscopy was described as early as 1900, this method first began to be used by the gynaecology community in the 1970s. The laparoscope was first used for diagnostic purposes and subsequently as an instrument for sterilisations. During the course of the 1980s, its therapeutic importance during surgical interventions became clear.

Richard Wolf GmbH was responsible for a large number of innovations during this period which contributed to this trend.

Our PANOVIEW telescopes with highest optical quality, our ergonomic MODUline forceps and scissors as well as our needle holders with axial handles, unique suction-irrigation systems and RIWO-ART trocars show only a small selection of the varied instruments for gynaecological laparoscopy.

INSTRUMENTS AND DEVICES FOR GYNAECOLOGICAL LAPAROSCOPY:

  • Telescopes / surgical laparoscopes
  • Modular forceps and scissors system
  • Trocars and accessories
  • Uterus manipulator
  • Instruments for monopolar and bipolar coagulation / HF electrodes
  • Modular needle holders
  • System for simple fascia closure
  • Modular suction - irrigation system
  • Morcellator

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MORCELLATORS FOR GYNECOLOGY

MORCELLATORS FOR GYNECOLOGY

The use of electronic morcellators in gynecological laparoscopy has been established for a long time. New trends in the treatment concept for intramural myoma and most importantly the introduction of laparoscopic, supracervical hysterectomy require advanced development of new systems geared toward further simplifying the application of not unhazardous morcellators and making them safer to use. Rapid dissemination of these methods results in an increased demand worldwide.

We are meeting the challenge of this global trend with our new product “MORCE POWER PLUS”.

MORCE POWER PLUS 2307

The new generation of electronic morcellators 2307

With the new development of the Morce Power Plus morcellation system, Richard Wolf has created the ideal conditions for simple, fast and safe morcellation of even large amounts of tissue.

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Product : SECUFIX UTERUS MANIPULATOR

The new SecuFix Uterus Manipulator defines new benchmarks for safety. The atraumatic fi xation of the uterus using vacuum aspiration and "Colpotransillumination", i.e. the option of visualizing tissue using distal,
annular illumination for the cervical cap are the signifi cant new product features. They are important factors for an optimum surgical result and permit compliance with oncological criteria, e.g. the avoidance of intraperitoneal tumor cell dislocation.

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BIPOTRODE - BIPOLAR ELECTRODEBIPOLAR-ELECTRODE FOR DISSECTION, PREPARATION AND COAGULATION IN HYSTEROSCOPY

The outstanding materials used in this premium product for HF gynecology meet all the exacting standards of gynecologists working with hysteroscopes.
Although the material of the Bioptrode has a natural stiffness, the processing of a semielastic steel means that the Bioptrode can also be used in classic hysteroscopy instruments with an angled 5 Fr. working channel. The stiffness and simultaneous flexibility of the Bioptrode helps the gynecologist in fine exposure, dissection and coagulation during hysteroscopy.

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MINI-COMPACT HYSTEROSCOPE

Advanced PANOVIEW rod-lens technology has enabled the outside diameter to be reduced to 3.8 mm. This compact design offers “All-in-One” additional protection for the delicate optical system. True Continuous Flow Technology – i.e. separate inflow and outflow channels – also maintains ideal visibility conditions in difficult situations even when an auxiliary instrument is introduced.

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Product: Resection Master

The resectoscope is considered worldwide to be the "Gold Standard" in the therapy of intracavitary myomas. In a myoma resection the chips float in the dilatation medium and this makes it more difficult to maintain control, since the chips have to be removed frequently. Every time the resectoscope is reintroduced, coagulated blood must firstly be rinsed out and the hydrometra re-established until a good view of the operating site is obtained, then the resection can continue. There is an increased risk of perforation due to these manipulations. There is an increased risk of the dreaded TUR syndrome, especially with longer surgery times.

With the RESECTION MASTER chips are aspirated immediately they are produced and removed from the cavity of the uterus without the hydrometra being impaired. Repeated interruptions of the resection are no longer the case, it is not necessary to time and again remove and reintroduce the resectoscope. There is continuous control during the entire myoma resection because of the automatic chip aspiration. As a result, the surgery time is significantly shortened. This results in a clear reduction of complications compared with using the conventional resectoscope, and the surgeon can resect the myoma completely and with much less difficulty.

  • Simplified resection
  • Continuously in control
  • Reduced surgery times

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ENT ENDOSCOPES AND INSTRUMENTS

ENT is probably the field with the broadest range of instruments. They include endoscopes and instruments for otology, rhinology, laryngology, bronchology and esophagology. Whether diagnostics or therapy, office or hospital practice, Richard Wolf has the right instrument set for every application.


Why not convince yourself of our range of instruments specifically tailored to users. All feature the premium quality users have come to expect of Richard Wolf instruments.

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Applications / Method

LARYNX

Thanks to the use of rigid and flexible endoscopes, ENT disciplines have gained enormously in medical importance. Richard Wolf is particularly prominent in this field with our large range of  laryngoscope blade shapes and related accessories.

The magnifying laryngoscope provides users with an endoscope of the highest standard.

Richard Wolf has over 50 years’ experience in this field. Why not take advantage of it?

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EAR

The illnesses of the human ear can take many forms. Richard Wolf offers a precisely adapted instrument range for diagnostics and therapy in numerous ear disorders. This high-grade product range is oriented to the specific indications. Richard Wolf can offer a broad user product variety, ranging from endoscopy via conventional surgery through to motorized systems. It is very patient friendly, functional, and extremely appreciated in ENT medicine.

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NOSE

Richard Wolf makes products and product sets of world-renowned, highest quality available for numerous indications (diagnosis and therapy) which affect the nose. The complete medical solutions are intended for all-important therapeutic interventions, whether conventional or endoscopically supported, whether manual or motor-driven. Richard Wolf – an incomparable claim to quality.

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FUNCTIONAL ENDOSCOPIC SINUS SURGERY FESS

Richard Wolf GmbH offers a wide range of instruments for functional endoscopic sinus surgery (FESS). This common operating method for the treatment of the paranasal sinuses is state-of-the-art in medicine today. Our high-definition endoscopes and sinuscopes offer extreme luminous intensity and therefore illuminate the entire paranasal sinus.The FESS method combines lower risk and faster recovery compared to open sinus surgery, where access is achieved via the mouth or face. FESS is a more precise and less invasive option of opening up the paranasal sinuses.

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MOUTH / TONSILS

Tonsillectomy is probably the most commonly performed intervention in ENT medicine. Richard Wolf therefore offers instruments for routine use at the very highest level. This extensive product range is complemented by our surgical headlamps.

We will be happy to advise you about selecting an individual set.

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PHONIATRICS

Voice analysis is a wide-ranging field. Here too Richard Wolf offers suitable instruments and equipment for diagnosis and treatment. The high-speed Endocam is particularly suitable for capturing breathtaking photos. 

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ESOPHAGOSCOPY

Within the sub-discipline of esophagoscopy, within the ENT field of expertise, Richard Wolf is also developing – in close cooperation with key doctors – a patient and user friendly instrument range for rigid esophagoscopy for children and adults. The innovative product systems are increasingly popular in this sub-discipline as well. There is worldwide demand for these products due to their high quality and functionality.

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Product : REMACLE LARYNGOSCOPES

With its Remacle laryngoscopes Richard Wolf offers a fresh solution with four individual blade shapes. One of the main features is the lightweight design of the instruments. Moreover, the light guide or the smoke extraction tube can optionally be mounted on the outside or inside, thus ensuring a perfect visual field and an ideal working channel. (Remacle laryngoscope set)

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Product: ADJUSTABLE LARYNGOSCOPE BY POTOTSCHNIG

The new adjustable laryngoscope by Pototschnig* can be used universally and generally replaces two standard tubes. Its straightforward, uncomplicated design simplifies the activities of both the operator and the other OR staff.
The new retraction system with lateral toothing prevents soft tissue, such as the tongue, or ventilation tubes entering the lumen of the laryngoscope or becoming trapped. As a result the operator always has an ideal view regardless of the position or technique used

  • Optimum view in all situations
  • No obstruction caused by soft tissue
  • Conventional and laser applications possible

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LUCY LED HEADLAMP SYSTEM

The light solution- smaller, lighter, more flexible – brighter!
The modular LED Headlamp System"Lucy" from R.WOLF allows any user to put together their own, individually optimized system.

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LUCY OFFERS MAXIMUM WEARING COMFORT

The modular LED Headlamp System Lucy allows any user to put together their own, individually optimized system. The lamp’s fully flexible fabric headband
adapts to the individual shape of the user’s head and offers maximum wearing comfort with minimum weight.

The breathable fabric ensures perfect dissipation of heat and moisture, and is maximally skin friendly (free of latex and adhesive). An unrivalled small lamp unit – positioned directly between the eyes of the user – achieves optimum illumination of even deep cavities with the coaxial alignment of illumination and observation path. The integrity of the user’s field of view is virtually complete.

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Product : HIGH SPEED CAMERA 5562

With its increasing number of professions relying on voice, modern society places ever greater demands on our speech organs. As a result, dysphonia
is on the rise in a wide variety of professions.The voice is the acoustic product of the larynx function and the structure of the phonation organs. In addition to morphological evaluation, the functional examination of the larynx is therefore of special diagnostic importance. Effective diagnostics is thus an essential prerequisite for selective, individual therapy to restore or improve speech quality and performance. According to the recommendations of the European Laryngological Society as well, research and evaluation of the speech organs form an essential part of voice diagnostics. Endo-stroboscopy has also been established for some time as a routine clinical procedure. The stroboscopic principle is based on a visual illusion and facilitates detailed and nuanced evaluation of vocal cord oscillations. The essential diagnostic significance
lies especially in the differentiation of organic dysphonias.

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Product : HIGH SPEED ENDOCAM 5562 KAMERA-CONTROLLER

However, this process is subject to limits imposed by its temporal resolution in recording and interpreting irregular vocal cord oscillations. While an analysis of only 25 full images per second is possible with the aid of stroboscopy, high-speed videophotography as presented in this brochure has been able to capture
4000 or more images per second. It is therefore superior to clinical laryngostroboscopy in many areas of speech diagnostics.

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Product:HIGHSPEED-CAMERA HEAD WITH LUPENLARYNGOSCOPE

The faster resolution of digital high-speed videophotography makes it possible to record periodic deviations in individual vocal cord movements precisely and to observe opening and closing phases in the motion process of the vocal cords without phonation. Examining the use of voice has a great diagnostic importance, especially in evaluating functional dysphonias. In addition, color display options allow not only a functional, but also a detailed morphological evaluation. Combined with a special laryngoscope, a continuous light source, and a PC processing system, the WOLF HRES ENDOCAM 5562 provides researchers with a complete diagnostic system that allows more precise and extended evaluation of physiological und pathological voice parameters at a reasonable price.

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Product : SEPTUM RHINOPLASTY

Our Septum Operations Set provides users with an instrument set of outstanding quality. Sophistication of construction is particularly important in the case of cutting instruments.

Here too Richard Wolf insists on absolute precision without compromise.

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Product : POWERDRIVE ART1 GENERATOR 2304

Optimum technical equipment is a fundamental prerequisite for a successful arthroscopic operation. A shaver system is undoubtedly part of the basic equipment for arthroscopic interventions.
Improvement of technical parameters and integration of benefits for users were the forefront of development. 

The universal motor system for orthopaedics and traumatology to connect motorised shavers, drills and saws.

  • Automatic handpiece, knife and burr detection Detection of all motorised handpieces and tools when connected to the device console and preselection of the optimum application parameters
  • Automatic user memory Memory for user-specific parameters (rotational
    speed, torque, oscillation, language, display setting)
  • Memory for shaver tool Recording of time in use and frequency of use for reusable shaver tool

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Product : COMBIDRIVE EN THE UNIVERSAL DRIVE SYSTEM FOR MICROSURGERY AND ENDOSCOPY

Power-assisted drive systems for drilling, sawing and abrading tools have been
part of the basic equipment for endoscopic and microsurgical interventions for some time now.
As the successor system to the Chirmot 10, the COMBIDIRVE EN provides combined operation with high-speed and shaver applicators in microsurgery and endoscopy.
Microsurgery is an operating technique which has developed from minimally invasive operations, vascular and hand surgery. These interventions are generally carried out using optical instruments that produce highly magnified images (generally surgical microscopes). Microsurgical interventions are mainly undertaken in the following areas:

  • Hand surgery
  • Neurosurgery
  • Spinal surgery
  • Oral and maxillofacial surgery
  • Eye surgery
  • Vascular surgery
  • ENT treatment

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CONSERVATIVE ORTHOPEDICS AND SURGICAL ORTHOPEDICS

Orthopedics and orthopedic surgery are important subdisciplines of medicine.
They comprise the diagnosis, therapy, prevention and rehabilitation of diseases and injuries of the supporting and locomotor apparatus. Orthopedics are the medical discipline dealing with bones, muscles, tendons and joints and their degenerations and diseases.
The supporting and locomotor organs are the biggest organ system of the human body and can therefore be affected by many different diseases.

ENDOSCOPIC INSTRUMENTS AND DEVICES IN ORTHOPEDICS

Richard Wolf 's product range offers endoscopic instrumentation and devices specially developed for orthopedic operations. In particular in orthopedics, diagnostic and therapeutic possibilities are becoming ever more versatile and effective. With their growing experience users also wish to have extended therapy options and the new instrumentation required for such options.

In addition to innovative new developments our range of endoscopic instruments in orthopedics comprises over 800 products for human medicine. Richard Wolf produces and markets arthroscopic systems and implants for the treatment of all joints. This includes large joints such as hip, shoulder, elbow, and knee joints as well as hand, finger and ankle joints.

For almost every joint injury or connected soft tissue injury Richard Wolf supplies the optimum product. Joint disorders caused by sports injuries, joint wear or degenerative processes are a common disease of our time. Without the latest arthroscopic methods many operations on joints could not be carried out.

Comprehensive medical know-how is an integral part of our research and development. International cooperation and partnerships with leading enterprises such as the japanese implant manufacturer of bioresorbable products, Takiron, offer our customers competence and flexibility.

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Applications / Method
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HISTORY OF ARTHROSCOPY

The first arthroscopies were carried out by Takagi in Tokio in 1918. In 1921 E. Bircher reported about his first arthroscopic experiences gained with a laparoscope.
Since the 60ies arthroscopy is considered as the most tissue-saving and lowest-risk method in joint diagnostics and therapy. The use was in most cases limited to the knee joint, later the shoulder joint, hip joint, elbow joint, wrist joint and ankle joint were added.

RICHARD WOLF IS A FULL-RANGE SUPPLIER IN ARTHROSCOPY

Our product range comprises:

  • ACL and PCL techniques
  • Bioactive interference screws
  • Innovative shoulder reconstruction system
  • Systems for arthroscopy in small joints
  • New access methodology in hip arthroscopy

We offer the first high-strength HA/PLLA resorbable implant material worldwide, cooperating with Takiron Co., Ltd., Japan, one of the most renowned manufacturers in this field.

 

MENISCUS INJURIES AND DISEASES

There are sickle-shaped cartilage disks or meniscuses between the shin bone plateau and the femural condyles. Their function is to adapt to the bone shape and provide guidance and stabilization of the knee joint. Mechanical loads cause the formation of tears or fraying. The most frequent injury patterns and lesions of the inner meniscus are the bucket-handle tear, radiar tear and parrot-beak tear.

ACL RECONSTRUCTION (ANTERIOR CRUCIATE LIGAMENT)

Reconstruction of the anterior cruciate ligament ACL using the hamstring has recently become of increasing interest. Fixation using endo buttons is
a common method. The disadvantages of this fixation away from the point of insertion are:

  • enlargement of the tunnel
  • creep at the tendon-tape transition along with giving of the tendon construct and permanent elongation (Höher et al*)(3.8+/-0.8mm). This is also known as the Bungee effect.

Fixation close to the insertion has been suggested and such methods have already been used successfully:

  • Fixation using an interference screw
  • Suspension of loops using transverse rods

Disadvantages of these techniques are:

  • hardware costs
  • problems with revision surgery
  • awkward and time-consuming
"PRESSFIT-TECHNIQUE" AN ALTERNATIVE SOLUTION

The Pressfit-technique has been developed with the following major features:

  • Fixation close to the point of insertion
  • Avoidance of hardware
  • Simple graft preparation

 

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HISTORY OF ARTHROSCOPY

The first arthroscopies were carried out by Takagi in Tokio in 1918. In 1921 E. Bircher reported about his first arthroscopic experiences gained with a laparoscope.
Since the 60ies arthroscopy is considered as the most tissue-saving and lowest-risk method in joint diagnostics and therapy. The use was in most cases limited to the knee joint, later the shoulder joint, hip joint, elbow joint, wrist joint and ankle joint were added.

RICHARD WOLF IS A FULL-RANGE SUPPLIER IN ARTHROSCOPY

Our product range comprises:

  • ACL and PCL techniques
  • Bioactive interference screws
  • Innovative shoulder reconstruction system
  • Systems for arthroscopy in small joints
  • New access methodology in hip arthroscopy

We offer the first high-strength HA/PLLA resorbable implant material worldwide, cooperating with Takiron Co., Ltd., Japan, one of the most renowned manufacturers in this field.

MENISCUS INJURIES AND DISEASES

There are sickle-shaped cartilage disks or meniscuses between the shin bone plateau and the femural condyles. Their function is to adapt to the bone shape and provide guidance and stabilization of the knee joint. Mechanical loads cause the formation of tears or fraying. The most frequent injury patterns and lesions of the inner meniscus are the bucket-handle tear, radiar tear and parrot-beak tear.

ACL RECONSTRUCTION (ANTERIOR CRUCIATE LIGAMENT)

Reconstruction of the anterior cruciate ligament ACL using the hamstring has recently become of increasing interest. Fixation using endo buttons is
a common method. The disadvantages of this fixation away from the point of insertion are:

  • enlargement of the tunnel
  • creep at the tendon-tape transition along with giving of the tendon construct and permanent elongation (Höher et al*)(3.8+/-0.8mm). This is also known as the Bungee effect.

Fixation close to the insertion has been suggested and such methods have already been used successfully:

  • Fixation using an interference screw
  • Suspension of loops using transverse rods

Disadvantages of these techniques are:

  • hardware costs
  • problems with revision surgery
  • awkward and time-consuming

"PRESSFIT-TECHNIQUE" AN ALTERNATIVE SOLUTION

The Pressfit-technique has been developed with the following major features:

  • Fixation close to the point of insertion
  • Avoidance of hardware
  • Simple graft preparation


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ENDOSCOPIC CARPAL TUNNEL RELEASE WITH THE ENDO-CARTRIS

ENDOscopic CARpal Tunnel Release Instrument Set

Major developments have been made recently in endoscopic carpal tunnel release. To refine this method and to make it safer and with less morbidity, we have developed a new instrument set. The unique ENDO CARTRIS® instrument set resulted from close cooperation with leading surgeons and from our many years of experience and know-how in endoscopy. It allows endoscopic treatment of carpal tunnel syndrome in a single intervention with less patient trauma.

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INJURIES OF THE CRUCIATE LIGAMENT AND MENISCAL LESIONS

Over the past decades the number of injuries of the capsule ligament apparatus of the knee joint has steadily increased. This is in part due to the intensive leisure time activities of large sections of the population. Ball sports and skiing are amongst such knee-joint-stressing activities. Acute injuries of the knee joint can be reliably diagnosed thanks to clinical diagnostics such as arthroscopy and magnetic resonnance tomography (MRI).
The anterior cruciate ligament is amongst the most frequently injured ligaments of the knee joint. Only in a few cases an isolated injury of the anterior cruciate ligament is found. Rather, in 3 out of 4 acute ACL ruptures, concomitant injuries are diagnosed, out of which 75% are meniscal lesions.

KNEE / UPPER ANKLE JOINT

Today, arthroscopic interventions on the knee joint are standard procedures. From the beginning, R. Wolf has taken a leading position in terms of innovations, standards and quality.

The most recent example consists of the instruments for implant-free ACL reconstruction. R. Wolf offers the complete product range for all customary arthroscopic procedures, such as meniscus resection, meniscus seam, microfracture, cartilage transplant and ACL reconstruction.


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INTERFERENCE SCREW

INTERFERENCE SCREW

A simple technical solution for direct fixation of the transplant in the femur and tibia using interference screws generates a stable fixation close to the insertion. The method is established all over the world. The interference screws compress the bone plug or ligament in the tibial or femural drill tunnel, thereby promoting fast bone growth. This allows fast functional aftercare, which again reduces swelling and pain.

ADVANTAGES OF BIORESORBABLE SCREWS

Fixing the transplant with metal screws is a widely used method. Implanted metal screws, however, may have a negative after effect, such as hypersensitivity to metals, stress concentrations on the bone, metal artefacts under radiological follow-up examinations. This pushed the development of bioresorbable interference screws. The Richard Wolf Bioact IF Osteotrans bioresorbable interference screws guarantee the same initial ancoring as metal screws. Over time, however, they dissolve slowly and are replaced by the patient's own bone tissue.

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INTRAMEDULLARY BONE ENDOSCOPY SET BY OBERST

INTRAMEDULLARY BONE ENDOSCOPY SET BY OBERST

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SPORTS MEDICINE

SPORTS MEDICINE

Richard Wolf is one of the leading manufacturer and developer of innovative surgical products for sports medicine. We are offering a large collection of instruments and devices for minimal invasive solutions for the hip, the shoulder, the knee and small joints.

SPORTS MEDICINE AND ARTHROSCOPIC SOLUTIONS

Richard Wolf provides products, knowledge and experience resources you need to offer the best possible care for your patients. Our comprehensive portfolio includes technologically advanced systems and solutions for sports medicine injuries.
Arthroscopic instruments

ANCHORS FOR SHOULDER ARTHROSCOPY

The implant solutions of Richard Wolf for soft tissue repair, like the sterile self cutting titanium screw anchor for labrum and rotator caff fixations consisting of:

  • made of titanium 
  • single use applicator assembled with non resorbable sutures tear-resistant Super- Fiber® or polyester fibers.
  • titanium screw anchor for Labrum refixation 
  • titanium screw anchor for reconstruction of the rotator cuff.
  • color code shows diameter

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ORTHOPAEDICS / ESWT / TPST

The PiezoSon 100 plus is a small, powerful desktop device for extracorporeal shock wave lithotripsy of all orthopaedic ESWT and TPST indications. The heart of the unit is the compact Wolf Piezo dual-layer shock wave source; this allows a small and ergonomic design without forfeiting any power. The device is controlled from the front panel of the multifunction operator control and display unit. All the device parameters can be set and monitored with fine precision.


With its multiple connector, gel-filled therapy sources of varying designs can be adapted. With the gel-filled waterless therapy sources, the depth of penetration can be varied by using pads of different thicknesses. New acoustically adapted gels now allow the focused shock waves to be adapted without a water-filled coupling membrane. All shock-wave sources of the adaptable therapy sources of the PiezoSon 100 plus have the new dual-layer design. Apart from giving you twice the power, we also guarantee a working life of at least 5 million shock waves. 

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Products

INSTRUMENTS FOR ACCESS

Stable puncture cannulas allow direct passage through all soft tissue structures for the primary access to the joint under X-ray control and the creation of other access portals under endoscopic control. The semi flexible guide wires made of Nitinol (Ø 2 mm) are introduced through the inner lumen of the puncture cannulas into the joint and serve as a blunt guide rail for the introduction of all cannulated instruments.
As the first dilator, the cannulated rod expands the access portal to the joint over the guide wire. The trocar sleeves of the arthroscope can be introduced directly over this rod. The semi dish shape of the guide tube is used as a guide channel for introducing instruments. This can be introduced into the joint either via its cannulated obturator or via a dilator (blue).

DILATION SYSTEM

The user-friendly dilation system consists of three colour-coded "one-step" dilators, each with a different diameter, that are introduced into the hip joint one after the other starting with the smallest diameter using the ergonomic handpiece attachment.

ARTHROLUTION-ARTHROSCOPES

The Arthrolution trocar sleeves were shaped specially for atraumatic use in the joint in conjunction with a PANOVIEW telescope with a 70° angle of view. Telescopes with a 30° or a 45° angle of view can also be used. A maintenance-free click locking mechanism guarantees simple, safe and fast connection of the telescopes in the trocar sleeves.

Cannulated trocars allow direct introduction of the arthroscopes into the joint via the guide wire. A new continuous-irrigation arthroscope was developed to optimise the view in the joint. Balanced continuous irrigation and suction allow the joint to be irrigated quickly and guarantee an excellent view.

Longer arthroscopes are also available for obese patients.

MANUAL INSTRUMENTS
  • Specially shaped curettes with ergonomic handpieces for effective removal and smoothing of bone, remnants of cartilage and calcium deposits.
  • Extended hooked probe, graduated for palpation and measuring.
  • Rasp for debriding and removing bone.
  • Banana knife for incision of the joint capsule
  • Punches: Sharp punches with adapted length and various degrees of bend and angle used to resect dense tendinous and ligamentous structures.

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RIWOBUTTON - IMPLANT FOR FEMORAL FIXATION OF CRUCIATE LIGAMENT TRANSPLANTS
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The main area of application for the tendon anchor is femoral fixation of tendon transplants (semitendinosus and/or gracilis tendons) in reconstruction of the anterior cruciate ligament (ACL) in knee surgery. The defective cruciate ligament can be reconstructed as a single bundle and as a double bundle (particularly in large knee joints). The RIWObutton can be used for both techniques.

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T-LOCK OSTEOTRANS BIOACTIVE AND RESORBABLE TENDON ANCHOR

The main area of application for the tendon anchor is femoral fixation of tendon transplants (semitendinosus and/or gracilis tendons) in reconstruction of the anterior cruciate ligament (ACL) in knee surgery. The defective cruciate ligament can be reconstructed as a single bundle and as a double bundle (particularly in large knee joints). The tendon anchor can be used for both techniques.

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INTERFERENCE SCREW BIOACT IF OSTEOTRANS

Bioactive and Bioresorbable Interference Screws for ACL and PCL Reconstruction

Bioresorbable interference screws have been used for fixing tendons in the reconstruction of anterior and posterior cruciate ligaments for many years.
The polymer polyactide has been used as the material of choice in the manufacture of these fixation implants on account of complete biodegradability and bioresorbability.

Bioact IF OSTEOTRANS is the name for the new generation of bioactive and bioresorbable interference screws from Richard WOLF. The unique composite material made of Poly-L-Lactide (PLLA) and Hydroxyapatite (HA) demonstrates an osteoconductive effect in bones. Trabecular structures grow into the surface of the implant within a short space of time.

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BIOACTIVE AND BIORESORBABLE INTERFERENCE SCREWS

The bioactive and bioresorbable interference screw BioactIF OSTEOTRANS for fixation of hamstring, quadriceps and patellar tendon bone grafts. It can be used in ACL or PCL reconstruction. The advantages of the BioactIF OSTEOTRANS screw beside the enhanced bioactivity:

  • Direct bone bonding
  • Osteoconductivity
  • Total replacement with natural bone
  • Components close to human bone
  • Bioresorbability (osteoconductivity and bone bonding apability)
  • Biodegradable and bioabsorbable
  • Reinforced by a complex crystal orientation
  • Semi-crystalline polymer
  • Excellent biocompatible
  • Total resorption

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ANCHOR SYSTEMS FOR SHOULDER ARTHROSCOPY

The implant solutions of Richard Wolf for soft tissue repair, like the sterile self cutting titanium screw anchor for labrum and rotator caff fixations consisting of:

  • made of titanium 
  • single use applicator assembled with non resorbable sutures tear-resistant Super- Fiber® or polyester fibers.
  • titanium screw anchor for Labrum refixation 
  • titanium screw anchor for reconstruction of the rotator cuff.
  • color code shows diameter

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Overview

Richard Wolf offers a complete product range for endoscopic thoracic surgery. Our instruments also cover the field of single-port thoracoscopy and video mediastinoscopy. Needless to say, we can provide complete surgical sets as well as high-performance camera systems and light sources.

Why not convince yourself of the brilliant quality of our endoscopes coupled with an HD camera system?

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VATS = VIDEO-ASSISTED THORACOSCOPIC SURGERY

VATS = Video-Assisted Thoracoscopic Surgery a technologically highly sophisticated operation of the lung is in many departments of thoracic surgery as a standard procedure established.

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BRONCHOSCOPY

Bronchoscopy can now look back on more than a century of development. In 1897 Professor Kilian, working at a university hospital, succeeded in removing an aspired bone splinter from the right main bronchus of a patient. Today modern bronchoscopy is an essential technique for assessing airway disease.

Richard Wolf offers a complete product range of flexible and rigid bronchoscopes for children and adults. Whether for the removal of foreign bodies or the early detection of lung cancer, our instruments and equipment are designed specifically to meet users’ needs.

Why not convince yourself of the outstanding quality of our bronchoscopy instruments?


ACCESSORIES FOR TRACHEOSCOPY AND BRONCHOSCOPY

Richard Wolf supplies comprehensive instrumentation for tracheoscopy and bronchoscopy.

  • Rigid and flexible endoscopes
  • Tracheoscope- Bronchoscope tubes
  • Trocars
  • Dissectors / Probes
  • Forceps / Scissors
  • Pleura Abrader -Needles
  • Powder Spray
  • Suction-Irrigation-Systems
  • Cannulas
  • Electrodes
  • Endo-Suture

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Products

THE WORLD’S FIRST DISMANTLABLE VIDEO MEDIASTINOSCOPE FROM RICHARD WOLF

The dilating video mediastinoscope greatly facilitates surgical work through the adapted endoscope. Moreover, new reprocessing requirements prompted us to design the adjusting mechanism to be fully detachable to ensure reliable manual as well as machine reprocessing.

ALL THE ADVANTAGES AT A GLANCEE IN ADDITION TO THE WELL-KNOWN BENEFITS SUCH AS …
  • Height adjustment (parallel adjustment) 
  • Distally spreadable blades
  • Optimum visual conditions even with the blades open
  • use in “extended mediastinoscopy”, i.e. the space gained through parallel and distal spreading provides better access to laterally situated lymph nodes
  • Aspiration-irrigation channel for cleaning the optics during interventions
 … THE INSTRUMENT PROVIDES THE FOLLOWING ADVANTAGES: 
  • Dismantlability of the adjusting mechanism
  • All the materials used are compatible with commercially available reprocessing methods, including alkaline disinfection, steam sterilization, hydrogen peroxide sterilization, etc.
  • Cover glasses are soldered rather than bonded in place, making them resistant to alkalis and sealing them tight for steam sterilization.
  • Very smooth operation thanks to the use of precision ball bearings
  • Fully meets the latest reprocessing guidelines

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MINI-THORACOSCOPY SET FOR THE SINGLE-PORT TECHNIQUE

This small-lumen set is an all-in-one solution for diagnostic procedures in thoracic medicine. At its heart is a semiflexible surgical endoscope with an integrated working channel. The working channel can be used to introduce various instruments or to aspirate fluid. Fluid can be aspirated even with an instrument inserted. All that is required is for the tip of the optics to be immersed in the fluid to be removed.

The set consists of multiple instruments. The monopolar spoon forceps for biopsy excision can also be used to take a biopsy of the pleura. Thanks to the large jaw size, surgeons can obtain informative tissue samples. If unexpected bleeding occurs, it can be staunched immediately by activating the high-frequency current.

A probe hook is included in the set for probing and lifting various areas. If pleurodesis is required, it can be performed with the help of the powder blower, which ensures simple, well-metered distribution of the talc.

Adhesiolysis can also be performed easily under visual guidance using the high-frequency hook included in the set

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VIDEO MEDIASTINOSCOPE

THE WORLD’S FIRST DISMANTLABLE VIDEO MEDIASTINOSCOPE FROM RICHARD WOLF

The dilating video mediastinoscope greatly facilitates surgical work through the adapted endoscope. Moreover, new reprocessing requirements prompted us to design the adjusting mechanism to be fully detachable to ensure reliable manual as well as machine reprocessing.

ALL THE ADVANTAGES AT A GLANCEE IN ADDITION TO THE WELL-KNOWN BENEFITS SUCH AS …
  • Height adjustment (parallel adjustment) 
  • Distally spreadable blades
  • Optimum visual conditions even with the blades open
  • use in “extended mediastinoscopy”, i.e. the space gained through parallel and distal spreading provides better access to laterally situated lymph nodes
  • Aspiration-irrigation channel for cleaning the optics during interventions
 … THE INSTRUMENT PROVIDES THE FOLLOWING ADVANTAGES: 
  • Dismantlability of the adjusting mechanism
  • All the materials used are compatible with commercially available reprocessing methods, including alkaline disinfection, steam sterilization, hydrogen peroxide sterilization, etc.
  • Cover glasses are soldered rather than bonded in place, making them resistant to alkalis and sealing them tight for steam sterilization.
  • Very smooth operation thanks to the use of precision ball bearings
  • Fully meets the latest reprocessing guidelines

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PLEUROLUTION - UNIPORT THORACOSCOPY SET

The PleuroLution-System from Richard WOLF opens up new pioneering perspectives. The new Uniport Thoracoscopy Set from Richard WOLF is an ideal combination of the advantages offered by traditional (single-port) thoracoscopy with advanced video technology.

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ENDOSCOPES FOR UROLOGY

Richard Wolf offers a wide range of rigid and flexible endoscopes, high-quality instruments and equipment for the entire urology. Urological procedures be optimized by high quality materials and innovative endoscopic systems. By quality and durability of our urological instruments and endoscopes are highly appreciated for decades to urologists around the world.

ENDOSCOPY FOR UROLOGY

Our instruments in E-Line ad S-Line design allows the urologist to do difficult and challenging operations safely. Diagnostic and therapeutical interventions in kidney urethra, bladder, ureter and prostate can be performed on the highest level.

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CYSTOSCOPY

Today, cystoscopy is an established - and indeed the most frequently performed endoscopic procedure in urology. To meet the high demands in clinics and in practice, Richard Wolf offers high-grade, well developed system solutions.

Depending on the indication and the anatomical situation, the comprehensive urological instrument range provides the optimal combination of instruments.

This applies to: Urethrotomes Cystoscopes Resectoscopes Incontinence therapy

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LASER APPLICATIONS

Richard Wolf, worldwide renowned manufacturer of endoscopes for all medical fields, has developed a complete, fully functional set for laser enucleation. The set consists of a laser resectoscope, a special morce-scope and a tissue morcellator. In this laser set, Richard Wolf has achieved another highlight on the long list of the successful system solutions which are in surgical use on a global basis. The components of this system are compatible with the standard Wolf products, and can also be used with video systems from other manufacturers.

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KEYPORT - THE COST-EFFECTIVE ROUTE TO MODERN SURGERY FROM RICHARD WOLF

The Single Port originated from the discussion about new, minimally invasive operating techniques, e.g. by using natural openings in the body providing access for surgery (Natural Orifice Translumenal Endoscopic Surgery – NOTES) and the associated “scarless operation”. The Single Port technique involves introducing all the instruments necessary for the specific surgical intervention into the abdomen through a single port at the navel (Umbilicus). The scar produced from the port can be discretely concealed in the navel and it is no longer visible after a few weeks. The scarless result and the prospect of less pain, faster recovery and quicker return to the everyday routine make the Single Port technique increasingly attractive for many surgeons, hospitals and patients.

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NEPHROSCOPY

The main indication for nephroscopy is primarily the removal of kidney stones, which is regarded as an alternative to ESWL.

Richard Wolf, one of the leading endoscopy manufacturers worldwide, has developed innovative urological product sets with the greatest user-friendliness and quality. For nephroscopy, a patient-friendly instrument range for therapy of large stones in the renal pelvis and renal calyx, as well as for percutaneous stone therapy, is available to urologists.

In use worldwide; suitable for adults and children.

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PAEDIATRIC UROLOGY

Pediatrics includes a broad knowledge spectrum, significant in the care of children ranging from very small premature babies to adolescents.

With its outstanding know-how in medical endoscopy, Richard Wolf has developed new products and modular system solutions with high functionality and patient-friendliness. “Pediatric urologists“ have been working with the well-developed and high quality product instrumentation from Richard Wolf since decades.

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PPD-SYSTEM …EARLY IDENTIFICATION – STOPS WORRIES!

The photodynamic "PDD" diagnostic system has developed into a genuine alternative for early identification of bladder carcinoma during the past few years. This procedure is based on an interaction between light of suitable wavelength with tumor selectively enriched substances. These substances generate fluorescence contrasts during the PDD.

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URETERORENOSCOPY

Aside from the obvious diagnostic purposes, uretero-renoscopy is used primarily for therapy. The great success of the Richard Wolf uretero-renoscopes is enabled largely by the miniaturization and improvement of the optical systems. The uretero-renoscopes (URS) were continuously improved in line with the rising demands placed on design, quality and user-friendliness. Due to their high-grade materials and extraordinary patient protection, these systems are in worldwide use. Uretero-renoscopes from Richard Wolf are the OR systems preferred by urologists.

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UROLOGICAL LAPAROSCOPY

In the field of urological laparoscopy, Richard Wolf offers a comprehensive, broad product range with accessory instruments. The product systems are continuously optimized in cooperation with key doctors. Product innovations are developed towards further new indications. Richard Wolf also stands for excellent, well-developed and work-friendly products and product systems in urological laparoscopy.

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VISUALISATION

Richard Wolf can look back on one hundred years' experience in development and manufacture in endoscopy with high-quality imaging products and product systems. Supported by its presence world-wide, Richard Wolf has also acquired internationally the image of a competent partner and well-known high-tech company for new concepts in digital visualisation.

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Camera : ENDOCAM LOGIC HD

ENDOCAM® Logic HD is the logical advanced development of existing camera systems from Richard Wolf. Sophisticated development processes and the exceptional expertise within the company have created a product that leaves nothing to be desired. ENDOCAM® Logic HD develops its full power within a complete, innovative and integrated system that holds a leading position in the market for endoscopic cameras.

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Light Source : NEW ENDOLIGHT LED LIGHT SOURCE WITH EXCELLENT COLOR FIDELITY AND HIGH LUMINOUS INTENSITY

Our new ENDOLIGHT LED 1.1 und ENDOLIGHT LED 1.2 light sources combine superbly adapted illumination with high cost-efficiency.

Both models, the ENDOLIGHT LED 1.1 and the ENDOLIGHT LED 1.2, produce illumination comparable to 180-watt xenon light sources.

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XENON LIGHT PROJECTORS

The light projectors from Richard Wolf GmbH from 180W to 300 W are especially matched to endoscopic applications and are for interdisciplinary use. Automatic light regulation optimises the luminous flux and ensures ideal light conditions.

Our local medical product advisor will be pleased to provide you more details about our products, or simply request our catalogue.

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HALOGEN LIGHT PROJECTORS

Our halogen light projectors are equipped with a long-life function that prolongs the life of the lamps by up to 4 times. The product range comprises 150W to 250W in the halogen range with optimised focussing for the light cable adaptation. 
Optical monitoring of the spare lamp ensures additional safety.

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LIGHT CABLE

Optimum light transmission requires optimum adaptation of light cable and endoscope. We offer light cables of 1.6 to 4.5 mm diameter of the fibre bundle.

The high temperature-resistant light conducting cable, which is outstandingly suitable for transmitting high light intensities (300W xenon), has found very good acceptance. Its temperature resistance thus leads to a far longer life of the light conducting cable.

  • PDD light source for photo-dynamic diagnostics in the bladder
  • DAFE light source for diagnostic autofluorescence in bronchoscopy

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DOCUMENTATION SYSTEMS

Thanks to many years' experience in endoscopy, supported with high-quality imaging systems, Richard Wolf has acquired the image of a competent partner and a leading high-tech company. An important area of Richard Wolf is the provision and implementation of different solutions for documentation of operations. Individual systems for documentation using on digital media or a complete, multimedia image management system (PACS) is available. All tools for complete, digital patient image and document management for complete operating rooms can be provided.

  • Digital video recorders and video printers with analogue and digital mode of operation
  • PACS patient archiving devices in the DICOM standard
  • Accessories

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VICTOR HD FOR DOCUMENTATION IN FULL-HD QUALITY

VictOR HD is a pure high-definition documentation system, compatible
with all HD ENDOCAM. Its intuitive control concept using an external 19” touchscreen monitor is a highlight of the system.

VictOR HD is positioned in the price segment between simple USB recorders and modular DICOM documentation systems.

It can handle recordings in Full-HD 1080p. Development work focused on the following items to assist all users working with VictOR HD:

VICTOR HD OFFERS YOU:

  • Saves time in the operating room
  • VictOR HD stores images on USB media in real-time
  • Easy, intuitive handling
  • Compatible with HD image sources like cameras
  • Excellent image quality for recordings
  • Future-proof: Updates are easily installed via a USB stick.
  • Flexible storage: USB sticks, USB hard disk, DVDs, Blu-ray discs or the network can be used as the main storage location

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USB STORAGE DEVICE MEDICAPTURE USB300 HDTV AND USB200

Medicapture USB200. The simplest way to store endoscopic images and movies digitally on the PC.

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Convince yourself about the quality of the products by demonstrations without obligation. Our competent field sales staff are at your disposal at all times.

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HD-LCD MONITORS

As the last part in the video chain of video endoscopy high grade monitors are essential. Richard Wolf offers a huge variety of tested and calibrated monitors which provide the user with a perfect image quality and true colors for high definition endoscopy.

We offer a wide product range of medically approved LCD monitors. From Full-HD 32 inch LCD with extensive features till to reasonably priced 15 inch version for officies or as a second monitor.

All offered LCDs can display Full-HD images and normally with analog inputs equipped.

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VIDEO ENDOSCOPES, CCD-ENDOSCOPES, CHIP ON THE TIP-ENDOSCOPES

A video endoscope consists of a combination of several devices serving the purpose of inspecting difficult-to-access cavities and hollow spaces. This device combination comprises a flexible endoscope with an integrated video chip (CCD or CMOS) which in most cases is located in the endoscope tip, a video controller and a video monitor. Thanks to the chip in the endoscope tip, the doctors in charge can make a very precise and reliable diagnose. This is possible with the help of a highly intelligent and refined system making endoscopy work user-friendly and comfortable.

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